STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

STAMFORD HOSPITAL: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
STAMFORD HOSPITAL (EIN 06-0646917)
Tax period
2016-10-01 to 2017-09-30
Filed
2018-08-15
IRS object ID
201842279349300144
Schema version
2016v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-08-15T10:05:49-05:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1100 N TRYON STREET SUITE 3800AddressLine1Txt
CityCHARLOTTECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN060646917EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE STAMFORD HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% Kevin Gage Treasurer/CFOInCareOfNm
Business Name ControlSTAMBusinessNameControlTxt
Phone2032761000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Hospital Plaza PO BOX 9317AddressLine1Txt
CityStamfordCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06904ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKevin GagePersonNm
Person TitleCFOPersonTitleTxt
Signature2018-08-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHRISTOPHER B BOGGSPreparerPersonNm
PTINP00032493PTIN
Phone7043726300PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKevin GagePrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Hospital Plaza PO BOX 9317AddressLine1Txt
CityStamfordCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06904ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$547,339,515GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STAMFORDHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1893FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionOUR 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 Body12VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee2971TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$6,590,553TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$2,088,408NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$77,091,978PYContributionsGrantsAmt
CY Contributions Grants$10,218,960CYContributionsGrantsAmt
PY Program Service Revenue$499,165,142PYProgramServiceRevenueAmt
CY Program Service Revenue$514,127,768CYProgramServiceRevenueAmt
PY Investment Income$4,585,832PYInvestmentIncomeAmt
CY Investment Income$3,998,720CYInvestmentIncomeAmt
PY Other Revenue$3,054,565PYOtherRevenueAmt
CY Other Revenue$3,945,831CYOtherRevenueAmt
PY Total Revenue$583,897,517PYTotalRevenueAmt
CY Total Revenue$532,291,279CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$243,669,500PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$243,950,897CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$110,734PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$19,757CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$3,335,392CYTotalFundraisingExpenseAmt
PY Other Expenses$225,205,528PYOtherExpensesAmt
CY Other Expenses$245,744,344CYOtherExpensesAmt
PY Total Expenses$468,985,762PYTotalExpensesAmt
CY Total Expenses$489,714,998CYTotalExpensesAmt
PY Revenues Less Expenses$114,911,755PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$42,576,281CYRevenuesLessExpensesAmt
Total Assets BOY$1,036,284,703TotalAssetsBOYAmt
Total Assets EOY$1,031,321,210TotalAssetsEOYAmt
Total Liabilities BOY$669,463,812TotalLiabilitiesBOYAmt
Total Liabilities EOY$630,630,797TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$366,820,891NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$400,690,413NetAssetsOrFundBalancesEOYAmt
MissionOUR 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$416,687,707ExpenseAmt
Grant$0GrantAmt
Revenue$519,823,185RevenueAmt
DescKEY OPERATING STATISTICS FOR THE YEAR ENDED 9/30/17 INCLUDE: ADULT AND PEDIATRIC INPATIENTS CARED FOR AND DISCHARGED 15,043; BABIES BORN 2,140; TOTAL INPATIENT DAYS OF CARE PROVIDED 73,626; PATIENTS SEEKING CARE IN THE STAMFORD HOSPITAL EMERGENCY ROOM: ADMITTED FOR INPATIENT TREATMENT 8,250; TREATED AND RELEASED 45,037; TREATED AT TULLY IMMEDIATE CARE CENTER 23,880. SURGERIES PERFORMED AT THE HOSPITAL AND TULLY CENTER: 11,153. RADIATION THERAPY PROCEDURES PERFORMED: 198,222.Desc
Total Program Service Expenses$416,687,707TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficeYes (true)ForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingYes (true)ProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document570IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2971EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryBDForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCTStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKevin Gage TreasurerCFOPersonNm
Phone2032761000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Hospital Plaza PO Box 9317AddressLine1Txt
CityStamfordCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06904ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Maryann Keller-Chai
DIRECTOR2.02.0Yes (X)$0$0$0
GERALD B RAKOS MD
PHYSICIAN AND DIRECTOR38.02.0Yes (X)$499,928$0$49,976
Suzanne Beitel
Director2.02.0Yes (X)$0$0$0
Terrance P Berland
Director2.02.0Yes (X)$0$0$0
Andrew M Merrill
Chairman2.02.0Yes (X)$0$0$0Yes (X)
Brian Grissler
President & CEO38.02.0Yes (X)$2,656,282$0$29,510Yes (X)
Mark DeWaele DMD
VICE CHAIRMAN2.02.0Yes (X)$0$0$0Yes (X)
Patrick Hackett
DIRECTOR2.02.0Yes (X)$0$0$0
Helen Jaffe
DIRECTOR2.02.0Yes (X)$0$0$0
Charles Littlejohn MD
DIRECTOR2.038.0Yes (X)$0$403,866$26,330
Adolf DiBiasio
DIRECTOR2.02.0Yes (X)$0$0$0
David Jahns
DIRECTOR2.02.0Yes (X)$0$0$0
Kevin Gage
TREASURER/CFO38.02.0$1,213,209$0$62,184Yes (X)
DARRYL MCCORMICK
ASSISTANT SECRETARY38.02.0$650,505$0$36,159Yes (X)
Kathleen A Silard
Assistant Secretary/COO38.02.0$1,130,089$0$32,637Yes (X)
Michael Coady MD
Chief of Cardiac Surgery38.02.0$1,026,640$0$31,959Yes (X)
Sharon Kiely MD
SVP, MEDICAL AFFAIRS38.02.0$945,145$0$62,604Yes (X)
DAVID SMITH
Assistant Secretary38.02.0$1,130,379$0$49,026Yes (X)
Rohit Bhalla MD
Physician38.02.0$642,201$0$57,127Yes (X)
Brian Stainken MD
Physician38.02.0$721,229$0$39,861Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$10,615,607TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$403,866TotReportableCompRltdOrgAmt
Total Other Compensation$477,373TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K561IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HEMATOLOGY ONCOLOGY ASSOC PC
PO BOX 9317STAMFORDCT06904PHYSICIAN FEES/ONCOL$5,106,539
WHR ARCHITECTS INC
1111 LOUISIANA 26TH FLOORHOUSTONTX77002ARCHITECTURAL SVCS$1,388,009
YALE UNIVERSITY SCHOOL OF MEDICINE
PO BOX 208087NEW HAVENCT065208087PHYSICIAN FEES/LAB$987,216
ERNST YOUNG LLP
PO BOX 640382PITTSBURGHPA152640382AUDIT AND TAX SVCS$784,599
DANA-FARBER CANCER INSTITUTE INC
450 BROOKLINE AVEBOSTONMA02215CONSULTING SERVICES$705,714
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K72CntrctRcvdGreaterThan100KCnt
Fundraising$755,745FundraisingAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$682,076GovernmentGrantsAmt
All Other Contributions$8,781,139AllOtherContributionsAmt
Noncash Contributions$408,288NoncashContributionsAmt
Total Contributions$10,218,960TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
PATIENT REVENUE621300$305,301,754$305,301,754$0$0
PHYSICIAN BILLING621110$12,635,100$12,635,100$0$0
WELLNESS AND TRAINING621400$3,626,891$3,626,891$0$0
MEDICARE/MEDICAID PAYMENT621400$186,060,083$186,060,083$0$0
REFERENCE LAB INCOME621500$6,503,940$0$6,503,940$0
FieldValueIRS element (for citing)
Total Program Service Revenue$514,127,768TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,638,250TotalRevenueColumnAmt
Exclusion$1,638,250ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$3,801,781RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$5,714,587RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$1,912,806RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,912,806TotalRevenueColumnAmt
Exclusion-$1,912,806ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$11,450,251SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$9,089,781SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,360,470SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,360,470TotalRevenueColumnAmt
Exclusion$2,360,470ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$268,600FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$755,745ContriRptFundraisingEventAmt
Fundraising Direct Expenses$243,868FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,732TotalRevenueColumnAmt
Exclusion$24,732ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
CAFETERIA, COFFEE SHOP722210$2,128,027$2,128,027$0$0
INTERCOMPANY STAFF REIMB900099$1,164,629$1,164,629$0$0
MEANINGFUL USE INCOME621110$8,717$8,717$0$0

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,532,532TotalRevenueColumnAmt
Related Or Exempt Func Income$2,445,919RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$86,613UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$5,833,905OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$532,291,279TotalRevenueColumnAmt
Related Or Exempt Func Income$513,371,120RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$6,590,553UnrelatedBusinessRevenueAmt
Exclusion$2,110,646ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$6,893,603TotalAmt
Management And General$6,893,603ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$194,950,526TotalAmt
Program Services$174,221,493ProgramServicesAmt
Management And General$19,555,045ManagementAndGeneralAmt
Fundraising$1,173,988FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$6,632,142TotalAmt
Program Services$5,724,524ProgramServicesAmt
Management And General$869,043ManagementAndGeneralAmt
Fundraising$38,575FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$21,687,886TotalAmt
Program Services$18,668,235ProgramServicesAmt
Management And General$2,893,508ManagementAndGeneralAmt
Fundraising$126,143FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$13,786,740TotalAmt
Program Services$11,900,006ProgramServicesAmt
Management And General$1,806,546ManagementAndGeneralAmt
Fundraising$80,188FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$940,881TotalAmt
Program Services$900,881ProgramServicesAmt
Management And General$40,000ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,828,287TotalAmt
Program Services$114,596ProgramServicesAmt
Management And General$1,713,691ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$428,234TotalAmt
Program Services$5,775ProgramServicesAmt
Management And General$422,459ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$140,827TotalAmt
Management And General$140,827ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$19,757TotalAmt
Fundraising$19,757FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$142,913TotalAmt
Management And General$142,913ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$56,525,136TotalAmt
Program Services$42,974,814ProgramServicesAmt
Management And General$13,339,423ManagementAndGeneralAmt
Fundraising$210,899FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,886,879TotalAmt
Program Services$299,750ProgramServicesAmt
Management And General$2,469,024ManagementAndGeneralAmt
Fundraising$1,118,105FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$13,677,678TotalAmt
Program Services$9,268,852ProgramServicesAmt
Management And General$4,336,146ManagementAndGeneralAmt
Fundraising$72,680FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$8,036,410TotalAmt
Program Services$175,824ProgramServicesAmt
Management And General$7,859,689ManagementAndGeneralAmt
Fundraising$897FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$33,558,634TotalAmt
Program Services$31,348,969ProgramServicesAmt
Management And General$2,064,627ManagementAndGeneralAmt
Fundraising$145,038FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$422,844TotalAmt
Program Services$187,134ProgramServicesAmt
Management And General$121,365ManagementAndGeneralAmt
Fundraising$114,345FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$351,722TotalAmt
Program Services$165,391ProgramServicesAmt
Management And General$71,986ManagementAndGeneralAmt
Fundraising$114,345FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$38,021TotalAmt
Program Services$38,021ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$37,447,053TotalAmt
Program Services$36,905,708ProgramServicesAmt
Management And General$541,345ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,535,035TotalAmt
Program Services$1,535,035ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL EXPENSES$71,149,385$71,149,385$0$0
SERVICE CONTRACTS$9,693,792$9,656,153$0$37,639
SUBSCRIPTIONS DUES MBRSHP$2,123,027$863,795$1,251,501$7,731
STATE - FED INCOME TAXES$1,827,469$257,337$1,570,132$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,990,117TotalAmt
Program Services$326,031ProgramServicesAmt
Management And General$1,589,024ManagementAndGeneralAmt
Fundraising$75,062FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$489,714,998TotalAmt
Program Services$416,687,707ProgramServicesAmt
Management And General$69,691,899ManagementAndGeneralAmt
Fundraising$3,335,392FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$50,000BOYAmt
EOY$50,000EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$123,492,820BOYAmt
EOY$94,959,463EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$29,858,376BOYAmt
EOY$21,575,487EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$73,152,775BOYAmt
EOY$75,415,396EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,591,162BOYAmt
EOY$7,609,278EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,056,827BOYAmt
EOY$5,350,366EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,089,825,656LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$414,067,441LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$640,833,642BOYAmt
EOY$675,758,215EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$96,365,777BOYAmt
EOY$91,524,723EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$16,950,449BOYAmt
EOY$14,992,436EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$41,932,875BOYAmt
EOY$44,085,846EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,036,284,703BOYAmt
EOY$1,031,321,210EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$108,447,087BOYAmt
EOY$96,193,421EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,211,815BOYAmt
EOY$2,318,148EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$405,059,501BOYAmt
EOY$397,809,019EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$3,513,715BOYAmt
EOY$3,357,041EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$150,231,694BOYAmt
EOY$130,953,168EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$669,463,812BOYAmt
EOY$630,630,797EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$283,719,534BOYAmt
EOY$319,395,523EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$21,654,727BOYAmt
EOY$18,842,391EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$61,446,630BOYAmt
EOY$62,452,499EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$366,820,891BOYAmt
EOY$400,690,413EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,036,284,703BOYAmt
EOY$1,031,321,210EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$42,576,281ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,402,892NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$10,109,651OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Media Advertisements$0MediaAdvertisementsAmt
Mailings MembersfalseMailingsMembersInd
Mailings Members$0MailingsMembersAmt
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Publications Or Broadcast$0PublicationsOrBroadcastAmt
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Grants Other Organizations$0GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Direct Contact Legislators$0DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Rallies Demonstrations$0RalliesDemonstrationsAmt
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$140,827OtherActivitiesAmt
Total Lobbying Expenditures$140,827TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1iFormAndLineReferenceDesc
ExplanationTHE 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

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$82,101,038BeginningYearBalanceAmt
Contributions$8,246,282ContributionsAmt
Investment Earnings Or Losses$1,046,037InvestmentEarningsOrLossesAmt
Other Expenditures$11,098,786OtherExpendituresAmt
End Year Balance$80,294,571EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$67,414,074BeginningYearBalanceAmt
Contributions$25,541,845ContributionsAmt
Investment Earnings Or Losses-$104,189InvestmentEarningsOrLossesAmt
Other Expenditures$2,094,938OtherExpendituresAmt
End Year Balance$90,756,792EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$47,909,132BeginningYearBalanceAmt
Contributions$20,339,806ContributionsAmt
Investment Earnings Or Losses$1,151,928InvestmentEarningsOrLossesAmt
Other Expenditures$1,986,792OtherExpendituresAmt
End Year Balance$67,414,074EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$40,118,983BeginningYearBalanceAmt
Contributions$8,872,941ContributionsAmt
Investment Earnings Or Losses$1,284,155InvestmentEarningsOrLossesAmt
Other Expenditures$2,366,947OtherExpendituresAmt
End Year Balance$47,909,132EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.77000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.23000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$44,892,606OtherCostOrOtherBasisAmt
Book Value$44,892,606BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$459,202,314OtherCostOrOtherBasisAmt
Depreciation$115,942,152DepreciationAmt
Book Value$343,260,162BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,025,978OtherCostOrOtherBasisAmt
Depreciation$8,067,973DepreciationAmt
Book Value$6,958,005BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$515,125,066OtherCostOrOtherBasisAmt
Depreciation$286,026,087DepreciationAmt
Book Value$229,098,979BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$55,579,692OtherCostOrOtherBasisAmt
Depreciation$4,031,229DepreciationAmt
Book Value$51,548,463BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$675,758,215TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
CHARITABLE GIFT ANNUITY PAYABLE$56,761
EST THIRD PART SETTLEMENTS$5,935,951
PENSION LIABILITY$93,173,294
DUE TO AFFILIATES$22,727,765
EST FOR PROFESSIONAL LIABILITY$9,059,397
FieldValueIRS element (for citing)
Total Liability$130,953,168TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceIntended use of endowment fundsFormAndLineReferenceDesc
ExplanationThe 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 F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean1Program servicesMalpractice Insurance$2,846,585
Central America and the Caribbean1InvestmentsN/A$11,908,063
FieldValueIRS element (for citing)
Subtotal Employees2SubtotalEmployeesCnt
Total Employee2TotalEmployeeCnt
Subtotal Spent$14,754,648SubtotalSpentAmt
Total Spent$14,754,648TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipYes (true)ForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyYes (true)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

FieldValueIRS element (for citing)
PersonDoug Picha ConsultantsPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line18401 NE Koura RdAddressLine1Txt
CityBainbridge IslandCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98110ZIPCd
FieldValueIRS element (for citing)
ActivityConsultantActivityTxt
Fundraiser Control Of FundsfalseFundraiserControlOfFundsInd
Gross Receipts$8,305,470GrossReceiptsAmt
Retained By Contractor$12,167RetainedByContractorAmt
Net To Organization$8,293,303NetToOrganizationAmt
FieldValueIRS element (for citing)
Total Gross Receipts$8,305,470TotalGrossReceiptsAmt
Total Retained By Contractors$12,167TotalRetainedByContractorsAmt
Total Net To Organization$8,293,303TotalNetToOrganizationAmt

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Corporate InvitEvent1Nm
Gross Receipts Event1$155,750GrossReceiptsEvent1Amt
Charitable Contri Event1$120,100CharitableContriEvent1Amt
Gross Revenue Event1$35,650GrossRevenueEvent1Amt
Non Cash Prizes Event1$6,174NonCashPrizesEvent1Amt
Food And Beverage Event1$57,200FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$79,018OtherDirectExpensesEvent1Amt
Event2Walk Run RideEvent2Nm
Gross Receipts Event2$662,982GrossReceiptsEvent2Amt
Charitable Contri Event2$517,632CharitableContriEvent2Amt
Gross Revenue Event2$145,350GrossRevenueEvent2Amt
Non Cash Prizes Event2$1,337NonCashPrizesEvent2Amt
Other Direct Expenses Event2$53,259OtherDirectExpensesEvent2Amt
Other Events Total4OtherEventsTotalCnt
Gross Receipts Other Events$205,613GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$118,013CharitableContriOtherEventsAmt
Gross Revenue Other Events$87,600GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$4,972NonCashPrizesOtherEventsAmt
Food And Beverage Other Events$41,544FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events$364OthDirectExpnssOtherEventsAmt
Gross Receipts Total$1,024,345GrossReceiptsTotalAmt
Charitable Contributions Tot$755,745CharitableContributionsTotAmt
Gross Revenue Total Events$268,600GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$12,483NonCashPrizesTotalEventsAmt
Food And Beverage Total Events$98,744FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$132,641OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$243,868DirectExpenseSummaryEventsAmt
Net Income Summary$24,732NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,915,146TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,915,146NetCommunityBenefitExpnsAmt
Total Expense0.01410TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$112,685,535TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$45,218,983DirectOffsettingRevenueAmt
Net Community Benefit Expns$67,466,552NetCommunityBenefitExpnsAmt
Total Expense0.13780TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,753,270TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,753,270NetCommunityBenefitExpnsAmt
Total Expense0.00360TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$121,353,951TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$45,218,983DirectOffsettingRevenueAmt
Net Community Benefit Expns$76,134,968NetCommunityBenefitExpnsAmt
Total Expense0.15550TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$120,688TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$120,688NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$345,433TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$345,433NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$466,121TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$466,121NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$121,820,072TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$45,218,983DirectOffsettingRevenueAmt
Net Community Benefit Expns$76,601,089NetCommunityBenefitExpnsAmt
Total Expense0.15640TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$39,312,823BadDebtExpenseAmt
Reimbursed By Medicare$99,688,253ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$118,014,139CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$18,325,886MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Stamford HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Hospital PlazaAddressLine1Txt
CityStamfordCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06904ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.stamfordhealth.orgWebsiteAddressTxt
State License0059StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1THE STAMFORD HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE H, PART V, SECTION B, LINE 5FormAndLineReferenceDesc
ExplanationIn total, the Hospital received qualitative input from 177 individuals. Many individuals providing input represent medically underserved, low-income, and minority populations. All interviews and focus groups were conducted between April 1, 2016 and June 15, 2016. The online survey was open from April 21, 2016 to May 19,2016. 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 & Social Services - Darien Health Department - Stamford Emergency Medical Services - AmeriCares - Optimus Health Care - Darien Senior Center - Neighbors Link - Childcare Learning Centers 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 Exhibit A for the complete list of organizations represented through interviews and Exhibit B 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: - Stamford Health Commission - Stamford Chamber of Commerce - Person-to-Person - Darien Community YMCA - Shelter for the Homeless - Business Council of Fairfield County Please refer to Exhibit C 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 C. For a brief description of some of the organizations from whom we gathered input, please refer to Exhibit D. 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 September 30, 2016, Stamford Health developed an implementation strategy which was adopted at the January 25, 2017 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 Hospitals leadership team and Board of Directors on September 28, 2016. As a next step, Stamford Hospital identified a task force that was responsible for developing a community health improvement plan (CHIP) to address the 2016 health priorities. The task force included representatives from our quality, nursing, case management, ambulatory, finance and service line teams. Additionally, several physicians were asked to participate on the committee as well as leaders from the community. As the task force 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 2013 CHIP as set forth in Exhibit E. For issues identified through the CHNA, but not addressed in the 2016 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 2017. 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. Or, 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7THE COST-TO-CHARGE RATIO METHODOLOGY WAS UTILIZED TO CALCULATE THE AMOUNT INCLUDED IN THE TABLE. THE CALCULATION OF THIS RATIO WAS DERIVED FROM RATIO OF PATIENT CARE COST-TO-CHARGE. PART III, LINE 2 THE COST OF BAD DEBT EXPENSE IS ESTIMATED BASED ON THE BAD DEBT PROVISION AT CHARGE, APPLIED TO THE RATIO OF TOTAL PATIENT CARE EXPENSES TO TOTAL CHARGES FOR ALL SERVICES RENDERED. ANY PAYMENTS OR DISCOUNTS ARE EXCLUDED FROM BAD DEBT EXPENSE. PART III, LINE 4 IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, TSH ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), TSH RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 8A TREATMENT OF MEDICARE SHORTFALL AS COMMUNITY BENEFIT TO THE EXTENT THERE IS A MEDICARE 'SHORTFALL', THE HOSPITAL HAS PROVIDED SERVICES AND IS REIMBURSED LESS THAN THE COST OF THOSE SERVICES. THIS TRANSFER OF VALUE BENEFITS THE PATIENT AND ARGUABLY (DIRECTLY AND INDIRECTLY) THE COMMUNITY IN WHICH THEY LIVE. PART III, LINE 8B MEDICARE COSTING METHODOLOGY THE COSTING METHODOLOGY USED FOLLOWS THE METHODOLOGY OF THE MEDICARE COST REPORT. PART III, LINE 9B COLLECTION PRACTICES APPLICATION OF COLLECTION PRACTICES QUALIFYING FOR FINANCIAL ASSISTANCE ALL COLLECTION EFFORTS CEASE AT ANY POINT IN THE PROCESS IF THE PATIENT APPLIES FOR FREE BED FUNDS OR FINANCIAL ASSISTANCE.
FORM 990, SCHEDULE H, PART VI, Line 2Needs Assessment 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; includes participation in community health fairs and educational outreach efforts; provides HIV updates for aids service providers in the community; performs client home visits; and conducts monthly HIV positive women's support group. The Community Health Needs Assessment (CHNA) identified Access to Care, Mental Health & Substance Abuse and Chronic Disease Management and Lifestyle Behaviors as priority issues to address in the SH Community Health Improvement Plan (CHIP). SH, in partnership with its community partners, developed an improvement plan to address the health priorities identified through the 2016 CHNA. The CHIP task force works to combine its collective resources to bolster existing initiatives and to develop new programs. The committee meets quarterly. SH partners with Optimus Health Centers, 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 ($32,000) in 2017. SH also provides an information and referral services ($115,000) to enhance access to care. Community input and engagement to improve child health and prevent obesity is provided through a Stamford city-wide task force lead by SH. This community-wide collaboration focuses on prevention, advocacy and education is a city-wide collaboration that includes Stamford public schools, the Stamford Health Department, early childhood educators, after school programs and community centers, community pediatricians and family medicine practitioners. SH's Kids'Fans (kids' fitness and nutrition services) program, promoting physical activity and health conscious nutrition, is a cornerstone of this childhood obesity initiative. A major initiative of SH is the Vita Health & Wellness Initiative, which is focused on two census tracts (214 and 215) in Stamfords West Side. The Vita Collaborative brings together the key service providers monthly to develop programs to improve the environment and health outcomes of this primarily low-income population. The West Side Neighborhood Revitalization Zone (WSNRZ), seeks to improve the neighborhood at the hospitals 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), anchor institutions, work with residents, businesses and the city of Stamford to spur economic improvement and capital investments, reduce crime and improve pedestrian safety. 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 program. "Paint the town Pink" holds a month-long series of events in October of each year. SH 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 ("SHD") to disseminate health information and address public health issues that arise. In 2017, Stamford Hospital provided in-kind support to two major initiatives of the City of Stamford; the first, Stamford Invest Health, is focused on youth development and violence prevention, led by the Mayors office and funded by the Robert Wood Johnson Foundation. The result is a district-wide focus on school attendance. The second effort, Stamford Cradle2Career, is a collective-impact project funded in part by the United Way of Western Connecticut, focused on addressing the achievement gap in the Stamford Public Schools; SH provides management support (acting as co-chair) of the Community Task Force and membership on the Communications Committee. Senior leadership also participates in Advisory capacities.
FORM 990, SCHEDULE H, PART VI, Line 3PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE STAMFORD HOSPITAL USES SEVERAL VENUES TO NOTIFY OUR PATIENTS OF THE AVAILABLE FINANCIAL OPTIONS. 1) SIGNAGE IS DISPLAYED IN ENGLISH AND SPANISH IN THE FOLLOWING AREAS: * EMERGENCY ROOM WAITING ROOMS AND REGISTRATION WORKSTATIONS * IMMEDIATE CARE CENTER WAITING ROOM * PATIENT REGISTRATION AREAS ON THE MAIN CAMPUS AND TULLY CAMPUS * CASHIER'S OFFICE, OFFICES OF THE FINANCIAL COUNSELORS, RECEPTION AREA OF THE PATIENT BUSINESS SERVICES DEPARTMENT * ANCILLARY DEPARTMENTS *THE FAP POLICIES ARE LOCATED ON OUR INTRANET PAGE AND INCLUDE THE PLAIN LANGUAGE SUMMARY ALONG WITH A FAP APPLICATiON. * BROCHURES ARE ALSO AVAILABLE IN CREOLE AND POLISH. 2) THE HOSPITAL'S BILLING STATEMENTS INCLUDE AN INFORMATIONAL PAGE THAT IS PRINTED ON THE REVERSE SIDE OF THE STATEMENT OUTLINING THE FINANCIAL OPTIONS. 3) THE "ARE YOU UNINSURED NOTICE" IN ENGLISH AND SPANISH IS ATTACHED TO THE TRUE SELF PAY STATEMENTS. 4) STAFFING: * SOCIAL SERVICES DEPARTMENT * CASE MANAGEMENT DEPARTMENT * PATIENT REGISTRATION HAS THREE FULL TIME BILINGUAL FINANCIAL COUNSELOR * PATIENT BUSINESS SERVICES HAS TWO FULL TIME BILINGUAL FINANCIAL COUNSELORS. * A TSH FINANCIAL COUNSELOR HOLDS EDUCATIONAL AND COUNSELING SESSIONS IN THE OPTIMUS AND STAMFORD HOSPITAL CLINICS ONCE PER WEEK. * HAND-OUTS ARE PROVIDED TO PATIENTS BY THE FINANCIAL COUNSELORS AT THE CLINICS AND THE COMMUNITY HEALTH CENTERS. * PATIENTS ARE SCREENED FOR FEDERAL OR STATE PROGRAMS, AND THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM (FAP) BY FINANCIAL ASSISTANCE COUNSELORS. 5) NOTIFICATIONS: PATIENTS RECEIVE APPROVAL OR DENIAL LETTERS AND, IF ELIGIBLE, FINANCIAL ASSISTANCE PROGRAM IDENTIFICATION CARDS.
FORM 990, SCHEDULE H, PART VI, Line 4COMMUNITY 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 376,161 RESIDENTS. THE PSA INCLUDES THE COMMUNITIES OF STAMFORD, DARIEN, AND ROWAYTON, WITH AN ESTIMATED 55,775 HOUSEHOLDS AND A TOTAL POPULATION OF 152,587. STAMFORD COMPRISES AN ESTIMATED 47,675 HOUSEHOLDS WITH A TOTAL POPULATION OF 127,289. THE SSA INCLUDES THE COMMUNITIES OF GREENWICH, COS COB, RIVERSIDE, OLD GREENWICH, NEW CANAAN, NORWALK, WESTPORT, WESTON, AND WILTON, WITH AN ESTIMATED 79,969 HOUSEHOLDS AND A TOTAL POPULATION OF 223,574. FOR THE PSA, 25.2% OF THE POPULATION IS ESTIMATED TO BE 19 YEARS OF AGE OR LESS; 35.8% IS 20 - 44; 26.0% IS 45-64; AND 13.0% IS 65 YEARS OF AGE AND OLDER. THE SSA HAS A SLIGHTLY OLDER AGE DISTRIBUTION WITH AN ESTIMATED 27.3% OF ITS POPULATION 19 YEARS OF AGE OR LESS; 27.5% IS 20-44; 30.3% IS 45-64; AND 14.9% 65 YEARS OF AGE AND OLDER. REGARDING RACE/ETHNICITY, OF THE ESTIMATED POPULATION IN THE PSA, 56.2% OF RESIDENTS ARE WHITE; 23.8% ARE HISPANIC; 11.8% BLACK; 7.5% 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 14.0%, HISPANIC POPULATION REPRESENTING 26.6% AND ASIAN POPULATION REPRESENTING 8.1% OF ITS TOTAL POPULATION. FOR THE SSA, 70.1% OF THE TOTAL ESTIMATED POPULATION IS WHITE; 6.9% BLACK; 14.7% HISPANIC; 6.1% ASIAN; AND THE REMAINING PORTION OF THE POPULATION IS MULTI-RACIAL, NATIVE AMERICAN, PACIFIC ISLANDER, OR OTHER. ALTHOUGH IN THE PSA AN ESTIMATED 22.5% 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 17.8% OF TOTAL HOUSEHOLDS WITH HOUSEHOLD INCOMES EXCEEDING $200,000, AND 20.8% WITH HOUSEHOLD INCOMES LESS THAN $35,000, 30.0% WITH LESS THAN $45,000. IN THE SSA, AN ESTIMATED 30.8% OF THE TOTAL HOUSEHOLDS HAVE HOUSEHOLD INCOMES EXCEEDING $200,000, WHILE AN ESTIMATED 16.1% HAVE HOUSEHOLD INCOMES LESS THAN $35,000 AND 20.9% LESS THAN $45,000. THE ESTIMATED PAYOR MIX, BASED ON HOSPITAL UTILIZATION, OF THE PSA IS PREDOMINANTLY COMMERCIAL/PRIVATE INSURANCE (35.2%), FOLLOWED BY MEDICAID (29.2%); MEDICARE (26.8%); AND SELF-PAY/OTHER (8.8%). COMPARED TO THE PSA, STAMFORD HAS A HIGHER ESTIMATED PERCENTAGE OF MEDICAID AT 31.7% AND SELF-PAY/OTHER AT 9.5%. FOR THE SSA, THE ESTIMATED PAYOR MIX IS ALSO PRIMARILY COMMERCIAL/PRIVATE INSURANCE (40.7%), FOLLOWED BY MEDICARE (29.0%); MEDICAID (22.8%); AND SELF-PAY/OTHER (7.5%). Community Health SH provides expertise in supporting the west side neighborhood revitalization zone (WSNRZ), a community effort to improve the health, safety, infrastructure, and quality of life in the west side of Stamford. In 2017 Stamford Hospital provided in-kind support to establish a new Business Improvement Association. Neighbors work side-by-side with local businesses, law enforcement, the hospital's housing partner, Charter Oak Communities, Inc. (formerly the Stamford housing authority), and local elected and appointed officials. SH in partnership with Charter Oak Communities, Inc., (formerly Stamford Housing Authority) established the Vita health and wellness district in the West Side. In partnership with the WSNRZ, the City of Stamford and Charter Oak Communities (COC) the Vita plan is intended to address the social determinants of health, including health and wellness, nutrition and access to nutritious food, active living and healthy lifestyles, workforce development, economic development and improving the hospital and community connections.
FORM 990, SCHEDULE H, PART VI, Line 5Promotion of Community Health The Stamford Hospital ('SHthe 'Hospital') provided a variety of programs that benefited the community. These programs included, for example, health specific health factors or disease entities such as heart disease, breast cancer, diabetes self-management, sleep disorders, arthritis, high cholesterol, cancer prevention, nutrition, stress management, circulatory problems, digestive disorders, orthopedics, pain management, sports injuries, and childrens nutrition. Hospital staff served as speakers at schools and various community groups on lifestyle/health improvement topics. In Fiscal Year 2017, SH participated in school lectures and physician presentations as well as career days, school tours and informational special events. Other highlights of community health education and outreach activities provided in FY 2017 are as follows: AmeriCares Free Clinic of Stamford: Improving Access to Care for Uninsured: FY 2017 - $440,000 Stamford Hospital supports the AmeriCares Free Clinic of Stamford, providing ready access to high quality diagnostics, essential for its patient population which is uninsured and does not qualify for any government programs. Stamford Hospital provides specialty care to AFC patients primarily through Stamford Hospitals network of specialty clinics. The majority of the visits made to the free clinic are by patients with chronic diseases - undiagnosed and uncontrolled diabetes and hypertension being the most common. With ongoing support through education and close medical management, patients demonstrate compliance and greater control their chronic disease and reduction in emergency room utilization. Asthma Education: SH conducted an event for the community with exhibits to educate and create an awareness and understanding of asthma. Topics included keeping asthma under control, utilizing a team approach in treating asthma, the role of allergies, and the future of asthma therapy. 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. A partnership between the City of Stamford, the American Cancer Society and Stamford Healths Bennett Cancer Center continues to work collaboratively and successfully to raise awareness about the importance of prevention, screening and early detection of cancers. Direct mail is utilized to remind women of the importance of screening for breast cancer. Paint the Town Pink, a community-wide breast cancer awareness program, held a month-long series of events in October. In addition, educational lectures offered throughout the year for the community include topics focused on raising awareness about the dangers of sun exposure, risks for skin cancer and programs to understand screening for and tactics to prevent colorectal cancers; direct mail initiatives to underscore the importance of screening and early detection of lung cancer, as well as education surrounding testicular and gynecologic cancers. Cancer outreach efforts also include anti-tobacco lectures and an Anti-Smoking Poster Contest for elementary school children. The Hospital offers a Smoking Cessation Program year-round. Nutrition programs, led by a registered dietitian, are offered throughout the year. Cancer Screenings: Stamford Hospital offers mammography screening to the community at no cost to patients who are uninsured. In FY 17, 19,148 women received mammograms, of which 572 were performed at no cost. Stamford Hospital also participates in the Connecticut Breast and Cervical Cancer Early Detection Program (CBCCEDP). In FY 17 Stamford Hospitals Connecticut Early Detection & Prevention Program (CEDPP) provided 296 Clinical Breast Exams, 134 mammograms, 214 Pap Smears and 172 HPV tests to uninsured women in our community. To reach the underserved, the Hospital collaborated with Optimus Health Care ("Optimus"), a federally qualified health center, the Witness Project of CT, Planned Parenthood of CT, and the Hispanic Council of Greater Stamford. Outreach was targeted to underinsured and uninsured women of color, and assistance provided to address language barriers, navigate the healthcare system, and cope with fear. Stamford Hospital funds a clinical navigator at Optimus Health to assist in coordinating care for cancer screenings as well as patients who are diagnosed with cancer through our collaboration. Lung cancer is the second most common cancer in both men and women in the United States. Its 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 2017, 404 Lung Screening CT scans were performed. From these screenings, 4 lung cancers were diagnosed. To provide greater access to screening for colon cancer, Stamford Hospital in partnership with Optimus Health Care offers FIT tests to patients through the Family Medicine and Internal Medicine clinics. In 2017 81 tests were provided to patients. Other key 2017 accomplishments for the Bennett Cancer Center include: - Stamford Healths Breast Center has been granted a full, three-year accreditation by the National Accreditation Program for Breast Centers (NAPBC), a program administered by the American College of Surgeons. - Hematology Oncology Associates received QOPI recertification from the American Society of Clinical Oncology. - 10% of newly diagnosed cancer patients were enrolled in Clinical Trials. - The Dana-Farber/Brigham and Womens Cancer Care Collaborative opened its first study with the Bennett Cancer Center in 2017: Randomized Phase II Study of Palbociclib With Letrozole vs. Letrozole Alone for Invasive Lobular Carcinoma and Invasive Ductal Carcinoma (PELOPS). - Salvatore DelPrete, MD received the Doctor of Distinction "Cutting Edge" Award from Westfair Communications for a lifetime of dedication to oncology research. - Matilde Hinh, RN was awarded the Professional Practice Award from the Department of Nursing. - Andrea Coscarelli, RN, OCN, received the Planetree Caregiver of the Year award in October 2016. - Erin Ash, MS, CGC, RHC-III, was published in the December 2016 Journal of Genetic Counseling: Motivational Interviewing in the Reciprocal Engagement Model of Genetic Counseling: A Method Overview and Case Illustration. Erin is the first genetic counselor to be certified in motivational interviewing. Erin also received the Sarah Lawrence Teacher of the Year Award in 2017. - Gean Brown, MSN, RN, OCN, was chair of a national meeting on Best Practices in Lung Cancer for Nurse Navigators in 2017. Community-Based Clinical Care: Our partnership with Optimus Health Care, a Federally Qualified Health Center, includes Hospital-employed physicians and mid-level providers working in primary care centers. Optimus employs all other staff. The Hospital provided supplemental support to Optimus of $1.75 million in FY 2017 to ensure its continued viability. Emergency Services and Education: Stamfords EMS Institute, a Department of SH, provided emergency medical service (EMS) training to emergency medical technicians ("EMTs"), nurses, physicians, paramedics, and anyone in the public who is interested in learning these live-saving skills. The Hospital offered an Infant and Child Care class, and an adult cardio-pulmonary resuscitation ("CPR") and EMT-Basic course. The SH EMS Institute also collaborated with Stamford EMS (SEMS). Regarding disaster preparedness, the Hospitals staff worked with regional agencies to coordinate emergency plans and conducted joint simulation drills. Children and Youth with Special Health Care Needs: Pediatric Medical Home Initiative of SWCT (CYSHCN): Medical Home Initiative (MHI) covering southwest CT., addresses the needs of children and youth with special healthcare needs. CYSHCN provides comprehensive care for all medical, mental, social and emotional needs and linkages to specialists, community resources and family support networks. Families are provided assistance with coordination of care by securing specialist appointments, assistance with transportation, securing funding for essential needs such as respite services, medications, diapers, wheelchairs, ramps, etc. It conducts advocacy on behalf of families at schools and other providers. Parents are connected to support groups held regularly in Stamford and Bridgeport. Nearly all medical offices in SWCT are Medical Homes trained to provide coordination of care and increasingly CYSHCN serves as a support center, assisting medical providers treating patients with highly complex needs. In 2017, 477 children were served, of whom 288 were of high complexity. Community Care Team: Stamford Hospital joined with 60+ care organizations in Stamford and lower-Fairfield County to form the Stamford Community Care Team to focus on improving health and wellness ou

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GERALD B RAKOS MD
PHYSICIAN AND DIRECTOR$450,473$0$43,911$0$5,544$0$24,000$0$25,976$0$549,904$0$0$0
Brian Grissler
President & CEO$1,162,530$0$918,793$0$574,959$0$0$0$29,510$0$2,685,792$0$0$0
Charles Littlejohn MD
DIRECTOR$0$373,947$0$24,375$0$5,544$0$0$0$26,330$0$430,196$0$0
Michael Coady MD
Chief of Cardiac Surgery$804,187$0$80,000$0$142,453$0$18,000$0$13,959$0$1,058,599$0$0$0
Sharon Kiely MD
SVP, MEDICAL AFFAIRS$677,676$0$210,361$0$57,108$0$24,000$0$38,604$0$1,007,749$0$0$0
Kevin Gage
TREASURER/CFO$633,958$0$488,142$0$91,109$0$24,000$0$38,184$0$1,275,393$0$0$0
DARRYL MCCORMICK
ASSISTANT SECRETARY$414,543$0$160,853$0$75,109$0$24,000$0$12,159$0$686,664$0$0$0
DAVID SMITH
Assistant Secretary$607,994$0$260,096$0$262,289$0$13,846$0$35,180$0$1,179,405$0$0$0
Rohit Bhalla MD
Physician$435,029$0$172,807$0$34,365$0$17,992$0$39,135$0$699,328$0$0$0
Brian Stainken MD
Physician$597,238$0$90,002$0$33,989$0$18,000$0$21,861$0$761,090$0$0$0
Kathleen A Silard
Assistant Secretary/COO$641,173$0$484,014$0$4,902$0$24,000$0$8,637$0$1,162,726$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1aPresident - Brian Grissler Housing $49,000 Taxable Gross Up Payment $138,322 High Comp Employee - Brian Stainken Taxable Gross Up Payment $30,933 Asst. Secretary - Daryl McCormick Taxable Gross Up Payment $1,017 David Smith Taxable Gross Up Payment $3,405 Treasurer - Kevin Gage Taxable Gross Up Payment $4,797 Michael Coady Taxable Gross Up Payment $141,194 Rohit Bhalla Taxable Gross Up Payment $5,992 Sharon Kiely Taxable Gross Up Payment $5,741 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 4AFormer High Comp Employee - David Smith Severance $185,780

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
STATE OF CT HEALTH AND EDUCATION FAC AUTHORITIES
A0608061862077443P82010-05-27$133,992,115SEE SCHEDULE K, PART VIfalsefalsefalse
STATE OF CT HEALTH AND EDUCATION FAC AUTHORITIES
B06080618620774YKQ92012-06-20$254,620,769SEE SCHEDULE K, PART VIfalsefalsefalse
STATE OF CT HEALTH AND EDUCATION FAC AUTHORITIES
C06080618620774YK552016-07-27$50,921,018SEE SCHEDULE K, PART VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$28,235,000$0$133,995,069$0$0$0$2,057,323$0$0$24,835,260$107,102,486$02011Yes (true)falseYes (true)Yes (true)
B$0$0$254,620,769$0$36,350,996$0$2,935,597$0$0$251,685,172$0$02016falsefalseYes (true)Yes (true)
C$0$0$50,921,018$0$0$0$921,018$0$0$50,000,000$0$02016falsefalseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalseYes (true)Yes (true)Yes (true)Yes (true)0.000000.000000.00000falsefalse0.00000falseYes (true)
BfalsefalseYes (true)Yes (true)Yes (true)Yes (true)0.000000.000000.00000falsefalse0.00000falseYes (true)
CfalsefalseYes (true)Yes (true)Yes (true)Yes (true)0.000000.000000.00000falsefalse0.00000falseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)
0
BfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)
0
CfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART I COLUMN (F) BOND ATHE 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 AND 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 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 BTHE 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 COSTS RELATING TO THE CONSTRUCTION OF A NEW HOSPITAL FACILITY. THE PROCEEDS ALSO REIMBURSED TSH FOR CERTAIN COSTS OF ISSUANCE OF THE SERIES J BONDS.
SCHEDULE K, PART I COLUMN (F) BOND CTHE STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES K (THE SERIES K BONDS) WERE ISSUED ON JULY 27, 2016, FOR A TERM OF 30 YEARS, AT A PREMIUM OF $3,301,000. THE SERIES K BONDS WERE USED FOR 1) REIMBURSING A PORTION OF THE COSTS OF THE CONSTRUCTION, FURNISHING, AND EQUIPPING A MASTER FACILITY PLAN EXECUTED TO CONSTRUCT A NEW HOSPITAL BUILDING AND CENTRAL UTILITY PLANT. 2) REIMBURSING TSH FOR CERTAIN COSTS OF ISSUANCE OF THE SERIES K BONDS.
SCHEDULE K, PART II, LINE 3THERE ARE VARIANCES BETWEEN PROCEEDS AND THE ISSUE AND THE ISSUE PRICE FOR ALL BONDS DUE TO INVESTMENT EARNINGS.
SCHEDULE K, PART IV, LINE 2C BONDS A AND BTHE DATE OF THE MOST RECENT REBATE COMPUTATION WAS JUNE 20, 2017.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonH Darrell HarveyPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionSEE PART VRelationshipDescriptionTxt
Transaction$1,137,270TransactionAmt
TransactionSEE PART VTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart IV, Line 1FormAndLineReferenceDesc
ExplanationThe Stamford Hospital paid $1,137,270 to AP Construction, a company owned by H. Darrell Harvey, who is a board member of The Stamford Hospital Foundation.ExplanationTxt

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution25ContributionCnt
Noncash Contributions Rpt F990$408,288NoncashContributionsRptF990Amt
Method Of Determining RevenuesMarket ValueMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, LINE 6STAMFORD HEALTH INC. (SHI), A TAX-EXEMPT ORGANIZATION, IS THE SOLE MEMBER OF THE STAMFORD HOSPITAL.
FORM 990, PART VI, LINE 7ASTAMFORD 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 7BSHI 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 11BTHE 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 12CIT 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 & 15BIT 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 19THE STAMFORD HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9PENSION ADJUSTMENT - $12,311,808 SHI EQUITY TRANSFER - $30,000,000 SHMG DEBT FORGIVENESS - ($52,421,465) ROUNDING - $ 6 --------------- TOTAL - ($10,109,651)
FORM 990 PART IX LINE 11GDESCRIPTION:CONSULTING SERVICES TOTAL FEES:6514163
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES TOTAL FEES:24472109
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN FEES TOTAL FEES:11170502
FORM 990 PART IX LINE 11GDESCRIPTION:COLLECTION FEES TOTAL FEES:3316870
FORM 990 PART IX LINE 11GDESCRIPTION:DATA PROCESSING FEES TOTAL FEES:363913
FORM 990 PART IX LINE 11GDESCRIPTION:ARCHIVING SERVICES TOTAL FEES:9825
FORM 990 PART IX LINE 11GDESCRIPTION:INTERCOMPANY STAFFING FEES TOTAL FEES:6795146
FORM 990 PART IX LINE 11GDESCRIPTION:TEMPORARY SERVICES TOTAL FEES:2129338
FORM 990 PART IX LINE 11GDESCRIPTION:COMMUNITY BENEFIT GRANT TOTAL FEES:1753270

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
24 GROVE ST NEW CANAAN LLC
ONE HOSPITAL PLAZA PO BOX 9317STAMFORDCT06904274941167RENTAlCT-$17,227$780,167TSH
36 GROVE STREET NEW CANAAN LLC
ONE HOSPITAL PLAZA PO BOX 9317STAMFORDCT06904274941529MEDICAL RENTACT$65,473$5,549,996TSH
STAMFORD HEALTH OCCUPATIONAL HEALTH SERV
ONE STAMFORD PLAZA PO BOX 9317STAMFORDCT06904475119889OCCUPATIONALCT$50,974$0TSH
STAMFORD HEALTHCARE ALLIANCE LLC
ONE STAMFORD PLAZA PO BOX 9317STAMFORDCT06904455468194INACTIVECT$0$0TSH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
STAMFORD HEALTH Inc
ONE STAMFORD PLAZA PO BOX 9317STAMFORDCT06904222476636PARENTCT501(c)(3)12bNAfalse
THE STAMFORD HOSPITAL FOUNDATION
ONE STAMFORD PLAZA PO BOX 9317STAMFORDCT06904222478748FUNDRAISINGCT501(c)(3)10SHIYes (true)
STAMFORD HEALTH MEDICAL GROUP
ONE STAMFORD PLAZA PO BOX 9317STAMFORDCT06904271648289Medical SvcsCT501(c)(3)10TSHYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINLegal Domicile StateLegalDomicileStateCd
Healthstar Indemnity Co Limited
Wellesley Hse S 1st Fl 90 Pitts BayPembrokeBDHM08Self InsuranceBDTSHC Corp-$5,831,427$77,769,6611.00000Yes (true)
MILLER HALL MEDICAL SUITES
PROF OFFICE BLDGSHIC CORP$0$0false166 W BROAD STREETSTAMFORDCT06904616199978CT
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Stamford Health Medical Group
b$52,421,465Book Value
Stamford Health Medical Group
j$636,813Book Value
Stamford Health Medical Group
o$137,811Book Value
Healthstar Indemnity Co
q$2,544,584Cash Value
Healthstar Indemnity Co
r$2,846,585Cash Value
Stamford Health Inc
s$30,000,000Cash Value