Norwalk Health Care: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
Norwalk Health Care (EIN 22-2577722)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-12
IRS object ID
201142289349300034
Schema version
2009v1.7
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-08-12T16:16:30-04:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1125 High StreetAddressLine1
CityBostonCity
StateMAState
ZIP Code02110ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222577722EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Norwalk Health CareBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNORWNameControl
Phone2038479686Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line134 MIDROCKS DRIVEAddressLine1
CityNORWALKCity
StateCTState
ZIP Code06851ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDANIEL DEBARBAName
TitlePRESIDENT/CEOTitle
Phone2038523273Phone
Date Signed2011-08-12DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NamePRICEWATERHOUSECOOPERS LLPName
Phone6175305000Phone
Date Prepared2011-08-11DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1HONEY HILL REHAB & NURSING CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonDANIEL DEBARBANameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line134 Midrocks DriveAddressLine1
CityNorwalkCity
StateCTState
ZIP Code06851ZIPCode
FieldValueIRS element (for citing)
Gross Receipts16238627GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteNORWALKHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionTO OFFER ITS RESIDENTS QUALITY SERVICE AND PROGRAMS IN AN ENVIRONMENT WHICH AFFIRMS THE HIGHEST PRINCIPLES OF HUMAN DIGNITYActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees237TotalNbrEmployees
Total Nbr Volunteers35TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year14632956ProgramServiceRevenuePriorYear
Program Service Revenue CY15987091ProgramServiceRevenueCY
Investment Income Prior Year25815InvestmentIncomePriorYear
Investment Income Current Year1614InvestmentIncomeCurrentYear
Other Revenue Prior Year8736OtherRevenuePriorYear
Other Revenue Current Year13081OtherRevenueCurrentYear
Total Revenue Prior Year14667507TotalRevenuePriorYear
Total Revenue Current Year16001786TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8607804SalariesEtcPriorYear
Salaries Etc Current Year8885923SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8768962OtherExpensePriorYear
Other Expenses Current Year7599084OtherExpensesCurrentYear
Total Expenses Prior Year17376766TotalExpensesPriorYear
Total Expenses Current Year16485007TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2709259RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-483221RevenuesLessExpensesCY
Total Assets BOY12091267TotalAssetsBOY
Total Assets EOY11132002TotalAssetsEOY
Total Liabilities BOY11663098TotalLiabilitiesBOY
Total Liabilities EOY11184058TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY428169NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-52056NetAssetsOrFundBalancesEOY
Mission DescriptionTO OFFER ITS RESIDENTS QUALITY SERVICE AND PROGRAMS IN AN ENVIRONMENT WHICH AFFIRMS THE HIGHEST PRINCIPLES OF HUMAN DIGNITYMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense14311042Expense
Revenue15987091Revenue
DescriptionREHABILITATION & NURSING CARE - SEE SCHEDULE O FOR MORE INFORMATIONDescription
Total Program Service Expense14311042TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109612NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees237NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTONI HORNENamePerson
Telephone Number2038522000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line124 STEVENS STREETAddressLine1
CityNORWALKCity
StateCTState
ZIP Code06850ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
GEOFFREY COLE
PRESIDENT until 4/10/102.0XX088453852704
DANIEL DEBARBRA
PRESIDENT AS OF 4/12/102.0XX055994526675
ERVIN SHAMES
CHAIRMAN OF THE BOARD1.0XX000
FRANK N ZULLO ESQ
VICE PRESIDENT1.0XX000
CAROL BAUER
DIRECTOR1.0X000
BARBARA BUTLER
DIRECTOR1.0X000
VICTOR LISS
DIRECTOR1.0X000
MICHAEL MARKS
DIRECTOR AS OF 1/1/101.0X0720000
ROBERT READY
DIRECTOR1.0X000
WILLIAM STEPHANAK
DIRECTOR1.0X000
NICOLE TOBIN
DIRECTOR1.0X000
ARTHUR SANTILLI
EXECUTIVE DIRECTOR40.0021769323680X
DEBORAH QUARE
DIRECTOR OF NURSES40.0108892015897X
FieldValueIRS element (for citing)
Total Reportable Comp From Org108892TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1734176TotalReportableCompFrmRltdOrgs
Total Other Compensation118956TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
norwalk hospital association
24 stevens streetNORWALKCT06850therapy/MGT/LAB/LAUN1583342
ProCare LLC
PO Box 646OXFORDCT064781324nursing195014
PROFESSIONAL HEALTHCARE ASSOCIATES
34 PALMER AVENUE SUITE 1BRONXVILLENY10708NURSING312194
MORRISON MANAGEMENT SPECIALIST INC
PO BOX 102289ATLANTAGA303682289DIETARY MANAGEMENT416494
THE NURSE NETWORK
PO BOX 982SOUTHINGTONCT06489NURSING528597
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNURSING & REHABILITATION CAREDescription
Business Code623000BusinessCode
Total Revenue Column15987091TotalRevenueColumn
Related Or Exempt Function Income15987091RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue15987091TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column4455TotalRevenueColumn
Exclusion$4,455ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities234000Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities236841Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-2841Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-2841TotalRevenueColumn
Exclusion-$2,841ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
BARBER, BEAUTY INCOME9000991438$1,438
GUEST TRAYS900099660$660
GIFT SHOP9000992183$2,183

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column8800TotalRevenueColumn
Exclusion$8,800ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue13081TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16001786TotalRevenueColumn
Related Or Exempt Function Income15987091RelatedOrExemptFunctionIncome
Exclusion$14,695ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6438028Total
Program Services6030215ProgramServices
Management And General407813ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1890832Total
Program Services1771142ProgramServices
Management And General119690ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total557063Total
Program Services521801ProgramServices
Management And General35262ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total512879Total
Management And General512879ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total198346Total
Management And General198346ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total20500Total
Management And General20500ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1513493Total
Program Services1134846ProgramServices
Management And General378647ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total6379Total
Program Services6379ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1268393Total
Program Services1075346ProgramServices
Management And General193047ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total23726Total
Management And General23726ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total881457Total
Program Services774184ProgramServices
Management And General107273ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total3832Total
Management And General3832ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total437220Total
Program Services432374ProgramServices
Management And General4846ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total354470Total
Program Services311331ProgramServices
Management And General43139ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total91664Total
Management And General91664ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BAD DEBT45300045300000
DIETARY83088583088500
PHYSICAL THERAPY52272952272900
OCCUPATIONAL THERAPY27122927122900
INHALATION/OXYGEN SUPPLIES816078160700

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total127275Total
Program Services93974ProgramServices
Management And General33301ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16485007Total
Program Services14311042ProgramServices
Management And General2173965ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY39721BOY
EOY833664EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3016422BOY
EOY1410699EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY33626BOY
EOY33626EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY780528BOY
EOY428394EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13024345LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6573022LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6354617BOY
EOY6451323EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1824749BOY
EOY1929700EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY41604BOY
EOY44596EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY12091267BOY
EOY11132002EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1416722BOY
EOY1076050EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY8845000BOY
EOY8335000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1401376BOY
EOY1773008EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11663098BOY
EOY11184058EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY386565BOY
EOY-52056EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY41604BOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY428169BOY
EOY-52056EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12091267BOY
EOY11132002EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14799189CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14044048CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14722190CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14632956CurrentTaxYearMinus1Year
Current Tax Year15987091CurrentTaxYear
Total74185474Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14799189CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14044048CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14722190CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14632956CurrentTaxYearMinus1Year
Current Tax Year15987091CurrentTaxYear
Total74185474Total
FieldValueIRS element (for citing)
Public Support Total50974185474PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years66971CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years97499CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years125881CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25815CurrentTaxYearMinus1Year
Current Tax Year1614CurrentTaxYear
Total317780Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years66971CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years97499CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years125881CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25815CurrentTaxYearMinus1Year
Current Tax Year1614CurrentTaxYear
Total317780Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years9367CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14136CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8736CurrentTaxYearMinus1Year
Current Tax Year13081CurrentTaxYear
Total45320Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14866160CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14150914CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14862207CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14667507CurrentTaxYearMinus1Year
Current Tax Year16001786CurrentTaxYear
Total74548574Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99513PublicSupportPercentage509
Prior Year Support Percentage0.99469PriorYearSupportPercentage
Investment Income Percentage0.00426InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00487PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationOTHER INCOME INCLUEDES BARBER & BEAUTY, GUEST TRAYS AND GIFT SHOP REVENUE.GeneralExplanation

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$13,794OtherActivitiesAmount
Total Lobbying Expenditures IIB13794TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
Identifierform 990, schedule c, part II-b, line 1IIdentifier
Return ReferenceNORWALK HEALTH CARE PAYS MEMBERSHIP DUES TO MEMBER ORGANIZATIONS WHICH mayReturnReference
ExplanationENGAGE IN LOBBYING ACTIVITIES. A PORTION OF THE DUES MAY BE ATTRIBUTABLE TO LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1800000OtherCostOrOtherBasis
Book Value1800000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis10085033OtherCostOrOtherBasis
Depreciation5555680Depreciation
Book Value4529353BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1105710OtherCostOrOtherBasis
Depreciation995444Depreciation
Book Value110266BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis33602OtherCostOrOtherBasis
Depreciation21898Depreciation
Book Value11704BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6451323TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
DUE TO THIRD PARTY AGENCIES$115,108
DUE TO AFFILIATES$138,538
ACCRUED INTEREST PAYABLE$101,973
OTHER LIABILITIES$1,417,389
FieldValueIRS element (for citing)
Total Of Amounts1773008TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE D, PART X, LINE 2:Identifier
ExplanationTHE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE CONCERNING UNCERTAIN TAX POSITIONS UNDER FIN 48.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
GEOFFREY COLE
06013460270000013192033354019350093724200
DANIEL DEBARBRA
03587040183200018041011025015650058662000
ARTHUR SANTILLI
018454302100001215009707013973024137300

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSCHEDULE J, PART I, LINE 4BIdentifier
ExplanationNORWALK HOSPITAL ASSOCIATION (NHA), A RELATED ORGANIZATION OF NORWALK HEALTH CARE (NHC), HAS ESTABLISHED THE NORWALK HOSPITAL SENIOR EXECUTIVE DEFERRED COMPENSATION PLAN, PRIMARILY FOR THE PURPOSE OF PROVIDING A PROGRAM OF DEFERRED COMPENSATION FOR GEOFFREY COLE, PRESIDENT OF NHC AND PRESIDENT & CEO OF NHA UP TO 4/10/2010 AND DAN DEBARBA, PRESIDENT OF NHC AND PRESIDENT & CEO OF NHA 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.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part III, Line 4AREHABILITATION & NURSING CARE - NORWALK HEALTH CARE, INC. (DBA HONEY HILL REHABILITATION & NURSING CENTER) IS A 150 BED SKILLED NURSING CARE FACILITY PROVIDING SUB ACUTE AND REHABILITATION SERVICES. HONEY HILL SERVES PATIENTS WITH THE FOLLOWING NEEDS: CEREBRAL VASCULAR ACCIDENT; ELECTIVE JOINT REPLACEMENTS (HIP, KNEE, SHOULDER & ELBOW); HIP FRACTURES, PULMONARY CONDITIONS SUCH AS PNEUMONIA, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, PULMONARY FIBROSIS & EMPHYSEMA. TOTAL PATIENT DAYS = 50,564. PERCENTAGE OCCUPANCY = 92.35%. AVERAGE DAILY CENSUS = 139. PAYOR MIX: MEDICAID = 65.05%, MEDICARE = 27.27%, PRIVATE & OTHER = 7.65%. FORM 990, PART VI, SECTION A, LINE 2 CERTAIN NORWALK HEALTH CARE, INC. BOARD MEMBERS ALSO SERVE ON THE BOARD OF SWC CORPORATION, AND MAPLE STREET INDEMNITY COMPANY LTD.
FORM 990, PART IV, SECTION A , LINE 11ANORWALK HEALTH CARE, INC.'S (NHC) FORM 990 IS PREPARED WITH THE ASSISTANCE OF PRICEWATERHOUSECOOPERS AND REVIEWED BY NHC'S INTERNAL MANGAGEMENT. FOLLOWING THAT REVIEW, NHC'S INTERNAL MANAGEMENT PRESENTS THE FORM 990 TO THE AUDIT COMMITTEE OF NORWALK HOSPITAL ASSOCIATION FOR REVIEW AND COMMENT. THE COMPLETED FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF TRUSTEES OF NORWALK HEALTH SERVICES CORPORATION PRIOR TO THE FORM BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS, KEY EMPLOYEES, AND MANAGERS ARE SURVEYED ANNUALLY REGARDING INTERESTS THAT PRESENT POTENTIAL CONFLICTS. RESPONSES ARE SCREENED FOR POTENTIAL CONFLICTS, INDIVIDUALS ARE INTERVIEWED AS NECESSARY. 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 HEALTH CARE IS IN THE PROCESS OF DRAFTING A FORMAL WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY. FORM 990, PART VI, SECTION B, LINE 15 NORWALK HEALTH CARE (NHC) DOES NOT COMPENSATE ANY OFFICERS OR ITS EXECUTIVE DIRECTOR. THE OFFICER AND EXECUTIVE DIRECTOR RECEIVING COMPENSATION ARE COMPENSATED BY NORWALK HOSPITAL ASSOCIATION (NHA), A RELATED ORGANIZATION OF NHC. THEREFORE, THEIR COMPENSATION AND BENEFITS ARE DETERMINED BY NHA. FORM 990, PART VI, SECTION C, LINE 19 NORWALK HEALTH CARE, INC. MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ONLY UPON REQUEST. THE CONFLICT OF INTEREST POLICY IS AVAILABLE THROUGH NORWALK HEALTH SERVICES CORPORATION 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 - 45 HOURS/WEEK DANIEL DEBARBA - 46 HOURS/WEEK MICHAEL MARKS - 22 HOURS/WEEK ERVIN SHAMES - 9 HOURS/WEEK BARBARA BUTLER - 3 HOURS/WEEK VICTOR LISS - 6 HOURS/WEEK ROBERT READY - 4 HOURS/WEEK FRANK ZULLO - 1 HOUR/WEEK MICHAEL MARKS IS COMPENSATED AS AN INDEPENDENT CONTRACTOR OF NORWALK HOSPITAL ASSOCIATION, A RELATED ORGANIZATION, AND NOT AS A TRUSTEE.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Norwalk Hospital Association
24 Stevens StreetNorwalkCT06850066068853health svcsCT501(c)(3)3nhsc
FAIRFIELD COUNTY MEDICAL SERVICES INC
24 Stevens StreetNorwalkCT06850061522078phys practiceCT501(c)(3)11b-iinha
NORWALK HEALTH SERVICES CORPORATION
24 Stevens StreetNorwalkCT06850222577711support svcsCT501(c)(3)11b-iiNA
NORWALK HOSPITAL FOUNDATION INC
34 Maple StreetnorwalkCT06850222577707FUNDRAISINGCT501(c)(3)7nhsc
ADVANCED CENTER FOR REHAB MEDICINE
24 STEVENS STREETNORWALKCT06850061304799INACTIVECT501(c)(3)11B-IINHSC

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

EINEINPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeLegal Domicile StateLegalDomicileState
MAPLE STREET INDEMNITY COMPANY LTD
980549862CAPTIVE INSURBDNHSCC-CORP
SWC CORPORATION
222577718PHARMACYNHSCC-CORP24 STEVENS STREETNORWALKCT06850CT
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
NORWALK HOSPITAL FOUNDATION
C44532
NORWALK HOSPITAL ASSOCIATION
L1558948
NORWALK HOSPITAL ASSOCIATION
O443102
NORWALK HOSPITAL ASSOCIATION
Q1975000
NORWALK HOSPITAL ASSOCIATION
R100000

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