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NORWALK HOSPITAL ASSOCIATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
NORWALK HOSPITAL ASSOCIATION (EIN 06-6068853)
Tax period
2016-10-01 to 2017-09-30
Filed
2018-08-10
IRS object ID
201822229349300317
Schema version
2016v3.1
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)
Return2018-08-10T08:43:44-05:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt

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 Begin2016-10-01TaxPeriodBeginDt

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 & CFO WCHNPersonTitleTxt
Phone2037397000PhoneNum
Signature2018-08-06SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMike A CincottaPreparerPersonNm
PTINP01595811PTIN
Phone6172662000PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

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$399,066,854GrossReceiptsAmt
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 Body20VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee1978TotalEmployeeCnt
Total Volunteers380TotalVolunteersCnt
Total Gross UBI$2,287,479TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$1,651,055NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,700,928PYContributionsGrantsAmt
CY Contributions Grants$2,642,020CYContributionsGrantsAmt
PY Program Service Revenue$380,818,071PYProgramServiceRevenueAmt
CY Program Service Revenue$377,513,241CYProgramServiceRevenueAmt
PY Investment Income$4,804,006PYInvestmentIncomeAmt
CY Investment Income$14,500,238CYInvestmentIncomeAmt
PY Other Revenue$2,548,700PYOtherRevenueAmt
CY Other Revenue$1,082,314CYOtherRevenueAmt
PY Total Revenue$390,871,705PYTotalRevenueAmt
CY Total Revenue$395,737,813CYTotalRevenueAmt
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$177,639,277PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$169,678,487CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$201,570,725PYOtherExpensesAmt
CY Other Expenses$212,135,304CYOtherExpensesAmt
PY Total Expenses$379,210,002PYTotalExpensesAmt
CY Total Expenses$381,813,791CYTotalExpensesAmt
PY Revenues Less Expenses$11,661,703PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$13,924,022CYRevenuesLessExpensesAmt
Total Assets BOY$638,508,505TotalAssetsBOYAmt
Total Assets EOY$638,413,652TotalAssetsEOYAmt
Total Liabilities BOY$221,238,468TotalLiabilitiesBOYAmt
Total Liabilities EOY$181,831,890TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$417,270,037NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$456,581,762NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$140,203,516ExpenseAmt
Revenue$127,957,059RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$94,346,206ExpenseAmt
Revenue$87,590,856RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$57,399,678ExpenseAmt
Revenue$107,685,471RevenueAmt
DescSEE SCHEDULE ODesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$36,563,481TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$58,410,855TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$328,512,881TotalProgramServiceExpensesAmt
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 Document231IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1978EmployeeCnt
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 Members20GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
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 (36 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
FRED AFRAGOLA end 1231
SECRETARY0.00.0Yes (X)$0$0$0
VICTOR LISS end 1231
TRUSTEE0.00.0Yes (X)$0$0$0
BARBARA BUTLER end 1231
TRUSTEE0.00.0Yes (X)$0$0$0
KATHLEEN LAVORGNA end 1031
TRUSTEE0.00.0Yes (X)$0$0$0
GARY REINER end 1231
TRUSTEE0.00.0Yes (X)$0$0$0
KAREN GOTTLIEB
TRUSTEE1.00.0Yes (X)$0$0$0
HEATHER FRIMMER eff 101
TRUSTEE1.00.0Yes (X)$0$0$0
THOMAS AYOUB MD
TRUSTEE18.00.0Yes (X)$85,004$0$0
GEORGE BAUER
TRUSTEE1.02.0Yes (X)$0$0$0
LATANYA LANGLEY eff 101
TRUSTEE1.00.0Yes (X)$0$0$0
CRAIG GLOVER eff 101
TRUSTEE1.00.0Yes (X)$0$0$0
JENNY Y LEE
TRUSTEE1.00.0Yes (X)$0$0$0
HOWARD EISON MD
TRUSTEE1.00.0Yes (X)$0$0$0
PAUL GAGNE MD
TRUSTEE1.01.0Yes (X)$0$0$0
MARK GUDIS
VICE CHAIRMAN3.01.0Yes (X)$0$0$0Yes (X)
DAVID KOMANSKY
TRUSTEE1.00.0Yes (X)$0$0$0
DAVID LEHN ESQ
TRUSTEE1.01.0Yes (X)$0$0$0
DANIEL ROBINSON eff 101
TRUSTEE1.00.0Yes (X)$0$0$0
EDWARD MAHONY
CHAIRMAN3.02.0Yes (X)$0$0$0Yes (X)
MICHAEL DAGLIO
PRESIDENT NH40.010.0Yes (X)$0$650,373$47,792Yes (X)
ROBERT CIOFFI eff 101
TRUSTEE1.03.0Yes (X)$0$0$0
CURTIS STEWART eff 101
TRUSTEE1.00.0Yes (X)$0$0$0
AMY SCHAFRANN
TRUSTEE1.01.0Yes (X)$0$0$0
ERVIN SHAMES
TRUSTEE1.01.0Yes (X)$0$0$0
ANDREW WHITTINGHAM
SECRETARY3.03.0Yes (X)$0$0$0Yes (X)
RICHARD JABARA
TRUSTEE1.03.0Yes (X)$0$0$0
JOSEPH D SKRZYPCZAK
TRUSTEE1.03.0Yes (X)$0$0$0
STEVEN ROSENBERG
SVP & CFO WCHN3.052.0$0$796,768$46,903Yes (X)
JAMES HAYNES end 519
VP OPERATIONS40.00.0$416,963$0$2,471Yes (X)
JAMES VARRONE end 1006
VP SUPPLY CHAIN4.036.0$259,694$0$6,245Yes (X)
PATRICK MINICUS end 1110
VP OF FINANCE20.020.0$0$686,712$43,089Yes (X)
ROBERT CAPODANNO
ER PHYSICIAN40.00.0$467,572$0$2,651Yes (X)
JASON FISCHEL
ER PHYSICIAN40.00.0$447,247$0$3,973Yes (X)
CHRISTOPHER MICHOS
ER PHYSICIAN40.00.0$424,010$0$5,437Yes (X)
BRIAN MCGOVERN
ER PHYSICIAN40.00.0$587,784$0$5,694Yes (X)
BENJAMIN GREENBLATT
CHAIRMAN, EMERGENCY40.00.0$552,748$0$4,500Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,241,022TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,133,853TotReportableCompRltdOrgAmt
Total Other Compensation$168,755TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K301IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
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$3,741,272
NORWALK RADIOLOGY CONSULTANTS PC
148 EAST AVENUENORWALKCT06850PHYSICIANS-RADIOLOGY$1,713,687
US SECURITY ASSOCIATES
200 MANSELL COURTROSWELLGA30076SECURITY SERVICES$1,672,542
SHIFTWISE AUTOMATED STAFF MANAGEMEN
2735 COLLECTION CENTER DRIVECHICAGOIL60693TEMP HELP AGENCY$1,685,391
DANBURY HOSPITAL LABORATORY
24 HOSPITAL AVENUEDANBURYCT06810LABORATORY SERVICES$1,265,083
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K47CntrctRcvdGreaterThan100KCnt
Related Organizations$1,051,347RelatedOrganizationsAmt
Government Grants$1,590,673GovernmentGrantsAmt
Total Contributions$2,642,020TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REV621400$366,750,426$366,750,426
NORWALK SURGERY CENTER JV900099$3,406,484$3,406,484
LAB SERVICES REVENUE621500$2,282,402$2,282,402
OTHER UNIVERSITY INCOME900099$1,402,002$1,402,002
OTHER MEDICAL SERVICES900099$1,326,095$1,326,095

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,345,832TotalRevenueColumnAmt
Related Or Exempt Func Income$2,345,832RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$377,513,241TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,369,238TotalRevenueColumnAmt
Unrelated Business Revenue$5,077UnrelatedBusinessRevenueAmt
Exclusion$10,364,161ExclusionAmt

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$3,450,586RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$3,248,757RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$201,829RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$201,829TotalRevenueColumnAmt
Exclusion$201,829ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$4,131,000OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$4,131,000OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,131,000TotalRevenueColumnAmt
Exclusion$4,131,000ExclusionAmt
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$205,176GrossSalesOfInventoryAmt
Cost Of Goods Sold$80,284CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$124,892TotalRevenueColumnAmt
Exclusion$124,892ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA/VENDING900099$620,223$620,223
PARKING900099$135,370$135,370
FieldValueIRS element (for citing)
Other Revenue Total$755,593OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$395,737,813TotalRevenueColumnAmt
Related Or Exempt Func Income$375,230,839RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,287,479UnrelatedBusinessRevenueAmt
Exclusion$15,577,475ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$142,936TotalAmt
Program Services$0ProgramServicesAmt
Management And General$142,936ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$134,092,567TotalAmt
Program Services$114,158,402ProgramServicesAmt
Management And General$19,934,165ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,868,790TotalAmt
Program Services$2,506,418ProgramServicesAmt
Management And General$362,372ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$24,064,807TotalAmt
Program Services$21,067,261ProgramServicesAmt
Management And General$2,997,546ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,509,387TotalAmt
Program Services$7,434,522ProgramServicesAmt
Management And General$1,074,865ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$260,215TotalAmt
Program Services$0ProgramServicesAmt
Management And General$260,215ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,379TotalAmt
Program Services$0ProgramServicesAmt
Management And General$2,379ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$116,430TotalAmt
Program Services$0ProgramServicesAmt
Management And General$116,430ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$76,003,859TotalAmt
Program Services$61,322,992ProgramServicesAmt
Management And General$14,680,867ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$15,751TotalAmt
Program Services$14,861ProgramServicesAmt
Management And General$890ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,078,607TotalAmt
Program Services$1,370,249ProgramServicesAmt
Management And General$708,358ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,043,290TotalAmt
Program Services$1,875,106ProgramServicesAmt
Management And General$168,184ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$17,545,786TotalAmt
Program Services$12,771,922ProgramServicesAmt
Management And General$4,773,864ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$544,591TotalAmt
Program Services$515,822ProgramServicesAmt
Management And General$28,769ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$26,650TotalAmt
Program Services$26,400ProgramServicesAmt
Management And General$250ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,724,244TotalAmt
Program Services$2,724,244ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$25,067,030TotalAmt
Program Services$17,221,005ProgramServicesAmt
Management And General$7,846,025ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,532,580TotalAmt
Program Services$1,503,701ProgramServicesAmt
Management And General$28,879ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES$22,332,687$22,332,687
PHARMACY$30,765,134$30,765,134
HOSPITAL TAX$23,847,006$23,847,006
RADIOLOGY & LAB SUPPLIES$4,569,638$4,569,638

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,659,427TotalAmt
Program Services$2,485,511ProgramServicesAmt
Management And General$173,916ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$381,813,791TotalAmt
Program Services$328,512,881ProgramServicesAmt
Management And General$53,300,910ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$14,672,648BOYAmt
EOY$17,238,252EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$15,836,057BOYAmt
EOY$15,353,696EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$46,916,152BOYAmt
EOY$40,531,520EOYAmt

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$53,027BOYAmt
EOY$42,542EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,163,878BOYAmt
EOY$2,911,024EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$731,340BOYAmt
EOY$1,067,900EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$614,587,950LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$345,530,426LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$271,976,965BOYAmt
EOY$269,057,524EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$143,647,499BOYAmt
EOY$136,489,771EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$100,837,121BOYAmt
EOY$114,799,754EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$40,673,818BOYAmt
EOY$40,921,669EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$638,508,505BOYAmt
EOY$638,413,652EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$47,704,607BOYAmt
EOY$44,712,922EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$103,521,514BOYAmt
EOY$103,362,621EOYAmt

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$70,012,347BOYAmt
EOY$33,756,347EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$221,238,468BOYAmt
EOY$181,831,890EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$370,196,285BOYAmt
EOY$400,816,430EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$37,484,265BOYAmt
EOY$44,796,607EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,589,487BOYAmt
EOY$10,968,725EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$417,270,037BOYAmt
EOY$456,581,762EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$638,508,505BOYAmt
EOY$638,413,652EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$13,924,022ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$7,631,069NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$17,756,634OtherChangesInNetAssetsAmt
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

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

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$28MailingsMembersAmt
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$40,909GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$75,383DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$110OtherActivitiesAmt
Total Lobbying Expenditures$116,430TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C PART II B - DESCRIPTION OF LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationFederal, state and local officials were lobbied during 2017. As part of this miscellaneous office expense such as phone, computer supplies, freight, refreshment etc. were incurred and were reflected on line #1i accordingly. Dues were paid to CHA in the amount of $415,975, of which 7.32% of this amount or $30,444 were expended on lobbying. AHA dues of $48,047 had 21.78% or $10,465 expended on lobbying activities. Both amounts are reflected on 1f. Fiscal year 2017 was a historic 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)
Other Cost Or Other Basis$26,000,000OtherCostOrOtherBasisAmt
Book Value$26,000,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$219,227,561OtherCostOrOtherBasisAmt
Depreciation$133,034,980DepreciationAmt
Book Value$86,192,581BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,407,677OtherCostOrOtherBasisAmt
Depreciation$6,110,608DepreciationAmt
Book Value$5,297,069BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$249,491,372OtherCostOrOtherBasisAmt
Depreciation$204,621,160DepreciationAmt
Book Value$44,870,212BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$108,461,340OtherCostOrOtherBasisAmt
Depreciation$1,763,678DepreciationAmt
Book Value$106,697,662BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$269,057,524TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescINT IN INV HELD BY WCHNIDesc
Book Value$136,489,771BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$136,489,771TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescBEN INT IN NORWALK HOSP. FDNDesc
Book Value$114,799,754BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$114,799,754TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (10 entries)

DescDescBook ValueBookValueAmt
457 PLAN ASSET$931,249
CONSTRUCT FUND/COST ISSUANCE$225,474
DUE FROM AFFILIATES$4,316,506
INTEREST IN CRT$8,572,293
OTHER RECEIVABLES$2,887,683
CERNER PROJECT ALLOCATION$15,647,286
ERP PROJECT ALLOCATION$5,057,471
IT INTEGRATION PROJECT COSTS$1,103,532
REEF ROAD JOINT VENTURE$1,510,000
INTEREST RATE SWAP$670,175
FieldValueIRS element (for citing)
Total Book Value Other Assets$40,921,669TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
457 PLAN LIABILITY$931,249
ASSET RETIREMENT OBLIGATION$9,194,564
DUE TO AFFILIATES$10,903,083
DUE TO THIRD PARTIES$6,750,858
LONG TERM DISABILITY RESERVE$1,473,436
MALPRACTICE RESERVE$1,842,067
WORKERS COMP RESERVE$2,661,090
FieldValueIRS element (for citing)
Total Liability$33,756,347TotalLiabilityAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
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 ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,797,772TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,861,776DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,935,996NetCommunityBenefitExpnsAmt
Total Expense0.02080TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$72,386,783TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$39,735,806DirectOffsettingRevenueAmt
Net Community Benefit Expns$32,650,976NetCommunityBenefitExpnsAmt
Total Expense0.08550TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$85,184,555TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$44,597,582DirectOffsettingRevenueAmt
Net Community Benefit Expns$40,586,972NetCommunityBenefitExpnsAmt
Total Expense0.10630TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs10ActivitiesOrProgramsCnt
Persons Served1315200PersonsServedCnt
Total Community Benefit Expns$273,762TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10DirectOffsettingRevenueAmt
Net Community Benefit Expns$273,752NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served601PersonsServedCnt
Total Community Benefit Expns$12,029,290TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,251,248DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,778,042NetCommunityBenefitExpnsAmt
Total Expense0.01510TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served6606PersonsServedCnt
Total Community Benefit Expns$1,175,383TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$743,599DirectOffsettingRevenueAmt
Net Community Benefit Expns$431,784NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$653,579TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$335,483DirectOffsettingRevenueAmt
Net Community Benefit Expns$318,096NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs12ActivitiesOrProgramsCnt
Persons Served1322407PersonsServedCnt
Total Community Benefit Expns$14,132,014TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,330,340DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,801,674NetCommunityBenefitExpnsAmt
Total Expense0.01770TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs12ActivitiesOrProgramsCnt
Persons Served1322407PersonsServedCnt
Total Community Benefit Expns$99,316,569TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$51,927,922DirectOffsettingRevenueAmt
Net Community Benefit Expns$47,388,646NetCommunityBenefitExpnsAmt
Total Expense0.12400TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served100PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served2371PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Persons Served0PersonsServedCnt
Total Community Benefit Expns$1,403,420TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$536,238DirectOffsettingRevenueAmt
Net Community Benefit Expns$867,182NetCommunityBenefitExpnsAmt
Total Expense0.00230TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served2471PersonsServedCnt
Total Community Benefit Expns$1,403,420TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$536,238DirectOffsettingRevenueAmt
Net Community Benefit Expns$867,182NetCommunityBenefitExpnsAmt
Total Expense0.00230TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$4,443,170BadDebtExpenseAmt
Bad Debt Expense Attributable$1,984,320BadDebtExpenseAttributableAmt
Reimbursed By Medicare$108,701,524ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$137,455,719CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$28,754,195MedicareSurplusOrShortfallAmt

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 URLWWW.NORWALKHOSPITAL.ORGOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSEE PART VIOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt17ImplementationStrategyAdptYr
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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
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FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART VIFAPSummaryOnWebsiteURLTxt
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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
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Permit No ActionsYes (X)PermitNoActionsInd
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Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
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Supplemental Information SupplementalInformationGrp (7 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 Yes, 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 Yes, 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 Healths 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 10A - URL IMPLEMENTATION STRATEGYMost recently adopted implementation strategy to meet the significant community health needs can be found at: https://www.norwalkhospital.org/about-us/about-us Titled "2016 Community Health Improvement Plan"
PART V, LINE 11 - EXPLANATION OF NEEDS NOT ADDRESSED AND REASONS WHYFacility: Norwalk Hospital To the best of the organizations 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. They created 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 patients unpaid medical debt would need to be greater than the patients 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 HOSPITAL OUTPATIENT REHAB SVCS
520 WEST AVENUENORWALKCT06850OUTPATIENT REHABILITATION FACILITY
NORWALK HOSPITAL SLEEP DISORDER CENTER
520 WEST AVENUENORWALKCT06850SLEEP DISORDER SERVICES
NORWALK HOSP RADIOLOGY & MAMMOGRAPHY CTR
148 EAST AVENUE SUITE 1RNORWALKCT06851RADIOLOGY AND MAMMOGRAPHY CENTER
NORWALK HOSPITAL NEW CANAAN RADIOLOGY
28-30 EAST AVENUENEW CANAANCT06840RADIOLOGY SERVICES
NORWALK HOSPITAL WESTPORT RADIOLOGY
728 POST ROAD EASTWESTPORTCT06880RADIOLOGY SERVICES
NEW CANAAN BLOOD COLLECTION CENTER
25-30 EAST AVENUENEW CANAANCT06840BLOOD COLLECTION
WESTPORT BLOOD COLLECTION CENTER
728 POST ROAD EASTWESTPORTCT06880BLOOD COLLECTION
NORWALK BLOOD COLLECTION CENTER
40 CROSS STREETNORWALKCT06851BLOOD COLLECTION
NORWALK BLOOD COLLECTION CENTER
148 EAST AVENUENORWALKCT06851BLOOD COLLECTION
NORWALK SURGERY CENTER LLC
40 CROSS STREETNORWALKCT06851AMBULATORY SURGERY CENTER
CROSS STREET RADIOLOGY
40 CROSS STREETNORWALKCT06851RADIOLOGY SERVICES
OCCUPATIONAL HLTH & REHAB SRVCS
45 GROVE STREETNEW CAANANCT06840OUTPATIENT REHAB SERVICES

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 56.81% discount for patients with income between 351% and 400% of the FPG. The FPG income limit for free care changed from 200% in the prior year to 300% in 2017. 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 Schedule H 990 form annually. It contains the organizations 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 44.66%. We applied this % to our bad debt expense of $4,486,938 to arrive at our estimate of bad debt expense attributable to patients eligible under Norwalk Hospital's financial assistance policy of $2,003,867.
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 Hospitals 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 Hospitals collection efforts. The Hospitals 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 charges are recorded. 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 25% 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 - NEEDS ASSESSMENTThrough Western CT Health Networks 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 Networks long range and annual strategic plans. The Western Connecticut Health Network Community Health Committee meets quarterly to discuss the CHIPs progress across the network. Similarly, the Norwalk Hospital Community Health Committee also meets to discuss the CHIPs progress in the Greater Norwalk Area. 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 - 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 - 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, and the Secondary Service Area includes Fairfield, Darien, Redding, Ridgefield (in Fairfield County, CT) and South Salem (in Westchester County, NY). 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 $76,987, and a poverty rate of 8.4%. The overall uninsured population rate for the state is estimated to be 3.8 %. 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 2.36%, while the age 20-44 cohorts rate is 0.06% over the same time period.
PART VI - COMMUNITY BUILDING ACTIVITIESRelated to Part II Line 6, Coalition Building, totaling $15,394 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 childrens 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 programs 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, Norwalks 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 Mayors 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 Hospitals Greater Norwalk CCT consists of approximately 20 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 30, 2017, 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 32% 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 Medicares 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 - EXPLANATION OF HOW ORGANIZATION FURTHERS ITS EXEMPT PURPOSEIn 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 FY17, Norwalk Hospital served over 1.3 million persons through over 731 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 1.28 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 - AFFILIATED HEALTH CARE SYSTEM ROLES AND PROMOTIONWestern Connecticut Health Network (WCHN) is an integrated health care delivery system comprised of three community hospitals and their affiliated entities. In addition to Danbury Hospital, its New Milford Hospital campus, and Norwalk Hospital, the continuum of care includes a large medical group, home health care services, a nationally renowned biomedical research institute, the WCHN Foundation and Norwalk Hospital Foundation, and other related affiliates. WCHNs mission is to improve the health of every person we serve through the efficient delivery of excellent, innovative and compassionate care. For FY2017, WCHN provided approximately $42,128,170 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 FY2017, charity care was provided in the following amounts: Norwalk Hospital, approximately $19,680,596 , Danbury Hospital and its New Milford Hospital Campus, approximately $18,658,481. Western Connecticut Medical Group: 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 FY2017, WCMG provided $3,739,857 in charity care. Western Connecticut Health Network Foundation Inc.'s mission is to raise funds, reinvest and administer these funds and make distributions to Danbury Hospital and other not-for-profit health care affiliates. Norwalk Hospital Foundation'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 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. 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 FY2017, WCHC provided $49,236 in charity care. Eastern New York Medical Services (ENYMS) was formed in April, 2013. The mission at ENYMS is to provide safe, innovative, convenient and coordinated primary and gastro health care in the communities we serve and strive to be aware of and respond to our patients needs.
PART VI - STATES WHERE COMMUNITY BENEFIT REPORT FILEDCT
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 : 869 served. Provided through bereavement groups and cancer education at fairs and talks. Senior Outreach: 139 served through senior-oriented fairs, lectures, and screening. Family/Parenting Ed.: 239 served through lectures and the Read with Me Program at the Stamford Town Center. Health Fairs: 2,235 served through the day-long KidsFest, plus fairs held at various community organizations. Heart Disease: 2,115 served through Hands for Life events and talks. Lectures: 1.3 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: 4,246 served through lectures, Healing Cuisine, Kids Healthy Weight Classes, and the Americares clinics. Support Groups: 127 served through the Bariatric and Breast Cancer Support groups. AA Meetings: 6,606 served through English and in Spanish meetings. Blood drives: 226 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 II Line 6, Coalition Building 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 childrens 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 programs 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, Norwalks 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 Mayors 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 Hospitals Greater Norwalk CCT consists of approximately 20 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 30, 2017, 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 32% 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 Medicares 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 II Line 3, Community Support and Line 7, Community Health Improvement Advocacy totaling $38,026: Community support was provided through donations to New Beginnings Church, the Thanksgiving Food Drive for the Food Bank, and Norwalk Hospitals 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 FY2017 is $36,822, which includes indirect and direct staffing costs. For FY2017, Norwalk Hospital provided $1,350,000 in support for Norwalk Community Health Center. 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 Healths 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 Section B Lines 16b and 16c - FAP is made available on the following links http://www.norwalkhospital.org/patient-and-visitors-info/billing/billin

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
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 ROSENBERG
SVP & CFO WCHN$0$567,570$0$205,000$0$24,198$0$13,250$0$33,653$0$843,671$0$0
MICHAEL DAGLIO
PRESIDENT NH$0$472,541$0$175,000$0$2,832$0$15,900$0$31,892$0$698,165$0$0
JAMES HAYNES end 519
VP OPERATIONS$118,144$0$39,097$0$259,722$0$0$0$2,471$0$419,434$0$0$0
JAMES VARRONE end 1006
VP SUPPLY CHAIN$132,484$0$0$0$127,210$0$0$0$6,245$0$265,939$0$0$0
PATRICK MINICUS end 1110
VP OF FINANCE$0$401,340$0$284,737$0$635$0$13,250$0$29,839$0$729,801$0$0
ROBERT CAPODANNO
ER PHYSICIAN$281,143$0$185,447$0$982$0$0$0$2,651$0$470,223$0$0$0
JASON FISCHEL
ER PHYSICIAN$288,452$0$158,411$0$384$0$0$0$3,973$0$451,220$0$0$0
CHRISTOPHER MICHOS
ER PHYSICIAN$265,608$0$158,402$0$0$0$0$0$5,437$0$429,447$0$0$0
BRIAN MCGOVERN
ER PHYSICIAN$283,711$0$303,091$0$982$0$0$0$5,694$0$593,478$0$0$0
BENJAMIN GREENBLATT
CHAIRMAN, EMERGENCY$416,758$0$135,000$0$990$0$0$0$4,500$0$557,248$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4 - RECEIVED SEVERANCE, SUPPLEMENTAL NQ RETIREMENT,EQUITY-BASED COMPENSATION During the fiscal year ending September 30, 2017, James Varrone received $114,621 in severance payments, an amount equivalent to 75% of his annual compensation, which was paid within 60 days of his termination date of October 06, 2016. Supplemental Executive Retirement Plans: 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. SERP Plan #2 During the fiscal year ending September 30, 2017, no payments were made to Steven H. Rosenberg, CFO of WCHN, 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, 2017, no payments were made to Michael Daglio, Chief Operating Officer, participant of SERP #3.
PART I, LINE 6 - COMPENSATION CONTINGENT ON NET EARNINGS OF RELATED ORGSSummary 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$20,030,000$0$46,844,821$0$1,010,853$0$829,268$0$463,600$44,541,100$0$02013falsefalseYes (true)Yes (true)
B$6,200,000$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)falsefalsefalse0.015700.004300.02000falsefalsefalseYes (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
AfalseYes (true)falseYes (true)falsefalsefalse0falseYes (true)
Peoples United Bank
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 - Private Business Use - A CHEFA Series G, H and I - Private business use is based on physician reserved spaces in financed parking garage. These reserved spaces are used by both employees and attending physicians visiting Hospital patients to further the Hospital's mission. Part III - Private Business Use - B CHEFA Series J - No private business use in fiscal 2016 - the portion of the pavilion complete and occupied does not include any Private Business Use. A portion of the cancer center which will be located in the new pavilion will be dedicated to cancer research once the pavilion is complete and operational. The funding of the pavilion will include $30,000,000 of philanthropy and approximately $2,300,000 of working capital. These amounts will be allocated to the portion of the pavilion that will be used by outside entities. 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 4b - Name of Provider - CHEFA Series J - People's United Bank Arbitrage rebate calculation for Norwalk Hospital Issue, Series G, H,& I was completed in December 2017. Part V - Procedures to Undertake Corrective Action 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.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonJILLENE MAHONYPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionSEE PART VRelationshipDescriptionTxt
Transaction$43,655TransactionAmt
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, Norwalk Hospital Chairman of the Board. She has been employed as a nurse at the hospital since February 2016.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 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 1 - ORGANIZATION 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. Vision 2020: Western Connecticut Health Network (WCHN), of which Norwalk Hospital is a member, will be the preferred partner in health and provider of care for the communities we serve and will be among the most respected community healthcare systems in the Nation. Values: Our values reflect who we are as an organization. They provide clear guidance as to behavior expectations and motivate us by promoting a sense of belonging and pride. We are all accountable for living up to and demonstrating these values in our day-to-day actions: * Excellence - We deliver the highest quality care and service and surpass established standards through a continuous focus on improvement, innovation and education. * Integrity - We approach our work with the highest standards of openness, honesty and ethical behavior, with freedom from any inappropriate influence or motive. * Compassion - We serve others with empathy and a desire to alleviate their suffering while honoring each individual's dignity and privacy. * Teamwork - We work together in a cooperative, coordinated and supportive environment that places the team's or organization's goals ahead of individual goals. * Fiscal Responsibility - We achieve our mission through efficient and effective use of our resources and personal accountability for ensuring financial integrity and performance.
FORM 990, PART III, LINE 4A - PROGRAM SERVICE ACCOMPLISHMENTSMedicine Service Line: Norwalk Hospital's Medicine Service Line consists of the following services: Inpatient Discharges: Chem/ETOH Med 321 Endo/Metab Med 323 Gastro Med 1,140 Infectious Disease 1,005 Internal Medicine 551 Neurology Medical 355 Pulmonary Medicine 921 Renal/Uro Med 450 All Other 764 Outpatient Service Line Volume: O/P Medicine 5,548 O/P Medicine Community Clinic 7,364 O/P Medical Oncology 5,860 O/P Pulmonary Medicine 5,504 Our Digestive Disease Center is staffed by renowned fellowship-trained gastroenterologists. We use advanced diagnostic and treatment technology in a compassionate and supportive manner. The following services are provided: Ablation therapy for Barrett's esophagus, Radiofrequency ablation, Colon cancer screening, Colonoscopy, Third Eye Retroscopic, Cryotherapy, Double balloon-assisted enteroscopy, Endoscopy, Endoscopic mucosal resection, Endoscopic ultrasound and fine-needle aspiration, Esophagel manometry and pH testing, Lactose tolerance testing, LINX Reflux Management System for treatment of GERD, Wireless capsule endoscopy and Laparoscopic fundoplication for GERD. 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 provide individualized treatment for each patient. We offer expertise in treatment of neurological disorders, including stroke, epilepsy, headache, Parkinson's disease, Alzheimer's disease and vertigo. One of the nation's first hospitals to earn primary stroke center accreditation from the Joint Commission, 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. 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. All programs are administered consistent with Norwalk Hospital's financial assistance policy.
FORM 990, PART III, LINE 4B - PROGRAM SERVICE ACCOMPLISHMENTSSurgery Service Line: Norwalk Hospital's Surgery Service Line consists of the following services: Inpatient Discharges: Colon/Bowel Surgery 182 Major Joint Replacement 531 Trauma Surgery 379 Minor GI Surgery 190 General Surgery 198 Urology Surgery 88 Obesity Surgery 140 Spinal Surgery 148 All Other Inpatient Surgery 324 Outpatient Service Line Volume: Abdomen GI Surgery 1,322 Breast Surgery-Non Plastic 355 Endoscopy 7,033 Misc General Surgery 206 Ortho Surgery 368 Urology 311 Pain Injection Procedures 654 Otolary Head Neck Surgery 117 Plastic Surgery 281 All Other Outpatient Surgery 1,030 Norwalk Hospital offers a Joint Replacement Center, one of our Centers of Excellence. We offer comprehensive, multidisciplinary, personalized joint replacement care including Total Hip Replacement, Total Knee Replacement and Total Shoulder Replacement. As a Level II Trauma Center, Norwalk Hospital's team of board certified surgeons provide immediate, 24/7 care for acute and life-threatening injuries to children and adults. 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. 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. Known for excellence and expertise, our colon and rectal surgeons perform more robotic colorectal surgeries than any other hospital in Fairfield County. Certified by the American Board of Colon and Rectal Surgeons, our colorectal surgeons provide advanced, innovative, personalized care for a wide range of conditions. Our surgeons are experts in the surgical management of Colon and rectal cancer; Crohn's disease; Diverticulitis, and Ulcerative colitis. The Surgical Weight Loss Center is Nationally Accredited. We offer several types of bariatric surgery including: Laparoscopic adjustable gastric banding; Single incision gastric banding; Laparoscopic gastric sleeve, Laparoscopic gastric bypass, Revisional bariatric surgery and Robotic bariatric surgery. Board-certified neurosurgeons diagnose and treat disorders that affect any portion of the nervous system, including the brain, spinal cord and peripheral nerves. Conditions include Brain aneurysms, Cerebral aneurysms, Chronic subdural hematoma, coma, concussions, Degenerative disc disease, Disc herniation, epilepsy, Head trauma, Scoliosis, Seizures, Spinal compression fractures, Spinal cord injury, Spinal cord tumors, Stenosis, Stroke, and Torticollis. All programs are administered consistent with Norwalk Hospital's financial assistance policy.
FORM 990, PART III, LINE 4C - PROGRAM SERVICE ACCOMPLISHMENTSOther Program Services include: Cardiovascular Services - 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. One of Norwalk Hospital's signature clinical services, our cardiovascular program offers outstanding inpatient and outpatient care for those suffering a heart attack or from heart disease, congestive heart failure, angina, atherosclerosis, and vascular conditions, including aortic aneurysms, carotid artery stenosis, deep vein thrombosis and peripheral artery disease. Additionally, The Hospital has on staff several interventional cardiologists who perform diagnostic cardiac catherizations and emergency cardiac angioplasty among other invasive procedures. Our Cardiac Rehabilitation Program helps cardiac patients live life to the fullest and is accredited by the American Association of Cardiovascular and Pulmonary Rehabilitation for providing the highest standard of care. Cardiovascular Services had 1,405 inpatient discharges; 4,468 outpatient volume for the fiscal year ended 9/30/2017. Psychiatry - Norwalk Hospital provides inpatient psychiatric services for adult and geriatric patients. The 20 bed unit provides individualized care for patients with acute psychiatric illness, complex medical-psychiatric illness or a need for dual-diagnosis detoxification. Norwalk Hospital also provides an intensive outpatient program, offering both individual treatment and group therapy. Psychiatry had inpatient discharges of 628 and 319 outpatient volume for the fiscal year ended 9/30/2017. Radiology - Norwalk Hospital offers a variety of Radiology Services including, CT, PET/CT, CT Lung Screening, Virtual Colonography, MRI and Open MRI, Ultrasound, Bone Density Measurement/Osteoporosis Screening, General X-ray, Digital Mammography, Digital Breast Tomosynthesis, Breast MRI and Ultrasound, Stereotactic, MRI-Guided and Ultrasound Guided Breast Biopsy, Nuclear Medicine, Interventional Radiology, Cancer Screening, Stereotactic Radiosurgery, Intensity-Modulated Radiation Therapy (IMRT) and Prostate Cancer Treatment with Radioactive Seeds. Radiology Services performed 61,642 procedures for the fiscal year ended 9/30/2017. Pathology and Laboratory Medicine - The Department of Pathology and Laboratory Medicine is fully accredited by the College of American Pathologists. The department provides comprehensive Anatomic and Clinical Pathology testing services including: Blood Bank & Transfusion Services, Clinical Chemistry, Microbiology, Cytology, Hematology/Coagulation/Urinalysis, Immunology and Flow Cytometry, Surgical Pathology, Autopsy Service, Cytogenetic and Molecular Diagnostics and Blood Collection. The Pathology and Laboratory Department perform approximately, 1.5 million tests every year, utilizing the latest technology in robotic automation and barcode specimen tracking. Our Women's and Children's services features a top notch team of Obstetricians, Gynecologist, Pediatricians, Certified Nurse 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. The Norwalk Hospital Pediatric Services include the Jeffrey Peter Bauer Newborn Intensive Care Unit (NICU), Pediatric Inpatient Care, Pediatric Subspecialty Care, and the Pediatric Development Therapy Center. Women's and Children's Services had 2,764 inpatient discharges; 3,596 outpatient volume for the fiscal year ended 9/30/2017. All programs are administered consistent with Norwalk Hospital's financial assistance policy.
FORM 990, PART III, LINE 4D - OTHER PROGRAM SERVICES DESCRIPTIONNorwalk Hospital's Emergency Service Line had 37,261 outpatient services for fiscal year ended 9/30/2017.
FORM 990, PART VI, LINE 2A business relationship exists between Richard Jabara and Ervin Shames.
FORM 990, PART VI, LINE 4 - SIGNIFCANT CHANGES TO ORGANIZATIONAL DOCUMENTSThe following significant changes were made to the bylaws of Norwalk Hospital Association for the fiscal year ended September 30, 2017: The Norwalk Hospital Association (NHA) bylaws were revised in Section 5.2 to delete the phrase 'members of the Member and as,' since there are no longer hospital board-specific member requirements. The governing documents of Norwalk Hospital were amended to change the Hospital's sole member from Norwalk Hospital Association to Western Connecticut Health Network.
FORM 990, PART VI, LINE 6 - EXPLANATION OF CLASSES OF MEMBERS/SHAREHOLDERSWestern Connecticut Health Network, Inc. (WCHN) is the sole member of NHA.
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 Trustees 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 Subsidiary 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, CFO of WCHN, 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 ANDENFORCEMENT 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 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 exists. 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 of CEO: 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, healthcare 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 healthcare 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, 2017. Compensation for Other Officers and Key Employees: Compensation review and approval process is identical to the process for the CEO and executives.
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 IX, LINE 11G - OTHER FEES FOR SERVICE(A) (B) (C) (D) Program Management Fund- Total Services & General raising Agency & Temp Help 4,810,943. 4,730,051. 80,892. Collection Expense 2,198,038. 2,198,038. Contract Management 8,158,480. 6,138,528. 2,019,952. Corporate Dept. Allocations 19,025,491. 7,638,477. 11,387,014. Other 1,400,380. 1,265,839. 134,541. Outside services 4,613,451. 3,770,414. 843,037. Patient Care & Admin Service 2,952,982. 2,952,982. Physician Fees 10,824,944. 10,824,944. Professional fees-Consulting 1,115,675. 900,244. 215,431. Strategic Support to WCMG 20,903,475. 20,903,475. Total $76,003,859. $61,322,992. $14,680,867. $0.
FORM 990, PART XI, LINE 9-OTHER CHANGES IN NET ASSETS OR FUNDBALANCES Increase Ben Interest in NHF - Permanently Restr. . . . . $ 1,379,238. Increase Ben Interest in NHF - Permanently Restr . . . . . . 6,635,357. Increase Ben Interest NHF - Unrestricted . . . . . . . . . . 5,948,039. Increase in Ben Int Charitable Remainder Trust. . . . . . . . .676,985. Net Unrestricted changes in Joint Venture. . . . . . . . . . 2,470,866. Norwalk Surgery Center / Joint Venture Income . . . . . . -3,406,484. Pension Related Changes Other Than Net Periodic. . . . . . . .-165,208. Transfer from Norwalk Hospital Foundation. . . . . . . . . . 4,217,841. Total $ 17,756,634.

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 CONNECTICUT HEALTH NETWORK
24 HOSPITAL AVENUEDANBURYCT06810222594977PRGM DEVELOPCT501(C)(3)12 Type 2NAfalse
WESTERN CT HEALTH NETWORK AFFILIATES
24 HOSPITAL AVENUEDANBURYCT06810222594968HLTH CARE SVCT501(C)(3)10WCHNYes (true)
DH AND NMH FOUNDATION INC
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 CENTERCTNONERELATED$3,406,484$5,308,797false$0false0.63210
NEW MILFORD MRI
21 ELM STREETNEW MILFORDCT06776271877801INACTIVECTDHN/A$0$0false$0false
WCHN INVESTMENTS
24 HOSPITAL AVENUEDANBURYCT06810475523212INVESTMENTSCTWCHNRELATED$14,842,271$136,489,770false$0false0.32850

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 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 STREETNORWALKCT06850222577718PHARMACYCTWCHNC CORP$0$0Yes (true)
MEDICAL SERVICES OF DANBURY
24 HOSPITAL AVENUEDANBURYCT06811061635945HEALTHCARECTWCMGC CORP$0$0Yes (true)
WESTERN CT HEALTH NETWORK INSURANCE
980438151INSURANCE CAPTIVEWCHNC 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 OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
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 (20 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
NORWALK HOSPITAL FOUNDATION INC
C$5,031,514COST
NORWALK HOSPITAL FOUNDATION INC
Q$67,625COST
NORWALK HOSPITAL FOUNDATION INC
S$4,573,902COST
DANBURY HOSPITAL
K$347,049COST
DANBURY HOSPITAL
L$62,000COST
DANBURY HOSPITAL
M$20,426,911COST
DANBURY HOSPITAL
O$16,793,546COST
DANBURY HOSPITAL
P$25,354,249COST
DANBURY HOSPITAL
R$62,651,364COST
WESTERN CT HEALTH NETWORK AFFILIATES
O$105,919COST
WESTERN CT HEALTH NETWORK AFFILIATES
Q$205,065COST
WESTERN CT HEALTH NETWORK AFFILIATES
S$105,854COST
WESTERN CT MEDICAL GROUP INC
J$1,047,196COST
WESTERN CT MEDICAL GROUP INC
M$27,597,270COST
WESTERN CT MEDICAL GROUP INC
R$28,121,159COST
SWC CORPORATION
J$63,031COST
SWC CORPORATION
M$3,200,544COST
SWC CORPORATION
P$264,674COST
SWC CORPORATION
Q$318,103COST
SWC CORPORATION
S$3,335,000COST

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