2025-05-13T14:29:06-05:00 2024-06-30 390859910 BAKER TILLY ADVISORY GROUP LP 66 HUDSON BLVD E SUITE 2200 NEW YORK NY 10001 990 2023-07-01 061436620 NORWALK COMMUNITY HEALTH CENTER NORW 2038991770 120 CONNECTICUT AVENUE NORWALK CT 06854 KENNETH WALLER CHIEF EXECUTIVE OFFICER 2038991770 2025-05-06 1 1 MARY-EVELYN ANTONETTI P00431862 2126976900 2025-05-01 2023 2025-03-06 01:10:19Z KENNETH WALLER 120 CONNECTICUT AVENUE NORWALK CT 06854 15057131 0 X WWW.NORWALKCHC.ORG X 1999 CT TO PROVIDE QUALITY, INNOVATIVE CARE THAT ENRICHES THE LIVES OF OUR PATIENTS. 10 10 127 11 0 0 6986514 7901882 6773710 7029059 2633 4089 87025 122101 13849882 15057131 0 0 0 0 9176951 9818266 0 0 0 4634831 5092562 13811782 14910828 38100 146303 11772877 11870007 8334980 8285807 3437897 3584200 TO PROVIDE QUALITY, INNOVATIVE CARE THAT ENRICHES THE LIVES OF OUR PATIENTS. 0 0 12876427 7029059 TO ESTABLISH, DEVELOP, MAINTAIN, MANAGE AND OPERATE A NONPROFIT OUTPATIENT CLINIC PROVIDING COMPREHENSIVE PRIMARY CARE TO THE NORWALK, CT COMMUNITY. 12876427 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 22 0 1 127 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 CT X KENNETH WALLER CHIEF EXECUTIVE OFFICER 2038991770 120 CONNECTICUT AVENUE NORWALK CT 06854 LUNDA ASMANI DIRECTOR 1.00 0.00 X 0 0 0 GWEN GONZALES DIRECTOR (FROM 1/2024) 1.00 0.00 X 0 0 0 ADRIANA FIELDS DIRECTOR 1.00 0.00 X 0 0 0 THERESA MILES DIRECTOR (FROM 4/2024) 1.00 0.00 X 0 0 0 LENORE JORDAN SECRETARY 2.50 0.00 X X 0 0 0 PETER KORZENIK DIRECTOR 1.00 0.00 X 0 0 0 JOSEPH E MANN CHAIR 2.50 0.00 X X 0 0 0 YVONNE RODRIGUEZ DIRECTOR 1.00 0.00 X 0 0 0 JAMES WHITING TREASURER 2.50 0.00 X X 0 0 0 DARLENE YOUNG VICE CHAIR 2.50 0.00 X X 0 0 0 ALICIA BRIGGS DIRECTOR (LEFT 9/2023) 1.00 0.00 X 0 0 0 LISETTE FORD DIRECTOR (LEFT 11/2023) 1.00 0.00 X 0 0 0 THANA VAN ROOYEN DIRECTOR (LEFT 1/2024) 1.00 0.00 X 0 0 0 JOHN GETTINGS CFO 40.00 0.00 X 192377 0 28193 KENNETH WALLER CEO 40.00 0.00 X 238752 0 0 DJANA HARP CMO 40.00 0.00 X 258794 0 17050 REBECCA KAPLAN DIR. OF CLINICAL OPERATIONS 40.00 0.00 X 170692 0 5597 MERYL HERTZ DIRECTOR OF DENTAL 40.00 0.00 X 170803 0 33026 JILL GOLDBERG PROVIDER 40.00 0.00 X 154771 0 19494 JEAN MICHEL OQUET PROVIDER 40.00 0.00 X 182163 0 22217 ELIZABETH THOMAS PROVIDER 40.00 0.00 X 220239 0 15641 GERALDINE SIMPLICE PROVIDER 40.00 0.00 X 200400 0 28516 MARY LUCIA PROVIDER 40.00 0.00 X 216110 0 7413 2005101 0 177147 19 0 1 0 NORWALK HOSPITAL ASSOCIATION 24 STEVEN STREET NORWALK CT 06850 PRIMARY CARE MEDICAL PROVIDERS 571638 ATLANTIC TOMORROWS OFFICE 134 W 26TH STREET NEW YORK NY 10001 IT MANAGER SERVICE PROVIDER 297467 SALLY R BERGWERK MD 107 WEST 86TH STREET APT 16E NEW YORK NY 10024 PROVIDER 162088 3 7262488 639394 612683 7901882 PATIENT SERVICES 621110 7029059 7029059 7029059 4089 4089 78970 0 78970 78970 78970 OTHER INCOME 900099 43131 43131 43131 15057131 7029059 0 126190 1176377 693066 483311 7136672 6364578 772094 78241 64738 13503 780874 648948 131926 646102 546428 99674 29866 29866 53831 53831 1466181 1386353 79828 2439 2439 215993 193465 22528 438594 438594 1103379 885309 218070 2452 2410 42 54244 54244 218 218 261225 219547 41678 93726 77080 16646 VACCINES 612683 612683 CLINICAL SUPPLIES 242629 242629 REPAIRS & MAINTENANCE 183284 147357 35927 DEVELOPMENTAL EXPENSE 71061 71061 260757 225280 35477 14910828 12876427 2034401 0 1942484 743079 1757043 3001132 128917 301682 691787 687808 135232 123138 5252785 3711143 1513829 1541642 5603585 5471526 11772877 11870007 797671 928093 68509 37819 7468800 7319895 8334980 8285807 X 3437897 3584200 3437897 3584200 11772877 11870007 146303 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3164740 1953733 1211007 2088045 1757410 330635 1541642 OPERATING LEASE RIGHT OF USE ASSET 5471526 5471526 DEFERRED LEASE LIABILITY 7319895 7319895 X 15057131 0 15057131 0 15057131 14910828 0 14910828 0 14910828 PART X, LINE 2: NCHC HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON BUSINESS RELATED INCOME. NCHC ACCOUNTS FOR UNCERTAIN TAX POSITIONS UNDER FASB ASC 740, INCOME TAXES, WHICH PROVIDES A FRAMEWORK FOR HOW ENTITIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR FINANCIAL STATEMENTS. NCHC MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. NCHC DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2024 AND 2023. AS OF JUNE 30, 2024 AND 2023, NCHC DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. THERE ARE CURRENTLY NO EXAMINATIONS PENDING OR IN PROGRESS. X X 0 0 0 0 0 0 0 1 0 DJANA HARP CMO 258282 0 512 0 0 0 9034 0 8016 0 275844 0 0 0 KENNETH WALLER CEO 218240 0 20512 0 0 0 0 0 0 0 238752 0 0 0 ELIZABETH THOMAS PROVIDER 216108 0 4131 0 0 0 7625 0 8016 0 235880 0 0 0 GERALDINE SIMPLICE PROVIDER 192623 0 7777 0 0 0 3459 0 25057 0 228916 0 0 0 MARY LUCIA PROVIDER 211864 0 4246 0 0 0 0 0 7413 0 223523 0 0 0 JOHN GETTINGS CFO 191870 0 507 0 0 0 6256 0 21937 0 220570 0 0 0 JEAN MICHEL OQUET PROVIDER 177836 0 4327 0 0 0 0 0 22217 0 204380 0 0 0 MERYL HERTZ DIRECTOR OF DENTAL 167218 0 3585 0 0 0 5925 0 27101 0 203829 0 0 0 REBECCA KAPLAN DIR. OF CLINICAL OPERATIONS 165723 0 4969 0 0 0 5597 0 0 0 176289 0 0 0 JILL GOLDBERG PROVIDER 151640 0 3131 0 0 0 0 0 19494 0 174265 0 0 0 PART I, LINE 7 THE FOLLOWING EMPLOYEES RECEIVED A FIXED BONUS: MERYL HERTZ $10,000 KENNETH WALLER $20,000 THE FOLLOWING EMPLOYEES RECEIVED NON-FIXED DISCRETIONARY BONUSES: PROVIDER INCENTIVE BONUSES: JILL GOLDBERG $1,469 JEAN MICHEL OQUET $3,196 REBECCA KAPLAN $1,712 MERYL HERTZ $3,130 ELIZABETH THOMAS $2,138 GERALDINE SIMPLICE $6,835 MARY LUCIA $2,121 CONTINUED ON NEXT PAGE. CHRISTMAS BONUSES: JOHN GETTINGS $507 DJANA HARP $512 JILL GOLDBERG $541 JEAN MICHEL OQUET $507 REBECCA KAPLAN $507 ELIZABETH THOMAS $512 GERALDINE SIMPLICE $507 MARY LUCIA $512 KENNETH WALLER $512 X 1 612683 FMV 0 0 0 0 PART I, COLUMN (B): SCHEDULE M PART 1 LINE 20 VACCINES: THE ORGANIZATION RECEIVED DONATED VACCINES THROUGHOUT THE YEAR. THE NUMBER LISTED IS ONE BECAUSE ALL VACCINES COME THROUGH ONE IMMUNIZATION GRANT. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE OF MANAGEMENT. A FINAL DRAFT OF THE RETURN IS REVIEWED AND FINALIZED BY THE CFO PRIOR TO DISTRIBUTION TO THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY WHICH PROHIBITS CONFLICT OF INTEREST OR THE APPEARANCE OF CONFLICT OF INTEREST BY BOARD MEMBERS, EMPLOYEES, AND THOSE WHO PROVIDE SERVICES OR FURNISH GOODS TO THE ORGANIZATION. ON AN ANNUAL BASIS, THE BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE WHICH IS REVIEWED BY NCHC LEADERSHIP. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION USES BOARD APPROVED SALARY RANGES THAT UTILIZED DATA FROM NACHC, CHCACT, MGMA AND OTHER SOURCES TO DETERMINE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT AND STAFF. THE BOARD APPROVES THE COMPENSATION OF THE CEO, AND THE CEO HAS THE AUTHORITY TO APPROVE COMPENSATION OF ALL OTHER EMPLOYEES. SUCH APPROVAL IS DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.