TY 2014 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Adolf DiBiasio........................................................................ DIRECTOR	2.0 .......................2.0	X			0	0	0
(2) David Jahns........................................................................ DIRECTOR	2.0 .......................2.0	X			0	0	0
(3) Maryann Keller-Chai........................................................................ DIRECTOR	2.0 .......................2.0	X			0	0	0
(4) Arthur A Klein MD........................................................................ DIRECTOR	2.0 .......................2.0	X			0	0	0
(5) CHARLES MINER MD........................................................................ DIRECTOR	2.0 .......................38.0	X			0	215,856	47,601
(6) GERALD B RAKOS MD........................................................................ DIRECTOR	38.0 .......................2.0	X			483,570	0	35,251
(7) Suzanne Beitel........................................................................ Director	2.0 .......................2.0	X			0	0	0
(8) Terrance P Berland........................................................................ Director	2.0 .......................2.0	X			0	0	0
(9) Joshua Herbert MD........................................................................ Director	2.0 .......................38.0	X			0	201,691	25,067
(10) Michael Fedele........................................................................ Chairman	2.0 .......................2.0	X	X		0	0	0
(11) Andrew M Merrill........................................................................ Vice Chairman	2.0 .......................2.0	X	X		0	0	0
(12) Brian Grissler........................................................................ President & CEO	38.0 .......................2.0	X	X		1,908,274	0	158,111
(13) Kevin Gage........................................................................ TREASURER/CFO	38.0 .......................2.0		X		881,667	0	48,976
(14) Darryl McCormick........................................................................ Asst. Secretary	38.0 .......................2.0		X		526,243	0	60,407
(15) David L Smith........................................................................ Asst. Secretary	38.0 .......................2.0		X		548,388	0	80,935
(16) Kathleen A Silard........................................................................ Asst. Secretary	38.0 .......................2.0		X		775,017	0	63,854
(17) Michael Coady MD........................................................................ CHIEF CARDIAC SURGEON	38.0 .......................0.0			X	926,722	0	25,638

(A) Name and business address	(B) Description of services	(C) Compensation
SKANSKA USA BUILDING INC, 545 LONG WHARF DR 6TH FLOOR New Haven,CT06511	Construction	110,916,791
SODEXO INC AFFILIATES, PO BOX 360170 Pittsburgh,PA12251	MANAGEMENT SERVICES	10,333,159
HEMATOLOGY ONCOLOGY ASSOC PC, 34 SHELBURNE RD Stamford,CT06902	PHYSICIAN FEES/ONCOL	4,400,216
SODEXO CTM INC, PO BOX 415000 Nashville,TN37421	BIOMEDICAL ENG MANAG	2,598,325
OPTIMUS HEALTHCARE, 982 EAST MAIN STREET BRIDGEPORT,CT06608	STAMFORD/BRIDGPORT C	2,598,325
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 306

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	0	0
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....	0	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............	0	0
4	Benefits paid to or for members ....	0	0
5	Compensation of current officers, directors, trustees, and key employees ....	5,123,159	483,570	4,639,589	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0	0	0	0
7	Other salaries and wages ....	182,774,562	157,259,064	24,175,454	1,340,044
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	15,915,675	13,361,421	2,440,747	113,507
9	Other employee benefits .......	19,959,793	16,756,511	3,060,933	142,349
10	Payroll taxes ...........	12,453,665	10,455,017	1,909,831	88,817
11	Fees for services (non-employees):
a	Management ......	590,560	590,560	0	0
b	Legal .........	2,225,406	140,569	1,913,414	171,423
c	Accounting ...........	369,334	3,993	365,341	0
d	Lobbying ...........	147,562	0	147,562	0
e	Professional fundraising services. See Part IV, line 17	219,806			219,806
f	Investment management fees ......	143,475	0	143,475	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	52,888,530	38,860,341	13,872,240	155,949
12	Advertising and promotion ....	3,202,990	194,830	1,684,198	1,323,962
13	Office expenses .......	79,090,341	74,241,272	4,765,092	83,977
14	Information technology ......	5,721,019	112,824	5,607,322	873
15	Royalties ..	0	0	0	0
16	Occupancy ...........	16,934,888	15,364,282	1,448,210	122,396
17	Travel ............	416,293	211,891	129,083	75,319
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0	0	0	0
19	Conferences, conventions, and meetings ....	332,505	201,342	55,844	75,319
20	Interest ...........	38,047	38,047	0	0
21	Payments to affiliates .......	0	0	0	0
22	Depreciation, depletion, and amortization .....	22,531,400	22,205,680	325,720	0
23	Insurance ..............	6,937,521	6,937,521	0	0
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	SERVICE CONTRACTS	6,063,264	6,005,760	0	57,504
b	STATE-FED INCOME TAXES	1,862,572	1,955	1,860,617	0
c	SUBSCRIPTIONS DUES-MBRSHP	1,934,670	282,305	1,643,979	8,386
d	RECRUITING	1,147,319	0	1,147,319	0
e	All other expenses	4,821,894	4,279,959	407,207	134,728
25	Total functional expenses. Add lines 1 through 24e	443,846,250	367,988,714	71,743,177	4,114,359
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).	0

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	166,718	1	53,693
2	Savings and temporary cash investments .........	101,284,928	2	127,234,047
3	Pledges and grants receivable, net ...........	25,771,987	3	28,893,864
4	Accounts receivable, net .............	68,966,813	4	72,726,998
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
		0	6	0
7	Notes and loans receivable, net .............	0	7	0
8	Inventories for sale or use ..............	6,402,714	8	7,429,778
9	Prepaid expenses and deferred charges ..........	6,029,216	9	7,573,399
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	911,081,258
b	Less: accumulated depreciation .....	10b	373,304,489	415,158,646	10c	537,776,769
11	Investments—publicly traded securities ..........	121,026,075	11	56,182,532
12	Investments—other securities. See Part IV, line 11 .....	19,007,978	12	24,378,481
13	Investments—program-related. See Part IV, line 11 .....	0	13	0
14	Intangible assets ...............	0	14	0
15	Other assets. See Part IV, line 11 ...........	47,381,494	15	43,715,233
16	Total assets. Add lines 1 through 15 (must equal line 34)......	811,196,569	16	905,964,794
	17	Accounts payable and accrued expenses .........	103,822,599	17	107,717,272
18	Grants payable .................	0	18	0
19	Deferred revenue ................	667,807	19	732,509
20	Tax-exempt bond liabilities .............	369,677,861	20	364,390,147
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....	3,857,445	24	3,582,642
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	114,364,286	25	120,068,725
26	Total liabilities. Add lines 17 through 25.........	592,389,998	26	596,491,295
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	151,392,178	27	218,716,388
28	Temporarily restricted net assets ...........	59,053,144	28	82,312,016
29	Permanently restricted net assets ...........	8,361,249	29	8,445,095
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	218,806,571	33	309,473,499
34	Total liabilities and net assets/fund balances ........	811,196,569	34	905,964,794

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

THE STAMFORD HOSPITAL

Employer identification number

06-0646917

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............................

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2013. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2013. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Name of the organization

THE STAMFORD HOSPITAL

Employer identification number

06-0646917

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 2

Name of organization THE STAMFORD HOSPITAL

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 3

Name of organization THE STAMFORD HOSPITAL

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 4

Name of organization
THE STAMFORD HOSPITAL

Employer identification number

06-0646917

Part III

Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

THE STAMFORD HOSPITAL

Employer identification number

06-0646917

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2014

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2014

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

147,562

Total. Add lines 1c through 1i ...............................

147,562

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
SCHEDULE C, PART II, LINE 1F	GRANTS FOR LOBBYING THE 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.

Schedule C (Form 990 or 990EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

THE STAMFORD HOSPITAL

Employer identification number

06-0646917

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2014

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII .......

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	67,414,074	47,909,132	40,118,983	26,695,222	27,527,319
b	Contributions ........	25,541,845	20,339,806	8,872,941	16,783,195	3,087,737
c	Net investment earnings, gains, and losses	-104,189	1,151,928	1,284,155	1,162,352	-56,132
d	Grants or scholarships .....				4,521,786	3,863,702
e	Other expenditures for facilities and programs ........	2,094,938	1,986,792	2,366,947
f	Administrative expenses ....
g	End of year balance ......	90,756,792	67,414,074	47,909,132	40,118,983	26,695,222

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

9.370 %

Temporarily restricted endowment SchDMd Bullet

90.630 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	43,860,944		43,860,944
b	Buildings ................	174,974,944	103,040,696	71,934,248
c	Leasehold improvements ............	9,991,785	6,047,979	3,943,806
d	Equipment ................	337,113,708	260,834,471	76,279,237
e	Other .................	345,139,877	3,381,343	341,758,534
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				537,776,769

Schedule D (Form 990) 2014

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes		0
Pension Liability		77,424,320
Due to Affiliates		22,774,536
Est for Professional Liability		9,943,721
Est Third Part Settlements		9,863,972
Charitable Gift Annuity Payable		62,176




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		120,068,725
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2014

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

SCHEDULE D, PART V, LINE 4

THE ENDOWMENT CONSISTS OF TEMPORARILY OR PERMANENTLY RESTRICTED CONTRIBUTIONS RECEIVED WITH DONOR STIPULATIONS THAT LIMIT THE USE OF THE DONATED ASSETS. TEMPORARILY RESTRICTED CONTRIBUTIONS ARE AVAILABLE FOR CERTAIN HEALTH CARE SERVICES AS DEFINED IN THE DONOR AGREEMENTS. PERMANENTLY RESTRICTED NET ASSETS ARE RESTRICTED TO INVESTMENTS TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS EXPENDABLE TO SUPPORT HEALTH CARE SERVICES.

Schedule D (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization
THE STAMFORD HOSPITAL

Employer identification number

06-0646917

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants

and other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria

used to award the grants or assistance? ...........................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for and investments in region
	Central America and the Caribbean	1	Investments	n/a	11,893,063
	Central America and the Caribbean	1	Program Services	MALPRACTICE INSURANCE	9,540,500















3a	Sub-total .....	2			21,433,563
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	2			21,433,563

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2014

Schedule F (Form 990) 2014

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(a)(c) Region	(b)(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .... MediumBullet

Enter total number of other organizations or entities ....................... MediumBullet

Schedule F (Form 990) 2014

Schedule F (Form 990) 2014Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2014

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2014

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation

Schedule F (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization
THE STAMFORD HOSPITAL

Employer identification number

06-0646917

Part I

Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17. Form 990-EZ

filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

Yes

If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)		(ii) Activity	(iii) Did fundraiser have custody or control of contributions?		(iv) Gross receipts from activity	(v) Amount paid to (or retained by) fundraiser listed in col. (i)	(vi) Amount paid to (or retained by) organization
			Yes	No
	GHIORSI SORRENTI INC	CONSULTANT		No	36,178,670	151,633	36,008,821
	DOUG PICHA CONSULTANTS	CONSULTANT		No	36,178,670	18,216	36,008,821








Total .................					72,357,340	169,849	72,017,642

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2014

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 WALK RUN RIDE (event type)	(b) Event #2 DREAM BALL (event type)	(c) Other events 2 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . .	804,718	708,311	180,421	1,693,450
2	Less: Contributions . .	652,268	675,511	142,471	1,470,250
3	Gross income (line 1 minus line 2) . . .	152,450	32,800	37,950	223,200
4	Cash prizes . . .	0	0	0	0
5	Noncash prizes . .	968	16,666	6,723	24,357
6	Rent/facility costs . .	22,129	114,639	52,080	188,848
7	Food and beverages .	0	0	0	0
8	Entertainment . . .	0	0	0	0
9	Other direct expenses .	55,666	8,776	57,413	121,855
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........				335,060
11	Net income summary. Subtract line 10 from line 3, column (d)...........				-111,860

Part III

Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (add col.(a) through col.(c))

Gross revenue . . . .

Cash prizes . . . .

Non-cash prizes . . .

Rent/facility costs . . .

Other direct expenses . .

Volunteer labor . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? ............

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2014

Page 3

Does the organization conduct gaming activities with nonmembers? .................

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? ..........................

YesNo

Indicate the percentage of gaming activities conducted in:

The organization's facility ......................

13a

An outside facility ........................

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information (see instructions).

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

THE STAMFORD HOSPITAL

Employer identification number

06-0646917

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	11,464,970	2,310,120	9,154,850	2.060 %
b	Medicaid (from Worksheet 3, column a) ....	95,776,227	38,585,522	57,190,705	12.890 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .	2,291,321	0	2,291,321	0.520 %
d	Total Financial Assistance and Means-Tested Government Programs .	109,532,518	40,895,642	68,636,876	15.470 %
Other Benefits		3,549,875	0	3,549,875	0.800 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	3,549,875	0	3,549,875	0.800 %
f	Health professions education (from Worksheet 5) ..	0	0	0	0 %
g	Subsidized health services (from Worksheet 6) ..	0	0	0	0 %
h	Research (from Worksheet 7)	0	0	0
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	330,414	0	330,414	0.070 %
j	Total. Other Benefits ..	3,880,289	0	3,880,289	0.870 %
k	Total. Add lines 7d and 7j .	113,412,807	40,895,642	72,517,165	16.340 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014

Schedule H (Form 990) 2014

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

27,600,599

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

93,349,158

Enter Medicare allowable costs of care relating to payments on line 5.....

114,734,952

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-21,385,794

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2014

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	The STAMFORD HOSPITAL One Hospital Plaza Stamford,CT06904 www.stamfordhealth.org 0059	X	X	X	X

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	THE STAMFORD HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C..........

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.STAMFORDHEALTH.ORG

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): WWW.STAMFORDHEALTH.ORG

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	THE STAMFORD HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 100%
and FPG family income limit for eligibility for discounted care of 400.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Explained the method for applying for financial assistance?...................

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	THE STAMFORD HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.........

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5	IN THE FIRST PHASE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, DOZENS OF INTERVIEWS WERE CONDUCTED TO ENGAGE THE COMMUNITY IN THE ASSESSMENT PROCESS. THESE INTERVIEWS CAPTURED COMMUNITY PERCEPTIONS ON PRIORITY HEALTH ISSUES, SERVICE GAPS, AND BARRIERS TO ACCESS, AS WELL AS SUGGESTED STRATEGIC INITIATIVES TO ADDRESS THESE ISSUES. IN ALL, NEARLY 100 PEOPLE WERE INTERVIEWED, INCLUDING ADMINISTRATIVE AND CLINICAL STAFF FROM STAMFORD HOSPITAL, REPRESENTATIVES FROM LOCAL HEALTH AND SOCIAL SERVICE AGENCIES, PUBLIC HEALTH OFFICERS, OTHER PUBLIC AND ELECTED OFFICIALS, REPRESENTATIVES FROM ADVOCACY ORGANIZATIONS AND FOUNDATIONS, MEMBERS OF THE CLERGY, AND COMMUNITY RESIDENTS. FORM 990, Schedule H, Part V, Section B, Line 22d THE MAXIMUM AMOUNT CHARGED TO FAP ELIGIBLE INDIVIDUALS IS CALCULATED BASED ON FEDERAL POVERTY GUIDELINES. INDIVIDUAL FAMILY INCOME LEVELS ARE COMPARED TO FPG AND TOTAL CHARGES ARE REDUCED FROM 100%-60% BASED ON level of income.

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2014

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 7	THE COST-TO-CHARGE RATIO METHODOLOGY WAS UTILIZED TO CALCULATE THE AMOUNT INCLUDED IN THE TABLE. THE CALCULATION OF THIS RATIO WAS DERIVED FROM RATIO OF PATIENT CARE COST-TO-CHARGE. PART III, LINE 2: THE COST OF BAD DEBT EXPENSE IS ESTIMATED BASED ON THE BAD DEBT PROVISION AT CHARGE, APPLIED TO THE RATIO OF TOTAL PATIENT CARE EXPENSES TO TOTAL CHARGES FOR ALL SERVICES RENDERED. ANY PAYMENTS OR DISCOUNTS ARE EXCLUDED FROM BAD DEBT EXPENSE. PART III, LINE 4: BAD DEBT EXPENSE AND TEXT OF BAD DEBT EXPENSE FOOTNOTE ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, TSH ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), TSH RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 8B MEDICARE COSTING METHODOLOGY THE COSTING METHODOLOGY USED FOLLOWS THE METHODOLOGY OF THE MEDICARE COST REPORT. PART III, LINE 8A TREATMENT OF MEDICARE SHORTFALL AS COMMUNITY BENEFIT TO THE EXTENT THERE IS A MEDICARE 'SHORTFALL', THE HOSPITAL HAS PROVIDED SERVICES AND IS REIMBURSED LESS THAN THE COST OF THOSE SERVICES. THIS TRANSFER OF VALUE BENEFITS THE PATIENT AND ARGUABLY (DIRECTLY AND INDIRECTLY) THE COMMUNITY IN WHICH THEY LIVE. PART III, LINE 9B COLLECTION PRACTICES APPLICATION OF COLLECTION PRACTICES QUALIFYING FOR FINANCIAL ASSISTANCE ALL COLLECTION EFFORTS CEASE AT ANY POINT IN THE PROCESS IF THE PATIENT APPLIES FOR FREE BED FUNDS OR FINANCIAL ASSISTANCE.
FORM 990, SCHEDULE H, PART VI	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. SH WORKS WITH THE STAMFORD HEALTH DEPARTMENT'S HIV PREVENTION PROGRAM AND STAMFORD CARES, A PROGRAM OF FAMILY CENTERS THAT PROVIDES HIV MEDICAL CASE MANAGEMENT; INCLUDES PARTICIPATION IN COMMUNITY HEALTH FAIRS AND EDUCATIONAL OUTREACH EFFORTS; PROVIDES HIV UPDATES FOR AIDS SERVICE PROVIDERS IN THE COMMUNITY; PERFORMS CLIENT HOME VISITS; AND CONDUCTS MONTHLY HIV POSITIVE WOMEN'S SUPPORT GROUP. SH PARTNERS WITH OPTIMUS HEALTH CENTER (FORMERLY BRIDGEPORT COMMUNITY HEALTH CENTER), A FEDERALLY QUALIFIED HEALTH CARE CENTER, TO CREATE AN INTEGRATED PRIMARY CARE DELIVERY NETWORK FOR THE MEDICALLY UNDERSERVED COMMUNITIES IN STAMFORD. THE HOSPITAL PROVIDED SUPPLEMENTAL SUPPORT TO OPTIMUS OF $2.8 MILLION IN FY15 TO ENSURE ITS CONTINUED VIABILITY. COMMUNITY INPUT AND ENGAGEMENT TO ADDRESS CHILDHOOD OBESITY IS PROVIDED THROUGH A STAMFORD CITY-WIDE TASK FORCE LEAD BY SH. THIS EFFORT FOCUSES ON PREVENTION, ADVOCACY, EDUCATION, AND TREATMENT AND IS A CITY-WIDE COLLABORATION THAT INCLUDES STAMFORD PUBLIC SCHOOLS, THE STAMFORD HEALTH DEPARTMENT, EARLY CHILDHOOD EDUCATORS, AFTER SCHOOL PROGRAMS AND COMMUNITY CENTERS AND COMMUNITY PEDIATRICIANS AND FAMILY MEDICINE PRACTITIONERS. 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. 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. THE STAMFORD HOSPITAL PARTNERS WITH A NUMBER OF NONPROFIT HEALTH AND SOCIAL SERVICES ORGANIZATIONS THAT SEEK TO BENEFIT THE COMMUNITY AND IMPROVE THE HEALTH AND WELL-BEING OF THEIR CLIENTS. IN ADDITION, TOGETHER WITH OUR 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. FORM 990, SCHEDULE H, PART VI PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE STAMFORD HOSPITAL USES SEVERAL VENUES TO NOTIFY OUR PATIENTS OF THEAVAILABLE FINANCIAL OPTIONS. 1) SIGNS AND/OR BROCHURES ARE DISPLAYED IN ENGLISH AND SPANISH IN THE FOLLOWING AREAS: * EMERGENCY ROOM WAITING ROOMS AND REGISTRATION ORKSTATIONS * IMMEDIATE CARE CENTER WAITING ROOM * PATIENT REGISTRATION AREAS ON THE MAIN CAMPUS AND TULLY CAMPUS * CASHIER'S OFFICE, OFFICES OF THE FINANCIAL COUNSELORS, RECEPTION AREA OF THE PATIENT BUSINESS SERVICES DEPARTMENT * ANCILLARY DEPARTMENTS * BROCHURES ARE ALSO AVAILABLE IN CREOLE AND POLISH. 2) THE HOSPITAL'S BILLING STATEMENTS INCLUDE AN INFORMATIONAL PAGE THAT IS PRINTED ON THE REVERSE SIDE OF THE STATEMENT OUTLINING THE FINANCIAL OPTIONS. 3) THE "ARE YOU UNINSURED NOTICE" IN ENGLISH AND SPANISH IS ATTACHED TO THE TRUE SELF PAY STATEMENTS. 4) STAFFING: * STAMFORD HOSPITAL HAS A FULL-TIME DSS ST OF CT OUTREACH WORKER ON THE HOSPITAL CAMPUS. * SOCIAL SERVICES DEPARTMENT * CASE MANAGEMENT DEPARTMENT * PATIENT REGISTRATION HAS ONE FULL TIME FINANCIAL COUNSELOR * PATIENT BUSINESS SERVICES HAS ONE BILINGUAL PATIENT ASSISTANCE COORDINATOR AND TWO FULL TIME BILINGUAL FINANCIAL COUNSELORS. * THE DSS OUTREACH WORKER AND A TSH FINANCIAL COUNSELOR HOLD EDUCATIONAL AND COUNSELING SESSIONS IN THE OPTIMUS AND STAMFORD HOSPITAL CLINICS ONCE PER WEEK. * HAND-OUTS ARE PROVIDED TO PATIENTS BY THE FINANCIAL COUNSELORS AT THE CLINICS AND THE COMMUNITY HEALTH CENTERS. * PATIENTS ARE SCREENED FOR FEDERAL OR STATE PROGRAMS, AND THE HOSPITALS FINANCIAL ASSISTANCE PROGRAM (FAP) BY THE SOCIAL WORKERS, * PATIENT ASSISTANCE COORDINATOR, FINANCIAL ASSISTANCE COUNSELORS, AND THE DSS LIAISON. 5) NOTIFICATIONS: PATIENTS RECEIVE APPROVAL OR DENIAL LETTERS AND, IF ELIGIBLE, FINANCIAL ASSISTANCE PROGRAM IDENTIFICATION CARDS.
FORM 990, SCHEDULE H, PART VI	COMMUNITY INFORMATION STAMFORD HEALTH PROVIDES A BROAD RANGE OF COMMUNITY OUTREACH AND EDUCATIONAL SERVICES TO RESIDENTS OF PREDOMINANTLY ITS PRIMARY SERVICE AREA (PSA) AND SECONDARY SERVICE AREA (SSA) THAT INCLUDE 12 COMMUNITIES IN SOUTHERN FAIRFIELD COUNTY, CT. THE HOSPITAL'S SERVICE AREA WAS DEVELOPED THROUGH THE STRATEGIC PLANNING PROCESS AND IS DEFINED IN STAMFORD HEALTH'S STRATEGIC PLAN. THE HOSPITAL'S COMBINED PSA AND SSA INCLUDE AN ESTIMATED 136,091 HOUSEHOLDS WITH A TOTAL POPULATION OF 372,012 RESIDENTS. THE PSA INCLUDES THE COMMUNITIES OF STAMFORD, DARIEN, AND ROWAYTON, WITH AN ESTIMATED 54,472 HOUSEHOLDS AND A TOTAL POPULATION OF 150,116. STAMFORD COMPRISES AN ESTIMATED 46,376 HOUSEHOLDS WITH A TOTAL POPULATION OF 125,226. THE SSA INCLUDES THE COMMUNITIES OF GREENWICH, COS COB, RIVERSIDE, OLD GREENWICH, NEW CANAAN, NORWALK, WESTPORT, WESTON, AND WILTON, WITH AN ESTIMATED 81,619 HOUSEHOLDS AND A TOTAL POPULATION OF 221,896. FOR THE PSA, 25.6% OF THE POPULATION IS ESTIMATED TO BE 19 YEARS OF AGE OR LESS; 36.2% IS 20 - 44; 25.6% IS 45-64; AND 12.6% IS 65 YEARS OF AGE AND OLDER. THE SSA HAS A SLIGHTLY OLDER AGE DISTRIBUTION WITH AN ESTIMATED 27.3% OF ITS POPULATION 19 YEARS OF AGE OR LESS; 27.5% IS 20-44; 30.6% IS 45-64; AND 14.6% 65 YEARS OF AGE AND OLDER. REGARDING RACE/ETHNICITY, OF THE ESTIMATED POPULATION IN THE PSA, 56.6% OF RESIDENTS ARE WHITE; 23.1% ARE HISPANIC; 11.0% BLACK; 7.5% ASIAN; AND THE REMAINING PORTION OF THE POPULATION IS MULTI-RACIAL, NATIVE AMERICAN, PACIFIC ISLANDER, OR OTHER. STAMFORD IS ESTIMATED TO HAVE A MORE RACIALLY DIVERSE POPULATION THAN THE PSA AND SSA WITH THE BLACK POPULATION REPRESENTING 13.2%, HISPANIC POPULATION REPRESENTING 27.0% AND ASIAN POPULATION REPRESENTING 8.4% OF ITS TOTAL POPULATION. FOR THE SSA, 72.7% OF THE TOTAL ESTIMATED POPULATION IS WHITE; 6.5% BLACK; 13.0% HISPANIC; 5.6% ASIAN; AND THE REMAINING PORTION OF THE POPULATION IS MULTI-RACIAL, NATIVE AMERICAN, PACIFIC ISLANDER, OR OTHER. ALTHOUGH IN THE PSA AN ESTIMATED 20.8% OF TOTAL HOUSEHOLDS HAVE HOUSEHOLD INCOMES EXCEEDING $200,000, STAMFORD HAS AREAS WITH SIGNIFICANT POVERTY. IN COMPARISON TO THE PSA, STAMFORD HAS ONLY AN ESTIMATED 16.2% OF TOTAL HOUSEHOLDS WITH HOUSEHOLD INCOMES EXCEEDING $200,000, AND 22.8% WITH HOUSEHOLD INCOMES LESS THAN $35,000, 33.2% WITH LESS THAN $45,000. IN THE SSA, AN ESTIMATED 28.2% OF THE TOTAL HOUSEHOLDS HAVE HOUSEHOLD INCOMES EXCEEDING $200,000, WHILE AN ESTIMATED 16.7% HAVE HOUSEHOLD INCOMES LESS THAN $35,000 AND 24.5% LESS THAN $45,000. THE ESTIMATED PAYOR MIX OF THE PSA IS PREDOMINANTLY COMMERCIAL/PRIVATE INSURANCE (37.1%), FOLLOWED BY MEDICARE (25.0%); MEDICAID (28.3%); AND SELF-PAY/OTHER (9.6%). COMPARED TO THE PSA, STAMFORD HAS A HIGHER ESTIMATED PERCENTAGE OF MEDICAID AT 30.7% AND SELF-PAY/OTHER AT 10.4%. FOR THE SSA, THE ESTIMATED PAYOR MIX IS ALSO PRIMARILY COMMERCIAL/PRIVATE INSURANCE (42.5%), FOLLOWED BY MEDICARE (27.5%); MEDICAID (21.9%); AND SELF-PAY/OTHER (8.1%).
FORM 990, SCHEDULE H, PART VI	PROMOTION OF COMMUNITY HEALTH SH PROVIDES EXPERTISE AND SUPPORTS THE WEST SIDE NEIGHBORHOOD REVITALIZATION ZONE (WSNRZ), A COMMUNITY EFFORT TO IMPROVE THE HEALTH, SAFETY, INFRASTRUCTURE, AND QUALITY OF LIFE IN THE WEST SIDE OF STAMFORD. NEIGHBORS WORK SIDE-BY-SIDE WITH LOCAL BUSINESSES, LAW ENFORCEMENT, THE HOSPITAL'S HOUSING PARTNER, CHARTER OAK COMMUNITIES, INC. (FORMERLY THE STAMFORD HOUSING AUTHORITY), AND LOCAL ELECTED AND APPOINTED OFFICIALS. SH IN PARTNERSHIP WITH CHARTER OAK COMMUNITIES, INC., (FORMERLY STAMFORD HOUSING AUTHORITY) ESTABLISHED THE VITA HEALTH AND WELLNESS DISTRICT IN THE WEST SIDE. IN PARTNERSHIP WITH THE WSNRZ, THE CITY OF STAMFORD AND SUPPORT FROM U.S.DEPT. OF HOUSING AND URBAN DEVELOPMENT (HUD), THE VITA PLAN IS INTENDED TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH, INCLUDING HEALTH AND WELLNESS, NUTRITION AND ACCESS TO NUTRITIOUS FOOD, ACTIVE LIVING AND HEALTHY LIFESTYLES, WORKFORCE DEVELOPMENT, ECONOMIC DEVELOPMENT AND IMPROVING THE HOSPITAL AND COMMUNITY CONNECTIONS. IN 2015, THE CROSS-SECTOR COMMUNITY COLLABORATIVE OF KEY STAKEHOLDERS ANALYZED STRATEGIES TO IMPROVE ACCESS TO CARE, COORDINATION OF CARE AND LIFESTYLES/BEHAVIORAL ISSUES TO ADDRESS THE FINDINGS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED BY SH IN PARTNERSHIP WITH THE CITY OF STAMFORD HEALTH AND SOCIAL SERVICES DEPARTMENT. PROMOTION OF COMMUNITY HEALTH THE STAMFORD HOSPITAL ("SH" OR THE "HOSPITAL") PROVIDED A VARIETY OF PROGRAMS THAT BENEFITED THE COMMUNITY. THESE PROGRAMS INCLUDED, FOR EXAMPLE, HEALTH SCREENINGS, IMMUNIZATION PROGRAMS, SOCIAL SERVICES AND SUPPORT COUNSELING FOR PATIENTS AND FAMILIES, CRISIS INTERVENTION, COMMUNITY HEALTH EDUCATION, AND THE DONATION OF SPACE FOR USE BY COMMUNITY GROUPS. HEALTH EDUCATION PROGRAMS PROVIDED BY THE HOSPITAL FOR THE BENEFIT OF THE COMMUNITY INCLUDED: SMOKING CESSATION; WEIGHT LOSS; STRESS MANAGEMENT; AND PROGRAMS FOCUSED ON SUCH SPECIFIC HEALTH FACTORS OR DISEASE ENTITIES SUCH AS HEART DISEASE, BREAST CANCER, DIABETES SELF-MANAGEMENT, SLEEP DISORDERS, ARTHRITIS, HIGH CHOLESTEROL, CANCER PREVENTION, NUTRITION, STRESS MANAGEMENT, CIRCULATORY PROBLEMS, DIGESTIVE DISORDERS, ORTHOPEDICS, PAIN MANAGEMENT, SPORTS INJURIES, AND CHILDREN'S NUTRITION. SH OFFERED A MINI-MEDICAL SCHOOL, A FREE, SIX-WEEK SERIES OF LECTURES BY VOLUNTEER PHYSICIANS FOCUSING ON COMMON DISEASE STATES AND AVAILABLE TREATMENTS. TOPICS INCLUDE ANESTHESIOLOGY, CANCER, CARDIOLOGY, GASTROENTEROLOGY, GENERAL ANATOMY, GYNECOLOGY, INFECTIOUS DISEASES, INTEGRATIVE MEDICINE, MEDICAL DECISION-MAKING, PULMONARY MEDICINE AND ORTHOPEDICS. HOSPITAL STAFF PROVIDED SERVICES AT COMMUNITY HEALTH FAIRS AND SERVED AS SPEAKERS AT VARIOUS COMMUNITY GROUPS ON LIFESTYLE/HEALTH IMPROVEMENT TOPICS. IN FISCAL YEARS ("FY") 2015, SH PARTICIPATED IN MORE THAN 100 COMMUNITY HEALTH EVENTS; CONDUCTED MORE THAN 3,700 SCREENINGS, WITH TOTAL ATTENDANCE OF APPROX.. 10,000. THE EVENTS INCLUDED HEALTH FAIRS AT COMMUNITY CENTERS, SENIOR CENTERS, RELIGIOUS INSTITUTIONS, AND SCHOOLS; PHYSICIAN PRESENTATIONS AS WELL AS CAREER DAYS, SCHOOL TOURS AND INFORMATIONAL SPECIAL EVENTS. TELE-MEDICINE: STAMFORD HOSPITAL OFFERED FREE SCREENINGS AT TWO VIRTUAL KIOSKS AT THE I-95 SERVICE PLAZAS IN ITS PSA. IN FY2015, SH COMPLETED 6,694 FREE SCREENINGS, A COMBINATION OF BLOOD PRESSURE SCREENINGS, BMA, HEALTH RISK APPRAISALS AND CHOLESTEROL/GLUCOSE. OTHER HIGHLIGHTS OF COMMUNITY HEALTH EDUCATION AND OUTREACH ACTIVITIES PROVIDED IN FY2015 ARE AS FOLLOWS: AMERICARES FREE CLINIC OF STAMFORD: IMPROVING ACCESS TO CARE: FY 2015 - $542,000 STAMFORD HOSPITAL SUPPORTS THE AMERICARES FREE CLINIC OF STAMFORD, PROVIDING READY ACCESS TO HIGH QUALITY DIAGNOSTICS, ESSENTIAL FOR THIS PATIENT POPULATION WHICH IS UNINSURED AND DOES NOT QUALIFY FOR ANY GOVERNMENT PROGRAMS. AMERICARES FREE CLINICS (AFC) ALSO PARTICIPATES ACTIVELY IN THE STAMFORD COMMUNITY COLLABORATIVE. STAMFORD HOSPITAL PROVIDES SPECIALTY CARE TO AFC PATIENTS PRIMARILY THROUGH STAMFORD HOSPITAL'S NETWORK OF SPECIALTY CLINICS. AMERICARES PARTICIPATES ON A HOSPITAL TEAM THAT IS WORKING TO INSTITUTE A NEW SYSTEM FOR CITY-WIDE SPECIALTY CARE THAT IS AIMED TO PROVIDE MORE TIMELY AND SEAMLESS ACCESS FOR BOTH MEDICAID AND UNINSURED PATIENTS. THE MAJORITY OF THE VISITS MADE TO THE FREE CLINIC ARE BY PATIENTS WITH CHRONIC DISEASES - UNDIAGNOSED AND UNCONTROLLED DIABETES AND HYPERTENSION BEING THE MOST COMMON. WITH ONGOING SUPPORT THROUGH EDUCATION AND CLOSE MEDICAL MANAGEMENT, PATIENTS DEMONSTRATE COMPLIANCE AND GREATER CONTROL THEIR CHRONIC DISEASE AND REDUCTION IN EMERGENCY ROOM UTILIZATION. ASTHMA EDUCATION: SH CONDUCTED AN EVENT FOR THE COMMUNITY WITH EXHIBITS TO EDUCATE AND CREATE AN AWARENESS AND UNDERSTANDING OF ASTHMA. TOPICS INCLUDED KEEPING ASTHMA UNDER CONTROL, UTILIZING A TEAM APPROACH IN TREATING ASTHMA, THE ROLE OF ALLERGIES, AND THE FUTURE OF ASTHMA THERAPY. THE HOSPITAL ALSO HELD EDUCATIONAL EVENTS THAT FOCUSED ON PEDIATRIC ASTHMA.
CANCER:	IN 2015, STAMFORD HOSPITAL'S CARL & DOROTHY BENNETT CANCER CENTER CONTINUED TO BUILD ON ITS REPUTATION FOR DELIVERING EXPERT CARE IN A WARM, NURTURING ENVIRONMENT. A MAJOR ACHIEVEMENT INCLUDED THE FORMATION OF THE CANCER CENTER'S OWN PATIENT AND FAMILY ADVISORY COUNCIL (PFAC), WHICH IS CONSISTENT WITH THE HOSPITAL'S PLANETREE PHILOSOPHY OF PATIENT-CENTERED CARE. WITH MEMBERS THAT INCLUDE STAFF, CANCER SURVIVORS AND CAREGIVERS, THE GOAL OF THE PFAC IS TO CONTINUE TO IMPROVE THE CARE AND SERVICES OFFERED AT THE BENNETT CANCER CENTER. ADDITIONALLY, THE BENNETT CANCER CENTER TEAMED UP WITH ONCOLOGY REHAB PARTNERS TO BRING THE STAR (SURVIVORSHIP TRAINING & REHABILITATION) PROGRAM TO ITS PATIENTS. STAR IS A NATIONALLY RECOGNIZED CANCER SURVIVORSHIP PROGRAM THAT FOCUSES ON HELPING SURVIVORS HEAL PHYSICALLY AND EMOTIONALLY. CANCER OUTREACH AND EDUCATION: AS REQUIRED BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER, A CANCER COMMITTEE OVERSEES STAMFORD HOSPITAL'S CANCER PROGRAM, OF WHICH EDUCATIONAL AND OUTREACH PROGRAMS FOR THE COMMUNITY AND PATIENTS ARE A KEY COMPONENT. DIRECT MAIL IS USED TO REMIND WOMEN OF THE IMPORTANCE OF SCREENING FOR BREAST CANCER. PAINT THE TOWN PINK, A COMMUNITY-WIDE BREAST CANCER AWARENESS PROGRAM, HELD A MONTH-LONG SERIES OF EVENTS IN OCTOBER. IN ADDITION, EDUCATIONAL LECTURES OFFERED THROUGHOUT THE YEAR FOR THE COMMUNITY INCLUDE TOPICS FOCUSED ON RAISING AWARENESS ABOUT THE DANGERS OF SUN EXPOSURE AND RISKS FOR SKIN CANCER, DIRECT MAIL INITIATIVES AND PROGRAMS TO UNDERSCORE THE IMPORTANCE OF SCREENING AND EARLY DETECTION OF COLORECTAL CANCERS, AS WELL AS EDUCATION SURROUNDING TESTICULAR AND GYNECOLOGIC CANCERS. CANCER OUTREACH EFFORTS ALSO INCLUDE ANTI-TOBACCO LECTURES AND AN ANTI-SMOKING POSTER CONTEST FOR ELEMENTARY SCHOOL CHILDREN. THE HOSPITAL OFFERS FREEDOM FROM SMOKING-QUIT FOR GOOD CLASSES YEAR-ROUND. NUTRITION PROGRAMS, LED BY A REGISTERED DIETITIAN, ARE OFFERED THROUGHOUT THE YEAR. CANCER SCREENINGS/MOBILE MAMMOGRAPHY: STAMFORD HOSPITAL'S MOBILE WELLNESS CENTER OFFERED MAMMOGRAPHY SCREENING TO THE COMMUNITY AT NO COST TO PATIENTS WHO ARE UNINSURED. IN FY 15, 1,707 WOMEN RECEIVED MAMMOGRAMS, OF WHICH 1300 WERE PERFORMED AT NO COST. TO REACH THE UNDERSERVED, THE HOSPITAL COLLABORATED WITH OPTIMUS HEALTH CARE ("OPTIMUS"), A FEDERALLY QUALIFIED HEALTH CENTER, THE WITNESS PROJECT OF CT, PLANNED PARENTHOOD OF CT, AND THE HISPANIC COUNCIL OF GREATER STAMFORD. OUTREACH WAS TARGETED TO UNDERINSURED AND UNINSURED WOMEN OF COLOR, AND ASSISTANCE PROVIDED TO ADDRESS LANGUAGE BARRIERS, NAVIGATE THE HEALTHCARE SYSTEM, AND COPE WITH FEAR. OTHER KEY 2015 ACCOMPLISHMENTS FOR THE BENNETT CANCER CENTER INCLUDE: - STAMFORD HOSPITAL'S CANCER PROGRAM WAS AWARDED THE GOLD AWARD BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER. - 100% OF THE OUTPATIENT NURSES AT THE BENNETT CANCER CENTER ACHIEVED ONCOLOGY NURSING CERTIFICATION - THE MEDICAL ONCOLOGISTS AT THE BENNETT CANCER CENTER WERE RECOGNIZED BY THE QUALITY ONCOLOGY PRACTICE INITIATIVE (QOPI) CERTIFICATION PROGRAM, AN AFFILIATE OF THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY (ASCO). THE QOPI CERTIFICATION PROGRAM PROVIDES A THREE-YEAR CERTIFICATION FOR OUTPATIENT HEMATOLOGY-ONCOLOGY PRACTICES THAT MEET THE HIGHEST STANDARDS FOR QUALITY CANCER CARE. - 6% OF NEWLY DIAGNOSED PATIENTS WERE ENROLLED IN CLINICAL TRIALS - SH MANAGER OF CANCER SUPPORT SERVICES AT THE BENNETT CANCER CENTER, RECEIVED THE 2013 ONCOLOGY SOCIAL WORKER OF THE YEAR AWARD FROM THE ASSOCIATION OF ONCOLOGY SOCIAL WORK (AOSW). THE PRESTIGIOUS AWARD RECOGNIZES AN ONCOLOGY SOCIAL WORKER WHO PROVIDES EXEMPLARY COMMITMENT TO THE DELIVERY OF COMPASSIONATE PATIENT CARE.
COMMUNITY-BASED CLINICAL CARE:	THE HOSPITAL CONTINUES TO EMPLOY THE PHYSICIANS AND MID-LEVEL PROVIDERS WHO WORK IN THE PRIMARY CARE CENTERS. OPTIMUS EMPLOYS ALL OTHER STAFF. THE BENEFITS OF THIS TRANSITION ARE: 1) THE CREATION OF AN INTEGRATED PRIMARY CARE DELIVERY NETWORK FOR THE MEDICALLY UNDERSERVED COMMUNITIES IN STAMFORD; 2) ACCESS TO FEDERAL PROGRAMS TO SUPPORT THE EXPANSION OF THE PRIMARY CARE CENTERS' SERVICES TO INCLUDE PHARMACY AND DENTAL; AND 3) TO ENSURE THE AVAILABILITY OF THE PRIMARY CARE CENTERS AS AMBULATORY CARE TRAINING VENUES FOR THE HOSPITAL'S RESIDENCY PROGRAMS. THE HOSPITAL PROVIDED SUPPLEMENTAL SUPPORT TO OPTIMUS OF $2.8 MILLION IN FY 2015 TO ENSURE ITS CONTINUED VIABILITY. EMERGENCY SERVICES AND EDUCATION: STAMFORD'S EMS INSTITUTE, A DEPARTMENT OF SH, PROVIDED EMERGENCY MEDICAL SERVICE (EMS) TRAINING TO EMERGENCY MEDICAL TECHNICIANS ("EMTS"), NURSES, PHYSICIANS, PARAMEDICS, AND ANYONE IN THE PUBLIC WHO IS INTERESTED IN LEARNING THESE LIVE-SAVING SKILLS. THE HOSPITAL OFFERED AN INFANT AND CHILD CARE CLASS, AND AN ADULT CARDIO-PULMONARY RESUSCITATION ("CPR") AND EMT-BASIC COURSE. THE SH EMS INSTITUTE ALSO COLLABORATED WITH SEMS. REGARDING DISASTER PREPAREDNESS, THE HOSPITAL'S STAFF WORKED WITH REGIONAL AGENCIES TO COORDINATE EMERGENCY PLANS AND CONDUCTED JOINT SIMULATION DRILLS. HEART DISEASE EDUCATION: SH PROVIDED EDUCATION ABOUT RISK FACTORS AND LIFESTYLE BEHAVIORS THAT CONTRIBUTE TO HEART DISEASE AND STROKE. THE HOSPITAL PROVIDED SCREENINGS FOR CARDIOVASCULAR DISEASE AS PART OF ITS MOBILE COACH. IN ADDITION, THE HOSPITAL SUPPORTED COMMUNITY EVENTS ADDRESSING HEART DISEASE, INCLUDING 397 CARDIAC RISK ASSESSMENT SCREENINGS AT THE "TAKE HEART" EVENT IN FEBRUARY, WHICH IS HEART MONTH. PRESENTATIONS BY PHYSICIANS ON WOMEN'S HEART HEALTH, CONTROLLING HIGH BLOOD PRESSURE AND STRESS, WERE ALSO CONDUCTED THROUGHOUT THE YEAR AT BUSINESSES AND COMMUNITY CENTERS. CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS: PEDIATRIC MEDICAL HOME INITIATIVE OF SWCT (CYSHCN): MEDICAL HOME INITIATIVE (MHI) COVERING SOUTHWEST CT ADDRESSES THE NEEDS OF CHILDREN AND YOUTH WITH SPECIAL HEALTHCARE NEEDS. CYSHCN IN THE REGION MEETING THEIR MEDICAL, SOCIAL AND EMOTIONAL NEEDS AND PROVIDES LINKAGES TO COMMUNITY RESOURCES AND FAMILY SUPPORT NETWORKS. FAMILIES ARE PROVIDED ASSISTANCE WITH CARE COORDINATION LIKE SECURING SPECIALIST APPOINTMENTS, TRANSPORTATION AND FUNDING FOR ESSENTIAL NEEDS LIKE RESPITE SERVICES, MEDICATIONS, DIAPERS, WHEELCHAIRS, RAMPS, ETC. IT ALSO PROVIDES FAMILIES WITH ADVOCACY IN ORGANIZATIONS LIKE SCHOOLS AND OTHERS; PARENTS ARE OFFERED SUPPORT GROUPS HELD REGULARLY IN STAMFORD AND BRIDGEPORT. IN 2015, 1027 CHILDREN WERE SERVED, OF WHOM 546 WERE OF HIGH COMPLEXITY. SOUTHWEST MHI IS FOCUSED ON PREVENTION AND INTERVENTIONS TARGETING CHILDHOOD OBESITY IN SWCT REGION AND BUILDING COMMUNITY COLLABORATION.
HIV-AIDS: RYAN WHITE PROGRAM	THE RYAN WHITE PROGRAM AT STAMFORD HOSPITAL CONTINUES TO SERVE HIV POSITIVE PATIENTS IN THE COMMUNITY. THE TEAM INCLUDES A DEDICATED NURSE PRACTITIONER (NP), ADHERENCE NURSE AND NUTRITIONIST WITH PROGRAM OVERSIGHT BY THE CHIEF OF INFECTIOUS DISEASE, DR. PARRY. THE HIV NP IS AS RESOURCE AND PROVIDES ONGOING HIV/AIDS PRIMARY CARE UPDATES TO INTERNAL MEDICINE RESIDENTS AND ATTENDING PHYSICIANS CARING FOR HIV POSITIVE PATIENTS IN THE STAMFORD HEALTH SYSTEM. MEDICAL RESIDENTS ARE ALSO GIVEN THE OPPORTUNITY TO CARE FOR HIV POSITIVE OUT-PATIENTS AT A BIMONTHLY INFECTIOUS DISEASE CLINIC THAT IS TRIAGED AND SCHEDULED BY THE HIV NURSE PRACTITIONER. AT THIS CLINIC, RESIDENTS WORK DIRECTLY WITH INFECTIOUS DISEASE ATTENDINGS AND THE HIV NP TO CARE FOR HIV POSITIVE OUT-PATIENTS. IN TOTAL, THE RYAN WHITE PROGRAM PROVIDES CARE TO APPROXIMATELY 90 PATIENTS IN THE CLINIC, WITH THE HIV NP PROVIDING DIRECT PRIMARY AND HIV CARE TO 70 OF THOSE PATIENTS. PATIENTS ARE SEEN AT THE CLINIC AND AS NEEDED DURING AN IN-PATIENT STAY AT THE HOSPITAL. RYAN WHITE QUALITY IMPROVEMENT PROJECTS FOR THIS YEAR INCLUDE INCREASING THE NUMBER OF PATIENTS WHO RECEIVED INFLUENZA VACCINES AND ANNUAL CERVICAL CANCER SCREENINGS. INFLUENZA VACCINATIONS IMPROVED FROM 70% TO 88%, 96% EXCLUDING THOSE WHO REFUSED THE VACCINE. CERVICAL CANCER SCREENINGS INCREASED BY 7%, FROM 60 TO 67%. OTHER RYAN WHITE PERFORMANCE MEASURES, INCLUDING BIANNUAL CLINIC VISITS, SUPPRESSED HIV VIRAL LOADS AND SCREENING FOR OTHER SEXUALLY TRANSMITTED INFECTIONS, CONTINUE TO MEET OR EXCEED BENCHMARKS FOR PRIMARY CARE AND ADHERENCE, WITH AN AGGREGATE SCORE OF >90%. RYAN WHITE PATIENT SATISFACTION AND FEEDBACK CONTINUES TO BE MEASURED BY AN ANNUAL PATIENT SURVEY, WHICH IS DEVELOPED AND REVIEWED WITH OUR CONTRACTOR, FAMILY CENTERS. THIS YEAR, RESULTS CONTINUED TO SHOW 80 TO 90% PATIENT SATISFACTION. SPECIFICALLY, THE RESULTS INDICATE WE ARE PROVIDING CONVENIENT, CULTURALLY-SENSITIVE COMPREHENSIVE CARE. THE RYAN WHITE NP IS ALSO PART OF THE PERINATAL INFECTIOUS DISEASE TRANSMISSION PREVENTION COMMITTEE AND ALONG WITH ID ATTENDINGS, OB, INFECTIONS PREVENTION NURSES AND SOCIAL WORK, PARTICIPATES IN MANAGEMENT OF PREGNANCIES AFFECTED BY HIV OR OTHER INFECTIOUS DISEASES. IN THIS ROLE, THE NP SERVES AS A RESOURCE FOR COMMITTEE MEMBERS AS WELL AS STAFF AND PATIENTS.
COMMUNITY CARE TEAM:	STAMFORD HOSPITAL FORMED THE COMMUNITY CARE TEAM TO STRENGTHEN COORDINATION AND TO IMPROVE HEALTH OUTCOMES FOR VULNERABLE POPULATIONS, INCLUDING THOSE WHO ARE CHRONICALLY PHYSICALLY AND/OR MENTALLY ILL, HOMELESS, OR ABUSING SUBSTANCES. THE GOALS ARE TO IMPROVE CARE, INCREASE COMMUNITY SAFETY AND REDUCE COSTS BY PROVIDING WRAPAROUND SERVICES THROUGH A MULTI-AGENCY PARTNERSHIP. THE NAVIGATOR ESTABLISHES A RELATIONSHIP WITH THE PATIENT BY MAKING DIRECT AND INDIRECT REFERRALS FOR TREATMENT, BY ENGAGING THE PATIENT TOWARDS FINDING HOUSING AND SOCIAL WRAPAROUND SUPPORT SERVICES. THEY ALSO COMPLETE "CHECK-IN" CALLS FOR THOSE IN THE COMMUNITY WHO ARE STILL STRUGGLING. THE NAVIGATOR EMPLOYED BY STAMFORD HOSPITAL, IS CRITICAL TO THE WORK OF THE CCT IN ENSURING THE TEAM'S ABILITY TO CREATE COORDINATED CARE PLANS FOR EVERY CLIENT PRIORITIZED BY THE TEAM. THIS HOSPITAL-LED TEAM HAS DEMONSTRATED IMPROVED OUTCOMES AND SIGNIFICANT COST-SAVINGS. THE NAVIGATOR WORKS WITH THE ENTIRE COMMUNITY CARE TEAM, FOCUSING ON COORDINATING CARE FOR THE HIGH USERS OF OUR HOSPITAL EMERGENCY DEPARTMENT, THE MAJORITY OF WHOM ARE HOMELESS, SEVERELY MENTALLY ILL, OR ACTIVELY STRUGGLING WITH ADDICTION. THE STAMFORD CCT CONVENES PROVIDERS FROM ACROSS OUR COMMUNITY WHO CAN ASSIST IN CONNECTING PATIENTS TO CONSISTENT, QUALITY COMMUNITY-BASED HEALTH CARE, MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES. THEY ALSO HELP ACCESS TWO FEDERALLY QUALIFIED HEALTH CENTERS (FQHC'S), OTHER MEDICAL SERVICES, CITY SOCIAL SERVICES, THE STAMFORD HOUSING AUTHORITY, FAMILY CENTERS, HOMELESS SHELTERS AND VETERAN'S ADVOCATES. IN FY 2015, THE STAMFORD COMMUNITY CARE TEAM HAS DEMONSTRATED RESULTS. FOR EXAMPLE FOUR OF OUR MOST VULNERABLE PATIENTS WERE FOLLOWED FOR ONE YEAR AND SIGNIFICANT HEALTH AND FINANCIAL OUTCOMES WERE ACHIEVED. THERE WAS A 60% REDUCTION IN ACTUAL HEALTH SYSTEM COSTS RESULTING IN A $378,000 SAVINGS IN REAL DOLLARS FOR THOSE FOUR PATIENTS ALONE. IN THE 90 DAYS PRIOR TO BEING HOUSED A HOMELESS DIABETIC WAS HOSPITALIZED A TOTAL OF 63 DAYS. POST HOUSING AND PHYSICIAN VISITS THE SAME PATIENT HAS BEEN HOSPITALIZED ONLY 8 DAYS WITHIN A 90 DAY PERIOD. ALL PATIENTS HAVE FOLLOWED UP WITH PRIMARY CARE PHYSICIANS AND HAVE BEEN COMPLIANT WITH MEDICATION. THE NAVIGATOR'S SALARY FOR FY 2015 IS $95,000. THESE RESULTS SHOW SUPERIOR CLINICAL OUTCOMES FOR OUR PATIENTS ALONG WITH SIGNIFICANT FINANCIAL BENEFITS FOR THE HEALTH SYSTEM. VITA/FAIRGATE FARM: FAIRGATE FARM, IS A COMMUNITY BUILDING CATALYST FOR STAMFORD'S WEST SIDE AND BEYOND, THROUGH OPERATION OF AN INCLUSIVE, COMMUNAL AND SOCIALLY AND ENVIRONMENTALLY-RESPONSIBLE URBAN FARM THAT AIMS TO REDUCE HEALTH DISPARITIES, EXPAND ACCESS TO HEALTHY FOODS, FOSTER HEALTH-ORIENTED EDUCATION AND JOB TRAINING, AND INCREASE SOCIAL COHESION AMONG DIVERSE RESIDENTS. THE LOW-INCOME, MINORITY WEST SIDE NEIGHBORHOOD IN STAMFORD, CT, FACES SIGNIFICANT HEALTH DISPARITIES, INCLUDING HIGH RATES OF CHRONIC MEDICAL CONDITIONS AND POOR SOCIAL DETERMINANTS OF HEALTH. WEST SIDE RESIDENTS FACE ENVIRONMENTAL BARRIERS TO HEALTHY FOOD ACCESS, INCLUDING UNAFFORDABILITY (COMPOUNDED BY STAMFORD'S EXTREMELY HIGH HOUSING PRICES) AND DEFICIENT NUTRITIONAL LITERACY, WHICH CONTRIBUTES TO HIGHER LEVELS OF OBESITY AND OTHER DIET-RELATED DISEASES, SUCH AS DIABETES AND HEART DISEASE. ADDITIONALLY, RESIDENTS REPORT THAT THEY STRUGGLE TO FIND TIME TO DEDICATE TO HEALTHY BEHAVIORS SUCH AS PHYSICAL FITNESS AND AT-HOME FOOD PREPARATION. IN 2015, STAMFORD HOSPITAL CONDUCTED A SERIES OF NUTRITION EDUCATION AND COOKING DEMONSTRATIONS AT FAIRGATE FARM. SH POPULATION HEALTH STAFF DEVELOPED AND PLANNED THE PROGRAMMING, AND IMPLEMENTED THE SERIES AIMED AT LOW-INCOME FAMILIES LIVING IN THE WEST SIDE. SPECIFIC ACTIVITIES FOR ADULTS AND CHILDREN FOCUSED EACH WEEK ON A NUTRITIOUS, IN-SEASON VEGETABLE. SH KIDS'FANS NUTRITION EDUCATION PROGRAM WAS PROVIDED.
VITA HEALTH & WELLNESS INITIATIVE:	VITA STRIVES TO IMPROVE THE HEALTH OF THE WEST SIDE BY IMPROVING LIVING CONDITIONS INCLUDING HOUSING, ACCESS TO HEALTH CARE, AVAILABILITY OF NUTRITIOUS FOODS, WORKFORCE TRAINING AND PLANNING PUBLIC SPACES FOR PHYSICAL FITNESS ACTIVITIES. VITA ADDRESSES THE ASPECTS OF HEALTH THAT ARE INFLUENCED BY SOCIO-ECONOMIC FACTORS. IN FY2015, SH DEVELOPED AND IMPLEMENTED A SERIES OF NUTRITION-RELATED PROGRAMS FOR ADULTS AND CHILDREN. UNDER THE DIRECTION OF THE FARM MANAGER, COMMUNITY VOLUNTEERS PRODUCE PLANTS STARTED FROM SEEDS IN THE GREENHOUSE. HEALTHY-COOKING CLASSES CONDUCTED AT THE FARM AND LED BY A SH NUTRITIONIST/CHEF. THE FARM, LOCATED ACROSS THE STREET FROM THE SH-SUPPORTED OPTIMUS HEALTH CENTER, A FEDERALLY QUALIFIED HEALTH CENTER, PROVIDES PATIENTS ACCESS TO VEGETABLES AND NUTRITION EDUCATION, COMMUNITY COHESION AND SOCIAL INTERACTION. IN FY15, VITA CONVENED WEST SIDE MERCHANTS TO WORK WITH THE STAMFORD POLICE DEPARTMENT TO ADDRESS AN INCREASE IN ALCOHOL ABUSE AND VIOLENT CRIME. A BUSINESS DEVELOPMENT INITIATIVE INCLUDED GROUP AND INDIVIDUAL COUNSELING AND TECHNICAL ASSISTANCE FOR WEST SIDE MERCHANTS AND ENTREPRENEURS. VITA, WORKING IN COLLABORATION WITH THE CITY OF STAMFORD AND LOCAL ELECTED OFFICIALS IMPLEMENTED TRAFFIC CALMING INITIATIVES, IMPROVED WALKABILITY INITIATIVES AND ADVOCATED FOR INCREASED SAFETY MEASURES IN THE NEIGHBORHOOD. VITA RECEIVED A ROBERT WOOD JOHNSON FOUNDATION "ROADMAPS TO HEALTH" TECHNICAL ASSISTANCE GRANT TO SUPPORT THE WORK OF THE COLLABORATIVE. THE VITA PARTNERS HAVE EXTENSIVE EXPERIENCE IMPLEMENTING AN ARRAY OF PUBLIC HEALTH INITIATIVES SUPPORTED BY FEDERAL, LOCAL, PHILANTHROPIC RESOURCES THROUGH THE "VITA HEALTH AND WELLNESS INITIATIVE," A WEST SIDE REVITALIZATION CORRIDOR THAT BEGAN WITH FAIRGATE FARM AND HAS GROWN TO INCLUDE NUMEROUS, NEEDS-INFORMED INITIATIVES DESIGNED TO IMPROVE THE BUILT ENVIRONMENT, REDUCE CHILDHOOD OBESITY, INCREASE WALKABILITY, AND FOSTER A CULTURE OF HEALTH AND WELLNESS. THE VITA COMMUNITY COLLABORATIVE MEETS MONTHLY. SH AND CHARTER OAK COMMUNITIES (COC) ARE THE TWO BACKBONE INSTITUTIONS FUNDING AND LEADING THE COLLABORATIVE, WHICH INCLUDE KEY STRATEGIC PROVIDERS ALIGNED TO IMPROVE THE HEALTH OF THE PEOPLE LIVING IN THE WEST SIDE, CENSUS TRACTS 214 AND 215. SUBCOMMITTEE WORK IN FY15 FOCUSED ON ACCESS TO CARE, CARE COORDINATION AND LIFESTYLE/BEHAVIOR EDUCATION AND ECONOMIC DEVELOPMENT. AN INVENTORY OF COMMUNITY ASSETS WAS DEVELOPED, AND THE COMMITTEES ARE IN THE PROCESS OF DEVELOPING EVIDENCE-BASED PROGRAMS TO ADDRESS UNMET NEEDS. SH STAFF CONTRIBUTED HUNDREDS OF HOURS CONDUCTING RESEARCH OF BEST PRACTICES, DEVELOPING STRATEGIC DIRECTION AND DEVELOPING PROGRAMS. SH AND COC'S FINANCIAL CONTRIBUTION TO THE COLLABORATIVE SUPPORT THE SALARY OF AN ADMINISTRATOR AND A COMMUNICATIONS CONSULTANT.
VITA: PARENTS AS CO-EDUCATORS PILOT PROJECT:	SH, AS A CO-BACKBONE LEADER OF THE VITA HEALTH & WELLNESS INITIATIVE, DEVELOPED A THREE-YEAR RESEARCH AND DEVELOPMENT PROJECT TO ADDRESS CULTURALLY RELATED ACHIEVEMENT GAPS BY BRINGING A FULL SPECTRUM OF SERVICES TO THE FAMILIES MOST IN NEED. THE HOSPITAL PARTICIPATED IN THE DESIGN OF THE PROGRAM IN PARTNERSHIP WITH CHARTER OAK COMMUNITIES, FAMILY CENTERS, INC., THE CHILDCARE LEARNING CENTER AND NEIGHBORSLINK. THE PROJECT IS BASED ON THE PARENTS-AS-TEACHERS MODEL, WHICH HAS PROVEN THAT AS PARENTS BECOME MORE ACTIVE AS CO-EDUCATORS OF THEIR CHILDREN, A MEASURABLE REDUCTION IN PUBLIC SCHOOL READINESS DISPARITIES DECREASE SIGNIFICANTLY. THE PROJECT WAS DEVELOPED AND PRIVATELY FUNDED IN FY15. THE CO-EDUCATORS PROGRAM HAS A SHARED MEASUREMENT SYSTEM SPEARHEADED BY THE HARVARD BUSINESS SCHOOL-COMMUNITY PARTNERS. TWENTY-FIVE FAMILIES VOLUNTEERED TO PARTICIPATE IN THE PROGRAM WHICH WAS LAUNCHED IN THE FALL OF 2015. MORE THAN $400,000 WAS RAISED FROM PRIVATE FOUNDATIONS TO SUPPORT THE THREE-YEAR PROGRAM. STATE INNOVATION MODEL - IN-KIND CONTRIBUTION OF EXPERTISE - SH CHIEF QUALITY OFFICER SH CHIEF QUALITY OFFICER WAS APPOINTED TO THE QUALITY COMMITTEE OF CONNECTICUT'S STATE INNOVATION MODEL TASK FORCE. THIS GROUP WILL RECOMMEND A CORE MEASUREMENT SET FOR USE IN THE ASSESSMENT OF PRIMARY CARE, SPECIALTY, AND HOSPITAL PROVIDER PERFORMANCE. THE COUNCIL WILL ALSO RECOMMEND A COMMON PROVIDER SCORECARD FORMAT FOR USE BY ALL PAYERS. THE MEASUREMENT SET WILL BE REASSESSED ON A REGULAR BASIS TO IDENTIFY GAPS, TO INCORPORATE NEW NATIONAL MEASURES AS THEY BECOME AVAILABLE, AND TO KEEP PACE WITH CHANGES IN TECHNOLOGY AND CLINICAL PRACTICE. IN FY15, THERE WERE MORE THAN 30 CONFERENCE CALLS AND IN-PERSON MEETINGS. KIDS'FANS: STAMFORD HOSPITAL'S KIDS' FANS (FITNESS AND NUTRITION SERVICES) PROGRAM IS A COMMUNITY HEALTH EDUCATION INITIATIVE WHICH PROMOTES HEALTHY EATING AND PHYSICAL ACTIVITY THROUGH NUTRITION EDUCATION AND INTERVENTION. THE KIDS' FANS CURRICULUM IS DESIGNED TO BE INTERACTIVE AND ENGAGING AND TAILORED TO MEET THE NEEDS OF CHILDREN AGES PRE-K TO HIGH SCHOOL. KIDS' FANS ORIGINATED IN 2008 AS AN AFTER-SCHOOL PROGRAM AND HAS SINCE EXPANDED ITS SCOPE TO INCLUDE NUTRITION EDUCATION WITHIN SELECT ELEMENTARY SCHOOLS, SUMMER CAMPS AND COMMUNITY HEALTH FAIRS/COMMUNITY CENTERS. IN ADDITION, KIDS' FANS REGISTERED DIETITIANS PROVIDE INDIVIDUALIZED NUTRITION COUNSELING IN TWO OF STAMFORD'S SCHOOL BASED HEALTH CLINICS. KIDS' FANS ALSO PARTNERS WITH COMMUNITY MEMBERS THROUGH THE STAMFORD OBESITY TASK FORCE WHICH ALLOWS IT TO SHARE RESOURCES AND SERVICES WITH LIKE-MINDED ORGANIZATIONS IN AN EFFORT TO REACH MORE CHILDREN AND THEIR FAMILIES. WITHIN THE LAST YEAR (2014 - 2015), KIDS' FANS REACHED AT LEAST 1,750 CHILDREN IN STAMFORD. BUDGET $22,500.
IN-KIND COMMUNITY SUPPORT:	SH DONATES ITS CONFERENCE ROOMS WEEKLY TO THE RED CROSS FOR BLOOD DRAW AND ALANON. MONTHLY MEETINGS ARE DONATED TO: NATIONAL ALLIANCE ON MENTAL HEALTH (NAMI); NEIGHBORSLINK BOARD MEETING; COMPASSIONATE FRIENDS, FOR PARENTS WHO HAVE LOST CHILDREN. THE TRI-STATE SCLERODERMA FOUNDATION, THE PARISH NURSES, THE AMPUTEE SUPPORT GROUP AND TOPS (TAKE OFF POUNDS SENSIBLY). ORTHOPEDICS: HEALTH EDUCATION PROGRAMS FOCUSING ON ORTHOPEDIC HEALTH, SPORTS MEDICINE AND CONCUSSION PREVENTION INFORMATION WAS PROVIDED, REACHING 1,080 COMMUNITY MEMBERS. WOMEN'S HEALTH: MOBILE MAMMOGRAPHY SERVICES REACHED 1,707 WOMEN; FREE MAMMOGRAMS PROVIDED TO 1,300 UNINSURED WOMEN; HEALTH EDUCATION PROGRAMS/OUTREACH REACHED 3,340 WOMEN IN FY2015. FORM 990, SCHEDULE H, PART VI STATE FILING OF COMMUNITY BENEFIT REPORT A COMMUNITY BENEFIT REPORT IS PREPARED FOR THE STATE OF CONNECTICUT; HOWEVER, THAT REPORT IS NOT MADE AVAILABLE TO THE PUBLIC.

Schedule H (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

THE STAMFORD HOSPITAL

Employer identification number

06-0646917

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2014

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Kevin GageTREASURER/CFO	(i) (ii)	564,878 ............................... 0	121,234 ............................... 0	195,555 ............................... 0	13,085 ............................... 0	35,891 ............................... 0	930,643 ............................... 0	0 ............................... 0
2Darryl McCormickAsst. Secretary	(i) (ii)	397,734 ............................... 0	88,329 ............................... 0	40,180 ............................... 0	47,852 ............................... 0	12,555 ............................... 0	586,650 ............................... 0	0 ............................... 0
3David L SmithAsst. Secretary	(i) (ii)	411,371 ............................... 0	75,769 ............................... 0	61,248 ............................... 0	30,305 ............................... 0	50,630 ............................... 0	629,323 ............................... 0	0 ............................... 0
4Kathleen A SilardAsst. Secretary	(i) (ii)	587,701 ............................... 0	127,515 ............................... 0	59,801 ............................... 0	13,224 ............................... 0	50,630 ............................... 0	838,871 ............................... 0	0 ............................... 0
5Michael Coady MDCHIEF CARDIAC SURGEON	(i) (ii)	769,489 ............................... 0	80,000 ............................... 0	77,233 ............................... 0	13,083 ............................... 0	12,555 ............................... 0	952,360 ............................... 0	0 ............................... 0
6Sharon Kiely MDSR. VP, MEDICAL SERVICES	(i) (ii)	495,621 ............................... 0	91,989 ............................... 0	117,442 ............................... 0	13,187 ............................... 0	50,630 ............................... 0	768,869 ............................... 0	0 ............................... 0
7David TaylorFORMER CIO	(i) (ii)	368,691 ............................... 0	78,076 ............................... 0	40,727 ............................... 0	13,004 ............................... 0	48,412 ............................... 0	548,910 ............................... 0	0 ............................... 0
8Lance Bruck MDChair, DEPARTMENT OF OB/GYN	(i) (ii)	486,978 ............................... 0	60,000 ............................... 0	400,005 ............................... 0	12,694 ............................... 0	24,748 ............................... 0	984,425 ............................... 0	0 ............................... 0
9Steven Horowitz MDCHIEF, DIVISION OF CARDIOLOGY	(i) (ii)	550,873 ............................... 0	0 ............................... 0	33,384 ............................... 0	0 ............................... 0	47,335 ............................... 0	631,592 ............................... 0	0 ............................... 0
10CHARLES MINER MDDIRECTOR	(i) (ii)	0 ............................... 98,262	0 ............................... 113,288	0 ............................... 4,306	0 ............................... 0	0 ............................... 47,601	0 ............................... 263,457	0 ............................... 0
11GERALD B RAKOS MDDIRECTOR	(i) (ii)	419,972 ............................... 0	43,050 ............................... 0	20,548 ............................... 0	0 ............................... 0	35,251 ............................... 0	518,821 ............................... 0	0 ............................... 0
12Joshua Herbert MDDirector	(i) (ii)	0 ............................... 172,767	0 ............................... 25,000	0 ............................... 3,924	0 ............................... 0	0 ............................... 25,067	0 ............................... 226,758	0 ............................... 0
13Michael Stone MDPhysician	(i) (ii)	715,820 ............................... 0	50,000 ............................... 0	80,327 ............................... 0	10,400 ............................... 0	49,050 ............................... 0	905,597 ............................... 0	0 ............................... 0
14Brian GrisslerPresident & CEO	(i) (ii)	988,580 ............................... 0	261,427 ............................... 0	658,267 ............................... 0	26,636 ............................... 0	131,475 ............................... 0	2,066,385 ............................... 0	0 ............................... 0

Schedule J (Form 990) 2014

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference

Explanation

FORM 990, SCHEDULE J, PART I, LINE 1A

AS PER COMPANY POLICY, ALL NONCASH IMPUTABLE BENEFITS ARE TO BE PROCESSED IN A GROSSED-UP METHOD WITH APPLICABLE WAGE AND TAXES REPORTED ON W2'S FOR ALL EMPLOYEES. HOUSING ALLOWANCES ARE PROVIDED TO CERTAIN SENIOR EXECUTIVES AS PART OF THEIR COMPENSATION. FORM 990, SCHEDULE J, PART I, LINE 3 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. INDEPENDENT COMPENSATION CONSULTANTS ARE USED AND COMPENSATION SURVEYS ARE OBTAINED FROM AT LEAST THREE SOURCES. ONCE THE COMPENSATION IS DETERMINED A WRITTEN EMPLOYMENT CONTRACT IS OBTAINED.

FORM 990, SCHEDULE J, PART I, LINE 4A

Lance Bruck, MD; Former Chair - Department of OB/GYN; Former Highly Compensated Employee. Severance = $270,974

Schedule J (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
THE STAMFORD HOSPITAL

Employer identification number
06-0646917

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	STATE OF CT HEALTH AND EDUCATION FAC AUTHORities	06-0806186	2077443P8	05-27-2010	133,992,115	SEE SCHEDULE K, PART VI		X		X		X
B	STATE OF CT HEALTH AND EDUCATION FAC AUTHORITIES	06-0806186	20774YKQ9	06-20-2012	254,620,769	CONSTRUCTION OF NEW HOSPITAL		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	23,977,115		0
2 Amount of bonds legally defeased . . . . . . . . . . .	0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	133,995,069		254,620,769
4 Gross proceeds in reserve funds . . . . . . . . . . . .	0		0
5 Capitalized interest from proceeds . . . . . . . . . . .	0		36,350,996
6 Proceeds in refunding escrows . . . . . . . . . . . .	0		0
7 Issuance costs from proceeds . . . . . . . . . . . .	2,057,323		2,935,597
8 Credit enhancement from proceeds . . . . . . . . . . .	0		0
9 Working capital expenditures from proceeds . . . . . . . . .	0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	24,835,260		251,685,172
11 Other spent proceeds . . . . . . . . . . . . . .	107,102,486		0
12 Other unspent proceeds . . . . . . . . . . . . . .	0		0
13 Year of substantial completion . . . . . . . . . . . .	2011		2016
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X			X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2014

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0 %		0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0 %		0 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.	0 %		0 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .	X		X
b Exception to rebate? . . . . . . . .		X		X
c No rebate due? . . . . . . . .		X		X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . .		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X
b Name of provider . . . . . . . . .	0		0
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2014

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X
b Name of provider . . . . . . . . .	0		0
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference

Explanation

SCHEDULE K, PART I, COLUMN (F), BOND A

STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY BONDS WERE ISSUED 5/27/10 TO: 1) REFUND THE 11/13/96, 03/24/99, 6/03/08 AND 05/28/09 BOND ISSUES AND COMMERCIAL LOANS. 2) FINANCE ROUTINE RENOVATIONS AND OTHER CAPITAL EXPENDITURES AND 3) FINANCE DEVELOPMENT AND CONSTRUCTION OF NEW HOSPITAL FACILITY SCHEDULE K, PART II, LINE 3 BOND A: THERE IS A $3,000 VARIANCE BETWEEN THE PROCEEDS OF ISSUE AND THE ISSUE PRICE DUE TO INVESTMENT EARNINGS.

Schedule K (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Information about Schedule M (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

THE STAMFORD HOSPITAL

Employer identification number

06-0646917

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	30	2,778,645	Market Value
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that

it must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2014)

Page 2

Part II

Supplemental Information. Provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation

Schedule M (Form 990) (2014)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

THE STAMFORD HOSPITAL

Employer identification number

06-0646917

Return Reference	Explanation
FORM 990, PART VI, LINE 6	STAMFORD HEALTH INC. (SHI), A TAX-EXEMPT ORGANIZATION, IS THE SOLE MEMBER OF THE STAMFORD HOSPITAL. FORM 990, PART VI, LINE 7A STAMFORD HEALTH INC. (SHI), THE SOLE MEMBER OF THE STAMFORD HOSPITAL, HAS THE POWER, AS THE SOLE MEMBER: TO ELECT THE BOARD OF DIRECTORS OF THE STAMFORD HOSPITAL (THE "HOSPITAL") (EXCEPT FOR THE HOSPITAL PRESIDENT/CEO, WHO SERVES AS AN EX OFFICIO DIRECTOR) (SECTIONS V.2, VI.2), TO ELECT/ REMOVE/REPLACE THE HOSPITAL'S OFFICERS OTHER THAN THE PRESIDENT/CEO (SECTIONS VII.1, VII.4-5), AND TO ADOPT/AMEND/RESTATE/ REPEAL THE BYLAWS (ART. XII). SHI HAS CERTAIN STATUTORY APPROVAL RIGHTS AS THE SOLE MEMBER, SUCH AS THE RIGHT TO APPROVE MOST AMENDMENTS TO THE HOSPITAL'S CERTIFICATE AND THE HOSPITAL'S MERGER, DISSOLUTION, OR SALE OF ALL ASSETS LEAVING THE HOSPITAL WITH NO SIGNIFICANT CONTINUING ACTIVITY. FORM 990, PART VI, LINE 7B SHI HAS CERTAIN STATUTORY APPROVAL RIGHTS AS THE SOLE MEMBER, SUCH AS THE RIGHT TO APPROVE MOST AMENDMENTS TO THE HOSPITAL'S CERTIFICATE AND THE HOSPITAL'S MERGER, DISSOLUTION, OR SALE OF ALL ASSETS LEAVING THE HOSPITAL WITH NO SIGNIFICANT CONTINUING ACTIVITY. FORM 990, PART VI, LINE 11B THE STAMFORD HOSPITAL HAS A COMPREHENSIVE REVIEW PROCESS IN PLACE RELATING TO THE REVIEW OF FORM 990. PRIOR TO FINALIZATION OF THE 990, MANAGEMENT PRESENTS THE DRAFT FORM 990 TO THE FULL BOARD OF DIRECTORS FOR REVIEW AND DISCUSSION. THE HOSPITAL'S EXTERNAL TAX ACCOUNTANTS ATTEND THIS MEETING WITH MANAGEMENT TO ADDRESS ANY SPECIFIC CONCERNS OR QUESTIONS. THIS REVIEW PROCEDURE HELPS TO ASSURE SOUND REPORTING AND COMPLIANCE WITH TAX LAW. FORM 990, PART VI, LINE 12C IT IS THE POLICY OF THE STAMFORD HOSPITAL TO PROHIBIT ITS EMPLOYEES AND OTHER ASSOCIATES FROM ENGAGING IN ANY ACTIVITY, PRACTICE, OR ACT WHICH CONFLICTS WITH, OR APPEARS TO CONFLICT WITH, THE INTERESTS OF THE STAMFORD HOSPITAL, OR ITS PATIENTS. EMPLOYEES ARE EXPECTED TO CONDUCT THE BUSINESS OF THE STAMFORD HOSPITAL TO THE BEST OF THEIR ABILITY AND FOR THE BENEFIT OF THE STAMFORD HOSPITAL AND ITS PATIENTS. THE POLICY ALSO REQUIRES BOARD MEMBERS, OFFICERS, SENIOR LEADERS, MEDICAL STAFF LEADERS, COMMITTEE MEMBERS AND OTHER INDIVIDUALS AS APPROPRIATE TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST THEY OR THEIR IMMEDIATE FAMILY MAY HAVE ON AN ANNUAL BASIS. SURVEYS ARE DISTRIBUTED ANNUALLY AND TIMELY RECEIPT IS MONITORED BY THE HOSPITAL'S COMPLIANCE DEPARTMENT. FORM 990, PART VI, LINES 15A & 15B IT IS THE POLICY OF THE STAMFORD HOSPITAL TO PAY EMPLOYEES FAIR AND COMPETITIVE WAGES. THE HOSPITAL HAS ADOPTED A WAGE AND SALARY PROGRAM TO ENSURE THAT ALL EMPLOYEES ARE PAID IN RELATION TO THE VALUE OF THE WORK THEY PERFORM. THIS PROGRAM IS REVIEWED ANNUALLY. EXECUTIVE COMPENSATION IS SUBJECT TO A MORE COMPREHENSIVE REVIEW, INCLUDING AN ANNUAL BENCHMARKING ANALYSIS AND BOARD-LEVEL APPROVAL PROCESS. FORM 990, PART VI, LINE 19 THE STAMFORD HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9 Equity transfer of investments from SHI - $58,495,559 Equity Transfer to SHMG - ($30,784,645) Pension Related Charges - ($6,240,283) _____________ TOTAL $21,470,631
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:21687321
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN FEES TOTAL FEES:11197907
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING TOTAL FEES:5507130
FORM 990 PART IX LINE 11G	DESCRIPTION:INTERCOMPANY STAFFING FEES TOTAL FEES:5153414
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION FEES TOTAL FEES:4639057
FORM 990 PART IX LINE 11G	DESCRIPTION:COMMUNITY BENEFIT GRANT TOTAL FEES:2284564
FORM 990 PART IX LINE 11G	DESCRIPTION:TEMP NURSING TOTAL FEES:1842689
FORM 990 PART IX LINE 11G	DESCRIPTION:DATA PROCESSING SVCS TOTAL FEES:576448

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

THE STAMFORD HOSPITAL

Employer identification number

06-0646917

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) 36 GROVE ST NEW CANAAN LLC One Hospital Plaza PO box 9317 Stamford,CT06904 27-4941529	MEDICAL RENTA	CT	14,937	815,330	TSH
(2) 24 GROVE ST NEW CANAAN LLC One Hospital Plaza PO box 9317 Stamford,CT06904 27-4941167	MEDICAL RENTA	CT	-23,737	5,945,644	TSH
(3) STAMFORD HEALTH OCCUPATIONAL HEALTH SERV One Hospital Plaza PO box 9317 Stamford,CT06904 47-5119889	OCCUPATIONAL	CT	0	0	TSH
(4) STAMFORD HEALTHCARE ALLIANCE LLC One Hospital Plaza PO box 9317 STAMFORD,CT06904	INACTIVE	CT	0	0	TSH

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) Stamford Health Inc One Hospital Plaza PO Box 9317 Stamford,CT06904 22-2476636	Hosp Parent	CT	501(c)3	11, Type I	NA		No
(2) The Stamford Hospital Foundation One Hospital Plaza PO Box 9317 Stamford,CT06904 22-2478748	Fundraising	CT	501(c)3	9	SHI	Yes
(3) Stamford Health Medical Group One Hospital Plaza PO Box 9317 Stamford,CT06904 27-1648289	Medical Svcs	CT	501(c)3	9	TSH	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2014

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) Healthstar Indemnity Co Limited FB PERRY BUILDING 40 CHURCH ST,HAMILTON BD	Self Insurance	BD	TSH	C Corp	-9,160,496	63,959,844	100.000 %	Yes
(2) Southwest Connecticut Radiology One Hospital Plaza PO Box 9317 Stamford,CT06904 45-3801216	Radiology	CT	SHI	S Corp	0	0	0 %	Yes

Schedule R (Form 990) 2014

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) Stamford Health Medical Group	o	127,785	Book Value
(2) Stamford Health Medical Group	b	30,784,645	Book Value
(3) Stamford Health Medical Group	j	482,882	Book Value
(4) Stamford Health Inc	b	503,595	Book Value
(5) Stamford Health Inc	k	40,560	Book Value
(6) Stamford Health Inc	p	38,638	Book Value
(7) Stamford Health Inc	s	58,496,000	Book Value
(8) Stamford Health Inc	s	444,360	Book Value
(9) Stamford Health Inc	r	923,173	Cash Value
(10) Healthstar Indemnity Company	r	9,568,688	Cash Value
(11) Healthstar Indemnity Company	s	508,188	Cash Value
(12) Healthstar Indemnity Company	q	6,452,706	Cash Value

Schedule R (Form 990) 2014

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2014

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2014

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: Our mission: Together with our Physicians we provide a broad range of WE PROVIDE A BROAD RANGE OF High Quality Health and Wellness services focused on the needs of our communities.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	12
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	8
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	3,123
6	Total number of volunteers (estimate if necessary) .............	6	600
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	7,581,310
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	4,255,124

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	27,563,425	28,262,832
9	Program service revenue (Part VIII, line 2g) .........	462,463,843	481,034,881
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	3,078,089	5,261,487
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	4,119,204	3,084,903
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	497,224,561	517,644,103
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	230,572,425	236,226,854
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	240,152	219,806
b	Total fundraising expenses (Part IX, column (D), line 25) 4,114,359
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	208,965,147	207,399,590
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	439,777,724	443,846,250
19	Revenue less expenses. Subtract line 18 from line 12.......	57,446,837	73,797,853
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	811,196,569	905,964,794
21	Total liabilities (Part X, line 26).............	592,389,998	596,491,295
22	Net assets or fund balances. Subtract line 21 from line 20.....	218,806,571	309,473,499

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 367,988,714 including grants of $ 0 ) (Revenue $ 484,871,536 )
	IN 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 9/30/2015 INCLUDE: ADULT AND PEDIATRIC INPATIENTS CARED FOR AND DISCHARGED 14,847; BABIES BORN 2,131; TOTAL INPATIENT DAYS OF CARE PROVIDED 73,202 PATIENTS SEEKING CARE IN THE STAMFORD HOSPITAL EMERGENCY ROOM: ADMITTED FOR INPATIENT TREATMENT 7,961; TREATED AND RELEASED 41,279; TREATED AT TULLY IMMEDIATE CARE CENTER 26,304. SURGERIES PERFORMED AT THE HOSPITAL AND TULLY CENTER: 18,686. RADIATION THERAPY PROCEDURES PERFORMED: 192,061.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses367,988,714

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)			(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) Sharon Kiely MD........................................................................ SR. VP, MEDICAL SERVICES	38.0 .......................0.0	X		705,052	0	63,817
(19) Lance Bruck MD........................................................................ Chair, DEPARTMENT OF OB/GYN	38.0 .......................2.0	X		946,983	0	37,442
(20) Steven Horowitz MD........................................................................ CHIEF, DIVISION OF CARDIOLOGY	38.0 .......................0.0	X		584,257	0	47,335
(21) Michael Stone MD........................................................................ Physician	38.0 .......................2.0	X		846,147	0	59,450
(22) David Taylor........................................................................ FORMER CIO	38.0 .......................2.0		X	487,494	0	61,416

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	9,619,814	417,547	815,300

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c		1,470,251
d	Related organizations...1d
e	Government grants (contributions)1e		547,823

f	All other contributions, gifts, grants, and similar amounts not included above1f		26,244,758

g	Noncash contributions included in lines 1a-1f:$		2,778,645
h	Total. Add lines 1a-1f.......			28,262,832
			Business Code
2a	PATIENT REVENUE		621300	289,248,255	289,248,255	0	0
b	PHYSICIAN BILLING		621110	10,138,472	10,138,472	0	0
c	WELLNESS & TRAINING		621400	3,354,662	3,354,662	0	0
d	MEDICARE/MEDICAID PAYMENT		621400	170,696,165	170,696,165	0	0
e	REFERENCE LAB INCOME		621400	7,597,327	0	7,597,327	0
f	All other program service revenue .
g	Total. Add lines 2a–2f........			481,034,881
3	Investment income (including dividends, interest, and other similar amounts).......			1,661,042		-11,572	1,672,614
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents	3,330,865
b	Less: rental expenses	3,970,757
c	Rental income or (loss)	-639,892	0
d	Net rental income or (loss).......			-639,892		-4,445	-635,447
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	24,166,855
b	Less: cost or other basis and sales expenses	20,566,410
c	Gain or (loss)	3,600,445
d	Net gain or (loss)..........			3,600,445			3,600,445
8a	Gross income from fundraising events (not including $ 1,470,251 of contributions reported on line 1c). See Part IV, line 18 ..
	a		223,200
b	Less: direct expenses ...b		335,060
c	Net income or (loss) from fundraising events..			-111,860
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a	CAFETERIA, COFFEE SHOP		722210	1,723,023	1,723,023	0	0
b	MEANINGFUL USE INCOME		621110	590,652	590,652	0	0
c	INTERCOMPANY STAFF REIMB		900099	1,028,040	1,028,040	0	0
d	All other revenue ....			494,940	494,940	0	0
e	Total. Add lines 11a–11d ......			3,836,655
12	Total revenue. See Instructions......			517,644,103	477,274,209	7,581,310	4,637,612


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			166,718	1	53,693
2	Savings and temporary cash investments .........			101,284,928	2	127,234,047
3	Pledges and grants receivable, net ...........			25,771,987	3	28,893,864
4	Accounts receivable, net .............			68,966,813	4	72,726,998
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net .............			0	7	0
8	Inventories for sale or use ..............			6,402,714	8	7,429,778
9	Prepaid expenses and deferred charges ..........			6,029,216	9	7,573,399
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	911,081,258
b	Less: accumulated depreciation .....	10b	373,304,489	415,158,646	10c	537,776,769
11	Investments—publicly traded securities ..........			121,026,075	11	56,182,532
12	Investments—other securities. See Part IV, line 11 .....			19,007,978	12	24,378,481
13	Investments—program-related. See Part IV, line 11 .....			0	13	0
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			47,381,494	15	43,715,233
16	Total assets. Add lines 1 through 15 (must equal line 34)......			811,196,569	16	905,964,794
17	Accounts payable and accrued expenses .........			103,822,599	17	107,717,272
18	Grants payable .................			0	18	0
19	Deferred revenue ................			667,807	19	732,509
20	Tax-exempt bond liabilities .............			369,677,861	20	364,390,147
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....			3,857,445	24	3,582,642
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			114,364,286	25	120,068,725
26	Total liabilities. Add lines 17 through 25.........			592,389,998	26	596,491,295
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			151,392,178	27	218,716,388
28	Temporarily restricted net assets ...........			59,053,144	28	82,312,016
29	Permanently restricted net assets ...........			8,361,249	29	8,445,095
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			218,806,571	33	309,473,499
34	Total liabilities and net assets/fund balances ........			811,196,569	34	905,964,794

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; do not file with Form 990)............................	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713; do not file with Form 990).....................................	Yes	No