2013-08-13T08:35:54-05:00 2012-09-30 111986323 MARCUM LLP CITY PLACE II 185 ASYLUM STREET HARTFORD CT 06103 990 2011-10-01 061491191 SAINT FRANCIS CARE INC SAIN 8607144000 114 WOODLAND STREET NO 4312 HARTFORD CT 06105 DAVID BITTNER 8607144603 2013-08-06 1 DOUGLAS FARRINGTON P00370668 8605498500 2011 2016-02-25 16:41:14Z DAVID BITTNER 114 WOODLAND STREET NO 4312 HARTFORD CT 06105 0 0 X WWW.STFRANCISCARE.ORG X 1995 CT HEALTHCARE 34 27 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 0 15847219 15847219 0 0 15847219 15847219 THE MISSION OF ST FRANCIS CARE, INC. SHALL BE TO BENEFIT, CARRY OUT THE PURPOSES OF, AND UPHOLD, PROMOTE AND FURTHER THE WELFARE, PROGRAMS AND ACTIVITIES OF SAINT FRANCIS HOSPITAL AND MEDICAL CENTER AND OTHER SUBSIDIARIES. 0 0 SUPPPORTS HEALTHCARE ORGANIZATIONS AFFILIATED WITH THE ROMAN CATHOLIC CHURCH WITHIN THE CONFINES OF THE AREA ADMINISTERED BY THE ARCHDIOCESE OF HARTFORD. 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 34 27 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X X X DONNA GILBERT 8607149632 114 WOODLAND STREET HARTFORD CT 06105 X REV THOMAS J BARRY JCL 1.00 X X 0 0 0 CHRISTOPHER M DADLEZ 2.00 X X 0 1357444 48681 MOST REV HENRY J MANSELL DD 1.00 X X 0 0 0 L JEFFREY BALDWIN 2.00 X 0 0 0 BARBARA J CALDERONE BSN JD 1.00 X X 0 0 0 SURENDRA K CHAWLA MD 2.00 X 0 0 0 ROBERT M ELLIS 1.00 X 0 0 0 P ANTHONY GIORGIO PHD 1.00 X 0 0 0 WALTER HARRISON PHD 1.00 X 0 0 0 JEFFREY S HOFFMAN 1.00 X 0 0 0 PETER G KELLY JD 1.00 X 0 0 0 KARL J KRAPEK 1.00 X 0 0 0 SISTER DOLORES LAHR CSJ 1.00 X 0 0 0 DAVID A LENTINI 1.00 X 0 0 0 JOYCE D MANDELL 1.00 X 0 0 0 JOHN J MARA MD 2.00 X 0 0 0 REV MSGR JOHN J MCCARTHY 1.00 X 0 0 0 DANIEL P O'CONNELL 2.00 X 0 0 0 KEVIN J O'CONNOR 2.00 X 0 0 0 CURTIS D ROBINSON 3.00 X 0 0 0 JOHN W RODGERS MD 1.00 X 0 0 0 DR GALO A RODRIGUEZ MPH 1.00 X 0 0 0 JEAN-PIERRE VAN ROOY 1.00 X 0 0 0 ANDREW A SADANOWICZ 1.00 X 0 0 0 SUSAN J SAPPINGTON 1.00 X 0 0 0 HENRY S SCHERER JR 1.00 X 0 0 0 PHILIP J SCHULZ 1.00 X 0 0 0 ROSALIND E SHENKMAN 1.00 X 0 0 0 PAUL F MITCHELL DMD 1.00 X 0 332520 32601 JOHN D PAPANDREA MD 1.00 X 0 0 0 GEN R JOHN M WATKINS 2.00 X 0 0 0 E MERRITT MCDONOUGH JR 1.00 X X 0 0 0 ADRIENNE W COCHRANE JD 1.00 X 0 0 0 ANDREW J PINKES 1.00 X 0 0 0 TIMOTHY L PRETE 1.00 X 0 0 0 SHERI LEMIEUX 2.00 X 0 105554 7996 HEMA N DESILVA MD 0.00 X 0 216713 24108 STEVEN RUBY 0.00 X 0 411631 1454 JOHN GIAMALIS 0.00 X 0 533020 30228 0 2956882 145068 0 1 1 0 0 0 0 0 0 0 0 0 0 15847219 15847219 15847219 15847219 0 0 X 15847219 15847219 15847219 15847219 15847219 15847219 0 0 X X 0 1 1 X 0 X X 0 0 0 SAINT FRANCIS HOSPITAL & MEDICAL CENTER 060646813 3 1 1 1 0 ASYLUM HILL FAMILY MEDICINE CENTER 061450170 3 1 1 1 0 MOUNT SINAI REHABILITATION HOSPITAL 061422973 3 1 1 1 0 SAINT FRANCIS MEDICAL GROUP INC 061450168 3 1 1 1 0 SAINT FRANCIS EMERGENCY MEDICAL GROUP INC 451994612 3 1 1 1 0 5 0 0 INVESTMENT IN MOUNT SINAI REHABILITATION HOSPITAL 14252138 C INVESTMENT IN SAINT FRANCIS MEDICAL GROUP, INC. 1595081 C 15847219 0 1 0 0 0 0 0 0 0 CHRISTOPHER M DADLEZ 0 857444 0 500000 0 0 0 15034 0 33647 0 1406125 0 0 PAUL F MITCHELL DMD 0 332520 0 0 0 0 0 19600 0 13001 0 365121 0 0 HEMA N DESILVA MD 0 216713 0 0 0 0 0 17199 0 6909 0 240821 0 0 STEVEN RUBY 0 406631 0 5000 0 0 0 0 0 1454 0 413085 0 0 JOHN GIAMALIS 0 533020 0 0 0 0 0 334 0 29894 0 563248 0 0 PART I, LINE 4B CHRISTOPHER DADLEZ PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING THE YEAR. PART I, LINE 3: SAINT FRANCIS CARE, INC. RELIED ON SAINT FRANCIS HOSPITAL TO ESTABLISH THE COMPENSATION OF ITS CEO USING THE FOLLOWING: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART VI, SECTION A, LINE 2 P. ANTHONY GIORGIO, PHD (DIRECTOR) AND KARL KRAPEK (DIRECTOR) ARE BOTH 50% PARTNERS IN KEYSTONE CONSULTING, LLC, A RESIDENTIAL AND COMMERCIAL REAL ESTATE DEVELOPER. SAINT FRANCIS CARE HAS NO TRANSACTIONS WITH THIS LLC. SAINT FRANCIS HOSPITAL & MEDICAL CENTER, INC. RENTS SPACE (BEGINING AUGUST 2012) AND PAID FOR LEASEHOLD IMPROVEMENTS AT THE AVON ACCESS CENTER IN SIMSBURY THAT IS OWNED BY KEYSTONE CONSULTING, LLC. FORM 990, PART VI, SECTION A, LINE 2 DAVID LENTINI (DIRECTOR) WAS PRESIDENT OF CONNECTICUT BANK AND TRUST COMPANY UNTIL APRIL 2012 WHEN BANK WAS ACQUIRED BY BERKSHIRE BANK. PHILIP SCHULZ (DIRECTOR), KARL KRAPEK (DIRECTOR) AND P. ANTHONY GIORGIO (DIRECTOR) WERE MEMBERS OF THE BOARD OF DIRECTORS OF CONNECTICUT BANK & TRUST COMPANY UNTIL IT WAS ACQUIRED BY BERKSHIRE BANK IN APRIL 2012. FORM 990, PART VI, SECTION A, LINE 2 PHILIP SCHULZ (DIRECTOR) RECEIVES A FIXED PENSION PAYMENT FROM PRICEWATERHOUSE COOPERS, A PORTION OF WHICH IS UNFUNDED. PWC PERFORMS CONSULTING SERVICES FOR SAINT FRANCIS HOSPITAL & MEDICAL CENTER. ALL TRANSACTIONS ARE PERFORMED AT ARM'S LENGTH AND FAIR MARKET TERMS. FORM 990, PART VI, SECTION B, LINE 11 THE SAINT FRANCIS HOSPITAL & MEDICAL CENTER AUDIT AND CORPORATE COMPLIANCE COMMITTEE HAS RESPONSIBILITY FOR REVIEWING THE FORM 990 AND REPORTS BACK TO THE FULL BOARD REGARDING THEIR REVIEW OF THE FORM 990. THE FORM 990 IS AVAILABLE ON THE BOARD'S INTERNAL SECURE WEB PORTAL. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY INCLUDES AN OBLIGATION OF EACH BOARD MEMBER TO ANNUALLY DISCLOSE ALL MATERIAL FACTS AND RELATIONSHIPS AND REFRAIN FROM VOTING ON ANY MATTER WHEN THERE IS A CONFLICT OF INTEREST. THE GOVERNANCE AND NOMINATIONS COMMITTEE REVIEWS THE RESULTS OF THESE SUBMISSIONS ANNUALLY FOR COMPLIANCE WITH GOVERNANCE POLICIES. FORM 990, PART VI, SECTION B, LINE 15 REFER TO PART III OF SCHEDULE J FOR THE PROCESS. FORM 990, PART VI, SECTION C, LINE 19 A LINK ON THE SAINT FRANCIS WEBSITE HAS BEEN ESTABLISHED FOR INDIVIDUALS TO REQUEST GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FORM 990 AND FINANCIAL STATEMENTS. FORM 990, PART VII, SECTION A: AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: ADRIENNE W COCHRANE, J.D. - 2 HOURS ANDREW A SADANOWICZ - 1 HOUR ANDREW J PINKES - 1 HOUR BARBARA J CALDERONE, BSN JD - 1 HOUR CHRISTOPHER M DADLEZ - 64 HOURS CURTIS D ROBINSON - 4 HOURS DANIEL P O'CONNELL - 4 HOURS DAVID A LENTINI - 1 HOUR DR. GALO A RODRIGUEZ, MPH - 1 HOUR E. MERRITT MCDONOUGH, JR. - 56 HOURS GEN. (R) JOHN M. WATKINS - 2 HOURS HENRY S SCHERER, JR - 5 HOURS JEAN-PIERRE VAN ROOY - 1 HOUR JEFFREY S HOFFMAN - 1 HOUR JOHN D. PAPANDREA, M.D. - 1 HOUR JOHN J MARA, MD - 1 HOUR JOHN W RODGERS, MD - 1 HOUR JOYCE D MANDELL - 1 HOUR KARL J. KRAPEK - 1 HOUR KEVIN J. O'CONNOR - 2 HOURS L JEFFREY BALDWIN - 2 HOURS MOST REV. HENRY J MANSELL, D.D. - 4 HOURS P ANTHONY GIORGIO, PHD - 2 HOURS PAUL F MITCHELL, D.M.D. - 58 HOURS PETER G KELLY, JD - 3 HOURS PHILIP J SCHULZ - 2 HOURS REV MSGR JOHN J MCCARTHY - 1 HOUR REV THOMAS J BARRY, JCL - 2 HOURS ROBERT M ELLIS- 2 HOURS ROSALIND E SHENKMAN - 1 HOUR SHERI LEMIEUX - 55 HOURS SISTER DOLORES LAHR, CSJ - 1 HOUR STEVEN RUBY - 55 HOURS SURENDRA K CHAWLA, MD - 1 HOUR SUSAN J SAPPINGTON - 1 HOUR TIMOTHY L PRETE - 2 HOURS WALTER HARRISON, PH.D. - 1 HOUR HEMA N DESILVA, MD - 57 HOURS JOHN GIAMALIS - 66 HOURS FORM 990, PART XI, LINE 2C THE BOARD OF DIRECTORS HAS DELEGATED ITS OVERSIGHT RESPONSIBILITY OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS TO THE SAINT FRANCIS HOSPITAL AND MEDICAL CENTER AUDIT & CORPORATE COMPLIANCE COMMITTEE. ASYLUM HILL FAMILY MEDICAL CENTER 114 WOODLAND STREET HARTFORD CT 06105 061450170 HEALTH SERVICES CT 501(C)(3) 3 SAINT FRANCIS CARE 0 ONE THOUSAND CORPORATION 1000 ASYLUM STREET HARTFORD CT 06105 060922325 PROPERTY MANAGEMENT CT 501(C)(2) SAINT FRANCIS HOSPITAL & MEDICAL CENTER 0 SAINT FRANCIS FOUNDATION INC 114 WOODLAND STREET HARTFORD CT 06105 061008255 FUNDRAISING CT 501(C)(3) 11 TYPE 1 SAINT FRANCIS CARE 0 THE CAMILLUS CORPORATION 1000 ASYLUM STREET HARTFORD CT 06105 061051261 SUPPORT HEALTH CARE ORGANIZATIONS CT 501(C)(3) 11 TYPE 1 SAINT FRANCIS CARE 0 MT SINAI REHABILITATION HOSPITAL INC 114 WOODLAND STREET HARTFORD CT 06105 061422973 HOSPITAL CT 501(C)(3) 3 SAINT FRANCIS CARE 0 SAINT FRANCIS MEDICAL GROUP INC 114 WOODLAND STREET HARTFORD CT 06105 061450168 HEALTH SERVICES CT 501(C)(3) 3 SAINT FRANCIS CARE 0 SAINT FRANCIS HOSPITAL & MEDICAL CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 060646813 HOSPITAL CT 501(C)(3) 3 SAINT FRANCIS CARE 0 SAINT FRANCIS EMERGENCY MEDICAL GROUP INC 114 WOODLAND STREET HARTFORD CT 06105 451994612 HEALTH SERVICES CT 501(C)(3) 3 SAINT FRANCIS MEDICAL GROUP INC 0 TOTAL LAUNDRY COLLABORATIVE LLC 114 WOODLAND STREET HARTFORD CT 06105 208335788 LAUNDRY SERVICES CT N/A MEDWORKS LLC 375 EAST CEDAR STREET NEWINGTON CT 06111 061490483 REHABILITATION SERVICES CT N/A SAINT FRANCIS CARE MEDICAL GROUP PC 114 WOODLAND STREET HARTFORD CT 06105 061432373 HEALTH SERVICES CT N/A C SAINT FRANCIS HEALTH CARE PARTNERS 95 WOODLAND STREET HARTFORD CT 06105 061391257 MGMT AND ADMIN SERVICES CT N/A C SAINT FRANCIS BEHAVIORAL HEALTH GROUP 114 WOODLAND STREET HARTFORD CT 06105 061384686 BEHAVIOR HEALTH SERVICES CT N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NA