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NORWALK HOSPITAL ASSOCIATION: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
NORWALK HOSPITAL ASSOCIATION (EIN 06-6068853)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-08-15
IRS object ID
201642289349303124
Schema version
2014v6.0
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)
Return2016-08-15T11:07:10-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

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 Begin2014-10-01TaxPeriodBeginDt

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% TONI HORNE CONTROLLERInCareOfNm
Business Name ControlNORWBusinessNameControlTxt
Phone2038522000PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEVEN H ROSENBERGPersonNm
Person TitleSVP & CFOPersonTitleTxt
Phone2038522000PhoneNum
Signature2016-08-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMIKE A CINCOTTAPreparerPersonNm
PTINP01595811PTIN
Phone6172662000PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL DAGLIO EFF 112015PrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line124 STEVENS STREETAddressLine1Txt
CityNORWALKCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06850ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$381,125,196GrossReceiptsAmt
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 Body19VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee2124TotalEmployeeCnt
Total Volunteers425TotalVolunteersCnt
Total Gross UBI$2,533,393TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$1,312,655NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,133,943PYContributionsGrantsAmt
CY Contributions Grants$3,369,032CYContributionsGrantsAmt
PY Program Service Revenue$332,314,811PYProgramServiceRevenueAmt
CY Program Service Revenue$365,394,458CYProgramServiceRevenueAmt
PY Investment Income$1,594,693PYInvestmentIncomeAmt
CY Investment Income$3,203,481CYInvestmentIncomeAmt
PY Other Revenue$3,329,326PYOtherRevenueAmt
CY Other Revenue$5,768,162CYOtherRevenueAmt
PY Total Revenue$340,372,773PYTotalRevenueAmt
CY Total Revenue$377,735,133CYTotalRevenueAmt
PY Grants And Similar Paid$7,666,306PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$16,234,828CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$168,179,279PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$176,528,299CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$131,459,491PYOtherExpensesAmt
CY Other Expenses$161,645,152CYOtherExpensesAmt
PY Total Expenses$307,305,076PYTotalExpensesAmt
CY Total Expenses$354,408,279CYTotalExpensesAmt
PY Revenues Less Expenses$33,067,697PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$23,326,854CYRevenuesLessExpensesAmt
Total Assets BOY$609,496,496TotalAssetsBOYAmt
Total Assets EOY$639,545,087TotalAssetsEOYAmt
Total Liabilities BOY$296,336,288TotalLiabilitiesBOYAmt
Total Liabilities EOY$289,830,942TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$313,160,208NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$349,714,145NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$95,783,710ExpenseAmt
Revenue$94,617,299RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$73,869,179ExpenseAmt
Revenue$75,022,433RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$35,141,996ExpenseAmt
Revenue$35,910,224RevenueAmt
DescSEE SCHEDULE ODesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$101,464,528TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$16,234,828TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$159,844,502TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$306,259,413TotalProgramServiceExpensesAmt
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 SecfalseReportInvestmentsOtherSecInd
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 OrganizationsYes (true)GrantsToOrganizationsInd
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 MemfalseBusinessRlnWithFamMemInd
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 Document362IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2124EmployeeCnt
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 Members19GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTONI HORNE CONTROLLERPersonNm
Phone2038522000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line114 RESEARCH DRIVEAddressLine1Txt
CityBETHELCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06801ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DIANE ALLLISON
CHAIRMAN THRU 12/31/142.00.0Yes (X)Yes (X)$0$0$0
FRED AFRAGOLA
SECRETARY2.01.0Yes (X)Yes (X)$0$0$0
THOMAS AYOUB MD
TRUSTEE18.01.0Yes (X)$85,000$0$0
GEORGE BAUER
TRUSTEE2.02.0Yes (X)$0$0$0
MARIA BORGES-LOPEZ
TRUSTEE THRU 12/31/142.00.0Yes (X)$0$0$0
BARBARA BUTLER
SECRETARY2.01.0Yes (X)Yes (X)$0$0$0
DANIEL DEBARBA
PRESIDENT THRU 12/31/145.042.0Yes (X)Yes (X)$93,142$966,102$57,347
HOWARD EISON MD
TRUSTEE2.03.0Yes (X)$0$0$0
PAUL GAGNE
TRUSTEE2.01.0Yes (X)$0$0$0
MARK GUDIS
TREASURER2.00.0Yes (X)Yes (X)$0$0$0
ED KANGAS
VICE CHAIRMAN THRU 12/31/142.00.0Yes (X)Yes (X)$0$0$0
DAVID KOMANSKY
TRUSTEE2.00.0Yes (X)$0$0$0
DAVID LEHN ESQ
TRUSTEE2.01.0Yes (X)$0$0$0
VICTOR LISS
TRUSTEE2.06.0Yes (X)$0$0$0
ED MAHONY
CHAIRMAN5.02.0Yes (X)Yes (X)$0$0$0
MICHAEL DAGLIO
PRESIDENT EFF 1/1/201540.08.0Yes (X)Yes (X)$0$550,572$44,866
ROBERT READY
TRUSTEE THRU 6/3/152.02.0Yes (X)$0$0$0
GARY REINER
TRUSTEE2.00.0Yes (X)$0$0$0
AMY SCHAFRANN
TRUSTEE2.01.0Yes (X)$0$0$0
ERVIN SHAMES
TRUSTEE2.04.0Yes (X)$0$0$0
ANDREW WHITTINGHAM
VICE CHAIR4.01.0Yes (X)Yes (X)$0$0$0
RICHARD ZELKOWITZ MD
TRUSTEE2.00.0Yes (X)$0$0$0
RICHARD JABARA
TRUSTEE EFF 1/1/152.03.0Yes (X)$0$0$0
JOSEPH D SKRZYPCZAK
TRUSTEE 1/1/152.02.0Yes (X)$0$0$0
JAMES KENNEDY
TRUSTEE THRU 12/31/142.06.0Yes (X)$0$0$0
JOHN MURPHY MD
CEO THRU 12/31/142.047.0Yes (X)Yes (X)$0$1,402,828$51,844
STEVEN ROSENBERG
CFO/TREASURER5.052.0Yes (X)$0$779,114$42,729
ANTHONY ACETO
VICE PRESIDENT HUMAN RESOURCES40.00.0$663,210$123,225$22,398Yes (X)
RENEE MAURIELLO
VP NURSING & PATIENT CARE40.00.0$404,823$0$31,695Yes (X)
JAMES HAYNES
VP OPERATIONS40.00.0$295,852$0$32,344Yes (X)
JAMES VARRONE
VP SUPPLY CHAIN4.036.0$185,641$0$30,014Yes (X)
PATRICK MINICUS
VICE PRESIDENT FINANCE20.022.0$73,323$476,177$50,314Yes (X)
BRIAN MCGOVERN MD
PHYSICIAN40.00.0$567,803$0$34,819Yes (X)
ARI PERKINS MD
PHYSICIAN40.00.0$496,472$0$33,890Yes (X)
JASON FISCHEL MD
PHYSICIAN40.00.0$467,233$0$31,695Yes (X)
ROBERT CAPODANNO MD
PHYSICIAN40.00.0$460,953$0$34,326Yes (X)
ARTHUR STRICHMAN MD
PHYSICIAN40.00.0$426,931$0$33,819Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,220,383TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,298,018TotReportableCompRltdOrgAmt
Total Other Compensation$532,100TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K351IndivRcvdGreaterThan100KCnt
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$3,549,077
NORWALK RADIOLOGY CONSULTANTS PC
148 EAST AVENUENORWALKCT06851PHYSICIANS-RADIOLOGY$1,648,207
DONALD MURPHY DBA MURPHY SECURITY
PO BOX 356NEW BRITAINCT06051SECURITY SERVICES$1,271,638
CARDIOLOGY ASSOCIATES OF FAIRFELD C
40 CROSS STREET 200NORWALKCT06851CARDIOLOGY SERVICES$1,157,304
RIGHTSOURCING INC
PO BOX 9695UNIONDALENY11555STAFFING SERVICES$1,068,729
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K51CntrctRcvdGreaterThan100KCnt
Related Organizations$1,491,840RelatedOrganizationsAmt
Government Grants$1,877,192GovernmentGrantsAmt
Total Contributions$3,369,032TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REV621400$353,131,612$353,131,612
NORWALK SURGERY CENTER JV900099$3,771,481$3,771,481
LAB SERVICES REVENUE621500$2,533,393$2,533,393
OTHER MEDICAL SERVICES900099$1,256,951$1,256,951
MEANINGFUL USE900099$615,509$615,509

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,085,512TotalRevenueColumnAmt
Related Or Exempt Func Income$4,085,512RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$365,394,458TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,203,481TotalRevenueColumnAmt
Exclusion$3,203,481ExclusionAmt

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$4,045,948RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$3,202,053RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$843,895RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$843,895TotalRevenueColumnAmt
Exclusion$843,895ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$411,705GrossSalesOfInventoryAmt
Cost Of Goods Sold$188,010CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$223,695TotalRevenueColumnAmt
Exclusion$223,695ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
GAIN EXTINGUISHMENT LTD900099$2,625,073$2,625,073
CAFETERIA/VENDING900099$1,902,727$1,902,727
PARKING900099$172,772$172,772
FieldValueIRS element (for citing)
Other Revenue Total$4,700,572OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$377,735,133TotalRevenueColumnAmt
Related Or Exempt Func Income$362,861,065RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,533,393UnrelatedBusinessRevenueAmt
Exclusion$8,971,643ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$16,234,828TotalAmt
Program Services$16,234,828ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$973,476TotalAmt
Program Services$0ProgramServicesAmt
Management And General$973,476ManagementAndGeneralAmt
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$134,845,496TotalAmt
Program Services$116,635,573ProgramServicesAmt
Management And General$18,209,923ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,187,081TotalAmt
Program Services$2,851,864ProgramServicesAmt
Management And General$335,217ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$28,192,202TotalAmt
Program Services$24,967,727ProgramServicesAmt
Management And General$3,224,475ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,330,044TotalAmt
Program Services$8,248,856ProgramServicesAmt
Management And General$1,081,188ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,135,518TotalAmt
Management And General$1,135,518ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$436,004TotalAmt
Management And General$436,004ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$109,385TotalAmt
Management And General$109,385ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$45,180,271TotalAmt
Program Services$35,311,440ProgramServicesAmt
Management And General$9,868,831ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$108,856TotalAmt
Program Services$63,144ProgramServicesAmt
Management And General$45,712ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,190,486TotalAmt
Program Services$1,280,939ProgramServicesAmt
Management And General$909,547ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$7,513,674TotalAmt
Program Services$6,466,639ProgramServicesAmt
Management And General$1,047,035ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$16,925,459TotalAmt
Program Services$12,864,095ProgramServicesAmt
Management And General$4,061,364ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$602,358TotalAmt
Program Services$526,992ProgramServicesAmt
Management And General$75,366ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$22,388TotalAmt
Program Services$20,896ProgramServicesAmt
Management And General$1,492ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,308,056TotalAmt
Program Services$2,308,056ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$20,264,153TotalAmt
Program Services$14,286,615ProgramServicesAmt
Management And General$5,977,538ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,524,433TotalAmt
Program Services$7,498,540ProgramServicesAmt
Management And General$25,893ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES$20,742,860$20,742,860
PHARMACY$15,448,764$15,448,764
HOSPITAL TAX$14,644,001$14,644,001
RADIOLOGY & LAB SUPPLIES$3,208,657$3,208,657

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,279,829TotalAmt
Program Services$2,648,927ProgramServicesAmt
Management And General$630,902ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$354,408,279TotalAmt
Program Services$306,259,413ProgramServicesAmt
Management And General$48,148,866ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$74,550,518BOYAmt
EOY$43,468,380EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$40,426,872BOYAmt
EOY$44,469,740EOYAmt

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$812,885BOYAmt
EOY$61,725EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,774,961BOYAmt
EOY$2,725,505EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,172,206BOYAmt
EOY$1,688,811EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$618,421,330LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$349,245,363LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$244,452,830BOYAmt
EOY$269,175,967EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$125,266,668BOYAmt
EOY$123,434,544EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$2,002,502BOYAmt
EOY$7,411,876EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$47,837,445BOYAmt
EOY$98,322,402EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$71,199,609BOYAmt
EOY$48,786,137EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$609,496,496BOYAmt
EOY$639,545,087EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$60,551,105BOYAmt
EOY$51,194,090EOYAmt

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$119,435,000BOYAmt
EOY$114,265,000EOYAmt

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$116,350,183BOYAmt
EOY$124,371,852EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$296,336,288BOYAmt
EOY$289,830,942EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$265,968,153BOYAmt
EOY$280,584,110EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$37,730,403BOYAmt
EOY$59,661,583EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,461,652BOYAmt
EOY$9,468,452EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$313,160,208BOYAmt
EOY$349,714,145EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$609,496,496BOYAmt
EOY$639,545,087EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$23,326,854ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$4,976,964NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$18,204,047OtherChangesInNetAssetsAmt
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$25MailingsMembersAmt
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$52,159GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$56,917DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$284OtherActivitiesAmt
Total Lobbying Expenditures$109,385TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C PART II B - DESCRIPTION OF LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationLARGELY STATE AND LOCAL ELECTED OFFICIALS AND AGENCY HEADS WERE LOBBIED IN SUPPORT OF MAINTAINING PATIENT ACCESS TO ESSENTIAL SERVICES FOR THE UNINSURED AND UNDERSERVED. A PART OF THIS EFFORT, LOBBYISTS AND STAFF TIME ARE INCLUDED IN 1G AND MISCELLANEOUS EXPENSES ARE NOTED IN 1I. DUES WERE PAID TO CONNECTICUT HOSPITAL ASSOCIATION (CHA)IN THE AMOUNT OF $266,330 DURING FISCAL 2015. CHA HAS DETERMINED THAT FOR CHA'S FISCAL YEAR ENDING APRIL 30, 2015, 15.43% OF ITS MEMBERSHIP DUES WERE EXPENDED ON ACTIVITIES THAT MEET THE MEDICARE DEFINITION OF UNALLOWABLE LOBBYING (THOSE ACTIVITIES THAT ARE DIRECTLY RELATED TO COMMUNICATIONS WITH LEGISLATORS OR ACTIONS ON SPECIFIC LEGISLATIVE BILLS). CHA CONTINUES TO INVEST RESOURCES ON ADVOCACY EFFORTS AND GOVERNMENTAL INTERACTIONS THAT ARE SUPPORTED BY DUES AND NOT CONSIDERED UNALLOWABLE. DUES WERE PAID TO AMERICAN HOSPITAL ASSOCIATION (AHA) IN THE AMOUNT OF $46,351 DURING FISCAL 2015. AHA HAD DETERMINED THAT 22.8% OF ITS MEMBERSHIP DUES FOR CALENDAR 2014, WERE EXPENDED ON ACTIVITIES THAT MEET THE MEDICARE DEFINITION OF UNALLOWABLE LOBBYING. AHA CONTINUES TO INVEST RESOURCES ON A BROAD RANGE OF ADVOCACY AND REPRESENTATION INITIATIVES TO HELP THE FIELD UNDERSTAND AND RESPOND TO THE LEGISLATIVE AND REGULATORY CHANGES ON THE HORIZON AND TO SUPPORT HOSPITALS AS THEY STRIVE TO DELIVER AN EVER-HIGHER QUALITY OF CARE IN THE FACE OF CHANGES. MANY OF THESE ACTIVITIES WENT WELL BEYOND THE SCOPE OF THE NARROW DEFINITION OF LOBBYING ACTIVITIES CAPTURED IN THE LOBBYING % NUMBER.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$218,919,327OtherCostOrOtherBasisAmt
Depreciation$110,137,723DepreciationAmt
Book Value$108,781,604BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,821,049OtherCostOrOtherBasisAmt
Depreciation$4,406,644DepreciationAmt
Book Value$6,414,405BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$274,547,426OtherCostOrOtherBasisAmt
Depreciation$233,164,665DepreciationAmt
Book Value$41,382,761BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$88,133,528OtherCostOrOtherBasisAmt
Depreciation$1,536,331DepreciationAmt
Book Value$86,597,197BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$269,175,967TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescBEN INT IN NORWALK HOSPITAL FDDesc
Book Value$98,322,402BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$98,322,402TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
457 PLAN ASSET$733,228
CONSTRUCTION FUND/COST ISSUE$9,027,862
DUE FROM AFFILIATES$50,088
INTEREST FROM CHAR REM TRUST$7,555,786
MALPRACTICE RECEIVABLE$28,829,397
MALPRACTICE TRUST$327
OTHER RECEIVABLES$2,589,449
FieldValueIRS element (for citing)
Total Book Value Other Assets$48,786,137TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (12 entries)

DescDescAmtAmt
457 PLAN LIABILITY$733,228
ACCRUED PENSION LIABILITY$39,558,605
ASSET RETIREMENT OBLIGATION$9,034,409
DEBT FAIR VALUE ADJUSTMENT$1,087,014
DUE TO AFFILIATES$7,983,075
DUE TO THIRD PARTIES$27,894,498
INTEREST RATE SWAP$418,466
LEASE - CURRENT AND LONG TERM$1,780,315
LONG TERM DISABILITY RESERVE$1,754,161
MALPRACTICE PAYABLE$28,829,397
MALPRACTICE RESERVE$2,573,254
WORKERS COMP RESERVE$2,725,430
FieldValueIRS element (for citing)
Total Liability$124,371,852TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D PART V LINE 4 - INTENDED USE OF ENDOWMENT FUNDSFormAndLineReferenceDesc
ExplanationNORWALK HOSPITAL FOUNDATION, INC. (NHF) MANAGES THE FUNDRAISING FOR NORWALK HOSPITAL ASSOCIATION. THE INCOME GENERATED ON THE PERMANENTLY ENDOWED FUNDS HELD BY NHF ARE USED TO SUPPORT THE CAPITAL AND OPERATING NEEDS OF NORWALK HOSPITAL AS DESIGNATED BY THE DONOR, IF APPLICABLE. DURING FISCAL 2015 ENDOWMENT INCOME WAS USED TO SUPPORT NURSING EDUCATION AND SCHOLARSHIPS, DEPARTMENT OF MEDICINE GRAND ROUNDS, GIFT SHOP STAFF AND CANCER SERVICES.ExplanationTxt

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
Percent200Yes (X)Percent200Ind
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$10,525,694TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,875,768DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,649,926NetCommunityBenefitExpnsAmt
Total Expense0.02160TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$63,146,400TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$42,460,809DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,685,591NetCommunityBenefitExpnsAmt
Total Expense0.05840TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$73,672,094TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$45,336,577DirectOffsettingRevenueAmt
Net Community Benefit Expns$28,335,517NetCommunityBenefitExpnsAmt
Total Expense0.08000TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$359,344TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$35DirectOffsettingRevenueAmt
Net Community Benefit Expns$359,309NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,472,372TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,870,466DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,601,906NetCommunityBenefitExpnsAmt
Total Expense0.01580TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,695,415TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,519,035DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,176,380NetCommunityBenefitExpnsAmt
Total Expense0.00330TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,527,131TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,389,536DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,137,595NetCommunityBenefitExpnsAmt
Total Expense0.02010TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$87,199,225TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$51,726,113DirectOffsettingRevenueAmt
Net Community Benefit Expns$35,473,112NetCommunityBenefitExpnsAmt
Total Expense0.10010TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Persons Served91488PersonsServedCnt
Total Community Benefit Expns$12,628TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,628NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Persons Served10635PersonsServedCnt
Total Community Benefit Expns$1,367,925TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,367,925NetCommunityBenefitExpnsAmt
Total Expense0.00390TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Persons Served102123PersonsServedCnt
Total Community Benefit Expns$1,380,553TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,380,553NetCommunityBenefitExpnsAmt
Total Expense0.00390TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$4,311,968BadDebtExpenseAmt
Bad Debt Expense Attributable$1,925,725BadDebtExpenseAttributableAmt
Reimbursed By Medicare$102,903,351ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$133,715,577CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$30,812,226MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
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 Ownership0.63210OrgProfitOrOwnershipPct
Physicians Profit Or Ownership0.32070PhysiciansProfitOrOwnershipPct
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
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
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
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
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE SCHEDULE OStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLNORWALKHOSPITAL.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLNORWALKHOSPITAL.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLNORWALKHOSPITAL.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Average Negotiated RatesYes (X)AverageNegotiatedRatesInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 5 - ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITYFACILITY: NORWALK HOSPITAL IN CONDUCTING ITS MOST RECENT CHNA IN 2012 (COMPLETED AND APPROVED IN 2013), 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, WILTON, DARIEN, AND FAIRFIELD. THE INITIATIVE INCLUDED A COMMUNITY HEALTH ASSESSMENT (CHA) 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 CHA IDENTIFIED OBESITY, MENTAL HEALTH AND SUBSTANCE ABUSE AS PRIORITIES FOR THE AREA. THE COMMUNITY HEALTH ASSESSMENT WAS GUIDED BY A PARTICIPATORY, COLLABORATIVE APPROACH, WHICH EXAMINED HEALTH IN ITS BROADEST SENSE. THIS PROCESS INCLUDED INTEGRATING EXISTING DATA REGARDING SOCIAL, ECONOMIC, AND HEALTH INDICATORS IN THE REGION WITH QUALITATIVE INFORMATION FROM 15 FOCUS GROUPS WITH COMMUNITY RESIDENTS AND SERVICE PROVIDERS AND 17 INTERVIEWS WITH COMMUNITY STAKEHOLDERS. FOCUS GROUPS AND INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS FROM THE 7 MUNICIPALITIES THAT COMPRISE THE GREATER NORWALK AREA, WITH INDIVIDUALS REPRESENTING YOUTH; THE HISPANIC AND AFRICAN AMERICAN COMMUNITIES; INDIVIDUALS RECEIVING SERVICES FROM A FEDERALLY-QUALIFIED HEALTH CENTER; SOCIAL SERVICE, HEALTH CARE, AND MENTAL HEALTH PROVIDERS; BUSINESSES; HOUSING; LAW ENFORCEMENT; AND THE LOCAL GOVERNMENT. THIS QUALITATIVE ASSESSMENT PROCESS ENGAGED OVER 200 INDIVIDUALS.
PART V, LINE 6B - CHNA CONDUCTED BY ORGANIZATIONS OTHER THAN THE HOSPITALFACILITY: NORWALK HOSPITAL NORWALK HEALTH DEPARTMENT
PART V, LINE 11 - EXPLANATION OF NEEDS NOT ADDRESSED AND REASONS WHYFACILITY: NORWALK HOSPITAL TO THE BEST OF THE ORGANIZATION'S KNOWLEDGE, ALL PREVALENT ISSUES IN THE COMMUNITY ARE BEING ADDRESSED THROUGH THE 2012 CHIP. ANY NEEDS NOT BEING ADDRESSED ARE THOSE THAT NORWALK HOSPITAL DOES NOT HAVE THE FUNDS OR CONTROL OVER, SUCH AS HOUSING OR 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 AS THE MAIN PRIORITIES TO ADDRESS. THEY CREATED THE 2012 COMMUNITY HEALTH IMPROVEMENT PLAN WHICH DETAILS SPECIFIC GOALS AND METRICS FOR EACH IDENTIFIED NEED, AND COMMUNITY BENEFIT PROGRAMS THAT WOULD HELP ACHIEVE THESE GOALS. THE NARRATIVES FOR PART I, LINE 7E AND PART II COMMUNITY BUILDING ACTIVITIES DESCRIBE ACTIONS TAKEN TO ADDRESS THE NEEDS IDENTIFIED IN THE 2012 CHNA.
PART V LINE 22 - OTHER BILLING DETERMINATION OF INDIVIDUALS WITHOUT INSFACILITY: NORWALK HOSPITAL NORWALK HOSPITAL INTENDS TO BE IN COMPLIANCE WITH THE REGULATIONS REGARDING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY AND OTHER MEDICAL NECESSARY CARE BY THE EFFECTIVE DATE (10/1/16).
FieldValueIRS element (for citing)
Facility11FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
NORWALK HOSPITAL OUTPATIENT REHAB SVCS
520 WEST AVENUENORWALKCT06850OUTPATIENT REHABILITATION FACILITY
NORWALK HOSPITAL OUTPATIENT REHAB SVCS
40 CROSS STREET SUITE 110NORWALKCT06851OUTPATIENT SERVICES
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 AVENUENORWALKCT06840RADIOLOGY 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

Supplemental Information Detail SupplementalInformationDetail (13 entries)

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PART I, LINE 7G - COSTS ASSOCIATED WITH PHYSICIANS CLINICSSUBSIDIZED HEALTH SERVICES LINE G - 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 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 PAYOR, SERVICE TYPE AND BY ACCOUNT AGE AND APPLIES THOSE PERCENTAGES ADJUSTED FOR PRICE INCREASE TO CURRENT AR.
PART III, LINE 3 METHODOLOGY OF EST AMOUNT & RATIONALE FOR INC COM BENEFITTHE 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 $4,311,968 TO ARRIVE AT OUR ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER NORWALK HOSPITAL'S FINANCIAL ASSISTANCE POLICY OF $1,925,725.
PART III, LINE 4 - BAD DEBT EXPENSEPATIENT ACCOUNTS RECEIVABLE RESULT FROM THE HEALTH CARE SERVICES PROVIDED BY THE HOSPITAL. ADDITIONS TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS RESULT FROM THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE HOSPITAL'S ESTIMATION OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED PRIMARILY UPON THE TYPE AND AGE OF THE PATIENT ACCOUNTS RECEIVABLE AND THE EFFECTIVENESS OF THE HOSPITAL'S COLLECTION EFFORTS. THE HOSPITAL'S POLICY IS TO RESERVE A PORTION OF ALL SELF-PAY RECEIVABLES, INCLUDING AMOUNTS DUE FROM THE UNINSURED AND AMOUNTS RELATED TO CO-PAYMENTS AND DEDUCTIBLES, AS THESE 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.
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 COLLECT PRACTICES FOR QUALIFIED PATIENTSNORWALK 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 ASSESSMENTIN 2012 (COMPLETED AND APPROVED IN 2013) NORWALK HOSPITAL AND THE NORWALK HEALTH DEPARTMENT ENGAGED IN A COLLABORATIVE COMMUNITY PLANNING PROCESS TO IMPROVE THE HEALTH OF THE GREATER NORWALK AREA RESIDENTS. THE INITIATIVE INCLUDED A CHA TO IDENTIFY THE HEALTH-RELATED STRENGTHS AND NEEDS OF THE AREA AND A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) TO IDENTIFY THE PRIORITIES, GOALS AND IMPLEMENT AND COORDINATE STRATEGIES CHA WAS GUIDED BY A COLLABORATIVE APPROACH, WHICH INCLUDED INTEGRATING EXISTING HEALTH INDICATORS, SOCIAL AND ECONOMIC DATA WITH QUALITATIVE INFORMATION FROM COMMUNITY RESIDENTS AND STAKEHOLDERS. FOCUS GROUPS AND INTERVIEWS WERE CONDUCTED WITH PARTICIPATION FROM YOUTH, ETHNIC COMMUNITIES, SOCIAL SERVICES, HEALTH CARE PROVIDER BUSINESSES, LAW ENFORCEMENT AND LOCAL GOVERNMENT AGENCIES. FOR EXAMPLE, MID-FAIRFIELD CHILD GUIDANCE CENTER PARTICIPATED IN THESE FOCUS GROUPS AND INTERVIEWS. THROUGH THE PROCESS, THEY WERE ABLE TO IDENTIFY MENTAL HEALTH/SUBSTANCE ABUSE AS A PRIORITY NEED. THEY ALSO PROVIDED DATA AND INPUT ON BARRIERS AND CHALLENGES TO ACCESS AND QUALITY CARE FOR CHILDREN IN THE AREA, AS WELL AS STRATEGIES ON HOW TO ENHANCE TREATMENT AND CARE. IN ADDITION TO THE CHNAS REPORTED IN PART V, SECTION B, THE WESTERN CT HEALTH NETWORK (OF WHICH NORWALK HOSPITAL IS A PART) CONDUCTED A PHYSICIAN RESOURCE ASSESSMENT TO EVALUATE THE SUPPLY OF HEALTHCARE PROVIDERS WITHIN ITS COMBINED SERVICE AREA TOWNS. THIS IS DONE TO DOCUMENT COMMUNITY NEED FOR HEALTHCARE PROVIDERS, AND TO DEVELOP A PLAN TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY SERVED. THROUGH WESTERN CT HEALTH NETWORK'S ANNUAL PLANNING PROCESS, AN ENVIRONMENTAL ASSESSMENT IS CONDUCTED TO IDENTIFY HEALTHCARE GAPS AND NEEDS OF THE SERVICE AREA COMMUNITY BROUGHT ABOUT BY LOCAL AND NATIONAL TRENDS IN ECONOMIC, LEGISLATIVE, DEMOGRAPHIC, HEALTHCARE INDUSTRY AND OTHER ENVIRONMENTAL FACTORS. THESE FORCES ARE INCORPORATED IN MEETING THE HEALTHCARE NEEDS OF THE COMMUNITY BY HELPING TO FRAME THE PRIORITIES, GOALS AND INITIATIVES OF WESTERN CT HEALTH NETWORK'S LONG RANGE AND ANNUAL STRATEGIC PLANS.
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 INFORMATION NORWALK HOSPITAL SERVES AN AREA WITH A POPULATION OF ABOUT 280,000 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 UNDER SERVED; CENTRAL NORWALK IS LISTED AS A MEDICALLY UNDER SERVED AREA (OR MUA). NORWALK HAS A MEDIAN HOUSEHOLD INCOME OF $76,051 AND A POVERTY RATE OF 8.1%. THE UNINSURED POPULATION RATE IS ESTIMATED TO BE 3.8%. ALTHOUGH THE POPULATION OF THE PRIMARY AND SECONDARY SERVICE AREAS IS EXPECTED TO REMAIN VIRTUALLY LEVEL FROM 2010 TO 2020, THE COHORT AGED 65 AND OVER IS EXPECTED TO INCREASE BY 2.36%, WHILE THE AGE 20-44 AGE COHORT IS FORECAST TO SLIGHTLY INCREASE AT 0.06% OVER THE SAME TIME PERIOD.
PART VI - COMMUNITY BUILDING ACTIVITIESPART II: COMMUNITY BUILDING ACTIVITIES: OBESITY/HEALTHY LIFESTYLES: THROUGH INITIATIVES LED BY THE OBESITY/HEALTHY LIFESTYLES INITIATIVE COMMITTEE, PREVENT AND REDUCE OBESITY IN THE COMMUNITY BY PROMOTING HEALTHY LIFESTYLES. THIS WAS DONE THROUGH FOUR PROGRAMS IN 2015: WALK TO SCHOOL DAY; NORWALKER WALKING ROUTES; HEALTHY RESTAURANT INITIATIVE; MOVE MORE TOOLKIT. OBJECTIVE 2.1: INCREASE THE NUMBER OF CHILDREN AND ADULTS WHO MEET PHYSICAL ACTIVITY GUIDELINES, AND OBJECTIVE 2.2: INCREASE ACCESS TO AND CONSUMPTION OF HEALTHY AND AFFORDABLE FOODS THROUGHOUT THE REGION. INITIATIVES TAKEN: TO COMBAT OBESITY, THE GREATER NORWALK HEALTHY LIFESTYLES WORK GROUP WAS FORMED. THE WORK GROUP IS A COALITION OF ORGANIZATIONS, AGENCIES, AND COMMUNITY MEMBERS FROM THE GREATER NORWALK AREA. THE MISSION OF THE WORK GROUP IS TO REDUCE AND PREVENT OBESITY AND CHRONIC DISEASE IN THE COMMUNITY BY PROMOTING HEALTHY LIFESTYLES. TWO WALK TO SCHOOL DAY EVENTS WERE PLANNED THIS YEAR IN COLLABORATION WITH NORWALK DEPARTMENT OF HEALTH, SACRED HEART UNIVERSITY EXERCISE SCIENCE STUDENTS, CITY OFFICIALS, AND THE PUBLIC SCHOOL SYSTEMS OF NORWALK, WESTPORT, AND NEW CANAAN. FORTY AREA SCHOOL SYSTEMS THROUGHOUT OUR CATCHMENT AREA WERE CONTACTED AND PROVIDED A TOOL KIT CONTAINING INFORMATION ON HOW TO CONDUCT A WALK TO SCHOOL DAY EVENT. ON OCTOBER 9, 2013, A TOTAL OF 90 STUDENTS AND FAMILY MEMBERS PARTICIPATED ON THE FIRST WALK TO SCHOOL DAY EVENT. THE SECOND EVENT, CONDUCTED ON MAY 2, 2014, ATTRACTED MORE THAN 350 STUDENTS FROM AREA ELEMENTARY AND MIDDLE SCHOOLS, FAMILY MEMBERS, INCLUDING SCHOOL STAFF, AND CITY OFFICIALS. EVENTS HELD IN OCTOBER 2014 AND MAY 2015 HAD MORE THAN 1,000 PARTICIPANTS FROM FOUR AREA SCHOOLS INCLUDING FOX RUN AND COLUMBUS MAGNET ELEMENTARY SCHOOLS IN NORWALK, SOUTH SCHOOL IN NEW CANAAN AND KINGS HIGHWAY ELEMENTARY SCHOOL IN WESTPORT. BOTH EVENTS IN FISCAL 2015 GENERATED $1,253 IN COMMUNITY BENEFIT EXPENSE. WITH THE OBJECTIVE TO INCREASE PHYSICAL ACTIVITY AMONG COMMUNITY MEMBERS AND THOSE WORKING WITHIN THE COMMUNITY, THE NORWALKER NEIGHBORHOOD WALKING PROJECT WAS DEVELOPED. THE PROJECT PLAN IDENTIFIED SIXTEEN NEIGHBORHOODS IN NORWALK AND MAPPED OUT WALKING ROUTES IN EACH. THE 44 WALKING ROUTES HAVE BEEN AUDITED, UTILIZING THE CENTER FOR DISEASE CONTROL AND PREVENTION WALKABILITY AUDIT TOOL. AS A RESULT OF THE AUDIT, SEVERAL ROUTES ARE BEING UPDATED AND REDESIGNED TO ACCOMMODATE CHANGES IN GEOGRAPHICAL AREA DESIGN, SAFETY AND ACCESSIBILITY. THE GREATER NORWALK HEALTHY RESTAURANT INITIATIVE (HRI) WAS DEVELOPED TO HELP MEET THE GOAL OF INCREASING ACCESS TO AND CONSUMPTION OF HEALTHY AND AFFORDABLE FOODS. THIS HEALTHY RESTAURANT PROGRAM WILL HELP RESTAURANTS IN THE GREATER NORWALK AREA HIGHLIGHT HEALTHY MENU OPTIONS TO DINERS OF ALL AGES. THE PROGRAM IS VOLUNTARY FOR RESTAURANT OWNERS, AND THUS FAR MORE THAN 40 AREA RESTAURANT ESTABLISHMENTS HAVE SHOWN INTEREST IN THE PROGRAM AND PARTICIPATED IN DISCUSSIONS AND/OR GUIDED FOCUS GROUPS. RESTAURANTS RANGE FROM FAST FOOD CHAINS, CATERERS AND DINERS TO FINE DINING ESTABLISHMENTS. THE PROGRAM IS DESIGNED TO CONNECT RESTAURANT OWNERS TO THE HRI PROGRAM COORDINATOR AND REGISTERED DIETITIAN (RD) WHO WILL WORK WITH THE RESTAURANT TO ASSESS A CURRENT MENU OPTION AND HELP DEVELOP HEALTHY ENTREES. ONCE A MEAL(S) MEETS THE ESTABLISHED NUTRITIONAL CRITERIA (DEVELOPED BASED ON NUTRITIONAL RECOMMENDATIONS FOR BOTH ADULTS AND CHILDREN) IT WILL BE HIGHLIGHTED AS A HEALTHY MENU OPTION ON THE MENU AND THE RESTAURANT WILL BE DESIGNATED AS A "HEALTHY RESTAURANT" PARTICIPATING IN HRI. AREA DIRECTORS OF HEALTH AND SANITARIANS HAVE COLLABORATED WITH THE WORKGROUP TO ESTABLISH DETAILS OF THE PROGRAM AND PROVIDE INSIGHT ON COLLABORATING FOR MANAGEMENT AND OVERSIGHT OF THE PROGRAM. RECRUITMENT FOR INTERESTED RESTAURANTS WILL BEGIN IN MARCH 2016. THE HRI GENERATED $3,404 IN COMMUNITY BENEFIT EXPENSE. THE PHYSICAL ACTIVITY WORKGROUP IS CONDUCTING RESEARCH OF PUBLIC HEALTH GUIDELINES, IMPACT OF ACADEMICS, RESOURCES AND NATIONAL RECOMMENDATIONS TO GUIDE THE DEVELOPMENT OF A MOVE MORE TOOLKIT TO ENHANCE PHYSICAL ACTIVITY AMONG PRE-SCHOOL, ELEMENTARY, MIDDLE AND HIGH SCHOOL STUDENTS. MEMBERS OF THE BOARD OF EDUCATION, SCHOOL NURSES AND EDUCATORS ARE BEING CONSULTED TO OBTAIN GUIDANCE. THE COMPREHENSIVE GUIDE WILL PROVIDE SIMPLE, YET SPECIFIC STRATEGIES TO INCORPORATE MORE PHYSICAL ACTIVITY INTO THE DAY. COALITION BUILDING: NORWALK HOSPITAL PROVIDED $9,601 IN EMS & PARAMEDIC COVERAGE AT THE 2015 OYSTER FESTIVAL AND EMS AMBULANCE TOURS FOR THE COMMUNITY AND ELEMENTARY SCHOOLS. THEY ALSO PROVIDED $19,498 IN DONATIONS/SPONSORSHIPS TO VARIOUS ORGANIZATIONS, SUCH AS AMERICAN LUNG ASSOCIATION AND THE WOMEN'S BUSINESS DEVELOPMENT COUNCIL. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: LARGELY 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 FISCAL 2015 IS $54,231. FOR FISCAL 2015 NORWALK HOSPITAL PROVIDED $1,350,000 IN SUPPORT TO NORWALK COMMUNITY HEALTH CENTER.
PART VI - EXPLANATION OF HOW ORGANIZATION FURTHERS IT EXEMPT PURPOSESCHEDULE H - PART I, LINE 7E - COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS - OBESITY/HEALTHY LIFESTYLES: THROUGH INITIATIVES LED BY THE OBESITY/HEALTHY LIFESTYLES INITIATIVE COMMITTEE, PREVENT AND REDUCE OBESITY IN THE COMMUNITY BY PROMOTING HEALTHY LIFESTYLES. ONE INITIATIVE WAS PROJECT LEAN. PROJECT LEAN (LEARNING WITH ENERGY FROM ACTIVITY AND NUTRITION) IS AN INNOVATIVE, COMMUNITY-WIDE PROGRAM COLLABORATIVE BETWEEN NORWALK HOSPITAL, NORWALK HEALTH DEPARTMENT, JEFFERSON, KENDALL, MARVIN, BROOKSIDE, TRACEY AND SILVERMINE ELEMENTARY SCHOOLS, AND PEPPERIDGE FARM, INC. WHICH IS DESIGNED TO ACTIVELY ENGAGE APPROXIMATELY 1,000 ELEMENTARY SCHOOL CHILDREN WITH A HANDS-ON INTERACTIVE CURRICULUM TO COMBAT CHILDHOOD OBESITY. PROJECT LEAN'S GOAL IS TO IMPROVE ATTITUDES, INCREASE KNOWLEDGE, AND KEEP BODY MASS INDEX AT OR BELOW THE CENTER FOR DISEASE CONTROL AND PREVENTION AVERAGE GAINS THROUGH NUTRITION EDUCATION AND INCREASED ACTIVITY. THE AIM IS TO IMPROVE THE OVERALL HEALTH OF THE STUDENTS THROUGH HEALTHY NUTRITION AND EXERCISE WITH THE GOAL TO MAKE A SUSTAINABLE DIFFERENCE IN THEIR LIVES. APPROXIMATELY 1,100 STUDENTS IN SIX CITY ELEMENTARY SCHOOLS HAVE DEMONSTRATED (THROUGH SURVEY MEASURES) INCREASED KNOWLEDGE ABOUT NUTRITION AND POSITIVE BEHAVIOR CHANGES. MENTAL HEALTH AND SUBSTANCE ABUSE: THROUGH INITIATIVES LED BY THE MENTAL HEALTH/SUBSTANCE ABUSE INITIATIVE COMMITTEE, PROVIDE EDUCATION ON AND ACCESS TO QUALITY MENTAL HEALTH AND SUBSTANCE ABUSE PREVENTION, INTERVENTION AND TREATMENT SERVICES ACROSS THE LIFE SPAN. OBJECTIVE 1.1: INCREASE PROVIDERS' AND COMMUNITY MEMBERS' AWARENESS AND USE OF QUALITY MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES AND EDUCATIONAL RESOURCES FOR PREVENTION, INTERVENTION, TREATMENT AND RECOVERY. INITIATIVE TAKEN: REGIONAL DATABASE FOR MENTAL HEALTH/SUBSTANCE ABUSE: IN COLLABORATION WITH FAMILY & CHILDREN'S AGENCY, MID-FAIRFIELD CHILD GUIDANCE CENTER AND THE NORWALK HEALTHY FAMILY COLLABORATIVE (WHICH COMPRISES MORE THAN 25 AREA ORGANIZATIONS INCLUDING THE NORWALK HEALTH DEPARTMENT), A REGIONAL ASSESSMENT OF EXISTING MENTAL HEALTH AND SUBSTANCE ABUSE RESOURCES AVAILABLE TO CHILDREN AND ADULTS WAS CONDUCTED OVER THE COURSE OF A YEAR. AFTER VERIFYING AND CROSS-REFERENCING EACH RESOURCE, A COMPREHENSIVE DATABASE WAS COMPILED. THE RESOURCE GUIDE IS UPDATED ON A REGULAR BASIS AND COMMUNITY AGENCIES ARE ENCOURAGED TO SELF-REPORT AND UPDATE ANY CHANGES RELATED TO THEIR AGENCY AND/OR SERVICES. OBJECTIVE 1.2: ENHANCE LOCAL AND REGIONAL PARTNERSHIPS TO IMPROVE ACCESS TO TIMELY, COMPREHENSIVE, AND COORDINATED SERVICES FOR DIVERSE POPULATIONS ACROSS THE LIFESPAN. INITIATIVE TAKEN: IN APRIL 2014, NORWALK HOSPITAL LAUNCHED A COMMUNITY CARE TEAM (CCT) WITH THE GOAL OF TARGETING MENTAL HEALTH AND SUBSTANCE ABUSE POPULATIONS. THIS HAS ALLOWED US TO DELIVER ENHANCED CARE TO INDIVIDUALS WITH COMPLEX MEDICAL AND PSYCHOSOCIAL CHALLENGES BY PROVIDING WRAP AROUND SERVICES TO INDIVIDUALS WITH HOUSING INSTABILITY SUFFERING FROM MENTAL HEALTH AND/OR SUBSTANCE ABUSE ISSUES OR SERIOUS MEDICAL CONDITIONS. AS OF SEPTEMBER 30, 2015, THE GREATER NORWALK CCT DEVELOPED INDIVIDUALIZED CARE PLANS FOR 170 INDIVIDUALS. THE CCT HAS ENABLED NORWALK HOSPITAL TO BREAK DOWN EXISTING SILOS BY INCREASING COMMUNICATION AND COLLABORATION AMONG COMMUNITY PROVIDERS, IMPROVE PATIENT ENGAGEMENT TO APPROPRIATE SERVICES,AND DECREASE PATIENT TURN-OVER IN COMMUNITY PROGRAMS WITH A 27% DECREASE IN INAPPROPRIATE ED UTILIZATION. APPROXIMATELY, 40 PATIENTS HAVE BEEN SUCCESSFULLY LINKED TO HOUSING AND THE MAJORITIES HAVE BEEN REFERRED TO SUPPORT SERVICES. THE SUCCESS OF THE GREATER NORWALK CCT HAS ENABLED EXPANSION OF THE PROGRAM ACROSS OUR NETWORK OF HOSPITALS. INITIATIVE TAKEN: NORWALK HOSPITAL'S BEHAVIORAL HEALTH SPECIALISTS ESTABLISHED A COLLABORATIVE RELATIONSHIP WITH PRACTITIONERS FROM THE NORWALK COMMUNITY HEALTH CENTER (A FEDERALLY QUALIFIED HEALTH CLINIC, FQHC) TO INCORPORATE BEHAVIORAL HEALTH CONSULTATIONS AND ANALYSIS INTO PRIMARY CARE VISITS. ALL PATIENTS AGED 14 YEARS AND OLDER ARE ROUTINELY ASSESSED FOR SUBSTANCE ABUSE/MISUSE DISORDERS AT EACH OFFICE VISIT USING SBIRT (SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT) TECHNIQUE. THE BEHAVIORAL HEALTH SPECIALISTS WORK IN CONJUNCTION WITH THE PRIMARY CARE PROVIDER AND WILL SEE AND ASSESS THE PATIENT AT THE TIME OF THE OFFICE VISIT AND WHEN APPROPRIATE, MAKE RECOMMENDATIONS TO THE PATIENT OR PHYSICIAN. THIS PRACTICE ALLOWS FOR ENHANCED COLLABORATIVE PLANNING, SERVICE DELIVERY, RESOURCE SHARING ANT THE ABILITY TO ADDRESS BEHAVIORAL HEALTH ISSUES EARLY. UTILIZING THE SBIRT TECHNIQUE SPECIFICALLY ALLOW EARLIER IMPLEMENTATION, INTERVENTION AND ACTIVE INVOLVEMENT FROM EMERGENCY SERVICES WHEN APPROPRIATE. OBJECTIVE 1.3: REDUCE FINANCIAL BARRIERS TO TREATMENT. THE STRATEGY FOR THIS IS TO CONVENE PAYERS IN ACO/PHO (ACCOUNTABLE CARE ORGANIZATION/PHYSICIAN HOSPITAL ORGANIZATION) TO ADDRESS REIMBURSEMENT ISSUES AROUND MENTAL HEALTH AND SUBSTANCE ABUSE. INITIATIVE TAKEN: THE WESTERN CONNECTICUT HEALTH NETWORK, WHICH INCLUDES NORWALK HOSPITAL, IS PARTICIPATING IN MULTIPLE PROGRAMS AND INITIATIVES THAT ADDRESS THE NEEDS OF ITS MOST VULNERABLE CITIZENS. IN JANUARY OF 2015, WCHN WAS ACCEPTED INTO CMS MEDICARE SHARED SAVINGS PROGRAM (MSSP) AS AN ACCOUNTABLE CARE ORGANIZATION (ACO). THE ACO IS STRUCTURED TO ENHANCE CARE SERVICES TO MEDICARES SENIORS AND PEOPLE WHO ARE DUAL ELIGIBLE. PROGRAMS UNDER THE ACO INCLUDE CARE MANAGEMENT AND CARE TRANSITIONS FOR THOSE INDIVIDUALS WHO ARE IDENTIFIED AS HAVING GREATER HEALTHCARE OR PSYCHOSOCIAL NEEDS, PROMOTION OF PREVENTATIVE SERVICES FOR THOSE WITH GAPS IN CARE AND CLINICAL PROTOCOLS TO DECREASE VARIATION IN HOW CARE IS DELIVERED. THE EXPECTATION IS THAT THROUGH THESE EFFORTS WE WILL BE ABLE TO MEET THE TENETS OF THE TRIPLE AIM, BETTER CARE FOR POPULATIONS, INCREASE PATIENT SATISFACTION AND AT LOWER COSTS. ANOTHER FOCUS IN OUR ORGANIZATION IS ON THE COMMUNITY CARE TEAMS. THE NORWALK COMMUNITY CARE TEAM (CCT) IS A COLLECTIVE OF PARTIES FROM THE NORWALK COMMUNITY WORKING TOGETHER TO IMPROVE OUTCOMES FOR VULNERABLE POPULATIONS INCLUDING THOSE WHO ARE CHRONICALLY PHYSICALLY AND/OR MENTALLY ILL, HOMELESS OR ABUSING SUBSTANCES. THE GOAL IS TO IMPROVE CARE, INCREASE COMMUNITY SAFETY AND REDUCE COSTS BY DEVELOPING WRAP AROUND SERVICES THROUGH MULTI-AGENCY PARTNERSHIP. THE NORWALK COMMUNITY CARE TEAM, INITIATED IN FEBRUARY 2014 AS AN OUTCOME OF THE NORWALK COMMUNITY HEALTH ASSESSMENT, PROVIDES DEDICATED LEADERSHIP FROM NORWALK HOSPITAL AND BRINGS TOGETHER A WIDELY DIVERSE GROUP OF COMMUNITY AGENCIES. THE NORWALK SUPER-USER TEAM WAS DEVELOPED TO AUGMENT THE CCT AND FOCUSES SPECIFICALLY ON EMERGENCY DEPARTMENT OVER-UTILIZATION. THIS TEAM BEGAN MEETING IN OCTOBER 2014 AND HAS REPRESENTATIVES FROM EMERGENCY MEDICINE INCLUDING THE DEPARTMENT CHAIR, PSYCHIATRY, CASE MANAGEMENT AND POPULATION HEALTH. TO DATE, THE NORWALK CCT AND SUPER-USER TEAM HAVE SERVED MORE THAN 200 INDIVIDUALS LINKING THEM TO HOUSING AND SOCIAL, MEDICAL AND PSYCHIATRIC SERVICES THEREBY IMPROVING QUALITY OF CARE AND REDUCING ED VISITS BY 30 AND 23% RESPECTIVELY. THE TARGET POPULATION FOR THESE PROGRAMS INCLUDES THOSE WHO ARE HOMELESS AND/OR HIGH EMERGENCY DEPARTMENT VISITORS. THOUGH SUCCESSFUL, THERE IS STILL MUCH WORK TO BE DONE. THE 83 MEMBERS OF THE SUPER-USER TEAM VISITED THE ED MORE THAN 1300 TIMES IN FY15.
PART VI - AFFILIATED HEALTHCARE 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, NEW MILFORD AND NORWALK HOSPITALS, THE CONTINUUM OF CARE INCLUDES A LARGE MEDICAL GROUP, HOME HEALTH CARE SERVICES, A NATIONALLY RENOWNED BIOMEDICAL RESEARCH INSTITUTE, THE WCHN AND NORWALK HOSPITAL FOUNDATIONS, AND OTHER RELATED AFFILIATES. WCHN'S MISSION IS TO IMPROVE THE HEALTH OF EVERY PERSON WE SERVE THROUGH THE EFFICIENT DELIVERY OF EXCELLENT, INNOVATIVE AND COMPASSIONATE CARE. FOR 2015, WCHN PROVIDED $19,826,631 IN TOTAL CHARITY CARE. DANBURY, NEW MILFORD AND NORWALK HOSPITALS 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, TO IMPROVE THE HEALTH AND WELL-BEING OF THOSE WE SERVE. FOR 2015, WCHN PROVIDED CHARITY CARE IN THE FOLLOWING AMOUNTS: NORWALK HOSPITAL $7,649,926, DANBURY HOSPITAL INCLUDING THE NEW MILFORD HOSPITAL CAMPUS $11,003,250. WESTERN CONNECTICUT MEDICAL GROUP/NORWALK HOSPITAL PHYSICIANS & SURGEONS: 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. 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. FOR 2015, WCMG/NHP&S PROVIDED $1,023,000 IN CHARITY CARE. 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. FOR 2015, WCHN AFFILIATES PROVIDED $ IN CHARITY CARE. WESTERN CONNECTICUT HOME CARE, INC. (WCHC) PROVIDES STATE OF THE ART CLINICAL SERVICES RANGING FROM PEDIATRIC PATIENTS TO THE ELDERLY UTILIZING BEST PRACTICE IN HOME CARE TO MEET THE NEEDS OF THEIR PATIENTS. FOR 2015, WCHC PROVIDED $91,000 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 I, LINE 7E - PROMOTION OF COMMUNITY HEALTH. IN ORDER TO PROMOTE THE HEALTH OF THE COMMUNITY, NORWALK HOSPITAL IS RESPONSIBLE FOR COORDINATING THE SERVICES OF THE HOSPITAL WITH THOSE OF OTHER HEALTH, EDUCATION, AND SOCIAL SERVICES IN THE COMMUNITY. THESE SERVICES ARE PROMOTED IN ORDER TO OPTIMIZE THE AVAILABILITY OF A FULL SCOPE OF SERVICES IN A COST-EFFECTIVE MANNER. IN FY15, NORWALK HOSPITAL SERVED OVER 1.6 MILLION PERSONS THROUGH OVER 400 COMMUNITY HEALTH EVENTS AND SPONSORSHIPS. HOSPITAL STAFF AND AFFILIATED PHYSICIANS PARTICIPATED IN HEALTH FAIRS, COMMUNITY EDUCATION LECTURES AND SCREENINGS WITH COMMUNITY ORGANIZATIONS. NORWALK HOSPITAL 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 AMERICARES CLINIC (ALSO A FQHC). NORWALK HOSPITAL SUB-SPECIALTY CLINICS ARE ALSO STAFFED BY VOLUNTEER ATTENDING PHYSICIANS FOR UNDER SERVED PATIENTS. 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 61 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. PART II: COMMUNITY HEALTH IMPROVEMENT ADVOCACY: LARGELY STATE AND LOCAL ELECTED OFFICIALS AND AGENCY HEADS WERE LOBBIED IN SUPPORT OF MAINTAINING PATIENT ACCESS TO ESSENTIAL SERVICES FOR THE UNINSURED AND UNDER INSURED. PART V LINE 5 - THE MOST RECENTLY COMPLETED CHNA WAS MADE AVAILABLE ON: A) NORWALK HOSPITAL'S WEBSITE: WWW.NORWALKHEALTH.ORG, B) ON THE CT HOSPITAL ASSOCIATION'S WEBSITE: HTTP://WWW.CHIME.ORG/ADVOCACY/COMMUNITY-HEALTH/ ON THE CITY OF NORWALK WEBSITE:WWW.NORWALKCT.ORG/DOCUMENTCENTER/VIEW/4397 AND ON THE NORWALK HEALTH DEPARTMENT'S WEBSITE: HTTP://WWW.CT.GOV/DPH/LIB/DPH/OHCA/COMMUNITY_NEEDS_ASSESSMENT/CHNA/2014/NO RWALK_HOSPITAL.PDF C) IS AVAILABLE UPON REQUEST FROM THE HOSPITAL FACILITY. C) IS AVAILABLE UPON REQUEST FROM THE HOSPITAL FACILITY.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
NORWALK HOS PHYS & SURGEONS
24 STEVENS STREETNORWALKCT06850061522078501(C)(3)$4,736,991$0STRATEGIC SUPPORT
WESTERN CT MEDICAL GROUP
14 RESEARCH DRIVEBETHELCT06801061137531501(C)(3)$11,497,837$0STRATEGIC SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2 - PROCEDURE FOR MONITORING USE OF GRANTS FUNDS IN USFormAndLineReferenceDesc
ExplanationFUNDS ARE PROVIDED TO NORWALK HOSPITAL PHYSICIANS & SURGEONS, INC. AND WESTERN CONNECTICUT MEDICAL GROUP, INC. RELATED 501(C)(3) ORGANIZATIONS TO SUPPORT THE OPERATING LOSSES OF HOSPITAL BASED PHYSICIAN PRACTICES, AS THEY SUPPORT THE MISSION OF NORWALK HOSPITAL. NORWALK HOSPITAL PHYSICIANS & SURGEONS, INC. AND WESTERN CONNECTICUT MEDICAL GROUP, INC. ARE SUBJECT TO THE SAME POLICIES AND PROCEDURES AS NORWALK HOSPITAL ASSOCIATION. NORWALK HOSPITAL'S ACCOUNTING STAFF PROCESSES PAYROLL, PAYABLE, GENERAL LEDGER AND FINANCIAL STATEMENTS FOR NORWALK HOSPITAL PHYSICIANS & SURGEONS. MONTHLY RESULTS ARE PRESENTED TO THE NORWALK HOSPITAL FINANCE COMMITTEE FOR REVIEW.ExplanationTxt

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 (14 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
DANIEL DEBARBA
PRESIDENT THRU 12/31/14$19,466$637,084$0$310,000$73,676$19,018$4,197$12,750$0$40,400$97,339$1,019,252$0$0
MICHAEL DAGLIO
PRESIDENT EFF 1/1/2015$0$404,582$0$145,000$0$990$0$15,300$0$29,566$0$595,438$0$0
JOHN MURPHY MD
CEO THRU 12/31/14$0$949,990$0$450,000$0$2,838$0$12,750$0$39,094$0$1,454,672$0$0
STEVEN ROSENBERG
CFO/TREASURER$0$573,258$0$200,000$0$5,856$0$12,750$0$29,979$0$821,843$0$0
ANTHONY ACETO
VICE PRESIDENT HUMAN RESOURCES$172,622$123,225$110,235$0$380,353$0$11,862$0$10,536$0$685,608$123,225$0$0
RENEE MAURIELLO
VP NURSING & PATIENT CARE$317,991$0$75,000$0$11,832$0$11,700$0$19,995$0$436,518$0$0$0
JAMES HAYNES
VP OPERATIONS$222,066$0$57,500$0$16,286$0$11,549$0$20,795$0$328,196$0$0$0
JAMES VARRONE
VP SUPPLY CHAIN$159,641$0$26,000$0$0$0$9,019$0$20,995$0$215,655$0$0$0
PATRICK MINICUS
VICE PRESIDENT FINANCE$45,622$375,651$0$100,000$27,701$526$2,376$0$2,477$45,461$78,176$521,638$0$0
BRIAN MCGOVERN MD
PHYSICIAN$258,715$0$286,637$0$22,451$0$12,324$0$22,495$0$602,622$0$0$0
ARI PERKINS MD
PHYSICIAN$345,425$0$144,946$0$6,101$0$11,395$0$22,495$0$530,362$0$0$0
JASON FISCHEL MD
PHYSICIAN$260,807$0$205,749$0$677$0$11,700$0$19,995$0$498,928$0$0$0
ROBERT CAPODANNO MD
PHYSICIAN$248,004$0$202,751$0$10,198$0$11,831$0$22,495$0$495,279$0$0$0
ARTHUR STRICHMAN MD
PHYSICIAN$235,318$0$168,527$0$23,086$0$12,324$0$21,495$0$460,750$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4 - RECEIVED SEVERANCE, SUPPL NQ RETIRE, EQUITY BASED COMPANTHONY ACETO RECEIVED SEVERANCE PAYMENTS TOTALING $314,956. SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS: WESTERN CONNECTICUT HEALTH NETWORK (WCHN) HAS 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 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 #1 - NONE OF THE INDIVIDUALS LISTED ON SCHEDULE J, PART II PARTICIPATED IN THIS PLAN DURING THE YEAR. SERP PLAN #2 - DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2015 NO PAYMENTS WERE MADE TO EITHER DR. JOHN MURPHY, PRESIDENT/CEO OF WCHN AND STEVEN H. ROSENBERG, CFO OF WCHN, PARTICIPANTS 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, 2015, NOT PAYMENTS WERE MADE TO DANIEL DEBARBA JR., EXECUTIVE VP/PRESIDENT OF DANBURY HOSPITAL AND MICHAEL DAGLIO, CHIEF OPERATING OFFICER/PRESIDENT NORWALK HOSPITAL, PARTICIPANTS OF SERP PLAN #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 PARTICIPANTS, 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$12,805,000$0$46,844,821$0$1,010,853$0$829,268$0$463,600$44,541,100$0$02013falsefalseYes (true)Yes (true)
B$0$0$82,012,048$0$0$0$639,886$0$0$72,629,368$0$8,742,7932017falsefalsefalseYes (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)falsefalsefalse0.015700.004600.02030falsefalsefalseYes (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)falsefalsefalsefalsefalse0falsefalse
PEOPLES UNITED BANK
BfalseYes (true)falsefalseYes (true)Yes (true)false0falsefalse12.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 $12,048 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 2015 - 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 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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (28 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.
OFFICERS AND TRUSTEES FORM 990, PART VIIDANIEL DEBARBA WAS PRESIDENT OF NORWALK HOSPITAL, DANBURY HOSPITAL AND NEW MILFORD HOSPITAL THRU 11/30/2014. EFFECTIVE 12/1/2014 HE IS PRESIDENT OF DANBURY HOSPITAL ONLY. BOARD TERM EXPIRED 12/31/2014. ED MAHONY - VICE CHAIRMAN AND TRUSTEE THRU 12/31/2014, CHAIRMAN AND TRUSTEE EFFECTIVE 1/1/2015 ANDREW WHITTINGHAM - TRUSTEE ONLY THRU 12/31/2014, VICE CHAIRMAN AND TRUSTEE EFFECTIVE 1/1/2015 MARK GUDIS - TREASURER AND TRUSTEE THRU 12/31/2014, TRUSTEE ONLY EFFECTIVE 1/1/2015 THOMAS AYOUB, MD - TRUSTEE AND CHIEF OF STAFF, COMPENSATION RECEIVED IS FOR SERVICES AS CHIEF OF STAFF OF NORWALK HOSPITAL FOR THOSE OFFICERS AND TOP 5 EMPLOYEES, FOR WHICH ONLY 40 HOURS IS NOTED TO REFLECT PAID HOURS, ACTUAL HOURS WORKED EXCEEDED THIS AMOUNT. NOTE - ALL AMOUNT 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 WORK CAN BE REFLECTED.
SCHEDULE H PART V LINE 10A URL IMPLEMENTATION STRATEGYMOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY TO MEET THE SIGNIFICANT COMMUNITY HEALTH NEEDS CAN BE FOUND AT: HTTP://WWW.NORWALKHOSPITAL.ORG/ABOUT-US/ABOUT-NORWALK-HOSPITAL/ COMMUNITY-BENEFIT TITLED GREATER NORWALK CHA CHIP REPORT DECEMBER 2012
FORM 990 - ADDITIONAL DBAS24 STEVENS STREET, NORWALK, CT 06850
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 BELONGS 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 ESTABLISH 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: GASTROINTESTINAL 1,151 INFECTIOUS DISEASE 1,081 INTERNAL MEDICINE 754 NEUROLOGY MEDICAL 353 PULMONARY MEDICINE 914 ALL OTHER 1,049 OUTPATIENT SERVICE LINE VOLUME: O/P MEDICINE 5,600 O/P MEDICINE COMMUNITY CLINIC 3,963 O/P MEDICAL ONCOLOGY 2,476 O/P PULMONARY MEDICINE 5,492 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 STOKE, 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: MAJOR JOINT REPLACEMENT 399 TRAUMA SURGERY 354 MINOR GI SURGERY 191 GENERAL SURGERY 158 UROLOGY SURGERY 122 COLON/BOWEL SURGERY 168 OBESITY SURGERY 129 SPINAL SURGERY 131 ALL OTHER INPATIENT SURGERY 361 OUTPATIENT SERVICE LINE VOLUME: ABDOMEN GI SURGERY 545 BREAST SURGERY-NON PLASTIC 450 ENDOSCOPY 6,312 MISC GENERAL SURGERY 992 ORTHO SURGERY 521 UROLOGY 298 PAIN INJECTION PROCEDURES 569 OTOLARY HEAD NECK SURGERY 136 PLASTIC SURGERY 198 ALL OTHER OUTPATIENT SURGERY 724 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 ACCOMPLISHMENTSWOMEN AND CHILDREN'S SERVICE LINE: NORWALK HOSPITAL'S WOMEN'S AND CHILDREN'S DERIVE LINE CONSISTS OF THE FOLLOWING SERVICES: INPATIENT DISCHARGES: ANTE/POST-PARTUM 76 C SECTION DELIVERIES 492 GYN ONCOLOGY 33 GYNECOLOGY 73 VAGINAL DELIVERIES 845 NICU 242 NURSERY 1,128 PEDIATRIC MEDICAL 302 PEDIATRIC SURGERY 30 OUTPATIENT SERVICE LINE VOLUME: GYNECOLOGY 773 ULTRASOUND TESTING 2,849 OBSERVATION 804 PEDIATRIC OP PROCEDURES 4 PEDIATRIC OBSERVATION 548 OUR WOMENS AND CHILDREN'S SERVICES FEATURES A TOP NOTCH TEAM OF OBSTETRICIANS, GYNECOLOGIST, PEDIATRICIANS, CERTIFIED MIDWIVES, PEDIATRIC HOSPITALISTS, NEONATOLOGISTS, PEDIATRIC SPECIALISTS, PHYSICIAN ASSISTANTS AND NURSES. OUR OBSTETRICIANS AND CERTIFIED NURSE MIDWIVES DELIVER BABIES IN THE HOSPITAL'S MODERN, HOME-LIKE CHILD BIRTH CENTER. THE CENTER FEATURES IN-SUITE AMENITIES, INCLUDING PRIVATE ROOMS, MASSAGE THERAPY FOR INFANTS AND MOTHERS AND WIRELESS INTERNET ACCESS. IN ADDITION ADVANCES, MINIMALLY INVASIVE ROBOTIC SURGERY FOR SEVERAL GYNECOLOGIC PROCEDURES, INCLUDING HYSTERECTOMIES, FIBROID REMOVAL, VAGINAL PROLAPSE CORRECTION, TO STOP MENORRHAGIA AND TO TREAT CERTAIN FORMS OF CERVICAL AND UTERINE CANCERS, ARE AVAILABLE AT THE HOSPITAL. 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. ALL PROGRAMS ARE ADMINISTERED CONSISTENT WITH NORWALK HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
FORM 990, PART III, LINE 4D - OTHER PROGRAM SERVICES DESCRIPTIONOTHER PROGRAM SERVICES INCLUDE: EMERGENCY SERVICES - NORWALK HOSPITAL PROVIDES A COMPREHENSIVE RANGE OF HIGH-QUALITY EMERGENCY MEDICAL SERVICES, FOR THE MOST CRITICALLY ILL AND INJURED PATIENTS, FROM PRE-HOSPITAL EMS/PARAMEDIC SERVICES TO AN EMERGENCY DEPARTMENT FEATURING A LEVEL II TRAUMA CENTER TO A NATIONALLY RECOGNIZED CRITICAL CARE UNIT. OUR EMERGENCY DEPARTMENT FEATURES MODERN LIFESAVING TECHNOLOGY AND IS STAFFED BY BOARD-CERTIFIED PHYSICIANS AND EXPERIENCED NURSES WITH ADVANCED SKILLS. FOR PATIENTS EXPERIENCING A STROKE, NORWALK HOSPITAL IS CERTIFIED AS A STROKE CENTER BY THE JOINT COMMISSION. FOR PATIENTS EXPERIENCING AN ACUTE HEART ATTACK, NORWALK HOSPITAL IS CERTIFIED AS A PRIMARY ANGIOPLASTY CENTER. ONCE IDENTIFIED AS A CANDIDATE BY EMS OR BY THE EMERGENCY PHYSICIAN, A CRITICAL PATHWAY ENSURES THE RAPID EVALUATION OF THE PATIENT AND MOVEMENT TO THE CARDIAC CATH LAB FOR DEFINITIVE CARE TO MINIMIZE LONG-TERM CONSEQUENCES. NORWALK HOSPITAL'S CRITICAL CARE UNIT HAS BEEN NATIONALLY RECOGNIZED FOR THE EXEMPLARY LEVEL OF CARE PROVIDED. THE UNIT'S NURSES HAVE BEEN AWARDED THE BEACON AWARD FOR CRITICAL CARE EXCELLENCE BY THE AMERICAN ASSOCIATION OF CRITICAL CARE NURSES THREE TIMES. THE EMERGENCY DEPARTMENT HAD 36,759 TREATED AND RELEASED VISITS 9/30/2015. 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 1,37 INPATIENT DISCHARGES; 4,743 OUTPATIENT VOLUME FOR THE FISCAL YEAR ENDED 9/30/2015. 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 537 AND 9,523 BILLED MONTHS FOR THE FISCAL YEAR ENDED 9/30/2015. 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 66,068 PROCEDURES FOR THE FISCAL YEAR ENDED 9/30/2015. 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.
FORM 990, PART VI, LINE 2BUSINESS OR FAMILY RELATIONSHIP OF OFFICERS, DIRECTORS, ETC. A BUSINESS RELATIONSHIP EXISTS BETWEEN FRED AFRAGOLA, VICTOR LISS AND GEORGE BAUER A BUSINESS RELATIONSHIP EXISTS BETWEEN RICHARD JABARA AND ERVIN SHAMES
FORM 990, PART VI, LINE 6EXPLANATION OF CLASSES OF MEMBERS OR SHAREHOLDERS AS OF SEPTEMBER 30, 2014 NORWALK HEALTH SERVICES CORPORATION, INC. (NHSC) IS THE SOLE MEMBER OF NORWALK HOSPITAL ASSOCIATION (NHA) AND APPOINTS NHA'S TRUSTEES. ON OCTOBER 1, 2014 NHSC MERGED INTO WESTERN CONNECTICUT HEALTH NETWORK (WCHN), WCHN BECAME THE SOLE CORPORATE MEMBER OF NHA.
FORM 990, PART VI, LINE 7AHOW MEMBERS OR SHAREHOLDERS ELECT GOVERNING BODY THE SOLE MEMBER SHALL BE RESPONSIBLE FOR ELECTING, AT THE ANNUAL MEETING OF THE MEMBERSHIP, THE MEMBERS OF THE BOARD OF TRUSTEES OF THE HOSPITAL TO SERVE FOR THREE YEAR TERMS AND UNTIL THEIR SUCCESSORS ARE ELECTED AND HAVE QUALIFIED.
FORM 990, PART VI,LINE 7BDECISIONS OF GOVERNING BODY APPROVAL OF MEMBERS OR SHAREHOLDERS CERTAIN FUNDAMENTAL DECISIONS TO BE UNDERTAKEN BY THE HOSPITAL REQUIRE APPROVAL OF THE MEMBER.
FORM 990, PART VI, LINE 11BFORM 990 REVIEW PROCESS STEVEN 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 12CEXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICTS THE ORGANIZATION'S PROCESS FOR MONITORING AND ENFORCING CONFLICTS OF INTEREST THE WESTERN CONNECTICUT HEALTH NETWORK AND ITS AFFILIATES' (THE NETWORK) CONFLICT OF INTEREST POLICY PROVIDES THAT ANNUALLY, ITS REPRESENTATIVES SHALL SIGN A STATEMENT AFFIRMING THAT THEY DISCLOSED ALL POTENTIAL CONFLICTS, AS DOCUMENTED IN THE CONFLICT OF INTEREST POLICY. IN ADDITION, GENERAL COUNSEL IS PART OF THE ROUTINE CONTRACTS REVIEW PROCESS AND WATCHES FOR POTENTIAL CONFLICTS WITH ANY OF THE NETWORK'S REPRESENTATIVES. WHO IS COVERED BY THE POLICY THE NETWORK'S CONFLICT OF INTEREST POLICY COVERS EACH DIRECTOR, OFFICER AND MANAGER OF THE NETWORK, ALSO REFERRED TO AS "REPRESENTATIVES". LEVEL AT WHICH DETERMINATIONS OF WHETHER THERE IS A CONFLICT IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE FACTS OF THE CONFLICT. THE COMPLIANCE OFFICER AND THE AUDIT COMMITTEE REVIEW AND EVALUATE EACH DISCLOSURE TO DETERMINE IF THERE IS A CONFLICT OF INTEREST. AFTER PRESENTATION OF A POTENTIAL TRANSACTION OR ARRANGEMENT IS MADE BY AN INTERESTED PERSON, THE REMAINING DISINTERESTED BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXIST. LEVEL THAT REVIEWS AND DETERMINES WHAT TO DO IF THERE IS A CONFLICT AFTER EXERCISING DUE DILIGENCE THE FULL BOARD WOULD DETERMINE WHAT ACTIONS SHOULD BE TAKEN FOR ALL CONFLICTS BY OFFICERS AND DIRECTORS. ANY CONFLICTS OCCURRING BY A MANAGER ARE REVIEWED BY THE COMPLIANCE COMMITTEE TO DETERMINE WHAT FURTHER ACTION SHOULD BE TAKEN. RESTRICTIONS ON THE CONFLICTED PERSON NO DIRECTOR HAVING A CONFLICT OF INTEREST ON ANY MATTER SHALL VOTE ON THAT MATTER OR BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING AT WHICH THE VOTE IS TAKEN, EVEN WHEN PERMITTED BY LAW. NO REPRESENTATIVE HAVING A CONFLICT OF INTEREST ON ANY MATTER SHALL USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER. IF THE BOARD OF DIRECTORS, IN ITS SOLE DISCRETION, DETERMINES THAT ANY REPRESENTATIVE HAS CONFLICTS OF INTEREST SUFFICIENT IN NUMBER AND/OR IMPORTANCE THAT THE EFFECTIVENESS OF SUCH INDIVIDUAL ON BEHALF OF THE NETWORK MAY BE SIGNIFICANTLY IMPAIRED, THE BOARD MAY ASK THE INDIVIDUAL TO RESIGN.
FORM 990,PART VI, LINE 15BCOMPENSATION 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) APPROXIMATE MARKET COMPETITIVE LEVELS 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 HAY GROUP, WHOSE PURPOSE IS TO PROVIDE A VALID INDEPENDENT ASSESSMENT OF THE RELEVENT 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 DECEMBER, 2015. 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 19OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE ALL GOVERNING DOCUMENTS REQUIRED BY LAW AND THE FINANCIAL STATEMENTS ARE MADE AVAILABLE BY REQUEST. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9OTHER CHANGES IN NET ASSETS OR FUND BALANCES CHANGE IN INTEREST RATE SWAP $ -2,928,568 CHANGE IN PENSION OBLIGATION -28,544,535 DECREASE IN BEN INT CHARITABLE REMAINDER TRUST -452,051 INCREASE BEN INTEREST IN NHF - PERM RESTRICTED 6,800 INCREASE BEN INTEREST IN NHF - TEMP RESTRICTED 22,383,231 INCREASE BEN INTEREST IN NHF - UNRESTRICTED 28,094,926 NET ASSET TRANSFER NORWALK HOSP PHYSICIANS & SURG -776,179 NET UNRESTRICTED CHANGES IN JOINT VENTURE 3,911,974 NORWALK SURGERY CENTER / JOINT VENTURE INCOME -3,771,482 TRANSFER FROM NORWALK HEALTH CARE, INC 270,131 TRANSFER FROM NORWALK HOSPITAL FOUNDATION 9,800 ------------ TOTAL $ 18,204,047 ------------
FORM 990 PART IX LINE 11GDESCRIPTION:AGENCY & TEMP HELP TOTAL FEES:1996594
FORM 990 PART IX LINE 11GDESCRIPTION:COLLECTION EXPENSE TOTAL FEES:1878207
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACT MANAGEMENT TOTAL FEES:9383073
FORM 990 PART IX LINE 11GDESCRIPTION:CORPORATE DEPTS ALLOCATIONS TOTAL FEES:5336947
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER TOTAL FEES:664455
FORM 990 PART IX LINE 11GDESCRIPTION:OUTSIDE SERVICES TOTAL FEES:4963673
FORM 990 PART IX LINE 11GDESCRIPTION:PATIENT CARE & ADMIN SERVICES TOTAL FEES:6496272
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN FEES TOTAL FEES:8103372
FORM 990 PART IX LINE 11GDESCRIPTION:PROFESSIONAL FEES - CONSULTING TOTAL FEES:2332523
FORM 990 PART IX LINE 11GDESCRIPTION:PROFESSIONAL FEES - PHARMACY TOTAL FEES:4025155

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
NORWALK HOSPITAL PHYSICIANS & SURG
24 STEVENS STREETNORWALKCT06850061522078PHYS PRACTICECT501(C)(3)11 TYPE 2NHAYes (true)
NORWALK HEALTH CARE INC
24 STEVENS STREETNORWALKCT06850222577722INACTIVECT501(C)(3)9WCHN INCYes (true)
NORWALK HOSPITAL FOUNDATION INC
24 STEVENS STREETNORWALKCT06850252577708FUNDRAISINGCT501(C)(3)7NHAYes (true)
ADVANCED CENTER FOR REHABILITATION
24 STEVENS STREETNORWALKCT06850061304799INACTIVECT501(C)(3)11 TYPE 2NHSCYes (true)
DANBURY HOSPITAL
24 HOSPITAL AVENUEDANBURYCT06810060646597ACUTE CARECT501(C)(3)3WCHNYes (true)
WESTERN CONNECTICUT HEALTH NETWORK
24 HOSPITAL AVENUEDANBURYCT06810222594977PRGM DEVELOPCT501(C)(3)11 TYPE 2NAfalse
WESTERN CT HEALTH NETWORK AFFILIATES
24 HOSPITAL AVENUEDANBURYCT06810222594968OUTPATIENTCT501(C)(3)9WCHNYes (true)
WESTERN CT HEALTH NETWORK FOUNDATION
24 HOSPITAL AVENUEDANBURYCT06810237425557ADMIN CONTRIBCT501(C)(3)7WCHNYes (true)
WESTERN CONNECTICUT HOME CARE INC
4 LIBERTY STREETDANBURYCT06810060655138HOME HLTHCARECT501(C)(3)9WCHNYes (true)
WESTERN CT MEDICAL GROUP INC
14 RESEARCH DRIVE SUITE 201ABETHELCT06801061137531PHYS PRACTICECT501(C)(3)9WCHNYes (true)
EASTERN NY MEDICAL SERVICES PC
14 RESEARCH DRIVE SUITE 201ABETHELCT06801455431389PHYS PRACTICENY501(C)(3)9WCHNYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
NORWALK SURGERY
40 CROSS STREETNORWALKCT06850272394942SURGERY CENTERCTNONERELATED$3,771,480$5,116,985falsefalse0.63210
NEW MILFORD MRI
21 ELM STREETNEW MILFORDCT06776271877801INACTIVECTNMH$0$0falsefalse0.00000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
SWC CORPORATION
24 STEVENS STREETNORWALKCT06850222577718PHARMACYCTWCHNC CORP$0$0Yes (true)
MEDICAL SERVICES OF DANBURY
24 HOSPITAL AVENUEDANBURYCT06811061635945HEALTHCARECTWCMGC CORP$0$0Yes (true)
WESTERN CT HEALTH NETWORK INSU
980438151CAPTIVE INSURANCEDANBURY HOSPC CORP$0$0Yes (true)23 LIME TREE BAY PO BOX 105GRAND CAYMANCJCJ
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 ExchangeYes (true)AssetExchangeInd
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 (32 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
NORWALK HOSPITAL PHYSICIANS & SURGEONS
J$572,070FMV
NORWALK HOSPITAL PHYSICIANS & SURGEONS
M$6,997,971FMV
NORWALK HOSPITAL PHYSICIANS & SURGEONS
O$653,149FMV
NORWALK HOSPITAL PHYSICIANS & SURGEONS
Q$1,679,608FMV
NORWALK HOSPITAL PHYSICIANS & SURGEONS
R$7,000,000FMV
NORWALK HOSPITAL PHYSICIANS & SURGEONS
S$331,625FMV
NORWALK HOSPITAL FOUNDATION INC
C$1,501,640FMV
NORWALK HOSPITAL FOUNDATION INC
J$43,200FMV
NORWALK HOSPITAL FOUNDATION INC
L$65,160FMV
NORWALK HOSPITAL FOUNDATION INC
O$137,801FMV
NORWALK HOSPITAL FOUNDATION INC
Q$149,928FMV
NORWALK HOSPITAL FOUNDATION INC
S$1,979,495FMV
DANBURY HOSPITAL
I$1,012,175FMV
DANBURY HOSPITAL
K$416,543FMV
DANBURY HOSPITAL
M$5,792,729FMV
DANBURY HOSPITAL
O$9,606,088FMV
DANBURY HOSPITAL
P$11,936,824FMV
DANBURY HOSPITAL
R$24,191,633FMV
WESTERN CONNECTICUT HEALTH NETWORK INC
O$218,400FMV
WESTERN CT HEALTH NETWORK AFFILIATES
O$111,664FMV
WESTERN CT HEALTH NETWORK AFFILIATES
S$111,494FMV
WESTERN CT MEDICAL GROUP INC
J$822,787FMV
WESTERN CT MEDICAL GROUP INC
M$15,733,128FMV
WESTERN CT MEDICAL GROUP INC
O$506,681FMV
WESTERN CT MEDICAL GROUP INC
Q$43,582FMV
WESTERN CT MEDICAL GROUP INC
R$12,827,178FMV
SWC CORPORATION
J$28,532FMV
SWC CORPORATION
L$138,000FMV
SWC CORPORATION
M$3,576,421FMV
SWC CORPORATION
Q$243,766FMV
SWC CORPORATION
R$2,899,913FMV
WESTERN CT HEALTH NETWORK INSURANCE CO
R$8,027,439FMV

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 06776ExplanationTxt