2018-01-09T11:04:52-06:00 2017-06-30 111986323 Marcum LLP 555 Long Wharf Drive New Haven CT 06511 990 2016-07-01 061436620 Norwalk Community Health Center NORW 2038991770 120 Connecticut Avenue Norwalk CT 06854 Craig Glover CEO 2038991770 2017-12-20 1 GREGORY C MARAZITA P00646516 2037819600 47.19.127.190 2017-12-20 06:11:43 ES P 955F5AEC7AF55473B1E33AC5F413C90B95B847AF 38E0CE57DACCAA70F942FF9CE578EC5FC05012EA 2016 2021-01-29 14:40:06Z Craig Glover 120 Connecticut Avenue Norwalk CT 06854 11195654 0 X WWW.NORWALKCHC.ORG X 1999 CT To provide quality, innovative care that enriches the lives of our patients. 12 12 123 0 0 0 4484110 5126751 6308774 5995822 6158 5477 64934 67604 10863976 11195654 0 0 0 0 6537662 6582264 0 0 0 4287065 4442689 10824727 11024953 39249 170701 4485221 4604339 2517378 2565795 1967843 2038544 X To provide quality, innovative care that enriches the lives of our patients. 1 0 9348885 5995822 To establish, develop, maintain, manage and operate a nonprofit outpatient clinic providing comprehensive primary care to the Norwalk, CT community. 9348885 1 1 0 0 0 0 0 0 0 0 1 0 0 0 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 21 0 1 123 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 CT X JOHN J GETTINGS III 2038991770 120 CONNECTICUT AVENUE NORWALK CT 06854 JAMES WHITING TREASURER 2.50 X X 0 0 0 DARLENE YOUNG CHAIRMAN 3.00 X X 0 0 0 LENORE JORDAN SECRETARY 2.50 X X 0 0 0 JOSEPH E MANN VICE CHAIRMAN 2.50 X X 0 0 0 CAROLYN C FULLER DIRECTOR 1.00 X 0 0 0 EISYBELL GARCIA DIRECTOR 1.00 X 0 0 0 PETER KORZENIK DIRECTOR 1.00 X 0 0 0 JASON R ORLINICK MD DIRECTOR 1.00 X 0 0 0 CHANDANI PAYAL DIRECTOR 1.00 X 0 0 0 CESAR RAMIREZ DIRECTOR 1.00 X 0 0 0 YVONNE RODRIGUEZ DIRECTOR 1.00 X 0 0 0 LISETTE FORD DIRECTOR 1.00 X 0 0 0 CRAIG GLOVER CEO 40.00 X 203471 0 14315 JOHN J GETTINGS III CFO 40.00 X 164166 0 16481 TIFFANY SANDERS CMO 40.00 X 204525 0 2926 MARIA ESCALERA COO 40.00 X 27155 0 4903 JENNIFER MARRONE PROVIDER 32.00 X 213831 0 7464 JANET KARPIAK PROVIDER 40.00 X 175500 0 24704 PAMELA KWITTKEN PROVIDER 32.00 X 117763 0 9912 1106411 0 80705 6 1 1 0 Norwalk Hospital Association 24 Stevens Street Norwalk CT 06850 Primary Care Medical Providers 639776 Nantes Solutions LLC 86 Oaklawn Avenue Stamford CT 06905 IT Consultants 201157 POWER & NETWORK SOLUTIONS LLC 46 HIGGINS DRIVE MILFORD CT 06460 CONTRACTOR 162500 Sally R Bergwerk MD 35 Ridgefield Road PO Box 725 Wilton CT 06897 Provider 123842 4 3550479 1576272 458547 5126751 Patient Services 621110 5995822 5995822 5995822 5477 5477 67604 0 67604 67604 67604 11195654 5995822 0 73081 709437 567550 141887 4618028 3694422 923606 48351 38681 9670 790199 711179 79020 416249 332999 83250 45007 40506 4501 28992 26093 2899 328221 295400 32821 25304 22774 2530 282677 254411 28266 233262 209936 23326 1036018 932416 103602 2814 2534 280 67639 60875 6764 31110 27999 3111 234478 211030 23448 59799 53819 5980 Purchased Services 861769 712581 149188 VACCINES 458547 458547 MISCELLANEOUS 214131 192717 21414 Bad Debt 210484 210484 322437 291932 30505 11024953 9348885 1676068 0 1280889 1049236 316003 320776 181639 182493 414947 337087 167607 238424 4516253 2039930 2124136 2476323 4485221 4604339 501805 402982 65456 52752 581999 609548 1368118 1500513 2517378 2565795 X 1642843 1813544 325000 225000 1967843 2038544 4485221 4604339 X 170701 -100000 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3022586 940281 2082305 1493667 1099649 394018 2476323 DEFERRED LEASE LIABILITY 1500513 1500513 X 10885170 -210484 -210484 11095654 100000 100000 11195654 10814469 0 10814469 210484 210484 11024953 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 provisions 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, 2017 and 2016. As of June 30, 2017 and 2016, NCHC did not record any penalties or interest associated with uncertain tax positions. Part XI, Line 2d - Other Adjustments: Provision for Bad Debt Part XI, Line 4b - Other Adjustments: bond forgiveness Part XII, Line 4b - Other Adjustments: Provision for Bad Debt X X X 0 0 0 0 0 0 0 0 0 CRAIG GLOVER CEO 203471 0 0 0 0 0 4280 0 10035 0 217786 0 0 0 JOHN J GETTINGS III CFO 164166 0 0 0 0 0 0 0 16481 0 180647 0 0 0 TIFFANY SANDERS CMO 204525 0 0 0 0 0 0 0 2926 0 207451 0 0 0 JENNIFER MARRONE PROVIDER 213263 0 568 0 0 0 7464 0 0 0 221295 0 0 0 JANET KARPIAK PROVIDER 173816 0 1684 0 0 0 0 0 24704 0 200204 0 0 0 PAMELA KWITTKEN PROVIDER 107080 0 10683 0 0 0 3794 0 6118 0 127675 0 0 0 X 1 458547 FMV 0 0 0 Form 990, Part III, line 2 PROVIDING DENTAL SERVICES TO THE NORWALK AREA COMMUNITY Form 990, Part VI, Section B, line 11b Copies of the Form 990 are provided to the board for review prior to the filing of the tax return. Form 990, Part VI, Section B, line 12c The organization annually monitors compliance with the organization's conflict of interest policy. 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. Form 990, Part XI, line 9: NET ASSETS RELEASED FROM RESTRICTION -100,000.