NORWALK HOSPITAL ASSOCIATION: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: NORWALK HOSPITAL ASSOCIATION (EIN 06-6068853)
Tax period: 2013-10-01 to 2014-09-30
Filed: 2015-08-06
IRS object ID: 201502189349300705
Schema version: 2013v4.0
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 K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-08-06T06:18:34-07:00	ReturnTs
Tax Period End	2014-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Ernst & Young US LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	401 Congress Avenue Suite 1800	AddressLine1
City	Austin	City
State	TX	State
ZIP Code	78701	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	066068853	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	The Norwalk Hospital Association	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	NORW	BusinessNameControlTxt
Phone	2038522000	PhoneNum

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Steven H Rosenberg	PersonNm
Person Title	SVP & CFO	PersonTitleTxt
Signature	2015-08-06	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Jennifer Lynch	PreparerPersonNm
PTIN	P01255855	PTIN
Phone	3176817000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Micahel Daglio	PrincipalOfficerNm
Gross Receipts	$344,054,451	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
All Affiliates Included	false	AllAffiliatesIncludedInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	norwalkhospital.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1893	FormationYr
Legal Domicile State	CT	LegalDomicileStateCd
Activity Or Mission	The mission of Norwalk Hospital is to provide uniquely excellent innovative and compassionate health care with exceptional outcomes	ActivityOrMissionDesc
Voting Members Governing Body	23	VotingMembersGoverningBodyCnt
Voting Members Independent	19	VotingMembersIndependentCnt
Total Employee	2147	TotalEmployeeCnt
Total Volunteers	425	TotalVolunteersCnt
Total Gross UBI	$2,468,814	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$1,166,977	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,120,997	PYContributionsGrantsAmt
CY Contributions Grants	$3,133,943	CYContributionsGrantsAmt
PY Program Service Revenue	$343,278,008	PYProgramServiceRevenueAmt
CY Program Service Revenue	$332,314,811	CYProgramServiceRevenueAmt
PY Investment Income	$2,326,994	PYInvestmentIncomeAmt
CY Investment Income	$1,594,693	CYInvestmentIncomeAmt
PY Other Revenue	$2,933,358	PYOtherRevenueAmt
CY Other Revenue	$3,329,326	CYOtherRevenueAmt
PY Total Revenue	$352,659,357	PYTotalRevenueAmt
CY Total Revenue	$340,372,773	CYTotalRevenueAmt
PY Grants And Similar Paid	$7,902,784	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$7,666,306	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$191,892,401	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$168,179,279	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$136,085,835	PYOtherExpensesAmt
CY Other Expenses	$131,459,491	CYOtherExpensesAmt
PY Total Expenses	$335,881,020	PYTotalExpensesAmt
CY Total Expenses	$307,305,076	CYTotalExpensesAmt
PY Revenues Less Expenses	$16,778,337	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$33,067,697	CYRevenuesLessExpensesAmt
Total Assets BOY	$538,094,167	TotalAssetsBOYAmt
Total Assets EOY	$609,496,496	TotalAssetsEOYAmt
Total Liabilities BOY	$290,881,051	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$296,336,288	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$247,213,116	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$313,160,208	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	The mission of Norwalk Hospital is to proivde uniqely 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 deliveriing 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 servie, and continuously measuring, monitoring and raising those standards; innovation:continuously pionerring 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	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$39,910,370	ExpenseAmt
Revenue	$39,911,610	RevenueAmt
Desc	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 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. Our Joint Replacement Center was accredited as a Center of Excellence by the Joint Commission. 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 and knee), spine surgery, sports medicine, trauma care for orthopedic injuries. Ortho Neuro had total inpatient discharges of 1,690 for the fiscal year ended 9/30/2014.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$35,589,052	ExpenseAmt
Revenue	$44,162,372	RevenueAmt
Desc	Womens' 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 Midwives, Pediatric Hospitalists, Neonatologists, Pediatric Specialist, Physician Assistants and Nurses. This team's compassionate and expert care further enhanced by the availability of perinatologists from Yale University Medical School, in addition of onsite Perinatology services for high risk pregnancies. 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 private rooms, massage therapy for infants and mothers and wireless internet access. 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 available at the Hospital. Women's Health had total inpatient discharges of 2,803 for the fiscal year ended 9/30/2014.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$34,175,537	ExpenseAmt
Revenue	$39,279,476	RevenueAmt
Desc	Gastroenterology and Digestive Services: Norwalk Hospital is noted for its advanced Gastroenterology Program, which is considered to be a leading program in Connecticut as well as in nearby Westchester County, New York, for the diagnosis and treatment of a wide range of digestive diseases and conditions. One of the Hospital's premier signature clinical services, this program features experienced and highly respected Gastroenterologists, on the Norwalk Hospital Medical Staff, who see patients in their offices throughout lower Fairfield County as well as at the Hospital's Center for Digestive Diseases. A key component of Norwalk Hospital's Digestive Diseases Services is a Colorectal Cancer Screening Program. Colorectal Cancers are highly preventable and treatable if caught early. Norwalk Hospital is recognized by the Joint Commission as a Center of Excellence for Colorectal Cancer, one of only five in the Country. Health experts recommend a screening colonoscopy at age 50 for adults considered at average risk. Colonoscopies are performed by Gastroenterologists in the Hospital's modern and nationally accredited Gastrointestinal (GI) Lab. The Norwalk Hospital Center for Digestive Diseases provides state-of-the-art, academic medical center-level care in a conveniently located, community hospital setting. The Center's widely recognized, fellowship-trained, specialist physicians provide leading-edge diagnostics and treatments for disorders of the esophagus, stomach, small intestines, colon, rectum, gallbladder, pancreas and liver. A leader in advanced endoscopic procedures for the treatment of Gastrointestinal Disorders, the center also offers a chronic heartburn program and in partnership with Yale School of Medicine, a comprehensive liver center. Clinical services provided by the Center's specialist physicians include, but are not limited to: ablation therapy for Barrett's Esophagus, Chronic Heartburn(GERD)evaluation and treatment, Colon Cancer screening, Colonoscopies, Double Balloon-Assisted Enteroscopy, Endoscopic Procedures, including ultrasound, Inflammatory Bowel Disease evaluation and treatment, Liver Diseases, including Hepatitis C evaluations and treatments. The Center serves as a major teaching site for the Yale School of Medicine. William Hale, MD Director of Gastroenterology and Hepatology and Dennis Meighan, DO, Director of Endoscopy, help train Residents and Fellows, and also conduct clinical research studies designed to improve care for patents. Gastro & Digestive Services had total inpatient discharges of 1,680 and 6,401 outpatient visits for the fiscal year ended 9/30/2014.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$155,962,583	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$7,666,306	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$208,961,353	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$265,637,542	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	450	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2147	EmployeeCnt
Employment Tax Returns Filed	false	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
Excess Business Holdings	false	ExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Org Filed In Lieu Of Form1041	false	OrgFiledInLieuOfForm1041Ind
Licensed More Than One State	false	LicensedMoreThanOneStateInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	23	GoverningBodyVotingMembersCnt
Independent Voting Member	19	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	false	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	false	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	false	RegularMonitoringEnfrcInd
Whistleblower Policy	false	WhistleblowerPolicyInd
Document Retention Policy	false	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Toni Horne Controller	PersonNm
Phone	2037394530	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	14 Research Drive	AddressLine1
City	Bethel	City
State	CT	State
ZIP Code	06801	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Diane M Allison Esq
Chairman	5.00	4.00	Yes (X)	Yes (X)	$0	$0	$0
Fred Afragola
Secretary	2.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
Thomas Ayoub MD
Trustee	18.00	1.00	Yes (X)		$85,000	$0	$0
George Bauer
Trustee	2.00	3.00	Yes (X)		$0	$0	$0
Maria Borges-Lopez
Trustee	2.00	1.00	Yes (X)		$0	$0	$0
Barbara Butler
Secretary	2.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
Daniel DeBarba
President	40.00	10.00	Yes (X)	Yes (X)	$1,110,329	$0	$26,151
Howard Eison MD
Trustee	2.00	3.00	Yes (X)		$0	$0	$0
Paul Gagne
Trustee	2.00	2.00	Yes (X)		$0	$0	$0
Mark Gudis
Treasurer	2.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
Ed Kangas
Vice Chairman	2.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
David Komansky
Trustee	2.00	1.00	Yes (X)		$0	$0	$0
David Lehn Esq
Trustee	2.00	1.00	Yes (X)		$0	$0	$0
Victor Liss
Trustee	2.00	7.00	Yes (X)		$0	$0	$0
Ed Mahony
Vice Chairman	4.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
Joseph E Mann thru 123113
Trustee	2.00	1.00	Yes (X)		$0	$0	$0
Robert Ready
Trustee	2.00	3.00	Yes (X)		$0	$0	$0
Gary Reiner
Trustee	2.00	1.00	Yes (X)		$0	$0	$0
Amy Schafrann
Trustee	2.00	3.00	Yes (X)		$0	$0	$0
Erv Shames
Trustee	2.00	5.00	Yes (X)		$0	$0	$0
Andrew Whittingham
Treasurer	2.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
Richard Zelkowitz MD
Trustee	2.00	1.00	Yes (X)		$0	$0	$0
James Kennedy - Eff 1114
Trustee	0.00	10.00	Yes (X)		$0	$0	$0
John Murphy MD - Eff 1114
CEO	0.00	50.00	Yes (X)	Yes (X)	$0	$1,243,861	$54,487
Patrick Minicus
CFO	40.00	5.00		Yes (X)	$575,018	$0	$22,770
Stven Rosenberg - Eff 1114
CFO	1.00	50.00		Yes (X)	$0	$717,641	$45,409
Lisa Brady
COO / Senior VP Strat & Sys Develop	40.00	1.00			$553,036	$0	$27,351	Yes (X)
Anthony Aceto
Vice President, Human Resources	40.00	0.00			$427,835	$0	$48,073	Yes (X)
Renee Mauriello
VP Nursing & Patient Care Services	40.00	0.00			$412,127	$0	$21,026	Yes (X)
James Haynes
Exec Dir Facilities/VP Operations	40.00	0.00			$246,842	$0	$29,538	Yes (X)
Michael Carius MD
Chairman, ED	40.00	0.00			$548,981	$0	$42,299		Yes (X)
Brian McGovern MD
Physician	40.00	0.00			$537,989	$0	$39,937		Yes (X)
Arthur Strichman MD
Physician	40.00	0.00			$413,355	$0	$44,601		Yes (X)
Katherine Tait Michael MD
Chairman Psychiatr	40.00	0.00			$395,858	$0	$40,047		Yes (X)
Robert Capodanno MD
Physician	40.00	0.00			$390,454	$0	$35,594		Yes (X)
Mary Nolan
VP Nursing & Patient Care Services	0.00	0.00			$151,996	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,848,820	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,961,502	TotReportableCompRltdOrgAmt
Total Other Compensation	$477,283	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	344	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
Morrison Management Specialists Inc
P O Box 102289	Altanta	GA	30368	Food Service	$3,311,576
Norwalk Radiology Consultants PC
148 East Avenue	Norwalk	CT	06851	Physicians-Radiology	$2,062,342
Rightsourcing Inc
PO Box 9695	Uniondale	NY	11555	Staffing Services	$1,397,415
Pullman & Comley LLC
850 Main Street	Bridgeport	CT	06601	Legal Services	$1,262,223
Donald Murphy DBA Murphy Security
PO Box 356	New Britain	CT	06050	Security Services	$1,219,890

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	54	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,156,023	RelatedOrganizationsAmt
Government Grants	$1,977,920	GovernmentGrantsAmt
Total Contributions	$3,133,943	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	BusinessBusinessCd	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Lab Services Revenue	$2,468,814	$2,468,814
Meaningful Use	$1,562,219		900099	$1,562,219
Net Patient Service Rev	$320,737,855		621400	$320,737,855
Norwalk Surgery Center JV	$2,941,039		900099	$2,941,039
Other Medical Services	$1,207,873		900099	$1,207,873

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,397,011	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,397,011	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$332,314,811	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,263,259	TotalRevenueColumnAmt
Exclusion	$2,263,259	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$4,076,876	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$2,822,130	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,254,746	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,254,746	TotalRevenueColumnAmt
Exclusion	$1,254,746	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$1,585	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$670,151	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$668,566	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$668,566	TotalRevenueColumnAmt
Exclusion	-$668,566	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$437,282	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$189,397	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$247,885	TotalRevenueColumnAmt
Exclusion	$247,885	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
Cafeteria/Vending	900099	$1,611,422	$1,611,422
Parking	900099	$215,273	$215,273

Field	Value	IRS element (for citing)
Other Revenue Total	$1,826,695	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$340,372,773	TotalRevenueColumnAmt
Related Or Exempt Func Income	$329,845,997	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,468,814	UnrelatedBusinessRevenueAmt
Exclusion	$4,924,019	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$7,666,306	TotalAmt
Program Services	$7,666,306	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,272,959	TotalAmt
Management And General	$4,272,959	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$129,236,968	TotalAmt
Program Services	$114,431,222	ProgramServicesAmt
Management And General	$14,805,746	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,062,303	TotalAmt
Program Services	$2,751,863	ProgramServicesAmt
Management And General	$310,440	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$20,383,311	TotalAmt
Program Services	$18,530,648	ProgramServicesAmt
Management And General	$1,852,663	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,223,738	TotalAmt
Program Services	$9,900,578	ProgramServicesAmt
Management And General	$1,323,160	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,806,649	TotalAmt
Management And General	$1,806,649	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$206,306	TotalAmt
Management And General	$206,306	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$89,206	TotalAmt
Management And General	$89,206	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$38,038,177	TotalAmt
Program Services	$32,319,706	ProgramServicesAmt
Management And General	$5,718,471	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,494,445	TotalAmt
Program Services	$62,036	ProgramServicesAmt
Management And General	$1,432,409	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,594,780	TotalAmt
Program Services	$1,535,947	ProgramServicesAmt
Management And General	$1,058,833	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$7,973,364	TotalAmt
Program Services	$6,273,779	ProgramServicesAmt
Management And General	$1,699,585	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$18,301,932	TotalAmt
Program Services	$17,158,795	ProgramServicesAmt
Management And General	$1,143,137	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$591,795	TotalAmt
Program Services	$503,422	ProgramServicesAmt
Management And General	$88,373	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$27,197	TotalAmt
Program Services	$27,197	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,456,725	TotalAmt
Program Services	$2,456,725	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$18,637,806	TotalAmt
Program Services	$13,501,840	ProgramServicesAmt
Management And General	$5,135,966	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,751,740	TotalAmt
Program Services	$3,643,197	ProgramServicesAmt
Management And General	$108,543	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
Medical Supplies	$19,910,787	$19,910,787
Pharmacy	$9,140,729	$9,140,729
Radiology & Lab Supplies	$2,939,370	$2,939,370
Support Norw Comm Health Ctr	$1,350,000	$1,350,000

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,148,483	TotalAmt
Program Services	$1,533,395	ProgramServicesAmt
Management And General	$615,088	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$307,305,076	TotalAmt
Program Services	$265,637,542	ProgramServicesAmt
Management And General	$41,667,534	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$73,750,817	BOYAmt
EOY	$74,550,518	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$26,795,462	BOYAmt
EOY	$40,426,872	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$912,778	BOYAmt
EOY	$812,885	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,845,044	BOYAmt
EOY	$1,774,961	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,589,839	BOYAmt
EOY	$1,172,206	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$573,432,626	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$328,979,796	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$160,131,766	BOYAmt
EOY	$244,452,830	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$89,661,793	BOYAmt
EOY	$125,266,668	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,267,986	BOYAmt
EOY	$2,002,502	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$45,162,957	BOYAmt
EOY	$47,837,445	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$135,975,725	BOYAmt
EOY	$71,199,609	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$538,094,167	BOYAmt
EOY	$609,496,496	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$53,040,490	BOYAmt
EOY	$60,551,105	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$122,700,000	BOYAmt
EOY	$119,435,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$115,140,561	BOYAmt
EOY	$116,350,183	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$290,881,051	BOYAmt
EOY	$296,336,288	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$207,578,029	BOYAmt
EOY	$265,968,153	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$30,180,235	BOYAmt
EOY	$37,730,403	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,454,852	BOYAmt
EOY	$9,461,652	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$247,213,116	BOYAmt
EOY	$313,160,208	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$538,094,167	BOYAmt
EOY	$609,496,496	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$33,067,697	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$6,339,426	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$26,539,969	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed Section4955 Tax	false	Form4720FiledSection4955TaxInd
Correction Made	false	CorrectionMadeInd
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	Yes (true)	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$88,954	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$252	OtherActivitiesAmt
Total Lobbying Expenditures	$89,206	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1i - Other Activities Description	FormAndLineReferenceDesc
Explanation	Largely state and local elected officials and agency heads were lobbied in support of maintaining patient access to essential services for the uninsured and underserved. A part of this effort, lobbyists and staff time are included in 1g and miscellaneous expenses are noted in 1i.Dues were paid to Connecticut Hospital Association (CHA)in the amount of $279,183 during fiscal 2014. CHA has determined that for CHA's fiscal year ending April 30, 2014, 15.79% of its membership dues were expended on activities that meet the Medicare definition of unallowable lobbying (those activities that are directly related to communications with legislators or actions on specific legislative bills). CHA continues to invest resources on advocacy efforts and governmental interactions that are supported by dues and not considered unallowable.Dues were paid to American Hospital Association (AHA) in the amount of $45,610 during fiscal 2014. AHA had determined that 23.65% and 22.8% of its membership dues for calendar 2013 and 2014, respectively, were expended on activities that meet the Medicare definition of unallowable lobbying. AHA continues to invest resources on a broad range of advocacy and representation initiatives to help the field understand and respond to the legislative and regulatory changes on the horizon and to support hospitals as they strive to deliver an ever-higher quality of care in the face of changes. Many of these activities went well beyond the scope of the narrow definition of lobbying activities captured in the lobbying % number.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,454,852	BeginningYearBalanceAmt
Contributions	$6,800	ContributionsAmt
End Year Balance	$9,461,652	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,445,852	BeginningYearBalanceAmt
Contributions	$9,000	ContributionsAmt
End Year Balance	$9,454,852	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,439,242	BeginningYearBalanceAmt
Contributions	$6,610	ContributionsAmt
End Year Balance	$9,445,852	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,428,708	BeginningYearBalanceAmt
Contributions	$10,534	ContributionsAmt
End Year Balance	$9,439,242	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,343,642	BeginningYearBalanceAmt
Contributions	$85,066	ContributionsAmt
End Year Balance	$9,428,708	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,000,000	OtherCostOrOtherBasisAmt
Book Value	$26,000,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$199,718,425	OtherCostOrOtherBasisAmt
Depreciation	$101,279,338	DepreciationAmt
Book Value	$98,439,087	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,247,139	OtherCostOrOtherBasisAmt
Depreciation	$3,644,378	DepreciationAmt
Book Value	$6,602,761	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$257,351,553	OtherCostOrOtherBasisAmt
Depreciation	$222,629,944	DepreciationAmt
Book Value	$34,721,609	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$80,115,509	OtherCostOrOtherBasisAmt
Depreciation	$1,426,136	DepreciationAmt
Book Value	$78,689,373	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$244,452,830	TotalBookValueLandBuildingsAmt
Total Book Value Program Rltd	$47,837,445	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
Construction Fund/Cost of Issuance	$23,405,407
Due from affiliates	$135,428
Interest in Charitable Remainder Trust	$8,007,837
Interest Rate Swap	$2,510,102
Malpractice Receivable	$34,724,445
Malpractice Trust	$327
Other Receivables	$2,093,004
Value Care Alliance	$323,059

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$71,199,609	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDesc	AmtAmt
Accrued Pension Liability	$20,983,507
Asset Retirement Obligation	$8,907,306
CHA Trust Loan	$132,785
Debt Fair Value Adjustment	$3,958,971
Due to affiliates	$1,096,562
Due to Third Parties	$36,052,621
Lease - Current and Long Term	$2,793,582
Long Term Disability Reserve	$1,744,769
Malpractice Reserve	$38,342,918
Workers Comp Reserve	$2,337,162

Field	Value	IRS element (for citing)
Total Liability	$116,350,183	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part V, Line 4: Intended uses of the endowment fund.	FormAndLineReferenceDesc
Explanation	Norwalk Hospital Foundation, Inc. (NHF) manages the fundraising for Norwalk Hospital Association. The income generated on the permanently endowed funds held by NHF are used to support the capital and operating needs of Norwalk Hospital as designated by the donor, if applicable. During fiscal 2014 endowment income was used to support nursing education and scholarships, department of medicine grand rounds, gift shop staff and cancer services.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,462,792	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,692,260	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,770,532	NetCommunityBenefitExpnsAmt
Total Expense	0.02200	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	66613	PersonsServedCnt
Total Community Benefit Expns	$56,242,926	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,109,286	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,133,640	NetCommunityBenefitExpnsAmt
Total Expense	0.03950	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	66613	PersonsServedCnt
Total Community Benefit Expns	$68,705,718	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,801,546	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,904,172	NetCommunityBenefitExpnsAmt
Total Expense	0.06150	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	1980017	PersonsServedCnt
Total Community Benefit Expns	$446,291	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,384	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$442,907	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	320	PersonsServedCnt
Total Community Benefit Expns	$11,896,794	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,677,499	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,219,295	NetCommunityBenefitExpnsAmt
Total Expense	0.02350	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	68	PersonsServedCnt
Total Community Benefit Expns	$2,300,236	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,406,748	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$893,488	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$574	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$574	NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Persons Served	1980405	PersonsServedCnt
Total Community Benefit Expns	$14,643,895	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,087,631	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,556,264	NetCommunityBenefitExpnsAmt
Total Expense	0.02780	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Persons Served	2047018	PersonsServedCnt
Total Community Benefit Expns	$83,349,613	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$55,889,177	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,460,436	NetCommunityBenefitExpnsAmt
Total Expense	0.08930	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	91801	PersonsServedCnt
Total Community Benefit Expns	$134,887	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$134,887	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	902703	PersonsServedCnt
Total Community Benefit Expns	$1,376,101	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,376,101	NetCommunityBenefitExpnsAmt
Total Expense	0.00450	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	994504	PersonsServedCnt
Total Community Benefit Expns	$1,510,988	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,510,988	NetCommunityBenefitExpnsAmt
Total Expense	0.00490	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$8,362,636	BadDebtExpenseAmt
Bad Debt Expense Attributable	$3,734,753	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$92,379,942	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$117,730,149	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$25,350,207	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	Norwalk Surgery Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Primary Activities	Ambulatory Surgery Center	PrimaryActivitiesTxt
Org Profit Or Ownership	0.64110	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.31100	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Norwalk Hospital	BusinessNameLine1

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

Field	Value	IRS element (for citing)
Website Address	norwalkhospital.org	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Norwalk Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.norwalkhospital.org	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	See Part VI	OtherWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	Yes (true)	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Form4720 Filed	false	Form4720FiledInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.0000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (true)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	400.0000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
Medicaid Medicare	Yes (X)	MedicaidMedicareInd
State Regulation	Yes (X)	StateRegulationInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Attached To Invoice	Yes (X)	AttachedToInvoiceInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Provided On Admission	Yes (X)	ProvidedOnAdmissionInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Average Negotiated Rates	Yes (X)	AverageNegotiatedRatesInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part V, Line 3 - Account Input from Person Who Represent the Community

In conducting its most recent CHNA in 2012, Norwalk Hospital and the Norwalk Health Department engaged in a collaborative community planning process to improve the health of the Greater Norwalk Area residents including Norwalk, New Canaan, Westport, Weston, Wilton, Darien, and Fairfield. The initiative included a community health assessment (CHA) to identify the health-related strengths and needs of the area and a community health improvement plan (CHIP) to identify priorities, goals, and implement and coordinate strategies to address these priority issues across the region. Findings from the CHA identified obesity, mental health and substance abuse as priorities for the area.The community health assessment was guided by a participatory, collaborative approach, which examined health in its broadest sense. This process included integrating existing data regarding social, economic, and health indicators in the region with qualitative information from 15 focus groups with community residents and service providers and 17 interviews with community stakeholders. Focus groups and interviews were conducted with individuals from the 7 municipalities that comprise the Greater Norwalk Area, with individuals representing youth; the Hispanic and African American communities; individuals receiving services from a federally-qualified health center; social service, health care, and mental health providers; businesses; housing; law enforcement; and the local government. This qualitative assessment process engaged over 200 individuals.

Part V, Line 20d - Other Billing Determination of Individuals Without Insurance

Norwalk Hospital intends to be in compliance with the regulations regarding the maximum amounts that can be charged to FAP-eligible individuals for emergency and other medically necessary care by the effective date (10/1/16)

Field	Value	IRS element (for citing)
Facility	11	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
Norwalk Hospital Outpatient Rehabilitation Services
520 West Avenue	Norwalk	CT	06850	Outpatient Rehabilitation Facility
Norwalk Hospital Outpatient Rehabilitation Services
40 Cross Street Suite 110	Norwalk	CT	06851	Outpatient Services
Norwalk Hospital Sleep Disorder Center
520 West Avenue	Norwalk	CT	06850	Sleep Disorder Services
Norwalk Hospital Radiology and Mammography Center
148 East Avenue Suite 1R	Norwalk	CT	06851	Radiology and Mammography Center
Norwalk Hospital New Canaan Radiology
28-30 East Avenue	New Canaan	CT	06840	Radiology Services
Norwalk Hospital Westport Radiology
728 Post Road East	Westport	CT	06880	Radiology Services
New Canaan Blood Collection Center
25-30 East Avenue	New Canaan	CT	06840	Blood Collection
Westport Blood Collection Center
728 Post Road East	Westport	CT	06880	Blood Collection
Norwalk Blood Collection Center
40 Cross Street	Norwalk	CT	06851	Blood Collection
Norwalk Blood Collection Center
148 East Avenue	Norwalk	CT	06851	Blood Collection
Norwalk Surgery Center LLC
40 Cross Street	Norwalk	CT	06851	Ambulatory Surgery Center

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7g - Costs Associated With Physicans Clinics	SUBSIDIZED HEALTH SERVICES LINE G - Norwalk Hospital Receives a DHMAS Grant From The State Of Connecticut For The Outpatient Psychiatric Clinic. These dollars help offset the shortfall from under or uninsured patients.
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense	Bad debt expense is a function of actual bad debt write-offs and estimated bad debts for balances still in accounts receivable (AR) as of the measurement date. The Hospital calculates the estimated bad debts in AR by computing historical payment % by payor, service type and by account age and applies those percentages adjusted for price increase to current AR.
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit	The percent of charity care applications under Norwalk Hospital's financial assistance policy that resulted in a discount was 44.66%. We applied this % to our bad debt expense of $8,362,636 to arrive at our estimate of bad debt expense attributable to patients eligible under Norwalk Hospital's financial assistance policy of $3,734,753.
Part III, Line 4 - Bad Debt Expense	Patient accounts receivable result from the health care services provided by the Hospital. Additions to the allowance for uncollectible accounts result from the provision for uncollectible accounts. Accounts written off as uncollectible are deducted from the allowance for uncollectible accounts.The Hospital's estimation of the allowance for uncollectible accounts is based primarily upon the type and age of the patient receivable and the effectiveness of the Hospital's collection efforts. The Hospital's policy is to reserve a portion of all self-pay receivables, including amounts due from the uninsured and amounts related to co-payments and deductibles, as these charges are recorded. On a monthly basis, the Hospital reviews its accounts receivable balances and various analytics to support the basis for its estimates. These efforts primarily consist of reviewing the following: Historical write-off and collection experience using a hindsight or look-back approach; Revenue and volume trends by payor, particularly the self-pay components; Changes in the aging and payor mix of accounts receivable, including increased focus on accounts due from the uninsured and accounts that represent co-payments and deductibles due from patients; Cash collections as a percentage of net patient revenue less the provision for uncollectible accounts; Trending of days revenue in accounts receivable.The Hospital regularly performs hindsight procedures to evaluate historical write-off and collection experience throughout the year to assist in determining the reasonableness of its process for estimating the allowance for uncollectible accounts.
Part III, Line 8 - Explanation Of Shortfall As Community Benefit	All hospitals must record profits in order to generate the capital needed to invest in facilities and services. Service 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.
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	Norwalk Hospital collection practices consist primarily of billing notices and follow up courtesy calls. The patient is notified of the financial assistance program with each written notification and at each point of service. Notification is shared by postings and verbal notification at the time the procedure is scheduled. If at any time during the collection process a patient would like to participate in the financial assistance program collection activity ceases. The patient is then sent an application and works with the financial counseling team for approval of full or partial discount.
Part VI - Needs Assessment	In 2012 Norwalk Hospital and the Norwalk Health Department engaged in a collaborative community planning process to improve the health of the Greater Norwalk Area residents. The initiative included a community health assessment (CHA) to identify the health-related strengths and needs of the area and a community health improvement plan (CHIP) to identify the priorities, goals and implement and coordinate strategies to address these priority issues across the region. The community health assessment was guided by a collaborative approach, which included integrating existing health indicators, social and economic data with qualitative information from community residents and stakeholders. Focus groups and interviews were conducted with participation form youth, ethnic communities, social services, health care provider businesses, law enforcement and local government agencies. For example, Mid-Fairfield Child Guidance Center participated in these focus groups and interviews. Through the process, they were able to identify mental health/substance abuse as a priority need. They also provided data and input on barriers and challenges to access and quality care for children in the area, as well as strategies on how to enhance treatment and care.In addition to the CHNAs reported in Part V, Section B, the Western CT Health Network (of which Norwalk Hospital is a part) conducted a Physician Resource Assessment to evaluate the supply of healthcare providers within its combined service area towns. This is done to document community need for healthcare providers, and to develop a plan to the healthcare needs of the community served. Through Western CT Health Network's annual Planning Process, an environmental assessment is conducted to identify healthcare gaps and needs of the service area community brought about by local and national trends in economic, legislative, demographic, healthcare industry and other environmental factors. These forces are incorporated in meeting the healthcare needs of the community by helping to frame the priorities, goals and initiatives of Western CT Health Network's long range and annual strategic plans.
Part VI - Patient Education of Eligibility for Assistance	The patient is notified of the financial assistance program (FAP) with each written notification and at each point of service. Notification is shared by postings and verbal notification at the time the procedure is scheduled. The facility also employs financial counselors to facilitate patient education regarding all programs available to include State, local and internal. If at any time in the collection process a patient would like to participate in the FAP collection activity ceases. The patient is then sent an application and works with the financial counseling team for approval of full or partial discount.
Part VI - Community Information	Norwalk Hospital serves an area with a population of about 280,000 people. The Primary Service Area includes Norwalk, New Canaan, Westport, Weston and Wilton, CT, and the Secondary Service Area includes Fairfield, Darien, Redding, Ridgefield (in Fairfield County, CT) and South Salem (in Westchester County, NY). This service area is comprised of a densely populated core of the urban/suburban City of Norwalksurrounded by predominantly affluent residential towns. No other general medical/surgical hospitals are located in this service area. This area is home to a diverse socio-economic population, from the affluent to the medically under served; Central Norwalk is listed as a Medically Under served Area, or MUA).Norwalk has a median household income of $75,446, and a poverty rate of 9.4%. The uninsured population rate is estimated to be 9.0%. Although the population of the primary and secondary service areas is expected to remain virtually level from 2010 to 2015, the cohort aged 65 and over is expected to increase by 1.8%, while the age 20-44 age cohort is forecast to decline 1.3% over the same time period.
Part VI - Community Building Activities	Part II: Community Building Activities: Obesity/Healthy Lifestyles: Through initiatives led by the Obesity/Healthy Lifestyles Initiative Committee, prevent and reduce obesity in the community by promoting healthy lifestyles. This was done through three programs in 2014: Walk to School Day; Story Walk Program; NorWALKer walking routes; Healthy Restaurant Initiative Objective 2.1: Increase the number of children and adults who meet physical activity guidelines, and Objective 2.2: Increase access to and consumption of healthy and affordable foods throughout the region. Initiatives taken: To combat obesity, the Greater Norwalk Healthy Lifestyles work group was formed. The work group is a coalition of organizations, agencies, and community members from the Greater Norwalk area. The mission of the work group is to reduce and prevent obesity and chronic disease in the community by promoting healthy lifestyles.Two Walk to School Day events were planned this year in collaboration with Norwalk Department of Health, Sacred Heart University Exercise Science students, City officials, and the Public School Systems of Norwalk, Darien, Westport, and New Canaan. Forty area school systems throughout our catchment area were contacted and provided a tool kit containing information on how to conduct a Walk to School Day event. On October 9, 2013, a total of 90 students and family members participated on the first Walk to School Day event. The second event, conducted on May 2, 2014, attracted more than 350 students from area elementary and middle schools, family members, including school staff, and city officials. Both events generated $2,220 in community benefit expense.Two Family Story Walk initiatives were organized (October 10, 2013 and April 8, 2014) as a collaborative effort between Stepping Stones Museum, Norwalk Public Library, Family and Children's Agency, Norwalk Early Childhood Council, Norwalk Health Department, and Norwalk Hospital. The events, attracting children and family members from throughout the Greater Norwalk area, consisted of a one-mile walking route which encouraged literacy. The October 2013 event attracted 10 participants while the April 2014 event attracted 60 participants demonstrating a 500% increase in participation. These initiatives generated $1,482 in community benefit expense. With the objective to increase physical activity among community members and those working within the community, the NorWALKer neighborhood walking project was developed. The project plan identified sixteen neighborhoods in Norwalk and mapped out walking routes in each. Approximately 7,500 printed maps were distributed throughout the community during FY2014. In addition, the Norwalk Department of Health's NorWALKer section of the website has seen a 20% increase in individuals seeking information on NorWALKer routes when compared to 2013 data.The Greater Norwalk Healthy Restaurant Initiative (HRI) was developed to help meet the goal of increasing access to and consumption of healthy and affordable foods. This healthy restaurant program will help restaurants in the Greater Norwalk area highlight healthy menu options to diners of all ages. The program is voluntary for restaurant owners, and thus far more than 40 area restaurant establishments have shown interest in the program and participated in discussions and/or guided focus groups. The 40 restaurants range from fast food chains, caterers and diners to fine dining establishments. The HRI generated $3,852 in community benefit expense. Coalition Building: Largely state and local elected officials and agency heads were lobbied in support of maintaining patient access to essential services for the uninsured and underinsured. The total advocacy investment for fiscal 2014 is $116,168.Norwalk Hospital provided $4,428 in EMS ambulance tours for the community and elementary schools. They also provided $14,291 in donations/sponsorships to various organizations, such as Norwalk Housing Foundation, Tiny Miracles Foundation and American Heart Association.Community Health Improvement Advocacy: For fiscal 2014, Norwalk Hospital provided 1,350,000 in support to Norwalk Community Health Center. $3,511 was generated in support for Elementary School Outreach. $2,220 was provided to walk to school events. $1,482 was provided to the story walk program. $3,852 was provided to the healthy restaurant initiative. $14,811 was provided to Mental Health and Substance Abuse.
Part VI - Explanation Of How Organization Furthers Its Exempt Purpose	Schedule H - Part I, Line 7e - Community Health Improvement Services and Community Benefit Operations - Obesity/Healthy Lifestyles: Through initiatives led by the Obesity/Healthy Lifestyles Initiative Committee, prevent and reduce obesity in the community by promoting healthy lifestyles. One initiative was Project LEANObjective 2.1: Increase the number of children and adults who meet physical activity guidelines, and Objective 2.2: Increase access to and consumption of healthy and affordable foods throughout the region. Initiatives taken: To combat obesity, the Greater Norwalk Healthy Lifestyles work group was formed. The work group is a coalition of organizations, agencies, and community members from the Greater Norwalk area. The mission of the work group is to reduce and prevent obesity and chronic disease in the community by promoting healthy lifestyles.Project LEAN (Learning with Energy from Activity and Nutrition) is an innovative, community-wide program collaborative between Norwalk Hospital, Norwalk Health Department, Jefferson and Kendall* Elementary Schools, and Pepperidge Farm, Inc. which is designed to actively engage approximately 600 elementary school children with a hands-on interactive curriculum to combat childhood obesity. Project LEANs goal is to improve attitudes, increase knowledge, and keep Body Mass Index at or below the Center for Disease Control and Prevention average gains through nutrition education and increased activity. The aim is to improve the overall health of the students through healthy nutrition and exercise with the goal to make a sustainable difference in their lives. Approximately 600 students in two city elementary schools have demonstrated (through survey measures) increased knowledge about nutrition and positive behavior changes.Mental Health and Substance Abuse: Through initiatives led by the Mental Health/Substance Abuse Initiative Committee, provide education on and access to quality mental health and substance abuse prevention, intervention and treatment services across the life span. These initiatives generated $14,811 in community benefit expense.Objective 1.1: Increase providers and community members awareness and use of quality mental health and substance abuse services and educational resources for prevention, intervention, treatment and recovery.Initiative taken: Regional Database for Mental Health/Substance Abuse: In collaboration with Family & Children's Agency, Mid-Fairfield Child Guidance Center and the Norwalk Healthy Family Collaborative (which comprises more than 25 area organizations including the Norwalk Health Department), a regional assessment of existing mental health and substance abuse resources available to children and adults was conducted over the course of a year. After verifying and cross-referencing each resource, a comprehensive database was compiled. The resource guide is updated on a regular basis and community agencies are encouraged to self-report and update any changes related to their agency and/or services.Objective 1.2: Enhance local and regional partnerships to improve access to timely, comprehensive, and coordinated services for diverse populations across the lifespan.Initiative taken: Over several months, health officials from the University of Connecticut Health Center provided on-site SBIRT (Screening, Brief Intervention and Referral to Treatment) Practice Training for Norwalk Hospital Emergency Department and Behavioral Health Services staff. UCONN experts prepared staff to establish a process for assessing those at risk of or with substance abuse/misuse disorders. This practice allows us to enhance collaborative planning, service delivery, and resource sharing to best serve this patient population. Behavioral Health Services staff is working towards implementing this practice and engaging active involvement from emergency services when appropriate.Initiative taken: In April 2014, Norwalk Hospital launched a community care team with the goal of targeting mental health and substance abuse populations. This has allowed us to deliver enhanced care to individuals with complex medical and psychosocial challenges by providing wrap around services to individuals with housing instability suffering from mental health and/or substance abuse issues or serious medical conditions. As of September 30, 2014, the Greater Norwalk CCT has been active for six months. Individualized care plans have been developed for 150 individuals. The CCT has enabled Norwalk Hospital to break down existing silos by increasing communication and collaboration among community providers, improve patient engagement to appropriate services,and decrease patient turn-over in community programs with a decrease in inappropriate ED utilization.Objective 1.3: Reduce financial barriers to treatment. The strategy for this is to convene payers in ACO/PHO (Accountable Care Organization/Physician Hospital Organization) to address reimbursement issues around mental health and substance abuse.Initiative taken: The Western Connecticut Health Network, which includes Norwalk Hospital, has applied to form a Medicare Shared Savings ProgramAccountable Care Organization (ACO) to work together to provide higher-quality coordinated care for our patients, while helping to slow health care cost growth. The ACO will also help to provide better care to Medicares seniors and people with disabilities. In addition to helping us serve our community members in a more comprehensive way, the ACO will help us identify gaps in care. High-quality care would be defined by meeting 33 quality measure benchmarks in 4 domains: Patient caregiver experience; care coordination; patient safety; preventative health; at-risk populations. The ACO must also have defined processes and procedures to promote evidence-based medicine and patient engagement and must report on quality and cost measures. It must also meet patient-centeredness criteria such as the use of patient and caregiver assessments or individualized care teams which will align with our current Greater Norwalk CCT initiative to improve management of complex patients and reduce unnecessary emergency department visits and admissions. The ACO would serve approximately 17,000 Medicare beneficiaries throughout our region. We anticipate a decision regarding the application in January 2015.
Part VI - Affilated Health Care System Roles and Promotion	Western Connecticut Health Network (WCHN) is an integrated health care delivery system comprised of three community hospitals and their affiliated entities. In addition to Danbury, New Milford and Norwalk Hospitals, the continuum of care includes a large medical group, home health care services, a nationally renowned biomedical research institute, the WCHN and Norwalk Hospital Foundations, and other related affiliates. WCHNs mission is to improve the health of every person we serve through the efficient delivery of excellent, innovative and compassionate care. For 2014, WCHN provided $10,362,060 in total charity care.Danbury, New Milford and Norwalk Hospitals provide medical services to the community regardless of the individual's ability to pay. Services include routine inpatient ancillary and outpatient care in support of the hospital's mission statement, to improve the health and well-being of those we serve. For 2014, WCHN provided charity care in the following amounts: Norwalk Hospital $4,331,000, Danbury Hospital $4,731,000, and New Milford Hospital $346,000.Western Connecticut Medical Group/Norwalk Hospital Physicians & Surgeons: The mission of Western Connecticut Medical Group is to provide safe, innovative, convenient and coordinated primary and specialty health care in the communities they serve and strive to be aware of and respond to their patients needs. They support a commitment to advance the health and well-being of individuals in their community by delivering quality care, participating in medical research and medical residency programs and the provision of medical services to patients. Western Connecticut Health Network Foundation Inc.'s mission is to raise funds, reinvest and administer these funds and make distributions to Danbury Hospital and other not-for-profit health care affiliates. For 2014, WCMG/NHP&S provided $880,627 in charity care.Western Connecticut Health Network Affiliates principal purpose is to provide outpatient health care services in various locations and also provide ambulance services to Danbury and surrounding towns, while serving those that cannot afford the care. For 2014, WCHN Affiliates provided $1,454 in charity care. Western Connecticut Home Care, Inc. (WCHC) provides state of the art clinical services ranging from pediatric patients to the elderly utilizing best practice in home care to meet the needs of their patients. For 2014, WCHC provided $70,695 in charity care.Eastern New York Medical Services (ENYMS) was formed in April, 2013. The mission at ENYMS is to provide safe, innovative, convenient and coordinated primary and Castro health care in the communities we serve and strive to be aware of and respond to our patients needs. For 2014, ENYMS provided $1,284 in charity care.
Part VI - States Where Community Benefit Report Filed	CT
Part VI - Additional Information	Part I Line 7e Promotion of community health. In order to promote the health of the community, Norwalk Hospital is responsible for coordinating the services of the 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.). These services are promoted in order to optimize the availability of a full scope of services in a cost-effective manner.In FY14, Norwalk Hospital served over 2 million persons through over 240 community health events. One of the highest impact outreach activities includes the weekly 30 minute Health Talk show, airing on Cablevisions local programming. Health Talk reached an estimated 25,000 viewers each week, with topics ranging from heart health, cancer, therapy, and weight loss. Norwalk Hospital staff and affiliated physicians participated in health fairs, community education lectures and screenings with community YMCAs, senior centers, school, and other organizations.Norwalk Hospital offers programs and financial support to the city of Norwalk and surrounding areas. Examples include the Community Health Center and a FQHC and program support to Americares Clinic. Norwalk Hospital sub-specialty clinics are also staffed by volunteer attending physicians for surgical, breast, GI, liver, dermatology, pulmonary, cardiology, orthopedics, podiatry, psychiatry, rheumatology, nephrology, and neurology for under served patients. SCHEDULE H - PART I, LINE 7f - Health Professional Education - Norwalk Hospital Has An ACGME Accredited medical residency program partnered with Yale University School of Medicine. Approximately 58 residents and fellows rotate in the medicine, radiology, gastroenterology, pulmonary or sleep programs. The associated costs and revenues are derived from the Medicare cost report. Part II: Community Health Improvement Advocacy: Largely state and local elected officials and agency heads were lobbied in support of maintaining patient access to essential services for the uninsured and under insured.Part V Line 5 - The most recently completed CHNA was made available on:a) Norwalk Hospital's website: www.norwalkhealth.org,b) on the CT Hospital Association's website: http://www.chime.org/advocacy/community-health/ on the City of Norwalk website:www.norwalkct.org/DocumentCenter/View/4397 and on the Norwalk Health Department's website:http://www.ct.gov/dph/lib/dph/ohca/community_needs_assessment/chna/2014/norwalk_hospital.pdfc) is available upon request from the hospital facility.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Norwalk Hos Phys & Surgeons	BusinessNameLine1

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

Field	Value	IRS element (for citing)
Recipient EIN	061522078	RecipientEIN
Cash Grant	$7,666,306	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Purpose Of Grant	Strategic Support	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Grantmaker's Description of How Grants are Used	FormAndLineReferenceDesc
Explanation	Funds are provided to Norwalk Hospital Physicians & Surgeons, Inc. a related 501(C)(3) organization to support the operating losses of hospital based physician practices,as they support the mission of Norwalk Hospital. Norwalk Hospital Physicians & Surgeons, Inc. is subject to the same policies and procedures as Norwalk Hospital Association. Norwalk Hospital accounting staff processes payroll, payable, general ledger and financial statements for Norwalk Hospital Physicians & Surgeons. Monthly results are presented to the Norwalk Hospital Finance Committee for review.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd
Rebuttable Presumption Proc	false	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
Anthony Aceto
Vice President, Human Resources	$323,348	$94,487	$10,000	$34,697	$13,376	$475,908
Arthur Strichman MD
Physician	$225,264	$160,477	$27,614	$29,725	$14,876	$457,956
Brian McGovern MD
Physician	$260,137	$255,518	$22,334	$24,061	$15,876	$577,926
Daniel DeBarba
President	$632,299	$445,600	$32,430	$11,475	$14,676	$1,136,480
James Haynes
Exec Dir Facilities/VP Operations	$199,336	$36,014	$11,492	$15,362	$14,176	$276,380
John Murphy MD - Eff 1114
CEO							$821,391	$412,534	$9,936	$12,750	$41,737	$1,298,348
Katherine Tait Michael MD
Chairman Psychiatr	$301,924	$78,478	$15,456	$24,171	$15,876	$435,905
Lisa Brady
COO / Senior VP Strat & Sys Develop	$406,427	$127,399	$19,210	$11,475	$15,876	$580,387
Mary Nolan
VP Nursing & Patient Care Services	$151,996					$151,996
Michael Carius MD
Chairman, ED	$424,167	$99,571	$25,243	$27,883	$14,416	$591,280
Patrick Minicus
CFO	$405,511	$150,981	$18,526	$7,994	$14,776	$597,788
Renee Mauriello
VP Nursing & Patient Care Services	$320,139	$71,465	$20,523	$7,650	$13,376	$433,153
Robert Capodanno MD
Physician	$249,120	$133,613	$7,721	$22,218	$13,376	$426,048
Stven Rosenberg - Eff 1114
CFO							$505,212	$185,034	$27,395	$12,750	$32,659	$763,050

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part I, Line 7: Non-Fixed payments not listed above

Bonuses are provided based on achievement of quantifiable and measurable goals. Goals are established for eligible executives at the beginning of each fiscal year. Bonuses are paid in accordance with the overall financial performance of the Hospital as well as the executive's success in meeting or exceeding those goals.Target incentive award opportunities range from 15% to 25% for senior leaders and 40% for the President and CEO. Maximum award opportunities are 150% of target, awarded for exceptional and superior performance evidenced by actual, measurable results.Actual incentive awards were approved by the President and CEO and the compensation committee based on each senior leaders individual performance and achievement of goals that were established for Norwalk Hospital, goals that were related to the integration of Norwalk Hospital with Western Connecticut Health Network and goals for Western Connecticut Health Network. The weighting of those goals was dependent upon the individual's position and ranged from 40% to 50% for individual goals, 20% to 40% for Norwalk Hospital goals, 7.5% to 10% for integration goals and 7.5% to 20% for WCHN goals.

Part III, Additional Information

The organization relied on related organizations, Norwalk Health Services Corporation (thru 12/31/2013) and Western Connecticut Health Network, Inc.(effective 1/1/2014) which used the following methods described below to establish top management's compensation:-Compensation committee-Independent compensation consultant-Written employment contract-Compensation survey or study-Approval by board or compensation committee

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
St of CT Hlth & Educ Fac
A	060806186	2010-12-09	$46,840,000	See Part VI	false	false	false
St of CT Hlth & Educ Fac
B	060806186	2012-12-01	$82,000,000	See Part VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Capitalized InterestCapitalizedInterestAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	UnspentUnspentAmt
A	$9,405,000	$46,844,821	$1,010,853	$829,268	$463,600	$44,541,100	2012	false	false	Yes (true)	Yes (true)
B		$82,010,551		$639,886		$57,965,258	2015	false	false	false	Yes (true)	$23,405,407

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	false	false	0.01570	0.00420	0.01990	false	false	Yes (true)
B	false	Yes (true)	false	Yes (true)				false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
(no name)
A	false	Yes (true)	false	false	false	false	false	false
Peoples United Bk
B	false	Yes (true)	false	false	Yes (true)	false	false	false	12.0000	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part VI	FormAndLineReferenceDesc
Explanation	Part I - Bond Issue, (a) Issuer Name - A CHEFA Series G,H and I - State of Connecticut Health and Educational Facilities AuthorityPart I - Bond Issue, (a) Issuer Name - B CHEFA Series J - State of Connecticut Health and Educational Facilities AuthorityPart I - Bond Issue, (f) Description of Purpose - A CHEFA Series G,H and IThe proceeds of the bond were used for construction of a parking garage and for the purchase of other capital equipment.Part I - Bond Issue, (f) Description of Purpose - B CHEFA Series JThe proceeds of the bond are being used for construction of an ambulatory pavilion and for the purchase of other capital equipment.Part II - Proceeds, A CHEFA Series G, H and I - total proceeds of issue includes interest income of $4,821 received on the construction fund, cost of issuance fund and capitalized interest fundPart II - Proceeds, B CHEFA Series J - total proceeds of issue includes interest income of $10,551 received on the construction fund and cost of issuance fundPart III - Private Business Use - A CHEFA Series G,H and I - Private business use is based on physician reserved spaces in financed parking garage. These reserved spaces are used by both employees and attending physicians visiting Hospital patients to further the Hospital's mission. Part III - Private Business Use - B CHEFA Series J - No private business use in fiscal 2014 - pavilion is not complete and occupied. Anticipate the leasing of 8,688 sq ft of 95,500 sq ft of space in the pavilion to a physician group which provides services to Cancer Center patients. Also a portion of the cancer center which will be located in the new pavilion will be dedicated to cancer research once the pavilion is complete and operational. The funding of the pavilion will include $30,000,000 of philanthropy and approximately $2,300,000 of working capital. These amounts will be allocated to the portion of the pavilion that will be used by outside entites. Part III, Line 9 Post Issuance Compliance - Nonqualified BondsEffective 1/1/2014, Western Connecticut Health Network (WCHN) became the sole corporate member of Norwalk Health Services Corporation and a corporate affiliation was completed. Norwalk Health Services Corporation and all subsidiaries are covered under the policies of WCHN and as such, the tax exempt debt policy applies to Norwalk Hospital as of 1/1/2014.Part IV - Arbitrage Line 4b - Name of Provider - CHEFA Series J - People's United BankPart V - Procedures to Undertake Correcive ActionEffective 1/1/2014, Western Connecticut Health Network (WCHN) became the sole corporate member of Norwalk Health Services Corporation and a corporate affiliation was completed. Norwalk Health Services Corporation and all subsidiaries are covered under th policies of WCHN and as such, the tax exempt debt policy applies to Norwalk Hospital as of 1/1/2014.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Norwalk Medical Group	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship Description	See Part V	RelationshipDescriptionTxt
Transaction	$328,972	TransactionAmt
Transaction	See Part V	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part V Supplemental Information	FormAndLineReferenceDesc
Explanation	Schedule L, Part IV, Line 1Richard Zelkowitz, MD is a member of the Board of NHA and the medical director of Norwalk Medical Group. NHA paid Norwalk Medical Group $328,972 for cancer services.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (26 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4d: Other Program Services Description	OTHER PROGRAM SERVICES 4: Other Program Services include:Emergency Services - Norwalk Hospital provides a comprehensive range of high-quality emergency medical services, for the most critically ill and injured patients, from pre-hospital EMS/paramedic services to an Emergency Department featuring a Level II Trauma Center to a nationally recognized Critical Care Unit. Our Emergency Department features modern lifesaving technology and is staffed by board-certified physicians and experienced nurses with advanced skills. For patients experiencing a stroke, Norwalk Hospital is certified as a Stroke Center by the Joint Commission. For patients experiencing an acute heart attack, Norwalk Hospital is certified as a Primary Angioplasty Center. Once identified as a candidate by EMS or by the emergency physician, a critical pathway ensures the rapid evaluation of the patient and movement to the Cardiac Cath Lab for definitive care to minimize long-term consequences. Norwalk Hospital's Critical Care Unit has been nationally recognized for the exemplary level of care provided. The Unit's nurses have been awarded the Beacon Award for Critical Care Excellence by the American Association of Critical Care Nurses three times. The Emergency Department had 36,190 treated and released visits and 2,870 observation visits for the fiscal year ended 9/30/2014.Cardiovascular Services - Norwalk Hospital offers a premier cardiovascular program to meet the needs of patients with cardiac and vascular problems. 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, our 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. Additionally, The Hospital has on staff several interventional cardiologists who perform diagnostic cardiac catherizations and emergency cardiac angioplasty among other invasive procedures. Our Cardiac Rehabilitation Program helps cardiac patients live life to the fullest and is accredited by the American Association of Cardiovascular and Pulmonary Rehabilitation for providing the highest standard of care. Cardiovascular Services had 1,571 inpatient discharges; 354 Cardiac Lab procedures-including Pacemakers, Defibs, Catherization and Vascular; 1,263 Diagnostic Cardiology procedures; 436 Cardiac Rehabilitation services for the fiscal year ended 9/30/2014.Cancer Services - Norwalk Hospital has a long tradition of providing the very best in cancer care. We are widely recognized for providing excellent outcomes and a multidisciplinary approach to cancer care that brings cancer specialists together to individualize treatments for each patient. We feature highly experienced, nationally acclaimed cancer doctors; the most modern equipment and state-of-the-art treatments; cutting-edge clinical trials testing new ways to treat cancer; counseling, nutrition and integrative medicine services and warmth - an atmosphere of community and true caring. We provide a unique level of support to patients and their families, who require compassion, sensitivity and help with day-to-day affairs to meet the many challenges presented by a cancer diagnosis. Norwalk Hospital is recognized by the Joint Commission as a Center for Excellence for both lung cancer and colorectal cancer care. Norwalk Hospital is home to two exceptional cancer centers - the Whittingham Cancer Center and the Smilow Family Breast Health Center. The Whittingham Cancer Center is nationally accredited as a Comprehensive Cancer Center by the American College of Surgeons and is a member of the Alliance for Clinical Trials in Oncology. Our physicians have academic affiliations with major university hospitals in New York and Connecticut and work closely with those hospitals to coordinate the care of our patients. Our weekly cancer-specific multidisciplinary tumor board brings cancer surgeons, medical oncologists, radiation oncologists, pathologists, radiologists and other physicians together to discuss the optimal management of patient's care. The Smilow Family Breast Health Center provides specialized resources for women with benign breast abnormalities as well as those diagnosed with breast cancer and is accredited by the National Accreditation Program for Breast Cancer (NAPBC). Our experienced staff supports all women with breast concerns throughout screening, diagnosis, treatment and aftercare. Smilow features dedicated breast surgeons and medical oncologists who specialize in, and focus on, treating breast cancer. These physicians meet weekly in a multidisciplinary tumor board to discuss new cases, and coordinate the best care for patients. Our experienced surgeons offer advanced surgical techniques and a large variety of breast reconstruction options. Cancer Services had 661 inpatient discharges including Chemotherapy, Hematology, Medical Oncology, Surgical Oncology and Neuroscience Oncology for the year ended 9/30/2014.Asthma and Pulmonary - Norwalk Hospital's Section of Pulmonary and Critical Care Medicine offers leading-edge treatments for a wide range of pulmonary conditions. Our physicians provide the leadership and bedside care for patients in our nationally recognized Intensive Care Unit. We provide comprehensive diagnostic and therapeutic services to patients with all forms of pulmonary conditions including Asthma, Bronchiectasis, Chronic Bronchitis, Chronic Cough, Chronic Obstructive Pulmonary Disease (COPD), Emphysema, Idiopathic Pulmonary Fibrosis, Interstitial Lung Disease, Lung Cancer, Pulmonary Hypertension, Sarcoidosis, Tuberculosis and other infectious lung diseases. A nationally accredited Sleep Center provides diagnosis and management of the full range of sleep disorders, including sleep apnea and insomnia. The Section of Pulmonary and Critical Care Medicine has 1,099 inpatient discharges for the fiscal year ended 9/30/2014.Rehabilitation Services - Norwalk Hospital offers both inpatient and outpatient rehabilitation services. Accredited by the Joint Commission, we specialize in the comprehensive rehabilitation needs of patients with neurological problems, complex medical problems, those who have sustained multiple trauma and those who have undergone amputations. Norwalk Hospital's Outpatient Rehabilitation service provides treatment for conditions such as Stroke, Traumatic Brain Injury, Spinal Cord Injury, Multiple Sclerosis, Joint Replacements, and Post-Surgical Recovery. Rehabilitation Services had total inpatient discharges of 117 and 9,631 billed outpatient months for the fiscal year ended 9/30/2014.Psychiatry - Norwalk Hospital provides inpatient psychiatric services for adult and geriatric patients. The 20 bed unit provides individualized care for patients with acute psychiatric illness, complex medical-psychiatric illness or a need for dual-diagnosis detoxification. Norwalk Hospital also provides an intensive outpatient program, offering both individual treatment and group therapy. Psychiatry had inpatient discharges of 351 and 9,257 billed months for the fiscal year ended 9/30/2014.Pediatrics - Norwalk Hospital Pediatric Services include the Jeffrey Peter Bauer Newborn Intensive Care Unit (NICU), Pediatric Inpatient Care, Pediatric Subspecialty Care, and the Pediatric Development and Therapy Center. Pediatrics had inpatient discharges of 448 for the fiscal year ended 9/30/2014. Surgical Services - Norwalk Hospital's experienced and expert surgeons perform a wide variety of advanced inpatient and outpatient surgical procedures. Patients have access to state-of-the-art technology and the latest clinically proven surgical techniques. Norwalk Hospital offers advanced surgical centers that include: Advanced Minimally Invasive and Robotic Surgery Center, Comprehensive Joint Replacement Center; Surgical Weight Loss Center. Surgical Services performed 2,076 inpatient surgeries & 5,245 outpatient surgeries for the fiscal year ended 9/30/2014.Radiology - Norwalk Hospital offers a variety of Radiology Services including, CT, PET/CT, CT Lung Screening, Virtual Colonography, MRI and Open MRI, Ultrasound, Bone Density Measurement/Osteoporosis Screening, General Xray, Digital Mammography, Digital Breast Tomosynthesis, Breast MRI and Ultrasound, Stereotactic, MRI-Guided and Ultrasound Guided Breast Biopsy, Nuclear Medicine, Interventional Radiology, Cancer Screening, Stereotactic Radiosurgery, Intensity-Modulated Radiation Therapy (IMRT) and Prostate Cancer Treatment with Radioactive Seeds. Radiology Services performed 66,525 procedures & 909 billed Radiation Therapy months for the fiscal year en
Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents	On 1/1/2014 Western Connecticut Health Network (WCHN) became the sole corporate member of Norwalk Health Services Corporation, and a corporate affiliation was completed.Certificate of IncorporationArticle IV The Certificate of Incorporation was amended to describe the rights of NHSC, the sole member of NHA (Member), including the right to amend the NHA bylaws (Bylaws), to elect NHAs board of directors (the Board) and appoint individuals to fill vacancies on the Board.Article V The Certificate of Incorporation was amended to provide that in the event of NHAs dissolution, any assets remaining after payment of obligations will be distributed to NHSC. If at the time of NHAs dissolution, NHSC is not exempt, not in existence, or it is unwilling or unable to accept such assets, the remaining assets shall be distributed for use restricted to purposes substantially similar to those set forth in the Certificate of Incorporation.Article VI This Article provides that the Board shall not consist of less than three directors. Article VIII This Article limits the personal liability of the Board members.Article IX This Article indemnifies and advances expenses to directors and permits the Board to indemnify and advance expenses to officers, employees and agents of NHA who are not directors of the Board. NHA also may procure insurance providing for greater indemnification than provided by law.BylawsArticle I Section 1.1 Purpose - The purpose provides that the Bylaws supplement certain provisions of the NHA Certificate of Incorporation and the Connecticut Revised Non stock Corporation Act (the Act) and that NHA is an affiliate of WCHN.Article II Section 2.1 Membership- NHSC is the sole member of NHA and WCHN is the sole corporate member of NHSC. The Member has the rights, privileges and obligations conferred on it by the NHA Certificate of Incorporation, the Bylaws and the Act.Article II Section 2.2 Powers of the Member The Member has the following powers which do not require approval of the Board: (i) amendment of the Bylaws; and (ii) election or removal of a director. The following actions taken for NHA itself and in its capacity as a shareholder or member of a subsidiary (NHA Subsidiary), require approval of the Board and the Member: (i) election and removal of a director of aNHA Subsidiary; (ii) except as otherwise provided in the Bylaws, the election of officers of the Board; (iii) closure of NHA or the closure or material diminution of a material program at NHA; (iv) approval of the capital budget and operating budget of NHA and of any NHA Subsidiary; (v) amendment of the Certificate of Incorporation of NHA or any NHA subsidiary; (vi) amendment of the bylaws or operating agreement of any NHA Subsidiary; (vii) sale, lease, exchange or other disposition of all or substantially all of the property or assets of NHA or any NHA Subsidiary; (viii) approval of the creation of any corporation of which NHA or any NHA Subsidiary is the sole or controlling member or sole or controlling shareholder; the merger or consolidation of NHA or any NHA Subsidiary with another corporation; and the reorganization, liquidation or dissolution of NHA or any NHA Subsidiary; (ix) approval of loans by NHA or any NHA Subsidiary or the incurring of any indebtedness, secured or unsecured, which exceeds $2Million or which has a term longer than one year; (x)approval of policies relating to the control and supervision of the investment of NHAs and any NHA Subsidiary's funds, including but not limited to those funds and properties which may have been donated, bequeathed or devised, or given in trust for the limited or general use of NHA or any NHA Subsidiary; (xi)approval of unbudgeted expenditures in excess of $2Million or any increase in any approved annual operating or capital budget; (xii) approval of any agreement ortransaction of NHA or an NHA Subsidiary involving an amount greater than $2 Million with another individual or entity; (xiii) approval of the affiliation of NHA or anNHA Subsidiary with any other entity for purposes of the joint conduct of business or other purposes, whether in the form of participation in said entity through theholding of stock or by membership or in the form of partnership, joint venture, co-tenancy or any other form of ownership or control; (xiv) creation of any committeewhich shall have the authority to act on behalf of the Board or on behalf of any NHA Subsidiary; (xv)approval of any conveyance of, or the granting of mortgages or trusts on any real property assets of NHA or of any NHA Subsidiary; (xvi) approval of any change to any employee pension or other employee benefit plans of NHA or any NHA Subsidiary (xvii) approval of the adoption of or amendment to the policies and procedures governing: (a) indemnification of directors and officers of NHA or any NHA subsidiary; (b) conflicts or dualities of interest; (c) accounting and investment standards and practices; and (d) such other policies as the Member mayfrom time to time determine; (xviii) approval of the strategic plan of NHA and any NHA Subsidiary; (xix)approval of the engagement in managed care and otherthird party payor contracting on behalf of NHA or any NHA Subsidiary; (xx) approval of any commencement, cessation, location, relocation or consolidation ofsignificant clinical services provided by NHA or any NHA Subsidiary and approval of the filing of any application for a certificate of need by NHA or any NHA Subsidiary; (xxi) approval of system-wide quality, performance and credentialing standards and procedures to which NHA and any NHA Subsidiary is expected toadhere; and (xxii) approval of regulatory compliance and methodology for physician compensation arrangements.Article II Section 2.3 Meetings of Member -The Bylaws provide for annual and special meetings of the Member, as determined by the Board. At each annual meeting or special meeting called for such purpose, the Member shall: (i) appoint directors in accordance with the Bylaws; (ii) receive reports from the NHA directors, officers and committees; and (iii) conduct any other business relating to the affairs of NHA consistent with the rights of the Member.Article III Section 3.1 Authority - The Board of Directors has all corporate powers not reserved to the Member. The activities, properties and affairs of NHA shall be managed by or under the direction of the Board, subject to limitations in the Certificate of Incorporation, which include, but are not limited to: (i) review local quality and service goals and improvement programs; (ii) monitor local quality, service and financial performance; (iii) support management in making local communications with external audiences, including but not limited to, local governments and the media; (iv) support fundraising efforts conducted by the Norwalk Hospital Foundation, Inc.; (v) oversee community benefit programs in the local community; (vi) approve medical staff bylaws and medical staff appointments based on standardized Member applications and review process; and (vii)participate in the search process for President and CEO of NHA, when needed.Article III Section 3.2 Number and Composition - The Board shall have no less than twelve and not more than twenty-five voting directors. Of that number, the President and CEO of NHA, the President and CEO of WCHN and the Chairman of the Board of the Norwalk Hospital Foundation, Inc. shall serve as ex-officio directors and shall be counted for purposes of a quorum and shall have the right to vote. At least one director, other than the President and CEO of WCHN, shall be an individual who also serves on the board of each of WCHN, The Danbury Hospital and the New Milford Hospital. All directors shall be individuals who serve on the board of the Member.Article III Section 3.3 Appointment of Terms of Office - There shall be three classes of directors. Directors are elected at each annual meeting of the Member. Directors terms are for three years. Directors can serve for three consecutive terms on the Board. After serving three consecutive terms, a director may again serve after a one year hiatus from service.Article III Section 3.4 Vacancies -Vacancies occurring on the Board shall be filled by the Member.Article V Committees of the Board - The Committees of the Board include the Nominating Committee and the Budget and Finance Committee. At least annually, the Board, by the affirmative vote of all directors then serving shall appoint a Nominating Committee and a Budget and Finance Committee. NHA shall also participate in the matrix of committees established by WCHN to provide advice to WCHN and its affiliates.Article VI President and CEO - NHA may contract with WCHN for the services of a President and CEO. Following the first anniversary of the Effective Date, WCHNs President and CEO shall have the unilateral authority to hire or fire the NHA President and CEO after obtaining input on such action from the Board, subject to the terms of any
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	As of September 30, 2014 Norwalk Health Services Corporation, Inc.(NHSC) is the sole member of Norwalk Hospital Association (NHA) and appoints NHA's Trustees. On October 1, 2014 NHSC merged into Western Connecticut Health Network (WCHN), WCHN became the sole corporate member of NHA.
Form 990, Part VI, Line 11b: Form 990 Review Process	Steven Rosenberg, CFO, will review the 990 prior to it being sent to the IRS. A preliminary 990, is presented to the Audit Committee in June, who reviews it on behalf of the Board. E&Y is on hand to review the 990 with the Audit Committee and answer any questions. Prior to the 990 being filed with the IRS, the Board will receive a full and accurate copy on a secured website for their review.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	The Organization's Process for Monitoring and Enforcing Conflicts of InterestThe Western Connecticut Health Network and its affiliates' (The Network)Conflict of Interest Policy provides that annually, its Representatives shall sign a statement affirming that they disclosed all potential conflicts, as documented in the Conflict of Interest Policy. In addition, General Counsel is part of the routine contracts review process and watches for potential conflicts with any of The Network's Representatives.Who Is Covered By the PolicyThe Network's Conflict of Interest Policy covers each director, officer and manager of The Network, also referred to as "Representatives". Level At Which Determinations of Whether There Is a Conflict In connection with any actual or possible conflict of interest, an interested person must disclose the facts of the conflict. The Compliance Officer and the Audit Committee review and evaluate each disclosure to determine if there is a conflict of interest. After presentation of a potential transaction or arrangement is made by an interested person, the remaining disinterested Board or Committee members shall decide if a conflict of interest exist. Level That Reviews and Determines What To Do If There Is a ConflictAfter exercising due diligence the full Board would determine what actions should be taken for all conflicts by Officers and Directors. Any conflicts occurring by a manager are reviewed by the Compliance Committee to determine what further action should be taken.Restrictions on The Conflicted PersonNo director having a conflict of interest on any matter shall vote on that matter or be counted in determining the quorum for the meeting at which the vote is taken, even when permitted by law. No Representative having a conflict of interest on any matter shall use his or her personal influence on the matter.If the Board of Directors, in its sole discretion, determines that any Representative has conflicts of interest sufficient in number and/or importance that the effectiveness of such individual on behalf of The Network may be significantly impaired, the Board may ask the individual to resign.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	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 increase based on 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. This process is undertaken each year.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	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 increase based on 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. This process is undertaken each year.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	Governing documents, conflict of interest policy are available to the public upon request. Financial statements are available to the public on the Hospital's web site and upon request.
Other Changes In Net Assets Or Fund Balances - Other Decreases	Change in Interest Rate Swap = -$2043924
Other Changes In Net Assets Or Fund Balances - Other Decreases	Change in Pension Obligation = -$21796757
Other Changes In Net Assets Or Fund Balances - Other Decreases	Decrease in Ben Interest NHF Temp Restr = -$457669
Other Changes In Net Assets Or Fund Balances - Other Increases	Fair Value Adjustment = $16395275
Other Changes In Net Assets Or Fund Balances - Other Increases	Increase Ben Interest NHF - Unrestricted = $3125357
Other Changes In Net Assets Or Fund Balances - Other Increases	Increase Ben Interrest in NHF - Permanently Restr = $6800
Other Changes In Net Assets Or Fund Balances - Other Increases	Net Unrestricted changes in Joint Venture = $1795157
Other Changes In Net Assets Or Fund Balances - Other Decreases	Norwalk Surgery Center / Joint Venture Income = -$2941038
Other Changes In Net Assets Or Fund Balances - Other Increases	Transfer from Norwalk Health Serv Corporation = $36515314
Other Changes In Net Assets Or Fund Balances - Other Increases	Transfer from Norwalk Hospital Foundation = $3443973
Other Changes In Net Assets Or Fund Balances - Other Decreases	Transfer to Norwalk Health Services Corporation = -$7502519
Joint Venture Policy 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 utilized 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
Officers and Trustees Form 990, Part VII	Daniel DeBarba was President and CEO thru 12/31/2013. Effective 1/1/2014 he was President of Norwalk Hospital, Danbury Hospital and New Milford Hospital.John Murphy, MD - Chief Executive Officer effective 1/1/2014Ed Kangas - Vice Chairman and Trustee thru 12/31/2013, Trustee only effective 1/1/2014Ed Mahony - Trustee only thru 12/31/2013, Vice Chairman and Trustee effective 1/1/2014Patrick Minicus - Chief Financial Officer and VP Finance thru 12/31/2013, VP Finance Western Connecticut Health NetworkSteven H. Rosenberg - Chief Financial Officer, effective 1/1/2014Andrew Whittingham - Treasurer and Trustee thru 12/31/2013, Trustee only effective 1/1/2014Mark Gudis - Trustee only thru 12/31/2013, Treasurer and Trustee effective 1/1/2014Barbara Butler - Secretary and Trustee thru 12/31/2013, Trustee only effective 1/1/2014Fred Afragola - Trustee only thru 12/31/2013, Secretary and Trustee effective 1/1/2014Joseph Mann - Trustee thru 12/31/2013James Kennedy - Trustee effective 1/1/2014Thomas Ayoub, MD - Trustee and Chief of Staff, compensation received is for services as Chief of Staff of Norwalk Hospital
Other Changes in Net Assets or Fund Balance Form 990, Part XI, Line 9	Fair Value Adjustment - On January 1, 2014 Western Connecticut Health Network (WCHN) became the sole corporate member of Norwalk Health Services Corporation, and a corporate affiliation was completed. All assets and liabilities were revalued to fair value as of January 1, 2014. The $16,395,275 increase in the Hospital's net assets comprised the following (impacting unrestricted net assets):Property, plant and equipment $41,190,025Goodwill (13,843,749)Intangible assets ( 5,760,171)Investment in joint venture ( 627,986)Bond issuance costs, net (1,255,873)Medical malpractice claims reserves 652,000Long-term debt (3,958,971) Total $16,395,275Transfer from Norwalk Health Services Corporation - On September 30, 2014 an agreement was entered into between Norwalk Health Services Corporation (NHSC) and the Hospital under which all of NHSC's cash, investments, and real estate assets were transferred to the Hospital. NHSC's liabilities were also transferred to the Hospital. The transfer consisted of the following:Cash and cash equivalents $ 696,235Investments 26,977,706Beneficial interest in trust 8,007,837Property, plant and equipment 1,075,506Accounts payable (241,970) Total $36,515,314
Part VI Policies, 12a Conflict of Interest Policy	A written conflict of interest policy is in place for Norwalk Health Services Corporation (NHSC) and subsidiaries. The Audit Committee of NHSC approved the conflict of interest policy for NHSC and all subsidiaries, in accordance with the authority delegated to the Audit Committee per the NHSC by laws. Effective 1/1/2014 Western Connecticut Health Network (WCHN) became the sole corporate member of NHSC and a corporate affiliation was completed. NHSC and all subsidiaries are now covered under the policies of WCHN and as such, the conflict of interest policy applies to Norwalk Hospital Association as of 1/1/2014.
Part VI Policies, 13 Whistleblower Policy	A written whistleblower policy is in place for Norwalk Health Services Corporation (NHSC) and subsidiaries. Effective 1/1/2014 Western Connecticut Health Network (WCHN) became the sole corporate member of NHSC and a corporate affiliation was completed. NHSC and all subsidiaries are now covered under the policies of WCHN and as such, the whistleblower policy applies to Norwalk Hospital Association as of 1/1/2014.
Part VI Policies, 14 Document Retention & Destruction Policy	Effective 1/1/2014 Western Connecticut Health Network (WCHN) became the sole corporate member of NHSC and a corporate affiliation was completed. NHSC and all subsidiaries are now covered under the policies of WCHN and as such, the written documentation and destruction policy applies to Norwalk Hospital Association as of 1/1/2014.
Significant Changes to Governing Documents Form 990 Part VI Section A	On September 11, 2014 the following governance changes were approved for Norwalk Hospital Association (NHA) as a result of the merger of New Milford Hospital, Inc (NMH) with and into The Danbury Hospital and the merger of Norwalk Health Services Corporation (NHSC) with and into Western Connecticut Health Network (WCHN):Certificate of IncorporationThe member of NHA is being changed to reflect that WCHN will now act directly asthe member. Article VI is also being amended to reflect that the Corporation has both elected and ex-officio directors. No other changes to the certificate of incorporation were made.BylawsReferences to NHSC and NMH have been deleted. In addition, the following changes were made:Section 2.2 We are revising the powers of WCHN as member to allow WCHN to take additional actions without requiring approval of the Board of the NHA. The following actions were added to the list of actions taken by WCHN directly for NHA: Approval of changes to qualified and non-qualified benefit plans Approval of policies, including policies on indemnification, conflict of interest, and accounting and investment standards Approval of quality, performance and credentialing standards Approval of physician compensation methodologySection 2.2 was further amended to delete the requirement that WCHN approve managed care contracts and filing of a certificate of need. Approval of a certificate of need is not legally required and WCHN is required to approve any changes in clinical services. Thus, approval of the actual filing for a certificate of need was deemed duplicative.Section 2.2 is also being amended to delete the requirement that NHA's approval of an action must be accomplished before WCHNs approval of the same action. This change will facilitate approvals when meetings cannot be scheduled to allow NHA to meet prior to WCHNs meeting.Section 3.2 The revisions to this article deleted the requirement that the Presidentand CEO of WCHN serve as one of the two directors who are required to also serve as a director of WCHN and The Danbury Hospital.Section 5.2 The Nominating Committees name is being changed to the Board Development Committee. The committee's responsibilities are being clarified to include new director orientation, board education and board evaluation.Article VII The revisions to this article will allow the Chief Financial Officer ofWCHN to serve as NHA's Treasurer, ex-officio. The Treasurer will have authority to exercise investment management decisions for the NHA, provided that the Treasurer reports regularly to the directors and exercises such authority in accordancewith the investment policies of NHA and in consultation with WCHNs Finance Committee.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
Norwalk Hospital Physicians & Surgeons
24 Stevens Street	Norwalk	CT	06850	061522078	Physician Practice	CT	501(C)(3)	11 Type 2	Norwalk Health Services Corporation	Yes (true)
Norwalk Health Care Inc
24 Stevens Street	Norwalk	CT	06850	222577722	Inactive	CT	501(C)(3)	9	Norwalk Health Services Corporation	Yes (true)
Norwalk Health Services Corporation
24 Stevens Street	Norwalk	CT	06850	223688822	Support Services	CT	501(C)(3)	11 Type 2	Western Connecticut Health Network Inc	Yes (true)
Norwalk Hospital Foundation Inc
24 Stevens Street	Norwalk	CT	06850	252577708	Fundraising	CT	501(C)(3)	7	Norwalk Health Services Corporation	Yes (true)
Advanced Center for Rehabilitation Medic
24 Stevens Street	Norwalk	CT	06850	061304799	Inactive	CT	501(C)(3)	11 Type 2	Norwalk Health Services Corporation	Yes (true)
Danbury Hospital
24 Hospital Avenue	Danbury	CT	06810	060646597	Acute Care Hospital	CT	501(C)(3)	3	WCHN	Yes (true)
Western Connecticut Health Network Inc
24 Hospital Avenue	Danbury	CT	06810	222594977	Program Development	CT	501(C)(3)	11 Type 2	NA	false
Western CT Health Network Affiliates
24 Hospital Avenue	Danbury	CT	06810	222594968	Outpatient Health Care Services	CT	501(C)(3)	9	WCHN	Yes (true)
Western CT Heatlh Network Foundation
24 Hospital Avenue	Danbury	CT	06810	237425557	Admin Contributions	CT	501(C)(3)	7	WCHN	Yes (true)
Western Connecticut Home Care Inc
4 Liberty Street	Danbury	CT	06810	060655138	Home Healthcare	CT	501(C)(3)	9	WCHN	Yes (true)
Western CT Medical Group Inc
14 Research Drive Suite 201A	Bethel	CT	06801	061137531	Physician Practice	CT	501(C)(3)	9	WCHN	Yes (true)
The New Milford Hospital Inc
21 Elm Street	New Milford	CT	06776	060669121	Acute Care Hospital	CT	501(C)(3)	3	WCHN	Yes (true)
Eastern NY Medical Services PC
14 Research Drive Suite 201A	Bethel	CT	06801	455431389	Physician Practice	NY	501(C)(3)	9	WCHN	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
Norwalk Surgery Center LLC
40 Cross Street	Norwalk	CT	06850	272394942	Surgery Center	CT	None	Related	$2,941,038	$5,601,121	false	false	0.64110
New Milford MRI JV LLC
21 Elm Street	New Milford	CT	06776	271877801	Inactive	CT	NMH	N/A			false	false
Ridgefield Surgical Center LLC
901 Ethan Allen Hwy Suite 105	Ridgefield	CT	06877	222594977	Inactive	CT	WCHN	N/A			false	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1	CityForeignAddress/City	CountryForeignAddress/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
SWC Corporation
24 Stevens Street	Norwalk	CT	06850	222577718	Pharmacy	CT	NHSC	C Corp	Yes (true)
Medical Services of Danbury
24 Hospital Avenue	Danbury	CT	06810	061635945	Healthcare	CT	WCMG	C Corp	Yes (true)
Business Systems Inc
24 Hospital Avenue	Danbury	CT	06810	061119262	Inactive	CT	WCHN	C Corp	Yes (true)
Maple Street Indemnity Company Ltd
				980549862	Captive Insurance		NHSC	C Copr	Yes (true)	40 Church Street PO Box 2062	Hamilton HM HX	BD	BD
Western CT Health Network Insurance Co
				980438151	Insurance Captive		Danbury Hospital	C Corp	Yes (true)	23 Lime Tree Bay PO Box 1051	Grand Cayman	CJ	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (23 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Norwalk Hospital Physicians & Surgeons
j	$1,572,906	FMV
Norwalk Hospital Physicians & Surgeons
m	$14,165,863	FMV
Norwalk Hospital Physicians & Surgeons
o	$2,372,240	FMV
Norwalk Hospital Physicians & Surgeons
q	$6,745,285	FMV
Norwalk Hospital Physicians & Surgeons
r	$17,324,141	FMV
Norwalk Hospital Physicians & Surgeons
s	$7,400,000	FMV
Norwalk Hospital Foundation Inc
c	$4,599,996	FMV
Norwalk Hospital Foundation Inc
l	$65,160	FMV
Norwalk Hospital Foundation Inc
o	$713,236	FMV
Norwalk Hospital Foundation Inc
q	$103,463	FMV
Norwalk Hospital Foundation Inc
s	$7,041,125	FMV
Danbury Hospital
o	$1,887,526	FMV
Danbury Hospital
p	$613,334	FMV
Danbury Hospital
r	$1,942,640	FMV
Western CT Medical Group Inc
m	$100,222	FMV
Maple Street Indemnity Company Ltd
q	$936,826	FMV
Maple Street Indemnity Company Ltd
r	$1,826,681	FMV
Maple Street Indemnity Company Ltd
s	$932,241	FMV
SWC Corporation
l	$138,000	FMV
SWC Corporation
m	$3,647,774	FMV
SWC Corporation
q	$248,395	FMV
SWC Corporation
r	$3,250,000	FMV
Western CT Health Network Insurance Co
r	$2,557,353	FMV