Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 10-01-2017 , and ending 09-30-2018
BCheck if applicable:
CName of organization
Danbury Hospital
 
% KAREN DARCY
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
24 Hospital Avenue
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Danbury, CT068106099
D Employer identification number

06-0646597
E Telephone number

G Gross receipts $ 707,508,144
F Name and address of principal officer:
JOHN M MURPHYMD
24 Hospital Avenue
Danbury,CT068106099
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.danburyhospital.org
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1885
M State of legal domicile: CT
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: To enhance through medical care,education and research the health and well being of individuals in Danbury, CT and surrounding communities in partnership with those we serve.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 13
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 9
5 Total number of individuals employed in calendar year 2019 (Part V, line 2a) ...... 5 3,858
6 Total number of volunteers (estimate if necessary) ............. 6 395
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 9,909,566
b Net unrelated business taxable income from Form 990-T, line 39 ......... 7b -1,888,934
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 11,897,686 8,555,257
9 Program service revenue (Part VIII, line 2g) ......... 654,591,756 684,865,168
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 18,687,068 9,053,084
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 3,142,255 4,534,750
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 688,318,765 707,008,259
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 269,410,153 282,879,488
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 393,805,009 416,482,849
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 663,215,162 699,362,337
19 Revenue less expenses. Subtract line 18 from line 12....... 25,103,603 7,645,922
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 771,223,240 771,984,782
21 Total liabilities (Part X, line 26)............. 378,515,816 401,836,442
22 Net assets or fund balances. Subtract line 21 from line 20..... 392,707,424 370,148,340
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2019)
Form 990 (2019)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: TO IMPROVE THE HEALTH AND WELL BEING OF THOSE WE SERVE.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 215,340,123 including grants of $   ) (Revenue $ 191,091,157 )
SEE SCHEDULE O
4b (Code:   ) (Expenses $ 138,897,091 including grants of $   ) (Revenue $ 154,532,631 )
SEE SCHEDULE O
4c (Code:   ) (Expenses $ 75,867,306 including grants of $   ) (Revenue $ 82,781,070 )
SEE SCHEDULE O
4d Other program services (Describe in Schedule O.)
(Expenses $ 172,016,300 including grants of $   ) (Revenue $ 256,933,056 )
4e Total program service expensesMediumBullet602,120,820
Form 990 (2019)
Form 990 (2019)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D,
Part IIIClick to see attachment..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
 
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D,
Part VI. Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII
Click to see attachment......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see list of attachments
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....
21
 
No
Form 990 (2019)
Form 990 (2019)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I .... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick to see attachment.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable ..
1a
661
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2019)
Form 990 (2019)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
3,858
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see instructions and file Form 4720, Schedule N.
15
 
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
 
Form 990 (2019)
Form 990 (2019)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
13
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
9
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
 
No
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
 
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
 
 
13
Did the organization have a written whistleblower policy? ...............
13
 
No
14
Did the organization have a written document retention and destruction policy? .........
14
 
No
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
No
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletKAREN DARCY14 RESEARCH DRIVE SUITE 201A   BETHEL,CT06801 (203) 739-4593
Form 990 (2019)
Form 990 (2019)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) John M MurphyMD......................................................................
Pres & CEO WCHN
40.0
.................
11.0
X   X       1,996,390 0 50,341
(2) James Bruno MD......................................................................
Director
1.0
.................
0.0
X           0 0 0
(3) Carrie L Amos......................................................................
Director
1.0
.................
0.0
X           0 0 0
(4) Mary Alice Donius......................................................................
Director
1.0
.................
0.0
X           0 0 0
(5) Cornellius Ferreira MD......................................................................
Director
1.0
.................
0.0
X           0 440,197 31,520
(6) Phil Fiore Jr......................................................................
Director
1.0
.................
1.0
X           0 0 0
(7) Bruce D Haims......................................................................
Director
1.0
.................
0.0
X           0 0 0
(8) Daniel McCarthy to 1231......................................................................
Director
1.0
.................
3.0
X           0 0 0
(9) Greg Oneglia......................................................................
Director
1.0
.................
0.0
X           0 0 0
(10) Neil Culligan MD to 1231......................................................................
Director
1.0
.................
0.0
X           0 0 0
(11) Emmanuel Palmares......................................................................
Director
1.0
.................
0.0
X           0 0 0
(12) Anthony M Rizzo Jr......................................................................
Director
1.0
.................
3.0
X           0 0 0
(13) Anthea Disney......................................................................
Chairman
3.0
.................
2.0
X   X       0 0 0
(14) Spencer Houldin......................................................................
Secretary
3.0
.................
2.0
X   X       0 0 0
(15) Anne Roby from 1231......................................................................
Vice Chairman
3.0
.................
1.0
X   X       0 0 0
(16) Brian C White to 1231......................................................................
Vice Chairman
3.0
.................
2.0
X   X       0 0 0
(17) Steven H Rosenberg......................................................................
Treasurer
40.0
.................
19.0
    X       800,722 0 48,529
Form 990 (2019)
Form 990 (2019)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Richard Freeman MD........................................................................
Chief Clin. Officer WCHN
40.0
.......................3.0
      X     434,746 0 11,919
(19) Carolyn McKenna........................................................................
SVP & Gen Counsel WCHN
40.0
.......................6.0
      X     526,673 0 20,675
(20) Sharon Adams........................................................................
COO & Chief Nursing Officer
40.0
.......................7.0
      X     592,002 0 19,704
(21) Catherine Frierson........................................................................
SVP Human Resources WCHN
40.0
.......................3.0
      X     500,008 0 15,993
(22) Kathleen Dematteo to 0309........................................................................
Chief Infor. Officer, WCHN
40.0
.......................0.0
      X     508,293 0 33,587
(23) Debra Carragher........................................................................
VP of Operations
40.0
.......................0.0
        X   350,549 0 17,265
(24) Joseph Carofano........................................................................
VP Mktg & Commun.
40.0
.......................0.0
        X   357,782 0 26,510
(25) Colleen M Scott........................................................................
Finance VP WCHN
40.0
.......................6.0
        X   391,444 0 44,227
(26) Joseph Campbell to 1001........................................................................
Chief Compl. Off.
40.0
.......................0.0
        X   509,156 0 33,241
(27) Dawn Myles........................................................................
VP Population Hlth
40.0
.......................0.0
        X   349,032 0 21,274
(28) Michael Daglio........................................................................
President NHA
3.0
.......................46.0
          X 708,902 0 48,518
(29) Morris Gross........................................................................
VP-Facilities/Real Estate
40.0
.......................4.0
          X 365,245 0 48,137
(30) Patrick Minicus........................................................................
VP of Finance
20.0
.......................20.0
          X 560,301 0 0
(31) Ruth Gregory........................................................................
Materials Dist. Director
40.0
.......................0.0
          X 179,230 0 26,678
(32) Donna Kaplanis........................................................................
Assistant Secretary
40.0
.......................11.0
          X 265,062 0 38,496
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 9,395,537 440,197 536,614
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet641
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
DELOITTE CONSULTING LLP,
PO BOX 7247-6447
PHILADELPHIA,PA19170
CONSULTANTS 18,217,573
BERKLEY RESEARCH GROUP,
2200 POWELL STREET SUITE 1200
EMERVILLE,CA94608
CONSULTANTS 13,279,544
SILVER GOLUB TEITELL LLP,
184 ATLANTIC ST
STAMFORD,CT06901
ATTORNEYS 2,991,696
INTERNAL MEDICINE ASSOCIATES OF WES,
333 POST RD
W WESTPORT,CT06880
PHYSICIAN SERVICES 1,893,070
ALLIED UNIVERSAL SECURITY SVC,
PO BOX 828854
PHILADELPHIA,PA19182
SECURITY SERVICES 1,659,784
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet71
Form 990 (2019)
Form 990 (2019)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 5,771,037
e Government grants (contributions)1e 2,334,468
f All other contributions, gifts, grants, and similar amounts not included above1f 449,752
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet 8,555,257
 Program Service RevenueAmt Business Code
2a NET PATIENT SERVICE REV. 621990 669,056,642 669,056,642    
b LAB SERVICES REVENUE 621500 6,571,288   6,571,288  
c RENTAL INC.-AFFIL. EXEMPT 532000 5,858,322 5,858,322    
d EDUCATION 900099 2,316,346 2,316,346    
e CLINICAL TRIAL INCOME 900099 644,778 644,778    
f All other program service revenue. 417,792 417,792    
g Total. Add lines 2a–2f .....MediumBullet 684,865,168
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 8,977,304   1,626,257 7,351,047
4 Income from investment of tax-exempt bond proceedsMediumBullet 82,942     82,942
5 Royalties...........MediumBullet 0      
(ii) Personal (i) Real
6a Gross rents   1,289,160 6a
b Less: rental expenses   172,554 6b
c Rental income or (loss) 0 1,116,606 6c
d Net rental income or (loss).......MediumBullet 1,116,606 472,746 643,860  
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   14,057 7a
b Less: cost or other basis and sales expenses 21,219   7b
c Gain or (loss) -21,219 14,057 7c
d Net gain or (loss).........MediumBullet -7,162     -7,162
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a 0
b Less: direct expenses ... 8b 0
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a 0
b Less: direct expenses ... 9b 0
c Net income or (loss) from gaming activities..MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances ..
10a 402,188
b Less: cost of goods sold .. 10b 306,112
c Net income or (loss) from sales of inventory..MediumBullet 96,076     96,076
Business Code Miscellaneous Revenue
11a ADMINISTRATIVE SERVICES 561000 1,972,740     1,972,740
b O/S BILLING/COLL. REVENUE 561000 1,068,161   1,068,161  
c NUTRITION AND DIETARY 561000 281,167     281,167
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 3,322,068
12 Total revenue. See instructions.....MediumBullet 707,008,259 678,766,626 9,909,566 9,776,810
Form 990 (2019)
Form 990 (2019)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 0  
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 0  
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. ............. 0  
4 Benefits paid to or for members ....... 0  
5 Compensation of current officers, directors, trustees, and key employees ........... 5,732,262 4,694,723 1,037,539 0
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 0 0 0 0
7 Other salaries and wages........ 223,983,303 183,442,325 40,540,978  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 6,788,299 5,559,617 1,228,682  
9 Other employee benefits ....... 30,748,827 25,183,289 5,565,538  
10 Payroll taxes ........... 15,626,797 12,798,347 2,828,450  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 634,080   634,080  
c Accounting ........... 654,909   654,909  
d Lobbying ........... 176,231 144,333 31,898  
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 53,014   53,014  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 130,420,371 106,814,284 23,606,087  
12 Advertising and promotion .... 2,482,550 2,033,208 449,342  
13 Office expenses ....... 4,457,092 3,650,358 806,734  
14 Information technology ...... 25,078,151 20,539,006 4,539,145  
15 Royalties .. 0      
16 Occupancy ........... 14,981,599 12,269,930 2,711,669  
17 Travel ............ 590,934 483,975 106,959  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0      
19 Conferences, conventions, and meetings .... 138,211 113,195 25,016  
20 Interest ........... 7,796,846 7,796,846    
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization .. 48,288,693 39,548,440 8,740,253  
23 Insurance ... 142,078 -714,220 856,298  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 107,705,978 107,705,978   0
b STATE OF CT HOSPITAL TAX 57,274,788 57,274,788   0
c EQUIPMENT RENT AND MAINT. 12,915,945 10,578,159 2,337,786 0
d PROFESSIONAL MEMBERSHIP 2,691,379 2,204,239 487,140 0
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 699,362,337 602,120,820 97,241,517 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2019)
Form 990 (2019)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 36,102 1 41,783,385
2 Savings and temporary cash investments ......... 20,441,957 2 15,862,876
3 Pledges and grants receivable, net ...... 0 3 0
4 Accounts receivable, net ............. 79,249,897 4 83,829,093
5 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ........... 0 7 0
8 Inventories for sale or use ............ 13,738,593 8 15,649,522
9 Prepaid expenses and deferred charges ...... 4,411,532 9 3,826,568
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 955,795,867
b Less: accumulated depreciation 10b 540,985,430 411,135,727 10c 414,810,437
11 Investments—publicly traded securities . 15,133,299 11 15,190,089
12 Investments—other securities. See Part IV, line 11 ..... 84,825,728 12 39,591,892
13 Investments—program-related. See Part IV, line 11 .. 0 13 0
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 142,250,405 15 141,440,920
16 Total assets. Add lines 1 through 15 (must equal line 33)... 771,223,240 16 771,984,782
Liabilities 17 Accounts payable and accrued expenses ..... 80,787,150 17 89,582,692
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 32,028,277 19 40,380,922
20 Tax-exempt bond liabilities ......... 242,405,000 20 240,695,000
21 Escrow or custodial account liability. Complete Part IV of Schedule D 0 21 0
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 0 23 0
24 Unsecured notes and loans payable to unrelated third parties .. 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 23,295,389 25 31,177,828
26 Total liabilities. Add lines 17 through 25.. 378,515,816 26 401,836,442
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions ..........   27  
28 Net assets with donor restrictions ...........   28  
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 392,707,424 32 370,148,340
33 Total liabilities and net assets/fund balances ........ 771,223,240 33 771,984,782
Form 990 (2019)
Form 990 (2019)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
707,008,259
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
699,362,337
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
7,645,922
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
392,707,424
5
Net unrealized gains (losses) on investments ...............
5
-4,620,033
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-25,584,973
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
370,148,340
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2019)
Form 990 (2019)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
Danbury Hospital
 
Employer identification number

06-0646597
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose            
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
 
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions
 
9 Distributable amount for 2019 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2019
(iii)
Distributable
Amount for 2019
1 Distributable amount for 2019 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2019:
a From 2014.......  
b From 2015.......  
c From 2016.......  
d From 2017.......  
e From 2018.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2019 distributable amount  
i Carryover from 2014 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2019 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2019 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2019, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.
 
6 Remaining underdistributions for 2019. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.
 
7 Excess distributions carryover to 2020. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2015.....  
b Excess from 2016.....  
c Excess from 2017.....  
d Excess from 2018.....  
e Excess from 2019.....  
Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2019


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Name of the organization
Danbury Hospital
 
Employer identification number

06-0646597
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2
Name of organization
Danbury Hospital
 
Employer identification number
06-0646597
Part I
Contributors
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Page 3
Name of organization
Danbury Hospital
 
Employer identification number

06-0646597
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Page 4
Name of organization
Danbury Hospital
 
Employer identification number

06-0646597
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet Complete if the organization is described below. SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
Danbury Hospital
 
Employer identification number

06-0646597
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

2
Political campaign activity expenditures (see instructions) ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities (see instructions) ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2019

Schedule C (Form 990 or 990-EZ) 2019
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ........................    
c Total lobbying expenditures (add lines 1a and 1b) ............................................................    
d Other exempt purpose expenditures ...............................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ..................................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
   
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................................................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 2016 (b) 2017 (c) 2018 (d) 2019 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e))
 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))
 
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2019


Schedule C (Form 990 or 990-EZ) 2019
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes|No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
Yes
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
Yes
 
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
Yes
 
25
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
Yes
 
76,388
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
Yes
 
98,950
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
868
j
Total. Add lines 1c through 1i ....................................................................................................
176,231
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
PART II-B - DESCRIPTION OF LOBBYING ACTIVITY Dues were paid to CHA in the amount of $464,094, of which 11.97% of this amount or $55,536 were expended on lobbying. AHA dues of $90,741 had 22.98% or $20,852 expended on lobbying activities. Both amounts are reflected on 1f. Federal, state and local officials were lobbied during 2018. As part of this miscellaneous office expense such as phone, computer supplies, freight, refreshment etc. were incurred and were reflected on line 1i accordingly. Fiscal year 2018 was a challenging year at the Connecticut capitol with tremendous shortfalls and budget cuts for physician reimbursement, mental health and community based services and the ongoing threat of a devastating hospital tax. As a result, federal state and local elected officials were lobbied to find creative solutions and ways to deflect drastic cuts and ultimately maintain the current level of access for needed services. Funding for mental health and substance use programming was of particular importance. As part of this effort, staff and office expenses were higher than in past years but essential to maintain access to needed services. The amounts spent on lobbying were not a significant portion of the Hospital's revenues and mostly related to the Hospital's exempt purpose.
Schedule C (Form 990 or 990EZ) 2019


Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
Danbury Hospital
 
Employer identification number

06-0646597
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ...
         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Term endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
 
(ii) Related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment)
(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....   5,216,458 5,216,458
b Buildings ....   546,533,455 295,335,368 251,198,087
c Leasehold improvements   10,638,429 6,240,357 4,398,072
d Equipment ....   381,468,588 239,409,705 142,058,883
e Other .....   11,938,937   11,938,937
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 414,810,437
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 3
Part VII
Investments—Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3) Other
(A) WCHN INVESTMENTS, LLC
39,591,892 F
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 39,591,892
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)457B ASSET 252,242
(2)BOND ESCROW FUND 1,437,100
(3)BOND ISSUANCE COST 1,864,177
(4)BULK ACCOUNTS NET OF RESERVE 230,415
(5)CSV ON OFFICER'S LIFE POLICY 2,202,325
(6)DANBURY SURGICAL CENTER 1,867,301
(7)DUE FROM RELATED PARTIES 8,820,753
(8)INTEREST IN DH/NMH FOUNDATION 107,858,788
(9)INVESTMENT IN SONIC LAB 3,934,264
(10)MALPRACTICE RECEIVABLE 1,345,000
(11)MORRISON DEPOSIT 96,418
(12)OTHER RECEIVABLES 11,532,137
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 141,440,920
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes 0
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 31,177,828
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D (Form 990) 2019


Additional Data


Software ID:  
Software Version:  




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
Danbury Hospital
 
Employer identification number

06-0646597
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
 
No
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
 
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . .
    27,217,472 13,873,746 13,343,726 1.910 %
b Medicaid (from Worksheet 3, column a) . . . . .     128,273,741 80,771,360 47,502,381 6.790 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     155,491,213 94,645,106 60,846,107 8.700 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4). 10 432,591 183,703 23,944 159,759 0.020 %
f Health professions education (from Worksheet 5) . . . 2 26 20,276,395 7,757,260 12,519,135 1.790 %
g Subsidized health services (from Worksheet 6) . . . . 2 580 8,213,619 6,543,226 1,670,392 0.240 %
h Research (from Worksheet 7) . 2 104 4,814,420 591,838 4,222,582 0.600 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .            
j Total. Other Benefits . . 16 433,301 33,488,137 14,916,268 18,571,868 2.650 %
k Total. Add lines 7d and 7j . 16 433,301 188,979,350 109,561,374 79,417,975 11.350 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development 1 29 1,514 80 1,434  
3 Community support 1 435 354   354  
4 Environmental improvements            
5 Leadership development and
training for community members
           
6 Coalition building 1 920 76,169   76,169 0.010 %
7 Community health improvement advocacy 1 22 3,456 400 3,056  
8 Workforce development            
9 Other            
10 Total 4 1,406 81,493 480 81,013 0.010 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
8,534,892
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
510,371
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
225,256,054
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
287,818,937
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-62,562,883
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 Danbury Hospital
24 Hospital Avenue
Danbury,CT06810
www.danburyhospital.org
License #0039
X X   X   X X     A
2 New Milford Hospital Campus
21 Elm Street
New Milford,CT06776
www.newmilfordhospital.org
License #0039
X X         X     A
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
A
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 17
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART VI FOR URL
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART VI FOR URL
b
SEE PART VI FOR URL
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
A
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
A
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Part V, Line 5 - Account input from person who represent the community Facility: A In conducting the current CHNA, the Hospital took into account input from persons who represented the broad interests of the community it serves. Quantitative data was collected by DataHaven, a non-profit organization that works to improve quality of life by collecting, interpreting, and sharing public data for effective decision-making. They conducted a state-wide Community Wellbeing Survey from May through October 2015. The survey was administered via randomly-selected land and cell phones in both English and Spanish. Interviews were weighted to be statistically representative of adults in each sub-region, and zip codes were targeted to supplement samples of hard-to-reach populations. Over 1000 interviews were completed in the Greater Danbury Region. The process also included integrating existing data regarding social, economic, and health indicators in the region with qualitative information. To provide feedback and guidance to Danbury Hospital on the assessment, an advisory committee, the Community Action Planning Steering Committee (CAPSC), was engaged. In place since the 2012 Community Report Card and 2013 CHIP, the group, comprised of approximately 20 individuals from key partner agencies and organizations, was involved to advise on the current process, support data collection, and participate in the development and implementation of programs and policies to address priority issues. Engagement of community members and partners was expanded throughout the project to include over 50 individuals, including representatives from housing, transportation, social services, education, business, local government, and neighboring health departments. CAPSC met as a whole in December 2015, March 2016, and June 2016. These community members agreed to assist in the CHNA. Specifically, the committee was asked to provide existing quantitative and qualitative data; identify additional appropriate secondary data sources; provide input on primary data collection; motivate and recruit community members to participate in the assessment process; provide technical assistance in their areas of expertise; identify priority issues for health improvement; and to develop and implement programs and policies to address priority issues. The United Way of Western Connecticut shared the ALICE (Asset Limited, Income Constrained, Employed) Community Conversations and Survey 2015 Summary report, the Regional YMCA of Western Connecticut provided their 2016 Online CHNA Summary report, and the Pomperaug Health District provided their Community Survey results. Information from these sources was reviewed and incorporated into the community health needs assessment. Throughout the process, information was provided to all CAPSC members through email allowing participants to be informed on the progress of the project and the opportunities to share their expertise. Another qualitative data tool, online key informant surveys (KIS) were developed and sent via email to 200 community leaders in the Greater Danbury Region; including elected officials, social service organizations, schools, libraries, housing, police, and community health agencies. The survey was designed to better understand the health needs of the Greater Danbury region and included questions on community health initiatives, strengths and challenges, health concerns and limitations, and vulnerable populations. A 21% participation rate was achieved. A follow-up CAPSC Forum was held in August 2016 and preliminary findings were shared with this group. Key themes that emerged across all groups were identified, as well as unique issues that were noted for specific populations. While community differences are noted where appropriate, analyses emphasized findings common across the Greater Danbury Area. The group then completed a ranking voting exercise to determine health priorities, and identify resources needed for the Community Health Improvement Plan (CHIP) process. Community Action Planning Steering Committee (CAPSC) Members: United Way of Western CT Western Connecticut Home Care Danbury Health & Human Services Western Connecticut Health Network Greater Danbury Community Health Center New Milford Health Department Regional YMCA of Western CT HVCASA United Way of Western CT Pomperaug Health District Regional YMCA of Western CT Connecticut Community Care, Inc. Peter & Carmen Lucia Buck Foundation Health Department Participants: Town of Ridgefield New Milford Health Department (Washington) Newtown Health District (Bridgewater & Roxbury) Danbury Health & Human Services Pomerpaug Health District (Woodbury, Southbury, Oxford) Town of Redding New Fairfield Health Department (Sherman) Brookfield Health Department Bethel Health Department Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment Facility: A The CHNA was conducted with its New Milford Hospital Campus. Part V, Line 6b - CHNA Conducted by Orgnizations Other Than Hospital Facility: A As noted in Part VI, Line #2, Needs Assessment narrative, the CHNA was conducted with various community organizations participating in the
Community Forum at Danbury Hospital and its New Milford Hospital Campus. Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why Facility: A To the best of the Hospital's knowledge, all priority health issues in the community are being addressed through the 2016 CHIP. Any needs not being addressed are those that the Hospital does not have the funds or control over, such as housing or environmental health. In order to address the significant needs identified in the CHNA, a Steering Committee comprised of health care providers, community-based providers, and local government agencies was formed. They identified mental health, obesity and substance abuse, access, and healthy aging as the main priorities to address. They created the 2016 CHIP which details specific goals and metrics for each identified need, and community benefit programs that would help achieve these goals. The narratives for Part II Community Building Activities describe actions taken to address the needs identified in the 2016 CHNA. Part V, Line 13h - Other Factors Used in Determing Amounts Charged Patients Facility: A Part V, Section B, Line 13: The FAP indicates a 75% discount for patients with income between 301% and 350% of the FPG and a 58.09% discount for patients with income between 351% and 400% of the FPG. Part V, Line 16j - Other Means Hospital Facility Publicized the Policy Facility: A Danbury Hospital has messages on all statements providing information regarding how the patient can get assistance with their hospital bill. Counselors are also available to provide further assistance.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?24
Name and address Type of Facility (describe)
1 Danbury Hospital Ridgefield Surg Ctr
901 Ethan Allen Highway
Ridgefield,CT06877
Outpatient Surgical Center
2 Main Street Rehabilitation Center
235 Main Street
Danbury,CT06810
Rehabilitation
3 Breast Imaging Center
20 Germantown Road
Danbury,CT06810
Diagnostic
4 Danbury Hospital Sleep Lab II
25 Lake Avenue-Extension
Danbury,CT06810
Diagnostic
5 Southbury Cardiovascular Diagnostics
22 Old Waterbury Road
Southbury,CT06488
Diagnostic
6 Pulmonary Services
33 Germantown Road
Danbury,CT06810
Diagnostic
7 Siefert and Ford Community Health Ctr
70 Main Street
Danbury,CT06810
Outpatient-Physician Clinic
8 The Anticoagulation Center
41 Germantown Road
Southbury,CT06810
Diagnostic
9 Physical Medicine Center of Southbury
22 Old Waterbury Road Suite 101
Southbury,CT06488
Outpatient-Physician Clinic
10 Anesthesiology Ridgefield
901 Ethan Allen Highway
Ridgefield,CT06877
Diagnostic
11 New Milford Hospital Behavorial Health
23 Poplar Street
New Milford,CT06776
Outpatient-Physician Clinic
12 Comm Ctr for Behaviorial Health
152 West Street
Danbury,CT06810
Outpatient-Physician Clinic
13 Center for Child & Adol Treat
152 West Street
Danbury,CT06810
Outpatient-Physician Clinic
14 Danbury Hospital Laboratory
79 Sandpit Road
Danbury,CT06810
Diagnostic
15 Danbury Hospital Lab Ctr of New Milford
120 Park Lane Suite A201
New Milford,CT06776
Diagnostic
16 Danbury Hospital Diabetes Education Ctr
41 Germantown Road
Danbury,CT06810
Education Center
17 Danbury Hospital Southbury Laboratory
22 Old Waterbury Road Suite 101
Southbury,CT06488
Diagnostic
18 Danbury Hospital Lab Ctr in Brookfield
60 Old New Milford Road Unit 1C
Brookfield,CT06804
Diagnostic
19 Ridgefield Specimen Collection Facility
10 South Street
Ridgefield,CT06877
Diagnostic
20 New Milford Integrated Medicine Program
30 Elm Street
New Milford,CT06776
Outpatient-Physician Clinic
21 Bethel Laboratory
68 Stony Hill Road
Bethel,CT06801
Diagnostic
22 Newtown Laboratory
14-18 Church Hill Road
Newtown,CT06470
Diagnostic
23 Kenosia Laboratory
51-53 Kenosia Avenue
Danbury,CT06810
Diagnostic
24 Danbury Hospital Research Institute
131 West Street
Danbury,CT06813
Diagnostic
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 3C - CHARITY CARE ELIGIBILITY CRITERIA (FPG IS NOT USED) Assets are factored in for patients above 400% of Federal Poverty Guidelines when faced with medical hardships. Medical hardship combines available income with countable assets and is granted when medical bills exceed this figure. Part I, Line 6a - Related Organization Community Benefit Report Part I, Line 6a & 6b: The Community Benefit report is reported on a Network basis. It contains the organizations community benefit programs and services descriptions and financial data. The form is made available to the public on the Office of Health Care Access website: http://www.ct.gov/dph/cwp/view.asp?a=3902&q=585448 Part I, Line 7 - Explanation of Costing Methodology Charity Care at Cost Percentage: Total Gross Patient charges written off to charity (Income Statement) * Patient Cost to Charge % (see below) = Total Community Benefit Expense Total Community Benefit Expenses - Revenue from Uncompensated Care Pools and programs (DHS * % of cost of uncompensated care shown on the OCHA Schedule 500) = Net community benefits expenses Net community benefits expensesNet community benefits expenses Net community benefits expenses / total expenses = % of total expenses Ratio Cost to Charge Calculation Total Operating Expenses - non-patient care activities, Medicaid provider tax, total community benefit expense and total community building expense =Adjusted Patient Care Cost. Adjusted Patient Care Cost divided by Gross Patient Charges=Ratio of patient care costs to charges. Part I, Line 7g - Costs Associated With Physicans Clinics Part I, Line 7g - Costs Associated With Physicians Clinics There are no physician clinics included in this amount. Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense The ratio of cost to charges is applied to the bad debt expense on the audited financial statements.
PART III, LINE 3 - METHODOLOGY OF ESTIMATED AMOUNT & RATIONALE FOR INCLUDING IN COMMUNITY BENEFIT It is the policy of the Hospital to provide necessary care to all persons seeking treatment without discrimination on the grounds of age, race, creed, national origin or any other grounds unrelated to an individual's need for the service or the availability of the needed service at the Hospital. A patient is classified as a charity care patient by reference to established policies of the Hospital. Essentially, these policies define charity services as those services for which no payment is anticipated. In assessing a patient's inability to pay, the Hospital utilizes the generally recognized federal poverty income guidelines, but also includes certain cases where incurred charges are significant when compared to a responsible party's income and their countable assets. Those charges are not included in net patient service revenue for financial reporting purposes. Because the hospital is not paid for these services, they are considered to be community benefit. When private pay patients are sent to the collection agency their account is considered to be a bad debt. Subsequently, Medicaid may be granted for some of those patients. At that time those accounts would become charity care or a community benefit.
PART III, LINE 4 - BAD DEBT EXPENSE PATIENT ACCOUNTS RECEIVABLE RESULT FROM THE HEALTH CARE SERVICES PROVIDED BY THE HOSPITAL. ADDITIONS TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS RESULT FROM THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. The Hospital's estimation of the allowance for uncollectible accounts is based primarily upon the type and age of the patient accounts receivable and the effectiveness of the Hospital's collection efforts. The Hospital's policy is to reserve a portion of all self-pay receivables, including amounts due from the uninsured and amounts related to co-payments and deductibles, as these charges are provided. On a monthly basis, the Hospital reviews its accounts receivable balances and various analytics to support the basis for its estimates. These efforts primarily consist of reviewing the following: Historical write-off and collection experience using a hindsight or look-back approach; Revenue and volume trends by payor, particularly the self-pay components; Changes in the aging and payor mix of accounts receivable, including increased focus on accounts due from the uninsured and accounts that represent co-payments and deductibles due from patients; Cash collections as a percentage of net patient revenue less the provision for uncollectible accounts; and Trending of days revenue in accounts receivable The Hospital regularly performs hindsight procedures to evaluate historical write-off and collection experience throughout the year to assist in determining the reasonableness of its process for estimating the allowance for uncollectible accounts. The Hospital's primary concentration of credit risk is patient accounts receivable, which consists of amounts owed by various governmental agencies, insurance companies and private patients.
PART III, LINE 8 - EXPLANATION OF SHORTFALL AS COMMUNITY BENEFIT Danbury Hospital's Medicare shortfall should be treated as a community benefit as the organization strives to provide 24/7 coverage, improved patient access, highest clinical quality as well as addressing the needs of the community by offering critical services to our geographic area. As a result, the organization must balance the cost of these programs against the continued decreasing government reimbursement levels, uninsured population and community needs. A cost accounting system is used to calculate the shortfall, which is Medicare Net Patient Revenue less applicable costs. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients It is the policy of Danbury Hospital to provide "Financial Assistance" (either free care or reduced patient obligations) to persons or families where: (i) there is limited or no health insurance available; (ii) the patient fails to qualify for governmental assistance (for example Medicare or Medicaid); (iii) the patient cooperates with the Hospital in providing the requested information; (iv) the patient demonstrates financial need; and (v) Danbury Hospital makes an administrative determination that Financial Assistance is appropriate. After the Hospital determines that a patient is eligible for Financial Assistance, the Hospital will determine the amount of Financial Assistance available to the patient by utilizing the Charitable Assistance Guidelines, which are based upon the most recent federal poverty guidelines. Danbury Hospital shall regularly review this Financial Assistance Policy to ensure that at all times it: (i) reflects the philosophy and mission of the Hospital; (ii) explains the decision processes of who may be eligible for Financial Assistance and in what amounts; and (iii) complies with all applicable state and federal laws, rules, and regulations concerning the provision of financial assistance to indigent patients. Consistent with this mission, Danbury Hospital recognizes its obligation to the community it serves to provide financial assistance to indigent persons within the community. In furtherance of its charitable mission, Danbury Hospital will provide both (i) emergency treatment to any person requiring such care; and (ii) essential, non-emergent care to patients who are permanent residents of its primary service area who meet the conditions and criteria set forth in this Policy, without regard to the patients' ability to pay for such care. Elective procedures generally will not be considered essential, non-emergent care and usually will not be eligible for Financial Assistance. Danbury Hospital will collect from individuals on financial assistance if they received a partial charitable discount. All patients can apply for charitable care on balances they feel that they cannot afford. Part VI, Line 2 - Needs Assessment Part VI, Line 2: Needs Assessment: Through Western CT Health Networks annual Planning Process, an environmental assessment is conducted to identify healthcare gaps and
needs of the service area community brought about by local and national trends in economic, legislative, demographic, healthcare industry and other environmental factors. These forces are considered and incorporated in meeting the healthcare needs of the community by helping to frame the priorities, goals and initiatives of Western CT Health Networks long range and annual strategic plans. In 2018, Danbury Hospital, along with the Community Action Planning Steering Committee consisting of various community members, began the process for the next CHNA cycle. A meeting was held in January with DataHaven and other local hospitals and healthcare organizations to discuss the Community Wellbeing Survey, its content, and areas that will be targeted. Further planning will take place throughout the year. Part VI, Line 3 - Patient Education of Eligibility for Assistance PART VI,LINE 3: The Hospital has messages on all statements providing information regarding how the patient can get assistance with their hospital bill. Also signs are posted throughout the hospital and counselors are available to provide further assistance. All uninsured inpatients are interviewed by financial counselors and assessed for eligibility for assistance programs. The hospital provides informational handouts to all uninsured patients at the time of registration which refers them to financial counseling if they would like assistance with their bills. Further, the hospital mails notices to all self-pay accounts referring them to financial counseling if they need assistance. The collection department will also refer patients to financial counseling when a patient indicates that they cannot afford their balances; and finally, schedulers refer uninsured patients to financial counseling prior to their test or procedure. The policy and applications for assistance are also available on line, as well as upon request at the hospital. Part VI, Line 4 - Community Information Part VI, Line 4: Community Information: Danbury Hospital and New Milford Hospital campuses serve an area with a population of about 265,000 people. The Primary Service Area includes Bethel, Bridgewater, Brookfield, Danbury, New Fairfield, New Milford, Newtown, Ridgefield, and Southbury (in CT). This service area is comprised of a densely populated core of the urban/suburban City of Danbury surrounded by moderately affluent residential and rural towns. Danbury is also listed as a Medically Underserved Area, or MUA. Danbury has a median household income of $67,430 and a poverty rate of 11.2%, while New Milford has a household income of $81,350 and a poverty rate of 6.3%. The overall uninsured population rate for the state is estimated to be 6%. The population of the primary service areas is expected to remain stable from 2010 to 2020, the cohort aged 65 and over is expected to have a compound annual growth rate of approximately 2.0% in Danbury and 4.0% in New Milford.
Part VI, Line 4 - Community Building Activities Schedule H, PART II: COMMUNITY BUILDING ACTIVITIES: Relates to Line #3, Community Support and Line #6, Coalition Building, totaling $76,523: In conducting the current CHNA, Danbury Hospital collaborated with various community organizations to develop, implement, and monitor strategies to address identified priorities in the CHIP. Workgroups were created for chronic disease, mental health/substance abuse, access, and healthy aging. The community benefit in the Coalition Building category was provided through planning and development meetings, as well as programs for each priority area: Chronic Disease: The Coalition for Healthy Kids (20 community partners) was formed in 2009, and launched two initiatives to address rising childhood obesity rates. The Go! 5-2-1-0 Wellness Initiative and Students Can Run and Move (SCRAM) initiative focus on low income Hispanic children attending Title 1 elementary schools. In year 1 (2015 to 2016) Go! Engaged 1,351 children ages 2-19 and their parents in healthy eating and physical activity engagement opportunities. In Year two-2754 children and parents, Year 3- 2219 children and parents In our current cycle, October 2018 to September 30, 2019 (year 4) the program has already out-reached 3519 adults, families and children with direct programs and strategic initiatives that includes Go! 5-2-1-0 murals in Danbury elementary school cafeterias. These numbers do not include the outreach made by our 7 pediatric healthcare partners (17,300 patients). Go! 5-2-1-0 Program has signed memorandums of understanding with 39 community sector sites in Danbury, including Childcare, After school, Camp programs, local pediatricians, and Danbury Public Schools. A spring 2018 agency survey revealed policy work around screen time and support for breastfeeding were new priorities of focus. Efforts are underway to improve these policies in the childcare and after school sectors and include training programs offered in collaboration with EdAdvance and the Regional YMCA of Western CT. The Students Can Run and Move Program (SCRAM) is an after school program that has reached over 2,900 children (2011 to 2019) with after school programming offering 45 minutes of physical activity after school and weekly nutrition lessons including garden education spring and summer. A fully funded program offers 90 hours of PA fitness programming per year, access to healthy snacks, and nutrition education. The program also educates families using the Go! 5-2-1-0 wellness message to reinforce healthy behaviors at home. Both Go! 5-2-1-0 and SCRAM are grant funded initiatives and future success depends on adequate funding. Funding availability for 2020 is currently unknown. All childhood obesity initiatives were successful in reaching children in various settings and improving fitness levels and BMI 33% from 2012-2016 for all students participating. Chronic Disease Prevention Sub-Committee- Greater Danbury includes local health directors. The 2016-2019 Chronic Disease Prevention Strategy Plan included support and referral for the YMCAs Diabetes Prevention program and Blood Pressure Self-Monitoring Program both offered for adults in English and Spanish. Over 3000 health screens are completed annually in Greater Danbury by local health departments and VNA partners to increase awareness of health risks. An emphasis in the current strategic plan was added to target fall prevention initiatives including Moving for Better Balance championed by Pomperaug Health District and Enhance fitness championed by the YMCA. A Danbury Pilot program lead by WCHN Sandra Gianvito and Matt Cassavecchia with Danbury Ambulance was launched summer of 2018. The sub-committee also conducted an inventory of all community prevention and maintenance programs, bridging the gap between healthcare and CPMP, and expanding health equity for low income populations through grants for Evidence Based Health Initiatives. Data Haven was contracted to conduct Self-reported health data in 2015 and again in 2018. (www.datahaven.org). Diabetes rate declined from 9% on 2015 to 7% in 2018. Diabetes rates for Danbury adults over 55+ declined from 14% to 10% and for those earning less than $75,000 per year from 25% to 16% in the same time period. During that time frame more than 250 Danbury residents participated in the year- long YMCA DPP Program many subsidized through grant funded programs offered by the Regional YMCA of Western CT. Community Health Resource Guide: In 2018 a Guide was developed and distributed to physicians and healthcare providers to refer their patients to existing community health programs. All inventoried community health programs were uploaded to the CT 211 information web portal for on line search and access. Mental Health and Substance Abuse: In January 2015, Danbury Hospital launched a community care team with the goal of targeting mental health and substance abuse populations. The formation of the Greater Danbury Community Care Team (CCT) has allowed us to deliver enhanced care to individuals with complex medical and psychosocial challenges. This broad community initiative provides wrap around services to individuals with housing instability suffering from mental health and/or substance abuse issues or serious medical conditions. Danbury Hospital's Greater Danbury CCT consists of approximately 35 representatives from local programs, agencies and institutions. The CCT meets weekly in the community to develop, review, implement, and monitor treatment plans for vulnerable populations. The CCT Navigator works to improve outcomes by referring targeted individuals to appropriate community-based mental health and substance abuse services and serving as a liaison to coordinate and leverage existing community-based resources. As of September 30, 2018, individualized care plans have been developed for more than 181 individuals. Outcomes for patients with care plans in place include maintained sobriety, mental health stabilization, improved access to care, a 30% reduction in inappropriate Emergency Department (ED) visits and reduced homelessness with more than 82 individuals assisted in finding stable housing. Healthy Aging: Healthy aging is core work for this initiative is accomplished though collaboration efforts of the Age Well Community Council, focused on supporting those planning for healthy aging and those managing immediate needs for services and support. Their goal is to enhance education, advocacy, access, and communication to support ability of seniors to age in place. Initiatives include the CT Healthy Living Collective, Aging Mastery Program, and Living Well with Diabetes. Related to Line #2, Economic Development, and Line #7, Community Health Improvement Advocacy totaling $4,490: Various WCHN officials participated in Chamber of Commerce meetings and events, working to promote economic development in the Danbury Hospital area. State and local elected officials and agency heads were lobbied in support of maintaining patient access to essential services for the uninsured and under insured. The total Advocacy Investment for FY2018 is $58,161, which includes indirect and direct staffing expenses.
Part VI, Line 5 - Promotion of Community Health Part VI-Promotion of Community Health: In order to promote the health of the community, Danbury Hospital is responsible for coordinating the services of the hospital with those of other health, education, and social services in the community. These services are promoted in order to optimize the availability of a full scope of services in a cost-effective manner. Danbury Hospital and New Milford Hospital served approximately 430,000 persons through 456 community health occurrences in FY18. One of the highest impact outreach activities included approximately 100,000 individuals served through Health Talk. Health Talk, a cable broadcast, focused on disease prevention and new treatments. Over 50% of the Board Members are independent and do not get paid by Danbury Hospital. Danbury Hospital also has an open medical staff. Surplus funds are used to provide innovative technology to clinical care in addition to expanding our service area.
Part VI, Line 6 - Affiliated Health Care System Western Connecticut Health Network (the Network) is an integrated health care delivery system comprised of three community hospitals and their affiliated entities. In addition to Danbury Hospital and its New Milford Hospital Campus,and Norwalk Hospital the continuum of care includes a large medical group, home health care services, a nationally renowned biomedical research institute, the Danbury Hospital & New Milford Hospital Foundation, Inc. Norwalk Hospital Foundation, and other related affiliates. The WCHNs mission is to improve the health of every person we serve through the efficient delivery of excellent, innovative and compassionate care. For FY2018, the Network provided approximately $25,695,288 in total charity care. Danbury Hospital, its New Milford Hospital Campus and Norwalk Hospital provide medical services to the community regardless of the individual's ability to pay. Services include routine inpatient ancillary and outpatient care in support of the Network's mission statement, as noted above, For 2018, charity care was provided in the following amounts: Norwalk Hospital, $6,316,562, Danbury Hospital and its New Milford Hospital Campus, $13,343,726. All hospitals noted above have open medical staffs. If an individual meets the educational, experiential and licensure requirements they can join the medical staff. Western Connecticut Medical Group, Inc. (WCMG): The mission of WCMG is to provide safe, innovative, convenient and coordinated primary and specialty health care in the communities they serve and strive to be aware of and respond to their patients needs. They support a commitment to advance the health and well-being of individuals in their community by delivering quality care, participating in medical research and medical residency programs and the provision of medical services to patients. For 2018, WCMG provided approximately $1,958,000 in charity care. Danbury Hospital & New Milford Hospital Foundation Inc. (DH/NMHF): DH/NMF's mission is to raise funds, reinvest and administer these funds and make distributions to Danbury Hospital and its New Milford Hospital Campus and other Danbury not-for-profit health care affiliates. Norwalk Hospital Foundation (NHF): NHF's mission is to raise funds, reinvest and administer these funds and make distributions to Norwalk Hospital and other not-for-profit Norwalk Hospital affiliates. Western Connecticut Health Network Affiliates, Inc.(WCHNA): WCHNA's principal purpose is to provide outpatient health care services in various locations and also provide ambulance services to Danbury and surrounding towns, while serving those that cannot afford the care. For 2018, WCHNA provided approximately $28,000 in charity care. Western Connecticut Home Care, Inc. (WCHC): WCHC provides state of the art clinical services ranging from pediatric patients to the elderly utilizing best practice in home care to meet the needs of their patients. For 2018, WCHC provided approximately $49,000 in charity care. Eastern New York Medical Services, P.C. (ENYMS): The mission at ENYMS is to provide safe, innovative, convenient and coordinated primary and gastroenterology health care in the communities we serve and strive to be aware of and respond to our patients needs. Part VI, Line 7 - States Filing Community Benefit Report CT
Part V - Explanation of Number of Facility Type 15 Diagnostic Centers 6 Outpatient Physician Clinics 1 Outpatient Surgical Center 1 Rehabilitation Center 1 Education Center Additional Information Part I, Line 3b: The FAP indicates a 75% discount for patients with income between 301% and 350% of the FPG and a 58.72% discount for patients with income between 351% and 400% of the FPG. Part I, Line 7e: WCHN provided community benefit through various programs and events that were made available to the community at large. Below is a list of all the programs offered with a brief description: -Cancer: 6,253 served through free wig distribution, "Look Good, Feel Better" program, talks, and "Food for Life" cooking & nutrition classes, -Senior Outreach: 1,354 served through Senior Suppers at NMH, Aging Mastery Program, and other talks -Health Fairs: 21,587 served through fairs in Newtown, Ridgefield (the day-long Destination Wellness and Founders Hall), Danbury and New Milford (two-day long Village Fairs Days), and corporate health fairs. -Diabetes Education: 41 served through talks and fairs -Heart Disease: 56 served through education -Lectures: 405,294 served through Health Talk (including repeats and social media reach), library, Rotary, senior residence and corporate lectures. Health Talk airs on Comcast; 50 shows aired with a viewership of 5,000 per show. -Nutrition/Wellness: 2,085 served through Plow to Plate program, talks, high school fairs, Lets Get Cooking, and The Walking Project classes. -Skin cancer screenings: 66 served at New Milford Hospital -Behavioral Health: 3,017 served through meetings, lectures and work groups -Blood Drives: 555 served.
Part V, Line 7a and 7b: The complete URLs are as follows: For both DH and NMH: https://www.danburyhospital.org/about-us/about-us https://www.newmilfordhospital.org/about-us/about-us http://www.chime.org/advocacy/community-health/; and HTTPS://PORTAL.CT.GOV/-/MEDIA/OHS/OHCA/COMMUNITY_NEEDS_ASSESSMENT/CHNA/201 6/2016GREATERDANBURYCHNAPDF.PDF?LA=EN Part V, Line 10a: The complete URL for Danbury Hospital and New Milford Hospital, are as follows: https://www.danburyhospital.org/about-us/about-us https://www.newmilfordhospital.org/about-us/about-us Part V, Line 10b: Although line 10b should be blank, due to software limitations, it is currently checked as "No". Part V, Line 11: To the best of the organizations knowledge, all priority health issues in the community are being addressed through the 2013 CHIP. Any needs not being addressed are those that Danbury Hospital does not have the funds or control over, such as housing or environmental health. In order to address the significant needs identified in the CHNA, a Steering Committee comprised of health care providers, community-based providers, and local government agencies meets no less than twice a year to oversee a community health improvement plan (CHIP) that was developed utilizing data from a report card and previous community conversations. Part V, Lines #16a, b, and c: The complete URL for Danbury Hospital and New Milford Hospital, are as follows: https://www.danburyhospital.org/patient-and-visitors-info/billing/billing/ financialassistance-policy https://www.newmilfordhospital.org/patient-and-visitors-info/billing/billi ng Part V, Section B, Line 13: The FAP indicates a 75% discount for patients with income between 301% and 350% of the FPG and a 58.72% discount for patients with income between 351% and 400% of the FPG.
Schedule H (Form 990) 2019
Additional Data


Software ID:  
Software Version:  
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
Danbury Hospital
 
Employer identification number

06-0646597
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
Yes
 
b
Any related organization? ......................
6b
Yes
 
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1John M MurphyMD
Pres & CEO WCHN
(i)

(ii)
1,175,052
-------------
0
818,500
-------------
0
2,838
-------------
0
13,250
-------------
0
37,091
-------------
0
2,046,731
-------------
0
0
-------------
0
2Cornellius Ferreira MD
Director
(i)

(ii)
0
-------------
428,401
0
-------------
11,200
0
-------------
596
0
-------------
13,250
0
-------------
18,270
0
-------------
471,717
0
-------------
0
3Steven H Rosenberg
Treasurer
(i)

(ii)
571,541
-------------
0
205,000
-------------
0
24,181
-------------
0
13,250
-------------
0
35,279
-------------
0
849,251
-------------
0
0
-------------
0
4Richard Freeman MD
Chief Clin. Officer WCHN
(i)

(ii)
354,121
-------------
0
65,000
-------------
0
15,625
-------------
0
0
-------------
0
11,919
-------------
0
446,665
-------------
0
0
-------------
0
5Carolyn McKenna
SVP & Gen Counsel WCHN
(i)

(ii)
383,384
-------------
0
140,000
-------------
0
3,289
-------------
0
13,250
-------------
0
7,425
-------------
0
547,348
-------------
0
0
-------------
0
6Sharon Adams
COO & Chief Nursing Officer
(i)

(ii)
417,021
-------------
0
150,000
-------------
0
24,981
-------------
0
13,250
-------------
0
6,454
-------------
0
611,706
-------------
0
0
-------------
0
7Catherine Frierson
SVP Human Resources WCHN
(i)

(ii)
360,657
-------------
0
135,000
-------------
0
4,351
-------------
0
13,250
-------------
0
2,743
-------------
0
516,001
-------------
0
0
-------------
0
8Kathleen Dematteo to 0309
Chief Infor. Officer, WCHN
(i)

(ii)
370,649
-------------
0
115,000
-------------
0
22,644
-------------
0
21,200
-------------
0
12,387
-------------
0
541,880
-------------
0
0
-------------
0
9Debra Carragher
VP of Operations
(i)

(ii)
272,731
-------------
0
75,000
-------------
0
2,818
-------------
0
13,250
-------------
0
4,015
-------------
0
367,814
-------------
0
0
-------------
0
10Joseph Carofano
VP Mktg & Commun.
(i)

(ii)
272,276
-------------
0
80,000
-------------
0
5,506
-------------
0
13,250
-------------
0
13,260
-------------
0
384,292
-------------
0
0
-------------
0
11Colleen M Scott
Finance VP WCHN
(i)

(ii)
283,388
-------------
0
85,000
-------------
0
23,056
-------------
0
13,250
-------------
0
30,977
-------------
0
435,671
-------------
0
0
-------------
0
12Joseph Campbell to 1001
Chief Compl. Off.
(i)

(ii)
192,483
-------------
0
50,200
-------------
0
266,473
-------------
0
23,850
-------------
0
9,391
-------------
0
542,397
-------------
0
0
-------------
0
13Dawn Myles
VP Population Hlth
(i)

(ii)
268,500
-------------
0
75,000
-------------
0
5,532
-------------
0
18,550
-------------
0
2,724
-------------
0
370,306
-------------
0
0
-------------
0
14Michael Daglio
President NHA
(i)

(ii)
506,087
-------------
0
200,000
-------------
0
2,815
-------------
0
15,900
-------------
0
32,618
-------------
0
757,420
-------------
0
0
-------------
0
15Morris Gross
VP-Facilities/Real Estate
(i)

(ii)
275,979
-------------
0
80,000
-------------
0
9,266
-------------
0
26,500
-------------
0
21,637
-------------
0
413,382
-------------
0
0
-------------
0
16Patrick Minicus
VP of Finance
(i)

(ii)
27,162
-------------
0
137,355
-------------
0
395,784
-------------
0
0
-------------
0
0
-------------
0
560,301
-------------
0
0
-------------
0
17Ruth Gregory
Materials Dist. Director
(i)

(ii)
148,669
-------------
0
29,200
-------------
0
1,361
-------------
0
16,510
-------------
0
10,168
-------------
0
205,908
-------------
0
0
-------------
0
18Donna Kaplanis
Assistant Secretary
(i)

(ii)
209,735
-------------
0
35,000
-------------
0
20,327
-------------
0
26,260
-------------
0
12,236
-------------
0
303,558
-------------
0
0
-------------
0
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Part 1, Line 1a - Relevant Information Regarding Compensation Benefits Reported in Part VII for Sharon Adams is a taxable housing allowance. For the following individuals, benefits reported in Part VII include gross-up payments for a taxable travel stipend: Sharon Adams Joseph Carofano Debra Carragher Michael Daglio Kathleen Dematteo Catherine Frierson Morris Gross Carolyn McKenna Dawn Myles Steven H. Rosenberg Colleen M. Scott Part I, Line 4 - Received Severance, Supplemental NQ Retirement, Equity-Based Compensation Part I, Line 4a-Received Severance During the fiscal year ending September 30, 2018, Donna Kaplanis received $232,000 in a lump sum severance payment within 60 days of the termination date of March 30, 2018. During the fiscal year ending September 30, 2018, Joseph Campbell received $251,000 in a lump sum severance payment within 60 days of the termination date of October 1,2017.
Part 1, Line 4b-Participated in Supplemental Nonqualified Retirement Plan Western Connecticut Health Network (WCHN) established three separate Supplemental Executive Retirement Plans (SERP). These plans provide supplemental retirement benefits to key members of the executive group. Under the agreements for SERP Plans #1 and #2, amounts promised to eligible executives are based on targeted retirement benefits and the payment of benefits is subject to vesting. The benefits at the vested age are provided in the form of an actuarial equivalent lump sum plus a tax gross-up amount to the participants. WCHN has on its books an accrual for the participants of the SERP, which is maintained solely for accounting purposes and is unfunded. During the fiscal year ending September 30, 2018, a payment of $2,619,020 was made to Steven H. Rosenberg, Trearsurer, participant of SERP Plan #2. SERP Plan #3 Earnings and losses on the investments selected by participants of SERP Plan #3 are added to the balance of the account. During the fiscal year ending September 30, 2018, no payments were made to Michael Daglio, former President NHA, participant of SERP #3. Part I, Line 6 - Compensation Contingent On Net Earnings Or Related Organization Summary of Executive Incentive Plan The Plan is administered by the Executive Compensation Committee (the Committee) of Western Connecticut Health Network, Inc.(WCHN). Eligibility to participate in the Plan is limited to those exempt executives employed by WCHN and its subsidiaries (the Network) during the Plan year who are in positions in which their decisions, actions and counsel significantly affect the operations of the Network. The Committee, with input provided by senior management of the Network will determine which eligible executive employees of the Network will participate in the Plan. Prior to the beginning of each Plan year, or as soon thereafter as practicable, the Committee will establish target and maximum award opportunity for the participant, in the appropriate tier in the Plan, along with a team scorecard of Plan measures. Soon after the close of the Plan Year, actual organization and individual performance and results will be measured and assessed in comparison to published goals and expectations established for such Plan Year. Recommendations for individual incentive awards will be prepared and submitted to the Committee for evaluation and approval. Notwithstanding any other provision of the Plan, at the discretion of the Committee, awards may not be paid under the Plan for any Plan Year if the level of performance specified in one or more Network level "Circuit Breaker Goals" is not achieved during the Plan Year. Part III - Additional Information The organization relied on a related organization, Western Connecticut Health Network, Inc. which used the following methods described below to establish top management's compensation: -Compensation committee -Independent compensation consultant -Written employment contract for physician executives -Compensation survey or study -Approval by board compensation committee
Schedule J (Form 990) 2019

Additional Data


Software ID:  
Software Version:  

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
Danbury Hospital
 
Employer identification number
06-0646597
Part
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A CHEFA (WCHN) Series M
 
06-0806186 20774U8A6 07-13-2011 45,523,137 See Part VI for purpose   X   X   X
B CHEFA (WCHN) Series N
 
06-0806186 20774YEJ2 11-22-2011 40,735,995 See Part VI for purpose   X   X   X
C CHEFA (WCHN) Series O
 
06-0806186 000000000 05-08-2015 122,120,000 See Part VI for purpose   X   X   X
D CHEFA (WCHN) Series P
 
06-0806186 000000000 03-01-2017 40,390,000 See Part VI for purpose   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 0 7,725,000 0 0
2 Amount of bonds legally defeased .............. 0 0 0 0
3 Total proceeds of issue .................. 45,576,281 40,735,995 122,120,000 40,390,322
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 7,328,241 0 0 0
6 Proceeds in refunding escrows ............... 0 0 0 40,038,373
7 Issuance costs from proceeds ............... 908,228 749,768 797,294 351,949
8 Credit enhancement from proceeds ............. 0 0 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 37,339,812 0 0 0
11 Other spent proceeds ............. 0 39,986,227 121,322,706 0
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2014 2011 2015 2017
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2018, a current refunding issue)? ........
               
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2018, an advance refunding issue)? ........
               
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X       X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X       X X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2019

Schedule K (Form 990) 2019
Page 2
Part
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............   X       X X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?             X  
c Are there any research agreements that may result in private business use of bond-financed property? .............   X       X X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?             X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 % 0 % 0 % 0.010 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet        
6 Total of lines 4 and 5 .............       0.010 %
7 Does the bond issue meet the private security or payment test? ...   X       X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X       X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............   X       X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........
X       X   X  
Part
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X X   X  
b Exception to rebate? ........   X   X   X   X
c No rebate due? ......... X   X     X   X
If "Yes" to line 2c, provide in Part the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X     X X   X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider .......... 0
 
0
 
0
 
0
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
Schedule K (Form 990) 2019

Schedule K (Form 990) 2019
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider .......... 0
 
0
 
0
 
0
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
SERIES M BONDS ($46,030,000): Series M Bonds were issued concurrently in 2011 with Series L bonds and were used to fund the planning, design, acquisition, construction, equipping and furnishing of Danbury Hospital's new patient tower, expansion of a parking garage, capital improvements and to fund capitalized interest.
SERIES N BONDS ($39,880,000): Series N Bonds mature serially from July 1, 2014 to July 1, 2029. The proceeds were used to refund Danbury Hospital's Series G Bonds which were issued on September 29, 1999. Accordingly, Part III has not been completed.
SERIES O BONDS ($122,120,000): Series O Bonds mature serially from July 1, 2022 to July 1, 2041. The proceeds were used to refund Danbury Hospital's Series K and Series L Bonds which were fully redeemed as of September 30, 2015.
SERIES P BONDS ($40,390,000): Series P Bonds mature serially from July 1, 2030 to July 1, 2036. The proceeds were used to advance refund Series H Bonds, which were issued on March 16, 2006. Proceeds of Series H Bonds were used to fund construction projects. Part II, Line #3 includes investment earnings of $53,144 and $322 for Series M and Series P Bonds, respectively. Part IV, Line #2c In December, 2017, the rebate computations were computed to July, 2016 for Series M Bonds and November, 2016 for Series N Bonds.
Schedule K (Form 990) 2019

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
Danbury Hospital
 
Employer identification number

06-0646597
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2019
Schedule L (Form 990 or 990-EZ) 2019
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) MAIN ELMOOD LLC SEE PART V 536,761 RENTAL OF SPACE   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Supplemental Information During the year the following transactions are at arm's length, entered into the ordinary course of business and in compliance with the Organization's Conflict of Interest Policy: Anthony Rizzo, Jr., a Director at Danbury Hospital owns a building at 70 Main Street that Danbury Hospital rents space from.
Schedule L (Form 990 or 990-EZ) 2019


Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
Danbury Hospital
 
Employer identification number

06-0646597
Return Reference Explanation
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 IX, COLUMN D Although contributions are reflected on line #1 of page #1 on Form 990, all fundraising expenses were incurred by the Danbury & New Milford Hospital Foundation, Inc. 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, Section B, 12A, 13 and 14 The policies exist at the parent level, which are followed by each entity and are approved by the parent board, but not each individual board. This excludes the record retention policy, which is approved only by the parent audit committee. Form 990, Part VI, Line 16b While a written policy has not been adopted regarding the evaluation of participation in joint ventures, management follows a procedure in which all possible joint venture arrangements are evaluated under applicable Federal Tax Laws. Management utilized the services of appropriate consultants and legal counsel to evaluate each joint venture opportunity. This evaluation also includes an analysis of how the joint venture will further the Hospital's mission. The Hospital has taken all appropriate steps to safeguard its tax exempt status with respect to all joint venture arrangements. Joint venture arrangements are approved by the Board of Trustees. Form 990, Part III, Line 4a - Program Service Accomplishments MEDICAL SERVICE LINE
Danbury Hospital's Medical Service Line consists of the following services: Inpatient Cases: Gastrointestinal 1,913 Infectious Disease 1,433 Internal Medicine 794 Neurology Medicine 515 Renal/Urology Medicine 818 Pulmonary Medicine 1,555 All Other Inpatient 2,431 Outpatient Service Line Cases: O/P Medicine 10,111 O/P Medicine Comm. Clinic 8,071 O/P Medical Oncology 13,865 O/P Pulmonary Medicine 5,270 DIGESTIVE DISEASES: Our Digestive Disease Center is staffed by renowned fellowship-trained gastroenterologists. We offer leading diagnosis and treatment of a wide range of digestive diseases and conditions, while providing individualized treatment for every patient. Our services include: Ablation therapy for Barrett's esophagus, Colon cancer screening, Colonoscopy, Cryotherapy, Endoscopy, Endoscopic ultrasound and fine-needle aspiration, Lactose tolerance testing, and Wireless capsule endoscopy. INFECTIOUS DISEASE: Danbury Hospital's infectious disease specialists treat the full range of infectious diseases, including conditions caused by living organisms (bacteria, viruses, fungi and parasites), HIV, and related conditions, Lyme disease, chronic and wound-related infection, and travel-related infection. Our doctors have expertise in the proper use of antibiotics and other anti-infective medicines to treat disease and also collaborate with primary care doctors, specialists and surgeons to ensure a comprehensive, personalized treatment for each patient. INTERNAL MEDICINE: Having a primary care provider (PCP) is one of the most important steps you can take when it comes to your health. With a PCP, you have a provider who takes the time to get to know every aspect of your healthcare needs and build a trusting relationship with you - and is focused on your overall health and wellness. Our PCPs are committed to understand all your needs whether clinical or personal, and develop a personalized plan just for you. They are committed to treating you like a person, not a number on a chart. Whatever your medical needs, Danbury Hospital provides expert care in the warm, focused and personal manner you deserve. Specialists in primary care, our family medicine physicians treat infants, children and adults of all ages. Services include preventive medicine (including vaccines and immunizations), diagnosis and treatment of chronic and acute illnesses and injuries, and coordination of specialty care. Our family physicians are trained to provide medical care for patients ranging in age from pediatrics through adult and geriatrics. NEUROLOGY AND STROKE: We offer expertise in treatment of neurological disorders, including stroke, epilepsy, Parkinson's disease, Alzheimer's disease and Vertigo. One of the nation's first hospitals to earn primary stroke center accreditation from the Joint Commission and receive the Silver Performance Award from the AHA's Stroke Association for the quality of care we provide. We have been regularly recognized by the Connecticut Department of Public Health for consistently demonstrating the ability to rapidly diagnose and treat stroke. Committed to remaining on the forefront of rapid and effective stroke care, we continue to incorporate the latest effective treatments. UROLOGY: Our expert urologists treat conditions such as: -Female urologic disorders, including urinary incontinence and voiding dysfunction -Infertility -Kidney, bladder, prostate and testicular cancer -Kidney stones -Male sexual difficulties -Prostate cancer -Urinary tract infections -Vasectomy and vasectomy reversal Procedures we perform include: -Extracorporeal shock wave lithotripsy for kidney stones -Laparoscopic nephrectomy -Minimally invasive photo-vaporization of the prostate -Minimally invasive surgical treatment for female incontinence -Pyeloplasty PULMONOLOGY: We offer outstanding diagnosis, treatment and care for patients with all types of pulmonary conditions. We perform specialized services, such as cardiopulmonary exercise testing to measure degree of fitness and aid in the assessment of shortness of breath; specific diagnostic asthma testing; and testing to determine the need for supplemental oxygen for everyday living and air travel. All programs are administered consistent with Danbury Hospital's financial assistance policy. Form 990, Part III, Line 4b - Program Service Accomplishments SURGERY SERVICE LINE
INPATIENT CASES: Major Joint Replacement 1,076 Trauma Surgery 625 Minor GI Surgery 213 General Surgery 303 Urology Surgery 141 Colon/Bowel Surgery 226 Obesity Surgery 131 Spinal Surgery 418 All Other Inpatient Surgery 609 Outpatient Service Line Cases: Abdomen GI Surgery 1,158 Breast Surgery-Non Plastic 288 Endoscopy 13,088 Misc. General Surgery 610 Oral Surgery 88 Opthalmology 794 Urology 967 Pain Injection Procedures 337 Head/Neck Surgery 1,099 Plastic Surgery 421 All Other Outpatient Surgery 2,635 GENERAL SURGERY: Danbury Hospital takes pride in a Surgical Services Department that offers every advantage: Highly trained surgeons who are attentive to patient needs and experienced with the latest technology, including minimally invasive approaches. Many of our surgeons have advanced fellowship training in specialties such as oncology, colorectal and bariatric surgery. Danbury Hospitals surgeons are continually recognized for their experience, excellent outcomes, and expertise in minimally invasive surgical techniques. Here are just some of the awards weve been privileged to receive: -Intersocietal Accreditation Commissions Vein Center Accreditation for the Vascular Surgical Service (2015) -Joint Commission Top Performer, Americas Improving Quality and Safety (2014/13) -Recertification, Joint Commission Disease Specific Certification in Hip Arthroplasty, Knee Arthroplasty and Spine Surgery (2015) -The Center for Weight Loss Surgery has been named: A Comprehensive Center with the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) (2015 2018) -A Bariatric Center for Excellence under The Clinical Science Institute (CSI) of Optum (2015) and -Recipient of The Aetna Institute of Quality Bariatric Designation -Recipient of the Healthgrades Pateint Safety Excellence Award. -National Accreditation Program for Breast enters - committed to provide the highest level of quality breast care. At Danbury Hospital our expert surgeons excel at using advanced technology to perform minimally invasive procedures, allowing patients to undergo surgery with less pain, shorter hospital stays, and quicker recovery periods. Surgeons use very small incisions, meaning less trauma to the body, less blood loss, smaller scars and a lower need for pain medication. Our surgeons have been recognized for excellence in laparoscopic techniques performed in many surgical specialties including weight loss, colorectal, and general surgical procedures. For robotic surgery, we use the latest, most advanced robotic technology available, the da Vinci surgical system. We are committed to staying at the forefront of innovation, equipping our surgeons with sophisticated technology so they can offer innovative surgical procedures here in our community. Our da Vinci surgical system gives surgeons better visualization and tools that improve dexterity. With more control they can operate with greater precision. Our doctors use this advanced technology to perform a wide range of procedures, including single-incision robotic surgery. As a Level II Trauma Center, Danbury Hospitals team of board certified surgeons provide immediate, 24/7 care for acute and life-threatening injuries to children and adults. ORTHOPEDIC SURGERY: Our Center for Advanced Orthopedic and Spine Care has earned the "Center of Excellence" designation from the Joint Commission for providing comprehensive, multidisciplinary care, including hip, knee, shoulder, and ankle replacement.Our Danbury Hospital orthopedic surgeons offer a wide array of joint replacement procedures. Our continuum of care includes: A care coordinator who provides education and guidance every step of the way, pre-op through your rehabilitation. Pre-admission testing in our dedicated unit, designed to meet the unique needs of joint replacement patients and families. Services include individualized patient education, nursing and anesthesia assessments, and collaboration with you on planning a pain management program for your surgical recovery. Dedicated orthopedic operating rooms and clinical support staff. A comfortable orthopedic recovery unit with physician assistants, nursing and rehabilitation staff specially trained to care for total joint replacement patients. -Advanced, digital diagnostic imaging technology. -Acute in-hospital therapy services. -Outpatient physical and occupational therapy. -Access to home care services with Western Connecticut Home Care (formerly DVNA). DIGESTIVE DISEASE: Our expert general and digestive disease surgeons specialize in major and minor surgical procedures of the abdomen, digestive tract, endocrine system, breasts, skin and blood vessels. UROLOGIC SURGERY: Danbury Hospital urologists are known nationally for innovation. Procedures performed include: Extracorporeal shock wave lithotripsy for kidney stones; Laparoscopic nephrectomy, Minimally invasive photo-vaporization of the prostate; Minimally invasive surgical treatment for female incontinence and Pyeloplasty. Danbury Hospitals colon and rectal surgeons treat a variety of anorectal conditions using surgical intervention. BARIATRIC/WEIGHT LOSS SURGERY: At Danbury Hospital our expert surgeons excel at using advanced technology to perform minimally invasive procedures, allowing patients to undergo surgery with less pain, shorter hospital stays, and quicker recovery periods. Surgeons use very small incisions, meaning less trauma to the body, less blood loss, smaller scars and a lower need for pain medication. Our surgeons have been recognized for excellence in laparoscopic techniques performed in many surgical specialties including weight loss, colorectal, and general surgical procedures. NEUROSURGERY: Board-certified neurosurgeons diagnose and treat disorders that affect any portion of the nervous system, including the brain, spinal cord and its surrounding structures and the peripheral nerves. Conditions include Brain aneurysms, Cerebral aneurysms, Chronic subdural hematoma, coma, concussions, Degenerative disc disease, Disc herniation, epilepsy, Head trauma, Seizures, Spinal compression fractures, Spinal cord injury, Spinal cord tumors, Stenosis, Stroke, and Torticollis. Accreditation to the Praxair Cancer Center, American College of Surgeons Commission on Cancer, 2015. All programs are administered consistent with Danbury Hospital's financial assistance policy. Form 990, Part III, Line 4c - Program Service Accomplishments CARDIOVASCULAR SERVICES
Danbury Hospitals Cardiovascular Service Line consists of the following services: Inpatient cases: Cardiac Medicine 1,310 Cardiac Surgery 254 Cardiac PCI Medicine 271 Cardiac Vascular Surgery 225 All Other Inpatient Cardiovascular Servs. 354 Outpatient Service Line Cases: Anticoagulation Clinic 5,697 Cardiac Diagnostic Clinic 9,266 Non Invasive Vascular Lab 6,345 Cardiac Rehabilitation 3,749 All Other Outpatient Cardiovascular Servs. 9,204 Danbury Hospital offers a premier cardiovascular program to meet the needs of patients with cardiac and vascular problems. Led by a specialist team of cardiologists, interventional cardiologists and vascular surgeons, this program has achieved wide acclaim for providing leading-edge prevention, diagnosis, treatment and rehabilitation of cardiovascular disease. At Danbury Hospitals Praxair Center, we provide expert, collaborative, multidisciplinary care, inpatient and outpatient, for the full range of cardiovascular conditions, including those that affect the heart, heart valves and the vascular system. We offer the full spectrum of advanced treatments and procedures for cardiovascular disease in the areas of: -General Cardiology -Cardiac Surgery-Vascular Surgery -Interventional Cardiology -Electrophysiology -Structural Heart Common Heart & Vascular Conditions We Treat: -Atrial Fibrillation (Irregular Heartbeat) -Congestive Heart Failure -Heart Attack -Chest Pain -Coronary Artery Disease -Peripheral Artery Disease Our expert physicians, advanced practice providers, nurses and support staff are serious about their role in supporting the heart health of everyone in our community. Whether for screening, diagnostic tests or treatment for a heart or valve condition, we provide compassionate care that is personalized to your needs. Diagnostics and tests we offer include: -Angiogram -Coronary angiography -Diagnostic electrophysiology studies (EPS) -Echocardiogram -Holter Monitor -Stress Tests -Heart and Vascular Treatments and Procedures Among the advanced treatments and procedures we provide are: -Abdominal aortic aneurysm (AAA) surgery -Angioplasty -Aortic valve replacement -Cardioversion -Catheter ablation -Deep vein thrombosis (DVT) therapy -Heart bypass surgery -Hybrid convergent procedure for atrial fibrillation (Afib) -Mitral valve repair/replacement -Open Heart Surgery -Pacemaker and ICD placement -Stent placement -TAVR -Thoracic aortic aneurysm surgery, open Awards & Accreditations At Danbury Hospital, our cardiovascular prevention, diagnosis, treatment and rehabilitation staff and programs are honored to have earned the following national recognitions and awards: Chest Pain Center accreditation* from the Society of Cardiovascular Patient Care Mission Lifeline EMS Award, American Heart Association (2014) Re-Accreditation Echocardiography, Intersocietal Accreditations Commission (IAC) (2014 2020) Re-Accreditation Nuclear Medicine, American College of Radiology (2015 2021) Accreditation from the Vascular Surgery Vein Center, Intersocietal Accreditation Commission Recertification Primary Stroke Center by Joint Commission All programs are administered consistent with Danbury Hospital's financial assistance policy. Form 990, Part III, Line 4d - Other Program Services Description OTHER PROGRAM SERVICES
At Danbury Hospital during FYE2018, approximately 21,000 discharges and 72,000 Emergency Room visits occurred. EMERGENCY SERVICES: Emergency Services - Danbury Hospital provides a comprehensive range of high-quality emergency medical services, for the most critically ill and injured patients, from pre-hospital EMS/paramedic services to an Emergency Department featuring a Level II Trauma Center to a nationally recognized Critical Care Unit. Our Emergency Department features modern lifesaving technology and is staffed by board-certified physicians and experienced nurses with advanced skills. For patients experiencing a stroke, Danbury Hospital is certified as a Stroke Center by the Joint Commission. For patients experiencing an acute heart attack, Danbury Hospital is certified as a Primary Angioplasty Center. Once identified as a candidate by EMS or by the emergency physician, a critical pathway ensures the rapid evaluation of the patient and movement to the Cardiac Cath Lab for definitive care to minimize long-term consequences. If needed, its comforting to know that Danbury Hospitals Mary Ellen and Samuel Klein, MD Critical Care Unit has been nationally recognized for providing an exemplary level of care. We are "Leapfrog Compliant," an elite ranking achieved by approximately 15% of the nations hospitals; in recent years, weve also earned the Beacon Award for Critical Care Excellence by the American Association of Critical Care Nurses three times. As a Level II Trauma Center accredited by the American College of Surgeons, Danbury Hospital offers expert 24/7 care by trauma specialists, including trauma surgeons and emergency physicians. WOMEN AND CHILDRENS SERVICE: Our women and Children's services features a top notch team of Obstetricians, Gynecologist, Pediatricians, Certified Midwives, Pediatric Hospitalists, Neonatologists, Pediatric Specialists, Physician Assistants and Nurses. Our obstetricians and certified nurse midwives deliver babies in the Hospital's modern, home-like child birth center. The center features in-suite amenities, including private rooms, massage therapy for infants and mothers and wireless internet access. In addition advances, minimally invasive robotic surgery for several gynecologic procedures, including hysterectomies, fibroid removal, vaginal prolapse correction, to stop menorrhagia and to treat certain forms of cervical and uterine cancers, are available at the Hospital. At Danbury Hospital, we understand that a child is lifes most precious gift. No parent should feel the need to choose between expert medical care and a warm, supportive, community environment. We are committed to providing exceptional care in a tender, loving manner to the children of our community. For children who need hospital care, our child-friendly pediatric unit offers a variety of supports to make your childs stay as comfortable as possible for both of you. And many children require the care of a specialist at one point or another; we make it easier by bringing excellent pediatric specialty services into one convenient location at our Childrens Health and Wellness Center. The Children's Health and Wellness Center is a child-friendly, interactive environment for wellness and healing. With your convenience in mind, we offer a variety of pediatric specialty services in one location. At Danbury Hospital we are proud to provide advanced support in our Level IIIB Spratt Family Neonatal Intensive Care Unit (NICU), staffed 24/7 by experienced neonatologists and NICU nurses. With advanced diagnostic imaging and a full staff of pediatric specialists, we're prepared to "expect the unexpected". BEHAVORIAL AND MENTAL HEALTH: Danbury Hospital provides expert, supportive inpatient psychiatric services for adults and geriatric patients with acute psychiatric illness or co-occurring substance use. The unit offers a variety of services aimed to stabilize acute psychiatric symptoms. Our psychiatric multidisciplinary team includes physician-psychiatrists, advanced practice psychiatric nurses, social workers, activity therapists, experiencesd psychiatric RNs and support staff. Our CI Crisis Interventon team located in the ED provides comprehensive psychiatric and safety assessments. Licensed clinicians identify patients who may require a behavioral health assessment and provide referrals to the appropriate level of care. We treat adults with the following conditions: -Bipolar disorder -Depression -Anxiety -Psychotic disorders -Dual diagnoses (mental illness and addiction) RADIOLOGY/IMAGING: Danbury Hospital is known for excellence in imaging services. We are proud of our board-certified radiologists, advanced technology, and multiple convenient locations. Our services include MRI, Scans, Mammograms, X-rays, and specialized technology for cardiovascular and cancer diagnosis and treatment. Danbury Hospital offers a variety of Radiology Services including, CT, PET/CT, CT Lung Screening, Virtual Colonoscopy, MRI and Open MRI, Ultrasound, Bone Density Measurement/Osteoporosis Screening, General Xray, Digital Mammography, Digital Breast, Breast MRI and Ultrasound, Stereotactic, MRI-Guided and Ultrasound Guided Breast Biopsy, Nuclear Medicine, Interventional Radiology, Cryoblation, Image-guided Biopsy, and Interventional Radiology. Qualifications and Accreditations: -American College of Radiology Accredited in Pediatric CT Imaging. -American College of Radiology Breast Imaging Center of Excellence. PATHOLOGY AND LABORATORY SERVICES: Danbury Hospitals Department of Pathology and Laboratory Medicine is focused on operational proficiency to assure the accuracy and quality of every test.Directed by four board-certified pathologists who are assisted by more than a dozen certified medical laboratory scientists and supported by a large team of laboratory professionals, our Lab is CLIA certified (Clinical Laboratory Improvement Amendments). The state of Connecticut has licensed us as High Complexity, meaning we are qualified to perform non-automated tests that require multiple steps and a high-level of training and care. We are proud of our certifications and accreditations and willingly participate in unannounced inspections, routinely receiving the highest ratings. In fact, as part of our quality assurance process, we participate in random proficiency test surveys from various outside agencies to consistently measure and evaluate the performance of our testing staff. Qualifications and Accreditations Our Laboratory is accredited by CLIA (License #07D0101031), CAP (License #11931-01), CT State (License #HP0206), AABB and New York State (License #3327 80700470). Danbury Hospital participates in random unannounced inspections by these agencies and always receives the highest scores. The Laboratory also participates in proficiency surveys, which ensure quality results are achieved by all technologists. TEACHING: Danbury Hospital is part of a premier patient-centered system of care dedicated to improving the health and well-being of our patients and the surrounding communities of Western Connecticut and nearby New York State. As a regional medical center and university teaching hospital affiliated with the University of Vermont College of Medicine and Yale University School of Medicine, Danbury Hospital provides a dynamic environment for teaching and research for our Graduate Medical Education training programs. The hospital received Accreditation with Commendation from the Joint Commission, and is approved to sponsor residency/fellowship programs by the Accreditation Council of Graduate Medical Education. Danbury Hospital sponsors residency training in Internal Medicine, Primary Care, Obstetrics and Gynecology, Surgery, Pathology, Dentistry, and a fellowship in Cardiovascular Disease. Residents and fellows are exposed to a broad range of clinical and didactic experiences throughout their training, and have many opportunities to present at local and national meetings as well as publish original research. A distinctive component of our Graduate Medical Education training program is our Global Health Track. Global Health offers the opportunity for residents to perform rotations in the Dominican Republic, Russia, Uganda, Vietnam and Zimbabwe.
RESEARCH: State-of-the-art collaborative precision medicine program is to be initiated at WCHN. The program would link gynecologic/oncology patient clinical care and genomic information to improved treatment and surveillance. This is the future of health care where patient care would evolve from a one-size-fits-all to a more personalized approach towards disease diagnosis and treatment. We hope to expand this approach to the diagnosis and treatment of disease in other therapeutic areas such as diabetes and cardiovascular disease. The WCHN biomedical research institute had added a new research group, Laboratory for Translational Research, to its current departments. This research group is being directed by Dr. John Martignetti, MD, PhD, associate professor at the Icahn School of Medicine at Mount Sinai. Dr. Martignetti has established a bench to bedside approach to a personalized medicine program for ovarian cancer at Mount Sinai. The personalized approach to ovarian cancer patient care would improve outcomes as it would link patient clinical care and genomic information to improve detection, surveillance, prognosis and treatment. We have put together all the necessary components of a Biorepository that will be part of a Core Program to support research programs aimed at biomarker discovery, validation and development of novel therapeutics. The Biorepository will house frozen patients tissue, patient derived cell lines and blood/plasma for research purposes. All programs are administered consistent with Danbury Hospital's financial assistance policy. Form 990, Part III, Line 4d - Other Program Services Description Form 990, Part VI, Line 6 - Explanation of Classes of Members or Shareholder Western Connecticut Health Network, Inc. is the sole member of Danbury Hospital. Form 990, Part VI, Line 7b - Decisions of Governing Body Approval by members or shareholders Certain fundamental decisions to be undertaken by the hospital require the approval of the member. a) The actions listed below, taken for the Hospital or in its capacity voting as a shareholder or member of a subsidiary ("Danbury Subsidiary") shall not require approval by the Board and are reserved solely to the Member:
-The amendment of the Hospital's bylaws; -The election or removal of a director; -Approval of investment policies; -Approval of the adoption of or amendment to any qualified or any non-qualified benefit plan; -Approval of the adoption of or any amendment to the policies and procedures governing a) indemnification of directors and officers of the Hospital or any Danbury Subsidiary; b) conflicts or dualities of interest; c) accounting and investment standards and practices and d) such other policies the Member may determine; -Approval of system-wide quality, performance and credentialing standards and procedures to which the Hospital or any Danbury Subsidiary is expected to adhere; and -Approval of regulatory compliance and methodology for physician compensation arrangements. The actions listed below, taken for the Hospital or in its capacity voting as a shareholder or member of a Danbury Subsidiary, which require approval of the Board, must also be approved by the Member: -The election and removal of a director of a Danbury Subsidiary; -The election of the officers of the Hospital; -Approval of all operating and capital budgets of the Hospital and Danbury Subsidiary; -Approval of any amendment or restatement of the Hospital's certificate of incorporation, bylaws, or operating agreement of any Danbury Subsidiary; -Approval of any sale, lease, exchange, or other disposition of all or substantially all the property or assets of the Hospital or any Danbury Subsidiary; -Approval of the creation of any corporation of which the Hospital or a Danbury Subsidiary is the sole or controlling member or sole or controlling shareholder; the merger or consolidation of the Hospital or any Danbury Subsidiary with another corporation; and the reorganization, liquidation or dissolution of the Hospital or any Danbury Subsidiary; -Approval of any loans by the Hospital or any Danbury Subsidiary, or the incurring of any indebtedness, secured or unsecured, which exceeds two million dollars ($2.0 million) or which has a term longer than one year; -Approval of unbudgeted expenditures in excess of two million dollars ($2.0 million) or any increase in any approved annual operating or capital budget. -Approval of any agreement or transaction of the Hospital or any Danbury Subsidiary involving an amount greater than two million dollars ($2.0 million)with another individual or entity; -Approval of the affiliation of the Hospital or any Danbury Subsidiary with any other entity for the purposes of the joint conduct of business; -Creation of any committee which shall have the authority to act on behalf of the Board or on behalf of any Danbury Subsidiary; -Approval of any conveyance of, or the granting of mortgages or trusts on any real property assets of the Hospital or of any Danbury Subsidiary; -Approval of the strategic plan of the Hospital and of any Danbury Subsidiary; and -Approval of any commencement, cessation, location, relocation or consolidation of significant clinical services provided by the Hospital or any Danbury Subsidiary. Form 990, Part VI, Line 11b - Form 990 Review Process Steven Rosenberg, SVP/CFO of Western Connecticut Health Network, Inc., 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 interest
The 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 Policy The 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 Committee review and evaluate each disclosure to determine if there is a conflict of interest. After presentation of a potential transaction 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 Conflict After 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 Person No 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 15b - Compensation Review & Approval Process - Officers & Key Employees Compensation for Other Officers and Key Employees:
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, health care 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) approximates a range between the 50th and 75th percentiles 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 Compensation Committee and Key Executives in the Executive Compensation Process - The Compensation Committee in consultation with the CEO and the SVP Human Resources (HR) selects the outside compensation consultants. The current consultant is the Korn Ferry Hay Group, whose purpose is to provide a valid independent assessment of the relevant 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 Compensation Committee for their consideration and acceptance. -The Compensation Committee determines the CEO's salary based on overall performance and market data supplied by the outside compensation consultant. The last executive compensation evaluation by an outside consultant was done in November, 2018. Form 990, Part VI, Line 19 - Other Organization Documents Publicly Available The governing documents, conflict of interest policy and financial statements are available to the public upon request. Form 990, Part VII - Compensation Explanation Daniel McCarthy (To 12/31) Daniel McCarthy was a Director until December 31, 2017. Neil Culligan, MD (To 12/31) Neil Culligan, MD was a Director until December 31, 2017. Anne Roby (From 12/31) Anne Roby was a Director until December 31, 2017, when she became the Vice Chairman. Brian C. White (To 12/31) Brian C. White was the Vice Chairman until December 31, 2017. Kathleen Dematteo (To 03/09) Kathleen DeMatteo's employment was terminated on March 9, 2018. Joseph Campbell (To 10/01) Joseph Campbell's employment was terminated on October 1, 2017.
Form 990, Part XI, Line 9 Other Changes In Net Assets Or Fund Balances ........................................................... $ 8,250,908. (See part XI Reconciliation for Calculation)................ CT Laboratory Partnership Billing & Revenue Income......... -1,068,162. Equity Transfer to WCHN-W/O of Intercompany................ -29,000.000. Equity Transfer to WCMG-W/O of Intercompany................ -3,767,719. ____________________ Total $ -25,584,973
FORM 990 PART IX LINE 11G DESCRIPTION:HEALTHCARE PROFESSIONALS TOTAL FEES:88186441
FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASE SERVICES TOTAL FEES:42233930
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2019


Additional Data


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SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
Danbury Hospital
 
Employer identification number

06-0646597
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity











Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)Western CT Health Network Affiliat
95 Locust Avenue

Danbury,CT06810
22-2594968
OP HLTHCR SVC CT 501(C)(3) 10 WCHN
 
Yes
 
(2)Western CT Health Network Inc
24 Hospital Avenue

danbury,CT06810
22-2594977
PROGRAM DEVLP CT 501(C)(3) 12 TYPE 2 NA
 
 
No
(3)Danbury & New Milford Hosp Found
24 Hospital Avenue

Danbury,CT06810
23-7425557
ADMIN CONTRIB CT 501(C)(3) 7 WCHN
 
Yes
 
(4)Western CT Home Care Inc
4 Liberty Street

Danbury,CT06810
06-0655138
HOME HLTHCARE CT 501(C)(3) 10 WCHN
 
Yes
 
(5)Western CT Medical Group Inc
14 Research Drive Suite 201A

Bethel,CT06801
06-1137531
PHYSICIAN SVC CT 501(C)(3) 10 WCHN
 
Yes
 
(6)Eastern NY Medical Services PC
14 Research Drive Suite 201A

Bethel,CT06801
45-5431389
PHYSICIAN SVC NY 501(C)(3) 10 WCHN
 
Yes
 
(7)The Norwalk Hospital Association
24 Stevens Street

Norwalk,CT06850
06-6068853
HEALTH SVCS CT 501(C)(3) 3 WCHN
 
Yes
 
(8)Norwalk Hospital Foundation
24 Stevens Street

Norwalk,CT06850
22-2577707
FUNDRAISING CT 501(C)(3) 7 WCHN
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) New Milford MRI

21 Elm Street
New Milford,CT06776
27-1877801
INACTIVE CT DH
 
RELATED 0 0   No 0   No 100.000 %
(2) Norwalk Surgery

40 Cross Street
Norwalk,CT06851
27-2394942
SURGERY CENTER CT NA
 
N/A 0 0   No 0   No  
(3) WCHN INVESTMENTS

24 HOSPITAL AVE
DANBURY,CT06810
47-5523212
INVESTMNTS CT WCHN
 
EXCLUDED SEC 512-514 8,341,258 39,584,332   No 121   No 10.830 %








Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) Western CT Health Network Ins

23 Lime Tree Bay PO Box 105
Grand Cayman    
CJ
98-0438151
MALPRCTICE CJ NA
 
C CORP 0 0   Yes  
(2) SWC Corporation

24 Stevens Street
Norwalk,CT06850
22-2577718
PHARMACY CT NA
 
C CORP 0 0   Yes  
(3) Advanced Ctr for Rehab Med

24 Stevens Street
Norwalk,CT06850
06-1304799
INACTIVE CT NA
 
C CORP 0 0   Yes  








Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) Western CT Health Network Affiliates

o 418,126 COST
(2) Western CT Health Network Affiliates

p 113,234 COST
(3) Western CT Health Network Affiliates

q 1,942,444 COST
(4) Western CT Health Network Affiliates

r 798,993 COST
(5) Western CT Health Network Affiliates

s 3,683,046 COST
(6) Danbury & New Milford Hosp Found

c 5,205,929 cost
(7) Danbury & New Milford Hosp Found

q 834,878 cost
(8) Danbury & New Milford Hosp Found

s 6,654,740 cost
(9) Western CT Home Care Inc

q 1,105,373 cost
(10) Western CT Home Care Inc

r 86,242 cost
(11) Western CT Home Care Inc

s 1,347,743 cost
(12) Western CT Medical Group Inc

j 3,139,733 cost
(13) Western CT Medical Group Inc

m 71,390,293 cost
(14) Western CT Medical Group Inc

o 103,550 cost
(15) Western CT Medical Group Inc

p 9,112,042 cost
(16) Western CT Medical Group Inc

q 43,041,093 cost
(17) Western CT Medical Group Inc

r 34,216,177 cost
(18) Eastern NY Medical Services PC

p 242,719 cost
(19) Eastern NY Medical Services PC

q 145,534 cost
(20) Eastern NY Medical Services PC

r 61,818 cost
(21) The Norwalk Hospital Association

o 5,093,549 cost
(22) The Norwalk Hospital Association

p 689,416 cost
(23) The Norwalk Hospital Association

q 26,582,296 cost
(24) The Norwalk Hospital Association

r 6,919,100 cost
(25) The Norwalk Hospital Association

s 46,772,270 cost
(26) Norwalk Hospital Foundation

q 51,897 cost
(27) Norwalk Hospital Foundation

s 103,043 cost
(28) Western CT Health Network Ins

p 413,194 cost
(29) Western CT Health Network Ins

q 28,141,056 cost
(30) Western CT Health Network Ins

s 27,486,290 cost
(31) SWC Corporation

p 224,875 cost
(32) SWC Corporation

q 326,540 cost
(33) SWC Corporation

r 106,887 COST
(34) SWC Corporation

s 171,323 cost
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. (see instructions).
Return Reference Explanation
Part III - Partnership Full Name, Address, FEIN New Milford MRI JV, LLC 27-1877801 21 Elm Street New Milford, CT 06776 Norwalk Surgery Center, LLC 27-2394942 40 Cross Street #120 Norwalk, CT 06851 WCHN Investments, LLC 47-5523212 24 Hospital Ave. Danbury, CT 06810
Schedule R (Form 990) 2019

Additional Data


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