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SURGERIES PERFORMED AT THE HOSPITAL AND TULLY CENTER: 11,153. RADIATION THERAPY PROCEDURES PERFORMED: 198,222. 416687707 true true false true false false false false false true true false false false true false false true false true true false false true true false true true false false true true false false false false false false false true false false true false false false true true true true false false true 570 0 true 2971 true true true true BD false false false true true false false false false X 12 9 false false false false true true true true true false false true true true true true true true true false CT X Kevin Gage TreasurerCFO 2032761000 One Hospital Plaza PO Box 9317 Stamford CT 06904 Maryann Keller-Chai DIRECTOR 2.0 2.0 X 0 0 0 GERALD B RAKOS MD PHYSICIAN AND DIRECTOR 38.0 2.0 X 499928 0 49976 Suzanne Beitel Director 2.0 2.0 X 0 0 0 Terrance P Berland Director 2.0 2.0 X 0 0 0 Andrew M Merrill Chairman 2.0 2.0 X X 0 0 0 Brian Grissler President & CEO 38.0 2.0 X X 2656282 0 29510 Mark DeWaele DMD VICE CHAIRMAN 2.0 2.0 X X 0 0 0 Patrick Hackett DIRECTOR 2.0 2.0 X 0 0 0 Helen Jaffe DIRECTOR 2.0 2.0 X 0 0 0 Charles Littlejohn MD DIRECTOR 2.0 38.0 X 0 403866 26330 Adolf DiBiasio DIRECTOR 2.0 2.0 X 0 0 0 David Jahns DIRECTOR 2.0 2.0 X 0 0 0 Kevin Gage TREASURER/CFO 38.0 2.0 X 1213209 0 62184 DARRYL MCCORMICK ASSISTANT SECRETARY 38.0 2.0 X 650505 0 36159 Kathleen A Silard Assistant Secretary/COO 38.0 2.0 X 1130089 0 32637 Michael Coady MD Chief of Cardiac Surgery 38.0 2.0 X 1026640 0 31959 Sharon Kiely MD SVP, MEDICAL AFFAIRS 38.0 2.0 X 945145 0 62604 DAVID SMITH Assistant Secretary 38.0 2.0 X 1130379 0 49026 Rohit Bhalla MD Physician 38.0 2.0 X 642201 0 57127 Brian Stainken MD Physician 38.0 2.0 X 721229 0 39861 10615607 403866 477373 561 false true false HEMATOLOGY ONCOLOGY ASSOC PC PO BOX 9317 STAMFORD CT 06904 PHYSICIAN FEES/ONCOL 5106539 WHR ARCHITECTS INC 1111 LOUISIANA 26TH FLOOR HOUSTON TX 77002 ARCHITECTURAL SVCS 1388009 YALE UNIVERSITY SCHOOL OF MEDICINE PO BOX 208087 NEW HAVEN CT 065208087 PHYSICIAN FEES/LAB 987216 ERNST YOUNG LLP PO BOX 640382 PITTSBURGH PA 152640382 AUDIT AND TAX SVCS 784599 DANA-FARBER CANCER INSTITUTE INC 450 BROOKLINE AVE BOSTON MA 02215 CONSULTING SERVICES 705714 72 755745 0 682076 8781139 408288 10218960 PATIENT REVENUE 621300 305301754 305301754 0 0 PHYSICIAN BILLING 621110 12635100 12635100 0 0 WELLNESS AND TRAINING 621400 3626891 3626891 0 0 MEDICARE/MEDICAID PAYMENT 621400 186060083 186060083 0 0 REFERENCE LAB INCOME 621500 6503940 0 6503940 0 514127768 1638250 1638250 0 0 3801781 5714587 -1912806 0 -1912806 -1912806 11450251 9089781 2360470 2360470 2360470 268600 755745 243868 24732 24732 0 0 0 0 0 0 CAFETERIA, COFFEE SHOP 722210 2128027 2128027 0 0 INTERCOMPANY STAFF REIMB 900099 1164629 1164629 0 0 MEANINGFUL USE INCOME 621110 8717 8717 0 0 2532532 2445919 86613 0 5833905 532291279 513371120 6590553 2110646 X 0 0 0 0 0 0 0 0 6893603 6893603 0 0 0 0 0 194950526 174221493 19555045 1173988 6632142 5724524 869043 38575 21687886 18668235 2893508 126143 13786740 11900006 1806546 80188 940881 900881 40000 1828287 114596 1713691 428234 5775 422459 140827 140827 19757 19757 142913 142913 0 56525136 42974814 13339423 210899 3886879 299750 2469024 1118105 13677678 9268852 4336146 72680 8036410 175824 7859689 897 0 0 0 0 33558634 31348969 2064627 145038 422844 187134 121365 114345 0 0 0 0 351722 165391 71986 114345 38021 38021 0 0 0 0 0 0 37447053 36905708 541345 0 1535035 1535035 0 0 MEDICAL EXPENSES 71149385 71149385 0 0 SERVICE CONTRACTS 9693792 9656153 0 37639 SUBSCRIPTIONS DUES MBRSHP 2123027 863795 1251501 7731 STATE - FED INCOME TAXES 1827469 257337 1570132 0 1990117 326031 1589024 75062 489714998 416687707 69691899 3335392 0 50000 50000 123492820 94959463 29858376 21575487 73152775 75415396 0 0 0 0 0 0 7591162 7609278 6056827 5350366 1089825656 414067441 640833642 675758215 96365777 91524723 16950449 14992436 0 0 0 0 41932875 44085846 1036284703 1031321210 108447087 96193421 0 0 2211815 2318148 405059501 397809019 0 0 0 0 0 0 3513715 3357041 150231694 130953168 669463812 630630797 X 283719534 319395523 21654727 18842391 61446630 62452499 366820891 400690413 1036284703 1031321210 X 42576281 1402892 0 0 0 -10109651 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false 0 false 0 false 0 false 0 false 0 false 0 true 140827 140827 false SCHEDULE C, PART II-B, LINE 1i THE HOSPITAL CONTRACTS LOBBYING FIRMS WHO LOBBY LEGISLATIVE ACTION ON BEHALF OF THE HOSPITAL AND THE HEALTHCARE INDUSTRY. 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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 X true X false X X X true X false false FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5 In 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. 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 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 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 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 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 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 376,161 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 5 Promotion 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 X X X true true X X X X X true false false false false false false false false GERALD B RAKOS MD PHYSICIAN AND DIRECTOR 450473 0 43911 0 5544 0 24000 0 25976 0 549904 0 0 0 Brian Grissler President & CEO 1162530 0 918793 0 574959 0 0 0 29510 0 2685792 0 0 0 Charles Littlejohn MD DIRECTOR 0 373947 0 24375 0 5544 0 0 0 26330 0 430196 0 0 Michael Coady MD Chief of Cardiac Surgery 804187 0 80000 0 142453 0 18000 0 13959 0 1058599 0 0 0 Sharon Kiely MD SVP, MEDICAL AFFAIRS 677676 0 210361 0 57108 0 24000 0 38604 0 1007749 0 0 0 Kevin Gage TREASURER/CFO 633958 0 488142 0 91109 0 24000 0 38184 0 1275393 0 0 0 DARRYL MCCORMICK ASSISTANT SECRETARY 414543 0 160853 0 75109 0 24000 0 12159 0 686664 0 0 0 DAVID SMITH Assistant Secretary 607994 0 260096 0 262289 0 13846 0 35180 0 1179405 0 0 0 Rohit Bhalla MD Physician 435029 0 172807 0 34365 0 17992 0 39135 0 699328 0 0 0 Brian Stainken MD Physician 597238 0 90002 0 33989 0 18000 0 21861 0 761090 0 0 0 Kathleen A Silard Assistant Secretary/COO 641173 0 484014 0 4902 0 24000 0 8637 0 1162726 0 0 0 Schedule J, Part I, Line 1a President - 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 4A Former High Comp Employee - David Smith Severance $185,780 A STATE OF CT HEALTH AND EDUCATION FAC AUTHORITIES 060806186 2077443P8 2010-05-27 133992115 SEE SCHEDULE K, PART VI false false false B STATE OF CT HEALTH AND EDUCATION FAC AUTHORITIES 060806186 20774YKQ9 2012-06-20 254620769 SEE SCHEDULE K, PART VI false false false C STATE OF CT HEALTH AND EDUCATION FAC AUTHORITIES 060806186 20774YK55 2016-07-27 50921018 SEE SCHEDULE K, PART VI false false false A 28235000 0 133995069 0 0 0 2057323 0 0 24835260 107102486 0 2011 true false true true B 0 0 254620769 0 36350996 0 2935597 0 0 251685172 0 0 2016 false false true true C 0 0 50921018 0 0 0 921018 0 0 50000000 0 0 2016 false false true true A false false true true true true 0.00000 0.00000 0.00000 false false 0.00000 false true B false false true true true true 0.00000 0.00000 0.00000 false false 0.00000 false true C false false true true true true 0.00000 0.00000 0.00000 false false 0.00000 false true A false false false true false false 0 false 0 false true B false false false true false false 0 false 0 false true C false true false false 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 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 B 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 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 C THE 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 3 THERE 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 B THE DATE OF THE MOST RECENT REBATE COMPUTATION WAS JUNE 20, 2017. H Darrell Harvey SEE PART V 1137270 SEE PART V false Part IV, Line 1 The 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. X 25 408288 Market Value false true false 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 PENSION 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 11G DESCRIPTION:CONSULTING SERVICES TOTAL FEES:6514163 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:24472109 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:11170502 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:3316870 FORM 990 PART IX LINE 11G DESCRIPTION:DATA PROCESSING FEES TOTAL FEES:363913 FORM 990 PART IX LINE 11G DESCRIPTION:ARCHIVING SERVICES TOTAL FEES:9825 FORM 990 PART IX LINE 11G DESCRIPTION:INTERCOMPANY STAFFING FEES TOTAL FEES:6795146 FORM 990 PART IX LINE 11G DESCRIPTION:TEMPORARY SERVICES TOTAL FEES:2129338 FORM 990 PART IX LINE 11G DESCRIPTION:COMMUNITY BENEFIT GRANT TOTAL FEES:1753270 24 GROVE ST NEW CANAAN LLC ONE HOSPITAL PLAZA PO BOX 9317 STAMFORD CT 06904 274941167 RENTAl CT -17227 780167 TSH 36 GROVE STREET NEW CANAAN LLC ONE HOSPITAL PLAZA PO BOX 9317 STAMFORD CT 06904 274941529 MEDICAL RENTA CT 65473 5549996 TSH STAMFORD HEALTH OCCUPATIONAL HEALTH SERV ONE STAMFORD PLAZA PO BOX 9317 STAMFORD CT 06904 475119889 OCCUPATIONAL CT 50974 0 TSH STAMFORD HEALTHCARE ALLIANCE LLC ONE STAMFORD PLAZA PO BOX 9317 STAMFORD CT 06904 455468194 INACTIVE CT 0 0 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 Healthstar Indemnity Co Limited Wellesley Hse S 1st Fl 90 Pitts Bay Pembroke BD HM08 Self Insurance BD TSH C Corp -5831427 77769661 1.00000 true MILLER HALL MEDICAL SUITES 166 W BROAD STREET STAMFORD CT 06904 616199978 PROF OFFICE BLDG CT SHI C CORP 0 0 false false true false false false false false false false true true false false false true false true true true Stamford Health Medical Group b 52421465 Book Value Stamford Health Medical Group j 636813 Book Value Stamford Health Medical Group o 137811 Book Value Healthstar Indemnity Co q 2544584 Cash Value Healthstar Indemnity Co r 2846585 Cash Value Stamford Health Inc s 30000000 Cash Value