NORWALK HOSPITAL ASSOCIATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: NORWALK HOSPITAL ASSOCIATION (EIN 06-6068853)
Tax period: 2010-10-01 to 2011-09-30
Filed: 2012-08-15
IRS object ID: 201232289349301573
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-08-15T12:57:50-05:00	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	066068853	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	The Norwalk Hospital Association	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	NORW	NameControl
Phone	2038522000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	24 Stevens Street	AddressLine1
City	Norwalk	City
State	CT	State
ZIP Code	06850	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DANIEL DEBARBA	Name
Title	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

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	370392771	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.norwalkhospital.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1893	YearFormation
State Legal Domicile	CT	StateLegalDomicile
Activity Or Mission Description	The mission of Norwalk Hospital is to provide uniquely excellent, innovative and compassionate health care with exceptional outcomes.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	22	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	20	NbrIndependentVotingMembers
Total Nbr Employees	2108	TotalNbrEmployees
Total Nbr Volunteers	524	TotalNbrVolunteers
Total Gross UBI	4615716	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3857005	ContributionsGrantsPriorYear
Contributions Grants Current Year	4163105	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	335284118	ProgramServiceRevenuePriorYear
Program Service Revenue CY	355229999	ProgramServiceRevenueCY
Investment Income Prior Year	1181407	InvestmentIncomePriorYear
Investment Income Current Year	1637037	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2204505	OtherRevenuePriorYear
Other Revenue Current Year	2473072	OtherRevenueCurrentYear
Total Revenue Prior Year	342527035	TotalRevenuePriorYear
Total Revenue Current Year	363503213	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	1428713	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	1042576	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	178353547	SalariesEtcPriorYear
Salaries Etc Current Year	176190042	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	157435977	OtherExpensePriorYear
Other Expenses Current Year	161029924	OtherExpensesCurrentYear
Total Expenses Prior Year	337218237	TotalExpensesPriorYear
Total Expenses Current Year	338262542	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	5308798	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	25240671	RevenuesLessExpensesCY
Total Assets BOY	258806324	TotalAssetsBOY
Total Assets EOY	347466749	TotalAssetsEOY
Total Liabilities BOY	123629682	TotalLiabilitiesBOY
Total Liabilities EOY	211769948	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	135176642	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	135696801	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	The mission of Norwalk Hospital is to provide uniquely excellent, innovative and compassionate health care with exceptional outcomes.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	41410907	Expense
Grants	0	Grants
Revenue	47594146	Revenue
Description	ORTHOPEDICS AND NEUROSPINE SERVICES: Norwalk Hospital provides comprehensive, high-quality orthopedic and neurospine care to residents of Greater Fairfield County, Connecticut through an expert team of board-certified or eligible orthopedists and neurosurgeons who have trained at some of the nations most prestigious hospitals and medical schools. A signature service, our orthopedic and neurospine program features a collaborative, team approach for the evaluation, treatment, and rehabilitation of diseases and conditions affecting the bones, joints, cartilage, muscles, tendons and ligaments. Clinical services provided includes: Arthritis & Joint Pain Treatment, Foot and ankle care, Fracture care, Hand and upper extremity care, including shoulder and elbow replacement surgery), Joint replacement (hip & knee), Spine surgery, Sports Medicine, Trauma care for orthopedic injuries. OrthoNeuro had total Inpatient Discharges of 1,845 for the fiscal year ended 9/30/2011.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	35845411	Expense
Grants	0	Grants
Revenue	40027060	Revenue
Description	GASTROENTEROLOGY & DIGESTIVE SERVICES: Norwalk Hospital is noted for its advanced gastroenterology program, which is considered to be a leading program in Connecticut as well as in nearby Westchester County, New York, for the diagnosis and treatment of a wide range of digestive diseases and conditions. One of the Hospitals premier signature clinical services, this program features experienced and highly respected gastroenterologists, on the Norwalk Hospital Medical Staff, who see patients in their offices throughout lower Fairfield County as well as at the Hospitals Center for Digestive Diseases. A key component of Norwalk Hospitals digestive diseases service is a colorectal cancer screening program. Colorectal cancers are highly preventable and treatable if caught early. Health experts recommend a screening colonoscopy at age 50 for adults considered at average risk. Colonoscopies are performed by gastroenterologists in the Hospitals modern and nationally accredited Gastrointestinal (GI) Lab. Norwalk Hospital is the only hospital in Connecticut to offer Third Eye Retroscope-enhanced colonoscopies. This new technology has been shown in clinical studies to improve the detection rate of potentially pre-cancerous colon polyps by up to 25%. Once detected, the colon polyps can be removed during the colonoscopy. Several gastroenterologists on the Hospitals medical staff are offering Third Eye Retroscope-enhanced colonoscopies to patients. The Norwalk Hospital Center for Digestive Diseases provides state-of-the-art, academic medical center-level care in a conveniently located, community hospital setting. The Centers widely recognized, fellowship-trained; specialist physicians provide leading-edge diagnostics and treatments for disorders of the esophagus, stomach, small intestine, colon, rectum, gallbladder, pancreas and liver. A leader in advanced endoscopic procedures for the treatments of gastrointestinal disorders, the Center also offers a chronic heartburn program, and, in partnership with Yale School of Medicine, a comprehensive Liver Center. Clinical services provided by the Centers specialist physicians include, but are not limited to: Ablation therapy for Barretts esophagus, Chronic heartburn (GERD) evaluation and treatment, Colon cancer screening, Colonoscopies, Double balloon-assisted enteroscopy, Endoscopic procedures, including endoscopic ultrasound, Inflammatory bowel disease evaluation and treatments, Liver diseases, including Hepatitis C, evaluations and treatments. The Center serves as a major teaching site for the Yale School of Medicine. William Hale, MD, director of gastroenterology and hepatology; Dennis Meighan, DO, director of endoscopy; and Seth A. Gross, MD, director of advanced endoscopy; help train residents and fellows, and also conduct clinical research studies designed to improve care for patients. Gastro & Digestive had total Inpatient Discharges of 1,807 for the fiscal year ended 9/30/2011.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	34466806	Expense
Grants	0	Grants
Revenue	37725513	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 3,448 for the fiscal year ended 9/30/2011.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	171409610	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	0	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	225267563	TotalOfOtherProgramServiceRev
Total Program Service Expense	283132734	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	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	true	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	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	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	362	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	2108	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	22	NbrVotingGoverningBodyMembers
Number Independent Voting Members	20	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	TONI HORNE CONTROLLER	NamePerson
Telephone Number	2038522071	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	24 STEVENS STREET	AddressLine1
City	NORWALK	City
State	CT	State
ZIP Code	06850	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Ervin Shames Chairman thru
12/31/10; Trustee as of 1/1/11	3.0	X	X	0	0	0
Diane M Allison ESQ vice chair
thru 12/31/10; Chairman 1/1/11	5.0	X	X	0	0	0
George P Bauer
Trustee as of 1/1/11	2.0	X		0	0	0
Andrew Whittingham
Treasurer	3.0	X	X	0	0	0
Joseph Mann
Secretary	2.0	X	X	0	0	0
Fred Afragola
Trustee	2.0	X		0	0	0
Charles Augenbraun MD
Trustee (Leave of Absence)	0.0	X		0	0	0
Barbara Butler
Trustee	3.0	X		0	0	0
Daniel DeBarba
President and CEO	50.0	X	X	670785	0	29920
Victor Liss
Trustee	3.0	X		0	0	0
Michael Marks MD Physician
Trustee thru 12/31/10	2.0	X		70833	0	0
David Komansky
Trustee	2.0	X		0	0	0
David Lehn
Trustee	2.0	X		0	0	0
Gary Reiner
Trustee	3.0	X		0	0	0
Roland Stichweh
Trustee	3.0	X		0	0	0
William J Tamme TRUSTEE THRU
12/31/10 VICE CHAIR 1/1/11	5.0	X		0	0	0
Richard Zelkowitz MD
Trustee	2.0	X		0	0	0
Robert Ready
Trustee	2.0	X		0	0	0
Thomas Ayoub
Physician/Trustee	18.0	X		140833	0	0
Maria Borges-Lopez
Trustee as of 1/1/11	2.0	X		0	0	0
Paul Gagne MD
Trustee as of 1/1/11	2.0	X		0	0	0
Mark Gudis
Trustee as of 1/1/11	2.0	X		0	0	0
Ed Kangas
Trustee as of 1/1/11	2.0	X		0	0	0
Ed Mahony
Trustee as of 1/1/11	2.0	X		0	0	0
Patrick Minicus
VP and Chief Financial Officer	50.0		X	354471	0	25050
Eric Mazur
VP and Chief Medical Officer	50.0			764258	0	44422	X
Lisa Brady
Chief Operating Officer	50.0			450445	0	25419	X
Mary NolaN
VP Nursing & Patient Care SVCS	50.0			372529	0	52575	X
Anthony Aceto
VP Human Resources	50.0			344257	0	30687	X
Peter Dodds
Chairman Surgery	25.0			432202	0	32628		X
Michael Carius
Chairman Emergency Department	50.0			537703	0	49348		X
Arthur Srichman
Physician	50.0			451345	0	45210		X
Brian McGovern
Physician	50.0			534859	0	44459		X
Stephen Winter
Physician	50.0			469523	0	45519		X
Geoffrey Cole
Former President and CEO				1248052	0	46796			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	6842095	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	472033	TotalOtherCompensation
Number Individuals GT100 K	294	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 RADIOLOGY MAMMOGRAPHY CTR
148 EAST AVENUE	NORWALK	CT	06851	MEDICAL	3641641
MORRISON MANAGEMENT SPECIALISTS INC
PO BOX 102289	ATLANTA	GA	30368	FOOD SERVICE	2552365
UNITEX TEXTILE RENTAL
121-123 MEADOW STREET	HARTFORD	CT	06114	LAUNDRY SERVICES	1403712
COMFORCE TECHNICAL SERVICES INC
PO BOX 9695	UNIONDALE	NY	11555	STAFFING SERVICES	1338302
APOLLO SECURITY
2150 BOSTON-PROVIDENCE HIGHWAY	WALPOLE	MA	02081	SECURITY SERVICE	1090981

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	91	NumberOfContractorsGT100K
Related Organizations	2045335	RelatedOrganizations
Government Grants	2086206	GovernmentGrants
All Other Contributions	31564	AllOtherContributions
Total Contributions	4163105	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT REVENUE	621400	345978731	345978731
OTHER MEDICAL SERVICES	900099	1204956	1204956
OTHER OPERATING REVENUE	900099	3430595	3430595
LAB SERVICES	621400	4615716		4615716

Field	Value	IRS element (for citing)
Total Program Service Revenue	355229999	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	840683	TotalRevenueColumn
Exclusion	$840,683	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	3842935	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	3338298	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	504637	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	504636	TotalRevenueColumn
Exclusion	$504,636	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	4130293	Securities
Other	4000	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	3334739	Securities
Other	3200	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	795554	Securities
Other	800	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	796354	TotalRevenueColumn
Exclusion	$796,354	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	354832	GrossSalesOfInventory
Cost Of Goods Sold	213321	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	141511	TotalRevenueColumn
Exclusion	$141,511	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
CAFETERIA/VENDING	900099	1545998	$1,545,998
LAUNDRY	900099	240000	$240,000
PARKING	812930	40927	$40,927

Field	Value	IRS element (for citing)
Total Other Revenue	1826925	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	363503213	TotalRevenueColumn
Related Or Exempt Function Income	350614282	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	4615716	UnrelatedBusinessRevenue
Exclusion	$4,110,109	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	1042576	Total
Program Services	1042576	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3359338	Total
Management And General	3359338	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	128932371	Total
Program Services	112433635	ProgramServices
Management And General	16498736	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	9859752	Total
Program Services	7950078	ProgramServices
Management And General	1909674	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	23549011	Total
Program Services	19105759	ProgramServices
Management And General	4443252	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	10489570	Total
Program Services	8457910	ProgramServices
Management And General	2031660	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1607556	Total
Management And General	1607556	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	241990	Total
Management And General	241990	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	187250	Total
Management And General	187250	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	43564318	Total
Program Services	35076843	ProgramServices
Management And General	8487475	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1746100	Total
Program Services	97560	ProgramServices
Management And General	1648540	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	25205434	Total
Program Services	23906785	ProgramServices
Management And General	1298649	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	5755534	Total
Program Services	4042655	ProgramServices
Management And General	1712879	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	16629032	Total
Program Services	13400413	ProgramServices
Management And General	3228619	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	537481	Total
Program Services	449278	ProgramServices
Management And General	88203	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	30559	Total
Program Services	30250	ProgramServices
Management And General	309	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1450895	Total
Program Services	1445282	ProgramServices
Management And General	5613	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	19041348	Total
Program Services	14828382	ProgramServices
Management And General	4212966	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	8216535	Total
Program Services	8149794	ProgramServices
Management And General	66741	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBT	20654069	20654069
PHARMACY	6897748	6895018	2730
RADIOLOGY & LAB SUPPLIES	2216493	2213820	2673
SUPPORT - NORWALK COMMUNITY HE	1350000	1350000
DUES, MEMBERSHIPS	701524	192191	509333

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	4996058	Total
Program Services	1410436	ProgramServices
Management And General	3585622	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	338262542	Total
Program Services	283132734	ProgramServices
Management And General	55129808	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	-3090637	BOY
EOY	61458676	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	29401181	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	40941651	BOY
EOY	37299759	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	2019947	BOY
EOY	1387672	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2361637	BOY
EOY	1879253	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1831130	BOY
EOY	2698590	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	404630251	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	277722033	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	111490794	BOY
EOY	126908218	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	30190958	BOY
EOY	30219610	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	3170899	BOY
EOY	2729803	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	36399874	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	40488764	BOY
EOY	46485294	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	258806324	BOY
EOY	347466749	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	75538145	BOY
EOY	105366368	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	211158	BOY
EOY	208218	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	9845000	BOY
EOY	56060000	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	7295987	BOY
EOY	6275846	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	30739392	BOY
EOY	43859516	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	123629682	BOY
EOY	211769948	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	111900980	BOY
EOY	104824797	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	13846953	BOY
EOY	21432761	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	9428709	BOY
EOY	9439243	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	135176642	BOY
EOY	135696801	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	258806324	BOY
EOY	347466749	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	25240671	ReconcilationRevenueExpenses
Reconcilation Other Changes	-24720512	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$505,447	OtherActivitiesAmount
Total Lobbying Expenditures IIB	505447	TotalLobbyingExpendituresIIB

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	OTHER ACTIVITIES	Identifier
Return Reference	SCHEDULE C, PART II-B, LINE i	ReturnReference
Explanation	NORWALK HOSPITAL ASSOCIATION PAYS MEMBERSHIP DUES TO MEMBER ORGANIZATIONS WHICH MAY ENGAGE IN LOBBYING ACTIVITIES, THEREFORE, A PORTION OF THE DUES MAY BE ATTRIBUTABLE TO LOBBYING ACTIVITIES. NORWALK HOSPITAL ENGAGED THE FIRM BROWN RUDNICK LLP FOR GOVERNMENT RELATIONS IN CONNECTICUT AND ON THE FEDERAL LEVEL. BROWN RUDNICK KEEPS NORWALK HOSPITAL ASSOCIATION APPRAISED OF FEDERAL HEALTHCARE POLICY, GRANT OPPORTUNITIES AND RELATED BILLS & PENDING LEGISLATION THAT MAY BE OF INTEREST TO THE WELL BEING OF THE HOSPITAL.	Explanation

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
Other Cost Or Other Basis	951359	OtherCostOrOtherBasis
Book Value	951359	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	138667910	OtherCostOrOtherBasis
Depreciation	80861938	Depreciation
Book Value	57805972	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7750166	OtherCostOrOtherBasis
Depreciation	2697396	Depreciation
Book Value	5052770	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	232771161	OtherCostOrOtherBasis
Depreciation	193034833	Depreciation
Book Value	39736328	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	24489655	OtherCostOrOtherBasis
Depreciation	1127866	Depreciation
Book Value	23361789	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	126908218	TotalOfBookValueLandBuildings
Total Of Book Value Program Related	0	TotalOfBookValueProgramRelated

Other Assets OtherAssets (11 entries)

DescriptionDescription	Book ValueBookValue
DEFERRED FINANCING FEES	329597
Debt Service Fund	372429
Due from Affiliates	2640682
Debt Service Reserve Fund	15111873
MALPRACTICE TRUST FUND	4567394
Goodwill - NRMC Purchase	15097582
Non-Compete - NRMC Purchase	7547810
CHEFA Bond Issue Expense	198527
CHEFA Bond Discount	101668
UNDERWRITERS DISC CHEFA GHI	436311
MISCELLANEOUS	81421

Field	Value	IRS element (for citing)
Total Book Value Other Assets	46485294	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescription	AmountAmount
Due to third party payors	$16,535,753
Malpractice Reserve	$9,815,058
Asset Retirement Obligation	$11,509,090
CHA Trust loan short term	$269,570
Workers' Comp Reserve	$2,172,120
Long Term Disability Reserve	$2,541,099
Lease - Current and long term	$16,826
Radiology earnout	$1,000,000

Field	Value	IRS element (for citing)
Total Of Amounts	43859516	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	FIN 48 Footnote	Identifier
Return Reference	Schedule D, Part X, Line 2	ReturnReference
Explanation	There was no fin 48/asc 740 footnote in the audited financial statements.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	false	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	16080	PersonsServed
Total Community Benefit Expense	5977815	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2890778	DirectOffsettingRevenue
Net Community Benefit Expense	3087037	NetCommunityBenefitExpense
Percent Of Total Expense	0.00970	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	41289	PersonsServed
Total Community Benefit Expense	43547244	TotalCommunityBenefitExpense
Direct Offsetting Revenue	32174890	DirectOffsettingRevenue
Net Community Benefit Expense	11372354	NetCommunityBenefitExpense
Percent Of Total Expense	0.03580	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	57369	PersonsServed
Total Community Benefit Expense	49525059	TotalCommunityBenefitExpense
Direct Offsetting Revenue	35065668	DirectOffsettingRevenue
Net Community Benefit Expense	14459391	NetCommunityBenefitExpense
Percent Of Total Expense	0.04550	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	104	NumberOfActivitiesOrPrograms
Persons Served	1701952	PersonsServed
Total Community Benefit Expense	1814851	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4608	DirectOffsettingRevenue
Net Community Benefit Expense	1810243	NetCommunityBenefitExpense
Percent Of Total Expense	0.00570	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	30	PersonsServed
Total Community Benefit Expense	13277969	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3924767	DirectOffsettingRevenue
Net Community Benefit Expense	9353202	NetCommunityBenefitExpense
Percent Of Total Expense	0.02940	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	3741223	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1893351	DirectOffsettingRevenue
Net Community Benefit Expense	1847872	NetCommunityBenefitExpense
Percent Of Total Expense	0.00580	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	108	NumberOfActivitiesOrPrograms
Persons Served	1701982	PersonsServed
Total Community Benefit Expense	18834043	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5822726	DirectOffsettingRevenue
Net Community Benefit Expense	13011317	NetCommunityBenefitExpense
Percent Of Total Expense	0.04090	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	108	NumberOfActivitiesOrPrograms
Persons Served	1759351	PersonsServed
Total Community Benefit Expense	68359102	TotalCommunityBenefitExpense
Direct Offsetting Revenue	40888394	DirectOffsettingRevenue
Net Community Benefit Expense	27470708	NetCommunityBenefitExpense
Percent Of Total Expense	0.08640	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$7,146,308	BadDebtExpenseAmount
Amount Attributable To	1490020	AmountAttributableTo
Amount Reimbursed By Medicare	84380371	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	99105829	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-14725458	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	NORWALK SURGERY CTR	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	AMBULATORY SURGICAL CENTER	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.70000	OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership	0.00000	OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership	0.25000	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	NORWALK HOSPITAL ASSOCIATION	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	24 STEVENS STREET	AddressLine1
City	NORWALK	City
State	CT	State
ZIP Code	06856	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	NORWALK HOSPITAL ASSOCIATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (8 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Part I, Line 7, Column F	Bad Debt Expense of $20,654,069 has been excluded from the denominator in the calculations for part I, Column F. Part III, Line 4 REVENUES AND PATIENT ACCOUNTS RECEIVABLE ARE RECORDED WHEN PATIENT SERVICES ARE PERFORMED. AMOUNTS RECEIVED FROM CERTAIN PAYORS ARE DIFFERENT FROM THE ESTABLISHED BILLING RATES OF THE VARIOUS PROVIDERS, AND THESE DIFFERENCES ARE ACCOUNTED FOR AS ALLOWANCES. NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS AND OTHERS FOR SERVICES RENDERED. REVENUE UNDER THIRD-PARTY PAYOR AGREEMENTS IS SUBJECT TO AUDIT AND RETROACTIVE ADJUSTMENTS. PROVISIONS FOR ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS AND ADJUSTMENTS ARE ESTIMATED IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED. ADJUSTMENTS ARE ESTIMATED IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED. There is no bad debt footnote in the audited financial statements.
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 SENDS OUT TWO STATEMENTS BEFORE THE CLAIM THEN CYCLES TO OUR "EARLY OUT" COMPANY, WHO WOULD THEN WORK THE CLAIM FOR THREE MONTHS. OUR STATEMENTS HAVE MESSAGES OR LITERATURE ON THE BOTTOM OF THE STATEMENT ALERTING THE PATIENT TO THE FACT THAT IF THEY FEEL THEY NEED ASSISTANCE IN PAYING THEIR BILLS THEY CAN CALL CUSTOMER SERVICE AND REQUEST A FINANCIAL ASSISTANCE APPLICATION. THEY WOULD HAVE TO FILL IT OUT COMPLETELY, AND PROVIDE US WITH THE REQUESTED PAPERWORK, COPY OF INCOME TAXES BEING ONE OF THEM. IF THE APPLICATION COMES BACK TO US AND IS COMPLETE, WE WILL CHANGE THE FINANCIAL CLASS TO PENDING CHARITY SO THE CLAIM DOES NOT CYCLE TO COLLECTIONS. THE NORWALK HOSPITAL MANAGER, CUSTOMER SERVICE/INSURANCE VERIFICATION AND ASSISTANCE COORDINATOR PROCESS THE APPLICATIONS ON A WEEKLY BASIS. ONCE DETERMINATION IS MADE AS TO WHAT THEY MAY QUALIFY FOR, BASED ON OUR SLIDING SCALE (WHICH IS UPDATED YEARLY BASED ON POVERTY GUIDELINES, FAMILY SIZE, AND INCOME), THE APPROPRIATE AMOUNT WOULD BE ADJUSTED. PATIENTS ARE CALLED AND NOTIFIED IF THEY QUALIFY AND FOR WHAT AMOUNT. IF THERE IS A REMAINING BALANCE, THE ACCOUNT WOULD THEN BE CHANGED TO SELF-PAY.IF PATIENTS ARE ADMITTED THROUGH THE ER AND ARE SELF-PAY, OUR FINANCIAL COUNSELORS WOULD VISIT THEM TO DISCUSS APPLYING FOR MEDICAID. IF A PATIENT IS STRAIGHT SELF-PAY, OUR POLICY MANDATES THAT THE APPLICANT BE COMPLIANT WITH MEDICAID, AND IF THEY ARE DENIED, THEY CAN THEN APPLY FOR FINANCIAL ASSISTANCE THROUGH THE HOSPITAL, HOWEVER, IF THEY ARE DENIED FOR NON-COMPLIANCY, THEN FINANCIAL ASSISTANCE WOULD NOT BE APPLICABLE. IF A PATIENT IS NOT A CITIZEN AND THEY WOULD NOT QUALIFY FOR EMED (EMERGENCY MEDICAL FOR JUST THAT ONE INPATIENT VISIT), THEY WOULD BE ABLE TO APPLY FOR FINANCIAL ASSISTANCE WITHOUT HAVING TO APPLY FOR MEDICAID SINCE THEY WOULD BE DENIED ANYWAY. IF A PATIENT HAS TO HAVE AN OUTPATIENT PROCEDURE AND DOES NOT HAVE INSURANCE, PATIENT REGISTRATION WILL TRY TO OBTAIN REIMBURSEMENT FROM THAT PATIENT. IF THEY ARE UNABLE TO PAY, THEY WOULD CALL THE PATIENT'S PHYSICIAN TO SEE IF THE PROCEDURE CAN BE POSTPONED UNTIL FINANCIAL ARRANGEMENTS CAN BE MADE. IF THE DOCTOR STATES THEY CAN NOT POSTPONE THE PROCEDURE THEY WOULD ALLOW THE PATIENT TO COME BUT WOULD INSTRUCT THEM TO APPLY FOR MEDICAID AND IF DENIED THEY WOULD APPLY FOR FINANCIAL ASSISTANCE. IF A PATIENT IS FROM AN AFFILIATED FEDERALLY QUALIFIED HEALTH CENTER AND NEEDS TO HAVE SERVICES WHEREBY WE DO NOT HONOR THE DISCOUNT(I.E.: ALL INPATIENT SERVICES, OUTPATIENT IV THERAPY, RADIATION THERAPY, AND HYPERBARIC), AND IS NOT A CITIZEN, THEY WOULD BE REFERRED TO OUR FINANCIAL ASSISTANCE COORDINATOR, TO COMPLETE AN APPLICATION. IF A PATIENT FROM AN AFFILIATED FEDERALLY QUALIFIED HEALTH CENTER IS A CITIZEN, THEY WOULD FIRST NEED TO HAVE APPLIED FOR MEDICAID AND IF DENIED, THEY COULD APPLY FOR ASSISTANCE. OVERALL, PATIENTS CAN CALL CUSTOMER SERVICE, EVEN IF THEY ARE IN COLLECTIONS, TO BE CONSIDERED FOR FINANCIAL ASSISTANCE. IF THEY ARE IN COLLECTIONS AND APPLY, WE WOULD PULL THE ACCOUNT BACK ONCE THE APPLICATION IS RECEIVED WE HAVE A NUMBER OF SCREENS WE FILL OUT IN OUR ACCOUNTING SOFTWARE WHICH DENOTE THE PATIENT HAS APPLIED AND THE STATUS. ALSO, PATIENTS LIVING IN A SHELTER OR THAT ARE HOMELESS ARE ADJUSTED TO CHARITY AS WELL. ADDITIONALLY, ALL IV THERAPY AND RADIATION THERAPY ACCOUNTS THAT HAVE BEEN GRANTED CHARITY ARE ADJUSTED MONTHLY, SINCE THEY ARE BILLED MONTHLY. MEDICAID SPENDDOWN AMOUNTS ARE ALSO ADJUSTED TO CHARITY. BEEN GRANTED CHARITY ARE ADJUSTED MONTHLY, SINCE THEY ARE BILLED MONTHLY. MEDICAID SPENDDOWN AMOUNTS ARE ALSO ADJUSTED TO CHARITY.
NEEDS ASSESSMENT	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 COMMUNITIES WE SERVE.	Part VI, Question 2
Patient education of eligibility for assistance	Through the hospital's access management and/or customer service division of the patient account, we inform patients about THE DETAILS OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, ASSIST WITH THE EXPLANATION OF THE FINANCIAL ASSISTANCE APPLICATION IF THE APPLICATION IS REQUIRED, DETERMINE THE AMOUNT OF THE DISCOUNT, INFORM THE PATIENT OF THE HOSPITAL'S FINAL DETERMINATION, AND PROCESS THE DISCOUNT IN THE HOSPITAL'S PATIENT ACCOUNTING SYSTEM. THE ONLY EXCEPTIONS ARE: [1] OUTPATIENT MENTAL HEALTH SERVICES WHERE THE DEPARTMENT OF PSYCHIATRY WILL QUALIFY AND PROCESS FINANCIAL ASSISTANCE APPLICATIONS, AND [2] DENTAL CLINIC WILL QUALIFY AND PROCESS FINANCIAL ASSISTANCE APPLICATIONS. THE PATIENT WILL HAVE 30 DAYS FROM THE RECEIPT OF THE APPLICATION PACKET TO RETURN IT IN ITS ENTIRETY. OTHERWISE, THE NORMAL STATEMENT CYCLE WILL CONTINUE UNDER THE CLASSIFICATION OF SELF PAY. WHEN AN APPLICATION IS RECEIVED, THE ACCOUNT STATUS WILL BE CHANGED TO PENDING FINANCIAL ASSISTANCE AND NO ADDITIONAL STATEMENTS WILL BE SENT TO THE PATIENT UNTIL A FINAL FINANCIAL ASSISTANCE DETERMINATION IS MADE. IF THE PATIENT FILES FOR FINANCIAL ASSISTANCE ONLY AFTER LEGAL ACTION HAS BEEN INITIATED FOLLOWING REASONABLE COLLECTION EFFORTS, THE PATIENT WILL BE ENTITLED TO FILE A FINANCIAL ASSISTANCE APPLICATION BUT WILL BE RESPONSIBLE FOR ANY LEGAL FEE COSTS AND/OR COURT COSTS INCURRED UP TO THE POINT OF TIME OF THE APPLICATION. THE EXISTENCE OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM WILL BE POSTED IN BOTH ENGLISH AND SPANISH AT ALL REGISTRATION POINTS WITHIN THE HOSPITAL. THE FOLLOWING PATIENTS WILL RECEIVE A FINANCIAL ASSISTANCE APPLICATION, ALSO AVAILABLE IN BOTH ENGLISH AND SPANISH, BY PATIENT ACCESS PERSONNEL AT THE TIME OF REGISTRATION: A. ALL ED PATIENTS WHO PRESENT TO THE EMERGENCY ROOM AS SELF PAY B. ANY PATIENT WHO INDICATES AN INABILITY TO PAY HOSPITAL PATIENT STATEMENTS WILL CLEARLY INDICATE THE EXISTENCE OF A FINANCIAL ASSISTANCE PROGRAM INCLUDING CUSTOMER SERVICE TELEPHONE NUMBERS.	Part VI, Question 3
COMMUNITY INFORMATION	NORWALK HOSPITAL IS A NOT-FOR-PROFIT ACUTE CARE COMMUNITY TEACHING HOSPITAL WHICH IS LICENSED FOR 328 BEDS. THE HOSPITAL HAS OVER 500 PHYSICIANS ON ITS ACTIVE MEDICAL STAFF, MANY OF WHOM TRAINED AT THE NATION'S LEADING MEDICAL SCHOOLS AND HOSPITALS, AND 2,000 HEALTH PROFESSIONALS AND SUPPORT PERSONNEL. NORWALK HOSPITAL SERVES AN AREA POPULATION OF ABOUT 270,000 IN LOWER FAIRFIELD COUNTY. THE SERVICE AREAS INCLUDE PRIMARILY NORWALK, NEW CANAAN, WESTPORT, WESTON AND WILTON; AS WELL AS DARIEN, FAIRFIELD, REDDING AND RIDGEFIELD. THERE ARE FIVE OTHER HOSPITALS IN NORWALK HOSPITAL'S PRIMARY SERVICE AREA. A DIVERSE SOCIO-ECONOMIC POPULATION, NORWALK HOSPITAL SERVES AN AGING POPULATION, FROM THE AFFLUENT TO THE MEDICALLY UNDERSERVED. THE AVERAGE HOUSEHOLD INCOME IN THE NORWALK HOSPITAL'S SERVICE AREA IS $163,887, AND THE ESTIMATED UNINSURED POPULATION IN THE CITY OF NORWALK IS 15%. THE PERCENTAGE OF POPULATION THAT IS 65+ IS EXPECTED TO INCREASE FROM 13.9% IN 2010, TO 15.6% IN 2015, AND WOMEN OF CHILDBEARING-AGE (18-44) ARE FORECAST TO DECLINE 2.5% OVER THIS SAME PERIOD OF TIME.	Part VI, Question 4
PROMOTION OF COMMUNITY HEALTH	NORWALK HOSPITAL PROVIDES A VAST ASSORTMENT OF SERVICES TO THE COMMUNITY FREE OF CHARGE AND FURTHER CARRIES OUT ITS CITIZENSHIP BY MEETING THE NEEDS OF THE UNDERSERVED, WHICH INCLUDES ABOUT 44 PERCENT OF ITS PATIENTS. THE HOSPITAL MAKES AVAILABLE TO THE COMMUNITY, WITHOUT REGARD FOR ABILITY TO PAY, AN IMPRESSIVE LIST OF SPECIALTIES, SUCH AS: CHILDBIRTH CENTER: NORWALK HOSPITAL PROVIDES EXCEPTIONAL MATERNITY AND PEDIATRIC SERVICES. THE OBSTETRICIANS ARE SUPPORTED BY HIGHLY SKILLED NURSES, CERTIFIED NURSE MIDWIVES, PHYSICIAN ASSISTANTS, NEONATOLOGISTS, AND YALE PERINATOLOGISTS TO HELP MANAGE HIGH-RISK PREGNANCIES. THE HOSPITAL ALSO OFFERS COMPREHENSIVE CHILDBIRTH EDUCATION AND SUPPORT PROGRAMS. THE SMILOW FAMILY BREAST HEALTH CENTER: THE SMILOW CENTER ADDRESSES BREAST CARE IN A SEAMLESS MANNER, BEGINNING WITH COMMUNITY EDUCATION AND SCREENING. FOCUSING ON RAPID DIAGNOSIS, THE PROGRAM PROVIDES ON-GOING SUPPORT THROUGHOUT THE PROCESS OF REFERRAL AND SCHEDULING TO ALL NEEDED SERVICES AND PHYSICIANS. TRAUMA CENTER: NORWALK HOSPITAL IS DESIGNATED AS A LEVEL II TRAUMA CENTER, WHICH IS DEDICATED TO THE SURVIVAL AND RESTORATION OF PATIENTS TO THEIR BEST FUNCTIONAL OUTCOME. STROKE PROGRAM: NORWALK HOSPITAL HAS EARNED THE GOLD SEAL OF APPROVAL FOR STROKE CARE. THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS HAS AWARDED NORWALK HOSPITAL PRIMARY STROKE CENTER CERTIFICATION "FOR DEMONSTRATING THAT ITS STROKE CARE PROGRAM FOLLOWS NATIONAL STANDARDS AND GUIDELINES THAT CAN SIGNIFICANTLY IMPROVE OUTCOMES FOR STROKE PATIENTS." CANCER DIAGNOSTICS AND THERAPY: A COMPREHENSIVE PROGRAM THROUGH THE WHITTINGHAM CANCER CENTER BRINGS TO SOUTHWESTERN CONNECTICUT THE LATEST KNOWLEDGE, TECHNIQUES, AND TECHNOLOGY FOR THE DIAGNOSIS AND TREATMENT OF CANCER. THE CANCER CENTER IS COMMITTED TO ASSURING A FULL SPECTRUM OF ONCOLOGY SERVICES TO THE PEOPLE OF OUR COMMUNITY. FROM PREVENTION AND SCREENINGS, TO DIAGNOSIS AND TREATMENT, THE STAFF IS CONTINUALLY RESPONDING TO THE CHANGING NEEDS OF HEALTHCARE AND CANCER PATIENTS. SURGICAL SERVICES: NORWALK HOSPITAL'S DEDICATED SURGICAL STAFF OFFERS HIGH QUALITY SURGICAL CARE. NORWALK HOSPITAL'S OUTSTANDING SURGEONS ARE IN THE FOREFRONT OF SURGICAL PROCEDURES INCLUDING LAPAROSCOPIC SURGERY, MAJOR JOINT REPLACEMENT, AND UROLOGICAL SERVICES. SLEEP CENTER: A NATIONALLY ACCREDITED CENTER PROVIDES FOR DIAGNOSIS AND MANAGEMENT OF THE FULL RANGE OF SLEEP DISORDERS, INCLUDING SLEEP APNEA AND INSOMNIA. THE CENTER CONDUCTS INTERNATIONAL RESEARCH TRIALS THAT KEEP IT AT THE FOREFRONT OF NEW AND DEVELOPING THERAPIES. BARIATRIC CENTER: THE NORWALK HOSPITAL BARIATRIC CENTER HAS BEEN NAMED AN AMERICAN SOCIETY FOR BARIATRIC SURGERY (ASBS) BARIATRIC SURGERY CENTER OF EXCELLENCE. THE ASBS CENTER OF EXCELLENCE DESIGNATION RECOGNIZES SURGICAL PROGRAMS WITH A DEMONSTRATED TRACK RECORD OF FAVORABLE OUTCOMES IN BARIATRIC SURGERY. WOUND CARE AND HYPERBARIC MEDICINE CENTER: AS A REFERRAL CENTER FOR COMPREHENSIVE WOUND MANAGEMENT, THE CENTER HAS HAD VERY SUCCESSFUL RESULTS BY PROVIDING ADVANCED TREATMENT TO CURE WOUNDS THAT PREVIOUSLY WOULD NOT HEAL. NORWALK HOSPITAL HAS MORE THAN TWENTY-FIVE YEARS OF EXPERIENCE IN PROVIDING HYPERBARIC OXYGEN THERAPY, PIONEERING AS THE FIRST HOSPITAL-BASED HYPERBARIC SERVICE IN NEW ENGLAND. TWENTY-FIVE PERCENT OF PEOPLE WITH NON-HEALING WOUNDS BENEFIT FROM RECEIVING HYPERBARIC OXYGEN THERAPY. MANY PATIENTS WITH NON-HEALING WOUNDS ARE REFERRED TO NORWALK HOSPITAL FOR ASSESSMENT BECAUSE OF THIS EXPERTISE. COMMUNITY HEALTH CENTER: NORWALK HOSPITAL IS A FINANCIAL SPONSOR FOR THE NORWALK COMMUNITY HEALTH CENTER, A COMMUNITY-BASED FEDERALLY QUALIFIED HEALTH CENTER, WHICH OFFERS COMPREHENSIVE HEALTHCARE AT AFFORDABLE PRICES TO RESIDENTS OF A MEDICALLY UNDERSERVED COMMUNITY. OTHER COMMUNITITY Benefit Activities: WOMEN WITH LIMITED OR NO HEALTH INSURANCE MAY BE ELIGIBLE FOR FREE MAMMOGRAMS, BREAST EXAMS, AND "PAP" PROCEDURES IN AN EARLY DETECTION PROGRAM OFFERED AT NORWALK HOSPITAL THROUGH THE CONNECTICUT BREAST AND CERVICAL CANCER EARLY DETECTION PROGRAM. THE MEDICAL STAFF PROVIDES AN ANNUAL WELLNESS SERIES, NOW IN ITS 29TH YEAR, FOR THE COMMUNITY AND THE SECTION OF PULMONARY MEDICINE HAS BEEN OFFERING FREE SMOKING CESSATION PROGRAMS TWICE A YEAR FOR OVER 30 YEARS. NORWALK HOSPITAL OFFERS A WIDE RANGE OF COMMUNITY SERVICES BOTH AT THE HOSPITAL AND IN THE COMMUNITY. HOSPITAL ASSOCIATES AND AFFILIATED PHYSICIANS PROVIDE WELLNESS PROGRAMS TO SCHOOLS, CIVIC GROUPS, CHURCHES, AND OFFER COMMUNITY HEALTH FAIRS AND SCREENINGS. Examples of promoting health of community: Norwalk Hospital staff and affiliated MDs participate in health fairs, community education lectures and screenings with community YMCAs, senior centers, schools, Department of Health, etc. In collaboration with the State of CT Dept. of Health and the CDC, Norwalk Hospital offers the CT Breast and Cervical Cancer Early Detection Program and promotes this program to the community. Norwalk Hospital offers program and financial support to the Norwalk Community Health Center, a FQHC. Norwalk Hospital specialty clinics are staffed by volunteer attending physicians for surgical, GI, pulmonary, cardiology, orthopaedics, podiatry, physiology, nephrology, neurology for underserved patients.	Part VI, Question 5
AFFILIATED HEALTH CARE SYSTEM	In order to promote the health of the community Norwalk Hospital is responsible for coordinating the services of the hospital with those of other health, education and social services in the community (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. As a not-for-profit organization, Norwalk Hospital provides needed medical care to all, including those who cannot pay for it. (This comes from our vision and values statement. We are currently a one system hospital, no affiliated hospitals.)	Part VI, Question 6

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Norwalk Hospital Foundation	BusinessNameLine1

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)
EIN Of Recipient	222577708	EINOfRecipient
IRC Section	501(c)(3)	IRCSection
Amount Of Cash Grant	1042576	AmountOfCashGrant
Amount Of Non Cash Assistance	0	AmountOfNonCashAssistance
Method Of Valuation	n/a	MethodOfValuation
Description Of Non Cash Assistance	n/a	DescriptionOfNonCashAssistance
Purpose Of Grant	Fund Operations	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Form 990, Schedule I, line 2	Identifier
Return Reference	Description of Organization's Procedures for Monitoring the Use of Grants	ReturnReference
Explanation	Funds are provided to Norwalk Hospital Foundation, a related 501(c)(3) organization, which is subject to the same policies and procedures as Norwalk Hospital Association.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	false	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Daniel DeBarba
416638	0	210000	0	44147	0	11025	0	18895	0	700705	0	0	0
Patrick Minicus
244411	0	83008	0	27052	0	7656	0	17394	0	379521	0	0	0
Geoffrey Cole
202525	0	100247	0	945280	0	30767	0	16029	0	1294848	0	0	0
Eric Mazur
571892	0	114443	0	77923	0	30028	0	14394	0	808680	0	0	0
Lisa Brady
340144	0	108609	0	1692	0	11025	0	14394	0	475864	0	0	0
Mary NolaN
272147	0	59032	0	41350	0	36781	0	15794	0	425104	0	0	0
Anthony Aceto
250680	0	61851	0	31726	0	16293	0	14394	0	374944	0	0	0
Peter Dodds
360000	0	0	0	72202	0	32628	0	0	0	464830	0	0	0
Michael Carius
359523	0	78219	0	99961	0	33654	0	15694	0	587051	0	0	0
Arthur Srichman
223771	0	167241	0	60333	0	29316	0	15894	0	496555	0	0	0
Brian McGovern
246739	0	261740	0	26380	0	20066	0	24393	0	579318	0	0	0
Stephen Winter
331634	0	60201	0	77688	0	31125	0	14394	0	515042	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (5 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 1B	THE TAX GROSS-UP FOR THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN WAS APPROVED BY THE BOARD IN 1996 WHEN THE PLAN WAS CREATED. THIS DECISION WAS REACHED WITH THE ADVICE OF OUTSIDE COUNSEL AND A COMPENSATION CONSULTING FIRM. IN GENERAL, TAX GROSS-UP DECISIONS ARE MADE ON A CASE BY CASE BASIS RELATED TO SPECIFIC ELEMENTS AND THE INTENTION OF ANY PARTICULAR COMPENSATION PLAN OR PROGRAM. THESE DECISIONS ARE REACHED IN CONCERT WITH, BUT NOT LIMITED TO, THE FOLLOWING PARTIES: CEO OR OTHER EXECUTIVES, HUMAN RESOURCES, ACCOUNTING, PAYROLL, OUTSIDE COUNSEL, OUTSIDE TAX ADVISORS, AND OUTSIDE COMPENSATION CONSULTANTS. THIS PROCESS ENSURES, TO THE GREATEST DEGREE POSSIBLE, THAT ANY TAX GROSS-UP DECISIONS ARE IN COMPLIANCE WITH ANY IRS REGULATIONS AND PREVAILING GOOD MANAGEMENT PRACTICES. Although this is the policy followed, there is no formal written policy/procedure regarding this at this time.
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 HAS ESTABLISHED the Norwalk Hospital Senior Deferred Compensation Plan, Primarly 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 2010 W2.
Supplemental Compensation Information	Schedule J, Part III, Line 7	Bonuses are provided based on a goals system. Goals are established for eligible employees at the beginning of the fiscal year. Bonuses are paid in accordance with the overall financial performance of the hospital as well as the employee's success in meeting or exceeding those goals.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	STATE OF CT HEALTH & EDU FACILITIES AUTHORITY	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	060806186	IssuerEIN
Date Issued	2010-12-09	DateIssued
Issue Price	46840000	IssuePrice
Description Of Purpose	SEE PART V	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer
Pool Financing	false	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Amount Retired	0	AmountRetired
Amount Bond Defeased	0	AmountBondDefeased
Total Proceeds	46844170	TotalProceeds
Amount In Reserve Fund	0	AmountInReserveFund
Capitalized Interest	494062	CapitalizedInterest
Refunding Escrow	0	RefundingEscrow
Issuance Costs From Proceeds	829268	IssuanceCostsFromProceeds
Credit Enhancement	0	CreditEnhancement
Working Capital Expenditures	463600	WorkingCapitalExpenditures
Capital Expenditures	31106035	CapitalExpenditures
Other Spent Proceeds	0	OtherSpentProceeds
Amount Unspent	13951207	AmountUnspent
Year Of Subst Completion	2012	YearOfSubstCompletion
Current Refunding	false	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	false	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	true	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	false	MngmentCntrctBondFinancdPrprty
Any Research Agreements	false	AnyResearchAgreements
Bond Counsel Routinely Engaged	false	BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00510	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00510	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	false	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	false	Form8038TFiled
Variable Rate Issue	false	VariableRateIssue
Hedge Identified In Books And Recds	false	HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

Field	Value	IRS element (for citing)
Business Name Line1	Na	BusinessNameLine1

Field	Value	IRS element (for citing)
Term Of Hedge	0.	TermOfHedge
Superintegrated Hedge	false	SuperintegratedHedge
Hedge Terminated	false	HedgeTerminated
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

Field	Value	IRS element (for citing)
Business Name Line1	Na	BusinessNameLine1

Field	Value	IRS element (for citing)
Term Of GIC	0.	TermOfGIC
Regulatory Safe Harbor Satisfied	false	RegulatorySafeHarborSatisfied
Gross Proceeds Invested	false	GrossProceedsInvested
Exception To Rebate	false	ExceptionToRebate

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Identifier	SCHEDULE K, PART I	Identifier
Return Reference	USE OF BOND PROCEEDS	ReturnReference
Explanation	THE PROCEEDS OF THE BOND ARE BEING USED FOR Construction of a parking garage and for the purchase of other capital equipment.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FORM 990, PART I, LINE 1 & PART III, LINE 1	ORGANIZATION'S MISSION	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. FORM 990, Part III, Line 4 Other Program Service Descriptions Other Program Services Include: ED treated and Released; Cardiovascular services; Cancer services; Pulmonary & Respiratory services; Rehab services; All Other Surgical services; Pediatric services; Psychiatry services; All Other Medical services; and All Other lab services
DESCRIPTION OF CLASSES OF MEMBERS OF STOCKHOLDERS	Form 990, Part VI, SECTION A, LINES 6 & 7	NORWALK HEALTH SERVICES CORPORATION, INC. IS THE SOLE MEMBER OF NORWALK HOSPITAL ASSOCIATION (NHA) AND APPOINTS NHA'S BOARD OF DIRECTORS.
Describe the Process used by Management &/or Governing Body to Review 990	Form 990, Part VI, line 11	NORWALK HOSPITAL ASSOCIATION'S (NHA) FORM 990 IS PREPARED WITH THE ASSISTANCE OF ERNST & YOUNG LLP AND REVIEWED BY NHA'S INTERNAL MANAGEMENT. FOLLOWING THAT REVIEW, NHA'S INTERNAL MANAGEMENT PRESENTS THE FORM 990 TO THE AUDIT COMMITTEE FOR REVIEW AND COMMENT. THE COMPLETED FORM 990 IS PROVIDED, via email, TO ALL MEMBERS OF THE BOARD OF Trustees PRIOR TO THE FORM BEING FILED WITH THE IRS.
Description of Process to Monitor Transactions for Conflicts of Interest	FORM 990, PART VI, LINE 12C	MONITORING THE ORGANIZATION'S CONFLICT OF INTEREST POLICY PROVIDES THAT ANNUALLY, EACH 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 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 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 THE Hospital CAN OBTAIN, WITH REASONABLE EFFORTS, A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST, FOR ITS OWN BENEFIT AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION, THE GOVERNING BOARD OR COMMITTEE SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. RESTRICTIONS PLACED ON CONFLICTED PERSONS IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS.
Written Document Retention & Destruction Policy	Form 990, Part VI, line 14	NORWALK HOSPITAL ASSOCIATION (NHA) 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 & 15b	AN OUTSIDE CONSULTING FIRM CONDUCTS AN EXECUTIVE COMPENSATION ANALYSIS UTILIZING THIRD-PARTY, BLINDED SURVEY DATA SOURCES. THE CONSULTANT THEN PRESENTS FINDINGS TO THE COMPENSATION COMMITTEE OF THE BOARD, WHO DECIDE WHAT ACTION TO TAKE, IF ANY, FOR EACH EXECUTIVE. THIS PROCEDURE ONLY APPLIES TO THE PRESIDENT, VICE PRESIDENTS, AND CERTAIN KEY EMPLOYEES. FOR THOSE KEY EMPLOYEES WHOSE SALARIES ARE NOT SUBJECT TO THE COMPENSATION COMMITTEE REVIEW, THEIR RESPECTIVE VICE PRESIDENTS ASSESS THEIR PERFORMANCE AND DETERMINE SALARY INCREASES BASED ON THE GUIDELINES ESTABLISHED BY THE ANNUAL REVIEW PROGRAM AND FINAL REVIEW RATINGS. COMPENSATION DECISIONS ALSO EMPLOY EXTERNAL MARKET SURVEY DATA AND INTERNAL ANALYSIS BASED ON NORWALK HOSPITAL ASSOCIATION'S SALARY RANGES. THIS PROCESS IS UNDERTAKEN EACH YEAR.
Joint Venture Policy	Form 990, PART VI, Section B, Line 16B	WHILE A WRITTEN POLICY HAS NOT BEEN ADOPTED REGARDING THE EVALUATION OF PARTICIPATION IN JOINT VENTURES, MANAGEMENT FOLLOWS A PROCEDURE IN WHICH ALL POSSIBLE JOINT VENTURE ARRANGEMENTS ARE EVALUATED UNDER APPLICABLE FEDERAL TAX LAWS. MANAGEMENT UTILIZES THE SERVICES OF APPROPRIATE CONSULTANTS AND LEGAL COUNSEL TO EVALUATE EACH JOINT VENTURE OPPORTUNITY. THIS EVALUATION ALSO INCLUDES AN ANALYSIS OF HOW THE JOINT VENTURE WILL FURTHER THE HOSPITAL'S MISSION. THE HOSPITAL HAS TAKEN ALL APPROPRIATE STEPS TO SAFEGUARD ITS TAX EXEMPT STATUS WITH RESPECT TO ALL JOINT VENTURE ARRANGEMENTS. JOINT VENTURE ARRANGEMENTS ARE APPROVED BY THE BOARD OF TRUSTEES.
Governing documents, etc. available to the public	FORM 990, PART VI, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
Hours devoted to a RELATED ORGANIZATION	FORM 990, PART VII	THE INDIVIDUALS LISTED BELOW WORKED THE FOLLOWING HOURS PER WEEK FOR A RELATED ORGANIZATION DURING THE FISCAL YEAR: ERVIN SHAMES 4 DIANE ALLISON 3 GEORGE BAUER 2 ANDREW WHITTINGHAM 1 JOSEPH MANN 1 FRED AFGRAGOLA 3 BARBARA BUTLER 2 DANIEL DEBARBA 8 VICTOR LISS 3 DAVID KOMANSKY 1 DAVID LEHN 3 MICHAEL MARKS 51 GARY REINER 1 ROLAND STICHWEH 1 WILLIAM TAMME 3 RICHARD ZELKOWITZ 2 ROBERT READY 3 THOMAS AYOUB 1 MARIA BORGES-LOPEZ 1 PAUL GAGNE 1 MARK GUDIS 1 ED KANGAS 1 ED MAHONEY 2
Other Changes in Net Assets or Fund Balances	Part XI, Line 5	Unrealized Loss (1,455,301) Trans FCMS (4,642,266) Trans NHF (765,289) Trans NHF 322,298 Trans NSC (2,100,000) Trans NHSC 1,914,719 Pension (25,149,518) Temp Restr. 7,585,808 Perm Restr. 10,534 PY NSC Contr. (700,000) PY NSC Loss 258,904 K-1 Joint Venture 2010 (400) _____________ Line 5 Total (24,720,511)
Compensation Committee	Schedule J, Part I, Line 3	The Compensation Committee is from Norwalk Health Services Corporation (NHSC) as per the NHSC Bylaws.

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
Fairfield County Medical Services Inc
24 Stevens Street	Norwalk	CT	06850	061522078	PHYS PRACTICE	CT	501(c)(3)	11B	NHA
NHC DBA Honey Hill Rehab & Nursing Ctr
34 Midrock Drive	Norwalk	CT	06851	222577722	NURSING REHAB	CT	501(c)(3)	9	NHSC
Norwalk Health Services Corp
24 Stevens Street	Norwalk	CT	06850	222577711	SUPPORT SVCS	CT	501(c)(3)	11B	NA
Norwalk Hospital Foundation
34 Maple Street	Norwalk	CT	06856	222577708	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 III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Norwalk Surgery Center LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	27-2394942 40 Cross Street NORWALK	AddressLine1
City	Norwalk	City
State	CT	State
ZIP Code	06850	ZIPCode

Field	Value	IRS element (for citing)
Primary Activity	SURGERY CENTER	PrimaryActivity
Legal Domicile State	CT	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NONE	BusinessNameLine1

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeType
Share Of Total Income	-642803	ShareOfTotalIncome
Share Of EOY Assets	3044485	ShareOfEOYAssets
Disproportionate Allocations	false	DisproportionateAllocations
Code V	$0	CodeVAmount
General Or Managing Partner	false	GeneralOrManagingPartner
Percentage Ownership	0.70000	PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	Legal Domicile StateLegalDomicileState
Maple Street Indemnity Company Ltd
40 Church St PO Box 2062	Hamilton HM HX	BD	980549862	Captive Insurance	BD	NHSC	C-Corp
SWC CORPORATION
			222577718	PHARMACY		NHSC	C-CORP	24 STEVENS STREET	NORWALK	CT	06850	CT

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (21 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
Fairfield County Medical Services Inc
i	133194
Fairfield County Medical Services Inc
l	4229918
Fairfield County Medical Services Inc
p	9581910
Maple Street Indemnity Company LTD
q	6000000
Norwalk Health Care
k	1580698
Norwalk Health Care
p	551936
Norwalk Health Care
r	288302
Norwalk Health Services Corporation
r	1914723
Norwalk Health Services Corporation
q	180000
Norwalk Hospital Foundation
b	1042576
Norwalk Hospital Foundation
c	2045335
Norwalk Hospital Foundation
k	65160
Norwalk Hospital Foundation
p	1459740
Norwalk Hospital Foundation
q	765289
Norwalk Hospital Foundation
r	2050000
Norwalk Surgery Center
b	2100000
SWC Corporation
k	138000
SWC Corporation
l	3412305
SWC Corporation
p	232206
SWC Corporation
q	5410900
SWC Corporation
r	2230900