TY 2019 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)	(F) Estimated amount of other compensation from the organization and related organizations
(1) Kathleen A Silard...................................................................... Pres. & CEO - Treasurer	38.0 ................. 2.0	X	X				1,248,698	28,105
(2) David Yuh MD...................................................................... Physician	38.0 ................. 2.0				X		1,075,815	50,735
(3) Sharon Kiely...................................................................... Sr. VP Medical Services	38.0 ................. 2.0				X		1,024,208	21,495
(4) Michael Coady MD...................................................................... Chief of cardiac Surgery	38.0 ................. 2.0				X		896,086	27,812
(5) Todd Miller MD...................................................................... Chief Neuro Interv. Services	38.0 ................. 2.0				X		882,641	25,735
(6) Brian Stainken MD...................................................................... Dept. Chair	38.0 ................. 2.0				X		749,390	33,915
(7) MICHAEL EBRIGHT MD...................................................................... Physician Director	38.0 ................. 2.0	X					622,303	26,197
(8) Carol Fucigna...................................................................... Physician Director	2.0 ................. 38.0	X					581,062	30,594
(9) Elaine Guglielmo...................................................................... Asst. Secretary	38.0 ................. 2.0		X				477,440	28,281
(10) Brian Grissler...................................................................... Former President & CEO	38.0 ................. 2.0					X	455,796	0
(11) Rudolph Taddonio...................................................................... FORMER Officer Phys. Director	38.0 ................. 2.0			X			127,488	0
(12) Kevin Gage...................................................................... Former Treasurer/CFO	38.0 ................. 2.0					X	123,537	0
(13) Mark Dewaele DMD...................................................................... Chairman	2.0 ................. 2.0	X	X				0	0
(14) Matthew Dumas...................................................................... Director	2.0 ................. 2.0	X					0	0
(15) Robert Eydt...................................................................... Director	2.0 ................. 2.0	X					0	0
(16) Lucy Galbraith...................................................................... Director	2.0 ................. 2.0	X					0	0
(17) Patrick Hackett...................................................................... Vice Chair & Director	2.0 ................. 2.0	X	X				0	0

(A) Name and business address	(B) Description of services	(C) Compensation
HEMATOLOGY ONCOLOGY ASSOC PC, PO BOX 9317 STAMFORD,CT06904	PHYSICIAN FEES/ONCOL	5,223,635
SUNRISE MEDICAL LABORATORIES, 250 MILLER PLACE HICKSVILLE,NY11801	lab services	1,670,841
ROPES GRAY LLP, PO BOX 11839 NEWARK,NJ071018138	LEGAL SERVICES	1,201,373
MMODAL SERVICES INC, PO BOX 538520 ATLANTA,GA303538520	TRANSCRIPTION SRVCS	1,140,803
STOCKMAN O'CONNOR LLC, 800 MAIN STREET SOUTH SUITE 215 SOUTHBURY,CT06488	LEGAL SERVICES	913,137
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 348

- 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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 12, 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 (Form 990 or 990-EZ).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2019

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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. 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—2018. 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—2019. 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—2018. 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) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. 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—2018. 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) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d 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 12a or 12b 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 (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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 section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

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

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 9a) 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 9a) 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 section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b 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

Schedule A (Form 990 or 990-EZ) 2019

Page 5

Part IV

Supporting Organizations (continued)

Yes

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

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, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) 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) 2019

Page 6

Part V

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

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). 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

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) 2019

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

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 2019 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-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

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) 2019

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

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 other 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. Don't 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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization THE STAMFORD HOSPITAL

Part I Contributors	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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 3

Name of organization THE STAMFORD HOSPITAL		Employer identification number 06-0646917

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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

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.) $ 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) (2019)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on 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 (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2019

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) 2016	(b) 2017	(c) 2018	(d) 2019	(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) 2019

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 on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(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

179,212

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

179,212

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-B, LINE 1i	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) 2019

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," on 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.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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" on 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" on 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 7/25/06, 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB 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 FASB 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 on 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 FASB ASC 958 relating to these items:

Revenue included on 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) 2019

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	84,050,468	82,169,711	80,294,571	82,101,038	90,756,792
b	Contributions ...	5,258,480	4,190,779	6,752,504	8,246,282	74,894,440
c	Net investment earnings, gains, and losses	925,094	637,852	604,611	1,046,037	406,156
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	3,842,140	2,947,874	5,481,975	11,098,786	83,956,350
f	Administrative expenses ....
g	End of year balance ......	86,391,902	84,050,468	82,169,711	80,294,571	82,101,038

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

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

76.000 %

Term endowment SchDMd Bullet

24.000 %

The percentages on 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" on 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" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	41,454,794		41,454,794
b	Buildings ....	483,665,379	161,044,016	322,621,363
c	Leasehold improvements	15,167,341	10,564,887	4,602,454
d	Equipment ....	582,650,608	365,038,976	217,611,632
e	Other .....	26,860,185	6,096,412	20,763,773
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				607,054,016

Schedule D (Form 990) 2019

Page 3

Part VII

InvestmentsOther Securities.
Complete if the organization answered "Yes" on 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........
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

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

(a) Description				(b) Book value
(1)DONOR RESTRICTED FUNDS				17,892,243
(2)DUE FROM AFFILIATES				13,100,740
(3)MISCELLANEOUS RECEIVABLE				5,360,004
(4)ORGANIZATION COSTS				2,815,513
(5)DEPOSITS				458,655
(6)OPERATING LEASE ASSETS, NET				31,471,390
(7)RECOVERABLE LOSSES				2,765,680
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				73,864,225

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	297,093,130
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) 2019

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on 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' on 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

Intended use of endowment funds

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 SERVICES.

Schedule D (Form 990) 2019

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" on 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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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" on 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?

YesNo

If "Yes," list the 10 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?
			Yes	No
	Doug Picha Consultants	Consultant		No









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

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 990 or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2019

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on 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 6 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	500,533	542,780	318,111	1,361,424
2	Less: Contributions . . . .	500,533	591,930	260,561	1,353,024
3	Gross income (line 1 minus line 2) . . . . . .		-49,150	57,550	8,400

4	Cash prizes . . . . .	16,088	19,741	2,908	38,737
5	Noncash prizes . . . .
6	Rent/facility costs . . . .
7	Food and beverages . . .	2,441	127,810	99,266	229,517
8	Entertainment . . . .
9	Other direct expenses . . .	3,793	9,703	79,622	93,118
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				361,372
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				-352,972

Part III

Gaming. Complete if the organization answered "Yes" on 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))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	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) 2019

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 activity 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) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2019

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 250 %

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? . . . . . .

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? . . . . . . . . .

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

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		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(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) . . .			9,931,793		9,931,793	1.670 %
b	Medicaid (from Worksheet 3, column a) . . . . .			146,998,349	89,436,396	57,561,953	9.700 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			156,930,142	89,436,396	67,493,746	11.370 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	3	781	199,013		199,013	0.030 %
f	Health professions education (from Worksheet 5) . . .
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .			2,201,525		2,201,525	0.370 %
j	Total. Other Benefits . .	3	781	2,400,538		2,400,538	0.400 %
k	Total. Add lines 7d and 7j .	3	781	159,330,680	89,436,396	69,894,284	11.770 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

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 Healthcare Financial Management Association Statement No. 15? ..........................

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

46,366,898

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. ......

11,494,354

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).....

105,094,218

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

134,472,672

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

-29,378,454

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) 2019

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?1Name, 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	X

Schedule H (Form 990) 2019

Page 4

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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 19

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

6 a

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): SEE PART V, SECTION C

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 20

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

Yes

If "Yes" (list url): SEE PART V, SECTION C

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

12b

If "Yes" on 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) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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 250.%
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?.................

Yes

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

Yes

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)

Was widely publicized within the community served by the hospital facility?........

Yes

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

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

SEE PART V, SECTION C

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

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

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)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

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

Yes

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 nonpayment?..................................

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

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

Did the hospital facility or other authorized 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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

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

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

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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) 2019

Page 8

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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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 2019 SH PARTNERED WITH DATAHAVEN, THE HOSPITALS IN FAIRFIELD COUNTY, AND THE FAIRFIELD COUNTY'S COMMUNITY FOUNDATION IN THE DEVELOPMENT OF A COUNTY-WIDE COMMUNITY WELLBEING INDEX, WHICH PROVIDES IMPORTANT DATA ON COMMUNITY ISSUES SUCH AS PUBLIC SAFETY, EDUCATION, HOUSING, TRANSPORTATION, EMPLOYMENT AND HEALTH, AND IT SERVES AS A COMPANION DOCUMENT OF THE SH COMMUNITY HEALTH NEEDS ASSESSMENT. THE BENEFITS OF COLLABORATION INCLUDE EFFICIENCY, CONSISTENT DATA, AND COMPARABLE RESULTS. AS IN 2016, STAMFORD HOSPITALS 2019 CHAPTER FOCUSES ON THE CITY OF STAMFORD AND THE TOWN OF DARIEN. PROCESS AND METHODOLOGY: FOR THE DEVELOPMENT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, SH UTILIZES DATA FROM THE DATA HAVEN COMMUNITY WELLBEING INDEX, AND OTHER QUANTITATIVE DATA SOURCES SUCH AS THE CONNECTICUT HOSPITAL ASSOCIATIONS HOSPITAL ENCOUNTER DATA AND MORTALITY DATA FROM THE CT DEPARTMENT OF PUBLIC HEALTH. QUALITATIVE DATA SOURCES INCLUDE IN-PERSON INTERVIEWS, FOCUS GROUPS AND ONLINE SURVEY. THROUGH THE FOCUS GROUPS AND INTERVIEWS, THE HOSPITAL WAS ABLE TO GATHER FEEDBACK FROM MANY KEY ORGANIZATIONS AND INDIVIDUALS. BELOW ARE A FEW OF THE ORGANIZATIONS FROM WHICH FEEDBACK WAS GATHERED IN THE FORM OF EITHER AN INTERVIEW OR FOCUS GROUP: - CITY OF STAMFORD, DEPARTMENT OF HEALTH - DARIEN HEALTH DEPARTMENT - STAMFORD EMERGENCY MEDICAL SERVICES - OPTIMUS HEALTH CARE - DARIEN SENIOR CENTER - STAMFORD PUBLIC SCHOOLS - BUILDING ONE COMMUNITY - BOYS AND GIRLS CLUB INDIVIDUALS WITH WHOM WE SPOKE AT ALL OF THE ORGANIZATIONS LISTED ABOVE EITHER HAVE EXPERTISE IN PUBLIC HEALTH OR REPRESENT A MINORITY AND/OR UNDERSERVED GROUP IN THE COMMUNITY. PLEASE REFER TO CHNA EXHIBIT B FOR THE COMPLETE LIST OF ORGANIZATIONS REPRESENTED THROUGH INTERVIEWS AND EXHIBIT C FOR THE COMPLETE LIST OF ORGANIZATIONS AT WHICH FOCUS GROUPS WERE HOSTED. THROUGH OUR ONLINE SURVEY, WE WERE ABLE TO GATHER INPUT FROM A WIDER RANGE OF INDIVIDUALS REPRESENTING MANY ORGANIZATIONS BASED IN STAMFORD OR DARIEN. BELOW IS A SAMPLE LIST OF THE ORGANIZATIONS AND GROUPS FROM WHICH REPRESENTATIVES PROVIDED FEEDBACK THROUGH OUR ONLINE SURVEY: - PERSON-TO-PERSON - AMERICARES FREE CLINIC OF STAMFORD HOSPITAL - COMMUNITY HEALTH CENTER - FAMILY CENTERS - UNITED WAY OF WESTERN CONNECTICUT PLEASE REFER TO EXHIBIT D FOR A LIST OF ORGANIZATIONS FROM WHICH REPRESENTATIVES PROVIDED FEEDBACK THROUGH OUR ONLINE SURVEY. IT IS IMPORTANT TO NOTE THAT NOT ALL RESPONDENTS TO THE SURVEY PROVIDED CONTACT INFORMATION AND, THEREFORE, ARE NOT INCLUDED IN EXHIBIT D. A BRIEF DESCRIPTION OF SOME OF THE ORGANIZATIONS FROM WHOM WE GATHERED INPUTPLEASE REFER TO EXHIBIT E. FORM 990, SCHEDULE H, PART V, SECTION C, LINE 7 HTTPS://WWW.STAMFORDHEALTH.ORG/APP/FILES/PUBLIC/2254/COMMUNITY-HEALTH-ASSE SSMENT-NEEDS.PDF FORM 990, SCHEDULE H, PART V, SECTION B, LINE 8 IN RESPONSE TO THE COMMUNITY HEALTH NEEDS ASSESSMENT ADOPTED JULY 24, 2019, STAMFORD HEALTH DEVELOPED AN IMPLEMENTATION STRATEGY WHICH WAS ADOPTED AT THE JANUARY 29, 2020 STAMFORD HOSPITAL BOARD OF DIRECTORS MEETING. FORM 990, SCHEDULE H, PART V, SECTION C, LINE 10 HTTPS://WWW.STAMFORDHEALTH.ORG/APP/FILES/PUBLIC/2384/IMPLEMENTATION-STRATE GY.PDF FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11 THIS REPORT WAS REVIEWED AND ADOPTED BY THE HOSPITAL'S LEADERSHIP TEAM AND BOARD OF DIRECTORS ON JULY 24, 2019. AS A NEXT STEP, STAMFORD HOSPITAL ENGAGED COMMUNITY PARTNERS TO DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) TO ADDRESS THE PRIPORITIES IDENTIFIED IN THE 2019 CHNA. AS THE COMMUNITY PARTNERS BUILT THE CHIP, IT CONSIDERED THE PROGRAMS, ORGANIZATIONS AND FACILITIES AVAILABLE IN THE COMMUNITY TO HELP ADDRESS THE IDENTIFIED HEALTH PRIORITIES. EXHIBIT G IS A PARTIAL LIST OF COMMUNITY ORGANIZATIONS AND RESOURCES THAT WERE CONSULTED TO ADDRESS THE ISSUES. THE HOSPITAL ALSO CONSIDERED THE PARTNERSHIPS WHICH WERE ESTABLISHED OR EXPANDED IN CONNECTION WITH THE 2016 CHIP AS SET FORTH IN EXHIBIT E. FOR ISSUES IDENTIFIED THROUGH THE CHNA, BUT NOT ADDRESSED IN THE 2019 CHIP, STAMFORD HOSPITAL WILL WORK WITH ITS PARTNERS TO DETERMINE THE MOST SUITABLE RESOURCES AVAILABLE IN THE COMMUNITY TO ADDRESS THOSE ISSUES. THE FINAL PLAN WAS SUBMITTED AND MADE PUBLICLY AVAILABLE IN FEBRUARY 2020. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 16A HTTPS://WWW.STAMFORDHEALTH.ORG/APP/FILES/PUBLIC/2218/FAP_2016_POLICY_ENGLI SH.PDF FORM 990, SCHEDULE H, PART V, SECTION B, LINE 16B HTTPS://WWW.STAMFORDHEALTH.ORG/APP/FILES/PUBLIC/2217/FAP_2016_APPLICATION_ ENGLISH.PDF FORM 990, SCHEDULE H, PART V, SECTION B, LINE 16C HTTPS://WWW.STAMFORDHEALTH.ORG/APP/FILES/PUBLIC/2219/FAP_2016_SUMMARY_ENGL ISH.PDF FORM 990, SCHEDULE H, PART V, SECTION B, LINE 22D FOR AN INDIVIDUAL WHOSE INCOME IS BETWEEN 200% AND 400% OF THE FPG, STAMFORD HOSPITAL SHALL DETERMINE THE LEVEL OF DISCOUNT FOR THE SERVICE IF THE PATIENTS HOUSEHOLD GROSS YEARLY INCOME MEETS OR DOES NOT EXCEED FOUR TIMES THE MOST RECENT FPG, ACCORDING TO STAMFORD HOSPITALS FINANCIAL ASSISTANCE CALCULATION TABLE. THE DISCOUNT WILL BE APPLIED TO THE PATIENTS OBLIGATION, WHICH, FOR UNINSURED PATIENTS, IS THE AGB BASED ON THE LOOK-BACK METHOD. FOR INSURED PATIENTS, THE DEDUCTIBLE, COPAYMENT OR COINSURANCE OBLIGATION WILL BE DETERMINED USING THE FPG FOR THE PATIENTS GROSS HOUSEHOLD YEARLY INCOME AND THE STAMFORD HOSPITAL FINANCIAL ASSISTANCE CALCULATION TABLE.

Schedule H (Form 990) 2019

Page 9

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) 2019

Page 10

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 THE 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 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 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 8B MEDICARE COSTING METHODOLOGY THE COSTING METHODOLOGY USED FOLLOWS THE METHODOLOGY OF THE MEDICARE COST REPORT. 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, Line 2	NEEDS ASSESSMENT STAMFORD HEALTH PROVIDED CRITICAL MEDICAL EXPERTISE AND ASSISTANCE TO THE CITY AND MYRIAD NONPROFIT HUMAN SERVICES AGENCIES DURING THE COVID PANDEMIC. SUCH ASSISTANCE INCLUDED DEVELOPING INFECTIOUS DISEASE PROTOCOLS TO REDUCE THE INFECTION RATE IN OUR CITY. THIS IN-KIND ASSISTANCE INCLUDED PROTOCOLS TO PROTECT RESIDENTS OF AREA NURSING HOMES, TO SAFELY HOUSE PEOPLE REQUIRED TO QUARANTINE AND TO PROTECT THE HOMELESS AND OTHERS AT-RISK, PARTICULARLY LOW-INCOME RESIDENTS LIVING IN OVERCROWDED HOUSING. EARLY IN THE PANDEMIC, STAMFORD HEALTH INFECTIOUS DISEASE PHYSICIANS VISITED AREA NURSING HOMES TO DEMONSTRATE THE PROPER USE AND HANDLING OF PROTECTIVE PERSONAL EQUIPMENT (PPE) TO REDUCE THE SPREAD OF THE VIRUS. DURING THE SURGE OF COVID-19, OUR PHYSICIANS AND SH PRESIDENT & CEO MADE NUMEROUS VIRTUAL PRESENTATIONS TO ASSIST SCORES OF COMMUNITY ORGANIZATIONS DEVELOP POLICIES AND PROCEDURES TO PROTECT EMPLOYEES, CLIENTS AS THEY STRUGGLED TO CONTINUE OPERATIONS SAFELY DURING THE HEIGHT OF THE PANDEMIC. THIS WORK INCLUDED INFORMATION ABOUT TESTING PROTOCOLS, AND FINALLY PROVIDING INFORMATION ABOUT VACCINE EFFICACY AND SAFETY. PRESENTATIONS WERE CONDUCTED VIA ZOOM MEETINGS, FACEBOOK POSTS AS WELL AS THE STAMFORD MAYORS WEEKLY UPDATE MEETINGS FOR THE PUBLIC. THESE PRESENTATIONS REQUIRED HUNDREDS OF PHYSICIANS AND SENIOR STAFF HOURS INCLUDING SH PRESIDENT & CEO KATHLEEN SILARD. THE COVID-19 HIGH RISK COMMUNITY OUTREACH TASK FORCE WAS FORMED IN MARCH 2020 IN RESPONSE TO THE MANY CHALLENGES FACING THE COMMUNITY AS A RESULT OF THE SHUTDOWN. THE VITA PARTNERSHIP EXPANDED ITS REACH TO INCLUDE NONPROFITS SERVING THE GREATER STAMFORD COMMUNITY AND REPRESENTATIVES FROM THE CITY OF STAMFORD. WEEKLY MEETINGS WERE ESTABLISHED TO PROBLEM SOLVE AND COORDINATE EFFORTS. VITA SUCCESSFULLY RAISED FUNDS TO SECURE AND DISTRIBUTE URGENTLY NEEDED PPE TO COMMUNITY ORGANIZATIONS, WHOSE EMPLOYEES WERE ON THE FRONT LINES DISTRIBUTING FOOD AND OTHERWISE INTERFACING WITH THEIR CLIENTS. VITA PARTNERED WITH THE STAMFORD NAACP AND THE CITY OF STAMFORD TO ENSURE THAT MASKS AND OTHER PPE WERE DISTRIBUTED AMONG RESIDENTS LIVING IN HIGH-DENSITY APARTMENTS. THE NAACP DEVELOPED A TEAM OF CONCERNED MINISTERS TO SPREAD THE WORD ABOUT THE IMPORTANCE OF HYGIENE, MASK WEARING AND SOCIAL DISTANCING. WORKING CLOSELY WITH THE AMERICARES FREE CLINIC, BUILDING ONE COMMUNITY AND THE NAACP, STAMFORD HEALTH WAS ABLE TO REACH LOW-INCOME, AT-RISK PEOPLE THROUGHOUT THE CITY OF STAMFORD TO ENSURE ACCESS TO PPE AND TESTING FOR COVID-19. THE VITA CTF DEVELOPED A COMPREHENSIVE COMMUNICATIONS CAMPAIGN TO DISSEMINATE INFORMATION ABOUT THE VIRUS AND UTILIZE CDC GUIDANCE AND PROTECTION PRACTICES AMONG HIGH-RISK MEMBERS OF THE STAMFORD COMMUNITY. AS TESTING SITES WERE ESTABLISHED ADDITIONAL INFORMATION WAS PUSHED OUT INTO THE COMMUNITY RESULTING IN DRAMATICALLY INCREASED TESTING AMONG THE BLACK POPULATION, WHICH WAS DISPROPORTIONATELY IMPACTED BY THE VIRUS. AS DATA REVEALED THAT TESTING AMONG LATINX POPULATION LAGGED WITH HIGHER POSITIVITY RATES, A SUB-COMMITTEE TO FOCUS SPECIFICALLY ON THE LATINX COMMUNITY WAS FORMED. IN STAMFORD, A HIGH PERCENTAGE OF THOSE IMPACTED IN THE LATINX COMMUNITY WERE NEW ARRIVALS AND FIRST-GENERATION AMERICANS. CONSULTANTS WERE ENGAGED TO HELP DEVELOP CULTURALLY APPROPRIATE COMMUNICATIONS TO INCREASE TESTING AND DECREASE HOSPITALIZATIONS. WORKING WITH COMMUNITY PARTNERS, THE HIGH-RISK SUBCOMMITTEE DEVELOPED TACTICS TO ADDRESS THE UNIQUE CIRCUMSTANCES OF THE LATINX POPULATIONS. AS A RESULT OF THIS HIGHLY FOCUSED EFFORT AND IN COLLABORATION WITH COMMUNITY PARTNERS, STAMFORD HEALTH CREATED THE 'NO BARRIERs' VACCINATION PROGRAM FOR MARGINALIZED POPULATIONS. THE STAMFORD HOSPITAL ("SH"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 PREVENT AND TREAT HIV. STAMFORD CARES, A PROGRAM OF FAMILY CENTERS THAT PROVIDES HIV MEDICAL CASE MANAGEMENT WHICH INCLUDES PARTICIPATION IN COMMUNITY HEALTH FAIRS AND EDUCATIONAL OUTREACH EFFORTS AND PROVIDES HIV UPDATES FOR AIDS SERVICE PROVIDERS IN THE COMMUNITY; PERFORMS CLIENT HOME VISITS; AND CONDUCTS MONTHLY HIV POSITIVE WOMEN'S SUPPORT GROUP; ALSO DISSEMINATES HEALTH INFORMATION AND ADDRESSES PUBLIC HEALTH ISSUES THAT ARISE. SH PARTNERS WITH OPTIMUS HEALTH CARE, INC., A FEDERALLY QUALIFIED HEALTH CARE CENTER, TO CREATE AN INTEGRATED PRIMARY CARE DELIVERY NETWORK FOR THE MEDICALLY UNDERSERVED COMMUNITIES IN STAMFORD. DISCOUNTED OR FREE SUPPLIES, EQUIPMENT AND MEDICATIONS WERE PROVIDED TO INDIGENT PATIENTS IN 2020. SH ALSO PROVIDES INFORMATION AND REFERRAL SERVICES TO ENHANCE ACCESS TO CARE. THE MISSION OF THE CHILDRENS HEALTH COLLABORATIVE IS TO LINK COMMUNITY RESOURCES AND FACILITATE SUPPORT FOR PROGRAMMING TO IMPROVE THE OVERALL HEALTH AND WELLNESS OF CHILDREN. PARTICIPANTS INCLUDE SH, THE STAMFORD PUBLIC SCHOOLS, THE STAMFORD HEALTH DEPARTMENT, REPRESENTATIVES OF EARLY CHILDHOOD AND AFTER SCHOOL PROGRAMS AND COMMUNITY CENTERS, PEDIATRICIANS AND FAMILY MEDICINE PRACTITIONERS. SH'S KIDS FANS (KIDS' FITNESS AND NUTRITION SERVICES) PROGRAM, PROMOTES PHYSICAL ACTIVITY AND HEALTH-CONSCIOUS NUTRITION. A MAJOR INITIATIVE OF SH IS THE VITA HEALTH & WELLNESS INITIATIVE, WHICH IN 2019 BECAME CITY-WIDE (INITIALLY FOCUSED ON TWO CENSUS TRACTS IN STAMFORD'S WEST SIDE). THE MISSION OF THE VITA INITIATIVE IS TO HARNESS THE POWER OF COLLECTIVE ACTION TO CATALYZE THE PRINCIPAL ORGANIZATIONS' COMMITMENT TO HEALTHFUL LIVING, WHILE ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH. THE WEST SIDE NEIGHBORHOOD REVITALIZATION ZONE (WSNRZ), SEEKS TO IMPROVE THE NEIGHBORHOOD AT THE HOSPITAL'S SOUTHERN BORDER. THE WEST SIDE, A DENSELY POPULATED, LOW-INCOME NEIGHBORHOOD HAS EXPERIENCED A STEADY DECLINE IN HOME OWNERSHIP AND LACK OF INVESTMENT FOR MORE THAN THREE DECADES. STAMFORD HOSPITAL AND CHARTER OAK COMMUNITIES (FORMERLY STAMFORD HOUSING AUTHORITY), THE NEIGHBORHOOD'S ANCHOR INSTITUTIONS, WORK WITH RESIDENTS, BUSINESSES AND THE CITY TO SPUR INVESTMENT AND IMPROVEMENTS TO IMPROVE HEALTH, PEDESTRIAN SAFETY AND REDUCE CRIME. THE WEST SIDE NEIGHBORHOOD ASSOCIATION CONTINUED TO MEET VIRTUALLY WITH PARTICIPATION FROM THE BUSINESS COMMUNITY AND CITY OF STAMFORD OFFICIALS. OVER THE LAST DECADE EFFORTS RESULTED IN DISTRESSED PUBLIC HOUSING PROJECTS REPLACED WITH SELF-SUSTAINING, MIXED-INCOME COMMUNITIES; A VOLUNTEER-POWERED, URBAN FARM WAS CREATED ADJACENT TO THE SOUTHERN BORDER OF THE STAMFORD HEALTH REDEVELOPED CAMPUS. PRIVATE INVESTMENT RETURNED TO THE NEIGHBORHOOD AS CONSTRUCTION BEGAN ON SEVERAL HOUSING COMPLEXES. IN 2020 THE MERCHANTS CONTINUED TO ADVOCATE FOR CITY SERVICES SUCH AS STREET CLEANING, GARBAGE PICK-UP, STANDARDS FOR SIGNAGE, BLIGHT REMOVAL AND IMPROVED LIGHTING SIDEWALKS, AND INVESTMENTS FOR PEDESTRIAN SAFETY. FAIRGATE FARM COMPLETED CONSTRUCTION OF ITS SECOND GREENHOUSE AND HIGHLY SUCCESSFUL FARMERS MARKET CONTRIBUTING TO FOOD SECURITY FOR MANY FAMILIES. FAIRGATE FARM, A VOLUNTEER-POWERED COMMUNITY RESOURCE, COMPLETED ITS 10TH GROWING SEASON IN 2020. IN RESPONSE TO COVID-19, PRECAUTIONS ESTABLISHED INCLUDED A LIMIT ON THE NUMBER OF VOLUNTEERS WORKING AT ANY ONE TIME AND APPROPRIATE SOCIAL DISTANCING. THE FARMERS MARKET ESTABLISHED A NEW SYSTEM FOR CURBSIDE PICK-UP. FAIRGATE FARM CONTINUED TO SUPPLY PRODUCE TO FOOD INSECURE FAMILIES AND DONATED FRESH VEGETABLES TO LOCAL FOOD PANTRIES. UNITED WAY HEALTHY SAVINGS: IN 2020 STAMFORD HEALTH CONTRIBUTED TO THE UNITED WAY OF WESTERN CT HEALTHY SAVINGS PROGRAM, PROVIDING PARTICIPANTS WITH SAVINGS ON HEALTHY FOODS THAT ARE ACCESSED IN REAL-TIME AND CAN BE USED ACROSS PARTICIPATING GROCERY CHAINS (STOP & SHOP, WALMART & ACME). THESE SAVINGS MAKE HEALTHIER FOODS MORE AFFORDABLE AND MORE ACCESSIBLE FOR PARTICIPANTS IN THE PROGRAM. UNITED WAY HAS IDENTIFIED THOSE LIVING AT OR BELOW THE ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED (ALICE) HOUSEHOLDS. ALICE REPRESENTS THE GROWING NUMBER OF HOUSEHOLDS IN CONNECTICUT WITH EARNINGS ABOVE THE FEDERAL POVERTY LEVEL, BUT BELOW A BASIC COST OF LIVING THRESHOLD. IN 2020 UNITED WAY REPORTED 38% OF HOUSEHOLDS STRUGGLED TO MAKE ENDS MEET BEFORE THE PANDEMIC BEGAN. TARGETED OUTREACH IS BEING CONDUCTED THROUGH HOSPITALS, CHILDCARE PROVIDERS, SOCIAL SERVICE AGENCIES, AND OTHER NONPROFIT PARTNERS, TO ENSURE ACCESS TO PROGRAMS INCLUDING HEALTHY SAVINGS DISCOUNTS TO PURCHASE NUTRITIOUS FOOD. TO INCREASE AWARENESS OF THE IMPORTANCE OF MAMMOGRAM SCREENING FOR EARLY DETECTION OF BREAST CANCER, SH SPONSORS PAINT THE TOWN PINK, A COMMUNITY-WIDE BREAST CANCER EDUCATION CAMPAIGN. PAINT THE TOWN PINK HOLDS A MONTH-LONG SERIES OF EVENTS IN OCTOBER OF EACH YEAR. IN 2020, DUE TO THE PANDEMIC, EVENTS WERE HELD VIRTUALLY. IN 2020, SH EXPANDED ITS RELATIONSHIPS WITH KEY COMMUNITY HUMAN SERVICES AGE
FORM 990, SCHEDULE H, PART VI, Line 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE STAMFORD HOSPITAL USES SEVERAL VENUES TO NOTIFY OUR PATIENTS OF THE AVAILABLE FINANCIAL OPTIONS. 1) SIGNAGE IS DISPLAYED IN ENGLISH AND SPANISH IN THE FOLLOWING AREAS: EMERGENCY ROOM WAITING ROOMS AND REGISTRATION WORKSTATIONS IMMEDIATE CARE CENTER WAITING ROOM PATIENT REGISTRATION AREAS ON THE MAIN CAMPUS AND TULLY CAMPUS CASHIER'S OFFICE, OFFICES OF THE FINANCIAL COUNSELORS, RECEPTION AREA OF THE PATIENT BUSINESS SERVICES DEPARTMENT ANCILLARY DEPARTMENTS THE FAP POLICIES ARE LOCATED ON OUR INTRANET PAGE AND INCLUDE THE PLAIN LANGUAGE SUMMARY ALONG WITH A FAP APPLICATION. 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: SOCIAL SERVICES DEPARTMENT CASE MANAGEMENT DEPARTMENT PATIENT REGISTRATION HAS THREE FULL TIME BILINGUAL FINANCIAL COUNSELORS PATIENT BUSINESS SERVICES HAS TWO FULL TIME BILINGUAL FINANCIAL COUNSELORS. A TSH FINANCIAL COUNSELOR HOLDS 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 HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM (FAP) BY FINANCIAL ASSISTANCE COUNSELORS. 5) NOTIFICATIONS: PATIENTS RECEIVE APPROVAL OR DENIAL LETTERS AND, IF ELIGIBLE, FINANCIAL ASSISTANCE PROGRAM IDENTIFICATION CARDS.
FORM 990, SCHEDULE H, PART VI, Line 4	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 127,644 HOUSEHOLDS WITH A TOTAL POPULATION OF 376,376 RESIDENTS. THE PSA INCLUDES THE COMMUNITIES OF STAMFORD, DARIEN, AND ROWAYTON, WITH AN ESTIMATED 58,102 HOUSEHOLDS AND A TOTAL POPULATION OF 153,639. STAMFORD COMPRISES AN ESTIMATED 49,756 HOUSEHOLDS WITH A TOTAL POPULATION OF 128,389. THE SSA INCLUDES THE COMMUNITIES OF GREENWICH, COS COB, RIVERSIDE, OLD GREENWICH, NEW CANAAN, NORWALK, WESTPORT, WESTON, AND WILTON, WITH AN ESTIMATED 82,789 HOUSEHOLDS AND A TOTAL POPULATION OF 222,737. FOR THE PSA, 25.1% OF THE POPULATION IS ESTIMATED TO BE 19 YEARS OF AGE OR LESS; 32.6% IS 20 - 44; 27.0% IS 45-64; AND 15.2% IS 65 YEARS OF AGE AND OLDER. THE SSA HAS A SLIGHTLY OLDER AGE DISTRIBUTION WITH AN ESTIMATED 25.7% OF ITS POPULATION 19 YEARS OF AGE OR LESS; 27.2% IS 20-44; 29.7% IS 45-64; AND 17.4% 65 YEARS OF AGE AND OLDER. REGARDING RACE/ETHNICITY, OF THE ESTIMATED POPULATION IN THE PSA, 52.0% OF RESIDENTS ARE WHITE; 25.8% ARE HISPANIC; 10.9% BLACK; 9.2% 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 12.9%, HISPANIC POPULATION REPRESENTING 29.9% AND ASIAN POPULATION REPRESENTING 10.1% OF ITS TOTAL POPULATION. FOR THE SSA, 66.8% OF THE TOTAL ESTIMATED POPULATION IS WHITE; 6.5% BLACK; 17.8% HISPANIC; 6.4% ASIAN; AND THE REMAINING PORTION OF THE POPULATION IS MULTI-RACIAL, NATIVE AMERICAN, PACIFIC ISLANDER, OR OTHER. ALTHOUGH IN THE PSA AN ESTIMATED 26.0% 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 22.1% OF TOTAL HOUSEHOLDS WITH HOUSEHOLD INCOMES EXCEEDING $200,000, AND 17.71% WITH HOUSEHOLD INCOMES LESS THAN $35,000, 24.0% WITH LESS THAN $45,000. IN THE SSA, AN ESTIMATED 33.5% OF THE TOTAL HOUSEHOLDS HAVE HOUSEHOLD INCOMES EXCEEDING $200,000, WHILE AN ESTIMATED 15.3% HAVE HOUSEHOLD INCOMES LESS THAN $35,000 AND 20.0% LESS THAN $45,000. THE ESTIMATED PAYOR MIX, BASED ON HOSPITAL UTILIZATION, OF THE PSA IS PREDOMINANTLY MEDICARE (42.8%), FOLLOWED BY COMMERCIAL/PRIVATE INSURANCE (33.1%); MEDICAID (22.6%); AND SELF-PAY/OTHER (1.5%). FOR THE SSA, THE ESTIMATED PAYOR MIX IS ALSO PRIMARILY MEDICARE (48.4%), FOLLOWED BY COMMERCIAL/PRIVATE INSURANCE (34.8%); MEDICAID (14.1%); AND SELF-PAY/OTHER (2.7%). COMMUNITY HEALTH SH PROVIDES EXPERTISE IN SUPPORTING THE WEST-SIDE NEIGHBORHOOD REVITALIZATION ZONE (WSNRZ), AT THE HOSPITAL'S SOUTHERN BORDER. THE WEST SIDE, A DENSELY POPULATED LOW-INCOME NEIGHBORHOOD EXPERIENCED A STEADY DECLINE IN HOME OWNERSHIP AND LACK OF INVESTMENT FOR MORE THAN THREE DECADES. STAMFORD HOSPITAL AND CHARTER OAK COMMUNITIES (AKA COC, FORMERLY STAMFORD HOUSING AUTHORITY), AS ANCHOR INSTITUTIONS, WORKED WITH RESIDENTS, BUSINESSES AND THE CITY OF STAMFORD TO SPUR ECONOMIC IMPROVEMENT AND CAPITAL INVESTMENTS, REDUCE CRIME AND IMPROVE PEDESTRIAN SAFETY. IN 2018 COC COMPLETED CONSTRUCTION OF A NEW A MIXED-INCOME RESIDENTIAL PROPERTY, A MAJOR CAPITAL INVESTMENT IN THE NEIGHBORHOOD. THE NEW RESIDENTIAL STRUCTURE HAS MEDICAL OFFICES ON THE STREET LEVEL, CONTRIBUTING TO THE ECONOMIC VITALITY OF THE NEIGHBORHOOD. THE NEWLY REDEVELOPED STAMFORD HOSPITAL MEDICAL CENTER AND CONNECTING MEDICAL OFFICE BUILDING ARE ABUNDANTLY LANDSCAPED WITH ENHANCED PEDESTRIAN ACCESS TO ALL CAMPUS BUILDINGS AND WALKING TRAILS WITHIN THE MEDICAL CAMPUS, PROVIDING IMPROVED WALKABILITY OPTIONS FOR THE COMMUNITY AND SH STAFF.
FORM 990, SCHEDULE H, PART VI, Line 5	PROMOTION OF COMMUNITY HEALTH THE STAMFORD HOSPITAL ('SH') PROVIDES A VARIETY OF PROGRAMS THAT BENEFIT THE COMMUNITY. SOME EXAMPLES ARE HEALTH SPECIFIC OR DISEASE MANAGEMENT ORIENTED (I.E., HEART DISEASE, BREAST CANCER, DIABETES SELF-MANAGEMENT, AND NUTRITION EDUCATION). HOSPITAL STAFF SERVES AS SPEAKERS AT SCHOOLS AND VARIOUS COMMUNITY GROUPS. IN 2020, IN-PERSON PRESENTATIONS WERE NOT POSSIBLE DUE TO THE PANDEMIC. INSTEAD, PUBLIC COMMUNICATION PRIMARILY FOCUSED ON COVID-19 RELATED HEALTH INFORMATION USING ALL MEDIA PLATFORMS: SOCIAL MEDIA, ZOOM PRESENTATIONS BY SH INFECTIOUS DISEASE PHYSICIANS AS WELL AS THE HOSPITAL PRESIDENT & CEO, AND THE CITY OF STAMFORD MAYOR. SH PARTNERS WITH OPTIMUS HEALTH CARE, INC., A FEDERALLY QUALIFIED HEALTH CARE CENTER, TO CREATE AN INTEGRATED PRIMARY CARE DELIVERY NETWORK FOR THE MEDICALLY UNDERSERVED COMMUNITIES IN STAMFORD. SH ALSO PARTNERS WITH AMERICARES FREE CLINIC BY PROVIDING FREE DIAGNOSTIC SERVICES TO THEIR PATIENTS WHO ARE UNINSURED. DISCOUNTED OR FREE SUPPLIES, EQUIPMENT AND MEDICATIONS WERE PROVIDED TO INDIGENT PATIENTS IN 2020. SH ALSO PROVIDES INFORMATION AND REFERRAL SERVICES TO ENHANCE ACCESS TO CARE. KIDS FANS REMAINS AN ACTIVE MEMBER OF THE STAMFORD CHILDRENS HEALTH COLLABORATIVE WHOSE MISSION IS TO LINK COMMUNITY RESOURCES AND FACILITATE SUPPORT FOR PROGRAMMING TO IMPROVE THE OVERALL HEALTH AND WELLNESS OF CHILDREN. THE COLLABORATIVE IS CO-CHAIRED BY A COMMUNITY PEDIATRICIAN AND THE DIRECTOR OF RECREATION FOR THE CITY OF STAMFORD. THE CHILDREN'S HEALTH COLLABORATIVE INCLUDES SOCIAL AND EMOTIONAL HEALTH IN ITS DEFINITION OF OVERALL HEALTH. THE COLLABORATIVE LINKS CHILD SERVING AGENCIES THAT ADVOCATE, EDUCATE AND COORDINATE ITS EFFORTS TO INCREASE THE IMPACT OF COLLECTIVE EFFORTS. MEMBERS INCLUDE STAMFORD PUBLIC SCHOOLS, THE STAMFORD RECREATION DEPARTMENT, STAMFORD DEPARTMENT OF HEALTH, FAMILY CENTERS, CHARTER OAK COMMUNITIES, ALL OUR KIN, CHILDREN'S LEARNING CENTERS, HEAD START, FAIRGATE FARM AND THE UNITED WAY OF WESTERN CT. THE VITA COLLABORATIVE BRINGS TOGETHER THE KEY SERVICE PROVIDERS MONTHLY TO DEVELOP PROGRAMS TO IMPROVE THE PHYSICAL ENVIRONMENT AND HEALTH OF THE COMMUNITY. IN 2020, THE VITA COLLABORATIVE PLAYED A GREATER COORDINATION AND COMMUNICATION ROLE DURING THE PANDEMIC WITH WEEKLY MEETINGS WITH COMMUNITY AGENCIES, RESULTING IN COORDINATED STRATEGIES TO OBTAIN AND DISTRIBUTE MUCH-NEEDED PERSONAL PROTECTIVE EQUIPMENT AND ESTABLISHMENT OF COVID-19 HIGH-RISK COMMUNITY TASK FORCE. IN 2020, STAMFORD HOSPITAL PROVIDED CASH AND IN-KIND SUPPORT TO THE VITA HEALTH AND WELLNESS INITIATIVE AND THE STAMFORD CRADLE TO CAREER INITIATIVE. THE VITA PARTNERSHIP WORKS TO IMPROVE THE HEALTH AND QUALITY OF LIFE IN STAMFORD'S WEST SIDE. THE CRADLE TO CAREER FOCUSES ON ADDRESSING THE ACHIEVEMENT GAP IN THE STAMFORD PUBLIC SCHOOLS. THE AMERICARES FREE CLINIC OF STAMFORD (AFC) IMPROVING ACCESS TO CARE FOR THE UNINSURED. THE STAMFORD HOSPITAL AND THE AMERICARES FREE CLINICS (AFC) PROVIDE FREE QUALITY HEALTH CARE TO PATIENTS WHO ARE BOTH LOW INCOME AND UNINSURED IN SETTING WHERE ALL TREATED WITH DIGNITY AND RESPECT. NO-COST CARE ELIGIBILITY IS DETERMINED UPON INDIVIDUALS EVALUATED BY THE AMERICARES CLINIC AND MEETING STAMFORD HOSPITAL CRITERIA FOR CHARITY CARE. STAMFORD HEALTH PROVIDES AFC PATIENTS WITH READY ACCESS TO ESSENTIAL HIGH-QUALITY DIAGNOSTICS, EMERGENCY VISITS (WHEN NECESSARY) AND SPECIALTY CARE AT NO COST. THE AMERICARES FREE CLINIC OF STAMFORD REMAINS THE PATIENTS MEDICAL HOME, PROVIDING PATIENT EDUCATION AND CLOSE MEDICAL MANAGEMENT. PATIENTS ARE ADHERENT TO MEDICAL RECOMMENDATIONS AND ARE ABLE TO GET CONTROL OF THEIR CHRONIC ILLNESSES. AFC PROVIDES ACCESS TO ESSENTIAL MEDICATIONS AT LITTLE OR NO COST. ALL PATIENTS ARE SCREENED FOR ELIGIBILITY NO PUBLIC OR PRIVATE HEALTH INSURANCE AND INCOME LESS THAN 250% OF THE FEDERAL POVERTY LEVEL AS WELL AS RESIDENTS OF STAMFORD OR DARIEN. SERVICES PROVIDED BY STAMFORD HEALTH VALUED AT $1,027,979 (CHARGES) FOR 558 ACTIVE PATIENTS AND 3,191 VISITS. PEDIATRIC MEDICAL HOME INITIATIVE OF SW CT: MEDICAL HOME INITIATIVE (MHI) SERVES FAMILIES WITH CHILDREN AND YOUTH WITH SPECIAL HEALTHCARE NEEDS IN SOUTHWEST CT. AND HAS BEEN DOING SO FOR THE PAST 15 YEARS. MHI PROVIDES COORDINATION OF CARE, AND IN 2020 MHI SERVED 605 PATIENTS AND THEIR FAMILIES, OF WHICH 356 HAD HIGHLY COMPLEX MEDICAL NEEDS. MHI CONTINUES TO FOCUS ON SEEKING RESOURCES FOR UNFULFILLED NEEDS OF CHILDREN AND YOUTH WITH SPECIAL HEALTHCARE NEEDS IN THE COMMUNITY; PARTNERS WITH MAYOR'S YOUTH INITIATIVE. MHI CONTINUES TO CHAMPION AND SECURE CAMP SCHOLARSHIPS FROM COMMUNITY ORGANIZATIONS, INCLUDING THE DARIEN YMCA AND BOYS AND GIRLS CLUB, STAMFORD. EACH YEAR, MHI ORGANIZES FOCUS GROUPS IN STAMFORD AND BRIDGEPORT LED BY THE CT DEPARTMENT OF PUBLIC HEALTH TO GAIN VALUABLE INSIGHT AND FEEDBACK ABOUT THE PROGRAM AND TO HIGHLIGHT THE CONTINUING GAPS AND CHALLENGES FOR FAMILIES. MHI PROVIDES DENTAL KITS FOR VERY YOUNG CHILDREN, DONATED BY THE DENTAL PARTNERSHIP, AND CONNECTS FAMILIES TO FREE DENTAL SERVICES IN THE COMMUNITY. MHI ALSO CONTINUES TO FOCUS ON OBESITY PREVENTION, INTERVENTION AND MANAGEMENT, PROVIDING PARENTS WITH REFERRALS, NUTRITION EDUCATIONAL MATERIALS IN ENGLISH, SPANISH, AND CREOLE. THESE HAVE BEEN MADE AVAILABLE AT ALL MEDICAL HOME SITES IN SOUTHWEST CT REGION. MHI ATTEMPTS TO CONNECT FAMILIES WITH LOCAL RESOURCES, CHAMPION PROGRAMS IN THE COMMUNITY AND SHARING INFORMATION WITH COMMUNITY HEALTH CENTERS AND DOCTORS OFFICES. ASTHMA & COPD EDUCATION: EACH YEAR SH OFFERS THE COMMUNITY AN ANNUAL COPD EDUCATION FAIR WITH LECTURES AND VENDORS. DUE TO THE PANDEMIC, MONTHLY ASTHMA EDUCATION PROGRAMS AND OTHER INITIATIVES WERE EITHER POSTPONED OR CANCELLED. IN 2020, DUE TO THE PANDEMIC, PLANS TO CONTINUE CANCER SCREENINGS AND CERTIFIED TOBACCO TREATMENT OPTIONS FOR ACTIVE SMOKERS WERE CURTAILED. DUE TO SCHOOL CLOSURES, SH WAS UNABLE TO CONDUCT EDUCATIONAL PROGRAMS IN COMMUNITY SETTINGS, SUCH AS PUBLIC MIDDLE SCHOOLS AND PUBLIC AND PRIVATE HIGH SCHOOLS IN STAMFORD. SUCH IN-PERSON EVENTS WOULD HAVE FOCUSED ON SMOKING CESSATION AND THE USE OF E-CIGARETTES AND VAPING. 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. STAMFORD HEALTH'S BENNETT CANCER CENTER CONTINUES TO COMMUNICATE TO STAMFORD AND THE SURROUNDING COMMUNITIES REGARDING THE IMPORTANCE OF PREVENTION, SCREENING AND EARLY DETECTION OF CANCERS. DIRECT MAIL IS USED TO REMIND WOMEN OF THE IMPORTANCE OF SCREENING FOR BREAST CANCER. DUE TO COVID, THE PAINT THE TOWN PINK INITIATIVE WAS HELD VIRTUALLY INSTEAD OF IN-PERSON BUT WAS SUCCESSFUL RAISING FUNDS FOR MAMMOGRAMS FOR WOMEN WHO ARE UNABLE TO AFFORD CARE. CANCER SCREENINGS: STAMFORD HOSPITAL OFFERS MAMMOGRAPHY SCREENING TO THE COMMUNITY AT NO COST TO PATIENTS WHO ARE UNINSURED. IN FY 20, 18,269 WOMEN RECEIVED MAMMOGRAMS, OF WHICH 485 WERE PERFORMED AT NO COST THROUGH GRANTS PROVIDED BY THE BREAST CANCER ALLIANCE AND PINK AID. THE BREAST CANCER ALLIANCE GRANT PROVIDED 227 AND THE PINK AID GRANT PROVIDED 258 MAMMOGRAMS. TO REACH THE UNDERSERVED, THE HOSPITAL COLLABORATES WITH OPTIMUS HEALTH CARE ("OPTIMUS"), A FEDERALLY QUALIFIED HEALTH CENTER, TO ASSIST IN COORDINATING CARE FOR CANCER SCREENINGS, AND TO HELP PATIENTS WHO ARE DIAGNOSED WITH CANCER TO NAVIGATE THEIR CARE AND OBTAIN FINANCIAL ASSISTANCE. STAMFORD HEALTH FOUNDATION FUNDS A MEDICAL ASSISTANT POSITION TO ASSIST NAVIGATING PATIENTS. STAMFORD HEALTH ALSO SEES PATIENTS FROM PLANNED PARENTHOOD OF SOUTHERN NEW ENGLAND WHO ARE REFERRED FOR BREAST SCREENING AND CANCER SERVICES. STAMFORD HEALTH'S BREAST CENTER IN CONJUNCTION WITH THE BENNETT CANCER CENTER CONTINUED ITS HIGH-RISK BREAST PROGRAM IN 2020 AT ALL FOUR BREAST CANCER SITES. NATIONAL GUIDELINES PROPOSE THAT WOMEN WITH AN INCREASED RISK OF BREAST CANCER RECEIVE ENHANCED SCREENING AND ADDITIONAL SERVICES. OUR BREAST CENTER EMPLOYES. THE HIGH-RISK COORDINATOR CALLS PATIENTS AT HIGH RISK FOR DEVELOPING BREAST CANCER AND OFFERS EACH WOMAN AN APPOINTMENT WITH OUR HIGH-RISK BREAST SPECIALIST WHO THEN DEVELOPS A PERSONALIZED CARE PLAN. FROM JANUARY 1 TO DECEMBER 31, 2020, 3,354 WOMEN WERE IDENTIFIED AT HIGH RISK FOR DEVELOPING BREAST CANCER, REPRESENTING 17% OF ALL WOMEN WHO RECEIVED A SCREENING MAMMOGRAM. OF THESE WOMEN, 66 OR 2% WERE FOUND TO HAVE CANCER. AS A RESULT, THESE PATIENTS BENEFITED FROM ENHANCED SURVEILLANCE AND RISK-APPROPRIATE CONSULTATIONS AND IN SOME CASES TREATMENT FOR CANCER. LUNG CANCER IS THE SECOND MOST COMMON CANCER IN BOTH MEN AND WOMEN IN THE UNITED STATES. IT'S ALSO THE LEADING CAUSE OF CANCER-RELATED DEATHS, AND MOST OF THE TIME IS NOT DIAGNOSED UNTIL SYMPTOMS APPEAR. STAMFORD HOSPITAL HAS A ROBUST LUNG CANCER SCREENING PROGRAM. IN FY 2020, 469 LUNG SCREENING CT SCANS WERE PERFORMED. FROM THESE SCREENINGS, 7 LUNG CANCERS WERE DIAGNOSED. COLON CA

Schedule H (Form 990) 2019

Additional Data

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
THE STAMFORD HOSPITAL

Employer identification number
06-0646917

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) Optimus Healthcare 982 East Main Street Bridgeport,CT06608	06-0972166	501(C)(3)	2,003,585				Supplemental Support

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

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

Cat. No. 50055P

Schedule I (Form 990) 2019

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
Schedule I, Part I, Line 2	Funds provided are considered a contribution for Healthcare within the Community.

Schedule I (Form 990) 2019

Additional Data

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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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 on 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 on 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 on 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 on 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? .........

Yes

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 on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

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

Were any amounts reported on 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" on 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) 2019

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 on 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 on 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)
1Kathleen A Silard Pres. & CEO - Treasurer	(i) (ii)	954,876 -------------	221,489 ------------- 0	72,333 ------------- 0	18,720 ------------- 0	9,385 ------------- 0	1,276,803 ------------- 0	0 ------------- 0
2David Yuh MD Physician	(i) (ii)	942,727 -------------	128,274 ------------- 0	4,814 ------------- 0	44,000 ------------- 0	6,735 ------------- 0	1,126,550 ------------- 0	0 ------------- 0
3Sharon Kiely Sr. VP Medical Services	(i) (ii)	451,641 -------------	0 ------------- 0	572,567 ------------- 0	16,442 ------------- 0	5,053 ------------- 0	1,045,703 ------------- 0	0 ------------- 0
4Michael Coady MD Chief of cardiac Surgery	(i) (ii)	821,464 -------------	72,000 ------------- 0	2,622 ------------- 0	25,000 ------------- 0	2,812 ------------- 0	923,898 ------------- 0	0 ------------- 0
5Todd Miller MD Chief Neuro Interv. Services	(i) (ii)	825,470 -------------	56,250 ------------- 0	921 ------------- 0	19,000 ------------- 0	6,735 ------------- 0	908,376 ------------- 0	0 ------------- 0
6Brian Stainken MD Dept. Chair	(i) (ii)	644,211 -------------	97,655 ------------- 0	7,524 ------------- 0	32,032 ------------- 0	1,883 ------------- 0	783,305 ------------- 0	0 ------------- 0
7Jonathan Bailey Chief Operating Officer	(i) (ii)	360,913 -------------	35,000 ------------- 0	148,684 ------------- 0	0 ------------- 0	5,853 ------------- 0	550,450 ------------- 0	0 ------------- 0
8Elaine Guglielmo Asst. Secretary	(i) (ii)	389,618 -------------	77,470 ------------- 0	10,352 ------------- 0	24,038 ------------- 0	4,243 ------------- 0	505,721 ------------- 0	0 ------------- 0
9Brian Grissler Former President & CEO	(i) (ii)	0 -------------	409,408 ------------- 0	46,388 ------------- 0	0 ------------- 0	0 ------------- 0	455,796 ------------- 0	0 ------------- 0
10Rudolph Taddonio FORMER Officer Phys. Director	(i) (ii)	83,433 -------------	44,055 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	127,488 ------------- 0	0 ------------- 0
11Kevin Gage Former Treasurer/CFO	(i) (ii)	0 -------------	62,451 ------------- 0	61,086 ------------- 0	0 ------------- 0	0 ------------- 0	123,537 ------------- 0	0 ------------- 0
12Carol Fucigna Physician Director	(i) (ii)	570,310 -------------	5,850 ------------- 0	4,902 ------------- 0	22,609 ------------- 0	7,985 ------------- 0	611,656 ------------- 0	0 ------------- 0
13MICHAEL EBRIGHT MD Physician Director	(i) (ii)	571,817 ------------- 0	48,776 ------------- 0	1,710 ------------- 0	18,000 ------------- 0	8,197 ------------- 0	648,500 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2019

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

Schedule J, Part I, Line 1a

COO - JONATHAN BAILEY TAXABLE GROSS UP PAYMENT - $68,901 HOUSING PAYMENT: $36,746 Former Treasurer/CFO - KEVIN GAGE TAXABLE GROSS UP PAYMENT: $61,086 Former President & CEO - BRIAN GRISSLER TAXABLE GROSS UP PAYMENT: $44,951 Pres. & CEO - Treasurer - KATHLEEN SILARD TAXABLE GROSS UP PAYMENT: $7,411 MEMBERSHIP DUES: $33,821 Asst. Secretary - ELAINE GUGLIELMO TAXABLE GROSS UP PAYMENT: $1,320 Sr. VP Medical Services - SHARON KIELY TAXABLE GROSS UP PAYMENT: $1,085 COMPENSATION CONSULTANTS ARE USED AND COMPENSATION SURVEYS ARE OBTAINED FROM AT LEAST THREE SOURCES. ONCE THE COMPENSATION IS DETERMINED A WRITTEN EMPLOYMENT CONTRACT IS OBTAINED.

SCHEDULE J, PART I, LINE 4A

SR. VP OF MEDICAL SERVICES - SHARON KIELY SEVERANCE PAYMENT: $232,542 SCHEDULE J, PART I, LINE 4B SHARON KIELY PARTICIPATED IN A 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN. DURING 2019, $201,046 of VESTED PROCEEDS WERE TAXABLE.

Schedule J (Form 990) 2019

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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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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	20774YK55	07-27-2016	50,921,018	SEE SCHEDULE K, PART VI		X		X		X
B	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
C	STATE OF CT HEALTH AND EDUCATION FAC AUTHORITIES	06-0806186	20774YKQ9	06-20-2012	254,620,769	SEE SCHEDULE K, PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	0		51,870,000		6,860,000
2 Amount of bonds legally defeased ..............	0		0		0
3 Total proceeds of issue ..................	50,921,018		133,995,069		254,620,769
4 Gross proceeds in reserve funds .............	0		0		0
5 Capitalized interest from proceeds .............	0		0		36,350,996
6 Proceeds in refunding escrows ...............	0		0		0
7 Issuance costs from proceeds ...............	921,018		2,057,323		2,935,597
8 Credit enhancement from proceeds .............	0		0		0
9 Working capital expenditures from proceeds .............	0		0		0
10 Capital expenditures from proceeds .............	50,000,000		24,835,260		215,334,176
11 Other spent proceeds .............	0		107,102,486		0
12 Other unspent proceeds .............	0		0		0
13 Year of substantial completion .............	2016		2011		2016
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........		X	X			X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, an advance refunding issue)? ........		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		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		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2019

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		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		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		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?	X		X		X
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 ....	1.810 %		1.540 %		1.220 %
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 %
6 Total of lines 4 and 5 .............	1.810 %		1.540 %		1.220 %
7 Does the bond issue meet the private security or payment test? ...		X		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		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............		X		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		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		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X			X		X
b Exception to rebate? ........		X		X		X
c No rebate due? .........		X	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		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X
b Name of provider ..........	0		0		0
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2019

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		X
b Name of provider ..........	0		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		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		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		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	THE STATE OF CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS, SERIES K (THE SERIES K BONDS) WERE ISSUED ON JULY 27, 2016, IN THE AMOUNT OF $47,620,000, FOR A TERM OF 30 YEARS, AT A PREMIUM OF $3,301,000. THE SERIES K BONDS WERE USED FOR REIMBURSING A PORTION OF THE COSTS OF THE CONSTRUCTION, FURNISHING, AND EQUIPPING THE CONSTRUCTION OF A NEW HOSPITAL FACILITY. THE PROCEEDS ALSO REIMBURSED TSH FOR CERTAIN COSTS OF ISSUANCE OF SERIES K BONDS.
SCHEDULE K, PART I COLUMN (F) BOND B	The State of Connecticut Health and Educational Facilities Authority Revenue Bonds, Series I (The Series I Bonds) were issued on May 12,2010, for a term of 20 years, at a premium of $1,002,000. The Series I Bonds were used for: 1) Refunding of commercial loans ant the State of Connecticut Health and Educational Facilities Authority Revenue Bonds issued as follows: 11/13/96, 3/24/99, 6/03/08 and 5/28/09; 2) Financing routine renovation and other capital expenditures; 3) Financing the development and construction of the new Hospital Facility; 4) The proceeds also reimbursed the Stamford Hospital (TSH) for certain costs of issuance of the Series I Bonds
SCHEDULE K, PART I COLUMN (F) BOND C	The State of Connecticut Health and Educational Facilities Authority Revenue Bonds, Series J (The Series J Bonds) were issued on June 20, 2012 in the amount of $250,000,000 for a term of 30 years, at a premium of $4,621,000. The Series J Bonds proceeds were used for financing architectural, engineering, site permitting, legal planning and construction of the new Hospital Facility. The proceeds also reimbursed TSH for certain costs of issuance of the Series J Bonds.
SCHEDULE K, PART II, LINE 3	BOND B: There is a $3,000 variance between proceeds of the issue and the issue price due to investment earnings.
SCHEDULE K, PART IV, LINE 2C BONDS B AND C	THE DATE OF THE MOST RECENT REBATE COMPUTATION WAS MAY 27, 2020 FOR BOND B AND JUNE 20, 2017 FOR BOND C.

Schedule K (Form 990) 2019

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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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

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	19	334,615	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 isn't 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 nonstandard 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 didn't 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) (2019)

Page 2

Part IISupplemental 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, PART I, COLUMN B	THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS IN COLUMN (B).

Schedule M (Form 990) (2019)

Additional Data

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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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

THE STAMFORD HOSPITAL

Employer identification number

06-0646917

Return Reference	Explanation
FORM 990, PART III, LINE 2	On November 29, 2002, the Hospital formed a wholly owned captive insurance company, HealthStar Indemnity Company, Ltd. (HealthStar), located in Bermuda. HealthStar was registered as a Class 1 Insurer, as defined under The Bermuda Insurance Act of 1978, effective October 9, 2003. HealthStar was reclassified as a Class 3 segregated account insurer effective October 1, 2014. Effective October 1, 2019, HealthStar redomesticated as HealthStar Indemnity, LLC, was incorporated in Vermont and licensed as a sponsored captive insurance company under Title 8, Chapter 141 of the Vermont Captive Statutes. 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 FORM 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	HEALTHSTAR NET ASSETS, BEGINNING $42,241,787 Equity Transfer to SHMG Debt Forgiveness ($38,817,702) Pension Related Changes Other Than Net Period Pension Cost ($15,632,572) Pension Costs Other Than Service Cost ($464,600) Other $1,043 --------------- TOTAL - (12,672,044)
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:28950957
FORM 990 PART IX LINE 11G	DESCRIPTION:INTERCOMPANY STAFFING FEES TOTAL FEES:12344558
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN FEES TOTAL FEES:11063070
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICE HSS INVOICE TOTAL FEES:8659299
FORM 990 PART IX LINE 11G	DESCRIPTION:TEMP NURSING PERSONNEL TOTAL FEES:4365877
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING SERVICE TOTAL FEES:4121596
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION FEES TOTAL FEES:3124525
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICE EXP REIMB TOTAL FEES:2246201
FORM 990 PART IX LINE 11G	DESCRIPTION:DATA PROCESSING FEES TOTAL FEES:571679
FORM 990 PART IX LINE 11G	DESCRIPTION:ARCHIVING EXPENSE TOTAL FEES:21952
FORM 990 PART IX LINE 11G	DESCRIPTION:SOFTWARE MAINTENANCE/SUPPORT TOTAL FEES:79932

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

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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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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) 24 GROVE ST NEW CANAAN LLC ONE HOSPITAL PLAZA PO BOX 9317 STAMFORD,CT06904 27-4941167	RENTAl	CT	-49,366	0	TSH
(2) 36 GROVE STREET NEW CANAAN LLC ONE HOSPITAL PLAZA PO BOX 9317 STAMFORD,CT06904 27-4941529	MEDICAL RENTA	CT	-49,366	5,024,982	TSH
(3) STAMFORD HEALTH OCCUPATIONAL HEALTH SERV ONE STAMFORD PLAZA PO BOX 9317 STAMFORD,CT06904 47-5119889	OCCUPATIONAL	CT	151,637	0	TSH
(4) STAMFORD HEALTHCARE ALLIANCE LLC ONE STAMFORD PLAZA PO BOX 9317 STAMFORD,CT06904 45-5468194	INACTIVE	CT	0	0	TSH
(5) PHYSICIAN ALLIANCE OF STAMFORD LLC ONE HOSPITAL PLAZA PO BOX 9317 STAMFORD,CT06904 45-5458611	MANAGEMENT	CT	-179,243	0	TSH
(6) HEALTHSTAR INDEMINITY LLC 159 Bank Street 4th Floor Burlington,VA05401 35-2669962	SELF INSURANC	VT	8,708,230	79,228,501	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 STAMFORD PLAZA PO BOX 9317 STAMFORD,CT06904 22-2476636	PARENT	CT	501(c)(3)	12b	NA		No
(2)THE STAMFORD HOSPITAL FOUNDATION ONE STAMFORD PLAZA PO BOX 9317 STAMFORD,CT06904 22-2478748	FUNDRAISING	CT	501(c)(3)	10	SHI	Yes
(3)STAMFORD HEALTH MEDICAL GROUP ONE STAMFORD PLAZA PO BOX 9317 STAMFORD,CT06904 27-1648289	Medical Svcs	CT	501(c)(3)	10	TSH	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2019

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	(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

Schedule R (Form 990) 2019

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 ............................

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

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

Yes

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

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 Inc	k	58,392	Book Value
(2) Stamford Health Inc	r	500,000	Book Value
(3) Stamford Health Medical Group Inc	b	38,817,702	Book Value
(4) Stamford Health Medical Group Inc	k	1,237,639	Book Value
(5) Stamford Health Medical Group Inc	j	1,055,108	Book Value
(6) Stamford Health Medical Group Inc	o	232,752	Book Value

Schedule R (Form 990) 2019

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) 2019

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) 2019

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TOGETHER WITH OUR PHYSICIANS 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	14
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	11
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	3,170
6	Total number of volunteers (estimate if necessary) .............	6	373
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	3,073,529
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	739,900

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	6,187,013	54,061,621
9	Program service revenue (Part VIII, line 2g) .........	591,377,261	588,500,415
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	6,327,019	4,166,273
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	7,237,231	11,178,013
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	611,128,524	657,906,322
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,004,014	2,003,585
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)	273,252,850	291,806,013
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 2,717,204
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	287,601,212	299,702,816
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	562,858,076	593,512,414
19	Revenue less expenses. Subtract line 18 from line 12.......	48,270,448	64,393,908
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	990,032,656	1,190,337,389
21	Total liabilities (Part X, line 26).............	627,842,609	781,029,366
22	Net assets or fund balances. Subtract line 21 from line 20.....	362,190,047	409,308,023

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 505,921,335 including grants of $ 2,003,585 ) (Revenue $ 602,263,460 )
	Key operating statistics for the year ended 09/30/2020 include: Adult and pediatric inpatients cared for and discharged 14,950; babies born 2,137; total inpatient days of care provided 73,085; patients seeking care in the Stamford Hospital Emergency room: admitted for inpatient treatment 7,556; treated and released 43,077; treated at Tully Immediate Care Center 17,772; surgeries performed at the Hospital and Tully Center 11,698; radiation therapy procedures performed 192,025.

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 expenses505,921,335

(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)		(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) Hoyt Harper II........................................................................ Director	2.0 .......................2.0	X		0	0	0
(19) Helen Jaffe........................................................................ Director	2.0 .......................2.0	X		0	0	0
(20) Charles Littlejohn MD........................................................................ Director	2.0 .......................2.0	X		0	0	0
(21) James Thomas........................................................................ Director	2.0 .......................2.0	X		0	0	0
(22) Elizabeth Zea........................................................................ Director	2.0 .......................2.0	X		0	0	0
(23) Paul Giusti........................................................................ Director	2.0 .......................2.0	X		0	0	0
(24) Michael Veillette........................................................................ CFO	38.0 .......................2.0		X	0	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	8,264,464	0	272,869

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	1,353,024
d	Related organizations		1d
e	Government grants (contributions)		1e	43,269,322

f	All other contributions, gifts, grants, and similar amounts not included above		1f	9,439,275

g	Noncash contributions included in lines 1a - 1f:$		1g	328,691

h Total. Add lines 1a-1f.......		54,061,621

		Business Code
2a	PATIENT REVENUE	621300	360,301,420	360,301,420
b	PHYSICIAN BILLING	621110	12,138,124	12,138,124
c	WELLNESS AND TRAINING	621400	2,180,972	2,180,972
d	MEDICARE/MEDICAID PAYMENT	621400	210,968,407	210,968,407
e	REFERENCE LAB INCOME	621500	2,911,492		2,911,492
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		588,500,415

3 Investment income (including dividends, interest, and othersimilar amounts) ......			3,036,809		29,791	3,007,018
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		2,909,476	6a
b	Less: rental expenses		5,093,173	6b
c	Rental income or (loss)	0	-2,183,697	6c
d	Net rental income or (loss).......			-2,183,697		-19,391	-2,164,306
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		6,627,741	7a
b	Less: cost or other basis and sales expenses		5,498,277	7b
c	Gain or (loss)		1,129,464	7c
d	Net gain or (loss).........			1,129,464			1,129,464
8a	Gross income from fundraising events (not including $ 1,353,024of contributions reported on line 1c). See Part IV, line 18 ....
			8a	8,400
b	Less: direct expenses ...		8b	361,372
c	Net income or (loss) from fundraising events..			-352,972			-352,972
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	0
b	Less: direct expenses ...		9b	0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
			10a	0
b	Less: cost of goods sold ..		10b	0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	CAFETERIA, COFFEE SHOP		722210	1,836,939	1,836,939
b	INTERCOMPANY STAFFING		900099	2,081,163	2,081,163
c	PHARMACY - 340B		900099	4,132,189	4,132,189
d	All other revenue ....			5,664,391	5,512,754	151,637
e	Total. Add lines 11a–11d ......			13,714,682
12	Total revenue. See instructions.....			657,906,322	599,151,968	3,073,529	1,619,204

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	2,003,585	2,003,585
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	0
4	Benefits paid to or for members .......	0
5	Compensation of current officers, directors, trustees, and key employees ...........	2,970,493		2,970,493
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
7	Other salaries and wages........	238,867,459	205,616,119	32,434,382	816,958
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	9,377,350	8,088,003	1,257,669	31,678
9	Other employee benefits .......	24,739,914	21,207,633	3,448,062	84,219
10	Payroll taxes ...........	15,850,797	13,671,377	2,125,874	53,546
11	Fees for services (non-employees):
a	Management ......	1,906,406	1,685,504	220,902
b	Legal .........	1,872,160	168,213	1,654,757	49,190
c	Accounting ...........	730,706	96,406	634,300
d	Lobbying ...........	179,212		179,212
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	78,736		78,736
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	75,549,646	62,211,679	13,210,642	127,325
12	Advertising and promotion ....	1,384,097	296,942	80,433	1,006,722
13	Office expenses .......	10,542,248	10,209,026	304,572	28,650
14	Information technology ......	8,611,730	276,064	8,331,721	3,945
15	Royalties ..	0
16	Occupancy ...........	39,981,832	36,748,034	3,117,866	115,932
17	Travel ............	277,426	249,781	26,776	869
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	202,755	201,886		869
20	Interest ...........	38,099	38,099
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	42,123,566	41,519,244	604,322
23	Insurance ...	12,231,434		12,231,434
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	MEDICAL EXPENSES	85,694,141	85,694,141
b	SERVICE CONTRACTS	12,817,128	12,754,600	4,044	58,484
c	SUBSCRIPTIONS DUES MBRSHP	3,711,491	3,059,940	596,451	55,100
d	OTHER	1,770,003	125,059	1,361,227	283,717
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	593,512,414	505,921,335	84,873,875	2,717,204
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).

1	Cash–non-interest-bearing ........			50,000	1	50,000
2	Savings and temporary cash investments .........			79,755,719	2	202,719,442
3	Pledges and grants receivable, net ......			11,936,240	3	9,234,868
4	Accounts receivable, net .............			83,649,218	4	82,716,735
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			0	7	0
8	Inventories for sale or use ............			9,302,368	8	12,153,227
9	Prepaid expenses and deferred charges ......			4,899,960	9	8,736,344
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,149,798,307
b	Less: accumulated depreciation	10b	542,744,291	637,470,548	10c	607,054,016
11	Investments—publicly traded securities .			104,601,390	11	185,195,245
12	Investments—other securities. See Part IV, line 11 .....			8,033,013	12	8,613,287
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 ...........			50,334,200	15	73,864,225
16	Total assets. Add lines 1 through 15 (must equal line 33)...			990,032,656	16	1,190,337,389

17	Accounts payable and accrued expenses .....	102,011,567	17	104,998,174
18	Grants payable ...	0	18	0
19	Deferred revenue .........	2,133,258	19	1,881,180
20	Tax-exempt bond liabilities .........	382,413,862	20	374,206,450
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		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 ..	3,018,738	24	2,850,432
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	138,265,184	25	297,093,130
26	Total liabilities. Add lines 17 through 25..	627,842,609	26	781,029,366

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	278,800,792	27	323,140,793
28	Net assets with donor restrictions ...........	83,389,255	28	86,167,230
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	362,190,047	32	409,308,023
33	Total liabilities and net assets/fund balances ........	990,032,656	33	1,190,337,389