STAMFORD HEALTH MEDICAL GROUP INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- STAMFORD HEALTH MEDICAL GROUP INC (EIN 27-1648289)
- Tax period
- 2024-10-01 to 2025-09-30
- Filed
- 2026-08-17
- IRS object ID
- 202642299349301319
- Schema version
- 2024v5.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-08-17T10:16:14+00:00 | ReturnTs |
| Tax Period End | 2025-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE MANHATTAN WEST | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 100018604 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 271648289 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STAMFORD HEALTH MEDICAL GROUP INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STAM | BusinessNameControlTxt |
| Phone | 2032767447 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE HOSPITAL PLAZA PO BOX 9317 | AddressLine1Txt |
| City | STAMFORD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06904 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL VEILLETTE | PersonNm |
| Person Title | SVP/CFO | PersonTitleTxt |
| Phone | 2032767447 | PhoneNum |
| Signature | 2026-08-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | NICOLE SOKOLOWSKI | PreparerPersonNm |
| PTIN | P01683199 | PTIN |
| Phone | 2127733000 | PhoneNum |
| Preparation | 2025-08-08 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHAEL VEILLETTE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE HOSPITAL PLAZA PO BOX 9317 | AddressLine1Txt |
| City | STAMFORD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06904 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $267,602,499 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.STAMFORDHEALTH.ORG/SHMG/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2009 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | SUPPORTS THE PROVISION OF PHYSICIAN SERVICES AND OTHER HEALTH PRACTITIONER SERVICES TO THE RESIDENTS OF THE COMMUNITIES SERVED BY STAMFORD HOSPITAL AFFILIATED ORGANIZATIONS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 935 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $102,734,949 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $101,869,039 | CYProgramServiceRevenueAmt |
| PY Investment Income | $445,698 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $148,326,537 | PYOtherRevenueAmt |
| CY Other Revenue | $165,733,460 | CYOtherRevenueAmt |
| PY Total Revenue | $251,507,184 | PYTotalRevenueAmt |
| CY Total Revenue | $267,602,499 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $174,807,330 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $192,141,911 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $76,699,854 | PYOtherExpensesAmt |
| CY Other Expenses | $75,460,588 | CYOtherExpensesAmt |
| PY Total Expenses | $251,507,184 | PYTotalExpensesAmt |
| CY Total Expenses | $267,602,499 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $0 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $0 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $79,645,807 | TotalAssetsBOYAmt |
| Total Assets EOY | $88,563,545 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $84,967,228 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $87,464,259 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$5,321,421 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,099,286 | NetAssetsOrFundBalancesEOYAmt |
| Mission | SUPPORTS THE PROVISION OF PHYSICIAN SERVICES AND OTHER HEALTH PRACTITIONER SERVICES TO THE RESIDENTS OF THE COMMUNITIES SERVED BY STAMFORD HOSPITAL AND AFFILIATED ORGANIZATIONS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $239,586,461 | ExpenseAmt |
| Revenue | $265,833,056 | RevenueAmt |
| Desc | STAMFORD HEALTH MEDICAL GROUP INC. PROVIDES A COMPREHENSIVE ARRAY OF MANAGEMENT SERVICES IN SUPPORT OF PHYSICIAN PRACTICES. | Desc |
| Total Program Service Expenses | $239,586,461 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 88 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 935 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Policies Reference Chapters | false | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CT | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHAEL VEILLETTE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2032761000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE HOSPITAL PLAZA PO BOX 9317 | AddressLine1Txt |
| City | STAMFORD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06904 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| RICHARD MOREL MD | ||||||||
| CHAIRMAN | 38.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BRIANNA SIEGEL MD | ||||||||
| PHYSICIAN | 38.0 | 2.0 | Yes (X) | $253,324 | $0 | $38,410 | ||
| CAROL FUCIGNA MD | ||||||||
| PHYSICIAN DIRECTOR | 38.0 | 2.0 | Yes (X) | $675,768 | $0 | $38,247 | ||
| DANIEL BAL MD | ||||||||
| PHYSICIAN DIRECTOR | 38.0 | 2.0 | Yes (X) | $461,367 | $0 | $31,757 | ||
| MARIA DI GIOVANNI MD | ||||||||
| PHYSICIAN DIRECTOR | 38.0 | 2.0 | Yes (X) | $286,439 | $0 | $39,883 | ||
| MELISSA GOLDSTEIN MD | ||||||||
| PHYSICIAN DIRECTOR | 38.0 | 2.0 | Yes (X) | $482,888 | $0 | $30,893 | ||
| MINA OWLIA MD | ||||||||
| PHYSICIAN DIRECTOR | 38.0 | 2.0 | Yes (X) | $589,705 | $0 | $35,274 | ||
| NICHOLAS FIEBACH MD | ||||||||
| PHYSICIAN (TSH) | 2.0 | 38.0 | Yes (X) | $0 | $666,422 | $56,538 | ||
| RACHEL ALBRIGHT MD | ||||||||
| PHYSICIAN DIRECTOR | 38.0 | 2.0 | Yes (X) | $336,842 | $0 | $25,224 | ||
| RUSSELL TURK MD | ||||||||
| PHYSICIAN DIRECTOR | 38.0 | 2.0 | Yes (X) | $594,200 | $0 | $38,367 | ||
| SHIRA VADEL MD | ||||||||
| PHYSICIAN DIRECTOR | 38.0 | 2.0 | Yes (X) | $309,144 | $0 | $19,042 | ||
| ELIZABETH LONGMORE | ||||||||
| SR. VP OPERATIONS, COO | 20.0 | 20.0 | Yes (X) | $0 | $946,995 | $32,415 | ||
| JOSHUA HERBERT MD | ||||||||
| CO-CMO | 38.0 | 2.0 | Yes (X) | $998,588 | $0 | $40,946 | ||
| KATARZYNA KONOPKA | ||||||||
| COO | 38.0 | 2.0 | Yes (X) | $360,015 | $0 | $31,785 | ||
| RODRIGO ACOSTA MD | ||||||||
| PRESIDENT & CHAIRMAN | 38.0 | 2.0 | Yes (X) | $886,645 | $0 | $35,328 | ||
| WILLIAM HINES MD | ||||||||
| CO-CMO | 38.0 | 2.0 | Yes (X) | $487,349 | $0 | $37,801 | ||
| CRAIG OLIN MD | ||||||||
| PHYSICIAN | 38.0 | 2.0 | $842,185 | $0 | $18,973 | Yes (X) | ||
| JOSHUA LADER MD | ||||||||
| PHYSICIAN | 38.0 | 2.0 | $1,233,795 | $0 | $34,810 | Yes (X) | ||
| KEVIN MILLER MD | ||||||||
| PHYSICIAN | 38.0 | 2.0 | $871,918 | $0 | $28,977 | Yes (X) | ||
| SANDHYA DHRUVAKUMAR MD | ||||||||
| PHYSICIAN DIRECTOR | 38.0 | 2.0 | $998,836 | $0 | $29,751 | Yes (X) | ||
| WILLIAM SYMONS MD | ||||||||
| PHYSICIAN DIRECTOR | 38.0 | 2.0 | $1,117,303 | $0 | $37,990 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $11,786,311 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,613,417 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $682,411 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 255 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | Address Line2ContractorAddress/USAddress/AddressLine2Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|---|
| NORWALK RADIOLOGY CONSULTANTS PC | ||||||
| ONE BRADLEY ROAD | BLDG 600 | WOODBRIDGE | CT | 06525 | PHYSICIAN SERVICES | $13,940,700 |
| PULMONARY ASSOCIATES OF STAMFORD | ||||||
| 29 HOSPITAL PLAZA | SUITE 505 | STAMFORD | CT | 06902 | PHYSICIAN SERVICES | $4,419,301 |
| BROOKEDALE II | ||||||
| 1177 HIGH RIDGE ROAD | SUITE 220-225 | STAMFORD | CT | 06905 | STAFFING SERVICES | $631,727 |
| VAYA WORKFORCE SOLUTIONS LLC | ||||||
| 5930 CORNERSTONE COURT WEST | NESTOR | CA | 92121 | STAFFING SERVICES | $624,088 | |
| THE CHARTIS GROUP LLC | ||||||
| 220 WEST KINZIE | 5TH FLOOR | CHICAGO | IL | 60654 | CONSULTING SERVICES | $332,271 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 19 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICARE | 621110 | $23,429,879 | $23,429,879 |
| PHYSICIAN BILLING | 621110 | $78,439,160 | $78,439,160 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $101,869,039 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,769,443 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,769,443 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,769,443 | TotalRevenueColumnAmt |
| Exclusion | $1,769,443 | ExclusionAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| LOSS TRANSFER TO TSH | 900099 | $107,024,908 | $107,024,908 |
| HOSPITAL INTERCOMPANY AGREEMENT SUBSIDY | 900099 | $29,494,334 | $29,494,334 |
| HOSPITAL PRACTICES SHMG SUBSIDY | 900099 | $18,540,756 | $18,540,756 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,904,019 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,904,019 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $163,964,017 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $267,602,499 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $265,833,056 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,769,443 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,601,430 | TotalAmt |
| Program Services | $4,696,783 | ProgramServicesAmt |
| Management And General | $1,904,647 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,634,169 | TotalAmt |
| Program Services | $148,844,341 | ProgramServicesAmt |
| Management And General | $5,789,828 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,383,074 | TotalAmt |
| Management And General | $4,383,074 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,752,804 | TotalAmt |
| Program Services | $19,595,100 | ProgramServicesAmt |
| Management And General | $157,704 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,770,434 | TotalAmt |
| Program Services | $6,770,434 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $233,463 | TotalAmt |
| Management And General | $233,463 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,018 | TotalAmt |
| Management And General | $88,018 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,951,966 | TotalAmt |
| Program Services | $35,150,103 | ProgramServicesAmt |
| Management And General | $2,801,863 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $651,788 | TotalAmt |
| Program Services | $651,788 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,545,304 | TotalAmt |
| Program Services | $1,992,896 | ProgramServicesAmt |
| Management And General | $552,408 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,205,857 | TotalAmt |
| Program Services | $104,077 | ProgramServicesAmt |
| Management And General | $4,101,780 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,058,843 | TotalAmt |
| Program Services | $9,107,965 | ProgramServicesAmt |
| Management And General | $5,950,878 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,968 | TotalAmt |
| Program Services | $29,596 | ProgramServicesAmt |
| Management And General | $19,372 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,032,784 | TotalAmt |
| Program Services | $2,073,058 | ProgramServicesAmt |
| Management And General | $1,959,726 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,546,392 | TotalAmt |
| Program Services | $2,546,392 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL EXPENSES | $6,031,099 | $6,031,099 | |
| SERVICE CONTRACTS | $1,047,057 | $1,047,057 | |
| CME EXPENSE | $860,021 | $810,021 | $50,000 |
| NON-COLLEGE EDUCATION | $54,476 | $35,536 | $18,940 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,552 | TotalAmt |
| Program Services | $100,215 | ProgramServicesAmt |
| Management And General | $4,337 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $267,602,499 | TotalAmt |
| Program Services | $239,586,461 | ProgramServicesAmt |
| Management And General | $28,016,038 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,979,636 | BOYAmt |
| EOY | $3,389,454 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,058,506 | BOYAmt |
| EOY | $18,527,672 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $904,732 | BOYAmt |
| EOY | $957,229 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,168,223 | BOYAmt |
| EOY | $2,054,632 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $56,974,538 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $34,362,410 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,819,826 | BOYAmt |
| EOY | $22,612,128 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,714,884 | BOYAmt |
| EOY | $41,022,430 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,645,807 | BOYAmt |
| EOY | $88,563,545 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,488,231 | BOYAmt |
| EOY | $27,825,051 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $172,564 | BOYAmt |
| EOY | $63,217 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,306,433 | BOYAmt |
| EOY | $59,575,991 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,967,228 | BOYAmt |
| EOY | $87,464,259 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$5,321,421 | BOYAmt |
| EOY | $1,099,286 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$5,321,421 | BOYAmt |
| EOY | $1,099,286 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,645,807 | BOYAmt |
| EOY | $88,563,545 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $0 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $0 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $6,420,707 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,035,292 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Total | $5,035,292 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $111,324,598 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $106,588,199 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $101,924,011 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $102,734,949 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $101,869,039 | CurrentTaxYearAmt |
| Total | $524,440,796 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $116,359,890 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $106,588,199 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $101,924,011 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $102,734,949 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $101,869,039 | CurrentTaxYearAmt |
| Total | $529,476,088 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $529,476,088 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,331,294 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,429,116 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,464,306 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,767,452 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,769,443 | CurrentTaxYearAmt |
| Total | $7,761,611 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,331,294 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,429,116 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,464,306 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,767,452 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,769,443 | CurrentTaxYearAmt |
| Total | $7,761,611 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $842,246 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,252,071 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,702,432 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,289,750 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,847,455 | CurrentTaxYearAmt |
| Total | $13,933,954 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $118,533,430 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $110,269,386 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $107,090,749 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $107,792,151 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $107,485,937 | CurrentTaxYearAmt |
| Total | $551,171,653 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.96064 | PublicSupportCY509Pct |
| Public Support PY509 | 0.96718 | PublicSupportPY509Pct |
| Investment Income CY | 0.01 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12 OTHER INCOME | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION - MISCELLANEOUS, COLUMN A - 842246.0, COLUMN B - 0.0, COLUMN C - 1804456.0, COLUMN D - 1930211.0, COLUMN E - 35989.0, COLUMN F - 4612902.0; DESCRIPTION - NRC RADIOLOGY MSA INCOME, COLUMN A - 0.0, COLUMN B - 2245971.0, COLUMN C - 1897976.0, COLUMN D - 1359539.0, COLUMN E - 0.0, COLUMN F - 5503486.0; DESCRIPTION - MEDICAL RECORDS ABSTRACTS, COLUMN A - 0.0, COLUMN B - 6100.0, COLUMN C - 0.0, COLUMN D - 0.0, COLUMN E - 0.0, COLUMN F - 6100.0; DESCRIPTION - PHYSICIAN REIMBURSEMENT, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 0.0, COLUMN E - 3811466.0, COLUMN F - 3811466.0; | ExplanationTxt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $29,206,393 | OtherCostOrOtherBasisAmt |
| Depreciation | $21,922,986 | DepreciationAmt |
| Book Value | $7,283,407 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,561,349 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,439,424 | DepreciationAmt |
| Book Value | $10,121,925 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,206,796 | OtherCostOrOtherBasisAmt |
| Book Value | $5,206,796 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $22,612,128 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OPERATING LEASE ASSETS, NET | $40,626,527 |
| DEPOSITS | $79,354 |
| EMPLOYEE LOANS | |
| MISCELLANEOUS | $316,549 |
| PENSION FORFEITURES | |
| INVENTORY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $41,022,430 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| FEDERAL INCOME TAXES | |
| DUE TO AFFILIATES - SHI | $12,150,362 |
| OPERATING LEASE LIABILITY | $38,770,860 |
| OTHER LONG TERM LIABILITIES | |
| OPERATING LEASE LIAB - CURRENT | $8,630,612 |
| LEASE LIABILITY - CLEARING A/C | $24,157 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $59,575,991 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CAROL FUCIGNA MD | ||||||||||||||
| PHYSICIAN DIRECTOR | $675,205 | $0 | $563 | $0 | $0 | $0 | $30,500 | $0 | $7,747 | $0 | $714,015 | $0 | $0 | $0 |
| NICHOLAS FIEBACH MD | ||||||||||||||
| PHYSICIAN (TSH) | $0 | $612,045 | $0 | $54,377 | $0 | $0 | $0 | $30,488 | $0 | $26,050 | $0 | $722,960 | $0 | $0 |
| DANIEL BAL MD | ||||||||||||||
| PHYSICIAN DIRECTOR | $447,099 | $0 | $14,268 | $0 | $0 | $0 | $21,614 | $0 | $10,143 | $0 | $493,124 | $0 | $0 | $0 |
| BRIANNA SIEGEL MD | ||||||||||||||
| PHYSICIAN | $247,684 | $0 | $5,640 | $0 | $0 | $0 | $23,000 | $0 | $15,410 | $0 | $291,734 | $0 | $0 | $0 |
| RACHEL ALBRIGHT MD | ||||||||||||||
| PHYSICIAN DIRECTOR | $335,842 | $0 | $1,000 | $0 | $0 | $0 | $21,400 | $0 | $3,824 | $0 | $362,066 | $0 | $0 | $0 |
| SHIRA VADEL MD | ||||||||||||||
| PHYSICIAN DIRECTOR | $305,019 | $0 | $4,125 | $0 | $0 | $0 | $19,000 | $0 | $42 | $0 | $328,186 | $0 | $0 | $0 |
| MELISSA GOLDSTEIN MD | ||||||||||||||
| PHYSICIAN DIRECTOR | $477,638 | $0 | $5,250 | $0 | $0 | $0 | $20,488 | $0 | $10,405 | $0 | $513,781 | $0 | $0 | $0 |
| RUSSELL TURK MD | ||||||||||||||
| PHYSICIAN DIRECTOR | $590,575 | $0 | $3,625 | $0 | $0 | $0 | $25,131 | $0 | $13,236 | $0 | $632,567 | $0 | $0 | $0 |
| MARIA DI GIOVANNI MD | ||||||||||||||
| PHYSICIAN DIRECTOR | $286,439 | $0 | $0 | $0 | $0 | $0 | $30,500 | $0 | $9,383 | $0 | $326,322 | $0 | $0 | $0 |
| MINA OWLIA MD | ||||||||||||||
| PHYSICIAN DIRECTOR | $552,449 | $0 | $37,256 | $0 | $0 | $0 | $20,488 | $0 | $14,786 | $0 | $624,979 | $0 | $0 | $0 |
| RODRIGO ACOSTA MD | ||||||||||||||
| PRESIDENT & CHAIRMAN | $886,415 | $0 | $230 | $0 | $0 | $0 | $30,004 | $0 | $5,324 | $0 | $921,973 | $0 | $98,840 | $0 |
| JOSHUA HERBERT MD | ||||||||||||||
| CO-CMO | $949,588 | $0 | $49,000 | $0 | $0 | $0 | $27,482 | $0 | $13,464 | $0 | $1,039,534 | $0 | $0 | $0 |
| ELIZABETH LONGMORE | ||||||||||||||
| SR. VP OPERATIONS, COO | $0 | $734,175 | $0 | $212,820 | $0 | $0 | $0 | $20,700 | $0 | $11,715 | $0 | $979,410 | $0 | $67,477 |
| WILLIAM HINES MD | ||||||||||||||
| CO-CMO | $399,669 | $0 | $87,680 | $0 | $0 | $0 | $29,978 | $0 | $7,823 | $0 | $525,150 | $0 | $0 | $0 |
| KATARZYNA KONOPKA | ||||||||||||||
| COO | $311,167 | $0 | $48,848 | $0 | $0 | $0 | $20,121 | $0 | $11,664 | $0 | $391,800 | $0 | $0 | $0 |
| WILLIAM SYMONS MD | ||||||||||||||
| PHYSICIAN DIRECTOR | $1,116,178 | $0 | $1,125 | $0 | $0 | $0 | $23,000 | $0 | $14,990 | $0 | $1,155,293 | $0 | $0 | $0 |
| JOSHUA LADER MD | ||||||||||||||
| PHYSICIAN | $1,225,795 | $0 | $8,000 | $0 | $0 | $0 | $23,000 | $0 | $11,810 | $0 | $1,268,605 | $0 | $0 | $0 |
| CRAIG OLIN MD | ||||||||||||||
| PHYSICIAN | $842,185 | $0 | $0 | $0 | $0 | $0 | $9,500 | $0 | $9,473 | $0 | $861,158 | $0 | $0 | $0 |
| SANDHYA DHRUVAKUMAR MD | ||||||||||||||
| PHYSICIAN DIRECTOR | $993,586 | $0 | $5,250 | $0 | $0 | $0 | $23,000 | $0 | $6,751 | $0 | $1,028,587 | $0 | $0 | $0 |
| KEVIN MILLER MD | ||||||||||||||
| PHYSICIAN | $858,605 | $0 | $13,313 | $0 | $0 | $0 | $17,250 | $0 | $11,727 | $0 | $900,895 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN | FormAndLineReferenceDesc |
| Explanation | THE OFFICERS NOTED BELOW HAD TAXABLE VESTED PROCEEDS IN A 457(F)NON-QUALIFIED DEFERRED COMPENSATION PLAN OF THE LISTED AMOUNTS: ELIZABETH LONGMORE $ 67,477 RODRIGO ACOSTA, M.D $98,840 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS | STAMFORD HEALTH MEDICAL GROUP ('SHMG') IS A CONNECTICUT NONSTOCK CORPORATION. SHMG HAS TWO CLASSES OF MEMBERS. CLASS A MEMBERS ARE THE PHYSICIANS EMPLOYED BY SHMG. THE CLASS B MEMBER IS THE STAMFORD HOSPITAL. |
| FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY | THE BOARD OF DIRECTORS SHALL TOTAL EIGHT MEMBERS. THE INITIAL BOARD WAS SELECTED BY THE INCORPORATOR, AND THEREAFTER THE BOARD WILL BE ELECTED AS FOLLOWS: (A) SEVEN MEMBERS OF THE BOARD OF DIRECTORS SHALL BE ELECTED BY THE CLASS A MEMBERS, SUBJECT TO THE APPROVAL OF THE CLASS B MEMBER, AND (B) ONE MEMBER OF THE BOARD OF DIRECTORS SHALL BE APPOINTED BY THE CLASS B MEMBER. |
| FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS | ALL POWERS OF SHMG SHALL BE EXERCISED BY AND UNDER THE AUTHORITY OF THE BOARD DIRECTORS, EXCEPT THAT THE CLASS B MEMBER SHALL HAVE THE SOLE AUTHORITY TO AMEND THE BYLAWS OF SHMG AND SELECT THE AUDITORS OF SHMG. |
| FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY | STAMFORD HEALTH MEDICAL GROUP (SHMG) HAS A COMPREHENSIVE REVIEW PROCESS IN PLACE RELATING TO THE REVIEW OF FORM 990. PRIOR TO FINALIZATION OF THE 990, MANAGEMENT PROVIDES THE DRAFT OF THE FORM 990 TO THE BOARD OF DIRECTORS. SHMG'S EXTERNAL TAX ACCOUNTANTS ADDRESS ANY SPECIFIC CONCERNS OR QUESTIONS WITH MANAGEMENT AND THE BOARD. THIS REVIEW PROCEDURE HELPS TO ASSURE SOUND REPORTING AND COMPLIANCE WITH TAX LAW. |
| FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY | SHMG, AS A WHOLLY OWNED SUBSIDIARY OF THE STAMFORD HOSPITAL, FOLLOWS THE HOSPITAL'S CONFLICT OF INTEREST POLICY. IT IS THE POLICY TO PROHIBIT ITS EMPLOYEES AND OTHER ASSOCIATES FROM ENGAGING IN ANY ACTIVITY, PRACTICE, OR ACT WHICH CONFLICTS WITH, OR APPEARS TO CONFLICT WITH, THE INTERESTS OF THE ORGANIZATION. EMPLOYEES ARE EXPECTED TO CONDUCT THE BUSINESS OF SHMG TO THE BEST OF THEIR ABILITY AND FOR THE BENEFIT OF SHMG 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, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL | PART VI, LINES 15A & 15B IT IS THE POLICY OF SHMG TO PAY EMPLOYEES FAIR AND COMPETITIVE WAGES. SHMG HAS ADOPTED A WAGE AND SALARY PROGRAM TO ENSURE THAT ALL EMPLOYEES ARE PAID IN RELATION TO THE VALUE OF THE WORK THEY PERFORM. THIS PROGRAM IS REVIEWED ANNUALLY. EXECUTIVE COMPENSATION IS SUBJECT TO A MORE COMPREHENSIVE REVIEW, INCLUDING AN ANNUAL BENCHMARKING ANALYSIS. |
| FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC | SHMG MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. |
| FORM 990, PART VIII, LINE 11D OTHER MISCELLANEOUS REVENUE | INTER CO STAFFING REIMBUR - TOTAL REVENUE: 5056564, RELATED OR EXEMPT FUNCTION REVENUE: 5056564, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; PHYSICIAN REIMBURSEMENT - TOTAL REVENUE: 3811466, RELATED OR EXEMPT FUNCTION REVENUE: 3811466, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; MISCELLANEOUS INCOME - TOTAL REVENUE: 35877, RELATED OR EXEMPT FUNCTION REVENUE: 35877, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; GRANT INCOME - TOTAL REVENUE: 112, RELATED OR EXEMPT FUNCTION REVENUE: 112, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ; |
| FORM 990, PART IX, LINE 11G OTHER FEES | CONSULTING SERVICE - TOTAL EXPENSE: 331810, PROGRAM SERVICE EXPENSE: 118193, MANAGEMENT AND GENERAL EXPENSES: 213617, FUNDRAISING EXPENSES: ; PURCHASED SERVICES - TOTAL EXPENSE: 4236690, PROGRAM SERVICE EXPENSE: 3592444, MANAGEMENT AND GENERAL EXPENSES: 644246, FUNDRAISING EXPENSES: ; PHYSICIAN FEES - TOTAL EXPENSE: 27268926, PROGRAM SERVICE EXPENSE: 27268926, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; COLLECTION FEES - TOTAL EXPENSE: 681342, PROGRAM SERVICE EXPENSE: 681342, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; INTERCOMPANY STAFFING FEES - TOTAL EXPENSE: 3017448, PROGRAM SERVICE EXPENSE: 1089948, MANAGEMENT AND GENERAL EXPENSES: 1927500, FUNDRAISING EXPENSES: ; RECRUITING FEES - TOTAL EXPENSE: 736125, PROGRAM SERVICE EXPENSE: 736125, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; TEMPORARY EMPLOYEE SERVICES - TOTAL EXPENSE: 1679625, PROGRAM SERVICE EXPENSE: 1663125, MANAGEMENT AND GENERAL EXPENSES: 16500, FUNDRAISING EXPENSES: ; |
| FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES | EQUITY TRANSFER - 6421004; MISCELLANEOUS - -297; TOTAL - 6420707; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Public Charity StatusPublicCharityStatusTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| STAMFORD HEALTH INC | ||||||||||
| ONE HOSPITAL PLZ PO BOX 9317 | STAMFORD | CT | 06904 | 222476636 | PARENT | CT | 501(C)(3) | NA | false | |
| THE STAMFORD HOSPITAL | ||||||||||
| ONE HOSPITAL PLZ PO BOX 9317 | STAMFORD | CT | 06904 | 060646917 | HOSPITAL | CT | 501(C)(3) | SHI | Yes (true) | 3 |
| STAMFORD HOSPITAL PHARMACY LLC | ||||||||||
| ONE HOSPITAL PLZ PO BOX 9317 | STAMFORD | CT | 06904 | 873381961 | PHARMACY SERVICES | CT | 501(C)(3) | TSH | false | 10 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| STAMFORD HEALTH INC | ||
| K | $1,044,198 | BOOK VALUE |
| THE STAMFORD HOSPITAL | ||
| J | $124,680 | BOOK VALUE |
| THE STAMFORD HOSPITAL | ||
| K | $1,905,376 | BOOK VALUE |
| THE STAMFORD HOSPITAL | ||
| O | $258,394 | BOOK VALUE |
| THE STAMFORD HOSPITAL | ||
| S | $107,024,908 | BOOK VALUE |
| STAMFORD HEALTH INC | ||
| R | $553,655 | CASH VALUE |
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