STAMFORD HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
STAMFORD HOSPITAL (EIN 06-0646917)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-15
IRS object ID
201202289349302325
Schema version
2010v3.7
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)
Timestamp2012-08-15T12:45:35-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

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 2600AddressLine1
CityIndianapolisCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN060646917EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE STAMFORD HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTAMNameControl
Phone2032761000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line130 Shelburne Rd PO Box 9317AddressLine1
CityStamfordCity
StateCTState
ZIP Code06904ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKEVIN E GAGEName
TitleCFOTitle
Date Signed2012-08-14DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Rd PO Box 9317AddressLine1
CityStamfordCity
StateCTState
ZIP Code06902ZIPCode
FieldValueIRS element (for citing)
Gross Receipts502869766GrossReceipts
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 Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees2958TotalNbrEmployees
Total Nbr Volunteers604TotalNbrVolunteers
Total Gross UBI6770901TotalGrossUBI
Net Unrelated Business Txbl Income4369698NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4441131ContributionsGrantsPriorYear
Contributions Grants Current Year5656742ContributionsGrantsCurrentYear
Program Service Revenue Prior Year446013568ProgramServiceRevenuePriorYear
Program Service Revenue CY485857948ProgramServiceRevenueCY
Investment Income Prior Year1786211InvestmentIncomePriorYear
Investment Income Current Year1229027InvestmentIncomeCurrentYear
Other Revenue Prior Year1901820OtherRevenuePriorYear
Other Revenue Current Year2454910OtherRevenueCurrentYear
Total Revenue Prior Year454142730TotalRevenuePriorYear
Total Revenue Current Year495198627TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2291321GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year208347845SalariesEtcPriorYear
Salaries Etc Current Year221586026SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year2806595TotalFundrsngExpCurrentYear
Other Expense Prior Year219009654OtherExpensePriorYear
Other Expenses Current Year236025215OtherExpensesCurrentYear
Total Expenses Prior Year429648820TotalExpensesPriorYear
Total Expenses Current Year457611241TotalExpensesCurrentYear
Revenues Less Expenses Prior Year24493910RevenuesLessExpensesPriorYear
Revenues Less Expenses CY37587386RevenuesLessExpensesCY
Total Assets BOY425031425TotalAssetsBOY
Total Assets EOY475861907TotalAssetsEOY
Total Liabilities BOY315448765TotalLiabilitiesBOY
Total Liabilities EOY340662907TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY109582660NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY135199000NetAssetsOrFundBalancesEOY
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
Expense396115902Expense
Grants2291321Grants
Revenue481119938Revenue
DescriptionIn addition to a 305 Bed Hospital facility, The Stamford Hospital (TSH) operates a 225,000 square foot ambulatory Care center (Tully Center) also in Stamford, CT. Key operating statistics for the year ended 9/30/2011 include: Adult and pediatric inpatients cared for and discharged 14,940; Babies born 2,072; Total inpatient days of care provided 74,442. Patients seeking care in the Stamford Hospital emergency room: Admitted for Inpatient treatment 8,175; treated and released 40,316; treated at Tully Immediate Care Center 21,232. Surgeries performed at the Hospital and Tully Center: 11,727 (inpatient 2,392; outpatient 9,335). Radiation Therapy procedures performed: 13,162.Description
Total Program Service Expense396115902TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
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 ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
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 With1096351NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2958NumberOfEmployees
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 Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
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 GAGE CFONamePerson
Telephone Number2032761000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line130 SHELBURNE RDAddressLine1
CityStamfordCity
StateCTState
ZIP Code06902ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Mr Brian Grissler
President and CEO37.5XX1829716030336
Mr Douglas Milne III
Chairman2.0X000
Mr Edwin Ford
Director2.0X000
Dr Arthur Klein
Director2.0X000
Dr Charles Miner
Director2.0X000
Dr Neil Dreyer
Director2.0X000
Dr Dorothy A Levine
Director2.0X000
Mr Andrew Merrill
Director2.0X000
Mr Charles Krause III
Director2.0X000
Mr David R Nissen
Director2.0X000
Mr Elliot S Jaffe
Director2.0X000
Mr Ernest N Abate
Director2.0X000
Mr Jay Higham
Director2.0X000
Dr Allen Troy
Director2.0X000
Ms Amy C Downer
Director2.0X000
Ms Suzanne B Peters
Director2.0X000
Mr Darryl McCormick
Assistant Secretary37.5X461456073495
Mr David Smith
Assistant Secretary37.5X639948092577
Mrs Kathleen Silard
Assistant Secretary37.5X6597200100173
Mr Kevin Gage
Treasurer37.5X649788094596
Dr Sharon Kiely
Sr. VP, Medical Services37.5610663084305X
Dr John Rodis
Sr. VP, Medical Services37.54435890130132X
Dr Michael Coady
Chief Cardiac Surgeon37.51095854020438X
Dr Lance Bruck
Chair, Department of OB/GYN37.5566685042586X
Dr Steven Horowitz
Chief, Divion of Cardiology37.5550210042586X
Dr Timothy Hall
Chair, Department of Surgery37.5801254038969X
Dr Andrew Snyder
VP, Ambulatory Services37.5725174066330X
FieldValueIRS element (for citing)
Total Reportable Comp From Org9034057TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation816523TotalOtherCompensation
Number Individuals GT100 K421NumberIndividualsGT100K
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 PC
34 SHELBURNE RDSTAMFORDCT069023628PHYSICIAN FEES3913559
SPECIALIZED RECEIVABLES INC
PO BOX 12414NEWARKNJ071013514COLLECTIONS1273448
MEDGUEST LTD
PO BOX 102467ATLANTAGA30368TRANSACTION SERVICES1083758
PETRA CONSTRUCTION CORPORATION
98 REBESCHI DRNORTH HAVENCT06473CONSTRUCTION1619688
ASHFORTH PROPERTIES CONSTRUCTION
707 SUMMER STSTAMFORDCT069011026CIP VENDOR1382727
FieldValueIRS element (for citing)
Number Of Contractors GT100 K54NumberOfContractorsGT100K
Fundraising Events1505857FundraisingEvents
Government Grants629488GovernmentGrants
All Other Contributions3521397AllOtherContributions
Noncash Contributions55726NoncashContributions
Total Contributions5656742TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT REVENUE621400334453063334453063
PHYSICIAN BILLING6211101223000812230008
WELLNESS AND TRAINING62140032041243204124
MEDICARE/MEDICAID PAYMENTS621400129270567129270567
REF LAB INCOME62150067001866700186
FieldValueIRS element (for citing)
Total Program Service Revenue485857948TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1968058TotalRevenueColumn
Related Or Exempt Function Income1962176RelatedOrExemptFunctionIncome
Unrelated Business Revenue5882UnrelatedBusinessRevenue

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)
Real2689655Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real3943884Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-1254229Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-1254229TotalRevenueColumn
Unrelated Business Revenue64833UnrelatedBusinessRevenue
Exclusion-$1,319,062ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2611571Securities
Other22500Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3373102Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-761531Securities
Other22500Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-739031TotalRevenueColumn
Exclusion-$739,031ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events296778GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events1505857CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses354153FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-57375TotalRevenueColumn
Exclusion-$57,375ExclusionAmount

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 ColumnTotalRevenueColumnExclusionExclusionAmount
MEDICAL RESIDENT FICA REFUND9000991398832$1,398,832
MANAGEMENT FEES722210596521$596,521
CAFETERIA AND COFFEE SHOP5320001451225$1,451,225

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column319936TotalRevenueColumn
Exclusion$319,936ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue3766514TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column495198627TotalRevenueColumn
Related Or Exempt Function Income481119938RelatedOrExemptFunctionIncome
Unrelated Business Revenue6770901UnrelatedBusinessRevenue
Exclusion$1,651,046ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4045351Total
Program Services582313ProgramServices
Management And General3463038ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total168501388Total
Program Services149046217ProgramServices
Management And General18664967ManagementAndGeneral
Fundraising790204Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total18882254Total
Program Services16374254ProgramServices
Management And General2421526ManagementAndGeneral
Fundraising86474Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total18662910Total
Program Services16184044ProgramServices
Management And General2393396ManagementAndGeneral
Fundraising85470Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total11494123Total
Program Services9967571ProgramServices
Management And General1473918ManagementAndGeneral
Fundraising52634Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total950636Total
Program Services922447ProgramServices
Management And General28189ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2189572Total
Program Services70129ProgramServices
Management And General2119443ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total387725Total
Management And General387725ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total106770Total
Management And General106770ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total2365030Total
Program Services2291321ProgramServices
Management And General73709ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total42056026Total
Program Services28909921ProgramServices
Management And General13067826ManagementAndGeneral
Fundraising78279Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total3140992Total
Program Services2037813ProgramServices
Management And General67482ManagementAndGeneral
Fundraising1035697Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total63839062Total
Program Services61317606ProgramServices
Management And General2399668ManagementAndGeneral
Fundraising121788Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total5224064Total
Program Services-16278ProgramServices
Management And General5240342ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total17402149Total
Program Services15755773ProgramServices
Management And General1516469ManagementAndGeneral
Fundraising129907Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total524520Total
Program Services278022ProgramServices
Management And General188931ManagementAndGeneral
Fundraising57567Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total414692Total
Program Services269552ProgramServices
Management And General87573ManagementAndGeneral
Fundraising57567Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total166352Total
Program Services166352ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total25944360Total
Program Services25136122ProgramServices
Management And General615662ManagementAndGeneral
Fundraising192576Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total9870200Total
Program Services9870200ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Provision for Bad Debts4736005347360053
Taxes17813931840711597322
SUBSCRIPTIONS, DUES & MEMBER175539663428511161514960
Recruiting1392675348971357778
Service Contracts770538576776641627705

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1448163Total
Program Services1061553ProgramServices
Management And General300843ManagementAndGeneral
Fundraising85767Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total457611241Total
Program Services396115902ProgramServices
Management And General58688744ManagementAndGeneral
Fundraising2806595Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4888803BOY
EOY151382EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY44415329BOY
EOY80541399EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1046751BOY
EOY608061EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY50691447BOY
EOY58871844EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4741479BOY
EOY5243405EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4093933BOY
EOY3608897EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis555714444LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec313200599LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY239320942BOY
EOY242513845EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY19407006BOY
EOY15674580EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY19982207BOY
EOY18094444EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY36443528BOY
EOY50554050EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY425031425BOY
EOY475861907EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY59522392BOY
EOY71075513EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY379601BOY
EOY806805EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY133964425BOY
EOY129662012EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY562033BOY
EOY5380916EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY121020314BOY
EOY133737661EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY315448765BOY
EOY340662907EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY82054898BOY
EOY108503626EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY19494388BOY
EOY18662000EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY8033374BOY
EOY8033374EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY109582660BOY
EOY135199000EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY425031425BOY
EOY475861907EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses37587386ReconcilationRevenueExpenses
Reconcilation Other Changes-11971046ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$106,770GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB106770TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE C, SUPPLEMENTAL INFORMATIONIdentifier
Return ReferenceSCHEDULE C PART II-B, LINE FReturnReference
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 Balance27527319BeginningOfYearBalance
Contributions3087737Contributions
Investment Earnings Or Losses-56132InvestmentEarningsOrLosses
Other Expenditures3863702OtherExpenditures
End Of Year Balance26695222EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance29311544BeginningOfYearBalance
Contributions2687150Contributions
Investment Earnings Or Losses-864244InvestmentEarningsOrLosses
Other Expenditures2936450OtherExpenditures
End Of Year Balance28198000EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.30090PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.69910TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis42662000OtherCostOrOtherBasis
Book Value42662000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis175779044OtherCostOrOtherBasis
Depreciation86576450Depreciation
Book Value89202594BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis6702752OtherCostOrOtherBasis
Depreciation3187238Depreciation
Book Value3515514BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis303362668OtherCostOrOtherBasis
Depreciation220765167Depreciation
Book Value82597501BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis27207980OtherCostOrOtherBasis
Depreciation2671744Depreciation
Book Value24536236BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings242513845TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
Miscellaneous Receivable6336582
Donor Restricted Funds18642243
Inv in Healthstar11898063
Due from Affliates11607661
Debt Issuance Costs2020479
Deposits49023
FieldValueIRS element (for citing)
Total Book Value Other Assets50554050TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
Charitable Gift Annuity Payable$152,481
Est Third Party Settlements$11,284,381
Pension Liability$88,274,020
Due to Affiliates$23,955,423
Est for Professional Liability$10,071,356
FieldValueIRS element (for citing)
Total Of Amounts133737661TotalOfAmounts

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1WALK, RUN, RIDENameOfEvent1
Gross Receipts Event1832167GrossReceiptsEvent1
Charitable Contributions Event1696267CharitableContributionsEvent1
Gross Revenue Event1135900GrossRevenueEvent1
Non Cash Prizes Event118836NonCashPrizesEvent1
Other Direct Expenses Event125743OtherDirectExpensesEvent1
Name Of Event2DREAM BALLNameOfEvent2
Gross Receipts Event2725348GrossReceiptsEvent2
Charitable Contributions Event2675040CharitableContributionsEvent2
Gross Revenue Event250308GrossRevenueEvent2
Non Cash Prizes Event25310NonCashPrizesEvent2
Rent Facility Costs Event2205128RentFacilityCostsEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events245120GrossReceiptsOtherEvents
Charitable Contrib Other Events134550CharitableContribOtherEvents
Gross Revenue Other Events110570GrossRevenueOtherEvents
Non Cash Prizes Other Events7366NonCashPrizesOtherEvents
Rent Facility Costs Other Events41000RentFacilityCostsOtherEvents
Other Direct Expenses Other Events50770OtherDirectExpensesOtherEvents
Gross Receipts Total1802635GrossReceiptsTotal
Charitable Contributions Total1505857CharitableContributionsTotal
Gross Revenue Total Events296778GrossRevenueTotalEvents
Non Cash Prizes Total Events31512NonCashPrizesTotalEvents
Rent Facility Costs Total Events246128RentFacilityCostsTotalEvents
Other Direct Expenses Total Events76513OtherDirectExpensesTotalEvents
Direct Expense Summary Events354153DirectExpenseSummaryEvents
Net Income Summary-57375NetIncomeSummary

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)
Persons Served11496PersonsServed
Total Community Benefit Expense8176032TotalCommunityBenefitExpense
Direct Offsetting Revenue5577589DirectOffsettingRevenue
Net Community Benefit Expense2598443NetCommunityBenefitExpense
Percent Of Total Expense0.00630PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense54450460TotalCommunityBenefitExpense
Direct Offsetting Revenue28079037DirectOffsettingRevenue
Net Community Benefit Expense26371423NetCommunityBenefitExpense
Percent Of Total Expense0.06430PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense2291321TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense2291321NetCommunityBenefitExpense
Percent Of Total Expense0.00560PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served11496PersonsServed
Total Community Benefit Expense64917813TotalCommunityBenefitExpense
Direct Offsetting Revenue33656626DirectOffsettingRevenue
Net Community Benefit Expense31261187NetCommunityBenefitExpense
Percent Of Total Expense0.07620PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served14671PersonsServed
Total Community Benefit Expense4582406TotalCommunityBenefitExpense
Direct Offsetting Revenue22347DirectOffsettingRevenue
Net Community Benefit Expense4560059NetCommunityBenefitExpense
Percent Of Total Expense0.01110PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served14671PersonsServed
Total Community Benefit Expense4582406TotalCommunityBenefitExpense
Direct Offsetting Revenue22347DirectOffsettingRevenue
Net Community Benefit Expense4560059NetCommunityBenefitExpense
Percent Of Total Expense0.01110PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served26167PersonsServed
Total Community Benefit Expense69500219TotalCommunityBenefitExpense
Direct Offsetting Revenue33678973DirectOffsettingRevenue
Net Community Benefit Expense35821246NetCommunityBenefitExpense
Percent Of Total Expense0.08730PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$14,160,656BadDebtExpenseAmount
Amount Attributable To248111AmountAttributableTo
Amount Reimbursed By Medicare77092637AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare104341539CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-27248902MedicareSurplusOrShortfall

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

Form990 Schedule H Part VI Form990ScheduleHPartVI (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE H SUPPLEMENTAL INFORMATIONPART I, LINE 6AA COMMUNITY BENEFIT REPORT IS PREPARED FOR THE PREPARED FOR THE STATE OF CONNECTICUT; HOWEVER, THAT REPORT IS NOT MADE AVAILABLE TO THE PUBLIC. PART III, LINE 4 ACCOUNTS 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. PART III, LINE 8 TO THE EXTENT THERE IS A MEDICARE "SHORTFALL", THE HOSPITAL HAS PROVIDED SERVICES AND IS REIMBURSED LESS THAN THE COST OF THOSE SERVICES. THIS TRANSFER OF VALUE BENEFITS THE PATIENT AND THE COMMUNITY. THE COSTING METHODOLOGY USED FOLLOWS THE METHODOLOGY OF THE MEDICARE COST REPORT. PART III, LINE 9B ALL COLLECTION EFFORTS CEASE AT ANY POINT IN THE PROCESS IF THE PATIENT APPLIES FOR FREE BED FUNDS OR FINANCIAL ASSISTANCE. NEEDS ASSESSMENT THE STAMFORD HOSPITAL ("SH" 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, SH SPONSORED A JOINT CITY OF STAMFORD ("STAMFORD")-WIDE FLU CAMPAIGN, TO REDUCE THE NUMBER OF HOSPITALIZATIONS AND EMERGENCY DEPARTMENT VISITS. THE CAMPAIGN INCLUDED: A JOINT SENIOR HEALTH FAIR/COMMUNITY PROJECTS; A COMMON ELECTRONIC DATABASE; SHARED VACCINE SUPPLIES AND REDISTRIBUTION TO LOCAL PROVIDERS; FLU HOTLINE; ARRANGEMENTS FOR VACCINATION OF HOMEBOUND INDIVIDUALS; AND VACCINATION CLINICS AT THE STAMFORD HEALTH DEPT. AND HOSPITAL STAFFED WITH VOLUNTEERS AND CROSS-OVER STAFFING. IN FY11, THE HOSPITAL'S OUTPATIENT COMPONENT OF THIS EFFORT TOTALED 10,786 VACCINATIONS. SH COLLABORATES WITH THE STAMFORD HEALTH DEPARTMENT'S HIV PREVENTION PROGRAM AND STAMFORD CARES, A PROGRAM OF FAMILY CENTERS THAT PROVIDES HIV MEDICAL CASE MANAGEMENT. ALSO, THIS COLLABORATION 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. SH PARTNERS WITH OPTIMUMS 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 OPTIMUMS OF $2,291,321 IN FY11 TO ENSURE ITS CONTINUED VIABILITY. THE HOSPITAL COLLABORATES WITH THE FAIRFIELD COUNTY CHAPTER OF THE LINKS, INC. ("LINKS"), WHICH IS PART OF AN INTERNATIONAL VOLUNTEER SERVICE ORGANIZATION OF OVER TEN THOUSAND (10,000) AFRICAN -AMERICAN WOMEN COMMITTED TO ENHANCING THE QUALITY OF LIFE IN THEIR COMMUNITIES. THIS LOCAL PARTNERSHIP IDENTIFIES THE MOST EFFECTIVE WAYS TO DEVELOP AND IMPLEMENT INITIATIVES AIMED AT RAISING AWARENESS ABOUT THE UNIQUE HEALTH CONCERNS THAT DISPROPORTIONATELY AFFECT AFRICAN- AMERICANS AND INDIVIDUALS OF COLOR. COMMUNITY INPUT TO PREVENT CHILDHOOD OBESITY IS PROVIDED THROUGH A STAMFORD CITY-WIDE TASK FORCE LEAD BY SH. THIS EFFORT FOCUSES ON PREVENTION, ADVOCACY, TREATMENT, AND RESEARCH, AND IS A CITY-WIDE COLLABORATION THAT NOW INCLUDES STAMFORD PUBLIC SCHOOLS, THE STAMFORD HEALTH DEPARTMENT, EARLY CHILDHOOD EDUCATORS, AND COMMUNITY PEDIATRICIANS AND FAMILY MEDICINE PRACTITIONERS. SH'S KIDS' FANS (KIDS' FITNESS AND NUTRITION SERVICES) PROGRAM, PROMOTING PHYSICAL ACTIVITY AND HEALTH CONSCIOUS NUTRITION, IS A CORNERSTONE OF THIS CHILDHOOD OBESITY INITIATIVE. KIDS' FANS RECEIVED THE 2010 CONNECTICUT'S HOSPITAL COMMUNITY SERVICE AWARD. SPONSORED BY THE CONNECTICUT HOSPITAL ASSOCIATION AND THE CONNECTICUT DEPARTMENT OF PUBLIC HEALTH, THE AWARD RECOGNIZED A HOSPITAL IN THE STATE THAT MADE AN OUTSTANDING CONTRIBUTION TO ITS COMMUNITY, PARTICULARLY FOR A PROGRAM OR SERVICE TARGETED TOWARD A PARTICULAR SEGMENT OF ITS COMMUNITY. SH WAS HONORED FOR TACKLING THE SERIOUS ISSUE OF CHILDHOOD OBESITY IN SOUTHWESTERN CT. ANOTHER INITIATIVE REPRESENTATIVE OF THE COLLABORATIVE EFFORTS OF SH 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. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE 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 CO-COORDINATOR AND TWO FULL TIME BILINGUAL FINANCIAL COUNSELORS. THE DSS OUTREACH WORKER AND A SH FINANCIAL COUNSELOR HOLD EDUCATIONAL AND COUNSELING SESSIONS IN THE OPTIMUMS CLINICS AND STAMFORD HOSPITAL ONCE PER WEEK. HAND-OUTS ARE PROVIDED TO PATIENTS BY THE FINANCIAL COUNSELORS AT THE HOSPITAL 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 CO-COORDINATOR, FINANCIAL ASSISTANCE COUNSELORS, AND THE DSS LIAISON. 5) NOTIFICATIONS: PATIENTS RECEIVE APPROVAL OR DENIAL LETTERS AND, IF ELIGIBLE, FINANCIAL ASSISTANCE PROGRAM IDENTIFICATION CARDS. COMMUNITY INFORMATION SH 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 135,511 HOUSEHOLDS WITH A TOTAL POPULATION OF 361,418 RESIDENTS. THE PSA INCLUDES THE COMMUNITIES OF STAMFORD, DARIEN, AND ROWAYTON, WITH AN ESTIMATED 54,392 HOUSEHOLDS AND A TOTAL POPULATION OF 143,122. STAMFORD COMPRISES AN ESTIMATED 46,195 HOUSEHOLDS WITH A TOTAL POPULATION OF 119,294. THE SSA INCLUDES THE COMMUNITIES OF GREENWICH, COS COB, RIVERSIDE, OLD GREENWICH, NEW CANAAN, NORWALK, WESTPORT, WESTON, AND WILTON, WITH AN ESTIMATED 81,119 HOUSEHOLDS AND A TOTAL POPULATION OF 218,296. FOR THE PSA, 24% OF THE POPULATION IS ESTIMATED TO BE LESS THAN 18 YEARS OF AGE; 34.7% IS 18-44; 27.8% IS 45-64; AND 13.5% IS 65 YEARS OF AGE AND OLDER. THE SSA HAS A SLIGHTLY OLDER AGE DISTRIBUTION WITH AN ESTIMATED 25.7% OF ITS POPULATION LESS THAN 18 YEARS OF AGE; 29.2% IS 18-44; 30.7% IS 45-64; AND 14.4% 65 YE
STATE FILING OF COMMUNITY BENEFIT REPORT990 SCHEDULE H, PART VICT,

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 PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
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)

Base 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
Mr Brian Grissler
935335033822305561570003033601860052000
Mr Darryl McCormick
3478160100193013447065307081880534951000
Mr David Smith
397837011020101319100597410328360732525000
Mrs Kathleen Silard
48528701385000359330673370328360759893000
Mr Kevin Gage
47740501322410401420700420245540744384000
Dr Sharon Kiely
46301201193010283500514690328360694968000
Dr Michael Coady
72019202858790897830122500818801116292000
Dr Lance Bruck
4933750600000133100122500303360609271000
Dr Steven Horowitz
54168400085250122500303360592796000
Dr Timothy Hall
2965620350000469692098000291700840224000
Dr John Rodis
30109800014249101150120151200573721000
Dr Andrew Snyder
33243107223103205120461060202240791504000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSCHEDULE J, SUPPLEMENTAL INFORMATIONIdentifier
ExplanationSTAMFORD HOSPITAL PROVIDED BENEFITS, SUCH AS TAX INDEMNIFICATION GROSS-UP PAYMENTS AND HOUSING/RESIDENCE ALLOWANCE TO CERTAIN EMPLOYEES. ALL BENEFITS WERE TREATED AS TAXABLE COMPENSATION WHEN REQUIRED. SCHEDULE J, PART I, LINE 4A TIMOTHY HALL - FORMER CHAIR, DEPARTMENT OF SURGERY RECEIVED $308,784 SEVERANCE.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1SEE SCHEDULE OBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN060806186IssuerEIN
CUSIP Number20774U3P8CUSIPNumber
Date Issued2010-05-27DateIssued
Issue Price133992115IssuePrice
Description Of PurposeSee Schedule ODescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds133995069TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds2057323IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures24835260CapitalExpenditures
Other Spent Proceeds105745505OtherSpentProceeds
Amount Unspent1356981AmountUnspent
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadefalseFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedtrueBondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Superintegrated HedgefalseSuperintegratedHedge
Hedge TerminatedfalseHedgeTerminated
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonSHR 1 LLCNamePerson
FieldValueIRS element (for citing)
RelationshipBusiness RelationshipRelationship
Amount Of Transaction459473AmountOfTransaction
Description Of TransactionPlease see Sch L, PART VDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierSCHEDULE L SUPPLEMENTAL INFORMATIONIdentifier
Return ReferenceSCHEDULE L, PART IV, COLUMN DReturnReference
ExplanationSHR1, LLC LEASES SPACE TO THE HOSPITAL. DOUGLAS MILNE, DIRECTOR IS A 50% OWNER OF SHR1, LLC.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 F99055726NoncashContribsRptdF990
Method Of Determining Revenuescost/selling 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 CommercialRealEstateCommercial
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 (17 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Supplemental InformationPART VI, QUESTION 11 THE 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 BOARD OF DIRECTORS FOR FINAL 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. PART VI, QUESTION 12C IT IS THE POLICY OF 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 HOSPITAL, OR ITS PATIENTS. EMPLOYEES ARE EXPECTED TO CONDUCT THE BUSINESS OF THE HOSPITAL TO THE BEST OF THEIR ABILITY AND FOR THE BENEFIT OF THE 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. PART VI, QUESTION 15A AND 15B IT IS THE POLICY OF THE STAMFORD HOSPITAL TO PAY EMPLOYEES FAIR AND COMPETITIVE WAGES. THE HOSPITAL HAS ADOPTED A WAGE AND SALARY PROGRAM TO ENSURE THAT ALL EMPLOYEES ARE PAID IN RELATION TO THE VALUE OF THE WORK THEY PERFORM. THIS PROGRAM IS REVIEWED ANNUALLY. EXECUTIVE COMPENSATION IS SUBJECT TO A MORE COMPREHENSIVE REVIEW, INCLUDING AN ANNUAL BENCHMARKING ANALYSIS AND BOARD-LEVEL APPROVAL PROCESS. FORM 990, PART VI, QUESTION 19 THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST PART XI, LINE 5 RECONCILIATION OF NET ASSETS PENSION RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST - (13,080,163) EQUITY TRANSFER FROM SHS - 1,340,000 OTHER - (230,883) TOTAL - (11,971,046) SCHEDULE K SUPPLEMENTAL INFORMATION SCHEDULE K, PART I, LINE A (A) ISSUER NAME: STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY (D) 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; 2) FINANCE ROUTINE RENOVATIONS AND OTHER CAPITAL EXPENDITURES; AND 3) FINANCE DEVELOPMENT AND CONSTRUCTION OF NEW FACILITY.
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Mr. Brian Grissler TITLE:President and CEO HOURS:7FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Mr. Douglas Milne, III TITLE:Chairman HOURS:2FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Mr. Edwin Ford TITLE:Director HOURS:2FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Dr. Arthur Klein TITLE:Director HOURS:2FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Dr. Charles Miner TITLE:Director HOURS:2FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Dr. Neil Dreyer TITLE:Director HOURS:2FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Mr. Andrew Merrill TITLE:Director HOURS:2FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Mr. Charles Krause, III TITLE:Director HOURS:2FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Mr. Elliot S. Jaffe TITLE:Director HOURS:2FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Mr. Ernest N. Abate TITLE:Director HOURS:2FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Mr. Jay Higham TITLE:Director HOURS:2FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Ms. Suzanne B. Peters TITLE:Director HOURS:2FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Mr. Darryl McCormick TITLE:Assistant Secretary HOURS:5FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Mr. David Smith TITLE:Assistant Secretary HOURS:7FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Mrs. Kathleen Silard TITLE:Assistant Secretary HOURS:5FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Mr. Kevin Gage TITLE:Treasurer HOURS:7FORM 990 PART VII

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 Street New Canaan LLC
30 Shelburne RdStamfordCT06904274941529MED RENTALSCT3412750TSH
24 Grove Street New Canaan LLC
30 Shelburne RdStamfordCT06904274941167MED RENTALSCT281590TSH

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Stamford Health System
30 Shelburne RdStamfordCT06904222476636Hosp ParentCT501(c)(3)11, TYPE INA
The Stamford Hospital Foundation
30 Shelburne RdStamfordCT06904222478748FundraisingCT501(c)(3)9SHS
Stamford Health Intergrated Practices
30 Shelburne RdStamfordCT06904271648289Medical SvcsCT501(c)(3)9TSH
Cont Care Retirement Comm of Gr Stamford
30 Shelburne RdStamfordCT06904061402215Retiremt CtrCT501(c)(3)9SHS

Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
Miller Hall Medical Suites
166 W Broad StreetStamfordCT06904061619978PROF OFFICE BLDGCTSHSC corp000.00000
Stamford ObGyn Associates
30 Shelburne RdStamfordCT06904061330879Obstetrical CareCTSHSC corp000.00000
Fairfield County Surgical Specialists
30 Shelburne RdStamfordCT06904205234062Surgical ServicesCTSHSC corp000.00000
Premier Medical Group
230 Weschester AveHarrisonNY10604263467761ORTHO/REHAB CARENYSHIPS corp000.00000
Fairfield County Primary Care
30 Shelburne RdStamfordCT06904262903051PRIM URGENT CARECTSHSC corp000.00000
Healthstar Indemnity Co Limited
Self-InsuranceTSHC corp3552000574530001.00000FB PERRY BUILDING 40 CHURCH STHAMILTONBERMUDABDBD
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
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 OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
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 (12 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Fairfield County Surgical Specialist
a39061
Fairfield County Surgical Specialist
P577908
Fairfield County Surgical Specialist
C277850
Healthstar
O10012500
Healthstar
P437829
Premier Medical Group
H200000
Premier Medical Group
p309907
Stamford Health Integrated Services
B1167796
Stamford Health Integrated Services
H196457
Stamford Health Integrated Services
p971339
Stamford Health System
J448595
Stamford Health System
q5630000

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