Civic Intelligence

The New Milford Hospital Inc

990 • Fiscal year 2014 • EIN 06-0669121

Oct 01, 2013 to Sep 30, 2014 • Filed on Aug 12, 2015

21 Elm Street06776

(203) 739-8110

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on this filing.

Source year 2014

Liabilities / Revenue

2nd percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2014

Net Margin

25th percentile

-0.8%

Higher net margin than 25% of similar nonprofits.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2014

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2014

Asset Growth

1st percentile

-100%

Faster asset growth than 1% of similar nonprofits.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2013 to 2014

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2014

Assets

Down

$0

Down $61,269,930 (-100%) from 2013

Net Assets

Down

$0

Down $31,727,632 (-100%) from 2013

Liabilities

Down

$0

Down $29,542,298 (-100%) from 2013

Revenue

Down

$64,297,750

Down $11,415,526 (-15%) from 2013

Expenses

Down

$64,825,911

Down $8,136,388 (-11%) from 2013

Net Income

Down

-$528,161

Down $3,279,138 (-119%) from 2013

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$80M$60M$40M$20M$0Assets 2010: $68,919,291Liabilities 2010: $34,214,687Net Assets 2010: $34,704,6042010Assets 2011: $70,984,854Liabilities 2011: $40,595,858Net Assets 2011: $30,388,9962011Assets 2012: $66,374,764Liabilities 2012: $45,828,861Net Assets 2012: $20,545,9032012Assets 2013: $61,269,930Liabilities 2013: $29,542,298Net Assets 2013: $31,727,6322013Assets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014

Highlighted filing

2014

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$100M$50M$0-$50MExpenses 2010: $91,735,5432010Expenses 2011: $93,812,2482011Expenses 2012: $85,184,9732012Revenue 2013: $75,713,276Expenses 2013: $72,962,299Net Income 2013: $2,750,9772013Revenue 2014: $64,297,750Expenses 2014: $64,825,911Net Income 2014: -$528,1612014

Highlighted filing

2014

Revenue$64,297,750
Expenses$64,825,911
Net Income-$528,161
Jump To
Filing Snapshot
Filing Period
Oct 1, 2013 to Sep 30, 2014
Signed
Aug 12, 2015
Return Version
2013v4.0
Gross Receipts
$64,297,750
Mission and Program Overview

Mission

To provide outstanding healthcare to the New Milford and surrounding communities we serve through an uncompromising focus on clinical quality, compassionate care, and the creation of a medical "safe haven" for our patients and their families.

New Milford Hospital is an acute care facility dedicated to maintaining and improving the healthcare of members of the New Milford and surrounding communities that it serves.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$33,868,704$0▼ $33,868,704
Accounts Receivable$7,314,799$0▼ $7,314,799
Savings and Temporary Cash Investments$2,221,385$0▼ $2,221,385
Inventories for Sale or Use$1,521,171$0▼ $1,521,171
Prepaid Expenses and Deferred Charges$371,475$0▼ $371,475
Cash and Non-Interest-Bearing Accounts-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Total Assets$61,269,930$0▼ $61,269,930
Other Assets Total$15,972,396$0▼ $15,972,396
Liabilities
Other Liabilities$24,247,201--
Accounts Payable and Accrued Expenses$5,295,097--
Total Liabilities$29,542,298$0▼ $29,542,298
Net Assets / Fund Balance
Unrestricted Net Assets$23,332,942--
Permanently Rstr Net Assets$4,269,475--
Temporarily Rstr Net Assets$4,125,215--
Total Net Assets Fund Balance$31,727,632$0▼ $31,727,632
Total Liabilities and Net Assets / Fund Balance$61,269,930$0▼ $61,269,930
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
D Weymouth to 6114SVP & Exec DirectorFT$312,077$19,829$390,124
John M Murphy MDWCHN Pres & CEO-$200,863$28,335$231,371
Christian WardDir.of FinanceFT$145,711$100,458$186,135
DDeBarba from 1114Exec VP & Pres.-$149,863$25,354$175,605
Donna KaplanisAsst. Secretary-$144,419$19,626$163,682
Damon DeChamplainDirector Pt ExperFT$142,115$21,945$163,678

Board Members and Trustees

NameTitle
James KennedyChairman
Anthea DisneyDirector
Brian C WhiteDirector
David CyganowskiDirector
David Kramer MDDirector
Neil Culligan MDDirector
Richard G JabaraDirector
Spencer HouldinDirector
Lee ZargerChief Med Physicst
Kevin MeadeController
Judith PilchNurse Manager
Joseph D SkrzypczakSecretary
Thomas KoobatianSVP
Steven H RosenbergSVP/CFO & Treas

Highest Paid Contractors

ContractorServicesLocationCompensation
UnidineNutritional-$1,251,824
Apollo IntlSecurity Services-$446,402
Rinaldi Linen ServiceLaundry Services-$150,572
Persante Sleep CareSleep Ctr Management-$146,200
Lawns UnlimitedLandscaping Services-$110,000
Revenue and Support

Revenue Composition

Contributions and Grants
$1,807,850
Program Service Revenue
$61,806,759
Investment Income
$0
Other Revenue
$683,141
Change in Net Assets
$-528,161

Audited Revenue Reconciliation

Revenue per Audited Statements
$64,297,750
Total Revenue per Audited Statements
$64,297,750
Total Revenue per Form 990
$64,297,750
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$33,430,911
Salaries, Compensation, and Employee Benefits$31,395,000
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$20,354,185$4,168,929-$24,523,114
Depreciation Depletion$4,546,312$931,172-$5,477,484
Fees for Services Other$4,109,259$841,655-$4,950,914
Other Employee Benefits$3,192,533$653,892-$3,846,425
Insurance$1,689,175$345,976-$2,035,151
Payroll Taxes$1,253,308$256,702-$1,510,010
Pension Plan Contributions$1,013,460$207,576-$1,221,036
Occupancy$992,532$203,290-$1,195,822
Office Expenses$829,509$169,899-$999,408
Other Expenses$776,707$159,085-$935,792
All Other Expenses$738,724$151,305-$890,029
Current Officers, Directors, Trustees, and Key Employees-$294,415-$294,415
Fees for Services Accounting-$190,930-$190,930
Interest$128,030--$128,030
Information Technology$60,984$12,491-$73,475
Conferences and Meetings$39,346$8,059-$47,405
Fees for Services Lobbying-$38,439-$38,439
Fees for Services Legal-$28,086-$28,086
Travel$9,958$2,039-$11,997
Advertising-$252-$252
Total Functional Expenses$55,964,839$8,861,072$0$64,825,911

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$64,825,911
Total Expenses per Audited Statements$64,825,911
Total Expenses per Form 990$64,825,911
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et

Richard Jabara and James Kennedy, both directors of New Milford Hospital have a business relationship.

Form 990, Part VI, Line 11B: Form 990 Review Process

Steven Rosenberg, CFO, will review the 990 prior to it being sent to the IRS. A preliminary 990, is presented to the Audit Committee in June, who reviews it on behalf of the Board. E&Y is on hand to review the 990 with the Audit Committee and answer any questions. Prior to the 990 being filed with the IRS, the Board will receive a full and accurate copy on a secured website for their review.

Form 990, Part VI, Line 12C: Explanation of Monitoring and Enforcement of Conflicts

The Organization's Process for Monitoring and Enforcing Conflicts of InterestThe Western Connecticut Health Network and its affiliates' (The Network)Conflict of Interest Policy provides that annually, its Representatives shall sign a statement affirming that they disclosed all potential conflicts, as documented in the Conflict of Interest Policy. In addition, General Counsel is part of the routine contracts review process and watches for potential conflicts with any of The Network's Representatives.Who Is Covered By the PolicyThe Network's Conflict of Interest Policy covers each director, officer and manager of The Network, also referred to as "Representatives". Level At Which Determinations of Whether There Is a Conflict In connection with any actual or possible conflict of interest, an interested person must disclose the facts of the conflict. The Compliance Officer and the Audit Committe review and evaluate each disclosure to determine if there is a conflict of interest. After presentation of a potential tranaction or arrangement is made by an interested person, the remaining disinterested Board or Committee members shall decide if a conflict of interest exist. Level That Reviews and Determines What To Do If There Is a ConflictAfter exercising due diligence the full Board would determine what actions should be taken for all conflicts by Officers and Directors. Any conflicts occurring by a manager are reviewed by the Compliance Committee to determine what further action should be taken.Restrictions on The Conflicted PersonNo director having a conflict of interest on any matter shall vote on that matter or be counted in determining the quorum for the meeting at which the vote is taken, even when permitted by law. No Representative having a conflict of interest on any matter shall use his or her personal influence on the matter.If the Board of Directors, in its sole discretion, determines that any Representative has conflicts of interest sufficient in number and/or importance that the effectiveness of such individual on behalf of The Network may be significantly impaired, the Board may ask the individual to resign.

Form 990, Part VI, Line 15A: Compensation Review & Approval Process - CEO, Top Management

Compensation of CEO:In order to achieve its mission and its overall performance objectives, Western Connecticut Health Network, Inc. employs a performance-based total compensation program for its senior executives that is market competitive, compliant with regulatory guidelines, and representative of best practices. Eligible executives are generally direct reports of the CEO along with other executives designated by the CEO. To meet Western Connecticut Health Network Inc.'s total compensation objectives for executives, the following survey sources are used for comparison purposes: -Blend of national Confidential Source, IHS, and Hay Group points healthcare data (where data available), plus 15% geographic differential. Title match data cuts selected based on revenue size.-For Physician executives, surveys covering physician compensation in accredited medical schools (AAMC) are used in combination with proprietary surveys compiled by nationally known consulting firm, Sullivan Cotter and the Medical Group Management Association (MGMA).Western Connecticut Health Network, Inc. targets cash compensation at market competitive levels. Base salary plus short-term (annual) incentive awards (total cash) approximate market competitive levels for total cash compensation. Executive performance is expected to meet or exceed predetermined operational and financial metrics.Other factors, such as competitive market forces, job performance, unique qualifications, and/or individual job responsibilities are also considered in Western Connecticut Health Network, Inc's executive compensation decisions.Roles of the Committee on Governance and Key Executives in the Executive Compensation Process- The Committee on Governance in consultation with the CEO and the SVP HR selects the outside compensation consultants. The current consultant is the Hay Group, whose purpose is to provide a valid independent assessment of the relevent market rates and pay practices for healthcare executives, physician executives and for physicians in general.- The compensation consulting firm compiles appropriate market data, job evaluation and ranking information for all executives and physicians of the organization, excluding the CEO, and will supply this material to the CEO and SVP HR for review and agreement. Once the report is final, it will be supplied to the Committee on Governance for their consideration and acceptance.-The Committee on Governance determines the CEO's salary based on overall performance and market data supplied by the outside market consultant.The last executive compensation evaluation by an outside consultant was done in September, 2014.

Form 990, Part VI, Line 15B: Compensation Review and Approval Process for Officers and Key Employees

Compensation for Other Officers and Key Employees:Compensation review and approval process is identical to the process for the CEO and executives noted in 15A above.

Form 990, Part VI, Line 18: Explanation of Other Means Forms Available For Public Inspection

Tax return information is available on Danbury Hospital's(a related organization) website: www.danburyhospital.org.

Form 990, Part VI, Line 19: Other Organization Documents Publicly Available

The information that has been posted on the Danbury Hospital website for 2014includes:The most current audited financial statements.Also included is the Code of Business Ethics, Information about our Compliance Program, and a copy of our policy regarding Preventing of Fraud, Waste and Abuse.All governing documents required by law are made available upon request.The conflict of interest policy is made available upon request.

FORM 990, PART VI, LINE #6

Western Connecticut Health Network, Inc. is the sole member of New Milford Hospital.

Form 990, Part VI, Line 7A

The sole member shall be responsible for electing, at the annual meeting of the membership, the members of the Board of Directors of the Hospital to serve for three year terms and until their successors are elected and have qualified.

Form 990, Part VI, Line 7B

The duties and responsibilities of the sole member shall include, among others, the following:Electing at the annual meeting of the membership, the members of the Board of Directors of the hospital to serve for three year terms and until their successors are elected and have qualified:Filling vacancies on the Board of Directors, which occur between elections; reviewing, making, and approving changes in the bylaws; insuring that the objective, purposes and goals of New Milford Hospital as stated in the charter of the New Milford Hospital, Inc. are properly and effectively carried out by the Board of Directors; delegating as appropriate, to the Board of Directors, policy-making functions, the supervision of the Hospital's operations and the control over the Hospital's assets.

FORM 990, PART VII (ADDT'L INFORMATION)

For those officers and top 5 employees, for which only 40 hours is noted to reflect paid hours, actual hours worked exceeded this amount.Note: All amounts in column F, of Part VII,"Estimated Amount of Other Compensation", represent benefits, and do not reflect any compensation for which the average amount of time worked can be reflected.

FORM 990,PART VI, SECTION A ,LINE 1B

Neil Culligan,MD is not considered to be independent, since he received stipends during the year exceeding $10,000.

Filing and Contact Details

Filer

EIN
06-0669121
Phone
2037398110

Signing Officer

Name
Steven H Rosenberg
Title
SVP & CFO
Signed
2015-08-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Steven H Rosenberg
Formed
1921
Legal Domicile
Ct
Voting Board Members
9
Independent Board Members
7
Employees
499
Volunteers
90

Preparer

Preparer
Jennifer Lynch
Phone
3176817000
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 3: Ceased Conducting or Significant Changes To Services

The New Milford Hospital, Inc. is operating under a single license with Danbury Hospital as of October 1, 2014.

Other Changes In Net Assets Or Fund Balances - Other Decreases

Change in equity interest of WCHNF = -$478506

Other Changes In Net Assets Or Fund Balances - Other Decreases

Change in pension funding = -$7005610

Other Changes In Net Assets Or Fund Balances - Other Decreases

Net Assets Transferred to Danbury Hosp. = -$34128301

Other Changes In Net Assets Or Fund Balances - Other Increases

Transfer from Danbury Hospital = $10412946

Form 990, Part IX, Column D

ALTHOUGH CONTRIBUTIONS ARE REFLECTED ON LINE #1 OF PAGE #1 ON FORM 990,ALL FUNDRAISING EXPENSES WERE INCURRED BY THE Western Connecticut Health Network Foundation.

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IRS990/Form990PartVIISectionAGrp/PersonNm3David Cyganowski
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