Norwalk Health Care: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- Norwalk Health Care (EIN 22-2577722)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-15
- IRS object ID
- 201212289349302211
- Schema version
- 2010v3.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-15T11:05:15-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 IVAN ALLEN BLVD SUITE 1000 | AddressLine1 |
| City | ATLANTA | City |
| State | GA | State |
| ZIP Code | 30308 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222577722 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Norwalk Health Care | BusinessNameLine1 |
| Business Name Line2 | dba Honey Hill Rehab & Nursing Center | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NORW | NameControl |
| Phone | 2038479686 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 34 MIDROCKS DRIVE | AddressLine1 |
| City | NORWALK | City |
| State | CT | State |
| ZIP Code | 06851 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DANIEL DEBARBA | Name |
| Title | PRESIDENT & CEO | Title |
| Date Signed | 2012-08-14 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4048748300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HONEY HILL REHABILITATION & NURSING | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Daniel Debarba | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 24 Stevens Street | AddressLine1 |
| City | Norwalk | City |
| State | CT | State |
| ZIP Code | 06850 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 22710126 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.NORWALKHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1985 | YearFormation |
| State Legal Domicile | CT | StateLegalDomicile |
| Activity Or Mission Description | TO OFFER ITS RESIDENTS QUALITY SERVICE AND PROGRAMS IN AN ENVIRONMENT WHICH AFFIRMS THE HIGHEST PRINCIPLES OF HUMAN DIGNITY. | ActivityOrMissionDescription |
| Termination Or Contraction | X | TerminationOrContraction |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 211 | TotalNbrEmployees |
| Total Nbr Volunteers | 35 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 15987091 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 16229072 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1614 | InvestmentIncomePriorYear |
| Investment Income Current Year | -1742083 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 13081 | OtherRevenuePriorYear |
| Other Revenue Current Year | 10608 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 16001786 | TotalRevenuePriorYear |
| Total Revenue Current Year | 14497597 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 8885923 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 8506309 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 7599084 | OtherExpensePriorYear |
| Other Expenses Current Year | 7813733 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 16485007 | TotalExpensesPriorYear |
| Total Expenses Current Year | 16320042 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -483221 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1822445 | RevenuesLessExpensesCY |
| Total Assets BOY | 11132002 | TotalAssetsBOY |
| Total Assets EOY | 10050764 | TotalAssetsEOY |
| Total Liabilities BOY | 11184058 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 11924156 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -52056 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -1873392 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO OFFER ITS RESIDENTS QUALITY SERVICE AND PROGRAMS IN AN ENVIRONMENT WHICH AFFIRMS THE HIGHEST PRINCIPLES OF HUMAN DIGNITY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | true | SignificantChange |
| Expense | 14048095 | Expense |
| Grants | 0 | Grants |
| Revenue | 16229072 | Revenue |
| Description | REHABILITATION & NURSING CARE - NORWALK HEALTH CARE, INC. (DBA HONEY HILL REHABILITATION & NURSING CENTER) IS A 150 BED SKILLED NURSING CARE FACILITY PROVIDING SUB ACUTE AND REHABILITATION SERVICES. HONEY HILL SERVES PATIENTS WITH THE FOLLOWING NEEDS: CEREBRAL VASCULAR ACCIDENT; ELECTIVE JOINT REPLACEMENTS (HIP, KNEE, SHOULDER & ELBOW); HIP FRACTURES, PULMONARY CONDITIONS SUCH AS PNEUMONIA, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, PULMONARY FIBROSIS & EMPHYSEMA. TOTAL PATIENT DAYS = 48,780. PERCENTAGE OCCUPANCY = 89.10%. AVERAGE DAILY CENSUS = 134. PAYOR MIX: MEDICAID = 62.66%, MEDICARE = 28.47%, PRIVATE & OTHER = 8.87%. | Description |
| Total Program Service Expense | 14048095 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | true | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 10 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 211 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | TONI HORNE | NamePerson |
| Telephone Number | 2038522071 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 24 STEVENS STREET | AddressLine1 |
| City | NORWALK | City |
| State | CT | State |
| ZIP Code | 06850 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Daniel DeBarba | |||||||||
| President and Chairman | 2.0 | X | X | 0 | 670785 | 29920 | |||
| Ervin Shames | |||||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||||
| Frank N Zullo Esq | |||||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||||
| Carol Bauer | |||||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||||
| Barbara Butler | |||||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||||
| Victor Liss | |||||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||||
| Michael Marks Physician | |||||||||
| Director until 12/31/2010 | 1.0 | X | 0 | 70833 | 0 | ||||
| Robert Ready | |||||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||||
| William Stephanak | |||||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||||
| Nicole Tobin | |||||||||
| Director | 1.0 | X | 0 | 0 | 0 | ||||
| Arthur Santilli | |||||||||
| Executive Director | 50.0 | 0 | 261042 | 25420 | X | ||||
| Deborah Quare | |||||||||
| Director of Nursing | 45.0 | 107622 | 0 | 15949 | X | ||||
| Judith Perry | |||||||||
| Nurse Supervisor | 49.0 | 107271 | 0 | 5991 | X | ||||
| Kathleen Yuckienuz | |||||||||
| Nurse | 47.0 | 102432 | 0 | 638 | X | ||||
| Geoffrey Cole | |||||||||
| Former President (4/12/2010) | 0.0 | 0 | 1248052 | 46796 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 317325 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2250712 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 124714 | TotalOtherCompensation |
| Number Individuals GT100 K | 3 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| NORWALK HOSPITAL ASSOCIATION | |||||
| 24 Stevens Street | NORWALK | CT | 06850 | THERAPY/MGT/LAB/LAUN | 1592710 |
| THE NURSE NETWORK | |||||
| PO Box 982 | SOUTHINGTON | CT | 06489 | NURSING | 441495 |
| MORRISON MANAGEMENT SPECIALISTS INC | |||||
| PO Box 102289 | ATLANTA | GA | 303682289 | DIETARY MANAGEMENT | 442010 |
| READY NURSE STAFFING SERVICES | |||||
| 1080 ELM ST SUITE 201 | ROCKY HILL | CT | 06067 | NURSING | 229870 |
| DURANT NICHOLS HOUSTON | |||||
| 1057 BROAD ST | BRIDGEPORT | CT | 066010351 | LEGAL | 195014 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 6 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NURSING & REHABILITATION CARE | Description |
| Business Code | 623000 | BusinessCode |
| Total Revenue Column | 16229072 | TotalRevenueColumn |
| Related Or Exempt Function Income | 16229072 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 16229072 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4446 | TotalRevenueColumn |
| Exclusion | $4,446 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 616000 | Securities |
| Other | 5850000 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 619146 | Securities |
| Other | 7593383 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -3146 | Securities |
| Other | -1743383 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -1746529 | TotalRevenueColumn |
| Exclusion | -$1,746,529 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| BARBER & BEAUTY INCOME | 812900 | 1346 | $1,346 |
| GIFT SHOP | 453220 | 3378 | $3,378 |
| All other revenue | 900099 | 5884 | $5,884 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 10608 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14497597 | TotalRevenueColumn |
| Related Or Exempt Function Income | 16229072 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | -$1,731,475 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6370798 | Total |
| Program Services | 5902414 | ProgramServices |
| Management And General | 468384 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1589919 | Total |
| Program Services | 1473060 | ProgramServices |
| Management And General | 116859 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 545592 | Total |
| Program Services | 505491 | ProgramServices |
| Management And General | 40101 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 585000 | Total |
| Management And General | 585000 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 203520 | Total |
| Management And General | 203520 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1763986 | Total |
| Program Services | 1336343 | ProgramServices |
| Management And General | 427643 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1262997 | Total |
| Program Services | 1123894 | ProgramServices |
| Management And General | 139103 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21062 | Total |
| Management And General | 21062 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 882154 | Total |
| Program Services | 774796 | ProgramServices |
| Management And General | 107358 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2306 | Total |
| Management And General | 2306 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 402000 | Total |
| Program Services | 402000 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 419375 | Total |
| Program Services | 366903 | ProgramServices |
| Management And General | 52472 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 107814 | Total |
| Management And General | 107814 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| BAD DEBT | 415000 | 415000 |
| DIETARY | 883161 | 883161 |
| PHYSICAL THERAPY | 449753 | 449753 |
| OCCUPATIONAL THERAPY | 280960 | 280960 |
| INHALATION/OXYGEN SUPPLIES | 77517 | 77517 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57128 | Total |
| Program Services | 56803 | ProgramServices |
| Management And General | 325 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16320042 | Total |
| Program Services | 14048095 | ProgramServices |
| Management And General | 2271947 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 833664 | BOY |
| EOY | 6408446 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1410699 | BOY |
| EOY | 1032349 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33626 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 428394 | BOY |
| EOY | 700000 | EOY |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6451323 | BOY |
| EOY | 0 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1929700 | BOY |
| EOY | 1864654 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44596 | BOY |
| EOY | 45315 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11132002 | BOY |
| EOY | 10050764 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1076050 | BOY |
| EOY | 1281954 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8335000 | BOY |
| EOY | 7805000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1773008 | BOY |
| EOY | 2837202 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11184058 | BOY |
| EOY | 11924156 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -52056 | BOY |
| EOY | -1873392 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -52056 | BOY |
| EOY | -1873392 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11132002 | BOY |
| EOY | 10050764 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -1822445 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1109 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 14044048 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 14722190 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14632956 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 15987091 | CurrentTaxYearMinus1Year |
| Current Tax Year | 16229072 | CurrentTaxYear |
| Total | 75615357 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 14044048 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 14722190 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14632956 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 15987091 | CurrentTaxYearMinus1Year |
| Current Tax Year | 16229072 | CurrentTaxYear |
| Total | 75615357 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 75615357 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 97499 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 125881 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 25815 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1614 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1300 | CurrentTaxYear |
| Total | 252109 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 97499 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 125881 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 25815 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1614 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1300 | CurrentTaxYear |
| Total | 252109 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 9367 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 14136 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8736 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 13081 | CurrentTaxYearMinus1Year |
| Current Tax Year | 10608 | CurrentTaxYear |
| Total | 55928 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 14150914 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 14862207 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14667507 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 16001786 | CurrentTaxYearMinus1Year |
| Current Tax Year | 16240980 | CurrentTaxYear |
| Total | 75923394 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99594 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99513 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00332 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00426 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
| General Explanation | Other income includes Barber & Beauty, Guest Trays & Gift Shop Revenue. | GeneralExplanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Buildings | Buildings | |
| Leasehold Improvements | LeaseholdImprovements | |
| Equipment | Equipment | |
| Other Land Buildings | OtherLandBuildings | |
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| due to third party agencies | $115,108 |
| Due to affiliates | $1,991,232 |
| Accrued Interest payable | $96,083 |
| Workers Comp Reserve | $428,349 |
| Malpractice Reserve | $83,069 |
| Other Liabilities | $123,361 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2837202 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FIN 48 Footnote | Identifier |
| Return Reference | Schedule D, Part X, Line 2 | ReturnReference |
| Explanation | The Organization's financial statements do not contain a footnote concerning uncertain tax positions under FIN 48. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Daniel DeBarba | |||||||||||||
| 0 | 416638 | 0 | 210000 | 0 | 44147 | 0 | 11025 | 0 | 18895 | 0 | 700705 | 0 | 0 |
| Arthur Santilli | |||||||||||||
| 0 | 187892 | 0 | 60750 | 0 | 12400 | 0 | 11025 | 0 | 14395 | 0 | 286462 | 0 | 0 |
| Geoffrey Cole | |||||||||||||
| 0 | 202525 | 0 | 100247 | 0 | 945280 | 0 | 30767 | 0 | 16029 | 0 | 1294848 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Supplemental Compensation Information | Schedule J, Part I, Line 1a | TAX GROSS-UP PAYMENTS ARE PROVIDED ON TAXABLE BENEFITS IN ACCORDANCE WITH THE NORWALK HOSPITAL ASSOCIATION'S SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN, DESCRIBED BELOW IN RESPONSE TO LINE 4B. ADDITIONALLY, TAX GROSS UP PAYMENTS ARE PROVIDED FOR TAXABLE MOVING EXPENSES AND ON THE TAXATION OF THE FORMER CEO'S PERSONAL USE OF A HOSPITAL-OWNED AUTOMOBILE PRIOR TO HIS TERMINATION AS CEO(FOR CALENDAR YEAR 2010 ONLY). ALL TAX GROSS-UP PAYMENTS ARE TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUALS RECEIVING SUCH PAYMENTS. Supplemental Compensation Information Schedule J, Part I, Line 4a Geoffrey Cole RECEIVED part of a two year severance arrangement based upon his COMPENSATION AT THE TIME OF TERMINATION. THE AMOUNT PAID during the year, $862,249, has BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN B(III). |
| Supplemental Compensation Information | Schedule J, Part I, Line 4b | NORWALK HOSPITAL ASSOCIATION (NHA), A RELATED ORGANIZATION OF NORWALK HEALTH CARE (NHC), HAS ESTABLISHED THE NORWALK HOSPITAL SENIOR EXECUTIVE DEFERRED COMPENSATION PLAN, PRIMARILY FOR THE PURPOSE OF PROVIDING A PROGRAM OF DEFERRED COMPENSATION FOR DANIEL DERBARBA, PRESIDENT AND CEO OF NHA. AMOUNTS PROMISED UNDER THE PLAN ARE BASED ON A TARGETED RETIREMENT BENEFIT. THE PAYMENT OF BENEFITS UNDER THE PLAN IS SUBJECT TO VESTING. NO AMOUNTS WERE VESTED OR REPORTED AS TAXABLE INCOME ON MR. DEBARBA'S 2010 W-2. |
Schedule N IRS990ScheduleN
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liquidation Table | LiquidationTable |
Disposition Table DispositionTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Asset | All Real and Personal Property | DescriptionOfAsset |
| Date Of Distribution | 2011-09-30 | DateOfDistribution |
| FMV Of Asset | 5850000 | FMVOfAsset |
| Method Of FMV Determination | Arms length negotiation | MethodOfFMVDetermination |
| EIN | 452573283 | EIN |
| Name Person | Aurora Health Management 8227 clove | NamePerson |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Dr Ste 309 Millersville MD 21108 | AddressLine1 |
| City | Millersville | City |
| State | MD | State |
| ZIP Code | 21108 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | Corporation | IRCSection |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | false | DirectorOfSuccessor2 |
| Employee Of Successor2 | false | EmployeeOfSuccessor2 |
| Owner Of Successor2 | false | OwnerOfSuccessor2 |
| Receive Compensation2 | false | ReceiveCompensation2 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (18 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Cessation of Services | Form 990, Part III, Line 3 | On September 30, 2011 Norwalk Health Care, Inc. closed on the sale of the nursing home business for a sales price of $5,850,000. An escrow for $700,000 was established for a three year period for indemnification obligations under the Medicare & Medicaid programs and such escrow was recorded as other Assets. A loss of $1,743,383 was recorded on the sale. The outstanding debt of Norwalk Health Care, Inc. as of September 30, 2011 of $7,805,000 was defeased and repaid to bondholders on November 15, 2011. |
| Description of Relationships | FORM 990, PART VI, LINE 2 | CERTAIN NORWALK HEALTH CARE, INC. BOARD MEMBERS ALSO SERVE ON THE BOARD OF SWC CORPORATION, AND MAPLE STREET INDEMNITY COMPANY LTD. |
| The organization's members or stockholders | Form 990, Part VI, Line 6 | The sole member of Norwalk Health Care is Norwalk Health Services Corporation. |
| Members, Stockholders, or other persons who may elect one or more members | Form 990, Part VI, Line 7a | The officers of NHC are appointed by the Governance Committee of NHSC. Up to 14 members of the Board are appointed by NHSC. |
| Describe the Process used by Management &/or Governing Body to Review 990 | Form 990, Part VI, Line 11B | NORWALK HEALTH CARE, INC.'S (NHC) FORM 990 IS PREPARED WITH THE ASSISTANCE OF ERNST & YOUNG AND REVIEWED BY NORWALK HOSPITAL'S MANAGEMENT. FOLLOWING THAT REVIEW THE FORM 990 IS PRESENTED TO THE AUDIT COMMITTEE OF NORWALK HOSPITAL ASSOCIATION FOR REVIEW AND COMMENT. THE COMPLETED FORM 990 IS PROVIDED, via email, TO ALL MEMBERS OF THE BOARD OF Directors OF NORWALK HEALTH SERVICES CORPORATION PRIOR TO THE FORM BEING FILED WITH THE IRS. |
| Description of Process to Monitor Transactions for Conflicts of Interest | FORM 990, PART VI, LINE 12C | MONITORING THE ORGANIZATION'S CONFLICT OF INTEREST POLICY PROVIDES THAT ANNUALLY, EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL SIGN A STATEMENT AFFIRMING THAT SUCH PERSON RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, READ AND UNDERSTANDS THE POLICY AND AGREES TO COMPLY WITH THE POLICY. ADDITIONALLY, THE SIGNED STATEMENT AFFIRMS THAT THE PERSON UNDERSTANDS Norwalk Health Care IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS TAX-EXEMPT STATUS, Norwalk Health Care 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 DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS. LEVEL OF DETERMINATION AND REVIEW OF CONFLICTS IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER PRESENTATION OF A POTENTIAL TRANSACTION OR ARRANGEMENT IS MADE BY AN INTERESTED PERSON, THE REMAINING DISINTERESTED BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. THE CHAIRPERSON OF THE GOVERNING BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE IF Norwalk Health Care CAN OBTAIN, WITH REASONABLE EFFORTS, A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST, FOR ITS OWN BENEFIT AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION, THE GOVERNING BOARD OR COMMITTEE SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. RESTRICTIONS PLACED ON CONFLICTED PERSONS IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. |
| Document Retention Policy | Form 990, Part VI, Line 14 | NORWALK HEALTH CARE IS IN THE PROCESS OF DRAFTING A FORMAL WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY. |
| Offices & Positions for Which Process was Used, & Year Process was Begun | Form 990, Part VI, Line 15a | NORWALK HEALTH CARE (NHC) DOES NOT COMPENSATE ANY OFFICERS OR ITS EXECUTIVE DIRECTOR. THE OFFICER AND EXECUTIVE DIRECTOR RECEIVING COMPENSATION ARE COMPENSATED BY NORWALK HOSPITAL ASSOCIATION (NHA), A RELATED ORGANIZATION OF NHC. THEREFORE, THEIR COMPENSATION AND BENEFITS ARE DETERMINED BY NHA. |
| Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public | FORM 990, PART VI, LINE 19 | NORWALK HEALTH CARE, INC. MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ONLY UPON REQUEST. THE CONFLICT OF INTEREST POLICY IS AVAILABLE THROUGH NORWALK HEALTH SERVICES CORPORATION UPON REQUEST. |
| Changes in Net Assets or Other Fund Balances | Form 990, Part XI, Line 5 | Transfers from Norwalk Hospital Foundation, Inc. $ 719 Net Unrealized gains on investments $ 390 ------- Total Line 5 $ 1,109 |
| Compensation Committee | Schedule J, Part I, Line 3 | THE COMPENSATION COMMITTEE IS FROM NORWALK HEALTH SERVICES CORPORATION (NHSC) AS PER THE NHSC BYLAWS. |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Daniel DeBarba TITLE:President and Chairman HOURS:56 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Ervin Shames TITLE:Director HOURS:6 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Frank N. Zullo, Esq TITLE:Director HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Barbara Butler TITLE:Director HOURS:4 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Victor Liss TITLE:Director HOURS:5 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Michael Marks, Physician; TITLE:Director until 12/31/2010 HOURS:53 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Robert Ready TITLE:Director HOURS:4 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| Norwalk Hospital Association | |||||||||
| 24 Stevens Street | Norwalk | CT | 06850 | 066068853 | health svcs | CT | 501(C)(3) | 3 | nhsc |
| Fairfield County Medical Services Inc | |||||||||
| 24 Stevens Street | Norwalk | CT | 06850 | 061522078 | phys practice | CT | 501(c)(3) | 11B | nha |
| Norwalk Health Services Corporation | |||||||||
| 24 Stevens Street | Norwalk | CT | 06850 | 222577711 | support svcs | CT | 501(c)(3) | 11B | NA |
| Norwalk Hospital Foundation Inc | |||||||||
| 34 Maple Street | Norwalk | CT | 06850 | 222377707 | fundraising | CT | 501(c)(3) | 7 | nhsc |
| Advanced Center for Rehab Medicine | |||||||||
| 24 Stevens Street | Norwalk | CT | 06850 | 061304799 | Inactive | CT | 501(c)(3) | 11B | NHSC |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Legal Domicile StateLegalDomicileState |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Maple Street Indemnity Company Ltd | |||||||||||||||
| 40 Church Street PO Box HM 2062 | Hamilton HM HX | BD | 980549862 | Captive Insurance | BD | NHSC | C-Corp | 0 | 0 | 0.00000 | |||||
| SWC Corporation | |||||||||||||||
| 222577718 | Pharmacy | NHSC | C-Corp | 0 | 0 | 0.00000 | 24 Stevens Street | Norwalk | CT | 06850 | CT | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| NORWALK HOSPITAL ASSOCIATION | |
| L | 1580698 |
| NORWALK HOSPITAL ASSOCIATION | |
| O | 551936 |
| NORWALK HOSPITAL ASSOCIATION | |
| Q | 288302 |