2012-11-08T15:34:45-06:00 2012-06-30 061533253 SASLOW LUFKIN & BUGGY LLP TEN TOWER LANE AVON CT 06001 990 2011-07-01 061436620 NORWALK COMMUNITY HEALTH CENTER NORW 2038991770 120 CONNECTICUT AVENUE NORWALK CT 06854 JOHN J GETTINGS III 2038991770 2012-10-22 1 BETH THURZ P00346435 8606789200 2011 2016-02-24 21:20:13Z JOHN J GETTINGS III 120 CONNECTICUT AVENUE NORWALK CT 06854 8309849 0 X WWW.NORWALKCHC.ORG X 1999 CT PROVISION OF HEALTH CARE SERVICES TO THE NORWALK AREA COMMUNITY. 12 12 72 0 0 0 2870364 2908180 4598611 5304360 10355 6744 95039 90565 7574369 8309849 0 0 0 0 3630387 4617029 0 0 0 3851276 3626044 7481663 8243073 92706 66776 4495964 4486302 1331414 1354976 3164550 3131326 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 6980110 5304360 TO ESTABLISH, DEVELOP, MAINTAIN, MANAGE AND OPERATE A NONPROFIT OUTPATIENT CLINIC PROVIDING COMPREHENSIVE PRIMARY CARE TO THE NORWALK, CT COMMUNITY. 6980110 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 0 1 23 0 1 72 1 0 0 0 0 0 0 0 0 X 12 12 0 1 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 2.50 X X 0 0 0 REGINALD ST FORT 1.00 X 0 0 0 DARLENE YOUNG 3.00 X X 0 0 0 CAROLYN C FULLER 1.00 X 0 0 0 LENORE JORDAN 1.00 X X 0 0 0 JOSEPH E MANN 2.50 X X 0 0 0 EISABELL GARCIA 1.00 X 0 0 0 REV LINDSAY CURTIS 1.00 X 0 0 0 YOLANDA DANCY 1.00 X 0 0 0 IVELISSE MARTES-FELICINO 1.00 X 0 0 0 VICKI SMETAK 1.00 X 0 0 0 CESAR RAMIREZ 1.00 X 0 0 0 LAWRENCE CROSS 32.00 X 117063 0 6267 JOHN J GETTINGS III 40.00 X 120902 0 0 KATHERINE GOLAR 32.00 X 173748 0 15269 DAVID SAVARESE MD 32.00 X 179923 0 12662 CINDY GOLDBERG MD 36.00 X 137849 0 14247 JENNIFER MARRONE 36.00 X 173766 0 0 ELIZABETH LUTAS 36.00 X 152216 0 11970 1055467 0 60415 7 0 1 0 NORWALK HOSPITAL ASSOCIATION 24 STEVENS STREET NORWALK CT 06850 PRIMARY CARE MEDICAL PROVIDERS 680979 NANTES SOLUTIONS LLC 86 OAKLAWN AVENUE STAMFORD CT 06905 IT CONSULTANTS 184454 JOHN J GETTINGS CONSULTING LLC 895 STRONGTOWN ROAD SOUTHBURY CT 06488 FINANCIAL MANAGEMENT 102699 3 1502922 1405258 422020 2908180 PATIENT SERVICES 621110 5304360 5304360 5304360 6744 6744 90565 0 90565 90565 90565 8309849 5304360 0 97309 688018 520237 167781 3162627 2530102 632525 26264 21011 5253 424970 339976 84994 315150 252120 63030 34823 31341 3482 21750 19575 2175 48945 43331 5614 9507 8557 950 286061 257455 28606 190180 171162 19018 948049 853245 94804 8375 7538 837 47241 42517 4724 78365 70529 7836 294008 264607 29401 60993 54894 6099 PURCHASED SERVICES 867226 780504 86722 VACCINES 422020 422020 0 BAD DEBT EXPENSE 117395 117395 0 REPAIRS & MAINTENANCE 96575 86917 9658 94531 85077 9454 8243073 6980110 1262963 0 874764 1083248 303649 305178 7104 15516 112031 190909 245458 190862 4737690 2049184 2940875 2688506 12083 12083 4495964 4486302 223375 347027 45642 24711 1062397 983238 1331414 1354976 X 2339550 2406326 825000 725000 3164550 3131326 4495964 4486302 X 66776 -100000 X X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3784283 1512794 2271489 953407 536390 417017 2688506 8309849 8243073 66776 -100000 -100000 -33224 8309849 0 8309849 0 8309849 8243073 0 8243073 0 8243073 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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, 2012 AND 2011. AS OF JUNE 30, 2012 AND 2011, NCHC DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. NCHC'S PRIOR THREE YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE IRS. PART XI, LINE 8 - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTIONS -100,000. X X X 0 0 0 0 0 0 0 0 0 KATHERINE GOLAR 173748 0 0 0 0 0 0 0 15269 0 189017 0 0 0 DAVID SAVARESE MD 179923 0 0 0 0 0 11146 0 1516 0 192585 0 0 0 CINDY GOLDBERG MD 137849 0 0 0 0 0 0 0 14247 0 152096 0 0 0 JENNIFER MARRONE 173766 0 0 0 0 0 0 0 0 0 173766 0 0 0 ELIZABETH LUTAS 152216 0 0 0 0 0 6400 0 5570 0 164186 0 0 0 X 1 422020 FMV 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 JOHN GETTINGS, THE ORGANIZATION'S CFO, WAS AN INDEPENDENT CONTRACTOR RECEIVING 1099 COMPENSATION FROM NCHC IN EXCESS OF $100,000. AS OF NOVEMBER 7 2011, HE BECAME AN EMPLOYEE OF THE ORGANIZATION. 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET ASSETS RELEASED FROM RESTRICTIONS -100,000. TOTAL TO FORM 990, PART XI, LINE 5: -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.