2014-11-12T08:36:17-06:00 2014-06-30 061533253 SASLOW LUFKIN & BUGGY LLP 175 POWDER FOREST DRIVE SIMSBURY CT 06089 990 2013-07-01 061436620 NORWALK COMMUNITY HEALTH CENTER NORW 2038991770 120 CONNECTICUT AVENUE NORWALK CT 06854 JOHN J GETTINGS III CFO 2038991770 2014-10-22 1 BETH THURZ P00346435 8606789200 2013 2015-11-30 17:44:51Z JOHN J GETTINGS III 120 CONNECTICUT AVENUE NORWALK CT 06854 9388657 0 X WWW.NORWALKCHC.ORG X 1999 CT PROVISION OF HEALTH CARE SERVICES TO THE NORWALK AREA COMMUNITY. 10 10 91 0 0 0 3700011 3887784 5140847 5407936 2129 2409 98864 90528 8941851 9388657 0 0 0 0 5114537 5364759 0 0 0 3726375 3732929 8840912 9097688 100939 290969 4479341 4602765 1347076 1279531 3132265 3323234 TO PROVIDE HIGH QUALITY COMPREHENSIVE PRIMARY HEALTH CARE SERVICES TO RESIDENTS OF NORWALK AND SURROUNDING TOWNS REGARDLESS OF ABILITY TO PAY AND WITHOUT DISCRIMINATION AS TO AGE, SEX, RACE, NATIONAL ORIGIN, CREED, POLITICAL AFFILIATION OR RESIDENCE. 0 0 7703735 5407936 TO ESTABLISH, DEVELOP, MAINTAIN, MANAGE AND OPERATE A NONPROFIT OUTPATIENT CLINIC PROVIDING COMPREHENSIVE PRIMARY CARE TO THE NORWALK, CT COMMUNITY. 7703735 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 15 0 1 91 1 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 CT X JOHN J GETTINGS III 2038991770 120 CONNECTICUT AVENUE NORWALK CT 06854 JAMES WHITING SEC/TREASURER 2.50 X X 0 0 0 REGINALD ST FORT MEMBER 1.00 X 0 0 0 DARLENE YOUNG CHAIRMAN 3.00 X X 0 0 0 CAROLYN C FULLER MEMBER 1.00 X 0 0 0 LENORE JORDAN SECRETARY 2.50 X X 0 0 0 JOSEPH E MANN VICE CHAIRMAN 2.50 X X 0 0 0 EISABELL GARCIA MEMBER 1.00 X 0 0 0 YOLANDA DANCY MEMBER 1.00 X 0 0 0 VICKI SMETAK MEMBER 1.00 X 0 0 0 CESAR RAMIREZ MEMBER 1.00 X 0 0 0 LAWRENCE CROSS CEO 32.00 X 161539 0 7821 JOHN J GETTINGS III CFO 40.00 X 159254 0 15273 JAQUEL PATTERSON COO 40.00 X 100833 0 8664 DOUGLAS OLSON CMO 40.00 X 76262 0 727 DAVID SAVARESE MD MEDICAL DIRECTOR 32.00 X 151902 0 22795 JENNIFER MARRONE PROVIDER 36.00 X 185101 0 0 ELIZABETH LUTAS PROVIDER 36.00 X 158403 0 13421 MARTA MOROLDO PROVIDER 32.00 X 118934 0 16549 SARAH SIEGEL PROVIDER 20.00 X 116220 0 3030 1228448 0 88280 8 0 1 0 NORWALK HOSPITAL ASSOCIATION 24 STEVENS STREET NORWALK CT 06850 PRIMARY CARE MEDICAL PROVIDERS 663766 NANTES SOLUTIONS LLC 86 OAKLAWN AVENUE STAMFORD CT 06905 IT CONSULTANTS 209231 DR CAROL FELDER 606 WEST AVENUE SUITE C NORWALK CT 06850 DENTAL CONSULTANT 140735 3 2417317 1470467 522894 3887784 PATIENT SERVICES 621110 5407936 5407936 5407936 2409 2409 90528 0 90528 90528 90528 9388657 5407936 0 92937 603176 482540 120636 3719872 2975898 743974 35581 28465 7116 651289 521032 130257 354841 283873 70968 52281 47053 5228 24000 21600 2400 44950 40455 4495 19113 17202 1911 295130 265617 29513 312822 281540 31282 797193 717474 79719 1783 1605 178 57980 52182 5798 52777 47499 5278 328525 295673 32852 63260 56934 6326 PURCHASED SERVICES 859901 773911 85990 VACCINES 522894 522894 0 REPAIRS & MAINTENANCE 102659 92393 10266 DENTAL SUBSIDY 74370 66933 7437 123291 110962 12329 9097688 7703735 1393953 0 923470 1337733 306597 307672 18807 13667 178772 231752 209378 134830 3817081 1239970 2830234 2577111 12083 0 4479341 4602765 449446 474260 0 5000 897630 800271 1347076 1279531 X 2507265 2798234 625000 525000 3132265 3323234 4479341 4602765 X 290969 -100000 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2609526 555723 2053803 1207555 684247 523308 2577111 X 9388657 0 9388657 0 9388657 9097688 0 9097688 0 9097688 PART X, LINE 2: NCHC ACCOUNTS FOR UNCERTAIN TAX PROVISIONS UNDER FASB ASC 740, "INCOME TAXES", WHICH PROVIDES A FRAMEWORK FOR HOW ENTITIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR FINANCIAL STATEMENTS. NCHC MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. NCHC DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2014 AND 2013. AS OF JUNE 30, 2014 AND 2013, NCHC DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. NCHC'S PRIOR THREE TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE IRS. X X X 0 0 0 0 0 0 0 0 0 LAWRENCE CROSS CEO 161539 0 0 0 0 0 0 0 7821 0 169360 0 0 0 JOHN J GETTINGS III CFO 159254 0 0 0 0 0 0 0 15273 0 174527 0 0 0 DAVID SAVARESE MD MEDICAL DIRECTOR 151902 0 0 0 0 0 5210 0 17585 0 174697 0 0 0 JENNIFER MARRONE PROVIDER 185101 0 0 0 0 0 0 0 0 0 185101 0 0 0 ELIZABETH LUTAS PROVIDER 158403 0 0 0 0 0 5600 0 7821 0 171824 0 0 0 X 1 522894 FMV 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 COPIES OF THE FORM 990 ARE PROVIDED TO THE BOARD FOR REVIEW PRIOR TO FILING THE TAX RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION ANNUALLY MONITORS COMPLIANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION USES COMPARABILITY DATA FROM MGMA AND FROM CHCACT TO DETERMINE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT. THE BOARD APPROVES THE COMPENSATION OF THE EXECUTIVE DIRECTOR, AND THE EXECUTIVE DIRECTOR HAS THE AUTHORITY TO APPROVE COMPENSATION OF ALL OTHER EMPLOYEES. SUCH APPROVAL IS DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: NET ASSETS RELEASED FROM RESTRICTIONS -100,000. FORM 990, PART XI, LINE 2C: THE ORGANIZATION HAS AN AUDIT COMMITTEE THAT IS RESPONSIBLE FOR MAKING RECOMMENDATIONS TO THE FULL BOARD REGARDING THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THE AUDIT COMMITTEE IS RESPONSIBLE FOR THE OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT PROCESS. THE PROCESSES OF OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAVE NOT CHANGED FROM THE PRIOR YEAR.