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NORWALK HOSPITAL ASSOCIATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
NORWALK HOSPITAL ASSOCIATION (EIN 06-6068853)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-14
IRS object ID
201412269349303506
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-14T14:08:40-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11101 NEW YORK AVENUE NWAddressLine1
CityWASHINGTONCity
StateDCState
ZIP Code20005ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN066068853EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1The Norwalk Hospital AssociationBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% TONI HORNE CONTROLLERInCareOfName
Name ControlNORWNameControl
Phone2038522000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line124 Stevens StreetAddressLine1
Address Line2SuiteAddressLine2
CityNorwalkCity
StateCTState
ZIP Code06850ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDANIEL DEBARBAName
TitlePRESIDENTTitle
Date Signed2014-08-08DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone2023277097Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDaniel DebarbaNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line124 Stevens StreetAddressLine1
CityNorwalkCity
StateCTState
ZIP Code06850ZIPCode
FieldValueIRS element (for citing)
Gross Receipts356006160GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.norwalkhospital.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1893YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF NORWALK HOSPITAL IS TO PROVIDE UNIQUELY EXCELLENT, INNOVATIVE AND COMPASSIONATE HEALTH CARE WITH EXCEPTIONAL OUTCOMES.ActivityOrMissionDescription
Nbr Voting Members Governing Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees2169TotalNbrEmployees
Total Nbr Volunteers426TotalNbrVolunteers
Total Gross UBI3053352TotalGrossUBI
Net Unrelated Business Txbl Income-1029547NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year6577196ContributionsGrantsPriorYear
Contributions Grants Current Year4120997ContributionsGrantsCurrentYear
Program Service Revenue Prior Year371139088ProgramServiceRevenuePriorYear
Program Service Revenue CY343278008ProgramServiceRevenueCY
Investment Income Prior Year4649560InvestmentIncomePriorYear
Investment Income Current Year2326994InvestmentIncomeCurrentYear
Other Revenue Prior Year2719656OtherRevenuePriorYear
Other Revenue Current Year2933358OtherRevenueCurrentYear
Total Revenue Prior Year385085500TotalRevenuePriorYear
Total Revenue Current Year352659357TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year6428040GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY7902784GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year182765374SalariesEtcPriorYear
Salaries Etc Current Year191892401SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year169436679OtherExpensePriorYear
Other Expenses Current Year136085835OtherExpensesCurrentYear
Total Expenses Prior Year358630093TotalExpensesPriorYear
Total Expenses Current Year335881020TotalExpensesCurrentYear
Revenues Less Expenses Prior Year26455407RevenuesLessExpensesPriorYear
Revenues Less Expenses CY16778337RevenuesLessExpensesCY
Total Assets BOY432888470TotalAssetsBOY
Total Assets EOY538094167TotalAssetsEOY
Total Liabilities BOY266195478TotalLiabilitiesBOY
Total Liabilities EOY290881051TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY166692992NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY247213116NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF NORWALK HOSPITAL IS TO PROVIDE UNIQUELY EXCELLENT, INNOVATIVE AND COMPASSIONATE HEALTH CARE WITH EXCEPTIONAL OUTCOMES. VISION: NORWALK HOSPITAL WILL BE THE HOSPITAL OF CHOICE FOR PATIENTS, PHYSICIANS, AND HEALTH CARE PROFESSIONALS, RECOGNIZED FOR DELIVERING INNOVATIVE CLINICAL SERVICES WITH COMPASSION. WE ARE GUIDED BY THESE VALUES PATIENT-CENTERED: HONORING EACH INDIVIDUALS DIGNITY, PRIVACY, AND CONFIDENTIALITY, EMPOWERING PATIENTS AND THEIR FAMILIES AS PARTNERS IN THEIR CARE, FACILITATING SIMPLE, CONVENIENT WAYS FOR PATIENTS AND THEIR FAMILIES TO USE OUR PROGRAMS AND SERVICES EXCELLENCE: SETTING THE HIGHEST STANDARDS FOR SAFETY, CLINICAL OUTCOMES AND PERSONAL SERVICE, AND CONTINUOUSLY MEASURING, MONITORING AND RAISING THOSE STANDARDS INNOVATION: CONTINUOUSLY PIONEERING NEW AND BETTER WAYS TO DELIVER CARE, INCLUDING BRINGING STATE-OF-THE-ART TECHNOLOGY TO REAL-WORLD CARE DELIVERY, RESEARCH AND PREVENTION OF ILLNESS LEADERSHIP: ATTRACTING AND DEVELOPING THROUGHOUT THE ORMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense38268551Expense
Revenue45063976Revenue
DescriptionWOMEN'S HEALTH: ONE OF THE HOSPITAL'S PREMIER SIGNATURE CLINICAL PROGRAMS, OUR WOMEN'S AND CHILDREN'S SERVICES FEATURES A TOP NOTCH TEAM OF OBSTETRICIANS/GYNECOLOGISTS, PEDIATRICIANS, CERTIFIED NURSES MIDWIVES, PEDIATRIC HOSPITALISTS, NEONATOLOGISTS, PEDIATRIC SPECIALISTS, PHYSICIAN ASSISTANTS AND NURSES. THIS TEAM'S COMPASSIONATE AND EXPERT CARE IS FURTHER ENHANCED BY THE ONSITE AVAILABILITY OF FULL-TIME PERINATOLOGISTS FROM YALE UNIVERSITY MEDICAL SCHOOL. OUR OBSTETRICIANS AND CERTIFIED NURSE MIDWIVES DELIVER BABIES IN THE HOSPITAL'S MODERN, HOME-LIKE CHILDBIRTH CENTER. THE CENTER FEATURES IN-SUITE AMENITIES, INCLUDING BEAUTIFUL SINGLE ROOMS WITH PRIVATE BATHS AND SHOWERS, MASSAGE THERAPY FOR INFANTS AND MOTHERS, WIRELESS INTERNET ACCESS AND FLAT-SCREEN TELEVISIONS. FOR ADDITIONAL EXPERTISE, THE HOSPITAL ALSO PROVIDES PERINATOLOGY SERVICES, FOR HIGH-RISK PREGNANCY, AS WELL AS REPRODUCTIVE ENDOCRINOLOGY SERVICES. IN ADDITION, ADVANCED, 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 NOW AVAILABLE AT THE HOSPITAL. WOMEN'S HEALTH HAD TOTAL INPATIENT DISCHARGES OF 3,046 FOR THE FISCAL YEAR ENDED 9/30/2013.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense41617679Expense
Revenue41340352Revenue
DescriptionORTHOPEDICS AND NEUROSPINE SERVICES: NORWALK HOSPITAL PROVIDES COMPREHENSIVE, HIGH-QUALITY ORTHOPEDIC AND NEUROSPINE CARE TO RESIDENTS OF GREATER FAIRFIELD COUNTY, CONNECTICUT THROUGH AN EXPERT TEAM OF BOARD-CERTIFIED OR ELIGIBLE ORTHOPEDISTS AND NEUROSURGEONS WHO HAVE TRAINED AT SOME OF THE NATIONS MOST PRESTIGIOUS HOSPITALS AND MEDICAL SCHOOLS. A SIGNATURE SERVICE, OUR ORTHOPEDIC AND NEUROSPINE PROGRAM FEATURES A COLLABORATIVE, TEAM APPROACH FOR THE EVALUATION, TREATMENT, AND REHABILITATION OF DISEASES AND CONDITIONS AFFECTING THE BONES, JOINTS, CARTILAGE, MUSCLES, TENDONS AND LIGAMENTS. CLINICAL SERVICES PROVIDED INCLUDES: ARTHRITIS & JOINT PAIN TREATMENT, FOOT AND ANKLE CARE, FRACTURE CARE, HAND AND UPPER EXTREMITY CARE, INCLUDING SHOULDER AND ELBOW REPLACEMENT SURGERY), JOINT REPLACEMENT (HIP & KNEE), SPINE SURGERY, SPORTS MEDICINE, TRAUMA CARE FOR ORTHOPEDIC INJURIES. ORTHONEURO HAD TOTAL INPATIENT DISCHARGES OF 1,591 FOR THE FISCAL YEAR ENDED 9/30/2013.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense35347384Expense
Revenue38849017Revenue
DescriptionGASTROENTEROLOGY & DIGESTIVE SERVICES: NORWALK HOSPITAL IS NOTED FOR ITS ADVANCED GASTROENTEROLOGY PROGRAM, WHICH IS CONSIDERED TO BE A LEADING PROGRAM IN CONNECTICUT AS WELL AS IN NEARBY WESTCHESTER COUNTY, NEW YORK, FOR THE DIAGNOSIS AND TREATMENT OF A WIDE RANGE OF DIGESTIVE DISEASES AND CONDITIONS. ONE OF THE HOSPITALS PREMIER SIGNATURE CLINICAL SERVICES, THIS PROGRAM FEATURES EXPERIENCED AND HIGHLY RESPECTED GASTROENTEROLOGISTS, ON THE NORWALK HOSPITAL MEDICAL STAFF, WHO SEE PATIENTS IN THEIR OFFICES THROUGHOUT LOWER FAIRFIELD COUNTY AS WELL AS AT THE HOSPITALS CENTER FOR DIGESTIVE DISEASES. A KEY COMPONENT OF NORWALK HOSPITALS DIGESTIVE DISEASES SERVICE IS A COLORECTAL CANCER SCREENING PROGRAM. COLORECTAL CANCERS ARE HIGHLY PREVENTABLE AND TREATABLE IF CAUGHT EARLY. HEALTH EXPERTS RECOMMEND A SCREENING COLONOSCOPY AT AGE 50 FOR ADULTS CONSIDERED AT AVERAGE RISK. COLONOSCOPIES ARE PERFORMED BY GASTROENTEROLOGISTS IN THE HOSPITALS MODERN AND NATIONALLY ACCREDITED GASTROINTESTINAL (GI) LAB. NORWALK HOSPITAL IS THE ONLY HOSPITAL IN CONNECTICUT TO OFFER THIRD EYE RETROSCOPE-ENHANCED COLONOSCOPIES. THIS NEW TECHNOLOGY HAS BEEN SHOWN IN CLINICAL STUDIES TO IMPROVE THE DETECTION RATE OF POTENTIALLY PRE-CANCEROUS COLON POLYPS BY UP TO 25%. ONCE DETECTED, THE COLON POLYPS CAN BE REMOVED DURING THE COLONOSCOPY. SEVERAL GASTROENTEROLOGISTS ON THE HOSPITALS MEDICAL STAFF ARE OFFERING THIRD EYE RETROSCOPE-ENHANCED COLONOSCOPIES TO PATIENTS. THE NORWALK HOSPITAL CENTER FOR DIGESTIVE DISEASES PROVIDES STATE-OF-THE-ART, ACADEMIC MEDICAL CENTER-LEVEL CARE IN A CONVENIENTLY LOCATED, COMMUNITY HOSPITAL SETTING. THE CENTERS WIDELY RECOGNIZED, FELLOWSHIP-TRAINED; SPECIALIST PHYSICIANS PROVIDE LEADING-EDGE DIAGNOSTICS AND TREATMENTS FOR DISORDERS OF THE ESOPHAGUS, STOMACH, SMALL INTESTINE, COLON, RECTUM, GALLBLADDER, PANCREAS AND LIVER. A LEADER IN ADVANCED ENDOSCOPIC PROCEDURES FOR THE TREATMENTS OF GASTROINTESTINAL DISORDERS, THE CENTER ALSO OFFERS A CHRONIC HEARTBURN PROGRAM, AND, IN PARTNERSHIP WITH YALE SCHOOL OF MEDICINE, A COMPREHENSIVE LIVER CENTER. CLINICAL SERVICES PROVIDED BY THE CENTERS SPECIALIST PHYSICIANS INCLUDE, BUT ARE NOT LIMITED TO: ABLATION THERAPY FOR BARRETTS ESOPHAGUS, CHRONIC HEARTBURN (GERD) EVALUATION AND TREATMENT, COLON CANCER SCREENING, COLONOSCOPIES, DOUBLE BALLOON-ASSISTED ENTEROSCOPY, ENDOSCOPIC PROCEDURES, INCLUDING ENDOSCOPIC ULTRASOUND, INFLAMMATORY BOWEL DISEASE EVALUATION AND TREATMENTS, LIVER DISEASES, INCLUDING HEPATITIS C, EVALUATIONS AND TREATMENTS. THE CENTER SERVES AS A MAJOR TEACHING SITE FOR THE YALE SCHOOL OF MEDICINE. WILLIAM HALE, MD, DIRECTOR OF GASTROENTEROLOGY AND HEPATOLOGY; DENNIS MEIGHAN, DO, DIRECTOR OF ENDOSCOPY; AND SETH A. GROSS, MD, DIRECTOR OF ADVANCED ENDOSCOPY; HELP TRAIN RESIDENTS AND FELLOWS, AND ALSO CONDUCT CLINICAL RESEARCH STUDIES DESIGNED TO IMPROVE CARE FOR PATIENTS. GASTRO & DIGESTIVE HAD TOTAL INPATIENT DISCHARGES OF 1,608 FOR THE FISCAL YEAR ENDED 9/30/2013.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp162029325TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt7902784TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev167402718TotalOfOtherProgramServiceRev
Total Program Service Expense277262939TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096463NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2169NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTONI HORNE CONTROLLERNamePerson
Telephone Number2038522071TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line124 STEVENS STREETAddressLine1
CityNORWALKCity
StateCTState
ZIP Code06850ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Diane M Allison Esq
Chairman5.03.0XX00
Fred Afragola
Trustee2.03.0X00
Thomas Ayoub
Trustee, Chief of Staff18.01.0X850000
George Bauer
Trustee2.02.0X00
Maria Borges-Lopez
Trustee3.01.0X00
Barbara Butler
Secretary Effective 1/1/133.01.0X00
Daniel DeBarba
President &CEO50.06.0XX935506031978
Howard Eison MD
Trustee Effective 1/1/20132.02.0X00
Paul Gagne MD
Trustee2.01.0X00
Mark Gudis
Trustee2.01.0X00
Ed Kangas
Vice Chairman4.02.0XX00
David Komansky
Trustee2.01.0X00
David Lehn Esq
Trustee2.03.0X00
Victor Liss
Trustee3.05.0X00
Ed Mahony
Trustee3.03.0X00
Joseph E Mann
Trustee Effective 1/1/132.01.0X00
Robert Ready
Trustee2.03.0X00
Gary Reiner
Trustee3.01.0X00
Amy Schafrann
Trustee2.03.0X00
Erv Shames
Trustee Effective 1/1/20132.02.0X00
Andrew Whittingham
Treasurer3.01.0XX00
Richard Zelkowitz
Trustee2.01.0X00
Charles Augenbraun MD
Trustee thru 12/31/120.00.0X00
Patrick Minicus
VP and Chief Financial Officer50.03.0X512593027285
Lisa Brady
Chief Operating Officer50.0465604032678X
Mary Nolan
VP Nursing & Patient Care Serv50.0345539065558X
Anthony Aceto
VP Human Resources50.0400646060246X
Renee Mauriello
VP Nursing & Patient Care Serv50.0242132026470X
Brian McGovern
Physician50.0566771054103X
Michael Carius
Chairman, Emergency Department50.0502319060256X
Arthur Stichman
Physician50.0410492056449X
Edward Eisenberg
Physician50.0385005050211X
Kahterine Michael
Chairman, Psychiatry50.0376463051361X
Geoffrey Cole
Former President & CEO2182490X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5446319TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation516595TotalOtherCompensation
Number Individuals GT100 K329NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MORRISON MANAGEMENT SPECIALISTS INC
POBOX 102289ATLANTAGA30368FOOD SERVICE2752117
RIGHTSOURCING INC
PO BOX 9695UNIONDALENY11555STAFFING SERVICES3243726
FREEMANWHITE INC
8845 RED OAK BOULEVARDCHARLOTTENC282175593ARCHITECT3053633
NORWALK RADIOLOGY CONSULTANTS PC
148 East AvenueNORWALKCT06851PHYS GROUP-RADIOLOGY1615542
DONALD MURPHY dba Murphy Security
PO Box 356NEW BRITAINCT06050SECURITY SERVICES1411859
FieldValueIRS element (for citing)
Number Of Contractors GT100 K69NumberOfContractorsGT100K
Related Organizations2129762RelatedOrganizations
Government Grants1991235GovernmentGrants
Total Contributions4120997TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Net Patient Services Revenue621400331172930331172930
Other Medical Services90009911777281177728
Norwalk Surgery Center Joint Venture90009927283412728341
Lab Services62140030533523053352
Meaningful Use90009924036172403617

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column2742040TotalRevenueColumn
Related Or Exempt Function Income2742040RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue343278008TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2311619TotalRevenueColumn
Exclusion$2,311,619ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real4041828Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real3138901Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real902927Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column902927TotalRevenueColumn
Exclusion$902,927ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other15375Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other15375Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column15375TotalRevenueColumn
Exclusion$15,375ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory448542GrossSalesOfInventory
Cost Of Goods Sold207902CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column240640TotalRevenueColumn
Exclusion$240,640ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Cafeteria/Vemding90009915498811549881
Parking900099239910239910
FieldValueIRS element (for citing)
Total Other Revenue1789791TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column352659357TotalRevenueColumn
Related Or Exempt Function Income342014447RelatedOrExemptFunctionIncome
Unrelated Business Revenue3053352UnrelatedBusinessRevenue
Exclusion$3,470,561ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total7902784Total
Program Services7902784ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3230966Total
Program Services3230966ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total135352539Total
Program Services110777820ProgramServices
Management And General24574719ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total13012119Total
Program Services10998684ProgramServices
Management And General2013435ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total29368771Total
Program Services24999225ProgramServices
Management And General4369546ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total10928006Total
Program Services9246410ProgramServices
Management And General1681596ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1900681Total
Management And General1900681ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total251958Total
Management And General251958ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total111500Total
Management And General111500ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total41648114Total
Program Services33299950ProgramServices
Management And General8348164ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1526419Total
Program Services27245ProgramServices
Management And General1499174ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3473382Total
Program Services2322344ProgramServices
Management And General1151038ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total7698332Total
Program Services5868981ProgramServices
Management And General1829351ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total16258728Total
Program Services12834352ProgramServices
Management And General3424376ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total581632Total
Program Services498269ProgramServices
Management And General83363ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total30828Total
Program Services29903ProgramServices
Management And General925ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2529391Total
Program Services2529391ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total18635476Total
Program Services13210244ProgramServices
Management And General5425232ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total6115870Total
Program Services6005060ProgramServices
Management And General110810ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesFundraisingFundraising
Pharmacy753400275340020
Radiology & Lab Supplies25970712597071
Medical Supplies2038033920380339
Support Norwalk Community Heal13500001350000

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3462112Total
Program Services1619899ProgramServices
Management And General1842213ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total335881020Total
Program Services277262939ProgramServices
Management And General58618081ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY79838027BOY
EOY73750817EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY30103755BOY
EOY26795462EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY983779BOY
EOY912778EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1860656BOY
EOY1845044EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2373762BOY
EOY1589839EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis470519318LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec310387552LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY136573309BOY
EOY160131766EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY55114847BOY
EOY89661793EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2267986BOY
EOY2267986EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY49220441BOY
EOY45162957EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY74551908BOY
EOY135975725EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY432888470BOY
EOY538094167EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY45455394BOY
EOY53040490EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY52395000BOY
EOY122700000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY168345084BOY
EOY115140561EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY266195478BOY
EOY290881051EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY123000420BOY
EOY207578029EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY34246719BOY
EOY30180235EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY9445853BOY
EOY9454852EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY166692992BOY
EOY247213116EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY432888470BOY
EOY538094167EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses16778337ReconcilationRevenueExpenses
Reconciliation Unrealized Invest7760507ReconciliationUnrealizedInvest
Reconcilation Other Changes55981280ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$438,611OtherActivitiesAmount
Total Lobbying Expenditures IIB438611TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOTHER ACTIVITIESIdentifier
Return ReferenceSCHEDULE C PART II-B LINE IReturnReference
ExplanationNORWALK HOSPITAL ASSOCIATION PAYS MEMBERSHIP DUES TO MEMBER ORGANIZATIONS WHICH MAY ENGAGE IN LOBBYING ACTIVITIES, THEREFORE, A PORTION OF THE DUES MAY BE ATTRIBUTABLE TO LOBBYING ACTIVITIES. NORWALK HOSPITAL ENGAGED THE FIRM BROWN RUDNICK LLP FOR GOVERNMENT RELATIONS IN CONNECTICUT AND ON THE FEDERAL LEVEL. BROWN RUDNICK KEEPS NORWALK HOSPITAL ASSOCIATION APPRAISED OF FEDERAL HEALTHCARE POLICY, GRANT OPPORTUNITIES AND REALTED BILLS & PENDING LEGISLATION THAT MAY BE OF INTEREST TO THE WELL BEING OF THE HOSPITAL.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5517609OtherCostOrOtherBasis
Book Value5517609BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis167257328OtherCostOrOtherBasis
Depreciation93633249Depreciation
Book Value73624079BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis10384823OtherCostOrOtherBasis
Depreciation2920425Depreciation
Book Value7464398BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis251254314OtherCostOrOtherBasis
Depreciation212512351Depreciation
Book Value38741963BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis36105244OtherCostOrOtherBasis
Depreciation1321527Depreciation
Book Value34783717BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings160131766TotalOfBookValueLandBuildings
Total Of Book Value Program Related0TotalOfBookValueProgramRelated

Other Assets OtherAssets (9 entries)

DescriptionDescriptionBook ValueBookValue
Other Receivables3410889
Interest Rate Swap4554026
Due from Affiliates1346260
Construction Fund/Cost of Issu59708986
Malpractice Tust Fund327
Goodwill - NRMC Purchase13843749
Non-Compete - NRMC Purchase5958797
CHEFA Bond Issue Expense1289383
Malpractice Receivable45863308
FieldValueIRS element (for citing)
Total Book Value Other Assets135975725TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (9 entries)

DescriptionDescriptionAmountAmount
Due to third party payors$30,484,686
Malpractice Reserve$51,278,308
Asset Retirement Obligation$10,653,327
CHA Trust loan$402,355
Workers' Comp Reserve$2,567,866
Long Term Disability Reserve$2,072,930
Lease - Current and long term$3,767,601
Accrued Pension Liability$13,061,730
Due to Affiliates$851,758
FieldValueIRS element (for citing)
Total Of Amounts115140561TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierFIN 48 FOOTNOTEIdentifier
Return ReferenceSCHEDULE D, PART X, LINE 2ReturnReference
ExplanationTHERE WAS NO FIN 48/ASC 740 FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served17076PersonsServed
Total Community Benefit Expense12130987TotalCommunityBenefitExpense
Direct Offsetting Revenue4964575DirectOffsettingRevenue
Net Community Benefit Expense7166412NetCommunityBenefitExpense
Percent Of Total Expense0.02110PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served46085PersonsServed
Total Community Benefit Expense59385091TotalCommunityBenefitExpense
Direct Offsetting Revenue41428745DirectOffsettingRevenue
Net Community Benefit Expense17956347NetCommunityBenefitExpense
Percent Of Total Expense0.05300PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served63161PersonsServed
Total Community Benefit Expense71516078TotalCommunityBenefitExpense
Direct Offsetting Revenue46393320DirectOffsettingRevenue
Net Community Benefit Expense25122759NetCommunityBenefitExpense
Percent Of Total Expense0.07410PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served1397468PersonsServed
Total Community Benefit Expense1780359TotalCommunityBenefitExpense
Direct Offsetting Revenue97272DirectOffsettingRevenue
Net Community Benefit Expense1683087NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served22PersonsServed
Total Community Benefit Expense12372639TotalCommunityBenefitExpense
Direct Offsetting Revenue4399270DirectOffsettingRevenue
Net Community Benefit Expense7973369NetCommunityBenefitExpense
Percent Of Total Expense0.02350PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Persons Served10014PersonsServed
Total Community Benefit Expense3465077TotalCommunityBenefitExpense
Direct Offsetting Revenue1360322DirectOffsettingRevenue
Net Community Benefit Expense2104755NetCommunityBenefitExpense
Percent Of Total Expense0.00620PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served1407504PersonsServed
Total Community Benefit Expense17618075TotalCommunityBenefitExpense
Direct Offsetting Revenue5856864DirectOffsettingRevenue
Net Community Benefit Expense11761211NetCommunityBenefitExpense
Percent Of Total Expense0.03020PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served1470665PersonsServed
Total Community Benefit Expense89134153TotalCommunityBenefitExpense
Direct Offsetting Revenue52250184DirectOffsettingRevenue
Net Community Benefit Expense36883970NetCommunityBenefitExpense
Percent Of Total Expense0.10430PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served320PersonsServed
Total Community Building Expense24570TotalCommunityBuildingExpense
Net Community Building Expense24570NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served320PersonsServed
Total Community Building Expense24570TotalCommunityBuildingExpense
Net Community Building Expense24570NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$17,836,044BadDebtExpenseAmount
Amount Attributable To7965577AmountAttributableTo
Amount Reimbursed By Medicare89000371AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare118035020CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-29034649MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1NORWALK SURGERY CTRBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityAMBULATORY SURGERY CENTERDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.64110OrganizationProfitOrOwnership
Physicans Profit Or Ownership0.31100PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORWALK HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line134 STEVENS STREETAddressLine1
CityNORWALKCity
StateCTState
ZIP Code06856ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NORWALK HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted13NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiesfalseOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Include Operational PlansXIncludeOperationalPlans
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedtrueAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent400.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Average Negotiated RatesXAverageNegotiatedRates
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities11NumberOfOtherFacilities

Other Facilities OtherFacilities (11 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Norwalk Hosp Outpatient Rehab Services
520 West AvenueNorwalkCT06850OUTPATIENT REHABILITATION FAC.
Norwalk Hosp Outpatient Rehab Services
40 Cross Street Suite 110NorwalkCT06851OUTPATIENT SERVICES
Norwalk Hosp Sleep Disorders Services
520 West AvenueNorwalkCT06850SLEEP DISORDER SERVICES
Norwalk Hosp Rad & Mammography Ctr
148 East Avenue Suite 1RNorwalkCT06851RADIOLOGY & MAMMOGRAPHY CENTER
Norwalk Hospital New Canaan Radiology
29-30 East AvenueNew CanaanCT06840RADIOLOGY SERVICES
Norwalk Hospital Westport Radiology
728 Post Road EastWestportCT06880RADIOLOGY SERVICES
New Canaan Blood Collection Center
28-30 East AvenueNew CanaanCT06840BLOOD COLLECTION
Westport Blood Collection
728 Post Road EastWestportCT06880BLOOD COLLECTION
Norwalk Blood Collection
40 Cross StreetNorwalkCT06851BLOOD COLLECTION
Norwalk Blood Collection
148 East AvenueNorwalkCT06851BLOOD COLLECTION
Norwalk Surgery Center LLC
40 Cross StreetNorwalkCT06851SURGERY CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
PART I, LINE 7, COLUMN FNORWALK HOSPITAL HAS AN ACGME ACCREDITED MEDICAL RESIDENCY PROGRAM PARTNERED WITH YALE UNIVERSITY SCHOOL OF MEDICINE. APPROXIMATELY 58 RESIDENTS AND FELLOWS ROTATE IN THE MEDICINE, RADIOLOGY, GASTROENTEROLOGY, PULMONARY OR SLEEP PROGRAMS. THE ASSOCIATED COSTS AND REVENUES ARE DERIVED FROM THE MEDICARE COST REPORT. SUBSIDIZED 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 IIPROJECT LEAN(LEARNING WITH ENERGY FROM ACTIVITY AND NUTRITION) IS AN INNOVATIVE, COMMUNITY-WIDE COLLABORATIVE PROGRAM DESIGNED TO ACTIVELY ENGAGE 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. THE PROGRAM HAS THREE COMPONENTS. THE BEFORE-SCHOOL "BREAKFAST CLUB BOOT CAMP" BEGINS AT 7:30AM AND INCLUDES A FREE HEALTHY BREAKFAST SERVED AFTER 40 MINUTES OF STRUCTURED, VIGOROUS EXERCISES. THE IN-SCHOOL COMPONENT PROVIDES THE CHILDREN WITH A WEEKLY 40 MINUTE NUTRITION AND ACTIVITY EDUCATION PROGRAM DIRECTED BY A REGISTERED DIETITIAN FROM NORWALK HOSPITAL. THE DIETITIAN BRINGS NUTRITION EDUCATION TO LIFE IN THE CLASSROOM WITH WEEKLY INTERACTIVE, HANDS-ON ACTIVITIES. THE AFTER-SCHOOL ACTIVITIES INCLUDE A MONTHLY "FAMILY NIGHT" AIMED AT ENGAGING THE ENTIRE FAMILY AND PROVIDING EDUCATIONAL SESSIONS ON PHYSICAL ACTIVITIES, HEALTHY EATING, AND LEADING A HEALTHY LIFESTYLE. ACTIVITIES INCLUDE FAMILY ZUMBATOMICS, LA BOXING, CIRCUIT TRAINING, COOKING CLASSES, SHOPPING ACTIVITIES, ETC. SINCE WEIGHT PROBLEMS IN CHILDHOOD OFTEN CONTINUE INTO ADULTHOOD, TARGETING THIS AGE GROUP ALLOWS US TO MAKE A LASTING EFFECT ON HEALTHY LIVING MINIMIZING FUTURE POTENTIAL MEDICAL RISKS AND SIGNIFICANTLY IMPACTING THE BATTLE AGAINST OBESITY. ADDITIONALLY, IMPLEMENTING THIS PROGRAM AT THIS POINT IN CHILDREN'S LIVES GREATLY INCREASES THE CHANCES THE CHILDREN WILL RETAIN THE INFORMATION AS THEY AGE. WE STRESS THE BENEFIT OF THE ENTIRE FAMILY WORKING TOGETHER TO LEAD A HEALTHY, ACTIVE LIFESTYLE AND GIVE THEM THE SKILLS TO DO SO. THE $24,570 REPRESENTS THE VALUE OF THE HOURS DEVOTED TO PROVIDING THESE PROGRAMS AND COLLABORATING WITH COMMUNITY AGENCIES INVOLVED. PART III, LINE 4 LINE 2 - BAD DEBT EXPENSE IS A FUNCTION OF ACTUAL BAD DEBT WRITE-OFFS AND ESTIMATED BAD DEBTS FOR BALANCES STILL IN ACCOUNTS RECEIVABLE (AR) AS OF THE MEASUREMENT DATE. THE HOSPITAL CALCULATES THE ESTIMATED BAD DEBTS IN AR BY COMPUTING HISTORICAL PAYMENT % BY PAYOR, SERVICE TYPE, AND BY ACCOUNT AGE AND APPLIES THOSE PERCENTAGES ADJUSTED FOR PRICE INCREASES TO CURRENT AR. LINE 3 - THE PERCENT OF CHARITY CARE APPLICATIONS UNDER NORWALK HOSPITAL'S FINANCIAL ASSISTANCE POLICY THAT RESULTED IN A DISCOUNT WAS 44.66%. WE APPLIED THIS % TO OUR BAD DEBT EXPENSE OF $17,836,044 TO ARRIVE AT OUR ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER NORWALK HOSPITAL'S FINANCIAL ASSISTANCE POLICY OF $7,965,577. WE HAVE NO FOOTNOTE IN OUR AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE.
PART III, LINE 8ALL 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 9BNORWALK 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 FAP PROGRAM COLLECTION ACTIVITY CEASES. THE PATIENT IS THEN SENT AN APPLICATION AND WORKS WITH THE FINANCIAL COUNSELLING TEAM FOR APPROVAL OF FULL OR PARTIAL DISCOUNTS. PART V, SECTION B, LINE 3 NORWALK HOSPITAL AND THE NORWALK HEALTH DEPARTMENT ARE LEADING A COLLABORATIVE COMMUNITY PLANNING PROCESS TO IMPROVE THE HEALTH OF GREATER NORWALK AREA RESIDENTS. INVOLVED IN THIS EFFORT ARE THE HEALTH DEPARTMENTS OF NEW CANAAN, WESTPORT, WESTON, WILTON, DARIEN, AND FAIRFIELD, AS WELL AS THE NORWALK COMMUNITY HEALTH CENTER, NON-PROFIT AGENCIES, COMMUNITY AND FAITH BASED ORGANIZATIONS, AS WELL AS THE PUBLIC BEING SERVED. A BROAD REPRESENTATION OF THE COMMUNITY ALLOWS US TO SHARE EXPERTISE AND RESOURCES. PART V, SECTION B, LINE 7 A SUBCOMMITTEE OF THE NORWALK HOSPITAL BOARD OF TRUSTEES, THE COMMUNITY HEALTH COMMITTEE (CHC), WAS ESTABLISHED TO PROVIDE OVERSIGHT AND DEVELOP PROJECTS AND PROGRAMS AIMED AT IMPROVING THE HEALTH OF CITIZENS IN LOWER FAIRFIELD COUNTY. THE CHC ASSURES STAKEHOLDER ENGAGEMENT, SETS GOALS, STRATEGIES AND METRICS, MEASURES PROGRAM IMPACT TO PRIORITY COMMUNITY NEEDS, AND MONITORS AND REPORTS PERFORMANCE. CO-LEADS (CONTENT EXPERTS AND OPERATIONAL LEADERS) WERE SELECTED TO FORMULATE WORKGROUPS FROM THE TASK FORCE TO DISCUSS, DEVELOP AND IMPLEMENT WAYS TO COMPLETE THE IMPROVEMENT PLAN WITH THE EMPHASIS ON CROSS-TOWN, CROSS-INSTITUTION COLLABORATION. WORKGROUPS, COMPRISED OF REPRESENTATIVES FROM A WIDE VARIETY OF COMMUNITY AGENCIES FROM THROUGHOUT THE REGION, FORMED THE OBESITY/HEALTHY LIFESTYLE INITIATIVE COMMITTEE AND MENTAL HEALTH/SUBSTANCE ABUSE INITIATIVE COMMITTEE. EACH COMMITTEE REVIEWED EVIDENCE-BASED STRATEGIES FOR THE HEALTH PRIORITIES WITH A FOCUS ON COMMUNITIES AND SUB-GROUPS OF THE COMMUNITY, SET RELATED PERFORMANCE MEASURES FOR SHORT- AND INTERMEDIATE-TERM PLANS, AND ESTABLISHED TIMELINES FOR ACHIEVING GOALS AND OBJECTIVES. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS PRESENTED TO THE NORWALK HOSPITAL BOARD OF TRUSTEES.
NEEDS ASSESSMENTSERVING OUR COMMUNITIES SPECIAL NEEDS THROUGH OUTREACH PROGRAMS NORWALK HOSPITAL TAKES PARTICULAR PRIDE IN -- NOT ONLY SERVING THE LOCAL COMMUNITIES WITH OUTSTANDING CARE -- BUT IN ITS ABILITY TO ACCOMMODATE EVERYONE WHO COMES THROUGH ITS DOORS. NO PATIENT IS TURNED AWAY FOR LACK OF FUNDS. NORWALK HOSPITAL PROVIDES NUMEROUS EDUCATIONAL PROGRAMS AND SUPPORT GROUPS WITHOUT CHARGE, SUCH AS CANCER SUPPORT, BEREAVEMENT SUPPORT, SMOKING CESSATION, ETC. THE HOSPITAL STAFF PARTICIPATES IN HEALTH FAIRS AND COMMUNITY LECTURES FOR ASSISTED LIVING CENTERS, SENIOR CENTERS, CHURCHES, PUBLIC SCHOOLS AND PROVIDES AMBULANCE TOURS TO THE ELEMENTARY SCHOOLS IN NORWALK. NORWALK HOSPITAL OFFERS PROGRAM AND FINANCIAL SUPPORT TO THE NORWALK COMMUNITY HEALTH CENTER, A COMMUNITY-BASED HEALTH CENTER, AND PROVIDES SUPPORT TO AMERICARES CLINIC. SPECIALTY CLINICS FOR THE MEDICALLY UNDERSERVED ARE STAFFED BY VOLUNTEER ATTENDING PHYSICIANS IN THE FOLLOWING SPECIALTIES: SURGERY, GI, PULMONARY, ORTHOPEDICS, PODIATRY, PHYSIATRY, NEPHROLOGY, NEUROLOGY, SEIZURE, DERMATOLOGY, CARDIOLOGY, RHEUMATOLOGY, LIVER AND BREAST.PART VI, QUESTION 1
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 ANYTIME DURING THE COLLECTION PROCESS A PATIENT WOULD LIKE TO PARTICIPATE IN THE FAP PROGRAM COLLECTION ACTIVITY CEASES. THE PATIENT IS THEN SENT AN APPLICATION AND WORKS WITH THE FINANCIAL COUNSELING TEAM FOR APPROVAL OF FULL OR PARTIAL DISCOUNTS.PART VI, QUESTION 3
COMMUNITY INFORMATIONCOMMUNITY INFORMATION: NORWALK HOSPITAL SERVES AN AREA POPULATION OF ABOUT 270,000 IN LOWER FAIRFIELD COUNTY. THE PRIMARY SERVICE AREA INCLUDES NORWALK, NEW CANAAN, WESTPORT, WESTON AND WILTON, AND THE SECONDARY SERVICE AREA INCLUDES DARIEN, FAIRFIELD, REDDING AND RIDGEFIELD. THERE ARE NO OTHER HOSPITALS LOCATED IN NORWALK HOSPITAL'S PRIMARY OR SECONDARY SERVICE AREAS, BUT THERE ARE FIVE OTHER HOSPITALS LOCATED IN FAIRFIELD COUNTY. A DIVERSE SOCIO-ECONOMIC POPULATION, NORWALK HOSPITAL SERVICES AN AGING POPULATION, FROM THE AFFLUENT TO THE MEDICALLY UNDERSERVED. THE MEDIAN HOUSEHOLD INCOME IN THE GREATER NORWALK AREA IS $103,996 AND THE ESTIMATED UNINSURED POPULATION IN NORWALK IS 8.9%. THE PERCENTAGE OF THE POPULATION IN THE PRIMARY AND SECONDARY AREAS THAT IS 65+ IS EXPECTED TO INCREASE FROM 13.8% IN 2010 TO 15.0% IN 2015, AND WOMEN OF CHILDBEARING AGE (20-44) ARE FORECAST TO DECLINE 7.5% OVER THE SAME PERIOD OF TIME.PART VI, QUESTION 4
PROMOTION OF COMMUNITY HEALTHIN ORDER TO PROMOTE THE HEALTH OF THE COMMUNITY, NORWALK HOSPITAL IS RESPONSIBLE FOR COORDINATING THE SERVICES OF THE HOSPITAL WITH THOSE OF OTHER HEALTH EDUCATION AND SOCIAL SERVICES IN THE COMMUNITY (IE, LONG TERM FACILITIES, COMMUNITY OUTREACH, HEALTH PROMOTION/ILLNESS PREVENTION, ETC.) TO OPTIMIZE AVAILABILITY OF A FULL SCOPE OF SERVICES IN A COST EFFECTIVE MANNER. AS A NOT-FOR-PROFIT ORGANIZATION, NORWALK HOSPITAL PROVIDES NEEDED MEDICAL CARE TO ALL, INCLUDING THOSE WHO CANNOT PAY FOR IT. THIS IS PART OF THE HOSPITAL'S "VISION AND VALUES." NORWALK HOSPITAL PROVIDES A VAST ASSORTMENT OF SERVICES FREE OF CHARGE AND FURTHER CARRIES OUT ITS CITIZENSHIP BY MEETING THE NEEDS OF THE UNDERSERVED. THE HOSPITAL MAKES AVAILABLE TO THE COMMUNITY AN IMPRESSIVE LIST OF SPECIALTIES, SUCH AS: CHILDBIRTH CENTER - NORWALK HOSPITAL PROVIDES EXCEPTIONAL MATERNITY AND PEDIATRIC SERVICES. THE OBSTETRICIANS ARE SUPPORTED BY HIGHLY SKILLED NURSES, CERTIFIED NURSE MIDWIVES, PHYSICIAN ASSISTANTS, NEONATOLOGISTS AND YALE PERINATOLOGISTS TO HELP MANAGE HIGH-RISK PREGNANCIES. THE HOSPITAL ALSO OFFERS COMPREHENSIVE CHILDBIRTH EDUCATION AND SUPPORT PROGRAMS. THE SMILOW FAMILY BREAST HEALTH CENTER - ADDRESSES BREAST CARE IN A SEAMLESS MANNER, BEGINNING WITH COMMUNITY EDUCATION AND SCREENING. FOCUSING ON RAPID DIAGNOSIS, THE PROGRAM PROVIDES ON-GOING SUPPORT THROUGHOUT THE PROCESS OF REFERRAL AND SCHEDULING TO ALL NEEDED SERVICES AND PHYSICIANS. TRAUMA CENTER - NORWALK HOSPITAL IS DESIGNATED AS A LEVEL II TRAUMA CENTER, DEDICATED TO THE SURVIVAL AND RESTORATION OF PATIENTS TO THEIR BEST FUNCTIONAL OUTCOME. STROKE PROGRAM - NORWALK HOSPITAL HAS EARNED THE GOLD SEAL OF APPROVAL FOR STROKE CARE. THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS HAS AWARDED NORWALK HOSPITAL PRIMARY STROKE CENTER CERTIFICATION "FOR DEMONSTRATING THAT ITS STROKE CARE PROGRAM FOLLOWS NATIONAL STANDARDS AND GUIDELINES THAT CAN SIGNIFICANTLY IMPROVE OUTCOMES FOR STROKE PATIENTS." CANCER DIAGNOSTICS AND THERAPY - A COMPREHENSIVE PROGRAM THROUGH THE WHITTINGHAM CANCER CENTER BRINGS TO SOUTHWESTERN CONNECTICUT THE LATEST KNOWLEDGE, TECHNIQUES AND TECHNOLOGY FOR THE DIAGNOSIS AND TREATMENT OF CANCER. THE CANCER CENTER IS COMMITTED TO ASSURING A FULL SPECTRUM OF ONCOLOGY SERVICES TO THE PEOPLE OF OUR COMMUNITY. FROM PREVENTION AND SCREENINGS, TO DIAGNOSIS AND TREATMENT, THE STAFF IS CONTINUALLY RESPONDING TO THE CHANGING NEEDS OF HEALTH CARE AND CANCER PATIENTS. SURGICAL SERVICES - NORWALK HOSPITAL'S DEDICATED SURGICAL STAFF OFFERS HIGH QUALITY SURGICAL CARE BY ALL MEASURABLE STANDARDS. OUTSTANDING SURGEONS ARE IN THE FOREFRONT OF SURGICAL PROCEDURES INCLUDING LAPAROSCOPIC SURGERY, MAJOR JOINT REPLACEMENT AND UROLOGICAL SERVICES. SLEEP CENTER - A NATIONALLY ACCREDITED CENTER PROVIDES FOR DIAGNOSIS AND MANAGEMENT OF THE FULL RANGE OF SLEEP DISORDERS, INCLUDING SLEEP APNEA AND INSOMNIA BARIATRIC CENTER - THE BARIATRIC CENTER HAS BEEN NAMED AN AMERICAN SOCIETY FOR BARIATRIC SURGERY (ASBS) BARIATRIC SURGERY CENTER OF EXCELLENCE. THE ASBS CENTER OF EXCELLENCE DESIGNATION RECOGNIZES SURGICAL PROGRAMS WITH A DEMONSTRATED TRACK RECORD OF FAVORABLE OUTCOMES IN BARIATRIC SURGERY. WOUND CARE AND HYPERBARIC MEDICINE CENTER - AS A REFERRAL CENTER FOR COMPREHENSIVE WOUND MANAGEMENT, THE CENTER HAS HAD VERY SUCCESSFUL RESULTS BY PROVIDING ADVANCED TREATMENT TO CURE WOUNDS THAT PREVIOUSLY WOULD NOT HEAL.PART VI, QUESTION 5
STATE FILING OF COMMUNITY BENEFIT REPORTNORWALK HOSPITAL TAKES PARTICULAR PRIDE IN -- NOT ONLY SERVING THE LOCAL COMMUNITIES WITH OUTSTANDING CARE -- BUT IN ITS ABILITY TO ACCOMMODATE EVERYONE WHO COMES THROUGH ITS DOORS. NO PATIENT IS TURNED AWAY FOR LACK OF FUNDS. NORWALK HOSPITAL PROVIDES NUMEROUS EDUCATIONAL PROGRAMS AND SUPPORT GROUPS WITHOUT CHARGE, SUCH AS CANCER SUPPORT, BEREAVEMENT SUPPORT, SMOKING CESSATION, ETC. THE HOSPITAL STAFF PARTICIPATES IN HEALTH FAIRS AND COMMUNITY LECTURES FOR ASSISTED LIVING CENTERS, SENIOR CENTERS, CHURCHES, PUBLIC SCHOOLS AND PROVIDES AMBULANCE TOURS TO THE ELEMENTARY SCHOOLS IN NORWALK. NORWALK HOSPITAL OFFERS PROGRAM AND FINANCIAL SUPPORT TO THE NORWALK COMMUNITY HEALTH CENTER, A COMMUNITY-BASED HEALTH CENTER, AND PROVIDES SUPPORT TO AMERICARES CLINIC. SPECIALTY CLINICS FOR THE MEDICALLY UNDERSERVED ARE STAFFED BY VOLUNTEER ATTENDING PHYSICIANS IN THE FOLLOWING SPECIALTIES: SURGERY, GI, PULMONARY, ORTHOPEDICS, PODIATRY, PSYCHIATRY, NEPHROLOGY, NEUROLOGY, SEIZURE, DERMATOLOGY, CARDIOLOGY, RHEUMATOLOGY, LIVER AND BREAST.PART VI, QUESTION 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Norwalk Hospital Foundation
24 Stevens StreetNowralkCT06850222577708501(c)(3)628184FUND OPERATIONS
Norwalk Hospital Physicians & Surgeons Inc
24 Stevens StreetNowralkCT06850051522078501(C)(3)7274600STRATEGIC SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierForm 990, Schedule IIdentifier
Return ReferenceDescription of Organization's Procedures for Monitoring the Use of GrantsReturnReference
ExplanationFUNDS ARE PROVIDED TO NORWALK HOSPITAL FOUNDATION AND NORWALK HOSPITAL PHYSICYANS AND SURGEONS, INC., RELATED 501(C)(3) ORGANIZATIONS, WHICH ARE SUBJECT TO THE SAME POLICIES AND PROCEDURES AS NORWALK HOSPITAL ASSOCIATION.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsBonus Filing OrgBonusFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg
Fred Afragola
Trustee00000
Daniel DeBarba
President &CEO56295004755696748403250001125020728
Patrick Minicus
VP and Chief Financial Officer3486920180265398780145875785719428
Lisa Brady
Chief Operating Officer3497910187104982820971031125021428
Mary Nolan
VP Nursing & Patient Care Serv2904440112284110970438674613019428
Anthony Aceto
VP Human Resources2895970252224608920858274081819428
Renee Mauriello
VP Nursing & Patient Care Serv172896010169268602059067704219428
Brian McGovern
Physician25576401719862087402938092967524428
Michael Carius
Chairman, Emergency Department3974190287615625750761393978820468
Arthur Stichman
Physician22457702458946694101613263582120628
Edward Eisenberg
Physician23727301121343521601365193078319428
Kahterine Michael
Chairman, Psychiatry288271092104278240789822893322428
Geoffrey Cole
Former President & CEO002182492182490

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Supplemental Compensation InformationSchedule J, Part III, LINE 4AGEOFFREY COLE RECEIVED PART OF A TWO YEAR SEVERANCE ARRANGEMENT BASED UPON HIS COMPENSATION AT THE TIME OF TERMINATION. THE AMOUNT PAID DURING THE YEAR, $218,249, HAS BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN B(III).
Supplemental Compensation InformationSCHEDULE J, PART I, LINE 4BNORWALK HOSPITAL ASSOCIATION HAS ESTABLISHED THE NORWALK HOSPITAL SENIOR DEFERRED COMPENSATION PLAN, PRIMARILY FOR THE PURPOSE OF PROVIDING A PROGRAM OF DEFERED COMPENSATON TO DANIEL DEBARBA, PRESIDENT & CEO. AMOUNTS PROMISED UNDER THE PLAN ARE BASED ON TARGETED RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PLAN IS SUBJECT TO VESTING, NO AMOUNTS WERE VESTED OR REPORTED AS TAXABLE INCOME ON MR. DEBARBA'S 2012 W2.
Supplemental Compensation InformationSCHEDULE J, PART I, LINE 7BONUSES ARE PROVIDED BASED ON ACHIEVEMENT OF QUANTIFIABLE AND MEASUREABLE GOALS. GOALS ARE ESTABLISHED FOR ELIGIBLE EXECUTIVES AT THE BEGINNING OF EACH FISCAL YEAR. BONUSES ARE PAID IN ACCORDANCE WITH THE OVERALL FINANCIAL PERFORMANCE OF THE HOSPITAL AS WELL AS THE EXECUTIVE'S SUCCESS IN MEETING OR EXCEDDING THOSE GOALS. TARGET INCENTIVE AWARD OPPORTUNITIES RANGE FROM 15% TO 25% FOR SENIOR LEADERS AND 40% FOR THE PRESIDENT AND CEO. MAXIMUM AWARD OPPORTUNITIES ARE 150% OF THE TARGET, AWARDED FOR EXCEPTIONAL AND SUPERIOR PERFORMANCE EVIDENCED BY ACTUAL, MEASURABLE RESULTS. ACTUAL INCENTIVE AWARDS WERE APPROVED BY THE PRESIDENT AND CEO AND COMPENSATION COMMITTEE BAED ON EACH SENEIOR LEADER'S FY 2013 PERFORMANCE RATING, USING A 5 POINT SCALE: -A PERFORMANCE RATING OF 3 GENERALLY EQUATES TO 100% OF TARGET OPPORTUNITY -A PERFORMANCE RATING OF 4 GENERALLY EQUATES TO 125% OF TARGET OPPORTUNITY -A PERFORMANCE RATING OF 5 GENERALLY EQUATES TO 150% OF TARGET OPPORTUNITY ACTUAL AWARDS ARE INTERPOLATED FOR PERFORMANCE RATINGS THAT FALL BETWEEN LEVELS, E.G, A RATING OF 3.6. THE PRESIDENT AND CEO AND COMPENSATION COMMITTEE ALSO EXERCISE AND APPLY DISCRETION TO REFLECT SPECIAL ACCOMPLISHMENTS AND INDIVIDUAL RESULTS, AND CAN RECOMMEND HIGHER FINAL AWARDS.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
STATE OF CT HEALTH & EDU FACILITIES AUTHORITY
A0608061862010-12-0946840000SEE PART Vfalsefalsefalse
STATE OF CT HEALTH & EDU FACILITIES AUTHORITY
B0608061862012-12-0182000000SEE PART Vfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A6140000046844821011983210829268046360046381221002012falsefalsefalsetrue
B00820059100174117700000002015falsefalsefalsetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseChange In Use Bond Financed PropChangeInUseBondFinancedPropPrcntge Bond Financed PropPrcntgeBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
Afalsetruefalsefalse0.022700.004400.02710false0.02710falsetrue
Bfalsetruefalsetrue0falsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeHedge TerminatedHedgeTerminated
0
Afalsefalsefalse0falsefalse
PEOPLES UNITED BANK
Bfalsetruefalse0falsefalsetrue12.false

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Atrue
Btrue

Form990 Schedule K Part VI Form990ScheduleKPartVI (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
USE OF BOND PROCEEDS - ASCHEDULE K, PART I - ATHE PROCEEDS OF THE BOND WERE USED FOR CONSTRUCTION OF A PARKING GARAGE AND FOR THE PURCHASE OF OTHER CAPITAL EQUIPMENT.
USE OF BOND PROCEEDS - BSCHEDULE K, PART I - BTHE PROCEEDS OF THE BONDARE BEING USED FOR CONSTRUCTION OF AN AMBULATORY PAVILION AND FOR THE PURCHASE OF OTHER CAPITAL EQUIPMENT.
PRIVATE BUSINESS USESCHEDULE K, PART III, LINE 4 & 5PRIVATE BUSINESS USE IS BASED ON PHYSICIAN RESERVED SPACES IN FINANCED PARKING GARAGE. THESE RESERVED SPACES ARE USED BY BOTH EMPLOYED AND ATTENDING PHYSICIANS VISITING HOSPITAL PATIENTS TO FURTHER THE HOSPITAL'S MISSION
POST ISSUANCE COMPLIANCE - NONQUALIFIED BONDSSCHEDULE K, PART III, LINE 9EFFECTIVE 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 NOW COVERED UNDER THE POLICIES OF WCHN AND AS SUCH, THE TAX EXEMPT DEBT POLICY APPLIES TO NHA AS OF 1/1/2014.
PROCEDURES TO UNDERTAKE CORRECTIVE ACTIONSCHEDULE K, PART VEFFECTIVE 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 NOW COVERED UNDER THE POLICIES OF WCHN AND AS SUCH, THE TAX EXEMPT DEBT POLICY APPLIES TO NHA AS OF 1/1/2014.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
SOUTHERN CONNECTICUT VASCULAR CTR
SEE PART V42000SEE PART Vfalse
THE BANKWELL
SEE PART V3006SEE PART Vfalse
FIRST COUNTRY BANK
SEE PART V23278SEE PART Vfalse
NORWALK MEDICAL GROUP
SEE PART V155430SEE PART Vfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierBUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSIdentifier
Return ReferenceSCHEDULE L, PART IV, LINE 1ReturnReference
ExplanationPAUL GAGNE, M.D. IS A MEMBER OF THE BOARD OF NORWALK HOSPITAL ASSOCIATION (NHA) AND THE MEDICAL DIRECTOR OF SOUTHERN CONNECTICUT VASCULAR CENTER. NHA PAID SOUTHERN CONNECTICUT VASCULAR CENTER $42,000 FOR CARDIAC AND VASCULAR SERVICES. SCHEDULE L, PART IV, LINE 2 THOMAS AYOUB, FRED AFRAGOLA, VICTOR LISS AND GEORGE BAUER ARE MEMBERS OF THE BOARD OF NHA AND DIRECTORS OF THE BANKWELL. NHA RECEIVED INTEREST INCOME FROM THE BANKWELL IN THE AMOUNT OF $3,006. SCHEDULE L, PART IV, LINE 3 MARY FRANCO IS AN EMPLOYEE OF NHA AND A DIRECTOR OF FIRST COUNTY BANK. NHA RECEIVED INTEREST INCOME FROM FIRST COUNTY BANK IN THE AMOUNT OF $23,278 SCHEDULE L, PART IV, LINE 4 RICHARD ZELKOWITZ, M.D. IS A MEMBER OF THE BOARD OF NHA AND THE MEDICAL DIRECTOR OF NORWALK MEDICAL GROUP. NHA PAID NORWALK MEDICAL GROUP $155,430 FOR CANCER SERVICESExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (19 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OTHER PROGRAM SERVICE DESCRIPTIONSFORM 990, PART III, LINE 4DOTHER PROGRAM SERVICES INCLUDE: ED TREATED AND RELEASED; CARDIOVASCULAR SERVICES; CANCER SERVICES; PULMONARY & RESPIRATORY SERVICES; REHAB SERVICES; ALL OTHER SURGICAL SERVICES; PEDIATRIC SERVICES; PSYCHIATRY SERVICES; ALL OTHER MEDICAL SERVICES; AND ALL OTHER LAB SERVICES
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PART VI, LINES 6 AND 7ANORWALK HEALTH SERVICES CORPORATION, INC. IS THE SOLE MEMBER OF NORWALK HOSPITAL ASSOCIATION (NHA) AND APPOINTS NHA'S BOARD OF DIRECTORS.
DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990FORM 990, PART VI, LINE 11NORWALK HOSPITAL ASSOCIATION'S (NHA) FORM 990 IS PREPARED WITH THE ASSISTANCE OF ERNST & YOUNG LLP AND REVIEWED BY NHA'S INTERNAL MANAGEMENT. FOLLOWING THAT REVIEW, NHA'S INTERNAL MANAGEMENT PRESENTS THE FORM 990 TO THE AUDIT COMMITTEE FOR REVIEW AND COMMENT. THE COMPLETED FORM 990 IS PROVIDED, VIA EMAIL, TO ALL MEMBERS OF THE BOARD OF TRUSTEES PRIOR TO THE FORM BEING FILED WITH THE IRS.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTERESTFORM 990, PART VI, LINE 12CMONITORING THE ORGANIZATION'S CONFLICT OF INTEREST POLICY PROVIDES THAT ANNUALLY, EACH PERSON COVERED BY THE POLICY, INCLUDING BOARD MEMBERS, AND KEY MANAGEMENT PERSONNEL, INCLUDING THE CEO, VICE PRESIDENTS, CHAIRMEN, EXECUTIVE DIRECTORS, NORWALK HOSPITAL PHYSICIANS & SURGEONS AND ANY OTHER HOSPITAL EMPLOYED PHYSICIANS, DIRECTORS, AND ANY OTHER PERSONNEL WITH FINANCIAL DECISION MAKING AUTHORITY AS DESIGNATED BY THE CEO, SENIOR VICE PRESIDENT, VICE PRESIDENTS OR DEPARTMENT CHAIRMEN SHALL SIGN A STATEMENT AFFIRMING THAT SUCH PERSON RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, READ AND UNDERSTANDS THE POLICY AND AGREES TO COMPLY WITH THE POLICY. ADDITIONALLY, THE SIGNED STATEMENT AFFIRMS THAT THE PERSON UNDERSTANDS THE HOSPITAL IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS TAX-EXEMPT STATUS, THE HOSPITAL MUST ENGAGE IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. ENFORCEMENT FAILURE TO COMPLY WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY SHALL CONSTITUTE GROUNDS FOR REMOVAL OF A PERSON COVERED BY THE POLICY AS A BOARD MEMBER OR BOARD COMMITTEE MEMBER, AND, IN THE CASE OF KEY MANAGEMENT PERSONNEL, TERMINATION OF EMPLOYMENT. WHO IS COVERED? THE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS EACH PERSON COVERED BY THE POLICY, INCLUDING BOARD MEMBERS, AND KEY MANAGEMENT PERSONNEL, INCLUDING THE CEO, VICE PRESIDENTS, CHAIRMEN, EXECUTIVE DIRECTORS, NHP&S AND ANY OTHER HOSPITAL EMPLOYED PHYSICIANS, DIRECTORS, AND ANY OTHER PERSONNEL WITH FINANCIAL DECISION MAKING AUTHORITY AS DESIGNATED BY THE CEO, SENIOR VICE PRESIDENT, VICE PRESIDENTS OR DEPARTMENT LEVEL OF DETERMINATION AND REVIEW OF CONFLICTS IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER PRESENTATION OF A POTENTIAL TRANSACTION OR ARRANGEMENT IS MADE BY AN INTERESTED PERSON, THE REMAINING DISINTERESTED BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. THE CHAIRPERSON OF THE GOVERNING BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE IF THE HOSPITAL CAN OBTAIN, WITH REASONABLE EFFORTS, A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST, FOR ITS OWN BENEFIT AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION, THE GOVERNING BOARD OR COMMITTEE SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. RESTRICTIONS PLACED ON CONFLICTED PERSONS IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS.
DOCUMENT RETENTION AND DESTRUCTION POLICYFORM 990 PART VI, LINE 14EFFECTIVE 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 NOW COVERED UNDER THE POLICIES OF WCHN AND AS SUCH, THE RECORD RETENTION POLICY APPLIES TO NHA AS OF 1/1/2014.
OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUNFORM 990, PART VI, LINES 15 A & BAN OUTSIDE CONSULTING FIRM CONDUCTS AN EXECUTIVE COMPENSATION ANALYSIS UTILIZING THIRD-PARTY, BLINDED SURVEY DATA SOURCES. THE CONSULTANT THEN PRESENTS FINDINGS TO THE COMPENSATION COMMITTEE OF THE BOARD, WHO DECIDE WHAT ACTION TO TAKE, IF ANY, FOR EACH EXECUTIVE. THIS PROCEDURE ONLY APPLIES TO THE PRESIDENT, VICE PRESIDENTS, AND CERTAIN KEY EMPLOYEES. FOR THOSE KEY EMPLOYEES WHOSE SALARIES ARE NOT SUBJECT TO THE COMPENSATION COMMITTEE REVIEW, THEIR RESPECTIVE VICE PRESIDENTS ASSESS THEIR PERFORMANCE AND DETERMINE SALARY INCREASES BASED ON THE GUIDELINES ESTABLISHED BY THE ANNUAL REVIEW PROGRAM AND FINAL REVIEW RATINGS. COMPENSATION DECISIONS ALSO EMPLOY EXTERNAL MARKET SURVEY DATA AND INTERNAL ANALYSIS BASED ON NORWALK HOSPITAL ASSOCIATION'S SALARY RANGES. THIS PROCESS IS UNDERTAKEN EACH YEAR.
JOINT VENTURE POLICYFORM 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 UTILIZES 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 RESPECT TO ALL JOINT VENTURE ARRANGEMENTS. JOINT VENTURE ARRANGEMENTS ARE APPROVED BY THE BOARD OF TRUSTEES.
GOVERNING DOCUMENTSFORM 990 PART VI, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
OTHER FEES EXCEED 10%FORM 990, PART IX, LINE 11GPHYSICIANS CONTRACT MANAGEMENT AGENCY AND TEMPORARY HELP PATIENT CARE AND ADMIN. SERVICES COLLECTION EXPENSE PROFESSIONAL FEES - AFFILIATES PROFESSIONAL FEES - CONSULTING OUTSIDE SERVICES OTHER
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 9TRANSFER TO NORWALK HEALTH SERVICES CORPORATION (5,302,411) TRANSFER TO NORWALK HOSPITAL FOUNDATION (1,155,442) TRANSFER FROM NORWALK HOSPITAL FOUNDATION 10,627,037 PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST 51,307,939 DECREASE IN BENEFICIAL INTEREST IN NORWALK HOSPITAL - TEMPORARILY RESTRICTED (4,066,484) INCREASE IN BENEFICIAL INTEREST IN NORWALK HOSPITAL 8,999 FOUNDATION - PERMANENTLY RESTRICTED NORWALK SURGERY CENTER/JOINT VENTURE INCOME (2,728,341) INTEREST RATE SWAP 4,554,026 NET UNRESTRICTED OTHER CHANGES IN JOINT VENTURE 2,735,957 TOTAL OTHER CHANGES IN NET ASSETS 55,981,280
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESFORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIANS TOTAL FEES:7455185
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESFORM 990 PART IX LINE 11GDESCRIPTION:CONTRACT MANAGMENT TOTAL FEES:8225874
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESFORM 990 PART IX LINE 11GDESCRIPTION:AGENCY AND TEMPORARY HELP TOTAL FEES:1691521
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESFORM 990 PART IX LINE 11GDESCRIPTION:PATIENT CARE & ADMIN SERVICES TOTAL FEES:6945811
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESFORM 990 PART IX LINE 11GDESCRIPTION:COLLECTION EXPENSE TOTAL FEES:1500631
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESFORM 990 PART IX LINE 11GDESCRIPTION:PROFESSIONAL FEES - AFFILIATES TOTAL FEES:3989343
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESFORM 990 PART IX LINE 11GDESCRIPTION:PROFESSIONAL FEES - CONSULTING TOTAL FEES:4227969
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESFORM 990 PART IX LINE 11GDESCRIPTION:OUTSIDE SERVICES TOTAL FEES:7086120
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESFORM 990 PART IX LINE 11GDESCRIPTION:OTHER TOTAL FEES:525660

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Norwalk Hospital Physicians & Surgeons
24 Stevens StreetNorwalkCT06850061522078Phys PracticeCT501(c)(3)11BNHSCtrue
Norwalk Health Care Inc
24 Stevens StreetNorwalkCT06850222577722InactiveCT501(c)(3)9NHSCtrue
Norwalk Health Services Corporation
24 Stevens StreetNorwalkCT06850222577711Support SvcsCT501(c)(3)11BNAtrue
Norwalk Hospital Foundation
34 Maple StreetNorwalkCT06850222577708FundraisingCT501(c)(3)7NHSCtrue
Advanced Center for Rehabilitation Medic
24 Stevens StreetNorwalkCT06850061304799InactiveCT501(c)(3)11BNHSCtrue

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Norwalk Surgery Center LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line140 Cross StreetAddressLine1
CityNorwalkCity
StateCTState
ZIP Code06850ZIPCode
FieldValueIRS element (for citing)
EIN272394942EIN
Primary ActivitySurgery CenterPrimaryActivity
Legal Domicile StateCTLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NoneBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income2728341ShareOfTotalIncome
Share Of EOY Assets4925659ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
Code V$0CodeVAmount
General Or Managing PartnerfalseGeneralOrManagingPartner
Percentage Ownership0.64100PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryEINEINPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeLegal Domicile StateLegalDomicileState
Maple Street Indemnity Company Ltd
40 Church St PO Box 2062Hamilton HM HXBD980549862Captive InsruanceBDNHSCC-Corp
SWC Corporation
222577718PharmacyNHSCC-Corp24 Stevens StreetNorwalkCT06850CT
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (17 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Norwalk Hospital Physicians & Surgeons
j522245FMV
Norwalk Hospital Physicians & Surgeons
m14341190FMV
Norwalk Hospital Physicians & Surgeons
q7699806FMV
Norwalk Hospital Physicians & Surgeons
r13300000FMV
Norwalk Hospital Physicians & Surgeons
s9000000FMV
Maple Street Indemnity Company Ltd
r6827000FMV
Norwalk Health Services Corporation
r14499475FMV
Norwalk Hospital Foundation
b628184FMV
Norwalk Hospital Foundation
c2129762FMV
Norwalk Hospital Foundation
l65160FMV
Norwalk Hospital Foundation
q1498950FMV
Norwalk Hospital Foundation
r1155442FMV
Norwalk Hospital Foundation
s11483036FMV
SWC Corporation
l138000FMV
SWC Corporation
m3504475FMV
SWC Corporation
q236179FMV
SWC Corporation
r3157946FMV