2021-08-12T10:20:53-05:00 2020-09-30 ERNST & YOUNG US LLP 1 MANHATTAN WEST NEW YORK NY 10001 990 2019-10-01 060646917 THE STAMFORD HOSPITAL % MICHAEL VEILLETTE STAM 2032761000 One Hospital Plaza PO BOX 9317 Stamford CT 06904 MICHAEL VEILLETTE SVP/CFO 2032761000 2021-08-10 true NICOLE M SOKOLOWSKI P01683199 2227733000 2019 2022-09-23 18:48:47Z MICHAEL VEILLETTE One Hospital Plaza PO BOX 9317 Stamford CT 06904 668859144 false X WWW.STAMFORDHEALTH.ORG X 1893 CT TOGETHER WITH OUR PHYSICIANS WE PROVIDE A BROAD RANGE OF HIGH QUALITY HEALTH AND WELLNESS SERVICES FOCUSED ON THE NEEDS OF OUR COMMUNITIES. 14 11 3170 373 3073529 739900 6187013 54061621 591377261 588500415 6327019 4166273 7237231 11178013 611128524 657906322 2004014 2003585 0 0 273252850 291806013 0 0 2717204 287601212 299702816 562858076 593512414 48270448 64393908 990032656 1190337389 627842609 781029366 362190047 409308023 X TOGETHER WITH OUR PHYSICIANS WE PROVIDE A BROAD RANGE OF HIGH QUALITY HEALTH AND WELLNESS SERVICES FOCUSED ON THE NEED OF OUR COMMUNITIES. true false 505921335 2003585 602263460 Key operating statistics for the year ended 09/30/2020 include: Adult and pediatric inpatients cared for and discharged 14,950; babies born 2,137; total inpatient days of care provided 73,085; patients seeking care in the Stamford Hospital Emergency room: admitted for inpatient treatment 7,556; treated and released 43,077; treated at Tully Immediate Care Center 17,772; surgeries performed at the Hospital and Tully Center 11,698; radiation therapy procedures performed 192,025. 505921335 true true false true false false false false false true true false false true true false false true false false false false false false true false true true true false true true false false false false false false false false false false true false false false true true true true false false true 560 0 true 3170 true true true true BD false false false true true false false false false true false X 14 11 false false false false true true true true true false false true true true true true true true true true true CT X MICHAEL VEILLETTE 2032761000 ONE HOSPITAL PLAZA PO BOX 9317 Stamford CT 06904 Kathleen A Silard Pres. & CEO - Treasurer 38.0 2.0 X X 1248698 0 28105 David Yuh MD Physician 38.0 2.0 X 1075815 0 50735 Sharon Kiely Sr. VP Medical Services 38.0 2.0 X 1024208 0 21495 Michael Coady MD Chief of cardiac Surgery 38.0 2.0 X 896086 0 27812 Todd Miller MD Chief Neuro Interv. 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ADDITIONALLY, THE HOSPITAL PAYS DUES TO ORGANIZATIONS THAT USE A PORTION OF THE DUES FOR HEALTHCARE LOBBYING EXPENSES. 84050468 5258480 925094 3842140 86391902 82169711 4190779 637852 2947874 84050468 80294571 6752504 604611 5481975 82169711 82101038 8246282 1046037 11098786 80294571 90756792 74894440 406156 83956350 82101038 0.76000 0.24000 false false 41454794 41454794 483665379 161044016 322621363 15167341 10564887 4602454 582650608 365038976 217611632 26860185 6096412 20763773 607054016 DONOR RESTRICTED FUNDS 17892243 DUE FROM AFFILIATES 13100740 MISCELLANEOUS RECEIVABLE 5360004 ORGANIZATION COSTS 2815513 DEPOSITS 458655 OPERATING LEASE ASSETS, NET 31471390 RECOVERABLE LOSSES 2765680 73864225 0 CHARITABLE GIFT ANNUITY PAYABLE 32747 EST. THIRD PARTY SETTLEMENTS 77654782 PENSION LIABILITY 112213707 DUE TO AFFILIATES 20013492 EST. FOR PROFESSIONAL LIABILITY 46850457 DEFERRED FICA LIABILITY 6275535 OPERATING LEASE LIABILITY 34052410 297093130 Intended use of endowment funds THE ENDOWMENT CONSISTS OF TEMPORARILY OR PERMANENTLY RESTRICTED CONTRIBUTIONS RECEIVED WITH DONOR STIPULATIONS THAT LIMIT THE USE OF THE DONATED ASSETS. TEMPORARILY RESTRICTED CONTRIBUTIONS ARE AVAILABLE FOR CERTAIN HEALTH CARE SERVICES AS DEFINED IN THE DONOR AGREEMENTS. PERMANENTLY RESTRICTED NET ASSETS ARE RESTRICTED TO INVESTMENTS TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS EXPENDABLE TO SUPPORT HEALTH SERVICES. 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X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X true X false X X X true X false false FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5 IN 2019 SH PARTNERED WITH DATAHAVEN, THE HOSPITALS IN FAIRFIELD COUNTY, AND THE FAIRFIELD COUNTY'S COMMUNITY FOUNDATION IN THE DEVELOPMENT OF A COUNTY-WIDE COMMUNITY WELLBEING INDEX, WHICH PROVIDES IMPORTANT DATA ON COMMUNITY ISSUES SUCH AS PUBLIC SAFETY, EDUCATION, HOUSING, TRANSPORTATION, EMPLOYMENT AND HEALTH, AND IT SERVES AS A COMPANION DOCUMENT OF THE SH COMMUNITY HEALTH NEEDS ASSESSMENT. THE BENEFITS OF COLLABORATION INCLUDE EFFICIENCY, CONSISTENT DATA, AND COMPARABLE RESULTS. AS IN 2016, STAMFORD HOSPITALS 2019 CHAPTER FOCUSES ON THE CITY OF STAMFORD AND THE TOWN OF DARIEN. PROCESS AND METHODOLOGY: FOR THE DEVELOPMENT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, SH UTILIZES DATA FROM THE DATA HAVEN COMMUNITY WELLBEING INDEX, AND OTHER QUANTITATIVE DATA SOURCES SUCH AS THE CONNECTICUT HOSPITAL ASSOCIATIONS HOSPITAL ENCOUNTER DATA AND MORTALITY DATA FROM THE CT DEPARTMENT OF PUBLIC HEALTH. QUALITATIVE DATA SOURCES INCLUDE IN-PERSON INTERVIEWS, FOCUS GROUPS AND ONLINE SURVEY. THROUGH THE FOCUS GROUPS AND INTERVIEWS, THE HOSPITAL WAS ABLE TO GATHER FEEDBACK FROM MANY KEY ORGANIZATIONS AND INDIVIDUALS. BELOW ARE A FEW OF THE ORGANIZATIONS FROM WHICH FEEDBACK WAS GATHERED IN THE FORM OF EITHER AN INTERVIEW OR FOCUS GROUP: - CITY OF STAMFORD, DEPARTMENT OF HEALTH - DARIEN HEALTH DEPARTMENT - STAMFORD EMERGENCY MEDICAL SERVICES - OPTIMUS HEALTH CARE - DARIEN SENIOR CENTER - STAMFORD PUBLIC SCHOOLS - BUILDING ONE COMMUNITY - BOYS AND GIRLS CLUB INDIVIDUALS WITH WHOM WE SPOKE AT ALL OF THE ORGANIZATIONS LISTED ABOVE EITHER HAVE EXPERTISE IN PUBLIC HEALTH OR REPRESENT A MINORITY AND/OR UNDERSERVED GROUP IN THE COMMUNITY. PLEASE REFER TO CHNA EXHIBIT B FOR THE COMPLETE LIST OF ORGANIZATIONS REPRESENTED THROUGH INTERVIEWS AND EXHIBIT C FOR THE COMPLETE LIST OF ORGANIZATIONS AT WHICH FOCUS GROUPS WERE HOSTED. THROUGH OUR ONLINE SURVEY, WE WERE ABLE TO GATHER INPUT FROM A WIDER RANGE OF INDIVIDUALS REPRESENTING MANY ORGANIZATIONS BASED IN STAMFORD OR DARIEN. BELOW IS A SAMPLE LIST OF THE ORGANIZATIONS AND GROUPS FROM WHICH REPRESENTATIVES PROVIDED FEEDBACK THROUGH OUR ONLINE SURVEY: - PERSON-TO-PERSON - AMERICARES FREE CLINIC OF STAMFORD HOSPITAL - COMMUNITY HEALTH CENTER - FAMILY CENTERS - UNITED WAY OF WESTERN CONNECTICUT PLEASE REFER TO EXHIBIT D FOR A LIST OF ORGANIZATIONS FROM WHICH REPRESENTATIVES PROVIDED FEEDBACK THROUGH OUR ONLINE SURVEY. IT IS IMPORTANT TO NOTE THAT NOT ALL RESPONDENTS TO THE SURVEY PROVIDED CONTACT INFORMATION AND, THEREFORE, ARE NOT INCLUDED IN EXHIBIT D. A BRIEF DESCRIPTION OF SOME OF THE ORGANIZATIONS FROM WHOM WE GATHERED INPUTPLEASE REFER TO EXHIBIT E. FORM 990, SCHEDULE H, PART V, SECTION C, LINE 7 HTTPS://WWW.STAMFORDHEALTH.ORG/APP/FILES/PUBLIC/2254/COMMUNITY-HEALTH-ASSE SSMENT-NEEDS.PDF FORM 990, SCHEDULE H, PART V, SECTION B, LINE 8 IN RESPONSE TO THE COMMUNITY HEALTH NEEDS ASSESSMENT ADOPTED JULY 24, 2019, STAMFORD HEALTH DEVELOPED AN IMPLEMENTATION STRATEGY WHICH WAS ADOPTED AT THE JANUARY 29, 2020 STAMFORD HOSPITAL BOARD OF DIRECTORS MEETING. FORM 990, SCHEDULE H, PART V, SECTION C, LINE 10 HTTPS://WWW.STAMFORDHEALTH.ORG/APP/FILES/PUBLIC/2384/IMPLEMENTATION-STRATE GY.PDF FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11 THIS REPORT WAS REVIEWED AND ADOPTED BY THE HOSPITAL'S LEADERSHIP TEAM AND BOARD OF DIRECTORS ON JULY 24, 2019. AS A NEXT STEP, STAMFORD HOSPITAL ENGAGED COMMUNITY PARTNERS TO DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) TO ADDRESS THE PRIPORITIES IDENTIFIED IN THE 2019 CHNA. AS THE COMMUNITY PARTNERS BUILT THE CHIP, IT CONSIDERED THE PROGRAMS, ORGANIZATIONS AND FACILITIES AVAILABLE IN THE COMMUNITY TO HELP ADDRESS THE IDENTIFIED HEALTH PRIORITIES. EXHIBIT G IS A PARTIAL LIST OF COMMUNITY ORGANIZATIONS AND RESOURCES THAT WERE CONSULTED TO ADDRESS THE ISSUES. THE HOSPITAL ALSO CONSIDERED THE PARTNERSHIPS WHICH WERE ESTABLISHED OR EXPANDED IN CONNECTION WITH THE 2016 CHIP AS SET FORTH IN EXHIBIT E. FOR ISSUES IDENTIFIED THROUGH THE CHNA, BUT NOT ADDRESSED IN THE 2019 CHIP, STAMFORD HOSPITAL WILL WORK WITH ITS PARTNERS TO DETERMINE THE MOST SUITABLE RESOURCES AVAILABLE IN THE COMMUNITY TO ADDRESS THOSE ISSUES. THE FINAL PLAN WAS SUBMITTED AND MADE PUBLICLY AVAILABLE IN FEBRUARY 2020. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 16A HTTPS://WWW.STAMFORDHEALTH.ORG/APP/FILES/PUBLIC/2218/FAP_2016_POLICY_ENGLI SH.PDF FORM 990, SCHEDULE H, PART V, SECTION B, LINE 16B HTTPS://WWW.STAMFORDHEALTH.ORG/APP/FILES/PUBLIC/2217/FAP_2016_APPLICATION_ ENGLISH.PDF FORM 990, SCHEDULE H, PART V, SECTION B, LINE 16C HTTPS://WWW.STAMFORDHEALTH.ORG/APP/FILES/PUBLIC/2219/FAP_2016_SUMMARY_ENGL ISH.PDF FORM 990, SCHEDULE H, PART V, SECTION B, LINE 22D FOR AN INDIVIDUAL WHOSE INCOME IS BETWEEN 200% AND 400% OF THE FPG, STAMFORD HOSPITAL SHALL DETERMINE THE LEVEL OF DISCOUNT FOR THE SERVICE IF THE PATIENTS HOUSEHOLD GROSS YEARLY INCOME MEETS OR DOES NOT EXCEED FOUR TIMES THE MOST RECENT FPG, ACCORDING TO STAMFORD HOSPITALS FINANCIAL ASSISTANCE CALCULATION TABLE. THE DISCOUNT WILL BE APPLIED TO THE PATIENTS OBLIGATION, WHICH, FOR UNINSURED PATIENTS, IS THE AGB BASED ON THE LOOK-BACK METHOD. FOR INSURED PATIENTS, THE DEDUCTIBLE, COPAYMENT OR COINSURANCE OBLIGATION WILL BE DETERMINED USING THE FPG FOR THE PATIENTS GROSS HOUSEHOLD YEARLY INCOME AND THE STAMFORD HOSPITAL FINANCIAL ASSISTANCE CALCULATION TABLE. PART I, LINE 7 THE COST-TO-CHARGE RATIO METHODOLOGY WAS UTILIZED TO CALCULATE THE AMOUNT INCLUDED IN THE TABLE. THE CALCULATION OF THIS RATIO WAS DERIVED FROM THE RATIO OF PATIENT CARE COST-TO-CHARGE. PART III, LINE 2 THE COST OF BAD DEBT EXPENSE IS ESTIMATED BASED ON THE BAD DEBT PROVISION AT CHARGE, APPLIED TO THE RATIO OF TOTAL PATIENT CARE EXPENSES TO TOTAL CHARGES FOR ALL SERVICES RENDERED. ANY PAYMENTS OR DISCOUNTS ARE EXCLUDED FROM BAD DEBT EXPENSE. PART III, LINE 4 IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, TSH ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), TSH RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 8A TREATMENT OF MEDICARE SHORTFALL AS COMMUNITY BENEFIT TO THE EXTENT THERE IS A MEDICARE 'SHORTFALL', THE HOSPITAL HAS PROVIDED SERVICES AND IS REIMBURSED LESS THAN THE COST OF THOSE SERVICES. THIS TRANSFER OF VALUE BENEFITS THE PATIENT AND ARGUABLY (DIRECTLY AND INDIRECTLY) THE COMMUNITY IN WHICH THEY LIVE. PART III, LINE 8B MEDICARE COSTING METHODOLOGY THE COSTING METHODOLOGY USED FOLLOWS THE METHODOLOGY OF THE MEDICARE COST REPORT. PART III, LINE 9B COLLECTION PRACTICES APPLICATION OF COLLECTION PRACTICES QUALIFYING FOR FINANCIAL ASSISTANCE ALL COLLECTION EFFORTS CEASE AT ANY POINT IN THE PROCESS IF THE PATIENT APPLIES FOR FREE BED FUNDS OR FINANCIAL ASSISTANCE. FORM 990, SCHEDULE H, PART VI, Line 2 NEEDS ASSESSMENT STAMFORD HEALTH PROVIDED CRITICAL MEDICAL EXPERTISE AND ASSISTANCE TO THE CITY AND MYRIAD NONPROFIT HUMAN SERVICES AGENCIES DURING THE COVID PANDEMIC. SUCH ASSISTANCE INCLUDED DEVELOPING INFECTIOUS DISEASE PROTOCOLS TO REDUCE THE INFECTION RATE IN OUR CITY. THIS IN-KIND ASSISTANCE INCLUDED PROTOCOLS TO PROTECT RESIDENTS OF AREA NURSING HOMES, TO SAFELY HOUSE PEOPLE REQUIRED TO QUARANTINE AND TO PROTECT THE HOMELESS AND OTHERS AT-RISK, PARTICULARLY LOW-INCOME RESIDENTS LIVING IN OVERCROWDED HOUSING. EARLY IN THE PANDEMIC, STAMFORD HEALTH INFECTIOUS DISEASE PHYSICIANS VISITED AREA NURSING HOMES TO DEMONSTRATE THE PROPER USE AND HANDLING OF PROTECTIVE PERSONAL EQUIPMENT (PPE) TO REDUCE THE SPREAD OF THE VIRUS. DURING THE SURGE OF COVID-19, OUR PHYSICIANS AND SH PRESIDENT & CEO MADE NUMEROUS VIRTUAL PRESENTATIONS TO ASSIST SCORES OF COMMUNITY ORGANIZATIONS DEVELOP POLICIES AND PROCEDURES TO PROTECT EMPLOYEES, CLIENTS AS THEY STRUGGLED TO CONTINUE OPERATIONS SAFELY DURING THE HEIGHT OF THE PANDEMIC. THIS WORK INCLUDED INFORMATION ABOUT TESTING PROTOCOLS, AND FINALLY PROVIDING INFORMATION ABOUT VACCINE EFFICACY AND SAFETY. PRESENTATIONS WERE CONDUCTED VIA ZOOM MEETINGS, FACEBOOK POSTS AS WELL AS THE STAMFORD MAYORS WEEKLY UPDATE MEETINGS FOR THE PUBLIC. THESE PRESENTATIONS REQUIRED HUNDREDS OF PHYSICIANS AND SENIOR STAFF HOURS INCLUDING SH PRESIDENT & CEO KATHLEEN SILARD. THE COVID-19 HIGH RISK COMMUNITY OUTREACH TASK FORCE WAS FORMED IN MARCH 2020 IN RESPONSE TO THE MANY CHALLENGES FACING THE COMMUNITY AS A RESULT OF THE SHUTDOWN. THE VITA PARTNERSHIP EXPANDED ITS REACH TO INCLUDE NONPROFITS SERVING THE GREATER STAMFORD COMMUNITY AND REPRESENTATIVES FROM THE CITY OF STAMFORD. WEEKLY MEETINGS WERE ESTABLISHED TO PROBLEM SOLVE AND COORDINATE EFFORTS. VITA SUCCESSFULLY RAISED FUNDS TO SECURE AND DISTRIBUTE URGENTLY NEEDED PPE TO COMMUNITY ORGANIZATIONS, WHOSE EMPLOYEES WERE ON THE FRONT LINES DISTRIBUTING FOOD AND OTHERWISE INTERFACING WITH THEIR CLIENTS. VITA PARTNERED WITH THE STAMFORD NAACP AND THE CITY OF STAMFORD TO ENSURE THAT MASKS AND OTHER PPE WERE DISTRIBUTED AMONG RESIDENTS LIVING IN HIGH-DENSITY APARTMENTS. THE NAACP DEVELOPED A TEAM OF CONCERNED MINISTERS TO SPREAD THE WORD ABOUT THE IMPORTANCE OF HYGIENE, MASK WEARING AND SOCIAL DISTANCING. WORKING CLOSELY WITH THE AMERICARES FREE CLINIC, BUILDING ONE COMMUNITY AND THE NAACP, STAMFORD HEALTH WAS ABLE TO REACH LOW-INCOME, AT-RISK PEOPLE THROUGHOUT THE CITY OF STAMFORD TO ENSURE ACCESS TO PPE AND TESTING FOR COVID-19. THE VITA CTF DEVELOPED A COMPREHENSIVE COMMUNICATIONS CAMPAIGN TO DISSEMINATE INFORMATION ABOUT THE VIRUS AND UTILIZE CDC GUIDANCE AND PROTECTION PRACTICES AMONG HIGH-RISK MEMBERS OF THE STAMFORD COMMUNITY. AS TESTING SITES WERE ESTABLISHED ADDITIONAL INFORMATION WAS PUSHED OUT INTO THE COMMUNITY RESULTING IN DRAMATICALLY INCREASED TESTING AMONG THE BLACK POPULATION, WHICH WAS DISPROPORTIONATELY IMPACTED BY THE VIRUS. AS DATA REVEALED THAT TESTING AMONG LATINX POPULATION LAGGED WITH HIGHER POSITIVITY RATES, A SUB-COMMITTEE TO FOCUS SPECIFICALLY ON THE LATINX COMMUNITY WAS FORMED. IN STAMFORD, A HIGH PERCENTAGE OF THOSE IMPACTED IN THE LATINX COMMUNITY WERE NEW ARRIVALS AND FIRST-GENERATION AMERICANS. CONSULTANTS WERE ENGAGED TO HELP DEVELOP CULTURALLY APPROPRIATE COMMUNICATIONS TO INCREASE TESTING AND DECREASE HOSPITALIZATIONS. WORKING WITH COMMUNITY PARTNERS, THE HIGH-RISK SUBCOMMITTEE DEVELOPED TACTICS TO ADDRESS THE UNIQUE CIRCUMSTANCES OF THE LATINX POPULATIONS. AS A RESULT OF THIS HIGHLY FOCUSED EFFORT AND IN COLLABORATION WITH COMMUNITY PARTNERS, STAMFORD HEALTH CREATED THE 'NO BARRIERs' VACCINATION PROGRAM FOR MARGINALIZED POPULATIONS. THE STAMFORD HOSPITAL ("SH"HOSPITAL") PARTNERS WITH A NUMBER OF NONPROFIT HEALTH AND SOCIAL SERVICES ORGANIZATIONS THAT SEEK TO BENEFIT THE COMMUNITY AND IMPROVE THE HEALTH AND WELL-BEING OF THEIR CLIENTS. IN ADDITION, TOGETHER WITH OUR PHYSICIANS, THE HOSPITAL WORKS CLOSELY WITH THE STAMFORD DEPARTMENT OF HEALTH AND SOCIAL SERVICES ("STAMFORD HEALTH DEPT.") TO PREVENT AND TREAT HIV. STAMFORD CARES, A PROGRAM OF FAMILY CENTERS THAT PROVIDES HIV MEDICAL CASE MANAGEMENT WHICH INCLUDES PARTICIPATION IN COMMUNITY HEALTH FAIRS AND EDUCATIONAL OUTREACH EFFORTS AND PROVIDES HIV UPDATES FOR AIDS SERVICE PROVIDERS IN THE COMMUNITY; PERFORMS CLIENT HOME VISITS; AND CONDUCTS MONTHLY HIV POSITIVE WOMEN'S SUPPORT GROUP; ALSO DISSEMINATES HEALTH INFORMATION AND ADDRESSES PUBLIC HEALTH ISSUES THAT ARISE. SH PARTNERS WITH OPTIMUS HEALTH CARE, INC., A FEDERALLY QUALIFIED HEALTH CARE CENTER, TO CREATE AN INTEGRATED PRIMARY CARE DELIVERY NETWORK FOR THE MEDICALLY UNDERSERVED COMMUNITIES IN STAMFORD. DISCOUNTED OR FREE SUPPLIES, EQUIPMENT AND MEDICATIONS WERE PROVIDED TO INDIGENT PATIENTS IN 2020. SH ALSO PROVIDES INFORMATION AND REFERRAL SERVICES TO ENHANCE ACCESS TO CARE. THE MISSION OF THE CHILDRENS HEALTH COLLABORATIVE IS TO LINK COMMUNITY RESOURCES AND FACILITATE SUPPORT FOR PROGRAMMING TO IMPROVE THE OVERALL HEALTH AND WELLNESS OF CHILDREN. PARTICIPANTS INCLUDE SH, THE STAMFORD PUBLIC SCHOOLS, THE STAMFORD HEALTH DEPARTMENT, REPRESENTATIVES OF EARLY CHILDHOOD AND AFTER SCHOOL PROGRAMS AND COMMUNITY CENTERS, PEDIATRICIANS AND FAMILY MEDICINE PRACTITIONERS. SH'S KIDS FANS (KIDS' FITNESS AND NUTRITION SERVICES) PROGRAM, PROMOTES PHYSICAL ACTIVITY AND HEALTH-CONSCIOUS NUTRITION. A MAJOR INITIATIVE OF SH IS THE VITA HEALTH & WELLNESS INITIATIVE, WHICH IN 2019 BECAME CITY-WIDE (INITIALLY FOCUSED ON TWO CENSUS TRACTS IN STAMFORD'S WEST SIDE). THE MISSION OF THE VITA INITIATIVE IS TO HARNESS THE POWER OF COLLECTIVE ACTION TO CATALYZE THE PRINCIPAL ORGANIZATIONS' COMMITMENT TO HEALTHFUL LIVING, WHILE ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH. THE WEST SIDE NEIGHBORHOOD REVITALIZATION ZONE (WSNRZ), SEEKS TO IMPROVE THE NEIGHBORHOOD AT THE HOSPITAL'S SOUTHERN BORDER. THE WEST SIDE, A DENSELY POPULATED, LOW-INCOME NEIGHBORHOOD HAS EXPERIENCED A STEADY DECLINE IN HOME OWNERSHIP AND LACK OF INVESTMENT FOR MORE THAN THREE DECADES. STAMFORD HOSPITAL AND CHARTER OAK COMMUNITIES (FORMERLY STAMFORD HOUSING AUTHORITY), THE NEIGHBORHOOD'S ANCHOR INSTITUTIONS, WORK WITH RESIDENTS, BUSINESSES AND THE CITY TO SPUR INVESTMENT AND IMPROVEMENTS TO IMPROVE HEALTH, PEDESTRIAN SAFETY AND REDUCE CRIME. THE WEST SIDE NEIGHBORHOOD ASSOCIATION CONTINUED TO MEET VIRTUALLY WITH PARTICIPATION FROM THE BUSINESS COMMUNITY AND CITY OF STAMFORD OFFICIALS. OVER THE LAST DECADE EFFORTS RESULTED IN DISTRESSED PUBLIC HOUSING PROJECTS REPLACED WITH SELF-SUSTAINING, MIXED-INCOME COMMUNITIES; A VOLUNTEER-POWERED, URBAN FARM WAS CREATED ADJACENT TO THE SOUTHERN BORDER OF THE STAMFORD HEALTH REDEVELOPED CAMPUS. PRIVATE INVESTMENT RETURNED TO THE NEIGHBORHOOD AS CONSTRUCTION BEGAN ON SEVERAL HOUSING COMPLEXES. IN 2020 THE MERCHANTS CONTINUED TO ADVOCATE FOR CITY SERVICES SUCH AS STREET CLEANING, GARBAGE PICK-UP, STANDARDS FOR SIGNAGE, BLIGHT REMOVAL AND IMPROVED LIGHTING SIDEWALKS, AND INVESTMENTS FOR PEDESTRIAN SAFETY. FAIRGATE FARM COMPLETED CONSTRUCTION OF ITS SECOND GREENHOUSE AND HIGHLY SUCCESSFUL FARMERS MARKET CONTRIBUTING TO FOOD SECURITY FOR MANY FAMILIES. FAIRGATE FARM, A VOLUNTEER-POWERED COMMUNITY RESOURCE, COMPLETED ITS 10TH GROWING SEASON IN 2020. IN RESPONSE TO COVID-19, PRECAUTIONS ESTABLISHED INCLUDED A LIMIT ON THE NUMBER OF VOLUNTEERS WORKING AT ANY ONE TIME AND APPROPRIATE SOCIAL DISTANCING. THE FARMERS MARKET ESTABLISHED A NEW SYSTEM FOR CURBSIDE PICK-UP. FAIRGATE FARM CONTINUED TO SUPPLY PRODUCE TO FOOD INSECURE FAMILIES AND DONATED FRESH VEGETABLES TO LOCAL FOOD PANTRIES. UNITED WAY HEALTHY SAVINGS: IN 2020 STAMFORD HEALTH CONTRIBUTED TO THE UNITED WAY OF WESTERN CT HEALTHY SAVINGS PROGRAM, PROVIDING PARTICIPANTS WITH SAVINGS ON HEALTHY FOODS THAT ARE ACCESSED IN REAL-TIME AND CAN BE USED ACROSS PARTICIPATING GROCERY CHAINS (STOP & SHOP, WALMART & ACME). THESE SAVINGS MAKE HEALTHIER FOODS MORE AFFORDABLE AND MORE ACCESSIBLE FOR PARTICIPANTS IN THE PROGRAM. UNITED WAY HAS IDENTIFIED THOSE LIVING AT OR BELOW THE ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED (ALICE) HOUSEHOLDS. ALICE REPRESENTS THE GROWING NUMBER OF HOUSEHOLDS IN CONNECTICUT WITH EARNINGS ABOVE THE FEDERAL POVERTY LEVEL, BUT BELOW A BASIC COST OF LIVING THRESHOLD. IN 2020 UNITED WAY REPORTED 38% OF HOUSEHOLDS STRUGGLED TO MAKE ENDS MEET BEFORE THE PANDEMIC BEGAN. TARGETED OUTREACH IS BEING CONDUCTED THROUGH HOSPITALS, CHILDCARE PROVIDERS, SOCIAL SERVICE AGENCIES, AND OTHER NONPROFIT PARTNERS, TO ENSURE ACCESS TO PROGRAMS INCLUDING HEALTHY SAVINGS DISCOUNTS TO PURCHASE NUTRITIOUS FOOD. TO INCREASE AWARENESS OF THE IMPORTANCE OF MAMMOGRAM SCREENING FOR EARLY DETECTION OF BREAST CANCER, SH SPONSORS PAINT THE TOWN PINK, A COMMUNITY-WIDE BREAST CANCER EDUCATION CAMPAIGN. PAINT THE TOWN PINK HOLDS A MONTH-LONG SERIES OF EVENTS IN OCTOBER OF EACH YEAR. IN 2020, DUE TO THE PANDEMIC, EVENTS WERE HELD VIRTUALLY. IN 2020, SH EXPANDED ITS RELATIONSHIPS WITH KEY COMMUNITY HUMAN SERVICES AGE FORM 990, SCHEDULE H, PART VI, Line 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE STAMFORD HOSPITAL USES SEVERAL VENUES TO NOTIFY OUR PATIENTS OF THE AVAILABLE FINANCIAL OPTIONS. 1) SIGNAGE IS DISPLAYED IN ENGLISH AND SPANISH IN THE FOLLOWING AREAS: *EMERGENCY ROOM WAITING ROOMS AND REGISTRATION WORKSTATIONS *IMMEDIATE CARE CENTER WAITING ROOM *PATIENT REGISTRATION AREAS ON THE MAIN CAMPUS AND TULLY CAMPUS *CASHIER'S OFFICE, OFFICES OF THE FINANCIAL COUNSELORS, RECEPTION AREA OF THE PATIENT BUSINESS SERVICES DEPARTMENT *ANCILLARY DEPARTMENTS *THE FAP POLICIES ARE LOCATED ON OUR INTRANET PAGE AND INCLUDE THE PLAIN LANGUAGE SUMMARY ALONG WITH A FAP APPLICATION. *BROCHURES ARE ALSO AVAILABLE IN CREOLE AND POLISH. 2) THE HOSPITAL'S BILLING STATEMENTS INCLUDE AN INFORMATIONAL PAGE THAT IS PRINTED ON THE REVERSE SIDE OF THE STATEMENT OUTLINING THE FINANCIAL OPTIONS. 3) THE "ARE YOU UNINSURED NOTICE" IN ENGLISH AND SPANISH IS ATTACHED TO THE TRUE SELF PAY STATEMENTS. 4) STAFFING: *SOCIAL SERVICES DEPARTMENT *CASE MANAGEMENT DEPARTMENT *PATIENT REGISTRATION HAS THREE FULL TIME BILINGUAL FINANCIAL COUNSELORS *PATIENT BUSINESS SERVICES HAS TWO FULL TIME BILINGUAL FINANCIAL COUNSELORS. *A TSH FINANCIAL COUNSELOR HOLDS EDUCATIONAL AND COUNSELING SESSIONS IN THE OPTIMUS AND STAMFORD HOSPITAL CLINICS ONCE PER WEEK. *HAND-OUTS ARE PROVIDED TO PATIENTS BY THE FINANCIAL COUNSELORS AT THE CLINICS AND THE COMMUNITY HEALTH CENTERS. *PATIENTS ARE SCREENED FOR FEDERAL OR STATE PROGRAMS, AND THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM (FAP) BY FINANCIAL ASSISTANCE COUNSELORS. 5) NOTIFICATIONS: PATIENTS RECEIVE APPROVAL OR DENIAL LETTERS AND, IF ELIGIBLE, FINANCIAL ASSISTANCE PROGRAM IDENTIFICATION CARDS. FORM 990, SCHEDULE H, PART VI, Line 4 COMMUNITY INFORMATION STAMFORD HEALTH PROVIDES A BROAD RANGE OF COMMUNITY OUTREACH AND EDUCATIONAL SERVICES TO RESIDENTS OF PREDOMINANTLY ITS PRIMARY SERVICE AREA (PSA) AND SECONDARY SERVICE AREA (SSA) THAT INCLUDE 12 COMMUNITIES IN SOUTHERN FAIRFIELD COUNTY, CT. THE HOSPITAL'S SERVICE AREA WAS DEVELOPED THROUGH THE STRATEGIC PLANNING PROCESS AND IS DEFINED IN STAMFORD HEALTH'S STRATEGIC PLAN. THE HOSPITAL'S COMBINED PSA AND SSA INCLUDE AN ESTIMATED 127,644 HOUSEHOLDS WITH A TOTAL POPULATION OF 376,376 RESIDENTS. THE PSA INCLUDES THE COMMUNITIES OF STAMFORD, DARIEN, AND ROWAYTON, WITH AN ESTIMATED 58,102 HOUSEHOLDS AND A TOTAL POPULATION OF 153,639. STAMFORD COMPRISES AN ESTIMATED 49,756 HOUSEHOLDS WITH A TOTAL POPULATION OF 128,389. THE SSA INCLUDES THE COMMUNITIES OF GREENWICH, COS COB, RIVERSIDE, OLD GREENWICH, NEW CANAAN, NORWALK, WESTPORT, WESTON, AND WILTON, WITH AN ESTIMATED 82,789 HOUSEHOLDS AND A TOTAL POPULATION OF 222,737. FOR THE PSA, 25.1% OF THE POPULATION IS ESTIMATED TO BE 19 YEARS OF AGE OR LESS; 32.6% IS 20 - 44; 27.0% IS 45-64; AND 15.2% IS 65 YEARS OF AGE AND OLDER. THE SSA HAS A SLIGHTLY OLDER AGE DISTRIBUTION WITH AN ESTIMATED 25.7% OF ITS POPULATION 19 YEARS OF AGE OR LESS; 27.2% IS 20-44; 29.7% IS 45-64; AND 17.4% 65 YEARS OF AGE AND OLDER. REGARDING RACE/ETHNICITY, OF THE ESTIMATED POPULATION IN THE PSA, 52.0% OF RESIDENTS ARE WHITE; 25.8% ARE HISPANIC; 10.9% BLACK; 9.2% ASIAN; AND THE REMAINING PORTION OF THE POPULATION IS MULTI-RACIAL, NATIVE AMERICAN, PACIFIC ISLANDER, OR OTHER. STAMFORD IS ESTIMATED TO HAVE A MORE RACIALLY DIVERSE POPULATION THAN THE PSA AND SSA WITH THE BLACK POPULATION REPRESENTING 12.9%, HISPANIC POPULATION REPRESENTING 29.9% AND ASIAN POPULATION REPRESENTING 10.1% OF ITS TOTAL POPULATION. FOR THE SSA, 66.8% OF THE TOTAL ESTIMATED POPULATION IS WHITE; 6.5% BLACK; 17.8% HISPANIC; 6.4% ASIAN; AND THE REMAINING PORTION OF THE POPULATION IS MULTI-RACIAL, NATIVE AMERICAN, PACIFIC ISLANDER, OR OTHER. ALTHOUGH IN THE PSA AN ESTIMATED 26.0% OF TOTAL HOUSEHOLDS HAVE HOUSEHOLD INCOMES EXCEEDING $200,000, STAMFORD HAS AREAS WITH SIGNIFICANT POVERTY. IN COMPARISON TO THE PSA, STAMFORD HAS ONLY AN ESTIMATED 22.1% OF TOTAL HOUSEHOLDS WITH HOUSEHOLD INCOMES EXCEEDING $200,000, AND 17.71% WITH HOUSEHOLD INCOMES LESS THAN $35,000, 24.0% WITH LESS THAN $45,000. IN THE SSA, AN ESTIMATED 33.5% OF THE TOTAL HOUSEHOLDS HAVE HOUSEHOLD INCOMES EXCEEDING $200,000, WHILE AN ESTIMATED 15.3% HAVE HOUSEHOLD INCOMES LESS THAN $35,000 AND 20.0% LESS THAN $45,000. THE ESTIMATED PAYOR MIX, BASED ON HOSPITAL UTILIZATION, OF THE PSA IS PREDOMINANTLY MEDICARE (42.8%), FOLLOWED BY COMMERCIAL/PRIVATE INSURANCE (33.1%); MEDICAID (22.6%); AND SELF-PAY/OTHER (1.5%). FOR THE SSA, THE ESTIMATED PAYOR MIX IS ALSO PRIMARILY MEDICARE (48.4%), FOLLOWED BY COMMERCIAL/PRIVATE INSURANCE (34.8%); MEDICAID (14.1%); AND SELF-PAY/OTHER (2.7%). COMMUNITY HEALTH SH PROVIDES EXPERTISE IN SUPPORTING THE WEST-SIDE NEIGHBORHOOD REVITALIZATION ZONE (WSNRZ), AT THE HOSPITAL'S SOUTHERN BORDER. THE WEST SIDE, A DENSELY POPULATED LOW-INCOME NEIGHBORHOOD EXPERIENCED A STEADY DECLINE IN HOME OWNERSHIP AND LACK OF INVESTMENT FOR MORE THAN THREE DECADES. STAMFORD HOSPITAL AND CHARTER OAK COMMUNITIES (AKA COC, FORMERLY STAMFORD HOUSING AUTHORITY), AS ANCHOR INSTITUTIONS, WORKED WITH RESIDENTS, BUSINESSES AND THE CITY OF STAMFORD TO SPUR ECONOMIC IMPROVEMENT AND CAPITAL INVESTMENTS, REDUCE CRIME AND IMPROVE PEDESTRIAN SAFETY. IN 2018 COC COMPLETED CONSTRUCTION OF A NEW A MIXED-INCOME RESIDENTIAL PROPERTY, A MAJOR CAPITAL INVESTMENT IN THE NEIGHBORHOOD. THE NEW RESIDENTIAL STRUCTURE HAS MEDICAL OFFICES ON THE STREET LEVEL, CONTRIBUTING TO THE ECONOMIC VITALITY OF THE NEIGHBORHOOD. THE NEWLY REDEVELOPED STAMFORD HOSPITAL MEDICAL CENTER AND CONNECTING MEDICAL OFFICE BUILDING ARE ABUNDANTLY LANDSCAPED WITH ENHANCED PEDESTRIAN ACCESS TO ALL CAMPUS BUILDINGS AND WALKING TRAILS WITHIN THE MEDICAL CAMPUS, PROVIDING IMPROVED WALKABILITY OPTIONS FOR THE COMMUNITY AND SH STAFF. FORM 990, SCHEDULE H, PART VI, Line 5 PROMOTION OF COMMUNITY HEALTH THE STAMFORD HOSPITAL ('SH') PROVIDES A VARIETY OF PROGRAMS THAT BENEFIT THE COMMUNITY. SOME EXAMPLES ARE HEALTH SPECIFIC OR DISEASE MANAGEMENT ORIENTED (I.E., HEART DISEASE, BREAST CANCER, DIABETES SELF-MANAGEMENT, AND NUTRITION EDUCATION). HOSPITAL STAFF SERVES AS SPEAKERS AT SCHOOLS AND VARIOUS COMMUNITY GROUPS. IN 2020, IN-PERSON PRESENTATIONS WERE NOT POSSIBLE DUE TO THE PANDEMIC. INSTEAD, PUBLIC COMMUNICATION PRIMARILY FOCUSED ON COVID-19 RELATED HEALTH INFORMATION USING ALL MEDIA PLATFORMS: SOCIAL MEDIA, ZOOM PRESENTATIONS BY SH INFECTIOUS DISEASE PHYSICIANS AS WELL AS THE HOSPITAL PRESIDENT & CEO, AND THE CITY OF STAMFORD MAYOR. SH PARTNERS WITH OPTIMUS HEALTH CARE, INC., A FEDERALLY QUALIFIED HEALTH CARE CENTER, TO CREATE AN INTEGRATED PRIMARY CARE DELIVERY NETWORK FOR THE MEDICALLY UNDERSERVED COMMUNITIES IN STAMFORD. SH ALSO PARTNERS WITH AMERICARES FREE CLINIC BY PROVIDING FREE DIAGNOSTIC SERVICES TO THEIR PATIENTS WHO ARE UNINSURED. DISCOUNTED OR FREE SUPPLIES, EQUIPMENT AND MEDICATIONS WERE PROVIDED TO INDIGENT PATIENTS IN 2020. SH ALSO PROVIDES INFORMATION AND REFERRAL SERVICES TO ENHANCE ACCESS TO CARE. KIDS FANS REMAINS AN ACTIVE MEMBER OF THE STAMFORD CHILDRENS HEALTH COLLABORATIVE WHOSE MISSION IS TO LINK COMMUNITY RESOURCES AND FACILITATE SUPPORT FOR PROGRAMMING TO IMPROVE THE OVERALL HEALTH AND WELLNESS OF CHILDREN. THE COLLABORATIVE IS CO-CHAIRED BY A COMMUNITY PEDIATRICIAN AND THE DIRECTOR OF RECREATION FOR THE CITY OF STAMFORD. THE CHILDREN'S HEALTH COLLABORATIVE INCLUDES SOCIAL AND EMOTIONAL HEALTH IN ITS DEFINITION OF OVERALL HEALTH. THE COLLABORATIVE LINKS CHILD SERVING AGENCIES THAT ADVOCATE, EDUCATE AND COORDINATE ITS EFFORTS TO INCREASE THE IMPACT OF COLLECTIVE EFFORTS. MEMBERS INCLUDE STAMFORD PUBLIC SCHOOLS, THE STAMFORD RECREATION DEPARTMENT, STAMFORD DEPARTMENT OF HEALTH, FAMILY CENTERS, CHARTER OAK COMMUNITIES, ALL OUR KIN, CHILDREN'S LEARNING CENTERS, HEAD START, FAIRGATE FARM AND THE UNITED WAY OF WESTERN CT. THE VITA COLLABORATIVE BRINGS TOGETHER THE KEY SERVICE PROVIDERS MONTHLY TO DEVELOP PROGRAMS TO IMPROVE THE PHYSICAL ENVIRONMENT AND HEALTH OF THE COMMUNITY. IN 2020, THE VITA COLLABORATIVE PLAYED A GREATER COORDINATION AND COMMUNICATION ROLE DURING THE PANDEMIC WITH WEEKLY MEETINGS WITH COMMUNITY AGENCIES, RESULTING IN COORDINATED STRATEGIES TO OBTAIN AND DISTRIBUTE MUCH-NEEDED PERSONAL PROTECTIVE EQUIPMENT AND ESTABLISHMENT OF COVID-19 HIGH-RISK COMMUNITY TASK FORCE. IN 2020, STAMFORD HOSPITAL PROVIDED CASH AND IN-KIND SUPPORT TO THE VITA HEALTH AND WELLNESS INITIATIVE AND THE STAMFORD CRADLE TO CAREER INITIATIVE. THE VITA PARTNERSHIP WORKS TO IMPROVE THE HEALTH AND QUALITY OF LIFE IN STAMFORD'S WEST SIDE. THE CRADLE TO CAREER FOCUSES ON ADDRESSING THE ACHIEVEMENT GAP IN THE STAMFORD PUBLIC SCHOOLS. THE AMERICARES FREE CLINIC OF STAMFORD (AFC) IMPROVING ACCESS TO CARE FOR THE UNINSURED. THE STAMFORD HOSPITAL AND THE AMERICARES FREE CLINICS (AFC) PROVIDE FREE QUALITY HEALTH CARE TO PATIENTS WHO ARE BOTH LOW INCOME AND UNINSURED IN SETTING WHERE ALL TREATED WITH DIGNITY AND RESPECT. NO-COST CARE ELIGIBILITY IS DETERMINED UPON INDIVIDUALS EVALUATED BY THE AMERICARES CLINIC AND MEETING STAMFORD HOSPITAL CRITERIA FOR CHARITY CARE. STAMFORD HEALTH PROVIDES AFC PATIENTS WITH READY ACCESS TO ESSENTIAL HIGH-QUALITY DIAGNOSTICS, EMERGENCY VISITS (WHEN NECESSARY) AND SPECIALTY CARE AT NO COST. THE AMERICARES FREE CLINIC OF STAMFORD REMAINS THE PATIENTS MEDICAL HOME, PROVIDING PATIENT EDUCATION AND CLOSE MEDICAL MANAGEMENT. PATIENTS ARE ADHERENT TO MEDICAL RECOMMENDATIONS AND ARE ABLE TO GET CONTROL OF THEIR CHRONIC ILLNESSES. AFC PROVIDES ACCESS TO ESSENTIAL MEDICATIONS AT LITTLE OR NO COST. ALL PATIENTS ARE SCREENED FOR ELIGIBILITY NO PUBLIC OR PRIVATE HEALTH INSURANCE AND INCOME LESS THAN 250% OF THE FEDERAL POVERTY LEVEL AS WELL AS RESIDENTS OF STAMFORD OR DARIEN. SERVICES PROVIDED BY STAMFORD HEALTH VALUED AT $1,027,979 (CHARGES) FOR 558 ACTIVE PATIENTS AND 3,191 VISITS. PEDIATRIC MEDICAL HOME INITIATIVE OF SW CT: MEDICAL HOME INITIATIVE (MHI) SERVES FAMILIES WITH CHILDREN AND YOUTH WITH SPECIAL HEALTHCARE NEEDS IN SOUTHWEST CT. AND HAS BEEN DOING SO FOR THE PAST 15 YEARS. MHI PROVIDES COORDINATION OF CARE, AND IN 2020 MHI SERVED 605 PATIENTS AND THEIR FAMILIES, OF WHICH 356 HAD HIGHLY COMPLEX MEDICAL NEEDS. MHI CONTINUES TO FOCUS ON SEEKING RESOURCES FOR UNFULFILLED NEEDS OF CHILDREN AND YOUTH WITH SPECIAL HEALTHCARE NEEDS IN THE COMMUNITY; PARTNERS WITH MAYOR'S YOUTH INITIATIVE. MHI CONTINUES TO CHAMPION AND SECURE CAMP SCHOLARSHIPS FROM COMMUNITY ORGANIZATIONS, INCLUDING THE DARIEN YMCA AND BOYS AND GIRLS CLUB, STAMFORD. EACH YEAR, MHI ORGANIZES FOCUS GROUPS IN STAMFORD AND BRIDGEPORT LED BY THE CT DEPARTMENT OF PUBLIC HEALTH TO GAIN VALUABLE INSIGHT AND FEEDBACK ABOUT THE PROGRAM AND TO HIGHLIGHT THE CONTINUING GAPS AND CHALLENGES FOR FAMILIES. MHI PROVIDES DENTAL KITS FOR VERY YOUNG CHILDREN, DONATED BY THE DENTAL PARTNERSHIP, AND CONNECTS FAMILIES TO FREE DENTAL SERVICES IN THE COMMUNITY. MHI ALSO CONTINUES TO FOCUS ON OBESITY PREVENTION, INTERVENTION AND MANAGEMENT, PROVIDING PARENTS WITH REFERRALS, NUTRITION EDUCATIONAL MATERIALS IN ENGLISH, SPANISH, AND CREOLE. THESE HAVE BEEN MADE AVAILABLE AT ALL MEDICAL HOME SITES IN SOUTHWEST CT REGION. MHI ATTEMPTS TO CONNECT FAMILIES WITH LOCAL RESOURCES, CHAMPION PROGRAMS IN THE COMMUNITY AND SHARING INFORMATION WITH COMMUNITY HEALTH CENTERS AND DOCTORS OFFICES. ASTHMA & COPD EDUCATION: EACH YEAR SH OFFERS THE COMMUNITY AN ANNUAL COPD EDUCATION FAIR WITH LECTURES AND VENDORS. DUE TO THE PANDEMIC, MONTHLY ASTHMA EDUCATION PROGRAMS AND OTHER INITIATIVES WERE EITHER POSTPONED OR CANCELLED. IN 2020, DUE TO THE PANDEMIC, PLANS TO CONTINUE CANCER SCREENINGS AND CERTIFIED TOBACCO TREATMENT OPTIONS FOR ACTIVE SMOKERS WERE CURTAILED. DUE TO SCHOOL CLOSURES, SH WAS UNABLE TO CONDUCT EDUCATIONAL PROGRAMS IN COMMUNITY SETTINGS, SUCH AS PUBLIC MIDDLE SCHOOLS AND PUBLIC AND PRIVATE HIGH SCHOOLS IN STAMFORD. SUCH IN-PERSON EVENTS WOULD HAVE FOCUSED ON SMOKING CESSATION AND THE USE OF E-CIGARETTES AND VAPING. CANCER OUTREACH AND EDUCATION: AS REQUIRED BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER, A CANCER COMMITTEE OVERSEES STAMFORD HOSPITAL'S CANCER PROGRAM, OF WHICH EDUCATIONAL AND OUTREACH PROGRAMS FOR THE COMMUNITY AND PATIENTS ARE A KEY COMPONENT. STAMFORD HEALTH'S BENNETT CANCER CENTER CONTINUES TO COMMUNICATE TO STAMFORD AND THE SURROUNDING COMMUNITIES REGARDING THE IMPORTANCE OF PREVENTION, SCREENING AND EARLY DETECTION OF CANCERS. DIRECT MAIL IS USED TO REMIND WOMEN OF THE IMPORTANCE OF SCREENING FOR BREAST CANCER. DUE TO COVID, THE PAINT THE TOWN PINK INITIATIVE WAS HELD VIRTUALLY INSTEAD OF IN-PERSON BUT WAS SUCCESSFUL RAISING FUNDS FOR MAMMOGRAMS FOR WOMEN WHO ARE UNABLE TO AFFORD CARE. CANCER SCREENINGS: STAMFORD HOSPITAL OFFERS MAMMOGRAPHY SCREENING TO THE COMMUNITY AT NO COST TO PATIENTS WHO ARE UNINSURED. IN FY 20, 18,269 WOMEN RECEIVED MAMMOGRAMS, OF WHICH 485 WERE PERFORMED AT NO COST THROUGH GRANTS PROVIDED BY THE BREAST CANCER ALLIANCE AND PINK AID. THE BREAST CANCER ALLIANCE GRANT PROVIDED 227 AND THE PINK AID GRANT PROVIDED 258 MAMMOGRAMS. TO REACH THE UNDERSERVED, THE HOSPITAL COLLABORATES WITH OPTIMUS HEALTH CARE ("OPTIMUS"), A FEDERALLY QUALIFIED HEALTH CENTER, TO ASSIST IN COORDINATING CARE FOR CANCER SCREENINGS, AND TO HELP PATIENTS WHO ARE DIAGNOSED WITH CANCER TO NAVIGATE THEIR CARE AND OBTAIN FINANCIAL ASSISTANCE. STAMFORD HEALTH FOUNDATION FUNDS A MEDICAL ASSISTANT POSITION TO ASSIST NAVIGATING PATIENTS. STAMFORD HEALTH ALSO SEES PATIENTS FROM PLANNED PARENTHOOD OF SOUTHERN NEW ENGLAND WHO ARE REFERRED FOR BREAST SCREENING AND CANCER SERVICES. STAMFORD HEALTH'S BREAST CENTER IN CONJUNCTION WITH THE BENNETT CANCER CENTER CONTINUED ITS HIGH-RISK BREAST PROGRAM IN 2020 AT ALL FOUR BREAST CANCER SITES. NATIONAL GUIDELINES PROPOSE THAT WOMEN WITH AN INCREASED RISK OF BREAST CANCER RECEIVE ENHANCED SCREENING AND ADDITIONAL SERVICES. OUR BREAST CENTER EMPLOYES. THE HIGH-RISK COORDINATOR CALLS PATIENTS AT HIGH RISK FOR DEVELOPING BREAST CANCER AND OFFERS EACH WOMAN AN APPOINTMENT WITH OUR HIGH-RISK BREAST SPECIALIST WHO THEN DEVELOPS A PERSONALIZED CARE PLAN. FROM JANUARY 1 TO DECEMBER 31, 2020, 3,354 WOMEN WERE IDENTIFIED AT HIGH RISK FOR DEVELOPING BREAST CANCER, REPRESENTING 17% OF ALL WOMEN WHO RECEIVED A SCREENING MAMMOGRAM. OF THESE WOMEN, 66 OR 2% WERE FOUND TO HAVE CANCER. AS A RESULT, THESE PATIENTS BENEFITED FROM ENHANCED SURVEILLANCE AND RISK-APPROPRIATE CONSULTATIONS AND IN SOME CASES TREATMENT FOR CANCER. LUNG CANCER IS THE SECOND MOST COMMON CANCER IN BOTH MEN AND WOMEN IN THE UNITED STATES. IT'S ALSO THE LEADING CAUSE OF CANCER-RELATED DEATHS, AND MOST OF THE TIME IS NOT DIAGNOSED UNTIL SYMPTOMS APPEAR. STAMFORD HOSPITAL HAS A ROBUST LUNG CANCER SCREENING PROGRAM. IN FY 2020, 469 LUNG SCREENING CT SCANS WERE PERFORMED. FROM THESE SCREENINGS, 7 LUNG CANCERS WERE DIAGNOSED. COLON CA true Optimus Healthcare 982 East Main Street Bridgeport CT 06608 060972166 501(C)(3) 2003585 Supplemental Support 1 Schedule I, Part I, Line 2 Funds provided are considered a contribution for Healthcare within the Community. X X X true true X X X X X true true false false false false false false false Kathleen A Silard Pres. & CEO - Treasurer 954876 221489 0 72333 0 18720 0 9385 0 1276803 0 0 0 David Yuh MD Physician 942727 128274 0 4814 0 44000 0 6735 0 1126550 0 0 0 Sharon Kiely Sr. VP Medical Services 451641 0 0 572567 0 16442 0 5053 0 1045703 0 0 0 Michael Coady MD Chief of cardiac Surgery 821464 72000 0 2622 0 25000 0 2812 0 923898 0 0 0 Todd Miller MD Chief Neuro Interv. Services 825470 56250 0 921 0 19000 0 6735 0 908376 0 0 0 Brian Stainken MD Dept. Chair 644211 97655 0 7524 0 32032 0 1883 0 783305 0 0 0 Jonathan Bailey Chief Operating Officer 360913 35000 0 148684 0 0 0 5853 0 550450 0 0 0 Elaine Guglielmo Asst. Secretary 389618 77470 0 10352 0 24038 0 4243 0 505721 0 0 0 Brian Grissler Former President & CEO 0 409408 0 46388 0 0 0 0 0 455796 0 0 0 Rudolph Taddonio FORMER Officer Phys. Director 83433 44055 0 0 0 0 0 0 0 127488 0 0 0 Kevin Gage Former Treasurer/CFO 0 62451 0 61086 0 0 0 0 0 123537 0 0 0 Carol Fucigna Physician Director 570310 5850 0 4902 0 22609 0 7985 0 611656 0 0 0 MICHAEL EBRIGHT MD Physician Director 571817 0 48776 0 1710 0 18000 0 8197 0 648500 0 0 0 Schedule J, Part I, Line 1a COO - JONATHAN BAILEY TAXABLE GROSS UP PAYMENT - $68,901 HOUSING PAYMENT: $36,746 Former Treasurer/CFO - KEVIN GAGE TAXABLE GROSS UP PAYMENT: $61,086 Former President & CEO - BRIAN GRISSLER TAXABLE GROSS UP PAYMENT: $44,951 Pres. & CEO - Treasurer - KATHLEEN SILARD TAXABLE GROSS UP PAYMENT: $7,411 MEMBERSHIP DUES: $33,821 Asst. Secretary - ELAINE GUGLIELMO TAXABLE GROSS UP PAYMENT: $1,320 Sr. VP Medical Services - SHARON KIELY TAXABLE GROSS UP PAYMENT: $1,085 COMPENSATION CONSULTANTS ARE USED AND COMPENSATION SURVEYS ARE OBTAINED FROM AT LEAST THREE SOURCES. ONCE THE COMPENSATION IS DETERMINED A WRITTEN EMPLOYMENT CONTRACT IS OBTAINED. SCHEDULE J, PART I, LINE 4A SR. VP OF MEDICAL SERVICES - SHARON KIELY SEVERANCE PAYMENT: $232,542 SCHEDULE J, PART I, LINE 4B SHARON KIELY PARTICIPATED IN A 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN. DURING 2019, $201,046 of VESTED PROCEEDS WERE TAXABLE. A STATE OF CT HEALTH AND EDUCATION FAC AUTHORITIES 060806186 20774YK55 2016-07-27 50921018 SEE SCHEDULE K, PART VI false false false B STATE OF CT HEALTH AND EDUCATION FAC AUTHORITIES 060806186 2077443P8 2010-05-27 133992115 SEE SCHEDULE K, PART VI false false false C STATE OF CT HEALTH AND EDUCATION FAC AUTHORITIES 060806186 20774YKQ9 2012-06-20 254620769 SEE SCHEDULE K, PART VI false false false A 0 0 50921018 0 0 0 921018 0 0 50000000 0 0 2016 false false true true B 51870000 0 133995069 0 0 0 2057323 0 0 24835260 107102486 0 2011 true false true true C 6860000 0 254620769 0 36350996 0 2935597 0 0 215334176 0 0 2016 false false true true A false true true true true true 0.01810 0.00000 0.01810 false false false true B false true true true true true 0.01540 0.01540 false false false true C false true true true true true 0.01220 0.01220 false false false true A false true false false false false 0 false 0 false true B false false false true false false 0 false 0 false true C false false false true false false 0 false 0 false true A true B true C true SCHEDULE K, PART I COLUMN (F) BOND A THE STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES K (THE SERIES K BONDS) WERE ISSUED ON JULY 27, 2016, IN THE AMOUNT OF $47,620,000, FOR A TERM OF 30 YEARS, AT A PREMIUM OF $3,301,000. THE SERIES K BONDS WERE USED FOR REIMBURSING A PORTION OF THE COSTS OF THE CONSTRUCTION, FURNISHING, AND EQUIPPING THE CONSTRUCTION OF A NEW HOSPITAL FACILITY. THE PROCEEDS ALSO REIMBURSED TSH FOR CERTAIN COSTS OF ISSUANCE OF SERIES K BONDS. SCHEDULE K, PART I COLUMN (F) BOND B The State of Connecticut Health and Educational Facilities Authority Revenue Bonds, Series I (The Series I Bonds) were issued on May 12,2010, for a term of 20 years, at a premium of $1,002,000. The Series I Bonds were used for: 1) Refunding of commercial loans ant the State of Connecticut Health and Educational Facilities Authority Revenue Bonds issued as follows: 11/13/96, 3/24/99, 6/03/08 and 5/28/09; 2) Financing routine renovation and other capital expenditures; 3) Financing the development and construction of the new Hospital Facility; 4) The proceeds also reimbursed the Stamford Hospital (TSH) for certain costs of issuance of the Series I Bonds SCHEDULE K, PART I COLUMN (F) BOND C The State of Connecticut Health and Educational Facilities Authority Revenue Bonds, Series J (The Series J Bonds) were issued on June 20, 2012 in the amount of $250,000,000 for a term of 30 years, at a premium of $4,621,000. The Series J Bonds proceeds were used for financing architectural, engineering, site permitting, legal planning and construction of the new Hospital Facility. The proceeds also reimbursed TSH for certain costs of issuance of the Series J Bonds. SCHEDULE K, PART II, LINE 3 BOND B: There is a $3,000 variance between proceeds of the issue and the issue price due to investment earnings. SCHEDULE K, PART IV, LINE 2C BONDS B AND C THE DATE OF THE MOST RECENT REBATE COMPUTATION WAS MAY 27, 2020 FOR BOND B AND JUNE 20, 2017 FOR BOND C. X 19 334615 Market Value false true false SCHEDULE M, PART I, COLUMN B THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS IN COLUMN (B). FORM 990, PART III, LINE 2 On November 29, 2002, the Hospital formed a wholly owned captive insurance company, HealthStar Indemnity Company, Ltd. (HealthStar), located in Bermuda. HealthStar was registered as a Class 1 Insurer, as defined under The Bermuda Insurance Act of 1978, effective October 9, 2003. HealthStar was reclassified as a Class 3 segregated account insurer effective October 1, 2014. Effective October 1, 2019, HealthStar redomesticated as HealthStar Indemnity, LLC, was incorporated in Vermont and licensed as a sponsored captive insurance company under Title 8, Chapter 141 of the Vermont Captive Statutes. FORM 990, PART VI, LINE 6 STAMFORD HEALTH INC. (SHI), A TAX-EXEMPT ORGANIZATION, IS THE SOLE MEMBER OF THE STAMFORD HOSPITAL. FORM 990, PART VI, LINE 7A STAMFORD HEALTH INC. (SHI), THE SOLE MEMBER OF THE STAMFORD HOSPITAL, HAS THE POWER, AS THE SOLE MEMBER: TO ELECT THE BOARD OF DIRECTORS OF THE STAMFORD HOSPITAL (THE "HOSPITAL") (EXCEPT FOR THE HOSPITAL PRESIDENT/CEO, WHO SERVES AS AN EX OFFICIO DIRECTOR) (SECTIONS V.2, VI.2), TO ELECT/REMOVE/REPLACE THE HOSPITAL'S OFFICERS OTHER THAN THE PRESIDENT/CEO (SECTIONS VII.1, VII.4-5), AND TO ADOPT/AMEND/RESTATE/REPEAL THE BYLAWS (ART. XII). SHI HAS CERTAIN STATUTORY APPROVAL RIGHTS AS THE SOLE MEMBER, SUCH AS THE RIGHT TO APPROVE MOST AMENDMENTS TO THE HOSPITAL'S CERTIFICATE AND THE HOSPITAL'S MERGER, DISSOLUTION, OR SALE OF ALL ASSETS LEAVING THE HOSPITAL WITH NO SIGNIFICANT CONTINUING ACTIVITY. FORM 990, PART VI, LINE 7B SHI HAS CERTAIN STATUTORY APPROVAL RIGHTS AS THE SOLE MEMBER, SUCH AS THE RIGHT TO APPROVE MOST AMENDMENTS TO THE HOSPITAL'S CERTIFICATE AND THE HOSPITAL'S MERGER, DISSOLUTION, OR SALE OF ALL ASSETS LEAVING THE HOSPITAL WITH NO SIGNIFICANT CONTINUING ACTIVITY. FORM 990, PART VI, LINE 11B THE STAMFORD HOSPITAL HAS A COMPREHENSIVE REVIEW PROCESS IN PLACE RELATING TO THE REVIEW OF FORM 990. PRIOR TO FINALIZATION OF THE FORM 990, MANAGEMENT PRESENTS THE DRAFT FORM 990 TO THE FULL BOARD OF DIRECTORS FOR REVIEW AND DISCUSSION. THE HOSPITAL'S EXTERNAL TAX ACCOUNTANTS ATTEND THIS MEETING WITH MANAGEMENT TO ADDRESS ANY SPECIFIC CONCERNS OR QUESTIONS. THIS REVIEW PROCEDURE HELPS TO ASSURE SOUND REPORTING AND COMPLIANCE WITH TAX LAW. FORM 990, PART VI, LINE 12C IT IS THE POLICY OF THE STAMFORD HOSPITAL TO PROHIBIT ITS EMPLOYEES AND OTHER ASSOCIATES FROM ENGAGING IN ANY ACTIVITY, PRACTICE, OR ACT WHICH CONFLICTS WITH, OR APPEARS TO CONFLICT WITH, THE INTERESTS OF THE STAMFORD HOSPITAL, OR ITS PATIENTS. EMPLOYEES ARE EXPECTED TO CONDUCT THE BUSINESS OF THE STAMFORD HOSPITAL TO THE BEST OF THEIR ABILITY AND FOR THE BENEFIT OF THE STAMFORD HOSPITAL AND ITS PATIENTS. THE POLICY ALSO REQUIRES BOARD MEMBERS, OFFICERS, SENIOR LEADERS, MEDICAL STAFF LEADERS, COMMITTEE MEMBERS AND OTHER INDIVIDUALS AS APPROPRIATE TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST THEY OR THEIR IMMEDIATE FAMILY MAY HAVE ON AN ANNUAL BASIS. SURVEYS ARE DISTRIBUTED ANNUALLY AND TIMELY RECEIPT IS MONITORED BY THE HOSPITAL'S COMPLIANCE DEPARTMENT. FORM 990, PART VI, LINES 15A & 15B IT IS THE POLICY OF THE STAMFORD HOSPITAL TO PAY EMPLOYEES FAIR AND COMPETITIVE WAGES. THE HOSPITAL HAS ADOPTED A WAGE AND SALARY PROGRAM TO ENSURE THAT ALL EMPLOYEES ARE PAID IN RELATION TO THE VALUE OF THE WORK THEY PERFORM. THIS PROGRAM IS REVIEWED ANNUALLY. EXECUTIVE COMPENSATION IS SUBJECT TO A MORE COMPREHENSIVE REVIEW, INCLUDING AN ANNUAL BENCHMARKING ANALYSIS AND BOARD-LEVEL APPROVAL PROCESS. FORM 990, PART VI, LINE 19 THE STAMFORD HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9 HEALTHSTAR NET ASSETS, BEGINNING $42,241,787 Equity Transfer to SHMG Debt Forgiveness ($38,817,702) Pension Related Changes Other Than Net Period Pension Cost ($15,632,572) Pension Costs Other Than Service Cost ($464,600) Other $1,043 --------------- TOTAL - (12,672,044) FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:28950957 FORM 990 PART IX LINE 11G DESCRIPTION:INTERCOMPANY STAFFING FEES TOTAL FEES:12344558 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:11063070 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICE HSS INVOICE TOTAL FEES:8659299 FORM 990 PART IX LINE 11G DESCRIPTION:TEMP NURSING PERSONNEL TOTAL FEES:4365877 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING SERVICE TOTAL FEES:4121596 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:3124525 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICE EXP REIMB TOTAL FEES:2246201 FORM 990 PART IX LINE 11G DESCRIPTION:DATA PROCESSING FEES TOTAL FEES:571679 FORM 990 PART IX LINE 11G DESCRIPTION:ARCHIVING EXPENSE TOTAL FEES:21952 FORM 990 PART IX LINE 11G DESCRIPTION:SOFTWARE MAINTENANCE/SUPPORT TOTAL FEES:79932 24 GROVE ST NEW CANAAN LLC ONE HOSPITAL PLAZA PO BOX 9317 STAMFORD CT 06904 274941167 RENTAl CT -49366 0 TSH 36 GROVE STREET NEW CANAAN LLC ONE HOSPITAL PLAZA PO BOX 9317 STAMFORD CT 06904 274941529 MEDICAL RENTA CT -49366 5024982 TSH STAMFORD HEALTH OCCUPATIONAL HEALTH SERV ONE STAMFORD PLAZA PO BOX 9317 STAMFORD CT 06904 475119889 OCCUPATIONAL CT 151637 0 TSH STAMFORD HEALTHCARE ALLIANCE LLC ONE STAMFORD PLAZA PO BOX 9317 STAMFORD CT 06904 455468194 INACTIVE CT 0 0 TSH PHYSICIAN ALLIANCE OF STAMFORD LLC ONE HOSPITAL PLAZA PO BOX 9317 STAMFORD CT 06904 455458611 MANAGEMENT CT -179243 0 TSH HEALTHSTAR INDEMINITY LLC 159 Bank Street 4th Floor Burlington VA 05401 352669962 SELF INSURANC VT 8708230 79228501 TSH STAMFORD HEALTH Inc ONE STAMFORD PLAZA PO BOX 9317 STAMFORD CT 06904 222476636 PARENT CT 501(c)(3) 12b NA false THE STAMFORD HOSPITAL FOUNDATION ONE STAMFORD PLAZA PO BOX 9317 STAMFORD CT 06904 222478748 FUNDRAISING CT 501(c)(3) 10 SHI true STAMFORD HEALTH MEDICAL GROUP ONE STAMFORD PLAZA PO BOX 9317 STAMFORD CT 06904 271648289 Medical Svcs CT 501(c)(3) 10 TSH true false true false false false false false false false true true false false false true false false true false Stamford Health Inc k 58392 Book Value Stamford Health Inc r 500000 Book Value Stamford Health Medical Group Inc b 38817702 Book Value Stamford Health Medical Group Inc k 1237639 Book Value Stamford Health Medical Group Inc j 1055108 Book Value Stamford Health Medical Group Inc o 232752 Book Value