TRINITY HEALTH OF NEW ENGLAND CORPORATION INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
TRINITY HEALTH OF NEW ENGLAND CORPORATION INC (EIN 06-1491191)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-08
IRS object ID
201242219349301029
Schema version
2010v3.4
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)
Timestamp2012-08-08T14:08:53-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MARCUM LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1CITY PLACE II 185 ASYLUM STREETAddressLine1
CityHARTFORDCity
StateCTState
ZIP Code06103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN061491191EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SAINT FRANCIS CARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSAINNameControl
Phone8607144000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1114 WOODLAND STREET NO 4312AddressLine1
CityHARTFORDCity
StateCTState
ZIP Code06105ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN N GIAMALISName
TitleSR VP & CFOTitle
Phone8607144603Phone
Date Signed2012-08-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDOUGLAS FARRINGTONName
Phone8605498500Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN N GIAMALISNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1114 WOODLAND STREETAddressLine1
CityHARTFORDCity
StateCTState
ZIP Code06105ZIPCode
FieldValueIRS element (for citing)
Gross Receipts0GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.STFRANCISCARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionHEALTHCAREActivityOrMissionDescription
Nbr Voting Members Governing Body32NbrVotingMembersGoverningBody
Nbr Independent Voting Members25NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year0TotalRevenuePriorYear
Total Revenue Current Year0TotalRevenueCurrentYear
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 Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year0OtherExpensePriorYear
Other Expenses Current Year0OtherExpensesCurrentYear
Total Expenses Prior Year0TotalExpensesPriorYear
Total Expenses Current Year0TotalExpensesCurrentYear
Revenues Less Expenses Prior Year0RevenuesLessExpensesPriorYear
Revenues Less Expenses CY0RevenuesLessExpensesCY
Total Assets BOY15847219TotalAssetsBOY
Total Assets EOY15847219TotalAssetsEOY
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY15847219NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY15847219NetAssetsOrFundBalancesEOY
Mission DescriptionTHE 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionSUPPPORTS HEALTHCARE ORGANIZATIONS AFFILIATED WITH THE ROMAN CATHOLIC CHURCH WITHIN THE CONFINES OF THE AREA ADMINISTERED BY THE ARCHDIOCESE OF HARTFORD.Description
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
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 Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members32NbrVotingGoverningBodyMembers
Number Independent Voting Members25NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
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
Own WebsiteXOwnWebsite
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DONNA GILBERTBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8607149632TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1114 WOODLAND STREETAddressLine1
CityHARTFORDCity
StateCTState
ZIP Code06105ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (39 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormer
REV THOMAS J BARRY JCL
CHAIRMAN1.00XX000
CHRISTOPHER M DADLEZ
PRESIDENT AND CEO2.00XX0129839853864
MOST REV HENRY J MANSELL DD
CHAIRMAN, EX OFFICIO1.00XX000
L JEFFREY BALDWIN
DIRECTOR2.00X000
BARBARA J CALDERONE BSN JD
SECRETARY2.00XX000
SURENDRA K CHAWLA MD
DIRECTOR2.00X000
ROBERT M ELLIS
DIRECTOR2.00X000
P ANTHONY GIORGIO PHD
DIRECTOR2.00X000
WALTER HARRISON PHD
DIRECTOR2.00X000
JEFFREY S HOFFMAN
DIRECTOR2.00X000
PETER G KELLY JD
DIRECTOR1.00X000
KARL J KRAPEK
DIRECTOR2.00X000
SISTER DOLORES LAHR CSJ
DIRECTOR1.00X000
DAVID A LENTINI
DIRECTOR1.00X000
JOYCE D MANDELL
DIRECTOR1.00X000
JOHN J MARA MD
DIRECTOR2.00X000
REV MSGR JOHN J MCCARTHY
DIRECTOR1.00X000
DANIEL P O'CONNELL
DIRECTOR2.00X000
KEVIN J O'CONNOR
DIRECTOR2.00X000
CURTIS D ROBINSON
DIRECTOR2.00X000
JOHN W RODGERS MD
DIRECTOR1.00X000
DR GALO A RODRIGUEZ MPH
DIRECTOR2.00X000
JEAN-PIERRE VAN ROOY
DIRECTOR2.00X000
ANDREW A SADANOWICZ
DIRECTOR1.00X000
SUSAN J SAPPINGTON
DIRECTOR2.00X000
HENRY S SCHERER JR
DIRECTOR2.00X000
PHILIP J SCHULZ
DIRECTOR2.00X000
ROSALIND E SHENKMAN
DIRECTOR1.00X000
PAUL F MITCHELL DMD
DIRECTOR1.00X032643531178
JOHN D PAPANDREA MD
DIRECTOR1.00X000
GEN R JOHN M WATKINS
DIRECTOR2.00X000
STEVEN RUBY
DIRECTOR1.00X0131250
E MERRITT MCDONOUGH JR
SECRETARY1.00XX000
JENNIFER SMITH-TURNER
DIRECTOR1.00X000
RONALD D JARVIS
DIRECTOR1.00X000
RICHARD GORDON JD
DIRECTOR1.00X000
JOHN N GIAMALIS
DIRECTOR2.00X000
SHERI LEMIEUX
ASSISTANT SECRETARY2.00X0917808334
HEMA N DESILVA MD
FORMER DIRECTOR2.00031024329865X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2039981TotalReportableCompFrmRltdOrgs
Total Other Compensation123241TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY15847219BOY
EOY15847219EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY15847219BOY
EOY15847219EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY15847219BOY
EOY15847219EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15847219BOY
EOY15847219EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15847219BOY
EOY15847219EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses0ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

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

Supported Org Information SupportedOrgInformation (4 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
SAINT FRANCIS HOSPITAL & MEDICAL CENTER
0606468133111$0
ASYLUM HILL FAMILY MEDICINE CENTER
0614501703111$0
MOUNT SINAI REHABILITATION HOSPITAL
0614229733111$0
SAINT FRANCIS MEDICAL GROUP INC
0614501683111$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs4TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
INVESTMENT IN MOUNT SINAI REHABILITATION HOSPITAL14252138C
INVESTMENT IN SAINT FRANCIS MEDICAL GROUP, INC.1595081C
FieldValueIRS element (for citing)
Total Of Book Value Securities15847219TotalOfBookValueSecurities

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationASC 740-10, UNCERTAIN TAX POSITIONS, PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THIS INTERPRETATION ALSO PROVIDES GUIDANCE ON DERECOGNITION,CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, AND DISCLOSURE REQUIREMENTS FOR UNCERTAIN TAX POSITIONS. MANAGEMENT HAS EVALUATED THE IMPLICATIONS OF ASC 740-10 AND DETERMINED THAT ITS IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS IS NOT SIGNIFICANT.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 (3 entries)

Base 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
CHRISTOPHER M DADLEZ
07983980500000000147000391640135226200
PAUL F MITCHELL DMD
025393505000067500015482015696035761300
HEMA N DESILVA MD
029310401713900017662012203034010800

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4BReturnReference
ExplanationCHRISTOPHER 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 COMMITTEEExplanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
E MERRITT MCDONOUGH JR
DIRECTOR1442570EMPLOYEE OF PEOPLES UNITED INSURANCE - PURCHASE OF INSURANCE SERVICES.0
JOHN N GIAMALIS
DIRECTOR591232HARTFORD FINANCIAL SERVICES GROUP - PURCHASE OF INSURANCE AND EMPLOYEE BENEFITS.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 2P. ANTHONY GIORGIO, PHD (DIRECTOR) AND KARL KRAPEK (DIRECTOR) ARE BOTH 50% PARTNERS IN KEYSTONE COMPANIES, LLC, A RESIDENTIAL AND COMMERCIAL REAL ESTATE DEVELOPER. SAINT FRANCIS CARE HAS NO TRANSACTIONS WITH THIS LLC. SAINT FRANCIS BUILDING ACCESS CENTER IN SIMSBURY IS OWNED BY KEYSTONE COMPANIES, LLC., IT WILL BE OCCUPIED IN THE FALL OF 2012.
FORM 990, PART VI, SECTION A, LINE 2DAVID LENTINI(DIRECTOR) IS PRESIDENT OF CONNECTICUT BANK & TRUST, COMPANY. PHILIP SCHULZ (DIRECTOR), KARL KRAPEK (DIRECTOR), AND P. ANTHONY GIORGIO (DIRECTOR) ARE MEMBERS OF THE BOARD OF DIRECTORS OF CONNECTICUT BANK & TRUST, COMPANY. SAINT FRANCIS CARE HAS NO TRANSACTIONS WITH CONNECTICUT BANK & TRUST, COMPANY. MT. SINAI REHABILITATION HOSPITAL, A RELATED PARTY TO SAINT FRANCIS HOSPITAL, & SAINT FRANCIS HOSPITAL & MEDICAL CENTER MAINTAINS A BUSINESS BANKING RELATIONSHIP WITH CBT.
FORM 990, PART VI, SECTION A, LINE 2PHILIP 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 11THE 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.
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 12C
REFER TO PART III OF SCHEDULE J FOR THE PROCESS.FORM 990, PART VI, SECTION B, LINE 15
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 VI, SECTION C, LINE 19
AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: ANDREW A SADANOWICZ - 1 HR. BARBARA J CALDERONE, BSN JD - 2 HRS. CHRISTOPHER M DADLEZ - 65 HRS. CURTIS D ROBINSON - 2 HRS. DANIEL P. O'CONNELL - 4 HRS. DAVID A. LENTINI - 1 HR. DR. GALO A RODRIGUEZ, MPH - 2 HRS. HEMA DESILVA, M.D. - 59 HRS. HENRY S SCHERER, JR - 2 HRS. JEAN-PIERRE VAN ROOY - 2 HRS. JEFFREY S HOFFMAN - 2 HRS. JOHN J MARA, MD - 2 HRS. JOHN W RODGERS, MD - 1 HR. JOYCE D MANDELL - 1 HR. KARL J. KRAPEK - 4 HRS. KEVIN J. O'CONNOR - 2 HRS. L JEFFREY BALDWIN - 2 HRS. MOST REV. HENRY J. MANSELL, D.D. - 5 HRS. P ANTHONY GIORGIO, PHD - 4 HRS. PETER G. KELLY - 3 HRS. PHILIP J SCHULZ - 2 HRS. REV MSGR JOHN J MCCARTHY - 1 HR. REV THOMAS J BARRY, JCL - 3 HRS. ROBERT M ELLIS- 2 HRS. ROSALIND E SHENKMAN - 1 HR. SISTER DOLORES LAHR, CSJ - 1 HR. SURENDRA K CHAWLA, MD - 2 HRS. SUSAN J SAPPINGTON - 2 HRS. WALTER HARRISON, PHD - 2 HRS. PAUL F MITCHELL - 56 HRS. JOHN D PAPANDREA - 1 HR. SHERI LEMIEUX - 55 HRS. JOHN M WATKINS - 2 HRS. STEVEN RUBY - 1 HR. E. MERRITT MCDONOUGH, JR. - 1 HR. JENNIFER SMITH-TURNER - 1 HR. RONALD D. JARVIS - 1 HR. RICHARD GORDON, JD - 1 HR. JOHN N. GIAMALIS - 63 HRS.FORM 990, PART VII, SECTION A:
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.FORM 990, PART XI, LINE 2C

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SAINT FRANCIS INDEMNITY COMPANYBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line176 ST PAUL ST SUITE 500AddressLine1
CityBURLINGTONCity
StateVTState
ZIP Code05401ZIPCode
FieldValueIRS element (for citing)
EIN900656448EIN
Primary ActivitiesMALPRACTICE INSURANCEPrimaryActivities
Legal Domicile StateVTLegalDomicileState
Total Income9374102TotalIncome
EOY Assets42730681EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ST FRANCIS HOSPITAL & MEDICAL CENTERBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ASYLUM HILL FAMILY MEDICAL CENTER
114 WOODLAND STREETHARTFORDCT06105061450170HEALTH SERVICESCT501(C)(3)3SAINT FRANCIS CARE0
ONE THOUSAND CORPORATION
1000 ASYLUM STREETHARTFORDCT06105060922325MANAGEMENTCT501(C)(2)SAINT FRANCIS HOSPITAL & MEDICAL CENTER0
SAINT FRANCIS FOUNDATION INC
114 WOODLAND STREETHARTFORDCT06105061008255FUNDRAISINGCT501(C)(3)11 TYPE 1SAINT FRANCIS CARE0
THE CAMILLUS CORPORATION
1000 ASYLUM STREETHARTFORDCT06105061051261SUPPORT HEALTH CARE ORGANIZATIONSCT501(C)(3)11 TYPE 1SAINT FRANCIS CARE0
MT SINAI REHABILITATION HOSPITAL INC
114 WOODLAND STREETHARTFORDCT06105061422973HOSPITALCT501(C)(3)3SAINT FRANCIS CARE0
SAINT FRANCIS MEDICAL GROUP INC
114 WOODLAND STREETHARTFORDCT06105061450168HEALTH SERVICESCT501(C)(3)3SAINT FRANCIS CARE0
SAINT FRANCIS HOSPITAL & MEDICAL CENTER INC
114 WOODLAND STREETHARTFORDCT06105060646813HOSPITALCT501(C)(3)3SAINT FRANCIS CARE0

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
COLLABORATIVE LABORATORY SERVICES LLC
114 WOODLAND STREETHARTFORDCT06105061520109LAB SERVICESCTSAINT FRANCIS HOSPITAL & MEDICAL CENTERN/A11108828381325001.00000
TOTAL LAUNDRY COLLABORATIVE LLC
114 WOODLAND STREETHARTFORDCT06105208335788LAUNDRY SERVICESCTSAINT FRANCIS HOSPITAL & MEDICAL CENTERN/A-1293582766190000.54000
MEDWORKS LLC
375 EAST CEDAR STREETNEWINGTONCT06111061490483REHABILITATION SERVICESCTSAINT FRANCIS HOSPITAL & MEDICAL CENTERN/A6220640150000.50000

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
SAINT FRANCIS CARE MEDICAL GROUP PC
114 WOODLAND STREETHARTFORDCT06105061432373HEALTH SERVICESCTSAINT FRANCIS HOSPITAL & MEDICAL CENTERC-13205111464831.00000
SAINT FRANCIS HEALTH CARE PARTNERS
95 WOODLAND STREETHARTFORDCT06105061391257MGMT AND ADMIN SERVICESCTSAINT FRANCIS HOSPITAL & MEDICAL CENTERC1153813008060.50000
SAINT FRANCIS BEHAVIORAL HEALTH GROUP
114 WOODLAND STREETHARTFORDCT06105061384686BEHAVIOR HEALTH SERVICESCTSAINT FRANCIS HOSPITAL & MEDICAL CENTERC-10255446402411.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1

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