Forum Health in Westport, Connecticut (CT)

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Forum Health
Employer Identification Number (EIN)311560189
Name of OrganizationForum Health
In Care of NameKris Hoce
Address6 Sandy Hill Ter, Westport, CT 06880-4609
SubsectionCharitable Organization
Ruling Date12/1998
DeductibilityContributions are deductible
FoundationOrganizations operated solely for the benefit of and in conjunction with organizations described in 10 through 16 above
OrganizationCorporation
Exempt Organization StatusUnconditional Exemption
Tax Period12/2013
Assets$1 to $9,999
Income$0
Filing Requirement990 - Required to file Form 990-N - Income less than $25,000 per year
Asset Amount$1
Amount of Income$34,482,163
Form 990 Revenue Amount$34,482,163
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative: Fund Raising and/or Fund Distribution


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Amount of income in 2013: $34,482,163
Forum Health: 

 $34,482,163
Other organizations performing similar types of work: 

 $6,738,823

Assets in 2013: $1
Forum Health: 

 $1
Other organizations performing similar types of work: 

 $27,052,672

Expenses in 2013: $0
Forum Health: 

 $0
Other organizations performing similar types of work: 

 $3,062,102

Expenses allocated to program services in 2007: 100.0%
This organization: 

 100.0%
Other organizations performing similar types of work: 

 85.8%

Employees paid over $50,000 in 2007: 17.1%
This organization: 

 17.1%
Other organizations performing similar types of work: 

 30.8%

Grants share in income in 2013: -,nan,(ind)%
This organization: 

 -,nan,(ind)%
Other organizations performing similar types of work: 

 8.7%

Financial snapshot ($)

Revenue, Expenses, and Changes in Net Assets or Fund Balances
201120122013
Total revenue$923$0
Total expenses$923$0
Total net assets$0$0
Balance Sheets
201120122013
Total assets$0$0$1
Total liabilities$0$0$0
Net assets or fund balances$0$0
Other Information
201120122013
Did the organization engage in any significant activity not previously reported to the IRS?NoNo
Were any significant changes made to the organizing or governing documents?NoNo
Did the organization have unrelated business gross income of $1,000 or more during the year from business activitiesNoNo
Has the organization filed a Form 990-T for the year?NoNo
Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year?NoNo
Amount of political expenditures, direct or indirect$0$0
Did the organization file Form 1120-POL for this year?NoNo
Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were any such loans made in a prior year and still outstanding at the end of the tax year covered by this return?NoNo
Total amount involved$0$0
Initiation fees and capital contributions$0$0
Gross receipts for public use of club facilities$0$0
Did the organization engage in any section 4958 excess benefit transaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or 990-EZ?NoNo
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?NoNo
Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2)
Number of organizations supported2
Sum of amounts of support$0
Revenue, Expenses, and Changes in Net Assets or Fund Balances
20002004200520062007
Total revenue$270,855$151,004$49,696,650$44,765,238$34,482,163
Contributions, gifts, grants, and similar amounts received$0$0$0$0$0
Contributions to donor advised funds$0$0
Direct public support$0$0$0$0$0
Indirect public support$0$0$0$0$0
Government contributions (grants)$0$0$0$0$0
Program service revenue including government fees and contracts$0$0$49,540,643$44,601,274$34,421,842
Membership dues and assessments$0$0$0$0$0
Interest on savings and temporary cash investments$0$0$0$0$7,636
Dividends and interest from securities$270,855$0$0$0$0
Net rental income or (loss)$0$0$0$0$0
Gross rents$0$0$0$0$0
Less: rental expenses$0$0$0$0$0
Other investment income$0$0$0$0$0
Gain or (loss) from sales of assets other than inventory$0$-15,084$0$0$-5,737
Gross amount from sales of assets other than inventory$0$0$0$0$0
Less: cost or other basis and sales expenses$0$15,084$0$0$5,737
Net income or (loss) from special events and activities$0$0$0$0$0
Gross revenue$0$0$0$0$0
Less: direct expenses other than fundraising expenses$0$0$0$0$0
Gross profit or (loss) from sales of inventory$0$0$0$0$0
Gross sales of inventory, less returns and allowances$0$0$0$0$0
Less: cost of goods sold$0$0$0$0$0
Other revenue$0$166,088$156,007$163,964$58,422
Total expenses$270,855$151,004$49,696,650$44,765,236$34,482,140
Program services$258,427$151,004$49,696,650$44,691,607$34,482,140
Management and general$12,428$0$0$73,629$0
Fundraising$0$0$0$0$0
Payments to affiliates$0$0$0$0$0
Net assets or fund balances at end of year$-13,937,869$-89,593,507$-111,089,909$-97,416,526$-44,886,411
Excess or (deficit) for the year$0$0$0$2$23
Net assets or fund balances at beginning of year$-6,444,051$-74,610,263$-89,593,507$-111,089,909$-97,416,526
Other changes in net assets or fund balances$-7,493,818$-14,983,244$-21,496,402$13,673,381$52,530,092
Statement of Functional Expenses (for 2007)
TotalProgram servicesManagement and generalFundraising
Total functional expenses$34,482,140$34,482,140$0$0
Grants paid from donor advised funds$0
Other grants and allocations$0
Specific assistance to individuals$0
Benefits paid to or for members$0
Compensation of current officers, directors, key employees, etc.$3,668,487$3,668,487$0$0
Compensation of former officers, directors, key employees, etc.$794,570$794,570$0$0
Compensation and other distributions, 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
Salaries and wages of employees not included above$5,954,051$5,954,051$0$0
Pension plan contributions not included above$275,466$275,466$0$0
Employee benefits not included above$1,700,586$1,700,586$0$0
Payroll taxes$716,820$716,820$0$0
Professional fundraising fees$0$0$0$0
Accounting fees$335,529$335,529$0$0
Legal fees$793,277$793,277$0$0
Supplies$198,477$198,477$0$0
Telephone$1,014,888$1,014,888$0$0
Postage and shipping$264,179$264,179$0$0
Occupancy$482,347$482,347$0$0
Equipment rental and maintenance$1,092,607$1,092,607$0$0
Printing and publications$752,044$752,044$0$0
Travel$82,782$82,782$0$0
Conferences, conventions, and meetings$41,890$41,890$0$0
Interest$33,781$33,781$0$0
Depreciation, depletion, etc.$3,740,162$3,740,162$0$0
Other expenses not covered above$12,540,197$12,540,197$0$0
Balance Sheets
20002004200520062007
Total assets$119,090,119$171,021,951$150,823,780$156,930,861$171,624,733
Cash - non-interest-bearing$0$0$0$0$0
Savings and temporary cash investments$0$0$0$0$0
Accounts receivable less allowance for doubtful accounts$0$32,000$0$0$0
Pledges receivable less allowance for doubtful accounts$0$0$0$0$0
Grants receivable$0$0$0$0$0
Receivables from current and former officers, directors, trustees, and key employees$0$0$0$0$0
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)$0$0
Other notes and loans receivable less allowance for doubtful accounts$661,702$6,479,116$6,444,963$7,097,506$6,260,966
Inventories for sale or use$0$826,517$891,645$862,259$49,140
Prepaid expenses and deferred charges$0$1,182,746$1,399,516$1,534,393$3,747,995
Investments - publicly-traded securities$0$0
Investments - other securities$0$2,504,313$0$0$0
Investments - land, buildings, and equipment less accumulated depreciation$0$0$15,433,057$11,937,127$3,889,664
Investments - other$113,429,557$137,072,677$126,654,599$135,499,576$152,824,375
Land, buildings, and equipment less accumulated depreciation$242,320$18,433,168$0$0$0
Other assets, including program-related investments$4,756,540$4,491,414$0$0$4,852,593
Total liabilities$133,027,988$260,615,458$261,913,689$254,347,387$216,511,144
Accounts payable and accrued expenses$712,988$13,608,664$11,086,736$20,987,707$14,742,336
Grants payable$0$0$0$0$0
Deferred revenue$0$0$0$0$0
Loans from officers, directors, trustees, and key employees$0$0$0$0$0
Tax-exempt bond liabilities$132,315,000$182,065,000$178,745,000$175,280,000$166,650,000
Mortgages and other notes payable$0$940,300$809,623$699,119$350,515
Other liabilities$0$64,001,494$71,272,330$57,380,561$34,768,293
Total liabilities and net assets/fund balances$119,090,119$171,021,951$150,823,780$156,930,861$171,624,733
Total net assets or fund balances$-13,937,869$-89,593,507$-111,089,909$-97,416,526$-44,886,411
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
20002004200520062007
Total revenue$0$0$0$0$0
Total revenue, gains, and other support per audited financial statements$0$0$0$0$0
Other expenses$0$0$0$0$0
Net unrealized gains on investments$0$0$0$0$0
Donated services and use of facilities$0$0$0$0$0
Recoveries of prior year grants$0$0$0$0$0
Other$0$0$0$0$0
Other revenue$0$0$0$0$0
Investment expenses$0$0$0$0$0
Other$0$0$0$0$0
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
20002004200520062007
Total expenses$0$0$0$0$0
Total expenses and losses per audited financial statements$0$0$0$0$0
Other revenue$0$0$0$0$0
Donated services and use of facilities$0$0$0$0$0
Prior year adjustments$0$0$0$0$0
Losses$0$0$0$0$0
Other$0$0$0$0$0
Other expenses$0$0$0$0$0
Investment expenses$0$0$0$0$0
Other$0$0$0$0$0
Current Officers, Directors, Trustees, and Key Employees
Average hours per week devoted to positionCompensationContributions to employee benefit plans & deferred compensation plansExpense account and other allowances
50$1,108,757$0$0
50$445,918$7,881$0
50$177,356$22,721$0
50$14,013$0$0
50$174,264$3,856$0
50$56,850$7,173$0
50$178,079$37,629$0
50$773,026$0$0
50$297,724$43,197$0
50$278,019$42,024$0
Total number of officers, directors, and trustees permitted to vote on organization business at board meetings20
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?No
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?Yes
Does the organization have a written conflict of interest policy?Yes
Former Officers, Directors, Trustees, and Key Employees That Received Compensation or Other Benefits
Loans and AdvancesCompensationContributions to employee benefit plans & deferred compensation plansExpense account and other allowances
$0$321,145$7,384$0
$0$153,923$9,105$0
$0$21,635$0$0
$0$29,864$0$0
$0$251,514$0$0
Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?No
Was there a liquidation, dissolution, termination, or substantial contraction during the year?No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?Yes
Direct and indirect political expenditures$0
Did the organization file Form 1120-POL for this year?No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members$0
Section 162(e) lobbying and political expenditures$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices$0
Taxable amount of lobbying and political expenditures$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?Yes
Amount of tax imposed on the organization during the year under: section 4911$0
Amount of tax imposed on the organization during the year under: section 4912$0
Amount of tax imposed on the organization during the year under: section 4955$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958$0
Amount of tax above, reimbursed by the organization$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?No
Did the organization acquire a direct or indirect interest in any applicable insurance contract?No
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?No
Number of employees employed in the pay period that includes March 12, 2006334
Analysis of Income-Producing Activities (for 2007)
Unrelated business incomeExcluded by section 512, 513, or 514Related or exempt function income
Business codeAmountExclusion codeAmount
Total$0$1,899$34,480,264
Program service revenue
Program service revenue 1000000$000$0$34,421,842
Program service revenue 2000000$000$0$0
Program service revenue 3000000$000$0$0
Program service revenue 4000000$000$0$0
Program service revenue 5000000$000$0$0
Medicare/Medicaid payments000000$000$0$0
Fees and contracts from government agencies000000$000$0$0
Membership dues and assessments000000$000$0$0
Interest on savings and temporary cash investments000000$0Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)$7,636$0
Dividends and interest from securities000000$000$0$0
Net rental income or (loss) from real estate
debt-financed property000000$000$0$0
not debt-financed property000000$000$0$0
Net rental income or (loss) from personal property000000$000$0$0
Other investment income000000$000$0$0
Gain or (loss) from sales of assets other than inventory000000$0Gain (or loss, to the extent allowed) from the sale of investments and other non-inventory property and from certain property acquired from financial institutions that are in conservatorship or receivership (sections 512(b)(5) and 512(b)(16)(A))$-5,737$0
Net income or (loss) from special events000000$000$0$0
Gross profit or (loss) from sales of inventory000000$000$0$0
Other revenue000000$000$0$58,422
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2007)
EIN of corporation, partnership, or disregarded entityPercentage of ownership interestTotal incomeEnd-of-year assets
0000000000%$0$0
0000000000%$0$0
0000000000%$0$0
0000000000%$0$0
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2007)
CompensationContributions to employee benefit plans & deferred compensationExpense account and other allowances
$151,165$21,118$0
$118,803$29,281$0
$105,354$35,567$0
$102,875$30,176$0
$124,438$1,564$0
Total number of other employees paid over $50,00043
Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities$0
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?No
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?No
Did the organization maintain any donor advised funds?No
Did the organization make any taxable distributions under section 4966?No
Did the organization make a distribution to a donor, donor advisor, or related person?No
The total number of donor advised funds owned at the end of the tax year$0
The aggregate value of assets held in all donor advised funds owned at the end of the tax year$0
The total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts$0
The aggregate value of assets held in all funds or accounts included above at the end of the tax year$0
Reason for Non-Private Foundation Status
The organization is not a private foundation because it isNot controlled by disqualified persons/supports non private foundation
Type of supporting organizationType II
Information about the supported organizations
Employer identification number (EIN)Name of organizationType of organizationIs the supported organization listed in the supporting organization's governing documents?Amount of support
341454933Western Reserve Care System Co Winter Harbor LlcYes$0
341461049Trumbull Memorial Hospital Co Winter Harbor LlcYes$0
Total$0
Support Schedule
19992003200420052006
Total$0$0$0$0$0
Gifts, grants, and contributions received$0$0$0$0$0
Membership fees received$0$0$0$0$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose$0$0$0$0$0
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975$0$0$0$0$0
Net income from unrelated business activities not included above$0$0$0$0$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf$0$0$0$0$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge$0$0$0$0$0
Other income$0$0$0$0$0
Lobbying Expenditures by Electing Public Charities (for 2007)
Total exempt purpose expenditures$0
Total lobbying expenditures$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)$0
Total lobbying expenditures to influence a legislative body (direct lobbying)$0
Other exempt purpose expenditures$0
Lobbying nontaxable amount$0
Grassroots nontaxable amount$0
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2New York-Presbyterian Fund Inc525 E 68th St Box 156, New York, NY 10065-4870NY2000-05$812,851,962
3Albert Einstein Healthcare Network, Albert Einstein Medical Center5501 Old York Rd, Philadelphia, PA 19141-3018PA1984-08$739,762,819
4Seattle Childrens Healthcare SystemPO BOX 5371, Seattle, WA 98145-5005WA1984-05$591,424,002
5Yale New Haven Health Services Corporation789 Howard Ave, New Haven, CT 06519-1304CT1984-07$445,704,486
6Forum Health6 Sandy Hill Ter, Westport, CT 06880-4609CT1998-12$34,482,163
7Lawrence And Memorial Corporation365 Montauk Ave, New London, CT 06320-4700CT1985-02$32,609,430
8St Vincents Health Services Corp, Tax Department2800 Main St, Bridgeport, CT 06606-4201CT1946-03$4,000,000
9New Milford Vna Foundation Inc68 Park Lane Rd, New Milford, CT 06776-2325CT1997-11$2,093,561
10Yale-New Haven Medical Center Inc20 York St, New Haven, CT 06510-3220CT1975-05$1,130,364
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15Virginia Childrens Health Care Network Inc3300 Rivermont Ave, Lynchburg, VA 24503-2030VA1987-05$935,183
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Number of organizations performing similar types of work
Alabama2
Arkansas1
Arizona2
California18
Colorado1
Connecticut8
District of Columbia3
Florida8
Georgia3
Iowa1
Illinois14
Indiana1
Kansas3
Kentucky4
Louisiana1
Massachusetts9
Maryland7
Maine2
Michigan7
Minnesota4
Missouri4
Mississippi2
North Carolina7
North Dakota2
Nebraska2
New Hampshire2
New Jersey3
New Mexico1
Nevada1
New York18
Ohio9
Oregon2
Pennsylvania27
Rhode Island1
Tennessee3
Texas10
Utah3
Virginia8
Washington10
Wisconsin4
West Virginia2
Total220

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