NORWALK HOSPITAL FOUNDATION INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- NORWALK HOSPITAL FOUNDATION INC (EIN 22-2577707)
- Tax period
- 2019-10-01 to 2020-09-30
- Filed
- 2021-10-08
- IRS object ID
- 202112819349301341
- Schema version
- 2019v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-10-08T17:21:58-05:00 | ReturnTs |
| Tax Period End | 2020-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 CLARENDON ST | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02116 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222577707 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORWALK HOSPITAL FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORW | BusinessNameControlTxt |
| Phone | 2038522216 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 34 MAPLE STREET | AddressLine1Txt |
| City | NORWALK | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06856 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEVEN ROSENBERG | PersonNm |
| Person Title | CFO AND TREASURER | PersonTitleTxt |
| Phone | 2037937000 | PhoneNum |
| Signature | 2021-10-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MIKE A CINCOTTA | PreparerPersonNm |
| PTIN | P01595811 | PTIN |
| Phone | 6172662000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEVEN ROSENBERG | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 34 MAPLE STREET | AddressLine1Txt |
| City | NORWALK | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06856 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $28,407,693 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NORWALKHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF NORWALK HOSPITAL FOUNDATION IS TO RAISE FUNDS, REINVEST AND ADMINISTER THESE FUNDS AND MAKE DISTRIBUTIONS TO NORWALK HOSPITAL AND OTHER NOT-FOR-PROFIT NORWALK HOSPITAL AFFILIATES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | -$1,635 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$1,635 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,972,209 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,814,711 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,526,910 | PYInvestmentIncomeAmt |
| CY Investment Income | $15,525,933 | CYInvestmentIncomeAmt |
| PY Other Revenue | $14,140 | PYOtherRevenueAmt |
| CY Other Revenue | $1,460 | CYOtherRevenueAmt |
| PY Total Revenue | $10,513,259 | PYTotalRevenueAmt |
| CY Total Revenue | $25,342,104 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $5,847,271 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,788,253 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,184,456 | PYOtherExpensesAmt |
| CY Other Expenses | $3,533,138 | CYOtherExpensesAmt |
| PY Total Expenses | $9,031,727 | PYTotalExpensesAmt |
| CY Total Expenses | $6,321,391 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,481,532 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $19,020,713 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $137,322,520 | TotalAssetsBOYAmt |
| Total Assets EOY | $144,660,617 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,566,970 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,107,016 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $131,755,550 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $142,553,601 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE MISSION OF NORWALK HOSPITAL FOUNDATION IS TO RAISE FUNDS, REINVEST AND ADMINISTER THESE FUNDS AND MAKE DISTRIBUTIONS TO NORWALK HOSPITAL AND OTHER NOT-FOR-PROFIT NORWALK HOSPITAL AFFILIATES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,788,253 | ExpenseAmt |
| Grant | $2,788,253 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | FOUNDATION FUNDS WERE USED TO SUPPORT A VARIETY OF PATIENT CARE PROGRAMS, SEVERAL KEY POSITIONS, SCHOLARSHIPS, CONTINUING PROFESSIONAL EDUCATION & TRAINING. | Desc |
| Total Program Service Expenses | $2,788,253 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicyInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | AL | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | CT | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | HI | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | KS | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | KY | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MS | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NJ | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NM | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | ND | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | SC | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | TN | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | UT | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KAREN DARCY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2037394593 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 RESERVE ROAD | AddressLine1Txt |
| City | DANBURY | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06810 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| STEVEN H ROSENBERG | |||||||
| TREASURER | 1.00 | 40.00 | Yes (X) | $0 | $1,529,199 | $644,898 | |
| CAROLYN MCKENNA FROM 0101 | |||||||
| SECRETARY | 1.00 | 40.00 | Yes (X) | $0 | $963,570 | $53,648 | |
| GRACE LINHARD | |||||||
| CHIEF DEVELOPMENT OFFICER | 1.00 | 40.00 | Yes (X) | $0 | $602,893 | $20,473 | |
| ROBERT CIOFFI TO 1231 | |||||||
| DIRECTOR | 0.50 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| DOMINICK COLABELLA | |||||||
| DIRECTOR | 0.50 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| LEONARD DINARDO FROM 0101 | |||||||
| VICE CHAIRMAN | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| LISA A ESNEAULT FROM 0101 | |||||||
| CHAIRMAN | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| MARY GRACE GUDIS | |||||||
| DIRECTOR | 0.50 | 1.00 | $0 | $0 | $0 | Yes (X) | |
| CAROLINE KELLEN TO 1231 | |||||||
| DIRECTOR | 0.50 | 1.00 | $0 | $0 | $0 | Yes (X) | |
| MICHAEL LUBLINSKY TO 1231 | |||||||
| DIRECTOR | 0.50 | 1.00 | $0 | $0 | $0 | Yes (X) | |
| JAMES NAUGHTON | |||||||
| DIRECTOR | 0.50 | 1.00 | $0 | $0 | $0 | Yes (X) | |
| PRADIP PATHARE MD | |||||||
| DIRECTOR | 0.50 | 1.00 | $0 | $0 | $0 | Yes (X) | |
| JEET S SANDHU MD | |||||||
| DIRECTOR | 0.50 | 1.00 | $0 | $0 | $0 | Yes (X) | |
| DEBORAH L SEIDEL TO 1231 | |||||||
| CHAIRMAN | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| CHRISTIAN J TREFZ | |||||||
| DIRECTOR | 0.50 | 1.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,095,662 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $719,019 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $47,755 | FundraisingAmt |
| All Other Contributions | $9,766,956 | AllOtherContributionsAmt |
| Noncash Contributions | $3,220,510 | NoncashContributionsAmt |
| Total Contributions | $9,814,711 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,521,828 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$1,635 | UnrelatedBusinessRevenueAmt |
| Exclusion | $15,523,463 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,043,354 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,039,249 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,105 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,105 | TotalRevenueColumnAmt |
| Exclusion | $4,105 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $27,800 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $47,755 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $26,340 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,460 | TotalRevenueColumnAmt |
| Exclusion | $1,460 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,342,104 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$1,635 | UnrelatedBusinessRevenueAmt |
| Exclusion | $15,529,028 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,748,253 | TotalAmt |
| Program Services | $2,748,253 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,000 | TotalAmt |
| Program Services | $40,000 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $256,299 | TotalAmt |
| Management And General | $256,299 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,238,601 | TotalAmt |
| Management And General | $3,238,601 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,772 | TotalAmt |
| Management And General | $26,772 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,466 | TotalAmt |
| Management And General | $11,466 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,321,391 | TotalAmt |
| Program Services | $2,788,253 | ProgramServicesAmt |
| Management And General | $3,533,138 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,966,703 | BOYAmt |
| EOY | $3,028,140 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,407,177 | BOYAmt |
| EOY | $5,431,371 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,782,328 | BOYAmt |
| EOY | $24,442,416 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,515 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $60,622 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $188,363 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $144,441 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,493 | BOYAmt |
| EOY | $43,922 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,972,104 | BOYAmt |
| EOY | $111,654,146 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,200 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $137,322,520 | BOYAmt |
| EOY | $144,660,617 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,088 | BOYAmt |
| EOY | $16,795 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,512,882 | BOYAmt |
| EOY | $2,090,221 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,566,970 | BOYAmt |
| EOY | $2,107,016 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,601,926 | BOYAmt |
| EOY | $72,450,134 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,153,624 | BOYAmt |
| EOY | $70,103,467 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,755,550 | BOYAmt |
| EOY | $142,553,601 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $137,322,520 | BOYAmt |
| EOY | $144,660,617 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $19,020,713 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$8,032,522 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$190,140 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,050,250 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,868,292 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,920,897 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,972,209 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,814,711 | CurrentTaxYearAmt |
| Total | $58,626,359 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,050,250 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,868,292 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,920,897 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,972,209 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,814,711 | CurrentTaxYearAmt |
| Total | $58,626,359 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $9,791,190 | SubstantialContributorsTotAmt |
| Public Support Total170 | $48,835,169 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,533,258 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,705,986 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,080,595 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,526,064 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,523,463 | CurrentTaxYearAmt |
| Total | $40,369,366 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $116,400 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $253,622 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $319,103 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $87,317 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $27,800 | CurrentTaxYearAmt |
| Total | $804,242 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $99,799,967 | TotalSupportAmt |
| Public Support CY170 | 0.48930 | PublicSupportCY170Pct |
| Public Support PY170 | 0.51680 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | GROSS RECEIPTS FROM RELATED ACTIVITIES - 2015 AMOUNT: $ 116,400. 2016 AMOUNT: $ 253,622. 2017 AMOUNT: $ 319,103. 2018 AMOUNT: $ 87,317. 2019 AMOUNT: $ 27,800. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $30,034,023 | BeginningYearBalanceAmt |
| Contributions | $1,988,844 | ContributionsAmt |
| Investment Earnings Or Losses | $2,002,292 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $433,430 | OtherExpendituresAmt |
| End Year Balance | $33,591,729 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $29,117,913 | BeginningYearBalanceAmt |
| Contributions | $469,200 | ContributionsAmt |
| Investment Earnings Or Losses | $838,216 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $391,306 | OtherExpendituresAmt |
| End Year Balance | $30,034,023 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $27,094,000 | BeginningYearBalanceAmt |
| Contributions | $855,045 | ContributionsAmt |
| Investment Earnings Or Losses | $1,371,019 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $202,151 | OtherExpendituresAmt |
| End Year Balance | $29,117,913 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $23,586,000 | BeginningYearBalanceAmt |
| Contributions | $2,306,771 | ContributionsAmt |
| Investment Earnings Or Losses | $1,538,000 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $336,771 | OtherExpendituresAmt |
| End Year Balance | $27,094,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $21,786,956 | BeginningYearBalanceAmt |
| Contributions | $1,166,396 | ContributionsAmt |
| Investment Earnings Or Losses | $711,000 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $78,351 | OtherExpendituresAmt |
| End Year Balance | $23,586,001 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.40520 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.42520 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.16960 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $188,363 | OtherCostOrOtherBasisAmt |
| Depreciation | $144,441 | DepreciationAmt |
| Book Value | $43,922 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $43,922 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PARTNERSHIPS | Desc |
| Book Value | $111,654,146 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $111,654,146 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO WCHN, INC. | $9,059 |
| DUE TO DH-NM FOUNDATION | $499,802 |
| DUE TO DANBURY HOSPITAL | $9 |
| DUE TO NORWALK HOSPITAL ASSN | $1,500,541 |
| DUE TO WCMG | $80,810 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,090,221 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | NORWALK HOSPITAL FOUNDATION'S ENDOWED FUNDS MAY BE USED TO SUPPORT THE CAPITAL AND OPERATING EXPENSES OF NORWALK HOSPITAL ASSOCIATION AND THEIR NOT-FOR-PROFIT AFFILIATES, AND MAY INCLUDE SCHOLARSHIPS, SALARIES, ETC., ALL AS DICTATED BY DONOR INTENT. |
| PART X, LINE 2: | AS OF SEPTEMBER 30, 2020, THERE ARE NO UNRECOGNIZED TAX BENEFITS RESULTING FROM UNCERTAIN TAX POSITIONS. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | 2020 WALK/RUN (VIRTUAL) | Event1Nm |
| Gross Receipts Event1 | $75,555 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $47,755 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $27,800 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $26,340 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $75,555 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $47,755 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $27,800 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $26,340 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $26,340 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $1,460 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| NORWALK HOSPITAL ASSOCIATION | ||||||||||
| 24 STEVENS STREET | NORWALK | CT | 06850 | 066068853 | 501(C)(3) | $2,029,413 | $177,156 | FMV | COVID-19 IN-KIND CONTRIBUTIONS | OPERATIONAL SUPPORT |
| WESTERN CT HEALTH NETWORK | ||||||||||
| 24 HOSPITAL AVENUE | DANBURY | CT | 06810 | 222594977 | 501(C)(3) | $39,929 | OPERATIONAL SUPPORT | |||
| NUVANCE HEALTH MEDICAL PRACTICE CT INC | ||||||||||
| 14 RESEARCH DRIVE SUITE 201A | BETHEL | CT | 06801 | 061137531 | 501(C)(3) | $298,630 | OPERATIONAL SUPPORT | |||
| DANBURY HOSPITAL | ||||||||||
| 24 HOSPITAL AVENUE | DANBURY | CT | 06810 | 060646597 | 501(C)(3) | $203,125 | OPERATIONAL SUPPORT | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | STUDENT SCHOLARSHIPS | GrantTypeTxt |
| Recipient | 16 | RecipientCnt |
| Cash Grant | $40,000 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | GRANTS WERE MADE TO NORWALK HOSPITAL ASSOCIATION INC., WESTERN CT HEALTH NETWORK AND WESTERN CT MEDICAL GROUP AND DANBURY HOSPITAL, RELATED 501C3 ORGANIZATIONS, THEREFORE IT WAS NOT NECESSARY TO REVIEW THE PUBLIC CHARITY STATUS OF THE DONEE. THE PURPOSE OF THE GRANT FUNDS ARE REVIEWED AND APPROVED BY NORWALK HOSPITAL FOUNDATION OFFICERS TO ASSURE COMPLIANCE WITH DONOR INTENTIONS AND/OR BOARD APPROVALS. SCHOLARSHIPS GRANTS - AN ANNUAL CYCLE TO DETERMINE AWARDS IS FOLLOWED. ANNUAL CYCLE FOR THE NHF NURSING SCHOLARSHIPS: FEBRUARY - NHF NURSING SCHOLARSHIP COMMITTEE MEMBERSHIP IS CONFIRMED. THE COMMITTEE CONSISTS OF WCHN NURSING LEADERSHIP, BOARD MEMBERS, RNS, AND FOUNDATION STAFF MEMBERS. - THE COMMITTEE REVIEW'S THE SCHOLARSHIP APPLICATION FORM FROM THE PREVIOUS YEAR AND RECOMMENDS MODIFICATIONS. - CURRENT FUNDS AVAILABLE IN EACH SCHOLARSHIP ARE VERIFIED. - DETERMINATION IS MADE AS TO THE DOLLAR AMOUNT TO BE AWARDED FROM EACH SCHOLARSHIP BASED ON THE CURRENT FUNDS. - APPLICATION DEADLINE SET MARCH - UPDATED NURSING SCHOLARSHIP APPLICATION FORM IS UPLOADED TO THE NH PORTAL - VSO ANNOUNCEMENT IS WRITTEN / NH GLOBAL EMAIL SENT NOTIFYING THAT THE APPLICATION IS NOW AVAILABLE AND THE DEADLINE IS SPECIFIED MARCH/APRIL - COMPLETED APPLICATIONS ARE RECEIVED AT THE NH FOUNDATION OFFICE * APPLICATION INFORMATION IS RECORDED ON A SPREADSHEET * APPLICATIONS ARE SCANNED INTO THE I DRIVE * SCANNED APPLICATIONS ARE EMAILED WEEKLY TO EACH COMMITTEE MEMBER TO BEGIN THEIR REVIEW - NURSING SCHOLARSHIP COMMITTEE REVIEW/AWARD MEETING IS SET - AT DEADLINE, THE APPLICATION IS REMOVED FROM THE PORTAL AND NO FURTHER APPLICATIONS ARE ACCEPTED MAY - NURSING SCHOLARSHIP COMMITTEE MEETS AT NORWALK HOSPITAL - ALL COMPLETED APPLICATIONS ARE REVIEWED AND DISCUSSED - AWARD WINNERS ARE AGREED UPON - AWARD RECIPIENTS ARE ANNOUNCED BY DIRECT MAIL, EMAIL, VSO ARTICLE, AND SUPERVISOR NOTIFICATION MAY/JUNE - SCHOLARSHIP DONORS RECEIVE THANK YOU LETTERS CONTAINING THE NAME(S) OF THE AWARDEE(S) OF THEIR SCHOLARSHIP - THANK YOU LETTERS FROM AWARD WINNERS ARE RECEIVED AND SHARED WITH LIVING SCHOLARSHIP DONORS AND THE SCHOLARSHIP COMMITTEE - AWARD CHECKS ARE REQUESTED TO BE CUT - CHECKS ARE MADE OUT TO THE AWARDEE'S COLLEGE/UNIVERSITY - CHECKS ARE MAILED TO THE AWARDEES | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEVEN H ROSENBERG | ||||||||||||||
| TREASURER | $0 | $653,858 | $0 | $532,200 | $0 | $343,141 | $0 | $605,000 | $0 | $39,898 | $0 | $2,174,097 | $0 | $311,957 |
| CAROLYN MCKENNA FROM 0101 | ||||||||||||||
| SECRETARY | $0 | $467,018 | $0 | $489,986 | $0 | $6,566 | $0 | $13,750 | $0 | $39,898 | $0 | $1,017,218 | $0 | $0 |
| GRACE LINHARD | ||||||||||||||
| CHIEF DEVELOPMENT OFFICER | $0 | $348,637 | $0 | $226,500 | $0 | $27,756 | $0 | $16,500 | $0 | $3,973 | $0 | $623,366 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | WESTERN CONNECTICUT HEALTH NETWORK (WCHN), A RELATED ORGANIZATION, PREVIOUSLY ESTABLISHED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WHICH PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO KEY MEMBERS OF THE EXECUTIVE GROUP. UNDER THE AGREEMENTS FOR THE SERP, 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 MAINTAINS AN ACCRUAL ON ITS BOOKS FOR THE PARTICIPANTS OF THE SERP. THE ACCRUALS ARE MAINTAINED SOLELY FOR ACCOUNTING PURPOSES AND ARE UNFUNDED. OF THE INDIVIDUALS REPORTED ON SCHEDULE J, PART II, ONLY STEVEN H. ROSENBERG PARTICIPATED IN THE WCHN SERP AND ACCRUED BENEFITS. FOR CALENDAR YEAR 2019, STEVEN H. ROSENBERG RECEIVED A PAYOUT OF $311,957, WHICH IS REFLECTED AS COMPENSATION ON SCHEDULE J, PART II ON THE FORM 990, FOR THE CURRENT YEAR. |
| PART I, LINE 7 | NUVANCE HEALTH ANNUAL LEADERSHIP INCENTIVE PLAN (EXCERPTS FROM) THE PURPOSE OF THE NUVANCE HEALTH ANNUAL LEADERSHIP INCENTIIVE PLAN ("PLAN") IS TO ENGAGE AND MOTIVATE THE ORGANIZATION'S LEADERS TO FURTHER THE CHARITABLE MISSION OF NUVANCE HEALTH AND ITS AFFILIATES AND SUBSIDIARIES, BY PROMOTING EFFECTIVE MANAGEMENT OF OPERATIONS, DELIVERY OF HIGH QUALITY CARE AND SERVICE, AND RESPONSIBLE USE OF RESOURCES TO MEET COMMUNITY NEEDS. THIS PLAN IS INTENDED TO ASSIST NUVANCE HEALTH, AND ITS AFFILIATES AND SUBSIDIARIES TO ATTRACT AND RETAIN LEADERSHIP WITH THE TALENT AND EXPERIENCE NEEDED TO BE SUCCESSFUL BY PROVIDING MEANINGFUL INCENTIVES AND REWARDS FOR OUTSTANDING PERFORMANCE. INDIVIDUALS MUST BE AN ELIGIBLE EMPLOYEE TO BE CONSIDERED AS A PARTICIPANT IN THIS PLAN. AN ELIGIBLE EMPLOYEE IS AN INDIVIDUAL EMPLOYED BY NUVANCE HEALTH AND HOLDS A POSITION ASSIGNED TO ONE OF THE FOLLOWING TIERS, AS OF APRIL 30TH OF THE PLAN YEAR: -TIER I, PRESIDENT, CEO, SENIOR EXECUTIVE -TIER II, EXECUTIVE -TIER III, SENIOR LEADER (A) -TIER III, SENIOR LEADER (B) -TIER IV, LEADER (A) ORGANIZATIONAL GOALS ARE GENERALLY BASED ON THE FOLLOWING CATEGORIES AND ARE WEIGHTED THROUGH A SPLIT BETWEEN ORGANIZATIONAL AND INDIVIDUAL: QUALITY AND SERVICE PEOPLE AND CULTURE PATIENT EXPERIENCE FINANCIAL STRENGTH EACH PLAN YEAR, THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD ("THE COMMITTEE"), IN ITS SOLE DISCRETION AND UNLESS OTHERWISE APPROPRIATELY DELEGATED, SELECTS PARTICIPANTS FROM A LIST OF ELIGIBLE EMPLOYEES NOMINATED BY THE CEO. THE CEO, EX OFFICIO, IS AN ELIGIBLE EMPLOYEE FOR PURPOSES OF SELECTION TO PARTICIPATE IN THE PLAN. EACH PLAN YEAR, THE COMMITTEE, BASED ON INPUT FROM THE CEO, MAY ESTABLISH A THRESHOLD AWARD, A TARGET AWARD AND/OR A MAXIMUM AWARD FOR EACH PARTICIPANT. AWARD OPPORTUNITIES ARE ESTABLISED BASED ON COMPETITIVE MARKET PRACTICES AND ON NUVANCE HEALTH'S COMPENSATION PHILOSOPHY. AWARD OPPORTUNITIES MAY BE BASED ON ADDITIONAL FACTORS, INCLUDING NUVANCE HEALTH'S FINANCIAL AND OPERATIONAL PERFORMANCE, REFLECTING MARKET PAY PRACTICES AND BENCHMARKING FOR COMPARABLE POSITIONS, AND ANY OTHER FACTORS DEEMED RELEVANT BY THE COMMITTEE. EACH PLAN YEAR, THE COMMITTEE, AND UNLESS OTHERWISE APPROPRIATELY DELEGATED FOR ANY PLAN YEAR, SHALL ESTABLISH PERFORMANCE GOALS TO EVALUATE THE PERFORMANCE OF EACH PARTICIPANT. AFTER COMPLETION OF EACH PLAN YEAR, THE COMMITTEE MAY EVALUATE WHETHER THE PERFORMANCE OF NUVANCE HEALTH AND PARTICIPANT MEETS OR EXCEEDS THE PERFORMANCE GOALS ESTABLISHED FOR THE PLAN YEAR. IF PERFORMANCE WARRANTS, THE COMMITTEE MAY APPROVE A FINAL AWARD AMOUNT FOR EACH PARTICIPANT AND APPROVE ANY ADDITIONAL CONDITION ON PAYMENT OF THE AWARD. |
| FORM 990, SCHEDULE J, PART III | 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: -INDEPENDENT COMPENSATION CONSULTANT -WRITTEN EMPLOYMENT CONTRACT FOR PHYSICIAN EXECUTIVES -COMPENSATION SURVEY OR STUDY -APPROVAL BY BOARD COMPENSATION COMMITTEE -COMPENSATION COMMITTEE |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 15679 | ContributionCnt |
| Noncash Contributions Rpt F990 | $3,043,354 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
Food Inventory FoodInventoryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 8424 | ContributionCnt |
| Noncash Contributions Rpt F990 | $109,764 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 85580 | ContributionCnt |
| Noncash Contributions Rpt F990 | $67,392 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THE NUMBERS REPORTED IN COLUMN (B) REPRESENT THE NUMBER OF ITEMS CONTRIBUTED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | LINE 6 EXPLANATION - WESTERN CONNECTICUT HEALTH NETWORK, INC. IS THE SOLE MEMBER OF NORWALK HOSPITAL FOUNDATION. NUVANCE HEALTH IS THE SOLE MEMBER OF WESTERN CONNECTICUT HEALTH NETWORK, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | LINE 7A EXPLANATION - THE WESTERN CONNECTICUT HEALTH NETWORK, INC. ("THE MEMBER") SHALL HAVE THE EXCLUSIVE RIGHT (I)TO ELECT THE CORPORATION'S BOARD OF DIRECTORS AND TO APPOINT INDIVIDUALS TO FILL VACANCIES ON THE BOARD OF DIRECTORS; (II)AMEND THE BYLAWS OF THE CORPORATION; AND (III)TO REMOVE ANY DIRECTOR WITH OR WITHOUT CAUSE. |
| FORM 990, PART VI, SECTION A, LINE 7B | LINE 7B EXPLANATION - CERTAIN FUNDAMENTAL DECISIONS TO BE UNDERTAKEN BY THE CORPORATION REQUIRE THE APPROVAL OF THE MEMBER. (A) THE ACTIONS LISTED BELOW, TAKEN FOR THE CORPORATION OR IN ITS CAPACITY VOTING AS A SHAREHOLDER OR MEMBER OF A SUBSIDIARY ("FOUNDATION SUBSIDIARY") SHALL NOT REQUIRE APPROVAL BY THE BOARD AND ARE RESERVED SOLELY TO THE MEMBER: (I) THE AMENDMENT OF THESE BYLAWS; (II) THE ELECTION OR REMOVAL OF A DIRECTOR; (III) APPROVAL OF POLICIES RELATING TO THE CONTROL AND SUPERVISION OF THE INVESTMENT OF THE CORPORATION'S FUNDS, AND THE FUNDS OF ANY FOUNDATION SUBSIDIARY, INCLUDING, BUT NOT LIMITED TO, THOSE FUNDS AND PROPERTIES WHICH MAY HAVE BEEN DONATED, BEQUEATHED OR DEVISED, OR GIVEN IN TRUST FOR THE LIMITED OR GENERAL USE OF THE CORPORATION OR A FOUNDATION SUBSIDIARY; (IV) APPROVAL OF THE ADOPTION OF OR AMENDMENT TO ANY QUALIFIED BENEFIT PLAN (UNLESS THE TERMS OF THE PLAN REQUIRE APPROVAL OF THE BOARD, IN WHICH CASE THE MEMBER SHALL ALSO APPROVE SUCH ACTION); (V) APPROVAL OF THE ADOPTION OF OR AMENDMENT TO ANY NON-QUALIFIED BENEFIT PLAN; AND (VI) APPROVAL OF THE ADOPTION OF OR AMENDMENT TO THE POLICIES AND PROCEDURES GOVERNING: (A) INDEMNIFICATION OF DIRECTORS AND OFFICERS OF THE CORPORATION OR ANY FOUNDATION SUBSIDIARY; (B) CONFLICTS OR DUALITIES OF INTEREST; (C) ACCOUNTING AND INVESTMENT STANDARDS AND PRACTICES; AND (D) SUCH OTHER POLICIES AS THE MEMBER MAY FROM TIME TO TIME DETERMINE. (B) THE ACTIONS LISTED BELOW, TAKEN FOR THE CORPORATION OR IN ITS CAPACITY VOTING AS A SHAREHOLDER OR MEMBER OF A FOUNDATION SUBSIDIARY, WHICH REQUIRE APPROVAL OF THE BOARD, MUST ALSO BE APPROVED BY THE MEMBER: (I) THE ELECTION AND REMOVAL OF A DIRECTOR OF A FOUNDATION SUBSIDIARY; (II) THE ELECTION OF THE OFFICERS OF THE CORPORATION; (III) APPROVAL OF THE CAPITAL BUDGET AND OPERATING BUDGET OF THE CORPORATION AND OF ANY FOUNDATION SUBSIDIARY; (IV) AMENDMENT OF THE CERTIFICATE OF INCORPORATION OF THE CORPORATION OR ANY FOUNDATION SUBSIDIARY; (V) AMENDMENT OF THE BYLAWS OR OPERATING AGREEMENT OF ANY FOUNDATION SUBSIDIARY; (VI) THE SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OR ASSETS OF THE CORPORATION OR ANY FOUNDATION SUBSIDIARY; (VII) APPROVAL OF THE CREATION OF ANY CORPORATION OF WHICH THE CORPORATION OR A FOUNDATION SUBSIDIARY IS THE SOLE OR CONTROLLING MEMBER OR SOLE OR CONTROLLING SHAREHOLDER; THE MERGER OR CONSOLIDATION OF THE CORPORATION OR ANY FOUNDATION SUBSIDIARY WITH ANOTHER CORPORATION; AND THE REORGANIZATION, LIQUIDATION OR DISSOLUTION OF THE CORPORATION OR ANY FOUNDATION SUBSIDIARY; (VIII) APPROVAL OF LOANS BY THE CORPORATION OR ANY FOUNDATION SUBSIDIARY, OR THE INCURRING OF ANY INDEBTEDNESS, SECURED OR UNSECURED, WHICH EXCEEDS FIFTY THOUSAND DOLLARS ($50,000) OR WHICH HAS A TERM LONGER THAN ONE YEAR; (IX) APPROVAL OF UNBUDGETED EXPENDITURES IN EXCESS OF FIFTY THOUSAND DOLLARS ($50,000) OR ANY INCREASE IN ANY APPROVED ANNUAL OPERATING OR CAPITAL BUDGET; (X) APPROVAL OF ANY AGREEMENT OR TRANSACTION OF THE CORPORATION OR ANY FOUNDATION SUBSIDIARY INVOLVING AN AMOUNT GREATER THAN TWO HUNDRED THOUSAND DOLLARS ($200,000), OTHER THAN AN AGREEMENT RELATING TO THE DONATION OF FUNDS TO THE CORPORATION OR A FOUNDATION SUBSIDIARY, WITH ANOTHER INDIVIDUAL OR ENTITY, PROVIDED THAT ANY UNBUDGETED TRANSFER OF FUNDS IN EXCESS OF THE AGGREGATE AMOUNT OF TWENTY-FIVE THOUSAND DOLLARS ($25,000) PER FISCAL YEAR BY GRANT, GIFT OR SIMILAR ARRANGEMENT FROM THE CORPORATION TO ANY ENTITY NOT AFFILIATED WITH THE MEMBER MUST ALSO BE APPROVED BY THE MEMBER; (XI) APPROVAL OF THE AFFILIATION OF THE CORPORATION OR ANY FOUNDATION SUBSIDIARY WITH ANY OTHER ENTITY FOR THE PURPOSES OF THE JOINT CONDUCT OF BUSINESS OR OTHER PURPOSES, WHETHER IN THE FORM OF PARTICIPATION IN SAID ENTITY THROUGH THE HOLDING OF STOCK OR BY MEMBERSHIP OR IN THE FORM OF PARTNERSHIP, JOINT VENTURE, CO-TENANCY OR ANY OTHER FORM OF OWNERSHIP OR CONTROL; (XII) CREATION OF ANY COMMITTEE WHICH SHALL HAVE THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OR ON BEHALF OF ANY FOUNDATION SUBSIDIARY; (XIII) APPROVAL OF ANY CONVEYANCE OF, OR THE GRANTING OF MORTGAGES OR TRUSTS ON ANY REAL PROPERTY ASSETS OF THE CORPORATION OR OF ANY FOUNDATION SUBSIDIARY; AND (XIV) APPROVAL OF THE STRATEGIC PLAN OF THE CORPORATION AND OF ANY FOUNDATION SUBSIDIARY. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM USING INFORMATION PROVIDED BY THE ORGANIZATION AND A DRAFT FORM 990 IS REVIEWED BY INTERNAL MANAGEMENT. A COMPLETE DRAFT IS THEN POSTED TO AN INTRANET SITE FOR NUVANCE BOARD MEMBERS, THE ULTIMATE PARENT OF THE ORGANIZATION, TO REVIEW PRIOR TO FILING. THE FORM 990 IS THEN SIGNED AND FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12 | OFFICERS, TRUSTEES/DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. RESPONSES ARE REVIEWED BY THE CHIEF COMPLIANCE, AUDIT & PRIVACY OFFICER. AFTER A POTENTIAL CONFLICT OF INTEREST IS DISCLOSED ALONG WITH ALL RELATED MATERIAL FACTS, THE BOARD PROCEEDS TO DISCUSS AND DETERMINE THROUGH A MAJORITY VOTE OF THE DISINTERESTED MEMBERS WHETHER AN ACTUAL CONFLICT OR DUALITY OF INTEREST EXISTS. IF THE INTERESTED PERSON IS PRESENT AT THE START OF THE DISCUSSION, HE OR SHE MAY ANSWER QUESTIONS RELATED TO THE MATTER AND PROVIDE ADDITIONAL, RELEVANT FACTS BUT IS REQUIRED TO LEAVE THE MEETING DURING DELIBERATIONS REGARDING WHETHER AN ACTUAL CONFLICT OR DUALITY OF INTEREST EXISTS. |
| FORM 990, PART VI, SECTION B, LINE 15 | NUVANCE HEALTH'S EXECUTIVE TOTAL REWARDS PHILOSOPHY IS DESIGNED TO ALIGN WITH THE COMPANY'S STRATEGIC DIRECTION, AND TO REINFORCE ITS CORE MISSION, VISION AND VALUES. IN ORDER TO ACHIEVE ITS OVERALL PERFORMANCE OBJECTIVES, NUVANCE HEALTH PROVIDES TOTAL REWARDS PROGRAMS THAT RECOGNIZE EXECUTIVES FOR PERFORMING WORK WELL TO ENSURE THE ACHIEVEMENT OF COMPANY GOALS. THESE PROGRAMS SERVE TO PROMOTE THE ATTRACTION, ENGAGEMENT, AND RETENTION OF TALENTED EXECUTIVES THROUGHOUT THEIR CAREERS WITH NUVANCE HEALTH. THE TOTAL REWARDS PROGRAMS ARE DESIGNED TO BE MARKET COMPETITIVE, COMPLIANT WITH REGULATORY GUIDELINES REFLECTIVE OF BEST PRACTICES, AND DIFFERENTIATED TO CREATE STRONG COMPETITIVE ADVANTAGE. TOTAL REWARDS PROGRAMS ARE REVIEWED ON AN ONGOING BASIS TO ENSURE CONTINUED MARKET COMPETITIVENESS, RELEVANT VALUE TO EXECUTIVES, AND FISCAL RESPONSIBILITY. TOTAL REWARDS FOR NUVANCE HEALTH EXECUTIVES CONSISTS OF KEY COMPONENTS OF COMPENSATION AND BENEFITS. OVERALL EXECUTIVE REWARDS PROGRAM WILL EMPHASIZE PERFORMANCE-BASED ELEMENTS, WHEREBY TARGETED LEVELS OF COMPENSATION WILL ONLY BE ACHIEVED IF THE ORGANIZATION AND INDIVIDUAL ACHIEVE "STRETCH" GOALS AND OBJECTIVES. BASED ON THE LABOR MARKETS FOR TALENT FOR EXECUTIVE ROLES, NUVANCE HEALTH WILL UTILIZE A WEIGHTED BLEND OF BOTH NATIONAL COMPARABLY-SIZED HEALTH CARE PROVIDER MARKET DATA WITH A +30% GEOGRAPHIC DIFFERENTIAL APPLIED (DIFFERENTIAL TO BE VALIDATED ON A PERIODIC BASIS) AT TWO-THIRDS WEIGHT AND NATIONAL COMPARABLY-SIZED GENERAL INDUSTRY DATA, FOR IDENTIFIED ROLES WHERE SKILL SETS OVERLAP AT ONE-THIRD WEIGHT. GEOGRAPHIC DIFFERENTIAL REFLECTS THE OBSERVED AND REPORTED COMPENSATION DIFFERENTIAL BETWEEN NUVANCE HEALTH'S OPERATING REGION AND THE BROADER NATIONAL HEALTH CARE PROVIDER MARKET. NUVANCE HEALTH'S TOTAL REWARDS PHILOSOPHY AND PRACTICES ARE TARGETED AT THE 50TH PERCENTILE OF THE RELEVANT MARKET FOR BASE SALARY, AND 75TH PERCENTILE FOR TOTAL CASH AND TOTAL DIRECT (WHERE AVAILABLE) COMPENSATION ELEMENTS IF TARGET PERFORMANCE IS ACHIEVED UNDER VARIABLE COMPENSATION PROGRAMS. NUVANCE HEALTH'S COMMITTEE HAS DISCRETION TO POSITION INDIVIDUAL LEVELS ABOVE OR BELOW THIS TARGETED COMPETITIVE POSITIONING, BASED ON SUCH FACTORS AS POSITIONING TO MARKET, HIGH DEMAND SKILLSETS AND DIFFICULT TO FILL OR CRITICAL TO THE ORGANIZATION'S STRATEGY AND SUCCESS. OUR GOVERNANCE PROMOTES CONSISTENCY AND EQUITY; PROVIDES CLARITY AND GUIDANCE TO DECISION-MAKERS; ENSURES STANDARD PROCESSES AND PROCEDURES FOR ASSESSING, CALIBRATING, ADMINISTERING, AND DELIVERING EFFECTIVE TOTAL REWARDS THROUGHOUT THE NUVANCE HEALTH SYSTEM. OVERSIGHT AND GOVERNANCE OF THE EXECUTIVE COMPENSATION PHILOSOPHY AND PROGRAMS FOR ELIGIBLE EXECUTIVES/DISQUALIFIED INDIVIDUALS (CURRENTLY CEO, PRESIDENT AND TIERS 1 AND 2) WILL BE AT THE COMPENSATION COMMITTEE OF THE BOARD LEVEL, AND WILL FOLLOW A STRUCTURED AND RIGOROUS PROCESS TO ENSURE COMPLIANCE WITH INTERMEDIATE SANCTIONS UNDER IRS GUIDELINES. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VI, LINES 12A, 13 &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 VII | LISA A. ESNEAULT, FORMERLY VICE CHAIRMAN, BECAME THE CHAIRMAN ON JANUARY 1, 2020. ROBERT CIOFFI WAS A DIRECTOR UNTIL DECEMBER 31, 2019. CAROLINE KELLEN WAS A DIRECTOR UNTIL DECEMBER 31, 2019. LEONARD DINARDO, FORMERLY THE SECRETARY, BECAME THE VICE CHAIRMAN ON JANUARY 1, 2020. MICHAEL LUBLINSKY WAS A DIRECTOR UNTIL DECEMBER 31, 2019. DEBORAH L. SEIDEL WAS THE CHAIRMAN UNTIL DECEMBER 31, 2019. CAROLYN MCKENNA BECAME THE SECRETARY ON JANUARY 1, 2020. FORM 990, PART VII (ADDITIONAL 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 VII (ADDITIONAL 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, LINE 11G | INTERNAL MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,238,601. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,238,601. |
| FORM 990, PART XI, LINE 9: | ASSET TRANSFER TO NHA -190,140. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ALAMO AMBULANCE SERVICES INC | |||||||||||
| 1351 ROUTE 55 | LAGRANGEVILLE | NY | 12540 | 141745417 | TRANSPORT | NY | 501(C)(3) | 10 | HQ | Yes (1) | |
| DANBURY & NEW MILFORD HOSP FOUND | |||||||||||
| 24 HOSPITAL AVENUE | DANBURY | CT | 06810 | 237425557 | ADMIN CONTRIB | CT | 501(C)(3) | 7 | WCHN | Yes (1) | |
| DANBURY HOSPITAL | |||||||||||
| 24 HOSPITAL AVENUE | DANBURY | CT | 06810 | 060646597 | ACUTE CARE | CT | 501(C)(3) | 3 | WCHN | Yes (1) | |
| EASTERN NEW YORK MEDICAL SERVICES PC | |||||||||||
| 14 RESEARCH DRIVE SUITE 201A | BETHEL | CT | 06801 | 455431389 | PHYSICIAN SERVICES | NY | 501(C)(3) | 10 | WCHN | Yes (1) | |
| HEALTH QUEST HOME CARE INC (CERT) | |||||||||||
| 2649 SOUTH ROAD SUITE 220 | POUGHKEEPSIE | NY | 12601 | 141788412 | HOME HEALTH | NY | 501(C)(3) | 10 | HQ | Yes (1) | |
| HEALTH QUEST HOME CARE INC (LIC) | |||||||||||
| 2649 SOUTH ROAD SUITE 220 | POUGHKEEPSIE | NY | 12601 | 141788410 | HOME HEALTH | NY | 501(C)(3) | 10 | HQ | Yes (1) | |
| HEALTH QUEST MEDICAL PRACTICE PC | |||||||||||
| 1351 ROUTE 55 | LAGRANGEVILLE | NY | 12540 | 562669185 | MEDICAL CARE | NY | 501(C)(3) | 12 TYPE I | HQ | Yes (1) | |
| HEALTH QUEST SYSTEMS INC | |||||||||||
| 1351 ROUTE 55 | LAGRANGEVILLE | NY | 12540 | 141678068 | MANAGEMENT | NY | 501(C)(3) | 10 | NUVANCE | Yes (1) | |
| HEALTH QUEST URGENT MED PRAC PC | |||||||||||
| 1351 ROUTE 55 | LAGRANGEVILLE | NY | 12540 | 800152047 | MEDICAL CARE | NY | 501(C)(3) | 12 TYPE I | HQ | Yes (1) | |
| HUDSON VALLEY CARDIOVASCULAR PRAC | |||||||||||
| 1351 ROUTE 55 | LAGRANGEVILLE | NY | 12540 | 463756713 | MEDICAL CARE | NY | 501(C)(3) | 12 TYPE I | HQ | Yes (1) | |
| NDH FOUNDATION | |||||||||||
| PO BOX 5002 | RHINEBECK | NY | 12572 | 141776208 | FUNDRAISING | NY | 501(C)(3) | 7 | HQ | Yes (1) | |
| NORTHERN DUTCHESS HOSPITAL | |||||||||||
| PO BOX 5112 | RHINEBECK | NY | 12572 | 141338467 | HOSPITAL | NY | 501(C)(3) | 3 | HQ | Yes (1) | |
| NORTHERN DUTCHESS RES HLTH FACILITY INC | |||||||||||
| 6526 SPRINGBROOK AVENUE | RHINEBECK | NY | 12572 | 223129608 | NURSING HOME | NY | 501(C)(3) | 10 | HQ | Yes (1) | |
| NUVANCE HEALTH | |||||||||||
| 1351 ROUTE 55 | LAGRANGEVILLE | NY | 12540 | 834214573 | SUPPORT | NY | 501(C)(3) | 12 TYPE III-FI | 0 | N/A | |
| PUTNAM HOSPITAL CENTER | |||||||||||
| 670 STONELEIGH AVENUE | CARMEL | NY | 10512 | 146019179 | HOSPITAL | NY | 501(C)(3) | 3 | HQ | Yes (1) | |
| PUTNAM HOSPITAL CENTER FOUNDATION | |||||||||||
| 670 STONELEIGH AVENUE | CARMEL | NY | 10512 | 061399319 | FUNDRAISING | NY | 501(C)(3) | 12 TYPE I | HQ | Yes (1) | |
| THE NORWALK HOSPITAL ASSOCIATION | |||||||||||
| 24 STEVENS STREET | NORWALK | CT | 06850 | 066068853 | HEALTH SERVICES | CT | 501(C)(3) | 3 | WCHN | Yes (1) | |
| VASSAR BROTHERS HOSPITAL FOUNDATION | |||||||||||
| 45 READE PLACE | POUGHKEEPSIE | NY | 12601 | 141736429 | FUNDRAISING | NY | 501(C)(3) | 7 | HQ | Yes (1) | |
| VASSAR BROTHERS MEDICAL CENTER | |||||||||||
| 45 READE PLACE | POUGHKEEPSIE | NY | 12601 | 141338586 | HOSPITAL | NY | 501(C)(3) | 3 | HQ | Yes (1) | |
| VASSAR HEALTH CONNECTICUT INC | |||||||||||
| 50 HOSPITAL HILL ROAD | SHARON | CT | 06069 | 815056290 | HOSPITAL | CT | 501(C)(3) | 3 | HQ | Yes (1) | |
| WELLS MANOR HOUSING DEVELOP FUND CORP | |||||||||||
| 56 ASTOR DRIVE | RHINEBECK | NY | 12572 | 112611902 | LOW INCOME | NY | 501(C)(3) | PF - PRIVATE FOUNDAT | HQ | Yes (1) | |
| WESTERN CONNECTICUT HOME CARE INC | |||||||||||
| 100 SAW MILL ROAD | DANBURY | CT | 06810 | 060655138 | HOME HEALTHCARE | CT | 501(C)(3) | 10 | WCHN | Yes (1) | |
| WESTERN CT HEALTH NETWORK AFFILIATES INC | |||||||||||
| 95 LOCUST AVENUE | DANBURY | CT | 06801 | 222594968 | OUTPATIENT HEALTHCARE SERVICES | CT | 501(C)(3) | 10 | WCHN | Yes (1) | |
| WESTERN CT HEALTH NETWORK INC | |||||||||||
| 24 HOSPITAL AVENUE | DANBURY | CT | 06801 | 222594977 | PROGRAM DEVELOPMENT | CT | 501(C)(3) | 12 TYPE II | NUVANCE | Yes (1) | |
| NUVANCE HEALTH MEDICAL PRACTICE CT INC | |||||||||||
| 14 RESEARCH DRIVE SUITE 201A | BETHEL | CT | 06801 | 061137531 | PHYSICIAN SERVICES | CT | 501(C)(3) | 10 | WCHN | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|
| NEW MILFORD MRI LLC | ||||||||||
| 21 ELM STREET | NEW MILFORD | CT | 06776 | 271877801 | INACTIVE | CT | N/A | N/A | 0 | 0 |
| NORWALK SURGERY CENTER LLC | ||||||||||
| 40 CROSS STREET SUITE120 | NORWALK | CT | 06851 | 272394942 | SURGERY CENTER | CT | N/A | N/A | 0 | 0 |
| WCHN INVESTMENTS LLC | ||||||||||
| 24 HOSPITAL AVE | DANBURY | CT | 06810 | 475523212 | INVESTMENTS | CT | N/A | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NUVANCE HEALTH INSURANCE COMPANY LTD | |||||||||||||
| 23 LIME TREE BAY PO BOX 105 | GRAND CAYMAN | CJ | 980438151 | MALPRCTICE | CJ | N/A | C | 0 | |||||
| SWC CORPORATION | |||||||||||||
| 222577718 | PHARMACY | N/A | C | 0 | 24 STEVENS STREET | NORWALK | CT | 06850 | CT | ||||
| VBH INSURANCE CO LTD | |||||||||||||
| 62 FORUM LANE 3RD FLOOR | GRAND CAYMAN | CJ | 981083868 | MALPRCTICE | CJ | N/A | C | 0 | |||||
| TACONIC IPA INC | |||||||||||||
| 223007320 | MEDICAL CARE | N/A | C | 0 | 1351 ROUTE 55 | LAGRANGEVILLE | NY | 12540 | NY | ||||
| VASSAR HQ MED PRACTICE OF CT INC | |||||||||||||
| 821466583 | MEDICAL CARE | N/A | C | 0 | 1351 ROUTE 55 | LAGRANGEVILLE | NY | 12540 | CT | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (12 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| DANBURY & NEW MILFORD HOSPITAL FOUNDATION | ||
| M | $2,573,215 | COST |
| DANBURY & NEW MILFORD HOSPITAL FOUNDATION | ||
| L | $3,234,300 | COST |
| DANBURY & NEW MILFORD HOSPITAL FOUNDATION | ||
| R | $389,315 | COST |
| DANBURY HOSPITAL | ||
| B | $203,125 | COST |
| NORWALK HOSPITAL ASSOCIATION | ||
| Q | $61,732 | COST |
| NORWALK HOSPITAL ASSOCIATION | ||
| M | $5,774,369 | COST |
| NORWALK HOSPITAL ASSOCIATION | ||
| B | $2,206,569 | COST |
| NUVANCE HEALTH MEDICAL PRACTICE CT INC | ||
| B | $298,630 | COST |
| NUVANCE HEALTH MEDICAL PRACTICE CT INC | ||
| M | $250,864 | COST |
| NUVANCE HEALTH MEDICAL PRACTICE CT INC | ||
| B | $295,282 | COST |
| WESTERN CONNECTICUT HEALTH NETWORK INC | ||
| P | $219,546 | COST |
| WESTERN CONNECTICUT HEALTH NETWORK INC | ||
| M | $207,165 | COST |