NUVANCE HEALTH MEDICAL PRACTICE CT INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- NUVANCE HEALTH MEDICAL PRACTICE CT INC (EIN 06-1137531)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-17
- IRS object ID
- 201102299349300210
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-17T11:38:44-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE SUITE 2600 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 061137531 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Danbury Office of Physician Services | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | DANB | NameControl |
| Phone | 2037318707 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 95 Locust Avenue | AddressLine1 |
| City | Danbury | City |
| State | CT | State |
| ZIP Code | 06801 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Doug Magazu | Name |
| Title | CFO | Title |
| Date Signed | 2011-08-17 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3176817000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Patrick Broderick | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 95 LOCUST AVENUE | AddressLine1 |
| City | DANBURY | City |
| State | CT | State |
| ZIP Code | 06810 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 131772400 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1985 | YearFormation |
| State Legal Domicile | CT | StateLegalDomicile |
| Activity Or Mission Description | OUR MISSION AT DOPS INCLUDES THE PROVISION OF HIGH QUALITY HEALTH CARE TO ALL PERSONS WHO COME TO OUR PHYSICIANS' OFFICES, TO DANBURY HOSPITAL AND TO WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 779 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 31757 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -61053 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 120933280 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 131101845 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 70363 | InvestmentIncomePriorYear |
| Investment Income Current Year | 17977 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 614981 | OtherRevenuePriorYear |
| Other Revenue Current Year | 304833 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 121618624 | TotalRevenuePriorYear |
| Total Revenue Current Year | 131424655 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 99149290 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 109233555 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 22393926 | OtherExpensePriorYear |
| Other Expenses Current Year | 26993840 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 121543216 | TotalExpensesPriorYear |
| Total Expenses Current Year | 136227395 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 75408 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -4802740 | RevenuesLessExpensesCY |
| Total Assets BOY | 25498892 | TotalAssetsBOY |
| Total Assets EOY | 24242470 | TotalAssetsEOY |
| Total Liabilities BOY | 22028756 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 25575074 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 3470136 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -1332604 | NetAssetsOrFundBalancesEOY |
| Mission Description | OUR MISSION AT DOPS INCLUDES THE PROVISION OF HIGH QUALITY HEALTH CARE TO ALL PERSONS WHO COME TO OUR PHYSICIANS' OFFICES, TO DANBURY HOSPITAL AND TO WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 48115199 | Expense |
| Revenue | 33923387 | Revenue |
| Description | Medicine Sub specialty is comprised of 73 full and part time physicians serving the greater Western Connecticut area and representing the following medicine subspecialties; Cardiology Gastroenteritis Pulmonary Physical Medicine Infectious Disease Oncology Rheumatically Hospitality services Nephridia The specialty offices are located in Danbury, Ridgepiece, New Milford and Southbury. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 23618593 | Expense |
| Revenue | 18238907 | Revenue |
| Description | The Primary Care Division of DOPS has 35 full and part-time physicians located in several towns across Western Connecticut and Eastern New York providing medical services. Primary Care Offices are located in; Danbury, CT Brewster, NY Southbury, CT Brookfield, CT Ridgefield, CT New Milford, CT New Fairfield, CT | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 17923733 | Expense |
| Revenue | 16970638 | Revenue |
| Description | Anesthesiology is comprised of 46 full and part-time physicians as well as CRNA's. The department has two sites located in Danbury and Ridgefield providing medical services. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 34965896 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 62241989 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 124623421 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 215 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 779 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DOUGLAS MAGAZU | NamePerson |
| Telephone Number | 2037977218 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 95 LOCUST AVENUE | AddressLine1 |
| City | DANBURY | City |
| State | CT | State |
| ZIP Code | 06801 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| PATRICK BRODERICK | |||||||
| PHYSICIAN/PRESIDENT | 50.0 | X | X | 486259 | 0 | 7331 | |
| MATTHEW MILLER | |||||||
| PHYSICIAN/BOARD MEMBER | 2.0 | X | 572408 | 0 | 31752 | ||
| CHARLES HERRICK | |||||||
| PHYSICIAN/BOARD MEMBER | 50.0 | X | 428952 | 0 | 9749 | ||
| PIERRE SALDINGER | |||||||
| PHYSICIAN/SECRETARY | 50.0 | X | X | 689212 | 0 | 8121 | |
| RAMON KRANWINKEL | |||||||
| PHYSICIAN/BOARD MEMBER | 50.0 | X | 649844 | 0 | 6821 | ||
| MARTIN SERRINS | |||||||
| PHYSICIAN/VICE PRESIDENT | 50.0 | X | X | 675628 | 0 | 8238 | |
| PATRICIA TIETJEN | |||||||
| PHYSICIAN/BOARD MEMBER | 50.0 | X | 622226 | 0 | 1246 | ||
| RAUL ARGUELLO | |||||||
| PHYSICIAN/BOARD MEMBER | 50.0 | X | 390598 | 0 | 5251 | ||
| DOUG MAGAZU | |||||||
| CFO | 50.0 | X | 242103 | 0 | 264 | ||
| EDWARD KUSHMEREK | |||||||
| EXECUTIVE DIRECTOR | 50.0 | X | 311770 | 0 | 3379 | ||
| ALAN DIETZEK | |||||||
| SURGEON | 50.0 | 1031260 | 0 | 8556 | X | ||
| HAL WASSERMAN | |||||||
| IC CARDIOLOGY | 50.0 | 765907 | 0 | 5056 | X | ||
| Scott Estrabrook | |||||||
| Gastroenternology | 50.0 | 717612 | 0 | 8241 | X | ||
| CARY PASSIK | |||||||
| PHYSICIAN | 50.0 | 729387 | 0 | 7096 | X | ||
| JOSEPH FIORITO | |||||||
| PHYSICIAN | 50.0 | 715546 | 0 | 3494 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 9028712 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 114595 | TotalOtherCompensation |
| Number Individuals GT100 K | 228 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| GE HEALTHCARE | |||||
| PO BOX 277475 | ATLANTA | GA | 30384 | HEALTHCARE BILLING | 734315 |
| MMRI | |||||
| PO BOX 2000 | EAST SYRACUSE | NY | 13057 | HEALTHCARE BILLING | 1047066 |
| WOMENS HEALTH SERVICES | |||||
| 90 LOCUST AVE | DANBURY | CT | 06801 | PHYSICIAN FEES | 517333 |
| CREDIT CENTER INC | |||||
| A/R COLLECTIONS | 379001 | ||||
| ALLSCRIPTS | |||||
| 8529 SIX FORKS ROAD | RLEIGH | NC | 27615 | COMPUTER INTEGRATION | 1461851 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 13 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MEDICAL REVENUE | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 131101845 | TotalRevenueColumn |
| Related Or Exempt Function Income | 131101845 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 131101845 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 17977 | TotalRevenueColumn |
| Exclusion | $17,977 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 340199 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 340199 | Real |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 39303 | GrossSalesOfInventory |
| Cost Of Goods Sold | 7546 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 31757 | TotalRevenueColumn |
| Unrelated Business Revenue | 31757 | UnrelatedBusinessRevenue |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| REIMBURSE PROVIDER CONT | 621610 | 190050 | 190050 |
| MEDICAL RECORDS | 900003 | 83026 | 83026 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 273076 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 131424655 | TotalRevenueColumn |
| Related Or Exempt Function Income | 131374921 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 31757 | UnrelatedBusinessRevenue |
| Exclusion | $17,977 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8926780 | Total |
| Program Services | 8343209 | ProgramServices |
| Management And General | 583571 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83226941 | Total |
| Program Services | 79254154 | ProgramServices |
| Management And General | 3972787 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5036832 | Total |
| Program Services | 4716276 | ProgramServices |
| Management And General | 320556 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7802360 | Total |
| Program Services | 6924570 | ProgramServices |
| Management And General | 877790 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4240642 | Total |
| Program Services | 3974652 | ProgramServices |
| Management And General | 265990 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 183390 | Total |
| Management And General | 183390 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 100147 | Total |
| Management And General | 100147 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6524694 | Total |
| Program Services | 2824578 | ProgramServices |
| Management And General | 3700116 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 108150 | Total |
| Program Services | 108150 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2574342 | Total |
| Program Services | 2455819 | ProgramServices |
| Management And General | 118523 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 200003 | Total |
| Program Services | 179267 | ProgramServices |
| Management And General | 20736 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4665464 | Total |
| Program Services | 4343687 | ProgramServices |
| Management And General | 321777 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 389621 | Total |
| Program Services | 356652 | ProgramServices |
| Management And General | 32969 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55979 | Total |
| Program Services | 55979 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 880195 | Total |
| Program Services | 734746 | ProgramServices |
| Management And General | 145449 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3289957 | Total |
| Program Services | 2932128 | ProgramServices |
| Management And General | 357829 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 5431473 | 5431473 | |
| WORKING CAPITAL | 816876 | 816876 | |
| MEMBERSHIP DUES | 482427 | 436115 | 46312 |
| MAINTENANCE CONTRACTS | 239753 | 239753 | |
| OTHER EXPENSES | 234729 | 47109 | 187620 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 816640 | Total |
| Program Services | 448228 | ProgramServices |
| Management And General | 368412 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 136227395 | Total |
| Program Services | 124623421 | ProgramServices |
| Management And General | 11603974 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5051 | BOY |
| EOY | 5257 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7305171 | BOY |
| EOY | 3583516 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8675380 | BOY |
| EOY | 10614681 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 231144 | BOY |
| EOY | 186591 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87789 | BOY |
| EOY | 119335 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 12739409 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 6484980 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4473053 | BOY |
| EOY | 6254429 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 254041 | BOY |
| EOY | 191177 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4467263 | BOY |
| EOY | 3287484 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25498892 | BOY |
| EOY | 24242470 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7791892 | BOY |
| EOY | 8836272 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 268657 | BOY |
| EOY | 763426 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1020470 | BOY |
| EOY | 917010 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12947737 | BOY |
| EOY | 15058366 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22028756 | BOY |
| EOY | 25575074 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Do Not Follow SFAS117 | X | DoNotFollowSFAS117 |
Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1000 | BOY |
| EOY | 1000 | EOY |
Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3469136 | BOY |
| EOY | -1333604 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3470136 | BOY |
| EOY | -1332604 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25498892 | BOY |
| EOY | 24242470 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | true | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 25176 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 143640 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 160329 | CurrentTaxYearMinus2Years |
| Total | 329145 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 98711602 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 109544284 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 116231509 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 121548488 | CurrentTaxYearMinus1Year |
| Current Tax Year | 131374921 | CurrentTaxYear |
| Total | 577410804 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 98736778 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 109687924 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 116391838 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 121548488 | CurrentTaxYearMinus1Year |
| Current Tax Year | 131374921 | CurrentTaxYear |
| Total | 577739949 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 577739949 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 401622 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 429692 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 488325 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 457479 | CurrentTaxYearMinus1Year |
| Current Tax Year | 358176 | CurrentTaxYear |
| Total | 2135294 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 401622 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 429692 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 488325 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 457479 | CurrentTaxYearMinus1Year |
| Current Tax Year | 358176 | CurrentTaxYear |
| Total | 2135294 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 99138400 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 110117616 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 116880163 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 122005967 | CurrentTaxYearMinus1Year |
| Current Tax Year | 131733097 | CurrentTaxYear |
| Total | 579875243 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99632 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99630 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00368 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00370 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed4955 Tax | false | Form4720Filed4955Tax |
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | true | MailingsMembers |
| Mailings Members | $7,392 | MailingsMembersAmount |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 7392 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART II-B, LINE 1I- OTHER ACTIVITIES DESCRIPTION | Identifier |
| Explanation | THE DOLLARS RELATED TO LOBBYING ACTIVITIES REPRESENTS APPROXIMATELY 1.5% OF THE TOTAL MEMBERSHIP DUE EXPENDITURES. ALL LOBBYING DOLLARS ARE A PORTION OF MEMBERSHIP DUES PAID. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Land | Land | |
| Buildings | Buildings |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 280724 | OtherCostOrOtherBasis |
| Depreciation | 224305 | Depreciation |
| Book Value | 56419 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7571888 | OtherCostOrOtherBasis |
| Depreciation | 4108941 | Depreciation |
| Book Value | 3462947 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4886797 | OtherCostOrOtherBasis |
| Depreciation | 2151734 | Depreciation |
| Book Value | 2735063 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 6254429 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (7 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| 457B ASSET | 2202830 |
| CASH VALUE LIFE INSURANCE | 1008912 |
| DANBURY HOSPITAL RECEIVABLE | -1538 |
| DHCC RECEIVABLE | 6911 |
| NEW MILFORD RECEIVABLE | 13500 |
| RESEARCH RECEIVABLE | 8150 |
| SOUTHBURY RENT RECEIVABLE | 48719 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 3287484 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| I/C DANBURY HOSPITAL | $15,058,363 |
| ROUNDING | $3 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 15058366 | TotalOfAmounts |
| Total Revenue | 131424655 | TotalRevenue |
| Total Expenses | 136227395 | TotalExpenses |
| Excess Or Deficit For Year | -4802740 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | -4802740 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 131764854 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 340199 | OtherRevenues |
| Revenue Not Rptd F990 | 340199 | RevenueNotRptdF990 |
| Revenue Subtotal | 131424655 | RevenueSubtotal |
| Total Revenue Per Form990 | 131424655 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 136567594 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 340199 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 340199 | ExpensesNotRptdF990 |
| Expenses Subtotal | 136227395 | ExpensesSubtotal |
| Total Expenses Per Form990 | 136227395 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART X- FIN 48 FOOTNOTE | There was no change since FIN 48 was adopted in a previous year, therefore there is no FIN 48 footnote in the audited financial statements. |
| PART XII, LINE 2D | reclass of rental expenses netted with revenue - 340,199 PART XIII, LINE 2D reclass of rental expenses netted with revenue - 340,199 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | true | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PATRICK BRODERICK | |||||||||||||
| 335374 | 0 | 126044 | 0 | 24841 | 0 | 0 | 0 | 7331 | 0 | 493590 | 0 | 0 | 0 |
| MATTHEW MILLER | |||||||||||||
| 422350 | 0 | 125000 | 0 | 25058 | 0 | 10200 | 0 | 21552 | 0 | 604160 | 0 | 0 | 0 |
| DOUG MAGAZU | |||||||||||||
| 185673 | 0 | 40015 | 0 | 16415 | 0 | 0 | 0 | 264 | 0 | 242367 | 0 | 0 | 0 |
| CHARLES HERRICK | |||||||||||||
| 315869 | 0 | 95000 | 0 | 18083 | 0 | 0 | 0 | 9749 | 0 | 438701 | 0 | 0 | 0 |
| PIERRE SALDINGER | |||||||||||||
| 546635 | 0 | 140000 | 0 | 2577 | 0 | 0 | 0 | 8121 | 0 | 697333 | 0 | 0 | 0 |
| RAMON KRANWINKEL | |||||||||||||
| 459576 | 0 | 120000 | 0 | 70268 | 0 | 0 | 0 | 6821 | 0 | 656665 | 0 | 0 | 0 |
| MARTIN SERRINS | |||||||||||||
| 497086 | 0 | 150000 | 0 | 28542 | 0 | 0 | 0 | 8238 | 0 | 683866 | 0 | 0 | 0 |
| PATRICIA TIETJEN | |||||||||||||
| 471266 | 0 | 125000 | 0 | 25960 | 0 | 0 | 0 | 1246 | 0 | 623472 | 0 | 0 | 0 |
| RAUL ARGUELLO | |||||||||||||
| 283831 | 0 | 90000 | 0 | 16767 | 0 | 0 | 0 | 5251 | 0 | 395849 | 0 | 0 | 0 |
| ALAN DIETZEK | |||||||||||||
| 709102 | 0 | 277676 | 0 | 44482 | 0 | 0 | 0 | 8556 | 0 | 1039816 | 0 | 0 | 0 |
| EDWARD KUSHMEREK | |||||||||||||
| 236732 | 0 | 50000 | 0 | 25038 | 0 | 0 | 0 | 3379 | 0 | 315149 | 0 | 0 | 0 |
| HAL WASSERMAN | |||||||||||||
| 623525 | 0 | 115076 | 0 | 27306 | 0 | 0 | 0 | 5056 | 0 | 770963 | 0 | 0 | 0 |
| Scott Estrabrook | |||||||||||||
| 393892 | 0 | 305111 | 0 | 18609 | 0 | 0 | 0 | 8241 | 0 | 725853 | 0 | 0 | 0 |
| CARY PASSIK | |||||||||||||
| 579203 | 0 | 107000 | 0 | 43184 | 0 | 0 | 0 | 7096 | 0 | 736483 | 0 | 0 | 0 |
| JOSEPH FIORITO | |||||||||||||
| 433784 | 0 | 256570 | 0 | 25192 | 0 | 0 | 0 | 3494 | 0 | 719040 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PART I, LINE 1A | RELEVANT INFORMATION REGARDING COMPENSATION BENEFITS | The following individuals 2009 W-2 wages reflected tax gross up amounts related to prior year SERP payouts and was governed by its own agreement: Matthew A. Miller, MD $186,758 |
| PART I, LINE 3 | ESTABLISHMENT OF COMPENSATION | The organization relied on a related organization, Western Connecticut Healthcare, Inc. which used the following methods to establish top management's compensation: compensation committee, independent compensation consultant, written employment contract, compensation survey or study, approval by board or compensation committee. With regard to how the organization determines compensation for its CFO and Executive Director; the job description and compensation parameters are reviewed by the Health System's Human Resource department as well as a third party consultant. The findings are presented to the DOPS Board of Directors and the Health Systems Governance Committee for review and approval. |
| PART I, LINE 4B | Supplemental non-qualified retirement plan | The following individuals 2009 W-2 wages reflected tax gross up amounts related to prior year SERP payouts and was governed by its own agreement: Matthew A. Miller, MD $186,758 |
| PART I, LINE 6B | 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 Danbury Health Systems. 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, 2009, and end September 30, 2010. 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 Danbury Health System 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. 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 Danbury Health System 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 Danbury Health Systems 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 and below 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 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. If EBITDA is less than basic, could result in as much as 50% reduction in overall award. If EBITDA is less than 8%, full elimination of incentive award. 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. |
| PART I, LINE 7 | NON-FIXED PAYMENTS NOT LISTED | FOR NON-BOARD MEMBERS, THE INCENTIVE COMPENSATION (IC) IS MADE UP OF BOTH FIXED AND NON-FIXED PAYMENTS. IC IS BASED ON RVU PRODUCTION, FIXED PAYMENTS, AS WELL AS A 20% WITHHOLD, NON-FIXED. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART I, LINE 3 | There are no independent trustees due to compensation paid to trustees for their services as physicians rather than for their board service. However, the organization is part of an integrated healthcare delivery system of entities which have community boards. FORM 990, PART III, LINE 4D Other Program Services These programs include inpatient and outpatient Psychiatry, Surgical services, Emergency Room, inpatient and outpatient Pediatrics and Pathology. FORM 990, PART VI, LINE 6 Explanation of Classes of Members or Shareholder Danbury Office of Physician Services is a stock corporation with stock issued to its physician membership. | |
| FORM 990, PART VI, LINE 11 | All Federal and State returns are reviewed by the Chief Financial Officer and Executive Director and are presented to the Board of Directors before they are filed. In addition, DOPS uses an outside accounting firm to perform a review on all returns. | FORM 990 REVIEW PROCESS |
| FORM 990, PART VI, LINE 12C | The Organization regularly and consistently monitors and enforces compliance with the conflict of interest policy by requiring all physicians and Management to sign a conflict of interest disclosure. The documents are then reviewed by the Compliance Committee. If the Board or committee has reasonable cause to believe that a Representative has failed to disclose a personal or outside interest that could constitute a conflict of interest, it shall inform the Representative of the basis for that belief and give the Representative an opportunity to explain the alleged failure to disclose. If, after hearing the response of the Representative and making such further investigation as may be warranted in the circumstances, the Board or committee determines that the Representative has in fact failed to disclose a personal or outside interest that could constitute a conflict of interest, the Board shall take appropriate disciplinary and corrective action. Disciplinary action may result in termination of employment or the refusal of DOPS to defend the employee with a matter that was not disclosed but otherwise may have been eligible to be defended by DOPS. | Explanation of Monitoring and Enforcement of Conflicts |
| FORM 990, PART VI, LINE 15A & 15B | Compensation for the Executive Director and CFO positions, Edward Kusmerek and Douglas Magazu, respectively, are reviewed and based on outside market data from a third party vendor. The review was last performed in 2009 while searching for a candidate to fill the Executive Director position. Compensation is further reviewed by the Human Resources Department and the DOPS Board of Directors. | Compensation Review & Approval Process for Officers & Key Employees |
| FORM 990, PART VI, LINE 19 | The Organization makes its governing document, conflict of interest policy and financial statements available to the public upon request by contacting the Administrative Office. | Other Organization Documents Publicly Available |
| FORM 990, PART VII | Matthew A. Miller, MD is paid by Danbury Office of Physician Services for the services he provides to a related organization | HOURS EXPLANATION |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| DANBURY HOSPITAL | |||||||||
| 24 HOSPITAL AVE | DANBURY | CT | 06801 | 060646597 | HEALTHCARE | CT | 501(C)3 | 3 | NA |
| WESTERN CONNECTICUT HEALTHCARE INC | |||||||||
| 95 LOCUST AVENUE | DANBURY | CT | 06810 | 222594977 | PROGRAM DEVEL | CT | 501(C)3 | 11 TYPE 2 | NA |
| DANBURY HEALTH CARE AFFILIATES | |||||||||
| 95 LOCUST AVE | DANBURY | CT | 06801 | 222594968 | OUTPATIENT | CT | 501(C)3 | 9 | NA |
| DANBURY HOSPITAL DEVELOPMENT FUND | |||||||||
| 24 Hospital Ave | DANBURY | CT | 06801 | 237425557 | SOLICITING | CT | 501(C)3 | 7 | NA |
| DANBURY VISITING NURSE ASSOC INC | |||||||||
| 4 Liberty Street | DANBURY | CT | 06810 | 060655138 | HOME HLTHCRE | CT | 501(C)3 | 9 | NA |
| REGIONAL HOSPICE OF WESTERN CONNECTICUT | |||||||||
| 405 MAIN STREET | DANBURY | CT | 06810 | 061178847 | PATIENT CARE | CT | 501(C)3 | 7 | NA |
| NEW MILFORD HOSPITAL | |||||||||
| 21 ELM STREET | DANBURY | CT | 06776 | 060669121 | ACUTE CARE | CT | 501(C)3 | 3 | NA |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICAL SERVICES OF DANBURY | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 24 HOSPITAL AVE | AddressLine1 |
| City | DANBURY | City |
| State | CT | State |
| ZIP Code | 06811 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 061635945 | EIN |
| Primary Activity | HEALTHCARE | PrimaryActivity |
| Legal Domicile State | CT | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C CORP | TypeOfEntity |
| Share Of Total Income | 0 | ShareOfTotalIncome |
| Share Of EOY Assets | 0 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| DANBURY HOSPITAL | |
| j | 129996 |
| DANBURY HOSPITAL | |
| l | 647501 |
| DANBURY HOSPITAL | |
| k | 34585236 |
| DANBURY HOSPITAL | |
| n | 895145 |
| DANBURY HOSPITAL | |
| o | 5590539 |
| DANBURY HOSPITAL | |
| r | 38803717 |