STAMFORD HOSPITAL: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: STAMFORD HOSPITAL (EIN 06-0646917)
Tax period: 2019-10-01 to 2020-09-30
Filed: 2021-08-12
IRS object ID: 202112249349301906
Schema version: 2019v5.2
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	2021-08-12T10:20:53-05:00	ReturnTs
Tax Period End	2020-09-30	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	1 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	2019-10-01	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	2032761000	PhoneNum
Signature	2021-08-10	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	NICOLE M SOKOLOWSKI	PreparerPersonNm
PTIN	P01683199	PTIN
Phone	2227733000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2019	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	$668,859,144	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	11	VotingMembersIndependentCnt
Total Employee	3170	TotalEmployeeCnt
Total Volunteers	373	TotalVolunteersCnt
Total Gross UBI	$3,073,529	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$739,900	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$6,187,013	PYContributionsGrantsAmt
CY Contributions Grants	$54,061,621	CYContributionsGrantsAmt
PY Program Service Revenue	$591,377,261	PYProgramServiceRevenueAmt
CY Program Service Revenue	$588,500,415	CYProgramServiceRevenueAmt
PY Investment Income	$6,327,019	PYInvestmentIncomeAmt
CY Investment Income	$4,166,273	CYInvestmentIncomeAmt
PY Other Revenue	$7,237,231	PYOtherRevenueAmt
CY Other Revenue	$11,178,013	CYOtherRevenueAmt
PY Total Revenue	$611,128,524	PYTotalRevenueAmt
CY Total Revenue	$657,906,322	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,004,014	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,003,585	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$273,252,850	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$291,806,013	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$2,717,204	CYTotalFundraisingExpenseAmt
PY Other Expenses	$287,601,212	PYOtherExpensesAmt
CY Other Expenses	$299,702,816	CYOtherExpensesAmt
PY Total Expenses	$562,858,076	PYTotalExpensesAmt
CY Total Expenses	$593,512,414	CYTotalExpensesAmt
PY Revenues Less Expenses	$48,270,448	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$64,393,908	CYRevenuesLessExpensesAmt
Total Assets BOY	$990,032,656	TotalAssetsBOYAmt
Total Assets EOY	$1,190,337,389	TotalAssetsEOYAmt
Total Liabilities BOY	$627,842,609	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$781,029,366	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$362,190,047	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$409,308,023	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	Yes (true)	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$505,921,335	ExpenseAmt
Grant	$2,003,585	GrantAmt
Revenue	$602,263,460	RevenueAmt
Desc	Key operating statistics for the year ended 09/30/2020 include: Adult and pediatric inpatients cared for and discharged 14,950; babies born 2,137; total inpatient days of care provided 73,085; patients seeking care in the Stamford Hospital Emergency room: admitted for inpatient treatment 7,556; treated and released 43,077; treated at Tully Immediate Care Center 17,772; surgeries performed at the Hospital and Tully Center 11,698; radiation therapy procedures performed 192,025.	Desc
Total Program Service Expenses	$505,921,335	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	560	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3170	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	Yes (true)	ForeignFinancialAccountInd
Foreign Country	BD	ForeignCountryCd
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	11	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 (24 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	Key EmployeeKeyEmployeeInd
Kathleen A Silard
Pres. & CEO - Treasurer	38.0	2.0	Yes (X)	Yes (X)	$1,248,698	$0	$28,105
David Yuh MD
Physician	38.0	2.0			$1,075,815	$0	$50,735	Yes (X)
Sharon Kiely
Sr. VP Medical Services	38.0	2.0			$1,024,208	$0	$21,495	Yes (X)
Michael Coady MD
Chief of cardiac Surgery	38.0	2.0			$896,086	$0	$27,812	Yes (X)
Todd Miller MD
Chief Neuro Interv. Services	38.0	2.0			$882,641	$0	$25,735	Yes (X)
Brian Stainken MD
Dept. Chair	38.0	2.0			$749,390	$0	$33,915	Yes (X)
MICHAEL EBRIGHT MD
Physician Director	38.0	2.0	Yes (X)		$622,303	$0	$26,197
Carol Fucigna
Physician Director	2.0	38.0	Yes (X)		$581,062	$0	$30,594
Elaine Guglielmo
Asst. Secretary	38.0	2.0		Yes (X)	$477,440	$0	$28,281
Brian Grissler
Former President & CEO	38.0	2.0			$455,796	$0	$0		Yes (X)
Rudolph Taddonio
FORMER Officer Phys. Director	38.0	2.0			$127,488	$0	$0			Yes (X)
Kevin Gage
Former Treasurer/CFO	38.0	2.0			$123,537	$0	$0		Yes (X)
Mark Dewaele DMD
Chairman	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Matthew Dumas
Director	2.0	2.0	Yes (X)		$0	$0	$0
Robert Eydt
Director	2.0	2.0	Yes (X)		$0	$0	$0
Lucy Galbraith
Director	2.0	2.0	Yes (X)		$0	$0	$0
Patrick Hackett
Vice Chair & Director	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
Paul Giusti
Director	2.0	2.0	Yes (X)		$0	$0	$0
Michael Veillette
CFO	38.0	2.0		Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,264,464	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$272,869	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	727	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	$5,223,635
SUNRISE MEDICAL LABORATORIES
250 MILLER PLACE	HICKSVILLE	NY	11801	lab services	$1,670,841
ROPES GRAY LLP
PO BOX 11839	NEWARK	NJ	071018138	LEGAL SERVICES	$1,201,373
MMODAL SERVICES INC
PO BOX 538520	ATLANTA	GA	303538520	TRANSCRIPTION SRVCS	$1,140,803
STOCKMAN O'CONNOR LLC
800 MAIN STREET SOUTH SUITE 215	SOUTHBURY	CT	06488	LEGAL SERVICES	$913,137

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	348	CntrctRcvdGreaterThan100KCnt
Fundraising	$1,353,024	FundraisingAmt
Government Grants	$43,269,322	GovernmentGrantsAmt
All Other Contributions	$9,439,275	AllOtherContributionsAmt
Noncash Contributions	$328,691	NoncashContributionsAmt
Total Contributions	$54,061,621	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT REVENUE	621300	$360,301,420	$360,301,420
PHYSICIAN BILLING	621110	$12,138,124	$12,138,124
WELLNESS AND TRAINING	621400	$2,180,972	$2,180,972
MEDICARE/MEDICAID PAYMENT	621400	$210,968,407	$210,968,407
REFERENCE LAB INCOME	621500	$2,911,492		$2,911,492

Field	Value	IRS element (for citing)
Total Program Service Revenue	$588,500,415	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,036,809	TotalRevenueColumnAmt
Unrelated Business Revenue	$29,791	UnrelatedBusinessRevenueAmt
Exclusion	$3,007,018	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	$2,909,476	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$5,093,173	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$2,183,697	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,183,697	TotalRevenueColumnAmt
Unrelated Business Revenue	-$19,391	UnrelatedBusinessRevenueAmt
Exclusion	-$2,164,306	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$6,627,741	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$5,498,277	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,129,464	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,129,464	TotalRevenueColumnAmt
Exclusion	$1,129,464	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$8,400	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$1,353,024	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$361,372	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$352,972	TotalRevenueColumnAmt
Exclusion	-$352,972	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
CAFETERIA, COFFEE SHOP	722210	$1,836,939	$1,836,939
INTERCOMPANY STAFFING	900099	$2,081,163	$2,081,163
PHARMACY - 340B	900099	$4,132,189	$4,132,189

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,664,391	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,512,754	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$151,637	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$13,714,682	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$657,906,322	TotalRevenueColumnAmt
Related Or Exempt Func Income	$599,151,968	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,073,529	UnrelatedBusinessRevenueAmt
Exclusion	$1,619,204	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	$2,003,585	TotalAmt
Program Services	$2,003,585	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,970,493	TotalAmt
Management And General	$2,970,493	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$238,867,459	TotalAmt
Program Services	$205,616,119	ProgramServicesAmt
Management And General	$32,434,382	ManagementAndGeneralAmt
Fundraising	$816,958	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$9,377,350	TotalAmt
Program Services	$8,088,003	ProgramServicesAmt
Management And General	$1,257,669	ManagementAndGeneralAmt
Fundraising	$31,678	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$24,739,914	TotalAmt
Program Services	$21,207,633	ProgramServicesAmt
Management And General	$3,448,062	ManagementAndGeneralAmt
Fundraising	$84,219	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$15,850,797	TotalAmt
Program Services	$13,671,377	ProgramServicesAmt
Management And General	$2,125,874	ManagementAndGeneralAmt
Fundraising	$53,546	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,906,406	TotalAmt
Program Services	$1,685,504	ProgramServicesAmt
Management And General	$220,902	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,872,160	TotalAmt
Program Services	$168,213	ProgramServicesAmt
Management And General	$1,654,757	ManagementAndGeneralAmt
Fundraising	$49,190	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$730,706	TotalAmt
Program Services	$96,406	ProgramServicesAmt
Management And General	$634,300	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$179,212	TotalAmt
Management And General	$179,212	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$78,736	TotalAmt
Management And General	$78,736	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$75,549,646	TotalAmt
Program Services	$62,211,679	ProgramServicesAmt
Management And General	$13,210,642	ManagementAndGeneralAmt
Fundraising	$127,325	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,384,097	TotalAmt
Program Services	$296,942	ProgramServicesAmt
Management And General	$80,433	ManagementAndGeneralAmt
Fundraising	$1,006,722	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,542,248	TotalAmt
Program Services	$10,209,026	ProgramServicesAmt
Management And General	$304,572	ManagementAndGeneralAmt
Fundraising	$28,650	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,611,730	TotalAmt
Program Services	$276,064	ProgramServicesAmt
Management And General	$8,331,721	ManagementAndGeneralAmt
Fundraising	$3,945	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$39,981,832	TotalAmt
Program Services	$36,748,034	ProgramServicesAmt
Management And General	$3,117,866	ManagementAndGeneralAmt
Fundraising	$115,932	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$277,426	TotalAmt
Program Services	$249,781	ProgramServicesAmt
Management And General	$26,776	ManagementAndGeneralAmt
Fundraising	$869	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$202,755	TotalAmt
Program Services	$201,886	ProgramServicesAmt
Fundraising	$869	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$38,099	TotalAmt
Program Services	$38,099	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$42,123,566	TotalAmt
Program Services	$41,519,244	ProgramServicesAmt
Management And General	$604,322	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$12,231,434	TotalAmt
Management And General	$12,231,434	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL EXPENSES	$85,694,141	$85,694,141
SERVICE CONTRACTS	$12,817,128	$12,754,600	$4,044	$58,484
SUBSCRIPTIONS DUES MBRSHP	$3,711,491	$3,059,940	$596,451	$55,100
OTHER	$1,770,003	$125,059	$1,361,227	$283,717

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$593,512,414	TotalAmt
Program Services	$505,921,335	ProgramServicesAmt
Management And General	$84,873,875	ManagementAndGeneralAmt
Fundraising	$2,717,204	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$50,000	BOYAmt
EOY	$50,000	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$79,755,719	BOYAmt
EOY	$202,719,442	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$11,936,240	BOYAmt
EOY	$9,234,868	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$83,649,218	BOYAmt
EOY	$82,716,735	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	$9,302,368	BOYAmt
EOY	$12,153,227	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,899,960	BOYAmt
EOY	$8,736,344	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,149,798,307	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$542,744,291	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$637,470,548	BOYAmt
EOY	$607,054,016	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$104,601,390	BOYAmt
EOY	$185,195,245	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$8,033,013	BOYAmt
EOY	$8,613,287	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	$50,334,200	BOYAmt
EOY	$73,864,225	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$990,032,656	BOYAmt
EOY	$1,190,337,389	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$102,011,567	BOYAmt
EOY	$104,998,174	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	$2,133,258	BOYAmt
EOY	$1,881,180	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$382,413,862	BOYAmt
EOY	$374,206,450	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	$3,018,738	BOYAmt
EOY	$2,850,432	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$138,265,184	BOYAmt
EOY	$297,093,130	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$627,842,609	BOYAmt
EOY	$781,029,366	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	$278,800,792	BOYAmt
EOY	$323,140,793	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$83,389,255	BOYAmt
EOY	$86,167,230	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$362,190,047	BOYAmt
EOY	$409,308,023	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$990,032,656	BOYAmt
EOY	$1,190,337,389	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$64,393,908	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$4,603,888	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$12,672,044	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	$179,212	OtherActivitiesAmt
Total Lobbying Expenditures	$179,212	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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$90,756,792	BeginningYearBalanceAmt
Contributions	$74,894,440	ContributionsAmt
Investment Earnings Or Losses	$406,156	InvestmentEarningsOrLossesAmt
Other Expenditures	$83,956,350	OtherExpendituresAmt
End Year Balance	$82,101,038	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.76000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.24000	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	$483,665,379	OtherCostOrOtherBasisAmt
Depreciation	$161,044,016	DepreciationAmt
Book Value	$322,621,363	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,167,341	OtherCostOrOtherBasisAmt
Depreciation	$10,564,887	DepreciationAmt
Book Value	$4,602,454	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$582,650,608	OtherCostOrOtherBasisAmt
Depreciation	$365,038,976	DepreciationAmt
Book Value	$217,611,632	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,860,185	OtherCostOrOtherBasisAmt
Depreciation	$6,096,412	DepreciationAmt
Book Value	$20,763,773	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$607,054,016	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
DONOR RESTRICTED FUNDS	$17,892,243
DUE FROM AFFILIATES	$13,100,740
MISCELLANEOUS RECEIVABLE	$5,360,004
ORGANIZATION COSTS	$2,815,513
DEPOSITS	$458,655
OPERATING LEASE ASSETS, NET	$31,471,390
RECOVERABLE LOSSES	$2,765,680

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$73,864,225	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
CHARITABLE GIFT ANNUITY PAYABLE	$32,747
EST. THIRD PARTY SETTLEMENTS	$77,654,782
PENSION LIABILITY	$112,213,707
DUE TO AFFILIATES	$20,013,492
EST. FOR PROFESSIONAL LIABILITY	$46,850,457
DEFERRED FICA LIABILITY	$6,275,535
OPERATING LEASE LIABILITY	$34,052,410

Field	Value	IRS element (for citing)
Total Liability	$297,093,130	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	WALK RUN RIDE	Event1Nm
Gross Receipts Event1	$500,533	GrossReceiptsEvent1Amt
Charitable Contri Event1	$500,533	CharitableContriEvent1Amt
Cash Prizes Event1	$16,088	CashPrizesEvent1Amt
Food And Beverage Event1	$2,441	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$3,793	OtherDirectExpensesEvent1Amt
Event2	DREAM BALL	Event2Nm
Gross Receipts Event2	$542,780	GrossReceiptsEvent2Amt
Charitable Contri Event2	$591,930	CharitableContriEvent2Amt
Gross Revenue Event2	-$49,150	GrossRevenueEvent2Amt
Cash Prizes Event2	$19,741	CashPrizesEvent2Amt
Food And Beverage Event2	$127,810	FoodAndBeverageEvent2Amt
Other Direct Expenses Event2	$9,703	OtherDirectExpensesEvent2Amt
Other Events Total	6	OtherEventsTotalCnt
Gross Receipts Other Events	$318,111	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$260,561	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$57,550	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$2,908	CashPrizesOtherEventsAmt
Food And Beverage Other Events	$99,266	FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events	$79,622	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$1,361,424	GrossReceiptsTotalAmt
Charitable Contributions Tot	$1,353,024	CharitableContributionsTotAmt
Gross Revenue Total Events	$8,400	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$38,737	CashPrizesTotalEventsAmt
Food And Beverage Total Events	$229,517	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$93,118	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$361,372	DirectExpenseSummaryEventsAmt
Net Income Summary	-$352,972	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	$9,931,793	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,931,793	NetCommunityBenefitExpnsAmt
Total Expense	0.01670	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$146,998,349	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$89,436,396	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$57,561,953	NetCommunityBenefitExpnsAmt
Total Expense	0.09700	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$156,930,142	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$89,436,396	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$67,493,746	NetCommunityBenefitExpnsAmt
Total Expense	0.11370	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	781	PersonsServedCnt
Total Community Benefit Expns	$199,013	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$199,013	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,201,525	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,201,525	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	781	PersonsServedCnt
Total Community Benefit Expns	$2,400,538	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,400,538	NetCommunityBenefitExpnsAmt
Total Expense	0.00400	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	781	PersonsServedCnt
Total Community Benefit Expns	$159,330,680	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$89,436,396	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$69,894,284	NetCommunityBenefitExpnsAmt
Total Expense	0.11770	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$46,366,898	BadDebtExpenseAmt
Bad Debt Expense Attributable	$11,494,354	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$105,094,218	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$134,472,672	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$29,378,454	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
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
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
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

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5	FormAndLineReferenceDesc
Explanation	IN 2019 SH PARTNERED WITH DATAHAVEN, THE HOSPITALS IN FAIRFIELD COUNTY, AND THE FAIRFIELD COUNTY'S COMMUNITY FOUNDATION IN THE DEVELOPMENT OF A COUNTY-WIDE COMMUNITY WELLBEING INDEX, WHICH PROVIDES IMPORTANT DATA ON COMMUNITY ISSUES SUCH AS PUBLIC SAFETY, EDUCATION, HOUSING, TRANSPORTATION, EMPLOYMENT AND HEALTH, AND IT SERVES AS A COMPANION DOCUMENT OF THE SH COMMUNITY HEALTH NEEDS ASSESSMENT. THE BENEFITS OF COLLABORATION INCLUDE EFFICIENCY, CONSISTENT DATA, AND COMPARABLE RESULTS. AS IN 2016, STAMFORD HOSPITALS 2019 CHAPTER FOCUSES ON THE CITY OF STAMFORD AND THE TOWN OF DARIEN. PROCESS AND METHODOLOGY: FOR THE DEVELOPMENT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, SH UTILIZES DATA FROM THE DATA HAVEN COMMUNITY WELLBEING INDEX, AND OTHER QUANTITATIVE DATA SOURCES SUCH AS THE CONNECTICUT HOSPITAL ASSOCIATIONS HOSPITAL ENCOUNTER DATA AND MORTALITY DATA FROM THE CT DEPARTMENT OF PUBLIC HEALTH. QUALITATIVE DATA SOURCES INCLUDE IN-PERSON INTERVIEWS, FOCUS GROUPS AND ONLINE SURVEY. THROUGH THE FOCUS GROUPS AND INTERVIEWS, THE HOSPITAL WAS ABLE TO GATHER FEEDBACK FROM MANY KEY ORGANIZATIONS AND INDIVIDUALS. BELOW ARE A FEW OF THE ORGANIZATIONS FROM WHICH FEEDBACK WAS GATHERED IN THE FORM OF EITHER AN INTERVIEW OR FOCUS GROUP: - CITY OF STAMFORD, DEPARTMENT OF HEALTH - DARIEN HEALTH DEPARTMENT - STAMFORD EMERGENCY MEDICAL SERVICES - OPTIMUS HEALTH CARE - DARIEN SENIOR CENTER - STAMFORD PUBLIC SCHOOLS - BUILDING ONE COMMUNITY - BOYS AND GIRLS CLUB INDIVIDUALS WITH WHOM WE SPOKE AT ALL OF THE ORGANIZATIONS LISTED ABOVE EITHER HAVE EXPERTISE IN PUBLIC HEALTH OR REPRESENT A MINORITY AND/OR UNDERSERVED GROUP IN THE COMMUNITY. PLEASE REFER TO CHNA EXHIBIT B FOR THE COMPLETE LIST OF ORGANIZATIONS REPRESENTED THROUGH INTERVIEWS AND EXHIBIT C FOR THE COMPLETE LIST OF ORGANIZATIONS AT WHICH FOCUS GROUPS WERE HOSTED. THROUGH OUR ONLINE SURVEY, WE WERE ABLE TO GATHER INPUT FROM A WIDER RANGE OF INDIVIDUALS REPRESENTING MANY ORGANIZATIONS BASED IN STAMFORD OR DARIEN. BELOW IS A SAMPLE LIST OF THE ORGANIZATIONS AND GROUPS FROM WHICH REPRESENTATIVES PROVIDED FEEDBACK THROUGH OUR ONLINE SURVEY: - PERSON-TO-PERSON - AMERICARES FREE CLINIC OF STAMFORD HOSPITAL - COMMUNITY HEALTH CENTER - FAMILY CENTERS - UNITED WAY OF WESTERN CONNECTICUT PLEASE REFER TO EXHIBIT D FOR A LIST OF ORGANIZATIONS FROM WHICH REPRESENTATIVES PROVIDED FEEDBACK THROUGH OUR ONLINE SURVEY. IT IS IMPORTANT TO NOTE THAT NOT ALL RESPONDENTS TO THE SURVEY PROVIDED CONTACT INFORMATION AND, THEREFORE, ARE NOT INCLUDED IN EXHIBIT D. A BRIEF DESCRIPTION OF SOME OF THE ORGANIZATIONS FROM WHOM WE GATHERED INPUTPLEASE REFER TO EXHIBIT E. FORM 990, SCHEDULE H, PART V, SECTION C, LINE 7 HTTPS://WWW.STAMFORDHEALTH.ORG/APP/FILES/PUBLIC/2254/COMMUNITY-HEALTH-ASSE SSMENT-NEEDS.PDF FORM 990, SCHEDULE H, PART V, SECTION B, LINE 8 IN RESPONSE TO THE COMMUNITY HEALTH NEEDS ASSESSMENT ADOPTED JULY 24, 2019, STAMFORD HEALTH DEVELOPED AN IMPLEMENTATION STRATEGY WHICH WAS ADOPTED AT THE JANUARY 29, 2020 STAMFORD HOSPITAL BOARD OF DIRECTORS MEETING. FORM 990, SCHEDULE H, PART V, SECTION C, LINE 10 HTTPS://WWW.STAMFORDHEALTH.ORG/APP/FILES/PUBLIC/2384/IMPLEMENTATION-STRATE GY.PDF FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11 THIS REPORT WAS REVIEWED AND ADOPTED BY THE HOSPITAL'S LEADERSHIP TEAM AND BOARD OF DIRECTORS ON JULY 24, 2019. AS A NEXT STEP, STAMFORD HOSPITAL ENGAGED COMMUNITY PARTNERS TO DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) TO ADDRESS THE PRIPORITIES IDENTIFIED IN THE 2019 CHNA. AS THE COMMUNITY PARTNERS BUILT THE CHIP, IT CONSIDERED THE PROGRAMS, ORGANIZATIONS AND FACILITIES AVAILABLE IN THE COMMUNITY TO HELP ADDRESS THE IDENTIFIED HEALTH PRIORITIES. EXHIBIT G IS A PARTIAL LIST OF COMMUNITY ORGANIZATIONS AND RESOURCES THAT WERE CONSULTED TO ADDRESS THE ISSUES. THE HOSPITAL ALSO CONSIDERED THE PARTNERSHIPS WHICH WERE ESTABLISHED OR EXPANDED IN CONNECTION WITH THE 2016 CHIP AS SET FORTH IN EXHIBIT E. FOR ISSUES IDENTIFIED THROUGH THE CHNA, BUT NOT ADDRESSED IN THE 2019 CHIP, STAMFORD HOSPITAL WILL WORK WITH ITS PARTNERS TO DETERMINE THE MOST SUITABLE RESOURCES AVAILABLE IN THE COMMUNITY TO ADDRESS THOSE ISSUES. THE FINAL PLAN WAS SUBMITTED AND MADE PUBLICLY AVAILABLE IN FEBRUARY 2020. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 16A HTTPS://WWW.STAMFORDHEALTH.ORG/APP/FILES/PUBLIC/2218/FAP_2016_POLICY_ENGLI SH.PDF FORM 990, SCHEDULE H, PART V, SECTION B, LINE 16B HTTPS://WWW.STAMFORDHEALTH.ORG/APP/FILES/PUBLIC/2217/FAP_2016_APPLICATION_ ENGLISH.PDF FORM 990, SCHEDULE H, PART V, SECTION B, LINE 16C HTTPS://WWW.STAMFORDHEALTH.ORG/APP/FILES/PUBLIC/2219/FAP_2016_SUMMARY_ENGL ISH.PDF FORM 990, SCHEDULE H, PART V, SECTION B, LINE 22D 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 PATIENTS HOUSEHOLD GROSS YEARLY INCOME MEETS OR DOES NOT EXCEED FOUR TIMES THE MOST RECENT FPG, ACCORDING TO STAMFORD HOSPITALS FINANCIAL ASSISTANCE CALCULATION TABLE. THE DISCOUNT WILL BE APPLIED TO THE PATIENTS OBLIGATION, WHICH, FOR UNINSURED PATIENTS, IS THE AGB BASED ON THE LOOK-BACK METHOD. FOR INSURED PATIENTS, THE DEDUCTIBLE, COPAYMENT OR COINSURANCE OBLIGATION WILL BE DETERMINED USING THE FPG FOR THE PATIENTS GROSS HOUSEHOLD YEARLY INCOME AND THE STAMFORD HOSPITAL FINANCIAL ASSISTANCE CALCULATION TABLE.	ExplanationTxt

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 THE 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	NEEDS ASSESSMENT STAMFORD HEALTH PROVIDED CRITICAL MEDICAL EXPERTISE AND ASSISTANCE TO THE CITY AND MYRIAD NONPROFIT HUMAN SERVICES AGENCIES DURING THE COVID PANDEMIC. SUCH ASSISTANCE INCLUDED DEVELOPING INFECTIOUS DISEASE PROTOCOLS TO REDUCE THE INFECTION RATE IN OUR CITY. THIS IN-KIND ASSISTANCE INCLUDED PROTOCOLS TO PROTECT RESIDENTS OF AREA NURSING HOMES, TO SAFELY HOUSE PEOPLE REQUIRED TO QUARANTINE AND TO PROTECT THE HOMELESS AND OTHERS AT-RISK, PARTICULARLY LOW-INCOME RESIDENTS LIVING IN OVERCROWDED HOUSING. EARLY IN THE PANDEMIC, STAMFORD HEALTH INFECTIOUS DISEASE PHYSICIANS VISITED AREA NURSING HOMES TO DEMONSTRATE THE PROPER USE AND HANDLING OF PROTECTIVE PERSONAL EQUIPMENT (PPE) TO REDUCE THE SPREAD OF THE VIRUS. DURING THE SURGE OF COVID-19, OUR PHYSICIANS AND SH PRESIDENT & CEO MADE NUMEROUS VIRTUAL PRESENTATIONS TO ASSIST SCORES OF COMMUNITY ORGANIZATIONS DEVELOP POLICIES AND PROCEDURES TO PROTECT EMPLOYEES, CLIENTS AS THEY STRUGGLED TO CONTINUE OPERATIONS SAFELY DURING THE HEIGHT OF THE PANDEMIC. THIS WORK INCLUDED INFORMATION ABOUT TESTING PROTOCOLS, AND FINALLY PROVIDING INFORMATION ABOUT VACCINE EFFICACY AND SAFETY. PRESENTATIONS WERE CONDUCTED VIA ZOOM MEETINGS, FACEBOOK POSTS AS WELL AS THE STAMFORD MAYORS WEEKLY UPDATE MEETINGS FOR THE PUBLIC. THESE PRESENTATIONS REQUIRED HUNDREDS OF PHYSICIANS AND SENIOR STAFF HOURS INCLUDING SH PRESIDENT & CEO KATHLEEN SILARD. THE COVID-19 HIGH RISK COMMUNITY OUTREACH TASK FORCE WAS FORMED IN MARCH 2020 IN RESPONSE TO THE MANY CHALLENGES FACING THE COMMUNITY AS A RESULT OF THE SHUTDOWN. THE VITA PARTNERSHIP EXPANDED ITS REACH TO INCLUDE NONPROFITS SERVING THE GREATER STAMFORD COMMUNITY AND REPRESENTATIVES FROM THE CITY OF STAMFORD. WEEKLY MEETINGS WERE ESTABLISHED TO PROBLEM SOLVE AND COORDINATE EFFORTS. VITA SUCCESSFULLY RAISED FUNDS TO SECURE AND DISTRIBUTE URGENTLY NEEDED PPE TO COMMUNITY ORGANIZATIONS, WHOSE EMPLOYEES WERE ON THE FRONT LINES DISTRIBUTING FOOD AND OTHERWISE INTERFACING WITH THEIR CLIENTS. VITA PARTNERED WITH THE STAMFORD NAACP AND THE CITY OF STAMFORD TO ENSURE THAT MASKS AND OTHER PPE WERE DISTRIBUTED AMONG RESIDENTS LIVING IN HIGH-DENSITY APARTMENTS. THE NAACP DEVELOPED A TEAM OF CONCERNED MINISTERS TO SPREAD THE WORD ABOUT THE IMPORTANCE OF HYGIENE, MASK WEARING AND SOCIAL DISTANCING. WORKING CLOSELY WITH THE AMERICARES FREE CLINIC, BUILDING ONE COMMUNITY AND THE NAACP, STAMFORD HEALTH WAS ABLE TO REACH LOW-INCOME, AT-RISK PEOPLE THROUGHOUT THE CITY OF STAMFORD TO ENSURE ACCESS TO PPE AND TESTING FOR COVID-19. THE VITA CTF DEVELOPED A COMPREHENSIVE COMMUNICATIONS CAMPAIGN TO DISSEMINATE INFORMATION ABOUT THE VIRUS AND UTILIZE CDC GUIDANCE AND PROTECTION PRACTICES AMONG HIGH-RISK MEMBERS OF THE STAMFORD COMMUNITY. AS TESTING SITES WERE ESTABLISHED ADDITIONAL INFORMATION WAS PUSHED OUT INTO THE COMMUNITY RESULTING IN DRAMATICALLY INCREASED TESTING AMONG THE BLACK POPULATION, WHICH WAS DISPROPORTIONATELY IMPACTED BY THE VIRUS. AS DATA REVEALED THAT TESTING AMONG LATINX POPULATION LAGGED WITH HIGHER POSITIVITY RATES, A SUB-COMMITTEE TO FOCUS SPECIFICALLY ON THE LATINX COMMUNITY WAS FORMED. IN STAMFORD, A HIGH PERCENTAGE OF THOSE IMPACTED IN THE LATINX COMMUNITY WERE NEW ARRIVALS AND FIRST-GENERATION AMERICANS. CONSULTANTS WERE ENGAGED TO HELP DEVELOP CULTURALLY APPROPRIATE COMMUNICATIONS TO INCREASE TESTING AND DECREASE HOSPITALIZATIONS. WORKING WITH COMMUNITY PARTNERS, THE HIGH-RISK SUBCOMMITTEE DEVELOPED TACTICS TO ADDRESS THE UNIQUE CIRCUMSTANCES OF THE LATINX POPULATIONS. AS A RESULT OF THIS HIGHLY FOCUSED EFFORT AND IN COLLABORATION WITH COMMUNITY PARTNERS, STAMFORD HEALTH CREATED THE 'NO BARRIERs' VACCINATION PROGRAM FOR MARGINALIZED POPULATIONS. THE STAMFORD HOSPITAL ("SH"HOSPITAL") PARTNERS WITH A NUMBER OF NONPROFIT HEALTH AND SOCIAL SERVICES ORGANIZATIONS THAT SEEK TO BENEFIT THE COMMUNITY AND IMPROVE THE HEALTH AND WELL-BEING OF THEIR CLIENTS. IN ADDITION, TOGETHER WITH OUR PHYSICIANS, THE HOSPITAL WORKS CLOSELY WITH THE STAMFORD DEPARTMENT OF HEALTH AND SOCIAL SERVICES ("STAMFORD HEALTH DEPT.") TO PREVENT AND TREAT HIV. STAMFORD CARES, A PROGRAM OF FAMILY CENTERS THAT PROVIDES HIV MEDICAL CASE MANAGEMENT WHICH INCLUDES PARTICIPATION IN COMMUNITY HEALTH FAIRS AND EDUCATIONAL OUTREACH EFFORTS AND PROVIDES HIV UPDATES FOR AIDS SERVICE PROVIDERS IN THE COMMUNITY; PERFORMS CLIENT HOME VISITS; AND CONDUCTS MONTHLY HIV POSITIVE WOMEN'S SUPPORT GROUP; ALSO DISSEMINATES HEALTH INFORMATION AND ADDRESSES PUBLIC HEALTH ISSUES THAT ARISE. SH PARTNERS WITH OPTIMUS HEALTH CARE, INC., A FEDERALLY QUALIFIED HEALTH CARE CENTER, TO CREATE AN INTEGRATED PRIMARY CARE DELIVERY NETWORK FOR THE MEDICALLY UNDERSERVED COMMUNITIES IN STAMFORD. DISCOUNTED OR FREE SUPPLIES, EQUIPMENT AND MEDICATIONS WERE PROVIDED TO INDIGENT PATIENTS IN 2020. SH ALSO PROVIDES INFORMATION AND REFERRAL SERVICES TO ENHANCE ACCESS TO CARE. THE MISSION OF THE CHILDRENS HEALTH COLLABORATIVE IS TO LINK COMMUNITY RESOURCES AND FACILITATE SUPPORT FOR PROGRAMMING TO IMPROVE THE OVERALL HEALTH AND WELLNESS OF CHILDREN. PARTICIPANTS INCLUDE SH, THE STAMFORD PUBLIC SCHOOLS, THE STAMFORD HEALTH DEPARTMENT, REPRESENTATIVES OF EARLY CHILDHOOD AND AFTER SCHOOL PROGRAMS AND COMMUNITY CENTERS, PEDIATRICIANS AND FAMILY MEDICINE PRACTITIONERS. SH'S KIDS FANS (KIDS' FITNESS AND NUTRITION SERVICES) PROGRAM, PROMOTES PHYSICAL ACTIVITY AND HEALTH-CONSCIOUS NUTRITION. A MAJOR INITIATIVE OF SH IS THE VITA HEALTH & WELLNESS INITIATIVE, WHICH IN 2019 BECAME CITY-WIDE (INITIALLY FOCUSED ON TWO CENSUS TRACTS IN STAMFORD'S WEST SIDE). THE MISSION OF THE VITA INITIATIVE IS TO HARNESS THE POWER OF COLLECTIVE ACTION TO CATALYZE THE PRINCIPAL ORGANIZATIONS' COMMITMENT TO HEALTHFUL LIVING, WHILE ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH. THE WEST SIDE NEIGHBORHOOD REVITALIZATION ZONE (WSNRZ), SEEKS TO IMPROVE THE NEIGHBORHOOD AT THE HOSPITAL'S SOUTHERN BORDER. THE WEST SIDE, A DENSELY POPULATED, LOW-INCOME NEIGHBORHOOD HAS EXPERIENCED A STEADY DECLINE IN HOME OWNERSHIP AND LACK OF INVESTMENT FOR MORE THAN THREE DECADES. STAMFORD HOSPITAL AND CHARTER OAK COMMUNITIES (FORMERLY STAMFORD HOUSING AUTHORITY), THE NEIGHBORHOOD'S ANCHOR INSTITUTIONS, WORK WITH RESIDENTS, BUSINESSES AND THE CITY TO SPUR INVESTMENT AND IMPROVEMENTS TO IMPROVE HEALTH, PEDESTRIAN SAFETY AND REDUCE CRIME. THE WEST SIDE NEIGHBORHOOD ASSOCIATION CONTINUED TO MEET VIRTUALLY WITH PARTICIPATION FROM THE BUSINESS COMMUNITY AND CITY OF STAMFORD OFFICIALS. OVER THE LAST DECADE EFFORTS RESULTED IN DISTRESSED PUBLIC HOUSING PROJECTS REPLACED WITH SELF-SUSTAINING, MIXED-INCOME COMMUNITIES; A VOLUNTEER-POWERED, URBAN FARM WAS CREATED ADJACENT TO THE SOUTHERN BORDER OF THE STAMFORD HEALTH REDEVELOPED CAMPUS. PRIVATE INVESTMENT RETURNED TO THE NEIGHBORHOOD AS CONSTRUCTION BEGAN ON SEVERAL HOUSING COMPLEXES. IN 2020 THE MERCHANTS CONTINUED TO ADVOCATE FOR CITY SERVICES SUCH AS STREET CLEANING, GARBAGE PICK-UP, STANDARDS FOR SIGNAGE, BLIGHT REMOVAL AND IMPROVED LIGHTING SIDEWALKS, AND INVESTMENTS FOR PEDESTRIAN SAFETY. FAIRGATE FARM COMPLETED CONSTRUCTION OF ITS SECOND GREENHOUSE AND HIGHLY SUCCESSFUL FARMERS MARKET CONTRIBUTING TO FOOD SECURITY FOR MANY FAMILIES. FAIRGATE FARM, A VOLUNTEER-POWERED COMMUNITY RESOURCE, COMPLETED ITS 10TH GROWING SEASON IN 2020. IN RESPONSE TO COVID-19, PRECAUTIONS ESTABLISHED INCLUDED A LIMIT ON THE NUMBER OF VOLUNTEERS WORKING AT ANY ONE TIME AND APPROPRIATE SOCIAL DISTANCING. THE FARMERS MARKET ESTABLISHED A NEW SYSTEM FOR CURBSIDE PICK-UP. FAIRGATE FARM CONTINUED TO SUPPLY PRODUCE TO FOOD INSECURE FAMILIES AND DONATED FRESH VEGETABLES TO LOCAL FOOD PANTRIES. UNITED WAY HEALTHY SAVINGS: IN 2020 STAMFORD HEALTH CONTRIBUTED TO THE UNITED WAY OF WESTERN CT HEALTHY SAVINGS PROGRAM, PROVIDING PARTICIPANTS WITH SAVINGS ON HEALTHY FOODS THAT ARE ACCESSED IN REAL-TIME AND CAN BE USED ACROSS PARTICIPATING GROCERY CHAINS (STOP & SHOP, WALMART & ACME). THESE SAVINGS MAKE HEALTHIER FOODS MORE AFFORDABLE AND MORE ACCESSIBLE FOR PARTICIPANTS IN THE PROGRAM. UNITED WAY HAS IDENTIFIED THOSE LIVING AT OR BELOW THE ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED (ALICE) HOUSEHOLDS. ALICE REPRESENTS THE GROWING NUMBER OF HOUSEHOLDS IN CONNECTICUT WITH EARNINGS ABOVE THE FEDERAL POVERTY LEVEL, BUT BELOW A BASIC COST OF LIVING THRESHOLD. IN 2020 UNITED WAY REPORTED 38% OF HOUSEHOLDS STRUGGLED TO MAKE ENDS MEET BEFORE THE PANDEMIC BEGAN. TARGETED OUTREACH IS BEING CONDUCTED THROUGH HOSPITALS, CHILDCARE PROVIDERS, SOCIAL SERVICE AGENCIES, AND OTHER NONPROFIT PARTNERS, TO ENSURE ACCESS TO PROGRAMS INCLUDING HEALTHY SAVINGS DISCOUNTS TO PURCHASE NUTRITIOUS FOOD. TO INCREASE AWARENESS OF THE IMPORTANCE OF MAMMOGRAM SCREENING FOR EARLY DETECTION OF BREAST CANCER, SH SPONSORS PAINT THE TOWN PINK, A COMMUNITY-WIDE BREAST CANCER EDUCATION CAMPAIGN. PAINT THE TOWN PINK HOLDS A MONTH-LONG SERIES OF EVENTS IN OCTOBER OF EACH YEAR. IN 2020, DUE TO THE PANDEMIC, EVENTS WERE HELD VIRTUALLY. IN 2020, SH EXPANDED ITS RELATIONSHIPS WITH KEY COMMUNITY HUMAN SERVICES AGE
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 COUNSELORS 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	COMMUNITY INFORMATION STAMFORD HEALTH PROVIDES A BROAD RANGE OF COMMUNITY OUTREACH AND EDUCATIONAL SERVICES TO RESIDENTS OF PREDOMINANTLY ITS PRIMARY SERVICE AREA (PSA) AND SECONDARY SERVICE AREA (SSA) THAT INCLUDE 12 COMMUNITIES IN SOUTHERN FAIRFIELD COUNTY, CT. THE HOSPITAL'S SERVICE AREA WAS DEVELOPED THROUGH THE STRATEGIC PLANNING PROCESS AND IS DEFINED IN STAMFORD HEALTH'S STRATEGIC PLAN. THE HOSPITAL'S COMBINED PSA AND SSA INCLUDE AN ESTIMATED 127,644 HOUSEHOLDS WITH A TOTAL POPULATION OF 376,376 RESIDENTS. THE PSA INCLUDES THE COMMUNITIES OF STAMFORD, DARIEN, AND ROWAYTON, WITH AN ESTIMATED 58,102 HOUSEHOLDS AND A TOTAL POPULATION OF 153,639. STAMFORD COMPRISES AN ESTIMATED 49,756 HOUSEHOLDS WITH A TOTAL POPULATION OF 128,389. THE SSA INCLUDES THE COMMUNITIES OF GREENWICH, COS COB, RIVERSIDE, OLD GREENWICH, NEW CANAAN, NORWALK, WESTPORT, WESTON, AND WILTON, WITH AN ESTIMATED 82,789 HOUSEHOLDS AND A TOTAL POPULATION OF 222,737. FOR THE PSA, 25.1% OF THE POPULATION IS ESTIMATED TO BE 19 YEARS OF AGE OR LESS; 32.6% IS 20 - 44; 27.0% IS 45-64; AND 15.2% IS 65 YEARS OF AGE AND OLDER. THE SSA HAS A SLIGHTLY OLDER AGE DISTRIBUTION WITH AN ESTIMATED 25.7% OF ITS POPULATION 19 YEARS OF AGE OR LESS; 27.2% IS 20-44; 29.7% IS 45-64; AND 17.4% 65 YEARS OF AGE AND OLDER. REGARDING RACE/ETHNICITY, OF THE ESTIMATED POPULATION IN THE PSA, 52.0% OF RESIDENTS ARE WHITE; 25.8% ARE HISPANIC; 10.9% BLACK; 9.2% ASIAN; AND THE REMAINING PORTION OF THE POPULATION IS MULTI-RACIAL, NATIVE AMERICAN, PACIFIC ISLANDER, OR OTHER. STAMFORD IS ESTIMATED TO HAVE A MORE RACIALLY DIVERSE POPULATION THAN THE PSA AND SSA WITH THE BLACK POPULATION REPRESENTING 12.9%, HISPANIC POPULATION REPRESENTING 29.9% AND ASIAN POPULATION REPRESENTING 10.1% OF ITS TOTAL POPULATION. FOR THE SSA, 66.8% OF THE TOTAL ESTIMATED POPULATION IS WHITE; 6.5% BLACK; 17.8% HISPANIC; 6.4% ASIAN; AND THE REMAINING PORTION OF THE POPULATION IS MULTI-RACIAL, NATIVE AMERICAN, PACIFIC ISLANDER, OR OTHER. ALTHOUGH IN THE PSA AN ESTIMATED 26.0% OF TOTAL HOUSEHOLDS HAVE HOUSEHOLD INCOMES EXCEEDING $200,000, STAMFORD HAS AREAS WITH SIGNIFICANT POVERTY. IN COMPARISON TO THE PSA, STAMFORD HAS ONLY AN ESTIMATED 22.1% OF TOTAL HOUSEHOLDS WITH HOUSEHOLD INCOMES EXCEEDING $200,000, AND 17.71% WITH HOUSEHOLD INCOMES LESS THAN $35,000, 24.0% WITH LESS THAN $45,000. IN THE SSA, AN ESTIMATED 33.5% OF THE TOTAL HOUSEHOLDS HAVE HOUSEHOLD INCOMES EXCEEDING $200,000, WHILE AN ESTIMATED 15.3% HAVE HOUSEHOLD INCOMES LESS THAN $35,000 AND 20.0% LESS THAN $45,000. THE ESTIMATED PAYOR MIX, BASED ON HOSPITAL UTILIZATION, OF THE PSA IS PREDOMINANTLY MEDICARE (42.8%), FOLLOWED BY COMMERCIAL/PRIVATE INSURANCE (33.1%); MEDICAID (22.6%); AND SELF-PAY/OTHER (1.5%). FOR THE SSA, THE ESTIMATED PAYOR MIX IS ALSO PRIMARILY MEDICARE (48.4%), FOLLOWED BY COMMERCIAL/PRIVATE INSURANCE (34.8%); MEDICAID (14.1%); AND SELF-PAY/OTHER (2.7%). COMMUNITY HEALTH SH PROVIDES EXPERTISE IN SUPPORTING THE WEST-SIDE NEIGHBORHOOD REVITALIZATION ZONE (WSNRZ), AT THE HOSPITAL'S SOUTHERN BORDER. THE WEST SIDE, A DENSELY POPULATED LOW-INCOME NEIGHBORHOOD EXPERIENCED A STEADY DECLINE IN HOME OWNERSHIP AND LACK OF INVESTMENT FOR MORE THAN THREE DECADES. STAMFORD HOSPITAL AND CHARTER OAK COMMUNITIES (AKA COC, FORMERLY STAMFORD HOUSING AUTHORITY), AS ANCHOR INSTITUTIONS, WORKED WITH RESIDENTS, BUSINESSES AND THE CITY OF STAMFORD TO SPUR ECONOMIC IMPROVEMENT AND CAPITAL INVESTMENTS, REDUCE CRIME AND IMPROVE PEDESTRIAN SAFETY. IN 2018 COC COMPLETED CONSTRUCTION OF A NEW A MIXED-INCOME RESIDENTIAL PROPERTY, A MAJOR CAPITAL INVESTMENT IN THE NEIGHBORHOOD. THE NEW RESIDENTIAL STRUCTURE HAS MEDICAL OFFICES ON THE STREET LEVEL, CONTRIBUTING TO THE ECONOMIC VITALITY OF THE NEIGHBORHOOD. THE NEWLY REDEVELOPED STAMFORD HOSPITAL MEDICAL CENTER AND CONNECTING MEDICAL OFFICE BUILDING ARE ABUNDANTLY LANDSCAPED WITH ENHANCED PEDESTRIAN ACCESS TO ALL CAMPUS BUILDINGS AND WALKING TRAILS WITHIN THE MEDICAL CAMPUS, PROVIDING IMPROVED WALKABILITY OPTIONS FOR THE COMMUNITY AND SH STAFF.
FORM 990, SCHEDULE H, PART VI, Line 5	PROMOTION OF COMMUNITY HEALTH THE STAMFORD HOSPITAL ('SH') PROVIDES A VARIETY OF PROGRAMS THAT BENEFIT THE COMMUNITY. SOME EXAMPLES ARE HEALTH SPECIFIC OR DISEASE MANAGEMENT ORIENTED (I.E., HEART DISEASE, BREAST CANCER, DIABETES SELF-MANAGEMENT, AND NUTRITION EDUCATION). HOSPITAL STAFF SERVES AS SPEAKERS AT SCHOOLS AND VARIOUS COMMUNITY GROUPS. IN 2020, IN-PERSON PRESENTATIONS WERE NOT POSSIBLE DUE TO THE PANDEMIC. INSTEAD, PUBLIC COMMUNICATION PRIMARILY FOCUSED ON COVID-19 RELATED HEALTH INFORMATION USING ALL MEDIA PLATFORMS: SOCIAL MEDIA, ZOOM PRESENTATIONS BY SH INFECTIOUS DISEASE PHYSICIANS AS WELL AS THE HOSPITAL PRESIDENT & CEO, AND THE CITY OF STAMFORD MAYOR. SH PARTNERS WITH OPTIMUS HEALTH CARE, INC., A FEDERALLY QUALIFIED HEALTH CARE CENTER, TO CREATE AN INTEGRATED PRIMARY CARE DELIVERY NETWORK FOR THE MEDICALLY UNDERSERVED COMMUNITIES IN STAMFORD. SH ALSO PARTNERS WITH AMERICARES FREE CLINIC BY PROVIDING FREE DIAGNOSTIC SERVICES TO THEIR PATIENTS WHO ARE UNINSURED. DISCOUNTED OR FREE SUPPLIES, EQUIPMENT AND MEDICATIONS WERE PROVIDED TO INDIGENT PATIENTS IN 2020. SH ALSO PROVIDES INFORMATION AND REFERRAL SERVICES TO ENHANCE ACCESS TO CARE. KIDS FANS REMAINS AN ACTIVE MEMBER OF THE STAMFORD CHILDRENS HEALTH COLLABORATIVE WHOSE MISSION IS TO LINK COMMUNITY RESOURCES AND FACILITATE SUPPORT FOR PROGRAMMING TO IMPROVE THE OVERALL HEALTH AND WELLNESS OF CHILDREN. THE COLLABORATIVE IS CO-CHAIRED BY A COMMUNITY PEDIATRICIAN AND THE DIRECTOR OF RECREATION FOR THE CITY OF STAMFORD. THE CHILDREN'S HEALTH COLLABORATIVE INCLUDES SOCIAL AND EMOTIONAL HEALTH IN ITS DEFINITION OF OVERALL HEALTH. THE COLLABORATIVE LINKS CHILD SERVING AGENCIES THAT ADVOCATE, EDUCATE AND COORDINATE ITS EFFORTS TO INCREASE THE IMPACT OF COLLECTIVE EFFORTS. MEMBERS INCLUDE STAMFORD PUBLIC SCHOOLS, THE STAMFORD RECREATION DEPARTMENT, STAMFORD DEPARTMENT OF HEALTH, FAMILY CENTERS, CHARTER OAK COMMUNITIES, ALL OUR KIN, CHILDREN'S LEARNING CENTERS, HEAD START, FAIRGATE FARM AND THE UNITED WAY OF WESTERN CT. THE VITA COLLABORATIVE BRINGS TOGETHER THE KEY SERVICE PROVIDERS MONTHLY TO DEVELOP PROGRAMS TO IMPROVE THE PHYSICAL ENVIRONMENT AND HEALTH OF THE COMMUNITY. IN 2020, THE VITA COLLABORATIVE PLAYED A GREATER COORDINATION AND COMMUNICATION ROLE DURING THE PANDEMIC WITH WEEKLY MEETINGS WITH COMMUNITY AGENCIES, RESULTING IN COORDINATED STRATEGIES TO OBTAIN AND DISTRIBUTE MUCH-NEEDED PERSONAL PROTECTIVE EQUIPMENT AND ESTABLISHMENT OF COVID-19 HIGH-RISK COMMUNITY TASK FORCE. IN 2020, STAMFORD HOSPITAL PROVIDED CASH AND IN-KIND SUPPORT TO THE VITA HEALTH AND WELLNESS INITIATIVE AND THE STAMFORD CRADLE TO CAREER INITIATIVE. THE VITA PARTNERSHIP WORKS TO IMPROVE THE HEALTH AND QUALITY OF LIFE IN STAMFORD'S WEST SIDE. THE CRADLE TO CAREER FOCUSES ON ADDRESSING THE ACHIEVEMENT GAP IN THE STAMFORD PUBLIC SCHOOLS. THE AMERICARES FREE CLINIC OF STAMFORD (AFC) IMPROVING ACCESS TO CARE FOR THE UNINSURED. THE STAMFORD HOSPITAL AND THE AMERICARES FREE CLINICS (AFC) PROVIDE FREE QUALITY HEALTH CARE TO PATIENTS WHO ARE BOTH LOW INCOME AND UNINSURED IN SETTING WHERE ALL TREATED WITH DIGNITY AND RESPECT. NO-COST CARE ELIGIBILITY IS DETERMINED UPON INDIVIDUALS EVALUATED BY THE AMERICARES CLINIC AND MEETING STAMFORD HOSPITAL CRITERIA FOR CHARITY CARE. STAMFORD HEALTH PROVIDES AFC PATIENTS WITH READY ACCESS TO ESSENTIAL HIGH-QUALITY DIAGNOSTICS, EMERGENCY VISITS (WHEN NECESSARY) AND SPECIALTY CARE AT NO COST. THE AMERICARES FREE CLINIC OF STAMFORD REMAINS THE PATIENTS MEDICAL HOME, PROVIDING PATIENT EDUCATION AND CLOSE MEDICAL MANAGEMENT. PATIENTS ARE ADHERENT TO MEDICAL RECOMMENDATIONS AND ARE ABLE TO GET CONTROL OF THEIR CHRONIC ILLNESSES. AFC PROVIDES ACCESS TO ESSENTIAL MEDICATIONS AT LITTLE OR NO COST. ALL PATIENTS ARE SCREENED FOR ELIGIBILITY NO PUBLIC OR PRIVATE HEALTH INSURANCE AND INCOME LESS THAN 250% OF THE FEDERAL POVERTY LEVEL AS WELL AS RESIDENTS OF STAMFORD OR DARIEN. SERVICES PROVIDED BY STAMFORD HEALTH VALUED AT $1,027,979 (CHARGES) FOR 558 ACTIVE PATIENTS AND 3,191 VISITS. PEDIATRIC MEDICAL HOME INITIATIVE OF SW CT: MEDICAL HOME INITIATIVE (MHI) SERVES FAMILIES WITH CHILDREN AND YOUTH WITH SPECIAL HEALTHCARE NEEDS IN SOUTHWEST CT. AND HAS BEEN DOING SO FOR THE PAST 15 YEARS. MHI PROVIDES COORDINATION OF CARE, AND IN 2020 MHI SERVED 605 PATIENTS AND THEIR FAMILIES, OF WHICH 356 HAD HIGHLY COMPLEX MEDICAL NEEDS. MHI CONTINUES TO FOCUS ON SEEKING RESOURCES FOR UNFULFILLED NEEDS OF CHILDREN AND YOUTH WITH SPECIAL HEALTHCARE NEEDS IN THE COMMUNITY; PARTNERS WITH MAYOR'S YOUTH INITIATIVE. MHI CONTINUES TO CHAMPION AND SECURE CAMP SCHOLARSHIPS FROM COMMUNITY ORGANIZATIONS, INCLUDING THE DARIEN YMCA AND BOYS AND GIRLS CLUB, STAMFORD. EACH YEAR, MHI ORGANIZES FOCUS GROUPS IN STAMFORD AND BRIDGEPORT LED BY THE CT DEPARTMENT OF PUBLIC HEALTH TO GAIN VALUABLE INSIGHT AND FEEDBACK ABOUT THE PROGRAM AND TO HIGHLIGHT THE CONTINUING GAPS AND CHALLENGES FOR FAMILIES. MHI PROVIDES DENTAL KITS FOR VERY YOUNG CHILDREN, DONATED BY THE DENTAL PARTNERSHIP, AND CONNECTS FAMILIES TO FREE DENTAL SERVICES IN THE COMMUNITY. MHI ALSO CONTINUES TO FOCUS ON OBESITY PREVENTION, INTERVENTION AND MANAGEMENT, PROVIDING PARENTS WITH REFERRALS, NUTRITION EDUCATIONAL MATERIALS IN ENGLISH, SPANISH, AND CREOLE. THESE HAVE BEEN MADE AVAILABLE AT ALL MEDICAL HOME SITES IN SOUTHWEST CT REGION. MHI ATTEMPTS TO CONNECT FAMILIES WITH LOCAL RESOURCES, CHAMPION PROGRAMS IN THE COMMUNITY AND SHARING INFORMATION WITH COMMUNITY HEALTH CENTERS AND DOCTORS OFFICES. ASTHMA & COPD EDUCATION: EACH YEAR SH OFFERS THE COMMUNITY AN ANNUAL COPD EDUCATION FAIR WITH LECTURES AND VENDORS. DUE TO THE PANDEMIC, MONTHLY ASTHMA EDUCATION PROGRAMS AND OTHER INITIATIVES WERE EITHER POSTPONED OR CANCELLED. IN 2020, DUE TO THE PANDEMIC, PLANS TO CONTINUE CANCER SCREENINGS AND CERTIFIED TOBACCO TREATMENT OPTIONS FOR ACTIVE SMOKERS WERE CURTAILED. DUE TO SCHOOL CLOSURES, SH WAS UNABLE TO CONDUCT EDUCATIONAL PROGRAMS IN COMMUNITY SETTINGS, SUCH AS PUBLIC MIDDLE SCHOOLS AND PUBLIC AND PRIVATE HIGH SCHOOLS IN STAMFORD. SUCH IN-PERSON EVENTS WOULD HAVE FOCUSED ON SMOKING CESSATION AND THE USE OF E-CIGARETTES AND VAPING. CANCER OUTREACH AND EDUCATION: AS REQUIRED BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER, A CANCER COMMITTEE OVERSEES STAMFORD HOSPITAL'S CANCER PROGRAM, OF WHICH EDUCATIONAL AND OUTREACH PROGRAMS FOR THE COMMUNITY AND PATIENTS ARE A KEY COMPONENT. STAMFORD HEALTH'S BENNETT CANCER CENTER CONTINUES TO COMMUNICATE TO STAMFORD AND THE SURROUNDING COMMUNITIES REGARDING THE IMPORTANCE OF PREVENTION, SCREENING AND EARLY DETECTION OF CANCERS. DIRECT MAIL IS USED TO REMIND WOMEN OF THE IMPORTANCE OF SCREENING FOR BREAST CANCER. DUE TO COVID, THE PAINT THE TOWN PINK INITIATIVE WAS HELD VIRTUALLY INSTEAD OF IN-PERSON BUT WAS SUCCESSFUL RAISING FUNDS FOR MAMMOGRAMS FOR WOMEN WHO ARE UNABLE TO AFFORD CARE. CANCER SCREENINGS: STAMFORD HOSPITAL OFFERS MAMMOGRAPHY SCREENING TO THE COMMUNITY AT NO COST TO PATIENTS WHO ARE UNINSURED. IN FY 20, 18,269 WOMEN RECEIVED MAMMOGRAMS, OF WHICH 485 WERE PERFORMED AT NO COST THROUGH GRANTS PROVIDED BY THE BREAST CANCER ALLIANCE AND PINK AID. THE BREAST CANCER ALLIANCE GRANT PROVIDED 227 AND THE PINK AID GRANT PROVIDED 258 MAMMOGRAMS. TO REACH THE UNDERSERVED, THE HOSPITAL COLLABORATES WITH OPTIMUS HEALTH CARE ("OPTIMUS"), A FEDERALLY QUALIFIED HEALTH CENTER, TO ASSIST IN COORDINATING CARE FOR CANCER SCREENINGS, AND TO HELP PATIENTS WHO ARE DIAGNOSED WITH CANCER TO NAVIGATE THEIR CARE AND OBTAIN FINANCIAL ASSISTANCE. STAMFORD HEALTH FOUNDATION FUNDS A MEDICAL ASSISTANT POSITION TO ASSIST NAVIGATING PATIENTS. STAMFORD HEALTH ALSO SEES PATIENTS FROM PLANNED PARENTHOOD OF SOUTHERN NEW ENGLAND WHO ARE REFERRED FOR BREAST SCREENING AND CANCER SERVICES. STAMFORD HEALTH'S BREAST CENTER IN CONJUNCTION WITH THE BENNETT CANCER CENTER CONTINUED ITS HIGH-RISK BREAST PROGRAM IN 2020 AT ALL FOUR BREAST CANCER SITES. NATIONAL GUIDELINES PROPOSE THAT WOMEN WITH AN INCREASED RISK OF BREAST CANCER RECEIVE ENHANCED SCREENING AND ADDITIONAL SERVICES. OUR BREAST CENTER EMPLOYES. THE HIGH-RISK COORDINATOR CALLS PATIENTS AT HIGH RISK FOR DEVELOPING BREAST CANCER AND OFFERS EACH WOMAN AN APPOINTMENT WITH OUR HIGH-RISK BREAST SPECIALIST WHO THEN DEVELOPS A PERSONALIZED CARE PLAN. FROM JANUARY 1 TO DECEMBER 31, 2020, 3,354 WOMEN WERE IDENTIFIED AT HIGH RISK FOR DEVELOPING BREAST CANCER, REPRESENTING 17% OF ALL WOMEN WHO RECEIVED A SCREENING MAMMOGRAM. OF THESE WOMEN, 66 OR 2% WERE FOUND TO HAVE CANCER. AS A RESULT, THESE PATIENTS BENEFITED FROM ENHANCED SURVEILLANCE AND RISK-APPROPRIATE CONSULTATIONS AND IN SOME CASES TREATMENT FOR CANCER. LUNG CANCER IS THE SECOND MOST COMMON CANCER IN BOTH MEN AND WOMEN IN THE UNITED STATES. IT'S ALSO THE LEADING CAUSE OF CANCER-RELATED DEATHS, AND MOST OF THE TIME IS NOT DIAGNOSED UNTIL SYMPTOMS APPEAR. STAMFORD HOSPITAL HAS A ROBUST LUNG CANCER SCREENING PROGRAM. IN FY 2020, 469 LUNG SCREENING CT SCANS WERE PERFORMED. FROM THESE SCREENINGS, 7 LUNG CANCERS WERE DIAGNOSED. COLON CA

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	$2,003,585	CashGrantAmt
Purpose Of Grant	Supplemental Support	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	Yes (true)	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	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	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt
Kathleen A Silard
Pres. & CEO - Treasurer	$954,876	$221,489	$0	$72,333	$0	$18,720	$0	$9,385	$0	$1,276,803	$0	$0	$0
David Yuh MD
Physician	$942,727	$128,274	$0	$4,814	$0	$44,000	$0	$6,735	$0	$1,126,550	$0	$0	$0
Sharon Kiely
Sr. VP Medical Services	$451,641	$0	$0	$572,567	$0	$16,442	$0	$5,053	$0	$1,045,703	$0	$0	$0
Michael Coady MD
Chief of cardiac Surgery	$821,464	$72,000	$0	$2,622	$0	$25,000	$0	$2,812	$0	$923,898	$0	$0	$0
Todd Miller MD
Chief Neuro Interv. Services	$825,470	$56,250	$0	$921	$0	$19,000	$0	$6,735	$0	$908,376	$0	$0	$0
Brian Stainken MD
Dept. Chair	$644,211	$97,655	$0	$7,524	$0	$32,032	$0	$1,883	$0	$783,305	$0	$0	$0
Jonathan Bailey
Chief Operating Officer	$360,913	$35,000	$0	$148,684	$0	$0	$0	$5,853	$0	$550,450	$0	$0	$0
Elaine Guglielmo
Asst. Secretary	$389,618	$77,470	$0	$10,352	$0	$24,038	$0	$4,243	$0	$505,721	$0	$0	$0
Brian Grissler
Former President & CEO	$0	$409,408	$0	$46,388	$0	$0	$0	$0	$0	$455,796	$0	$0	$0
Rudolph Taddonio
FORMER Officer Phys. Director	$83,433	$44,055	$0	$0	$0	$0	$0	$0	$0	$127,488	$0	$0	$0
Kevin Gage
Former Treasurer/CFO	$0	$62,451	$0	$61,086	$0	$0	$0	$0	$0	$123,537	$0	$0	$0
Carol Fucigna
Physician Director	$570,310	$5,850	$0	$4,902	$0	$22,609	$0	$7,985	$0	$611,656	$0	$0	$0
MICHAEL EBRIGHT MD
Physician Director	$571,817	$48,776	$0	$1,710	$0	$18,000	$0	$8,197	$0	$648,500	$0	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule J, Part I, Line 1a

COO - JONATHAN BAILEY TAXABLE GROSS UP PAYMENT - $68,901 HOUSING PAYMENT: $36,746 Former Treasurer/CFO - KEVIN GAGE TAXABLE GROSS UP PAYMENT: $61,086 Former President & CEO - BRIAN GRISSLER TAXABLE GROSS UP PAYMENT: $44,951 Pres. & CEO - Treasurer - KATHLEEN SILARD TAXABLE GROSS UP PAYMENT: $7,411 MEMBERSHIP DUES: $33,821 Asst. Secretary - ELAINE GUGLIELMO TAXABLE GROSS UP PAYMENT: $1,320 Sr. VP Medical Services - SHARON KIELY TAXABLE GROSS UP PAYMENT: $1,085 COMPENSATION CONSULTANTS ARE USED AND COMPENSATION SURVEYS ARE OBTAINED FROM AT LEAST THREE SOURCES. ONCE THE COMPENSATION IS DETERMINED A WRITTEN EMPLOYMENT CONTRACT IS OBTAINED.

SCHEDULE J, PART I, LINE 4A

SR. VP OF MEDICAL SERVICES - SHARON KIELY SEVERANCE PAYMENT: $232,542 SCHEDULE J, PART I, LINE 4B SHARON KIELY PARTICIPATED IN A 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN. DURING 2019, $201,046 of VESTED PROCEEDS WERE TAXABLE.

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	2077443P8	2010-05-27	$133,992,115	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	$51,870,000	$0	$133,995,069	$0	$0	$0	$2,057,323	$0	$0	$24,835,260	$107,102,486	$0	2011	Yes (true)	false	Yes (true)	Yes (true)
C	$6,860,000	$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)	0.01540		0.01540	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	Yes (true)	false	false	false	false	false	0	false	Yes (true)
0
B	false	false	false	Yes (true)	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 (5 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 I (The Series I Bonds) were issued on May 12,2010, for a term of 20 years, at a premium of $1,002,000. The Series I Bonds were used for: 1) Refunding of commercial loans ant the State of Connecticut Health and Educational Facilities Authority Revenue Bonds issued as follows: 11/13/96, 3/24/99, 6/03/08 and 5/28/09; 2) Financing routine renovation and other capital expenditures; 3) Financing the development and construction of the new Hospital Facility; 4) The proceeds also reimbursed the Stamford Hospital (TSH) for certain costs of issuance of the Series I Bonds
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 II, LINE 3	BOND B: There is a $3,000 variance between proceeds of the issue and the issue price due to investment earnings.
SCHEDULE K, PART IV, LINE 2C BONDS B AND C	THE DATE OF THE MOST RECENT REBATE COMPUTATION WAS MAY 27, 2020 FOR BOND B 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
Contribution	19	ContributionCnt
Noncash Contributions Rpt F990	$334,615	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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE M, PART I, COLUMN B	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS IN COLUMN (B).	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 2	On November 29, 2002, the Hospital formed a wholly owned captive insurance company, HealthStar Indemnity Company, Ltd. (HealthStar), located in Bermuda. HealthStar was registered as a Class 1 Insurer, as defined under The Bermuda Insurance Act of 1978, effective October 9, 2003. HealthStar was reclassified as a Class 3 segregated account insurer effective October 1, 2014. Effective October 1, 2019, HealthStar redomesticated as HealthStar Indemnity, LLC, was incorporated in Vermont and licensed as a sponsored captive insurance company under Title 8, Chapter 141 of the Vermont Captive Statutes. 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	HEALTHSTAR NET ASSETS, BEGINNING $42,241,787 Equity Transfer to SHMG Debt Forgiveness ($38,817,702) Pension Related Changes Other Than Net Period Pension Cost ($15,632,572) Pension Costs Other Than Service Cost ($464,600) Other $1,043 --------------- TOTAL - (12,672,044)
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:28950957
FORM 990 PART IX LINE 11G	DESCRIPTION:INTERCOMPANY STAFFING FEES TOTAL FEES:12344558
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN FEES TOTAL FEES:11063070
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICE HSS INVOICE TOTAL FEES:8659299
FORM 990 PART IX LINE 11G	DESCRIPTION:TEMP NURSING PERSONNEL TOTAL FEES:4365877
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING SERVICE TOTAL FEES:4121596
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION FEES TOTAL FEES:3124525
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICE EXP REIMB TOTAL FEES:2246201
FORM 990 PART IX LINE 11G	DESCRIPTION:DATA PROCESSING FEES TOTAL FEES:571679
FORM 990 PART IX LINE 11G	DESCRIPTION:ARCHIVING EXPENSE TOTAL FEES:21952
FORM 990 PART IX LINE 11G	DESCRIPTION:SOFTWARE MAINTENANCE/SUPPORT TOTAL FEES:79932

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	-$49,366	$0	TSH
36 GROVE STREET NEW CANAAN LLC
ONE HOSPITAL PLAZA PO BOX 9317	STAMFORD	CT	06904	274941529	MEDICAL RENTA	CT	-$49,366	$5,024,982	TSH
STAMFORD HEALTH OCCUPATIONAL HEALTH SERV
ONE STAMFORD PLAZA PO BOX 9317	STAMFORD	CT	06904	475119889	OCCUPATIONAL	CT	$151,637	$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	-$179,243	$0	TSH
HEALTHSTAR INDEMINITY LLC
159 Bank Street 4th Floor	Burlington	VA	05401	352669962	SELF INSURANC	VT	$8,708,230	$79,228,501	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	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Stamford Health Inc
k	$58,392	Book Value
Stamford Health Inc
r	$500,000	Book Value
Stamford Health Medical Group Inc
b	$38,817,702	Book Value
Stamford Health Medical Group Inc
k	$1,237,639	Book Value
Stamford Health Medical Group Inc
j	$1,055,108	Book Value
Stamford Health Medical Group Inc
o	$232,752	Book Value