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Nonprofiteer
← STAMFORD HEALTH MEDICAL GROUP INC

Form 990 for tax year 2022

Filed by STAMFORD HEALTH MEDICAL GROUP INC.

Totals

Total revenue
$212,001,077
Total expenses
$212,001,077
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$101,924,011
Investment income
$0
Other revenue
$110,077,066
Total assets, end of year
$82,082,258
Total liabilities, end of year
$83,015,582
Net assets or fund balances, end of year
-$933,324
Program services expenses (Part IX)
$182,720,049
Management and general expenses
$29,281,028
Fundraising expenses
$0
Program service expenses (Part III)
$182,720,049

Program services were 86.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1a · Federated campaigns

    $0

  • 1b · Membership dues

    $0

  • 1c · Fundraising events

    $0

  • 1d · Related organizations

    $0

  • 1e · Government grants (contributions)

    $0

  • 1f · All other contributions, gifts and grants

    $0

  • 1g · Noncash contributions included above

    $0

  • 2a · Program service revenue: MEDICARE

    total $35,486,883 · related or exempt $35,486,883 · unrelated business $0 · excluded $0

  • 2b · Program service revenue: PHYSICIAN BILLING

    total $66,437,128 · related or exempt $66,437,128 · unrelated business $0 · excluded $0

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 5 · Royalties

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6a · Gross rents

    real property $1,464,306 · personal property $0

  • 6c · Rental income or loss

    real property $1,464,306 · personal property $0

  • 6d · Net rental income or loss

    total $1,464,306 · related or exempt $0 · unrelated business $0 · excluded $1,464,306

  • 7a · Gross sales of assets other than inventory

    securities $0 · other assets $0

  • 7b · Less cost or other basis and sales expenses

    securities $0 · other assets $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 7d · Net gain or loss

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 8a · Fundraising events: gross income

    $0

  • 8a · Fundraising events: contributions included on line 1c

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0 · unrelated business $0 · excluded $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11a · Other revenue: LOSS TRANSFER TO TSH

    total $66,570,783 · related or exempt $66,570,783 · excluded $0

  • 11b · Other revenue: INTER CO STAFFING REIMBUR

    total $38,339,545 · related or exempt $38,339,545 · unrelated business $0 · excluded $0

  • 11c · Other revenue: NRC RADIOLOGY MSA INCOME

    total $1,897,976 · related or exempt $1,897,976 · unrelated business $0 · excluded $0

  • 11d · All other revenue

    total $1,804,456 · related or exempt $1,804,456 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $108,612,760

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0 · program services $0

  • 2 · Grants to domestic individuals

    total $0 · program services $0

  • 3 · Grants to foreign organizations and individuals

    total $0 · program services $0

  • 4 · Benefits paid to or for members

    total $0 · program services $0

  • 5 · Compensation of officers, directors and key employees

    total $4,946,660 · program services $3,804,053 · management and general $1,142,607 · fundraising $0

  • 6 · Compensation of disqualified persons

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 7 · Other salaries and wages

    total $114,824,909 · program services $107,103,115 · management and general $7,721,794 · fundraising $0

  • 8 · Pension plan contributions

    total $3,479,112 · program services $0 · management and general $3,479,112 · fundraising $0

  • 9 · Other employee benefits

    total $13,710,995 · program services $12,754,530 · management and general $956,465 · fundraising $0

  • 10 · Payroll taxes

    total $5,316,926 · program services $4,649,236 · management and general $667,690 · fundraising $0

  • 11a · Fees: management

    total $221,106 · management and general $221,106 · fundraising $0

  • 11b · Fees: legal

    total $50 · program services $0 · management and general $50 · fundraising $0

  • 11c · Fees: accounting

    total $69,144 · program services $0 · management and general $69,144 · fundraising $0

  • 11d · Fees: lobbying

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11e · Fees: professional fundraising services

    total $0 · fundraising $0

  • 11f · Fees: investment management

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11g · Fees: other

    total $34,320,907 · program services $31,978,751 · management and general $2,342,156 · fundraising $0

  • 12 · Advertising and promotion

    total $651,958 · program services $1,954 · management and general $650,004 · fundraising $0

  • 13 · Office expenses

    total $2,188,192 · program services $1,546,508 · management and general $641,684 · fundraising $0

  • 14 · Information technology

    total $5,211,552 · program services $214,117 · management and general $4,997,435 · fundraising $0

  • 15 · Royalties

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 16 · Occupancy

    total $12,735,731 · program services $7,136,347 · management and general $5,599,384 · fundraising $0

  • 17 · Travel

    total $89,866 · program services $52,743 · management and general $37,123 · fundraising $0

  • 18 · Travel or entertainment for public officials

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 19 · Conferences, conventions and meetings

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 20 · Interest

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 21 · Payments to affiliates

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 22 · Depreciation, depletion and amortization

    total $3,864,398 · program services $3,258,578 · management and general $605,820 · fundraising $0

  • 23 · Insurance

    total $2,888,395 · program services $2,831,092 · management and general $57,303 · fundraising $0

  • 24a · Other expenses: MEDICAL EXPENSES

    total $6,603,819 · program services $6,603,819 · fundraising $0

  • 24b · Other expenses: SERVICE CONTRACTS

    total $216,059 · program services $209,568 · management and general $6,491 · fundraising $0

  • 24c · Other expenses: NON-COLLEGE EDUCATION

    total $322,371 · program services $281,069 · management and general $41,302 · fundraising $0

  • 24d · Other expenses: LICENSE FEES

    total $148,413 · program services $147,060 · management and general $1,353 · fundraising $0

  • 24e · All other expenses

    total $190,514 · program services $147,509 · management and general $43,005 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $0

  • 2 · Savings and temporary cash investments

    beginning of year $3,946,449 · end of year $4,233,406

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $11,228,381 · end of year $12,005,875

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $800,251

  • 9 · Prepaid expenses and deferred charges

    beginning of year $432,331 · end of year $599,651

  • 10a · Land, buildings and equipment: cost or other basis

    $42,329,863

  • 10b · Land, buildings and equipment: accumulated depreciation

    $28,177,376

  • 10c · Land, buildings and equipment, net

    beginning of year $16,986,067 · end of year $14,152,487

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $43,193,642 · end of year $50,290,588

  • 17 · Accounts payable and accrued expenses

    beginning of year $24,222,159 · end of year $16,971,051

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $218,251 · end of year $187,177

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $52,279,784 · end of year $65,857,354

  • 27 · Net assets without donor restrictions

    beginning of year -$933,324 · end of year -$933,324

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

SUPPORTS THE PROVISION OF PHYSICIAN SERVICES AND OTHER HEALTH PRACTITIONER SERVICES TO THE RESIDENTS OF THE COMMUNITIES SERVED BY STAMFORD HOSPITAL AND AFFILIATED ORGANIZATIONS.

Activities or mission (Part I)

SUPPORTS THE PROVISION OF PHYSICIAN SERVICES AND OTHER HEALTH PRACTITIONER SERVICES TO THE RESIDENTS OF THE COMMUNITIES SERVED BY STAMFORD HOSPITAL AFFILIATED ORGANIZATIONS.

  • STAMFORD HEALTH MEDICAL GROUP INC. PROVIDES A COMPREHENSIVE ARRAY OF MANAGEMENT SERVICES IN SUPPORT OF PHYSICIAN PRACTICES.

    Expenses $182,720,049 · Revenue $210,536,771

As filed on the 2022 return.

Listed in Part VII

  • Rodrigo Acosta MD

    President & Chairman

    Total calculated
    $1,174,664
    From this org
    $1,104,743
    From related orgs
    $0
    Other
    $69,921
    Hours/week
    38 + 2 related

    Schedule J breakdown matched by us

    Base
    $696,114
    Bonus
    $293,186
    Other
    $115,443
    Deferred
    $66,027
    Nontaxable benefits
    $3,894
    Filer's total
    $1,174,664

  • Brianna Siegel MD

    Physician

    Total calculated
    $284,685
    From this org
    $236,133
    From related orgs
    $0
    Other
    $48,552
    Hours/week
    38 + 2 related

    Schedule J breakdown matched by us

    Base
    $207,095
    Bonus
    $23,815
    Other
    $5,223
    Deferred
    $33,312
    Nontaxable benefits
    $15,240
    Filer's total
    $284,685

  • Carol Fucigna MD

    PHYSICIAN DIRECTOR

    Total calculated
    $770,771
    From this org
    $715,034
    From related orgs
    $0
    Other
    $55,737
    Hours/week
    38 + 2 related

    Schedule J breakdown matched by us

    Base
    $412,684
    Bonus
    $292,590
    Other
    $9,760
    Deferred
    $45,622
    Nontaxable benefits
    $10,115
    Filer's total
    $770,771

  • Daniel Bal MD

    PHYSICIAN DIRECTOR

    Total calculated
    $463,176
    From this org
    $422,976
    From related orgs
    $0
    Other
    $40,200
    Hours/week
    38 + 2 related

    Schedule J breakdown matched by us

    Base
    $320,316
    Bonus
    $102,035
    Other
    $625
    Deferred
    $31,890
    Nontaxable benefits
    $8,310
    Filer's total
    $463,176

  • Eric Kung MD

    PHYSICIAN DIRECTOR

    Total calculated
    $558,784
    From this org
    $486,712
    From related orgs
    $0
    Other
    $72,072
    Hours/week
    38 + 2 related

    Schedule J breakdown matched by us

    Base
    $424,430
    Bonus
    $60,803
    Other
    $1,479
    Deferred
    $59,582
    Nontaxable benefits
    $12,490
    Filer's total
    $558,784

  • Joonun Choi MD

    PHYSICIAN DIRECTOR

    Total calculated
    $661,693
    From this org
    $591,612
    From related orgs
    $0
    Other
    $70,081
    Hours/week
    38 + 2 related

    Schedule J breakdown matched by us

    Base
    $500,262
    Bonus
    $82,160
    Other
    $9,190
    Deferred
    $58,668
    Nontaxable benefits
    $11,413
    Filer's total
    $661,693

  • Maria Cecila Asnis MD

    Physician

    Total calculated
    $397,727
    From this org
    $344,732
    From related orgs
    $0
    Other
    $52,995
    Hours/week
    38 + 2 related

    Schedule J breakdown matched by us

    Base
    $252,749
    Bonus
    $91,983
    Other
    $0
    Deferred
    $37,990
    Nontaxable benefits
    $15,005
    Filer's total
    $397,727

  • Nicholas Fiebach MD

    Physician (TSH)

    Total calculated
    $672,741
    From this org
    $0
    From related orgs
    $628,849
    Other
    $43,892
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $544,626 related
    Bonus
    $0 + $55,862 related
    Other
    $0 + $28,361 related
    Deferred
    $0 + $30,729 related
    Nontaxable benefits
    $0 + $13,163 related
    Filer's total
    $0 + $672,741 related

  • Robert Lindberg MD

    PHYSICIAN DIRECTOR

    Total calculated
    $409,318
    From this org
    $337,690
    From related orgs
    $0
    Other
    $71,628
    Hours/week
    38 + 2 related

    Schedule J breakdown matched by us

    Base
    $277,230
    Bonus
    $52,664
    Other
    $7,796
    Deferred
    $63,886
    Nontaxable benefits
    $7,742
    Filer's total
    $409,318

  • Elizabeth Longmore

    Sr. VP Operations, COO

    Total calculated
    $798,715
    From this org
    $397,935
    From related orgs
    $348,844
    Other
    $51,936
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $344,038 + $132,654 related
    Bonus
    $0 + $215,914 related
    Other
    $53,897 + $276 related
    Deferred
    $36,803 + $4,741 related
    Nontaxable benefits
    $8,386 + $2,006 related
    Filer's total
    $443,124 + $355,591 related

  • Joshua Herbert MD

    CO-CMO

    Total calculated
    $886,088
    From this org
    $811,663
    From related orgs
    $0
    Other
    $74,425
    Hours/week
    38 + 2 related

    Schedule J breakdown matched by us

    Base
    $500,280
    Bonus
    $297,025
    Other
    $14,358
    Deferred
    $63,131
    Nontaxable benefits
    $11,294
    Filer's total
    $886,088

  • Katarzyna Konopka

    COO

    Total calculated
    $363,411
    From this org
    $321,045
    From related orgs
    $0
    Other
    $42,366
    Hours/week
    38 + 2 related

    Schedule J breakdown matched by us

    Base
    $266,640
    Bonus
    $48,504
    Other
    $5,901
    Deferred
    $33,822
    Nontaxable benefits
    $8,544
    Filer's total
    $363,411

  • William Hines MD

    CO-CMO

    Total calculated
    $663,948
    From this org
    $593,160
    From related orgs
    $0
    Other
    $70,788
    Hours/week
    38 + 2 related

    Schedule J breakdown matched by us

    Base
    $368,546
    Bonus
    $206,716
    Other
    $17,898
    Deferred
    $64,002
    Nontaxable benefits
    $6,786
    Filer's total
    $663,948

  • Craig Olin MD

    PHYSICIAN

    Total calculated
    $912,175
    From this org
    $833,388
    From related orgs
    $0
    Other
    $78,787
    Hours/week
    38 + 2 related

    Schedule J breakdown matched by us

    Base
    $700,821
    Bonus
    $127,902
    Other
    $4,665
    Deferred
    $65,624
    Nontaxable benefits
    $13,163
    Filer's total
    $912,175

  • Joshua Lader MD

    PHYSICIAN

    Total calculated
    $914,797
    From this org
    $851,287
    From related orgs
    $0
    Other
    $63,510
    Hours/week
    38 + 2 related

    Schedule J breakdown matched by us

    Base
    $409,587
    Bonus
    $432,690
    Other
    $9,010
    Deferred
    $53,097
    Nontaxable benefits
    $10,413
    Filer's total
    $914,797

  • Kevin Miller MD

    PHYSICIAN

    Total calculated
    $851,063
    From this org
    $807,189
    From related orgs
    $0
    Other
    $43,874
    Hours/week
    38 + 2 related

    Schedule J breakdown matched by us

    Base
    $497,309
    Bonus
    $297,427
    Other
    $12,453
    Deferred
    $33,696
    Nontaxable benefits
    $10,178
    Filer's total
    $851,063

  • Sandhya Dhruvakumar MD

    PHYSICIAN DIRECTOR

    Total calculated
    $865,371
    From this org
    $821,305
    From related orgs
    $0
    Other
    $44,066
    Hours/week
    38 + 2 related

    Schedule J breakdown matched by us

    Base
    $423,058
    Bonus
    $396,810
    Other
    $1,437
    Deferred
    $37,124
    Nontaxable benefits
    $6,942
    Filer's total
    $865,371

  • William Symons MD

    PHYSICIAN DIRECTOR

    Total calculated
    $1,213,052
    From this org
    $1,140,584
    From related orgs
    $0
    Other
    $72,468
    Hours/week
    38 + 2 related

    Schedule J breakdown matched by us

    Base
    $692,963
    Bonus
    $432,972
    Other
    $14,649
    Deferred
    $59,305
    Nontaxable benefits
    $13,163
    Filer's total
    $1,213,052

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

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

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
15 August 2024
IRS schema version
2022v5.0
Source object
202442279349304114

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