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STAMFORD HOSPITAL: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
STAMFORD HOSPITAL (EIN 06-0646917)
Tax period
2022-10-01 to 2023-09-30
Filed
2024-08-14
IRS object ID
202442279349303574
Schema version
2022v5.0
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)
Return2024-08-14T19:02:17+00:00ReturnTs
Tax Period End2023-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1ONE MANHATTAN WESTAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP100018604ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN060646917EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Stamford HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTAMBusinessNameControlTxt
Phone2032761000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE HOSPITAL PLAZA PO BOX 9317AddressLine1Txt
CitySTAMFORDCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06902ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL VEILLETTEPersonNm
Person TitleSVP/CEOPersonTitleTxt
Phone2032761000PhoneNum
Signature2024-08-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNicole SokolowskiPreparerPersonNm
PTINP01683199PTIN
Phone2127733000PhoneNum
Preparation2024-08-09PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2024-08-08 14:25:15ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHAEL VEILLETTEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE HOSPITAL PLAZA PO BOX 9317AddressLine1Txt
CitySTAMFORDCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06902ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$798,770,059GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STAMFORDHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionTOGETHER WITH OUR PHYSICIANS WE PROVIDE A BROAD RANGE OF HIGH-QUALITY HEALTH AND WELLNESS SERVICES FOCUSED ON THE NEEDS OF OUR COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee3540TotalEmployeeCnt
Total Volunteers230TotalVolunteersCnt
Total Gross UBI$1,325,626TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$1,179,127NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$15,267,630PYContributionsGrantsAmt
CY Contributions Grants$17,965,057CYContributionsGrantsAmt
PY Program Service Revenue$702,285,573PYProgramServiceRevenueAmt
CY Program Service Revenue$735,102,909CYProgramServiceRevenueAmt
PY Investment Income$4,858,418PYInvestmentIncomeAmt
CY Investment Income$6,776,632CYInvestmentIncomeAmt
PY Other Revenue$32,206,980PYOtherRevenueAmt
CY Other Revenue$16,215,750CYOtherRevenueAmt
PY Total Revenue$754,618,601PYTotalRevenueAmt
CY Total Revenue$776,060,348CYTotalRevenueAmt
PY Grants And Similar Paid$2,000,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,000,000CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$316,460,191PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$322,482,807CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$3,113,310CYTotalFundraisingExpenseAmt
PY Other Expenses$354,590,650PYOtherExpensesAmt
CY Other Expenses$444,582,977CYOtherExpensesAmt
PY Total Expenses$673,050,841PYTotalExpensesAmt
CY Total Expenses$769,065,784CYTotalExpensesAmt
PY Revenues Less Expenses$81,567,760PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,994,564CYRevenuesLessExpensesAmt
Total Assets BOY$1,194,501,990TotalAssetsBOYAmt
Total Assets EOY$1,179,419,408TotalAssetsEOYAmt
Total Liabilities BOY$690,496,154TotalLiabilitiesBOYAmt
Total Liabilities EOY$643,804,090TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$504,005,836NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$535,615,318NetAssetsOrFundBalancesEOYAmt
MissionTOGETHER WITH OUR PHYSICIANS WE PROVIDE A BROAD RANGE OF HIGH-QUALITY HEALTH AND WELLNESS SERVICES FOCUSED ON THE NEEDS OF OUR COMMUNITIES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$604,998,777ExpenseAmt
Grant$2,000,000GrantAmt
Revenue$748,043,414RevenueAmt
DescKEY OPERATING STATISTICS FOR THE YEAR ENDED 9/30/2023 INCLUDE: ADULT AND PEDIATRIC INPATIENTS CARED FOR AND DISCHARGED 15,626; BABIES BORN 2,289; TOTAL INPATIENT DAYS OF CARE PROVIDED 80,428; PATIENTS SEEKING CARE IN THE STAMFORD HOSPITAL EMERGENCY ROOM: ADMITTED FOR INPATIENT TREATMENT 8,687; TREATED AND RELEASED 52,405; TREATED AT TULLY IMMEDIATE CARE CENTER 27,502; SURGERIES PERFORMED AT THE HOSPITAL AND TULLY CENTER 13,727; RADIATION THERAPY PROCEDURES PERFORMED 250,846.Desc
Total Program Service Expenses$604,998,777TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document537IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3540EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCTStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHAEL VEILLETTE SVPCFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2032761000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE HOSPITAL PLAZA PO BOX 9317AddressLine1Txt
CitySTAMFORDCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06904ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Kathleen Silard
President & CEO38.02.0Yes (X)Yes (X)$2,065,183$0$48,483
Chad Spooner
Director2.02.0Yes (X)$0$0$0
Cheryl De Vonish
Director2.02.0Yes (X)$0$0$0
Elizabeth Zea
Director2.02.0Yes (X)$0$0$0
Enrique Chang
Director2.02.0Yes (X)$0$0$0
James Thomas
Chairman2.02.0Yes (X)$0$0$0
Lucy Galbraith
Director2.02.0Yes (X)$0$0$0
Maher Madhoun MD
PHYSICIAN Director38.02.0Yes (X)$626,431$0$47,821
Mallory Martino
Director2.02.0Yes (X)$0$0$0
Matthew Dumas
Director2.02.0Yes (X)$0$0$0
Michael Diliberto
Director2.02.0Yes (X)$0$0$0
Michael Ebright MD
Physician Director (SHMG)2.038.0Yes (X)$0$791,875$51,768
Patrick Hackett
Director2.02.0Yes (X)$0$0$0
Paul Giusti
Director2.02.0Yes (X)$0$0$0
Shara Israel MD
Physician Director (SHMG)2.038.0Yes (X)$0$310,515$83,372
Elaine Guglielmo
Sr. VP HR ganization Development38.02.0Yes (X)$740,133$0$43,364
Elizabeth Longmore
Sr. VP Operations, COO20.020.0Yes (X)$348,844$397,935$30,892
Michael Veillette
Sr. VP FINANCE CFO38.02.0Yes (X)$982,512$0$51,691
Beth Davis
Sr. VP General Counsel38.02.0$798,514$0$48,118Yes (X)
David Yuh MD
Physician38.02.0$1,181,836$0$74,966Yes (X)
Michael Coady MD
Chief of Cardiac Surgery38.02.0$953,357$0$46,648Yes (X)
Rohit Bhalla MD
Sr. VP-Clinical Affairs & Quality38.02.0$944,165$0$54,597Yes (X)
Todd Miller MD
Chief Neuro Interv. Services38.02.0$993,522$0$48,359Yes (X)
Jonathan Bailey
Termed - Sr. VP Operations COO0.00.0$559,471$0$46,887Yes (X)
Kevin Gage
Termed - Sr. VP Finance CFO0.00.0$127,542$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$10,321,510TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,500,325TotReportableCompRltdOrgAmt
Total Other Compensation$676,966TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K963IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
HEMATOLOGY ONCOLOGY ASSOCIATES PC
ONE HOSPITAL PLAZASTAMFORDCT06904PHYSICIAN FEES/ONCOLOGY$6,299,494
THE CHARTIS GROUP LLC
220 WEST KINZIECHICAGOCT60654CONSULTING$3,766,7455TH FLOOR
DOWNES CONSTRUCTION COMPANY
200 STANLEY STREETNEW BRITAINCT06051CONSTRUCTION$3,280,544
ECLINICALWORKS LLC
TWO TECHNOLOGY DRIVEWESTBOROUGHMA01581CAP/SYSTEMS & SUPPORT$2,015,345
PUSTOLA & ASSOCIATES ENGINEERS
185 MEADOW STREETNAUGATUCKCT06770CONSTRUCTION$1,716,543
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K82CntrctRcvdGreaterThan100KCnt
Fundraising$1,397,482FundraisingAmt
Government Grants$178,416GovernmentGrantsAmt
All Other Contributions$16,389,159AllOtherContributionsAmt
Noncash Contributions$375,572NoncashContributionsAmt
Total Contributions$17,965,057TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT REVENUE621300$474,738,536$474,738,536
PHYSICIAN BILLING621110$3,888,988$3,888,988
WELLNESS AND TRAINING621400$1,718,306$1,718,306
MEDICARE/MEDICAID PAYMENT621400$253,577,952$253,577,952
REFERENCE LAB INCOME621500$1,179,127$1,179,127

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$735,102,909TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,094,164TotalRevenueColumnAmt
Unrelated Business Revenue$66,303UnrelatedBusinessRevenueAmt
Exclusion$5,027,861ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$3,723,773RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,430,630RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,293,143RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,293,143TotalRevenueColumnAmt
Unrelated Business Revenue-$52,508UnrelatedBusinessRevenueAmt
Exclusion$2,345,651ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$22,485,965SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$20,803,497SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,682,468SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,682,468TotalRevenueColumnAmt
Exclusion$1,682,468ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$145,855FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$1,397,482ContriRptFundraisingEventAmt
Fundraising Direct Expenses$475,584FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$329,729TotalRevenueColumnAmt
Exclusion-$329,729ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INTERCOMPANY STAFFING900099$3,372,744$3,372,744
Income On Beneficial Interest In Trust$3,362,355$3,362,355
PHARMACY - 340B900099$2,761,904$2,761,904

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,755,333TotalRevenueColumnAmt
Related Or Exempt Func Income$4,622,629RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$132,704UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$14,252,336OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$776,060,348TotalRevenueColumnAmt
Related Or Exempt Func Income$748,043,414RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,325,626UnrelatedBusinessRevenueAmt
Exclusion$8,726,251ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,000,000TotalAmt
Program Services$2,000,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,060,109TotalAmt
Management And General$5,060,109ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$264,869,294TotalAmt
Program Services$227,842,892ProgramServicesAmt
Management And General$36,068,413ManagementAndGeneralAmt
Fundraising$957,989FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$12,708,615TotalAmt
Program Services$10,727,130ProgramServicesAmt
Management And General$1,936,382ManagementAndGeneralAmt
Fundraising$45,103FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$20,010,044TotalAmt
Program Services$16,890,144ProgramServicesAmt
Management And General$3,048,884ManagementAndGeneralAmt
Fundraising$71,016FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$19,834,745TotalAmt
Program Services$16,742,177ProgramServicesAmt
Management And General$3,022,174ManagementAndGeneralAmt
Fundraising$70,394FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,554,741TotalAmt
Program Services$1,554,741ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,986,476TotalAmt
Program Services$380,225ProgramServicesAmt
Management And General$3,606,251ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$621,132TotalAmt
Management And General$621,132ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$163,036TotalAmt
Management And General$163,036ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$193,776,612TotalAmt
Program Services$111,243,848ProgramServicesAmt
Management And General$82,340,715ManagementAndGeneralAmt
Fundraising$192,049FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,410,472TotalAmt
Program Services$184,180ProgramServicesAmt
Management And General$4,710,338ManagementAndGeneralAmt
Fundraising$1,515,954FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$13,094,464TotalAmt
Program Services$9,266,745ProgramServicesAmt
Management And General$3,783,181ManagementAndGeneralAmt
Fundraising$44,538FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$12,242,260TotalAmt
Program Services$479,245ProgramServicesAmt
Management And General$11,763,015ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$34,484,487TotalAmt
Program Services$31,614,737ProgramServicesAmt
Management And General$2,867,425ManagementAndGeneralAmt
Fundraising$2,325FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$336,496TotalAmt
Program Services$128,842ProgramServicesAmt
Management And General$192,845ManagementAndGeneralAmt
Fundraising$14,809FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$282,643TotalAmt
Program Services$282,643ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$38,021TotalAmt
Program Services$38,021ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$39,373,045TotalAmt
Program Services$39,373,045ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$10,612,549TotalAmt
Program Services$10,612,549ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL EXPENSES$107,564,472$107,564,460$12
SERVICE CONTRACTS$13,793,059$13,907,552$79,901-$194,394
SUBSCRIPTIONS DUES MBRSHP$5,077,566$3,675,380$13,444$1,388,742
NON COLLEGE EDUCATION$561,028$485,066$1,690$74,272

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$610,418TotalAmt
Program Services$5,155ProgramServicesAmt
Management And General$501,177ManagementAndGeneralAmt
Fundraising$104,086FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$769,065,784TotalAmt
Program Services$604,998,777ProgramServicesAmt
Management And General$160,953,697ManagementAndGeneralAmt
Fundraising$3,113,310FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$50,811BOYAmt
EOY$50,811EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$142,745,024BOYAmt
EOY$95,249,135EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$10,763,260BOYAmt
EOY$16,396,421EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$107,032,404BOYAmt
EOY$121,224,210EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$19,514,173BOYAmt
EOY$20,747,579EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$13,614,652BOYAmt
EOY$16,142,299EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,239,483,402LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$665,062,682LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$574,065,841BOYAmt
EOY$574,420,720EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$194,524,650BOYAmt
EOY$215,696,291EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$10,555,707BOYAmt
EOY$7,964,458EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$121,635,468BOYAmt
EOY$111,527,484EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,194,501,990BOYAmt
EOY$1,179,419,408EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$149,182,391BOYAmt
EOY$122,760,050EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$3,383,082BOYAmt
EOY$2,549,479EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$422,772,359BOYAmt
EOY$410,746,333EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$12,131,484BOYAmt
EOY$12,254,141EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$103,026,838BOYAmt
EOY$95,494,087EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$690,496,154BOYAmt
EOY$643,804,090EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$404,776,046BOYAmt
EOY$441,151,766EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$99,229,790BOYAmt
EOY$94,463,552EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$504,005,836BOYAmt
EOY$535,615,318EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,194,501,990BOYAmt
EOY$1,179,419,408EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$6,994,564ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$12,822,308NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$11,792,610OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$163,036OtherActivitiesAmt
Total Lobbying Expenditures$163,036TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationTHE HOSPITAL CONTRACTS LOBBYING FIRMS WHO LOBBY LEGISLATIVE ACTION ON BEHALF OF THE HOSPITAL AND THE HEALTHCARE INDUSTRY. ADDITIONALLY, THE HOSPITAL PAYS DUES TO ORGANIZATIONS THAT USE A PORTION OF THE DUES FOR HEALTHCARE LOBBYING EXPENSES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$99,229,789BeginningYearBalanceAmt
Contributions$14,474,352ContributionsAmt
Investment Earnings Or Losses$6,648,657InvestmentEarningsOrLossesAmt
Other Expenditures$25,889,248OtherExpendituresAmt
End Year Balance$94,463,550EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$108,099,197BeginningYearBalanceAmt
Contributions$10,034,142ContributionsAmt
Investment Earnings Or Losses-$17,287,362InvestmentEarningsOrLossesAmt
Other Expenditures$1,616,188OtherExpendituresAmt
End Year Balance$99,229,789EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$86,167,230BeginningYearBalanceAmt
Contributions$20,642,371ContributionsAmt
Investment Earnings Or Losses$2,580,331InvestmentEarningsOrLossesAmt
Other Expenditures$1,290,735OtherExpendituresAmt
End Year Balance$108,099,197EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$83,389,246BeginningYearBalanceAmt
Contributions$4,427,715ContributionsAmt
Investment Earnings Or Losses$2,192,409InvestmentEarningsOrLossesAmt
Other Expenditures$3,842,140OtherExpendituresAmt
End Year Balance$86,167,230EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$83,170,030BeginningYearBalanceAmt
Contributions$3,360,013ContributionsAmt
Investment Earnings Or Losses-$192,923InvestmentEarningsOrLossesAmt
Other Expenditures$2,947,874OtherExpendituresAmt
End Year Balance$83,389,246EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.6981PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.3019TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$40,334,794OtherCostOrOtherBasisAmt
Book Value$40,334,794BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$503,376,781OtherCostOrOtherBasisAmt
Depreciation$210,695,216DepreciationAmt
Book Value$292,681,565BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,130,929OtherCostOrOtherBasisAmt
Depreciation$12,736,318DepreciationAmt
Book Value$3,394,611BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$619,073,618OtherCostOrOtherBasisAmt
Depreciation$441,631,148DepreciationAmt
Book Value$177,442,470BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$60,567,280OtherCostOrOtherBasisAmt
Book Value$60,567,280BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$574,420,720TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (13 entries)

DescDescBook ValueBookValueAmt
MISCELLANEOUS RECEIVABLE$8,762,745
DONOR RESTRICTED FUNDS
DUE FROM AFFILIATES$20,243,540
RECOVERABLE LOSSES$3,947,286
DEPOSITS$606,088
ORGANIZATION COSTS$2,815,513
OPERATING LEASE ASSETS, NET$27,508,677
BARRETT HOLDINGS$7,835,000
LT PENSION - DB ASSET$30,644,599
Accrued Interest$127,113
Third Party Settlement$7,538,081
Rental Revenue Receivable$112,144
DUE TO AFFILIATES$1,386,698
FieldValueIRS element (for citing)
Total Book Value Other Assets$111,527,484TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
CHARITABLE GIFT ANNUITY PAYABLE$42,851
EST THIRD PARTY SETTLEMENTS$1,504,700
PENSION LIABILITY$1,138,403
EST FOR PROFESSIONAL LIABILITY$61,590,043
DEFERRED FICA LIABILITY
OPERATING LEASE LIABILITY$31,218,090
DUE TO AFFILIATES$0
FieldValueIRS element (for citing)
Total Liability$95,494,087TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part V, Line 4 Intended uses of endowment fundsFormAndLineReferenceDesc
ExplanationTHE ENDOWMENT CONSISTS OF TEMPORARILY OR PERMANENTLY RESTRICTED CONTRIBUTIONS RECEIVED WITH DONOR STIPULATIONS THAT LIMIT THE USE OF THE DONATED ASSETS. TEMPORARILY RESTRICTED CONTRIBUTIONS ARE AVAILABLE FOR CERTAIN HEALTH CARE SERVICES AS DEFINED IN THE DONOR AGREEMENTS. PERMANENTLY RESTRICTED NET ASSETS ARE RESTRICTED TO INVESTMENTS TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS EXPENDABLE TO SUPPORT HEALTH SERVICES.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1CORP INVITATIONALEvent1Nm
Gross Receipts Event1$217,500GrossReceiptsEvent1Amt
Charitable Contri Event1$156,600CharitableContriEvent1Amt
Gross Revenue Event1$60,900GrossRevenueEvent1Amt
Cash Prizes Event1$3,704CashPrizesEvent1Amt
Other Direct Expenses Event1$304,357OtherDirectExpensesEvent1Amt
Event2WESTERN HOEDOWNEvent2Nm
Gross Receipts Event2$190,909GrossReceiptsEvent2Amt
Charitable Contri Event2$166,659CharitableContriEvent2Amt
Gross Revenue Event2$24,250GrossRevenueEvent2Amt
Other Direct Expenses Event2$31,041OtherDirectExpensesEvent2Amt
Other Events Total5OtherEventsTotalCnt
Gross Receipts Other Events$1,134,928GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$1,074,223CharitableContriOtherEventsAmt
Gross Revenue Other Events$60,705GrossRevenueOtherEventsAmt
Cash Prizes Other Events$7,852CashPrizesOtherEventsAmt
Oth Direct Expnss Other Events$128,630OthDirectExpnssOtherEventsAmt
Gross Receipts Total$1,543,337GrossReceiptsTotalAmt
Charitable Contributions Tot$1,397,482CharitableContributionsTotAmt
Gross Revenue Total Events$145,855GrossRevenueTotalEventsAmt
Cash Prizes Total Events$11,556CashPrizesTotalEventsAmt
Oth Direct Expnss Total Events$464,028OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$475,584DirectExpenseSummaryEventsAmt
Net Income Summary-$329,729NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,803,848TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,803,848NetCommunityBenefitExpnsAmt
Total Expense0.0127TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$186,840,822TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$95,307,292DirectOffsettingRevenueAmt
Net Community Benefit Expns$91,533,530NetCommunityBenefitExpnsAmt
Total Expense0.1190TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$196,644,670TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$95,307,292DirectOffsettingRevenueAmt
Net Community Benefit Expns$101,337,378NetCommunityBenefitExpnsAmt
Total Expense0.1318TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs9ActivitiesOrProgramsCnt
Persons Served629PersonsServedCnt
Total Community Benefit Expns$946,193TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$946,193NetCommunityBenefitExpnsAmt
Total Expense0.0012TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$301,345TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$301,345NetCommunityBenefitExpnsAmt
Total Expense0.0004TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,286,927TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$108,500DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,178,427NetCommunityBenefitExpnsAmt
Total Expense0.0015TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,705,594TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,705,594NetCommunityBenefitExpnsAmt
Total Expense0.0035TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs9ActivitiesOrProgramsCnt
Persons Served629PersonsServedCnt
Total Community Benefit Expns$5,240,059TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$108,500DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,131,559NetCommunityBenefitExpnsAmt
Total Expense0.0067TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs9ActivitiesOrProgramsCnt
Persons Served629PersonsServedCnt
Total Community Benefit Expns$201,884,729TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$95,415,792DirectOffsettingRevenueAmt
Net Community Benefit Expns$106,468,937NetCommunityBenefitExpnsAmt
Total Expense0.1384TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$79,435,166BadDebtExpenseAmt
Bad Debt Expense Attributable$20,089,153BadDebtExpenseAttributableAmt
Reimbursed By Medicare$120,307,398ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$138,456,734CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$18,149,336MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE STAMFORD HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE HOSPITAL PLAZAAddressLine1Txt
CitySTAMFORDCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06904ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.STAMFORDHEALTH.ORGWebsiteAddressTxt
State License0059StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1THE STAMFORD HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://www.stamfordhealth.org/about/community/OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://www.stamfordhealth.org/about/community/StrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.0FPGFamilyIncmLmtDscntCarePct
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.stamfordhealth.org/patients/fap/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.stamfordhealth.org/patients/fap/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.stamfordhealth.org/patients/fap/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - THE STAMFORD HOSPITAL. For its 2022 CHNA which was adopted by the Stamford Health Board in July 2022, Stamford Health took into account input from persons who represent the community. Many individuals providing input represent medically underserved, low-income, and minority populations. Input was obtained through a quantitative survey instrument to which 404 Stamford residents responded and 74 Darien residents responded. Qualitative responses were obtained through individual, small group and focus group interviews. Below are organizations from which feedback was gathered in the form of either an interview, small group or focus group interviews: Americares, Boys & Girls Club, Building One Community, Children's Health Collaborative, City of Stamford, Community Health Center, Inc., Connecticut Department of Children and Families, Darien Post 53, Darien Public Schools, Darien Senior Center, Domestic Violence Crisis Center, Faith Tabernacle Missionary Baptist Church, Family Centers, Charter Oak Communities, Independent Physician, Inspirica, Kids in Crisis, OPTIMUS Health Care, Person to Person, Shop Rite / Wakefern, SilverSource, Stamford EMS, Stamford Health, Stamford Health Commission, Stamford Public Schools, Stamford Senior Center, The Child Guidance Center of Southern Connecticut, The Community Fund of Darien, The Depot, Thriving Youth Taskforce, Town of Darien. After the quantitative and qualitative surveys were completed, Stamford Hospital identified a working group that identified the top unmet health needs indicated in the data and interviews. The working group included Stamford Hospital leaders including physicians and external representatives of nonprofit organizations serving socially vulnerable residents and public health departments. Another working group was responsible for developing a community health strategic improvement plan (CHIP) to address health strategic priorities to address the CHNA's top unmet needs. The working group included representatives from quality, nursing, case management, ambulatory, finance, and service line teams. As the working group built the CHIP, it considered the programs, organizations, and facilities available in the community to help address the identified health priorities.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - THE STAMFORD HOSPITAL. Stamford Health's 2022 CHNA was reviewed and adopted by the Hospital's leadership team and Board of Directors in July 2022. For Stamford Health's 2023 Fiscal Year, the hospital was still addressing priorities identified in the 2022 CHNA and related 2023 CHIP. Stamford Health's 2023 CHIP activities began in Fiscal Year 2023. The top three needs identified in Stamford Health's 2022 CHNA were (1) behavioral health, (2) access to primary and preventive care, and (3) housing. Specific strategies in which Stamford engaged in included: developing a behavioral health strategic plan and hosting community-wide discussions to determine service gaps and identify steps Stamford Health and the community can take to address them; expanding a behavioral health program with Liberation Programs to embed behavioral health services in select medical group offices; establishing new, streamlined process for outreach and transfers from community organizations; supporting the Youth Mental Health Alliance collaboration with funding and Stamford Health psychiatry leadership assistance; completing an ambulatory network plan with the goal of increasing capacity to Stamford Health's outpatient services; increasing capacity to serve the community by adding new physicians, advance practice practitioners, and other clinicians and opening new offices; educating underserved patients about appropriate care settings and available resources in the community; providing medical education to underserved populations; supporting nonprofit organizations in Stamford who provide social and health services to underserved populations through donations and service on their boards by hospital leaders; obtaining funding to hire two community health workers who speak Spanish and Haitian Creole and who help vulnerable populations navigate the health system; optimizing schedules of the medical group to expand capacity. advocating for more housing and shelter funding.
FieldValueIRS element (for citing)
Facility0FacilityNum

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 20d FORM 990, SCHEDULE H, PART V, SECTION B, LINE 20DFOR AN INDIVIDUAL WHOSE INCOME IS BETWEEN 200% AND 400% OF THE FPG, STAMFORD HOSPITAL SHALL DETERMINE THE LEVEL OF DISCOUNT FOR THE SERVICE IF THE PATIENT'S HOUSEHOLD GROSS YEARLY INCOME MEETS OR DOES NOT EXCEED FOUR TIMES THE MOST RECENT FPG, ACCORDING TO STAMFORD HOSPITAL'S FINANCIAL ASSISTANCE CALCULATION TABLE. THE DISCOUNT WILL BE APPLIED TO THE PATIENT'S OBLIGATION, WHICH, FOR UNINSURED PATIENTS, IS THE AGB BASED ON THE LOOK-BACK METHOD. FOR INSURED PATIENTS, THE DEDUCTIBLE, COPAYMENT OR COINSURANCE OBLIGATION WILL BE DETERMINED USING THE FPG FOR THE PATIENT'S GROSS HOUSEHOLD YEARLY INCOME AND THE STAMFORD HOSPITAL FINANCIAL ASSISTANCE CALCULATION TABLE.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountTHE COST OF BAD DEBT EXPENSE IS ESTIMATED BASED ON THE BAD DEBT PROVISION AT CHARGE, APPLIED TO THE RATIO OF TOTAL PATIENT CARE EXPENSES TO TOTAL CHARGES FOR ALL SERVICES RENDERED. ANY PAYMENTS OR DISCOUNTS ARE EXCLUDED FROM BAD DEBT EXPENSE.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteIN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTYCOVERAGE, TSH ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), TSH RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsTREATMENT OF MEDICARE SHORTFALL AS COMMUNITY BENEFIT TO THE EXTENT THERE IS A MEDICARE 'SHORTFALL', THE HOSPITAL HAS PROVIDED SERVICES AND IS REIMBURSED LESS THAN THE COST OF THOSE SERVICES. THIS TRANSFER OF VALUE BENEFITS THE PATIENT AND ARGUABLY (DIRECTLY AND INDIRECTLY) THE COMMUNITY IN WHICH THEY LIVE.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceCOLLECTION PRACTICES APPLICATION OF COLLECTION PRACTICES QUALIFYING FOR FINANCIAL ASSISTANCE ALL COLLECTION EFFORTS CEASE AT ANY POINT IN THE PROCESS IF THE PATIENT APPLIES FOR FREE BED FUNDS OR FINANCIAL ASSISTANCE.
Schedule H, Part V, Section B, Line 16a FAP website- THE STAMFORD HOSPITAL: Line 16a URL: https://www.stamfordhealth.org/patients/fap/;
Schedule H, Part V, Section B, Line 16b FAP Application website- THE STAMFORD HOSPITAL: Line 16b URL: https://www.stamfordhealth.org/patients/fap/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- THE STAMFORD HOSPITAL: Line 16c URL: https://www.stamfordhealth.org/patients/fap/;
Schedule H, Part VI, Line 2 Needs assessmentIn addition to the CHNA assessments of the community's needs, Stamford Health continuously assesses the needs through numerous means. First, Stamford Health participates in community-wide collaborations at which the needs of residents, particularly those experiencing challenges are discussed and addressed. Examples of these collaborations include the following collaborations: Vita, which is a Stamford-based collaboration of about 50 nonprofit organizations which meet on an at least monthly basis to discuss community challenges and approaches to addressing those challenges. Stamford Health co-leads this collaboration with the City's public housing authority, known as Charter Oak Community. Participants include food pantries and soup kitchens, Stamford's four FQHCs, the City of Stamford's Public Health and Social Services Department, school system, and Police Department, local clergy, Kids in Crisis, Building One Community (an immigrant organization), Domus, Boys & Girls Club, homeless shelters, St. Joseph's Parenting Initiative, the United Way of Western CT. Cradle to Career, a Stamford-based collaboration whose mission is to align community resources to measurably improve outcomes for Stamford's youth so they may succeed in education, careers and life. Community Care Team (CCT) which provides intensive services to help to stabilize members of the community who experience very substantial difficulties which often include homelessness, mental health issues and substance use disorder. Youth Mental Health Alliance which aligns services and information to prevent, provide early intervention and access to resources to promote mental wellness throughout the community. KIDS' FANS (Fitness and Nutrition Services) which promotes childhood wellness, obesity prevention, and physical activity using a hands-on curriculum that is designed to make learning about healthy eating and regular exercise engaging and interactive for children ages pre-K to high school. It is a behavioral modification and lifestyle intervention program which empowers children to make healthy behavior choices by giving them the tools and skills they need to best navigate their food and physical activity environments. In addition to collaborations, Stamford Health assesses the needs of the community by, among other ways, participation in local, regional and statewide economic development boards and workforce development initiatives; periodic meetings between Stamford Health leadership and community organization leaders; service on boards of local nonprofits serving the underserved such as Building One Community, Pacific House, Greenwich YWCA, the Domestic Violence Crisis Center, and Liberation Programs, among others, and meetings with the Patient and Families Advisory Council; and receiving requests from community organizations for physician education lectures.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistancePATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE STAMFORD HOSPITAL USES SEVERAL VENUES TO NOTIFY OUR PATIENTS OF THE AVAILABLE FINANCIAL OPTIONS. 1) SIGNAGE IS DISPLAYED IN ENGLISH AND SPANISH IN THE FOLLOWING AREAS: * EMERGENCY ROOM WAITING ROOMS AND REGISTRATION WORKSTATIONS * IMMEDIATE CARE CENTER WAITING ROOM * PATIENT REGISTRATION AREAS ON THE MAIN CAMPUS AND TULLY CAMPUS * CASHIER'S OFFICE, OFFICES OF THE FINANCIAL COUNSELORS, RECEPTION AREA OF THE PATIENT BUSINESS SERVICES DEPARTMENT * ANCILLARY DEPARTMENTS *THE FAP POLICIES ARE LOCATED ON OUR INTRANET PAGE AND INCLUDE THE PLAIN LANGUAGE SUMMARY ALONG WITH A FAP Application. * BROCHURES ARE ALSO AVAILABLE IN CREOLE AND POLISH. 2) THE HOSPITAL'S BILLING STATEMENTS INCLUDE AN INFORMATIONAL PAGE THAT IS PRINTED ON THE REVERSE SIDE OF THE STATEMENT OUTLINING THE FINANCIAL OPTIONS. 3) THE "ARE YOU UNINSURED NOTICE" IN ENGLISH AND SPANISH IS ATTACHED TO THE TRUE SELF PAY STATEMENTS. 4) STAFFING: * SOCIAL SERVICES DEPARTMENT * CASE MANAGEMENT DEPARTMENT * PATIENT REGISTRATION HAS THREE FULL TIME BILINGUAL FINANCIAL COUNSELOR * PATIENT BUSINESS SERVICES HAS TWO FULL TIME BILINGUAL FINANCIAL COUNSELORS. * A TSH FINANCIAL COUNSELOR HOLDS EDUCATIONAL AND COUNSELING SESSIONS IN THE OPTIMUS AND STAMFORD HOSPITAL CLINICS ONCE PER WEEK. * HAND-OUTS ARE PROVIDED TO PATIENTS BY THE FINANCIAL COUNSELORS AT THE CLINICS AND THE COMMUNITY HEALTH CENTERS. * PATIENTS ARE SCREENED FOR FEDERAL OR STATE PROGRAMS, AND THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM (FAP) BY FINANCIAL ASSISTANCE COUNSELORS. 5) NOTIFICATIONS: PATIENTS RECEIVE APPROVAL OR DENIAL LETTERS AND, IF ELIGIBLE, FINANCIAL ASSISTANCE PROGRAM IDENTIFICATION CARDS.
Schedule H, Part VI, Line 4 Community informationSTAMFORD HEALTH PROVIDES A BROAD RANGE OF COMMUNITY OUTREACH AND EDUCATIONAL SERVICES TO RESIDENTS OF PREDOMINANTLY ITS PRIMARY SERVICE AREA (PSA) AND SECONDARY SERVICE AREA (SSA) THAT INCLUDE 12 COMMUNITIES IN SOUTHERN FAIRFIELD COUNTY, CT. THE HOSPITAL'S SERVICE AREA WAS DEVELOPED THROUGH THE STRATEGIC PLANNING PROCESS AND IS DEFINED IN STAMFORD HEALTH'S STRATEGIC PLAN. THE HOSPITAL'S COMBINED PSA AND SSA INCLUDE AN ESTIMATED 127,644 HOUSEHOLDS WITH A TOTAL POPULATION OF 376,161 RESIDENTS. THE PSA INCLUDES THE COMMUNITIES OF STAMFORD, DARIEN, AND ROWAYTON, WITH AN ESTIMATED 55,775 HOUSEHOLDS AND A TOTAL POPULATION OF 152,587. STAMFORD COMPRISES AN ESTIMATED 47,675 HOUSEHOLDS WITH A TOTAL POPULATION OF 127,289. THE SSA INCLUDES THE COMMUNITIES OF GREENWICH, COS COB, RIVERSIDE, OLD GREENWICH, NEW CANAAN, NORWALK, WESTPORT, WESTON, AND WILTON, WITH AN ESTIMATED 79,969 HOUSEHOLDS AND A TOTAL POPULATION OF 223,574. FOR THE PSA, 25.2% OF THE POPULATION IS ESTIMATED TO BE 19 YEARS OF AGE OR LESS; 35.8% IS 20 - 44; 26.0% IS 45-64; AND 13.0% IS 65 YEARS OF AGE AND OLDER. THE SSA HAS A SLIGHTLY OLDER AGE DISTRIBUTION WITH AN ESTIMATED 27.3% OF ITS POPULATION 19 YEARS OF AGE OR LESS; 27.5% IS 20-44; 30.3% IS 45-64; AND 14.9% 65 YEARS OF AGE AND OLDER. REGARDING RACE/ETHNICITY, OF THE ESTIMATED POPULATION IN THE PSA, 56.2% OF RESIDENTS ARE WHITE; 23.8% ARE HISPANIC; 11.8% BLACK; 7.5% ASIAN; AND THE REMAINING PORTION OF THE POPULATION IS MULTI-RACIAL, NATIVE AMERICAN, PACIFIC ISLANDER, OR OTHER. STAMFORD IS ESTIMATED TO HAVE A MORE RACIALLY DIVERSE POPULATION THAN THE PSA AND SSA WITH THE BLACK POPULATION REPRESENTING 14.0%, HISPANIC POPULATION REPRESENTING 26.6% AND ASIAN POPULATION REPRESENTING 8.1% OF ITS TOTAL POPULATION. FOR THE SSA, 70.1% OF THE TOTAL ESTIMATED POPULATION IS WHITE; 6.9% BLACK; 14.7% HISPANIC; 6.1% ASIAN; AND THE REMAINING PORTION OF THE POPULATION IS MULTI-RACIAL, NATIVE AMERICAN, PACIFIC ISLANDER, OR OTHER. ALTHOUGH IN THE PSA AN ESTIMATED 22.5% OF TOTAL HOUSEHOLDS HAVE HOUSEHOLD INCOMES EXCEEDING $200,000, STAMFORD HAS AREAS WITH SIGNIFICANT POVERTY. IN COMPARISON TO THE PSA, STAMFORD HAS ONLY AN ESTIMATED 17.8% OF TOTAL HOUSEHOLDS WITH HOUSEHOLD INCOMES EXCEEDING $200,000, AND 20.8% WITH HOUSEHOLD INCOMES LESS THAN $35,000, 30.0% WITH LESS THAN $45,000. IN THE SSA, AN ESTIMATED 30.8% OF THE TOTAL HOUSEHOLDS HAVE HOUSEHOLD INCOMES EXCEEDING $200,000, WHILE AN ESTIMATED 16.1% HAVE HOUSEHOLD INCOMES LESS THAN $35,000 AND 20.9% LESS THAN $45,000. THE ESTIMATED PAYOR MIX, BASED ON HOSPITAL UTILIZATION, OF THE PSA IS PREDOMINANTLY COMMERCIAL/PRIVATE INSURANCE (35.2%), FOLLOWED BY MEDICAID (29.2%); MEDICARE (26.8%); AND SELF-PAY/OTHER (8.8%). COMPARED TO THE PSA, STAMFORD HAS A HIGHER ESTIMATED PERCENTAGE OF MEDICAID AT 31.7% AND SELF-PAY/OTHER AT 9.5%. FOR THE SSA, THE ESTIMATED PAYOR MIX IS ALSO PRIMARILY COMMERCIAL/PRIVATE INSURANCE (40.7%), FOLLOWED BY MEDICARE (29.0%); MEDICAID (22.8%); AND SELF-PAY/OTHER (7.5%).
Schedule H, Part VI, Line 5 Promotion of community healthOther ways in which Stamford Health promotes health in the community is through its partnership with Optimus, an FQHC that Stamford Health supports with an annual grant and through the services of medical students; numerous public educational programs by Stamford Health physicians including information about harms caused by vaping and smoking and programs for area seniors and libraries; research conducted by Stamford Health's research department; and participation in equity programs such as the City of Stamford's Vaccine Equity Program and promotion of diversity, equity and inclusion principals for its employees, patients and community.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1OPTIMUS HEALTHCAREBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1982 EAST MAIN STREETAddressLine1Txt
CityBRIDGEPORTCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06608ZIPCd
FieldValueIRS element (for citing)
Recipient EIN060972166RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$2,000,000CashGrantAmt
Purpose Of GrantSUPPORT HEALTH CAREPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant funds.FormAndLineReferenceDesc
ExplanationFUNDS PROVIDED ARE CONSIDERED A CONTRIBUTION FOR HEALTHCARE WITHIN THE COMMUNITY.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Kathleen Silard
President & CEO$1,118,183$0$652,348$0$294,652$0$35,320$0$13,163$0$2,113,666$0$218,010$0
Michael Ebright MD
Physician Director (SHMG)$0$433,629$0$347,747$0$10,499$0$41,355$0$10,413$0$843,643$0$0
Maher Madhoun MD
PHYSICIAN Director$557,946$0$55,313$0$13,172$0$37,408$0$10,413$0$674,252$0$0$0
Shara Israel MD
Physician Director (SHMG)$0$289,005$0$18,424$0$3,086$0$63,077$0$20,295$0$393,887$0$0
Michael Veillette
Sr. VP FINANCE CFO$644,938$0$256,236$0$81,338$0$44,651$0$7,040$0$1,034,203$0$0$0
Elaine Guglielmo
Sr. VP HR ganization Development$435,582$0$180,235$0$124,316$0$41,892$0$1,472$0$783,497$0$106,859$0
Elizabeth Longmore
Sr. VP Operations, COO$132,654$344,038$215,914$0$276$53,897$2,200$18,300$2,006$8,386$353,050$424,621$0$0
David Yuh MD
Physician$1,028,779$0$148,304$0$4,753$0$64,553$0$10,413$0$1,256,802$0$0$0
Todd Miller MD
Chief Neuro Interv. Services$673,142$0$318,722$0$1,658$0$37,946$0$10,413$0$1,041,881$0$0$0
Michael Coady MD
Chief of Cardiac Surgery$817,236$0$130,000$0$6,121$0$43,877$0$2,771$0$1,000,005$0$0$0
Rohit Bhalla MD
Sr. VP-Clinical Affairs & Quality$586,156$0$60,721$0$297,288$0$44,184$0$10,413$0$998,762$0$60,722$0
Beth Davis
Sr. VP General Counsel$536,620$0$189,600$0$72,294$0$44,387$0$3,731$0$846,632$0$0$0
Jonathan Bailey
Termed - Sr. VP Operations COO$481,138$0$0$0$78,333$0$38,414$0$8,473$0$606,358$0$0$0
Kevin Gage
Termed - Sr. VP Finance CFO$0$0$0$0$127,542$0$0$0$0$0$127,542$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a Tax indemnification and gross-up paymentsPRESIDENT & CEO - KATHLEN SILARD TAXABLE GROSS UP PAYMENT: $13,400
Schedule J, Part I, Line 1a Health or social club dues or initiation feesPRESIDENT & CEO - KATHLEN SILARD MEMBERSHIP DUES: $32,500
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planTHE OFFICERS NOTED BELOW HAD TAXABLE VESTED PROCEEDS IN A 457(F) NON-QULAIFIED DEFERED COMPENSATION PLAN OF THE LISTED AMOUNTS: MICHAEL VEILLETTE: $65,880 JONATHAN BAILEY: $52,016 ROHIT BHALLA: $227,618 BETH DAVIS: $54,600 THE OFFICERS NOTED BELOW RECEIVED PAYMENTS FROM A 457(F) NON-QULAIFIED DEFERED COMPENSATION PLAN OF THE LISTED AMOUNTS: KATHLEEN SILARD: $218,009 ROHIT BHALLA: $60,721 ELAINE GUGLIELMO: $106,858

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
State of CT Health and Education Fac Authorities
A06080618620774YK552016-07-27$50,921,018See Schedule K Part VIfalsefalsefalse
State of CT Health and Education Fac Authorities
B06080618620775DKF82021-04-06$79,784,936See Schedule K, Part VIfalsefalsefalse
State of CT Health and Education Fac Authorities
C06080618620775DPN62022-04-05$246,719,187See Schedule K, Part VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRetiredRetiredAmtRefunding EscrowRefundingEscrowAmtOther Spent ProceedsOtherSpentProceedsAmt
A$50,921,018$921,018$50,000,0002016falsefalseYes (true)Yes (true)
B$79,784,9362021Yes (true)falseYes (true)Yes (true)$9,905,000$79,783,775$1,161
C$246,719,187$1,826,9612022Yes (true)falseYes (true)Yes (true)$244,891,288$938

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)Yes (true)Yes (true)Yes (true)Yes (true)0.01810.0181falsefalseYes (true)
BfalseYes (true)Yes (true)Yes (true)Yes (true)Yes (true)0.0falsefalseYes (true)
CfalseYes (true)Yes (true)Yes (true)Yes (true)Yes (true)0.00740.0074falsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AfalsefalseYes (true)Yes (true)falsefalsefalsefalseYes (true)
BfalseYes (true)falsefalsefalsefalseYes (true)
CfalseYes (true)falsefalsefalsefalseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part I, Column (f) Bond ATHE STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES K (THE SERIES K BONDS) WERE ISSUED ON JULY 27, 2016, IN THE AMOUNT OF $47,620,000, FOR A TERM OF 30 YEARS, AT A PREMIUM OF $3,301,000. THE SERIES K BONDS WERE USED FOR REIMBURSING A PORTION OF THE COSTS OF THE CONSTRUCTION, FURNISHING, AND EQUIPPING THE CONSTRUCTION OF A NEW HOSPITAL FACILITY. THE PROCEEDS ALSO REIMBURSED TSH FOR CERTAIN COSTS OF ISSUANCE OF SERIES K BONDS.
Schedule K, Part I, Column (f) Bond BTHE STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES L-1 WERE ISSUED ON APRIL 6, 2021, IN THE AMOUNT OF $68,820,000, FOR A TERM OF 30 YEARS, AT A PREMIUM OF $10,965,000. THE SERIES L- BONDS WERE USED FOR THE REFUNDING OF SERIES I.
Schedule K, Part I, Column (f) Bond CTHE STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES M (THE SERIES M BONDS) WERE ISSUED ON APRIL 5, 2022, IN THE AMOUNT OF $206,350,000, FOR A TERM OF 30 YEARS, AT A PREMIUM OF $40,369,000. THE SERIES M BONDS WERE USED FOR THE REFUNDING OF SERIES J.
Schedule K, Part IV, Line 2c Bonds A and CTHE DATE OF THE MOST RECENT REBATE COMPUTATION WAS JULY 27, 2021 FOR BOND A AND APRIL 15, 2027 FOR BOND C.
Schedule K, Part IV, Line 2c COLUMN AIssuer name: State of CT Health and Education Fac Authorities The calculation for computing no rebate due was performed on 07/27/2021

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$40,000NoncashContributionsRptF990Amt
Method Of Determining RevenuesMarket valueMethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution19ContributionCnt
Noncash Contributions Rpt F990$335,572NoncashContributionsRptF990Amt
Method Of Determining RevenuesMarket valueMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule M, Part I Explanations of reporting method for number of contributionsFormAndLineReferenceDesc
ExplanationArt - Works of art - Reporting includes both the number of contributions and the number of items received. Securities - Publicly traded - Reporting includes both the number of contributions and the number of items received.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 6 Classes of members or stockholdersSTAMFORD HEALTH INC. (SHI), A TAX-EXEMPT ORGANIZATION, IS THE SOLE MEMBER OF THE STAMFORD HOSPITAL.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodySTAMFORD HEALTH INC. (SHI), THE SOLE MEMBER OF THE STAMFORD HOSPITAL, HAS THE POWER, AS THE SOLE MEMBER: TO ELECT THE BOARD OF DIRECTORS OF THE STAMFORD HOSPITAL (THE "HOSPITAL") (EXCEPT FOR THE HOSPITAL PRESIDENT/CEO, WHO SERVES AS AN EX OFFICIO DIRECTOR) (SECTIONS V.2, VI.2), TO ELECT/REMOVE/REPLACE THE HOSPITAL'S OFFICERS OTHER THAN THE PRESIDENT/CEO (SECTIONS VII.1, VII.4-5), AND TO ADOPT/AMEND/RESTATE/REPEAL THE BYLAWS (ART. XII). SHI HAS CERTAIN STATUTORY APPROVAL RIGHTS AS THE SOLE MEMBER, SUCH AS THE RIGHT TO APPROVE MOST AMENDMENTS TO THE HOSPITAL'S CERTIFICATE AND THE HOSPITAL'S MERGER, DISSOLUTION, OR SALE OF ALL ASSETS LEAVING THE HOSPITAL WITH NO SIGNIFICANT CONTINUING ACTIVITY.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersSHI HAS CERTAIN STATUTORY APPROVAL RIGHTS AS THE SOLE MEMBER, SUCH AS THE RIGHT TO APPROVE MOST AMENDMENTS TO THE HOSPITAL'S CERTIFICATE AND THE HOSPITAL'S MERGER, DISSOLUTION, OR SALE OF ALL ASSETS LEAVING THE HOSPITAL WITH NO SIGNIFICANT CONTINUING ACTIVITY.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE STAMFORD HOSPITAL HAS A COMPREHENSIVE REVIEW PROCESS IN PLACE RELATING TO THE REVIEW OF FORM 990. PRIOR TO FINALIZATION OF THE FORM 990, MANAGEMENT PRESENTS THE DRAFT FORM 990 TO THE FULL BOARD OF DIRECTORS FOR REVIEW AND DISCUSSION. THE HOSPITAL'S EXTERNAL TAX ACCOUNTANTS ATTEND THIS MEETING WITH MANAGEMENT TO ADDRESS ANY SPECIFIC CONCERNS OR QUESTIONS. THIS REVIEW PROCEDURE HELPS TO ASSURE SOUND REPORTING AND COMPLIANCE WITH TAX LAW.
Form 990, Part VI, Line 12c Conflict of interest policyIT IS THE POLICY OF THE STAMFORD HOSPITAL TO PROHIBIT ITS EMPLOYEES AND OTHER ASSOCIATES FROM ENGAGING IN ANY ACTIVITY, PRACTICE, OR ACT WHICH CONFLICTS WITH, OR APPEARS TO CONFLICT WITH, THE INTERESTS OF THE STAMFORD HOSPITAL, OR ITS PATIENTS. EMPLOYEES ARE EXPECTED TO CONDUCT THE BUSINESS OF THE STAMFORD HOSPITAL TO THE BEST OF THEIR ABILITY AND FOR THE BENEFIT OF THE STAMFORD HOSPITAL AND ITS PATIENTS. THE POLICY ALSO REQUIRES BOARD MEMBERS, OFFICERS, SENIOR LEADERS, MEDICAL STAFF LEADERS, COMMITTEE MEMBERS AND OTHER INDIVIDUALS AS APPROPRIATE TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST THEY OR THEIR IMMEDIATE FAMILY MAY HAVE ON AN ANNUAL BASIS. SURVEYS ARE DISTRIBUTED ANNUALLY AND TIMELY RECEIPT IS MONITORED BY THE HOSPITAL'S COMPLIANCE DEPARTMENT.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialIT IS THE POLICY OF THE STAMFORD HOSPITAL TO PAY EMPLOYEES FAIR AND COMPETITIVE WAGES. THE HOSPITAL HAS ADOPTED A WAGE AND SALARY PROGRAM TO ENSURE THAT ALL EMPLOYEES ARE PAID IN RELATION TO THE VALUE OF THE WORK THEY PERFORM. THIS PROGRAM IS REVIEWED ANNUALLY. EXECUTIVE COMPENSATION IS SUBJECT TO A MORE COMPREHENSIVE REVIEW, INCLUDING AN ANNUAL BENCHMARKING ANALYSIS AND BOARD LEVEL APPROVAL PROCESS.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesIT IS THE POLICY OF THE STAMFORD HOSPITAL TO PAY EMPLOYEES FAIR AND COMPETITIVE WAGES. THE HOSPITAL HAS ADOPTED A WAGE AND SALARY PROGRAM TO ENSURE THAT ALL EMPLOYEES ARE PAID IN RELATION TO THE VALUE OF THE WORK THEY PERFORM. THIS PROGRAM IS REVIEWED ANNUALLY. EXECUTIVE COMPENSATION IS SUBJECT TO A MORE COMPREHENSIVE REVIEW, INCLUDING AN ANNUAL BENCHMARKING ANALYSIS AND BOARD LEVEL APPROVAL PROCESS.
Form 990, Part VI, Line 19 Required documents available to the publicTHE STAMFORD HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueCAFETERIA, COFFEE SHOP - Total Revenue: 2140551, Related or Exempt Function Revenue: 2140551, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Clinical Trial Revenue - Total Revenue: 807357, Related or Exempt Function Revenue: 807357, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Income on Corporate Investment - Total Revenue: 560000, Related or Exempt Function Revenue: 560000, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Miscellaneous Income - Total Revenue: 352951, Related or Exempt Function Revenue: 352951, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Perpetual Trust Income - Total Revenue: 316923, Related or Exempt Function Revenue: 316923, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Contract Income Smg - Total Revenue: 221106, Related or Exempt Function Revenue: 221106, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Gift Shop Revenue - Total Revenue: 211854, Related or Exempt Function Revenue: 211854, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Abstracts - Total Revenue: 172646, Related or Exempt Function Revenue: 172646, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Purchase Discounts - Total Revenue: 3814, Related or Exempt Function Revenue: 3814, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Library Membership Fee Income - Total Revenue: 1850, Related or Exempt Function Revenue: 1850, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; OTHER INCOME - Total Revenue: 0, Related or Exempt Function Revenue: -132704, Unrelated Business Revenue: 132704, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Loss On Bond Refunding - Total Revenue: -33719, Related or Exempt Function Revenue: -33719, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other FeesPURCHASED SERVICES - Total Expense: 33700877, Program Service Expense: 26397742, Management and General Expenses: 7299790, Fundraising Expenses: 3345; INTERCOMPANY STAFFING FEES - Total Expense: 23961492, Program Service Expense: 23117686, Management and General Expenses: 769417, Fundraising Expenses: 74389; PHYSICIAN FEES - Total Expense: 12210406, Program Service Expense: 12680406, Management and General Expenses: -470000, Fundraising Expenses: ; PURCHASED SERVICE HSS INVOICE - Total Expense: 9611886, Program Service Expense: 9611886, Management and General Expenses: , Fundraising Expenses: ; CONSULTING SERVICE - Total Expense: 5832553, Program Service Expense: 3338123, Management and General Expenses: 2430686, Fundraising Expenses: 63744; ARCHIVING EXPENSE - Total Expense: 9866, Program Service Expense: 9866, Management and General Expenses: , Fundraising Expenses: ; Foreign Recruitment - Total Expense: 289885, Program Service Expense: , Management and General Expenses: 289885, Fundraising Expenses: ; TEMP NURSING PERSONNEL - Total Expense: 8893736, Program Service Expense: 8587736, Management and General Expenses: 306000, Fundraising Expenses: ; COLLECTION FEES - Total Expense: 3523532, Program Service Expense: 103920, Management and General Expenses: 3369041, Fundraising Expenses: 50571; DATA PROCESSING FEES - Total Expense: 881159, Program Service Expense: 491929, Management and General Expenses: 389230, Fundraising Expenses: ; Temporary Employee Services - Total Expense: 6189240, Program Service Expense: 5601645, Management and General Expenses: 587595, Fundraising Expenses: ; Intercompany Agreements Staffing Fee - Total Expense: 8175296, Program Service Expense: 8175296, Management and General Expenses: , Fundraising Expenses: ; Hospital Practices SHMG BLT - Total Expense: 6202757, Program Service Expense: 6202757, Management and General Expenses: , Fundraising Expenses: ; Purchased Service Exp Reimb - Total Expense: 5664636, Program Service Expense: 6914636, Management and General Expenses: -1250000, Fundraising Expenses: ; Recruiting - Total Expense: 2058508, Program Service Expense: 10220, Management and General Expenses: 2048288, Fundraising Expenses: ; SHMG Year End Loss Transfer - Total Expense: 66570783, Program Service Expense: , Management and General Expenses: 66570783, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesPENSION ADJUSTMENTS OTHER THAN PENSION COST - 90340000; SHI NET ASSET RELEASED - 2361008; PENSION COST - -79721563; HEALTHSTAR NET PROCEEDS - -1229090; SPECIALTY PHARMACY - 43065; OTHER - -810;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
24 GROVE ST NEW CANAAN LLC
ONE HOSPITAL PLAZA PO BOX 9317STAMFORDCT06904274941167RENTALCT-$40,816$674,675TSH
36 GROVE STREET NEW CANAAN LLC
ONE HOSPITAL PLAZA PO BOX 9317STAMFORDCT06904274941529MEDICAL RENTACT-$176,338$4,483,269TSH
STAMFORD HEALTH OCCUPATIONAL HEALTH SERV
ONE HOSPITAL PLAZA PO BOX 9317STAMFORDCT06904475119889OCCUPATIONALCT$132,705$0TSH
PHYSICIAN ALLIANCE OF STAMFORD LLC
ONE HOSPITAL PLAZA PO BOX 9317STAMFORDCT06904455458611MANAGEMENTCT-$211,816$0TSH
HEALTHSTAR INDEMINITY LLC
159 BANK STREET 4TH FLOORBURLINGTONVA05401352669962SELF INSURANCEVT-$1,229,090$72,031,539TSH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
STAMFORD HEALTH INC
ONE HOSPITAL PLAZA PO BOX 9317STAMFORDCT06904222476636PARENTCT501(c)(3)Type IINAfalse
STAMFORD HEALTH MEDICAL GROUP INC
ONE HOSPITAL PLAZA PO BOX 9317STAMFORDCT06904221648289MEDICAL SERVICESCT501(c)(3)10TSHYes (true)
STAMFORD HEALTH PHARMACY LLC
ONE HOSPITAL PLAZASTAMFORDCT06902873381961PHARMACY SERVICESCT501(c)(3)10TSHYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
STAMFORD HEALTH MEDICAL GROUP INC
B$55,803,775BOOK VALUE
STAMFORD HEALTH MEDICAL GROUP INC
J$1,309,020BOOK VALUE
STAMFORD HEALTH MEDICAL GROUP INC
K$1,254,170BOOK VALUE
STAMFORD HEALTH MEDICAL GROUP INC
O$257,409BOOK VALUE
HEALTHSTAR INDEMNITY LLC
R$10,776,929CASH VALUE
HEALTHSTAR INDEMNITY LLC
Q$3,125,466BOOK VALUE
STAMFORD HEALTH PHARMACY LLC
C$39,267,449BOOK VALUE
STAMFORD HEALTH PHARMACY LLC
R$41,732,765BOOK VALUE