NORWALK HOSPITAL ASSOCIATION: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- NORWALK HOSPITAL ASSOCIATION (EIN 06-6068853)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-12
- IRS object ID
- 201112289349301596
- Schema version
- 2009v1.7
- 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 L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-12T16:16:31-04:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PricewaterhouseCoopers LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 HIGH STREET | AddressLine1 |
| City | BOSTON | City |
| State | MA | State |
| ZIP Code | 02110 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 066068853 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 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 |
| Phone | 2038523273 | Phone |
| Date Signed | 2011-08-12 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PRICEWATERHOUSECOOPERS LLP | Name |
| Phone | 6175305000 | Phone |
| Date Prepared | 2011-08-11 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | 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 | 349941145 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.NORWALKHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1893 | YearFormation |
| State Legal Domicile | CT | StateLegalDomicile |
| Activity Or Mission Description | SEE SCHEDULE O. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2193 | TotalNbrEmployees |
| Total Nbr Volunteers | 481 | TotalNbrVolunteers |
| Total Gross UBI | 2993894 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -317236 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 6003751 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3857005 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 328959851 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 335284118 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2297611 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1181407 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2050953 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2204505 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 339312166 | TotalRevenuePriorYear |
| Total Revenue Current Year | 342527035 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1221383 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1428713 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 170675562 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 178353547 | 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 | 148974349 | OtherExpensePriorYear |
| Other Expenses Current Year | 157435977 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 320871294 | TotalExpensesPriorYear |
| Total Expenses Current Year | 337218237 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 18440872 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 5308798 | RevenuesLessExpensesCY |
| Total Assets BOY | 257860455 | TotalAssetsBOY |
| Total Assets EOY | 258806324 | TotalAssetsEOY |
| Total Liabilities BOY | 108940533 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 123629682 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 148919922 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 135176642 | NetAssetsOrFundBalancesEOY |
| Mission Description | SEE SCHEDULE O. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 40160399 | Expense |
| Grants | 0 | Grants |
| Revenue | 44138953 | Revenue |
| Description | SEE SCHEDULE O. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 33656403 | Expense |
| Grants | 0 | Grants |
| Revenue | 28873646 | Revenue |
| Description | SEE SCHEDULE O. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 31879143 | Expense |
| Grants | 0 | Grants |
| Revenue | 33232156 | Revenue |
| Description | SEE SCHEDULE O. | Description |
Activity Other ActivityOther (8 entries)
| ExpenseExpense | GrantsGrants | RevenueRevenue | DescriptionDescription |
|---|---|---|---|
| 31298994 | 0 | 34695679 | GASTRO & DIGESTIVE SYSTEM |
| 24846463 | 0 | 26759054 | CANCER |
| 24233291 | 0 | 38165306 | ED TREATED AND RELEASED |
| 18563694 | 0 | 16352773 | PULMONARY AND RESPIRATORY |
| 14899019 | 0 | 13445869 | REHAB |
| 10348082 | 0 | 6571740 | PSYCHIATRY |
| 7552597 | 0 | 6223234 | PEDIATRICS |
| 36013567 | 1428713 | 86825708 | ALL OTHER |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 167755707 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 1428713 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 229039363 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 273451652 | 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 |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| 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 |
| Grants To Organizations | true | 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 | true | 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 |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 249 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 2193 | 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 |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | 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 | 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 |
Form990 Part VII Section A Form990PartVIISectionA (34 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| ERVIN SHAMES | |||||||||
| CHAIRMAN | 5.0 | X | X | 0 | 0 | 0 | |||
| DIANE M ALLISON ESQ | |||||||||
| VICE-CHAIRMAN | 5.0 | X | X | 0 | 0 | 0 | |||
| GEORGE P BAUER | |||||||||
| TREASURER (UNTIL 12/31/09) | 2.0 | X | X | 0 | 0 | 0 | |||
| ANDREW WHITTINGHAM | |||||||||
| TREASURER (AS OF 1/1/10) | 2.0 | X | X | 0 | 0 | 0 | |||
| JOSEPH MANN | |||||||||
| SECRETARY | 2.0 | X | X | 0 | 0 | 0 | |||
| FRED AFGRAGOLA | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| CHARLES AUGENBRAUN MD | |||||||||
| TRUSTEE (LEAVE OF ABS 2/23/10) | 2.0 | X | 0 | 0 | 0 | ||||
| BARBARA BUTLER | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| GEOFFREY COLE | |||||||||
| PRESIDENT/CEO (UNTIL 4/10/10) | 40.0 | X | X | 884538 | 0 | 52704 | |||
| DANIEL DEBARBA | |||||||||
| PRESIDENT/CEO (AS OF 4/12/10) | 40.0 | X | X | 559945 | 0 | 26675 | |||
| MARIANNE W CREW | |||||||||
| TRUSTEE (UNTIL 12/31/09) | 2.0 | X | 0 | 0 | 0 | ||||
| VICTOR LISS | |||||||||
| TRUSTEE (AS OF 1/1/10) | 3.0 | X | 0 | 0 | 0 | ||||
| MICHAEL MARKS MD | |||||||||
| TRUSTEE | 18.0 | X | 72000 | 0 | 0 | ||||
| DAVID KOMANSKY | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| DAVID LEHN | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| STEPHEN MICHAELSON MD | |||||||||
| TRUSTEE (1/1/10 - 6/22/10) | 2.0 | X | 0 | 0 | 0 | ||||
| ROBERT OBERNIER | |||||||||
| TRUSTEE (UNTIL 12/31/09) | 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 | 3.0 | X | 0 | 0 | 0 | ||||
| RICHARD ZELKOWITZ MD | |||||||||
| TRUSTEE | 2.0 | X | 0 | 0 | 0 | ||||
| ROBERT READY | |||||||||
| TRUSTEE (AS OF 1/1/10) | 2.0 | X | 0 | 0 | 0 | ||||
| THOMAS AYOUB | |||||||||
| TRUSTEE (AS OF 6/22/10) | 31.0 | X | 116620 | 0 | 0 | ||||
| PATRICK MINICUS | |||||||||
| VP & CFO (AS OF 10/5/2009) | 40.0 | X | 99272 | 0 | 17181 | ||||
| ANTHONY ACETO | |||||||||
| VP HUMAN RESOURCES | 40.0 | 316289 | 0 | 24969 | X | ||||
| ERIC MAZUR | |||||||||
| CHAIRMAN OF MED/CHIEF MED OFCR | 40.0 | 864369 | 0 | 44220 | X | ||||
| MARY NOLAN | |||||||||
| VP NURSING/PATIENT CARE SVCS | 40.0 | 348188 | 0 | 53930 | X | ||||
| LISA BRADY | |||||||||
| VP COO (AS OF 6/10) | 40.0 | 431319 | 0 | 24997 | X | ||||
| STEVEN WINTER | |||||||||
| CHIEF PULMONARY/CRITICAL CARE | 40.0 | 502175 | 0 | 43689 | X | ||||
| PATRICK NUGENT | |||||||||
| CHAIRMAN - OB | 40.0 | 596996 | 0 | 43731 | X | ||||
| MICHAEL CARIUS | |||||||||
| CHAIRMAN - ED | 40.0 | 500729 | 0 | 46626 | X | ||||
| ARTHUR STRICHMAN | |||||||||
| PHYSICIAN - ED | 40.0 | 605487 | 0 | 42482 | X | ||||
| BRIAN MCGOVERN | |||||||||
| PHYSICIAN | 40.0 | 525168 | 0 | 45067 | X | ||||
| JOHN PIERRO | |||||||||
| FORMER COO | 0.0 | 238462 | 0 | 0 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 6661557 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 466271 | TotalOtherCompensation |
| Number Individuals GT100 K | 298 | 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 | 3497871 |
| MORRISON MANAGEMENT SPECIALISTS INC | |||||
| PO BOX 102289 | ATLANTA | GA | 30368 | FOOD SERVICE | 2629744 |
| UNITEX TEXTILE RENTAL | |||||
| 121-123 MEADOW ST | HARTFORD | CT | 06114 | LAUNDRY SERVICE | 1464999 |
| APOLLO SECURITY | |||||
| 2150 BOSTON-PROVIDENCE HWY | WALPOLE | MA | 02081 | SECURITY SERVICE | 1309281 |
| YALE UNIVERSITY SCHOOL OF MEDICINE | |||||
| PO BOX 208087-333 CEDAR ST | NEW HAVEN | CT | 06520 | PHYSICIAN SVCS | 873185 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 62 | NumberOfContractorsGT100K |
| Related Organizations | 1549506 | RelatedOrganizations |
| Government Grants | 2307499 | GovernmentGrants |
| All Other Contributions | 0 | AllOtherContributions |
| Noncash Contributions | 0 | NoncashContributions |
| Total Contributions | 3857005 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT REVENUE | 621400 | 323586369 | 323586369 | |
| OTHER MEDICAL SERVICES | 900099 | 1151583 | 1151583 | |
| OTHER OPERATING REVENUE | 900099 | 7552272 | 7552272 | |
| LAB SERVICES | 621400 | 2993894 | 2993894 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 335284118 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1052037 | TotalRevenueColumn |
| Exclusion | $1,052,037 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Exclusion | $0 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Exclusion | $0 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 3547968 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 3301780 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 246188 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 246188 | TotalRevenueColumn |
| Exclusion | $246,188 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3992036 | Securities |
| Other | 23400 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3857136 | Securities |
| Other | 28930 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 134900 | Securities |
| Other | -5530 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 129370 | TotalRevenueColumn |
| Exclusion | $129,370 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Exclusion | $0 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 357514 | GrossSalesOfInventory |
| Cost Of Goods Sold | 226264 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 131250 | TotalRevenueColumn |
| Exclusion | $131,250 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| CAFETERIA/VENDING | 900099 | 1383648 | $1,383,648 |
| LAUNDRY | 900099 | 240008 | $240,008 |
| PARKING | 812930 | 203411 | $203,411 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1827067 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 342527035 | TotalRevenueColumn |
| Related Or Exempt Function Income | 332290224 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 2993894 | UnrelatedBusinessRevenue |
| Exclusion | $3,385,912 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1428713 | Total |
| Program Services | 1428713 | 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 | 5759620 | Total |
| Program Services | 749550 | ProgramServices |
| Management And General | 5010070 | 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 | 124505158 | Total |
| Program Services | 109567111 | ProgramServices |
| Management And General | 14938047 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8843643 | Total |
| Program Services | 7176075 | ProgramServices |
| Management And General | 1667568 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28899274 | Total |
| Program Services | 23105398 | ProgramServices |
| Management And General | 5793876 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10345852 | Total |
| Program Services | 8395026 | ProgramServices |
| Management And General | 1950826 | 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 | 1801698 | Total |
| Management And General | 1801698 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 214615 | Total |
| Management And General | 214615 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 198075 | Total |
| Management And General | 198075 | 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 | 37987685 | Total |
| Program Services | 29706788 | ProgramServices |
| Management And General | 8280897 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1698820 | Total |
| Program Services | 11868 | ProgramServices |
| Management And General | 1686952 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24791323 | Total |
| Program Services | 23443626 | ProgramServices |
| Management And General | 1347697 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5751070 | Total |
| Program Services | 4129685 | ProgramServices |
| Management And General | 1621385 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15326295 | Total |
| Program Services | 11143235 | ProgramServices |
| Management And General | 4183060 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 718178 | Total |
| Program Services | 572505 | ProgramServices |
| Management And General | 145673 | 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 | 16062 | Total |
| Program Services | 14617 | ProgramServices |
| Management And General | 1445 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 646398 | Total |
| Program Services | 643701 | ProgramServices |
| Management And General | 2697 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18891849 | Total |
| Program Services | 13810832 | ProgramServices |
| Management And General | 5081017 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5035815 | Total |
| Program Services | 4937717 | ProgramServices |
| Management And General | 98098 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 23255695 | 23255695 | |
| PHARMACY | 6881248 | 6881248 | |
| RESTRUCTURING EXPENSE | 3934121 | 3934121 | |
| RADIOLOGY & LAB SUPPORT | 1957769 | 1956067 | 1702 |
| NCHC SUPPORT | 1350000 | 1350000 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6979261 | Total |
| Program Services | 1172195 | ProgramServices |
| Management And General | 5807066 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 337218237 | Total |
| Program Services | 273451652 | ProgramServices |
| Management And General | 63766585 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -3383065 | BOY |
| EOY | -3090637 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19173460 | BOY |
| EOY | 29401181 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37630837 | BOY |
| EOY | 40941651 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2076829 | BOY |
| EOY | 2019947 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2323933 | BOY |
| EOY | 2361637 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2379157 | BOY |
| EOY | 1831130 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 372632894 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 261142100 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 115972689 | BOY |
| EOY | 111490794 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28700841 | BOY |
| EOY | 30190958 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2728803 | BOY |
| EOY | 3170899 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50256971 | BOY |
| EOY | 40488764 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 257860455 | BOY |
| EOY | 258806324 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57527753 | BOY |
| EOY | 75538145 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 161366 | BOY |
| EOY | 211158 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10440000 | BOY |
| EOY | 9845000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8501449 | BOY |
| EOY | 7295987 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32309965 | BOY |
| EOY | 30739392 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 108940533 | BOY |
| EOY | 123629682 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 125849836 | BOY |
| EOY | 111900980 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13726443 | BOY |
| EOY | 13846953 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9343643 | BOY |
| EOY | 9428709 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 148919922 | BOY |
| EOY | 135176642 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 257860455 | BOY |
| EOY | 258806324 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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) |
|---|---|---|
| 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 | $506,492 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 506492 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FORM 990, SCHEDULE C, PART II-B, LINE 1I: | Identifier |
| Explanation | NORWALK HOSPITAL ASSOCIATION PAYS MEMBERSHIP DUES TO MEMBER ORGANIZATIONS WHICH MAY ENGAGE IN LOBBYING ACTIVITIES. 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 APPRISED OF FEDERAL HEALTHCARE POLICY, GRANT OPPORTUNITIES AND RELATED BILLS PENDING LEGISLATION OF INTEREST TO THE HOSPITAL'S WELL-BEING. | 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) |
|---|---|---|
| Other Cost Or Other Basis | 951359 | OtherCostOrOtherBasis |
| Book Value | 951359 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 135454781 | OtherCostOrOtherBasis |
| Depreciation | 75434119 | Depreciation |
| Book Value | 60020662 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7745839 | OtherCostOrOtherBasis |
| Depreciation | 2160516 | Depreciation |
| Book Value | 5585323 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 221634356 | OtherCostOrOtherBasis |
| Depreciation | 182510978 | Depreciation |
| Book Value | 39123378 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6846559 | OtherCostOrOtherBasis |
| Depreciation | 1036487 | Depreciation |
| Book Value | 5810072 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 111490794 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (10 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| INTEREST IN NHF | 28803532 |
| GOODWILL - RADIOLOGY PURCHASE | 1793333 |
| GOODWILL - SINGER | 1107000 |
| DEBT SERVICE FUND | 371800 |
| CHEFA BOND ISSUE EXPENSE | 219014 |
| CHEFA BOND DISCOUNT | 111126 |
| DEBT SER RES FUND | 1075930 |
| MALPRACTICE TRUST FUND | 5954228 |
| OTHER RECEIVABLES | 606659 |
| DUE FROM AFFILIATES | 446142 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 40488764 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (9 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO THIRD-PARTY PAYORS | $6,406,489 |
| ACCRUED INTEREST PAYABLE | $141,774 |
| MALPRACTICE RESERVE | $8,631,610 |
| ASSET RETIREMENT OBLIGATION | $10,212,507 |
| CHA TRUST LOAN SHORT TERM | $269,571 |
| WORKERS' COMP RESERVE | $2,182,532 |
| LONG TERM DISABILITY RESERVE | $2,869,636 |
| CURRENT PORTION - LEASE | $8,447 |
| LONG TERM LEASE | $16,826 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 30739392 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE D, PART X, LINE 2: | Identifier |
| Explanation | THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE CONCERNING UNCERTAIN TAX POSITIONS UNDER FIN 48. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| 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 | 13719 | PersonsServed |
| Total Community Benefit Expense | 7048166 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2414316 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4633850 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01480 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 34975 | PersonsServed |
| Total Community Benefit Expense | 38335219 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 25283220 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13051999 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04160 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| 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 |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 48694 | PersonsServed |
| Total Community Benefit Expense | 45383385 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 27697536 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17685849 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05640 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 187 | NumberOfActivitiesOrPrograms |
| Persons Served | 2550277 | PersonsServed |
| Total Community Benefit Expense | 1885867 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 34841 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1851026 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00590 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 7 | NumberOfActivitiesOrPrograms |
| Persons Served | 25205 | PersonsServed |
| Total Community Benefit Expense | 12177546 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3894981 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8282565 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02640 | 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 | 3905408 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1965758 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1939650 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00620 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 195 | NumberOfActivitiesOrPrograms |
| Persons Served | 2575482 | PersonsServed |
| Total Community Benefit Expense | 17968821 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5895580 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12073241 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03850 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 195 | NumberOfActivitiesOrPrograms |
| Persons Served | 2624176 | PersonsServed |
| Total Community Benefit Expense | 63352206 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 33593116 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 29759090 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09490 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $9,092,977 | BadDebtExpenseAmount |
| Amount Attributable To | 1864060 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 86525143 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 100223923 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -13698780 | 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 |
| Physicans Profit Or Ownership | 0.25000 | PhysicansProfitOrOwnership |
Form990 Schedule H Part V Form990ScheduleHPartV
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 VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percent Of Total Expense Expln | BAD DEBT EXPENSE OF $23,255,695 HAS BEEN EXCLUDED FROM THE DENOMINATOR IN THE CALCULATIONS FOR PART I, COLUMN F. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | FOOTNOTE TO FINANCIAL STATEMENTS: 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. | BadDebtFootnote |
| Shortfall As Community Benefit | 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. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | 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. | DebtCollectionPolicy |
| 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. | NeedsAssessment |
| Patient Education Assistance | IT IS THE RESPONSIBILITY OF THE HOSPITAL'S ACCESS MANAGEMENT AND/OR THE CUSTOMER SERVICE DIVISION OF THE PATIENT ACCOUNTING DEPARTMENT TO 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. | PatientEducationAssistance |
| 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% (SERVICE AREA NOT AVAILABLE). 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. | CommunityInformation |
| Community Building Activities | 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 SERVICES: 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 28TH 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. | CommunityBuildingActivities |
| Other Information | SEE THE HOSPITAL'S PROGRAM SERVICE ACCOMPLISHMENTS LISTED ON SCHEDULE O. | OtherInformation |
| Affiliated Health Care System | N/A | AffiliatedHealthCareSystem |
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 | 1428713 | 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 | SCHEDULE I, PART I, LINE 2: | Identifier |
| Explanation | FUNDS ARE PROVIDED TO NORWALK HOSPITAL FOUNDATION, A RELATED 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 |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GEOFFREY COLE | |||||||||||||
| 601346 | 0 | 270000 | 0 | 13192 | 0 | 33354 | 0 | 19350 | 0 | 937242 | 0 | 0 | 0 |
| DANIEL DEBARBA | |||||||||||||
| 358704 | 0 | 183200 | 0 | 18041 | 0 | 11025 | 0 | 15650 | 0 | 586620 | 0 | 0 | 0 |
| ANTHONY ACETO | |||||||||||||
| 244713 | 0 | 40000 | 0 | 31576 | 0 | 10996 | 0 | 13973 | 0 | 341258 | 0 | 0 | 0 |
| ERIC MAZUR | |||||||||||||
| 573496 | 0 | 140249 | 0 | 150624 | 0 | 29870 | 0 | 14350 | 0 | 908589 | 0 | 0 | 0 |
| MARY NOLAN | |||||||||||||
| 264652 | 0 | 60000 | 0 | 23536 | 0 | 38180 | 0 | 15750 | 0 | 402118 | 0 | 0 | 0 |
| LISA BRADY | |||||||||||||
| 315523 | 0 | 115027 | 0 | 769 | 0 | 11025 | 0 | 13972 | 0 | 456316 | 0 | 0 | 0 |
| STEVEN WINTER | |||||||||||||
| 341571 | 0 | 54338 | 0 | 106266 | 0 | 29339 | 0 | 14350 | 0 | 545864 | 0 | 0 | 0 |
| PATRICK NUGENT | |||||||||||||
| 338213 | 0 | 0 | 0 | 258783 | 0 | 29381 | 0 | 14350 | 0 | 640727 | 0 | 0 | 0 |
| MICHAEL CARIUS | |||||||||||||
| 367201 | 0 | 51870 | 0 | 81658 | 0 | 31225 | 0 | 15401 | 0 | 547355 | 0 | 0 | 0 |
| ARTHUR STRICHMAN | |||||||||||||
| 215922 | 0 | 252929 | 0 | 136636 | 0 | 28564 | 0 | 13918 | 0 | 647969 | 0 | 0 | 0 |
| BRIAN MCGOVERN | |||||||||||||
| 241637 | 0 | 226094 | 0 | 57437 | 0 | 21462 | 0 | 23605 | 0 | 570235 | 0 | 0 | 0 |
| JOHN PIERRO | |||||||||||||
| 0 | 0 | 0 | 0 | 238462 | 0 | 0 | 0 | 0 | 0 | 238462 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| SCHEDULE J, PART I, LINE 1A: | TAX GROSS-UP PAYMENTS ARE PROVIDED ON GIFT CARDS THAT ARE ISSUED AS PART OF AN EMPLOYEE RECOGNITION PROGRAM CALLED "OVATIONS". TAX GROSS-UP PAYMENTS ARE ALSO 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 CEO'S PERSONAL USE OF A HOSPITAL-OWNED AUTOMOBILE. ALL TAX GROSS-UP PAYMENTS ARE TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUALS RECEIVING SUCH PAYMENTS. |
| 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. |
| SCHEDULE J, PART I, LINE 4A: | CERTAIN LISTED INDIVIDUALS RECEIVED SEVERANCE ARRANGEMENTS FOR A SPECIFIED PERIOD OF TIME, BASED ON THEIR COMPENSATION AT THE TIME OF TERMINATION. THE AMOUNTS PAID HAVE BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN B(III), AS APPROPRIATE. |
| SCHEDULE J, PART I, LINE 4B: | NORWALK HOSPITAL HAS ESTABLISHED A BENEFIT RESTORATION INCOME PLAN FOR ELIGIBLE EMPLOYEES, WHOSE BENEFITS IN THE RETIREMENT PLAN FOR EMPLOYEES OF NORWALK HOSPITAL ARE DECREASED OR LIMITED BECAUSE OF LIMITATIONS IMPOSED BY IRC SEC 401(A)(17). THE FOLLOWING AMOUNTS WERE INCLUDED AS TAXABLE INCOME IN THE BOX 5 ON THE 2009 W-2'S FOR THE LISTED EMPLOYEES: ERIC MAZUR $141,006 MARY NOLAN $ 14,984 MICHAEL CARIUS $ 71,902 BRIAN MCGOVERN $ 53,470 PATRICK NUGENT $ 65,343 ARTHUR STRICHMAN $133,442 STEVEN WINTER $101,036 ANTHONY ACETO $ 18,414 NORWALK HOSPITAL HAS ALSO ESTABLISHED THE NORWALK HOSPITAL SENIOR EXECUTIVE DEFERRED COMPENSATION PLAN, PRIMARILY FOR THE PURPOSE OF PROVIDING A PROGRAM OF DEFERRED COMPENSATION FOR GEOFFREY COLE, PRESIDENT AND CEO UP TO 4/10/2010 AND DANIEL DEBARBA, PRESIDENT AND CEO AS OF 4/12/2010. 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. COLE'S OR MR. DEBARBA'S 2009 W-2. |
| SCHEDULE J, PART I, LINE 7: | BONUSES ARE PROVIDED BASED ON A GOALS SYSTEM. GOALS ARE ESTABLISHED FOR ELIGIBLE EMPLOYEES AT THE BEGINNING OF THE FISCAL YEAR. BONUSES ARE PAID IN ACCORDANCE WITH THE OVERALL FINANCIAL PERFORMANCE OF THE HOSPITAL AS WELL AS THE EMPLOYEE'S SUCCESS IN MEETING OR EXCEEDING THOSE GOALS. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| WELLPOINT INC | |||
| TRUSTEE IS DIRECTOR | 50995220 | INSUR PYMTS FOR PATIENT SVCS | false |
| GENERAL ELECTRIC | |||
| TRUSTEE IS OFFICER | 2919802 | SVC CONTRACTS/MED SUPPLY/EQUIP | false |
| THOMAS AYOUB MD | |||
| TRUSTEE | 171520 | ACTING CHAIRMAN OB/GYN | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| FORM 990, PART I, LINE 1 AND PART III, LINE 1: | THE MISSION OF NORWALK HOSPITAL IS TO PROVIDE UNIQUELY EXCELLENT, INNOVATIVE, AND COMPASSIONATE HEALTH CARE WITH EXCEPTIONAL OUTCOMES. VISION: NORWALK HOSPITAL WILL BE THE HOSPITAL OF CHOICE FOR PATIENTS, PHYSICIANS, AND HEALTH CARE PROFESSIONALS, RECOGNIZED FOR DELIVERING INNOVATIVE CLINICAL SERVICES WITH COMPASSION. WE ARE GUIDED BY THESE VALUES: - PATIENT-CENTERED: HONORING EACH INDIVIDUAL'S 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 EDUCATIONAL 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 4A: | 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 NATION'S 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 1,690 FOR THE FISCAL YEAR ENDED 9/30/2010. |
| FORM 990, PART III, LINE 4B: | CARDIO VASCULAR: NORWALK HOSPITAL OFFERS A PREMIER CARDIOVASCULAR PROGRAM TO MEET THE NEEDS OF PATIENTS WITH CARDIAC AND VASCULAR PROBLEMS IN THE GREATER FAIRFIELD COUNTY, CONNECTICUT COMMUNITY. LED BY A SPECIALIST TEAM OF CARDIOLOGISTS, INTERVENTIONAL CARDIOLOGISTS AND VASCULAR SURGEONS, THIS PROGRAM HAS ACHIEVED WIDE ACCLAIM FOR PROVIDING LEADING-EDGE PREVENTION, DIAGNOSIS, TREATMENT AND REHABILITATION OF CARDIOVASCULAR DISEASE. ONE OF NORWALK HOSPITAL'S SIGNATURE CLINICAL SERVICES, THE CARDIOVASCULAR PROGRAM OFFERS OUTSTANDING INPATIENT AND OUTPATIENT CARE FOR THOSE SUFFERING A HEART ATTACK, OR FROM HEART DISEASE, CONGESTIVE HEART FAILURE, ANGINA, ATHEROSCLEROSIS, AND VASCULAR CONDITIONS, INCLUDING AORTIC ANEURYSMS, CAROTID ARTERY STENOSIS, DEEP VEIN THROMBOSIS AND PERIPHERAL ARTERY DISEASE. CARDIO VASCULAR HAD TOTAL INPATIENT DISCHARGES OF 1,622 FOR THE FISCAL YEAR ENDED 9/30/2010. |
| FORM 990, PART III, LINE 4C: | 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 PERINATOLOGISTS FROM YALE UNIVERSITY MEDICAL SCHOOL FOR HIGH RISK PREGNANCY. 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 MOTHERS, WIRELESS INTERNET ACCESS AND FLAT-SCREEN TELEVISIONS. 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 3,406 FOR THE FISCAL YEAR ENDED 9/30/2010. |
| FORM 990, PART VI, SECTION A, LINE 2: | CERTAIN NORWALK HOSPITAL ASSOCIATION'S BOARD MEMBERS ALSO SERVE ON THE BOARDS OF SWC CORPORATION AND MAPLE STREET IDEMNITY COMPANY LIMITED. |
| 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. |
| FORM 990, PART VI, SECTION B, LINE 11A: | NORWALK HOSPITAL ASSOCIATION'S (NHA) FORM 990 IS PREPARED WITH THE ASSISTANCE OF PRICEWATERHOUSECOOPERS 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 TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO THE FORM BEING FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C: | OFFICERS, TRUSTEES, KEY EMPLOYEES, AND MANAGERS ARE SURVEYED ANNUALLY REGARDING INTERESTS THAT PRESENT POTENTIAL CONFLICTS. RESPONSES ARE SCREENED FOR POTENTIAL CONFLICTS, INDIVIDUALS ARE INTERVIEWED AS NECESSARY, AND SURVEY RESULTS ARE SHARED WITH THE CEO. INDIVIDUALS ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS AT ANY MEETING OR DURING ANY DISCUSSION WHICH MAY BE AFFECTED BY THE POTENTIAL CONFLICT, AND THE INDIVIDUAL IS REQUIRED TO RECUSE HIMSELF/HERSELF ACCORDINGLY. |
| FORM 990, PART VI, SECTION B, LINE 14: | NORWALK HOSPITAL ASSOCIATION (NHA) IS IN THE PROCESS OF DRAFTING A FORMAL WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY. |
| FORM 990, PART VI, SECTION B, LINES 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. 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 RESPECTS TO ALL JOINT VENTURE ARRANGEMENTS. JOINT VENTURE ARRANGEMENTS ARE APPROVED BY THE BOARD OF TRUSTEES. |
| FORM 990, PART VI, SECTION C, LINE 19: | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VII, SECTION A: | THE INDIVIDUALS LISTED BELOW WORKED THE FOLLOWING HOURS PER WEEK FOR A RELATED ORGANIZATION DURING THE FISCAL YEAR: GEOFFREY COLE - 7 HOURS/WEEK DANIEL DEBARBA - 8 HOURS/WEEK MICHAEL MARKS - 5 HOURS/WEEK ERVIN SHAMES - 5 HOURS/WEEK DIANE ALLISON - 4 HOURS/WEEK GEORGE BAUER - 2 HOURS/WEEK ANDREW WHITTINGHAM - 1 HOUR/WEEK JOSEPH MANN - 1 HOUR/WEEK FRED AFGRAGOLA - 3 HOURS/WEEK CHARLES AUGENBRAUN - 1 HOUR/WEEK BARBARA BUTLER - 2 HOURS/WEEK MARIANNE CREW - 2 HOURS/WEEK VICTOR LISS - 4 HOURS/WEEK DAVID KOMANSKY - 1 HOUR/WEEK DAVID LEHN - 3 HOURS/WEEK STEPHEN MICHAELSON - 1 HOUR/WEEK ROBERT OBERNIER - 2 HOURS/WEEK GARY REINER - 1 HOUR/WEEK ROLAND STICHWEH - 1 HOUR/WEEK WILLIAM TAMME - 2 HOURS/WEEK RICHARD ZELKOWITZ - 2 HOURS/WEEK ROBERT READY - 3 HOURS/WEEK THOMAS AYOUB - 1 HOUR/WEEK MICHAEL MARKS AND THOMAS AYOUB ARE COMPENSATED AS INDEPENDENT CONTRACTORS AND NOT AS TRUSTEES. |
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-II | NA |
| NHC DBA HONEY HILL REHAB & NURSING CTR | |||||||||
| 34 MIDROCKS 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-II | 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-II | 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 | 40 CROSS STREET | AddressLine1 |
| City | NORWALK | City |
| State | CT | State |
| ZIP Code | 06850 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 272394942 | EIN |
| Primary Activity | SURGERY CENTER | PrimaryActivity |
| Legal Domicile State | CT | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NONE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | -258904 | ShareOfTotalIncome |
| Share Of EOY Assets | 486562 | ShareOfEOYAssets |
| Disproportionate Allocations | false | DisproportionateAllocations |
| General Or Managing Partner | false | GeneralOrManagingPartner |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| 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 | ||||||||||||
| 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 | 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 (18 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| NORWALK HOSPITAL FOUNDATION | |
| B | 1428713 |
| NORWALK HOSPITAL FOUNDATION | |
| C | 6238562 |
| FAIRFIELD COUNTY MEDICAL SERVICES INC | |
| I | 113104 |
| NORWALK HOSPITAL FOUNDATION | |
| K | 65160 |
| NORWALK HEALTH CARE | |
| K | 1558948 |
| SWC CORPORATION | |
| K | 3642470 |
| FAIRFIELD COUNTY MEDICAL SERVICES INC | |
| L | 3497109 |
| FAIRFIELD COUNTY MEDICAL SERVICES INC | |
| O | 72055 |
| NORWALK HOSPITAL FOUNDATION | |
| P | 1489732 |
| FAIRFIELD COUNTY MEDICAL SERVICES INC | |
| P | 8010837 |
| NORWALK HEALTH CARE | |
| P | 443102 |
| SWC CORPORATION | |
| P | 218161 |
| NORWALK HEALTH CARE | |
| Q | 100000 |
| MAPLE STREET INDEMNITY COMPANY LTD | |
| Q | 5778296 |
| SWC CORPORATION | |
| Q | 3485000 |
| NORWALK HEALTH CARE | |
| R | 1975000 |
| NORWALK HOSPITAL FOUNDATION | |
| R | 5666000 |
| NORWALK SURGICAL CENTER | |
| B | 700000 |