2014-07-31T11:57:55-05:00 2013-09-30 ERNST & YOUNG US LLP PO Box 44972 Indianapolis IN 462440972 990 2012-10-01 271648289 Stamford Health Integrated Practices Inc % Cynthia Waranowicz-Fitzgeral STAM 2032761000 30 Shelburne Road Suite Stamford CT 069049317 Cynthia Fitzgerald 2032761000 2014-07-15 3176817000 2012 2015-11-30 17:44:51Z Cynthia Fitzgerald 1111 SUMMER STREET Stamford CT 06905 29985379 false X www.stamfordhealthintegratedpractices.com X 2009 CT SUPPORTS THE PROVISION OF THE PHYSICIAN SERVICES AND OTHER HEALTH PRACTIONER SERVICES TO THE RESIDENTS OF THE COMMUNITIES SERVED BY STAMFORD HOSPITAL AND AFFILIATED ORGANIZATIONS. 7 0 302 0 0 0 0 0 20551170 29900055 0 0 8001 85324 20559171 29985379 0 0 0 0 26127774 40208605 0 0 0 11557641 17544505 37685415 57753110 -17126244 -27767731 8733487 12214318 34614464 11935274 -25880977 279044 SUPPORTS THE PROVISION OF THE PHYSICIAN SERVICES AND OTHER HEALTH PRACTIONER SERVICES TO THE RESIDENTS OF THE COMMUNITIES SERVED BY STAMFORD HOSPITAL AND AFFILIATED ORGANIZATIONS. false false 42362055 29936093 Stamford Health Integrated Practices Inc. (SHIP) provides a comprehensive array of management services in support of physician practices. 42362055 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 true false false true 87 0 true 302 true false false false false false false false false false false X 7 0 false false false false true true true true true false false true true true true true true true true false X Cynthia Waranowicz-Fitzgeral 2032761000 1111 Summer Street Stamford CT 06905 Inga Tuluca 40.0 0.0 X 65303 0 624 Dr Angelo Mallozzi 40.0 0.0 X 428823 0 34896 Dr Jeffrey Green 40.0 0.0 X 734673 0 36561 Dr Kevin Miller 40.0 0.0 X 550717 0 34896 Dr Michael Zucker 40.0 0.0 X 444812 0 27665 Dr Lance Bruck 2.0 38.0 X X 0 768154 49123 Dr Craig Olin 40.0 0.0 X X 628376 0 30456 Robert deBara 40.0 0.0 X 0 318457 2083 Charles Rosenstein 40.0 0.0 X 781489 0 26814 Arghiris Barbadimos 40.0 0.0 X 768084 0 31506 Craig Tifford 40.0 0.0 X 739856 0 757 John Dowdle 40.0 0.0 X 672550 0 34896 Joonun Choi 40.0 0.0 X 633040 0 39846 Dr Andrew Snyder 0.0 0.0 X 0 293151 11751 6447723 1379762 361874 59 true true false COASTAL CARE MEDICAL MANAGEMENT 10 Davol Square Suite 400 Providence RI 02903 Billing Services 1401352 ASHFORTH PROPERTIES CONSTRUCTION 707 Summer Street Stamford CT 06902 Construction 822514 ADELMAN SHEFF AND SMITH LLC 180 Admiral Cochrane Dr Annapolis MD 21401 Legal 494405 RIVERSIDE OBSTETRICS GYNECOLOGY 1200 East Putnam Ave Riverside CT 06878 OB/GYN on call 148248 MEDVICE INC 4709 FOREST AVE SE SUITE 200 MERCER ISLAND WA 98040 CONSULTING SERVICES 2077707 6 0 0 0 PHYSICIAN BILLING 621110 23307491 23307491 0 0 MEDICARE 621110 6592564 6592564 0 0 29900055 0 0 0 49286 49286 0 49286 49286 0 0 0 0 0 MISCELLANEOUS INCOME 621110 36038 36038 0 0 36038 29985379 29936093 0 49286 0 0 0 0 0 0 0 0 6447723 5819347 628376 0 0 0 0 0 29639480 24432458 5207022 0 0 0 0 2339917 1822297 517620 0 1781485 1616188 165297 0 4489120 288415 4200705 0 681743 0 681743 0 19728 0 19728 0 0 0 0 0 0 0 0 0 0 0 4231168 2220294 2010874 0 246099 18833 227266 2024564 1505820 518744 9184 6554 2630 0 3223969 2846921 377048 100309 54822 45487 0 0 0 0 599159 599159 1577235 1488077 89158 DUES AND MEMBERSHIPS 123619 95517 28102 0 LICENSE FEES 57407 56569 838 0 NON COLLEGE EDUCATION 61800 39967 21833 0 SERVICE CONTRACTS 53208 14713 38495 0 46193 35263 10930 57753110 42362055 15391055 0 0 0 0 1485482 2055604 0 0 3973439 4373983 0 0 0 0 0 0 0 0 119575 216930 6065073 1491049 2549277 4574024 0 0 0 0 0 0 72796 0 532918 993777 8733487 12214318 4523552 7273165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30090912 4662109 34614464 11935274 X -25880977 279044 0 0 0 0 -25880977 279044 8733487 12214318 X -27767731 53927752 X false true X true false X 0 0 0 0 0 0 0 8821031 20551170 29900055 59272256 0 500 500 0 0 0 0 0 0 8821031 20551670 29900055 59272756 0 0 0 0 0 59272756 0 13000 7309 49286 69595 0 0 13000 7309 49286 69595 0 0 0 192 36038 36230 0 0 8834031 20559171 29985379 59378581 X 0.00000 1586733 332903 1263830 0 3635007 1158146 2476861 0 833333 0 833333 0 0 0 0 4574024 DEPOSITS 105275 DUE FROM AFFLIATES- SCR 419502 DUE FROM AFFLIATES- OB/GYN 469000 993777 0 DUE TO AFFILIATES- SHS 4662109 4662109 X X X X X true false false false false false false true false Dr Andrew Snyder 0 0 0 0 0 293151 0 0 0 11751 0 304902 0 0 Charles Rosenstein 745489 0 36000 0 0 0 0 0 26814 0 808303 0 0 0 Arghiris Barbadimos 709979 0 54000 0 4105 0 0 0 31506 0 799590 0 0 0 Craig Tifford 685856 0 54000 0 0 0 0 0 757 0 740613 0 0 0 John Dowdle 670730 0 0 0 1820 0 0 0 34896 0 707446 0 0 0 Joonun Choi 585291 0 47338 0 411 0 0 0 39846 0 672886 0 0 0 Robert deBara 0 62461 0 213495 0 42501 0 0 0 2083 0 320540 0 0 Dr Angelo Mallozzi 399420 0 26000 0 3403 0 0 0 34896 0 463719 0 0 0 Dr Jeffrey Green 677328 0 39725 0 17620 0 0 0 36561 0 771234 0 0 0 Dr Kevin Miller 483132 0 66794 0 791 0 0 0 34896 0 585613 0 0 0 Dr Michael Zucker 397060 0 29378 0 18374 0 0 0 27665 0 472477 0 0 0 Dr Lance Bruck 0 515448 0 239744 0 12962 0 13679 0 35444 0 817277 0 0 Dr Craig Olin 532303 0 94899 0 1174 0 0 0 30456 0 658832 0 0 0 SCHEDULE J SUPPLEMENTAL INFORMATION PART I, LINE 3 IT IS THE POLICY OF SHIP TO PAY EMPLOYEES FAIR AND COMPETITIVE WAGES. SHIP 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. INDEPENDENT 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. PART I, LINE 4A DR. ANDREW SNYDER LAST DAY OF EMPLOYMENT - 11/18/2011 CONTINUATION OF SALARY - 15 MONTHS AT BASE PAY EFFECTIVE 11/18/2011. THE LAST 7 MONTHS WAS OFFSET BY COMPENSATION EARNED BY THE EMPLOYEE. FORM 990 SUPPLEMENTAL INFORMATION FORM 990, PART VI, QUESTION 6 STAMFORD HEALTH INTEGRATED PRACTICES, INC. ("SHIP") IS A CONNECTICUT NONSTOCK CORPORATION. SHIP HAS TWO CLASSES OF MEMBERS. CLASS A MEMBERS ARE THE PHYSICIANS EMPLOYED BY SHIP. THE CLASS B MEMBER IS THE STAMFORD HOSPITAL. FORM 990, PART VI, QUESTION 7A THE BOARD OF DIRECTORS SHALL TOTAL NINE MEMBERS. THE INITIAL BOARD WAS SELECTED BY THE INCORPORATOR, AND THEREAFTER THE BOARD WILL BE ELECTED AS FOLLOWS: (A) EIGHT MEMBERS OF THE BOARD OF DIRECTORS SHALL BE ELECTED BY THE CLASS A MEMBERS, SUBJECT TO THE APPROVAL OF THE CLASS B MEMBER, AND (B) ONE MEMBER OF THE BOARD OF DIRECTORS SHALL BE APPOINTED BY THE CLASS B MEMBER. FORM 990, PART VI, QUESTION 7B ALL POWERS OF SHIP SHALL BE EXERCISED BY AND UNDER THE AUTHORITY OF THE BOARD OF DIRECTORS, EXCEPT THAT THE CLASS B MEMBER SHALL HAVE THE SOLE AUTHORITY TO AMEND THE BYLAWS OF SHIP AND SELECT THE AUDITORS OF SHIP. FORM 990, PART VI, QUESTION 11 STAMFORD HEALTH INTEGRATED PRACTICES, INC. (SHIP) HAS A COMPREHENSIVE REVIEW PROCESS IN PLACE RELATING TO THE REVIEW OF FORM 990. PRIOR TO FINALIZATION OF THE 990, MANAGEMENT PROVIDES THE DRAFT OF THE FORM 990 TO THE BOARD OF DIRECTORS. THE FORM 990 IS ALSO PRESENTED TO THE SYSTEM BOARD PRIOR TO FILING THE RETURN. PRESENTATION OF THE FORM IS MADE TO THE SYSTEM BOARD WITH A COMPLETE COPY OF THE FILING ORGANIZATION'S FORM 990. SHIP'S EXTERNAL TAX ACCOUNTANTS ADDRESS ANY SPECIFIC CONCERNS OR QUESTIONS WITH MANAGEMENT AND THE BOARD. THIS REVIEW PROCEDURE HELPS TO ASSURE SOUND REPORTING AND COMPLIANCE WITH TAX LAW. FORM 990, PART VI, QUESTION 12 SHIP, AS A WHOLLY OWNED SUBSIDIARY OF THE STAMFORD HOSPITAL FOLLOWS THE HOSPITAL'S CONFLICT OF INTEREST POLICY. IT IS THE POLICY TO PROHIBIT ITS EMPLOYEES AND OTHER ASSOCIATES FROM ENGAGING IN ANY ACTIVITY, PRACTICE, OR ACT WHICH CONFLICTS WITH, OR APPEARS TO CONFLICT WITH, THE INTERESTS OF THE ORGANIZATION. EMPLOYEES ARE EXPECTED TO CONDUCT THE BUSINESS OF SHIP TO THE BEST OF THEIR ABILITY AND FOR THE BENEFIT OF SHIP 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, QUESTIONS 15A & 15B IT IS THE POLICY OF SHIP TO PAY EMPLOYEES FAIR AND COMPETITIVE WAGES. SHIP HAS ADOPTED A WAGE AND SALARY PROGRAM TO ENSURE THAT ALL EMPLOYEES ARE PAID IN RELATION TO THE VALUE OF THE WORK THEY PERFORM. THIS PROGRAM IS REVIEWED ANNUALLY. EXECUTIVE COMPENSATION IS SUBJECT TO A MORE COMPREHENSIVE REVIEW, INCLUDING AN ANNUAL BENCHMARKING ANALYSIS. FORM 990, PART VI, QUESTION 19 SHIP MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9 EQUITY TRANSFER FROM THE STAMFORD HOSPITAL. Stamford Health System 30 Shelburne RD Stamford CT 06902 222476636 HOSP PARENT CT 501(C)(3) 11, TYPE I NA false The Stamford Hospital Foundation 30 Shelburne RD Stamford CT 06902 222478748 Fundraising CT 501(C)(3) 9 SHS true The Stamford Hospital 30 Shelburne RD Stamford CT 06902 061402215 Hospital CT 501(C)(3) 3 SHS true Miller Halll Medical Suites 166 W Broad Street Stamford CT 06904 061619978 Prof Office Bldg CT SHS C Corp 0 0 true Stamford ObGYN Associates 30 Shelburne RD Stamford CT 06904 061330879 Obstetrical Care CT SHS C Corp 0 0 true Healthstar Indemnity Co Limited FB Perry Building 400 Church St Hamiltion BD Self Insurance BD TSH C Corp 0 0 true Southwest Connecticut Radiology 30 Shelburne RD Stamford CT 06904 453801216 Radiology CT SHS S Corp 0 0 0.00000 true false false true false false false false false false true true false false false true false false false false Southwest Radiology j 55111 Book Value Stamford Health System k 429067 Book Value The Stamford Hospital c 53923664 Book Value Stamford OBGYN o 85400 Book Value