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NORWALK HOSPITAL ASSOCIATION: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
NORWALK HOSPITAL ASSOCIATION (EIN 06-6068853)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-15
IRS object ID
201912279349300821
Schema version
2017v2.3
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-08-15T07:54:32-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 CLARENDON STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP021165072ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN066068853EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE NORWALK HOSPITAL ASSOCIATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% KAREN DARCYInCareOfNm
Business Name ControlNORWBusinessNameControlTxt
Phone2038522000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line124 STEVENS STREETAddressLine1Txt
CityNORWALKCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06850ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEVEN H ROSENBERGPersonNm
Person TitleSVP & CFOPersonTitleTxt
Phone2037397000PhoneNum
Signature2019-08-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMike A CincottaPreparerPersonNm
PTINP01595811PTIN
Phone6172662000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address73.22.221.70IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id02007720192275000000FederalOriginalSubmissionId
Federal Original Submission Id2019-08-15FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id83FD52A0E4C3D4A6B6829DC2CA728D5E30EB1E19AtSubmissionCreationDeviceId
At Submission Filing Device Id3FF1AC1480234E0C474791DF6EEB8C285F624DECAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL DAGLIOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line124 STEVENS STREETAddressLine1Txt
CityNORWALKCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06850ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$418,377,455GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressNORWALKHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1893FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionTHE MISSION OF NORWALK HOSPITAL IS TO IMPROVE THE HEALTH OF EVERY PERSON WE SERVE THROUGH THE EFFICIENT DELIVERY OF EXCELLENT, INNOVATIVE AND COMPASSIONATE CARE.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee1915TotalEmployeeCnt
Total Volunteers400TotalVolunteersCnt
Total Gross UBI$1,618,474TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$714,336NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,642,020PYContributionsGrantsAmt
CY Contributions Grants$2,828,183CYContributionsGrantsAmt
PY Program Service Revenue$377,513,241PYProgramServiceRevenueAmt
CY Program Service Revenue$393,961,984CYProgramServiceRevenueAmt
PY Investment Income$14,500,238PYInvestmentIncomeAmt
CY Investment Income$16,801,495CYInvestmentIncomeAmt
PY Other Revenue$1,082,314PYOtherRevenueAmt
CY Other Revenue$382,197CYOtherRevenueAmt
PY Total Revenue$395,737,813PYTotalRevenueAmt
CY Total Revenue$413,973,859CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$169,678,487PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$168,881,294CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$212,135,304PYOtherExpensesAmt
CY Other Expenses$221,826,142CYOtherExpensesAmt
PY Total Expenses$381,813,791PYTotalExpensesAmt
CY Total Expenses$390,707,436CYTotalExpensesAmt
PY Revenues Less Expenses$13,924,022PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$23,266,423CYRevenuesLessExpensesAmt
Total Assets BOY$638,413,652TotalAssetsBOYAmt
Total Assets EOY$653,817,365TotalAssetsEOYAmt
Total Liabilities BOY$181,831,890TotalLiabilitiesBOYAmt
Total Liabilities EOY$171,807,241TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$456,581,762NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$482,010,124NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF NORWALK HOSPITAL IS TO IMPROVE THE HEALTH OF EVERY PERSON WE SERVE THROUGH THE EFFICIENT DELIVERY OF EXCELLENT, INNOVATIVE AND COMPASSIONATE CARE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$129,994,395ExpenseAmt
Revenue$125,091,153RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$71,056,552ExpenseAmt
Revenue$71,782,877RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$28,314,635ExpenseAmt
Revenue$26,039,459RevenueAmt
DescSEE SCHEDULE ODesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$127,161,011TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$171,048,495TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$356,526,593TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document264IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1915EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKAREN DARCYPersonNm
Phone2037394593PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line114 RESEARCH DRIVE SUITE 201AAddressLine1Txt
CityBETHELCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06801ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
KAREN GOTTLIEB
DIRECTOR1.00.0Yes (X)$0$0$0
HEATHER FRIMMER TO 0123
DIRECTOR1.00.0Yes (X)$0$0$0
THOMAS AYOUB MD
DIRECTOR1.00.0Yes (X)$85,004$0$0
GEORGE BAUER
DIRECTOR1.02.0Yes (X)$0$0$0
LATANYA LANGLEY
DIRECTOR1.00.0Yes (X)$0$0$0
CRAIG GLOVER
DIRECTOR1.00.0Yes (X)$0$0$0
JENNY Y LEE
DIRECTOR1.00.0Yes (X)$0$0$0
HOWARD EISON MD TO 123
DIRECTOR1.00.0Yes (X)$0$0$0
PAUL GAGNE MD TO 1128
DIRECTOR1.01.0Yes (X)$0$0$0
MARK GUDIS FROM 123
CHAIRMAN3.01.0Yes (X)$0$0$0Yes (X)
DAVID KOMANSKY TO 1128
DIRECTOR1.00.0Yes (X)$0$0$0
DAVID LEHN ESQ
DIRECTOR1.01.0Yes (X)$0$0$0
DANIELLE ROBINSON PHD
DIRECTOR1.00.0Yes (X)$0$0$0
EDWARD MAHONY FROM 123
DIRECTOR1.05.0Yes (X)$0$0$0
MICHAEL DAGLIO TO 925
PRESIDENT NHA40.09.0Yes (X)$0$708,902$48,518Yes (X)
ROBERT CIOFFI
DIRECTOR1.02.0Yes (X)$0$0$0
CURTIS STEWART
DIRECTOR1.00.0Yes (X)$0$0$0
AMY SCHAFRANN FROM 0123
VICE CHAIRMAN3.02.0Yes (X)$0$0$0Yes (X)
ERVIN R SHAMES
DIRECTOR1.01.0Yes (X)$0$0$0
ANDREW WHITTINGHAM
SECRETARY3.03.0Yes (X)$0$0$0Yes (X)
RICHARD JABARA TO 1128
DIRECTOR1.02.0Yes (X)$0$0$0
JOSEPH SKRZYPCZAK TO 1128
DIRECTOR1.03.0Yes (X)$0$0$0
PATRICIA S BAM FROM 0123
DIRECTOR1.01.0Yes (X)$0$0$0
STEVEN H ROSENBERG
TREASURER3.056.0$0$800,722$48,529Yes (X)
CAROLYN MCKENNA
SVP & GEN COUNSEL WCHN3.043.0$0$526,673$20,675Yes (X)
SHARON ADAMS
COO & CHIEF NURSING OFFICER3.044.0$0$592,002$19,704Yes (X)
CHRISTOPHER MICHOS
ER PHYSICIAN40.00.0$450,778$0$36,571Yes (X)
BRIAN MCGOVERN
ER PHYSICIAN40.00.0$570,635$0$36,221Yes (X)
BENJAMIN GREENBLATT
CHAIRMAN, ER MED.40.00.0$570,927$0$23,485Yes (X)
RICHARD TEITELL
ER PHYSICIAN40.00.0$531,379$0$21,298Yes (X)
VIRGINIA COLLIER
ER PHYSICIAN40.00.0$497,153$0$37,859Yes (X)
PATRICK MINICUS
VP OF FINANCE20.020.0$0$560,301$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,705,876TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,188,600TotReportableCompRltdOrgAmt
Total Other Compensation$292,860TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K275IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MORRISON MANAGEMENT SPECIALISTS INC
PO BOX 102289ATLANTAGA30342FOOD SERVICE$4,897,702
NORWALK RADIOLOGY CONSULTANTS PC
148 EAST AVENUENORWALKCT06850PHYSICIANS-RADIOLOGY$1,677,320
US SECURITY ASSOCIATES
200 MANSELL COURTROSWELLGA30076SECURITY SERVICES$1,475,644
SHIFTWISE AUTOMATED STAFF MANAGEMEN
2735 COLLECTION CENTER DRIVECHICAGOIL60693TEMP HELP AGENCY$5,315,385
DANBURY HOSPITAL LABORATORY
24 HOSPITAL AVENUEDANBURYCT06810LABORATORY SERVICES$1,797,158
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K42CntrctRcvdGreaterThan100KCnt
Related Organizations$1,305,619RelatedOrganizationsAmt
Government Grants$1,522,564GovernmentGrantsAmt
Total Contributions$2,828,183TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REV621400$385,382,258$385,382,258
NORWALK SURGERY CENTER JV900099$2,509,812$2,509,812
LAB SERVICES REVENUE621500$1,618,186$1,618,186
OTHER MEDICAL SERVICES900099$1,320,234$1,320,234
OTHER UNIVERSITY INCOME900099$953,113$953,113

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,178,381TotalRevenueColumnAmt
Related Or Exempt Func Income$2,178,381RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$393,961,984TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,610,888TotalRevenueColumnAmt
Unrelated Business Revenue$288UnrelatedBusinessRevenueAmt
Exclusion$16,610,600ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$3,586,839RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$3,471,079RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$115,760RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$115,760TotalRevenueColumnAmt
Exclusion$115,760ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$1,123,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$932,393OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$190,607OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$190,607TotalRevenueColumnAmt
Exclusion$190,607ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$34,687GrossSalesOfInventoryAmt
Cost Of Goods Sold$124CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$34,563TotalRevenueColumnAmt
Exclusion$34,563ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
OTHER INC ALLOC FROM WCHN900099$115,484$115,484
PARKING900099$94,857$94,857
CAFETERIA/ VENDING900099$21,533$21,533
FieldValueIRS element (for citing)
Other Revenue Total$231,874OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$413,973,859TotalRevenueColumnAmt
Related Or Exempt Func Income$392,343,798RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,618,474UnrelatedBusinessRevenueAmt
Exclusion$17,183,404ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,563,284TotalAmt
Program Services$1,390,228ProgramServicesAmt
Management And General$173,056ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$141,396,918TotalAmt
Program Services$125,744,279ProgramServicesAmt
Management And General$15,652,639ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$291,658TotalAmt
Program Services$259,371ProgramServicesAmt
Management And General$32,287ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$17,679,751TotalAmt
Program Services$15,722,603ProgramServicesAmt
Management And General$1,957,148ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,949,683TotalAmt
Program Services$7,069,653ProgramServicesAmt
Management And General$880,030ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,174TotalAmt
Management And General$4,174ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$242,875TotalAmt
Management And General$242,875ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$108,669TotalAmt
Program Services$96,639ProgramServicesAmt
Management And General$12,030ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$156,663TotalAmt
Management And General$156,663ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$68,530,392TotalAmt
Program Services$60,944,078ProgramServicesAmt
Management And General$7,586,314ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,255,379TotalAmt
Program Services$1,116,409ProgramServicesAmt
Management And General$138,970ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,415,719TotalAmt
Program Services$2,148,299ProgramServicesAmt
Management And General$267,420ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$11,328,651TotalAmt
Program Services$10,074,569ProgramServicesAmt
Management And General$1,254,082ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,540,013TotalAmt
Program Services$8,483,934ProgramServicesAmt
Management And General$1,056,079ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$483,990TotalAmt
Program Services$430,412ProgramServicesAmt
Management And General$53,578ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$44,094TotalAmt
Program Services$39,213ProgramServicesAmt
Management And General$4,881ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,518,258TotalAmt
Program Services$2,518,258ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$24,436,836TotalAmt
Program Services$21,731,678ProgramServicesAmt
Management And General$2,705,158ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$917,197TotalAmt
Program Services$61,969ProgramServicesAmt
Management And General$855,228ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$56,915,645$56,915,645
STATE OF CT HOSPITAL TAX$32,555,135$32,555,135
EQUIPMENT RENT AND MAINT.$8,562,897$7,614,984$947,913
PROFESSIONAL MEMBERSHIP$1,809,555$1,609,237$200,318

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$390,707,436TotalAmt
Program Services$356,526,593ProgramServicesAmt
Management And General$34,180,843ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$17,238,252BOYAmt
EOY$34,237,227EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$15,353,696BOYAmt
EOY$15,418,485EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$40,531,520BOYAmt
EOY$42,855,044EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$42,542BOYAmt
EOY$30,122EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,911,024BOYAmt
EOY$4,796,943EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,067,900BOYAmt
EOY$1,163,767EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$630,266,020LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$369,181,855LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$269,057,524BOYAmt
EOY$261,084,165EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$136,489,771BOYAmt
EOY$116,999,536EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$114,799,754BOYAmt
EOY$131,652,615EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$40,921,669BOYAmt
EOY$45,579,461EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$638,413,652BOYAmt
EOY$653,817,365EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$44,712,922BOYAmt
EOY$42,737,046EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$5,121EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$103,362,621BOYAmt
EOY$97,047,561EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$33,756,347BOYAmt
EOY$32,017,513EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$181,831,890BOYAmt
EOY$171,807,241EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$400,816,430BOYAmt
EOY$410,038,050EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$44,796,607BOYAmt
EOY$59,994,614EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,968,725BOYAmt
EOY$11,977,460EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$456,581,762BOYAmt
EOY$482,010,124EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$638,413,652BOYAmt
EOY$653,817,365EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$23,266,423ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$6,908,496NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$9,070,435OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersYes (true)VolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersYes (true)MailingsMembersInd
Mailings Members$15MailingsMembersAmt
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$49,764GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$58,378DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$512OtherActivitiesAmt
Total Lobbying Expenditures$108,669TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II B - DESCRIPTION OF LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationDUES WERE PAID TO CHA IN THE AMOUNT OF $286,762, OR WHICH 13.25% OF THIS AMOUNT OR $37,990 WERE EXPENDED ON LOBBYING. AHA DUES OF $51,234 HAD 22.98% OR $11,774 EXPENDED ON LOBBYING ACTIVITIES. BOTH AMOUNTS ARE REFLECTED ON 1F. FEDERAL, STATE AND LOCAL OFFICIALS WERE LOBBIED DURING 2018. AS PART OF THIS MISCELLANEOUS OFFICE EXPENSE SUCH AS PHONE, COMPUTER SUPPLIES, FREIGHT, REFRESHMENT ETC. WERE INCURRED AND WERE REFLECTED ON LINE 1I ACCORDINGLY. FISCAL YEAR 2018 WAS A CHALLENGING YEAR AT THE CONNECTICUT CAPITOL WITH TREMENDOUS SHORTFALLS AND BUDGET CUTS FOR PHYSICIAN REIMBURSEMENT, MENTAL HEALTH AND COMMUNITY BASED SERVICES AND THE ONGOING THREAT OF A DEVASTATING HOSPITAL TAX. AS A RESULT, FEDERAL STATE AND LOCAL ELECTED OFFICIALS WERE LOBBIED TO FIND CREATIVE SOLUTIONS AND WAYS TO DEFLECT DRASTIC CUTS AND ULTIMATELY MAINTAIN THE CURRENT LEVEL OF ACCESS FOR NEEDED SERVICES. FUNDING FOR MENTAL HEALTH AND SUBSTANCE USE PROGRAMMING WAS OF PARTICULAR IMPORTANCE. AS PART OF THIS EFFORT, STAFF AND OFFICE EXPENSES WERE HIGHER THAN IN PAST YEARS BUT ESSENTIAL TO MAINTAIN ACCESS TO NEEDED SERVICES. THE AMOUNTS SPENT ON LOBBYING WERE NOT A SIGNIFICANT PORTION OF THE HOSPITAL'S ACTIVITIES BASED ON TOTAL REVENUES. LOBBYING WAS MOSTLY RELATED TO THE HOSPITAL'S EXEMPT PURPOSE.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$27,510,000OtherCostOrOtherBasisAmt
Book Value$27,510,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$330,534,078OtherCostOrOtherBasisAmt
Depreciation$145,131,871DepreciationAmt
Book Value$185,402,207BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$11,655,861OtherCostOrOtherBasisAmt
Depreciation$7,014,506DepreciationAmt
Book Value$4,641,355BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$259,604,326OtherCostOrOtherBasisAmt
Depreciation$217,035,478DepreciationAmt
Book Value$42,568,848BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$961,755OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$961,755BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$261,084,165TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescINT IN INV HELD BY WCHNIDesc
Book Value$116,999,536BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$116,999,536TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescBEN INT IN NORWALK HOSPITAL FDDesc
Book Value$131,652,615BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$131,652,615TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (11 entries)

DescDescBook ValueBookValueAmt
457 PLAN ASSET$1,026,449
CERNER PROJECT ALLOCATION$20,151,062
CONSTRUCT FUND/ COST ISSUANCE$207,203
DUE FROM RELATED PARTIES$3,130,374
ERP PROJECT ALLOCATION$6,024,641
INTEREST IN CRT$8,891,053
INTEREST RATE SWAP$2,961,187
IT INTEGRATION PROJECT COSTS$754,770
OTHER RECEIVABLES$2,362,287
PREPAID ERP/KRONOS$70,435
REEF ROAD JOINT VENTURE$0
FieldValueIRS element (for citing)
Total Book Value Other Assets$45,579,461TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
457 PLAN LIABILITY$1,026,449
ASSET RETIREMENT OBLIGATION$9,375,161
DUE TO THIRD PARTIES$18,548,424
LONG TERM DISABILITY RESERVE$1,163,444
MALPRACTICE RESERVE$1,904,035
FieldValueIRS element (for citing)
Total Liability$32,017,513TotalLiabilityAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
Most Hospitals PolicyYes (X)MostHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,417,862TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,103,865DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,313,997NetCommunityBenefitExpnsAmt
Total Expense0.01620TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$76,177,233TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$52,126,899DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,050,334NetCommunityBenefitExpnsAmt
Total Expense0.06160TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$95,595,095TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$65,230,764DirectOffsettingRevenueAmt
Net Community Benefit Expns$30,364,331NetCommunityBenefitExpnsAmt
Total Expense0.07780TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs12ActivitiesOrProgramsCnt
Persons Served1354108PersonsServedCnt
Total Community Benefit Expns$286,384TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$286,384NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served295PersonsServedCnt
Total Community Benefit Expns$10,719,324TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,857,637DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,861,687NetCommunityBenefitExpnsAmt
Total Expense0.01240TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served6670PersonsServedCnt
Total Community Benefit Expns$6,437,076TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,782,644DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,654,432NetCommunityBenefitExpnsAmt
Total Expense0.00680TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$1,279,019TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$254,430DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,024,589NetCommunityBenefitExpnsAmt
Total Expense0.00260TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs17ActivitiesOrProgramsCnt
Persons Served1361073PersonsServedCnt
Total Community Benefit Expns$18,721,803TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,894,711DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,827,092NetCommunityBenefitExpnsAmt
Total Expense0.02250TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs17ActivitiesOrProgramsCnt
Persons Served1361073PersonsServedCnt
Total Community Benefit Expns$114,316,898TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$75,125,475DirectOffsettingRevenueAmt
Net Community Benefit Expns$39,191,423NetCommunityBenefitExpnsAmt
Total Expense0.10030TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served615PersonsServedCnt
Total Community Benefit Expns$4,253TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,253NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served2420PersonsServedCnt
Total Community Benefit Expns$1,430,758TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$523,024DirectOffsettingRevenueAmt
Net Community Benefit Expns$907,734NetCommunityBenefitExpnsAmt
Total Expense0.00230TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$53,033TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$53,033NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served90PersonsServedCnt
Total Community Benefit Expns$127TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$127NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served3125PersonsServedCnt
Total Community Benefit Expns$1,488,171TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$523,024DirectOffsettingRevenueAmt
Net Community Benefit Expns$965,147NetCommunityBenefitExpnsAmt
Total Expense0.00240TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$6,819,833BadDebtExpenseAmt
Bad Debt Expense Attributable$402,370BadDebtExpenseAttributableAmt
Reimbursed By Medicare$112,683,886ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$152,877,454CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$40,193,568MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1NORWALK SURGERY CTRBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesAMBULATORY SURGERY CENTERPrimaryActivitiesTxt
Org Profit Or Ownership0.6634OrgProfitOrOwnershipPct
Physicians Profit Or Ownership0.3366PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORWALK HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line124 STEVENS STREETAddressLine1Txt
CityNORWALKCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06850ZIPCd
FieldValueIRS element (for citing)
Website AddressNORWALKHOSPITAL.ORGWebsiteAddressTxt
State LicenseLICENSE #0053StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NORWALK HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART VI FOR URLOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSEE PART VI FOR URLOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt17ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART VI FOR URLStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART VI FOR URLFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART VI FOR URLFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART VI FOR URLFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 3J - DESCRIPTION OF OTHER NEEDS ASSESSMENTFACILITY: NORWALK HOSPITAL YES, THE CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS COMPLETED AND APPROVED IN 2016. NORWALK HOSPITAL AND THE NORWALK HEALTH DEPARTMENT ENGAGED IN A COLLABORATIVE COMMUNITY PLANNING PROCESS TO IMPROVE THE HEALTH OF THE GREATER NORWALK AREA RESIDENTS INCLUDING NORWALK, NEW CANAAN, WESTPORT, WESTON, AND WILTON. ALTHOUGH DARIEN, FAIRFIELD AND RIDGEFIELD WERE INCLUDED IN THE 2012 COMMUNITY HEALTH ASSESSMENT, A REGIONAL APPROACH WAS TAKEN IN THIS ASSESSMENT TO AVOID DUPLICATION OF EFFORT AMONG FAIRFIELD COUNTY HOSPITALS, AND YET ENSURE THAT EACH TOWN IN THE REGION SERVED BY NORWALK HOSPITAL WAS INCLUDED IN A CHNA. THE INITIATIVE INCLUDED A CHNA TO IDENTIFY THE HEALTH-RELATED STRENGTHS AND NEEDS OF THE AREA AND A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) TO IDENTIFY PRIORITIES, GOALS, AND IMPLEMENT AND COORDINATE STRATEGIES TO ADDRESS THESE PRIORITY ISSUES ACROSS THE REGION. FINDINGS FROM THE CHNA IDENTIFIED CHRONIC DISEASE, MENTAL HEALTH AND SUBSTANCE ABUSE, AND ACCESS AS PRIORITIES FOR THE AREA.
PART V, LINE 5 - ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITYFACILITY: NORWALK HOSPITAL IN CONDUCTING THE CURRENT CHNA, NORWALK HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY IT SERVES. QUANTITATIVE DATA WAS COLLECTED BY DATAHAVEN, A NON-PROFIT ORGANIZATION THAT WORKS TO IMPROVE QUALITY OF LIFE BY COLLECTING, INTERPRETING, AND SHARING PUBLIC DATA FOR EFFECTIVE DECISION-MAKING. DATAHAVEN CONDUCTED A STATE-WIDE COMMUNITY WELLBEING SURVEY (CWS), FROM MAY THROUGH OCTOBER 2015. OVER 900 SURVEYS WERE COMPLETED BY RESIDENTS OF THE GREATER NORWALK REGION. THE PROCESS ALSO INCLUDED INTEGRATING EXISTING DATA REGARDING SOCIAL, ECONOMIC, AND HEALTH INDICATORS IN THE REGION WITH QUALITATIVE INFORMATION. A COMMUNITY FORUM, ATTENDED BY OVER 45 REPRESENTATIVES OF HEALTH, SOCIAL SERVICE AND GOVERNMENT AGENCIES WAS HELD IN APRIL, 2016. THESE COMMUNITY MEMBERS AGREED TO PARTICIPATE IN A COMMUNITY TASK FORCE TO ASSIST IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT. AN ONLINE KEY INFORMANT SURVEY (KIS) WAS DEVELOPED AND DISTRIBUTED TO 184 COMMUNITY LEADERS IN THE GREATER NORWALK AREA. A 29% PARTICIPATION RATE WAS ACHIEVED. KIS RESPONDENTS INCLUDED COMMUNITY STAKEHOLDERS, COMMUNITY AND BEHAVIORAL HEALTH PROVIDERS, LOCAL HEALTH DEPARTMENTS, SCHOOL AND GOVERNMENT OFFICIALS. A SECOND COMMUNITY FORUM WAS HELD IN JULY 2016, AND PRELIMINARY FINDINGS WERE SHARED WITH THE COMMUNITY TASK FORCE. THE TASK FORCE THEN COMPLETED A VOTING EXERCISE TO RANK FINDINGS AND PARTICIPATED IN A FACILITATED DISCUSSION TO DETERMINE HEALTH PRIORITIES AND TO IDENTIFY RESOURCES NEEDED FOR THE CHIP PROCESS. THE GREATER NORWALK CHNA BUILDS OFF OF PREVIOUS EFFORTS IN THE GREATER NORWALK REGION, SPECIFICALLY, THE 2012 CHNA AND CHIP THAT HAVE BEEN GUIDING THE COMMUNITY HEALTH IMPROVEMENT WORK OF NORWALK HOSPITAL AND NORWALK HEALTH DEPARTMENT OVER THE PAST THREE YEARS. NORWALK HOSPITAL PARTNERED WITH DATAHAVEN TO HELP FUND THE 2015 COMMUNITY WELLBEING SURVEY (CWS). THE CWS GATHERED QUANTITATIVE DATA THAT WAS NOT PROVIDED AT A LOCAL LEVEL BY SECONDARY SOURCES, TO UNDERSTAND PUBLIC PERCEPTIONS AROUND HEALTH, SOCIAL DETERMINANT, AND OTHER ISSUES. THE SURVEY INSTRUMENT WAS DESIGNED BY DATAHAVEN AND THE SIENA COLLEGE RESEARCH INSTITUTE, IN CONSULTATION WITH LOCAL, STATE, AND NATIONAL EXPERTS. THE CWS WAS CONDUCTED FROM MAY TO OCTOBER 2015 BY THE SIENA COLLEGE RESEARCH INSTITUTE INTERVIEWERS WHO COMPLETED IN-DEPTH INTERVIEWS WITH 16,219 ADULTS STATEWIDE INCLUDING 912 ADULTS LIVING IN THE GREATER NORWALK REGION. THE SURVEY WAS ADMINISTERED VIA RANDOMLY-SELECTED LAND AND CELL PHONES IN BOTH ENGLISH AND SPANISH. INTERVIEWS WERE WEIGHTED TO BE STATISTICALLY REPRESENTATIVE OF ADULTS IN EACH SUB-REGION, AND ZIP CODES WERE TARGETED TO SUPPLEMENT SAMPLES OF HARD-TO-REACH POPULATIONS. THE SURVEY HAS CREATED INFORMATION THAT WAS PREVIOUSLY UNAVAILABLE AT A LOCAL LEVEL FROM OTHER SOURCES, AND CROSS SECTOR ANALYSIS PROVIDES INFORMATION ON NEIGHBORHOOD QUALITY, HAPPINESS, HOUSING, TRANSPORTATION, HEALTH, ECONOMIC SECURITY, WORKFORCE DEVELOPMENT, AND OTHER TOPICS. IN ADDITION TO COMPLETING THE CWS, DATAHAVEN WAS ENGAGED TO PERFORM AN ANALYSIS OF AVAILABLE SECONDARY DATA SOURCES INCLUDING BUT NOT LIMITED TO, THE U.S. CENSUS, COUNTY HEALTH RANKINGS, CENTERS FOR DISEASE CONTROL AND PREVENTION, CONNECTICUT DEPARTMENT OF PUBLIC HEALTH, CONNECTICUT HEALTH INFORMATION MANAGEMENT EXCHANGE (CHIME), NORWALK HOSPITAL, NORWALK HEALTH DEPARTMENT, AS WELL AS LOCAL ORGANIZATIONS AND AGENCIES. A COMMUNITY FORUM, ATTENDED BY OVER 45 REPRESENTATIVES OF HEALTH, SOCIAL SERVICE AND GOVERNMENT AGENCIES WAS HELD IN APRIL, 2016 AND AGAIN IN JULY 2016. THESE COMMUNITY MEMBERS AGREED TO PARTICIPATE IN AN ADVISORY COMMITTEE, NAMED THE COMMUNITY HEALTH IMPROVEMENT TASK FORCE, TO PROVIDE GUIDANCE ON THE CHNA PROCESS, AND PARTICIPATE IN IDENTIFYING PRIORITY ISSUES. ENGAGEMENT OF COMMUNITY MEMBERS AND PARTNERS WAS EXPANDED THROUGHOUT THE PROJECT TO INCLUDE ADDITIONAL REPRESENTATIVES FROM HOUSING, EDUCATION, BUSINESS, LOCAL AND STATE GOVERNMENT, HEALTH CARE, SOCIAL SERVICES, MENTAL HEALTH AND BEHAVIORAL HEALTH, PHILANTHROPY, ADVOCACY, AND COMMUNITY-BASED ORGANIZATIONS. SPECIFICALLY, THE TASK FORCE WAS ASKED TO PROVIDE EXISTING QUANTITATIVE AND QUALITATIVE DATA; IDENTIFY ADDITIONAL APPROPRIATE SECONDARY DATA SOURCES; PROVIDE INPUT ON PRIMARY DATA COLLECTION; MOTIVATE AND RECRUIT COMMUNITY MEMBERS TO PARTICIPATE IN THE ASSESSMENT PROCESS; PROVIDE TECHNICAL ASSISTANCE IN THEIR AREAS OF EXPERTISE; IDENTIFY PRIORITY ISSUES FOR HEALTH IMPROVEMENT; AND DEVELOP AND IMPLEMENT PROGRAMS AND POLICIES TO ADDRESS PRIORITY ISSUES. THE UNITED WAY OF WESTERN CONNECTICUT SHARED THE ALICE (ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED) COMMUNITY CONVERSATION AND SURVEY 2015 SUMMARY REPORT, INFORMATION WAS OBTAINED FROM THE NORWALK PUBLIC SCHOOLS, AND THE 2016 REGION ONE BEHAVIORAL HEALTH PRIORITY SERVICES REPORT FOR SOUTH-WESTERN CT. INFORMATION FROM THESE SOURCES WAS REVIEWED AND INCORPORATED INTO THE COMMUNITY HEALTH NEEDS ASSESSMENT. THROUGHOUT THE PROCESS, INFORMATION WAS PROVIDED TO ALL TASK FORCE MEMBERS VIA EMAIL ALLOWING PARTICIPANTS TO BE INFORMED ON THE PROGRESS OF THE PROJECT AND THE OPPORTUNITIES TO SHARE THEIR EXPERTISE. LASTLY, AN ONLINE KEY INFORMANT SURVEY (KIS) WAS ADMINISTERED TO COMMUNITY LEADERS AND SERVICE PROVIDERS IN THE GREATER NORWALK REGION USING AN ONLINE SURVEY TOOL. THE SURVEY WAS DISTRIBUTED TO 184 KEY INFORMANTS AND HAD 54 RESPONSES IN TOTAL - A 29% RESPONSE RATE. RESPONDENTS INCLUDED HEALTH CARE PROFESSIONALS, COMMUNITY LEADERS AND MEMBERS, AND GOVERNMENT OFFICIALS. THE SURVEY WAS DESIGNED TO BETTER UNDERSTAND THE HEALTH NEEDS OF THE GREATER NORWALK REGION AND INCLUDED QUESTIONS ON COMMUNITY HEALTH INITIATIVES, STRENGTHS AND CHALLENGES, HEALTH CONCERNS AND LIMITATIONS, AND VULNERABLE POPULATIONS. THE SECONDARY DATA AND QUALITATIVE DATA FROM THE CWS AND KIS WERE SYNTHESIZED AND INTEGRATED IN DEVELOPING THE 2016 CHNA. PARTICIPATING ORGANIZATIONS INCLUDED THE AMERICAN CANCER SOCIETY, THE AMERICAN HEART ASSOCIATION, NORWALK COMMUNITY HEALTH CENTER, SACRED HEART UNIVERSITY, UNITED WAY OF COASTAL FAIRFIELD COUNTY, AND MANY MORE.
PART V, LINE 6B - CHNA CONDUCTED BY ORGANIZATIONS OTHER THAN HOSPITALFACILITY: NORWALK HOSPITAL NORWALK HEALTH DEPARTMENT
PART V, LINE 7D - DESCRIPTION OF MAKING NEEDS ASSESSMENT WIDELY AVAILABLEFACILITY: NORWALK HOSPITAL THE MOST RECENTLY COMPLETED CHNA WAS MADE AVAILABLE ON THE FOLLOWING: A) NORWALK HOSPITAL'S WEBSITE: HTTPS://WWW.NORWALKHOSPITAL.ORG/ABOUT-US/ABOUT-US B) THE CT HOSPITAL ASSOCIATION'S WEBSITE: HTTP://WWW.CHIME.ORG/ADVOCACY/COMMUNITY-HEALTH/ ; ON THE CITY OF NORWALK WEBSITE: HTTPS://WWW.NORWALKCT.ORG/DOCUMENTCENTER/VIEW/11296 ; AND ON THE CT STATE DEPARTMENT OF PUBLIC HEALTH'S WEBSITE: HTTPS://PORTAL.CT.GOV/-/MEDIA/OHS/OHCA/COMMUNITY_NEEDS_ASSESSMENT/CHNA/201 6/2016GREATERNORWALKCHNAPDF.PDF?LA=EN C) IS AVAILABLE UPON REQUEST FROM THE HOSPITAL FACILITY.
PART V, LINE 11 - EXPLANATION OF NEEDS NOT ADDRESSED AND REASONS WHYFACILITY: NORWALK HOSPITAL TO THE BEST OF THE ORGANIZATION'S KNOWLEDGE, ALL PRIORITY HEALTH ISSUES IN THE COMMUNITY ARE BEING ADDRESSED THROUGH THE 2016 CHIP. ANY NEEDS NOT BEING ADDRESSED ARE THOSE THAT NORWALK HOSPITAL DOES NOT HAVE THE FUNDS OR CONTROL OVER, SUCH AS ENVIRONMENTAL HEALTH. IN ORDER TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA, A COMMUNITY HEALTH IMPROVEMENT TASK FORCE WAS CREATED OF OVER 100 COMMUNITY RESIDENTS AND PROFESSIONALS REPRESENTING VARIOUS ORGANIZATIONS. THEY IDENTIFIED MENTAL HEALTH, OBESITY AND SUBSTANCE ABUSE, AND ACCESS AS THE MAIN PRIORITIES TO ADDRESS WHICH INFORMED THE DEVELOPMENT OF THE 2016 CHIP WHICH DETAILS SPECIFIC GOALS AND METRICS FOR EACH IDENTIFIED NEED AND COMMUNITY BENEFIT PROGRAMS THAT WOULD HELP ACHIEVE THESE GOALS. THE NARRATIVE FOR PART II COMMUNITY BUILDING ACTIVITIES DESCRIBES ACTIONS TAKEN TO ADDRESS THE NEEDS IDENTIFIED IN THE 2016 CHNA.
PART V, LINE 13H-OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED PATIENTFACILITY: NORWALK HOSPITAL ASSETS ARE FACTORED IN FOR PATIENTS ABOVE 400% OF THE FPG IF WE ARE ATTEMPTING MEDICAL HARDSHIP. FOR MEDICAL HARDSHIP THE PATIENT'S UNPAID MEDICAL DEBT WOULD NEED TO BE GREATER THAN THE PATIENT'S AVAILABLE INCOME ADDED WITH THEIR COUNTABLE ASSETS. SOME PATIENTS WHO HAVE INCOME OVER 400% OF THE FPG WILL NOT HAVE THE UNPAID MEDICAL DEBT TO MEET MEDICAL HARDSHIP.
FieldValueIRS element (for citing)
Facility12FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
NORWALK HOSP RADIOLOGY & MAMMOGRAPHY CTR
148 EAST AVENUE SUITE 1RNORWALKCT06851RADIOLOGY AND MAMMOGRAPHY CENTER
NORWALK SURGERY CENTER LLC
40 CROSS STREETNORWALKCT06851AMBULATORY SURGERY CENTER
NORWALK HOSPITAL OUTPATIENT REHAB SVCS
520 WEST AVENUENORWALKCT06850OUTPATIENT REHABILITATION FACILITY
NORWALK HOSPITAL SLEEP DISORDER CENTER
520 WEST AVENUENORWALKCT06850SLEEP DISORDER SERVICES
CROSS STREET RADIOLOGY
40 CROSS STREETNORWALKCT06850RADIOLOGY SERVICES
NORWALK HOSPITAL WESTPORT RADIOLOGY
728 POST ROAD EASTWESTPORTCT06880RADIOLOGY SERVICES
OCCUPATIONAL HLTH & REHAB SRVCS
45 GROVE STNEW CANAANCT06840OUTPATIENT REHABILITATION SERVICES
WESTPORT BLOOD COLLECTION CENTER
728 POST ROAD EASTWESTPORTCT06880BLOOD COLLECTION
NORWALK BLOOD COLLECTION CENTER
40 CROSS STREETNORWALKCT06851BLOOD COLLECTION
NEW CANAAN BLOOD COLLECTION CENTER
25-30 EAST AVENUENEW CAANANCT06840BLOOD COLLECTION
NORWALK HOSPITAL NEW CANAAN RADIOLOGY
28-30 EAST AVENUENEW CANAANCT06840RADIOLOGY SERVICES
NORWALK BLOOD COLLECTION CENTER
148 EAST AVENUENORWALKCT06851BLOOD COLLECTION

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C - CHARITY CARE ELIGIBILITY CRITERIA (FPG IS NOT USED)THE FAP INDICATES A 75% DISCOUNT FOR PATIENTS WITH INCOME BETWEEN 301% AND 350% OF THE FPG AND A 59.07% DISCOUNT FOR PATIENTS WITH INCOME BETWEEN 351% AND 400% OF THE FPG. ANYONE WHO HAS INCOME AT OR BELOW 300% OF THE FPL WOULD GET 100% OF THE BILL. IT IS THE SAME FOR BOTH DANBURY HOSPITAL AND NORWALK HOSPITAL. WHEN THE HOSPITALS MERGED AND CREATED ONE COMBINED CHARITY POLICY, THE INCOME LIMITS WERE INCREASED FOR NORWALK HOSPITAL.
PART I, LINE 6A -RELATED ORGANIZATION COMMUNITY BENEFIT REPORTLINES 6A & 6B: THE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS SUBMITTED ON THE FORM 990, SCHEDULE H ANNUALLY. IT CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT PROGRAMS AND SERVICES' DESCRIPTIONS AND FINANCIAL DATA. THE FORM IS MADE AVAILABLE TO THE PUBLIC ON THE OFFICE OF HEALTH CARE ACCESS' WEBSITE: HTTPS://PORTAL.CT.GOV/-/MEDIA/OHS/OHCA/COMMUNITY_NEEDS_ASSESSMENT/CHNA/201 6/2016GREATERNORWALKCHNAPDF.PDF?LA=EN
PART III, LINE 2 - METHODOLOGY USED TO ESTIMATE BAD DEBT EXPENSEBAD DEBT EXPENSE IS A FUNCTION OF ACTUAL BAD DEBT WRITE-OFFS AND ESTIMATED BAD DEBTS FOR BALANCES STILL IN ACCOUNTS RECEIVABLE (AR) AS OF THE MEASUREMENT DATE. THE HOSPITAL CALCULATES THE ESTIMATED BAD DEBTS IN AR BY COMPUTING HISTORICAL PAYMENT % BY PAYER, SERVICE TYPE AND BY ACCOUNT AGE AND APPLIES THOSE PERCENTAGES ADJUSTED FOR PRICE INCREASES TO CURRENT AR. THE RATIO OF COST TO CHARGES IS APPLIED TO THE BAD DEBT EXPENSE ON THE AUDITED FINANCIAL STATEMENTS.
PART III, LINE 3 - METHODOLOGY OF ESTIMATED AMOUNT & RATIONALE FORCOMMUNITY BENEFIT THE PERCENT OF CHARITY CARE APPLICATIONS UNDER NORWALK HOSPITAL'S FINANCIAL ASSISTANCE POLICY THAT RESULTED IN A DISCOUNT WAS 5.9%. WE APPLIED THIS % TO OUR BAD DEBT EXPENSE OF $6,822,644 TO ARRIVE AT OUR ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER NORWALK HOSPITAL'S FINANCIAL ASSISTANCE POLICY OF $402,536.
PART III, LINE 4 - BAD DEBT EXPENSEPATIENT ACCOUNTS RECEIVABLE RESULT FROM THE HEALTH CARE SERVICES PROVIDED BY THE HOSPITAL. ADDITIONS TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS RESULT FROM THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE HOSPITAL'S ESTIMATION OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED PRIMARILY UPON THE TYPE AND AGE OF THE PATIENT ACCOUNTS RECEIVABLE AND THE EFFECTIVENESS OF THE HOSPITAL'S COLLECTION EFFORTS. THE HOSPITAL'S POLICY IS TO RESERVE A PORTION OF ALL SELF-PAY RECEIVABLES, INCLUDING AMOUNTS DUE FROM THE UNINSURED AND AMOUNTS RELATED TO CO-PAYMENTS AND DEDUCTIBLES, AS THESE SERIVES ARE PROVIDED. ON A MONTHLY BASIS, THE HOSPITAL REVIEWS ITS ACCOUNTS RECEIVABLE BALANCES AND VARIOUS ANALYTICS TO SUPPORT THE BASIS FOR ITS ESTIMATES. THESE EFFORTS PRIMARILY CONSIST OF REVIEWING THE FOLLOWING: HISTORICAL WRITE-OFF AND COLLECTION EXPERIENCE USING A HINDSIGHT OR LOOK-BACK APPROACH; REVENUE AND VOLUME TRENDS BY PAYOR, PARTICULARLY THE SELF-PAY COMPONENTS; CHANGES IN THE AGING AND PAYOR MIX OF ACCOUNTS RECEIVABLE, INCLUDING INCREASED FOCUS ON ACCOUNTS DUE FROM THE UNINSURED AND ACCOUNTS THAT REPRESENT CO-PAYMENTS AND DEDUCTIBLES DUE FROM PATIENTS; CASH COLLECTIONS AS A PERCENTAGE OF NET PATIENT REVENUE LESS THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS; AND TRENDING OF DAYS REVENUE IN ACCOUNTS RECEIVABLE. THE HOSPITAL REGULARLY PERFORMS HINDSIGHT PROCEDURES TO EVALUATE HISTORICAL WRITE-OFF AND COLLECTION EXPERIENCE THROUGHOUT THE YEAR TO ASSIST IN DETERMINING THE REASONABLENESS OF ITS PROCESS FOR ESTIMATING THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE HOSPITAL'S PRIMARY CONCENTRATION OF CREDIT RISK IS PATIENT ACCOUNTS RECEIVABLE, WHICH CONSISTS OF AMOUNTS OWED BY VARIOUS GOVERNMENTAL AGENCIES, INSURANCE COMPANIES AND PRIVATE PATIENTS.
PART III, LINE 8 - EXPLANATION OF SHORTFALL AS COMMUNITY BENEFITALL HOSPITALS MUST RECORD PROFITS IN ORDER TO GENERATE THE CAPITAL NEEDED TO INVEST IN FACILITIES AND SERVICES. SERVICES THAT RESPOND TO PUBLIC HEALTH NEEDS PROVIDED TO MEDICARE PATIENTS AT NORWALK HOSPITAL GENERATE NEGATIVE MARGINS AVERAGING AROUND 26% OF COST. IT IS POSSIBLE THAT SOME OF THESE SERVICES WOULD BE DISCONTINUED IF THE DECISION WAS MADE ON A PURELY FINANCIAL BASIS. FOR THIS REASON, IT WOULD BE APPROPRIATE TO CONSIDER THE MEDICARE PAYMENT SHORTFALL A COMMUNITY BENEFIT. THE MEDICARE ALLOWABLE COSTS OF CARE ON PART III, LINE 6 WERE COMPUTED USING THE COST TO CHARGE RATIO FROM THE MEDICARE COST REPORT MULTIPLIED AGAINST MEDICARE CHARGES.
PART III, LINE 9B-PROVISIONS ON COLLECTION PRACTICES FOR QUALIFIEDPATIENTS NORWALK HOSPITAL COLLECTION PRACTICES CONSIST PRIMARILY OF BILLING NOTICES AND FOLLOW UP COURTESY CALLS. THE PATIENT IS NOTIFIED OF THE FINANCIAL ASSISTANCE PROGRAM WITH EACH WRITTEN NOTIFICATION AND AT EACH POINT OF SERVICE. NOTIFICATION IS SHARED BY POSTINGS AND VERBAL NOTIFICATION AT THE TIME THE PROCEDURE IS SCHEDULED. IF AT ANY TIME DURING THE COLLECTION PROCESS A PATIENT WOULD LIKE TO PARTICIPATE IN THE FINANCIAL ASSISTANCE PROGRAM COLLECTION ACTIVITY CEASES. THE PATIENT IS THEN SENT AN APPLICATION AND WORKS WITH THE FINANCIAL COUNSELING TEAM FOR APPROVAL OF FULL OR PARTIAL DISCOUNT.
PART VI, LINE 2 - NEEDS ASSESSMENTTHROUGH WESTERN CT HEALTH NETWORK'S ANNUAL PLANNING PROCESS, AN ENVIRONMENTAL ASSESSMENT IS CONDUCTED TO IDENTIFY HEALTHCARE GAPS AND NEEDS OF THE SERVICE AREA COMMUNITY BROUGHT ABOUT BY LOCAL AND NATIONAL TRENDS IN ECONOMIC, LEGISLATIVE, DEMOGRAPHIC, HEALTHCARE INDUSTRY AND OTHER ENVIRONMENTAL FACTORS. THESE FORCES ARE INCORPORATED IN MEETING THE HEALTHCARE NEEDS OF THE COMMUNITY BY HELPING TO FRAME THE PRIORITIES, GOALS AND INITIATIVES OF WESTERN CT HEALTH NETWORK'S LONG RANGE AND ANNUAL STRATEGIC PLANS. IN 2018, NORWALK HOSPITAL, ALONG WITH THE NORWALK HEALTH DEPARTMENT AND COMMUNITY MEMBERS, BEGAN THE PROCESS FOR THE NEXT CHNA CYCLE. A MEETING WAS HELD IN JANUARY WITH DATAHAVEN AND OTHER LOCAL HOSPITALS AND HEALTHCARE ORGANIZATIONS TO DISCUSS THE COMMUNITY WELLBEING SURVEY, ITS CONTENT, AND AREAS THAT WILL BE TARGETED. FURTHER PLANNING WILL TAKE PLACE THROUGHOUT THE YEAR.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETHE PATIENT IS NOTIFIED OF THE FINANCIAL ASSISTANCE PROGRAM (FAP) WITH EACH WRITTEN NOTIFICATION AND AT EACH POINT OF SERVICE. NOTIFICATION IS SHARED BY POSTINGS AND VERBAL NOTIFICATION AT THE TIME THE PROCEDURE IS SCHEDULED. THE FACILITY ALSO EMPLOYS FINANCIAL COUNSELORS TO FACILITATE PATIENT EDUCATION REGARDING ALL PROGRAMS AVAILABLE TO INCLUDE STATE, LOCAL AND INTERNAL. IF AT ANY TIME IN THE COLLECTION PROCESS A PATIENT WOULD LIKE TO PARTICIPATE IN THE FAP, COLLECTION ACTIVITY CEASES. THE PATIENT IS THEN SENT AN APPLICATION AND WORKS WITH THE FINANCIAL COUNSELING TEAM FOR APPROVAL OF FULL OR PARTIAL DISCOUNT.
PART VI, LINE 4 - COMMUNITY INFORMATIONNORWALK HOSPITAL SERVES AN AREA WITH A POPULATION OF ABOUT 161,400 PEOPLE. THE PRIMARY SERVICE AREA INCLUDES NORWALK, NEW CANAAN, WESTPORT, WESTON AND WILTON, CT. THIS SERVICE AREA IS COMPRISED OF A DENSELY POPULATED CORE OF THE URBAN/SUBURBAN CITY OF NORWALK SURROUNDED BY PREDOMINANTLY AFFLUENT RESIDENTIAL TOWNS. NO OTHER GENERAL MEDICAL/SURGICAL HOSPITALS ARE LOCATED IN THIS SERVICE AREA. THIS AREA IS HOME TO A DIVERSE SOCIO-ECONOMIC POPULATION, FROM THE AFFLUENT TO THE MEDICALLY UNDERSERVED. NORWALK HAS A MEDIAN HOUSEHOLD INCOME OF $80,896, AND A POVERTY RATE OF 8.5%. THE OVERALL UNINSURED POPULATION RATE FOR THE STATE IS ESTIMATED TO BE 6%. ALTHOUGH THE POPULATION OF THE PRIMARY AND SECONDARY SERVICE AREAS IS EXPECTED TO REMAIN VIRTUALLY UNCHANGED FROM 2010 TO 2020, THE COHORT AGED 65 AND OVER IS EXPECTED TO HAVE A COMPOUND ANNUAL GROWTH RATE OF 2%.
PART VI, LINE 4 - COMMUNITY BUILDING ACTIVITIESPART II LINE #3, COMMUNITY SUPPORT AND LINE #7, COMMUNITY HEALTH IMPROVEMENT ADVOCACY TOTALING $57,286 COMMUNITY SUPPORT WAS PROVIDED THROUGH DONATIONS TO NEW BEGINNINGS CHURCH, THE THANKSGIVING FOOD DRIVE FOR THE FOOD BANK, AND NORWALK HOSPITAL'S ANNUAL MEMORIAL SERVICE. STATE AND LOCAL ELECTED OFFICIALS AND AGENCY HEADS WERE LOBBIED IN SUPPORT OF MAINTAINING PATIENT ACCESS TO ESSENTIAL SERVICES FOR THE UNINSURED AND UNDERINSURED. THE TOTAL ADVOCACY INVESTMENT FOR FY2018 IS $53,033, WHICH INCLUDES INDIRECT AND DIRECT STAFFING COSTS. PART II LINE #6, COALITION BUILDING, TOTALING $907,734 IN CONDUCTING THE CURRENT CHNA, NORWALK HOSPITAL COLLABORATED WITH VARIOUS COMMUNITY ORGANIZATIONS TO DEVELOP, IMPLEMENT, AND MONITOR STRATEGIES TO ADDRESS IDENTIFIED PRIORITIES IN THE CHIP. WORKGROUPS WERE CREATED FOR CHRONIC DISEASE, MENTAL HEALTH/SUBSTANCE ABUSE, AND ACCESS. THE COMMUNITY BENEFIT IN THE COALITION BUILDING CATEGORY WAS PROVIDED THROUGH PLANNING AND DEVELOPMENT MEETINGS, AS WELL AS PROGRAMS FOR EACH PRIORITY AREA: CHRONIC DISEASE: - TWO INITIATIVES FOCUS ON HEALTHY LIVING: THE GREATER NORWALK HEALTHY RESTAURANT INITIATIVE (HRI) AND THE HEALTHY LIVING PARTNERSHIP. THE HRI HELPS RESTAURANTS IN THE GREATER NORWALK AREA HIGHLIGHT HEALTHY MENU OPTIONS TO DINERS OF ALL AGES. THE PROGRAM IS VOLUNTARY FOR RESTAURANT OWNERS, AND CURRENTLY SIXTEEN AREA RESTAURANTS IN THE GREATER NORWALK AREA PARTICIPATE. THE HEALTHY LIVING PARNTERSHIP IS A PARTNERSHIP WITH THE RIVERBROOK REGIONAL YMCA TO PROMOTE HEALTH AND WELLNESS THROUGH THE HEALTHY LIVING PARTNERSHIP. THE PARTNERSHIP AIMS TO DELIVER COMMUNITY-BASED HEALTH AND WELLNESS SERVICES IN INNOVATIVE NEW WAYS ROOTED IN A COMMON COMMITMENT TO PREVENTION AND COMBATING CHRONIC DISEASE. - THERE ARE THREE ONGOING INITIATIVES FROM THE PREVIOUS CHIP REGARDING CHILDREN'S HEALTH. 1) HEALTHIER NORWALK KIDS IS A PROGRAM DESIGNED TO ACTIVELY ENGAGE ELEMENTARY SCHOOL CHILDREN WITH A HANDS-ON CURRICULUM TO COMBAT CHILDHOOD OBESITY. THE PROGRAM'S GOAL IS TO IMPROVE ATTITUDES, INCREASE KNOWLEDGE, AND KEEP BODY MASS INDEX AT OR BELOW THE CENTER FOR DISEASE CONTROL AND PREVENTION AVERAGE GAINS THROUGH NUTRITION EDUCATION AND INCREASED ACTIVITY. 2) THE MOVE MORE IN SCHOOLS TOOLKIT WAS DEVELOPED AS A COMPREHENSIVE GUIDE THAT PROVIDES SIMPLE, YET SPECIFIC, CONCRETE STRATEGIES TO INCORPORATE MORE PHYSICAL ACTIVITY INTO THE DAY FOR ALL SCHOOL AGED CHILDREN. 3) ELEMENTARY SCHOOLS ARE ALSO OFFERED TRAINING IN FIT KIDS, A 100% GRANT-FUNDED EVIDENCE BASED-PROGRAM WHICH HAS BEEN PROVEN AN EFFECTIVE TOOL FOR FILLING FREE PLAY TIME. TEN ELEMENTARY SCHOOLS IN NORWALK ARE UTILIZING THIS BEFORE-AND/OR AFTER-SCHOOL PROGRAM SUPPORTED BY TRAIN-THE-TRAINER EFFORTS. - TWO INITIATIVES FOCUS ON ACTIVE LIFESTYLES: THE NORWALKER PROGRAM AND THE NORWALK BIKE/WALK COMMISSION. THE NORWALKER IS A NEIGHBORHOOD WALKING PROJECT THAT CONSISTS OF SIXTEEN NEIGHBORHOODS IN NORWALK WITH A TOTAL OF 44 WALKING ROUTES. THROUGHOUT 2017, NORWALK'S MAYOR CONTINUED TO HOST A NORWALKER WALK EACH WEEKEND ENCOURAGING NORWALK RESIDENTS TO JOIN HIM. IT HAS RECEIVED MULTIPLE RECOGNITIONS, SUCH AS THE 'BEST PLACE TO LIVE-WORK-PLAY CAR FREE' AWARD FROM THE BUSINESS COUNCIL OF FAIRFIELD COUNTY, AND RECOGNITION FROM THE US DEPARTMENT OF TRANSPORTATION AS THE WINNER OF THE MAYOR'S CHALLENGE FOR SAFER PEOPLE AND SAFER STREETS. THE NORWALK BIKE/WALK COMMISSION WAS CREATED IN 2017 TO SUPPORT BICYCLING AND WALKING AS SAFE, ACCESSIBLE AND SUSTAINABLE FORMS OF TRANSPORTATION AND RECREATION. THE COMMISSION IS CHARGED WITH HELPING CREATE SAFE ROADS, SIDEWALKS AND TRAILS IN NORWALK THAT MAKE BICYCLING AND WALKING DESIRABLE AND EASY WHILE PROMOTING HEALTHY LIFESTYLES. MENTAL HEALTH AND SUBSTANCE ABUSE: - IN APRIL 2014, NORWALK HOSPITAL LAUNCHED A COMMUNITY CARE TEAM WITH THE GOAL OF TARGETING MENTAL HEALTH AND SUBSTANCE ABUSE POPULATIONS. THE FORMATION OF THE GREATER NORWALK COMMUNITY CARE TEAM (CCT) HAS ALLOWED US TO DELIVER ENHANCED CARE TO INDIVIDUALS WITH COMPLEX MEDICAL AND PSYCHOSOCIAL CHALLENGES. THIS BROAD COMMUNITY INITIATIVE PROVIDES WRAP AROUND SERVICES TO INDIVIDUALS WITH HOUSING INSTABILITY SUFFERING FROM MENTAL HEALTH AND/OR SUBSTANCE ABUSE ISSUES OR SERIOUS MEDICAL CONDITIONS. NORWALK HOSPITAL'S GREATER NORWALK CCT CONSISTS OF APPROXIMATELY 25 REPRESENTATIVES FROM LOCAL PROGRAMS, AGENCIES AND INSTITUTIONS. THE CCT MEETS WEEKLY IN THE COMMUNITY TO DEVELOP, REVIEW, IMPLEMENT, AND MONITOR TREATMENT PLANS FOR VULNERABLE POPULATIONS. THE CCT NAVIGATOR WORKS TO IMPROVE OUTCOMES BY REFERRING TARGETED INDIVIDUALS TO APPROPRIATE COMMUNITY-BASED MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES AND SERVING AS A LIAISON TO COORDINATE AND LEVERAGE EXISTING COMMUNITY-BASED RESOURCES. AS OF SEPTEMBER 2018, INDIVIDUALIZED CARE PLANS HAVE BEEN DEVELOPED FOR MORE THAN 200 INDIVIDUALS. OUTCOMES FOR PATIENTS WITH CARE PLANS IN PLACE INCLUDE MAINTAINED SOBRIETY, MENTAL HEALTH STABILIZATION, IMPROVED ACCESS TO CARE, A 63% REDUCTION IN INAPPROPRIATE EMERGENCY DEPARTMENT (ED) VISITS AND REDUCED HOMELESSNESS - WITH MORE THAN 50 INDIVIDUALS ASSISTED IN FINDING STABLE HOUSING. - THE WESTERN CONNECTICUT HEALTH NETWORK, WHICH INCLUDES NORWALK HOSPITAL, HAS FORMED A MEDICARE SHARED SAVINGS PROGRAM ACCOUNTABLE CARE ORGANIZATION (ACO) TO WORK TOGETHER TO PROVIDE HIGHER-QUALITY COORDINATED CARE FOR OUR PATIENTS, WHILE HELPING TO SLOW HEALTH CARE COST GROWTH. THE ACO WILL ALSO HELP TO PROVIDE BETTER CARE TO MEDICARE'S SENIORS AND PEOPLE WITH DISABILITIES. IN ADDITION TO HELPING US SERVE OUR COMMUNITY MEMBERS IN A MORE COMPREHENSIVE WAY, THE ACO WILL HELP US IDENTIFY GAPS IN CARE. CMS DEFINES QUALITY AS MEETING 33 IDENTIFIED BENCHMARKS IN 4 DOMAINS: PATIENT CAREGIVER EXPERIENCE; CARE COORDINATION; PATIENT SAFETY; PREVENTATIVE HEALTH; AT-RISK POPULATIONS. THE ACO HAS DEFINED PROCESSES AND PROCEDURES TO PROMOTE EVIDENCE-BASED MEDICINE AND PATIENT ENGAGEMENT AND MUST REPORT ON QUALITY AND COST MEASURES. IT MUST ALSO MEET PATIENT-CENTEREDNESS CRITERIA SUCH AS THE USE OF PATIENT AND CAREGIVER ASSESSMENTS OR INDIVIDUALIZED CARE TEAMS WHICH WILL ALIGN WITH OUR CURRENT GREATER DANBURY CCT INITIATIVE TO IMPROVE MANAGEMENT OF COMPLEX PATIENTS AND REDUCE UNNECESSARY EMERGENCY DEPARTMENT VISITS AND ADMISSIONS. THE ACO SERVES APPROXIMATELY 28,000 MEDICARE BENEFICIARIES THROUGHOUT OUR REGION
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTHIN ORDER TO PROMOTE THE HEALTH OF THE COMMUNITY, NORWALK HOSPITAL IS RESPONSIBLE FOR COORDINATING THE SERVICES OF THE HOSPITAL WITH THOSE OF OTHER HEALTH, EDUCATION, AND SOCIAL SERVICES IN THE COMMUNITY. THESE SERVICES ARE PROMOTED IN ORDER TO OPTIMIZE THE AVAILABILITY OF A FULL SCOPE OF SERVICES IN A COST-EFFECTIVE MANNER. IN FY18, NORWALK HOSPITAL SERVED OVER 1.3 MILLION PERSONS THROUGH OVER 850 COMMUNITY HEALTH OCCURRENCES. HOSPITAL STAFF AND AFFILIATED PHYSICIANS PARTICIPATED IN HEALTH FAIRS, COMMUNITY EDUCATION LECTURES, SUPPORT GROUPS, AND SCREENINGS WITH COMMUNITY ORGANIZATIONS. THE HEALTH TALK SHOWS AIRED ON OPTIMUM AND REACHED 1.3 MILLION. NORWALK HOSPITAL ALSO OFFERS PROGRAMS AND FINANCIAL SUPPORT TO THE CITY OF NORWALK AND SURROUNDING AREAS. EXAMPLES INCLUDE THE NORWALK COMMUNITY HEALTH CENTER (A FQHC) AND PROGRAM SUPPORT TO THE AMERICARES FREE CLINIC. NORWALK HOSPITAL SUB-SPECIALTY CLINICS ARE ALSO STAFFED BY VOLUNTEER-ATTENDING PHYSICIANS FOR UNDERSERVED PATIENTS.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEMWESTERN CONNECTICUT HEALTH NETWORK (WCHN) IS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM COMPRISED OF THREE COMMUNITY HOSPITALS AND THEIR AFFILIATED ENTITIES. IN ADDITION TO NORWALK HOSPITAL, DANBURY HOSPITAL, ITS NEW MILFORD HOSPITAL CAMPUS, THE CONTINUUM OF CARE INCLUDES A LARGE MEDICAL GROUP, HOME HEALTH CARE SERVICES, A NATIONALLY RENOWNED BIOMEDICAL RESEARCH INSTITUTE, THE DANBURY HOSPITAL & NEW MILFORD HOSPITAL FOUNDATION, INC. AND NORWALK HOSPITAL FOUNDATION, AND OTHER RELATED AFFILIATES. WCHN'S MISSION IS TO IMPROVE THE HEALTH OF EVERY PERSON WE SERVE THROUGH THE EFFICIENT DELIVERY OF EXCELLENT, INNOVATIVE AND COMPASSIONATE CARE. FOR FY2018, WCHN PROVIDED APPROXIMATELY $21,695,288 IN TOTAL CHARITY CARE. DANBURY HOSPITAL, ITS NEW MILFORD HOSPITAL CAMPUS AND NORWALK HOSPITAL PROVIDE MEDICAL SERVICES TO THE COMMUNITY REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY. SERVICES INCLUDE ROUTINE INPATIENT ANCILLARY AND OUTPATIENT CARE IN SUPPORT OF THE HOSPITAL'S MISSION STATEMENT, AS NOTED ABOVE. FOR FY2018, CHARITY CARE WAS PROVIDED IN THE FOLLOWING AMOUNTS: NORWALK HOSPITAL, APPROXIMATELY $6,316,562 , DANBURY HOSPITAL AND ITS NEW MILFORD HOSPITAL CAMPUS, APPROXIMATELY $13,343,726. WESTERN CONNECTICUT MEDICAL GROUP, INC (WCMG): THE MISSION OF WESTERN CONNECTICUT MEDICAL GROUP IS TO PROVIDE SAFE, INNOVATIVE, CONVENIENT AND COORDINATED PRIMARY AND SPECIALTY HEALTH CARE IN THE COMMUNITIES THEY SERVE AND STRIVE TO BE AWARE OF AND RESPOND TO THEIR PATIENTS' NEEDS. THEY SUPPORT A COMMITMENT TO ADVANCE THE HEALTH AND WELL-BEING OF INDIVIDUALS IN THEIR COMMUNITY BY DELIVERING QUALITY CARE, PARTICIPATING IN MEDICAL RESEARCH AND MEDICAL RESIDENCY PROGRAMS AND THE PROVISION OF MEDICAL SERVICES TO PATIENTS. FOR FY2018, WCMG PROVIDED $1,958,000 IN CHARITY CARE. DANBURY HOSPITAL & NEW MILFORD HOSPITAL FOUNDATION INC. (DH/NMHF) :DH/NMHF'S MISSION IS TO RAISE FUNDS, REINVEST AND ADMINISTER THESE FUNDS AND MAKE DISTRIBUTIONS TO DANBURY HOSPITAL AND ITS NEW MILFORD HOSPITAL CAMPUS OTHER DANBURY NOT-FOR-PROFIT HEALTH CARE AFFILIATES. NORWALK HOSPITAL FOUNDATION (NHF): NHF'S MISSION IS TO RAISE FUNDS, REINVEST AND ADMINISTER THESE FUNDS AND MAKE DISTRIBUTIONS TO NORWALK HOSPITAL AND OTHER NOT-FOR-PROFIT NORWALK HOSPITAL AFFILIATES. WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES, IN. (WCHNA) : WCHNA'S PRINCIPAL PURPOSE IS TO PROVIDE OUTPATIENT HEALTH CARE SERVICES IN VARIOUS LOCATIONS AND ALSO PROVIDE AMBULANCE SERVICES TO DANBURY AND SURROUNDING TOWNS, WHILE SERVING THOSE THAT CANNOT AFFORD THE CARE. FOR FY2018, WCHNA PROVIDED APPROXIMATELY $28,000 IN CHARITY CARE. WESTERN CONNECTICUT HOME CARE, INC. (WCHC) PROVIDES STATE OF THE ART CLINICAL SERVICES RANGING FROM PEDIATRIC PATIENTS TO THE ELDERLY UTILIZING BEST PRACTICE IN HOME CARE TO MEET THE NEEDS OF THEIR PATIENTS. FOR FY2018, WCHC PROVIDED $49,000 IN CHARITY CARE. EASTERN NEW YORK MEDICAL SERVICES, PC (ENYMS) : THE MISSION AT ENYMS IS TO PROVIDE SAFE, INNOVATIVE, CONVENIENT AND COORDINATED PRIMARY AND GASTROENTEROLOGY HEALTH CARE IN THE COMMUNITIES WE SERVE AND STRIVE TO BE AWARE OF AND RESPOND TO OUR PATIENTS' NEEDS.
PART VI, LINE 7 - STATES FILING COMMUNITY BENEFIT REPORTCT
ADDITIONAL INFORMATIONPART VI, PART 1, LINE 7E COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS NORWALK HOSPITAL PROVIDED COMMUNITY BENEFIT THROUGH VARIOUS PROGRAMS AND EVENTS THAT WERE MADE AVAILABLE TO THE COMMUNITY AT LARGE. BELOW IS A LIST OF ALL THE PROGRAMS OFFERED WITH A BRIEF DESCRIPTION: CANCER : 592 SERVED PROVIDED THROUGH BEREAVEMENT GROUPS AND CANCER EDUCATION AT FAIRS AND TALKS. SENIOR OUTREACH: 280 SERVED THROUGH SENIOR-ORIENTED FAIRS, LECTURES, AND SCREENING. FAMILY/PARENTING ED.: 150 SERVED THROUGH LECTURES AND THE READ WITH ME PROGRAM AT THE STAMFORD TOWN CENTER. HEALTH FAIRS: 2,832 SERVED THROUGH THE DAY-LONG KIDSFEST, PLUS FAIRS HELD AT VARIOUS COMMUNITY ORGANIZATIONS. HEART DISEASE: 1230 SERVED THROUGH HANDS FOR LIFE EVENTS AND TALKS. LECTURES: 1.34 MILLION SERVED THROUGH HEALTH TALK SHOWS (INCLUDING REPEATS), SCHOOLS, LIBRARIES AND CORPORATIONS. HEALTH TALK AIRS ON OPTIMUM WITH A VIEWERSHIP OF 25,000 PER SHOW AND SOCIAL MEDIA OUTREACH. NUTRITION/WELLNESS: 2199 SERVED THROUGH LECTURES, HEALING CUISINE, KIDS HEALTHY WEIGHT CLASSES, AND THE AMERICARES CLINICS. SUPPORT GROUPS: 75+ SERVED THROUGH THE BARIATRIC AND BREAST CANCER SUPPORT GROUPS. AA MEETINGS: 6670 SERVED THROUGH ENGLISH AND IN SPANISH MEETINGS. BLOOD DRIVES: 192 SERVED. SCHEDULE H - PART I, LINE 7F - HEALTH PROFESSIONAL EDUCATION - NORWALK HOSPITAL HAS AN ACGME ACCREDITED MEDICAL RESIDENCY PROGRAM PARTNERED WITH YALE UNIVERSITY SCHOOL OF MEDICINE. APPROXIMATELY 58 RESIDENTS AND FELLOWS ROTATE IN THE MEDICINE, RADIOLOGY, GASTROENTEROLOGY, PULMONARY OR SLEEP PROGRAMS. THE ASSOCIATED COSTS AND REVENUES ARE DERIVED FROM THE MEDICARE COST REPORT. SCHEDULE H - PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES - NORWALK HOSPITAL RECEIVES A DHMAS GRANT FROM THE STATE OF CONNECTICUT FOR THE OUTPATIENT PSYCHIATRIC CLINIC. THESE DOLLARS HELP OFFSET THE SHORTFALL FROM UNDER OR UNINSURED PATIENTS. PART V LINE 5 - THE MOST RECENTLY COMPLETED CHNA WAS MADE AVAILABLE ON: A) NORWALK HOSPITAL'S WEBSITE: HTTPS://WWW.NORWALKHOSPITAL.ORG/ABOUT-US/ABOUT-US B) THE CT HOSPITAL ASSOCIATION'S WEBSITE: HTTP://WWW.CHIME.ORG/ADVOCACY/COMMUNITY-HEALTH/ ; ON THE CITY OF NORWALK WEBSITE: HTTPS://WWW.NORWALKCT.ORG/DOCUMENTCENTER/VIEW/11296 ; AND ON THE CT STATE DEPARTMENT OF PUBLIC HEALTH'S WEBSITE: HTTP://PORTAL.CT.GOV/DPH/OFFICE-OF-HEALTH-CARE-ACCESS/COMMUNITY-NEEDS-ASSE SSMENTS/COMMUNITY-NEEDS-ASSESSMENTS C) IS AVAILABLE UPON REQUEST FROM THE HOSPITAL FACILITY. PART V, LINE 10A: MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY TO MEET THE SIGNIGICANT COMMUNITY HEALTH NEEDS CAN BE FOUND AT: HTTP://WWW.NORWALKHOSPITAL.ORG/ABOUT-US/ABOUT-NORWALK-HOSPITAL/COMMUNITY-B ENEFIT TITLED GREATER NORWALK CHA CHIP REPORT, DECEMEBER, 2012 PART V SECTION B LINES 16A, 16B AND 16C - NORWALK HOSPITAL'S FINANCIAL ASSISTANCE POLICY ("FAP"), FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY IS MADE AVAILABLE ON THE FOLLOWING LINKS: HTTP://WWW.NORWALKHOSPITAL.ORG/PATIENT-AND-VISITORS-INFO/BILLING/BILLING/F INANCIAL-ASSISTANCE-POLICY PART I, LINE 3C- CHARITY CARE ELIGIBILITY CRITERIA (FPG IS NOT USED) ASSETS ARE FACTORED IN FOR PATIENTS ABOVE 400% OF FEDERAL POVERTY GUIDELINES WHEN FACED WITH MEDICAL HARDSHIPS. MEDICAL HARDSHIP COMBINES AVAILABLE INCOME WITH COUNTABLE ASSETS AND IS GRANTED WHEN MEDICAL BILLS EXCEED THIS FIGURE.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (true)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEVEN H ROSENBERG
TREASURER$0$571,541$0$205,000$0$24,181$0$13,250$0$35,279$0$849,251$0$0
MICHAEL DAGLIO TO 925
PRESIDENT NHA$0$506,087$0$200,000$0$2,815$0$15,900$0$32,618$0$757,420$0$0
PATRICK MINICUS
VP OF FINANCE$0$27,162$0$137,355$0$395,784$0$0$0$0$0$560,301$0$0
CHRISTOPHER MICHOS
ER PHYSICIAN$443,762$0$0$0$7,016$0$0$0$36,571$0$487,349$0$0$0
BRIAN MCGOVERN
ER PHYSICIAN$568,758$0$0$0$1,877$0$13,250$0$22,971$0$606,856$0$0$0
BENJAMIN GREENBLATT
CHAIRMAN, ER MED.$434,937$0$135,000$0$990$0$13,250$0$10,235$0$594,412$0$0$0
CAROLYN MCKENNA
SVP & GEN COUNSEL WCHN$0$383,384$0$140,000$0$3,289$0$13,250$0$7,425$0$547,348$0$0
SHARON ADAMS
COO & CHIEF NURSING OFFICER$0$417,021$0$150,000$0$24,981$0$13,250$0$6,454$0$611,706$0$0
RICHARD TEITELL
ER PHYSICIAN$530,986$0$0$0$393$0$13,250$0$8,048$0$552,677$0$0$0
VIRGINIA COLLIER
ER PHYSICIAN$491,313$0$0$0$5,840$0$3,337$0$34,522$0$535,012$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1A - RELEVANT INFORMATION REGARDING COMPENSATION BENEFITSREPORTED IN PART VII FOR SHARON ADAMS IS A TAXABLE HOUSING ALLOWANCE. FOR THE FOLLOWING INDIVIDUALS, BENEFITS REPORTED IN PART VII INCLUDE GROSS-UP PAYMENTS FOR A TAXABLE STIPEND: SHARON ADAMS MICHAEL DAGLIO CAROLYN MCKENNA STEVEN H. ROSENBERG
PART I, LINE 4 - RECEIVED SEVERANCE, SUPPLEMENTAL NQ RETIREMENT, EQUITY-BASED COMPENSATION PART 1, LINE 4B-PARTICIPATED IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WESTERN CONNECTICUT HEALTH NETWORK (WCHN) ESTABLISHED THREE SEPARATE SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS (SERP). THESE PLANS PROVIDE SUPPLEMENTAL RETIREMENT BENEFITS TO KEY MEMBERS OF THE EXECUTIVE GROUP. UNDER THE AGREEMENTS FOR SERP PLANS #1 AND #2, AMOUNTS PROMISED TO ELIGIBLE EXECUTIVES ARE BASED ON TARGETED RETIREMENT BENEFITS AND THE PAYMENT OF BENEFITS IS SUBJECT TO VESTING. THE BENEFITS AT THE VESTED AGE ARE PROVIDED IN THE FORM OF AN ACTUARIAL EQUIVALENT LUMP SUM PLUS A TAX GROSS-UP AMOUNT TO THE PARTICIPANTS. WCHN HAS ON ITS BOOKS AN ACCRUAL FOR THE PARTICIPANTS OF THE SERP, WHICH IS MAINTAINED SOLELY FOR ACCOUNTING PURPOSES AND IS UNFUNDED. DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2018, A PAYMENT OF $2,619,020 WAS MADE TO STEVEN H. ROSENBERG, TREASURER, PARTICIPANT OF SERP PLAN #2. SERP PLAN #3 - EARNINGS AND LOSSES ON THE INVESTMENTS SELECTED BY PARTICIPANTS OF SERP PLAN #3 ARE ADDED TO THE BALANCE OF THE ACCOUNT. DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2018, NO PAYMENTS WERE MADE TO MICHAEL DAGLIO, PRESIDENT NHA, PARTICIPANT OF SERP #3.
PART I, LINE 6 - COMPENSATION ON NET EARNINGS OR RELATED ORGANIZATIONSUMMARY OF EXECUTIVE INCENTIVE PLAN THE PLAN IS ADMINISTERED BY THE EXECUTIVE COMPENSATION COMMITTEE (THE COMMITTEE) OF WESTERN CONNECTICUT HEALTH NETWORK, INC. (WHCN) ELIGIBILITY TO PARTICIPATE IN THE PLAN IS LIMITED TO THOSE EXEMPT EXECUTIVES EMPLOYED BY WCHN AND ITS SUBSIDIARIES (THE NETWORK) DURING THE PLAN YEAR WHO ARE IN POSITIONS IN WHICH THEIR DECISIONS, ACTIONS AND COUNSEL SIGNIFICANTLY AFFECT THE OPERATIONS OF THE NETWORK. THE COMMITTEE, WITH INPUT PROVIDED BY SENIOR MANAGEMENT OF THE NETWORK WILL DETERMINE WHICH ELIGIBLE EXECUTIVE EMPLOYEES OF THE NETWORK WILL PARTICIPATE IN THE PLAN. PRIOR TO THE BEGINNING OF EACH PLAN YEAR, OR AS SOON THEREAFTER AS PRACTICABLE, THE COMMITTEE WILL ESTABLISH TARGET AND MAXIMUM AWARD OPPORTUNITY FOR THE PARTICIPANT, IN THE APPROPRIATE TIER IN THE PLAN, ALONG WITH A TEAM SCORECARD OF PLAN MEASURES. SOON AFTER THE CLOSE OF THE PLAN YEAR, ACTUAL ORGANIZATION AND INDIVIDUAL PERFORMANCE AND RESULTS WILL BE MEASURED AND ASSESSED IN COMPARISON TO PUBLISHED GOALS AND EXPECTATIONS ESTABLISHED FOR SUCH PLAN YEAR. RECOMMENDATIONS FOR INDIVIDUAL INCENTIVE AWARDS WILL BE PREPARED AND SUBMITTED TO THE COMMITTEE FOR EVALUATION AND APPROVAL. NOTWITHSTANDING ANY OTHER PROVISION OF THE PLAN, AT THE DISCRETION OF THE COMMITTEE, AWARDS MAY NOT BE PAID UNDER THE PLAN FOR ANY PLAN YEAR IF THE LEVEL OF PERFORMANCE SPECIFIED IN ONE OR MORE NETWORK LEVEL "CIRCUIT BREAKER GOALS" IS NOT ACHIEVED DURING THE PLAN YEAR.
PART III, ADDITIONAL INFORMATIONTHE ORGANIZATION RELIED ON RELATED ORGANIZATIONS, WESTERN CONNECTICUT HEALTH NETWORK, INC. WHICH USED THE FOLLOWING METHODS DESCRIBED BELOW TO ESTABLISH TOP MANAGEMENT'S COMPENSATION: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -WRITTEN EMPLOYMENT CONTRACT -COMPENSATION SURVEY OR STUDY -APPROVAL BY BOARD OR COMPENSATION COMMITTEE

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
ST of CT Hlth & Educ Fac
A0608061862010-12-09$46,840,000See Part VIfalsefalsefalse
St of CT Hlth & Educ Fac
B0608061862012-12-07$82,000,000See Part VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$23,865,000$0$46,844,821$0$1,010,853$0$829,268$0$463,600$44,541,100$0$02013falsefalseYes (true)Yes (true)
B$8,545,000$0$82,014,610$0$0$0$639,886$0$0$81,374,724$0$02017falsefalsefalseYes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)falsefalsefalse0.015700.005800.02150falsefalsefalseYes (true)
BfalsefalsefalseYes (true)false0falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedInd
0
AfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)
PEOPLES UNITED BK
BfalseYes (true)falseYes (true)Yes (true)Yes (true)false0falseYes (true)12.falsefalse

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceAdditional InformationFormAndLineReferenceDesc
ExplanationPART I - BOND ISSUE, (A) ISSUER NAME - A CHEFA SERIES G, H AND I - STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY. PART I - BOND ISSUE, (A) ISSUER NAME - B CHEFA SERIES J - STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY. PART I - BOND ISSUE, (F) DESCRIPTION OF PURPOSE - A CHEFA SERIES G, H AND I THE PROCEEDS OF THE BOND WERE USED FOR CONSTRUCTION OF A PARKING GARAGE AND FOR THE PURCHASE OF OTHER CAPITAL EQUIPMENT. PART I - BOND ISSUE, (F) DESCRIPTION OF PURPOSE - B CHEFA SERIES J THE PROCEEDS OF THE BOND ARE BEING USED FOR CONSTRUCTION OF AN AMBULATORY PAVILION AND FOR THE PURCHASE OF OTHER CAPITAL EQUIPMENT. PART II - PROCEEDS, A CHEFA SERIES G, H AND I - TOTAL PROCEEDS OF ISSUE INCLUDES INTEREST INCOME OF $4,821 RECEIVED ON THE CONSTRUCTION FUND, COST OF ISSUANCE FUND AND CAPITALIZED INTEREST FUND. PART II - PROCEEDS, B CHEFA SERIES J - TOTAL PROCEEDS OF ISSUE INCLUDES INTEREST INCOME OF $14,610 RECEIVED ON THE CONSTRUCTION FUND AND COST OF ISSUANCE FUND. PART III, LINE 9 POST ISSUANCE COMPLIANCE - NONQUALIFIED BONDS EFFECTIVE 1/1/2014, WESTERN CONNECTICUT HEALTH NETWORK (WCHN) BECAME THE SOLE CORPORATE MEMBER OF NORWALK HEALTH SERVICES CORPORATION AND A CORPORATE AFFILIATION WAS COMPLETED. NORWALK HEALTH SERVICES CORPORATION AND ALL SUBSIDIARIES ARE COVERED UNDER THE POLICIES OF WCHN AND AS SUCH, THE TAX EXEMPT DEBT POLICY APPLIES TO NORWALK HOSPITAL AS OF 1/1/2014. PART IV - ARBITRAGE LINE 2C - NAME OF PROVIDER - CHEFA SERIES J - PEOPLE'S UNITED BANK NAME OF PROVIDER - CHEFA SERIES G, H, & I - IN DECEMBER, 2017, THE ARBITRAGE REBATE CALCULATION FOR NORWALK HOSPITAL WAS COMPUTED TO DECEMBER, 2015.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

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PersonJILLENE MAHONYPersonNm
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Relationship DescriptionSEE PART VRelationshipDescriptionTxt
Transaction$19,522TransactionAmt
TransactionCOMPENSATIONTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IVFormAndLineReferenceDesc
ExplanationJILLENE MAHONY IS THE DAUGHTER OF EDWARD MAHONY, A DIRECTOR OF NORWALK HOSPITAL. SHE HAS BEEN EMPLOYED AS A NURSE AT THE HOSPITAL SINCE FEBRUARY 2016.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
JOINT VENTURE POLICY FORM 990, PART VI, SECTION B, LINE 16BWHILE A WRITTEN POLICY HAS NOT BEEN ADOPTED REGARDING THE EVALUATION OF PARTICIPATION IN JOINT VENTURES, MANAGEMENT FOLLOWS A PROCEDURE IN WHICH ALL POSSIBLE JOINT VENTURE ARRANGEMENTS ARE EVALUATED UNDER APPLICABLE FEDERAL TAX LAWS. MANAGEMENT UTILIZED THE SERVICES OF APPROPRIATE CONSULTANTS AND LEGAL COUNSEL TO EVALUATE EACH JOINT VENTURE OPPORTUNITY. THIS EVALUATION ALSO INCLUDES AN ANALYSIS OF HOW THE JOINT VENTURE WILL FURTHER THE HOSPITAL'S MISSION. THE HOSPITAL HAS TAKEN ALL APPROPRIATE STEPS TO SAFEGUARD ITS TAX EXEMPT STATUS WITH RESPECTS TO ALL JOINT VENTURE ARRANGEMENTS. JOINT VENTURE ARRANGEMENTS ARE APPROVED BY THE BOARD OF TRUSTEES.
FORM 990, OFFICERS AND TRUSTEES, PART VIIThomas Ayoub, MD - Trustee and Chief of Staff, compensation received is for services as Chief of Staff of Norwalk Hospital. 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 III, LINE 4A - PROGRAM SERVICE ACCOMPLISHMENTSMEDICINE SERVICE LINE NORWALK HOSPITAL'S MEDICINE SERVICE LINE CONSISTS OF THE FOLLOWING SERVICES: INPATIENT CASES: GASTROINTESTINAL 1,117 INFECTIOUS DISEASE 1,125 INTERNAL MEDICINE 462 NEUROLOGY MEDICINE 351 RENAL/UROLOGY MEDICINE 453 PULMONARY MEDICINE 833 ALL OTHER INPATIENT 1,584 OUTPATIENT SERVICE LINE CASES: O/P MEDICINE 5,319 O/P MEDICINE COMM. CLINIC 3,297 O/P MEDICAL ONCOLOGY 8,490 O/P PULMONARY MEDICINE 2,626 DIGESTIVE DISEASES: OUR DIGESTIVE DISEASE CENTER IS STAFFED BY RENOWNED FELLOWSHIP-TRAINED GASTROENTEROLOGISTS. WE OFFER LEADING DIAGNOSTICS AND TREATMENT OF A WIDE RANGE OF DIGESTIVE DISEASES AND CONDITIONS, WHILE PROVIDING INDIVIDUALIZED TREATMENT FOR EVERY PATIENT. OUR SERVICES INCLUDE: ABLATION THERAPY FOR BARRETT'S ESOPHAGUS, COLON CANCER SCREENING, COLONOSCOPY, CRYOTHERAPY, ENDOSCOPIC ULTRASOUND AND FINE-NEEDLE ASPIRATION, LACTOSE TOLERANCE TESTING, AND WIRELESS CAPSULE ENDOSCOPY. INFECTIOUS DISEASE: NORWALK HOSPITAL'S INFECTIOUS DISEASE SPECIALISTS TREAT THE FULL RANGE OF INFECTIOUS DISEASES, INCLUDING CONDITIONS CAUSED BY LIVING ORGANISMS (BACTERIA, VIRUSES, FUNGI AND PARASITES), HIV, AND RELATED CONDITIONS, LYME DISEASE, CHRONIC AND WOUND-RELATED INFECTION, AND TRAVEL-RELATED INFECTION. OUR DOCTORS HAVE EXPERTISE IN THE PROPER USE OF ANTIBIOTICS AND OTHER ANTI-INFECTIVE MEDICINES TO TREAT DISEASE AND ALSO COLLABORATE WITH PRIMARY CARE DOCTORS, SPECIALISTS AND SURGEONS TO ENSURE A COMPREHENSIVE, PERSONALIZED TREATMENT PLAN FOR EACH PATIENT. INTERNAL MEDICINE: HAVING A PRIMARY CARE PROVIDER (PCP) IS ONE OF THE MOST IMPORTANT STEPS YOU CAN TAKE WHEN IT COMES TO YOUR HEALTH. WITH A PCP, YOU HAVE A PROVIDER WHO TAKES THE TIME TO GET TO KNOW EVERY ASPECT OF YOUR HEALTHCARE NEEDS AND BUILD A TRUSTING RELATIONSHIP WITH YOU-AND IS FOCUSED ON YOUR OVERALL HEALTH AND WELLNESS. OUR PCPS ARE COMMITTED TO UNDERSTAND ALL YOUR NEEDS WHETHER CLINICAL OR PERSONAL, AND DEVELOP A PERSONALIZED PLAN JUST FOR YOU. THEY ARE COMMITTED TO TREATING YOU LIKE A PERSON, NOT A NUMBER ON A CHART. WHATEVER YOUR MEDICAL NEEDS, NORWALK HOSPITAL PROVIDES EXPERT CARE IN THE WARM, FOCUSED AND PERSONAL MANNER YOU DESERVE. SPECIALISTS IN PRIMARY CARE, OUR FAMILY MEDICINE PHYSICIANS TREAT INFANTS, CHILDREN AND ADULTS OF ALL AGES. SERVICES INCLUDE PREVENTIVE MEDICINE (INCLUDING VACCINES AND IMMUNIZATIONS), DIAGNOSIS AND TREATMENT OF CHRONIC AND ACUTE ILLNESSES AND INJURIES, AND COORDINATION OF SPECIALTY CARE. OUR FAMILY PHYSICIANS ARE TRAINED TO PROVIDE MEDICAL CARE FOR PATIENTS RANGING IN AGE FROM PEDIATRICS THROUGH ADULT AND GERIATRICS. NEUROLOGY AND STROKE: WE OFFER EXPERTISE IN TREATMENT OF NEUROLOGICAL DISORDERS, INCLUDING STROKE, EPILEPSY, PARKINSON'S DISEASE, ALZHEIMER'S DISEASE AND VERTIGO. WE HAVE BEEN REGULARLY RECOGNIZED BY THE CONNECTICUT DEPARTMENT OF PUBLIC HEALTH FOR CONSISTENTLY DEMONSTRATING THE ABILITY TO RAPIDLY DIAGNOSE AND TREAT STROKE. COMMITTED TO REMAINING ON THE FOREFRONT OF RAPID AND EFFECTIVE STROKE CARE, WE CONTINUE TO INCORPORATE THE LATEST EFFECTIVE TREATMENTS. UROLOGY: OUR EXPERT UROLOGISTS TREAT CONDITIONS SUCH AS: -FEMALE UROLOGIC DISORDERS, INCLUDING URINARY INCONTINENCE AND VOIDING DYSFUNCTION -INFERTILITY -KIDNEY, BLADDER, PROSTATE AND TESTICULAR CANCER -KIDNEY STONES -MALE SEXUAL DIFFICULTIES -PROSTATE CANCER -URINARY TRACT INFECTIONS -VASECTOMY AND VASECTOMY REVERSAL PROCEDURES WE PERFORM INCLUDE: -EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY FOR KIDNEY STONES -LAPAROSCOPIC NEPHRECTOMY -MINIMALLY INVASIVE PHOTO-VAPORIZATION OF THE PROSTATE -MINIMALLY INVASIVE SURGICAL TREATMENT FOR FEMALE INCONTINENCE -PYELOPLASTY PULMONOLOGY: WE OFFER OUTSTANDING DIAGNOSIS, TREATMENT AND CARE FOR PATIENTS WITH ALL TYPES OF PULMONARY CONDITIONS. WE PERFORM SPECIALIZED SERVICES, SUCH AS CARDIOPULMONARY EXERCISE TESTING TO MEASURE DEGREE OF FITNESS AND AID IN THE ASSESSMENT OF SHORTNESS OF BREATH; SPECIFIC DIAGNOSTIC ASTHMA TESTING; AND TESTING TO DETERMINE THE NEED FOR SUPPLEMENTAL OXYGEN FOR EVERYDAY LIVING AND AIR TRAVEL. AWARDS & ACCREDITATIONS AT NORWALK HOSPITAL, OUR MEDICAL SERVICE LINE IS HONORED TO HAVE EARNED THE FOLLOWING NATIONAL RECOGNITIONS AND AWARDS: AMERICA'S 250 BEST HOSPITAL'S WAWARD - TOP 5% IN THE NATION FOR CONSISTENTLY DELIVERING CLINICAL QUALITY. (2018-2019) AMERICA'S BEST HOSPITAL FOR PULMONARY CARE AWARD - SUPERIOR CLINICAL OUTCOMES IN TREATING CHRONIC OBSTRUCTIVE PULMONARY DISEASE (CODP) AND PNEUMONIA. (2017-2019). WHITTINGHAM CANCER CENTER - FOR CONTINUED QUALITY IMPROVEMNET BY MEETING QOPI'S CORE STANDARDS IN ALL AREAS OF TREATMENT. (2017-2020) DIABETES EDUCATION PROGRAM - AMERICAN DIABETES ASSOCIATION (ADA) EDUCATION RECOGNITION CERTIFICATE. (2017-2019) ALL PROGRAMS ARE ADMINISTERED CONSISTENT WITH NORWALK HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
FORM 990, PART III, LINE 4B - PROGRAM SERVICE ACCOMPLISHMENTSSURGERY SERVICE LINE Inpatient Cases: Major Joint Replacement 468 Trauma Surgery 371 Minor GI Surgery 158 General Surgery 222 Urology Surgery 103 Colon/Bowel Surgery 190 Obesity Surgery 142 Spinal Surgery 143 All Other Inpatient Surgery 344 Outpatient Service Line Cases: Abdomen GI Surgery 1,160 Breast Surgery-Non Plastic 582 Endoscopy 6,870 Misc. General Surgery 178 Oral Surgery 109 Opthalmology 144 Urology 348 Pain Injection Procedures 284 Head/Neck Procedures 115 Plastic Surgery 424 All Other Outpatient Surgery 587 GENERAL SURGERY: Norwalk Hospital takes pride in a Surgical Services Department that offers every advantage: Highly trained surgeons who are attentive to patient needs and experienced with the latest technology, including minimally invasive approaches. Many of our surgeons have advanced fellowship training in specialties such as oncology, colorectal and bariatric surgery. Norwalk Hospital's surgeons are continually recognized for their experience, excellent outcomes, and expertise in minimally invasive surgical techniques. Here are just some of the awards we've been privileged to receive: - Certification and Goal Seal of Distinction awarded for Excellence in Total Joint Replacement. (2012-2018) - MBSAQIP Accredited Bariatric Center At Norwalk Hospital our expert surgeons excel at using advanced technology to perform minimally invasive procedures, allowing patients to undergo surgery with less pain, shorter hospital stays, and quicker recovery periods. Surgeons use very small incisions, meaning less trauma to the body, less blood loss, smaller scars and a lower need for pain medication. Our surgeons have been recognized for excellence in laparoscopic techniques performed in many surgical specialties including weight loss, colorectal, and general surgical procedures. For robotic surgery, we use the latest, most advanced robotic technology available. We are committed to staying at the forefront of innovation, equipping our surgeons with sophisticated technology so they can offer innovative surgical procedures here in our community. Our surgical system gives surgeons better visualization and tools that improve dexterity. With more control they can operate with greater precision. Our doctors use this advanced technology to perform a wide range of procedures, including single-incision robotic surgery. Norwalk Hospital's team of board certified surgeons provide immediate, 24/7 care for acute and life-threatening injuries to children and adults. ORTHOPEDIC SURGERY: Our Center for Advanced Orthopedic and Spine Care has earned the "Center of Excellence" designation from the Joint Commission for providing comprehensive, multidisciplinary care, including hip, knee, shoulder, and ankle replacement. Our Norwalk Hospital orthopedic surgeons offer a wide array of joint replacement procedures. Our continuum of care includes: A care coordinator who provides education and guidance every step of the way, pre-op through your rehabilitation. Pre-admission testing in our dedicated unit, designed to meet the unique needs of joint replacement patients and families. Services include individualized patient education, nursing, and anesthesia assessments, and collaboration with you on planning a pain management program for your surgical recovery. Dedicated orthopedic operating rooms and clinical support staff. A comfortable orthopedic recovery unit with physician assistants, nursing and rehabilitation staff specially trained to care for total joint replacement patients. - Advanced, digital diagnostics imaging technology. - Acute in-hospital therapy services. - Outpatient physical and occupational therapy. - Access to home care services with Western Connecticut Home Care (formerly DVNA). DIGESTIVE DISEASE: Our expert general and digestive disease surgeons specialize in major and minor surgical procedures of the abdomen, digestive tract, endocrine system, breasts, skin and blood vessels. UROLOGIC SURGERY: Norwalk Hospital urologists are known nationally for innovation. Procedures performed include: Extracorporeal shock wave lithotripsy for kidney stones; Laparoscopic nephrectomy, Minimally invasive photo-vaporization of the prostate; Minimally invasive surgical treatment for female incontinence and Pyeloplasty. Norwalk Hospital's colon and rectal surgeons treat a variety of anorectal conditions using surgical intervention. BARIATRIC/WEIGHT LOSS SURGERY: At Norwalk Hospital our expert surgeons excel at using advanced technology to perform minimally invasive procedures, allowing patients to undergo surgery with less pain, shorter hospital stays, and quicker recovery periods. Surgeons use very small incisions, meaning less trauma to the body, less blood loss, smaller scars and a lower need for pain medication. Our surgeons have been recognized for excellence in laparoscopic techniques performed in many surgical specialties including weight loss, colorectal, and general surgical procedures. NEUROSURGERY: Board certified neurosurgeons diagnose and treat disorders that affect any portion of the nervous system, including the brain, spinal cord and its surrounding structures and the peripheral nerves. Conditions include Brain aneurysms, Cerebral aneurysms, Chronic subdural hematoma, coma, concussions, Degenerative disc disease, Disc herniation, epilepsy, Head trauma, Seizures, Spinal compression fractures, Spinal Cord injury, Spinal cord tumors, Stenosis, Stroke, and Torticollis. Accreditation to the Praxair Cancer Center, American College of Surgeons Commission on Cancer, 2015. All programs are administered consistent with the Norwalk Hospital's financial assistance policy.
FORM 990, PART III, LINE 4C - PROGRAM SERVICE ACCOMPLISHMENTSCARDIOVASCULAR SERVICES NORWALK HOSPITAL'S CARDIOVASCULAR SERVICE LINE CONSISTS OF THE FOLLOWING SERVICES: INPATIENT CASES: CARDIAC MEDICINE 1,130 CARDIAC PCI MEDICINE 74 CARDIAC VASCULAR SURGERY 109 ALL OTHER INPATIENT CARDIOVASCULAR SERVS. 167 OUTPATIENT SERVICE LINE CASE: CARDIAC DIAGNOSTIC CLINIC 2,102 CARDIAC REHABILITATION 833 ALL OTHER OUTPATIENT CARDIOVASCULAR SERVS. 2,290 NORWALK HOSPITAL OFFERS A PREMIER CARDIOVASCULAR PROGRAM TO MEET THE NEEDS OF PATIENTS WITH CARDIAC AND VASCULAR PROBLEMS. LED BY A SPECIALIST TEAM OF CARDIOLOGISTS, INTERVENTIONAL CARDIOLOGISTS AND VASCULAR SURGEONS, THIS PROGRAM HAS ACHIEVED WIDE ACCLAIM FOR PROVIDING LEADING-EDGE PREVENTION, DIAGNOSIS, TREATMENT AND REHABILITATION OF CARDIOVASCULAR DISEASE. AT NORWALK HOSPITAL, WE PROVIDE EXPERT, COLLABORATIVE, MULTIDISCIPLINARY CARE, INPATIENT AND OUTPATIENT, FOR THE FULL RANGE OF CARDIOVASCULAR CONDITIONS, INCLUDING THOSE THAT AFFECT THE HEART, HEART VALVES AND THE VASCULAR SYSTEM. WE OFFER THE FULL SPECTRUM OF ADVANCED TREATMENTS AND PROCEDURES FOR CARDIOVASCULAR DISEASE IN THE AREAS OF: -GENERAL CARDIOLOGY -CARDIAC SURGERY (IN COLLABORATION WITH DANBURY HOSPITAL) -VASCULAR SURGERY -INTERVENTIONAL CARDIOLOGY -ELECTROPHYSIOLOGY -STRUCTURAL HEART (IN COLLABORATION WITH DANBURY HOSPITAL) COMMON HEART & VASCULAR CONDITIONS WE TREAT: -ATRIAL FIBRILLATION (IRREGULAR HEARTBEAT) -CONGESTIVE HEART FAILURE -HEART ATTACK -CHEST PAIN -CORONARY ARTERY DISEASE -PERIPHERAL ARTERY DISEASE OUR EXPERT PHYSICIANS, ADVANCED PRACTICE PROVIDERS, NURSES AND SUPPORT STAFF ARE SERIOUS ABOUT THEIR ROLE IN SUPPORTING THE HEART HEALTH OF EVERYONE IN OUR COMMUNITY. WHETHER FOR SCREENING, DIAGNOSTIC TESTS OR TREATMENT FOR A HEART OR VALVE CONDITION, WE PROVIDE COMPASSIONATE CARE THAT IS PERSONALIZED TO YOUR NEEDS. DIAGNOSTICS AND TESTS WE OFFER INCLUDE: -ANGIOGRAM -CORONARY ANGIOGRAPHY -DIAGNOSTIC ELECTROPHYSIOLOGY STUDIES (EPS) -ECHOCARDIOGRAM -HOLTER MONITOR -STRESS TESTS HEART AND VASCULAR TREATMENTS AND PROCEDURES AMONG THE ADVANCED TREATMENTS AND PROCEDURES WE PROVIDE ARE: -ABDOMINAL AORTIC ANEURYSM (AAA) SURGERY -ANGIOPLASTY -AORTIC VALVE REPLACEMENT -CARDIOVERSION -CATHETER ABLATION -DEEP VEIN THROMBOSIS (DVT) THERAPY -HEART BYPASS SURGERY (IN COLLABORATION WITH DANBURY HOSPITAL) -HYBRID CONVERGENT PROCEDURE FOR ATRIAL FIBRILLATION (AFIB) -MITRAL VALVE REPAIR/REPLACEMENT (IN COLLABORATION WITH DANBURY HOSPITAL)-OPEN HEART SURGERY (IN COLLABORATION WITH DANBURY HOSPITAL) -PACEMAKER AND ICD PLACEMENT -STENT PLACEMENT -TAVR (IN COLLABORATION WITH DANBURY HOSPITAL) -THORACIC AORTIC ANEURYSM SURGERY, OPEN AWARDS & ACCREDITATIONS AT NORWALK HOSPITAL, OUR CARDIOVASCULAR PREVENTION, DIAGNOSIS, TREATMENT AND REHABILITATION STAFF AND PROGRAMS ARE HONORED TO HAVE EARNED THE FOLLOWING NATIONAL RECOGNITIONS AND AWARDS: GET WITH THE GUIDELINES - STROKE SILVER PLUS QUALITY ACHIEVEMENT AWARD (2018) CHEST PAIN CENTER WITH PRIMARY PCI ACCREDITTAION (2016-2019) RECERTIFICATION - PRIMARY STROKE CENTER (2017-2019) ALL PROGRAMS ARE ADMINISTERED CONSISTENT WITH NORWALK HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM
FORM 990, PART III, LINE 4D - OTHER PROGRAM SERVICES DESCRIPTIONOTHER PROGRAM SERVICES AT NORWALK HOSPITAL DURING FYE2018, APPROXIMATELY 13,000 DISCHARGES AND 50,000 EMERGENCY ROOM VISITS OCCURRED. EMERGENCY SERVICES: EMERGENCY SERVICES - NORWALK HOSPITAL PROVIDES A COMPREHENSIVE RANGE OF HIGH-QUALITY EMERGENCY MEDICAL SERVICES, FOR THE MOST CRITICALLY ILL AND INJURED PATIENTS, FROM PRE-HOSPITAL EMS/PARAMEDIC SERVICES TO AN EMERGENCY DEPARTMENT FEATURING A LEVEL II TRAUMA CENTER TO A NATIONALLY RECOGNIZED CRITICAL CARE UNIT. OUR EMERGENCY DEPARTMENT FEATURES MODERN LIFESAVING TECHNOLOGY AND IS STAFFED BY BOARD-CERTIFIED PHYSICIANS AND EXPERIENCED NURSES WITH ADVANCED SKILLS. FOR PATIENTS EXPERIENCING A STROKE, NORWALK HOSPITAL IS CERTIFIED AS A STROKE CENTER BY THE JOINT COMMISSION. ONCE IDENTIFIED AS A CANDIDATE BY EMS OR BY THE EMERGENCY PHYSICIAN, A CRITICAL PATHWAY ENSURES THE RAPID EVALUATION OF THE PATIENT FOR DEFINITIVE CARE TO MINIMIZE LONG-TERM CONSEQUENCES. WOMEN'S AND CHILDREN'S SERVICE OUR WOMEN'S AND CHILDREN'S SERVICES FEATURE A TOP NOTCH TEAM OF OBSTETRICIANS, GYNECOLOGIST, PEDIATRICIANS, CERTIFIED MIDWIVES, PEDIATRIC HOSPITALISTS, NEONATOLOGISTS, PEDIATRIC SPECIALISTS, PHYSICIAN ASSISTANTS AND NURSES. OUR OBSTETRICIANS AND CERTIFIED NURSE MIDWIVES DELIVER BABIES IN THE HOSPITAL'S MODERN, HOME-LIKE CHILD BIRTH CENTER. THE CENTER FEATURES IN-SUITE AMENITIES, INCLUDING PRIVATE ROOMS, MASSAGE THERAPY FOR INFANTS AND MOTHERS AND WIRELESS INTERNET ACCESS. IN ADDITION ADVANCES, MINIMALLY INVASIVE ROBOTIC SURGERY FOR SEVERAL GYNECOLOGIC PROCEDURES, INCLUDING HYSTERECTOMIES, FIBROID REMOVAL, VAGINAL PROLAPSE CORRECTION, TO STOP MENORRHAGIA AND TO TREAT CERTAIN FORMS OF CERVICAL AND UTERINE CANCERS, ARE AVAILABLE AT THE HOSPITAL. AT NORWALK HOSPITAL, WE UNDERSTAND THAT A CHILD IS LIFE'S MOST PRECIOUS GIFT. NO PARENT SHOULD FEEL THE NEED TO CHOOSE BETWEEN EXPERT MEDICAL CARE AND A WARM, SUPPORTIVE, COMMUNITY ENVIRONMENT. WE ARE COMMITTED TO PROVIDING EXCEPTIONAL CARE IN A TENDER, LOVING MANNER TO THE CHILDREN OF OUR COMMUNITY. FOR CHILDREN WHO NEED HOSPITAL CARE, OUR CHILD-FRIENDLY PEDIATRIC UNIT OFFERS A VARIETY OF SUPPORTS TO MAKE YOUR CHILD'S STAY AS COMFORTABLE AS POSSIBLE FOR BOTH OF YOU. AND MANY CHILDREN REQUIRE THE CARE OF A SPECIALIST AT ONE POINT OR ANOTHER; WE MAKE IT EASIER BY BRINGING EXCELLENT PEDIATRIC SPECIALTY SERVICES INTO ONE CONVENIENT LOCATION AT OUR CHILDREN'S HEALTH AND WELLNESS CENTER. THE CHILDREN'S HEALTH AND WELLNESS CENTER IS A CHILD-FRIENDLY, INTERACTIVE ENVIRONMENT FOR WELLNESS AND HEALING. WITH YOUR CONVENIENCE IN MIND, WE OFFER A VARIETY OF PEDIATRIC SPECIALTY SERVICES IN ONE LOCATION. AT NORWALK HOSPITAL WE ARE PROUD TO PROVIDE ADVANCED SUPPORT, STAFFED 24/7 BY EXPERIENCED NEONATOLOGISTS AND NICU NURSES. WITH ADVANCED DIAGNOSTIC IMAGING AND A FULL STAFF OF PEDIATRIC SPECIALISTS, WE'RE PREPARED TO "EXPECT THE UNEXPECTED". BEHAVORIAL AND MENTAL HEALTH: NORWALK HOSPITAL PROVIDES EXPERT, SUPPORTIVE INPATIENT PSYCHIATRIC SERVICES FOR ADULTS AND GERIATRIC PATIENTS WITH ACUTE PSYCHIATRIC ILLNESS OR CO-OCCURRING SUBSTANCE USE. THE INPATIENT UNIT OFFERS A VARIETY OF SERVICES AIMED TO STABILIZE ACUTE PSYCHIATRIC SYMPTOMS. OUR PSYCHIATRIC INPATIENT MULTIDISCIPLINARY TEAM INCLUDES PHYSICIAN-PSYCHIATRISTS, ADVANCED PRACTICE PSYCHIATRIC NURSES, SOCIAL WORKERS, ACTIVITY THERAPISTS, EXPERIENCED PSYCHIATRIC RNS AND SUPPORT STAFF. OUR CI CENTRAL INTAKE TEAM LOCATED IN THE EMERGENCY DEPARTMENT PROVIDES COMPREHENSIVE PSYCHIATRIC AND SAFETY ASSESSMENTS. LICENSED CLINICIANS IDENTIFY PATIENTS WHO MAY REQUIRE A BEHAVIORAL HEALTH ASSESSMENT AND PROVIDE REFERRALS TO THE APPROPRIATE LEVEL OF CARE. THIS MAY INCLUDE A PSYCHIATRIC ADMISSION OR REFERRAL FOR OUTPATIENT SERVICES. NORWALK HOSPITAL OUTPATIENT PSYCHIATRIC TREATMENT SERVICES ARE INTENDED FOR PATIENTS WITH EMOTIONAL DISTURBANCES, ACUTE PSYCHIATRIC SYMPTOMS, EXACERBATION OF PSYCHIATRIC DISORDERS, OR MANAGEMENT OF PROLONGED PSYCHIATRIC ILLNESS. SERVICES INCLUDE EVALUATION AND ASSESSMENT; MEDICATION MANAGEMENT; INDIVIDUAL AND GROUP THERAPY; INTENSIVE OUTPATIENT PROGRAMS; FAMILY THERAPY; AND CRISIS INTERVENTION FOR THE TREATMENT OF MENTAL HEALTH CONDITIONS AND CO-OCCURRING SUBSTANCE ABUSE. THE COMMUNITY SUPPORT PROGRAM PROVIDES INTEGRATED OUTPATIENT CASE MANAGEMENT FOR PERSONS WITH SEVERE AND PROLONGED MENTAL ILLNESS WITH AN EMPHASIS ON RECOVERY. ONGOING TREATMENT IS PROVIDED BY A MULTIDISCIPLINARY TEAM THAT FOCUSES ON OUTREACH, CASE MANAGEMENT, AND SKILL BUILDING TO HELP THE INDIVIDUAL DEVELOP AND OPTIMIZE INDEPENDENT FUNCTIONING TO MINIMIZE THE NEED FOR ACUTE CARE SERVICES. WE TREAT ADULTS WITH THE FOLLOWING CONDITIONS: -BIPOLAR DISORDER -DEPRESSION -ANXIETY DISORDERS -PSYCHOTIC DISORDERS -CO-OCCURRING DISORDERS (MENTAL ILLNESS AND ADDICTION) PATHOLOGY AND LABORATORY SERVICES: NORWALK HOSPITAL'S DEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE IS FOCUSED ON OPERATIONAL PROFICIENCY TO ASSURE THE ACCURACY AND QUALITY OF EVERY TEST. DIRECTED BY BOARD-CERTIFIED PATHOLOGISTS WHO ARE ASSISTED BY CERTIFIED MEDICAL LABORATORY SCIENTISTS AND SUPPORTED BY A LARGE TEAM OF LABORATORY PROFESSIONALS, OUR LAB IS CLIA CERTIFIED (CLINICAL LABORATORY IMPROVEMENT AMENDMENTS). THE STATE OF CONNECTICUT HAS LICENSED US AS HIGH COMPLEXITY, MEANING WE ARE QUALIFIED TO PERFORM NON-AUTOMATED TESTS THAT REQUIRE MULTIPLE STEPS AND A HIGH-LEVEL OF TRAINING AND CARE. WE ARE PROUD OF OUR CERTIFICATIONS AND ACCREDITATIONS AND WILLINGLY PARTICIPATE IN UNANNOUNCED INSPECTIONS, ROUTINELY RECEIVING THE HIGHEST RATINGS. IN FACT, AS PART OF OUR QUALITY ASSURANCE PROCESS, WE PARTICIPATE IN RANDOM PROFICIENCY TEST SURVEYS FROM VARIOUS OUTSIDE AGENCIES TO CONSISTENTLY MEASURE AND EVALUATE THE PERFORMANCE OF OUR TESTING STAFF. QUALIFICATIONS AND ACCREDITATIONS OUR LABORATORY IS ACCREDITED BY CLIA (LICENSE #07D0101574), CAP (LICENSE #11928-01) AND CT STATE (LICENSE #HP0228). NORWALK HOSPITAL PARTICIPATES IN RANDOM UNANNOUNCED INSPECTIONS BY THESE AGENCIES AND ALWAYS RECEIVES THE HIGHEST SCORES. THE LABORATORY ALSO PARTICIPATES IN PROFICIENCY SURVEYS, WHICH ENSURE QUALITY RESULTS ARE ACHIEVED BY ALL TECHNOLOGISTS. TEACHING: NORWALK HOSPITAL IS PART OF A PREMIER PATIENT-CENTERED SYSTEM OF CARE DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING OF OUR PATIENTS AND THE SURROUNDING COMMUNITIES OF WESTERN CONNECTICUT AND NEARBY NEW YORK STATE. AS A REGIONAL MEDICAL CENTER AND UNIVERSITY TEACHING HOSPITAL AFFILIATED WITH THE UNIVERSITY OF VERMONT COLLEGE OF MEDICINE AND YALE UNIVERSITY SCHOOL OF MEDICINE, NORWALK PROVIDES A DYNAMIC ENVIRONMENT FOR TEACHING AND RESEARCH FOR OUR GRADUATE MEDICAL EDUCATION TRAINING PROGRAMS. THE HOSPITAL RECEIVED ACCREDITATION WITH COMMENDATION FROM THE JOINT COMMISSION, AND IS APPROVED TO SPONSOR RESIDENCY/FELLOWSHIP PROGRAMS BY THE ACCREDITATION COUNCIL OF GRADUATE MEDICAL EDUCATION. NORWALK HOSPITAL SPONSORS RESIDENCY TRAINING IN INTERNAL MEDICINE AND RADIOLOGY, AND FELLOWSHIPS IN GI, PULMONARY AND SLEEP MEDICINE. RESIDENTS AND FELLOWS ARE EXPOSED TO A BROAD RANGE OF CLINICAL AND DIDACTIC EXPERIENCES THROUGHOUT THEIR TRAINING, AND HAVE MANY OPPORTUNITIES TO PRESENT AT LOCAL AND NATIONAL MEETINGS AS WELL AS PUBLISH ORIGINAL RESEARCH. A DISTINCTIVE COMPONENT OF OUR GRADUATE MEDICAL EDUCATION TRAINING PROGRAM IS OUR GLOBAL HEALTH TRACK. GLOBAL HEALTH OFFERS THE OPPORTUNITY FOR RESIDENTS TO PERFORM ROTATIONS IN THE DOMINICAN REPUBLIC, RUSSIA, UGANDA, VIETNAM AND ZIMBABWE. RESEARCH: STATE-OF-THE-ART COLLABORATIVE PRECISION MEDICINE PROGRAM IS UNDERWAY AT WCHN. THE PROGRAM LINKS GYNECOLOGIC/ONCOLOGY PATIENT CLINICAL CARE AND GENOMIC INFORMATION TO IMPROVED TREATMENT AND SURVEILLANCE. THIS IS THE FUTURE OF HEALTH CARE WHERE PATIENT CARE WOULD EVOLVE FROM A ONE-SIZE-FITS-ALL TO A MORE PERSONALIZED APPROACH TOWARDS DISEASE DIAGNOSIS AND TREATMENT. WE HOPE TO EXPAND THIS APPROACH TO THE DIAGNOSIS AND TREATMENT OF DISEASE IN OTHER THERAPEUTIC AREAS SUCH AS DIABETES AND CARDIOVASCULAR DISEASE. THE WCHN BIOMEDICAL RESEARCH INSTITUTE HAS ADDED A NEW RESEARCH GROUP, LABORATORY FOR TRANSLATIONAL RESEARCH, TO ITS CURRENT DEPARTMENTS. THIS RESEARCH GROUP IS BEING DIRECTED BY DR. JOHN MARTIGNETTI, MD, PHD, ASSOCIATE PROFESSOR AT THE ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI. DR. MARTIGNETTI HAS ESTABLISHED A BENCH TO BEDSIDE APPROACH TO A PERSONALIZED MEDICINE PROGRAM FOR OVARIAN CANCER AT MOUNT SINAI. THE PERSONALIZED APPROACH TO OVARIAN CANCER PATIENT CARE WOULD IMPROVE OUTCOMES AS IT WOULD LINK PATIENT CLINICAL CARE AND GENOMIC INFORMATION TO IMPROVE DETECTION, SURVEILLANCE, PROGNOSIS AND TREATMENT. WE HAVE PUT TOGETHER ALL THE NECESSARY COMPONENTS OF A BIOREPOSITORY THAT WILL BE PART OF A CORE PROGRAM TO SUPPORT RESEARCH PROGRAMS AIMED AT BIOMARKER DISCOVERY, VALIDATION AND DEVELOPMENT OF NOVEL THERAPEUTICS. THE BIOREPOSITORY WILL HOUSE FROZEN PATIENTS TISSUE, PATIENT DERIVED CELL LINES AND BLOOD/PLASMA FOR RESEARCH PURPOSES. ALL PROGRAMS ARE ADMINISTERED CONSISTENT WITH NORWALK HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
FORM 990, PART VI, LINE 2-BUSINESS OR FAMILY RELATIONSHIP OF OFFICERS,ETC.A BUSINESS RELATIONSHIP EXISTS BETWEEN RICHARD JABARA AND ERVIN SHAMES. A FAMILY RELATIONSHIP EXISTS BETWEEN MARK GUDIS AND MARY GRACE GUDIS. A BUSINESS RELATIONSHIP EXISTS BETWEEN MARK GUDIS AND OTHER BOARD MEMBERS.
FORM 990, PART VI, LINE 6 - EXPLANATION OF CLASSES OF MEMBERS/SHAREHOLDERSWestern Connecticut Health Network, Inc. is the sole member of The Norwalk Hospital Association.
FORM 990, PART VI, LINE 7A - HOW MEMBERS/SHAREHOLDERS ELECT GOVERNING BODYThe sole member shall be responsible for electing, at the annual meeting of the membership, the members of the Board of Directors of the Hospital to serve for three year terms and until their successors are elected and have qualified.
FORM 990, PART VI, LINE 7B - DECISIONS OF GOVERNING BODY APPROVALCERTAIN FUNDAMENTAL DECISIONS TO BE UNDERTAKEN BY THE HOSPITAL REQUIRE THE APPROVAL OF THE MEMBER. A)THE ACTIONS LISTED BELOW, TAKEN FOR THE HOSPITAL OR IN ITS CAPACITY VOTING AS A SHAREHOLDER OR MEMBER OF A SUBSIDIARY ("DANBURY SUBSIDIARY") SHALL NOT REQUIRE APPROVAL BY THE BOARD AND ARE RESERVED SOLELY TO THE MEMBER: -THE AMENDMENT OF THE HOSPITAL'S BYLAWS; -THE ELECTION OR REMOVAL OF A DIRECTOR; -APPROVAL OF INVESTMENT POLICIES; -APPROVAL OF THE ADOPTION OF OR AMENDMENT TO ANY QUALIFIED OR ANY NON-QUALIFIED BENEFIT PLAN; -APPROVAL OF THE ADOPTION OF OR ANY AMENDMENT TO THE POLICIES AND PROCEDURES GOVERNING A) INDEMNIFICATION OF DIRECTORS AND OFFICERS OF THE HOSPITAL OR ANY DANBURY SUBSIDIARY; B) CONFLICTS OR DUALITIES OF INTEREST; C) ACCOUNTING AND INVESTMENT STANDARDS AND PRACTICES AND D) SUCH OTHER POLICIES THE MEMBER MAY DETERMINE; -APPROVAL OF SYSTEM-WIDE QUALITY, PERFORMANCE AND CREDENTIALING STANDARDS AND PROCEDURES TO WHICH THE HOSPITAL OR ANY DANBURY SUBSIDIARY IS EXPECTED TO ADHERE; AND -APPROVAL OF REGULATORY COMPLIANCE AND METHODOLOGY FOR PHYSICIAN COMPENSATION ARRANGEMENTS. THE ACTIONS LISTED BELOW, TAKEN FOR THE HOSPITAL OR IN ITS CAPACITY VOTING AS A SHAREHOLDER OR MEMBER OF A DANBURY SUBSIDIARY, WHICH REQUIRE APPROVAL OF THE BOARD, MUST ALSO BE APPROVED BY THE MEMBER: -THE ELECTION AND REMOVAL OF A DIRECTOR OF A DANBURY SUBSIDIARY; -THE ELECTION OF THE OFFICERS OF THE HOSPITAL; -APPROVAL OF ALL OPERATING AND CAPITAL BUDGETS OF THE HOSPITAL AND DANBURY SUBSIDIARY; -APPROVAL OF ANY AMENDMENT OR RESTATEMENT OF THE HOSPITAL'S CERTIFICATE OF INCORPORATION, BYLAWS, OR OPERATING AGREEMENT OF ANY DANBURY SUBSIDIARY; -APPROVAL OF ANY SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL THE PROPERTY OR ASSETS OF THE HOSPITAL OR ANY DANBURY SUBSIDIARY; -APPROVAL OF THE CREATION OF ANY CORPORATION OF WHICH THE HOSPITAL OR A DANBURY SUBSIDIARY IS THE SOLE OR CONTROLLING MEMBER OR SOLE OR CONTROLLING SHAREHOLDER; THE MERGER OR CONSOLIDATION OF THE HOSPITAL OR ANY DANBURY SUBSIDIARY WITH ANOTHER CORPORATION;AND THE REORGANIZATION, LIQUIDATION OR DISSOLUTION OF THE HOSPITAL OR ANY DANBURY SUBSIDIARY; -APPROVAL OF ANY LOANS BY THE HOSPITAL OR ANY DANBURY SUBSIDIARY,OR THE INCURRING OF ANY INDEBTEDNESS, SECURED OR UNSECURED, WHICH EXCEEDS TWO MILLION DOLLARS ($2.0 MILLION) OR WHICH HAS A TERM LONGER THAN ONE YEAR; -APPROVAL OF UNBUDGETED EXPENDITURES IN EXCESS OF TWO MILLION DOLLARS ($2.0 MILLION) OR ANY INCREASE IN ANY APPROVED ANNUAL OPERATING OR CAPITAL BUDGET. -APPROVAL OF ANY AGREEMENT OR TRANSACTION OF THE HOSPITAL OR ANY DANBURY SUBSIDARY INVOLVING AN AMOUNT GREATER THAN TWO MILLION DOLLARS ($2.0 MILLION)WITH ANOTHER INDIVIDUAL OR ENTITY; -APPROVAL OF THE AFFILIATION OF THE HOSPITAL OR ANY DANBURY SUBSIDIARY WITH ANY OTHER ENTITY FOR THE PURPOSES OF THE JOINT CONDUCT OF BUSINESS; -CREATION OF ANY COMMITTEE WHICH SHALL HAVE THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OR ON BEHALF OF ANY DANBURY SUBSIDIARY; -APPROVAL OF ANY CONVEYANCE OF, OR THE GRANTING OF MORTGAGES OR TRUSTS ON ANY REAL PROPERTY ASSETS OF THE HOSPITAL OR OF ANY DANBURY SUBSIDIARY; -APPROVAL OF THE STRATEGIC PLAN OF THE HOSPITAL AND OF ANY DANBURY SUBSIDIARY; AND -APPROVAL OF ANY COMMENCEMENT, CESSATION, LOCATION, RELOCATION OR CONSOLIDATION OF SIGNIFICANT CLINICAL SERVICES PROVIDED BY THE HOSPITAL OR ANY DANBURY SUBSIDARY.
FORM 990, PART VI, LINE 11B - FORM 990 REVIEW PROCESSSteven Rosenberg, SVP/CFO of Western Connecticut Health Network, Inc., along with Finance and Accounting Management, will review the 990 prior to it being sent to the IRS. A preliminary 990, is presented to the Audit Committee in June, who reviews it on behalf of the Board. E&Y is on hand to review the 990 with the Audit Committee and answer any questions. Prior to the 990 being filed with the IRS, the Board will receive a full and accurate copy on a secured website for their review.
FORM 990, PART VI, LINE 12C - EXPLANATION OF MONITORING AND ENFORCEMENT OFCONFLICTS THE ORGANIZATION'S PROCESS FOR MONITORING AND ENFORCING CONFLICTS OF INTEREST THE WESTERN CONNECTICUT HEALTH NETWORK AND ITS AFFILIATES' (THE NETWORK) CONFLICT OF INTEREST POLICY PROVIDES THAT ANNUALLY, ITS REPRESENTATIVES SHALL SIGN A STATEMENT AFFIRMING THAT THEY DISCLOSED ALL POTENTIAL CONFLICTS, AS DOCUMENTED IN THE CONFLICT OF INTEREST POLICY. IN ADDITION, GENERAL COUNSEL IS PART OF THE ROUTINE CONTRACTS REVIEW PROCESS AND WATCHES FOR POTENTIAL CONFLICTS WITH ANY OF THE NETWORK'S REPRESENTATIVES. WHO IS COVERED BY THE POLICY THE NETWORK'S CONFLICT OF INTEREST POLICY COVERS EACH DIRECTOR, OFFICER, PHYSICIAN AND MANAGER OF THE NETWORK, ALSO REFERRED TO AS "REPRESENTATIVES". LEVEL AT WHICH DETERMINATIONS OF WHETHER THERE IS A CONFLICT IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE FACTS OF THE CONFLICT. THE COMPLIANCE OFFICER AND THE AUDIT COMMITTEE REVIEW AND EVALUATE EACH DISCLOSURE TO DETERMINE IF THERE IS A CONFLICT OF INTEREST. AFTER PRESENTATION OF A POTENTIAL TRANSACTION OR ARRANGEMENT IS MADE BY AN INTERESTED PERSON, THE REMAINING DISINTERESTED BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXIST. LEVEL THAT REVIEWS AND DETERMINES WHAT TO DO IF THERE IS A CONFLICT AFTER EXERCISING DUE DILIGENCE THE FULL BOARD WOULD DETERMINE WHAT ACTIONS SHOULD BE TAKEN FOR ALL CONFLICTS BY OFFICERS AND DIRECTORS. ANY CONFLICTS OCCURRING BY A MANAGER ARE REVIEWED BY THE COMPLIANCE COMMITTEE TO DETERMINE WHAT FURTHER ACTION SHOULD BE TAKEN. RESTRICTIONS ON THE CONFLICTED PERSON NO DIRECTOR HAVING A CONFLICT OF INTEREST ON ANY MATTER SHALL VOTE ON THAT MATTER OR BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING AT WHICH THE VOTE IS TAKEN, EVEN WHEN PERMITTED BY LAW. NO REPRESENTATIVE HAVING A CONFLICT OF INTEREST ON ANY MATTER SHALL USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER. IF THE BOARD OF DIRECTORS, IN ITS SOLE DISCRETION, DETERMINES THAT ANY REPRESENTATIVE HAS CONFLICTS OF INTEREST SUFFICIENT IN NUMBER AND/OR IMPORTANCE THAT THE EFFECTIVENESS OF SUCH INDIVIDUAL ON BEHALF OF THE NETWORK MAY BE SIGNIFICANTLY IMPAIRED, THE BOARD MAY ASK THE INDIVIDUAL TO RESIGN.
FORM 990, PART VI, LINE 15B-COMPENSATION REVIEW&APPROVAL PROCESS-OFFICERS&KEY EMPLOYEES COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES: IN ORDER TO ACHIEVE ITS MISSION AND ITS OVERALL PERFORMANCE OBJECTIVES, WESTERN CONNECTICUT HEALTH NETWORK, INC. EMPLOYS A PERFORMANCE-BASED TOTAL COMPENSATION PROGRAM FOR ITS SENIOR EXECUTIVES THAT IS MARKET COMPETITIVE, COMPLIANT WITH REGULATORY GUIDELINES, AND REPRESENTATIVE OF BEST PRACTICES. ELIGIBLE EXECUTIVES ARE GENERALLY DIRECT REPORTS OF THE CEO ALONG WITH OTHER EXECUTIVES DESIGNATED BY THE CEO. TO MEET WESTERN CONNECTICUT HEALTH NETWORK INC.'S TOTAL COMPENSATION OBJECTIVES FOR EXECUTIVES, THE FOLLOWING SURVEY SOURCES ARE USED FOR COMPARISON PURPOSES: -BLEND OF NATIONAL CONFIDENTIAL SOURCE, IHS, AND HAY GROUP POINTS, HEALTH CARE DATA (WHERE DATA AVAILABLE), PLUS 15% GEOGRAPHIC DIFFERENTIAL. TITLE MATCH DATA CUTS SELECTED BASED ON REVENUE SIZE. -FOR PHYSICIAN EXECUTIVES, SURVEYS COVERING PHYSICIAN COMPENSATION IN ACCREDITED MEDICAL SCHOOLS (AAMC) ARE USED IN COMBINATION WITH PROPRIETARY SURVEYS COMPILED BY NATIONALLY KNOWN CONSULTING FIRM, SULLIVAN COTTER AND THE MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA). WESTERN CONNECTICUT HEALTH NETWORK, INC. TARGETS CASH COMPENSATION AT MARKET COMPETITIVE LEVELS. BASE SALARY PLUS SHORT-TERM (ANNUAL) INCENTIVE AWARDS (TOTAL CASH) APPROXIMATES A RANGE BETWEEN THE 50TH AND 75TH PERCENTILES FOR TOTAL CASH COMPENSATION. EXECUTIVE PERFORMANCE IS EXPECTED TO MEET OR EXCEED PREDETERMINED OPERATIONAL AND FINANCIAL METRICS. OTHER FACTORS, SUCH AS COMPETITIVE MARKET FORCES, JOB PERFORMANCE, UNIQUE QUALIFICATIONS, AND/OR INDIVIDUAL JOB RESPONSIBILITIES ARE ALSO CONSIDERED IN WESTERN CONNECTICUT HEALTH NETWORK, INC'S EXECUTIVE COMPENSATION DECISIONS. ROLES OF THE COMPENSATION COMMITTEE AND KEY EXECUTIVES IN THE EXECUTIVE COMPENSATION PROCESS - THE COMPENSATION COMMITTEE IN CONSULTATION WITH THE CEO AND THE SVP HUMAN RESOURCES (HR) SELECTS THE OUTSIDE COMPENSATION CONSULTANTS. THE CURRENT CONSULTANT IS THE KORN FERRY GROUP, WHOSE PURPOSE IS TO PROVIDE A VALID INDEPENDENT ASSESSMENT OF THE RELEVANT MARKET RATES AND PAY PRACTICES FOR HEALTH CARE EXECUTIVES, PHYSICIAN EXECUTIVES AND FOR PHYSICIANS IN GENERAL. - THE COMPENSATION CONSULTING FIRM COMPILES APPROPRIATE MARKET DATA, JOB EVALUATION AND RANKING INFORMATION FOR ALL EXECUTIVES AND PHYSICIANS OF THE ORGANIZATION, EXCLUDING THE CEO, AND WILL SUPPLY THIS MATERIAL TO THE CEO AND SVP HR FOR REVIEW AND AGREEMENT. ONCE THE REPORT IS FINAL, IT WILL BE SUPPLIED TO THE COMPENSATION COMMITTEE FOR THEIR CONSIDERATION AND ACCEPTANCE. -THE COMPENSATION COMMITTEE DETERMINES THE CEO'S SALARY BASED ON OVERALL PERFORMANCE AND MARKET DATA SUPPLIED BY THE OUTSIDE COMPENSATION CONSULTANT. THE LAST EXECUTIVE COMPENSATION EVALUATION BY AN OUTSIDE CONSULTANT WAS DONE IN NOVEMBER, 2018.
FORM 990, PART VI, LINE 19-OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLEThe governing documents, conflict of interest policy and financial statements are available to the public upon request.
FORM 990, PART VII - COMPENSATION EXPLANATIONHeather Frimmer (To 01/23) Heather Frimmer was a Director until January 23, 2018. Howard Eison, MD (To 01/23) Howard Eison, MD was a Director until January 23, 2018. Paul Gagne, MD (To 11/28) Paul Gagne, MD was a Director until November 28, 2017. Mark Gudis (From 01/23) Mark Gudis was Vice Chairman until January 23, 2018, when he became the Chairman. David Komansky (To 11/28) David Komansky was a Director until November 28, 2017. Edward Mahony (From 01/23) Edward Mahony was Chairman until January 23, 2018, when he became a Director. Michael Daglio (To 09/25) Michael Daglio was President until September 25, 2018. Amy Schafrann (From 01/23) Amy Schafrann was a Director until January 23, 2018, when she became the Vice Chairman. Patricia S. Bam (From 01/23) Patricia Bam became a Director on January 23, 2018. Richard Jabara (To 11/28) Richard Jabara was a Director until November 28, 2017. Joseph Skrzypczak (To 11/28) Joseph D. Skrzypczak was a Director until November 28, 2017.
FORM 990, PART IX, LINE 11GOther Fees For Services (A) (B) (C) (D) Program Management Fund- TOTAL Services & General raising Healthcare Professionals 32,785,053. 29,155,748. 3,629,305. Purchase Services 35,745,339. 31,788,330. 3,957,009. Total $68,530,392. $60,944,078. $7,586,314. $ 0.
FORM 990, PART XI, LINE 9Other Changes In Net Assets Or Fund Balances Increase Ben Interest in NHF - Permanently Restr....$ 1,008,735. Increase Ben Interest in NHF - Temporarily Restr.....14,879,253. Increase Ben Interest NHF - Unrestricted................964,879. Increase in Ben Int Charitable Remainder Trust..........318,760. Net Asset Transfer NHA to WCHN......................-13,000,000. Net Unrestricted changes in Joint Venture.............2,454,000. Norwalk Surgery Center / Joint Venture Income....... -2,509,812. Pension Related Changes Other Than Net Period.......... -99,379. Transfer from Norwalk Hospital Foundation............ 2,460,192. Transfer to Captive for Workers Comp..................2,593,807. Total $ 9,070,435.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
NORWALK HOSPITAL FOUNDATION INC
24 STEVENS STREETNORWALKCT06850222577707FUNDRAISINGCT501(C)(3)7WCHNYes (true)
DANBURY HOSPITAL
24 HOSPITAL AVENUEDANBURYCT06810060646597ACUTE CARECT501(C)(3)3WCHNYes (true)
WESTERN CT HEALTH NETWORK INC
24 HOSPITAL AVENUEDANBURYCT06810222594977PRGM DEVELOPCT501(C)(3)12 Type 2NAfalse
WESTERN CT HEALTH NETWORK AFFILIATES
95 LOCUST AVENUEDANBURYCT06810222594968HLTH CARE SVCT501(C)(3)10WCHNYes (true)
DANBURY & NEW MILFORD HOSP FOUND
24 Hospital AvenueDanburyCT06810237425557ADMIN CONTIBCT501(C)(3)7WCHNYes (true)
WESTERN CONNECTICUT HOME CARE INC
4 Liberty StreetDanburyCT06810060655138HOME HLTHCARECT501(C)(3)10WCHNYes (true)
WESTERN CT MEDICAL GROUP INC
14 Research Drive Suite 201ABethelCT06801061137531PHYSCN PRCTCCT510(C)(3)10WCHNYes (true)
EASTERN NY MEDICAL SERVICES PC
14 Research Drive Suite 201ABethelCT06801455431389PHYSCN PRCTCENY501(C)(3)10WCHNYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
NORWALK SURGERY
40 CROSS STREETNORWALKCT06850272394942SURGERY CENTERCTNHARELATED$2,509,812$5,133,375false$0false0.66340
NEW MILFORD MRI
21 ELM STREETNEW MILFORDCT06776271877801INACTIVECTNAN/A$0$0false$0false
WCHN INVESTMENTS
24 HOSPITAL AVEDANBURYCT06810475523212INVESTMENTSCTWCHNEXCLUDED SEC 512-514$19,895,842$116,998,566false$288false0.32010

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
SWC CORPORATION
24 STEVENS STREETNORWALKCT06850222577718PHARMACYCTNAC CORP$0$0Yes (true)
WESTERN CT HEALTH NETWORK INS
980438151MALPRACTICENAC CORP$0$0Yes (true)23 LIME TREE BAY PO BOX 105GRAND CAYMANCJCJ
ADVANCED CENTER FOR REHAB MED
24 Stevens StreetNorwalkCT06850061304799INACTIVECTNHAC CORP$0$0Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (21 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
NORWALK HOSPITAL FOUNDATION INC
C$3,971,142COST
NORWALK HOSPITAL FOUNDATION INC
P$523,465COST
NORWALK HOSPITAL FOUNDATION INC
S$1,695,270COST
DANBURY HOSPITAL
O$5,093,549COST
DANBURY HOSPITAL
P$26,582,296COST
DANBURY HOSPITAL
Q$689,416COST
DANBURY HOSPITAL
R$46,772,270COST
DANBURY HOSPITAL
S$6,919,100COST
DANBURY & NEW MILFORD HOSP FOUND
Q$52,086COST
DANBURY & NEW MILFORD HOSP FOUND
S$82,314COST
WESTERN CONNECTICUT HOME CARE INC
S$204,044COST
WESTERN CT MEDICAL GROUP INC
J$971,969COST
WESTERN CT MEDICAL GROUP INC
L$25,773,682COST
WESTERN CT MEDICAL GROUP INC
O$171,225COST
WESTERN CT MEDICAL GROUP INC
P$488,530COST
WESTERN CT MEDICAL GROUP INC
Q$78,158COST
WESTERN CT MEDICAL GROUP INC
R$27,816,103COST
SWC CORPORATION
O$217,398COST
SWC CORPORATION
P$854,416COST
SWC CORPORATION
Q$136,739COST
SWC CORPORATION
R$1,095,509COST

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART III - PARTNERSHIP FULL NAME, ADDRESS, FEINFormAndLineReferenceDesc
ExplanationNorwalk Surgery Center, LLC 27-2394942 40 Cross Street Norwalk, CT 06850 New Milford MRI JV, LLC 27-1877801 21 Elm Street New Milford, CT 06776 WCHN Investments, LLC 47-5523212 24 Hospital Ave. Danbury, CT 06810 06810ExplanationTxt