2012-08-15T13:09:16-05:00 2011-09-30 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 Indianapolis IN 46204 990 2010-10-01 061402215 CONTINUING CARE RETIREMENT COMMUNITY OF Greater Stamford Inc CONT 2032761000 C/O The Stamford Hospital 90 Shelburne Rd Stamford CT 06904 KEVIN E GAGE 2012-08-14 3176817000 2010 2016-02-24 21:20:13Z EDGEHILL Brian Grissler C/O Stamford Hospital Stamford CT 06904 26184926 false X www.edgehillcommunity.com X 1994 CT Developing, owning and operating a continuing care retirement community called Edgehill Retirement Community. 3 0 0 7 1905 769 0 0 22772072 24430746 581168 587966 239363 273844 23592603 25292556 0 0 0 0 0 0 0 0 0 21161193 20169553 21161193 20169553 2431410 5123003 116612046 120828188 114736253 113876257 1875793 6951931 Developing, owning and operating a continuing care retirement community called Edgehill Retirement community. false false 18499106 0 24704590 The facility provided housing, care and assisted living to resident residents of 192 independent living units including assisted living care to approximately 19 residents at a time and maintained a skilled nursing facility with an average daily occupancy of 53. 18499106 true false false false false false false false false false true false false true true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true false false false true 51 0 true 0 true true false false false false false false false false false X 3 0 false true false false false false false true true false false true true true true true true true true false X KEVIN GAGE CFO 2032761000 30 SHELBURNE RD Stamford CT 06904 X X Mr David Smith 2.0 X 0 639948 92577 Brian Grissler 2.0 X X 0 1829715 30336 Kevin Gage 2.0 X X 0 649788 94596 Ed Roman 38.0 X 0 0 0 0 3119451 217509 0 false true false Greystone Communities 222 W Las Colinas Blvd Suite 2100 Irving TX 75039 MANAGEMENT COMPANY 818077 Linda Guzzetta Welsh 118 Villa Ave Mamaroneck NY 10543 BEAUTY AND BARBER 104916 ROPES GRAY LLP P O BOX 414265 Boston MA 02241 Legal Services 302268 3 0 Independent Living 623000 15411225 15411225 Assisted Living 623000 929113 929113 Nursing Facility 623000 1506266 1506266 Medicare/Medicaid Payments 900099 4691617 4691617 Ancillary 900099 1892525 1892525 24430746 683029 1905 681124 0 0 797307 892370 -95063 -95063 -95063 0 0 0 Miscellaneous Revenue 900099 266844 266844 MANAGEMENT FEE INCOME 541610 7000 7000 273844 25292556 24697590 1905 593061 0 0 0 0 0 0 0 0 0 0 818700 818700 787716 787716 354608 354608 0 0 0 12569139 12061706 507433 1104923 1104923 32307 32307 0 0 2822558 2822558 212612 212612 0 0 169480 169480 0 1274135 1274135 0 MISCELLANEOUS 23375 2685 20690 20169553 18499106 1670447 0 722471 5479210 29696421 29545261 889411 997446 34919 34599 237713 209498 92462026 28539486 63551450 63922540 3816925 4403910 6474216 5846375 11188520 10389349 116612046 120828188 8349682 3318165 87180320 92803687 17529919 16936838 1676332 817567 114736253 113876257 X 1875793 6951931 1875793 6951931 116612046 120828188 X 5123003 -46865 X false true true X false X 21095097 21734507 22392678 23011435 24704590 112938307 21095097 21734507 22392678 23011435 24704590 112938307 112938307 695837 653409 304314 325375 682734 2661669 695837 653409 304314 325375 682734 2661669 7155 12463 3021 620 2087 25346 0 0 0 0 0 0 21798089 22400379 22700013 23337430 25389411 115625322 0.97676 0.97718 0.02302 0.02257 X 9297909 9297909 74922513 23255382 51667131 0 0 0 6727382 4420062 2307320 1514222 864042 650180 63922540 Waiting List Deposits 474997 Series Rebate Fund 50909 Benevolent Fund 1169378 Working Capital Fund 1714026 Debt Service Reserve Fund 1699040 Debt Issuance Cost 174363 Assets Whose use is limited ST 631116 Renewal and Replacement Fund 4265196 Other Receivables 6293 INTEREST ACCOUNT - C 204032 10389349 0 DEPOSIT LIAB - ENT FEE ESCROW 290239 DEPOSIT LIAB - WAIT LIST DEPOSITS 475000 CAP LEASE OBLIG - CURRENT PORTION 13151 CAP LEASE OBLIG - LONG TERM PORTION 39157 MISCELLANEOUS LIABILITIES 20 817567 false false false false false false false false false Mr David Smith 0 402194 0 110201 0 127553 0 59741 0 32836 0 732525 0 0 Brian Grissler 0 938173 0 338223 0 553319 0 0 0 30336 0 1860051 0 0 Kevin Gage 0 478923 0 132241 0 38624 0 70042 0 24554 0 744384 0 0 Supplemental Compensation Information Schedule J THE STAMFORD HOSPITAL CHARGES MANAGEMENT FEES TO THE FACILITY. THIS REPRESENTS FEES FOR THE OVERALL MANAGEMENT OF THE FACILITY BY STAMFORD HOSPITAL EMPLOYEES. THIS MANAGEMENT FEE IS ALLOCATED TO PRESIDENT AND CFO AS FOLLOWS: BRIAN GRISSLER - $15,144 KEVIN GAGE - $3,786 THE CONTINUING CARE RETIREMENT COMMUNITY HAS CONTRACTED WITH GREYSTONE MANAGEMENT SERVICES, LLC TO OPERATE ITS FACILITIES AND COMPLETE DAY TO DAY ADMINISTRATIVE ACTIVITIES. ALL EXPENSES INCURRED BY GREYSTONE OPERATING THE FACILITY ARE REIMBURSED BY EDGEHILL. FOR TAX REPORTING PURPOSES, THE FOLLOWING HAS BEEN ESTIMATED AS THE ANNUAL SALARY FOR GREYSTONE'S DIRECTOR OF THE FACILITY THAT EDGEHILL INCURRED FOR THE MANAGEMENT AND GENERAL SERVICES. ED ROMAN - $163,082. FORM 990, SUPPLEMENTAL INFORMATION Part VI, Question 3 CCRC HAS CONTRACTED GREYSTONE MANAGEMENT SERVICES, LLC TO OPERATE ITS FACILITIES. THE EXECUTIVE DIRECTOR OF CCRC IS AN EMPLOYEE OF GREYSTONE MANAGEMENT. PART VI, QUESTION 11A CCRC HAS A COMPREHENSIVE REVIEW PROCESS IN PLACE RELATING TO THE REVIEW OF FORM 990. PRIOR TO FINALIZATION OF THE 990, THE FINAL DRAFT 990 IS DISTRIBUTED TO THE FULL BOARD OF DIRECTORS FOR FINAL REVIEW AND DISCUSSION. CCRC'S EXTERNAL TAX ACCOUNTANTS ALSO REVIEW THE RETURN TO ADDRESS ANY SPECIFIC CONCERNS OR QUESTIONS. THIS REVIEW PROCEDURE HELPS TO ASSURE SOUND REPORTING AND COMPLIANCE WITH TAX LAW. PART VI, QUESTION 12C IT IS THE POLICY OF CCRC TO PROHIBIT ITS DIRECTORS, OFFICERS AND EMPLOYEES FROM ENGAGING IN ANY ACTIVITY, PRACTICE, OR ACTS WHICH CONFLICT WITH, OR APPEARS TO CONFLICT WITH, THE INTERESTS OF CCRC. DIRECTORS OFFICERS AND EMPLOYEES ARE EXPECTED TO CONDUCT THE BUSINESS OF THE CCRC TO THE BEST OF THEIR ABILITY AND FOR THE BENEFIT OF THE HEALTH SYSTEM AND ITS PATIENTS. THE POLICY ALSO REQUIRES BOARD MEMBERS, OFFICERS, 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 STAMFORD HOSPITAL'S COMPLIANCE DEPARTMENT. PART VI, QUESTION 15A CCRC'S OPERATIONS ARE MANAGED BY GREYSTONE MANAGEMENT SERVICES LLC UNDER A MANAGEMENT CONTRACT. THE EXECUTIVE DIRECTOR OF CCRC IS AN EMPLOYEE OF GREYSTONE MANAGEMENT. PART VI, QUESTION 15B CCRC HAS NO EMPLOYEES, ITS OPERATIONS ARE MANAGED BY GREYSTONE MANAGEMENT SERVICES. PART VI, QUESTION 19 CCRC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Mr. David Smith TITLE:Director HOURS:43 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Brian Grissler TITLE:Chairman, President and CEO HOURS:43 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Kevin Gage TITLE:Treasurer HOURS:43 Stamford Health System 30 Shelburne Rd Stamford CT 06904 222476636 HOSP PARENT CT 501(c)3 11, TYPE I NA Stamford Health Intergrated Practices 30 Shelburne Rd Stamford CT 06904 271648289 Medical Svcs CT 501(C)3 9 TSH The Stamford Hospital 30 Shelburne Rd Stamford CT 06904 060646917 Hospital CT 501(C)3 3 SHS Miller Hall Medical Suites 166 W Broad Street Stamford CT 06904 061619978 PROF OFFICE BLDG CT SHS C corp 0 0 0.00000 Stamford ObGyn Associates 30 Shelburne Rd Stamford CT 06904 061330879 Obstetrical Care CT SHS C corp 0 0 0.00000 Fairfield County Surgical Specialists 30 Shelburne Rd Stamford CT 06904 205234062 Surgical Services CT SHIP C corp 0 0 0.00000 Fairfield County Primary Care 30 Shelburne Rd Stamford CT 06904 262903051 PRIM URGENT CARE CT SHIP C corp 0 0 0.00000 Premier Medical Group 230 Weschester Ave Harrison NY 10604 263467761 ORTHO/REHAB CARE NY SHIP S corp 0 0 0.00000 Healthstar Indemnity Co Limited FB PERRY BUILDING 40 CHURCH ST HAMILTON BERMUDA BD Self-Insurance BD TSH C corp 0 0 0.00000 false false false true false false false false false false false false false true true false false false THE STAMFORD HOSPITAL D 101558 THE STAMFORD HOSPITAL N 75722 THE STAMFORD HOSPITAL O 341644