STAMFORD HEALTH MEDICAL GROUP INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- STAMFORD HEALTH MEDICAL GROUP INC (EIN 27-1648289)
- Tax period
- 2019-10-01 to 2020-09-30
- Filed
- 2021-08-12
- IRS object ID
- 202122249349300632
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-08-12T10:21:22-05:00 | 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 | 271648289 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STAMFORD HEALTH MEDICAL GROUP INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MICHAEL VEILLETTE | InCareOfNm |
| Business Name Control | STAM | BusinessNameControlTxt |
| Phone | 2032767447 | 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 | 2127733000 | 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 | AddressLine1Txt |
| City | Stamford | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06904 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $87,008,699 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.stamfordhealth.org/shmg/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2009 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | SUPPORTS THE PROVISION OF PHYSICIAN serVICES AND OTHER HEALTH PRACTITIONER SERVICES TO THE RESIDENTS OF the COMMUNITIES SERVED BY STAMFORD HOSPITAL AFFILIATED ORGANIZATIONS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 672 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,395,300 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $68,573,429 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $71,932,499 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $12,399,571 | PYOtherRevenueAmt |
| CY Other Revenue | $13,680,900 | CYOtherRevenueAmt |
| PY Total Revenue | $80,973,000 | PYTotalRevenueAmt |
| CY Total Revenue | $87,008,699 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $90,397,405 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $98,637,038 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $34,538,595 | PYOtherExpensesAmt |
| CY Other Expenses | $36,651,433 | CYOtherExpensesAmt |
| PY Total Expenses | $124,936,000 | PYTotalExpensesAmt |
| CY Total Expenses | $135,288,471 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$43,963,000 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$48,279,772 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $36,789,077 | TotalAssetsBOYAmt |
| Total Assets EOY | $80,733,069 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $27,520,037 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $80,926,099 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,269,040 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$193,030 | NetAssetsOrFundBalancesEOYAmt |
| Mission | SUPPORTS THE PROVISION OF PHYSICIAN SERVICES AND OTHER HEALTH PRACTITIONER SERVICES TO THE RESIDENTS OF THE COMMUNITIES SERVED BY STAMFORD HOSPITAL AND AFFILIATED ORGANIZATIONS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $105,044,149 | ExpenseAmt |
| Grant | $1,395,300 | GrantAmt |
| Revenue | $84,381,814 | RevenueAmt |
| Desc | STAMFORD HEALTH MEDICAL GROUP INC. PROVIDES A COMPREHENSIVE ARRAY OF MANAGEMENT SERVICES IN SUPPORT OF PHYSICIAN PRACTICES. | Desc |
| Total Program Service Expenses | $105,044,149 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | 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 | false | 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 | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| 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 | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | 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 | 89 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 672 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| 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 | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | 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 | false | InvestmentInJointVentureInd |
| 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 | AddressLine1Txt |
| City | Stamford | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06904 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 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 |
|---|---|---|---|---|---|---|---|---|---|
| Rodrigo Acosta MD | |||||||||
| President & Chairman | 38.0 | 2.0 | Yes (X) | Yes (X) | $897,387 | $0 | $53,635 | ||
| William Symons MD | |||||||||
| Physician | 38.0 | 2.0 | $892,369 | $0 | $26,985 | Yes (X) | |||
| Arghiris Barbadimos MD | |||||||||
| Physician | 38.0 | 2.0 | $832,906 | $0 | $27,469 | Yes (X) | |||
| John Dowdle MD | |||||||||
| Physician Director | 38.0 | 2.0 | Yes (X) | $775,811 | $0 | $54,857 | |||
| Andrea Douglas MD | |||||||||
| Physician | 38.0 | 2.0 | $765,039 | $0 | $45,978 | Yes (X) | |||
| Charles Rosenstein MD | |||||||||
| Physician | 38.0 | 2.0 | $766,175 | $0 | $31,385 | Yes (X) | |||
| Craig Olin MD | |||||||||
| Physician Director | 38.0 | 2.0 | Yes (X) | $744,831 | $0 | $23,847 | |||
| Scott Weiss MD | |||||||||
| Physician | 38.0 | 2.0 | $716,398 | $0 | $27,197 | Yes (X) | |||
| Michael Ebright MD | |||||||||
| Physician Director | 38.0 | 2.0 | Yes (X) | $622,303 | $0 | $26,197 | |||
| William Hines MD | |||||||||
| Chief Medical Officer | 38.0 | 2.0 | Yes (X) | $462,517 | $0 | $51,985 | |||
| Gerald B Rakos MD | |||||||||
| Physician Director (STX) | 2.0 | 38.0 | Yes (X) | $467,716 | $0 | $4,635 | |||
| Ben Wade | |||||||||
| Sr. VP Strategy & Marketing | 2.0 | 38.0 | Yes (X) | $0 | $449,342 | $17,720 | |||
| Elizabeth Longmore | |||||||||
| Chief Operating Officer | 38.0 | 2.0 | Yes (X) | $377,960 | $0 | $0 | |||
| Joseph Costanzo MD | |||||||||
| Physician Treasurer | 38.0 | 2.0 | Yes (X) | Yes (X) | $331,211 | $0 | $44,523 | ||
| Allison Ostroff MD | |||||||||
| Physician Director | 38.0 | 2.0 | Yes (X) | $324,911 | $0 | $24,697 | |||
| Ann Williams MD | |||||||||
| Physician Director | 38.0 | 2.0 | Yes (X) | $302,184 | $0 | $33,176 | |||
| Fortrella Cummings | |||||||||
| Former Officer - CFO | 0.0 | 0.0 | $171,737 | $0 | $0 | Yes (X) | |||
| Kevin Gage | |||||||||
| Former Treasurer/CFO | 2.0 | 38.0 | $123,537 | $0 | $0 | Yes (X) | |||
| Jonathan Immordino | |||||||||
| SHMG CFO | 38.0 | 2.0 | Yes (X) | $47,019 | $0 | $5,288 | |||
| Michael Veillette | |||||||||
| CFO, SVP - FINANCE | 2.0 | 38.0 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $9,622,011 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $449,342 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $499,574 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 170 | 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 |
|---|---|---|---|---|---|
| PULMONARY ASSOCIATES OF STAMFORD | |||||
| 29 HOSPITAL PLAZA SUITE 505 | STAMFORD | CT | 06902 | PHYSICIAN FEES | $3,400,375 |
| ECLINICALWORKS LLC | |||||
| PO BOX 847950 | BOSTON | MA | 02284 | CAP/SYSTEM & SUPPORT | $1,506,857 |
| KPMG LLP | |||||
| PO BOX 120511 | DALLAS | TX | 753120511 | INTERNAL AUDIT SRVCS | $648,552 |
| COLLIERS INTERNATIONAL CT LLC | |||||
| 666 FIFTH AVENUE | NEW YORK | NY | 10103 | PROPERTY MANAGEMENT | $185,628 |
| Physicians For Womens's Health LLC | |||||
| 22 Waterville Rd | AVON | CT | 06001 | PHYSICIAN SERVICES | $120,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,395,300 | GovernmentGrantsAmt |
| Total Contributions | $1,395,300 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICARE | 621110 | $24,413,872 | $24,413,872 |
| PHYSICIAN BILLING | 621110 | $47,518,627 | $47,518,627 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $71,932,499 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
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 | $1,231,585 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,231,585 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,231,585 | TotalRevenueColumnAmt |
| Exclusion | $1,231,585 | ExclusionAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| 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 |
|---|---|---|---|
| INTERCOMPANY STAFFING REIMBURSEMENTS | 900099 | $12,344,558 | $12,344,558 |
| MEDICAL RECORDS ABSTRACTS | 900099 | $25,804 | $25,804 |
| RETAIL SALES | 900099 | $75,424 | $75,424 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,529 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,529 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $12,449,315 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $87,008,699 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $84,381,814 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,231,585 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $6,258,565 | TotalAmt |
| Program Services | $4,680,883 | ProgramServicesAmt |
| Management And General | $1,577,682 | 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 | $78,929,906 | TotalAmt |
| Program Services | $67,023,388 | ProgramServicesAmt |
| Management And General | $11,906,518 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,256,147 | TotalAmt |
| Program Services | $5,320,186 | ProgramServicesAmt |
| Management And General | $3,935,961 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,192,420 | TotalAmt |
| Program Services | $3,631,798 | ProgramServicesAmt |
| Management And General | $560,622 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $213,998 | TotalAmt |
| Management And General | $213,998 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $284,107 | TotalAmt |
| Management And General | $284,107 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,158 | TotalAmt |
| Management And General | $78,158 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,269,145 | TotalAmt |
| Program Services | $5,647,535 | ProgramServicesAmt |
| Management And General | $4,621,610 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $739,281 | TotalAmt |
| Program Services | $4,892 | ProgramServicesAmt |
| Management And General | $734,389 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,244,932 | TotalAmt |
| Program Services | $676,997 | ProgramServicesAmt |
| Management And General | $1,567,935 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,840 | TotalAmt |
| Program Services | $14,675 | ProgramServicesAmt |
| Management And General | $15,165 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,673,028 | TotalAmt |
| Program Services | $8,446,206 | ProgramServicesAmt |
| Management And General | $1,226,822 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,937 | TotalAmt |
| Management And General | $76,937 | ManagementAndGeneralAmt |
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 | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,538,488 | TotalAmt |
| Program Services | $2,826,863 | ProgramServicesAmt |
| Management And General | $711,625 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,377,708 | TotalAmt |
| Program Services | $2,358,531 | ProgramServicesAmt |
| Management And General | $19,177 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL EXPENSES | $3,748,144 | $3,748,144 | |
| SERVICE CONTRACTS | $2,788,385 | $148,039 | $2,640,346 |
| NON-COLLEGE EDUCATION | $547,719 | $484,709 | $63,010 |
| LICENSE FEES | $7,531 | $4,120 | $3,411 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,032 | TotalAmt |
| Program Services | $27,183 | ProgramServicesAmt |
| Management And General | $6,849 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,288,471 | TotalAmt |
| Program Services | $105,044,149 | ProgramServicesAmt |
| Management And General | $30,244,322 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,492,794 | BOYAmt |
| EOY | $5,511,821 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,163,906 | BOYAmt |
| EOY | $9,119,157 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $395,797 | BOYAmt |
| EOY | $381,371 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $36,011,207 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $16,752,108 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,269,301 | BOYAmt |
| EOY | $19,259,099 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $467,279 | BOYAmt |
| EOY | $46,461,621 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,789,077 | BOYAmt |
| EOY | $80,733,069 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,635,489 | BOYAmt |
| EOY | $25,852,364 | 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 | $3,190,205 | BOYAmt |
| EOY | $131,691 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,694,343 | BOYAmt |
| EOY | $54,942,044 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,520,037 | BOYAmt |
| EOY | $80,926,099 | 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 | $9,269,040 | BOYAmt |
| EOY | -$193,030 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,269,040 | BOYAmt |
| EOY | -$193,030 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,789,077 | BOYAmt |
| EOY | $80,733,069 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$48,279,772 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $38,817,702 | 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 | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,395,300 | CurrentTaxYearAmt |
| Total | $1,395,300 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $57,926,345 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $62,529,436 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $72,410,927 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $79,674,194 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $84,277,057 | CurrentTaxYearAmt |
| Total | $356,817,959 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $57,926,345 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $62,529,436 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $72,410,927 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $79,674,194 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $85,672,357 | CurrentTaxYearAmt |
| Total | $358,213,259 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $358,213,259 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $468,558 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $737,161 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,147,767 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,213,143 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,231,585 | CurrentTaxYearAmt |
| Total | $4,798,214 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $468,558 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $737,161 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,147,767 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,213,143 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,231,585 | CurrentTaxYearAmt |
| Total | $4,798,214 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $78,077 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $111,972 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $75,306 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $85,663 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $104,757 | CurrentTaxYearAmt |
| Total | $455,775 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $58,472,980 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $63,378,569 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $73,634,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $80,973,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $87,008,699 | CurrentTaxYearAmt |
| Total | $363,467,248 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98555 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98730 | PublicSupportPY509Pct |
| Investment Income CY | 0.01320 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01130 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,924,620 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,406,083 | DepreciationAmt |
| Book Value | $14,518,537 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,730,079 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,346,025 | DepreciationAmt |
| Book Value | $4,384,054 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $356,508 | OtherCostOrOtherBasisAmt |
| Book Value | $356,508 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $19,259,099 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OPERATING LEASE ASSETS, NET | $45,890,428 |
| INVENTORY | $526,707 |
| DEPOSITS | $44,486 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $46,461,621 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES - SHI | $8,425,152 |
| OPERATING LEASE LIABILITY | $45,865,103 |
| OTHER LONG TERM LIABILITIES | $651,789 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $54,942,044 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| 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 | false | 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 (18 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| William Symons MD | ||||||||||||||
| Physician | $891,229 | $0 | $0 | $1,140 | $0 | $19,000 | $0 | $7,985 | $0 | $919,354 | $0 | $0 | $0 | |
| Rodrigo Acosta MD | ||||||||||||||
| President & Chairman | $657,538 | $126,233 | $0 | $113,616 | $0 | $43,000 | $0 | $10,635 | $0 | $951,022 | $0 | $0 | $0 | |
| Arghiris Barbadimos MD | ||||||||||||||
| Physician | $779,870 | $45,512 | $0 | $7,524 | $0 | $22,000 | $0 | $5,469 | $0 | $860,375 | $0 | $0 | $0 | |
| John Dowdle MD | ||||||||||||||
| Physician Director | $770,139 | $770 | $0 | $4,902 | $0 | $44,000 | $0 | $10,857 | $0 | $830,668 | $0 | $0 | $0 | |
| Andrea Douglas MD | ||||||||||||||
| Physician | $763,899 | $0 | $0 | $1,140 | $0 | $38,000 | $0 | $7,978 | $0 | $811,017 | $0 | $0 | $0 | |
| Charles Rosenstein MD | ||||||||||||||
| Physician | $759,065 | $1,566 | $0 | $5,544 | $0 | $23,400 | $0 | $7,985 | $0 | $797,560 | $0 | $0 | $0 | |
| Craig Olin MD | ||||||||||||||
| Physician Director | $520,921 | $221,978 | $0 | $1,932 | $0 | $13,000 | $0 | $10,847 | $0 | $768,678 | $0 | $0 | $0 | |
| Scott Weiss MD | ||||||||||||||
| Physician | $715,262 | $0 | $0 | $1,136 | $0 | $19,000 | $0 | $8,197 | $0 | $743,595 | $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 | |
| William Hines MD | ||||||||||||||
| Chief Medical Officer | $401,723 | $46,583 | $0 | $14,211 | $0 | $44,000 | $0 | $7,985 | $0 | $514,502 | $0 | $0 | $0 | |
| Elizabeth Longmore | ||||||||||||||
| Chief Operating Officer | $347,952 | $0 | $0 | $30,008 | $0 | $16,800 | $0 | $8,197 | $0 | $402,957 | $0 | $0 | $0 | |
| Joseph Costanzo MD | ||||||||||||||
| Physician Treasurer | $325,111 | $1,856 | $0 | $4,244 | $0 | $23,200 | $0 | $21,323 | $0 | $375,734 | $0 | $0 | $0 | |
| Allison Ostroff MD | ||||||||||||||
| Physician Director | $324,161 | $0 | $0 | $750 | $0 | $14,000 | $0 | $10,697 | $0 | $349,608 | $0 | $0 | $0 | |
| Ann Williams MD | ||||||||||||||
| Physician Director | $298,500 | $0 | $0 | $3,684 | $0 | $25,000 | $0 | $8,176 | $0 | $335,360 | $0 | $0 | $0 | |
| Fortrella Cummings | ||||||||||||||
| Former Officer - CFO | $0 | $0 | $0 | $171,737 | $0 | $0 | $0 | $0 | $0 | $171,737 | $0 | $0 | $0 | |
| Ben Wade | ||||||||||||||
| Sr. VP Strategy & Marketing | $0 | $0 | $43,391 | $0 | $41,138 | $0 | $12,788 | $0 | $4,932 | $0 | $467,062 | $0 | $0 | $364,813 |
| Gerald B Rakos MD | ||||||||||||||
| Physician Director (STX) | $428,893 | $38,823 | $0 | $0 | $0 | $2,400 | $0 | $2,235 | $0 | $472,351 | $0 | $0 | $0 | |
| Kevin Gage | ||||||||||||||
| Former Treasurer/CFO | $0 | $62,451 | $0 | $61,086 | $0 | $0 | $0 | $0 | $0 | $123,537 | $0 | $0 | $0 | |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 1A | President & Chairman - RODRIGO ACOSTA Taxable Gross Up Payment - $5,547 CFO - ELIZABETH LONGMORE: TAXABLE GROSS UP PAYMENT - $13,165 HOUSING PAYMENT: $11,240 SR. VP STRATEGY & MARKETING - BEN WADE TAXABLE GROSS UP PAYMENT - $1,920 GROSS-UP PAYMENTS, PER POLICY, ARE PROCESSED ON ALL TAXABLE BENEFITS. HOUSING IS PAID FOR ELIZABETH LONGMORE, CFO. |
| SCHEDULE J, PART I, LINE 4A | CHIEF FINANCIAL OFFICER - FORTRELLA CUMMINGS SEVERANCE PAYMENT: $171,737 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, LINE 6 | STAMFORD HEALTH MEDICAL GROUP ('SHMG') IS A CONNECTICUT NONSTOCK CORPORATION. SHMG HAS TWO CLASSES OF MEMBERS. CLASS A MEMBERS ARE THE PHYSICIANS EMPLOYED BY SHMG. THE CLASS B MEMBER IS THE STAMFORD HOSPITAL. FORM 990, PART VI, LINE 7A THE BOARD OF DIRECTORS SHALL TOTAL EIGHT MEMBERS. THE INITIAL BOARD WAS SELECTED BY THE INCORPORATOR, AND THEREAFTER THE BOARD WILL BE ELECTED AS FOLLOWS: (A) SEVEN MEMBERS OF THE BOARD OF DIRECTORS SHALL BE ELECTED BY THE CLASS A MEMBERS, SUBJECT TO THE APPROVAL OF THE CLASS B MEMBER, AND (B) ONE MEMBER OF THE BOARD OF DIRECTORS SHALL BE APPOINTED BY THE CLASS B MEMBER. |
| FORM 990, PART VI, LINE 7B | ALL POWERS OF SHMG SHALL BE EXERCISED BY AND UNDER THE AUTHORITY OF THE BOARD OF DIRECTORS, EXCEPT THAT THE CLASS B MEMBER SHALL HAVE THE SOLE AUTHORITY TO AMEND THE BYLAWS OF SHMG AND SELECT THE AUDITORS OF SHMG. |
| FORM 990, PART VI, LINE 11B | STAMFORD HEALTH MEDICAL GROUP (SHMG) HAS A COMPREHENSIVE REVIEW PROCESS IN PLACE RELATING TO THE REVIEW OF FORM 990. PRIOR TO FINALIZATION OF THE 990, MANAGEMENT PROVIDES THE DRAFT OF THE FORM 990 TO THE BOARD OF DIRECTORS. SHMG'S EXTERNAL TAX ACCOUNTANTS ADDRESS ANY SPECIFIC CONCERNS OR QUESTIONS WITH MANAGEMENT AND THE BOARD. THIS REVIEW PROCEDURE HELPS TO ASSURE SOUND REPORTING AND COMPLIANCE WITH TAX LAW. |
| FORM 990, PART VI, LINE 12C | SHMG, AS A WHOLLY OWNED SUBSIDIARY OF THE STAMFORD HOSPITAL, FOLLOWS THE HOSPITAL'S CONFLICT OF INTEREST POLICY. IT IS THE POLICY 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 ORGANIZATION. EMPLOYEES ARE EXPECTED TO CONDUCT THE BUSINESS OF SHMG TO THE BEST OF THEIR ABILITY AND FOR THE BENEFIT OF SHMG 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 SHMG TO PAY EMPLOYEES FAIR AND COMPETITIVE WAGES. SHMG 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. |
| FORM 990, PART VI, LINE 19 | SHMG MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | EQUITY TRANSFER FROM STAMFORD HOSPITAL DEBT FORGIVENESS $38,817,702 TOTAL $38,817,702 |
Schedule R IRS990ScheduleR
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 HOSPITAL PLZ PO BOX 9317 | STAMFORD | CT | 06904 | 222476636 | PARENT | CT | 501(c)(3) | 12A | na | false |
| THE STAMFORD HOSPITAL FOUNDATION | ||||||||||
| ONE HOSPITAL PLZ PO BOX 9317 | STAMFORD | CT | 06904 | 222478748 | FUNDRAISING | CT | 501(c)(3) | 10 | SHI | Yes (true) |
| THE STAMFORD HOSPITAL | ||||||||||
| ONE HOSPITAL PLZ PO BOX 9317 | STAMFORD | CT | 06904 | 060646917 | HOSPITAL | CT | 501(c)(3) | 3 | SHI | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | 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 | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Stamford Health Inc | ||
| k | $730,810 | Book Value |
| The Stamford Hospital | ||
| k | $1,055,108 | Book Value |
| The Stamford Hospital | ||
| j | $1,237,639 | Book Value |
| The Stamford Hospital | ||
| o | $232,752 | Book Value |
| The Stamford Hospital | ||
| s | $38,817,702 | Book Value |