NEIGHBORHOOD HEALTH INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
NEIGHBORHOOD HEALTH INC (EIN 80-0458769)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-14
IRS object ID
201422269349300222
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-14T08:03:12-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 Monument Circle Suite 2000AddressLine1
CityIndianapolisCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN800458769EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Vincent's Multispecialty Group IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTVINameControl
Phone2035765524Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12800 Main StreetAddressLine1
CityBridgeportCity
StateCTState
ZIP Code066064201ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJohn C GlecklerName
TitleCFO- SVHSTitle
Phone2035765524Phone
Date Signed2014-08-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJeffrey D FrankName
PTINP00287234PTIN
Phone3174648600Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRoger PoitrasNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12800 Main StreetAddressLine1
CityBridgeportCity
StateCTState
ZIP Code066064201ZIPCode
FieldValueIRS element (for citing)
Gross Receipts47430503GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2010YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionAddress the wellness, prevention, and healthcare needs of the Bridgeport community.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees282TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year40016132ProgramServiceRevenuePriorYear
Program Service Revenue CY47408590ProgramServiceRevenueCY
Investment Income Prior Year5547InvestmentIncomePriorYear
Investment Income Current Year21913InvestmentIncomeCurrentYear
Other Revenue Prior Year700604OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year40722283TotalRevenuePriorYear
Total Revenue Current Year47430503TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year34007801SalariesEtcPriorYear
Salaries Etc Current Year38975312SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year10994160OtherExpensePriorYear
Other Expenses Current Year22297999OtherExpensesCurrentYear
Total Expenses Prior Year45001961TotalExpensesPriorYear
Total Expenses Current Year61273311TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-4279678RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-13842808RevenuesLessExpensesCY
Total Assets BOY7527303TotalAssetsBOY
Total Assets EOY6720754TotalAssetsEOY
Total Liabilities BOY10771944TotalLiabilitiesBOY
Total Liabilities EOY23818121TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-3244641NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-17097367NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSt. Vincent's Multispecialty Group provides professional medical services to patients in Bridgeport, Connecticut and surrounding communities through a network of employed primary care physicians, hospital based providers, and specialists.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense59055913Expense
Revenue47408590Revenue
DescriptionProfessional Service Revenue from professional medical services provided to patients in Bridgeport, Connecticut and other communities in lower Fairfield County Connecticut through a network of employed primary care physicians, hospital based providers, and specialists. Employed primary care physicians and other specialists provide services at (1) private practice offices located in the community and within St. Vincent's Medical Center, (2) a Family Health Clinic in Bridgeport, Connecticut that serves the poor and uninsured and is owned and operated by St. Vincent's Medical Center, and (3) Immediate Health Care Centers owned and operated by St. Vincent's Medical Center located in Bridgeport, Fairfield, Monroe, and Shelton, Connecticut. Employed hospital-based providers provide services in St. Vincent's Medical Center departments pursuant to a professional services agreement between St. Vincent's Medical Center and St. Vincent's Multispecialty Group, Inc. Hospital-based providers include hospitalists, intensivists, psychiatrists, emergency services, and rehabilitation.Description
Total Program Service Expense59055913TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109655NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees282NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1John C GlecklerBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2035766000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12800 Main StreetAddressLine1
CityBridgeportCity
StateCTState
ZIP Code066064201ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Roger Poitras
President40.000.00XX349480035610
John Gleckler
Treasurer-SVP/CFO- SVHS5.0035.00XX068049274331
Peter Struzzi
Secretary1.0039.00XX043913140636
Sheila Cooperman MD
Director40.000.00X244070014852
Michael V Herman MD
Director1.001.00X6415500
Frank Illuzzi MD
Director (end 7/13)1.0039.00X549176056523
Corina Marcu MD
Director40.000.00X282023041421
Frank Scifo MD
Director40.000.00X027652533654
Dawn Moser
Director40.000.00X183265067937
Stuart Marcus MD
Director- Pres- SVMC5.0035.00X094074345725
Susan L Davis RN EdD
Director- Pres/CEO- SVHS5.0035.00XX01453449955587
Rafael Squitieri MD
Chief Cardio Thoracic40.000.00664810050045X
Albert DiMeo MD
Dir Cardio Thoracic Surg40.000.00682958045045X
Ahmad Fotovat MD
Surgeon40.000.00472384042397X
Kathleen Harper MD
Cardio Physician40.000.00646038052366X
Edward Kosinski MD
Cardio Physician40.000.00766072036161X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4904431TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3790340TotalReportableCompFrmRltdOrgs
Total Other Compensation1592290TotalOtherCompensation
Number Individuals GT100 K112NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Cardiology Associates of Fairfield Count
1177 Summer StreetStamfordCT06905Physician Services3988115
Medi-Claim Services Inc dba Medistar
12 Cambridge DriveTrumbullCT06611Medical Billing1271056
Vista Staffing Solutions Inc
File 50834Los AngelesCA900740834Physician Services456680
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionProfessional Svc. Rev.Description
Business Code621100BusinessCode
Total Revenue Column47408590TotalRevenueColumn
Related Or Exempt Function Income47408590RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue47408590TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column21913TotalRevenueColumn
Exclusion$21,913ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column47430503TotalRevenueColumn
Related Or Exempt Function Income47408590RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$21,913ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1119965Total
Program Services705997ProgramServices
Management And General413968ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total32938173Total
Program Services32325019ProgramServices
Management And General613154ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1040592Total
Program Services1010023ProgramServices
Management And General30569ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2085749Total
Program Services2024532ProgramServices
Management And General61217ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1790833Total
Program Services1738225ProgramServices
Management And General52608ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total117153Total
Management And General117153ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total6204Total
Management And General6204ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total3678Total
Program Services3589ProgramServices
Management And General89ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total12186325Total
Program Services11468369ProgramServices
Management And General717956ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total5310Total
Program Services3230ProgramServices
Management And General2080ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total844401Total
Program Services780398ProgramServices
Management And General64003ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total225600Total
Program Services225600ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2135825Total
Program Services2076337ProgramServices
Management And General59488ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total16331Total
Program Services9670ProgramServices
Management And General6661ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1801Total
Program Services1801ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total437286Total
Program Services424929ProgramServices
Management And General12357ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1142121Total
Program Services1140621ProgramServices
Management And General1500ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Corporate Allocations36349723634972
Supplies93291691261720299
Licenses, Dues, and Sub32141629168529731
Restructuring expenses154116154116

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total132544Total
Program Services124183ProgramServices
Management And General8361ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total61273311Total
Program Services59055913ProgramServices
Management And General2217398ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY370523BOY
EOY72175EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1723016BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3106182BOY
EOY3975433EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY123649BOY
EOY165537EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2416814LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec568872LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1385019BOY
EOY1847942EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY600000BOY
EOY755614EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY218914BOY
EOY-95947EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7527303BOY
EOY6720754EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3983946BOY
EOY3861375EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6787998BOY
EOY19956746EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10771944BOY
EOY23818121EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-3244641BOY
EOY-17097367EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-3244641BOY
EOY-17097367EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7527303BOY
EOY6720754EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-13842808ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-19952ReconciliationUnrealizedInvest
Reconcilation Other Changes10033ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Vincent's Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
EIN060646886EIN
Type Of Organization3 - HospitalTypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$29,350,000Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts29350000SumOfAmounts

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$3,678OtherActivitiesAmount
Total Lobbying Expenditures IIB3678TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1:ReturnReference
ExplanationLobbying expenses represent the portion of dues paid to the Connecticut State Medical Society and the Fairfield County Medical Association that are specifically allocable to lobbying. St. Vincent's Multispecialty Group does not participate in or intervene in (including the publishing or distributiing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office.Explanation

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis804090OtherCostOrOtherBasis
Depreciation285671Depreciation
Book Value518419BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1048562OtherCostOrOtherBasis
Depreciation283201Depreciation
Book Value765361BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis564162OtherCostOrOtherBasis
Book Value564162BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1847942TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
Due to St. Vincent's Medical Center$16,640,003
Defined Contribution Liability$573,767
Accrued Pension$527,688
Accrued Professional Liability$139,483
Professional Liability IBNR$1,000,805
Notes Payable$1,075,000
FieldValueIRS element (for citing)
Total Of Amounts19956746TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X, Line 2:ReturnReference
ExplanationThe Medical Center, the Multispecialty Group, and the College are tax-exempt organizations under Internal Revenue Code Section 501(c) (3) and their related income is exempt from federal income tax under Section 501(a). The Medical Center accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Roger Poitras
President26009807966509717054630301470385090000
John Gleckler
Treasurer-SVP/CFO- SVHS03995880263851017053040108034223075482300
Peter Struzzi
Secretary03263900101018011723010000030636047976700
Sheila Cooperman MD
Director2337260899901345010748041040258922000
Frank Illuzzi MD
Director (end 7/13)4468900876600146260192900372330605699000
Corina Marcu MD
Director2735400825602270107980306230323444000
Frank Scifo MD
Director0254833010836010856011250022404031017900
Dawn Moser
Director182109050006560555030124340251202000
Stuart Marcus MD
Director- Pres- SVMC0582773035401403956011250034475098646800
Susan L Davis RN EdD
Director- Pres/CEO- SVHS080740205999930460540921992033595024090360104681
Rafael Squitieri MD
Chief Cardio Thoracic651801010182028270112500387950714855000
Albert DiMeo MD
Dir Cardio Thoracic Surg636150045573012350112500337950728003000
Ahmad Fotovat MD
Surgeon439871029226032870112500311470514781000
Kathleen Harper MD
Cardio Physician39258302265260269290375830147830698404000
Edward Kosinski MD
Cardio Physician431402032859406076050000311610802233000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 3The President/CEO compensation, along with the compensation of all other executives of the Health System, is established annually by the St. Vincent's Health Services Executive Compensation Committee (the Compensation Committee). The Compensation Committee uses an external national firm for an independent compensation comparison based on well recognized and established guidelines. Recommended compensation is discussed and approved by the Compensation Committee and is sent to the Multispecialty Board for final approval.
Part I, Line 4bSusan L. Davis participates in a 457f plan. During calendar year 2012, Ms. Davis received $900,188 in elective deferred compensation under the plan. She received payments from the plan of $104,681.
Part IIISchedule J, Part II: Compensation for Susan L. Davis, John C. Gleckler, Stuart Marcus, Frank Illuzi, Frank Scifo, and Peter Struzzi is paid by St. Vincent's Medical Center, the parent of St. Vincent's Multispecialty Group, Inc. Compensation for Susan L. Davis is paid by St. Vincent's Medical Center on behalf of St. Vincent's Health Services Corp, and all of its related organizations, including St. Vincent's Multispecialty Group, Inc. The compensation Dr. Davis receives is for her role as the President/CEO of St. Vincent's Health Services and as an Ascension Ministry Market Leader for the NY/CT market, which includes four other health systems. In July 2012, Dr. Davis assumed additional responsibilities as the Ministry Market Leader for the entire Florida and Alabama market area. A portion of Dr. Davis' compensation and benefits are allocated to that market. None of Dr. Davis's compensation is allocated to St. Vincent's Multispecialty Group, nor is there any compensation for her role as a Board member of St. Vincent's Multispecialty Group. Compensation for John C. Gleckler is paid by St. Vincent's Medical Center on behalf of St. Vincent's Health Services Corp, and all of its related organizations, including St. Vincent's Multispecialty Group. The compensation Mr. Gleckler receives is for his role as the Senior Vice President and Chief Financial Officer of St. Vincent's Health Services. None of Mr. Gleckler's compensation is allocated to St. Vincent's Multispecialty Group. Compensation for Stuart Marcus, M.D. is paid by St. Vincent's Medical Center, the parent organization of St. Vincent's Multispecialty Group. The compensation Dr. Marcus receives is for his role as President of St. Vincent's Medical Center. None of Dr. Marcus's compensation is allocated to St. Vincent's Multispecialty Group. The compensation Frank Illuzzi, Frank Scifo and Peter Struzzi receive is for their roles at St. Vincent's Medical Center. None of their compensation is allocated to St. Vincent's Multispecialty Group.Supplemental Information

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 2Many of the persons listed on Part VII have a "business relationship" with each other by virtue of sitting on the board of or being employed by related St. Vincent Health Services entities.
Form 990, Part VI, Section A, line 6St. Vincent's Multispecialty Group, Inc. has a single corporate member, St. Vincent's Medical Center.
Form 990, Part VI, Section A, line 7aSt. Vincent's Multispecialty Group, Inc. has a single corporate member, St. Vincent's Medical Center, who has the ability to elect members to the governing body of St. Vincent's Multispecialty Group, Inc.
Form 990, Part VI, Section A, line 7bAll decisions that have a material impact to St. Vincent's Multispecialty Group, Inc. financial information or corporation as a whole are subject to approval by its sole corporate member, St. Vincent's Medical Center.
Form 990, Part VI, Section B, line 11Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Management presents the Form to the Board, or a designated committee, to review and answer any questions. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members' questions.
Form 990, Part VI, Section B, line 12cThe organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee meeting will decide if conflict of interest exist. Each director, principal officer, and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.
Form 990, Part VI, Section B, line 15In determining compensation of the organization's CEO, the process, performed by St. Vincent's Health Services Corp, a related organization of St. Vincent's Multispecialty Group, included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The St. Vincent's Health Services Executive Compensation Committee reviewed and approved the compensation. In the review of the compensation, the CEO was compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the minutes. The individual was not present when her compensation was decided. In determining compensation of other officers or key employees of the organization, the process, performed by St. Vincent's Health Services Corp, a related organization of St. Vincent's Multispecialty Group, Inc., included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. St. Vincent's Health Services Executive Compensation Committee reviewed and approved the compensation. In the review of the compensation, the other officers or key employees of the organization were compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes.
Form 990, Part VI, Section C, line 19The organization will provide any documents open to public inspection upon request.
Form 990, Part IX, line 11gContract Labor Physicians and Other: Program service expenses 9,527,632. Management and general expenses 600,816. Fundraising expenses 0. Total expenses 10,128,448. Purchased Services Billing Transcriptionists: Program service expenses 1,875,371. Management and general expenses 19,348. Fundraising expenses 0. Total expenses 1,894,719. Consulting and recruiting: Program service expenses 65,366. Management and general expenses 97,792. Fundraising expenses 0. Total expenses 163,158.Other Fees
Form 990, Part XI, line 9:Change in FASB Liability 72,389. Change in Pension Plan Liability -62,356.Changes in Net Assets or Fund Balances:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Ascension Health
PO Box 45998St LouisMO63145311662309National Health SystemMOSection 501(c)(3)Schedule A, Line 11aAscension Health Alliance0
St Vincent's Health Services Corp
2800 Main StreetBridgeportCT06606222558134System ParentCTSection 501(c)(3)Schedule A, Line 11aAscension Health0
St Vincent's Medical Center
2800 Main StreetBridgeportCT06606060646886HospitalCTSection 501(c)(3)Schedule A, Line 3St Vincent's Health Services Corp0
St Vincent's Medical Center Foundation Inc
2800 Main StreetBridgeportCT06606222558132FundraisingCTSection 501(c)(3)Schedule A, Line 7St Vincent's Health Services Corp0
St Vincent's Special Needs Center Inc
95 Merritt BoulevardTrumbullCT06611060702617Programs for Special Needs IndividualsCTSection 501(c)(3)Schedule A, Line 9St Vincent's Health Services Corp0
Hall-Brooke Behavioral Health Services Inc
47 Long Lots RoadWestportCT06880060813283Behavioral Health ServicesCTSection 501(c)(3)Schedule A, Line 9St Vincent's Health Services Corp0
St Vincent's College
2800 Main StreetBridgeportCT06606061331677College of Health SciencesCTSection 501(c)(3)Schedule A, Line 2St Vincent's Medical Center1
St Vincent's Development Inc
95 Merritt BoulevardTrumbullCT06611222554128Real Estate HoldingsCTSection 501(c)(25)N/ASt Vincent's Health Services Corp0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Vincentures IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line195 Merritt BoulevardAddressLine1
CityTrumbullCity
StateCTState
ZIP Code06611ZIPCode
FieldValueIRS element (for citing)
EIN061211417EIN
Primary ActivityInactivePrimaryActivity
Legal Domicile StateCTLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
St Vincent's Development Corporation
P248878Actual Amount Paid
St Vincent's Medical Center
S29350000Amount Transferred
Ascension Health
P830234Actual Amount Paid

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