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NHSC SUPPORTS NHA BY SERVING AS ITS PARENT ORGANIZATION AND COORDINATING LEGAL, ACCOUNTING AND OTHER SERVICES ACROSS NORWALK ENTITIES. IN FISCAL YEAR 2012, THERE WAS A CASH TRANSFER FROM NHA TO NHSC FOR $9,197,064 AS FUNDING LOSS OF NHPS. NHSC THEN TRANSFERRED NET ASSETS OF $5,302,411 TO NHPS, FOR A TOTAL TRANSFER OF $14,999,475."}}},"ScheduleB":{"attached":false,"required":false},"ScheduleD":{"land_buildings_equipment":{"land":{"other_cost_or_other_basis":937642,"book_value":937642},"buildings":{"other_cost_or_other_basis":362326,"book_value":71635,"depreciation":290691},"total_book_value":1009277},"other_assets":{"assets":[{"description":"EQUITY IN UNCONSOLIDATED SUB","book_value":653223},{"description":"CHARITABLE REMAINDER AND LEAD","book_value":7582480},{"description":"DUE FROM AFFILIATES","book_value":606891}],"total_book_value":8842594},"other_liabilities":{"federal_income_tax_liability":0,"liabilities":[{"description":"Due to Affiliates","amount":606891}],"total_liability":606891},"supplemental_information":[{"identifier":"FIN 48 FOOTNOTE","form_and_line_reference":"SCHEDULE D, PART X, LINE 2","explanation":"THERE WAS NO FIN 48/ASC 740 FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS."}]},"ScheduleI":{"reported_domestic_org_grants":0,"reported_domestic_individual_grants":0,"total_domestic_grants":0},"ScheduleF":{"reported_foreign_grants":0,"regions":[{"region":"Central America and the Caribbean","activity_type":"Program Services","services":"CAPTIVE INSURANCE","total_expenditures":0,"employees":1,"offices":1},{"region":"Central America and the Caribbean","activity_type":"Program Services","services":"CAPTIVE INSURANCE","total_expenditures":11595918,"employees":1,"offices":1},{"region":"Central America and the Caribbean","activity_type":"Program Services","services":"CAPTIVE INSURANCE","total_expenditures":3799392,"employees":1,"offices":1}],"part_i_totals":{"total_offices":3,"total_employees":3,"total_spent":15395310,"subtotal_offices":3,"subtotal_employees":3,"subtotal_spent":15395310},"foreign_forms":{"transfer_to_foreign_corporation":true,"interest_in_foreign_trust":false,"foreign_corporation_ownership":true,"passive_foreign_investment_company":false,"foreign_partnership":false,"boycott_countries":false},"supplemental_information":[{"identifier":"ACTIVITES CONDUCTED IN REGION","form_and_line_reference":"FORM 990, SCHEDULE F, PART I, LINE 3, COLUMN (D)","explanation":"(1) CENTRAL AMERICA/CARIBBEAN REVENUE $0 (2) CENTRAL AMERICA/CARIBBEAN INVESTMENT $11,595,918 (3) CENTRAL AMERICA/CARIBBEAN OPERATING EXEPENSES $3,799,392 TOTAL EXPENDITURES OF THE REGION FORM 990, SCHEDULE F, PART I, LINE 3, COLUMN (F) NORWALK HEALTH SERVICES CORPORATION (NHSC) MAINTAINS INSURANCE COVERAGE THROUGH MAPLE STREET INDEMNITY COMPANY, LTD (MSI)., A RELATED ORGANIZATION BASED IN BERMUDA. MSI USES THE SERVICES OF A MANAGING AGENT IN BERMUDA TO MAINTAIN ALL FINANCIAL BOOKS AND RECORDS FOR MSI.INFORMATION IS REPORTED TO MSI IN ACCORDANCE WITH THE REQUIREMENTS OF THE BERMUDA MONETARY AUTHORITY. INFORMATION RECEIVED IS CONVERTED TO GAAP BASED FINANCIAL REPORTING AND INCLUDED IN THE CONSOLIDATED AUDIT OF NHSC. BASED FINANCIAL REPORTING AND INCLUDED IN THE CONSOLIDATED AUDIT OF NHSC."},{"identifier":"FOREIGN FORMS","form_and_line_reference":"FORM 990, SCHEDULE F, PART IV, LINE 1","explanation":"THE PREMIUM IS PAID BY THE NORWALK HOSPITAL ASSOCIATION."}],"grant_monitoring":{"monitoring_description":"(1) CENTRAL AMERICA/CARIBBEAN REVENUE $0 (2) CENTRAL AMERICA/CARIBBEAN INVESTMENT $11,595,918 (3) CENTRAL AMERICA/CARIBBEAN OPERATING EXEPENSES $3,799,392 TOTAL EXPENDITURES OF THE REGION FORM 990, SCHEDULE F, PART I, LINE 3, COLUMN (F) NORWALK HEALTH SERVICES CORPORATION (NHSC) MAINTAINS INSURANCE COVERAGE THROUGH MAPLE STREET INDEMNITY COMPANY, LTD (MSI)., A RELATED ORGANIZATION BASED IN BERMUDA. MSI USES THE SERVICES OF A MANAGING AGENT IN BERMUDA TO MAINTAIN ALL FINANCIAL BOOKS AND RECORDS FOR MSI.INFORMATION IS REPORTED TO MSI IN ACCORDANCE WITH THE REQUIREMENTS OF THE BERMUDA MONETARY AUTHORITY. INFORMATION RECEIVED IS CONVERTED TO GAAP BASED FINANCIAL REPORTING AND INCLUDED IN THE CONSOLIDATED AUDIT OF NHSC. 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THE AMOUNT PAID DURING THE YEAR, $218,249, HAS BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN B(III)."},{"identifier":"SUPPLEMENTAL COMPENSATION INFORMATION","form_and_line_reference":"SCHEDULE J, PART I, LINE 4B","explanation":"NORWALK HOSPITAL ASSOCIATION( NHA), A RELATED ORGANIZATION OF NORWALK HEALTH SERVICES CORPORATION (NHSC), HAS ESTABLISHED THE NORWALK HOSPITAL SENIOR DEFERRED COMPENSATION PLAN, PRIMARILY FOR THE PURPOSE OF PROVIDING A PROGRAM OF DEFERRED COMPENSATION FOR DANIEL DEBARBA, PRESIDENT AND CEO OF NHA AND NHSC. AMOUNTS PROMISED UNDER THE PLAN ARE BASED ON TARGETED RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PLAN IS SUBJECT TO VESTING, NO AMOUNTS WERE VESTED OR REPORTED AS TAXABLE INCOME ON MR DEBARBA'S 2012 W2."}]},"ScheduleL":{"business_transactions_involving_interested_persons":[{"person_name":"SOUTHERN CONNECTICUT VASCULAR CTR","relationship":"SEE PART V","description":"SEE PART V","amount":42000,"sharing_of_revenues":false,"name":"SOUTHERN CONNECTICUT VASCULAR CTR"},{"person_name":"THE BANKWELL","relationship":"SEE PART V","description":"SEE PART V","amount":3006,"sharing_of_revenues":false,"name":"THE BANKWELL"},{"person_name":"FIRST COUNTRY BANK","relationship":"SEE PART V","description":"SEE PART V","amount":23278,"sharing_of_revenues":false,"name":"FIRST COUNTRY BANK"},{"person_name":"NORWALK MEDICAL GROUP","relationship":"SEE PART V","description":"SEE PART V","amount":155430,"sharing_of_revenues":false,"name":"NORWALK MEDICAL GROUP"}],"supplemental_information":[{"identifier":"BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS","form_and_line_reference":"SCHEDULE L, PART IV, LINE 1","explanation":"PAUL GAGNE, M.D. IS A MEMBER OF THE BOARD OF NORWALK HOSPITAL ASSOCIATION (NHA) AND THE MEDICAL DIRECTOR OF SOUTHERN CONNECTICUT VASCULAR CENTER. NHA PAID SOUTHERN CONNECTICUT VASCULAR CENTER $42,000 FOR CARDIAC AND VASCULAR SERVICES. SCHEDULE L, PART IV, LINE 2 THOMAS AYOUB, FRED AFRAGOLA, VICTOR LISS AND GEORGE BAUER ARE MEMBERS OF THE BOARD OF NHA AND DIRECTORS OF THE BANKWELL. NHA RECEIVED INTEREST INCOME FROM THE BANKWELL IN THE AMOUNT OF $3,006. SCHEDULE L, PART IV, LINE 3 MARY FRANCO IS AN EMPLOYEE OF NHA AND A DIRECTOR OF FIRST COUNTY BANK. NHA RECEIVED INTEREST INCOME FROM FIRST COUNTY BANK IN THE AMOUNT OF $23,278 SCHEDULE L, PART IV, LINE 4 RICHARD ZELKOWITZ, M.D. IS A MEMBER OF THE BOARD OF NHA AND THE MEDICAL DIRECTOR OF NORWALK MEDICAL GROUP. 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NHSC SUPPORTS NHA BY SERVING AS ITS PARENT ORGANIZATION AND COORDINATING LEGAL, ACCOUNTING AND OTHER SERVICES ACROSS NORWALK ENTITIES. IN FISCAL YEAR 2012, THERE WAS A CASH TRANSFER FROM NHA TO NHSC FOR $9,197,064 AS FUNDING LOSS OF NHPS. NHSC THEN TRANSFERRED NET ASSETS OF $5,302,411 TO NHPS, FOR A TOTAL TRANSFER OF $14,999,475."}}},"ScheduleB":{"attached":false,"required":false},"ScheduleD":{"land_buildings_equipment":{"land":{"other_cost_or_other_basis":937642,"book_value":937642},"buildings":{"other_cost_or_other_basis":362326,"book_value":71635,"depreciation":290691},"total_book_value":1009277},"other_assets":{"assets":[{"description":"EQUITY IN UNCONSOLIDATED SUB","book_value":653223},{"description":"CHARITABLE REMAINDER AND LEAD","book_value":7582480},{"description":"DUE FROM AFFILIATES","book_value":606891}],"total_book_value":8842594},"other_liabilities":{"federal_income_tax_liability":0,"liabilities":[{"description":"Due to Affiliates","amount":606891}],"total_liability":606891},"supplemental_information":[{"identifier":"FIN 48 FOOTNOTE","form_and_line_reference":"SCHEDULE D, PART X, LINE 2","explanation":"THERE WAS NO FIN 48/ASC 740 FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS."}]},"ScheduleI":{"reported_domestic_org_grants":0,"reported_domestic_individual_grants":0,"total_domestic_grants":0},"ScheduleF":{"reported_foreign_grants":0,"regions":[{"region":"Central America and the Caribbean","activity_type":"Program Services","services":"CAPTIVE INSURANCE","total_expenditures":0,"employees":1,"offices":1},{"region":"Central America and the Caribbean","activity_type":"Program Services","services":"CAPTIVE INSURANCE","total_expenditures":11595918,"employees":1,"offices":1},{"region":"Central America and the Caribbean","activity_type":"Program Services","services":"CAPTIVE INSURANCE","total_expenditures":3799392,"employees":1,"offices":1}],"part_i_totals":{"total_offices":3,"total_employees":3,"total_spent":15395310,"subtotal_offices":3,"subtotal_employees":3,"subtotal_spent":15395310},"foreign_forms":{"transfer_to_foreign_corporation":true,"interest_in_foreign_trust":false,"foreign_corporation_ownership":true,"passive_foreign_investment_company":false,"foreign_partnership":false,"boycott_countries":false},"supplemental_information":[{"identifier":"ACTIVITES CONDUCTED IN REGION","form_and_line_reference":"FORM 990, SCHEDULE F, PART I, LINE 3, COLUMN (D)","explanation":"(1) CENTRAL AMERICA/CARIBBEAN REVENUE $0 (2) CENTRAL AMERICA/CARIBBEAN INVESTMENT $11,595,918 (3) CENTRAL AMERICA/CARIBBEAN OPERATING EXEPENSES $3,799,392 TOTAL EXPENDITURES OF THE REGION FORM 990, SCHEDULE F, PART I, LINE 3, COLUMN (F) NORWALK HEALTH SERVICES CORPORATION (NHSC) MAINTAINS INSURANCE COVERAGE THROUGH MAPLE STREET INDEMNITY COMPANY, LTD (MSI)., A RELATED ORGANIZATION BASED IN BERMUDA. MSI USES THE SERVICES OF A MANAGING AGENT IN BERMUDA TO MAINTAIN ALL FINANCIAL BOOKS AND RECORDS FOR MSI.INFORMATION IS REPORTED TO MSI IN ACCORDANCE WITH THE REQUIREMENTS OF THE BERMUDA MONETARY AUTHORITY. INFORMATION RECEIVED IS CONVERTED TO GAAP BASED FINANCIAL REPORTING AND INCLUDED IN THE CONSOLIDATED AUDIT OF NHSC. BASED FINANCIAL REPORTING AND INCLUDED IN THE CONSOLIDATED AUDIT OF NHSC."},{"identifier":"FOREIGN FORMS","form_and_line_reference":"FORM 990, SCHEDULE F, PART IV, LINE 1","explanation":"THE PREMIUM IS PAID BY THE NORWALK HOSPITAL ASSOCIATION."}],"grant_monitoring":{"monitoring_description":"(1) CENTRAL AMERICA/CARIBBEAN REVENUE $0 (2) CENTRAL AMERICA/CARIBBEAN INVESTMENT $11,595,918 (3) CENTRAL AMERICA/CARIBBEAN OPERATING EXEPENSES $3,799,392 TOTAL EXPENDITURES OF THE REGION FORM 990, SCHEDULE F, PART I, LINE 3, COLUMN (F) NORWALK HEALTH SERVICES CORPORATION (NHSC) MAINTAINS INSURANCE COVERAGE THROUGH MAPLE STREET INDEMNITY COMPANY, LTD (MSI)., A RELATED ORGANIZATION BASED IN BERMUDA. MSI USES THE SERVICES OF A MANAGING AGENT IN BERMUDA TO MAINTAIN ALL FINANCIAL BOOKS AND RECORDS FOR MSI.INFORMATION IS REPORTED TO MSI IN ACCORDANCE WITH THE REQUIREMENTS OF THE BERMUDA MONETARY AUTHORITY. INFORMATION RECEIVED IS CONVERTED TO GAAP BASED FINANCIAL REPORTING AND INCLUDED IN THE CONSOLIDATED AUDIT OF NHSC. 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NHA EMPLOYS THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: 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. SCHEDULE J, PART I, LINE 4A GEOFFREY COLE RECEIVED PART OF A TWO YEAR SEVERANCE ARRANGEMENT BASED UPON HIS COMPENSATION AT THE TIME OF TERMINATION. THE AMOUNT PAID DURING THE YEAR, $218,249, HAS BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN B(III)."},{"identifier":"SUPPLEMENTAL COMPENSATION INFORMATION","form_and_line_reference":"SCHEDULE J, PART I, LINE 4B","explanation":"NORWALK HOSPITAL ASSOCIATION( NHA), A RELATED ORGANIZATION OF NORWALK HEALTH SERVICES CORPORATION (NHSC), HAS ESTABLISHED THE NORWALK HOSPITAL SENIOR DEFERRED COMPENSATION PLAN, PRIMARILY FOR THE PURPOSE OF PROVIDING A PROGRAM OF DEFERRED COMPENSATION FOR DANIEL DEBARBA, PRESIDENT AND CEO OF NHA AND NHSC. AMOUNTS PROMISED UNDER THE PLAN ARE BASED ON TARGETED RETIREMENT BENEFITS. 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NHA PAID SOUTHERN CONNECTICUT VASCULAR CENTER $42,000 FOR CARDIAC AND VASCULAR SERVICES. SCHEDULE L, PART IV, LINE 2 THOMAS AYOUB, FRED AFRAGOLA, VICTOR LISS AND GEORGE BAUER ARE MEMBERS OF THE BOARD OF NHA AND DIRECTORS OF THE BANKWELL. NHA RECEIVED INTEREST INCOME FROM THE BANKWELL IN THE AMOUNT OF $3,006. SCHEDULE L, PART IV, LINE 3 MARY FRANCO IS AN EMPLOYEE OF NHA AND A DIRECTOR OF FIRST COUNTY BANK. NHA RECEIVED INTEREST INCOME FROM FIRST COUNTY BANK IN THE AMOUNT OF $23,278 SCHEDULE L, PART IV, LINE 4 RICHARD ZELKOWITZ, M.D. IS A MEMBER OF THE BOARD OF NHA AND THE MEDICAL DIRECTOR OF NORWALK MEDICAL GROUP. 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