2019-11-14T14:18:02-06:00 2019-06-30 111986323 MARCUM LLP 555 LONG WHARF DRIVE NEW HAVEN CT 06511 990 2018-07-01 061436620 NORWALK COMMUNITY HEALTH CENTER NORW 2038991770 120 CONNECTICUT AVENUE NORWALK CT 06854 JOHN J GETTINGS III CFO 2038991770 2019-11-14 1 GREGORY C MARAZITA P00646516 2037819600 47.19.127.190 2019-11-14 11:34:14 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 7762B97206E3734BD08A74DC9FF4B9CADC651293 2018 2020-03-31 21:24:44Z JOHN J GETTINGS III 120 CONNECTICUT AVENUE NORWALK CT 06854 10196430 0 X WWW.NORWALKCHC.ORG X 1999 CT TO PROVIDE QUALITY, INNOVATIVE CARE THAT ENRICHES THE LIVES OF OUR PATIENTS. 12 12 116 0 0 0 4954731 4919898 5724046 5198943 5476 5509 70582 72080 10754835 10196430 0 0 0 0 6598944 6058543 0 0 0 4593210 4457821 11192154 10516364 -437319 -319934 4269885 3911593 2768660 2830302 1501225 1081291 TO PROVIDE QUALITY, INNOVATIVE CARE THAT ENRICHES THE LIVES OF OUR PATIENTS. 0 0 8584820 5198943 TO ESTABLISH, DEVELOP, MAINTAIN, MANAGE AND OPERATE A NONPROFIT OUTPATIENT CLINIC PROVIDING COMPREHENSIVE PRIMARY CARE TO THE NORWALK, CT COMMUNITY. 8584820 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 20 0 1 116 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 CT X JOHN J GETTINGS III 2038991770 120 CONNECTICUT AVENUE NORWALK CT 06854 JAMES WHITING TREASURER 2.50 X X 0 0 0 DARLENE YOUNG CHAIRMAN 3.00 X X 0 0 0 LENORE JORDAN SECRETARY 2.50 X X 0 0 0 JOSEPH E MANN VICE CHAIRMAN 2.50 X X 0 0 0 CAROLYN C FULLER DIRECTOR 1.00 X 0 0 0 PETER KORZENIK DIRECTOR 1.00 X 0 0 0 CESAR RAMIREZ DIRECTOR 1.00 X 0 0 0 YVONNE RODRIGUEZ DIRECTOR 1.00 X 0 0 0 LISETTE FORD DIRECTOR 1.00 X 0 0 0 LUNDA ASMANI DIRECTOR 1.00 X 0 0 0 ADRIANA FIELDS DIRECTOR 1.00 X 0 0 0 THANA VAN ROOYEN DIRECTOR 1.00 X 0 0 0 JOHN J GETTINGS III CFO 40.00 X 167216 0 20155 MARIA ESCALERA COO 40.00 X 98269 0 20938 SUSAN CROWE CAO 40.00 X 97368 0 23823 JENNIFER MARRONE PROVIDER 32.00 X 229127 0 7833 VASUNDARA TUMMALA PROVIDER 24.00 X 127807 0 0 ANDREA VALI PROVIDER 24.00 X 107628 0 0 MERYL HERTZ DENTIST 40.00 X 139444 0 31426 JILL GOLDBERG PROVIDER 40.00 X 101563 0 22096 BEVERLY LYON DIRECTOR OF NURSING 40.00 X 106077 0 0 CRAIG GLOVER FORMER CEO 40.00 X 199546 0 26564 1374045 0 152835 8 1 1 0 NORWALK HOSPITAL ASSOCIATION 24 STEVENS STREET NORWALK CT 06850 PRIMARY CARE MEDICAL PROVIDERS 722522 BARTON ASSOCIATES INC PO BOX 417844 BOSTON MA 02241 LOCUM PROVIDERS 383488 SALLY R BERGWERK MD 35 RIDGEFIELD ROAD PO BOX 725 WILTON CT 06897 PROVIDER 142992 NANTES SOLUTIONS LLC 86 OAKLAWN AVENUE STAMFORD CT 06905 IT CONSULTANTS 107605 4 2954601 1965297 425080 4919898 PATIENT SERVICES 621110 5198943 5198943 5198943 5509 5509 72080 0 72080 72080 72080 10196430 5198943 0 77589 672656 538125 134531 4242150 3119263 1122887 46937 34929 12008 714580 531760 182820 382220 294396 87824 28758 28758 30364 30364 325577 304016 21561 3016 3016 138814 115530 23284 255447 255447 1099156 889305 209851 1925 1433 492 14064 14064 28004 28004 263831 225898 37933 71725 53375 18350 PURCHASED SERVICES 1274366 1274366 DONATED VACCINES AND SE 425080 425080 CLINICAL SUPPLIES 228128 228128 MISCELLANEOUS 168182 157279 10903 101384 91406 9978 10516364 8584820 1931544 0 1162562 1095028 325607 330511 38593 39791 355468 258233 108951 133046 4631572 2576588 2278704 2054984 4269885 3911593 486375 554653 111688 72683 557169 496683 1613428 1706283 2768660 2830302 X 1376225 1056291 125000 25000 1501225 1081291 4269885 3911593 X -319934 -100000 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3032744 1261503 1771241 1598828 1315085 283743 2054984 DEFERRED LEASE LIABILITY 1706283 1706283 X 10096430 0 10096430 100000 100000 10196430 10516364 0 10516364 0 10516364 PART X, LINE 2: NCHC HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON BUSINESS RELATED INCOME. NCHC ACCOUNTS FOR UNCERTAIN TAX PROVISIONS UNDER FASB ASC 740, INCOME TAXES, WHICH PROVIDES A FRAMEWORK FOR HOW ENTITIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR FINANCIAL STATEMENTS. NCHC MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. NCHC DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2019 AND 2018. AS OF JUNE 30, 2019 AND 2018, NCHC DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. PART XI, LINE 4B - OTHER ADJUSTMENTS: BOND FORGIVENESS X X X 0 0 0 0 0 0 0 0 0 JOHN J GETTINGS III CFO 167216 0 0 0 0 0 0 0 20155 0 187371 0 0 0 JENNIFER MARRONE PROVIDER 223800 0 5327 0 0 0 7833 0 0 0 236960 0 0 0 MERYL HERTZ DENTIST 139444 0 0 0 0 0 31426 0 0 0 170870 0 0 0 CRAIG GLOVER FORMER CEO 199546 0 0 0 0 0 4468 0 22096 0 226110 0 0 0 X 1 413091 FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B COPIES OF THE FORM 990 ARE PROVIDED TO THE BOARD FOR REVIEW PRIOR TO THE FILING OF THE TAX RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION ANNUALLY MONITORS COMPLIANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION USES BOARD APPROVED SALARY RANGES THAT UTILIZED DATA FROM NACHC, CHCACT, MGMA AND OTHER SOURCES TO DETERMINE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT AND STAFF. THE BOARD APPROVES THE COMPENSATION OF THE CEO, AND THE CEO HAS THE AUTHORITY TO APPROVE COMPENSATION OF ALL OTHER EMPLOYEES. SUCH APPROVAL IS DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: NET ASSETS RELEASED FROM RESTRICTION -100,000.