2011-08-12T16:16:31-04:00 2010-09-30 PricewaterhouseCoopers LLP 125 HIGH STREET BOSTON MA 02110 990 2009-10-01 066068853 NORWALK HOSPITAL ASSOCIATION NORW 2038522000 24 STEVENS STREET NORWALK CT 06850 DANIEL DEBARBA 2038523273 2011-08-12 true PRICEWATERHOUSECOOPERS LLP 6175305000 2011-08-11 2009 2016-02-24 21:20:13Z DANIEL DEBARBA 24 STEVENS STREET NORWALK CT 06850 349941145 false X WWW.NORWALKHEALTH.ORG X 1893 CT SEE SCHEDULE O. 17 12 2193 481 2993894 -317236 6003751 3857005 328959851 335284118 2297611 1181407 2050953 2204505 339312166 342527035 1221383 1428713 0 0 170675562 178353547 0 0 0 148974349 157435977 320871294 337218237 18440872 5308798 257860455 258806324 108940533 123629682 148919922 135176642 SEE SCHEDULE O. false false 40160399 0 44138953 SEE SCHEDULE O. 33656403 0 28873646 SEE SCHEDULE O. 31879143 0 33232156 SEE SCHEDULE O. 31298994 0 34695679 GASTRO & DIGESTIVE SYSTEM 24846463 0 26759054 CANCER 24233291 0 38165306 ED TREATED AND RELEASED 18563694 0 16352773 PULMONARY AND RESPIRATORY 14899019 0 13445869 REHAB 10348082 0 6571740 PSYCHIATRY 7552597 0 6223234 PEDIATRICS 36013567 1428713 86825708 ALL OTHER 167755707 1428713 229039363 273451652 true true false true false false false false false true false true false false false false false false false false true true false true false false false false false false false true false false false false false true true false false true 249 0 true 2193 true true true false false false false false false false false 17 12 true false false false true true false true true false false true true true true true false true true true false X TONI HORNE CONTROLLER 2038522071 24 STEVENS STREET NORWALK CT 06850 ERVIN SHAMES 5.0 X X 0 0 0 DIANE M ALLISON ESQ 5.0 X X 0 0 0 GEORGE P BAUER 2.0 X X 0 0 0 ANDREW WHITTINGHAM 2.0 X X 0 0 0 JOSEPH MANN 2.0 X X 0 0 0 FRED AFGRAGOLA 2.0 X 0 0 0 CHARLES AUGENBRAUN MD 2.0 X 0 0 0 BARBARA BUTLER 2.0 X 0 0 0 GEOFFREY COLE 40.0 X X 884538 0 52704 DANIEL DEBARBA 40.0 X X 559945 0 26675 MARIANNE W CREW 2.0 X 0 0 0 VICTOR LISS 3.0 X 0 0 0 MICHAEL MARKS MD 18.0 X 72000 0 0 DAVID KOMANSKY 2.0 X 0 0 0 DAVID LEHN 2.0 X 0 0 0 STEPHEN MICHAELSON MD 2.0 X 0 0 0 ROBERT OBERNIER 2.0 X 0 0 0 GARY REINER 3.0 X 0 0 0 ROLAND STICHWEH 3.0 X 0 0 0 WILLIAM J TAMME 3.0 X 0 0 0 RICHARD ZELKOWITZ MD 2.0 X 0 0 0 ROBERT READY 2.0 X 0 0 0 THOMAS AYOUB 31.0 X 116620 0 0 PATRICK MINICUS 40.0 X 99272 0 17181 ANTHONY ACETO 40.0 X 316289 0 24969 ERIC MAZUR 40.0 X 864369 0 44220 MARY NOLAN 40.0 X 348188 0 53930 LISA BRADY 40.0 X 431319 0 24997 STEVEN WINTER 40.0 X 502175 0 43689 PATRICK NUGENT 40.0 X 596996 0 43731 MICHAEL CARIUS 40.0 X 500729 0 46626 ARTHUR STRICHMAN 40.0 X 605487 0 42482 BRIAN MCGOVERN 40.0 X 525168 0 45067 JOHN PIERRO 0.0 X 238462 0 0 6661557 0 466271 298 true true false NORWALK RADIOLOGY MAMMOGRAPHY CTR 148 EAST AVENUE NORWALK CT 06851 MEDICAL 3497871 MORRISON MANAGEMENT SPECIALISTS INC PO BOX 102289 ATLANTA GA 30368 FOOD SERVICE 2629744 UNITEX TEXTILE RENTAL 121-123 MEADOW ST HARTFORD CT 06114 LAUNDRY SERVICE 1464999 APOLLO SECURITY 2150 BOSTON-PROVIDENCE HWY WALPOLE MA 02081 SECURITY SERVICE 1309281 YALE UNIVERSITY SCHOOL OF MEDICINE PO BOX 208087-333 CEDAR ST NEW HAVEN CT 06520 PHYSICIAN SVCS 873185 62 1549506 2307499 0 0 3857005 PATIENT REVENUE 621400 323586369 323586369 OTHER MEDICAL SERVICES 900099 1151583 1151583 OTHER OPERATING REVENUE 900099 7552272 7552272 LAB SERVICES 621400 2993894 2993894 335284118 1052037 1052037 0 0 0 0 3547968 3301780 246188 246188 246188 3992036 23400 3857136 28930 134900 -5530 129370 129370 0 0 0 0 357514 226264 131250 131250 CAFETERIA/VENDING 900099 1383648 1383648 LAUNDRY 900099 240008 240008 PARKING 812930 203411 203411 1827067 342527035 332290224 2993894 3385912 1428713 1428713 0 0 0 5759620 749550 5010070 0 124505158 109567111 14938047 8843643 7176075 1667568 28899274 23105398 5793876 10345852 8395026 1950826 0 1801698 1801698 214615 214615 198075 198075 0 0 37987685 29706788 8280897 1698820 11868 1686952 24791323 23443626 1347697 5751070 4129685 1621385 0 15326295 11143235 4183060 718178 572505 145673 0 16062 14617 1445 646398 643701 2697 0 18891849 13810832 5081017 5035815 4937717 98098 BAD DEBT 23255695 23255695 PHARMACY 6881248 6881248 RESTRUCTURING EXPENSE 3934121 3934121 RADIOLOGY & LAB SUPPORT 1957769 1956067 1702 NCHC SUPPORT 1350000 1350000 6979261 1172195 5807066 337218237 273451652 63766585 0 -3383065 -3090637 19173460 29401181 37630837 40941651 2076829 2019947 2323933 2361637 2379157 1831130 372632894 261142100 115972689 111490794 28700841 30190958 2728803 3170899 50256971 40488764 257860455 258806324 57527753 75538145 161366 211158 10440000 9845000 8501449 7295987 32309965 30739392 108940533 123629682 X 125849836 111900980 13726443 13846953 9343643 9428709 148919922 135176642 257860455 258806324 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 506492 506492 false FORM 990, SCHEDULE C, PART II-B, LINE 1I: NORWALK HOSPITAL ASSOCIATION PAYS MEMBERSHIP DUES TO MEMBER ORGANIZATIONS WHICH MAY ENGAGE IN LOBBYING ACTIVITIES. A PORTION OF THE DUES MAY BE ATTRIBUTABLE TO LOBBYING ACTIVITIES. NORWALK HOSPITAL ENGAGED THE FIRM BROWN RUDNICK LLP FOR GOVERNMENT RELATIONS IN CONNECTICUT AND ON THE FEDERAL LEVEL. BROWN RUDNICK KEEPS NORWALK HOSPITAL ASSOCIATION APPRISED OF FEDERAL HEALTHCARE POLICY, GRANT OPPORTUNITIES AND RELATED BILLS PENDING LEGISLATION OF INTEREST TO THE HOSPITAL'S WELL-BEING. 951359 951359 135454781 75434119 60020662 7745839 2160516 5585323 221634356 182510978 39123378 6846559 1036487 5810072 111490794 INTEREST IN NHF 28803532 GOODWILL - RADIOLOGY PURCHASE 1793333 GOODWILL - SINGER 1107000 DEBT SERVICE FUND 371800 CHEFA BOND ISSUE EXPENSE 219014 CHEFA BOND DISCOUNT 111126 DEBT SER RES FUND 1075930 MALPRACTICE TRUST FUND 5954228 OTHER RECEIVABLES 606659 DUE FROM AFFILIATES 446142 40488764 0 DUE TO THIRD-PARTY PAYORS 6406489 ACCRUED INTEREST PAYABLE 141774 MALPRACTICE RESERVE 8631610 ASSET RETIREMENT OBLIGATION 10212507 CHA TRUST LOAN SHORT TERM 269571 WORKERS' COMP RESERVE 2182532 LONG TERM DISABILITY RESERVE 2869636 CURRENT PORTION - LEASE 8447 LONG TERM LEASE 16826 30739392 SCHEDULE D, PART X, LINE 2: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE CONCERNING UNCERTAIN TAX POSITIONS UNDER FIN 48. true true true X true X true true false true false 13719 7048166 2414316 4633850 0.01480 34975 38335219 25283220 13051999 0.04160 0 0 0 0 48694 45383385 27697536 17685849 0.05640 187 2550277 1885867 34841 1851026 0.00590 7 25205 12177546 3894981 8282565 0.02640 1 0 3905408 1965758 1939650 0.00620 0 0 0 0 0 0 195 2575482 17968821 5895580 12073241 0.03850 195 2624176 63352206 33593116 29759090 0.09490 true 9092977 1864060 86525143 100223923 -13698780 X true true NORWALK SURGERY CTR AMBULATORY SURGICAL CENTER 0.70000 0.25000 NORWALK HOSPITAL ASSOCIATION

24 STEVENS STREET NORWALK CT 06856

X X X X BAD DEBT EXPENSE OF $23,255,695 HAS BEEN EXCLUDED FROM THE DENOMINATOR IN THE CALCULATIONS FOR PART I, COLUMN F. FOOTNOTE TO FINANCIAL STATEMENTS: REVENUES AND PATIENT ACCOUNTS RECEIVABLE ARE RECORDED WHEN PATIENT SERVICES ARE PERFORMED. AMOUNTS RECEIVED FROM CERTAIN PAYORS ARE DIFFERENT FROM THE ESTABLISHED BILLING RATES OF THE VARIOUS PROVIDERS, AND THESE DIFFERENCES ARE ACCOUNTED FOR AS ALLOWANCES. NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS AND OTHERS FOR SERVICES RENDERED. REVENUE UNDER THIRD-PARTY PAYOR AGREEMENTS IS SUBJECT TO AUDIT AND RETROACTIVE ADJUSTMENTS. PROVISIONS FOR ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS AND ADJUSTMENTS ARE ESTIMATED IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED. ALL HOSPITALS MUST RECORD PROFITS IN ORDER TO GENERATE THE CAPITAL NEEDED TO INVEST IN FACILITIES AND SERVICES. SERVICES 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. NORWALK HOSPITAL SENDS OUT TWO STATEMENTS BEFORE THE CLAIM THEN CYCLES TO OUR "EARLY OUT" COMPANY, WHO WOULD THEN WORK THE CLAIM FOR THREE MONTHS. OUR STATEMENTS HAVE MESSAGES OR LITERATURE ON THE BOTTOM OF THE STATEMENT ALERTING THE PATIENT TO THE FACT THAT IF THEY FEEL THEY NEED ASSISTANCE IN PAYING THEIR BILLS THEY CAN CALL CUSTOMER SERVICE AND REQUEST A FINANCIAL ASSISTANCE APPLICATION. THEY WOULD HAVE TO FILL IT OUT COMPLETELY, AND PROVIDE US WITH THE REQUESTED PAPERWORK, COPY OF INCOME TAXES BEING ONE OF THEM. IF THE APPLICATION COMES BACK TO US AND IS COMPLETE, WE WILL CHANGE THE FINANCIAL CLASS TO PENDING CHARITY SO THE CLAIM DOES NOT CYCLE TO COLLECTIONS. THE NORWALK HOSPITAL MANAGER, CUSTOMER SERVICE/INSURANCE VERIFICATION AND ASSISTANCE COORDINATOR PROCESS THE APPLICATIONS ON A WEEKLY BASIS. ONCE DETERMINATION IS MADE AS TO WHAT THEY MAY QUALIFY FOR, BASED ON OUR SLIDING SCALE (WHICH IS UPDATED YEARLY BASED ON POVERTY GUIDELINES, FAMILY SIZE, AND INCOME), THE APPROPRIATE AMOUNT WOULD BE ADJUSTED. PATIENTS ARE CALLED AND NOTIFIED IF THEY QUALIFY AND FOR WHAT AMOUNT. IF THERE IS A REMAINING BALANCE, THE ACCOUNT WOULD THEN BE CHANGED TO SELF-PAY. IF PATIENTS ARE ADMITTED THROUGH THE ER AND ARE SELF-PAY, OUR FINANCIAL COUNSELORS WOULD VISIT THEM TO DISCUSS APPLYING FOR MEDICAID. IF A PATIENT IS STRAIGHT SELF-PAY, OUR POLICY MANDATES THAT THE APPLICANT BE COMPLIANT WITH MEDICAID, AND IF THEY ARE DENIED, THEY CAN THEN APPLY FOR FINANCIAL ASSISTANCE THROUGH THE HOSPITAL, HOWEVER, IF THEY ARE DENIED FOR NON COMPLIANCY, THEN FINANCIAL ASSISTANCE WOULD NOT BE APPLICABLE. IF A PATIENT IS NOT A CITIZEN AND THEY WOULD NOT QUALIFY FOR EMED (EMERGENCY MEDICAL FOR JUST THAT ONE INPATIENT VISIT), THEY WOULD BE ABLE TO APPLY FOR FINANCIAL ASSISTANCE WITHOUT HAVING TO APPLY FOR MEDICAID SINCE THEY WOULD BE DENIED ANYWAY. IF A PATIENT HAS TO HAVE AN OUTPATIENT PROCEDURE AND DOES NOT HAVE INSURANCE, PATIENT REGISTRATION WILL TRY TO OBTAIN REIMBURSEMENT FROM THAT PATIENT. IF THEY ARE UNABLE TO PAY, THEY WOULD CALL THE PATIENT'S PHYSICIAN TO SEE IF THE PROCEDURE CAN BE POSTPONED UNTIL FINANCIAL ARRANGEMENTS CAN BE MADE. IF THE DOCTOR STATES THEY CAN NOT POSTPONE THE PROCEDURE THEY WOULD ALLOW THE PATIENT TO COME BUT WOULD INSTRUCT THEM TO APPLY FOR MEDICAID AND IF DENIED THEY WOULD APPLY FOR FINANCIAL ASSISTANCE. IF A PATIENT IS FROM AN AFFILIATED FEDERALLY QUALIFIED HEALTH CENTER AND NEEDS TO HAVE SERVICES WHEREBY WE DO NOT HONOR THE DISCOUNT (I.E.: ALL INPATIENT SERVICES, OUTPATIENT IV THERAPY, RADIATION THERAPY, AND HYPERBARIC), AND IS NOT A CITIZEN, THEY WOULD BE REFERRED TO OUR FINANCIAL ASSISTANCE COORDINATOR, TO COMPLETE AN APPLICATION. IF A PATIENT FROM AN AFFILIATED FEDERALLY QUALIFIED HEALTH CENTER IS A CITIZEN, THEY WOULD FIRST NEED TO HAVE APPLIED FOR MEDICAID AND IF DENIED, THEY COULD APPLY FOR ASSISTANCE. OVERALL, PATIENTS CAN CALL CUSTOMER SERVICE, EVEN IF THEY ARE IN COLLECTIONS, TO BE CONSIDERED FOR FINANCIAL ASSISTANCE. IF THEY ARE IN COLLECTIONS AND APPLY, WE WOULD PULL THE ACCOUNT BACK ONCE THE APPLICATION IS RECEIVED. WE HAVE A NUMBER OF SCREENS WE FILL OUT IN OUR ACCOUNTING SOFTWARE WHICH DENOTE THE PATIENT HAS APPLIED AND THE STATUS. ALSO, PATIENTS LIVING IN A SHELTER OR THAT ARE HOMELESS ARE ADJUSTED TO CHARITY AS WELL. ADDITIONALLY, ALL IV THERAPY AND RADIATION THERAPY ACCOUNTS THAT HAVE BEEN GRANTED CHARITY ARE ADJUSTED MONTHLY, SINCE THEY ARE BILLED MONTHLY. MEDICAID SPENDDOWN AMOUNTS ARE ALSO ADJUSTED TO CHARITY. IN FY 2010, AS PART OF NORWALK HOSPITAL'S COMMUNITY OUTREACH STRATEGIC INITIATIVE, NORWALK HOSPITAL AND THE NORWALK HOSPITAL FOUNDATION DEVELOPED COMMUNITY ADVISORY BOARDS REPRESENTING EACH OF THE COMMUNITIES WE SERVE. COMPRISED OF NEIGHBORS, HEALTH DIRECTORS, PUBLIC OFFICIALS, CLERGY, BUSINESS LEADERS, CIVIC GROUP REPRESENTATIVES, ETC.. THESE GROUPS ASSIST THE HOSPITAL IN ASSESSING THE HEALTH CARE NEEDS AND OUTREACH OPPORTUNITIES IN SPECIFIC TOWNS. THE ADVISORY BOARDS PROVIDE INVALUABLE FEEDBACK SO THAT WE CAN CONTINUALLY ENHANCE OUR OUTREACH EFFORTS AND MEET CHANGING HEALTH CARE NEEDS. THE PLANNING DEPARTMENT OF THE HOSPITAL HAS ACCESS TO HOSPITAL, STATEWIDE AND NATIONAL DATABASES THAT TRACK TRENDS AND SERVICE USAGE ON AN ONGOING BASIS IN ORDER TO EVALUATE HOW THE HOSPITAL IS MEETING THE HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE. IT IS THE RESPONSIBILITY OF THE HOSPITAL'S ACCESS MANAGEMENT AND/OR THE CUSTOMER SERVICE DIVISION OF THE PATIENT ACCOUNTING DEPARTMENT TO INFORM PATIENTS ABOUT THE DETAILS OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, ASSIST WITH THE EXPLANATION OF THE FINANCIAL ASSISTANCE APPLICATION IF THE APPLICATION IS REQUIRED, DETERMINE THE AMOUNT OF THE DISCOUNT, INFORM THE PATIENT OF THE HOSPITAL'S FINAL DETERMINATION, AND PROCESS THE DISCOUNT IN THE HOSPITAL'S PATIENT ACCOUNTING SYSTEM. THE ONLY EXCEPTIONS ARE: [1] OUTPATIENT MENTAL HEALTH SERVICES WHERE THE DEPARTMENT OF PSYCHIATRY WILL QUALIFY AND PROCESS FINANCIAL ASSISTANCE APPLICATIONS, AND [2] DENTAL CLINIC WILL QUALIFY AND PROCESS FINANCIAL ASSISTANCE APPLICATIONS. THE PATIENT WILL HAVE 30 DAYS FROM THE RECEIPT OF THE APPLICATION PACKET TO RETURN IT IN ITS ENTIRETY. OTHERWISE, THE NORMAL STATEMENT CYCLE WILL CONTINUE UNDER THE CLASSIFICATION OF SELF PAY. WHEN AN APPLICATION IS RECEIVED, THE ACCOUNT STATUS WILL BE CHANGED TO PENDING FINANCIAL ASSISTANCE AND NO ADDITIONAL STATEMENTS WILL BE SENT TO THE PATIENT UNTIL A FINAL FINANCIAL ASSISTANCE DETERMINATION IS MADE. IF THE PATIENT FILES FOR FINANCIAL ASSISTANCE ONLY AFTER LEGAL ACTION HAS BEEN INITIATED FOLLOWING REASONABLE COLLECTION EFFORTS, THE PATIENT WILL BE ENTITLED TO FILE A FINANCIAL ASSISTANCE APPLICATION BUT WILL BE RESPONSIBLE FOR ANY LEGAL FEE COSTS AND/OR COURT COSTS INCURRED UP TO THE POINT OF TIME OF THE APPLICATION. THE EXISTENCE OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM WILL BE POSTED IN BOTH ENGLISH AND SPANISH AT ALL REGISTRATION POINTS WITHIN THE HOSPITAL. THE FOLLOWING PATIENTS WILL RECEIVE A FINANCIAL ASSISTANCE APPLICATION, ALSO AVAILABLE IN BOTH ENGLISH AND SPANISH, BY PATIENT ACCESS PERSONNEL AT THE TIME OF REGISTRATION: A. ALL ED PATIENTS WHO PRESENT TO THE EMERGENCY ROOM AS SELF PAY B. ANY PATIENT WHO INDICATES AN INABILITY TO PAY HOSPITAL PATIENT STATEMENTS WILL CLEARLY INDICATE THE EXISTENCE OF A FINANCIAL ASSISTANCE PROGRAM INCLUDING CUSTOMER SERVICE TELEPHONE NUMBERS. NORWALK HOSPITAL IS A NOT-FOR-PROFIT ACUTE CARE COMMUNITY TEACHING HOSPITAL WHICH IS LICENSED FOR 328 BEDS. THE HOSPITAL HAS OVER 500 PHYSICIANS ON ITS ACTIVE MEDICAL STAFF, MANY OF WHOM TRAINED AT THE NATION'S LEADING MEDICAL SCHOOLS AND HOSPITALS, AND 2,000 HEALTH PROFESSIONALS AND SUPPORT PERSONNEL. NORWALK HOSPITAL SERVES AN AREA POPULATION OF ABOUT 270,000 IN LOWER FAIRFIELD COUNTY. THE SERVICE AREAS INCLUDE PRIMARILY NORWALK, NEW CANAAN, WESTPORT, WESTON AND WILTON; AS WELL AS DARIEN, FAIRFIELD, REDDING AND RIDGEFIELD. THERE ARE FIVE OTHER HOSPITALS IN NORWALK HOSPITAL'S PRIMARY SERVICE AREA. A DIVERSE SOCIO-ECONOMIC POPULATION, NORWALK HOSPITAL SERVES AN AGING POPULATION, FROM THE AFFLUENT TO THE MEDICALLY UNDERSERVED. THE AVERAGE HOUSEHOLD INCOME IN THE NORWALK HOSPITAL'S SERVICE AREA IS $163,887, AND THE ESTIMATED UNINSURED POPULATION IN THE CITY OF NORWALK IS 15% (SERVICE AREA NOT AVAILABLE). THE PERCENTAGE OF POPULATION THAT IS 65+ IS EXPECTED TO INCREASE FROM 13.9% IN 2010, TO 15.6% IN 2015, AND WOMEN OF CHILDBEARING-AGE (18-44) ARE FORECAST TO DECLINE 2.5% OVER THIS SAME PERIOD OF TIME. NORWALK HOSPITAL PROVIDES A VAST ASSORTMENT OF SERVICES TO THE COMMUNITY FREE OF CHARGE AND FURTHER CARRIES OUT ITS CITIZENSHIP BY MEETING THE NEEDS OF THE UNDERSERVED, WHICH INCLUDES ABOUT 44 PERCENT OF ITS PATIENTS. THE HOSPITAL MAKES AVAILABLE TO THE COMMUNITY, WITHOUT REGARD FOR ABILITY TO PAY, AN IMPRESSIVE LIST OF SPECIALTIES, SUCH AS: CHILDBIRTH CENTER: NORWALK HOSPITAL PROVIDES EXCEPTIONAL MATERNITY AND PEDIATRIC SERVICES. THE OBSTETRICIANS ARE SUPPORTED BY HIGHLY SKILLED NURSES, CERTIFIED NURSE MIDWIVES, PHYSICIAN ASSISTANTS, NEONATOLOGISTS, AND YALE PERINATOLOGISTS TO HELP MANAGE HIGH-RISK PREGNANCIES. THE HOSPITAL ALSO OFFERS COMPREHENSIVE CHILDBIRTH EDUCATION AND SUPPORT PROGRAMS. THE SMILOW FAMILY BREAST HEALTH CENTER: THE SMILOW CENTER ADDRESSES BREAST CARE IN A SEAMLESS MANNER, BEGINNING WITH COMMUNITY EDUCATION AND SCREENING. FOCUSING ON RAPID DIAGNOSIS, THE PROGRAM PROVIDES ON-GOING SUPPORT THROUGHOUT THE PROCESS OF REFERRAL AND SCHEDULING TO ALL NEEDED SERVICES AND PHYSICIANS. TRAUMA CENTER: NORWALK HOSPITAL IS DESIGNATED AS A LEVEL II TRAUMA CENTER, WHICH IS DEDICATED TO THE SURVIVAL AND RESTORATION OF PATIENTS TO THEIR BEST FUNCTIONAL OUTCOME. STROKE PROGRAM: NORWALK HOSPITAL HAS EARNED THE GOLD SEAL OF APPROVAL FOR STROKE CARE. THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS HAS AWARDED NORWALK HOSPITAL PRIMARY STROKE CENTER CERTIFICATION "FOR DEMONSTRATING THAT ITS STROKE CARE PROGRAM FOLLOWS NATIONAL STANDARDS AND GUIDELINES THAT CAN SIGNIFICANTLY IMPROVE OUTCOMES FOR STROKE PATIENTS." CANCER DIAGNOSTICS AND THERAPY: A COMPREHENSIVE PROGRAM THROUGH THE WHITTINGHAM CANCER CENTER BRINGS TO SOUTHWESTERN CONNECTICUT THE LATEST KNOWLEDGE, TECHNIQUES, AND TECHNOLOGY FOR THE DIAGNOSIS AND TREATMENT OF CANCER. THE CANCER CENTER IS COMMITTED TO ASSURING A FULL SPECTRUM OF ONCOLOGY SERVICES TO THE PEOPLE OF OUR COMMUNITY. FROM PREVENTION AND SCREENINGS, TO DIAGNOSIS AND TREATMENT, THE STAFF IS CONTINUALLY RESPONDING TO THE CHANGING NEEDS OF HEALTHCARE AND CANCER PATIENTS. SURGICAL SERVICES: NORWALK HOSPITAL'S DEDICATED SURGICAL STAFF OFFERS HIGH QUALITY SURGICAL CARE. NORWALK HOSPITAL'S OUTSTANDING SURGEONS ARE IN THE FOREFRONT OF SURGICAL PROCEDURES INCLUDING LAPAROSCOPIC SURGERY, MAJOR JOINT REPLACEMENT, AND UROLOGICAL SERVICES. SLEEP CENTER: A NATIONALLY ACCREDITED CENTER PROVIDES FOR DIAGNOSIS AND MANAGEMENT OF THE FULL RANGE OF SLEEP DISORDERS, INCLUDING SLEEP APNEA AND INSOMNIA. THE CENTER CONDUCTS INTERNATIONAL RESEARCH TRIALS THAT KEEP IT AT THE FOREFRONT OF NEW AND DEVELOPING THERAPIES. BARIATRIC CENTER: THE NORWALK HOSPITAL BARIATRIC CENTER HAS BEEN NAMED AN AMERICAN SOCIETY FOR BARIATRIC SURGERY (ASBS) BARIATRIC SURGERY CENTER OF EXCELLENCE. THE ASBS CENTER OF EXCELLENCE DESIGNATION RECOGNIZES SURGICAL PROGRAMS WITH A DEMONSTRATED TRACK RECORD OF FAVORABLE OUTCOMES IN BARIATRIC SURGERY. WOUND CARE AND HYPERBARIC MEDICINE CENTER: AS A REFERRAL CENTER FOR COMPREHENSIVE WOUND MANAGEMENT, THE CENTER HAS HAD VERY SUCCESSFUL RESULTS BY PROVIDING ADVANCED TREATMENT TO CURE WOUNDS THAT PREVIOUSLY WOULD NOT HEAL. NORWALK HOSPITAL HAS MORE THAN TWENTY-FIVE YEARS OF EXPERIENCE IN PROVIDING HYPERBARIC OXYGEN THERAPY, PIONEERING AS THE FIRST HOSPITAL-BASED HYPERBARIC SERVICE IN NEW ENGLAND. TWENTY-FIVE PERCENT OF PEOPLE WITH NON-HEALING WOUNDS BENEFIT FROM RECEIVING HYPERBARIC OXYGEN THERAPY. MANY PATIENTS WITH NON-HEALING WOUNDS ARE REFERRED TO NORWALK HOSPITAL FOR ASSESSMENT BECAUSE OF THIS EXPERTISE. COMMUNITY HEALTH CENTER: NORWALK HOSPITAL IS A FINANCIAL SPONSOR FOR THE NORWALK COMMUNITY HEALTH CENTER, A COMMUNITY-BASED FEDERALLY QUALIFIED HEALTH CENTER, WHICH OFFERS COMPREHENSIVE HEALTHCARE AT AFFORDABLE PRICES TO RESIDENTS OF A MEDICALLY UNDERSERVED COMMUNITY. OTHER COMMUNITITY SERVICES: WOMEN WITH LIMITED OR NO HEALTH INSURANCE MAY BE ELIGIBLE FOR FREE MAMMOGRAMS, BREAST EXAMS, AND "PAP" PROCEDURES IN AN EARLY DETECTION PROGRAM OFFERED AT NORWALK HOSPITAL THROUGH THE CONNECTICUT BREAST AND CERVICAL CANCER EARLY DETECTION PROGRAM. THE MEDICAL STAFF PROVIDES AN ANNUAL WELLNESS SERIES, NOW IN ITS 28TH YEAR, FOR THE COMMUNITY AND THE SECTION OF PULMONARY MEDICINE HAS BEEN OFFERING FREE SMOKING CESSATION PROGRAMS TWICE A YEAR FOR OVER 30 YEARS. NORWALK HOSPITAL OFFERS A WIDE RANGE OF COMMUNITY SERVICES BOTH AT THE HOSPITAL AND IN THE COMMUNITY. HOSPITAL ASSOCIATES AND AFFILIATED PHYSICIANS PROVIDE WELLNESS PROGRAMS TO SCHOOLS, CIVIC GROUPS, CHURCHES, AND OFFER COMMUNITY HEALTH FAIRS AND SCREENINGS. SEE THE HOSPITAL'S PROGRAM SERVICE ACCOMPLISHMENTS LISTED ON SCHEDULE O. N/A true NORWALK HOSPITAL FOUNDATION 24 STEVENS STREET NORWALK CT 06850 222577708 501(C)(3) 1428713 0 N/A N/A FUND OPERATIONS 1 0 SCHEDULE I, PART I, LINE 2: FUNDS ARE PROVIDED TO NORWALK HOSPITAL FOUNDATION, A RELATED ORGANIZATION, WHICH IS SUBJECT TO THE SAME POLICIES AND PROCEDURES AS NORWALK HOSPITAL ASSOCIATION. X false true X X X X true true false false false false false true false GEOFFREY COLE 601346 0 270000 0 13192 0 33354 0 19350 0 937242 0 0 0 DANIEL DEBARBA 358704 0 183200 0 18041 0 11025 0 15650 0 586620 0 0 0 ANTHONY ACETO 244713 0 40000 0 31576 0 10996 0 13973 0 341258 0 0 0 ERIC MAZUR 573496 0 140249 0 150624 0 29870 0 14350 0 908589 0 0 0 MARY NOLAN 264652 0 60000 0 23536 0 38180 0 15750 0 402118 0 0 0 LISA BRADY 315523 0 115027 0 769 0 11025 0 13972 0 456316 0 0 0 STEVEN WINTER 341571 0 54338 0 106266 0 29339 0 14350 0 545864 0 0 0 PATRICK NUGENT 338213 0 0 0 258783 0 29381 0 14350 0 640727 0 0 0 MICHAEL CARIUS 367201 0 51870 0 81658 0 31225 0 15401 0 547355 0 0 0 ARTHUR STRICHMAN 215922 0 252929 0 136636 0 28564 0 13918 0 647969 0 0 0 BRIAN MCGOVERN 241637 0 226094 0 57437 0 21462 0 23605 0 570235 0 0 0 JOHN PIERRO 0 0 0 0 238462 0 0 0 0 0 238462 0 0 0 SCHEDULE J, PART I, LINE 1A: TAX GROSS-UP PAYMENTS ARE PROVIDED ON GIFT CARDS THAT ARE ISSUED AS PART OF AN EMPLOYEE RECOGNITION PROGRAM CALLED "OVATIONS". TAX GROSS-UP PAYMENTS ARE ALSO PROVIDED ON TAXABLE BENEFITS IN ACCORDANCE WITH THE NORWALK HOSPITAL ASSOCIATION'S SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN, DESCRIBED BELOW IN RESPONSE TO LINE 4B. ADDITIONALLY, TAX GROSS UP PAYMENTS ARE PROVIDED FOR TAXABLE MOVING EXPENSES and ON THE TAXATION OF THE CEO'S PERSONAL USE OF A HOSPITAL-OWNED AUTOMOBILE. ALL TAX GROSS-UP PAYMENTS ARE TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUALS RECEIVING SUCH PAYMENTS. SCHEDULE J, PART I, LINE 1B: THE TAX GROSS-UP FOR THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN WAS APPROVED BY THE BOARD IN 1996 WHEN THE PLAN WAS CREATED. THIS DECISION WAS REACHED WITH THE ADVICE OF OUTSIDE COUNSEL AND A COMPENSATION CONSULTING FIRM. IN GENERAL, TAX GROSS-UP DECISIONS ARE MADE ON A CASE BY CASE BASIS RELATED TO SPECIFIC ELEMENTS AND THE INTENTION OF ANY PARTICULAR COMPENSATION PLAN OR PROGRAM. THESE DECISIONS ARE REACHED IN CONCERT WITH, BUT NOT LIMITED TO, THE FOLLOWING PARTIES: CEO OR OTHER EXECUTIVES, HUMAN RESOURCES, ACCOUNTING, PAYROLL, OUTSIDE COUNSEL, OUTSIDE TAX ADVISORS, AND OUTSIDE COMPENSATION CONSULTANTS. THIS PROCESS ENSURES, TO THE GREATEST DEGREE POSSIBLE, THAT ANY TAX GROSS-UP DECISIONS ARE IN COMPLIANCE WITH ANY IRS REGULATIONS AND PREVAILING GOOD MANAGEMENT PRACTICES. SCHEDULE J, PART I, LINE 4A: CERTAIN LISTED INDIVIDUALS RECEIVED SEVERANCE ARRANGEMENTS FOR A SPECIFIED PERIOD OF TIME, BASED ON THEIR COMPENSATION AT THE TIME OF TERMINATION. THE AMOUNTS PAID HAVE BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN B(III), AS APPROPRIATE. SCHEDULE J, PART I, LINE 4B: NORWALK HOSPITAL HAS ESTABLISHED A BENEFIT RESTORATION INCOME PLAN FOR ELIGIBLE EMPLOYEES, WHOSE BENEFITS IN THE RETIREMENT PLAN FOR EMPLOYEES OF NORWALK HOSPITAL ARE DECREASED OR LIMITED BECAUSE OF LIMITATIONS IMPOSED BY IRC SEC 401(A)(17). THE FOLLOWING AMOUNTS WERE INCLUDED AS TAXABLE INCOME IN THE BOX 5 ON THE 2009 W-2'S FOR THE LISTED EMPLOYEES: ERIC MAZUR $141,006 MARY NOLAN $ 14,984 MICHAEL CARIUS $ 71,902 BRIAN MCGOVERN $ 53,470 PATRICK NUGENT $ 65,343 ARTHUR STRICHMAN $133,442 STEVEN WINTER $101,036 ANTHONY ACETO $ 18,414 NORWALK HOSPITAL HAS ALSO ESTABLISHED THE NORWALK HOSPITAL SENIOR EXECUTIVE DEFERRED COMPENSATION PLAN, PRIMARILY FOR THE PURPOSE OF PROVIDING A PROGRAM OF DEFERRED COMPENSATION FOR GEOFFREY COLE, PRESIDENT AND CEO UP TO 4/10/2010 AND DANIEL DEBARBA, PRESIDENT AND CEO AS OF 4/12/2010. AMOUNTS PROMISED UNDER THE PLAN ARE BASED ON A TARGETED RETIREMENT BENEFIT. THE PAYMENT OF BENEFITS UNDER THE PLAN IS SUBJECT TO VESTING. NO AMOUNTS WERE VESTED OR REPORTED AS TAXABLE INCOME ON MR. COLE'S OR MR. DEBARBA'S 2009 W-2. SCHEDULE J, PART I, LINE 7: BONUSES ARE PROVIDED BASED ON A GOALS SYSTEM. GOALS ARE ESTABLISHED FOR ELIGIBLE EMPLOYEES AT THE BEGINNING OF THE FISCAL YEAR. BONUSES ARE PAID IN ACCORDANCE WITH THE OVERALL FINANCIAL PERFORMANCE OF THE HOSPITAL AS WELL AS THE EMPLOYEE'S SUCCESS IN MEETING OR EXCEEDING THOSE GOALS. WELLPOINT INC TRUSTEE IS DIRECTOR 50995220 INSUR PYMTS FOR PATIENT SVCS false GENERAL ELECTRIC TRUSTEE IS OFFICER 2919802 SVC CONTRACTS/MED SUPPLY/EQUIP false THOMAS AYOUB MD TRUSTEE 171520 ACTING CHAIRMAN OB/GYN false FORM 990, PART I, LINE 1 AND PART III, LINE 1: THE MISSION OF NORWALK HOSPITAL IS TO PROVIDE UNIQUELY 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 DELIVERING 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 SERVICE, AND CONTINUOUSLY MEASURING, MONITORING AND RAISING THOSE STANDARDS. - INNOVATION: CONTINUOUSLY PIONEERING 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 ORGANIZATION PEOPLE WHO ARE RECOGNIZED AS EXCEPTIONAL LEADERS AND WHO SUBSCRIBE TO THESE VALUES. - TEAMWORK: WORKING TOGETHER TO ACHIEVE OUR MISSION AND GOALS IN A COOPERATIVE, RESPECTFUL, OPEN ENVIRONMENT. - TRUST AND FAIRNESS: WE FOSTER A CLIMATE OF OPENNESS IN WHICH ALL WHO WORK HERE TREAT ONE ANOTHER WITH TRUST AND FAIRNESS. WE SUPPORT OPEN COMMUNICATION TO ENHANCE THIS CLIMATE. - EDUCATION: PROVIDING NATIONALLY RECOGNIZED MEDICAL EDUCATIONAL PROGRAMS FOR FUTURE PROVIDERS; PARTICIPATING IN CLINICAL RESEARCH, AND OFFERING A RANGE OF EDUCATIONAL PROGRAMS TO OUR PATIENTS AND THE COMMUNITY TO ENHANCE THEIR HEALTH AND WELL-BEING. - FINANCIAL RESPONSIBILITY: BEING ACCOUNTABLE AS FINANCIAL STEWARDS FOR CONSTANT IMPROVEMENT IN THE EFFICIENCY AND EFFECTIVENESS OF SERVICE DELIVERY; COORDINATING THE SERVICES OF NORWALK 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) IN ORDER TO OPTIMIZE THE AVAILABILITY OF A FULL SCOPE OF SERVICES IN A COST-EFFECTIVE MANNER. - CHARITY: AS A NOT-FOR-PROFIT ORGANIZATION, PROVIDING NEEDED MEDICAL CARE TO ALL, INCLUDING THOSE WHO CANNOT PAY FOR IT. FORM 990, PART III, LINE 4A: 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 OR ELIGIBLE 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. 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 & KNEE), SPINE SURGERY, SPORTS MEDICINE, TRAUMA CARE FOR ORTHOPEDIC INJURIES. ORTHONEURO HAD TOTAL INPATIENT DISCHARGES OF 1,690 FOR THE FISCAL YEAR ENDED 9/30/2010. FORM 990, PART III, LINE 4B: CARDIO VASCULAR: NORWALK HOSPITAL OFFERS A PREMIER CARDIOVASCULAR PROGRAM TO MEET THE NEEDS OF PATIENTS WITH CARDIAC AND VASCULAR PROBLEMS IN THE GREATER FAIRFIELD COUNTY, CONNECTICUT COMMUNITY. 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, THE 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. CARDIO VASCULAR HAD TOTAL INPATIENT DISCHARGES OF 1,622 FOR THE FISCAL YEAR ENDED 9/30/2010. FORM 990, PART III, LINE 4C: WOMEN'S 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 NURSES MIDWIVES, PEDIATRIC HOSPITALISTS, NEONATOLOGISTS, PEDIATRIC SPECIALISTS, PHYSICIAN ASSISTANTS AND NURSES. THIS TEAM'S COMPASSIONATE AND EXPERT CARE IS FURTHER ENHANCED BY THE ONSITE AVAILABILITY OF PERINATOLOGISTS FROM YALE UNIVERSITY MEDICAL SCHOOL FOR HIGH RISK PREGNANCY. 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 SINGLE ROOMS WITH PRIVATE BATHS AND SHOWERS, MASSAGE THERAPY FOR MOTHERS, WIRELESS INTERNET ACCESS AND FLAT-SCREEN TELEVISIONS. 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 NOW AVAILABLE AT THE HOSPITAL. WOMEN'S HEALTH HAD TOTAL INPATIENT DISCHARGES OF 3,406 FOR THE FISCAL YEAR ENDED 9/30/2010. FORM 990, PART VI, SECTION A, LINE 2: CERTAIN NORWALK HOSPITAL ASSOCIATION'S BOARD MEMBERS ALSO SERVE ON THE BOARDS OF SWC CORPORATION AND MAPLE STREET IDEMNITY COMPANY LIMITED. FORM 990, PART VI, SECTION A, LINES 6 & 7: NORWALK HEALTH SERVICES CORPORATION, INC. IS THE SOLE MEMBER OF NORWALK HOSPITAL ASSOCIATION (NHA) AND APPOINTS NHA'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11A: NORWALK HOSPITAL ASSOCIATION'S (NHA) FORM 990 IS PREPARED WITH THE ASSISTANCE OF PRICEWATERHOUSECOOPERS AND REVIEWED BY NHA'S INTERNAL MANAGEMENT. FOLLOWING THAT REVIEW, NHA'S INTERNAL MANAGEMENT PRESENTS THE FORM 990 TO THE AUDIT COMMITTEE FOR REVIEW AND COMMENT. THE COMPLETED FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO THE FORM BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C: OFFICERS, TRUSTEES, KEY EMPLOYEES, AND MANAGERS ARE SURVEYED ANNUALLY REGARDING INTERESTS THAT PRESENT POTENTIAL CONFLICTS. RESPONSES ARE SCREENED FOR POTENTIAL CONFLICTS, INDIVIDUALS ARE INTERVIEWED AS NECESSARY, AND SURVEY RESULTS ARE SHARED WITH THE CEO. INDIVIDUALS ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS AT ANY MEETING OR DURING ANY DISCUSSION WHICH MAY BE AFFECTED BY THE POTENTIAL CONFLICT, AND THE INDIVIDUAL IS REQUIRED TO RECUSE HIMSELF/HERSELF ACCORDINGLY. FORM 990, PART VI, SECTION B, LINE 14: NORWALK HOSPITAL ASSOCIATION (NHA) IS IN THE PROCESS OF DRAFTING A FORMAL WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY. FORM 990, PART VI, SECTION B, LINES 15A & 15B: 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 INCREASES BASED ON THE 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. 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 UTILIZES 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. FORM 990, PART VI, SECTION C, LINE 19: GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A: THE INDIVIDUALS LISTED BELOW WORKED THE FOLLOWING HOURS PER WEEK FOR A RELATED ORGANIZATION DURING THE FISCAL YEAR: GEOFFREY COLE - 7 HOURS/WEEK DANIEL DEBARBA - 8 HOURS/WEEK MICHAEL MARKS - 5 HOURS/WEEK ERVIN SHAMES - 5 HOURS/WEEK DIANE ALLISON - 4 HOURS/WEEK GEORGE BAUER - 2 HOURS/WEEK ANDREW WHITTINGHAM - 1 HOUR/WEEK JOSEPH MANN - 1 HOUR/WEEK FRED AFGRAGOLA - 3 HOURS/WEEK CHARLES AUGENBRAUN - 1 HOUR/WEEK BARBARA BUTLER - 2 HOURS/WEEK MARIANNE CREW - 2 HOURS/WEEK VICTOR LISS - 4 HOURS/WEEK DAVID KOMANSKY - 1 HOUR/WEEK DAVID LEHN - 3 HOURS/WEEK STEPHEN MICHAELSON - 1 HOUR/WEEK ROBERT OBERNIER - 2 HOURS/WEEK GARY REINER - 1 HOUR/WEEK ROLAND STICHWEH - 1 HOUR/WEEK WILLIAM TAMME - 2 HOURS/WEEK RICHARD ZELKOWITZ - 2 HOURS/WEEK ROBERT READY - 3 HOURS/WEEK THOMAS AYOUB - 1 HOUR/WEEK MICHAEL MARKS AND THOMAS AYOUB ARE COMPENSATED AS INDEPENDENT CONTRACTORS AND NOT AS TRUSTEES. 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