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      <Form990PartVIISectionAGrp>
        <PersonNm>Lucy Galbraith</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Paul Giusti</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Patrick Hackett</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Hoyt Harper II</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Helen Jaffe</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Charles Littlejohn MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>James Thomas</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Elizabeth Zea</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Diliberto</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>F Carl Mueller MD</PersonNm>
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      <ContractorCompensationGrp>
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        <ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ACCENTURE LLP</PersonNm>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ROPES GRAY LLP</PersonNm>
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          <USAddress>
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      <ContractorCompensationGrp>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
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          <USAddress>
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          </USAddress>
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        <BusinessCd>621300</BusinessCd>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621110</BusinessCd>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621400</BusinessCd>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621400</BusinessCd>
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      <ProgramServiceRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>3078591</UnrelatedBusinessRevenueAmt>
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      </ProgramServiceRevenueGrp>
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      <OtherRevenueMiscGrp>
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      <OtherRevenueMiscGrp>
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        <FundraisingAmt>27776</FundraisingAmt>
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        <FundraisingAmt>6558</FundraisingAmt>
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        <FundraisingAmt>1129</FundraisingAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <ConferencesMeetingsGrp>
        <TotalAmt>74711</TotalAmt>
        <ProgramServicesAmt>73582</ProgramServicesAmt>
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        <FundraisingAmt>1129</FundraisingAmt>
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        <ProgramServicesAmt>56649</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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        <NetCommunityBenefitExpnsAmt>74231663</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.11570</TotalExpensePct>
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      <BadDebtExpenseAmt>62987451</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>14443023</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>115905105</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>136846987</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-20941882</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <OtherInd>X</OtherInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
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          <AddressLine1Txt>One Hospital Plaza</AddressLine1Txt>
          <CityNm>Stamford</CityNm>
          <StateAbbreviationCd>CT</StateAbbreviationCd>
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        <CommunityDemographicsInd>X</CommunityDemographicsInd>
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        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>19</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE PART V, SECTION C</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>20</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE PART V, SECTION C</StrategyWebsiteURLTxt>
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        <FPGFamilyIncmLmtFreeCarePct>250.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.</FPGFamilyIncmLmtDscntCarePct>
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        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
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        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE PART V, SECTION C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE PART V, SECTION C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE PART V, SECTION C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
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        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART V, SECTION C, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>STAMFORD HEALTH MADE ITS CHNA AVAILABLE ON ITS WEBSITE (HTTPS://WWW.STAMFORDHEALTH.ORG/APP/FILES/PUBLIC/7AF7FB8F-D7EE-4937-8DEC-C AEA3F00DB93/CHNA2019.PDF)</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART V, SECTION C, LINE 10</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://WWW.STAMFORDHEALTH.ORG/APP/FILES/PUBLIC/FE60FBA2-DDB2-432D-9ACA-10 A5796A279A/2020-CHIP-IMPROVEMENT-PAN.PDF</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>694901</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>56177</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Brian Stainken MD</PersonNm>
        <TitleTxt>Dept. Chair</TitleTxt>
        <BaseCompensationFilingOrgAmt>663530</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>100316</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>44018</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>5189</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>813053</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jonathan Bailey</PersonNm>
        <TitleTxt>Sr. VP Operations &amp; COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>512178</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>130040</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>80490</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9069</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8213</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>739990</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Darryl McCormick</PersonNm>
        <TitleTxt>Former SVP Talent &amp; culture</TitleTxt>
        <BaseCompensationFilingOrgAmt>418063</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>418063</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kevin Gage</PersonNm>
        <TitleTxt>Former treasurer/Cfo</TitleTxt>
        <BaseCompensationFilingOrgAmt>269474</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>85968</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>355442</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>269474</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Scott Chudnoff</PersonNm>
        <TitleTxt>Former Chair, OB/GYN</TitleTxt>
        <BaseCompensationFilingOrgAmt>632358</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>50000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>23300</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12705</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>718363</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Michael Ebright SHMG</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>411754</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>5000</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>178159</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>25500</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>8222</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>628635</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>SR. VP FINANCE &amp; CFO - MICHAEL VEILLETTE HOUSING BENEFIT: $42,743 TAXABLE GROSS UP PAYMENT: $20,754 PRES. &amp; 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</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>STATE OF CT HEALTH AND EDUCATION FAC AUTHORITIES</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>060806186</BondIssuerEIN>
        <CUSIPNum>20774YK55</CUSIPNum>
        <BondIssuedDt>2016-07-27</BondIssuedDt>
        <IssuePriceAmt>50921018</IssuePriceAmt>
        <PurposeDesc>SEE SCHEDULE K, PART VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>STATE OF CT HEALTH AND EDUCATION FAC AUTHORITIES</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>060806186</BondIssuerEIN>
        <CUSIPNum>20775DJW3</CUSIPNum>
        <BondIssuedDt>2021-04-06</BondIssuedDt>
        <IssuePriceAmt>79784936</IssuePriceAmt>
        <PurposeDesc>SEE SCHEDULE K, PART VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>STATE OF CT HEALTH AND EDUCATION FAC AUTHORITIES</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>060806186</BondIssuerEIN>
        <CUSIPNum>20774YKQ9</CUSIPNum>
        <BondIssuedDt>2012-06-20</BondIssuedDt>
        <IssuePriceAmt>254620769</IssuePriceAmt>
        <PurposeDesc>SEE SCHEDULE K, PART VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>0</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>50921018</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>921018</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>50000000</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2016</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>0</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>79784936</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>79783775</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>0</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>1161</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2021</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <RetiredAmt>8820000</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>254620769</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>36350996</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>2935597</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>215334176</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2016</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>true</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>true</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0.01810</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.01810</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>true</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>true</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>true</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>true</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0.01220</PrivateBusUseByOthersPct>
        <TotalPrivateBusinessUsePct>0.01220</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART I COLUMN (F) BOND A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART I COLUMN (F) BOND B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART I COLUMN (F) BOND C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART IV, LINE 2C BONDS A AND C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DATE OF THE MOST RECENT REBATE COMPUTATION WAS JULY 27, 2021 FOR BOND A AND JUNE 20, 2017 FOR BOND C.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>853050</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market Value</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
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      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
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    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>STAMFORD HEALTH INC. (SHI), A TAX-EXEMPT ORGANIZATION, IS THE SOLE MEMBER OF THE STAMFORD HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINES 15A &amp; 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE STAMFORD HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>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)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PURCHASED SERVICES TOTAL FEES:31322127</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:INTERCOMPANY STAFFING FEES TOTAL FEES:16989462</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PHYSICIAN FEES TOTAL FEES:12342133</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PURCHASED SERVICE HSS INVOIC TOTAL FEES:8771262</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONSULTING SERVICE TOTAL FEES:5980192</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PURCHASED SERVICE EXP REIMB TOTAL FEES:5969919</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:SOFTWARE MAINT AND SUPPORT TOTAL FEES:5123554</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:TEMP NURSING PERSONNEL TOTAL FEES:3397503</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:COLLECTION FEES TOTAL FEES:3057842</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:DATA PROCESSING FEES TOTAL FEES:754991</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:ARCHIVING EXPENSE TOTAL FEES:22779</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CAP-PROJECT (MISC) TOTAL FEES:-284</ExplanationTxt>
      </SupplementalInformationDetail>
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          <AddressLine1Txt>159 Bank Street 4th Floor</AddressLine1Txt>
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        <TotalIncomeAmt>-2357948</TotalIncomeAmt>
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          <BusinessNameLine1Txt>TSH</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>STAMFORD HEALTH INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>ONE STAMFORD PLAZA PO BOX 9317</AddressLine1Txt>
          <CityNm>STAMFORD</CityNm>
          <StateAbbreviationCd>CT</StateAbbreviationCd>
          <ZIPCd>06904</ZIPCd>
        </USAddress>
        <EIN>222476636</EIN>
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        <LegalDomicileStateCd>CT</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12b</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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          <BusinessNameLine1Txt>THE STAMFORD HOSPITAL FOUNDATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>ONE STAMFORD PLAZA PO BOX 9317</AddressLine1Txt>
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          <StateAbbreviationCd>CT</StateAbbreviationCd>
          <ZIPCd>06904</ZIPCd>
        </USAddress>
        <EIN>222478748</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CT</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>SHI</BusinessNameLine1Txt>
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          <CityNm>STAMFORD</CityNm>
          <StateAbbreviationCd>CT</StateAbbreviationCd>
          <ZIPCd>06904</ZIPCd>
        </USAddress>
        <EIN>271648289</EIN>
        <PrimaryActivitiesTxt>MEDICAL SVCS</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>TSH</BusinessNameLine1Txt>
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      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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        </OtherOrganizationName>
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        <MethodOfAmountDeterminationTxt>BOOK VALUE</MethodOfAmountDeterminationTxt>
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          <BusinessNameLine1Txt>STAMFORD HEALTH MEDICAL GROUP INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <MethodOfAmountDeterminationTxt>BOOK VALUE</MethodOfAmountDeterminationTxt>
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          <BusinessNameLine1Txt>STAMFORD HEALTH MEDICAL GROUP INC</BusinessNameLine1Txt>
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        <InvolvedAmt>1195629</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>STAMFORD HEALTH MEDICAL GROUP INC</BusinessNameLine1Txt>
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        <InvolvedAmt>244013</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>HEALTHSTAR INDEMINITY LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
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          <BusinessNameLine1Txt>HEALTHSTAR INDEMINITY LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>4700250</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
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</Return>
