NORWALK HOSPITAL FOUNDATION INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- NORWALK HOSPITAL FOUNDATION INC (EIN 22-2577707)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-14
- IRS object ID
- 201422269349303902
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-14T15:17:47-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1101 NEW YORK AVENUE NW | AddressLine1 |
| City | WASHINGTON | City |
| State | DC | State |
| ZIP Code | 20005 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222577707 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Norwalk Hospital Foundation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % TONI HORNE | InCareOfName |
| Name Control | NORW | NameControl |
| Phone | 2038522000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 34 Maple Street | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Norwalk | City |
| State | CT | State |
| ZIP Code | 06856 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DANIEL DEBARBA | Name |
| Title | PRESIDENT | Title |
| Date Signed | 2014-08-08 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2023277097 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DANIEL DEBARBA | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 34 Maple Street | AddressLine1 |
| City | Norwalk | City |
| State | CT | State |
| ZIP Code | 06856 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 8654164 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.norwalkhospital.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1985 | YearFormation |
| State Legal Domicile | CT | StateLegalDomicile |
| Activity Or Mission Description | THE NORWALK HOSPITAL FOUNDATION GENERATES PHILANTHROPY AND AWARENESS TO SUPPORT NORWALK HOSPITAL IN BEING A LEADER IN ADVANCED MEDICAL CARE IN THE REGION. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 300 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 16594441 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 7297982 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 877132 | InvestmentIncomePriorYear |
| Investment Income Current Year | 953036 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -214832 | OtherRevenuePriorYear |
| Other Revenue Current Year | -422654 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 17256741 | TotalRevenuePriorYear |
| Total Revenue Current Year | 7828364 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 4728571 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 2630762 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1589161 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1425206 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 30481 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 25146 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 1049528 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 620517 | OtherExpensePriorYear |
| Other Expenses Current Year | 11152301 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 6968730 | TotalExpensesPriorYear |
| Total Expenses Current Year | 15233415 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 10288011 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -7405051 | RevenuesLessExpensesCY |
| Total Assets BOY | 49929632 | TotalAssetsBOY |
| Total Assets EOY | 46650727 | TotalAssetsEOY |
| Total Liabilities BOY | 453281 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1408044 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 49476351 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 45242683 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE NORWALK HOSPITAL FOUNDATION GENERATES PHILANTHROPY AND AWARENESS TO SUPPORT NORWALK HOSPITAL IN BEING A LEADER IN ADVANCED MEDICAL CARE IN THE REGION. GIFTS TO NORWALK HOSPITAL FOUNDATION SUPPORT WORLD CLASS MEDICAL CARE TO MEET THE HIGHEST LEVEL PATIENT EXPECTATIONS INCLUDING THE FOLLOWING INITIATIVES: PROVIDING QUALITY COMPASSIONATE PATIENT-CENTERED CARE FOR ALL PATIENTS; BUILDING STATE-OF-THE-ART FACILITIES WITH INNOVATIVE NEW TECHNOLOGIES AND EQUIPMENT; DEVELOPING AND PROVIDING PROGRESSIVE EDUCATIONAL PROGRAMS TO ASSURE MEDICAL PERSONNEL ARE UP-TO-DATE ON THE MOST RECENT TREATMENTS AND QUALITY OF CARE; ATTRACTING AND RETAINING THE BEST, THE BRIGHTEST, AND THE MOST DEDICATED PHYSICIANS, NURSES AND OTHER MEDICAL STAFF; AND LEADING RELEVANT RESEARCH IN KEY AREAS IN MEDICINE AND SURGERY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 10627037 | Expense |
| Grants | 1220642 | Grants |
| Description | FACILITIES, EQUIPMENT & TECHNOLOGY: FOUNDATION FUNDS SUPPORTED RENOVATIONS IN SEVERAL AREAS OF THE HOSPITAL INCLUDING THE NEW AMBULATORY PAVILION, PEDIATRIC DEPARTMENT, MICROBIOLOGY, AND CP3. ADDITIONALLY, FUNDS WERE USED TO SUPPORT THE PURCHASE OF PINK AID VAN, IMMUNOASSAY OPEN PLATFORM ANALYZER, MOLECULAR DNA FILM ARRAY SYSTEM AND VIRAL RESPIRATORY PANEL TESTING, STERILIZE RD RAPID INFUSER, DA VINCI INSTRUMENTS AND SCOPES, IT SCANNING SYSTEM, GI MONITORS AND EMS STRYKER STRETCHERS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1313956 | Expense |
| Grants | 671126 | Grants |
| Description | PATIENT CARE & OTHER PROGRAMS: FOUNDATION FUNDS WERE USED TO SUPPORT A VARIETY OF PATIENT CARE PROGRAMS INCLUDING THE PEDIATRIC DEVELOPMENT AND THERAPY PROGRAM, MAMMOGRAM SCREENING PROGRAM, LYMPHEDEMA SLEEVE PROGRAM, INTEGRATIVE MEDICINE PROGRAMS, PATIENT EDUCATION MATERIALS, ART AND MUSIC THERAPY, SPIRITUAL CARE, COMMUNITY CHILDHOOD OBESITY PROGRAM AND INDIVIDUAL AND GROUP THERAPY FOR CANCER PATIENTS. INTEREST FROM ENDOWMENTS AND OTHER RESTRICTED FUNDS SUPPORT SEVERAL KEY POSITIONS INCLUDING THE CHAIRS OF PEDIATRICS AND PSYCHIATRY, PEDIATRIC HOSPITALISTS, THE SMILOW FAMILY BREAST HEALTH DIRECTOR AND THE GRACE COLE JONES GIFT SHOP MANAGER. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 815401 | Expense |
| Grants | 110810 | Grants |
| Description | EDUCATION, TRAINING & RESEARCH: NORWALK HOSPITAL FOUNDATION SUPPORTS A VARIETY OF LEARNING OPPORTUNITIES FOR EMPLOYEES AS WELL AS SCHOLARSHIPS FOR STUDENTS PURSUING BOTH UNDERGRADUATE AND ADVANCED DEGREES IN NURSING. SEVENTY EIGHT SCHOLARSHIPS WERE AWARDED TO STUDENTS ENROLLED IN NURSING PROGRAMS AT LOCAL COLLEGES AND UNIVERSITIES. FUNDS WERE ALSO USED TO SUPPORT CONTINUING EDUCATION AND TRAINING FOR MEDICAL RESIDENTS, SPIRITUAL CARE PROVIDERS, LABOR AND DELIVERY NURSES, PULMONARY AND CRITICAL CARE NURSES, AND RESPIRATORY THERAPISTS AMONG OTHERS. IN ADDITION, FOUNDATION FUNDS SUPPORTED MEDICAL GRAND ROUNDS LECTURES, LIBRARY SERVICES, AND PRINTED EDUCATIONAL MATERIALS. AS A COMMUNITY TEACHING HOSPITAL, RESEARCH IS A KEY ELEMENT IN ATTRACTING NEW RESIDENTS, FELLOWS AND PHYSICIANS AS WELL AS TO CONTINUOUS IMPROVEMENTS IN MEDICAL CARE AND SERVICES FOR PATIENTS IN THE COMMUNITY. FOUNDATION SUPPORT ENABLED NORWALK HOSPITAL'S WHITTINGHAM CANCER CENTER TO CONTINUE ITS ROBUST CLINICAL RESEARCH TRIAL PROGRAM. IN FISCAL YEAR 2013, RESEARCH TRIALS WERE CONDUCTED IN BREAST, COLON, ESOPHAGEAL, LUNG, OVARIAN, PANCREATIC AND BLADDER CANCERS ALONG WITH HEMATOLOGY TRIALS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 628184 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 628184 | TotalOfOtherProgramServiceGrnt |
| Total Program Service Expense | 13384579 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | true | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 6 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CT | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | TONI HORNE | NamePerson |
| Telephone Number | 2038522071 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 34 MAPLE STREET | AddressLine1 |
| City | NORWALK | City |
| State | CT | State |
| ZIP Code | 06856 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Key EmployeeKeyEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| MARY G FRANCO | |||||||||
| PRESIDENT | 50.0 | X | X | 353672 | 0 | 60221 | |||
| FREDERICK R AFRAGOLA | |||||||||
| TREASURER (UNTIL 12/31/2012) | 1.0 | X | 4.0 | ||||||
| ROBERT CIOFFI | |||||||||
| TRUSTEE (UNTIL 12/31/2012) | 1.0 | X | X | ||||||
| HOWARD EISON MD | |||||||||
| TRUSTEE (UNTIL 12/31/2012) | 2.0 | X | X | 3.0 | |||||
| DAVID M LEHN | |||||||||
| CHAIRMAN (UNTIL 12/31/2012) | 2.0 | X | 3.0 | ||||||
| KATHLEEN MCSHANE | |||||||||
| TRUSTEE | 1.0 | X | |||||||
| ROBERT OBERNIER | |||||||||
| TRUSTEE (UNTIL 12/31/2012) | 1.0 | X | |||||||
| CORNELIUS T RYAN | |||||||||
| TRUSTEE (UNTIL 12/31/2012) | 1.0 | X | |||||||
| AMY SCHAFRANN | |||||||||
| SECRETARY (UNTIL 12/31/2012) | 2.0 | X | 3.0 | ||||||
| ERVIN R SHAMES | |||||||||
| TRUSTEE | 1.0 | X | 3.0 | ||||||
| LUISA URIARTE | |||||||||
| TRUSTEE | 1.0 | X | |||||||
| RICHARD ZELKOWITZ | |||||||||
| TRUSTEE (UNTIL 12/31/2012) | 1.0 | X | |||||||
| DIANNE ALLISON ESQ | |||||||||
| TRUSTEE | 1.0 | X | 7.0 | ||||||
| DANIEL DEBARBA | |||||||||
| TRUSTEE/ HOSPITAL CEO | 1.0 | X | 935506 | 31978 | 55.0 | ||||
| LEONARD DINARDO | |||||||||
| TRUSTEE | 1.0 | X | |||||||
| PHILIP MORRIS | |||||||||
| TRUSTEE | 1.0 | X | |||||||
| ALISON SCAVONE | |||||||||
| TRUSTEE (UNTIL 12/31/2012) | 2.0 | X | X | ||||||
| CAROL ASNESS | |||||||||
| VICE CHAIRMAN | 2.0 | X | X | ||||||
| MARY GRACE GUDIS | |||||||||
| TRUSTEE | 1.0 | X | |||||||
| CHRISTIAN TREFTZ | |||||||||
| TRUSTEE | 1.0 | X | |||||||
| AMY KATZ | |||||||||
| TRUSTEE | 1.0 | X | |||||||
| MICHAEL LUBLINSKY | |||||||||
| TRUSTEE | 1.0 | X | |||||||
| STEPHEN MICHAELSON | |||||||||
| TRUSTEE | 1.0 | X | |||||||
| DEVANG PATEL DPM | |||||||||
| TRUSTEE | 1.0 | X | |||||||
| LISA FERRARO UNTIL 71913 | |||||||||
| DIR., FDN MAJOR GIFTS | 50.0 | 206481 | 0 | 43717 | X | ||||
| GEOFFREY COLE | |||||||||
| FORMER TRUSTEE / CEO | 218249 | X | |||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 560153 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1153755 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 135916 | TotalOtherCompensation |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | NONE | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Of Contractor | AddressOfContractor |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 1645616 | FundraisingEvents |
| Related Organizations | 628184 | RelatedOrganizations |
| All Other Contributions | 5024182 | AllOtherContributions |
| Noncash Contributions | 209266 | NoncashContributions |
| Total Contributions | 7297982 | TotalContributions |
| Total Program Service Revenue | 0 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 953923 | TotalRevenueColumn |
| Exclusion | $953,923 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 208379 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 209266 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -887 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -887 | TotalRevenueColumn |
| Exclusion | -$887 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 193880 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 1645616 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 616534 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -422654 | TotalRevenueColumn |
| Exclusion | -$422,654 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7828364 | TotalRevenueColumn |
| Exclusion | $530,382 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2519952 | Total |
| Program Services | 2519952 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 110810 | Total |
| Program Services | 110810 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 543045 | Total |
| Management And General | 208048 | ManagementAndGeneral |
| Fundraising | 334997 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 597120 | Total |
| Management And General | 309366 | ManagementAndGeneral |
| Fundraising | 287754 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 216778 | Total |
| Management And General | 96494 | ManagementAndGeneral |
| Fundraising | 120284 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68263 | Total |
| Management And General | 32860 | ManagementAndGeneral |
| Fundraising | 35403 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65160 | Total |
| Management And General | 65160 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25146 | Total |
| Fundraising | 25146 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53253 | Total |
| Management And General | 16108 | ManagementAndGeneral |
| Fundraising | 37145 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 138571 | Total |
| Management And General | 4325 | ManagementAndGeneral |
| Fundraising | 134247 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38041 | Total |
| Fundraising | 38041 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43200 | Total |
| Management And General | 43200 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7556 | Total |
| Management And General | 7556 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | FundraisingFundraising | Management And GeneralManagementAndGeneral |
|---|---|---|---|---|
| FACILITIES, EQUIPMENT & TECHNO | 10627037 | 10627037 | ||
| PATIENT CARE, OTHER PROGRAMS | 126780 | 126780 | ||
| DONOR RECOGNITION | 28931 | 28931 | ||
| All other expenses | 23772 | 7580 | 16192 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15233415 | Total |
| Program Services | 13384579 | ProgramServices |
| Management And General | 799309 | ManagementAndGeneral |
| Fundraising | 1049528 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6793363 | BOY |
| EOY | 5987072 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3712550 | BOY |
| EOY | 3074574 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51933 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 131033 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 131033 | LandBldgEquipmentAccumDeprec |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31442627 | BOY |
| EOY | 32968495 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7929159 | BOY |
| EOY | 4620586 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49929632 | BOY |
| EOY | 46650727 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 20124 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 262475 | BOY |
| EOY | 5000 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 190806 | BOY |
| EOY | 1382920 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 453281 | BOY |
| EOY | 1408044 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40030499 | BOY |
| EOY | 35787831 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9445852 | BOY |
| EOY | 9454852 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49476351 | BOY |
| EOY | 45242683 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49929632 | BOY |
| EOY | 46650727 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -7405051 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 3171382 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6145403 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6989124 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 11484940 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 16359441 | CurrentTaxYearMinus1Year |
| Current Tax Year | 7297982 | CurrentTaxYear |
| Total | 48276890 | Total |
Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6145403 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6989124 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 11484940 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 16359441 | CurrentTaxYearMinus1Year |
| Current Tax Year | 7297982 | CurrentTaxYear |
| Total | 48276890 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 5094721 | AmountsSubstContributorsTotal |
| Public Support Total170 | 43182169 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 845570 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 622717 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 400454 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 879665 | CurrentTaxYearMinus1Year |
| Current Tax Year | 953923 | CurrentTaxYear |
| Total | 3702329 | Total |
Net UBI NetUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 51979219 | TotalSupport |
| Gross Receipts From Admissions Etc | 493365 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.83076 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.90670 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9445852 | BeginningOfYearBalance |
| Contributions | 9000 | Contributions |
| End Of Year Balance | 9454852 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9439242 | BeginningOfYearBalance |
| Contributions | 6610 | Contributions |
| End Of Year Balance | 9445852 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9428708 | BeginningOfYearBalance |
| Contributions | 10534 | Contributions |
| End Of Year Balance | 9439242 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9343642 | BeginningOfYearBalance |
| Contributions | 85066 | Contributions |
| End Of Year Balance | 9428708 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9338472 | BeginningOfYearBalance |
| Contributions | 5170 | Contributions |
| End Of Year Balance | 9343642 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Land | Land | |
| Buildings | Buildings | |
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 131033 | OtherCostOrOtherBasis |
| Depreciation | 131033 | Depreciation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| PLEDGE RECEIVABLES NON- CURREN | 4616492 |
| LIFE INSURANCE | 4089 |
| INTEREST RECEIVABLES | 5 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 4620586 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO AFFILIATES | Description |
| Amount | $1,382,920 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1382920 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| USES OF ENDOWMENT FUNDS | SCHEDULE D, PART V, LINE 4 | NORWALK HOSPITAL FOUNDATION'S ENDOWED FUNDS ARE USED TO SUPPORT THE GENERAL CAPITAL AND OPERATING EXPENSES OF NORWALK HOSPITAL, SCHOLARSHIPS AND PERSONNEL. |
| FIN 48 FOOTNOTE | SCHEDULE D, PART X, LINE 2 | THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE CONCERNING TAX POSITIONS UNDER FIN 48. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | X | MailSolicitations |
| Email Solicitations | X | EmailSolicitations |
| In Person Solicitations | X | InPersonSolicitations |
| Solicitation Of Non Govt Grants | X | SolicitationOfNonGovtGrants |
| Solicitation Of Govt Grants | X | SolicitationOfGovtGrants |
| Special Fundraising Events | X | SpecialFundraisingEvents |
| Agreement Ref Fundraising | true | AgreementRefFundraising |
Fundraiser Activity Information FundraiserActivityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Individual | RUOTOLO ASSOCIATES | NameOfIndividual |
| Activity | CAMPAIGN STUDY | Activity |
| Fundraiser Control Of Funds | false | FundraiserControlOfFunds |
| Amount Retained By Contractor | 25146 | AmountRetainedByContractor |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Retained By Contractors | 25146 | TotalRetainedByContractors |
| Licensed States | CT | LicensedStates |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | CANCER CTR WALK | NameOfEvent1 |
| Gross Receipts Event1 | 282927 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 282927 | CharitableContributionsEvent1 |
| Rent Facility Costs Event1 | 2175 | RentFacilityCostsEvent1 |
| Other Direct Expenses Event1 | 42647 | OtherDirectExpensesEvent1 |
| Name Of Event2 | GALA | NameOfEvent2 |
| Gross Receipts Event2 | 1380834 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 1238334 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 142500 | GrossRevenueEvent2 |
| Rent Facility Costs Event2 | 299845 | RentFacilityCostsEvent2 |
| Food And Beverage Event2 | 128333 | FoodAndBeverageEvent2 |
| Entertainment Event2 | 34268 | EntertainmentEvent2 |
| Other Direct Expenses Event2 | 78885 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 4 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 175735 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 124355 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 51380 | GrossRevenueOtherEvents |
| Other Direct Expenses Other Events | 30381 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 1839496 | GrossReceiptsTotal |
| Charitable Contributions Total | 1645616 | CharitableContributionsTotal |
| Gross Revenue Total Events | 193880 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 302020 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 128333 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 34268 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 151913 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 616534 | DirectExpenseSummaryEvents |
| Net Income Summary | -422654 | NetIncomeSummary |
Form990 Schedule G Part IV Form990ScheduleGPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FUNDRAISING EVENTS NET INCOME | Identifier |
| Return Reference | SCHEDULE G, PART II, LINE 11 | ReturnReference |
| Explanation | IN SCHEDULE G, PART II, CONTRIBUTIONS ARE SUBTRACTED AND REFLECTED IN REVENUE. IF CONTRIBUTIONS ARE ADDED BACK, THE RESULTS ARE THE FOLLOWING Cancer Ctr Walk Gala Other events Donations $ 282,927 $ 1,238,334 $ 124,355 Expenses $ (44,822) $ ( 541,331) $ ( 30,381) ------------ ---------- ------------ Net Profit $ 238,105 $ 697,003 $ 93,974 GALA EVENTS WERE HELD ON 10/13/2012 AND ON 09/28/2013. ALL REVENUES AND EXPENSES RELATED TO BOTH GALA EVENTS WERE RECORDED IN FISCAL YEAR ENDING 9/30/2013. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| NORWALK HOSPITAL ASSOCIATION | |||||||
| 24 STEVENS STREET | NORWALK | CT | 06850 | 066068853 | 501(c)(3) | 2129761 | TRANSFER OF CONT. & OPERATIONAL SUPPORT |
| NORWALK HOSPITAL PHYSICIANS & SURGEONS INC | |||||||
| 24 STEVENS STREET | NORWALK | CT | 06850 | 061522078 | 501(c)(3) | 390191 | OPERATIONAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | STUDENT SCHOLARSHIPS | TypeOfGrant |
| Number Of Recipients | 78 | NumberOfRecipients |
| Amount Of Cash Grant | 110810 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Form 990, Schedule I, LINE 2 | Identifier |
| Return Reference | Description of Organization's Procedures for Monitoring the Use of Grants | ReturnReference |
| Explanation | REQUEST FOR FUNDS TO BE TRANSFERRED FOR THE BENEFIT OF NORWALK HOSPITAL ARE PROCESSED IN THREE CATEGORIES. 1. A NORWALK HOSPITAL CAPITAL BUDGET COMMITTEE OVERSEES CAPITAL PROJECT DEVELOPMENT AND EXECUTION AT THE HOSPITAL. THE NORWALK HOSPITAL FOUNDATION PRESIDENT AND/OR DIRECTOR IS A MEMBER OF THE COMMITTEE. THE FOUNDATION DIRECTOR & PRESIDENT REVIEW ALL CAPITAL REQUESTS FOR FUNDING, LOOKING AT REQUESTS THAT ALIGN WITH DONOR INTENT IN THE VARIOUS RESTRICTED FUNDS. WHEN A MATCH IS IDENTIFIED, SPECIFIC NORWALK HOSPITAL FOUNDATION FUNDS ARE EARMARKED FOR SPECIFIC NORWALK HOSPITAL PROJECTS. ALL REQUESTS ARE DOCUMENTED ON-LINE AND MUST BE SIGNED OFF BY DEPARTMENT CHAIRS AND/OR VICE PRESIDENTS DEPENDING UPON THE LEVEL OF THE REQUEST. 2. PATIENT CARE AND OTHER OPERATIONAL AND EDUCATIONAL PROGRAMS ARE SUPPORTED AS PART OF THE HOSPITAL'S ANNUAL BUDGETING PROCESS. DEPARTMENT LEADERS MEET WITH FOUNDATION STAFF TO REVIEW BUDGETS TO DETERMINE IF THERE ARE ANY NORWALK HOSPITAL FOUNDATION FUNDS THAT CAN BE UTILIZED TO SUPPORT NORWALK HOSPITAL DEPARTMENT BUDGETS. IF RESTRICTED FUNDS WITH THE CORRECT DONOR INTENT ARE IDENTIFIED, FUNDS, MAY BE UTILIZED TO SUPPORT DEPARTMENT BUDGETS. ALSO, FROM TIME TO TIME, A SPECIAL REQUEST MAY COME FROM A DEPARTMENT TO FUND A TRAINING PROGRAM, RESOURCES, SUPPLIES, OR OTHER NEED TO IMPROVE OPERATIONS OR PERFORMANCE. AGAIN, THESE REQUESTS ARE EVALUATED AGAINST FOUNDATION FUNDS TO DETERMINE IF THERE IS A MATCH BETWEEN DONOR INTENT OF THE FOUNDATION FUND AND THE NEED REQUESTED FOR THE HOSPITAL. ALL REQUESTS ARE DOCUMENTED ON A FOUNDATION FUNDS REQUEST FORM AND MUST BE SIGNED OFF BY DEPARTMENT CHAIRS AND/OR VICE PRESIDENTS DEPENDING UPON THE LEVEL OF THE REQUEST. 3. SCHOLARSHIPS- AN ANNUAL CYCLE TO DETERMINE AWARDS IS FOLLOWED. NORWALK HOSPITAL FOUNDATION SCHOLARSHIP COMMITTEE UTILIZES AN APPLICATION FORM LISTING ALL OF THE SCHOLARSHIPS AVAILABLE FROM THE FOUNDATION. SCHOLARSHIPS ARE PROMOTED ON ELECTRONIC DISPLAYS THROUGHOUT NORWALK HOSPITAL. THE APPLICATION IS AVAILABLE ELECTRONICALLY ON THE NORWALK HOSPITAL FOUNDATION WEBSITE AND NORWALK HOSPITAL EMPLOYEE INTRANET. COMPLETED SCHOLASHIP APPLICATIONS ARE REVIEWED BY THE SCHOLARSHIP COMMITTEE, WHICH IS COMPRISED OF ONE NURSING DIRECTOR, ONE NURSING MANAGER, LEGAL COUNSEL, A HUMAN RESOURCES DEPARTMENT REPRESENTATIVE, THE FOUNDATION'S DIRECTOR OF DEVELOPMENT AND FUNDS MANAGER. APPLICATIONS ARE RATED ON ACADEMIC SUCCESS, FINANCIAL NEED, AND ESSAY COMPONENTS. THE SCHOLARSHIP COMMITTEE MEETS IN JUNE TO DISCUSS APPLICATION EVALUATIONS AND DETERMINE SCHOLARSHIP AWARDS. SCHOLARSHIPS ARE PAID DIRECTLY TO THE FINANCIAL INSTITUTION, WITH HALF THE SCHOLARSHIP AWARD APPLIED TO THE STUDENT'S ACCOUNT IN THE FALL AND THE OTHER HALF APPLIED TOWARDS THE SPRING SEMESTER. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARY G FRANCO | ||||||||||||
| PRESIDENT | 256684 | 0 | 77366 | 19622 | 0 | 38293 | 21928 | 413893 | 0 | |||
| DANIEL DEBARBA | ||||||||||||
| TRUSTEE/ HOSPITAL CEO | 562950 | 47556 | 967484 | 325000 | 11250 | 20728 | ||||||
| GEOFFREY COLE | ||||||||||||
| FORMER TRUSTEE / CEO | 218249 | 218249 | ||||||||||
| LISA FERRARO UNTIL 71913 | ||||||||||||
| DIR., FDN MAJOR GIFTS | 185930 | 0 | 19975 | 576 | 0 | 24289 | 19428 | 250198 | 0 | |||
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Supplemental Compensation Information | Schedule J, Part I, Line 3 | THE COMPENSATION COMMITTEE IS FROM NORWALK HOSPITAL ASSOCIATION (NHA). |
| Supplemental Compensation Information | Schedule J, Part I, Line 4a | GEOFFREY COLE RECEIVED PART OF A TWO YEAR SEVERANCE ARRANGEMENT BASED UPON HIS COMPENSATION AT THE TIME OF TERMINATION. THE AMOUNT PAID DURING THE YEAR, $218,429, HAS BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN B (III). |
| Supplemental Compensation Information | Schedule J, Part I, Line 7 | BONUSES ARE PROVIDED BASED ON A GOALS SYSTEM. GOALS ARE ESTABLISHED FOR ELIGIBLE EMPLOYEES AT THE BEGINNING OF THE FISCAL YEAR. BONUSES ARE PAID IN ACCORDANCE WITH THE OVERALL FINANCIAL PERFORMANCE OF THE HOSPITAL AS WELL AS THE EMPLOYEE'S SUCCESS IN MEETING OR EXCEEDING THOSE GOALS. ELIGIBLE EMPLOYEES INCLUDE PRESIDENT, VICE PRESIDENTS, CHAIRMAN, EXECUTIVE DIRECTORS, AND DIRECTORS. THERE IS A RATING SYSTEM REGARDING THE GOALS - MEETING GOALS BY A CERTAIN DATE OR THRESHOLD - THERE IS THEN A MATHEMATICAL CALCULATION THAT DETERMINES THE DOLLAR AMOUNTS. |
| Supplemental Compensation Information | Schedule J, Part III, Line 4b | Norwalk Hospital Association (NHA), a related organization of Norwalk Hospital Foundation (NHF), has established the Norwalk Hospital Senior Executive Deferred Compensation Plan, primarily for the purpose of providing a program of deferred compensation for Daniel DeBarba, a trustee of NHF and President & CEO of NHA. Amounts promised under the plan are based on a targeted retirement benefit. 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 W-2. |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArt | |
| Art Historical Treasures | ArtHistoricalTreasures | |
| Art Fractional Interest | ArtFractionalInterest | |
| Books And Publications | BooksAndPublications | |
| Clothing And Household Goods | ClothingAndHouseholdGoods | |
| Cars And Other Vehicles | CarsAndOtherVehicles | |
| Boats And Planes | BoatsAndPlanes | |
| Intellectual Property | IntellectualProperty |
Securities Publicly Traded SecuritiesPubliclyTraded
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 11 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 209266 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | COST/SELLING PRICE | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities Closely Held Stock | SecuritiesCloselyHeldStock | |
| Securities Prtnrshp Trust Intrsts | SecuritiesPrtnrshpTrustIntrsts | |
| Securities Miscellaneous | SecuritiesMiscellaneous | |
| Qualified Contrib Hist Struct | QualifiedContribHistStruct | |
| Qualified Contrib Other | QualifiedContribOther | |
| Real Estate Residential | RealEstateResidential | |
| Real Estate Commercial | RealEstateCommercial | |
| Real Estate Other | RealEstateOther | |
| Collectibles | Collectibles | |
| Food Inventory | FoodInventory | |
| Drugs And Medical Supplies | DrugsAndMedicalSupplies | |
| Taxidermy | Taxidermy | |
| Historical Artifacts | HistoricalArtifacts | |
| Scientific Specimens | ScientificSpecimens | |
| Archaeological Artifacts | ArchaeologicalArtifacts | |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | true | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | NUMBER OF CONTRIBUTIONS | Identifier |
| Return Reference | SCHEDULE M, PART I, LINE 9, COLUMN B | ReturnReference |
| Explanation | NORWALK HOSPITAL FOUNDATION IS REPORTING ELEVEN (11) DONORS WHO CONTRIBUTED STOCK. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | REVENUES LESS EXPENSES | Identifier |
| Return Reference | FORM 990 PART 1, LINE 19 | ReturnReference |
| Explanation | REVENUE LESS EXPENSES REFLECTS TRANSFERS OF ACCUMULATED FUNDS FROM THE NORWALK HOSPITAL FOUNDATION TO THE NORWALK HOSPITAL TOTALING $14,077,972. FISCAL YEAR 2013 CONTRIBUTIONS AND OPERATIONAL EXPENSES FOR THE FOUNDATION WERE AS FOLLOWS: REVENUE: 7,200,000 EXPENSES: 2,400,000 REVENUE LESS EXPENSES: 4,800,000 DESCRIPTION OF OTHER PROGRAM SERVICES Form 990, Part III, Line 4d TRANSFER RESTRICTED FUNDS TO NORWALK HOSPITAL ASSOCIATION. COMPENSATION FORM 990, PART V, LINE 2A, PART VII; PART IX, LINES 5-10 NORWALK HOSPITAL FOUNDATION DOES NOT HAVE ANY DIRECT EMPLOYEES. NORWALK HOSPITAL IS THE DESIGNATED COMMON PAYMASTER FOR THE INDIVIDUALS REPORTED IN FORM 990, PART VII AND SCHEDULE J. COMPENSATION REPORTED IN PART IX OF THIS RETURN REPRESENTS ALLOCATION OF SALARIES AND BENEFITS PAID BY NORWALK HOSPITAL ASSOCIATION. NORWALK HOSPITAL FOUNDATION REIMBURSES NORWALK HOSPITAL ASSOCIATION FOR THESE EXPENSES. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS Form 990, Part VI, Question 6 & 7 NORWALK HEALTH SERVICES CORPORATION, INC. IS THE SOLE MEMBER OF NORWALK HOSPITAL FOUNDATION AND APPOINTS NORWALK HOSPITAL FOUNDATION'S BOARD OF DIRECTORS. DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990 PART VI, LINE 11B NORWALK HOSPITAL FOUNDATION'S FORM 990 IS PREPARED WITH THE ASSISTANCE OF ERNST & YOUNG AND REVIEWED BY NHF'S INTERNAL MANAGEMENT. FOLLOWING THAT REVIEW, NORWALK HOSPITAL FOUNDATION'S INTERNAL MANAGEMENT PRESENTS THE FORM 990 TO THE AUDIT COMMITTEE FOR REVIEW AND COMMENT. THE COMPLETED FORM 990 EXCLUDING THE SCHEDULE OF CONTRIBUTIONS, SCHEDULE B, IS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO THE FORM BEING FILED WITH THE IRS. MANAGEMENT HAS DECIDED NOT TO DISTRIBUTE SCHEDULE B TO THE BOARD DUE TO THE SENSITIVITY TO DONOR IDENTITY AND CONTRIBUTIONS. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990 PART VI, LINE 12C MONITORING 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, INC. 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 NORWALK HEALTH SERVICES CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS TAX-EXEMPT STATUS, NORWALK HEALTH SERVICES CORPORATION 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 NORWALK HEALTH SERVICES CORPORATION 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 & DESTRUCTION POLICY FORM 990 PART VI, LINE 14 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 NOW COVERED UNDER THE POLICIES OF WCHN AND AS SUCH, THE RECORD RETENTION POLICY APPLIES TO NHSC AS OF 1/1/2014. OFFICERS & POSITIONS FOR WHICH PROCESS WAS USED & YEAR PROCESS WAS BEGUN FORM 990 PART VI, LINE 15A NORWALK HOSPITAL FOUNDATION DOES NOT COMPENSATE ANY OFFICERS OR KEY EMPLOYEES. THE OFFICERS AND KEY EMPLOYEES RECEIVING COMPENSATION ARE COMPENSATED BY NORWALK HOSPITAL ASSOCIATION (NHA). THEREFORE, THEIR COMPENSATION & BENEFITS ARE DETERMINED BY NHA. AN 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 DECIDES 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. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990 PART VI, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. PAYMASTER FORM 990 PART VII, LINES 5-10 NORWALK HOSPITAL ASSOCIATION WAS GRANTED AUTHORIZATION TO ACT AS PAY AGENT ON BEHALF OF NORWALK HEALTH FOUNDATION, FEDERAL I.D. # 22-2577707. REVENUE DIFFERENCE TO AUDITED FINANCIAL STATEMENTS FORM 990 PART VIII, LINE 12, COLUMN A TOTAL REVENUE PER 990 $7,828,364 TOTAL REVENUE PER AUDITED FINANCIAL STATEMENTS $8,444,898 DIFFERENCE $(616,534) RECONCILING ITEMS: EVENTS - DIRECT EXPENSES $616,534 OTHER CHANGES IN NET ASSETS FORM 990 PART XI, LINE 9 TRANSFER NHF BALANCE OF OPERATIONS FROM NHA $ 1,155,442 UNREALIZED GAIN/ LOSS ON INVESTMENTS $ 2,644,124 TRANSFER UNRESTRICTED DONATIONS TO NHA $ (628,184) CHANGES IN NET ASSETS OR FUND BALANCES $ 3,171,382 | Explanation |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Norwalk Hospital Association | ||||||||||
| 24 Stevens Street | Norwalk | CT | 06850 | 066068853 | Health Svcs | CT | 501(c)(3) | 3 | NHSC | true |
| Norwalk Hospital Physicians & Surgeons | ||||||||||
| 24 Stevens Street | Norwalk | CT | 06850 | 061522078 | Phys Practice | CT | 501(c)(3) | 11B | NHSC | true |
| Norwalk Health Care Inc DBA Honey Hill | ||||||||||
| 34 Midrocks Drive | Norwalk | CT | 06850 | 222577722 | inactive | CT | 501(c)(3) | 9 | NHSC | true |
| Norwalk Health Services Corp | ||||||||||
| 24 Stevens Street | Norwalk | CT | 06850 | 222577711 | Support Svc | CT | 501(c)(3) | 11B | NA | false |
| Advanced Center for Rehab Medicine | ||||||||||
| 24 Stevens Street | Norwalk | CT | 06850 | 061304799 | Inactive | CT | 501(c)(3) | 11B | NHSC | true |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Legal Domicile StateLegalDomicileState |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Maple Street Indemnity Company Ltd | |||||||||||||
| 40 Church Street PO Box HM 02062 | Hamilton HM | HX | BD | 980549862 | Captive Insurance | BD | NHSC | C-Corp | |||||
| SWC Corporation | |||||||||||||
| 222577718 | Pharmacy | NHSC | C-Corp | 24 Stevens Street | Norwalk | CT | 06850 | CT | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| NORWALK HOSPITAL ASSOCIATION | ||
| B | 2129761 | COST |
| NORWALK HOSPITAL ASSOCIATION | ||
| C | 628184 | COST |
| NORWALK HOSPITAL ASSOCIATION | ||
| M | 65160 | COST |
| NORWALK HOSPITAL ASSOCIATION | ||
| P | 1498950 | COST |
| NORWALK HOSPITAL ASSOCIATION | ||
| R | 11483036 | COST |
| NORWALK HOSPITAL ASSOCIATION | ||
| S | 1155442 | COST |
| NORWALK HOSPITAL PHYSICIAN & SURGEONS | ||
| B | 390191 | COST |
| NORWALK HOSPITAL PHYSICIAN & SURGEONS | ||
| R | 269391 | COST |