REGIONAL HOSPICE AND HOME CARE OF WESTERN CONNECTICUT INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- REGIONAL HOSPICE AND HOME CARE OF WESTERN CONNECTICUT INC (EIN 06-1178847)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-01-13
- IRS object ID
- 201110139349300731
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-01-13T14:57:42-06:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARCUM LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | CITY PLACE II 185 ASYLUM STREET | AddressLine1 |
| City | HARTFORD | City |
| State | CT | State |
| ZIP Code | 06103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 061178847 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Regional Hospice of Western Conn Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | REGI | NameControl |
| Phone | 2037398300 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 405 Main Street | AddressLine1 |
| City | Danbury | City |
| State | CT | State |
| ZIP Code | 06810 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Officer | Name |
| Title | MS, LCSW, CHCM, Executive Director | Title |
| Phone | 2037398300 | Phone |
| Date Signed | 2011-01-10 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8605498500 | 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 | Cynthia Roy-Squitieri | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 405 Main St | AddressLine1 |
| City | Danbury | City |
| State | CT | State |
| ZIP Code | 06810 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 5199471 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.REGIONALHOSPICECT.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1983 | YearFormation |
| State Legal Domicile | CT | StateLegalDomicile |
| Activity Or Mission Description | Regional Hospice of Western Connecticut provides care, comfort and compassion to patients and their families touched by life-limiting illness and loss. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 22 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 22 | NbrIndependentVotingMembers |
| Total Nbr Employees | 65 | TotalNbrEmployees |
| Total Nbr Volunteers | 247 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 379827 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 649681 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 3145747 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 3767954 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 93542 | InvestmentIncomePriorYear |
| Investment Income Current Year | 58740 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 220594 | OtherRevenuePriorYear |
| Other Revenue Current Year | 288521 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 3839710 | TotalRevenuePriorYear |
| Total Revenue Current Year | 4764896 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 2485205 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 2552477 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 280904 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1446198 | OtherExpensePriorYear |
| Other Expenses Current Year | 1624139 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 3931403 | TotalExpensesPriorYear |
| Total Expenses Current Year | 4176616 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -91693 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 588280 | RevenuesLessExpensesCY |
| Total Assets BOY | 4547314 | TotalAssetsBOY |
| Total Assets EOY | 5316236 | TotalAssetsEOY |
| Total Liabilities BOY | 373618 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 379375 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 4173696 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 4936861 | NetAssetsOrFundBalancesEOY |
| Mission Description | To provide care, comfort and compassion to patients and their families touched by life-limiting illness and loss through hospice, home care and bereavement services. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 3051449 | Expense |
| Revenue | 3531144 | Revenue |
| Description | Hospice - Provide palliative care, including nursing, medical social work, spiritual, home health aide and volunteer support services to patients with life-limiting illnesses. Care can be provided in homes, skilled nursing facilities or hospitals. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 247208 | Expense |
| Revenue | 236810 | Revenue |
| Description | Home Care - Provide nursing, physical/occupational/speech therapy, medical social work and home health aide services to home-bound patients with life-limiting illnesses who are still seeking treatment for their serious of life-limiting illness. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 213140 | Expense |
| Description | Healing Hearts Center for Grieving Children & Families - Provide community grief support services for children, teenagers, adults and the community, free of charge. We offer support groups, workshops, social groups, special events, one-on-one/family/group counseling, volunteer visits, support and education around issues related to loss and grief, at schoools, businesses, senior centers, skilled nursing facilities and other groups. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 3511797 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 29 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 65 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Nbr Voting Governing Body Members | 22 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 22 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CT | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Organization | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2037398300 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 405 Main Street | AddressLine1 |
| City | Danbury | City |
| State | CT | State |
| ZIP Code | 06810 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (25 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| John Arcario | ||||||||
| Director | 3.00 | X | 0 | 0 | 0 | |||
| Dorota Biernat | ||||||||
| Treasurer | 3.00 | X | 0 | 0 | 0 | X | ||
| Kathy S Braden | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Karl H Epple | ||||||||
| Director | 3.00 | X | 0 | 0 | 0 | |||
| Richard O Garber | ||||||||
| Director | 3.00 | X | 0 | 0 | 0 | |||
| Dr Bill Glass | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Hillel Goldman | ||||||||
| Director | 3.00 | X | 0 | 0 | 0 | |||
| Charles Herrick MD | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| John C Kline | ||||||||
| Director | 3.00 | X | 0 | 0 | 0 | |||
| Rev Phyllis J Leopold | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| JoAnn Maroto-Soltis MD | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| George Mulvaney | ||||||||
| Vice President | 3.00 | X | 0 | 0 | 0 | X | ||
| John Murphy | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Mary Jean Rebeiro | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Karl Rickel | ||||||||
| Secretary | 3.00 | X | 0 | 0 | 0 | X | ||
| Linda K Rinker EdD | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Edward F Ronan Jr CP | ||||||||
| Director | 3.00 | X | 0 | 0 | 0 | |||
| Alain M Schwarz | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| David A Scribner | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Paul L Sirois | ||||||||
| Director | 3.00 | X | 0 | 0 | 0 | |||
| Bill Starbuck | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Susan Tanner | ||||||||
| President | 3.00 | X | 0 | 0 | 0 | X | ||
| Karen Brotherhood | ||||||||
| Finance Director | 40.00 | 73318 | 0 | 6426 | X | |||
| Cynthia Roy-Squitieri | ||||||||
| Executive Director | 40.00 | 169257 | 0 | 31856 | X | |||
| Mary Kincart | ||||||||
| Clinical Director | 40.00 | 111684 | 0 | 10293 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 354259 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 48575 | TotalOtherCompensation |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Danbury Hospital | |||||
| 24 Hospital Ave | Danbury | CT | 06810 | Patient Care | 433800 |
| Danbury Hospital | |||||
| 24 Hospital Ave | Danbury | CT | 06810 | Management & ITG Services | 322319 |
| Aetna Inc | |||||
| PO Box 7247-0233 | Philadelphia | PA | 191700233 | Employee Health Insurance | 292183 |
| Hospice PharmaciaexcelleRx Inc | |||||
| PO Box 510818 | Philadelphia | PA | 191750818 | Patient medications | 142623 |
| Bethel Health Care Center | |||||
| 13 Parklawn | Bethel | CT | 06801 | Patient Room & Board | 122097 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| All Other Contributions | 649681 | AllOtherContributions |
| Total Contributions | 649681 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Net Patient Service Re | Description |
| Business Code | 621610 | BusinessCode |
| Total Revenue Column | 3767954 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3767954 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 3767954 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 74338 | TotalRevenueColumn |
| Related Or Exempt Function Income | 74338 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 343292 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 358890 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -15598 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -15598 | TotalRevenueColumn |
| Related Or Exempt Function Income | -15598 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 364206 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 75685 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 288521 | TotalRevenueColumn |
| Exclusion | $288,521 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4764896 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3826694 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $288,521 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 248865 | Total |
| Program Services | 101905 | ProgramServices |
| Management And General | 126579 | ManagementAndGeneral |
| Fundraising | 20381 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1789728 | Total |
| Program Services | 1595771 | ProgramServices |
| Management And General | 51735 | ManagementAndGeneral |
| Fundraising | 142222 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 346852 | Total |
| Program Services | 319318 | ProgramServices |
| Management And General | 4265 | ManagementAndGeneral |
| Fundraising | 23269 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 167032 | Total |
| Program Services | 140378 | ProgramServices |
| Management And General | 13812 | ManagementAndGeneral |
| Fundraising | 12842 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18500 | Total |
| Management And General | 18500 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 360 | Total |
| Management And General | 360 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 854231 | Total |
| Program Services | 747868 | ProgramServices |
| Management And General | 70969 | ManagementAndGeneral |
| Fundraising | 35394 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5787 | Total |
| Program Services | 5433 | ProgramServices |
| Fundraising | 354 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 427442 | Total |
| Program Services | 367014 | ProgramServices |
| Management And General | 35602 | ManagementAndGeneral |
| Fundraising | 24826 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 109221 | Total |
| Program Services | 96441 | ProgramServices |
| Management And General | 6390 | ManagementAndGeneral |
| Fundraising | 6390 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58709 | Total |
| Program Services | 53799 | ProgramServices |
| Management And General | 2494 | ManagementAndGeneral |
| Fundraising | 2416 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38300 | Total |
| Program Services | 34260 | ProgramServices |
| Management And General | 2020 | ManagementAndGeneral |
| Fundraising | 2020 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10471 | Total |
| Program Services | 9900 | ProgramServices |
| Management And General | 571 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Repairs & Maintenance | 26414 | 14777 | 5005 | 6632 |
| Education & Training | 17916 | 9191 | 6515 | 2210 |
| Dues and subscriptions | 15388 | 1480 | 13147 | 761 |
| Provision for Bad Debts | 14606 | 14606 | ||
| Fundraising expenses | 6769 | 6555 | 214 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20025 | Total |
| Program Services | 7707 | ProgramServices |
| Management And General | 11345 | ManagementAndGeneral |
| Fundraising | 973 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4176616 | Total |
| Program Services | 3511797 | ProgramServices |
| Management And General | 383915 | ManagementAndGeneral |
| Fundraising | 280904 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 300 | BOY |
| EOY | 300 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1433946 | BOY |
| EOY | 1880599 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 717538 | BOY |
| EOY | 823948 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28282 | BOY |
| EOY | 36003 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 566388 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 269743 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 289873 | BOY |
| EOY | 296645 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1859431 | BOY |
| EOY | 1867137 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 217944 | BOY |
| EOY | 411604 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4547314 | BOY |
| EOY | 5316236 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 344222 | BOY |
| EOY | 305740 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29396 | BOY |
| EOY | 73635 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 373618 | BOY |
| EOY | 379375 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4144030 | BOY |
| EOY | 4731554 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29666 | BOY |
| EOY | 5307 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 200000 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4173696 | BOY |
| EOY | 4936861 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4547314 | BOY |
| EOY | 5316236 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 284574 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 367866 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 635556 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 379827 | CurrentTaxYearMinus1Year |
| Current Tax Year | 649681 | CurrentTaxYear |
| Total | 2317504 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 284574 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 367866 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 635556 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 379827 | CurrentTaxYearMinus1Year |
| Current Tax Year | 649681 | CurrentTaxYear |
| Total | 2317504 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 2317504 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 86414 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 122833 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 73669 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 93542 | CurrentTaxYearMinus1Year |
| Current Tax Year | 58740 | CurrentTaxYear |
| Total | 435198 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 2752702 | TotalSupport |
| Gross Receipts From Admissions Etc | 16663435 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.84190 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.84080 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 293217 | OtherCostOrOtherBasis |
| Depreciation | 97615 | Depreciation |
| Book Value | 195602 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 273171 | OtherCostOrOtherBasis |
| Depreciation | 172128 | Depreciation |
| Book Value | 101043 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 296645 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Mutual Funds | Description |
| Book Value | 411604 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 411604 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Third-Party Payor Liabilities | $63,400 |
| Deferred Revenue | $10,235 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 73635 | TotalOfAmounts |
| Total Revenue | 4764896 | TotalRevenue |
| Total Expenses | 4176616 | TotalExpenses |
| Excess Or Deficit For Year | 588280 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 174885 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 174885 | TotalAdjustments |
| Excess Or Deficit Per FS | 763165 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 4939781 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 174885 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 174885 | RevenueNotRptdF990 |
| Revenue Subtotal | 4764896 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 4764896 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 4176616 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 4176616 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 4176616 | TotalExpensesPerForm990 |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Arts Fest Dinner/Art Sale | NameOfEvent1 |
| Gross Receipts Event1 | 152772 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 152772 | GrossRevenueEvent1 |
| Cash Prizes Event1 | 2250 | CashPrizesEvent1 |
| Other Direct Expenses Event1 | 32741 | OtherDirectExpensesEvent1 |
| Name Of Event2 | Chapter Breakfast | NameOfEvent2 |
| Gross Receipts Event2 | 34240 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 34240 | GrossRevenueEvent2 |
| Rent Facility Costs Event2 | 10000 | RentFacilityCostsEvent2 |
| Other Direct Expenses Event2 | 512 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 9 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 177194 | GrossReceiptsOtherEvents |
| Gross Revenue Other Events | 177194 | GrossRevenueOtherEvents |
| Other Direct Expenses Other Events | 30182 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 364206 | GrossReceiptsTotal |
| Gross Revenue Total Events | 364206 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 2250 | CashPrizesTotalEvents |
| Rent Facility Costs Total Events | 10000 | RentFacilityCostsTotalEvents |
| Other Direct Expenses Total Events | 63435 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 75685 | DirectExpenseSummaryEvents |
| Net Income Summary | 288521 | NetIncomeSummary |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cynthia Roy-Squitieri | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Base Compensation Filing Org | 120636 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 48440 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 181 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 31856 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 201113 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 146965 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| George Mulvaney | |||
| Vice President | 81325 | Mulvaney Properties LLC leases office space to the organization, and is owned by George Mulvaney. | 0 |
| Karl Rickel | |||
| Secretary | Broker for the organization's 401K plan. | 0 | |
| Susan Tanner | |||
| President | Assistant administrator of Bethel Health Care, an organization that provides services on a contract basis to regional hospice. | 0 | |
| John C Kline | |||
| Director | President & CEO of Union Savings Bank, where the organization's bank accounts and investments are held. | 0 | |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section B, line 11 | The Form 990 is prepared by our external accountants, reviewed by the Executive Director, Director of Finance and Finance Committee of the Board of Directors, prior to presentation to the Board for final approval. |
| Form 990, Part VI, Section B, line 12c | All Board members and staff are required to complete and sign a conflict of interest disclosure statement on an annual basis. |
| Form 990, Part VI, Section B, line 15 | The organization reviews state and national benchmarks of key positions annually to ensure that the compensation it pays is in line with industry standards. |
| Form 990, Part VI, Section C, line 19 | The Organization makes available its governing documents, conflict of interest policies, and financial statements for public inspection, upon request, at its administrative office location in Danbury, CT. |
| Form 990, Part XI, Line 2c: | The finance committee of the Board of Directors is charged with the responsibility for the selection of the Organization's independent auditors, and for the oversight of the audit of its financial statements. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Danbury Health Systems | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 24 Hospital Avenue | AddressLine1 |
| City | Danbury | City |
| State | CT | State |
| ZIP Code | 06810 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222594977 | EIN |
| Primary Activities | To promote and further the welfare, program and activities of DH & Subs. | PrimaryActivities |
| Legal Domicile State | CT | LegalDomicileState |
| Exempt Code Section | 501(c)3 | ExemptCodeSection |
| Public Charity Status | 509(a)(3) Type II | PublicCharityStatus |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Danbury Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | L | TransactionType |
| Amount Involved | 756119 | AmountInvolved |