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  5. NEW MILFORD HOSPITAL, INC.

NEW MILFORD HOSPITAL, INC.

Company Details

Entity Name: NEW MILFORD HOSPITAL, INC.
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Merged
Date Formed: 16 Nov 1921
Business ALEI: 0076964
Annual report due: 28 Nov 2014
Business address: 21 ELM STREET, NEW MILFORD, CT, 06776
ZIP code: 06776
County: Litchfield
Place of Formation: CONNECTICUT
E-Mail: Carolyn.McKenna@wchn.org

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
HAGHG68Y59X6 2024-03-15 21 ELM ST, NEW MILFORD, CT, 06776, 2915, USA 24 HOSPITAL AVENUE, DANBURY, CT, 06810, 6099, USA

Business Information
Congressional District 05
State/Country of Incorporation CT, USA
Activation Date 2023-03-20
Initial Registration Date 2011-05-12
Entity Start Date 1921-11-16
Fiscal Year End Close Date Sep 10

Points of Contacts
Electronic Business
Title PRIMARY POC
Name KEVIN MEADE
Address 21 ELM STREET, NEW MILFORD, CT, 06776, 2915, USA
Title ALTERNATE POC
Name DEBORAH WEYMOUTH
Address 21 ELM STREET, NEW MILFORD, CT, 06776, 2915, USA
Government Business
Title PRIMARY POC
Name DEBORAH WEYMOUTH
Address 21 ELM STREET, NEW MILFORD, CT, 06776, 2915, USA
Title ALTERNATE POC
Name KEVIN MEADE
Address 21 ELM STREET, NEW MILFORD, CT, 06776, 2915, USA
Past Performance Information not Available

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
6DHP9 Obsolete Non-Manufacturer 2011-05-13 2024-03-15 No data 2024-03-15

Contact Information
POC DEBORAH WEYMOUTH
Phone +1 860-210-5500
Fax +1 860-210-5501
Address 21 ELM ST, NEW MILFORD, CT, 06776 2915, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN 2014 060669121 2016-07-15 NEW MILFORD HOSPITAL, INC. 775
Three-digit plan number (PN) 001
Effective date of plan 1969-10-01
Business code 622000
Sponsor’s telephone number 8603552611
Plan sponsor’s mailing address 21 ELM STREET, NEW MILFORD, CT, 06776
Plan sponsor’s address 21 ELM STREET, NEW MILFORD, CT, 06776

Plan administrator’s name and address
Administrator’s EIN 060669121
Plan administrator’s name NEW MILFORD HOSPITAL, INC.
Plan administrator’s address 21 ELM STREET, NEW MILFORD, CT, 06776
Administrator’s telephone number 8603552611

Signature of
Role Plan administrator
Date 2016-07-15
Name of individual signing VALERIE JACK
Valid signature Filed with authorized/valid electronic signature
NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN 2013 060669121 2015-07-15 NEW MILFORD HOSPITAL, INC. 803
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-10-01
Business code 622000
Sponsor’s telephone number 8603552611
Plan sponsor’s mailing address 21 ELM STREET, NEW MILFORD, CT, 06776
Plan sponsor’s address 21 ELM STREET, NEW MILFORD, CT, 06776

Plan administrator’s name and address
Administrator’s EIN 060669121
Plan administrator’s name NEW MILFORD HOSPITAL, INC.
Plan administrator’s address 21 ELM STREET, NEW MILFORD, CT, 06776
Administrator’s telephone number 8603552611

Number of participants as of the end of the plan year
Active participants 220
Retired or separated participants receiving benefits 242
Other retired or separated participants entitled to future benefits 306
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 7

Signature of
Role Plan administrator
Date 2015-07-15
Name of individual signing VALERIE JACK
Valid signature Filed with authorized/valid electronic signature
NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN 2012 060669121 2014-07-11 NEW MILFORD HOSPITAL, INC. 820
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-10-01
Business code 622000
Sponsor’s telephone number 8603552611
Plan sponsor’s mailing address 21 ELM STREET, NEW MILFORD, CT, 06776
Plan sponsor’s address 21 ELM STREET, NEW MILFORD, CT, 06776

Plan administrator’s name and address
Administrator’s EIN 060669121
Plan administrator’s name NEW MILFORD HOSPITAL, INC.
Plan administrator’s address 21 ELM STREET, NEW MILFORD, CT, 06776
Administrator’s telephone number 8603552611

Number of participants as of the end of the plan year
Active participants 236
Retired or separated participants receiving benefits 232
Other retired or separated participants entitled to future benefits 335
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 15

Signature of
Role Plan administrator
Date 2014-07-11
Name of individual signing ROMULO SALAZAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-11
Name of individual signing ROMULO SALAZAR
Valid signature Filed with authorized/valid electronic signature
NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN 2011 060669121 2013-07-22 NEW MILFORD HOSPITAL, INC. 838
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-10-01
Business code 622000
Sponsor’s telephone number 8603552611
Plan sponsor’s mailing address 21 ELM STREET, NEW MILFORD, CT, 06776
Plan sponsor’s address 21 ELM STREET, NEW MILFORD, CT, 06776

Plan administrator’s name and address
Administrator’s EIN 060669121
Plan administrator’s name NEW MILFORD HOSPITAL, INC.
Plan administrator’s address 21 ELM STREET, NEW MILFORD, CT, 06776
Administrator’s telephone number 8603552611

Number of participants as of the end of the plan year
Active participants 367
Retired or separated participants receiving benefits 212
Other retired or separated participants entitled to future benefits 241
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 15

Signature of
Role Plan administrator
Date 2013-07-12
Name of individual signing ROMULO SALAZAR
Valid signature Filed with authorized/valid electronic signature
NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN 2011 060669121 2013-07-12 NEW MILFORD HOSPITAL, INC. 838
Three-digit plan number (PN) 001
Effective date of plan 1969-10-01
Business code 622000
Sponsor’s telephone number 8603552611
Plan sponsor’s mailing address 21 ELM STREET, NEW MILFORD, CT, 06776
Plan sponsor’s address 21 ELM STREET, NEW MILFORD, CT, 06776

Plan administrator’s name and address
Administrator’s EIN 060669121
Plan administrator’s name NEW MILFORD HOSPITAL, INC.
Plan administrator’s address 21 ELM STREET, NEW MILFORD, CT, 06776
Administrator’s telephone number 8603552611

Number of participants as of the end of the plan year
Active participants 367
Retired or separated participants receiving benefits 212
Other retired or separated participants entitled to future benefits 241
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 15

Signature of
Role Plan administrator
Date 2013-07-12
Name of individual signing ROMULO SALAZAR
Valid signature Filed with authorized/valid electronic signature
NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN 2010 060669121 2012-07-13 NEW MILFORD HOSPITAL, INC. 851
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-10-01
Business code 622000
Sponsor’s telephone number 8603552611
Plan sponsor’s mailing address 21 ELM STREET, NEW MILFORD, CT, 06776
Plan sponsor’s address 21 ELM STREET, NEW MILFORD, CT, 06776

Plan administrator’s name and address
Administrator’s EIN 060669121
Plan administrator’s name NEW MILFORD HOSPITAL, INC.
Plan administrator’s address 21 ELM STREET, NEW MILFORD, CT, 06776
Administrator’s telephone number 8603552611

Number of participants as of the end of the plan year
Active participants 428
Retired or separated participants receiving benefits 190
Other retired or separated participants entitled to future benefits 220
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 9

Signature of
Role Plan administrator
Date 2012-07-13
Name of individual signing ROMULO SALAZAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-13
Name of individual signing ROMULO SALAZAR
Valid signature Filed with incorrect/unrecognized electronic signature
NEW MILFORD HOSPITAL, INC. RETIREMENT PLAN 2009 060669121 2011-07-15 NEW MILFORD HOSPITAL, INC. 841
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-10-01
Business code 622000
Sponsor’s telephone number 8603552611
Plan sponsor’s mailing address 21 ELM STREET, NEW MILFORD, CT, 06776
Plan sponsor’s address 21 ELM STREET, NEW MILFORD, CT, 06776

Plan administrator’s name and address
Administrator’s EIN 060669121
Plan administrator’s name NEW MILFORD HOSPITAL, INC.
Plan administrator’s address 21 ELM STREET, NEW MILFORD, CT, 06776
Administrator’s telephone number 8603552611

Number of participants as of the end of the plan year
Active participants 458
Retired or separated participants receiving benefits 178
Other retired or separated participants entitled to future benefits 213
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 12

Signature of
Role Plan administrator
Date 2011-07-15
Name of individual signing KEVIN MEADE
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
SPENCER HOULDIN Officer 4 GREENHILL ROAD, P.O. BOX 382, WASHINGTON, CT, 06794, United States 84 GARNET ROAD, ROXBURY, CT, 06783, United States
JAMES KENNEDY Officer 7 KENOSIA AVENUE, NETWORK SUPPORT, DANBURY, CT, 06810, United States 367 TOWN HILL RD, 367 TOWN HILL RD, NEW HARTFORD, CT, 06057, United States
STEVEN ROSENBERG Officer WESTERN CONNECTICUT HEALTH NETWORK, INC., 24 HOSPITAL AVENUE, DANBURY, CT, 06810, United States 23 BYRAM TERRACE DR., GREENWICH, CT, 06831, United States
DONNA KAPLANIS Officer WESTERN CONNECTICUT HEALTH NETWORK, INC., 24 HOSPITAL AVENUE, DANBURY, CT, 06810, United States 20 MARC ROAD, DANBURY, CT, 06810, United States
BRIAN C. WHITE Officer STUDLEY, WHITE & ASSOCIATES, 1 IVES STREET, SUITE 201, DANBURY, CT, 06810, United States 123 SOUTH MAIN ST., Ste 140, NEWTOWN, CT, 06470, United States
JOSEPH D. SKRZYPCZAK Officer No data 3 GLENMORE DRIVE, NEWTOWN, CT, 06470, United States
RICHARD JABARA Officer MEYER-JABARA HOTELS, 1ST 7 KENOSIS AVENUE, SUITE 2A, DANBURY, CT, 06810, United States 7 KENOSIA AVE, DANBURY, CT, 06811, United States
NEIL CULLIGAN MD Officer 69 SANDPIT, ASSOCIATED NEUROLOGIEST, PC, DANBURY, CT, 06810, United States 19 STURGES ROAD, NEWTOWN, CT, 06470, United States
ANTHEA DISNEY Officer 30 NASSER ROAD, P.O. BOX 1527, LITCHFIELD, CT, 06759, United States 30 NASSER ROAD, P.O. BOX 1527, LITCHFIELD, CT, 06759, United States
DAVID KRAMER MD Officer 20 GERMANTOWN ROAD, CONNECTICUT NECK & BACK SPECIALISTS, LLC, DANBURY, CT, 06810, United States 98 NURSERY ROAD, RIDGEFIELD, CT, 06877, United States

Agent

Name Role Business address Residence address
KAREN MATTEI Agent WESTERN CONNECTICUT HEALTH NETWORK, INC., LEGAL DEPARTMENT, 24 HOSPITAL AVENUE, DANBURY, CT, 06810, United States 38 DEER RUN ROAD, BROOKFIELD, CT, 06804, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
GH.0000032 General Hospital INACTIVE INACTIVE 2009-07-01 2013-07-01 2015-06-30
CSP.0006540-HOSP CONTROLLED SUBSTANCE REGISTRATION FOR HOSPITALS ACTIVE CURRENT 1999-03-01 2023-03-01 2025-02-28

History

Type Old value New value Date of change
Name change NEW MILFORD HOSPITAL, INCORPORATED THE NEW MILFORD HOSPITAL, INC. 1989-02-22
Name change NEW MILFORD HOSPITAL, INCORPORATED (ALIAS) NEW MILFORD HOSPITAL, INCORPORATED THE 1972-04-11

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0005192089 2014-09-29 2014-10-01 Merger Certificate of Merger No data
0005099272 2014-05-01 No data Change of Agent Address Agent Address Change No data
0005011787 2013-12-31 2014-01-01 Amendment Restate No data
0004983472 2013-11-18 No data Annual Report Annual Report 2013
0004864063 2013-05-20 2013-05-20 Change of Agent Agent Change No data
0004764959 2012-12-17 No data Annual Report Annual Report 2012
0004753483 2012-11-28 No data Annual Report Annual Report 2011
0004558356 2012-03-28 2012-03-28 Amendment Restate No data
0004434691 2011-08-24 2011-08-24 Change of Agent Agent Change No data
0004379406 2011-05-20 No data Annual Report Annual Report 2010

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STEVEN ROSENBERG

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DONNA KAPLANIS

M.K. PAINTING AND POWERWASHING LLC BUSINESS SYSTEMS, INC.

BRIAN C. WHITE

DANBURY MUSIC CENTRE, INC. STUDLEY, WHITE & ASSOCIATES, P.C.

KAREN MATTEI

RIDGEFIELD SURGICAL CENTER, LLC

JOSEPH D. SKRZYPCZAK

DICTAPHONE CORPORATION DICTAPHONE CORPORATION

RICHARD JABARA

J.M. HOTELS, INC. HEALTH QUEST SYSTEMS, INC. MJ HOTELS OF DANBURY, LLC STAMFORD EMPLOYMENT SERVICES LLC NUVANCE HEALTH INC. STRATEGIC REVENUE ASSOCIATES LLC DANBURY MOTEL ASSOCIATES, INC.

JOHN M. MURPHY MD

THE CONNECTICUT HEALTHCARE RESEARCH AND EDUCATION FOUNDATION, INCORPORATED HEALTH QUEST SYSTEMS, INC. USB BANCORP, INC. NUVANCE HEALTH INC. BUSINESS SYSTEMS, INC.

Related by address

21 ELM STREET, NEW MILFORD, CT, 06776

LITCHFIELD COUNTY CARDIOLOGY, P.C. PRASHANT A. RODRIGUES, M.D., P.C. GREATER NEW MILFORD HEALTH PLAN, INC.

Date of last update: 06 Jan 2025

Sources: Connecticut's Official State Website

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