NORWALK HOSPITAL ASSOCIATION: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- NORWALK HOSPITAL ASSOCIATION (EIN 06-6068853)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-08-14
- IRS object ID
- 201302269349300140
- Schema version
- 2011v1.5
- 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 C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-14T08:16:44-05:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | 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 | 55 IVAN ALLEN BLVD SUITE 1000 | AddressLine1 |
| City | ATLANTA | City |
| State | GA | State |
| ZIP Code | 30308 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 066068853 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Norwalk Hospital Association | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % TONI HORNE CONTROLLER | InCareOfName |
| Name Control | NORW | NameControl |
| Phone | 2038522000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 24 Stevens Street | AddressLine1 |
| City | Norwalk | City |
| State | CT | State |
| ZIP Code | 06850 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAniel Debarba | Name |
| Title | CEO | Title |
| Date Signed | 2013-08-12 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4048748300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | 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 | 24 Stevens Street | AddressLine1 |
| City | Norwalk | City |
| State | CT | State |
| ZIP Code | 06850 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 391051710 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.norwalkhospital.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1893 | YearFormation |
| State Legal Domicile | CT | StateLegalDomicile |
| Activity Or Mission Description | THE MISSION OF NORWALK HOSPITAL IS TO PROVIDE UNIQUELY EXCELLENT, INNOVATIVE AND COMPASSIONATE HEALTH CARE WITH EXCEPTIONAL OUTCOMES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 19 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2165 | TotalNbrEmployees |
| Total Nbr Volunteers | 525 | TotalNbrVolunteers |
| Total Gross UBI | 3903308 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -187811 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 4163105 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 6577196 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 355229999 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 371139088 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1637037 | InvestmentIncomePriorYear |
| Investment Income Current Year | 4649560 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2473072 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2719656 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 363503213 | TotalRevenuePriorYear |
| Total Revenue Current Year | 385085500 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1042576 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 6428040 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 176190042 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 182765374 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 161029924 | OtherExpensePriorYear |
| Other Expenses Current Year | 169436679 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 338262542 | TotalExpensesPriorYear |
| Total Expenses Current Year | 358630093 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 25240671 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 26455407 | RevenuesLessExpensesCY |
| Total Assets BOY | 347466749 | TotalAssetsBOY |
| Total Assets EOY | 432888470 | TotalAssetsEOY |
| Total Liabilities BOY | 211769948 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 266195478 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 135696801 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 166692992 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE MISSION OF NORWALK HOSPITAL IS TO PROVIDE UNIQUELY EXCELLENT, INNOVATIVE AND COMPASSIONATE HEALTH CARE WITH EXCEPTIONAL OUTCOMES. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 38476185 | Expense |
| Revenue | 49711042 | Revenue |
| Description | WOMEN'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 3,465 FOR THE FISCAL YEAR ENDED 9/30/2012. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 37759493 | Expense |
| Revenue | 42034414 | Revenue |
| Description | GASTROENTEROLOGY & 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 1,908 FOR THE FISCAL YEAR ENDED 9/30/2012. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 36284897 | Expense |
| Revenue | 40936636 | Revenue |
| Description | ORTHOPEDICS 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 1,745 FOR THE FISCAL YEAR ENDED 9/30/2012. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 190388549 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 6428040 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 237942007 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 302909124 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | 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 | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | true | 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 | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| 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 | true | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | 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 |
| Number Forms Transmitted With1096 | 362 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 2165 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| 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 | 19 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | 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 | true | 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 | true | 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 | false | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | TONI HORNE CONTROLLER | NamePerson |
| Telephone Number | 2038522071 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 24 STEVENS STREET | AddressLine1 |
| City | NORWALK | City |
| State | CT | State |
| ZIP Code | 06850 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (34 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Ervin Shames | |||||||||
| Trustee thru (12/31/2011) | 2.0 | X | |||||||
| Diane M Allison Esq | |||||||||
| Chairman | 5.0 | X | X | ||||||
| George P Bauer | |||||||||
| Trustee | 2.0 | X | |||||||
| Andrew Whittingham | |||||||||
| Treasurer | 3.0 | X | X | ||||||
| Joseph Mann | |||||||||
| Secretary | 2.0 | X | X | ||||||
| Fred Afragola | |||||||||
| Trustee | 2.0 | X | |||||||
| Charles Augenbraun MD | |||||||||
| Trustee (Leave of Absence) | 0.0 | X | |||||||
| Barbara Butler | |||||||||
| Trustee | 3.0 | X | |||||||
| Daniel DeBarba | |||||||||
| President & CEO | 50.0 | X | X | 785240 | 0 | 29083 | |||
| Victor Liss | |||||||||
| Trustee | 3.0 | X | |||||||
| David Komansky | |||||||||
| Trustee | 2.0 | X | |||||||
| David Lehn | |||||||||
| Trustee | 2.0 | X | |||||||
| Gary Reiner | |||||||||
| Trustee | 3.0 | X | |||||||
| Roland Stichweh | |||||||||
| Trustee (Thru 12/31/2011) | 2.0 | X | |||||||
| William J Tammee | |||||||||
| Vice Chair thru 12/31/11 | 2.0 | X | |||||||
| Richard Zelkowitz | |||||||||
| Trustee | 2.0 | X | |||||||
| Robert Ready | |||||||||
| Trustee | 2.0 | X | |||||||
| Thomas Ayoub | |||||||||
| Trustee, Chief of Staff | 18.0 | X | 85000 | 0 | |||||
| Maria Borges-Lopez | |||||||||
| Trustee | 2.0 | X | |||||||
| Paul Gagne MD | |||||||||
| Trustee | 2.0 | X | |||||||
| Mark Gudis | |||||||||
| Trustee | 2.0 | X | |||||||
| Ed Kangas - ttee thru 123111 | |||||||||
| Vice chair 1/1/12 | 3.0 | X | X | ||||||
| Ed Mahony | |||||||||
| Trustee | 3.0 | X | |||||||
| Patrick Minicus | |||||||||
| VP and Chief Financial Officer | 50.0 | X | 395398 | 0 | 26425 | ||||
| Eric Mazur | |||||||||
| VP and Chief Medical Officer | 50.0 | 784370 | 0 | 52937 | X | ||||
| Lisa Brady | |||||||||
| Chief Operating Officer | 50.0 | 508462 | 0 | 27783 | X | ||||
| Mary Nolan | |||||||||
| VP Nursing & Patient Care Svcs | 50.0 | 363277 | 0 | 59640 | X | ||||
| Anthony Aceto | |||||||||
| VP Human Resources | 50.0 | 349093 | 0 | 52105 | X | ||||
| Michael Carius | |||||||||
| Chairman Emergency Department | 50.0 | 508485 | 0 | 53076 | X | ||||
| Arthur Strichman | |||||||||
| Physician | 50.0 | 466279 | 0 | 49587 | X | ||||
| Brian McGovern | |||||||||
| Physician | 50.0 | 608020 | 0 | 51024 | X | ||||
| Lewis Berman | |||||||||
| Chairman, Dept. of Medicine | 50.0 | 456325 | 0 | 43007 | X | ||||
| Yoni Barnhard | |||||||||
| Chairman OBGYN | 50.0 | 589689 | 0 | 32783 | X | ||||
| Geoffrey Cole | |||||||||
| Former President & CEO | 0.0 | 630498 | 0 | 0 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 6530136 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 477450 | TotalOtherCompensation |
| Number Individuals GT100 K | 321 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation | Address Line1AddressOfContractor/AddressForeign/AddressLine1 | CityAddressOfContractor/AddressForeign/City | Province Or StateAddressOfContractor/AddressForeign/ProvinceOrState | CountryAddressOfContractor/AddressForeign/Country | Postal CodeAddressOfContractor/AddressForeign/PostalCode |
|---|---|---|---|---|---|---|---|---|---|---|
| COMFORCE TECHNICAL SERVICES | ||||||||||
| PO BOX 9695 | UNIONDALE | NY | 11555 | STAFFING SERVICES | 3724687 | |||||
| MORRISON MANAGEMENT SPECIALISTS INC | ||||||||||
| POBOX 102289 | ATLANTA | GA | 30368 | FOOD SERVICE | 2904339 | |||||
| CARPEDIA INTERNATIONAL | ||||||||||
| CONSULTING | 2022000 | 75 NAVY STREET | OAKVILLE | ONTARIO | CA | L6J2ZCAN | ||||
| FREEMAN WHITE INC | ||||||||||
| 8845 RED OAK BOULEVARD | CHARLOTTE | NC | 282175593 | ARCHITECT | 1521531 | |||||
| UNITEX TEXTILE RENTAL | ||||||||||
| 121-123 MEADOW STREET | HARTFORD | CT | 06114 | LAUNDRY SERVICES | 1332198 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 60 | NumberOfContractorsGT100K |
| Related Organizations | 4520237 | RelatedOrganizations |
| Government Grants | 2056959 | GovernmentGrants |
| Total Contributions | 6577196 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Net Patient Services Revenue | 621400 | 359364569 | 359364569 | |
| Other Medical Services | 900099 | 1757715 | 1757715 | |
| Norwalk Surgery Center Joint Venture | 900099 | 662518 | 662518 | |
| Lab Services | 621400 | 3903308 | 3903308 | |
| Meaningful Use | 900099 | 3440764 | 3440764 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2010214 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2010214 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 371139088 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1289938 | TotalRevenueColumn |
| Exclusion | $1,289,938 | 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 |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 3904706 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 3101151 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 803555 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 803555 | TotalRevenueColumn |
| Exclusion | $803,555 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 997000 | Securities |
| Other | 5007480 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 999502 | Securities |
| Other | 1645356 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -2502 | Securities |
| Other | 3362124 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3359622 | TotalRevenueColumn |
| Exclusion | $3,359,622 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 476420 | GrossSalesOfInventory |
| Cost Of Goods Sold | 220201 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 256219 | TotalRevenueColumn |
| Exclusion | $256,219 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| Cafeteria/Vending | 900099 | 1531323 | $1,531,323 |
| Parking | 900099 | 128559 | $128,559 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1659882 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 385085500 | TotalRevenueColumn |
| Related Or Exempt Function Income | 367235780 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 3903308 | UnrelatedBusinessRevenue |
| Exclusion | $7,369,216 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6428040 | Total |
| Program Services | 6428040 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 2716034 | Total |
| Management And General | 2716034 | ManagementAndGeneral |
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 | 131064312 | Total |
| Program Services | 114328913 | ProgramServices |
| Management And General | 16735399 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11100781 | Total |
| Program Services | 9840996 | ProgramServices |
| Management And General | 1259785 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27319025 | Total |
| Program Services | 24107997 | ProgramServices |
| Management And General | 3211028 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10565222 | Total |
| Program Services | 9296448 | ProgramServices |
| Management And General | 1268774 | ManagementAndGeneral |
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 | 1825297 | Total |
| Management And General | 1825297 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 253790 | Total |
| Management And General | 253790 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 115000 | Total |
| Management And General | 115000 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 47828239 | Total |
| Program Services | 36467496 | ProgramServices |
| Management And General | 11360743 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1741055 | Total |
| Program Services | 58029 | ProgramServices |
| Management And General | 1683026 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3343753 | Total |
| Program Services | 2010656 | ProgramServices |
| Management And General | 1333097 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6832436 | Total |
| Program Services | 4891707 | ProgramServices |
| Management And General | 1940729 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16828204 | Total |
| Program Services | 13708437 | ProgramServices |
| Management And General | 3119767 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 650836 | Total |
| Program Services | 523863 | ProgramServices |
| Management And General | 126973 | 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 | 30006 | Total |
| Program Services | 29707 | ProgramServices |
| Management And General | 299 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2025836 | Total |
| Program Services | 2025836 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20380372 | Total |
| Program Services | 13701144 | ProgramServices |
| Management And General | 6679228 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7881407 | Total |
| Program Services | 7767160 | ProgramServices |
| Management And General | 114247 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| Bad Debt | 23530477 | 23530477 |
| Pharmacy | 7616398 | 7616398 |
| Radiology & Lab Supplies | 2402932 | 2402932 |
| MEDICAL SUPPLIES | 21205237 | 21205237 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4945404 | Total |
| Program Services | 2967651 | ProgramServices |
| Management And General | 1977753 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 358630093 | Total |
| Program Services | 302909124 | ProgramServices |
| Management And General | 55720969 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61458676 | BOY |
| EOY | 79838027 | 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 | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37299759 | BOY |
| EOY | 30103755 | 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 | 1387672 | BOY |
| EOY | 983779 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1879253 | BOY |
| EOY | 1860656 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2698590 | BOY |
| EOY | 2373762 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 429133210 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 292559901 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 126908218 | BOY |
| EOY | 136573309 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30219610 | BOY |
| EOY | 55114847 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2729803 | BOY |
| EOY | 2267986 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36399874 | BOY |
| EOY | 49220441 | 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 | 46485294 | BOY |
| EOY | 74551908 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 347466749 | BOY |
| EOY | 432888470 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 105366368 | BOY |
| EOY | 45455394 | 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 | 208218 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56060000 | BOY |
| EOY | 52395000 | 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 | 6275846 | 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 | 43859516 | BOY |
| EOY | 168345084 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 211769948 | BOY |
| EOY | 266195478 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 104824797 | BOY |
| EOY | 123000420 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21432761 | BOY |
| EOY | 34246719 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9439243 | BOY |
| EOY | 9445853 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 135696801 | BOY |
| EOY | 166692992 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 347466749 | BOY |
| EOY | 432888470 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 26455407 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 4540784 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $438,721 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 438721 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | OTHER ACTIVITIES | Identifier |
| Return Reference | SCHEDULE C PART II-B LINE i | ReturnReference |
| Explanation | NORWALK 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 RELATED BILLS & PENDING LEGISLATION THAT MAY BE OF INTEREST TO THE WELL BEING OF THE HOSPITAL. Lobbying expenditures are incurred to ensure the Hospital is made aware of issues that impact funding to Hospitals on both a Federal and State level. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 951359 | OtherCostOrOtherBasis |
| Book Value | 951359 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 165546575 | OtherCostOrOtherBasis |
| Depreciation | 87250813 | Depreciation |
| Book Value | 78295762 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9232064 | OtherCostOrOtherBasis |
| Depreciation | 2209983 | Depreciation |
| Book Value | 7022081 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 242977945 | OtherCostOrOtherBasis |
| Depreciation | 201876899 | Depreciation |
| Book Value | 41101046 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10425267 | OtherCostOrOtherBasis |
| Depreciation | 1222206 | Depreciation |
| Book Value | 9203061 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 136573309 | TotalOfBookValueLandBuildings |
| Total Of Book Value Program Related | 49220441 | TotalOfBookValueProgramRelated |
Other Assets OtherAssets (10 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Other Receivables | 389206 |
| Debt Service Fund | 278083 |
| Due from Affiliates | 4330064 |
| DEBT SERVICE RESERVE FUND | 2366125 |
| MALPRACTICE TRUST FUND | 2450281 |
| Goodwill - NRMC Purchase | 13843749 |
| Non-Compete - NRMC Purchase | 6753304 |
| CHEFA Bond Issue Expense | 932040 |
| CHEFA Bond Discount | 92211 |
| Malpractice Receivable | 43116845 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 74551908 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (9 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Due to third party payors | $27,778,256 |
| Malpractice Reserve | $50,184,679 |
| Asset Retirement Obligation | $10,866,380 |
| CHA Trust loan | $671,926 |
| Workers' Comp Reserve | $2,328,377 |
| Long Term Disability Reserve | $2,501,086 |
| Lease - Current and long term | $4,711,073 |
| Accrued Pension Liability | $64,741,651 |
| Due to Affiliates | $4,561,656 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 168345084 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FIN 48 FOOTNOTE | Identifier |
| Return Reference | SCHEDULE D, PART X, LINE 2 | ReturnReference |
| Explanation | THERE WAS NO FIN 48/ASC 740 FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | false | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 17316 | PersonsServed |
| Total Community Benefit Expense | 6275150 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4206333 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2068817 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00620 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 43813 | PersonsServed |
| Total Community Benefit Expense | 46664552 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 35303508 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11361044 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03390 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 61129 | PersonsServed |
| Total Community Benefit Expense | 52939702 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 39509841 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13429861 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04010 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 115 | NumberOfActivitiesOrPrograms |
| Persons Served | 1347084 | PersonsServed |
| Total Community Benefit Expense | 1769799 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 31811 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1737988 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00520 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Persons Served | 305 | PersonsServed |
| Total Community Benefit Expense | 12277378 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3723467 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8553911 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02550 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 3143006 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1883420 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1259586 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00380 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 121 | NumberOfActivitiesOrPrograms |
| Persons Served | 1347389 | PersonsServed |
| Total Community Benefit Expense | 17190183 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5638698 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11551485 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03450 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 121 | NumberOfActivitiesOrPrograms |
| Persons Served | 1408518 | PersonsServed |
| Total Community Benefit Expense | 70129885 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 45148539 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 24981346 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07460 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 220 | PersonsServed |
| Total Community Building Expense | 45937 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 45937 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 220 | PersonsServed |
| Total Community Building Expense | 45937 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 45937 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $23,530,477 | BadDebtExpenseAmount |
| Amount Attributable To | 10510336 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 90919244 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 96448148 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -5528904 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Norwalk Surgery Ctr | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | Ambulatory Surgery Center | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.70000 | OrganizationProfitOrOwnership |
| Officers Etc Profit Or Ownership | 0.00000 | OfficersEtcProfitOrOwnership |
| Physicans Profit Or Ownership | 0.25000 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Norwalk Hospital Association | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 24 Stevens Street | AddressLine1 |
| City | Norwalk | City |
| State | CT | State |
| ZIP Code | 06856 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Norwalk Hospital Association | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 400. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Average Negotiated Rates | X | AverageNegotiatedRates |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 3 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (3 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Norwalk Hospital Outpatient Rehab | ||||
| 520 West Ave | Norwalk | CT | 06850 | Outpatient Rehabilitation Facility |
| Norwalk Radiology & Mammography ctr | ||||
| 148 East Ave | Norwalk | CT | 06851 | Radiology & Mammography Center |
| Norwalk Hospital Ambulatory Surgery Ctr | ||||
| 40 cross st | norwalk | CT | 06851 | Ambulatory Surgery Center |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part I, Line 7, column f | Identifier |
| Explanation | Bad Debt Expense of $23,530,477 has been excluded from the denominator in the calculations for Part I, Column F. Part II Greater Norwalk Opening Doors - Project to end homelessness Norwalk Hospital has been a leader in this coalition through a series of strategic goals and action steps. Working collaboratively with more than 100 committed representatives of approximately 50 agencies, a collaborative model has been developed including the development of a Philosophy of Care and a Coordinated Care Team. This broad collaboration includes multiple City Departments with the Mayor serving as the co-chair of the Leadership Counsel. Norwalk Hospital representatives are on the Leadership Committee which directs and oversees the entire project and also serves as co-chair of the services committee. Modeling a current program developed by the Corporation for Supportive Housing which is supported by Federal Social Innovation Funding, Greater Norwalk Opening Doors has launched an initiative that strives to house and provide services to 100 homeless in an effort to integrate housing, case management and health care. The Housing Authority, a quasi- municipal and federal agency, is providing five housing units for this vulnerable population. The Norwalk Coordinated Care Team Model seeks to improve the health, housing stability and overall well-being of the City's most vulnerable population while lowering public costs. The project identified high utilizers of health services who are homeless or at risk of homelessness and who may have chronic physical and/or mental illnesses, including substance abuse disorders. Client goals and objectives will include reducing homelessness and increasing housing stability, reducing emergency room utilization, and improving physical and mental health. System level goals and objectives include breaking down barriers to coordinated services thereby enhancing the quality of care delivered and integrating affordable housing resources with the health care system. Project LEAN Project 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 fun but structured, vigorous exercises. The in-school component provides the children with a weekly 40 minute fun-filled 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 Zumba, 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. 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 44.67%. We applied this % to our bad debt expense of $23,530,477 to arrive at our estimate of bad debt expense attributable to patients eligible under Norwalk Hospital's Financial Assistance Policy of $10,510,336. We have no footnote in our Audited Financial Statements that describes bad debt expense. Part III, Line 8 All hospitals must record profits in order to generate the capital needed to invest in facilities and services. Services that respond to public health needs provided to Medicare patients at Norwalk Hospital generate negative margins averaging around 25% of cost. It is possible that some of these services would be discontinued if the decision was made on a purely financial basis. For this reason, it would be appropriate to consider the Medicare payment shortfall a community benefit. The Medicare allowable costs of care on Part III, Line 6 were computed using the cost to charge ratio from the Medicare cost report multiplied against Medicare charges. Part III, Line 9b Norwalk Hospital collection practices consist primarily of billing notices and follow up courtesy calls. The patient is notified of the Financial Assistance Program (FAP) with each written notification and at each point of service. Notification is shared by postings and verbal notification at the time the procedure is scheduled. 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. Needs Assessment Part VI, Question 1 In FY 2010, as part of Norwalk Hospital's community outreach strategic initiative, Norwalk Hospital and the Norwalk Hospital Foundation developed community advisory boards representing each of the communities we serve. Comprised of neighbors, health directors, public officials, clergy, business leaders, civic group representatives, etc., these groups assist the hospital in assessing the health care needs and outreach opportunities in specific towns. The advisory boards provide invaluable feedback so that we can continually enhance our outreach efforts and meet changing health care needs. The planning department of the hospital has access to hospital, statewide and national databases that track trends and service usage on an ongoing basis in order to evaluate how the hospital is meeting the health care needs of the community we serve. In 2012, Norwalk Hospital and the Norwalk Health Department engaged in a collaborative community planning process to improve the health of Greater Norwalk Area residents. This effort was supported by the health departments of New Canaan, Westport, Weston, Wilton, Darien, and Fairfield. The initiative included a community health needs assessment to identify the health-related strengths and needs of the region and a community health improvement plan to identify priorities, goals, and strategies. The assessment and improvement plan impacts zip codes 06820, 06824, 06825, 06840, 06850, 06851, 06853, 06854, 06855, 06880, 06883, 06890, and 06897. The community health needs assessment was guided by a participatory approach that integrated existing social, economic, and health indicator data with qualitative information from 15 focus groups and 17 key-informant interviews with 225 community leaders, service providers, and residents across the Greater Norwalk Area. The primary health needs identified include Mental Health, Substance Abuse, Obesity, Chronic Disease (cardiovascular disease, cancer diabetes, asthma, HIV/AIDS), Health Literacy, Long Term Care, and Access to Care. Patient Education of Eligibility for Assistance Part VI, Question 3 The patient is notified of the Financial Assistance Program (FAP) with each written notification and at each point of service. Notification is shared by postings and verbal notification at the time the procedure is scheduled. The facility also employs financial counselors to facilitate patient education regarding all programs available to include state, local and internal. If at 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. Community Information Part VI, Question 4 Norwalk Hospital services an area population of about 270,000 in lower Fairfield County. The primary service area includes Norwalk, New Canaan, | 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 Foundation | |||||||
| 24 Stevens Street | Norwalk | CT | 06850 | 222577708 | 501(c)(3) | 1182308 | FUND OPERATIONS |
| Norwalk Hospital Physicians & Surgeons Inc | |||||||
| 24 Stevens Street | Norwalk | CT | 06850 | 061522078 | 501(C)(3) | 5245732 | FUND OPERATIONS |
| 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 IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Form 990, Schedule I | Identifier |
| Return Reference | Description of Organization's Procedures for Monitoring the Use of Grants | ReturnReference |
| Explanation | FUNDS ARE PROVIDED TO NORWALK HOSPITAL FOUNDATION AND NORWALK HOSPITAL PHYSICIANS 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| 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 | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Daniel DeBarba | |||||||||||||
| 476134 | 0 | 250000 | 0 | 59106 | 0 | 11025 | 0 | 18058 | 0 | 814323 | 0 | 0 | 0 |
| Patrick Minicus | |||||||||||||
| 268757 | 0 | 109650 | 0 | 16991 | 0 | 7667 | 0 | 18758 | 0 | 421823 | 0 | 0 | 0 |
| Eric Mazur | |||||||||||||
| 602717 | 0 | 155428 | 0 | 26225 | 0 | 36179 | 0 | 16758 | 0 | 837307 | 0 | 0 | 0 |
| Lisa Brady | |||||||||||||
| 352731 | 0 | 120672 | 0 | 35059 | 0 | 11025 | 0 | 16758 | 0 | 536245 | 0 | 0 | 0 |
| Mary Nolan | |||||||||||||
| 280422 | 0 | 68576 | 0 | 14279 | 0 | 41482 | 0 | 18158 | 0 | 422917 | 0 | 0 | 0 |
| Anthony Aceto | |||||||||||||
| 258686 | 0 | 71160 | 0 | 19247 | 0 | 35347 | 0 | 16758 | 0 | 401198 | 0 | 0 | 0 |
| Michael Carius | |||||||||||||
| 384129 | 0 | 94555 | 0 | 29801 | 0 | 35538 | 0 | 17538 | 0 | 561561 | 0 | 0 | 0 |
| Arthur Strichman | |||||||||||||
| 224767 | 0 | 219840 | 0 | 21672 | 0 | 31329 | 0 | 18258 | 0 | 515866 | 0 | 0 | 0 |
| Brian McGovern | |||||||||||||
| 252571 | 0 | 338949 | 0 | 16500 | 0 | 24266 | 0 | 26758 | 0 | 659044 | 0 | 0 | 0 |
| Lewis Berman | |||||||||||||
| 358377 | 0 | 72778 | 0 | 25170 | 0 | 23999 | 0 | 19008 | 0 | 499332 | 0 | 0 | 0 |
| Yoni Barnhard | |||||||||||||
| 462486 | 0 | 124528 | 0 | 2675 | 0 | 11025 | 0 | 21758 | 0 | 622472 | 0 | 0 | 0 |
| Geoffrey Cole | |||||||||||||
| 0 | 0 | 0 | 0 | 630498 | 0 | 0 | 0 | 0 | 0 | 630498 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| 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, $630,498, has been included in Schedule J, Part II, Column b(iii) | |
| Supplemental Compensation Information | Norwalk Hospital Association has established the Norwalk Hospital Senior Deferred Compensation Plan, primarily for the purpose of providing a program of deferred compensation for Daniel DeBarba, President and 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 2011 W2. | Schedule J, Part I, Line 4b |
| Supplemental Compensation Information | Bonuses 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 exceeding 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 based on each Senior Leader's FY2012 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 3.60. The President and CEO and Committee also exercise and apply discretion to reflect special accomplishments and individual results, and can recommend slightly higher final awards. | Schedule J, Part I, Line 7 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | state of ct health & edu facilities authority | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 060806186 | IssuerEIN |
| Date Issued | 2010-12-09 | DateIssued |
| Issue Price | 46840000 | IssuePrice |
| Description Of Purpose | See part V | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Pool Financing | false | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 3005000 | AmountRetired |
| Amount Bond Defeased | 0 | AmountBondDefeased |
| Total Proceeds | 46844786 | TotalProceeds |
| Amount In Reserve Fund | 0 | AmountInReserveFund |
| Capitalized Interest | 1010854 | CapitalizedInterest |
| Refunding Escrow | 0 | RefundingEscrow |
| Issuance Costs From Proceeds | 829268 | IssuanceCostsFromProceeds |
| Credit Enhancement | 0 | CreditEnhancement |
| Working Capital Expenditures | 463600 | WorkingCapitalExpenditures |
| Capital Expenditures | 43328901 | CapitalExpenditures |
| Other Spent Proceeds | 0 | OtherSpentProceeds |
| Amount Unspent | 1252451 | AmountUnspent |
| Year Of Subst Completion | 2012 | YearOfSubstCompletion |
| Current Refunding | false | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | false | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | true | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | false | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.02060 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00510 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.02570 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | false | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | false | Form8038TFiled |
| Variable Rate Issue | false | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
Name Of Hedge Provider NameOfHedgeProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
Name Of GIC Provider NameOfGICProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Exception To Rebate | false | ExceptionToRebate |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule K, part I | Identifier |
| Return Reference | 0 | ReturnReference |
| Explanation | use of bond proceeds The Proceeds of the bond are being used for construction of a parking garage and for the purchase of other capital equipment. Schedule K, part III, line 7 While a formal written policy has not been adopted by the Board of | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| SCUL Practice group | |||
| See Part V | 103385 | See part v | false |
| bank of new canaan | |||
| see part v | 13220 | see part v | false |
| first county bank | |||
| see part v | 11817 | see part v | false |
| norwalk medical group | |||
| see part v | 282617 | see part v | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | business transactions involving interested persons | Identifier |
| Return Reference | schedule l, part iv, line 1 | ReturnReference |
| Explanation | Paul Gagne, M.D. is a member of the board of Norwalk Hospital Association (NHA) and the medical director of SCUL Practice Group. NHA paid SCUL Practice Group $103,385 for cardiac and vascular services. schedule l, part iv, line 2 Thomas Ayoub, Fred Afragola, and George Bauer are members of the board of NHA and directors of the Bank of New Canaan. NHA received interest income from the Bank of New Canaan in the amount of $13,220. 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 $11,817. 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 $282,617 for cancer services. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (33 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990, PART I, LINE 1 AND PART III, LINE 1 | THE 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 ORGANIZATION PEOPLE WHO ARE RECOGNIZED AS EXCEPTIONAL LEADERS AND WHO SUBSCRIBE TO THESE VALUES TEAMWORK: WORKING TOGETHER TO ACHIEVE OUR MISSION AND GOALS IN A COOPERATIVE, RESPECTFUL, OPEN ENVIRONMENT TRUST AND FAIRNESS: WE FOSTER A CLIMATE OF OPENNESS IN WHICH ALL WHO WORK HERE TREAT ONE ANOTHER WITH TRUST AND FAIRNESS, WE SUPPORT OPEN COMMUNICATION TO ENHANCE THIS CLIMATE EDUCATION: PROVIDING NATIONALLY RECOGNIZED MEDICAL EDUCATION PROGRAMS FOR FUTURE PROVIDERS, PARTICIPATING IN CLINICAL RESEARCH AND OFFERING A RANGE OF EDUCATIONAL PROGRAMS TO OUR PATIENTS AND THE COMMUNITY TO ENHANCE THEIR HEALTH AND WELL-BEING FINANCIAL RESPONSIBILITY: BEING ACCOUNTABLE AS FINANCIAL STEWARDS FOR CONSTANT IMPROVEMENT IN THE EFFICIENCY AND EFFECTIVENESS OF SERVICE DELIVERY, COORDINATING THE SERVICES OF NORWALK HOSPITAL WITH THOSE OF OTHER HEALTH, EDUCATION, AND SOCIAL SERVICES IN THE COMMUNITY (E.G. LONG-TERM CARE FACILITIES, COMMUNITY OUTREACH, HEALTH PROMOTION/ILLNESS PREVENTION ORGANIZATIONS, ETC.) IN ORDER TO OPTIMIZE THE AVAILABILITY OF A FULL SCOPE OF SERVICES IN A COST-EFFECTIVE MANNER CHARITY: AS A NOT-FOR-PROFIT ORGANIZATION, PROVIDING NEEDED MEDICAL CARE TO ALL, INCLUDING THOSE WHO CANNOT PAY FOR IT. |
| OTHER PROGRAM SERVICE DESCRIPTIONS | FORM 990, PART III, LINE 4D | OTHER 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 STOCKHOLDERS | FORM 990, PART VI, LINES 6 AND 7a | NORWALK HEALTH SERVICES CORPORATION, INC. IS THE SOLE MEMBER OF NORWALK HOSPITAL ASSOCIATION (NHA) AND APPOINTS NHA'S BOARD OF DIRECTORS. Governance decisions reserved to member Form 990, part vi, line 7b All powers of Norwalk Hospital Association (NHA) shall be exercised by and under the authority of the Board of Trustees, and the property, business and affairs of NHA shall be managed under the direction of the Board. Provided, however, that the Board shall obtain the approval of a two-thirds (2/3) vote of the Board of the Member of NHA before action on any of the following matters becomes final and effective: (1) amendment of the Articles of incorporation of NHA or of the bylaws of NHA; (2) the sale, lease or exchange of all or substantially all the property or assets of NHA; (3) merger or consolidation with any other corporation; (4) dissolution of NHA; (5) approval of the annual budget and long range plan for NHA; (6) any transfer of funds by grant, gift or loan from NHA; (7) any other matter that by law requires the approval of the Member of NHA. The Board or the appropriate committee of the Member of NHA shall also institute procedures to provide for: (1) orientation of newly elected Board members to board functions and procedures. (2) periodic re-examination of the relationship of the Hospital to the total Hospital community; (3) a program of continuing education to be made available to all members of the Board; (4) the establishment and monitoring of an effective medical and hospital care quality assurance program; (5) developing with management necessary policies and procedures and, as a Board, monitoring policies and procedures; (6) review of the Board's performance; (7) adoption and enforcement of a conflict of interest policy; and (8) implementation, dissemination and enforcement of a patient's bill of rights in accordance with applicable laws and regulations pertaining to the same. |
| DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 | FORM 990, PART VI, LINE 11 | NORWALK 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 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 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. |
| WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY | FORM 990, PART VI, LINE 14 | NORWALK HOSPITAL ASSOCIATION IS IN THE PROCESS OF DRAFTING A FORMAL WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY. |
| OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN | FORM 990, PART VI, LINES 15 A & B | 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 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 POLICY | FORM 990, PART VI, SECTION B, LINE 16B | WHILE A WRITTEN POLICY HAS NOT BEEN ADOPTED REGARDING THE EVALUATION OF PARTICIPATION IN JOINT VENTURES, MANAGEMENT FOLLOWS A PROCEDURE IN WHICH ALL POSSIBLE JOINT VENTURE ARRANGEMENTS ARE EVALUATED UNDER APPLICABLE FEDERAL TAX LAWS. MANAGEMENT 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 DOCUMENTS, ETC. AVAILABLE TO THE PUBLIC | FORM 990, PART VI, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| OTHER CHANGES IN NET ASSETS OR FUND BALANCES | FORM 990, PART XI, LINE 5 | Unrealized Gains on Investment 3,763,749 Transfer to Norwalk Health Services Corporation (4,501,544) Transfer to Norwalk Hospital Foundation (889,780) Transfer from Norwalk Hospital Foundation 737,532 Pension Cost (6,727,223) Hospital Foundation - Temporarily Restricted 12,813,958 Hospital Foundation - Permanently Restricted 6,610 Norwalk Surgery Center (662,518) Total Other Changes in Net Assets 4,540,784 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Ervin Shames TITLE:Trustee thru (12/31/2011) HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Diane M. Allison, Esq. TITLE:Chairman HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:George P. Bauer TITLE:Trustee HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Andrew Whittingham TITLE:Treasurer HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Joseph Mann TITLE:Secretary HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Fred Afragola TITLE:Trustee HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Barbara Butler TITLE:Trustee HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Daniel DeBarba TITLE:President & CEO HOURS:6 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Victor Liss TITLE:Trustee HOURS:4 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:David Komansky TITLE:Trustee HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:David Lehn TITLE:Trustee HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Gary Reiner TITLE:Trustee HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Roland Stichweh TITLE:Trustee (Thru 12/31/2011) HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:William J. Tammee TITLE:Vice Chair thru 12/31/11 HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Richard Zelkowitz TITLE:Trustee HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Robert Ready TITLE:Trustee HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Thomas Ayoub TITLE:Trustee, Chief of Staff HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Maria Borges-Lopez TITLE:Trustee HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Paul Gagne, MD TITLE:Trustee HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Mark Gudis TITLE:Trustee HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Ed Kangas - ttee thru 12/31/11 TITLE:Vice chair 1/1/12 HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Ed Mahony TITLE:Trustee HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Patrick Minicus TITLE:VP and Chief Financial Officer HOURS:2 |
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 Physicians & Surgeons | ||||||||||
| 24 Stevens Street | Norwalk | CT | 06850 | 061522078 | Phys Practice | CT | 501(c)(3) | 11B | NHSC | true |
| Norwalk Health Care Inc | ||||||||||
| 24 Stevens Street | Norwalk | CT | 06850 | 222577722 | Inactive | CT | 501(c)(3) | 9 | NHSC | true |
| Norwalk Health Services Corporation | ||||||||||
| 24 Stevens Street | Norwalk | CT | 06850 | 222577711 | Support Svcs | CT | 501(c)(3) | 11B | NA | true |
| Norwalk Hospital Foundation | ||||||||||
| 34 Maple Street | Norwalk | CT | 06850 | 222577708 | Fundraising | CT | 501(c)(3) | 7 | NHSC | true |
| Advanced Center for Rehabilitation Medic | ||||||||||
| 24 Stevens Street | Norwalk | CT | 06850 | 061304799 | Inactive | CT | 501(c)(3) | 11B | NHSC | true |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Norwalk Surgery Center LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 272394942 | EIN |
| Primary Activity | SURGERY CENTER | PrimaryActivity |
| Legal Domicile State | CT | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NONE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | 662518 | ShareOfTotalIncome |
| Share Of EOY Assets | 5233400 | ShareOfEOYAssets |
| Disproportionate Allocations | false | DisproportionateAllocations |
| Code V | $0 | CodeVAmount |
| General Or Managing Partner | false | GeneralOrManagingPartner |
| Percentage Ownership | 0.70000 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | 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 St PO Box 2062 | Hamilton HM HX | BD | 980549862 | Captive Insruance | 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 |
| 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 | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | 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 | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (19 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Norwalk Hospital Physicians & Surgeons | ||
| i | 408758 | FMV |
| Norwalk Hospital Physicians & Surgeons | ||
| l | 7491890 | FMV |
| Norwalk Hospital Physicians & Surgeons | ||
| p | 8503343 | FMV |
| Maple Street Indemnity Company Ltd | ||
| q | 7804000 | FMV |
| Norwalk Health Care Inc | ||
| r | 2408015 | FMV |
| Norwalk Health Services Corporation | ||
| r | 319630 | FMV |
| Norwalk Hospital Foundation | ||
| b | 1182308 | FMV |
| Norwalk Hospital Foundation | ||
| c | 4520237 | FMV |
| Norwalk Hospital Foundation | ||
| k | 65160 | FMV |
| Norwalk Hospital Foundation | ||
| p | 1691552 | FMV |
| Norwalk Hospital Foundation | ||
| q | 889780 | FMV |
| Norwalk Hospital Foundation | ||
| r | 5125000 | FMV |
| SWC Corporation | ||
| k | 138000 | FMV |
| SWC Corporation | ||
| l | 3469471 | FMV |
| SWC Corporation | ||
| p | 227237 | FMV |
| SWC Corporation | ||
| q | 3050000 | FMV |
| Norwalk Hospital Physicians & Surgeons | ||
| o | 145500 | FMV |
| Norwalk Hospital Physicians & Surgeons | ||
| q | 8650000 | FMV |
| Norwalk Health Services Corporation | ||
| q | 4501544 | FMV |