STAMFORD HOSPITAL: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- STAMFORD HOSPITAL (EIN 06-0646917)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-08-12
- IRS object ID
- 202242249349302824
- Schema version
- 2020v4.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-12T18:43:09-05:00 | ReturnTs |
| Tax Period End | 2021-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE MANHATTAN WEST | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10001 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 060646917 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE STAMFORD HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MICHAEL VEILLETTE | InCareOfNm |
| Business Name Control | STAM | BusinessNameControlTxt |
| Phone | 2032761000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE HOSPITAL PLAZA PO BOX 9317 | AddressLine1Txt |
| City | STAMFORD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06904 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Michael Veillette | PersonNm |
| Person Title | SVP/CFO | PersonTitleTxt |
| Phone | 2032765555 | PhoneNum |
| Signature | 2022-08-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Michael | PersonFirstNm |
| Person Last | Veillette | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | NICOLE M SOKOLOWSKI | PreparerPersonNm |
| PTIN | P01683199 | PTIN |
| Phone | 2127733000 | PhoneNum |
| Preparation | 2022-08-05 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Michael Veillette | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE HOSPITAL PLAZA PO BOX 9317 | AddressLine1Txt |
| City | STAMFORD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06904 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $758,566,624 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.STAMFORDHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1893 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | TOGETHER 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 Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 3246 | TotalEmployeeCnt |
| Total Volunteers | 100 | TotalVolunteersCnt |
| Total Gross UBI | $3,038,527 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $984,821 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $54,061,621 | PYContributionsGrantsAmt |
| CY Contributions Grants | $35,768,363 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $588,500,415 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $673,818,239 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,166,273 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,856,858 | CYInvestmentIncomeAmt |
| PY Other Revenue | $11,178,013 | PYOtherRevenueAmt |
| CY Other Revenue | $14,119,272 | CYOtherRevenueAmt |
| PY Total Revenue | $657,906,322 | PYTotalRevenueAmt |
| CY Total Revenue | $730,562,732 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,003,585 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,007,255 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $291,806,013 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $310,510,976 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $2,137,247 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $299,702,816 | PYOtherExpensesAmt |
| CY Other Expenses | $328,088,838 | CYOtherExpensesAmt |
| PY Total Expenses | $593,512,414 | PYTotalExpensesAmt |
| CY Total Expenses | $640,607,069 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $64,393,908 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $89,955,663 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,190,337,389 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,225,537,299 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $781,029,366 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $720,982,841 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $409,308,023 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $504,554,458 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TOGETHER WITH OUR PHYSICIANS WE PROVIDE A BROAD RANGE OF HIGH QUALITY HEALTH AND WELLNESS SERVICES FOCUSED ON THE NEED OF OUR COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $545,419,941 | ExpenseAmt |
| Grant | $2,007,255 | GrantAmt |
| Revenue | $686,983,248 | RevenueAmt |
| Desc | KEY OPERATING STATISTICS FOR THE YEAR ENDED 9/30/2021 INCLUDE: ADULT AND PEDIATRIC INPATIENTS CARED FOR AND DISCHARGED 14,896; BABIES BORN 2,178; TOTAL INPATIENT DAYS OF CARE PROVIDED 73,098; PATIENTS SEEKING CARE IN THE STAMFORD HOSPITAL EMERGENCY ROOM: ADMITTED FOR INPATIENT TREATMENT 7,855; TREATED AND RELEASED 45,062; TREATED AT TULLY IMMEDIATE CARE CENTER 25,987; SURGERIES PERFORMED AT THE HOSPITAL AND TULLY CENTER 13,463; RADIATION THERAPY PROCEDURES PERFORMED 224,254. | Desc |
| Total Program Service Expenses | $545,419,941 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 444 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 3246 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (true) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CT | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL VEILLETTE | PersonNm |
| Phone | 2032761000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE HOSPITAL PLAZA PO BOX 9317 | AddressLine1Txt |
| City | STAMFORD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06904 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Kathleen A Silard | |||||||||
| Pres. & CEO - Treasurer | 38.0 | 2.0 | Yes (X) | Yes (X) | $1,525,797 | $0 | $29,492 | ||
| David Yuh MD | |||||||||
| Physician | 38.0 | 2.0 | $1,129,433 | $0 | $53,052 | Yes (X) | |||
| Todd Miller MD | |||||||||
| CHIEF NEURO INTERV. SERVICES | 38.0 | 2.0 | $981,478 | $0 | $27,572 | Yes (X) | |||
| Michael Coady MD | |||||||||
| Chief of Cardiac Surgery | 38.0 | 2.0 | $901,463 | $0 | $29,240 | Yes (X) | |||
| Brian Stainken MD | |||||||||
| Dept. Chair | 38.0 | 2.0 | $763,846 | $0 | $49,207 | Yes (X) | |||
| Jonathan Bailey | |||||||||
| Sr. VP Operations & COO | 38.0 | 2.0 | Yes (X) | $722,708 | $0 | $17,282 | |||
| Michael Veillette | |||||||||
| Sr. VP Finance & CFO | 38.0 | 2.0 | Yes (X) | $692,958 | $0 | $27,772 | |||
| Scott Chudnoff | |||||||||
| Former Chair, OB/GYN | 0.0 | 0.0 | $682,358 | $0 | $36,005 | Yes (X) | |||
| Rohit Bhalla MD | |||||||||
| CVP, Clinical Affairs & Qualit | 38.0 | 2.0 | $660,879 | $0 | $34,022 | Yes (X) | |||
| Michael Ebright SHMG | |||||||||
| Director | 38.0 | 2.0 | Yes (X) | $0 | $594,913 | $33,722 | |||
| Elaine Guglielmo | |||||||||
| Asst. Secretary | 38.0 | 2.0 | Yes (X) | $504,894 | $0 | $27,727 | |||
| Darryl McCormick | |||||||||
| Former SVP Talent & culture | 0.0 | 0.0 | $418,063 | $0 | $0 | Yes (X) | |||
| Kevin Gage | |||||||||
| Former treasurer/Cfo | 0.0 | 0.0 | $355,442 | $0 | $0 | Yes (X) | |||
| Mark Dewaele DMD | |||||||||
| Director | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Matthew Dumas | |||||||||
| Director | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Lucy Galbraith | |||||||||
| Director | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Paul Giusti | |||||||||
| Director | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Patrick Hackett | |||||||||
| Chairman | 2.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Hoyt Harper II | |||||||||
| Director | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Helen Jaffe | |||||||||
| Director | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Charles Littlejohn MD | |||||||||
| Director | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| James Thomas | |||||||||
| Director | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Elizabeth Zea | |||||||||
| Director | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Michael Diliberto | |||||||||
| Director | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| F Carl Mueller MD | |||||||||
| Director | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $9,339,319 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $594,913 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $365,093 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 859 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HEMATOLOGY ONCOLOGY ASSOC PC | |||||
| PO BOX 9317 | STAMFORD | CT | 06904 | PHYSICIAN FEES/ONCOL | $4,646,750 |
| ACCENTURE LLP | |||||
| PO BOX 70629 | CHICAGO | CT | 60673 | PROFESSIONAL SERVICE | $1,816,990 |
| ROPES GRAY LLP | |||||
| 800 BOYLSTON STREET | BOSTON | MA | 02199 | LEGAL FEES | $1,735,628 |
| ECLINICALWORKS LLC | |||||
| PO BOX 847950 | BOSTON | MA | 02284 | CAP/SYSTEMS & SUPPOR | $1,629,954 |
| FUSION MEDICAL STAFFING LLC | |||||
| PO BOX 82674 | LINCOLN | NE | 68504 | TEMP NURSING STAFFIN | $1,087,178 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 56 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $901,835 | FundraisingAmt |
| Government Grants | $23,154,421 | GovernmentGrantsAmt |
| All Other Contributions | $11,712,107 | AllOtherContributionsAmt |
| Noncash Contributions | $853,050 | NoncashContributionsAmt |
| Total Contributions | $35,768,363 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| PATIENT REVENUE | 621300 | $435,494,644 | $435,494,644 | $0 | $0 |
| PHYSICIAN BILLING | 621110 | $14,024,207 | $14,024,207 | $0 | $0 |
| WELLNESS AND TRAINING | 621400 | $1,646,586 | $1,646,586 | $0 | $0 |
| MEDICARE/MEDICAID PAYMENT | 621400 | $219,574,211 | $219,574,211 | $0 | $0 |
| REFERENCE LAB INCOME | 621500 | $3,078,591 | $0 | $3,078,591 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $673,818,239 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,108,784 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$40,610 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,068,174 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,076,812 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,050,940 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$1,974,128 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,974,128 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $546 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$1,974,674 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $28,482,651 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $22,734,577 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,748,074 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,748,074 | TotalRevenueColumnAmt |
| Exclusion | $5,748,074 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $68,175 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $901,835 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $218,375 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$150,200 | TotalRevenueColumnAmt |
| Exclusion | -$150,200 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| CAFETERIA, COFFEE SHOP | 722210 | $1,798,006 | $1,798,006 | $0 | $0 |
| INTERCOMPANY STAFFING | 900099 | $2,732,749 | $2,732,749 | $0 | $0 |
| PHARMACY - 340B | 900099 | $6,731,591 | $6,731,591 | $0 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,981,254 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,981,254 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $16,243,600 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $730,562,732 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $686,983,248 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $3,038,527 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,691,374 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,007,255 | TotalAmt |
| Program Services | $2,007,255 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,538,751 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $3,538,751 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $255,098,438 | TotalAmt |
| Program Services | $217,952,543 | ProgramServicesAmt |
| Management And General | $36,297,997 | ManagementAndGeneralAmt |
| Fundraising | $847,898 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,540,009 | TotalAmt |
| Program Services | $9,003,078 | ProgramServicesAmt |
| Management And General | $1,502,377 | ManagementAndGeneralAmt |
| Fundraising | $34,554 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,574,126 | TotalAmt |
| Program Services | $20,136,576 | ProgramServicesAmt |
| Management And General | $3,360,266 | ManagementAndGeneralAmt |
| Fundraising | $77,284 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,759,652 | TotalAmt |
| Program Services | $15,169,962 | ProgramServicesAmt |
| Management And General | $2,531,468 | ManagementAndGeneralAmt |
| Fundraising | $58,222 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,079,178 | TotalAmt |
| Program Services | $2,019,178 | ProgramServicesAmt |
| Management And General | $60,000 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,532,459 | TotalAmt |
| Program Services | $108,021 | ProgramServicesAmt |
| Management And General | $2,345,650 | ManagementAndGeneralAmt |
| Fundraising | $78,788 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $711,347 | TotalAmt |
| Program Services | $50,001 | ProgramServicesAmt |
| Management And General | $661,346 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,889 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $138,889 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,941 | TotalAmt |
| Program Services | $38,941 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,731,480 | TotalAmt |
| Program Services | $75,360,079 | ProgramServicesAmt |
| Management And General | $18,258,215 | ManagementAndGeneralAmt |
| Fundraising | $113,186 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,017,291 | TotalAmt |
| Program Services | $1,620,692 | ProgramServicesAmt |
| Management And General | $66,945 | ManagementAndGeneralAmt |
| Fundraising | $329,654 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,789,433 | TotalAmt |
| Program Services | $7,460,806 | ProgramServicesAmt |
| Management And General | $2,300,851 | ManagementAndGeneralAmt |
| Fundraising | $27,776 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,610,774 | TotalAmt |
| Program Services | $4,312,241 | ProgramServicesAmt |
| Management And General | $5,291,975 | ManagementAndGeneralAmt |
| Fundraising | $6,558 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,010,954 | TotalAmt |
| Program Services | $35,071,648 | ProgramServicesAmt |
| Management And General | $3,821,264 | ManagementAndGeneralAmt |
| Fundraising | $118,042 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,887 | TotalAmt |
| Program Services | $89,758 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $1,129 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,711 | TotalAmt |
| Program Services | $73,582 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $1,129 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,649 | TotalAmt |
| Program Services | $56,649 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,518,342 | TotalAmt |
| Program Services | $40,913,513 | ProgramServicesAmt |
| Management And General | $604,829 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,601,112 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $9,601,112 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL EXPENSES | $102,063,845 | $102,063,845 | $0 | $0 |
| SERVICE CONTRACTS | $9,303,692 | $9,336,888 | -$125,900 | $92,704 |
| SUBSCRIPTIONS DUES MBRSHP | $3,738,293 | $2,948,555 | $784,973 | $4,765 |
| RECRUITING | $1,550,827 | $372,150 | $1,178,677 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $429,734 | TotalAmt |
| Program Services | -$746,020 | ProgramServicesAmt |
| Management And General | $830,196 | ManagementAndGeneralAmt |
| Fundraising | $345,558 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $640,607,069 | TotalAmt |
| Program Services | $545,419,941 | ProgramServicesAmt |
| Management And General | $93,049,881 | ManagementAndGeneralAmt |
| Fundraising | $2,137,247 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,000 | BOYAmt |
| EOY | $50,811 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $202,719,442 | BOYAmt |
| EOY | $201,982,042 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,234,868 | BOYAmt |
| EOY | $12,274,556 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,716,735 | BOYAmt |
| EOY | $103,850,964 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,153,227 | BOYAmt |
| EOY | $16,591,835 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,736,344 | BOYAmt |
| EOY | $11,639,037 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,170,756,860 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $586,402,311 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $607,054,016 | BOYAmt |
| EOY | $584,354,549 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $185,195,245 | BOYAmt |
| EOY | $213,068,429 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,613,287 | BOYAmt |
| EOY | $9,104,015 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,864,225 | BOYAmt |
| EOY | $72,621,061 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,190,337,389 | BOYAmt |
| EOY | $1,225,537,299 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,998,174 | BOYAmt |
| EOY | $126,227,497 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,881,180 | BOYAmt |
| EOY | $1,783,175 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $374,206,450 | BOYAmt |
| EOY | $433,334,874 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,850,432 | BOYAmt |
| EOY | $8,387,455 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $297,093,130 | BOYAmt |
| EOY | $151,249,840 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $781,029,366 | BOYAmt |
| EOY | $720,982,841 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $323,140,793 | BOYAmt |
| EOY | $396,455,259 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,167,230 | BOYAmt |
| EOY | $108,099,199 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $409,308,023 | BOYAmt |
| EOY | $504,554,458 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,190,337,389 | BOYAmt |
| EOY | $1,225,537,299 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $89,955,663 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $15,133,470 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$9,842,698 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $138,889 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $138,889 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1i | FormAndLineReferenceDesc |
| Explanation | THE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $86,391,902 | BeginningYearBalanceAmt |
| Contributions | $20,642,371 | ContributionsAmt |
| Investment Earnings Or Losses | $2,580,331 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,290,735 | OtherExpendituresAmt |
| End Year Balance | $108,323,869 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $84,050,468 | BeginningYearBalanceAmt |
| Contributions | $5,258,480 | ContributionsAmt |
| Investment Earnings Or Losses | $925,094 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,842,140 | OtherExpendituresAmt |
| End Year Balance | $86,391,902 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $82,169,711 | BeginningYearBalanceAmt |
| Contributions | $4,190,779 | ContributionsAmt |
| Investment Earnings Or Losses | $637,852 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,947,874 | OtherExpendituresAmt |
| End Year Balance | $84,050,468 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $80,294,571 | BeginningYearBalanceAmt |
| Contributions | $6,752,504 | ContributionsAmt |
| Investment Earnings Or Losses | $604,611 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $5,481,975 | OtherExpendituresAmt |
| End Year Balance | $82,169,711 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $82,101,038 | BeginningYearBalanceAmt |
| Contributions | $8,246,282 | ContributionsAmt |
| Investment Earnings Or Losses | $1,046,037 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $11,098,786 | OtherExpendituresAmt |
| End Year Balance | $80,294,571 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.70460 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.29540 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $41,454,794 | OtherCostOrOtherBasisAmt |
| Book Value | $41,454,794 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $483,907,911 | OtherCostOrOtherBasisAmt |
| Depreciation | $175,817,480 | DepreciationAmt |
| Book Value | $308,090,431 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,175,860 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,327,900 | DepreciationAmt |
| Book Value | $3,847,960 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $592,040,590 | OtherCostOrOtherBasisAmt |
| Depreciation | $392,405,770 | DepreciationAmt |
| Book Value | $199,634,820 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $38,177,705 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,851,161 | DepreciationAmt |
| Book Value | $31,326,544 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $584,354,549 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| MISCELLANEOUS RECEIVABLE | $6,062,710 |
| DONOR RESTRICTED FUNDS | $17,892,243 |
| DUE FROM AFFILIATES | $15,638,402 |
| RECOVERABLE LOSSES | $3,537,673 |
| DEPOSITS | $606,088 |
| ORGANIZATION COSTS | $2,815,513 |
| OPERATING LEASE ASSETS, NET | $26,068,432 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $72,621,061 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| CHARITABLE GIFT ANNUITY PAYABLE | $21,991 |
| EST THIRD PARTY SETTLEMENTS | $49,224,721 |
| PENSION LIABILITY | $3,615,588 |
| DUE TO AFFILIATES | $20,235,086 |
| EST FOR PROFESSIONAL LIABILITY | $44,458,899 |
| DEFERRED FICA LIABILITY | $4,746,664 |
| OPERATING LEASE LIABILITY | $28,946,891 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $151,249,840 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Intended use of endowment funds | FormAndLineReferenceDesc |
| Explanation | THE 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
Fundraiser Activity Info FundraiserActivityInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Doug Picha Consultants | PersonNm |
| Activity | Consultant | ActivityTxt |
| Fundraiser Control Of Funds | false | FundraiserControlOfFundsInd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | CORP INVITATION | Event1Nm |
| Gross Receipts Event1 | $226,368 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $181,368 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $45,000 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $2,500 | CashPrizesEvent1Amt |
| Food And Beverage Event1 | $63,045 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $82,899 | OtherDirectExpensesEvent1Amt |
| Event2 | walk run ride | Event2Nm |
| Gross Receipts Event2 | $427,713 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $427,713 | CharitableContriEvent2Amt |
| Cash Prizes Event2 | $237 | CashPrizesEvent2Amt |
| Food And Beverage Event2 | $3,012 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $12,639 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 6 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $315,929 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $292,754 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $23,175 | GrossRevenueOtherEventsAmt |
| Cash Prizes Other Events | $0 | CashPrizesOtherEventsAmt |
| Food And Beverage Other Events | $42,916 | FoodAndBeverageOtherEventsAmt |
| Oth Direct Expnss Other Events | $11,127 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $970,010 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $901,835 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $68,175 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $2,737 | CashPrizesTotalEventsAmt |
| Food And Beverage Total Events | $108,973 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $106,665 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $218,375 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$150,200 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250. | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,163,244 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,163,244 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01110 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $160,468,829 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $95,826,363 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $64,642,466 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10090 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $167,632,073 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $95,826,363 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $71,805,710 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11200 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 278 | PersonsServedCnt |
| Total Community Benefit Expns | $119,308 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $119,308 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 20000 | PersonsServedCnt |
| Total Community Benefit Expns | $2,306,645 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,306,645 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00360 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 20278 | PersonsServedCnt |
| Total Community Benefit Expns | $2,425,953 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,425,953 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00370 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 20278 | PersonsServedCnt |
| Total Community Benefit Expns | $170,058,026 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $95,826,363 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $74,231,663 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11570 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $62,987,451 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $14,443,023 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $115,905,105 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $136,846,987 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$20,941,882 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Stamford Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Hospital Plaza | AddressLine1Txt |
| City | Stamford | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06904 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.stamfordhealth.org | WebsiteAddressTxt |
| State License | 0059 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Research Facility | Yes (X) | ResearchFacilityInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE STAMFORD HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 20 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400. | FPGFamilyIncmLmtDscntCarePct |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5 | STAMFORD HEALTH TOOK INTO ACCOUNT INPUT FROM INDIVIDUALS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITIES THE HOSPITAL SERVES, INCLUDING LOCAL HEALTH DEPARTMENTS, THROUGH SURVEYS, IN-PERSON INTERVIEWS, FOCUS GROUPS, AND MEETINGS. STAMFORD HEALTH ENGAGED DATA HAVEN TO CONDUCT SURVEYS. INDIVIDUALS WHO RESPONDED REPRESENTED A BROAD SPECTRUM OF THE COMMUNITIES STAMFORD HEALTH SERVES. ADDITIONAL DATA WERE UTILIZED SUCH AS THE CONNECTICUT HEALTH INFORMATION MANAGEMENT EXCHANGE (CHIME) AND THE CONNECTICUT DEPARTMENT OF PUBLIC HEALTH. IN ADDITION TO SURVEYS OF RESIDENTS, BELOW ARE THE ORGANIZATIONS FROM WHICH FEEDBACK WAS GATHERED FROM EITHER AN INTERVIEW OR FOCUS GROUP: - STAMFORD HEALTH DEPARTMENT - DARIEN HEALTH DEPARTMENT - STAMFORD PUBLIC SCHOOLS - TOWN OF DARIEN - STAMFORD EMERGENCY MEDICAL SERVICES - POST 53 -EMERGENCY MEDICAL SERVICES OF DARIEN - OPTIMUS HEALTH CARE (FQHC) - AMERICARES FREE CLINIC OF STAMFORD (FQHC) - FAMILY CENTERS, INC (FQHC) - COMMUNITY HEALTH CENTER, INC (FQHC) - DARIEN SENIOR CENTER - BUILDING ONE COMMUNITY - BOYS AND GIRLS CLUB - THE COMMUNITY FUND OF DARIEN - TRAILBLAZERS ACADEMY - UNITED WAY OF WESTERN CONNECTICUT - ST. JOSEPH'S PARENTING CENTER - DOMESTIC VIOLENCE CRISIS CENTER - DOMUS - DARIEN SENIOR CENTER - COMMUNITIES4ACTION - CHARTER OAK COMMUNITIES (STAMFORD'S HOUSING AUTHORITY) - FAIRFIELD COUNTY'S COMMUNITY FOUNDATION - INTERFAITH COUNCIL - PLANNED PARENTHOOD - CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT - CITY OF STAMFORD - COMMUNITY ACTION AGENCY - CONNECTICUT COUNSELING - FORENSIC HEALTH SERVICES - FILLING IN THE BLANKS - HARVARD BUSINESS SCHOOL CLUB OF CONNECTICUT - ISTEP - KIDS IN CRISIS - KIDS FANS - LIBERATION PROGRAMS - NEW COVENANT HOUSE - OVER 60 CLUB - PERSON-TO PERSON - SILVERSOURCE, INC. AFTER QUANTITATIVE AND QUALITATIVE DATA WERE OBTAINED, STAMFORD HEALTH EVALUATED THE DATA TO DETERMINE COMMUNITIES' HIGHEST PRIORITIES IN COLLABORATION WITH COMMUNITY PARTNERS IN THE HOSPITAL'S SERVICE AREA, INCLUDING THOSE PROVIDING SERVICES TO SOCIALLY VULNERABLE AND AT-RISK AND MINORITY POPULATIONS. MEETINGS TO EVALUATE DATA AND DETERMINE TOP PRIORITIES INCLUDED LOCAL HEALTH DEPARTMENTS AND OTHER HEALTH PROFESSIONALS. ALL ORGANIZATIONS HAD INPUT INCORPORATED INTO THE FINAL CHNA. |
| FORM 990, SCHEDULE H, PART V, SECTION C, LINE 7A | STAMFORD HEALTH MADE ITS CHNA AVAILABLE ON ITS WEBSITE (HTTPS://WWW.STAMFORDHEALTH.ORG/APP/FILES/PUBLIC/7AF7FB8F-D7EE-4937-8DEC-C AEA3F00DB93/CHNA2019.PDF) |
| FORM 990, SCHEDULE H, PART V, SECTION C, LINE 10 | HTTPS://WWW.STAMFORDHEALTH.ORG/APP/FILES/PUBLIC/FE60FBA2-DDB2-432D-9ACA-10 A5796A279A/2020-CHIP-IMPROVEMENT-PAN.PDF |
| FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11 | STAMFORD HEALTH IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA THROUGH ITS COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WHICH WAS CREATED IN COLLABORATION WITH ITS COMMUNITY PARTNERS. ISSUES IDENTIFIED THROUGH THE CHNA, BUT NOT ADDRESSED IN THE 2019 CHIP ARE ADDRESSED BY STAMFORD HEALTH IN COLLABORATION WITH ITS PARTNERS TO DETERMINE THE MOST SUITABLE RESOURCES AVAILABLE IN THE COMMUNITY TO ADDRESS THOSE ISSUES. NEEDS ADDRESSED IN THE REPORTING PERIOD: ACCESS TO HEALTH CARE: ACCESS TO HEALTH CARE WAS A PRIORITY IDENTIFIED IN THE CHNA. IN THE REPORTING PERIOD, STAMFORD HEALTH ENGAGED IN MANY COVID-19 RELATED ACTIVITIES THAT PROVIDED CRITICAL INFORMATION AND PROVIDED ACCESS TO VACCINES. STAMFORD HEALTH CONTINUED PROGRAMS IN 2021 THAT PROVIDE ACCESS TO UNDERSERVED COMMUNITIES. COVID-19 INFORMATION AND MEDICAL ADVICE: STAMFORD HEALTH PROVIDED MEDICAL ADVICE AND OTHER ASSISTANCE RELATED TO COMBATING COVID-19 TO THE CITY OF STAMFORD, NUMEROUS BOARDS OF EDUCATION AND EDUCATIONAL ORGANIZATIONS, AREA NONPROFIT ORGANIZATIONS SERVING THE SOCIALLY VULNERABLE, AREA NURSING HOMES, HOMELESS SHELTERS AND OTHER CONGREGATE HOUSING ORGANIZATIONS. HIGH-RISK TASK FORCE TO HELP MINORITY POPULATIONS BEING DISPARATELY IMPACTED BY COVID-19: STAMFORD HEALTH CONVENED A HIGH-RISK COMMUNITY OUTREACH TASKFORCE IN CONJUNCTION WITH THE VITA HEALTH AND WELLNESS COLLABORATIVE. THE TASKFORCE DEVELOPED TARGETED, CULTURALLY APPROPRIATE MESSAGING. THE STAMFORD PUBLIC HEALTH DEPARTMENT, NUMEROUS STAMFORD NONPROFITS, INCLUDING FQHC'S, THE STAMFORD NAACP, BUILDING ONE COMMUNITY, WHICH SERVES THE IMMIGRANT POPULATION, PARTICIPATED. MESSAGES FOCUSED ON HOW TO STAY SAFE, GET TESTED AND VACCINATED AND HOW TO SEEK TREATMENT IF NEEDED. MESSAGES, WHICH INCLUDED PUBLIC SERVICE ANNOUNCEMENTS, WERE DISTRIBUTED TO RESIDENTS IN MULTIPLE LANGUAGES THROUGH THE NONPROFITS AND THE CITY OF STAMFORD. INFORMING THE PUBLIC ABOUT COVID-19: STAMFORD HEALTH EXECUTIVES AND PHYSICIANS PROVIDED COVID-19 INFORMATION VIRTUALLY TO ASSIST THE GENERAL PUBLIC, COMMUNITY ORGANIZATIONS AND BUSINESSES. INFORMATION COVERED SUBJECTS SUCH AS COVID-19 INFECTION RATES, THERAPEUTIC TREATMENTS, TESTING AND VACCINES. VACCINATING THE MOST VULNERABLE: FROM JANUARY 2021 THROUGH MAY 2021, STAMFORD HEALTH CREATED AND OPERATED THE NO BARRIERS VACCINE EQUITY PROGRAM WHICH PROVIDED SOCIALLY VULNERABLE INDIVIDUALS, ESPECIALLY MINORITY POPULATIONS AND UNDOCUMENTED INDIVIDUALS, WITH AN EASY WAY TO ACCESS COVID-19 VACCINES AT STAMFORD HEALTH'S VACCINE CLINICS. STAMFORD HEALTH WORKED WITH COMMUNITY ORGANIZATIONS THAT WERE TRUSTED BY THEIR CLIENTELE TO REFER INDIVIDUALS TO THE PROGRAM. INDIVIDUALS DID NOT NEED TO REGISTER IN ADVANCE. STAMFORD HEALTH SET ASIDE TIMES IN WHICH REFERRED INDIVIDUALS COULD ARRIVE FOR VACCINES. INDIVIDUALS DID NOT NEED TO PRESENT INSURANCE CARD AND, IF PREFERRED, NO IDENTIFICATION OR LAST NAME WAS REQUIRED. STAMFORD HEALTH VACCINATED OVER 3,500 INDIVIDUALS THROUGH THIS PROGRAM. FROM MAY TO SEPTEMBER 2021, TO INCREASE VACCINE RATES IN SOCIALLY VULNERABLE CENSUS TRACTS, STAMFORD HEALTH CREATED A DOOR-TO-DOOR VACCINE ENCOURAGEMENT CAMPAIGN. IN PARTNERSHIP WITH THE CITY OF STAMFORD'S PUBLIC HEALTH DEPARTMENT, STAMFORD HEALTH SECURED A PROJECT MANAGER WHO LED THE EFFORT. CORRELATING TO THIS PROGRAM, STAMFORD EXPERIENCED THE HIGHEST VACCINE RATES OF ANY CITY IN CONNECTICUT. STAMFORD'S VACCINE RATES EXCEEDED THOSE OF MANY SUBURBAN TOWNS. ACCESS TO INSURANCE COVERAGE BY UNDOCUMENTED IMMIGRANTS: STAMFORD HEALTH WAS AMONG THE ORGANIZATIONS AND INDIVIDUALS THAT SUCCESSFULLY ADVOCATED AT THE STATE LEGISLATURE FOR STATE-FUNDED MEDICAID COVERAGE OF UNDOCUMENTED PREGNANT WOMEN, POST-PARTUM WOMEN FOR UP TO ONE YEAR AND CHILDREN UP TO AGE EIGHT. ACCESS TO CARE FOR HIV PATIENTS: STAMFORD HEALTH PROVIDES HEALTH SERVICES TO STAMFORD CARES PATIENTS AT NO COST TO THE PATIENT. STAMFORD CARES IS A COLLABORATION LED BY AN AREA FQHC, FAMILY CENTERS. THE PROGRAM PROVIDES HIV MEDICAL CASE MANAGEMENT AND EDUCATION. SUPPORTING MEDICALLY UNDERSERVED: STAMFORD HEALTH PARTNERS WITH OPTIMUS HEALTH CARE, INC., AN FQHC, TO CREATE AN INTEGRATED PRIMARY CARE DELIVERY NETWORK FOR THE MEDICALLY UNDERSERVED COMMUNITIES IN STAMFORD. DISCOUNTED OR FREE SUPPLIES, EQUIPMENT AND MEDICATIONS ARE PROVIDED TO INDIGENT PATIENTS. STAMFORD HEALTH ALSO PARTNERS WITH AMERICARES TO FACILITATE ACCESS FOR THIS FQHC'S PATIENTS TO STAMFORD HEALTH MEDICAL PROFESSIONALS. PEDIATRIC MEDICAL HOME INITIATIVE OF SOUTHWESTERN CONNECTICUT: STAMFORD HEALTH OPERATES A MEDICAL HOME INITIATIVE THAT COORDINATES THE CARE OF PEDIATRIC PATIENTS WITH COMPLEX CARE NEEDS. COMMUNITY CARE TEAM: STAMFORD HEALTH OPERATES A COMMUNITY CARE TEAM THROUGH WHICH ADULTS WITH SOCIAL/MEDICAL NEEDS RECEIVE SERVICES FROM LOCAL NONPROFITS. STAMFORD HEALTH PARTNERS WITH MANY COMMUNITY ORGANIZATIONS TO ENSURE THESE PATIENTS ARE REFERRED TO THE APPROPRIATE AGENCIES. PARTNERS INCLUDE THE STAMFORD POLICE, LOCAL HOMELESS SHELTERS, FOOD PANTRIES AND HOUSING AUTHORITY REPRESENTATIVES. PUBLIC PRESENTATIONS TO THE COMMUNITY: STAMFORD HEALTH PHYSICIANS REGULARLY MAKE EDUCATIONAL PRESENTATIONS AT LOCAL LIBRARIES, YMCAS, SENIOR CENTERS AND SOCIAL GROUPS. PARTICIPATION IN COMMUNITY COLLABORATIVES: STAMFORD HEALTH IS A CO-SPONSOR OF THE VITA HEALTH AND WELLNESS INITIATIVE TO PROMOTE THE HEALTH AND WELLNESS OF STAMFORD RESIDENTS AND THE STAMFORD CRADLE TO CAREER INITIATIVE WHICH AIMS TO ELIMINATE THE EDUCATIONAL ACHIEVEMENT GAP. BEHAVIORAL HEALTH: ACCESS TO BEHAVIORAL HEALTH WAS A TOP PRIORITY IDENTIFIED IN THE CHNA. IN THE REPORTING PERIOD STAMFORD HEALTH UTILIZED SEVERAL TACTICS TO ADDRESS THIS ISSUE. BEHAVIORAL HEALTH SERVICE GAP ANALYSIS: STAMFORD HEALTH ENGAGED A CONSULTANT TO FACILITATE A SERVICE GAP ANALYSIS. FROM MAY THROUGH OCTOBER 2021, STAMFORD HEALTH CONDUCTED INTERVIEWS WITH OVER 60 INDIVIDUALS REPRESENTING PROVIDERS AND COMMUNITY MEMBERS WITH DIVERSE PERSPECTIVES, REVIEWED DATA AND CONVENED MORE THAN 25 PROVIDERS FOR TWO SEPARATE RETREATS TO DETERMINE THE GAPS AND BEGIN TO ANALYZE HOW ORGANIZATIONS, INCLUDING STAMFORD HEALTH, MIGHT EXPAND SERVICES. THE RETREATS ALLOWED STAMFORD HEALTH TO VALIDATE THE DATA GATHERED AND IDENTIFY PARTNERS IT CAN COLLABORATE WITH TO HELP SOLVE SERVICE GAPS. RETREATS ALLOWED FOR A COLLECTIVE UNDERSTANDING THAT NOT ONE ORGANIZATION CAN SHOULDER THE TASK OF MEETING DEMAND. IT UNDERSCORED THE IMPORTANCE OF COLLABORATION AND PARTNERSHIPS. STAMFORD HEALTH CONTINUES TO INTERNALLY REVIEW AND PLAN INFRASTRUCTURE AND PROGRAMMATIC CHANGES IDENTIFIED THROUGH THE ANALYSIS. EMBEDDING BEHAVIORAL HEALTH INTO PRIMARY CARE: IN THE REPORTING PERIOD STAMFORD HEALTH PILOTED A PROCESS TO FACILITATE REFERRALS FROM STAMFORD HEALTH MEDICAL GROUP PHYSICIANS TO BEHAVIORAL HEALTH RESOURCES. A BEHAVIORAL HEALTH ORGANIZATION HAS CO-LOCATED IN AN OUTPATIENT MEDICAL SERVICES OFFICE BUILDING. MORE THAN 90 INDIVIDUALS HAVE BEEN REFERRED TO AN ON-SITE BEHAVIORAL HEALTH SPECIALIST. USE OF PEER SUPPORT SPECIALISTS: STAMFORD HEALTH'S EMERGENCY DEPARTMENT STAFF OFFER PATIENTS PRESENTING WITH SUBSTANCE USE DISORDER WITH ON-SITE ACCESS TO A COACH OF THE CONNECTICUT COMMUNITY FOR ADDICTION RECOVERY. APPROXIMATELY 100 PATIENTS ANNUALLY RECEIVE PEER SUPPORT. INCREASING ACCESS TO NUTRITIOUS FOOD: ACCESS TO HEALTHY FOOD AND ADDRESSING OBESITY WERE PRIORITIES IN THE CHNA. STAMFORD HEALTH HAS ADDRESSED THIS NEED PRIMARILY THROUGH THREE STRATEGIES. HEALTHY SAVINGS: STAMFORD HEALTH PARTNERED WITH THE UNITED WAY OF WESTERN CONNECTICUT TO PROMOTE ACCESS TO HEALTHY FOOD. STAMFORD HEALTH GAVE 200 NUTRITIONALLY VULNERABLE PATIENTS A CARD THAT PROVIDED DISCOUNTS AT CERTAIN GROCERY STORES FOR NUTRITIOUS FOOD THEREBY EXPANDING THEIR FOOD BUDGETS. FAIRGATE FARM: STAMFORD HEALTH SUPPORTS AN ORGANIC FARM IN A SOCIALLY VULNERABLE NEIGHBORHOOD. THE FARM PROMOTES A SENSE OF COMMUNITY, PROVIDES COMMUNITY EVENTS INCLUDING COOKING LESSONS. IN 2021 STAMFORD HEALTH INCREASED ITS SUPPORT OF THE FARM THROUGH WITH FUNDING TO ALLOW THE FARM TO PROVIDE FREE FRUITS AND VEGETABLES TO ITS NEIGHBORS. IT PROMOTED THE FREE FOOD PROGRAM THROUGH THE DESIGN AND DISTRIBUTION OF INFORMATIONAL FLYERS. KIDS FANS: STAMFORD HEALTH'S KIDS FITNESS AND NUTRITION SERVICES PROGRAM (KIDS FANS) PROMOTES PHYSICAL ACTIVITY AND HEALTH-CONSCIOUS NUTRITION. IN 2021, STAMFORD HEALTH EXPANDED KIDS' FANS TO ALLOW A STAMFORD HEALTH DIETICIAN SERVE UP TO 50 MORE MIDDLE SCHOOL CHILDREN EXPERIENCING, OR AT RISK OF, OBESITY. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 16A https://www.stamfordhealth.org/patients-visitors/fap/ FORM 990, SCHEDULE H, PART V, SECTION B, LINE 16B https://www.stamfordhealth.org/patients-visitors/fap/ FORM 990, SCHEDULE H, PART V, SECTION B, LINE 16C https://www.stamfordhealth.org/patients-visitors/fap/ FORM 990, SCHEDULE H, PART V, SECTION B, LINE 20D FOR 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 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7 | THE COST-TO-CHARGE RATIO METHODOLOGY WAS UTILIZED TO CALCULATE THE AMOUNT INCLUDED IN THE TABLE. THE CALCULATION OF THIS RATIO WAS DERIVED FROM RATIO OF PATIENT CARE COST-TO-CHARGE. PART III, LINE 2 THE 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. PART III, LINE 4 IN 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-PARTY COVERAGE, 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. PART III, LINE 8A TREATMENT 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. PART III, LINE 8B MEDICARE COSTING METHODOLOGY THE COSTING METHODOLOGY USED FOLLOWS THE METHODOLOGY OF THE MEDICARE COST REPORT. PART III, LINE 9B COLLECTION 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. |
| FORM 990, SCHEDULE H, PART VI, Line 2 | STAMFORD HEALTH ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES PRIMARILY THROUGH ITS CHNA. HOWEVER, STAMFORD HEALTH PARTICIPATES IN A NUMBER OF LOCAL COMMUNITY COLLABORATIVES DESIGNED TO IMPROVE THE WELLBEING OF RESIDENTS IN ITS SERVICE AREAS SUCH AS THE VITA HEALTH AND WELLNESS INITIATIVE, THE STAMFORD CRADLE TO CAREER COLLABORATIVE, THE STAMFORD YOUTH MENTAL HEALTH ALLIANCE, AND THE CHILDREN'S COLLABORATIVE. IN ADDITION, NUMEROUS LEADERS SERVE ON BOARDS OF LOCAL NONPROFIT ORGANIZATIONS THAT SERVE VUNERABLE INDIVIDUALS. THROUGH ITS INVOLVEMENT WITH ITS COMMUNITY, STAMFORD HEALTH IS ABLE TO FURTHER ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. |
| FORM 990, SCHEDULE H, PART VI, Line 3 | PATIENT 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. |
| FORM 990, SCHEDULE H, PART VI, Line 4 | STAMFORD HEALTH'S PRIMARY SERVICE AREA (PSA) AND SECONDARY SERVICE AREA (SSA) INCLUDE EIGHT COMMUNITIES IN SOUTHERN FAIRFIELD COUNTY, CT: STAMFORD, DARIEN, GREENWICH, NEW CANAAN, NORWALK, WILTON, WESTON, AND WESTPORT. 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 HAVE AN ESTIMATED POPULATION OF 328,362 AND AN ESTIMATED 120,000 HOUSEHOLDS. FOR THE CITY OF STAMFORD, THE MOST RECENT CENSUS SHOWED A SIGNIFICANT POPULATION INCREASE (10%), A DECREASE IN HOUSING AVAILABILITY AND AN INCREASE IN RACIAL AND ETHNIC POPULATIONS. STAMFORD'S POPULATION IS ESTIMATED AT 136,000. THE ADULT POPULATION INCREASED OVER THE PAST 10 YEARS BY 13%. THE CHILD POPULATION GREW BY 1%. THE WHITE POPULATION IS NO LONGER A MAJORITY BUT THIS POPULATION IS STILL THE LARGEST DEMOGRAPHIC GROUP MAKING UP 45% OF THE POPULATION. THE LATINO POPULATION IS THE FASTEST-GROWING DEMOGRAPHIC. 8,770 MORE LATINOS ARE IN STAMFORD COMPARED TO 10 YEARS AGO. THIS POPULATION NOW REPRESENTS 28% OF THE TOTAL POPULATION. THE BLACK POPULATION DECREASED OVER THE PAST 10 YEAS FROM 13% TO 12%. THE ASIAN POPULATION INCREASED 19% AND NOW REPRESENTS 8.6% OF THE POPULATION. 5.7% OF THE POPULATION IDENTIFIES AS TWO OR MORE RACES. 34.4% OF STAMFORD'S RESIDENTS WERE BORN OUTSIDE OF THE UNITED STATES. IN 42.6% OF STAMFORD'S HOUSEHOLDS, A LANGUAGE OTHER THAN ENGLISH IS THE PROMINENT LANGUAGE. 9.1% OF STAMFORD'S POPULATION EARNS AT OR BELOW THE FEDERAL POVERLY GUIDELINES. THE MEDIAN INCOME IN STAMFORD IS $96,885. PER CAPITAL INCOME IS $56,283. 10.9% OF STAMFORD RESIDENTS LACK HEALTH INSURANCE. |
| FORM 990, SCHEDULE H, PART VI, Line 5 | STAMFORD HEALTH IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA THROUGH ITS COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WHICH WAS CREATED IN COLLABORATION WITH ITS COMMUNITY PARTNERS. ISSUES IDENTIFIED THROUGH THE CHNA, BUT NOT ADDRESSED IN THE 2019 CHIP ARE ADDRESSED BY STAMFORD HEALTH IN COLLABORATION WITH ITS PARTNERS TO DETERMINE THE MOST SUITABLE RESOURCES AVAILABLE IN THE COMMUNITY TO ADDRESS THOSE ISSUES. NEEDS ADDRESSED IN THE REPORTING PERIOD: ACCESS TO HEALTH CARE: ACCESS TO HEALTH CARE WAS A PRIORITY IDENTIFIED IN THE CHNA. IN THE REPORTING PERIOD, STAMFORD HEALTH ENGAGED IN MANY COVID-19 RELATED ACTIVITIES THAT PROVIDED CRITICAL INFORMATION AND PROVIDED ACCESS TO VACCINES. STAMFORD HEALTH CONTINUED PROGRAMS IN 2021 THAT PROVIDE ACCESS TO UNDERSERVED COMMUNITIES. COVID-19 INFORMATION AND MEDICAL ADVICE: STAMFORD HEALTH PROVIDED MEDICAL ADVICE AND OTHER ASSISTANCE RELATED TO COMBATING COVID-19 TO THE CITY OF STAMFORD, NUMEROUS BOARDS OF EDUCATION AND EDUCATIONAL ORGANIZATIONS, AREA NONPROFIT ORGANIZATIONS SERVING THE SOCIALLY VULNERABLE, AREA NURSING HOMES, HOMELESS SHELTERS AND OTHER CONGREGATE HOUSING ORGANIZATIONS. HIGH-RISK TASK FORCE TO HELP MINORITY POPULATIONS BEING DISPARATELY IMPACTED BY COVID-19: STAMFORD HEALTH CONVENED A HIGH-RISK COMMUNITY OUTREACH TASKFORCE IN CONJUNCTION WITH THE VITA HEALTH AND WELLNESS COLLABORATIVE. THE TASKFORCE DEVELOPED TARGETED, CULTURALLY APPROPRIATE MESSAGING. THE STAMFORD PUBLIC HEALTH DEPARTMENT, NUMEROUS STAMFORD NONPROFITS, INCLUDING FQHC'S, THE STAMFORD NAACP, BUILDING ONE COMMUNITY, WHICH SERVES THE IMMIGRANT POPULATION, PARTICIPATED. MESSAGES FOCUSED ON HOW TO STAY SAFE, GET TESTED AND VACCINATED AND HOW TO SEEK TREATMENT IF NEEDED. MESSAGES, WHICH INCLUDED PUBLIC SERVICE ANNOUNCEMENTS, WERE DISTRIBUTED TO RESIDENTS IN MULTIPLE LANGUAGES THROUGH THE NONPROFITS AND THE CITY OF STAMFORD. INFORMING THE PUBLIC ABOUT COVID-19: STAMFORD HEALTH EXECUTIVES AND PHYSICIANS PROVIDED COVID-19 INFORMATION VIRTUALLY TO ASSIST THE GENERAL PUBLIC, COMMUNITY ORGANIZATIONS AND BUSINESSES. INFORMATION COVERED SUBJECTS SUCH AS COVID-19 INFECTION RATES, THERAPEUTIC TREATMENTS, TESTING AND VACCINES. VACCINATING THE MOST VULNERABLE: FROM JANUARY 2021 THROUGH MAY 2021, STAMFORD HEALTH CREATED AND OPERATED THE NO BARRIERS VACCINE EQUITY PROGRAM WHICH PROVIDED SOCIALLY VULNERABLE INDIVIDUALS, ESPECIALLY MINORITY POPULATIONS AND UNDOCUMENTED INDIVIDUALS, WITH AN EASY WAY TO ACCESS COVID-19 VACCINES AT STAMFORD HEALTH'S VACCINE CLINICS. STAMFORD HEALTH WORKED WITH COMMUNITY ORGANIZATIONS THAT WERE TRUSTED BY THEIR CLIENTELE TO REFER INDIVIDUALS TO THE PROGRAM. INDIVIDUALS DID NOT NEED TO REGISTER IN ADVANCE. STAMFORD HEALTH SET ASIDE TIMES IN WHICH REFERRED INDIVIDUALS COULD ARRIVE FOR VACCINES. INDIVIDUALS DID NOT NEED TO PRESENT INSURANCE CARD AND, IF PREFERRED, NO IDENTIFICATION OR LAST NAME WAS REQUIRED. STAMFORD HEALTH VACCINATED OVER 3,500 INDIVIDUALS THROUGH THIS PROGRAM. FROM MAY TO SEPTEMBER 2021, TO INCREASE VACCINE RATES IN SOCIALLY VULNERABLE CENSUS TRACTS, STAMFORD HEALTH CREATED A DOOR-TO-DOOR VACCINE ENCOURAGEMENT CAMPAIGN. IN PARTNERSHIP WITH THE CITY OF STAMFORD'S PUBLIC HEALTH DEPARTMENT, STAMFORD HEALTH SECURED A PROJECT MANAGER WHO LED THE EFFORT. CORRELATING TO THIS PROGRAM, STAMFORD EXPERIENCED THE HIGHEST VACCINE RATES OF ANY CITY IN CONNECTICUT. STAMFORD'S VACCINE RATES EXCEEDED THOSE OF MANY SUBURBAN TOWNS. ACCESS TO INSURANCE COVERAGE BY UNDOCUMENTED IMMIGRANTS: STAMFORD HEALTH WAS AMONG THE ORGANIZATIONS AND INDIVIDUALS THAT SUCCESSFULLY ADVOCATED AT THE STATE LEGISLATURE FOR STATE-FUNDED MEDICAID COVERAGE OF UNDOCUMENTED PREGNANT WOMEN, POST-PARTUM WOMEN FOR UP TO ONE YEAR AND CHILDREN UP TO AGE EIGHT. ACCESS TO CARE FOR HIV PATIENTS: STAMFORD HEALTH PROVIDES HEALTH SERVICES TO STAMFORD CARES PATIENTS AT NO COST TO THE PATIENT. STAMFORD CARES IS A COLLABORATION LED BY AN AREA FQHC, FAMILY CENTERS. THE PROGRAM PROVIDES HIV MEDICAL CASE MANAGEMENT AND EDUCATION. SUPPORTING MEDICALLY UNDERSERVED: STAMFORD HEALTH PARTNERS WITH OPTIMUS HEALTH CARE, INC., AN FQHC, TO CREATE AN INTEGRATED PRIMARY CARE DELIVERY NETWORK FOR THE MEDICALLY UNDERSERVED COMMUNITIES IN STAMFORD. DISCOUNTED OR FREE SUPPLIES, EQUIPMENT AND MEDICATIONS ARE PROVIDED TO INDIGENT PATIENTS. STAMFORD HEALTH ALSO PARTNERS WITH AMERICARES TO FACILITATE ACCESS FOR THIS FQHC'S PATIENTS TO STAMFORD HEALTH MEDICAL PROFESSIONALS. PEDIATRIC MEDICAL HOME INITIATIVE OF SOUTHWESTERN CONNECTICUT: STAMFORD HEALTH OPERATES A MEDICAL HOME INITIATIVE THAT COORDINATES THE CARE OF PEDIATRIC PATIENTS WITH COMPLEX CARE NEEDS. COMMUNITY CARE TEAM: STAMFORD HEALTH OPERATES A COMMUNITY CARE TEAM THROUGH WHICH ADULTS WITH SOCIAL/MEDICAL NEEDS RECEIVE SERVICES FROM LOCAL NONPROFITS. STAMFORD HEALTH PARTNERS WITH MANY COMMUNITY ORGANIZATIONS TO ENSURE THESE PATIENTS ARE REFERRED TO THE APPROPRIATE AGENCIES. PARTNERS INCLUDE THE STAMFORD POLICE, LOCAL HOMELESS SHELTERS, FOOD PANTRIES AND HOUSING AUTHORITY REPRESENTATIVES. PUBLIC PRESENTATIONS TO THE COMMUNITY: STAMFORD HEALTH PHYSICIANS REGULARLY MAKE EDUCATIONAL PRESENTATIONS AT LOCAL LIBRARIES, YMCAS, SENIOR CENTERS AND SOCIAL GROUPS. PARTICIPATION IN COMMUNITY COLLABORATIVES: STAMFORD HEALTH IS A CO-SPONSOR OF THE VITA HEALTH AND WELLNESS INITIATIVE TO PROMOTE THE HEALTH AND WELLNESS OF STAMFORD RESIDENTS AND THE STAMFORD CRADLE TO CAREER INITIATIVE WHICH AIMS TO ELIMINATE THE EDUCATIONAL ACHIEVEMENT GAP. BEHAVIORAL HEALTH: ACCESS TO BEHAVIORAL HEALTH WAS A TOP PRIORITY IDENTIFIED IN THE CHNA. IN THE REPORTING PERIOD STAMFORD HEALTH UTILIZED SEVERAL TACTICS TO ADDRESS THIS ISSUE. BEHAVIORAL HEALTH SERVICE GAP ANALYSIS: STAMFORD HEALTH ENGAGED A CONSULTANT TO FACILITATE A SERVICE GAP ANALYSIS. FROM MAY THROUGH OCTOBER 2021, STAMFORD HEALTH CONDUCTED INTERVIEWS WITH OVER 60 INDIVIDUALS REPRESENTING PROVIDERS AND COMMUNITY MEMBERS WITH DIVERSE PERSPECTIVES, REVIEWED DATA AND CONVENED MORE THAN 25 PROVIDERS FOR TWO SEPARATE RETREATS TO DETERMINE THE GAPS AND BEGIN TO ANALYZE HOW ORGANIZATIONS, INCLUDING STAMFORD HEALTH, MIGHT EXPAND SERVICES. THE RETREATS ALLOWED STAMFORD HEALTH TO VALIDATE THE DATA GATHERED AND IDENTIFY PARTNERS IT CAN COLLABORATE WITH TO HELP SOLVE SERVICE GAPS. RETREATS ALLOWED FOR A COLLECTIVE UNDERSTANDING THAT NOT ONE ORGANIZATION CAN SHOULDER THE TASK OF MEETING DEMAND. IT UNDERSCORED THE IMPORTANCE OF COLLABORATION AND PARTNERSHIPS. STAMFORD HEALTH CONTINUES TO INTERNALLY REVIEW AND PLAN INFRASTRUCTURE AND PROGRAMMATIC CHANGES IDENTIFIED THROUGH THE ANALYSIS. EMBEDDING BEHAVIORAL HEALTH INTO PRIMARY CARE: IN THE REPORTING PERIOD STAMFORD HEALTH PILOTED A PROCESS TO FACILITATE REFERRALS FROM STAMFORD HEALTH MEDICAL GROUP PHYSICIANS TO BEHAVIORAL HEALTH RESOURCES. A BEHAVIORAL HEALTH ORGANIZATION HAS CO-LOCATED IN AN OUTPATIENT MEDICAL SERVICES OFFICE BUILDING. MORE THAN 90 INDIVIDUALS HAVE BEEN REFERRED TO AN ON-SITE BEHAVIORAL HEALTH SPECIALIST. USE OF PEER SUPPORT SPECIALISTS: STAMFORD HEALTH'S EMERGENCY DEPARTMENT STAFF OFFER PATIENTS PRESENTING WITH SUBSTANCE USE DISORDER WITH ON-SITE ACCESS TO A COACH OF THE CONNECTICUT COMMUNITY FOR ADDICTION RECOVERY. APPROXIMATELY 100 PATIENTS ANNUALLY RECEIVE PEER SUPPORT. INCREASING ACCESS TO NUTRITIOUS FOOD: ACCESS TO HEALTHY FOOD AND ADDRESSING OBESITY WERE PRIORITIES IN THE CHNA. STAMFORD HEALTH HAS ADDRESSED THIS NEED PRIMARILY THROUGH THREE STRATEGIES. HEALTHY SAVINGS: STAMFORD HEALTH PARTNERED WITH THE UNITED WAY OF WESTERN CONNECTICUT TO PROMOTE ACCESS TO HEALTHY FOOD. STAMFORD HEALTH GAVE 200 NUTRITIONALLY VULNERABLE PATIENTS A CARD THAT PROVIDED DISCOUNTS AT CERTAIN GROCERY STORES FOR NUTRITIOUS FOOD THEREBY EXPANDING THEIR FOOD BUDGETS. FAIRGATE FARM: STAMFORD HEALTH SUPPORTS AN ORGANIC FARM IN A SOCIALLY VULNERABLE NEIGHBORHOOD. THE FARM PROMOTES A SENSE OF COMMUNITY, PROVIDES COMMUNITY EVENTS INCLUDING COOKING LESSONS. IN 2021 STAMFORD HEALTH INCREASED ITS SUPPORT OF THE FARM THROUGH WITH FUNDING TO ALLOW THE FARM TO PROVIDE FREE FRUITS AND VEGETABLES TO ITS NEIGHBORS. IT PROMOTED THE FREE FOOD PROGRAM THROUGH THE DESIGN AND DISTRIBUTION OF INFORMATIONAL FLYERS. KIDS FANS: STAMFORD HEALTH'S KIDS' FITNESS AND NUTRITION SERVICES PROGRAM (KIDS FANS) PROMOTES PHYSICAL ACTIVITY AND HEALTH-CONSCIOUS NUTRITION. IN 2021, STAMFORD HEALTH EXPANDED KIDS' FANS TO ALLOW A STAMFORD HEALTH DIETICIAN SERVE UP TO 50 MORE MIDDLE SCHOOL CHILDREN EXPERIENCING, OR AT RISK OF, OBESITY. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Optimus Healthcare | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 982 East Main Street | AddressLine1Txt |
| City | Bridgeport | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06608 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 060972166 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $2,007,255 | CashGrantAmt |
| Purpose Of Grant | Support Health Care | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 | FormAndLineReferenceDesc |
| Explanation | Funds provided are considered a contribution for Healthcare within the Community. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Kathleen A Silard | ||||||||||||||
| Pres. & CEO - Treasurer | $973,412 | $0 | $337,636 | $0 | $214,749 | $0 | $18,720 | $0 | $10,772 | $0 | $1,555,289 | $0 | $150,910 | $0 |
| David Yuh MD | ||||||||||||||
| Physician | $982,630 | $0 | $146,803 | $0 | $0 | $0 | $44,980 | $0 | $8,072 | $0 | $1,182,485 | $0 | $0 | $0 |
| Elaine Guglielmo | ||||||||||||||
| Asst. Secretary | $395,695 | $0 | $101,250 | $0 | $7,949 | $0 | $24,038 | $0 | $3,689 | $0 | $532,621 | $0 | $0 | $0 |
| Todd Miller MD | ||||||||||||||
| CHIEF NEURO INTERV. SERVICES | $638,703 | $0 | $64,375 | $0 | $278,400 | $0 | $19,500 | $0 | $8,072 | $0 | $1,009,050 | $0 | $0 | $0 |
| Michael Veillette | ||||||||||||||
| Sr. VP Finance & CFO | $508,566 | $0 | $89,899 | $0 | $94,493 | $0 | $17,000 | $0 | $10,772 | $0 | $720,730 | $0 | $0 | $0 |
| Michael Coady MD | ||||||||||||||
| Chief of Cardiac Surgery | $820,007 | $0 | $80,000 | $0 | $1,456 | $0 | $26,000 | $0 | $3,240 | $0 | $930,703 | $0 | $0 | $0 |
| Rohit Bhalla MD | ||||||||||||||
| CVP, Clinical Affairs & Qualit | $522,561 | $0 | $132,677 | $0 | $5,641 | $0 | $25,350 | $0 | $8,672 | $0 | $694,901 | $0 | $56,177 | $0 |
| Brian Stainken MD | ||||||||||||||
| Dept. Chair | $663,530 | $0 | $100,316 | $0 | $0 | $0 | $44,018 | $0 | $5,189 | $0 | $813,053 | $0 | $0 | $0 |
| Jonathan Bailey | ||||||||||||||
| Sr. VP Operations & COO | $512,178 | $0 | $130,040 | $0 | $80,490 | $0 | $9,069 | $0 | $8,213 | $0 | $739,990 | $0 | $0 | $0 |
| Darryl McCormick | ||||||||||||||
| Former SVP Talent & culture | $418,063 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $418,063 | $0 | $0 | $0 |
| Kevin Gage | ||||||||||||||
| Former treasurer/Cfo | $269,474 | $0 | $0 | $0 | $85,968 | $0 | $0 | $0 | $0 | $0 | $355,442 | $0 | $269,474 | $0 |
| Scott Chudnoff | ||||||||||||||
| Former Chair, OB/GYN | $632,358 | $0 | $50,000 | $0 | $0 | $0 | $23,300 | $0 | $12,705 | $0 | $718,363 | $0 | $0 | $0 |
| Michael Ebright SHMG | ||||||||||||||
| Director | $0 | $411,754 | $0 | $5,000 | $0 | $178,159 | $0 | $25,500 | $0 | $8,222 | $0 | $628,635 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 1A | SR. VP FINANCE & CFO - MICHAEL VEILLETTE HOUSING BENEFIT: $42,743 TAXABLE GROSS UP PAYMENT: $20,754 PRES. & CEO - TREASURER - KATHLEEN SILARD MEMBERSHIP DUES: $16,900 TAXABLE GROSS UP PAYMENT: $15,900 FORMER TREASURER/CFO - KEVIN GAGE TAXABLE GROSS UP PAYMENT: $85,968 |
| SCHEDULE J, PART I, LINE 4B | THE OFFICERS NOTED BELOW HAD TAXABLE VESTED PROCEEDS IN A 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN OF THE LISTED AMOUNTS: MICHAEL VEILLETTE: $30,750 JONATHAN BAILEY: $75,750 THE OFFICERS NOTED BELOW RECEIVED PAYMENTS FROM A 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN OF THE LISTED AMOUNTS: ROHIT BHALLA M.D.: $56,177 KEVIN GAGE: $269,474 DARRYL MCCORMICK: $418,063 KATHLEEN SILARD: $150,910 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| STATE OF CT HEALTH AND EDUCATION FAC AUTHORITIES | ||||||||
| A | 060806186 | 20774YK55 | 2016-07-27 | $50,921,018 | SEE SCHEDULE K, PART VI | false | false | false |
| STATE OF CT HEALTH AND EDUCATION FAC AUTHORITIES | ||||||||
| B | 060806186 | 20775DJW3 | 2021-04-06 | $79,784,936 | SEE SCHEDULE K, PART VI | false | false | false |
| STATE OF CT HEALTH AND EDUCATION FAC AUTHORITIES | ||||||||
| C | 060806186 | 20774YKQ9 | 2012-06-20 | $254,620,769 | SEE SCHEDULE K, PART VI | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $0 | $0 | $50,921,018 | $0 | $0 | $0 | $921,018 | $0 | $0 | $50,000,000 | $0 | $0 | 2016 | false | false | Yes (true) | Yes (true) |
| B | $0 | $0 | $79,784,936 | $0 | $0 | $79,783,775 | $0 | $0 | $0 | $0 | $1,161 | $0 | 2021 | Yes (true) | false | Yes (true) | Yes (true) |
| C | $8,820,000 | $0 | $254,620,769 | $0 | $36,350,996 | $0 | $2,935,597 | $0 | $0 | $215,334,176 | $0 | $0 | 2016 | false | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 0.01810 | 0.00000 | 0.01810 | false | false | false | Yes (true) |
| B | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 0 | false | false | false | Yes (true) | ||
| C | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 0.01220 | 0.01220 | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||||
| A | false | false | Yes (true) | Yes (true) | false | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| B | false | Yes (true) | false | false | false | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| C | false | false | false | Yes (true) | false | false | false | 0 | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE K, PART I COLUMN (F) BOND A | THE 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 B | THE STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES L (THE SERIES L BONDS) 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 C | THE STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES J (THE SERIES J BONDS) WERE ISSUED ON JUNE 20, 2012 IN THE AMOUNT OF $250,000,000 FOR A TERM OF 30 YEARS, AT A PREMIUM OF $4,621,000. THE SERIES J BONDS PROCEEDS WERE USED FOR FINANCING ARCHITECTURAL, ENGINEERING, SITE PERMITTING, LEGAL PLANNING AND CONSTRUCTION OF THE NEW HOSPITAL FACILITY. THE PROCEEDS ALSO REIMBURSED TSH FOR CERTAIN COSTS OF ISSUANCE OF THE SERIES J BONDS. |
| SCHEDULE K, PART IV, LINE 2C BONDS A AND C | THE DATE OF THE MOST RECENT REBATE COMPUTATION WAS JULY 27, 2021 FOR BOND A AND JUNE 20, 2017 FOR BOND C. |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp | |
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp |
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $853,050 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Market Value | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp | |
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp | |
| Drugs And Medical Supplies | DrugsAndMedicalSuppliesGrp | |
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp | |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (20 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, LINE 6 | STAMFORD HEALTH INC. (SHI), A TAX-EXEMPT ORGANIZATION, IS THE SOLE MEMBER OF THE STAMFORD HOSPITAL. |
| FORM 990, PART VI, LINE 7A | STAMFORD 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 | 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 11B | THE 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 | IT 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, LINES 15A & 15B | IT 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 | THE STAMFORD HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | PENSION ADJUSTMENTS OTHER THAN PENSION COST $36,552,000 EQUITY TRANSFER - SHMG ($42,742,588) PENSION COST ($1,293,529) HEALTHSTAR NET PROCEEDS ($2,358,581) TOTAL ------------- ($9,842,698) |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED SERVICES TOTAL FEES:31322127 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:INTERCOMPANY STAFFING FEES TOTAL FEES:16989462 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHYSICIAN FEES TOTAL FEES:12342133 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED SERVICE HSS INVOIC TOTAL FEES:8771262 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONSULTING SERVICE TOTAL FEES:5980192 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED SERVICE EXP REIMB TOTAL FEES:5969919 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:SOFTWARE MAINT AND SUPPORT TOTAL FEES:5123554 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:TEMP NURSING PERSONNEL TOTAL FEES:3397503 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:COLLECTION FEES TOTAL FEES:3057842 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:DATA PROCESSING FEES TOTAL FEES:754991 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:ARCHIVING EXPENSE TOTAL FEES:22779 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CAP-PROJECT (MISC) TOTAL FEES:-284 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| 24 GROVE ST NEW CANAAN LLC | |||||||||
| ONE HOSPITAL PLAZA PO BOX 9317 | STAMFORD | CT | 06904 | 274941167 | RENTAl | CT | -$44,424 | $709,839 | TSH |
| 36 GROVE STREET NEW CANAAN LLC | |||||||||
| ONE HOSPITAL PLAZA PO BOX 9317 | STAMFORD | CT | 06904 | 274941529 | MEDICAL RENTA | CT | $46,867 | $4,872,636 | TSH |
| STAMFORD HEALTH OCCUPATIONAL HEALTH SERV | |||||||||
| ONE STAMFORD PLAZA PO BOX 9317 | STAMFORD | CT | 06904 | 475119889 | OCCUPATIONAL | CT | $233,642 | $0 | TSH |
| STAMFORD HEALTHCARE ALLIANCE LLC | |||||||||
| ONE STAMFORD PLAZA PO BOX 9317 | STAMFORD | CT | 06904 | 455468194 | INACTIVE | CT | $0 | $0 | TSH |
| PHYSICIAN ALLIANCE OF STAMFORD LLC | |||||||||
| ONE HOSPITAL PLAZA PO BOX 9317 | STAMFORD | CT | 06904 | 455458611 | MANAGEMENT | CT | -$135,296 | $0 | TSH |
| HEALTHSTAR INDEMINITY LLC | |||||||||
| 159 Bank Street 4th Floor | Burlington | VA | 05401 | 352669962 | SELF INSURANC | VT | -$2,357,948 | $86,083,266 | TSH |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| STAMFORD HEALTH INC | ||||||||||
| ONE STAMFORD PLAZA PO BOX 9317 | STAMFORD | CT | 06904 | 222476636 | PARENT | CT | 501(c)(3) | 12b | NA | false |
| THE STAMFORD HOSPITAL FOUNDATION | ||||||||||
| ONE STAMFORD PLAZA PO BOX 9317 | STAMFORD | CT | 06904 | 222478748 | FUNDRAISING | CT | 501(c)(3) | 10 | SHI | Yes (true) |
| STAMFORD HEALTH MEDICAL GROUP | ||||||||||
| ONE STAMFORD PLAZA PO BOX 9317 | STAMFORD | CT | 06904 | 271648289 | MEDICAL SVCS | CT | 501(c)(3) | 10 | TSH | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| STAMFORD HEALTH INC | ||
| r | $1,200,000 | BOOK VALUE |
| STAMFORD HEALTH MEDICAL GROUP INC | ||
| b | $42,742,588 | BOOK VALUE |
| STAMFORD HEALTH MEDICAL GROUP INC | ||
| j | $13,422,667 | BOOK VALUE |
| STAMFORD HEALTH MEDICAL GROUP INC | ||
| k | $1,195,629 | BOOK VALUE |
| STAMFORD HEALTH MEDICAL GROUP INC | ||
| o | $244,013 | BOOK VALUE |
| HEALTHSTAR INDEMINITY LLC | ||
| r | $10,286,400 | CASH VALUE |
| HEALTHSTAR INDEMINITY LLC | ||
| q | $4,700,250 | BOOK VALUE |