Norwalk Health Services Corporation: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- Norwalk Health Services Corporation (EIN 22-2577711)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-12
- IRS object ID
- 201142289349300709
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-12T16:16:30-04:00 | 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 | 222577711 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORWALK HEALTH SERVICES CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NORW | NameControl |
| Phone | 2038522071 | 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 |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 06856 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1411538 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1985 | YearFormation |
| State Legal Domicile | CT | StateLegalDomicile |
| Activity Or Mission Description | TO SUPPORT NORWALK HOSPITAL ASSOCIATION | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 18 | TotalNbrVolunteers |
| Total Gross UBI | 859961 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 472698 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 852660 | InvestmentIncomePriorYear |
| Investment Income Current Year | 551577 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 794543 | OtherRevenuePriorYear |
| Other Revenue Current Year | 859961 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1647203 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1411538 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | 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 | 131219 | OtherExpensePriorYear |
| Other Expenses Current Year | 436740 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 131219 | TotalExpensesPriorYear |
| Total Expenses Current Year | 436740 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1515984 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 974798 | RevenuesLessExpensesCY |
| Total Assets BOY | 28327408 | TotalAssetsBOY |
| Total Assets EOY | 30381263 | TotalAssetsEOY |
| Total Liabilities BOY | 106495 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 324555 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 28220913 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 30056708 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO SUPPORT NORWALK HOSPITAL ASSOCIATION | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 0 | Expense |
| Grants | 0 | Grants |
| Revenue | 0 | Revenue |
| Description | NORWALK HEALTH SERVICES CORPORATION IS THE PARENT COMPANY OF AND PROVIDES SUPPORT SERVICES FOR NORWALK HOSPITAL ASSOCIATION, NORWALK HEALTH CARE, NORWALK HOSPITAL FOUNDATION, AND FAIRFIELD COUNTY MEDICAL SERVICES, INC. | Description |
| Total Program Service Expense | 0 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | true | ForeignOffice |
| Foreign Activities | true | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | 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 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | true | ForeignFinancialAccount |
| Name Of Foreign Country | BD | NameOfForeignCountry |
| 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 | false | MembersOrStockholders |
| Election Of Board Members | false | 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 |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | TONI HORNE 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) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| ERVIN SHAMES | ||||||
| CHAIRMAN | 2.0 | X | X | 0 | 0 | 0 |
| DIANE M ALLISON ESQ | ||||||
| VICE-CHAIRMAN | 2.0 | X | X | 0 | 0 | 0 |
| GEORGE P BAUER | ||||||
| TREASURER (UNTIL 12/31/09) | 1.0 | X | X | 0 | 0 | 0 |
| ANDREW WHITTINGHAM | ||||||
| TREASURER (AS OF 1/1/10) | 1.0 | X | X | 0 | 0 | 0 |
| JOSEPH MANN | ||||||
| SECRETARY | 1.0 | X | X | 0 | 0 | 0 |
| FRED AFGRAGOLA | ||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |
| CHARLES AUGENBRAUN MD | ||||||
| TRUSTEE (LEAVE OF ABS 2/23/10) | 1.0 | X | 0 | 0 | 0 | |
| BARBARA BUTLER | ||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |
| GEOFFREY COLE | ||||||
| PRESIDENT/CEO (UNTIL 4/10/10) | 1.0 | X | X | 0 | 884538 | 52704 |
| DANIEL DEBARBA | ||||||
| PRESIDENT/CEO (AS OF 4/12/10) | 1.0 | X | X | 0 | 559945 | 26675 |
| MARIANNE W CREW | ||||||
| TRUSTEE (UNTIL 12/31/09) | 1.0 | X | 0 | 0 | 0 | |
| VICTOR LISS | ||||||
| TRUSTEE (AS OF 1/1/10) | 1.0 | X | 0 | 0 | 0 | |
| MICHAEL MARKS MD | ||||||
| TRUSTEE | 1.0 | X | 0 | 72000 | 0 | |
| DAVID KOMANSKY | ||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |
| DAVID LEHN | ||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |
| STEPHEN MICHAELSON MD | ||||||
| TRUSTEE (1/1/10 - 6/22/10) | 1.0 | X | 0 | 0 | 0 | |
| ROBERT OBERNIER | ||||||
| TRUSTEE (UNTIL 12/31/09) | 1.0 | X | 0 | 0 | 0 | |
| GARY REINER | ||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |
| ROLAND STICHWEH | ||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |
| WILLIAM J TAMME | ||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |
| RICHARD ZELKOWITZ MD | ||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | |
| ROBERT READY | ||||||
| TRUSTEE (AS OF 1/1/10) | 1.0 | X | 0 | 0 | 0 | |
| THOMAS AYOUB | ||||||
| TRUSTEE (AS OF 6/22/10) | 1.0 | X | 0 | 116620 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1633103 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 79379 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| All Other Contributions | 0 | AllOtherContributions |
| Total Contributions | 0 | TotalContributions |
| Total Program Service Revenue | 0 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 551577 | TotalRevenueColumn |
| Exclusion | $551,577 | 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 |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CAPTIVE INSURANCE PREMIUMS | Description |
| Business Code | 524298 | BusinessCode |
| Total Revenue Column | 859961 | TotalRevenueColumn |
| Unrelated Business Revenue | 859961 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 859961 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1411538 | TotalRevenueColumn |
| Unrelated Business Revenue | 859961 | UnrelatedBusinessRevenue |
| Exclusion | $551,577 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46630 | Total |
| Management And General | 46630 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7469 | Total |
| Management And General | 7469 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | TAXES | Description |
| Total | 382641 | Total |
| Management And General | 382641 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 436740 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 436740 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 126985 | BOY |
| EOY | 32317 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1299968 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 268284 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1039153 | BOY |
| EOY | 1031684 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20374662 | BOY |
| EOY | 22369800 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6786608 | BOY |
| EOY | 6947462 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28327408 | BOY |
| EOY | 30381263 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 106495 | BOY |
| EOY | 279555 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 45000 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 106495 | BOY |
| EOY | 324555 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21875146 | BOY |
| EOY | 23359028 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6345767 | BOY |
| EOY | 6697680 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28220913 | BOY |
| EOY | 30056708 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28327408 | BOY |
| EOY | 30381263 | 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) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type2 | X | SupportingOrg509a3Type2 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORWALK HOSPITAL ASSOCIATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 066068853 | EIN |
| Type Of Organization | 03 | TypeOfOrganization |
| Listed In Governing Doc | true | ListedInGoverningDoc |
| Supported Organization Notified | true | SupportedOrganizationNotified |
| Organized In US | true | OrganizedInUS |
| Amount | $0 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 0 | SumOfAmounts |
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 | 937642 | OtherCostOrOtherBasis |
| Book Value | 937642 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 362326 | OtherCostOrOtherBasis |
| Depreciation | 268284 | Depreciation |
| Book Value | 94042 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements | |
| Equipment | Equipment | |
| Other Land Buildings | OtherLandBuildings | |
| Total Of Book Value Land Buildings | 1031684 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| EQUITY IN UNCONSOLIDATED SUB. | 249782 |
| CHARITABLE REM & LEAD TRUSTS | 6697680 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 6947462 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO AFFILIATE | Description |
| Amount | $45,000 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 45000 | TotalOfAmounts |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean | Region |
| Number Of Employees | 1 | NumberOfEmployees |
| Type Of Activities Conducted | Program Services | TypeOfActivitiesConducted |
| Specific Services Provided | CAPTIVE INSURANCE | SpecificServicesProvided |
| Total Expenditures | 7253676 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Employees | 1 | TotalNumberOfEmployees |
| Total Amount Spent | 7253676 | TotalAmountSpent |
Form990 Schedule F Part IV Form990ScheduleFPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE F, PART I, LINE 3, COLUMN (F) | Identifier |
| Explanation | NORWALK HEALTH SERVICES CORPORATION (NHSC) MAINTAINS INSURANCE COVERAGE THROUGH MAPLE STREET INDEMNITY COMPANY, LTD (MSI), A RELATED ORGANIZATION BASED IN BERMUDA. MSI USES THE SERVICES OF A MANAGING AGENT IN BERMUDA TO MAINTAIN ALL FINANCIAL BOOKS AND RECORDS FOR MSI. INFORMATION IS REPORTED TO MSI IN ACCORDANCE WITH THE REQUIREMENTS OF THE BERMUDA MONETARY AUTHORITY. INFORMATION RECEIVED IS CONVERTED TO GAAP BASED FINANCIAL REPORTING AND INCLUDED IN THE CONSOLIDATED AUDIT OF NHSC. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 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 | |||||||||||||
| 0 | 601346 | 0 | 270000 | 0 | 13192 | 0 | 33354 | 0 | 19350 | 0 | 937242 | 0 | 0 |
| DANIEL DEBARBA | |||||||||||||
| 0 | 358704 | 0 | 183200 | 0 | 18041 | 0 | 11025 | 0 | 15650 | 0 | 586620 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE J, PART I, LINE 4B | Identifier |
| Explanation | NORWALK HOSPITAL ASSOCIATION (NHA), A RELATED ORGANIZATION OF NORWALK HEALTH SERVICES CORPORATION (NHSC), HAS ESTABLISHED THE NORWALK HOSPITAL SENIOR EXECUTIVE DEFERRED COMPENSATION PLAN, PRIMARILY FOR THE PURPOSE OF PROVIDING A PROGRAM OF DEFERRED COMPENSATION FOR GEOFFREY COLE, PRESIDENT & CEO OF NHA AND NHSC UP TO 4/10/2010 AND DANIEL DEBARBA, PRESIDENT AND CEO OF NHA AND NHSC 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 AND MR. DEBARBA'S 2009 W-2. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, LINE 2 | CERTAIN MEMBERS OF THE BOARD OF TRUSTEES OF NHSC ALSO SERVE AS BOARD MEMBERS OF SWC CORPORATION AND MAPLE STREET INDEMNITY CORPORATION. |
| FORM 990, PART VI, LINE 11A | NORWALK HEALTH SERVICES CORPORATION (NHSC) FORM 990 IS PREPARED WITH THE ASSISTANCE OF PRICEWATERHOUSECOOPERS AND REVIEWED BY NHSC'S INTERNAL MANAGEMENT. FOLLOWING THAT REVIEW, NHSC'S INTERNAL MANAGEMENT PRESENT 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, 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, LINE 14 | NORWALK HEALTH SERVICES CORPORATION IS IN THE PROCESS OF DRAFTING A FORMAL WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY. |
| FORM 990, PART VI, LINE 15 | NORWALK HEALTH SERVICES CORPORATION (NHSC) DOES NOT RETAIN ANY COMPENSATED EMPLOYEES. THE OFFICERS AND TRUSTEES RECEIVING COMPENSATION ARE EMPLOYEES AND INDEPENDENT CONTRACTORS OF NORWALK HOSPITAL ASSOCIATION (NHA), A RELATED ORGANIZATION OF NHSC. THEREFORE, THEIR COMPENSATION AND BENEFITS ARE DETERMINED BY NHA. |
| FORM 990, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VII | THE INDIVIDUALS LISTED BELOW WORKED THE FOLLOWING HOURS PER WEEK FOR A RELATED ORGANIZATION DURING THE FISCAL YEAR: GEOFFREY COLE - 46 HOURS/WEEK DANIEL DEBARBA - 47 HOURS/WEEK MICHAEL MARKS - 22 HOURS/WEEK ERVIN SHAMES - 8 HOURS/WEEK DIANE ALLISON - 7 HOURS/WEEK GEORGE BAUER - 3 HOURS/WEEK ANDREW WHITTINGHAM - 2 HOUR/WEEK JOSEPH MANN - 2 HOUR/WEEK FRED AFGRAGOLA - 4 HOURS/WEEK CHARLES AUGENBRAUN - 2 HOUR/WEEK BARBARA BUTLER - 3 HOURS/WEEK MARIANNE CREW - 3 HOURS/WEEK VICTOR LISS - 6 HOURS/WEEK DAVID KOMANSKY - 2 HOUR/WEEK DAVID LEHN - 4 HOURS/WEEK STEPHEN MICHAELSON - 2 HOUR/WEEK ROBERT OBERNIER - 3 HOURS/WEEK GARY REINER - 3 HOUR/WEEK ROLAND STICHWEH - 3 HOUR/WEEK WILLIAM TAMME - 4 HOURS/WEEK RICHARD ZELKOWITZ - 3 HOURS/WEEK ROBERT READY - 4 HOURS/WEEK THOMAS AYOUB - 31 HOUR/WEEK MICHAEL MARKS AND THOMAS AYOUB ARE COMPENSATED BY NHA, A RELATED ORGANIZATION, 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 |
|---|---|---|---|---|---|---|---|---|---|
| NORWALK HOSPITAL ASSOCIATION | |||||||||
| 24 STEVENS STREET | NORWALK | CT | 06850 | 066068853 | HEALTH SVCS | CT | 501(C)(3) | 3 | NA |
| NORWALK HOSPITAL FOUNDATION INC | |||||||||
| 24 STEVENS STREET | NORWALK | CT | 06850 | 222577707 | FUNDRAISING | CT | 501(C)(3) | 7 | NA |
| FAIRFIELD COUNTY MEDICAL ASSOC INC | |||||||||
| 24 STEVENS STREET | Norwalk | CT | 06850 | 061522078 | PHYS PRACTICE | CT | 501(C)(3) | 11b-II | NA |
| NORWALK HEALTH CARE INC DBA HONEY HILL | |||||||||
| 34 MIDROCKS DRIVE | NORWALK | CT | 06851 | 222577722 | NURSING/REHAB | CT | 501(C)(3) | 9 | NA |
| ADVANCED CENTER FOR REHAB MEDICINE | |||||||||
| 24 STEVENS STREET | NORWALK | CT | 06850 | 061304799 | INACTIVE | CT | 501(C)(3) | 11B-II | NA |
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 | INSURANCE | BD | NA | C-CORP | 7100652 | 32310577 | 1.00000 | |||||
| SWC CORPORATION | ||||||||||||
| 222577718 | PHARMACY SERV | NA | C-CORP | 11444856 | 1553117 | 1.00000 | 24 STEVENS STREET | NORWALK | CT | 06850 | CT | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |