﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xsi:schemaLocation="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2011v1.5">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2013-08-14T08:16:44-05:00</Timestamp>
    <TaxPeriodEndDate>2012-09-30</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>ERNST &amp; YOUNG US LLP</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>55 IVAN ALLEN BLVD SUITE 1000</AddressLine1>
        <City>ATLANTA</City>
        <State>GA</State>
        <ZIPCode>30308</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2011-10-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>066068853</EIN>
      <Name>
        <BusinessNameLine1>The Norwalk Hospital Association</BusinessNameLine1>
      </Name>
      <InCareOfName>% TONI HORNE CONTROLLER</InCareOfName>
      <NameControl>NORW</NameControl>
      <Phone>2038522000</Phone>
      <USAddress>
        <AddressLine1>24 Stevens Street</AddressLine1>
        <City>Norwalk</City>
        <State>CT</State>
        <ZIPCode>06850</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>DAniel Debarba</Name>
      <Title>CEO</Title>
      <DateSigned>2013-08-12</DateSigned>
    </Officer>
    <Preparer>
      <Phone>4048748300</Phone>
    </Preparer>
    <TaxYear>2011</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="12">
    <IRS990 documentId="IRS990" referenceDocumentId="IRS990ScheduleO">
      <NameOfPrincipalOfficerPerson>Daniel Debarba</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>24 Stevens Street</AddressLine1>
        <City>Norwalk</City>
        <State>CT</State>
        <ZIPCode>06850</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>391051710</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>www.norwalkhospital.org</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1893</YearFormation>
      <StateLegalDomicile>CT</StateLegalDomicile>
      <ActivityOrMissionDescription>THE MISSION OF NORWALK HOSPITAL IS TO PROVIDE UNIQUELY EXCELLENT, INNOVATIVE AND COMPASSIONATE HEALTH CARE WITH EXCEPTIONAL OUTCOMES.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>19</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>13</NbrIndependentVotingMembers>
      <TotalNbrEmployees>2165</TotalNbrEmployees>
      <TotalNbrVolunteers>525</TotalNbrVolunteers>
      <TotalGrossUBI>3903308</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>-187811</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>4163105</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>6577196</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>355229999</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>371139088</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>1637037</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>4649560</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>2473072</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>2719656</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>363503213</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>385085500</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>1042576</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>6428040</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>176190042</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>182765374</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>161029924</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>169436679</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>338262542</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>358630093</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>25240671</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>26455407</RevenuesLessExpensesCY>
      <TotalAssetsBOY>347466749</TotalAssetsBOY>
      <TotalAssetsEOY>432888470</TotalAssetsEOY>
      <TotalLiabilitiesBOY>211769948</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>266195478</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>135696801</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>166692992</NetAssetsOrFundBalancesEOY>
      <InfoInScheduleOPartIII>X</InfoInScheduleOPartIII>
      <MissionDescription>THE MISSION OF NORWALK HOSPITAL IS TO PROVIDE UNIQUELY EXCELLENT, INNOVATIVE AND COMPASSIONATE HEALTH CARE WITH EXCEPTIONAL OUTCOMES.</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>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>
        <Expense>37759493</Expense>
        <Revenue>42034414</Revenue>
        <Description>GASTROENTEROLOGY &amp; 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 &amp; DIGESTIVE HAD TOTAL INPATIENT DISCHARGES OF 1,908 FOR THE FISCAL YEAR ENDED 9/30/2012.</Description>
      </Activity2>
      <Activity3>
        <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 &amp; JOINT PAIN TREATMENT, FOOT AND ANKLE CARE, FRACTURE CARE, HAND AND UPPER EXTREMITY CARE, INCLUDING SHOULDER AND ELBOW REPLACEMENT SURGERY), JOINT REPLACEMENT (HIP &amp; 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>
      </Activity3>
      <TotalOfOtherProgramServiceExp>190388549</TotalOfOtherProgramServiceExp>
      <TotalOfOtherProgramServiceGrnt>6428040</TotalOfOtherProgramServiceGrnt>
      <TotalOfOtherProgramServiceRev>237942007</TotalOfOtherProgramServiceRev>
      <TotalProgramServiceExpense>302909124</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="IRS990ScheduleA">true</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="IRS990ScheduleB">true</ScheduleBRequired>
      <PoliticalActivities referenceDocumentId="IRS990ScheduleC">false</PoliticalActivities>
      <LobbyingActivities referenceDocumentId="IRS990ScheduleC">true</LobbyingActivities>
      <SubjectToProxyTax referenceDocumentId="IRS990ScheduleC">false</SubjectToProxyTax>
      <DonorAdvisedFunds referenceDocumentId="IRS990ScheduleD">false</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="IRS990ScheduleD">false</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="IRS990ScheduleD">false</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="IRS990ScheduleD">false</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="IRS990ScheduleD">false</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="IRS990ScheduleD">true</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="IRS990ScheduleD">false</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="IRS990ScheduleD">true</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="IRS990ScheduleD">true</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="IRS990ScheduleD">true</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="IRS990ScheduleD">false</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">false</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">true</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>false</ProfessionalFundraising>
      <FundraisingActivities>false</FundraisingActivities>
      <Gaming>false</Gaming>
      <Hospital referenceDocumentId="IRS990ScheduleH">true</Hospital>
      <FinancialStmtAttached referenceDocumentId="BinaryAttach BinaryAttachN1">true</FinancialStmtAttached>
      <GrantsToOrganizations referenceDocumentId="IRS990ScheduleI">true</GrantsToOrganizations>
      <GrantsToIndividuals referenceDocumentId="IRS990ScheduleI">false</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="IRS990ScheduleJ">true</ScheduleJRequired>
      <TaxExemptBonds referenceDocumentId="IRS990ScheduleK">true</TaxExemptBonds>
      <InvestTaxExemptBonds>false</InvestTaxExemptBonds>
      <EscrowAccount>false</EscrowAccount>
      <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      <ExcessBenefitTransaction referenceDocumentId="IRS990ScheduleL">false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction referenceDocumentId="IRS990ScheduleL">false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP referenceDocumentId="IRS990ScheduleL">false</LoanToOfficerOrDQP>
      <GrantToRelatedPerson referenceDocumentId="IRS990ScheduleL">false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization referenceDocumentId="IRS990ScheduleL">true</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember referenceDocumentId="IRS990ScheduleL">false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp referenceDocumentId="IRS990ScheduleL">false</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>false</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="IRS990ScheduleR">false</DisregardedEntity>
      <RelatedEntity referenceDocumentId="IRS990ScheduleR">true</RelatedEntity>
      <RelatedOrgControlledEntity>true</RelatedOrgControlledEntity>
      <TransactionRelatedEntity referenceDocumentId="IRS990ScheduleR">true</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="IRS990ScheduleR">false</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="IRS990ScheduleR">false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>362</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>true</ComplianceWithBackupWitholding>
      <NumberOfEmployees>2165</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>true</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>true</UnrelatedBusinessIncome>
      <Form990-TFiled>true</Form990-TFiled>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <QuidProQuoContributions>false</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>false</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>false</FundsToPayPremiums>
      <PremiumsPaid>false</PremiumsPaid>
      <IndoorTanningServices>false</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>19</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>13</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>false</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>false</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>false</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>true</MembersOrStockholders>
      <ElectionOfBoardMembers>true</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>true</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>false</OfficerMailingAddress>
      <LocalChapters>false</LocalChapters>
      <Form990ProvidedToGoverningBody>true</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>true</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>true</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>true</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>true</WhistleblowerPolicy>
      <DocumentRetentionPolicy>false</DocumentRetentionPolicy>
      <CompensationProcessCEO>true</CompensationProcessCEO>
      <CompensationProcessOther>true</CompensationProcessOther>
      <InvestmentInJointVenture>true</InvestmentInJointVenture>
      <WrittenPolicyOrProcedure>false</WrittenPolicyOrProcedure>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>TONI HORNE CONTROLLER</NamePerson>
        <TelephoneNumber>2038522071</TelephoneNumber>
        <AddressUS>
          <AddressLine1>24 STEVENS STREET</AddressLine1>
          <City>NORWALK</City>
          <State>CT</State>
          <ZIPCode>06850</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <InfoInScheduleOPartVII>X</InfoInScheduleOPartVII>
      <Form990PartVIISectionA>
        <NamePerson>Ervin Shames</NamePerson>
        <Title>Trustee thru (12/31/2011)</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Diane M Allison Esq</NamePerson>
        <Title>Chairman</Title>
        <AverageHoursPerWeek>5.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>George P Bauer</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Andrew Whittingham</NamePerson>
        <Title>Treasurer</Title>
        <AverageHoursPerWeek>3.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Joseph Mann</NamePerson>
        <Title>Secretary</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Fred Afragola</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Charles Augenbraun MD</NamePerson>
        <Title>Trustee (Leave of Absence)</Title>
        <AverageHoursPerWeek>0.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Barbara Butler</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>3.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Daniel DeBarba</NamePerson>
        <Title>President &amp; CEO</Title>
        <AverageHoursPerWeek>50.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>785240</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>29083</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Victor Liss</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>3.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>David Komansky</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>David Lehn</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Gary Reiner</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>3.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Roland Stichweh</NamePerson>
        <Title>Trustee (Thru 12/31/2011)</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>William J Tammee</NamePerson>
        <Title>Vice Chair thru 12/31/11</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Richard Zelkowitz</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Robert Ready</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Thomas Ayoub</NamePerson>
        <Title>Trustee, Chief of Staff</Title>
        <AverageHoursPerWeek>18.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>85000</ReportableCompFromOrganization>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Maria Borges-Lopez</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Paul Gagne MD</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Mark Gudis</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Ed Kangas - ttee thru 123111</NamePerson>
        <Title>Vice chair 1/1/12</Title>
        <AverageHoursPerWeek>3.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Ed Mahony</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>3.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Patrick Minicus</NamePerson>
        <Title>VP and Chief Financial Officer</Title>
        <AverageHoursPerWeek>50.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>395398</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>26425</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Eric Mazur</NamePerson>
        <Title>VP and Chief Medical Officer</Title>
        <AverageHoursPerWeek>50.0</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>784370</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>52937</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Lisa Brady</NamePerson>
        <Title>Chief Operating Officer</Title>
        <AverageHoursPerWeek>50.0</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>508462</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>27783</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Mary Nolan</NamePerson>
        <Title>VP Nursing &amp; Patient Care Svcs</Title>
        <AverageHoursPerWeek>50.0</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>363277</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>59640</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Anthony Aceto</NamePerson>
        <Title>VP Human Resources</Title>
        <AverageHoursPerWeek>50.0</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>349093</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>52105</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Michael Carius</NamePerson>
        <Title>Chairman Emergency Department</Title>
        <AverageHoursPerWeek>50.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>508485</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>53076</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Arthur Strichman</NamePerson>
        <Title>Physician</Title>
        <AverageHoursPerWeek>50.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>466279</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>49587</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Brian McGovern</NamePerson>
        <Title>Physician</Title>
        <AverageHoursPerWeek>50.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>608020</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>51024</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Lewis Berman</NamePerson>
        <Title>Chairman, Dept. of Medicine</Title>
        <AverageHoursPerWeek>50.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>456325</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>43007</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Yoni Barnhard</NamePerson>
        <Title>Chairman OBGYN</Title>
        <AverageHoursPerWeek>50.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>589689</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>32783</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Geoffrey Cole</NamePerson>
        <Title>Former President &amp; CEO</Title>
        <AverageHoursPerWeek>0.0</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>630498</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>6530136</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>477450</TotalOtherCompensation>
      <NumberIndividualsGT100K>321</NumberIndividualsGT100K>
      <FormersListed>true</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>COMFORCE TECHNICAL SERVICES</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 9695</AddressLine1>
            <City>UNIONDALE</City>
            <State>NY</State>
            <ZIPCode>11555</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>STAFFING SERVICES</DescriptionOfServices>
        <Compensation>3724687</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>MORRISON MANAGEMENT SPECIALISTS INC</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>POBOX 102289</AddressLine1>
            <City>ATLANTA</City>
            <State>GA</State>
            <ZIPCode>30368</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>FOOD SERVICE</DescriptionOfServices>
        <Compensation>2904339</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>CARPEDIA INTERNATIONAL</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressForeign>
            <AddressLine1>75 NAVY STREET</AddressLine1>
            <City>OAKVILLE</City>
            <ProvinceOrState>ONTARIO</ProvinceOrState>
            <Country>CA</Country>
            <PostalCode>L6J2ZCAN</PostalCode>
          </AddressForeign>
        </AddressOfContractor>
        <DescriptionOfServices>CONSULTING</DescriptionOfServices>
        <Compensation>2022000</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>FREEMAN WHITE INC</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>8845 RED OAK BOULEVARD</AddressLine1>
            <City>CHARLOTTE</City>
            <State>NC</State>
            <ZIPCode>282175593</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>ARCHITECT</DescriptionOfServices>
        <Compensation>1521531</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>UNITEX TEXTILE RENTAL</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>121-123 MEADOW STREET</AddressLine1>
            <City>HARTFORD</City>
            <State>CT</State>
            <ZIPCode>06114</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>LAUNDRY SERVICES</DescriptionOfServices>
        <Compensation>1332198</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>60</NumberOfContractorsGT100K>
      <RelatedOrganizations>4520237</RelatedOrganizations>
      <GovernmentGrants>2056959</GovernmentGrants>
      <TotalContributions>6577196</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Net Patient Services Revenue</Description>
        <BusinessCode>621400</BusinessCode>
        <TotalRevenueColumn>359364569</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>359364569</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Other Medical Services</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>1757715</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1757715</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Norwalk Surgery Center Joint Venture</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>662518</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>662518</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Lab Services</Description>
        <BusinessCode>621400</BusinessCode>
        <TotalRevenueColumn>3903308</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>3903308</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Meaningful Use</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>3440764</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>3440764</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalOthProgramServiceRevenue>
        <TotalRevenueColumn>2010214</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2010214</RelatedOrExemptFunctionIncome>
      </TotalOthProgramServiceRevenue>
      <TotalProgramServiceRevenue>371139088</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>1289938</TotalRevenueColumn>
        <ExclusionAmount>1289938</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossRents>
        <Real>3904706</Real>
      </GrossRents>
      <LessRentalExpenses>
        <Real>3101151</Real>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>803555</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>803555</TotalRevenueColumn>
        <ExclusionAmount>803555</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>997000</Securities>
        <Other>5007480</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>999502</Securities>
        <Other>1645356</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>-2502</Securities>
        <Other>3362124</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>3359622</TotalRevenueColumn>
        <ExclusionAmount>3359622</ExclusionAmount>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <GrossSalesOfInventory>476420</GrossSalesOfInventory>
      <CostOfGoodsSold>220201</CostOfGoodsSold>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>256219</TotalRevenueColumn>
        <ExclusionAmount>256219</ExclusionAmount>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>Cafeteria/Vending</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>1531323</TotalRevenueColumn>
        <ExclusionAmount>1531323</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>Parking</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>128559</TotalRevenueColumn>
        <ExclusionAmount>128559</ExclusionAmount>
      </OtherRevenueMisc>
      <TotalOtherRevenue>1659882</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>385085500</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>367235780</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>3903308</UnrelatedBusinessRevenue>
        <ExclusionAmount>7369216</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>6428040</Total>
        <ProgramServices>6428040</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>2716034</Total>
        <ManagementAndGeneral>2716034</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>131064312</Total>
        <ProgramServices>114328913</ProgramServices>
        <ManagementAndGeneral>16735399</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>11100781</Total>
        <ProgramServices>9840996</ProgramServices>
        <ManagementAndGeneral>1259785</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>27319025</Total>
        <ProgramServices>24107997</ProgramServices>
        <ManagementAndGeneral>3211028</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>10565222</Total>
        <ProgramServices>9296448</ProgramServices>
        <ManagementAndGeneral>1268774</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>1825297</Total>
        <ManagementAndGeneral>1825297</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>253790</Total>
        <ManagementAndGeneral>253790</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>115000</Total>
        <ManagementAndGeneral>115000</ManagementAndGeneral>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>47828239</Total>
        <ProgramServices>36467496</ProgramServices>
        <ManagementAndGeneral>11360743</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>1741055</Total>
        <ProgramServices>58029</ProgramServices>
        <ManagementAndGeneral>1683026</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>3343753</Total>
        <ProgramServices>2010656</ProgramServices>
        <ManagementAndGeneral>1333097</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>6832436</Total>
        <ProgramServices>4891707</ProgramServices>
        <ManagementAndGeneral>1940729</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>16828204</Total>
        <ProgramServices>13708437</ProgramServices>
        <ManagementAndGeneral>3119767</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>650836</Total>
        <ProgramServices>523863</ProgramServices>
        <ManagementAndGeneral>126973</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>30006</Total>
        <ProgramServices>29707</ProgramServices>
        <ManagementAndGeneral>299</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>2025836</Total>
        <ProgramServices>2025836</ProgramServices>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>20380372</Total>
        <ProgramServices>13701144</ProgramServices>
        <ManagementAndGeneral>6679228</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>7881407</Total>
        <ProgramServices>7767160</ProgramServices>
        <ManagementAndGeneral>114247</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>Bad Debt</Description>
        <Total>23530477</Total>
        <ProgramServices>23530477</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Pharmacy</Description>
        <Total>7616398</Total>
        <ProgramServices>7616398</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Radiology &amp; Lab Supplies</Description>
        <Total>2402932</Total>
        <ProgramServices>2402932</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES</Description>
        <Total>21205237</Total>
        <ProgramServices>21205237</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>4945404</Total>
        <ProgramServices>2967651</ProgramServices>
        <ManagementAndGeneral>1977753</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>358630093</Total>
        <ProgramServices>302909124</ProgramServices>
        <ManagementAndGeneral>55720969</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>61458676</BOY>
        <EOY>79838027</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>37299759</BOY>
        <EOY>30103755</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <BOY>1387672</BOY>
        <EOY>983779</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>1879253</BOY>
        <EOY>1860656</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>2698590</BOY>
        <EOY>2373762</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>429133210</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>292559901</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>126908218</BOY>
        <EOY>136573309</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>30219610</BOY>
        <EOY>55114847</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>2729803</BOY>
        <EOY>2267986</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <BOY>36399874</BOY>
        <EOY>49220441</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>46485294</BOY>
        <EOY>74551908</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>347466749</BOY>
        <EOY>432888470</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>105366368</BOY>
        <EOY>45455394</EOY>
      </AccountsPayableAccruedExpenses>
      <GrantsPayable>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </GrantsPayable>
      <DeferredRevenue>
        <BOY>208218</BOY>
        <EOY>0</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
        <BOY>56060000</BOY>
        <EOY>52395000</EOY>
      </TaxExemptBondLiabilities>
      <EscrowAccountLiability>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </EscrowAccountLiability>
      <LoansFromOfficersDirectors>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </LoansFromOfficersDirectors>
      <MortNotesPyblSecuredInvestProp>
        <BOY>6275846</BOY>
        <EOY>0</EOY>
      </MortNotesPyblSecuredInvestProp>
      <UnsecuredNotesLoansPayable>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </UnsecuredNotesLoansPayable>
      <OtherLiabilities>
        <BOY>43859516</BOY>
        <EOY>168345084</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>211769948</BOY>
        <EOY>266195478</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>104824797</BOY>
        <EOY>123000420</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>21432761</BOY>
        <EOY>34246719</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>9439243</BOY>
        <EOY>9445853</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>135696801</BOY>
        <EOY>166692992</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>347466749</BOY>
        <EOY>432888470</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>26455407</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>4540784</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
      <OtherActivitiesAmount>438721</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>438721</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>OTHER ACTIVITIES</Identifier>
        <ReturnReference>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 &amp; 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>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <CurrentYearMinus3Years />
      <Land>
        <OtherCostOrOtherBasis>951359</OtherCostOrOtherBasis>
        <BookValue>951359</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>165546575</OtherCostOrOtherBasis>
        <Depreciation>87250813</Depreciation>
        <BookValue>78295762</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>9232064</OtherCostOrOtherBasis>
        <Depreciation>2209983</Depreciation>
        <BookValue>7022081</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>242977945</OtherCostOrOtherBasis>
        <Depreciation>201876899</Depreciation>
        <BookValue>41101046</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>10425267</OtherCostOrOtherBasis>
        <Depreciation>1222206</Depreciation>
        <BookValue>9203061</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>136573309</TotalOfBookValueLandBuildings>
      <TotalOfBookValueProgramRelated>49220441</TotalOfBookValueProgramRelated>
      <OtherAssets>
        <Description>Other Receivables</Description>
        <BookValue>389206</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Debt Service Fund</Description>
        <BookValue>278083</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Due from Affiliates</Description>
        <BookValue>4330064</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DEBT SERVICE RESERVE FUND</Description>
        <BookValue>2366125</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>MALPRACTICE TRUST FUND</Description>
        <BookValue>2450281</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Goodwill - NRMC Purchase</Description>
        <BookValue>13843749</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Non-Compete - NRMC Purchase</Description>
        <BookValue>6753304</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>CHEFA Bond Issue Expense</Description>
        <BookValue>932040</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>CHEFA Bond Discount</Description>
        <BookValue>92211</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Malpractice Receivable</Description>
        <BookValue>43116845</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>74551908</TotalBookValueOtherAssets>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>Due to third party payors</Description>
        <Amount>27778256</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Malpractice Reserve</Description>
        <Amount>50184679</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Asset Retirement Obligation</Description>
        <Amount>10866380</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>CHA Trust loan</Description>
        <Amount>671926</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Workers' Comp Reserve</Description>
        <Amount>2328377</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Long Term Disability Reserve</Description>
        <Amount>2501086</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Lease - Current and long term</Description>
        <Amount>4711073</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Accrued Pension Liability</Description>
        <Amount>64741651</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Due to Affiliates</Description>
        <Amount>4561656</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>168345084</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>FIN 48 FOOTNOTE</Identifier>
        <ReturnReference>SCHEDULE D, PART X, LINE 2</ReturnReference>
        <Explanation>THERE WAS NO FIN 48/ASC 740 FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent400>X</Pcent400>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>false</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <PersonsServed>17316</PersonsServed>
        <TotalCommunityBenefitExpense>6275150</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>4206333</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2068817</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00620</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <PersonsServed>43813</PersonsServed>
        <TotalCommunityBenefitExpense>46664552</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>35303508</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>11361044</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03390</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <PersonsServed>61129</PersonsServed>
        <TotalCommunityBenefitExpense>52939702</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>39509841</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>13429861</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04010</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <NumberOfActivitiesOrPrograms>115</NumberOfActivitiesOrPrograms>
        <PersonsServed>1347084</PersonsServed>
        <TotalCommunityBenefitExpense>1769799</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>31811</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1737988</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00520</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <NumberOfActivitiesOrPrograms>5</NumberOfActivitiesOrPrograms>
        <PersonsServed>305</PersonsServed>
        <TotalCommunityBenefitExpense>12277378</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>3723467</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>8553911</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02550</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <PersonsServed>0</PersonsServed>
        <TotalCommunityBenefitExpense>3143006</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1883420</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1259586</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00380</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>121</NumberOfActivitiesOrPrograms>
        <PersonsServed>1347389</PersonsServed>
        <TotalCommunityBenefitExpense>17190183</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>5638698</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>11551485</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03450</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>121</NumberOfActivitiesOrPrograms>
        <PersonsServed>1408518</PersonsServed>
        <TotalCommunityBenefitExpense>70129885</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>45148539</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>24981346</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.07460</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <CoalitionBuilding>
        <NumberOfActivitiesOrPrograms>2</NumberOfActivitiesOrPrograms>
        <PersonsServed>220</PersonsServed>
        <TotalCommunityBuildingExpense>45937</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>45937</NetCommunityBuildingExpense>
      </CoalitionBuilding>
      <Total>
        <NumberOfActivitiesOrPrograms>2</NumberOfActivitiesOrPrograms>
        <PersonsServed>220</PersonsServed>
        <TotalCommunityBuildingExpense>45937</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>45937</NetCommunityBuildingExpense>
      </Total>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>23530477</BadDebtExpenseAmount>
      <AmountAttributableTo>10510336</AmountAttributableTo>
      <AmountReimbursedByMedicare>90919244</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>96448148</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-5528904</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>Norwalk Surgery Ctr</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>Ambulatory Surgery Center</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.70000</OrganizationProfitOrOwnership>
        <OfficersEtcProfitOrOwnership>0.00000</OfficersEtcProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.25000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>Norwalk Hospital Association</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>24 Stevens Street</AddressLine1>
          <City>Norwalk</City>
          <State>CT</State>
          <ZIPCode>06856</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Norwalk Hospital Association</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>200.</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>400.</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <StateRegulation>X</StateRegulation>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <AttachedToInvoices>X</AttachedToInvoices>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <ProvidedOnAdmission>X</ProvidedOnAdmission>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <AverageNegotiatedRates>X</AverageNegotiatedRates>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>3</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Norwalk Hospital Outpatient Rehab</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>520 West Ave</AddressLine1>
            <City>Norwalk</City>
            <State>CT</State>
            <ZIPCode>06850</ZIPCode>
          </Address>
          <FacilityType>Outpatient Rehabilitation Facility</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Norwalk Radiology &amp; Mammography ctr</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>148 East Ave</AddressLine1>
            <City>Norwalk</City>
            <State>CT</State>
            <ZIPCode>06851</ZIPCode>
          </Address>
          <FacilityType>Radiology &amp; Mammography Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Norwalk Hospital Ambulatory Surgery Ctr</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>40 cross st</AddressLine1>
            <City>norwalk</City>
            <State>CT</State>
            <ZIPCode>06851</ZIPCode>
          </Address>
          <FacilityType>Ambulatory Surgery Center</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <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>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Norwalk Hospital Foundation</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>24 Stevens Street</AddressLine1>
          <City>Norwalk</City>
          <State>CT</State>
          <ZIPCode>06850</ZIPCode>
        </AddressUS>
        <EINOfRecipient>222577708</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>1182308</AmountOfCashGrant>
        <PurposeOfGrant>FUND OPERATIONS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Norwalk Hospital Physicians &amp; Surgeons Inc</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>24 Stevens Street</AddressLine1>
          <City>Norwalk</City>
          <State>CT</State>
          <ZIPCode>06850</ZIPCode>
        </AddressUS>
        <EINOfRecipient>061522078</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>5245732</AmountOfCashGrant>
        <PurposeOfGrant>FUND OPERATIONS</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>2</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>0</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>Form 990, Schedule I</Identifier>
        <ReturnReference>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>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>true</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>true</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Daniel DeBarba</NamePerson>
        <BaseCompensationFilingOrg>476134</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>250000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>59106</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>11025</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>18058</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>814323</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Patrick Minicus</NamePerson>
        <BaseCompensationFilingOrg>268757</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>109650</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>16991</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>7667</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>18758</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>421823</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Eric Mazur</NamePerson>
        <BaseCompensationFilingOrg>602717</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>155428</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>26225</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>36179</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>16758</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>837307</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Lisa Brady</NamePerson>
        <BaseCompensationFilingOrg>352731</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>120672</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>35059</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>11025</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>16758</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>536245</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Mary Nolan</NamePerson>
        <BaseCompensationFilingOrg>280422</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>68576</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>14279</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>41482</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>18158</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>422917</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Anthony Aceto</NamePerson>
        <BaseCompensationFilingOrg>258686</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>71160</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>19247</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>35347</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>16758</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>401198</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Michael Carius</NamePerson>
        <BaseCompensationFilingOrg>384129</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>94555</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>29801</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>35538</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>17538</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>561561</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Arthur Strichman</NamePerson>
        <BaseCompensationFilingOrg>224767</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>219840</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>21672</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>31329</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>18258</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>515866</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Brian McGovern</NamePerson>
        <BaseCompensationFilingOrg>252571</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>338949</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>16500</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>24266</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>26758</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>659044</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Lewis Berman</NamePerson>
        <BaseCompensationFilingOrg>358377</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>72778</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>25170</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>23999</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>19008</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>499332</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Yoni Barnhard</NamePerson>
        <BaseCompensationFilingOrg>462486</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>124528</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>2675</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>11025</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>21758</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>622472</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Geoffrey Cole</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>630498</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>630498</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Compensation Information</Identifier>
        <Explanation>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)</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Compensation Information</Identifier>
        <ReturnReference>Schedule J, Part I, Line 4b</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Compensation Information</Identifier>
        <ReturnReference>Schedule J, Part I, Line 7</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>state of ct health &amp; edu facilities authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>060806186</IssuerEIN>
        <DateIssued>2010-12-09</DateIssued>
        <IssuePrice>46840000</IssuePrice>
        <DescriptionOfPurpose>See part V</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>3005000</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>46844786</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>1010854</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>829268</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>463600</WorkingCapitalExpenditures>
        <CapitalExpenditures>43328901</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>1252451</AmountUnspent>
        <YearOfSubstCompletion>2012</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>false</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>true</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.02060</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00510</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.02570</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>false</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartVI>
        <Identifier>Schedule K, part I</Identifier>
        <ReturnReference>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>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>SCUL Practice group</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>See Part V</Relationship>
        <AmountOfTransaction>103385</AmountOfTransaction>
        <DescriptionOfTransaction>See part v</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>bank of new canaan</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>see part v</Relationship>
        <AmountOfTransaction>13220</AmountOfTransaction>
        <DescriptionOfTransaction>see part v</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>first county bank</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>see part v</Relationship>
        <AmountOfTransaction>11817</AmountOfTransaction>
        <DescriptionOfTransaction>see part v</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>norwalk medical group</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>see part v</Relationship>
        <AmountOfTransaction>282617</AmountOfTransaction>
        <DescriptionOfTransaction>see part v</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>business transactions involving interested persons</Identifier>
        <ReturnReference>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>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S MISSION</Identifier>
        <ReturnReference>FORM 990, PART I, LINE 1 AND PART III, LINE 1</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER PROGRAM SERVICE DESCRIPTIONS</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4D</ReturnReference>
        <Explanation>OTHER PROGRAM SERVICES INCLUDE: ED TREATED AND RELEASED; CARDIOVASCULAR SERVICES; CANCER SERVICES; PULMONARY &amp; RESPIRATORY SERVICES; REHAB SERVICES; ALL OTHER SURGICAL SERVICES; PEDIATRIC SERVICES; PSYCHIATRY SERVICES; ALL OTHER MEDICAL SERVICES; AND ALL OTHER LAB SERVICES</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS</Identifier>
        <ReturnReference>FORM 990, PART VI, LINES 6 AND 7a</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIBE THE PROCESS USED BY MANAGEMENT &amp;/OR GOVERNING BODY TO REVIEW 990</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 11</ReturnReference>
        <Explanation>NORWALK HOSPITAL ASSOCIATION'S (NHA) FORM 990 IS PREPARED WITH THE ASSISTANCE OF ERNST &amp; 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 12C</ReturnReference>
        <Explanation>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 &amp; 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&amp;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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 14</ReturnReference>
        <Explanation>NORWALK HOSPITAL ASSOCIATION IS IN THE PROCESS OF DRAFTING A FORMAL WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OFFICES &amp; POSITIONS FOR WHICH PROCESS WAS USED, &amp; YEAR PROCESS WAS BEGUN</Identifier>
        <ReturnReference>FORM 990, PART VI, LINES 15 A &amp; B</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>JOINT VENTURE POLICY</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 16B</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS, ETC. AVAILABLE TO THE PUBLIC</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 19</ReturnReference>
        <Explanation>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY &amp; FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER CHANGES IN NET ASSETS OR FUND BALANCES</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>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</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Ervin Shames TITLE:Trustee thru (12/31/2011) HOURS:3</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Diane M. Allison, Esq. TITLE:Chairman HOURS:3</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:George P. Bauer TITLE:Trustee HOURS:2</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Andrew Whittingham TITLE:Treasurer HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Joseph Mann TITLE:Secretary HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Fred Afragola TITLE:Trustee HOURS:3</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Barbara Butler TITLE:Trustee HOURS:2</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Daniel DeBarba TITLE:President &amp; CEO HOURS:6</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Victor Liss TITLE:Trustee HOURS:4</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:David Komansky TITLE:Trustee HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:David Lehn TITLE:Trustee HOURS:3</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Gary Reiner TITLE:Trustee HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Roland Stichweh TITLE:Trustee (Thru 12/31/2011) HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:William J. Tammee TITLE:Vice Chair thru 12/31/11 HOURS:2</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Richard Zelkowitz TITLE:Trustee HOURS:2</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Robert Ready TITLE:Trustee HOURS:3</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Thomas Ayoub TITLE:Trustee, Chief of Staff HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Maria Borges-Lopez TITLE:Trustee HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Paul Gagne, MD TITLE:Trustee HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Mark Gudis TITLE:Trustee HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Ed Kangas - ttee thru 12/31/11 TITLE:Vice chair 1/1/12 HOURS:2</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Ed Mahony TITLE:Trustee HOURS:3</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Patrick Minicus TITLE:VP and Chief Financial Officer HOURS:2</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Norwalk Hospital Physicians &amp; Surgeons</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>24 Stevens Street</AddressLine1>
          <City>Norwalk</City>
          <State>CT</State>
          <ZIPCode>06850</ZIPCode>
        </AddressUS>
        <EIN>061522078</EIN>
        <PrimaryActivities>Phys Practice</PrimaryActivities>
        <LegalDomicileState>CT</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11B</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NHSC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Norwalk Health Care Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>24 Stevens Street</AddressLine1>
          <City>Norwalk</City>
          <State>CT</State>
          <ZIPCode>06850</ZIPCode>
        </AddressUS>
        <EIN>222577722</EIN>
        <PrimaryActivities>Inactive</PrimaryActivities>
        <LegalDomicileState>CT</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NHSC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Norwalk Health Services Corporation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>24 Stevens Street</AddressLine1>
          <City>Norwalk</City>
          <State>CT</State>
          <ZIPCode>06850</ZIPCode>
        </AddressUS>
        <EIN>222577711</EIN>
        <PrimaryActivities>Support Svcs</PrimaryActivities>
        <LegalDomicileState>CT</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11B</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Norwalk Hospital Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>34 Maple Street</AddressLine1>
          <City>Norwalk</City>
          <State>CT</State>
          <ZIPCode>06850</ZIPCode>
        </AddressUS>
        <EIN>222577708</EIN>
        <PrimaryActivities>Fundraising</PrimaryActivities>
        <LegalDomicileState>CT</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NHSC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Advanced Center for Rehabilitation Medic</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>24 Stevens Street</AddressLine1>
          <City>Norwalk</City>
          <State>CT</State>
          <ZIPCode>06850</ZIPCode>
        </AddressUS>
        <EIN>061304799</EIN>
        <PrimaryActivities>Inactive</PrimaryActivities>
        <LegalDomicileState>CT</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11B</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NHSC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Norwalk Surgery Center LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <EIN>272394942</EIN>
        <PrimaryActivity>SURGERY CENTER</PrimaryActivity>
        <LegalDomicileState>CT</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NONE</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>662518</ShareOfTotalIncome>
        <ShareOfEOYAssets>5233400</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.70000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Maple Street Indemnity Company Ltd</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>40 Church St PO Box 2062</AddressLine1>
          <City>Hamilton HM HX</City>
          <Country>BD</Country>
        </AddressForeign>
        <EIN>980549862</EIN>
        <PrimaryActivity>Captive Insruance</PrimaryActivity>
        <LegalDomicileForeignCountry>BD</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>NHSC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C-Corp</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SWC Corporation</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>24 Stevens Street</AddressLine1>
          <City>Norwalk</City>
          <State>CT</State>
          <ZIPCode>06850</ZIPCode>
        </AddressUS>
        <EIN>222577718</EIN>
        <PrimaryActivity>Pharmacy</PrimaryActivity>
        <LegalDomicileState>CT</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NHSC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C-Corp</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Norwalk Hospital Physicians &amp; Surgeons</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>i</TransactionType>
        <AmountInvolved>408758</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Norwalk Hospital Physicians &amp; Surgeons</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>l</TransactionType>
        <AmountInvolved>7491890</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Norwalk Hospital Physicians &amp; Surgeons</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>8503343</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Maple Street Indemnity Company Ltd</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>q</TransactionType>
        <AmountInvolved>7804000</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Norwalk Health Care Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>r</TransactionType>
        <AmountInvolved>2408015</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Norwalk Health Services Corporation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>r</TransactionType>
        <AmountInvolved>319630</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Norwalk Hospital Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>b</TransactionType>
        <AmountInvolved>1182308</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Norwalk Hospital Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>c</TransactionType>
        <AmountInvolved>4520237</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Norwalk Hospital Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>65160</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Norwalk Hospital Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>1691552</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Norwalk Hospital Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>q</TransactionType>
        <AmountInvolved>889780</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Norwalk Hospital Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>r</TransactionType>
        <AmountInvolved>5125000</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SWC Corporation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>138000</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SWC Corporation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>l</TransactionType>
        <AmountInvolved>3469471</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SWC Corporation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>227237</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SWC Corporation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>q</TransactionType>
        <AmountInvolved>3050000</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Norwalk Hospital Physicians &amp; Surgeons</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>o</TransactionType>
        <AmountInvolved>145500</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Norwalk Hospital Physicians &amp; Surgeons</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>q</TransactionType>
        <AmountInvolved>8650000</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Norwalk Health Services Corporation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>q</TransactionType>
        <AmountInvolved>4501544</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>