2011-01-13T14:57:42-06:00 2010-06-30 MARCUM LLP CITY PLACE II 185 ASYLUM STREET HARTFORD CT 06103 990 2009-07-01 061178847 Regional Hospice of Western Conn Inc REGI 2037398300 405 Main Street Danbury CT 06810 Officer 2037398300 2011-01-10 1 8605498500 2009 2016-02-24 21:20:13Z Cynthia Roy-Squitieri 405 Main St Danbury CT 06810 5199471 0 X WWW.REGIONALHOSPICECT.ORG X 1983 CT Regional Hospice of Western Connecticut provides care, comfort and compassion to patients and their families touched by life-limiting illness and loss. 22 22 65 247 0 0 379827 649681 3145747 3767954 93542 58740 220594 288521 3839710 4764896 0 0 2485205 2552477 0 280904 1446198 1624139 3931403 4176616 -91693 588280 4547314 5316236 373618 379375 4173696 4936861 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. 0 0 3051449 3531144 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. 247208 236810 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. 213140 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. 3511797 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 1 29 0 1 65 1 0 0 0 0 0 0 0 0 0 0 0 22 22 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CT X The Organization 2037398300 405 Main Street Danbury CT 06810 John Arcario 3.00 X 0 0 0 Dorota Biernat 3.00 X X 0 0 0 Kathy S Braden 1.00 X 0 0 0 Karl H Epple 3.00 X 0 0 0 Richard O Garber 3.00 X 0 0 0 Dr Bill Glass 1.00 X 0 0 0 Hillel Goldman 3.00 X 0 0 0 Charles Herrick MD 1.00 X 0 0 0 John C Kline 3.00 X 0 0 0 Rev Phyllis J Leopold 1.00 X 0 0 0 JoAnn Maroto-Soltis MD 1.00 X 0 0 0 George Mulvaney 3.00 X X 0 0 0 John Murphy 1.00 X 0 0 0 Mary Jean Rebeiro 1.00 X 0 0 0 Karl Rickel 3.00 X X 0 0 0 Linda K Rinker EdD 1.00 X 0 0 0 Edward F Ronan Jr CP 3.00 X 0 0 0 Alain M Schwarz 1.00 X 0 0 0 David A Scribner 1.00 X 0 0 0 Paul L Sirois 3.00 X 0 0 0 Bill Starbuck 1.00 X 0 0 0 Susan Tanner 3.00 X X 0 0 0 Karen Brotherhood 40.00 X 73318 0 6426 Cynthia Roy-Squitieri 40.00 X 169257 0 31856 Mary Kincart 40.00 X 111684 0 10293 354259 0 48575 2 0 1 0 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 5 649681 649681 Net Patient Service Re 621610 3767954 3767954 3767954 74338 74338 343292 358890 -15598 -15598 -15598 364206 75685 288521 288521 4764896 3826694 0 288521 248865 101905 126579 20381 1789728 1595771 51735 142222 346852 319318 4265 23269 167032 140378 13812 12842 18500 18500 360 360 854231 747868 70969 35394 5787 5433 354 427442 367014 35602 24826 109221 96441 6390 6390 58709 53799 2494 2416 38300 34260 2020 2020 10471 9900 571 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 20025 7707 11345 973 4176616 3511797 383915 280904 300 300 1433946 1880599 717538 823948 28282 36003 566388 269743 289873 296645 1859431 1867137 217944 411604 4547314 5316236 344222 305740 29396 73635 373618 379375 X 4144030 4731554 29666 5307 200000 4173696 4936861 4547314 5316236 X 0 1 1 X 0 X 284574 367866 635556 379827 649681 2317504 284574 367866 635556 379827 649681 2317504 2317504 86414 122833 73669 93542 58740 435198 2752702 16663435 0.84190 0.84080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 293217 97615 195602 273171 172128 101043 296645 Mutual Funds 411604 F 411604 Third-Party Payor Liabilities 63400 Deferred Revenue 10235 73635 4764896 4176616 588280 174885 174885 763165 4939781 174885 174885 4764896 0 4764896 4176616 0 4176616 0 4176616 Arts Fest Dinner/Art Sale 152772 152772 2250 32741 Chapter Breakfast 34240 34240 10000 512 9 177194 177194 30182 364206 364206 2250 10000 63435 75685 288521 X X X 0 0 0 0 0 0 0 0 0 Cynthia Roy-Squitieri 120636 0 48440 0 181 0 0 0 31856 0 201113 0 146965 0 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 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. Danbury Health Systems 24 Hospital Avenue Danbury CT 06810 222594977 To promote and further the welfare, program and activities of DH & Subs. CT 501(c)3 509(a)(3) Type II 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Danbury Hospital Inc L 756119