STAMFORD HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
STAMFORD HOSPITAL (EIN 06-0646917)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-13
IRS object ID
201422259349302432
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-13T14:24:03-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE SUITE 4000AddressLine1
CityIndianapolisCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN060646917EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1The Stamford HospitalBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% Kevin GageInCareOfName
Name ControlSTAMNameControl
Phone2032761000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line130 Shelburne Rd PO Box 9317AddressLine1
Address Line2SuiteAddressLine2
CityStamfordCity
StateCTState
ZIP Code06902ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKevin GageName
TitleCFOTitle
Date Signed2014-08-06DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKevin Gage CFONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line130 Shelburne Road PO Box 9317AddressLine1
CityStamfordCity
StateCTState
ZIP Code06902ZIPCode
FieldValueIRS element (for citing)
Gross Receipts496004210GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.stamhealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1893YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionOur mission: Together with our physicians we provide a broad range of high quality health and wellness services focused on the needs of our communities.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees2977TotalNbrEmployees
Total Nbr Volunteers697TotalNbrVolunteers
Total Gross UBI7421256TotalGrossUBI
Net Unrelated Business Txbl Income4983998NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year19419411ContributionsGrantsPriorYear
Contributions Grants Current Year12066222ContributionsGrantsCurrentYear
Program Service Revenue Prior Year463409232ProgramServiceRevenuePriorYear
Program Service Revenue CY470829704ProgramServiceRevenueCY
Investment Income Prior Year3440915InvestmentIncomePriorYear
Investment Income Current Year2785873InvestmentIncomeCurrentYear
Other Revenue Prior Year4739985OtherRevenuePriorYear
Other Revenue Current Year4619372OtherRevenueCurrentYear
Total Revenue Prior Year491009543TotalRevenuePriorYear
Total Revenue Current Year490301171TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year227287045SalariesEtcPriorYear
Salaries Etc Current Year245135746SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY159575TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year3450033TotalFundrsngExpCurrentYear
Other Expense Prior Year211325027OtherExpensePriorYear
Other Expenses Current Year206339187OtherExpensesCurrentYear
Total Expenses Prior Year438612072TotalExpensesPriorYear
Total Expenses Current Year451634508TotalExpensesCurrentYear
Revenues Less Expenses Prior Year52397471RevenuesLessExpensesPriorYear
Revenues Less Expenses CY38666663RevenuesLessExpensesCY
Total Assets BOY798097565TotalAssetsBOY
Total Assets EOY797789880TotalAssetsEOY
Total Liabilities BOY637083779TotalLiabilitiesBOY
Total Liabilities EOY589414476TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY161013786NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY208375404NetAssetsOrFundBalancesEOY
Mission DescriptionOur mission: Together with our physicians we provide a broad range of high quality health and wellness services focused on the needs of our communities.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense371947467Expense
Grants669559Grants
Revenue470771708Revenue
DescriptionIN ADDITION TO A 305 BED HOSPITAL FACILITY, THE STAMFORD HOSPITAL (TSH) OPERATES A 225,000 SQUARE FOOT AMBULATORY CARE CENTER (TULLYCENTER) ALSO IN STAMFORD, CT. KEY OPERATING STATISTICS FOR THE YEAR ENDED 9/30/2013 INCLUDE: ADULT AND PEDIATRIC INPATIENTS CARED FOR AND DISCHARGED 14,871; BABIES BORN 2,112; TOTAL INPATIENT DAYS OF CARE PROVIDED 71,656. PATIENTS SEEKING CARE IN THE STAMFORD HOSPITAL EMERGENCY ROOM: ADMITTED FOR INPATIENT TREATMENT 8,094; TREATED AND RELEASED 42,864; TREATED AT TULLY IMMEDIATE CARECENTER 24,863. SURGERIES PERFORMED AT THE HOSPITAL AND TULLY CENTER: 15,217. RADIATION THERAPY PROCEDURES PERFORMED: 64,358.Description
Total Program Service Expense371947467TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingtrueProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096352NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2977NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryBDNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidtruePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCTStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKevin GageNamePerson
Telephone Number2032761000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line130 Shelburne RoadAddressLine1
CityStamfordCity
StateCTState
ZIP Code06902ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Ernest N Abate
Director2.02.0X000
Jay Higham
Director2.02.0X000
Amy C Downer
Director2.02.0X000
Dr Rodrigo Acosta
Physician2.040.0X04113940
Michael Fedele
Director2.02.0X000
David Jahns
Director2.02.0X000
Maryann Keller-Chai
Director2.02.0X000
Brian Grissler
President and CEO38.02.0X1837162036194X
Edwin Ford
Chairman2.02.0X000
Dr Arthur Klein
Director2.02.0X000
Dr Charles Miner
Director2.02.0X000
Dr Neil Dreyer
Director2.02.0X000
Andrew Merrill
Director2.02.0X000
Charles Krause III
Director2.02.0X000
Darryl McCormick
Assistant Secretary38.02.0496946010997X
David Smith
Assistant Secretary38.02.0643134038694X
Kathleen Silard
Assistant Secretary38.02.0777149051103X
Kevin Gage
Treasurer38.02.0730883044506X
Dr Sharon Kiely
Sr. VP, Medical Services38.00.0706585050131X
Dr Michael Coady
Chief Cardiac Surgeon38.00.01178784024215X
Dr Lance Bruck
Chair, Department of OB/GYN38.02.0768158049153X
Dr Steven Horowitz
Chief, Division of Cardiology38.00.0594115048516X
Dr Li Poa
Physician38.00.0260000000X
DR DAN DAVIS
PHYSICIAN38.00.0564832076168X
FieldValueIRS element (for citing)
Total Reportable Comp From Org10897748TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs411394TotalReportableCompFrmRltdOrgs
Total Other Compensation429677TotalOtherCompensation
Number Individuals GT100 K475NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HEMATOLOGY ONCOLOGY P C
34 SHELBURNE RDStamfordCT069023628PHYS. FEES/ONCOLOGY4734446
PATHOLOGY AND LABORATORY SERV LLC
11 RESEARCH DRIVE SUITE 4WOODBRIDGECT065252348Cytology labortatory1131061
SPECIALIZED RECEIVABLES INC
P O Box 12414NewarkNJ071013514Collections1044749
ADELMAN SHEFF AND SMITH LLC
180 ADMIRAL COCHRANE DRAnnapolisMD21401Legal910541
ASHFORTH PROPERTIES CONSTRUCTION
707 Summer StreetStamfordCT069011026Construction767482
FieldValueIRS element (for citing)
Number Of Contractors GT100 K63NumberOfContractorsGT100K
Fundraising Events1365043FundraisingEvents
Government Grants580529GovernmentGrants
All Other Contributions10120650AllOtherContributions
Noncash Contributions375687NoncashContributions
Total Contributions12066222TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
PATIENT REVENUE6213993029961833029961830$0
PHYSICIAN BILLING621111832400483240040$0
WELLNESS AND TRAINING621410326863132686310$0
MEDICARE/MEDICAID PAYMENT6214101488901271488901270$0
REFERENCE LAB INCOME621511735075907350759$0
FieldValueIRS element (for citing)
Total Program Service Revenue470829704TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1702398TotalRevenueColumn
Related Or Exempt Function Income1693476RelatedOrExemptFunctionIncome
Unrelated Business Revenue8922UnrelatedBusinessRevenue

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2955580Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real3901706Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-946126Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-946126TotalRevenueColumn
Unrelated Business Revenue61575UnrelatedBusinessRevenue
Exclusion-$1,007,701ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2615324Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1531849Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1083475Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1083475TotalRevenueColumn
Exclusion$1,083,475ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events235695GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events1365043CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses269484FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-33789TotalRevenueColumn
Exclusion-$33,789ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
MANAGEMENT FEE INCOME532000132676113267610$0
CAFETERIA, COFFEE SHOP722210161320916132090$0
MEANINGFUL USE INCOME621110196108319610830$0

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column698234TotalRevenueColumn
Related Or Exempt Function Income698234RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue5599287TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column490301171TotalRevenueColumn
Related Or Exempt Function Income470771708RelatedOrExemptFunctionIncome
Unrelated Business Revenue7421256UnrelatedBusinessRevenue
Exclusion$41,985ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4301667Total
Program Services657297ProgramServices
Management And General3644370ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total181114365Total
Program Services155307922ProgramServices
Management And General24891221ManagementAndGeneral
Fundraising915222Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total19702774Total
Program Services16575938ProgramServices
Management And General3029566ManagementAndGeneral
Fundraising97270Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total28003825Total
Program Services25441192ProgramServices
Management And General2482915ManagementAndGeneral
Fundraising79718Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total12013115Total
Program Services10106630ProgramServices
Management And General1847178ManagementAndGeneral
Fundraising59307Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total818110Total
Program Services818110ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2130359Total
Program Services102580ProgramServices
Management And General2020680ManagementAndGeneral
Fundraising7099Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total455101Total
Program Services0ProgramServices
Management And General455101ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total120584Total
Program Services0ProgramServices
Management And General120584ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total159575Total
Fundraising159575Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total86999Total
Program Services0ProgramServices
Management And General86999ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total52713579Total
Program Services37174635ProgramServices
Management And General15437334ManagementAndGeneral
Fundraising101610Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total3984893Total
Program Services140458ProgramServices
Management And General2339629ManagementAndGeneral
Fundraising1504806Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total72775575Total
Program Services67698651ProgramServices
Management And General4994300ManagementAndGeneral
Fundraising82624Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total5513654Total
Program Services-242565ProgramServices
Management And General5754536ManagementAndGeneral
Fundraising1683Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total16336203Total
Program Services14648684ProgramServices
Management And General1598426ManagementAndGeneral
Fundraising89093Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total505646Total
Program Services266237ProgramServices
Management And General160266ManagementAndGeneral
Fundraising79143Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total390076Total
Program Services249927ProgramServices
Management And General61006ManagementAndGeneral
Fundraising79143Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total87841Total
Program Services87841ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total23541169Total
Program Services23200851ProgramServices
Management And General340318ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total9812539Total
Program Services9812539ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
SUBSCRIPTIONS, DUES & MEMBER2064620679141136634319136
STATE-FED TAXES204784012852919193110
LOSS ON LEASE OBLIGATIONS1784311017843110
SERVICE CONTRACTS79469587880528066430

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3223130Total
Program Services1212342ProgramServices
Management And General1902614ManagementAndGeneral
Fundraising108174Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total451634508Total
Program Services371947467ProgramServices
Management And General76237008ManagementAndGeneral
Fundraising3450033Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY281828BOY
EOY74647EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY67845792BOY
EOY105669646EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY14776102BOY
EOY16814120EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY64792290BOY
EOY68025724EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5408238BOY
EOY5564103EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5037968BOY
EOY6075378EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis693155314LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec363575763LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY255279912BOY
EOY329579551EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY292893922BOY
EOY201535657EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY16718907BOY
EOY16033884EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY75062606BOY
EOY48417170EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY798097565BOY
EOY797789880EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY88929508BOY
EOY98044582EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY637796BOY
EOY510101EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY379572228BOY
EOY374738602EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY5024265BOY
EOY4443205EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY162919982BOY
EOY111677986EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY637083779BOY
EOY589414476EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY120894359BOY
EOY160465828EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY32086053BOY
EOY39876202EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY8033374BOY
EOY8033374EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY161013786BOY
EOY208375404EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY798097565BOY
EOY797789880EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses38666663ReconcilationRevenueExpenses
Reconciliation Unrealized Invest2536116ReconciliationUnrealizedInvest
Reconcilation Other Changes6158839ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Media Advertisements$0MediaAdvertisementsAmount
Mailings MembersfalseMailingsMembers
Mailings Members$0MailingsMembersAmount
Publications Or BroadcastfalsePublicationsOrBroadcast
Publications Or Broadcast$0PublicationsOrBroadcastAmount
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$120,584GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Direct Contact Legislators$0DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Rallies Demonstrations$0RalliesDemonstrationsAmount
Other ActivitiesfalseOtherActivities
Other Activities$0OtherActivitiesAmount
Total Lobbying Expenditures IIB120584TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE C PART II B LINE 1FIdentifier
Return ReferenceGRANTSReturnReference
ExplanationTHE HOSPITAL CONTRACTS LOBBYING FIRMS WHO LOBBY LEGISLATIVE ACTION ON BEHALF OF THE HOSPITAL AND THE HEALTHCARE INDUSTRY. ADDITIONALLY, THE HOSPITAL PAYS DUES TO ORGANIZATIONS THAT USE A PORTION OF THE DUES FOR HEALTHCARE LOBBYING EXPENSES.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance40118983BeginningOfYearBalance
Contributions8872941Contributions
Investment Earnings Or Losses1284155InvestmentEarningsOrLosses
Other Expenditures2366947OtherExpenditures
End Of Year Balance47909132EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance26695222BeginningOfYearBalance
Contributions16783195Contributions
Investment Earnings Or Losses1162352InvestmentEarningsOrLosses
Grants Or Scholarships4521786GrantsOrScholarships
End Of Year Balance40118983EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance27527319BeginningOfYearBalance
Contributions3087737Contributions
Investment Earnings Or Losses-56132InvestmentEarningsOrLosses
Grants Or Scholarships3863702GrantsOrScholarships
End Of Year Balance26695222EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance28198000BeginningOfYearBalance
Contributions2154945Contributions
Investment Earnings Or Losses874515InvestmentEarningsOrLosses
Other Expenditures3700141OtherExpenditures
End Of Year Balance27527319EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance29311544BeginningOfYearBalance
Contributions2687150Contributions
Investment Earnings Or Losses-864244InvestmentEarningsOrLosses
Other Expenditures2936450OtherExpenditures
End Of Year Balance28198000EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.16860PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.83140TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis43860945OtherCostOrOtherBasis
Book Value43860945BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis181925612OtherCostOrOtherBasis
Depreciation101844837Depreciation
Book Value80080775BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis6714972OtherCostOrOtherBasis
Book Value6714972BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis324572862OtherCostOrOtherBasis
Depreciation254237433Depreciation
Book Value70335429BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis136080923OtherCostOrOtherBasis
Depreciation7493493Depreciation
Book Value128587430BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings329579551TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
DONOR RESTRICTED FUNDS18042243
INVESTMENT IN HEALTHSTAR11898063
MISC. RECEIVABLE7942939
DUE FROM AFFILIATES4671729
DEBT ISSUANCE COSTS4523506
ORGANIZATION COSTS1289667
DEPOSITS49023
FieldValueIRS element (for citing)
Total Book Value Other Assets48417170TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
CHARITABLE GIFT ANNUITY PAYABLE$51,131
EST THIRD PART SETTLEMENTS$7,393,587
PENSION LIABILITY$59,906,883
DUE TO AFFILIATES$23,659,385
EST FOR PROFESSIONAL LIABILITY$10,841,317
LOSS ON LEASE OBLIGATION$9,825,683
FieldValueIRS element (for citing)
Total Of Amounts111677986TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierSchedule D, Part V, Line 4Identifier
ExplanationThe endowment consists of temporarily or permanently restricted contributions received with donor stipulations that limit the use of the donated assets. Temporarily restricted contributions are available for certain health care services as defined in the donor agreements. Permanently restricted net assets are restricted to investments to be held in perpetuity, the income from which is expendable to support health care servicesExplanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegionNumber Of OfficesNumberOfOfficesNumber Of EmployeesNumberOfEmployeesType Of Activities ConductedTypeOfActivitiesConductedSpecific Services ProvidedSpecificServicesProvidedTotal ExpendituresTotalExpenditures
Central America and the Caribbean01Investmentsn/a11898063
Central America and the Caribbean01Program Servicesmalpractice insurance9974500
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees2SubtotalNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees2TotalNumberOfEmployees
Subtotal Amount Spent21872563SubtotalAmountSpent
Total Amount Spent21872563TotalAmountSpent
Transfer To Foreign CorpfalseTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref FundraisingtrueAgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation (2 entries)

Name Of IndividualNameOfIndividualAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeActivityActivityFundraiser Control Of FundsFundraiserControlOfFundsGross ReceiptsGrossReceiptsAmount Retained By ContractorAmountRetainedByContractorNet To OrganizationNetToOrganization
Ghiorsi Sorrenti Inc255 Madison AvenueWykoffNJ07481campaign consultantfalse81926271447158047912
Michael Valentine5 Southerland RoadSavannahGA31411Campaign Advisorfalse2000000148641985136
FieldValueIRS element (for citing)
Total Gross Receipts10192627TotalGrossReceipts
Total Retained By Contractors159579TotalRetainedByContractors
Total Net To Organization10033048TotalNetToOrganization
Licensed StatesCTLicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1WALK, RUN &RIDENameOfEvent1
Gross Receipts Event1807257GrossReceiptsEvent1
Charitable Contributions Event1654632CharitableContributionsEvent1
Gross Revenue Event1152625GrossRevenueEvent1
Non Cash Prizes Event12763NonCashPrizesEvent1
Rent Facility Costs Event13592RentFacilityCostsEvent1
Other Direct Expenses Event133398OtherDirectExpensesEvent1
Name Of Event2DREAM BALLNameOfEvent2
Gross Receipts Event2607981GrossReceiptsEvent2
Charitable Contributions Event2575861CharitableContributionsEvent2
Gross Revenue Event232120GrossRevenueEvent2
Non Cash Prizes Event23133NonCashPrizesEvent2
Rent Facility Costs Event295584RentFacilityCostsEvent2
Other Direct Expenses Event28451OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events185500GrossReceiptsOtherEvents
Charitable Contrib Other Events134550CharitableContribOtherEvents
Gross Revenue Other Events50950GrossRevenueOtherEvents
Non Cash Prizes Other Events8738NonCashPrizesOtherEvents
Rent Facility Costs Other Events50200RentFacilityCostsOtherEvents
Other Direct Expenses Other Events63625OtherDirectExpensesOtherEvents
Gross Receipts Total1600738GrossReceiptsTotal
Charitable Contributions Total1365043CharitableContributionsTotal
Gross Revenue Total Events235695GrossRevenueTotalEvents
Non Cash Prizes Total Events14634NonCashPrizesTotalEvents
Rent Facility Costs Total Events149376RentFacilityCostsTotalEvents
Other Direct Expenses Total Events105474OtherDirectExpensesTotalEvents
Direct Expense Summary Events269484DirectExpenseSummaryEvents
Net Income Summary-33789NetIncomeSummary

Form990 Schedule G Part IV Form990ScheduleGPartIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE G SUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART I, LINE 2B (1), COL VReturnReference
ExplanationTHE AMOUNT OF $144,715 REPORTED INCLUDES $9,617 PAID TO DOUGLAS PICHA CONSULTING FOR THEIR SERVICES WITH THE SAME CAMPAIGN.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailablefalseReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense24950547TotalCommunityBenefitExpense
Direct Offsetting Revenue14607372DirectOffsettingRevenue
Net Community Benefit Expense10343175NetCommunityBenefitExpense
Percent Of Total Expense0.02290PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense84615582TotalCommunityBenefitExpense
Direct Offsetting Revenue38166531DirectOffsettingRevenue
Net Community Benefit Expense46449051NetCommunityBenefitExpense
Percent Of Total Expense0.10280PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense606638TotalCommunityBenefitExpense
Net Community Benefit Expense606638NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense110172767TotalCommunityBenefitExpense
Direct Offsetting Revenue52773903DirectOffsettingRevenue
Net Community Benefit Expense57398864NetCommunityBenefitExpense
Percent Of Total Expense0.12700PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs14NumberOfActivitiesOrPrograms
Persons Served18259PersonsServed
Total Community Benefit Expense3461064TotalCommunityBenefitExpense
Direct Offsetting Revenue500786DirectOffsettingRevenue
Net Community Benefit Expense2960278NetCommunityBenefitExpense
Percent Of Total Expense0.00660PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense51600TotalCommunityBenefitExpense
Net Community Benefit Expense51600NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served182PersonsServed
Total Community Benefit Expense379537TotalCommunityBenefitExpense
Net Community Benefit Expense379537NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs16NumberOfActivitiesOrPrograms
Persons Served18441PersonsServed
Total Community Benefit Expense3892201TotalCommunityBenefitExpense
Direct Offsetting Revenue500786DirectOffsettingRevenue
Net Community Benefit Expense3391415NetCommunityBenefitExpense
Percent Of Total Expense0.00760PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs16NumberOfActivitiesOrPrograms
Persons Served18441PersonsServed
Total Community Benefit Expense114064968TotalCommunityBenefitExpense
Direct Offsetting Revenue53274689DirectOffsettingRevenue
Net Community Benefit Expense60790279NetCommunityBenefitExpense
Percent Of Total Expense0.13460PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served160PersonsServed
Total Community Building Expense161378TotalCommunityBuildingExpense
Direct Offsetting Revenue93562DirectOffsettingRevenue
Net Community Building Expense67816NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served160PersonsServed
Total Community Building Expense161378TotalCommunityBuildingExpense
Direct Offsetting Revenue93562DirectOffsettingRevenue
Net Community Building Expense67816NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$48,497,654BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare83737062AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare105077849CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-21340787MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE STAMFORD HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line130 SHELBURNE RDAddressLine1
CitySTAMFORDCity
StateCTState
ZIP Code06902ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
Teaching HospitalXTeachingHospital
Research FacilityXResearchFacility
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1THE STAMFORD HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent100FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent400.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Schedule H, Part I, LINE 6Disclosure Identifying CostsSupplemental Grant Funding to Optimus Health Care to operate clinics at 1351 Washington Blvd., Stamford, CT. Clinics include primary care, pediatrics, behavioral health as well as Stamford Hospital Specialty Clinics. Total expenses = $2,291,321.
Form 990, Schedule H, Part I, Line 6bA COMMUNITY BENEFIT REPORT IS PREPARED FOR THE STATE OF CONNECTICUT; HOWEVER, THAT REPORT IS NOT MADE AVAILABLE TO THE PUBLIC.
Form 990, Schedule H, Part IICommunity Building ActivitiesTSH, through Ryan White grants, (Parts A and B), administered by Stamford CARES, employs an HIV Nurse Practitioner (DNP, APRN), Adherence Nurse (RN) Counselor, and a Dietician committed to providing HIV specialty primary care services. TSH works in partnership with the City of Stamford HIV Prevention Program and Stamford CARES, a program of Family Centers that provide HIV medical case management. The Hospital's HIV Nurse Practitioner and Adherence Nurse Counselor attended regular case management meetings with Stamford CARES' case managers and other local community services such as substance abuse rehabilitation, mental health, and housing support. TSH also provides office space and medical oversight of the program.
Form 990, Schedule H, Part III, Line 4Text of bad debt expense footnoteACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY 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, THE HOSPITAL 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), THE HOSPITAL 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.
Form 990, Schedule H, Part III, Line 8Treatment of Medicare Shortfall as Community BenefitTO 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.
Form 990, Schedule H, Part III, Line 8Medicare Costing MethodologyTHE COSTING METHODOLOGY USED FOLLOWS THE METHODOLOGY OF THE MEDICARE COST REPORT.
Form 990, Schedule H, Part III, Line 9bApplication of Collection Practices Qualifying for Financial AssistanceALL 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 V, Section B, Line 3 We conducted dozens of interviews to engage the community in the needs assessment process. These interviews captured community perceptions on priority health issues, service gaps, and barriers to access, as well as suggested strategic initiatives to address these issues. In all, nearly 100 people were interviewed, including administrative and clinical staff from Stamford Hospital, representatives from local health and social service agencies, public health officers, other public and elected officials, representatives from advocacy organizations and foundations, members of the clergy, and community residents. We also administered community surveys to get feedback directly from the populations we serve. We mailed surveys to a randomly selected sample of 3,400 households in Lower Fairfield County. We intentionally oversampled the City of Stamford, and especially the low income residents (defined as households with annual household income below $50,000) within Stamford; these populations tend to be harder to reach and, as a result, are often excluded from community health assessment efforts. In total, 1,228 mail surveys were returned to us, a response rate of over 36%. To ensure input was received from low income, racial/ethnic minority, and other vulnerable populations, we also administered the survey through selected community venues, including community health fairs, primary care clinics, faith-based community organizations, and other community centers. The survey was conducted with the help of research assistants, Stamford Hospital volunteers, and volunteers from community organizations who served as translators for respondents who did not speak or read English. The result of this outreach was an additional 271 survey responses. Form 990, Schedule H, Part V, Section B, Line 7 Our Community Health Needs Assessment and Stamford Hospital Community Action Plan for Population Health and Prevention were approved by the Board of Directors in late September 2013. As a result, we were not able to execute any of our proposed community programs addressing the needs identified in our Community Health Needs Assessment during tax year 2013. Form 990, Schedule H, Part V, Section B, Line 20d The maximum amount charged to FAP eligible individuals is calculated based on federal poverty guidelines. Individual family income levels are compared to FPG and total charges are reduced from 100%-60% based on level of income.
Form 990, Schedule H, Part VINeeds assessmentThe stamford hospital ("TSH' or '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 identify needs and develop programs, provide screenings, and promote dissemination of health information. With the stamford health department, TSH sponsored a joint city of stamford ('stamford') wide flu campaign, to promote the health of the community and reduce the number of flu-related hospitalizations and emergency department visits. The campaign included: a joint senior health fair/community projects; sharing vaccine supplies and redistribution to local providers in the event of a shortage; flu hotline; arrangements for vaccination of home bound individuals; and vaccination clinics at both the Stamford health department and TSH Tully Health Center. The hospital clinic was staffed with volunteers and per-diem nursing staff. In fy13, the hospital's outpatient component of this effort totaled 1,900 vaccinations. TSH works with the stamford health department's hiv prevention program and 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. TSH partners with optimus health center (formerly bridgeport community health center), a federally qualified health care center, to create an integrated primary care delivery network for the medically underserved communities in stamford. The hospital provided supplemental support to optimus of $2.3 million in fy13 to ensure its continued viability. Community input and engagement to address childhood obesity is provided through a stamford city-wide task force lead by TSH. This effort focuses on prevention, advocacy, education, and treatment and is a city-wide collaboration that includes stamford public schools, the Stamford health department, early childhood educators, after school programs and community centers and community pediatricians and family medicine practitioners. TSH's kids' fans (kids' fitness and nutrition services) program, promoting physical activity and health conscious nutrition, is a cornerstone of this childhood obesity initiative. Another initiative representative of the collaborative efforts of TSH and community organizations is 'paint the town pink,' a community-wide breast cancer awareness program. 'Paint the town Pink' holds a month-long series of events in october of each year. The stamford 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 physician services ("stamford health dept.") to identify needs and develop programs, provide screenings, and promote dissemination of health information.
Form 990, Schedule H, Part VIPatient education of eligibility for assistanceTHE STAMFORD HOSPITAL USES SEVERAL VENUES TO NOTIFY OUR PATIENTS OF THE AVAILABLE FINANCIAL OPTIONS. 1) SIGNS AND OR BROCHURES ARE 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 * 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: * STAMFORD HOSPITAL HAS A FULL-TIME DSS ST OF CT OUTREACH WORKER ON THE HOSPITAL CAMPUS. * SOCIAL SERVICES DEPARTMENT * CASE MANAGEMENT DEPARTMENT * PATIENT REGISTRATION HAS ONE FULL TIME FINANCIAL COUNSELOR * PATIENT BUSINESS SERVICES HAS ONE BILINGUAL PATIENT ASSISTANCE COORDINATOR AND TWO FULL TIME BILINGUAL FINANCIAL COUNSELORS. * THE DSS OUTREACH WORKER AND A TSH FINANCIAL COUNSELOR HOLD 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 HOSPITALS FINANCIAL ASSISTANCE PROGRAM (FAP) BY THE SOCIAL WORKERS, * PATIENT ASSISTANCE COORDINATOR, FINANCIAL ASSISTANCE COUNSELORS, AND THE DSS LIAISON. 5) NOTIFICATIONS: PATIENTS RECEIVE APPROVAL OR DENIAL LETTERS AND, IF ELIGIBLE, FINANCIAL ASSISTANCE PROGRAM IDENTIFICATION CARDS.
Form 990, Schedule H, Part VICommunity informationTSH 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 system, inc.'s strategic plan. The hospital's combined psa and ssa include an estimated 136,119 households with a total population of 361,760 residents. The psa includes the communities of stamford, darien, and rowayton, with an estimated 51,823 households and a total population of 141,892. Stamford comprises an estimated 45,196 households with a total population of 121,280. The ssa includes the communities of Greenwich, cos cob, riverside, old greenwich, new canaan, norwalk, westport, weston, and wilton, with an estimated 84,296 households and a total population of 219,868. For the psa, 24.4% of the population is estimated to be less than 18 years of age; 38.7% is 18-44; 24.5% is 45-64; and 12.4% is 65 years of age and older. The ssa has a slightly older age distribution with an estimated 25.3% of its population less than 18 years of age; 29.3% is 18-44; 30.8% is 45-64; and 14.6% 65 years of age and older. Regarding race/ethnicity, of the estimated population in the psa,65.6% of residents are white; 22.5% hispanic; 13% black; 7% Asian; and the remainder are multi-racial, native american, pacific islander, and other non-hispanic. Stamford is estimated to have a more racially diverse population than the psa and ssa with the black population representing 15.2% of its total population; the Hispanic population 25.8%; and asian population 7.8%. For the ssa, 83.8% of the total estimated population is white; 12% hispanic ; 5.9% black; 5.1% asian; and the remainder are multi-racial, native american, pacific islander, and other non-hispanic. Although in the psa an estimated 19.2% 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 14.6% of total households with household incomes exceeding $200,000, and 18.3% with household incomes less than $35,000, 28% with incomes less than $50,000. In the ssa, an estimated 27.3% of the total households have household incomes exceeding $200,000, while an estimated 16.7% have household incomes less than $35,000 and 24.3% less than $50,000. The estimated payor mix of the psa is predominantly commercial/private insurance (68.9%), followed by medicare (11.7%); medicaid (9.2%); self pay/uninsured (8.6%); and medicare dual eligible (1.6%). Compared to the psa, stamford has a higher estimated percentage of medicaid at 10.4% and self-pay/uninsured at 9.8%. For the ssa, the estimated payor mix is also primarily commercial/private insurance (74.8%), followed by medicare (12.6%); medicaid (5.7%); self-pay/uninsured (5.3%); and medicare dual eligible (1.6%). The hospital is Ryan White Title I & II HIV/AIDS: TSH, through Ryan White grants, (Parts A and B), administered by Stamford CARES, employs an HIV Nurse Practitioner (DNP, APRN) and Adherence Nurse (RN) Counselor and a Dietician committed to providing HIV specialty primary care services. TSH works in partnership with the City of Stamford HIV Prevention program and Stamford CARES, a program of Family Centers that provides HIV medical case management. The Hospital's HIV Nurse Practitioner and Adherence Nurse Counselor attend regular case management meetings with Stamford CARES case managers and other local community services such as substance abuse rehabilitation, mental health, and housing support. They collaborate with multidisciplinary community service providers on how to best serve each client's needs. TSH provides expertise and supports 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. 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. TSH 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 support from U.S. Dept. of Housing and Urban Development (HUD), 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. In 2013, a community collaborative was formed to further strengthen our relationship with a multidisciplinary group of key stake holders throughout the community to improve health outcomes, address the findings of the community health needs assessment conducted by TSH in partnership with the City of Stamford health and social services department.
Form 990, Schedule H, Part VIPromotion of community healthThe Stamford Hospital ("TSH" or the "hospital") provided a variety of programs that benefited the community. These programs included, for example, health screenings, immunization programs, social services and support counseling for patients and families, crisis intervention, community health education, and the donation of space for use by community groups. Health education programs provided by the Hospital for the benefit of the community included: smoking cessation; weight loss; stress management; and programs focused on such specific health factors or disease entities such as heart disease, breast cancer sleep disorders, arthritis, high cholesterol, cancer prevention, nutrition, stress management, circulatory problems, digestive disorders, pain management, sports injuries, and children's nutrition. TSH offered a Mini-Medical School, a free, six-week series of lectures by volunteer physicians focusing on common disease states and available treatments. Topics include anesthesiology, cancer, cardiology, gastroenterology, general anatomy, gynecology, infectious diseases, integrative medicine, medical decision-making, pulmonary medicine and orthopedics. In Spring and Fall of 2013 a total of 640 people attended the classes. Hospital staff provided services at community health fairs and served as speakers at various community groups on lifestyle/health improvement topics. In Fiscal Years 2012 and 2013, TSH participated in 149 community health events; conducted 9 screenings, with total attendance of 21,257. The events included health fairs at community centers, senior centers, religious institutions, and schools; physician presentations as well as career days, school tours and informational special events. Other highlights of community health education and outreach activities provided in FY2013 are as follows: Asthma Education: TSH 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. The Hospital also held educational events that focused on Pediatric asthma. Cancer: In 2013, Stamford Hospital's Carl & Dorothy Bennett Cancer Center continued to build on its reputation for delivering expert care in a warm, nurturing environment. A major achievement included the formation of the Cancer Center's own Patie and Family Advisory Council (PFAC), which is consistent with the Hospital's Plane tree philosophy of patient-centered care. With members that include staff, cancer survivors and caregivers, the goal of the PFAC is to continue to improve the care and services offered at the Bennett Cancer Center. Additionally, the Bennett Cancer Center teamed up with Oncology Rehab Partners to bring the STAR (Survivorship Training & Rehabilitation) Programs to its patients. STAR is a nationally recognized cancer survivorship program that focuses on helping survivors heal physically and emotionally. Physicians and staff began training in 2013; the program will be implemented in 2014. 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. Direct mail is used 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 through out the year for the community include topics focused on raising awareness about the dangers of sun exposure and risks for skin cancer, direct mail initiatives and programs to underscore the importance of screening and early detection of colorectal cancers, 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 Freedom From Smoking Quit for Good classes year-round. Nutrition programs, led by a registered dietitian, are offered through out the year.
Form 990, Schedule H, Part VICancer Screenings/Mammography: Stamford Hospital's Mobile Wellness Center offered mammography screening to the community at no Cost to patients who are underinsured. The Mobile Mammography Program also offers mammography screenings to corporations. In FY13 2530 women received mammograms, of which 1062 were performed at no cost. 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. Other key 2013 accomplishments for the Bennett Cancer Center include: Stamford Hospital's Cancer Program was awarded the Gold Award by the American College of Surgeons Commission on Cancer . 100% of the outpatient nurses at the Bennett Cancer Center achieved Oncology Nursing Certification. The Medical Oncologists at the Bennett Cancer center were recognized by the Quality Oncology Practice Initiative (QOPI) Certification Program, an affiliate of the American Society of Clinical Oncology (ASCO). The QOPI Certification Program provides a three-year certification for outpatient hematology-oncology practices that meet the highest standards for quality cancer care. 6% of newly diagnosed patients were enrolled in Clinical Trials TSH Manager of Cancer Support Services at the Bennett Cancer Center, received the 2013 Oncology Social Worker of the Year Award from the Association of Oncology Social Work (AOSW). The prestigious award recognizes an oncology social worker who provides exemplary commitment to the delivery of compassionate patient care. Community-Based Clinical Care: The Hospital continues to employ the physicians and mid-level providers who work in the primary care centers. Optimus employs all other staff. The benefits of this transition are: 1) the creation of an integrated primary care delivery network for the medically underserved communities in Stamford; 2) access to federal programs to support the expansion of the primary care center's services to include pharmacy and dental; and 3) to ensure the availability of the primary care centers as ambulatory care training venues for the Hospital's residency programs. The Hospital provided supplemental support to Optimus of $2.3 million in FY 2013 to ensure its continued viability. Emergency Services and Education: Stamford's EMS Institute, a Department of TSH, 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. TSH EMS Institute also collaborated with SEMS. Regarding disaster preparedness, the Hospital's staff worked with regional agencies to coordinate emergency plans and conducted joint simulation drills. Heart Disease Education: TSH provided education about risk factors and lifestyle behaviors that contribute to heart disease and stroke. The Hospital provided screenings for cardiovascular disease as part of its mobile coach. In addition, the Hospital supported community events addressing heart disease, including 397 cardiac risk assessment screenings at the Take Heart event in February, which is heart month. Presentations by physicians on women's heart health, controlling high blood pressure and stress, were also conducted throughout the year at businesses and community centers.
Form 990, Schedule H, Part VINutrition/Weight Management Education/Fitness & Exercise: TSH Pediatrics integrates its childhood obesity prevention program, KIDS' FANS (Kids'Fitness and Nutrition Services), into community health education initiatives. KIDS' Fans promotes physical activity and health conscious nutrition through advocacy, education, intervention and treatment. Since 2008, 1,300 children have received 12 weeks of nutrition education and physical activity. The KIDS' FANS message is integrated into TSH community health education programs conducted at health fairs, schools and community centers. Education through cooking classes, restaurant engagement and healthy shopping activities at grocery stores and outreach to parent leader groups provide connections and linkages through the community. Chaired by Madhu Mathur, MD, MPH, a pediatrician board certified in obesity medicine, a city-wide, volunteer task force led by TSH focuses on prevention, advocacy, education, treatment, and research. This collaboration of 41 member organizations includes Stamford Public Schools, the City of Stamford Health and Social Services Department, ("Stamford Health Department"), early childhood educators, after school programs and community centers, community pediatricians and family medicine practicioners. Outreach/Senior Citizens: The Hospital provided on going support and speakers for senior women at the Yerwood Community Center; stroke risk assessments and screenings, with counseling; and lectures at community centers in Stamford, Darien and New Canaan, CT. Speakers focused on awareness about the risks of stroke and heart disease and congestive heart failure; provided education on healthy eating, diabetes and digestive disorders. TSH conducted over 550 free blood pressure screenings at senior centers in 2013.
Form 990, Schedule H, Part VIChildren and Youth with Special Health Care Needs:Medical home initiative covering southwest CT addresses the special healthcare needs of children and youth in the region, meeting their medical, social and emotional needs and provides linkages to community resources and family support networks. Families are provided assistance with care coordination, securing specialist appointments, transportation, and funding for medicines. In 2013, 1,778 children were served, 515 of whom were high complexity. Southwest PMHI is focused on prevention targeting obesity, mental health and promoting early literacy, working closely with the Stamford hospital-led KIDS' FANS (KIDS' Fitness and Nutrition services) Initiative. Ryan White Title I & II HIV/A IDS:TSH, through Ryan White grants, (Parts A and B), administered by Stamford CARES, employs an HIV Nurse Practitioner (APRN) and Adherence Nurse (RN) Counselor and a Dietician committed to providing HIV specialty primary care services. TSH works in partnership with the City of Stamford HIV Prevention program and Stamford CARES, a program of Family Centers that provides HIV medical case management. The Hospital's HIV Nurse Practitioner an Adherence Nurse Counselor attended regular case management meetings with Stamford CARES case managers and other local community services such as substance abuse rehabilitation, mental health, and housing support. They collaborate with multidisciplinary community service providers on how to best serve each client's needs. community services such as substance abuse rehabilitation, mental health, and housing support. They collaborate with multidisciplinary community service providers on how to best serve each client's needs. community services such as substance abuse rehabilitation, mental health, and housing support. They collaborate with multidisciplinary community service providers on how to best serve each client's needs.
Form 990, Schedule H, Part VIState filing of community benefit reportA community benefit report is prepared for the state of connecticut; however, that report is not made available to the public.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Darryl McCormick
Assistant Secretary3801480102668014130000109970507943000
David Smith
Assistant Secretary43227201008030110059000386940681828000
Kathleen Silard
Assistant Secretary54490201421400901070125090385940828252000
Kevin Gage
Treasurer51422701357160809400155080289980775389000
Dr Sharon Kiely
Sr. VP, Medical Services51999001373070492880124370376940756716000
Dr Michael Coady
Chief Cardiac Surgeon763288033885207664401364201057301202999000
Dr Lance Bruck
Chair, Department of OB/GYN51545202397440129620136790354740817311000
Dr Steven Horowitz
Chief, Division of Cardiology579924000141910132720352440642631000
Dr Rodrigo Acosta
Physician0383574026000018200000041139400
Dr Li Poa
Physician26000000000000002600000000
Brian Grissler
President and CEO945941034555305456680003619401873356000
DR DAN DAVIS
PHYSICIAN56483200000170000591680641000000

Form990 Schedule J Part III Form990ScheduleJPartIII (7 entries)

IdentifierIdentifierExplanationExplanation
Schedule J, Part I, Line 1aAs per Company Policy, all noncash imputable benefits are to be processed in a grossed-up method with applicable wage and taxes reported on W2's for all employees. Housing allowances are provided to certain senior executives as part of their compensation.
Schedule J Part 1 Line 3IT 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. 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.
Schedule J, Part I, Line 4aDr. Andrew Snyder, SHIP President Last day of employment - 11/18/2011 Continuation of Salary - 15 months at base pay effective 11/18/2011 the last 7 1/2 months was offset by compensation earned by the employee.
Schedule J, Part I, Line 4aDr. Robert Debara Last day of employment - 3/20/13 Severence payments began - 6/07/13 to be paid over 16 months totaling $573,708.
Schedule J, Part I, Line 4bThe CEO received a payment of $342,746 from the supplemental executive retirement plan.
Schedule J, Part I, Line 6bBONUSES ARE CALCULATED BASED ON VARIOUS PERFORMANCE FACTORS INCLUDING PRODUCTIVITY MEASURES AND FINANCIAL INDICATORS AS DEFINED BY CONTRACTUAL AGREEMENTS. TOTAL COMPENSATION IS REVIEWED TO ENSURE AMOUNTS DO NOT EXCEED FAIR MARKET VALUE AS DETERMINED BY EXTERNAL SURVEY DATA. EXCEED FAIR MARKET VALUE AS DETERMINED BY EXTERNAL SURVEY DATA.
Schedule J, Part IIIDr. Li Poa's compensation was a payout of his employment contract.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
STATE OF CT HEALTH AND EDUCATION FAC AUTHORities
A0608061862077443P82010-05-27133992115SCHEDULE K, PART VIfalsefalsefalse
STATE OF CT HEALTH AND EDUCATION FAC AUTHORITIES
B06080618620774YKQ92012-06-20254620769CONSTRUCTION OF NEW HOSPITAL FACILfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A001339950690002057323002483526010710246802011truefalsetruetrue
B002546207690363509960293559700846704560167014716falsefalsefalse

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
Afalsefalsetruetruefalse0falsefalsefalsetrue
Bfalsefalsetruetruefalse0falsefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
0
Afalsefalsefalsefalsefalsefalsefalse0false
0
Bfalsefalsefalsefalsefalsefalsefalse0falsetrue

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Afalse
Btrue

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Schedule K, Part I, Line A0STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY BONDS WERE ISSUED 5/27/10 TO: 1) REFUND THE 11/13/96, 03/24/99, 6/03/08 AND 05/28/09 BOND ISSUES AND COMMERCIAL LOANS. 2) FINANCE ROUTINE RENOVATIONS AND OTHER CAPITAL EXPENDITURES AND 3) FINANCE DEVELOPMENT AND CONSTRUCTION OF NEW HOSPITAL FACILITY
Schedule K, Part II, Line 30There is a $3,000 variance between the proceeds of issue and the issue price due to investment earnings.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonSHR1 LLCNamePerson
FieldValueIRS element (for citing)
Relationshipbusiness relationshipRelationship
Amount Of Transaction38289AmountOfTransaction
Description Of TransactionSHR1 LEASES SPACE TO STAMFORDDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierSCHEDULE L, PART IVIdentifier
Return ReferenceBUSINESS TRANSACTIONSReturnReference
ExplanationSHR1, LLC LEASES SPACE TO THE HOSPITAL. DOUGLAS MILNE, FORMER DIRECTOR IS A 50% OWNER OF THE COMPANY. MR. MILNE SOLD HIS INTEREST IN THE SHR1, LLC IN OCTOBER 2012.Explanation

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions9NumberOfContributions
Noncash Contribs Rptd F99078187NoncashContribsRptdF990
Method Of Determining RevenuesSelling PriceMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential

Real Estate Commercial RealEstateCommercial

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990297500NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Question 11THE STAMFORD HOSPITAL HAS A COMPREHENSIVE REVIEW PROCESS IN PLACE RELATING TO THE REVIEW OF FORM 990. PRIOR TO FINALIZATION OF THE 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, Question 12cIT IS THE POLICY OF THE STAMFORD HOSPITAL TO PROHIBIT ITS EMPLOYEES AND OTHER ASSOCIATES FROM ENGAGING IN ANY ACTIVITY, PRACTICE, OR ACT WHICH CONFLICTS WITH, OR APPEARS TO CONFLICT WITH, THE INTERESTS OF THE STAMFORD HOSPITAL, OR ITS PATIENTS. EMPLOYEES ARE EXPECTED TO CONDUCT THE BUSINESS OF THE STAMFORD HOSPITAL TO THE BEST OF THEIR ABILITY AND FOR THE BENEFIT OF THE STAMFORD HOSPITAL AND ITS PATIENTS. THE POLICY ALSO REQUIRES BOARD MEMBERS, OFFICERS, SENIOR LEADERS, MEDICAL STAFF LEADERS, COMMITTEE MEMBERS AND OTHER INDIVIDUALS AS APPROPRIATE TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST THEY OR THEIR IMMEDIATE FAMILY MAY HAVE ON AN ANNUAL BASIS. SURVEYS ARE DISTRIBUTED ANNUALLY AND TIMELY RECEIPT IS MONITORED BY THE HOSPITAL'S COMPLIANCE DEPARTMENT.
Form 990, Part VI, Questions 15A & 15BIT IS THE POLICY OF THE STAMFORD HOSPITAL TO PAY EMPLOYEES FAIR AND COMPETITIVE WAGES. THE HOSPITAL HAS ADOPTED A WAGE AND SALARY PROGRAM TO ENSURE THAT ALL EMPLOYEES ARE PAID IN RELATION TO THE VALUE OF THE WORK THEY PERFORM. THIS PROGRAM IS REVIEWED ANNUALLY. EXECUTIVE COMPENSATION IS SUBJECT TO A MORE COMPREHENSIVE REVIEW, INCLUDING AN ANNUAL BENCHMARKING ANALYSIS AND BOARD-LEVEL APPROVAL PROCESS.
Form 990, Part VI, Question 19THE STAMFORD HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GPURCHASED SERVICES 18,751,074 PHYSICIAN FEES 10,441,790 Intercompany Staffing fees 2,888,525 TEMP NURSING PERSONNEL 2,474,853 Other 1,438,733 CONSULTING SERVICE 711,481 DATA PROCESSING FEES 323,538 COLLECTION FEES 141,310 Archiving expense 3,332 Total 37,174,635
PART XI, LINE 5RECONCILIATION OF NET ASSETS PENSION RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST - 60,087,503 EQUITY TRANSFER TO SHIP - (53,928,664) TOTAL 6,158,839

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
36 GROVE ST NEW CANAAN LLC
30 Shelburne RDStamfordCT06902274941529MED RENTALSCT1268735420950TSH
24 GROVE ST NEW CANAAN LLC
30 Shelburne RDStamfordCT06902274941167MED RENTALSCT-145626850494TSH

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Stamford Health System Inc
30 Shelburne RDStamfordCT06902222476636HOSP PARENTCT501 (C)(3)11, Type INAfalse
The Stamford Hospital Foundation
30 Shelburne RDStamfordCT06902222478748FundraisingCT501 (C)(3)9SHStrue
Stamford Health Intergrated Practices
30 Shelburne RDStamfordCT06902271648289Medical SVCSCT501 (C)(3)9TSHtrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPercentage OwnershipPercentageOwnership
Miller Hall Medical Suites
166 W Broad StreetStamfordCT06904061619978Prof Office BldgCTSHSC Corp00
Stamford ObGYN Associates
30 Shelburne RDStamfordCT06902061330879Obstetrical CareCTSHSC Corp00
Healthstar Indemnity Co Limited
Self InsuranceCTTSHC Corp243800068461000FB PERRY BUILDING40 CHURCH STHAMILTONBD1.00000
Southwest Connecticut Radiology
30 Shelburne RDStamfordCT06902453801216RadiologyCTSHSS Corp
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Stamford Health Intergated Practices Inc
b53923664book value
Southwest Connecticut Radiology
r500000cash value
Southwest Connecticut Radiology
s1200000cash value
Healthstar Indemnity Company
q3064082book value
Healthstar Indemnity Company
s9974496book value
Stamford Health System Inc
k213418book value
Stamford Health System Inc
s100000cash value
Stamford Health System Inc
p1184639book value
Stamford Health System Inc
o65698Book Value

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