2019-08-15T07:54:32-05:00 2018-09-30 ERNST & YOUNG US LLP 200 CLARENDON STREET BOSTON MA 021165072 990 2017-10-01 066068853 THE NORWALK HOSPITAL ASSOCIATION % KAREN DARCY NORW 2038522000 24 STEVENS STREET NORWALK CT 06850 STEVEN H ROSENBERG SVP & CFO 2037397000 2019-08-12 true Mike A Cincotta P01595811 6172662000 73.22.221.70 02007720192275000000 2019-08-15 P 83FD52A0E4C3D4A6B6829DC2CA728D5E30EB1E19 3FF1AC1480234E0C474791DF6EEB8C285F624DEC 2017 2019-02-21 02:37:17Z MICHAEL DAGLIO 24 STEVENS STREET NORWALK CT 06850 418377455 false X NORWALKHOSPITAL.ORG X 1893 CT THE MISSION OF NORWALK HOSPITAL IS TO IMPROVE THE HEALTH OF EVERY PERSON WE SERVE THROUGH THE EFFICIENT DELIVERY OF EXCELLENT, INNOVATIVE AND COMPASSIONATE CARE. 16 15 1915 400 1618474 -714336 2642020 2828183 377513241 393961984 14500238 16801495 1082314 382197 395737813 413973859 0 0 0 0 169678487 168881294 0 0 0 212135304 221826142 381813791 390707436 13924022 23266423 638413652 653817365 181831890 171807241 456581762 482010124 X THE MISSION OF NORWALK HOSPITAL IS TO IMPROVE THE HEALTH OF EVERY PERSON WE SERVE THROUGH THE EFFICIENT DELIVERY OF EXCELLENT, INNOVATIVE AND COMPASSIONATE CARE. false false 129994395 125091153 SEE SCHEDULE O 71056552 71782877 SEE SCHEDULE O 28314635 26039459 SEE SCHEDULE O 127161011 171048495 356526593 true true false true false false false false false false true true true true true false false true false false false false false false false false true true false false true true false false false false false false false false true false false false false false false true true true false false true 264 0 true 1915 true true true false false false false false false false false false X 16 15 true false false false true true true true true false false true true true true true true false true true false X KAREN DARCY 2037394593 14 RESEARCH DRIVE SUITE 201A BETHEL CT 06801 X KAREN GOTTLIEB DIRECTOR 1.0 0.0 X 0 0 0 HEATHER FRIMMER TO 0123 DIRECTOR 1.0 0.0 X 0 0 0 THOMAS AYOUB MD DIRECTOR 1.0 0.0 X 85004 0 0 GEORGE BAUER DIRECTOR 1.0 2.0 X 0 0 0 LATANYA LANGLEY DIRECTOR 1.0 0.0 X 0 0 0 CRAIG GLOVER DIRECTOR 1.0 0.0 X 0 0 0 JENNY Y LEE DIRECTOR 1.0 0.0 X 0 0 0 HOWARD EISON MD TO 123 DIRECTOR 1.0 0.0 X 0 0 0 PAUL GAGNE MD TO 1128 DIRECTOR 1.0 1.0 X 0 0 0 MARK GUDIS FROM 123 CHAIRMAN 3.0 1.0 X X 0 0 0 DAVID KOMANSKY TO 1128 DIRECTOR 1.0 0.0 X 0 0 0 DAVID LEHN ESQ DIRECTOR 1.0 1.0 X 0 0 0 DANIELLE ROBINSON PHD DIRECTOR 1.0 0.0 X 0 0 0 EDWARD MAHONY FROM 123 DIRECTOR 1.0 5.0 X 0 0 0 MICHAEL DAGLIO TO 925 PRESIDENT NHA 40.0 9.0 X X 0 708902 48518 ROBERT CIOFFI DIRECTOR 1.0 2.0 X 0 0 0 CURTIS STEWART DIRECTOR 1.0 0.0 X 0 0 0 AMY SCHAFRANN FROM 0123 VICE CHAIRMAN 3.0 2.0 X X 0 0 0 ERVIN R SHAMES DIRECTOR 1.0 1.0 X 0 0 0 ANDREW WHITTINGHAM SECRETARY 3.0 3.0 X X 0 0 0 RICHARD JABARA TO 1128 DIRECTOR 1.0 2.0 X 0 0 0 JOSEPH SKRZYPCZAK TO 1128 DIRECTOR 1.0 3.0 X 0 0 0 PATRICIA S BAM FROM 0123 DIRECTOR 1.0 1.0 X 0 0 0 STEVEN H ROSENBERG TREASURER 3.0 56.0 X 0 800722 48529 CAROLYN MCKENNA SVP & GEN COUNSEL WCHN 3.0 43.0 X 0 526673 20675 SHARON ADAMS COO & CHIEF NURSING OFFICER 3.0 44.0 X 0 592002 19704 CHRISTOPHER MICHOS ER PHYSICIAN 40.0 0.0 X 450778 0 36571 BRIAN MCGOVERN ER PHYSICIAN 40.0 0.0 X 570635 0 36221 BENJAMIN GREENBLATT CHAIRMAN, ER MED. 40.0 0.0 X 570927 0 23485 RICHARD TEITELL ER PHYSICIAN 40.0 0.0 X 531379 0 21298 VIRGINIA COLLIER ER PHYSICIAN 40.0 0.0 X 497153 0 37859 PATRICK MINICUS VP OF FINANCE 20.0 20.0 X 0 560301 0 2705876 3188600 292860 275 true true false MORRISON MANAGEMENT SPECIALISTS INC PO BOX 102289 ATLANTA GA 30342 FOOD SERVICE 4897702 NORWALK RADIOLOGY CONSULTANTS PC 148 EAST AVENUE NORWALK CT 06850 PHYSICIANS-RADIOLOGY 1677320 US SECURITY ASSOCIATES 200 MANSELL COURT ROSWELL GA 30076 SECURITY SERVICES 1475644 SHIFTWISE AUTOMATED STAFF MANAGEMEN 2735 COLLECTION CENTER DRIVE CHICAGO IL 60693 TEMP HELP AGENCY 5315385 DANBURY HOSPITAL LABORATORY 24 HOSPITAL AVENUE DANBURY CT 06810 LABORATORY SERVICES 1797158 42 1305619 1522564 2828183 NET PATIENT SERVICE REV 621400 385382258 385382258 NORWALK SURGERY CENTER JV 900099 2509812 2509812 LAB SERVICES REVENUE 621500 1618186 1618186 OTHER MEDICAL SERVICES 900099 1320234 1320234 OTHER UNIVERSITY INCOME 900099 953113 953113 2178381 2178381 393961984 16610888 288 16610600 0 0 3586839 3471079 115760 0 115760 115760 1123000 932393 190607 190607 190607 0 0 0 0 0 0 34687 124 34563 34563 OTHER INC ALLOC FROM WCHN 900099 115484 115484 PARKING 900099 94857 94857 CAFETERIA/ VENDING 900099 21533 21533 231874 413973859 392343798 1618474 17183404 X 0 0 0 0 1563284 1390228 173056 0 141396918 125744279 15652639 291658 259371 32287 17679751 15722603 1957148 7949683 7069653 880030 0 4174 4174 242875 242875 108669 96639 12030 0 156663 156663 68530392 60944078 7586314 1255379 1116409 138970 2415719 2148299 267420 11328651 10074569 1254082 0 9540013 8483934 1056079 483990 430412 53578 0 44094 39213 4881 2518258 2518258 0 24436836 21731678 2705158 917197 61969 855228 MEDICAL SUPPLIES 56915645 56915645 STATE OF CT HOSPITAL TAX 32555135 32555135 EQUIPMENT RENT AND MAINT. 8562897 7614984 947913 PROFESSIONAL MEMBERSHIP 1809555 1609237 200318 390707436 356526593 34180843 0 17238252 34237227 15353696 15418485 0 0 40531520 42855044 0 0 0 0 42542 30122 2911024 4796943 1067900 1163767 630266020 369181855 269057524 261084165 0 0 136489771 116999536 114799754 131652615 0 0 40921669 45579461 638413652 653817365 44712922 42737046 0 5121 0 0 103362621 97047561 0 0 0 0 0 0 0 0 33756347 32017513 181831890 171807241 X 400816430 410038050 44796607 59994614 10968725 11977460 456581762 482010124 638413652 653817365 X 23266423 -6908496 9070435 X false true X true true true X true true false true 15 false true 49764 true 58378 false true 512 108669 false PART II B - DESCRIPTION OF LOBBYING ACTIVITY DUES 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. 0 27510000 27510000 0 330534078 145131871 185402207 0 11655861 7014506 4641355 0 259604326 217035478 42568848 0 961755 0 961755 261084165 INT IN INV HELD BY WCHNI 116999536 F 116999536 BEN INT IN NORWALK HOSPITAL FD 131652615 F 131652615 457 PLAN ASSET 1026449 CERNER PROJECT ALLOCATION 20151062 CONSTRUCT FUND/ COST ISSUANCE 207203 DUE FROM RELATED PARTIES 3130374 ERP PROJECT ALLOCATION 6024641 INTEREST IN CRT 8891053 INTEREST RATE SWAP 2961187 IT INTEGRATION PROJECT COSTS 754770 OTHER RECEIVABLES 2362287 PREPAID ERP/KRONOS 70435 REEF ROAD JOINT VENTURE 0 45579461 0 457 PLAN LIABILITY 1026449 ASSET RETIREMENT OBLIGATION 9375161 DUE TO THIRD PARTIES 18548424 LONG TERM DISABILITY RESERVE 1163444 MALPRACTICE RESERVE 1904035 32017513 true true X true X 300. true X true true false false 19417862 13103865 6313997 0.01620 76177233 52126899 24050334 0.06160 95595095 65230764 30364331 0.07780 12 1354108 286384 286384 0.00070 3 295 10719324 5857637 4861687 0.01240 1 6670 6437076 3782644 2654432 0.00680 1 1279019 254430 1024589 0.00260 17 1361073 18721803 9894711 8827092 0.02250 17 1361073 114316898 75125475 39191423 0.10030 1 615 4253 4253 1 2420 1430758 523024 907734 0.00230 53033 53033 0.00010 1 90 127 127 3 3125 1488171 523024 965147 0.00240 true 6819833 402370 112683886 152877454 -40193568 X true true NORWALK SURGERY CTR AMBULATORY SURGERY CENTER 0.6634 0.3366 1 1 NORWALK HOSPITAL 24 STEVENS STREET NORWALK CT 06850 NORWALKHOSPITAL.ORG LICENSE #0053 X X X X NORWALK HOSPITAL 1 false false true X X X X X X X X X X 16 true false true true X SEE PART VI FOR URL X SEE PART VI FOR URL X X true 17 true SEE PART VI FOR URL false false true X 300. 400. X X X X true true X X X true X SEE PART VI FOR URL X SEE PART VI FOR URL X SEE PART VI FOR URL X X X X X X true X false X X X X true X false false PART V, LINE 3J - DESCRIPTION OF OTHER NEEDS ASSESSMENT FACILITY: 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 COMMUNITY FACILITY: 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 HOSPITAL FACILITY: NORWALK HOSPITAL NORWALK HEALTH DEPARTMENT PART V, LINE 7D - DESCRIPTION OF MAKING NEEDS ASSESSMENT WIDELY AVAILABLE FACILITY: 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 WHY FACILITY: 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 PATIENT FACILITY: 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. 12 NORWALK HOSP RADIOLOGY & MAMMOGRAPHY CTR 148 EAST AVENUE SUITE 1R NORWALK CT 06851 RADIOLOGY AND MAMMOGRAPHY CENTER NORWALK SURGERY CENTER LLC 40 CROSS STREET NORWALK CT 06851 AMBULATORY SURGERY CENTER NORWALK HOSPITAL OUTPATIENT REHAB SVCS 520 WEST AVENUE NORWALK CT 06850 OUTPATIENT REHABILITATION FACILITY NORWALK HOSPITAL SLEEP DISORDER CENTER 520 WEST AVENUE NORWALK CT 06850 SLEEP DISORDER SERVICES CROSS STREET RADIOLOGY 40 CROSS STREET NORWALK CT 06850 RADIOLOGY SERVICES NORWALK HOSPITAL WESTPORT RADIOLOGY 728 POST ROAD EAST WESTPORT CT 06880 RADIOLOGY SERVICES OCCUPATIONAL HLTH & REHAB SRVCS 45 GROVE ST NEW CANAAN CT 06840 OUTPATIENT REHABILITATION SERVICES WESTPORT BLOOD COLLECTION CENTER 728 POST ROAD EAST WESTPORT CT 06880 BLOOD COLLECTION NORWALK BLOOD COLLECTION CENTER 40 CROSS STREET NORWALK CT 06851 BLOOD COLLECTION NEW CANAAN BLOOD COLLECTION CENTER 25-30 EAST AVENUE NEW CAANAN CT 06840 BLOOD COLLECTION NORWALK HOSPITAL NEW CANAAN RADIOLOGY 28-30 EAST AVENUE NEW CANAAN CT 06840 RADIOLOGY SERVICES NORWALK BLOOD COLLECTION CENTER 148 EAST AVENUE NORWALK CT 06851 BLOOD COLLECTION 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 REPORT LINES 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 EXPENSE BAD 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 FOR COMMUNITY 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 EXPENSE PATIENT 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 BENEFIT ALL 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 QUALIFIED PATIENTS 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 ASSESSMENT THROUGH 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 ASSISTANCE THE 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 INFORMATION NORWALK 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 ACTIVITIES PART 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 HEALTH IN 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 SYSTEM WESTERN 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 REPORT CT ADDITIONAL INFORMATION PART 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. X X true true false true false false false true true false false STEVEN H ROSENBERG TREASURER 0 571541 0 205000 0 24181 0 13250 0 35279 0 849251 0 0 MICHAEL DAGLIO TO 925 PRESIDENT NHA 0 506087 0 200000 0 2815 0 15900 0 32618 0 757420 0 0 PATRICK MINICUS VP OF FINANCE 0 27162 0 137355 0 395784 0 0 0 0 0 560301 0 0 CHRISTOPHER MICHOS ER PHYSICIAN 443762 0 0 0 7016 0 0 0 36571 0 487349 0 0 0 BRIAN MCGOVERN ER PHYSICIAN 568758 0 0 0 1877 0 13250 0 22971 0 606856 0 0 0 BENJAMIN GREENBLATT CHAIRMAN, ER MED. 434937 0 135000 0 990 0 13250 0 10235 0 594412 0 0 0 CAROLYN MCKENNA SVP & GEN COUNSEL WCHN 0 383384 0 140000 0 3289 0 13250 0 7425 0 547348 0 0 SHARON ADAMS COO & CHIEF NURSING OFFICER 0 417021 0 150000 0 24981 0 13250 0 6454 0 611706 0 0 RICHARD TEITELL ER PHYSICIAN 530986 0 0 0 393 0 13250 0 8048 0 552677 0 0 0 VIRGINIA COLLIER ER PHYSICIAN 491313 0 0 0 5840 0 3337 0 34522 0 535012 0 0 0 PART I, LINE 1A - RELEVANT INFORMATION REGARDING COMPENSATION BENEFITS REPORTED 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 ORGANIZATION SUMMARY 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 INFORMATION THE 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 A ST of CT Hlth & Educ Fac 060806186 2010-12-09 46840000 See Part VI false false false B St of CT Hlth & Educ Fac 060806186 2012-12-07 82000000 See Part VI false false false A 23865000 0 46844821 0 1010853 0 829268 0 463600 44541100 0 0 2013 false false true true B 8545000 0 82014610 0 0 0 639886 0 0 81374724 0 0 2017 false false false true A false true false false false 0.01570 0.00580 0.02150 false false false true B false false false true false 0 false false false true A false false false true false false 0 false 0 false true B false true false true true true PEOPLES UNITED BK 12. false false false 0 false true A true B true Additional Information PART 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. JILLENE MAHONY SEE PART V 19522 COMPENSATION false SCHEDULE L, PART IV JILLENE 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. JOINT VENTURE POLICY FORM 990, PART VI, SECTION B, LINE 16B WHILE 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 VII Thomas 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 ACCOMPLISHMENTS MEDICINE 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 ACCOMPLISHMENTS SURGERY 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 ACCOMPLISHMENTS CARDIOVASCULAR 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 DESCRIPTION OTHER 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/SHAREHOLDERS Western Connecticut Health Network, Inc. is the sole member of The Norwalk Hospital Association. FORM 990, PART VI, LINE 7A - HOW MEMBERS/SHAREHOLDERS ELECT GOVERNING BODY The 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 APPROVAL CERTAIN 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 PROCESS Steven 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 OF CONFLICTS 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 AVAILABLE The governing documents, conflict of interest policy and financial statements are available to the public upon request. FORM 990, PART VII - COMPENSATION EXPLANATION Heather 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 11G Other 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 9 Other 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. NORWALK HOSPITAL FOUNDATION INC 24 STEVENS STREET NORWALK CT 06850 222577707 FUNDRAISING CT 501(C)(3) 7 WCHN true DANBURY HOSPITAL 24 HOSPITAL AVENUE DANBURY CT 06810 060646597 ACUTE CARE CT 501(C)(3) 3 WCHN true WESTERN CT HEALTH NETWORK INC 24 HOSPITAL AVENUE DANBURY CT 06810 222594977 PRGM DEVELOP CT 501(C)(3) 12 Type 2 NA false WESTERN CT HEALTH NETWORK AFFILIATES 95 LOCUST AVENUE DANBURY CT 06810 222594968 HLTH CARE SV CT 501(C)(3) 10 WCHN true DANBURY & NEW MILFORD HOSP FOUND 24 Hospital Avenue Danbury CT 06810 237425557 ADMIN CONTIB CT 501(C)(3) 7 WCHN true WESTERN CONNECTICUT HOME CARE INC 4 Liberty Street Danbury CT 06810 060655138 HOME HLTHCARE CT 501(C)(3) 10 WCHN true WESTERN CT MEDICAL GROUP INC 14 Research Drive Suite 201A Bethel CT 06801 061137531 PHYSCN PRCTC CT 510(C)(3) 10 WCHN true EASTERN NY MEDICAL SERVICES PC 14 Research Drive Suite 201A Bethel CT 06801 455431389 PHYSCN PRCTCE NY 501(C)(3) 10 WCHN true NORWALK SURGERY 40 CROSS STREET NORWALK CT 06850 272394942 SURGERY CENTER CT NHA RELATED 2509812 5133375 false 0 false 0.66340 NEW MILFORD MRI 21 ELM STREET NEW MILFORD CT 06776 271877801 INACTIVE CT NA N/A 0 0 false 0 false WCHN INVESTMENTS 24 HOSPITAL AVE DANBURY CT 06810 475523212 INVESTMENTS CT WCHN EXCLUDED SEC 512-514 19895842 116998566 false 288 false 0.32010 SWC CORPORATION 24 STEVENS STREET NORWALK CT 06850 222577718 PHARMACY CT NA C CORP 0 0 true WESTERN CT HEALTH NETWORK INS 23 LIME TREE BAY PO BOX 105 GRAND CAYMAN CJ 980438151 MALPRACTICE CJ NA C CORP 0 0 true ADVANCED CENTER FOR REHAB MED 24 Stevens Street Norwalk CT 06850 061304799 INACTIVE CT NHA C CORP 0 0 true false false true false false false false false false true false true false false true true true true true NORWALK HOSPITAL FOUNDATION INC C 3971142 COST NORWALK HOSPITAL FOUNDATION INC P 523465 COST NORWALK HOSPITAL FOUNDATION INC S 1695270 COST DANBURY HOSPITAL O 5093549 COST DANBURY HOSPITAL P 26582296 COST DANBURY HOSPITAL Q 689416 COST DANBURY HOSPITAL R 46772270 COST DANBURY HOSPITAL S 6919100 COST DANBURY & NEW MILFORD HOSP FOUND Q 52086 COST DANBURY & NEW MILFORD HOSP FOUND S 82314 COST WESTERN CONNECTICUT HOME CARE INC S 204044 COST WESTERN CT MEDICAL GROUP INC J 971969 COST WESTERN CT MEDICAL GROUP INC L 25773682 COST WESTERN CT MEDICAL GROUP INC O 171225 COST WESTERN CT MEDICAL GROUP INC P 488530 COST WESTERN CT MEDICAL GROUP INC Q 78158 COST WESTERN CT MEDICAL GROUP INC R 27816103 COST SWC CORPORATION O 217398 COST SWC CORPORATION P 854416 COST SWC CORPORATION Q 136739 COST SWC CORPORATION R 1095509 COST PART III - PARTNERSHIP FULL NAME, ADDRESS, FEIN Norwalk 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 06810