2011-08-12T16:16:30-04:00 2010-09-30 PricewaterhouseCoopers LLP 125 High Street Boston MA 02110 990 2009-10-01 222577711 NORWALK HEALTH SERVICES CORPORATION NORW 2038522071 24 STEVENS STREET NORWALK CT 06850 DANIEL DEBARBA 2038523273 2011-08-12 6175305000 2011-08-11 2009 2016-02-24 21:20:13Z DANIEL DEBARBA 24 Stevens Street Norwalk CT 06856 1411538 false X N/A X 1985 CT TO SUPPORT NORWALK HOSPITAL ASSOCIATION 17 12 0 18 859961 472698 0 0 0 0 852660 551577 794543 859961 1647203 1411538 0 0 0 0 0 0 0 0 0 131219 436740 131219 436740 1515984 974798 28327408 30381263 106495 324555 28220913 30056708 TO SUPPORT NORWALK HOSPITAL ASSOCIATION false false 0 0 0 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. 0 true false false false false false false false false true false true false true true false false false false false false false false true false false false false false false false false false false false false false true true false false true 0 0 0 true true true BD false false false false false false false 17 12 true false false false false false false true true false false true true true true true false false X TONI HORNE CONTROLLER 2038522071 24 STEVENS STREET NORWALK CT 06850 X ERVIN SHAMES 2.0 X X 0 0 0 DIANE M ALLISON ESQ 2.0 X X 0 0 0 GEORGE P BAUER 1.0 X X 0 0 0 ANDREW WHITTINGHAM 1.0 X X 0 0 0 JOSEPH MANN 1.0 X X 0 0 0 FRED AFGRAGOLA 1.0 X 0 0 0 CHARLES AUGENBRAUN MD 1.0 X 0 0 0 BARBARA BUTLER 1.0 X 0 0 0 GEOFFREY COLE 1.0 X X 0 884538 52704 DANIEL DEBARBA 1.0 X X 0 559945 26675 MARIANNE W CREW 1.0 X 0 0 0 VICTOR LISS 1.0 X 0 0 0 MICHAEL MARKS MD 1.0 X 0 72000 0 DAVID KOMANSKY 1.0 X 0 0 0 DAVID LEHN 1.0 X 0 0 0 STEPHEN MICHAELSON MD 1.0 X 0 0 0 ROBERT OBERNIER 1.0 X 0 0 0 GARY REINER 1.0 X 0 0 0 ROLAND STICHWEH 1.0 X 0 0 0 WILLIAM J TAMME 1.0 X 0 0 0 RICHARD ZELKOWITZ MD 1.0 X 0 0 0 ROBERT READY 1.0 X 0 0 0 THOMAS AYOUB 1.0 X 0 116620 0 0 1633103 79379 0 false true false 0 0 0 0 551577 551577 0 0 0 0 0 0 CAPTIVE INSURANCE PREMIUMS 524298 859961 859961 859961 1411538 859961 551577 0 0 0 0 0 0 0 0 0 0 0 0 46630 46630 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7469 7469 0 TAXES 382641 382641 436740 0 436740 0 126985 32317 1299968 268284 1039153 1031684 20374662 22369800 6786608 6947462 28327408 30381263 106495 279555 45000 106495 324555 X 21875146 23359028 6345767 6697680 28220913 30056708 28327408 30381263 X false true true X false X X X false false false NORWALK HOSPITAL ASSOCIATION 066068853 03 true true true 0 1 0 937642 937642 362326 268284 94042 1031684 EQUITY IN UNCONSOLIDATED SUB. 249782 CHARITABLE REM & LEAD TRUSTS 6697680 6947462 0 DUE TO AFFILIATE 45000 45000 Central America and the Caribbean 1 Program Services CAPTIVE INSURANCE 7253676 1 7253676 SCHEDULE F, PART I, LINE 3, COLUMN (F) 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. false true false false false false false false false 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 SCHEDULE J, PART I, LINE 4B 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. 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. 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 MAPLE STREET INDEMNITY COMPANY LTD 980549862 INSURANCE BD NA C-CORP 7100652 32310577 1.00000 SWC CORPORATION 24 STEVENS STREET NORWALK CT 06850 222577718 PHARMACY SERV CT NA C-CORP 11444856 1553117 1.00000 false false false false false false false false false false false false false false true false false true