2024-08-14T19:06:10+00:00 2023-09-30 346565596 ERNST & YOUNG US LLP ONE MANHATTAN WEST NEW YORK NY 100018604 990 2022-10-01 271648289 Stamford Health Medical Group Inc STAM 2032767447 ONE HOSPITAL PLAZA PO BOX 9317 STAMFORD CT 06904 MICHAEL VEILLETTE SVP/CFO 2032767447 2024-08-15 true Nicole Sokolowski P01683199 2127733000 2023-08-14 2022 2024-08-08 14:25:15Z MICHAEL VEILLETTE ONE HOSPITAL PLAZA PO BOX 9317 STAMFORD CT 06904 212001077 false X WWW.STAMFORDHEALTH.ORG/SHMG/ X 2009 CT SUPPORTS THE PROVISION OF PHYSICIAN SERVICES AND OTHER HEALTH PRACTITIONER SERVICES TO THE RESIDENTS OF THE COMMUNITIES SERVED BY STAMFORD HOSPITAL AFFILIATED ORGANIZATIONS. 9 0 866 0 0 0 0 0 87762106 101924011 0 0 22507280 110077066 110269386 212001077 0 0 0 0 113677950 142278602 0 0 0 53848167 69722475 167526117 212001077 -57256731 0 75786870 82082258 76720194 83015582 -933324 -933324 SUPPORTS THE PROVISION OF PHYSICIAN SERVICES AND OTHER HEALTH PRACTITIONER SERVICES TO THE RESIDENTS OF THE COMMUNITIES SERVED BY STAMFORD HOSPITAL AND AFFILIATED ORGANIZATIONS. false false 182720049 210536771 STAMFORD HEALTH MEDICAL GROUP INC. PROVIDES A COMPREHENSIVE ARRAY OF MANAGEMENT SERVICES IN SUPPORT OF PHYSICIAN PRACTICES. 182720049 true false false false false false false false false true false false true true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 74 0 true 866 true false false false false false false false false false false false false X 9 0 false false false false true true true true true false false true true true true true true true true false CT X MICHAEL VEILLETTE 2032761000 ONE HOSPITAL PLAZA PO BOX 9317 STAMFORD CT 06904 Rodrigo Acosta MD President & Chairman 38.0 2.0 X X 1104743 0 69921 Brianna Siegel MD Physician 38.0 2.0 X 236133 0 48552 Carol Fucigna MD PHYSICIAN DIRECTOR 38.0 2.0 X 715034 0 55737 Daniel Bal MD PHYSICIAN DIRECTOR 38.0 2.0 X 422976 0 40200 Eric Kung MD PHYSICIAN DIRECTOR 38.0 2.0 X 486712 0 72072 Joonun Choi MD PHYSICIAN DIRECTOR 38.0 2.0 X 591612 0 70081 Maria Cecila Asnis MD Physician 38.0 2.0 X 344732 0 52995 Nicholas Fiebach MD Physician (TSH) 2.0 38.0 X 0 628849 43892 Robert Lindberg MD PHYSICIAN DIRECTOR 38.0 2.0 X 337690 0 71628 Elizabeth Longmore Sr. VP Operations, COO 20.0 20.0 X 397935 348844 51936 Joshua Herbert MD CO-CMO 38.0 2.0 X 811663 0 74425 Katarzyna Konopka COO 38.0 2.0 X 321045 0 42366 William Hines MD CO-CMO 38.0 2.0 X 593160 0 70788 Craig Olin MD PHYSICIAN 38.0 2.0 X 833388 0 78787 Joshua Lader MD PHYSICIAN 38.0 2.0 X 851287 0 63510 Kevin Miller MD PHYSICIAN 38.0 2.0 X 807189 0 43874 Sandhya Dhruvakumar MD PHYSICIAN DIRECTOR 38.0 2.0 X 821305 0 44066 William Symons MD PHYSICIAN DIRECTOR 38.0 2.0 X 1140584 0 72468 10817188 977693 1067298 206 true true false NORWALK RADIOLOGY CONSULTANTS PC ONE BRADLEY ROAD BLDG 600 WOODBRIDGE CT 06525 PHYSICIAN SERVICES 8188280 PULMONARY ASSOCIATES OF STAMFORD 29 HOSPITAL PLAZA SUITE 505 STAMFORD CT 06902 PHYSICIAN SERVICES 3780919 DIRECT RADIOLOGY LLC 111 NORTH 7TH STREET COEUR DALENE ID 83814 PHYSICIAN SERVICES 862057 BROOKDALE II 1177 HIGH RIDGE ROAD STAMFORD CT 06905 STAFFING SERVICES 393854 JACKSON & COKER LOCUM TENENS LLC PO BOX 277638 ATLANTA GA 30384 STAFFING SERVICES 307461 11 0 0 0 0 0 0 0 0 MEDICARE 621110 35486883 35486883 0 0 PHYSICIAN BILLING 621110 66437128 66437128 0 0 0 0 0 0 101924011 0 0 0 0 0 0 0 0 0 0 0 0 1464306 0 1464306 0 1464306 0 0 1464306 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 LOSS TRANSFER TO TSH 900099 66570783 66570783 0 INTER CO STAFFING REIMBUR 900099 38339545 38339545 0 0 NRC RADIOLOGY MSA INCOME 900099 1897976 1897976 0 0 1804456 1804456 0 0 108612760 212001077 210536771 0 1464306 X 0 0 0 0 0 0 0 0 4946660 3804053 1142607 0 0 0 0 0 114824909 107103115 7721794 0 3479112 0 3479112 0 13710995 12754530 956465 0 5316926 4649236 667690 0 221106 221106 0 50 0 50 0 69144 0 69144 0 0 0 0 0 0 0 0 0 0 0 34320907 31978751 2342156 0 651958 1954 650004 0 2188192 1546508 641684 0 5211552 214117 4997435 0 0 0 0 0 12735731 7136347 5599384 0 89866 52743 37123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3864398 3258578 605820 0 2888395 2831092 57303 0 MEDICAL EXPENSES 6603819 6603819 0 SERVICE CONTRACTS 216059 209568 6491 0 NON-COLLEGE EDUCATION 322371 281069 41302 0 LICENSE FEES 148413 147060 1353 0 190514 147509 43005 0 212001077 182720049 29281028 0 0 0 3946449 4233406 0 0 11228381 12005875 0 0 0 0 0 0 0 800251 432331 599651 42329863 28177376 16986067 14152487 0 0 0 0 0 0 43193642 50290588 75786870 82082258 24222159 16971051 0 0 218251 187177 0 0 0 0 0 0 0 0 0 0 52279784 65857354 76720194 83015582 X -933324 -933324 0 0 0 0 0 0 0 0 -933324 -933324 75786870 82082258 0 0 X false true X true false X 1395300 5035292 0 0 6430592 79674194 84277057 111324598 106588199 101924011 483788059 0 0 0 79674194 85672357 116359890 106588199 101924011 490218651 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 490218651 1213143 1231585 1331294 1429116 1464306 6669444 0 0 0 0 0 1213143 1231585 1331294 1429116 1464306 6669444 0 85663 104757 842246 2252071 3702432 6987169 80973000 87008699 118533430 110269386 107090749 503875264 0.9729 0.9794 0.01 0.01 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - MISCELLANEOUS, COLUMN A - 85663.0, COLUMN B - 104757.0, COLUMN C - 842246.0, COLUMN D - 0.0, COLUMN E - 1804456.0, COLUMN F - 2837122.0; DESCRIPTION - NRC RADIOLOGY MSA INCOME, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 2245971.0, COLUMN E - 1897976.0, COLUMN F - 4143947.0; DESCRIPTION - MEDICAL RECORDS ABSTRACTS, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 6100.0, COLUMN E - 0.0, COLUMN F - 6100.0; 26489994 17188296 9301698 14563548 10989080 3574468 1276321 1276321 14152487 OPERATING LEASE ASSETS, NET 49022145 DEPOSITS 79354 Employee Loans 611 Miscellaneous 895965 Pension Forfeitures 292513 INVENTORY 50290588 DUE TO AFFILIATES - SHI 8903900 OPERATING LEASE LIABILITY 48493023 OTHER LONG TERM LIABILITIES Operating Lease Liab - Current 8458533 Lease Liability - Clearing A/C 1898 65857354 X X X X X false true false false false false false false false Rodrigo Acosta MD President & Chairman 696114 0 293186 0 115443 0 66027 0 3894 0 1174664 0 0 0 Carol Fucigna MD PHYSICIAN DIRECTOR 412684 0 292590 0 9760 0 45622 0 10115 0 770771 0 0 0 Nicholas Fiebach MD Physician (TSH) 0 544626 0 55862 0 28361 0 30729 0 13163 0 672741 0 0 Joonun Choi MD PHYSICIAN DIRECTOR 500262 0 82160 0 9190 0 58668 0 11413 0 661693 0 0 0 Eric Kung MD PHYSICIAN DIRECTOR 424430 0 60803 0 1479 0 59582 0 12490 0 558784 0 0 0 Daniel Bal MD PHYSICIAN DIRECTOR 320316 0 102035 0 625 0 31890 0 8310 0 463176 0 0 0 Robert Lindberg MD PHYSICIAN DIRECTOR 277230 0 52664 0 7796 0 63886 0 7742 0 409318 0 0 0 Maria Cecila Asnis MD Physician 252749 0 91983 0 0 0 37990 0 15005 0 397727 0 0 0 Brianna Siegel MD Physician 207095 0 23815 0 5223 0 33312 0 15240 0 284685 0 0 0 Joshua Herbert MD CO-CMO 500280 0 297025 0 14358 0 63131 0 11294 0 886088 0 0 0 Elizabeth Longmore Sr. VP Operations, COO 344038 132654 0 215914 53897 276 36803 4741 8386 2006 443124 355591 0 0 William Hines MD CO-CMO 368546 0 206716 0 17898 0 64002 0 6786 0 663948 0 0 0 Katarzyna Konopka COO 266640 0 48504 0 5901 0 33822 0 8544 0 363411 0 0 0 William Symons MD PHYSICIAN DIRECTOR 692963 0 432972 0 14649 0 59305 0 13163 0 1213052 0 0 0 Joshua Lader MD PHYSICIAN 409587 0 432690 0 9010 0 53097 0 10413 0 914797 0 0 0 Craig Olin MD PHYSICIAN 700821 0 127902 0 4665 0 65624 0 13163 0 912175 0 0 0 Sandhya Dhruvakumar MD PHYSICIAN DIRECTOR 423058 0 396810 0 1437 0 37124 0 6942 0 865371 0 0 0 Kevin Miller MD PHYSICIAN 497309 0 297427 0 12453 0 33696 0 10178 0 851063 0 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE OFFICERS NOTED BELOW HAD TAXABLE VESTED PROCEEDS IN A 457(F)NON-QUALIFIED DEFERRED COMPENSATION PLAN OF THE LISTED AMOUNTS: RODRIGO ACOSTA: $87,921 ELIZABETH LONGMORE: $44,200 Form 990, Part VI, Line 6 Classes of members or stockholders STAMFORD HEALTH MEDICAL GROUP ('SHMG') IS A CONNECTICUT NONSTOCK CORPORATION. SHMG HAS TWO CLASSES OF MEMBERS. CLASS A MEMBERS ARE THE PHYSICIANS EMPLOYED BY SHMG. THE CLASS B MEMBER IS THE STAMFORD HOSPITAL. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE BOARD OF DIRECTORS SHALL TOTAL EIGHT MEMBERS. THE INITIAL BOARD WAS SELECTED BY THE INCORPORATOR, AND THEREAFTER THE BOARD WILL BE ELECTED AS FOLLOWS: (A) SEVEN MEMBERS OF THE BOARD OF DIRECTORS SHALL BE ELECTED BY THE CLASS A MEMBERS, SUBJECT TO THE APPROVAL OF THE CLASS B MEMBER, AND (B) ONE MEMBER OF THE BOARD OF DIRECTORS SHALL BE APPOINTED BY THE CLASS B MEMBER. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders ALL POWERS OF SHMG SHALL BE EXERCISED BY AND UNDER THE AUTHORITY OF THE BOARD DIRECTORS, EXCEPT THAT THE CLASS B MEMBER SHALL HAVE THE SOLE AUTHORITY TO AMEND THE BYLAWS OF SHMG AND SELECT THE AUDITORS OF SHMG. Form 990, Part VI, Line 11b Review of form 990 by governing body STAMFORD HEALTH MEDICAL GROUP (SHMG) HAS A COMPREHENSIVE REVIEW PROCESS IN PLACE RELATING TO THE REVIEW OF FORM 990. PRIOR TO FINALIZATION OF THE 990, MANAGEMENT PROVIDES THE DRAFT OF THE FORM 990 TO THE BOARD OF DIRECTORS. SHMG'S EXTERNAL TAX ACCOUNTANTS ADDRESS ANY SPECIFIC CONCERNS OR QUESTIONS WITH MANAGEMENT AND THE BOARD. THIS REVIEW PROCEDURE HELPS TO ASSURE SOUND REPORTING AND COMPLIANCE WITH TAX LAW. Form 990, Part VI, Line 12c Conflict of interest policy SHMG, AS A WHOLLY OWNED SUBSIDIARY OF THE STAMFORD HOSPITAL, FOLLOWS THE HOSPITAL'S CONFLICT OF INTEREST POLICY. IT IS THE POLICY TO PROHIBIT ITS EMPLOYEES AND OTHER ASSOCIATES FROM ENGAGING IN ANY ACTIVITY, PRACTICE, OR ACT WHICH CONFLICTS WITH, OR APPEARS TO CONFLICT WITH, THE INTERESTS OF THE ORGANIZATION. EMPLOYEES ARE EXPECTED TO CONDUCT THE BUSINESS OF SHMG TO THE BEST OF THEIR ABILITY AND FOR THE BENEFIT OF SHMG AND ITS PATIENTS. THE POLICY ALSO REQUIRES BOARD MEMBERS, OFFICERS, SENIOR LEADERS, MEDICAL STAFF LEADERS, COMMITTEE MEMBERS AND OTHER INDIVIDUALS AS APPROPRIATE TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST THEY OR THEIR IMMEDIATE FAMILY MAY HAVE ON AN ANNUAL BASIS. SURVEYS ARE DISTRIBUTED ANNUALLY AND TIMELY RECEIPT IS MONITORED BY THE HOSPITAL'S COMPLIANCE DEPARTMENT. Form 990, Part VI, Line 15a Process to establish compensation of top management official PART VI, LINES 15A & 15B IT IS THE POLICY OF SHMG TO PAY EMPLOYEES FAIR AND COMPETITIVE WAGES. SHMG HAS ADOPTED A WAGE AND SALARY PROGRAM TO ENSURE THAT ALL EMPLOYEES ARE PAID IN RELATION TO THE VALUE OF THE WORK THEY PERFORM. THIS PROGRAM IS REVIEWED ANNUALLY. EXECUTIVE COMPENSATION IS SUBJECT TO A MORE COMPREHENSIVE REVIEW, INCLUDING AN ANNUAL BENCHMARKING ANALYSIS. Form 990, Part VI, Line 19 Required documents available to the public SHMG MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. Form 990, Part VIII, Line 2f Other Program Service Revenue - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Cafeteria - Total Revenue: 456, Related or Exempt Function Revenue: 456, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Coffee Shop - Total Revenue: 495, Related or Exempt Function Revenue: 495, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Gift Shop Revenue - Total Revenue: 46, Related or Exempt Function Revenue: 46, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Miscellaneous Income - Total Revenue: 8039, Related or Exempt Function Revenue: 8039, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Medical Record Abstracts - Total Revenue: 3100, Related or Exempt Function Revenue: 3100, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Physician Reimbursement - Total Revenue: 1792320, Related or Exempt Function Revenue: 1792320, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees CONSULTING SERVICE - Total Expense: 520721, Program Service Expense: 0, Management and General Expenses: 520721, Fundraising Expenses: 0; PURCHASED SERVICES - Total Expense: 4364875, Program Service Expense: 961090, Management and General Expenses: 3403785, Fundraising Expenses: 0; PHYSICIAN FEES - Total Expense: 24484954, Program Service Expense: 24450391, Management and General Expenses: 34563, Fundraising Expenses: 0; COLLECTION FEES - Total Expense: 164921, Program Service Expense: 5669763, Management and General Expenses: -5504842, Fundraising Expenses: 0; INTERCOMPANY STAFFING FEES - Total Expense: 3292376, Program Service Expense: 226611, Management and General Expenses: 3065765, Fundraising Expenses: 0; RECRUITING FEES - Total Expense: 563360, Program Service Expense: 1894, Management and General Expenses: 561466, Fundraising Expenses: 0; FOREIGN RECRUITMENT - Total Expense: 3755, Program Service Expense: 3755, Management and General Expenses: 0, Fundraising Expenses: 0; Temporary Employee Services - Total Expense: 925945, Program Service Expense: 665247, Management and General Expenses: 260698, Fundraising Expenses: 0; STAMFORD HEALTH INC ONE HOSPITAL PLZ PO BOX 9317 STAMFORD CT 06904 222476636 PARENT CT 501(c)(3) NA false THE STAMFORD HOSPITAL ONE HOSPITAL PLZ PO BOX 9317 STAMFORD CT 06904 060646917 HOSPITAL CT 501(c)(3) 3 SHI true STAMFORD HOSPITAL PHARMACY LLC 873381961 PHARMAACY SERVICES CT 501(c)(3) 10 TSH false false false false false false false false false false true true false false false true false false false true STAMFORD HEALTH INC K 945695 Book value THE STAMFORD HOSPITAL J 1449894 Book Value THE STAMFORD HOSPITAL K 1292697 BOOK VALUE THE STAMFORD HOSPITAL O 244704 BOOK VALUE THE STAMFORD HOSPITAL S 66570783 BOOK VALUE