2012-08-08T14:08:53-05:00 2011-09-30 MARCUM LLP CITY PLACE II 185 ASYLUM STREET HARTFORD CT 06103 990 2010-10-01 061491191 SAINT FRANCIS CARE INC SAIN 8607144000 114 WOODLAND STREET NO 4312 HARTFORD CT 06105 JOHN N GIAMALIS 8607144603 2012-08-08 1 DOUGLAS FARRINGTON 8605498500 2010 2016-02-24 21:20:13Z JOHN N GIAMALIS 114 WOODLAND STREET HARTFORD CT 06105 0 0 X WWW.STFRANCISCARE.ORG X 1995 CT HEALTHCARE 32 25 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 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 32 25 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 1298398 53864 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 2.00 X X 0 0 0 SURENDRA K CHAWLA MD 2.00 X 0 0 0 ROBERT M ELLIS 2.00 X 0 0 0 P ANTHONY GIORGIO PHD 2.00 X 0 0 0 WALTER HARRISON PHD 2.00 X 0 0 0 JEFFREY S HOFFMAN 2.00 X 0 0 0 PETER G KELLY JD 1.00 X 0 0 0 KARL J KRAPEK 2.00 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 2.00 X 0 0 0 JOHN W RODGERS MD 1.00 X 0 0 0 DR GALO A RODRIGUEZ MPH 2.00 X 0 0 0 JEAN-PIERRE VAN ROOY 2.00 X 0 0 0 ANDREW A SADANOWICZ 1.00 X 0 0 0 SUSAN J SAPPINGTON 2.00 X 0 0 0 HENRY S SCHERER JR 2.00 X 0 0 0 PHILIP J SCHULZ 2.00 X 0 0 0 ROSALIND E SHENKMAN 1.00 X 0 0 0 PAUL F MITCHELL DMD 1.00 X 0 326435 31178 JOHN D PAPANDREA MD 1.00 X 0 0 0 GEN R JOHN M WATKINS 2.00 X 0 0 0 STEVEN RUBY 1.00 X 0 13125 0 E MERRITT MCDONOUGH JR 1.00 X X 0 0 0 JENNIFER SMITH-TURNER 1.00 X 0 0 0 RONALD D JARVIS 1.00 X 0 0 0 RICHARD GORDON JD 1.00 X 0 0 0 JOHN N GIAMALIS 2.00 X 0 0 0 SHERI LEMIEUX 2.00 X 0 91780 8334 HEMA N DESILVA MD 2.00 X 0 310243 29865 0 2039981 123241 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 4 0 0 INVESTMENT IN MOUNT SINAI REHABILITATION HOSPITAL 14252138 C INVESTMENT IN SAINT FRANCIS MEDICAL GROUP, INC. 1595081 C 15847219 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: ASC 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. 0 1 0 0 0 0 0 0 0 CHRISTOPHER M DADLEZ 0 798398 0 500000 0 0 0 14700 0 39164 0 1352262 0 0 PAUL F MITCHELL DMD 0 253935 0 5000 0 67500 0 15482 0 15696 0 357613 0 0 HEMA N DESILVA MD 0 293104 0 17139 0 0 0 17662 0 12203 0 340108 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 E MERRITT MCDONOUGH JR DIRECTOR 1442570 EMPLOYEE OF PEOPLES UNITED INSURANCE - PURCHASE OF INSURANCE SERVICES. 0 JOHN N GIAMALIS DIRECTOR 591232 HARTFORD FINANCIAL SERVICES GROUP - PURCHASE OF INSURANCE AND EMPLOYEE BENEFITS. 0 FORM 990, PART VI, SECTION A, LINE 2 P. 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 2 DAVID 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 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: 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 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. SAINT FRANCIS INDEMNITY COMPANY 76 ST PAUL ST SUITE 500 BURLINGTON VT 05401 900656448 MALPRACTICE INSURANCE VT 9374102 42730681 ST FRANCIS HOSPITAL & MEDICAL CENTER 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 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 COLLABORATIVE LABORATORY SERVICES LLC 114 WOODLAND STREET HARTFORD CT 06105 061520109 LAB SERVICES CT SAINT FRANCIS HOSPITAL & MEDICAL CENTER N/A 1110882 8381325 0 0 1.00000 TOTAL LAUNDRY COLLABORATIVE LLC 114 WOODLAND STREET HARTFORD CT 06105 208335788 LAUNDRY SERVICES CT SAINT FRANCIS HOSPITAL & MEDICAL CENTER N/A -129358 2766190 0 0 0.54000 MEDWORKS LLC 375 EAST CEDAR STREET NEWINGTON CT 06111 061490483 REHABILITATION SERVICES CT SAINT FRANCIS HOSPITAL & MEDICAL CENTER N/A 62206 40150 0 0 0.50000 SAINT FRANCIS CARE MEDICAL GROUP PC 114 WOODLAND STREET HARTFORD CT 06105 061432373 HEALTH SERVICES CT SAINT FRANCIS HOSPITAL & MEDICAL CENTER C -132051 1146483 1.00000 SAINT FRANCIS HEALTH CARE PARTNERS 95 WOODLAND STREET HARTFORD CT 06105 061391257 MGMT AND ADMIN SERVICES CT SAINT FRANCIS HOSPITAL & MEDICAL CENTER C 11538 1300806 0.50000 SAINT FRANCIS BEHAVIORAL HEALTH GROUP 114 WOODLAND STREET HARTFORD CT 06105 061384686 BEHAVIOR HEALTH SERVICES CT SAINT FRANCIS HOSPITAL & MEDICAL CENTER C -1025544 640241 1.00000 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 NA