2019-08-12T13:00:59-05:00 2018-09-30 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2017-10-01 271648289 STAMFORD HEALTH MEDICAL GROUP % Rodrigo Acosta STAM 2032767447 One Hospital Plaza PO Box 9317 STAMFORD CT 06904 RODRIGO ACOSTA MD PRESIDENT/CEO 2032761000 2019-08-12 true NICOLE M SOKOLOWSKI P01683199 2127733000 108.206.163.59 56103920192245000001 2019-08-12 P 47CCE9F19DA6832300AFC0DC75FEB109EC0143B4 770194AAF055F9EA87E64CA02E08FE540289067F 2017 2019-02-21 02:37:17Z Rodrigo Acosta MD Same as above Stamford CT 06905 73634000 false X https://www.stamfordhealth.org/shmg/ X 2009 CT SUPPORTS THE PROVISION OF PHYSICIAN serVICES AND OTHER HEALTH PRACTITIONER SERVICES TO THE RESIDENTS OF the COMMUNITIES SERVED BY STAMFORD HOSPITAL AFFILIATED ORGANIZATIONS. 9 0 624 0 0 0 0 0 55604030 61638667 0 0 7774539 11995333 63378569 73634000 0 0 0 0 74017322 82121758 0 0 0 32209835 32681242 106227157 114803000 -42848588 -41169000 36439945 36249838 26643709 26833468 9796236 9416370 SUPPORTS THE PROVISION OF PHYSICIAN SERVICES AND OTHER HEALTH PRACTITIONER SERVICES TO THE RESIDENTS OF THE COMMUNITIES SERVED BY STAMFORD HOSPITAL AND AFFILIATED ORGANIZATIONS. false false 91140441 72486233 STAMFORD HEALTH MEDICAL GROUP INC. 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RODRIGO ACOSTA Taxable Gross Up Payment $18,162 GROSS-UP PAYMENTS, PER POLICY, ARE PROCESSED ON ALL TAXABLE BENEFITS. TUITION IS PAID FOR RODRIGO ACOSTA, PRESIDENT AND CEO. 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 NINE MEMBERS. THE INITIAL BOARD WAS SELECTED BY THE INCORPORATOR, AND THEREAFTER THE BOARD WILL BE ELECTED AS FOLLOWS: (A) EIGHT 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 $40,789,134 STAMFORD HEALTH INC ONE HOSPITAL PLAZA PO BOX 9317 STAMFORD CT 06904 222476636 PARENT CT 501(c)(3) 12B na false THE STAMFORD HOSPITAL FOUNDATION ONE HOSPITAL PLAZA PO BOX 9317 STAMFORD CT 06904 222478748 FUNDRAISING CT 501(c)(3) 10 SHI true THE STAMFORD HOSPITAL ONE HOSPITAL PLAZA PO BOX 9317 STAMFORD CT 06904 060646917 HOSPITAL CT 501(c)(3) 3 SHI true Healthstar Indemnity Co Limited Wellesley Hse South 1st Floor 90 Pi Pembroke BERMUDA BD HM08 Self Insurance BD TSH C Corp 0 0 0.00000 true false false false false false false false false false false true false false false true false false false true Stamford Health Inc k 701688 Book Value The Stamford Hospital k 686775 Book Value The Stamford Hospital s 40789494 Book Value The Stamford Hospital o 164775 Book Value