ST MARYS HOSPITAL FOUNDATION INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- ST MARYS HOSPITAL FOUNDATION INC (EIN 22-2528400)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-15
- IRS object ID
- 201112279349303411
- Schema version
- 2009v1.7
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-15T14:05:06-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE FINANCIAL PLAZA | AddressLine1 |
| City | HARTFORD | City |
| State | CT | State |
| ZIP Code | 061032608 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222528400 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT MARY'S HOSPITAL FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STMA | NameControl |
| Phone | 2037093054 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 56 FRANKLIN STREET | AddressLine1 |
| City | WATERBURY | City |
| State | CT | State |
| ZIP Code | 06706 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CHAD WABLE | Name |
| Title | CEO | Title |
| Date Signed | 2011-08-15 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8605223200 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MARGARET J LAWLOR | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 56 FRANKLIN STREET | AddressLine1 |
| City | WATERBURY | City |
| State | CT | State |
| ZIP Code | 06706 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1341329 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c | X | Organization501c |
| Web Site | WWW.STMH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1984 | YearFormation |
| State Legal Domicile | CT | StateLegalDomicile |
| Activity Or Mission Description | SAINT MARY'S HOSPITAL FOUNDATION'S PRIMARY EXEMPT PURPOSE IS TO RAISE MONEY IN SUPPORT OF SAINT MARY'S HOSPITAL, INC. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 23 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 20 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 23 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 818683 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 796212 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -94583 | InvestmentIncomePriorYear |
| Investment Income Current Year | 80789 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 334839 | OtherRevenuePriorYear |
| Other Revenue Current Year | 284835 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1058939 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1161836 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 286725 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 524702 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 338196 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 344258 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 36002 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 211377 | OtherExpensePriorYear |
| Other Expenses Current Year | 242612 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 836298 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1111572 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 222641 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 50264 | RevenuesLessExpensesCY |
| Total Assets BOY | 4490579 | TotalAssetsBOY |
| Total Assets EOY | 4662962 | TotalAssetsEOY |
| Total Liabilities BOY | 220646 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 153777 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 4269933 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 4509185 | NetAssetsOrFundBalancesEOY |
| Mission Description | SAINT MARY'S HOSPITAL FOUNDATION'S PRIMARY EXEMPT PURPOSE IS TO RAISE MONEY IN SUPPORT OF SAINT MARY'S HOSPITAL, INC. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 936682 | Expense |
| Grants | 524252 | Grants |
| Revenue | 284835 | Revenue |
| Description | SAINT MARY'S HOSPITAL FOUNDATION, INC. RAISES CONTRIBUTIONS FROM THE PUBLIC SOLELY FOR THE BENEFIT OF SAINT MARY'S HOSPITAL, INC. CONTRIBUTIONS ARE RAISED FOR SPECIFIC AND NON-SPECIFIC PURPOSES AND DISTRIBUTED TO THE HOSPITAL BASED ON THE HOSPITAL'S NEEDS. PLEASE SEE SCHEDULE O FOR A DESCRIPTION OF SAINT MARY'S HOSPITAL'S PROGRAM SERVICE ACCOMPLISHMENTS. | Description |
| Total Program Service Expense | 936682 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Nbr Voting Governing Body Members | 23 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 20 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CT | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | RENEE WARNER | NamePerson |
| Telephone Number | 2037095134 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 56 FRANKLIN STREET | AddressLine1 |
| City | WATERBURY | City |
| State | CT | State |
| ZIP Code | 06706 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (31 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| CHAD WABLE | ||||||
| DIRECTOR | 1.0 | X | 0 | 403189 | 115001 | |
| MICHAEL C CULHANE | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| DONNA DEVINO | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| PETER DOIRON | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| THERESA M DUDRICK | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| LEONARD GENOVESE | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| JACI HANRATTY-CARROLL | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| PETER J JACOBY MD | ||||||
| DIRECTOR | 3.0 | X | 0 | 408200 | 30477 | |
| BRIAN JONES | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| COOKIE KEGGI | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| PAUL J LARGAY | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| JOHN PRONOVOST | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| SHARON ZILAHY RN | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| PAUL KELLY MD | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| LAURIE ST JOHN | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| CARMEN ANTHONY VACALEBRE | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| JOHN A ZINNO JR | ||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |
| ERIC D ALBERT | ||||||
| CHAIRMAN | 2.0 | X | 0 | 0 | 0 | X |
| JOSEPH CARLSON III | ||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | |
| MARK C YANARELLA | ||||||
| VICE CHAIRMAN | 2.0 | X | 0 | 0 | 0 | X |
| MARGARET J LAWLOR | ||||||
| PRESIDENT | 19.0 | X | 0 | 283437 | 1250 | X |
| GEORGE J STROBEL JR | ||||||
| SECRETARY | 1.0 | X | 0 | 0 | 0 | X |
| LEO FRANK | ||||||
| TREASURER | 1.0 | X | 0 | 0 | 0 | X |
| FREDERICK W BLASIUS JR | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| DAVID ALAN ROER MD | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| KEITH F SULLIVAN CPA | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| MARIA TAYLOR | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| STEPHEN C WIDMAN MD | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| JOHN H BARLOW JR | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| EDMUND WHITE | ||||||
| CHAIRMAN | 1.0 | X | 0 | 0 | 0 | |
| JOHN P BURKE | ||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1094826 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 146728 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | NA | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Of Contractor | AddressOfContractor |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 124422 | FundraisingEvents |
| All Other Contributions | 671790 | AllOtherContributions |
| Noncash Contributions | 135590 | NoncashContributions |
| Total Contributions | 796212 | TotalContributions |
| Total Program Service Revenue | 0 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 80789 | TotalRevenueColumn |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $80,789 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 0 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 464328 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 124422 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 179493 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 284835 | TotalRevenueColumn |
| Related Or Exempt Function Income | 284835 | RelatedOrExemptFunctionIncome |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1161836 | TotalRevenueColumn |
| Related Or Exempt Function Income | 284835 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $80,789 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 524702 | Total |
| Program Services | 524702 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 130817 | Total |
| Program Services | 130817 | ProgramServices |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 186176 | Total |
| Program Services | 186176 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27265 | Total |
| Program Services | 27265 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14463 | Total |
| Management And General | 14463 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21470 | Total |
| Management And General | 21470 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31898 | Total |
| Management And General | 28471 | ManagementAndGeneral |
| Fundraising | 3427 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67257 | Total |
| Program Services | 19858 | ProgramServices |
| Management And General | 19629 | ManagementAndGeneral |
| Fundraising | 27770 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10588 | Total |
| Management And General | 10588 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12504 | Total |
| Management And General | 12504 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4263 | Total |
| Management And General | 4263 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2160 | Total |
| Management And General | 2160 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3070 | Total |
| Management And General | 3070 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | FundraisingFundraising | Management And GeneralManagementAndGeneral |
|---|---|---|---|---|
| PUBLIC AND EMPLOYEE RELATIONS | 15992 | 11916 | 4076 | |
| CONTRACT FEES | 591 | 591 | ||
| CONSULTANT FEES | 18389 | 729 | 17660 | |
| BAD DEBT EXPENSES | 26285 | 26285 | ||
| MISCELLANEOUS | 13682 | 9663 | 4019 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1111572 | Total |
| Program Services | 936682 | ProgramServices |
| Management And General | 138888 | ManagementAndGeneral |
| Fundraising | 36002 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1428457 | BOY |
| EOY | 1259940 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 164950 | BOY |
| EOY | 148817 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 261741 | BOY |
| EOY | 340000 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Accounts Receivable | AccountsReceivable |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1435 | BOY |
| EOY | 16045 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5302 | BOY |
| EOY | 5667 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 49351 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 33709 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9380 | BOY |
| EOY | 15642 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2605962 | BOY |
| EOY | 2864525 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13352 | BOY |
| EOY | 12326 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4490579 | BOY |
| EOY | 4662962 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 152925 | BOY |
| EOY | 115709 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 67721 | BOY |
| EOY | 38068 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 220646 | BOY |
| EOY | 153777 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1628266 | BOY |
| EOY | 1555371 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1673778 | BOY |
| EOY | 1985925 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 967889 | BOY |
| EOY | 967889 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4269933 | BOY |
| EOY | 4509185 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4490579 | BOY |
| EOY | 4662962 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1578477 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 872680 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 534106 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 818683 | CurrentTaxYearMinus1Year |
| Current Tax Year | 796212 | CurrentTaxYear |
| Total | 4600158 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1578477 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 872680 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 534106 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 818683 | CurrentTaxYearMinus1Year |
| Current Tax Year | 796212 | CurrentTaxYear |
| Total | 4600158 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 4600158 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 30224 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 232073 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 247191 | CurrentTaxYearMinus2Years |
| Current Tax Year | 80789 | CurrentTaxYear |
| Total | 590277 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 5190435 | TotalSupport |
| Gross Receipts From Admissions Etc | 2222351 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.88628 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.57245 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1080380 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 86655 | InvestmentEarningsOrLosses |
| Other Expenditures | 76729 | OtherExpenditures |
| End Of Year Balance | 1090306 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1059146 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 33734 | InvestmentEarningsOrLosses |
| Other Expenditures | 12500 | OtherExpenditures |
| End Of Year Balance | 1080380 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.33000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.67000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Land | Land | |
| Buildings | Buildings | |
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 49351 | InvestmentCostOrOtherBasis |
| Depreciation | 33709 | Depreciation |
| Book Value | 15642 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildings | |
| Total Of Book Value Land Buildings | 15642 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO SAINT MARY'S HOSPITAL INC | $15,654 |
| CHARITABLE GIFT ANNUITIES | $22,355 |
| DUE TO SLOCUM CORP | $59 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 38068 | TotalOfAmounts |
| Total Revenue | 1161836 | TotalRevenue |
| Total Expenses | 1111572 | TotalExpenses |
| Excess Or Deficit For Year | 50264 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 188988 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 188988 | TotalAdjustments |
| Excess Or Deficit Per FS | 239252 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 1530317 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 188988 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 188988 | RevenueNotRptdF990 |
| Revenue Subtotal | 1341329 | RevenueSubtotal |
| Other Revenues Not Included | -179493 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -179493 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 1161836 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1291065 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 179493 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 179493 | ExpensesNotRptdF990 |
| Expenses Subtotal | 1111572 | ExpensesSubtotal |
| Total Expenses Per Form990 | 1111572 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ENDOWMENT FUNDS | PART V | THE ENDOWMENT FUNDS OF THE FOUNDATION INCLUDE PERMANENT AND TERM RESTRICTED INVESTMENTS. THE PERMANENT ENDOWMENT FUNDS INCLUDE VARIOUS WILLS AND ESTATES WHEREBY THE ORIGINAL GIFT IS PERMANENTLY RESTRICTED AND THE INCOME GENERATED IS UNRESTRICTED AND USED TO SUPPORT HOSPITAL OPERATIONS. THE TERM RESTRICTED FUNDS INCLUDE A TOTAL OF 74 FUNDS RESTRICTED AS TO USE. THESE FUNDS ARE ORGANIZED INTO ELEVEN CATEGORIES, BASED UPON THE INTENDED USE OF THE FUND. THE CATEGORIES ARE CARDIOLOGY, CHILDREN AND FAMILY HEALTH CLINICS, EMERGENCY DEPARTMENT, DEPARTMENT OF SURGERY, NURSING DEPARTMENTS, CLINICAL DEPARTMENTS, NON-CLINICAL DEPARTMENTS, MEDICAL/SURGICAL EDUCATION, SPECIAL FUNDS, SCHOLARSHIP FUNDS AND EDUCATION FUNDS. THE FUNDS ARE USED BASED ON THE DONOR STIPULATED RESTRICTIONS. |
| OTHER REVENUE INCLUDED ON RETURN BUT NOT IN THE FINANCIAL STATEMENTS | PART XII, LINE 4B | FUNDRAISING EXPENSE ($179,493) |
| OTHER EXPENSES INCLUDED IN THE FINANCIAL STATEMENTS BUT NOT ON RETURN | PART XIII, LINE 2D | FUNDRAISING EXPENSE $179,493 |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GALA | NameOfEvent1 |
| Gross Receipts Event1 | 315480 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 71512 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 243968 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 9688 | NonCashPrizesEvent1 |
| Other Direct Expenses Event1 | 77712 | OtherDirectExpensesEvent1 |
| Name Of Event2 | GOLF TOURNY | NameOfEvent2 |
| Gross Receipts Event2 | 204750 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 46282 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 158468 | GrossRevenueEvent2 |
| Non Cash Prizes Event2 | 0 | NonCashPrizesEvent2 |
| Other Direct Expenses Event2 | 52457 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 1 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 68520 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 6628 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 61892 | GrossRevenueOtherEvents |
| Non Cash Prizes Other Events | 0 | NonCashPrizesOtherEvents |
| Other Direct Expenses Other Events | 39636 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 588750 | GrossReceiptsTotal |
| Charitable Contributions Total | 124422 | CharitableContributionsTotal |
| Gross Revenue Total Events | 464328 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 9688 | NonCashPrizesTotalEvents |
| Other Direct Expenses Total Events | 169805 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 179493 | DirectExpenseSummaryEvents |
| Net Income Summary | 284835 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | false | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT MARY'S HOSPITAL INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 56 FRANKLIN STREET | AddressLine1 |
| City | WATERBURY | City |
| State | CT | State |
| ZIP Code | 067061281 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 060646844 | EINOfRecipient |
| IRC Section | 501(c)(3) | IRCSection |
| Amount Of Cash Grant | 524702 | AmountOfCashGrant |
| Purpose Of Grant | VARIOUS | PurposeOfGrant |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHAD WABLE | |||||||||||||
| 0 | 328795 | 0 | 57750 | 0 | 16644 | 0 | 91664 | 0 | 23337 | 0 | 518190 | 0 | 0 |
| PETER J JACOBY MD | |||||||||||||
| 0 | 407426 | 0 | 0 | 0 | 774 | 0 | 19600 | 0 | 10877 | 0 | 438677 | 0 | 0 |
| MARGARET J LAWLOR | |||||||||||||
| 0 | 104516 | 0 | 0 | 0 | 178921 | 0 | 0 | 0 | 1250 | 0 | 284687 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ESTABLISH COMPENSATION | SCHEDULE J - PART I - LINE 3 | SAINT MARY'S HOSPITAL FOUNDATION, INC. TOP MANAGEMENT OFFICIALS COMPENSATION ARE DETERMINED UNDER THE COMPENSATION POLICIES OF SAINT MARY'S HEALTH SYSTEM WHICH INCLUDE A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. |
| PARTICIPATION IN OR PAYMENT FROM NONQUALIFIED RETIREMENT PLANS | SCHEDULE J - PART I - LINE 4B | CHAD WABLE PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. NO PAYMENT WAS RECEIVED BY THIS INDIVIDUAL DURING THE FISCAL YEAR ENDING 2010 FROM THIS PLAN. |
| COMPENSATION | SCHEDULE J, PART II | MARGARET LAWLOR RECEIVED A PAYMENT IN THE AMOUNT OF $178,677 FROM A SPLIT-DOLLAR LIFE INSURANCE POLICY DURING CALENDAR YEAR 2009. THIS AMOUNT WAS INCLUDED IN TAXABLE WAGES AND IS REPORTED IN BOX B(III) OF SCHEDULE J, PART II. |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArt | |
| Art Historical Treasures | ArtHistoricalTreasures | |
| Art Fractional Interest | ArtFractionalInterest | |
| Books And Publications | BooksAndPublications | |
| Clothing And Household Goods | ClothingAndHouseholdGoods | |
| Cars And Other Vehicles | CarsAndOtherVehicles | |
| Boats And Planes | BoatsAndPlanes | |
| Intellectual Property | IntellectualProperty | |
| Securities Publicly Traded | SecuritiesPubliclyTraded | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStock | |
| Securities Prtnrshp Trust Intrsts | SecuritiesPrtnrshpTrustIntrsts | |
| Securities Miscellaneous | SecuritiesMiscellaneous | |
| Qualified Contrib Hist Struct | QualifiedContribHistStruct | |
| Qualified Contrib Other | QualifiedContribOther | |
| Real Estate Residential | RealEstateResidential | |
| Real Estate Commercial | RealEstateCommercial | |
| Real Estate Other | RealEstateOther | |
| Collectibles | Collectibles | |
| Food Inventory | FoodInventory | |
| Drugs And Medical Supplies | DrugsAndMedicalSupplies | |
| Taxidermy | Taxidermy | |
| Historical Artifacts | HistoricalArtifacts | |
| Scientific Specimens | ScientificSpecimens | |
| Archaeological Artifacts | ArchaeologicalArtifacts |
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | FUNDRAISING RAFFLE CONTRIB. | Description |
| Number Of Contributions | 288 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 135590 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | 0 | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PROGRAM SERVICE ACCOMPLISHMENTS | 990 PART III - LINE 4A | SAINT MARY'S HOSPITAL FOUNDATION, INC. RAISES CONTRIBUTIONS FROM THE PUBLIC SOLELY FOR THE BENEFIT OF SAINT MARY'S HOSPITAL, INC. CONTRIBUTIONS ARE RAISED FOR SPECIFIC AND NON-SPECIFIC PURPOSES AND DISTRIBUTED TO THE HOSPITAL BASED ON THE HOSPITAL'S NEEDS. SAINT MARY'S HOSPITAL HAS MANY IMPORTANT SERVICE ACCOMPLISHMENTS IN THE AREAS OF INPATIENT SERVICES AND OUTPATIENT SERVICES. THE HOSPITAL ALSO PROVIDES MANY COMMUNITY BENEFITS. SAINT MARY'S HOSPITAL, INPATIENT SERVICE ACCOMPLISHMENTS SAINT MARY'S REMAINS COMMITTED TO PROVIDING THE HIGHEST QUALITY CARE FOR OUR PATIENTS. THE HOSPITAL PROVIDED INPATIENT TREATMENT FOR 12,223 INPATIENTS IN 2010, WITH AN AVERAGE LENGTH OF STAY OF 4.3 DAYS. SAINT MARY'S THREE LARGEST PROGRAMS ARE SURGERY, CARDIOLOGY AND MEDICINE. IN 2010, 1,389 PATIENTS CHOSE TO HAVE SURGERY AT SAINT MARY'S, STAYING AT THE HOSPITAL FOR A TOTAL OF 8,773 DAYS AND GENERATED $23 MILLION IN REVENUE; 1,400 PATIENTS CHOSE SAINT MARY'S FOR CARDIAC CARE, STAYING IN THE HOSPITAL FOR A TOTAL OF 5,343 DAYS AND GENERATING $19 MILLION IN REVENUE; AND 1,697 PATIENTS RECEIVED INPATIENT MEDICAL CARE, STAYING IN THE HOSPITAL FOR A TOTAL OF 7,732 DAYS, AND GENERATING $16 MILLION IN REVENUE. AS THE HOSPITAL CONTINUES TO DISTINGUISH ITSELF AS A LEADING PROVIDER OF HEALTHCARE SERVICES IN THE REGION, IT HAS GARNERED RECOGNITION FROM STATE AND NATIONAL ORGANIZATIONS FOR PROVIDING OUTSTANDING PATIENT CARE. SAINT MARY'S HOSPITAL IS RANKED AS THE TOP-PERFORMING HOSPITAL IN CONNECTICUT FOR DELIVERING PERCUTANEOUS CORONARY INTERVENTION (PCI), A LIFE-SAVING PROCEDURE THAT OPENS THE BLOCKED ARTERIES OF HEART ATTACK PATIENTS. THE NATIONAL STANDARD STATES THAT PATIENTS SHOULD RECEIVE THIS PROCEDURE WITHIN 90 MINUTES OF ARRIVAL AT THE HOSPITAL. ACCORDING TO THE FEDERAL CENTERS FOR MEDICARE AND MEDICAID (CMS), 100 PERCENT OF PATIENTS WHO REQUIRE ANGIOPLASTY RECEIVE IT AT SAINT MARY'S WITHIN 90 MINUTES OF ARRIVAL. THIS RANKS SAINT MARY'S AS THE NUMBER ONE PERFORMING HOSPITAL IN CONNECTICUT, AND SIGNIFICANTLY AHEAD OF THE NATIONAL AVERAGE, WHICH IS 79 PERCENT OF PATIENTS BEING TREATED WITHIN 90 MINUTES. IN ADDITION, SAINT MARY'S IS THE FIRST HOSPITAL IN CONNECTICUT TO RECEIVE A GOLD AWARD UNDER THE AMERICAN HEART ASSOCIATION'S GET WITH THE GUIDELINES PROGRAM FOR ITS TREATMENT OF PATIENTS WITH CORONARY ARTERY DISEASE. IT IS ALSO THE FIRST HOSPITAL IN THE STATE TO RECEIVE A GOLD AWARD FOR ITS TREATMENT OF PATIENTS WITH HEART FAILURE. THESE ACCOMPLISHMENTS ARE INDICATIVE OF THE EXTRAORDINARY CROSS-DISCIPLINE COLLABORATION AND OVERALL COMMITMENT TO CLINICAL EXCELLENCE SHARED BY THE SAINT MARY'S TEAM. IN ADDITION, SAINT MARY'S IS A LEADER IN SURGICAL SERVICES. OUR PHYSICIANS PROVIDE BOTH IN-PATIENT AND OUT-PATIENT SURGERY IN THE AREAS OF GI, ONCOLOGY, THORACIC, VASCULAR, LAPAROSCOPY, TRAUMA, GYNECOLOGY, UROLOGY, NEUROSURGERY, ORTHOPEDICS, CARDIOTHORACIC, PLASTIC, AND ENDOCRINE SURGERY AT SAINT MARY'S HOSPITAL. SAINT MARY'S HEALTH SYSTEM IS PLEASED TO INTRODUCE A NEW ERA OF SURGERY TO THE GREATER WATERBURY COMMUNITY. OUR EXPERIENCED SURGEONS ARE NOW PERFORMING ADVANCED ROBOTIC-ASSISTED PROCEDURES UTILIZING THE DAVINCI ROBOTIC SURGICAL SYSTEM. THIS INNOVATIVE TECHNOLOGY IS QUICKLY BECOMING THE STANDARD OF CARE FOR MANY COMPLEX SURGICAL PROCEDURES WITH APPLICATIONS FOR GYNECOLOGIC, UROLOGIC, THORACIC, CARDIAC AND GENERAL SURGERY. AS THE LEADING PROVIDER OF SURGICAL SERVICES IN THE REGION, SAINT MARY'S IS COMMITTED TO PROVIDING THE HIGHEST QUALITY AND SUPERIOR SERVICE FOR OUR PATIENTS. DURING FISCAL YEAR 2010, SAINT MARY'S PERFORMED 85 SURGERIES USING THE DAVINCI ROBOTIC SURGICAL SYSTEM. IN ADDITION, THE HOSPITAL OFFERS A COMPREHENSIVE SIX- YEAR TRAINING PROGRAM IN GENERAL SURGERY. SAINT MARY'S HOSPITAL IS COMMUNITY BASED AND BOASTS A CLOSE AFFILIATION TO YALE UNIVERSITY IN NEARBY NEW HAVEN, CONNECTICUT, AND THE UNIVERSITY OF CONNECTICUT IN FARMINGTON, CONNECTICUT. HISTORICALLY, NEARLY ONE HALF OF THE RESIDENTS COMPLETING THIS PROGRAM HAVE PURSUED FURTHER TRAINING IN CARDIOTHORACIC, COLON AND RECTAL, PLASTIC AND RECONSTRUCTIVE, SURGICAL ONCOLOGY, OR VASCULAR SURGERY. |
| SAINT MARY'S HOSPITAL, OUTPATIENT SERVICE ACCOMPLISHMENTS | 990 PART III - LINE 4A CONTINUED | SAINT MARY'S HEALTH SYSTEM EXTENDS FROM WATERBURY TO WOLCOTT, NAUGATUCK, SOUTHBURY AND PROSPECT. IN 2010, 223,969 PATIENTS CHOSE SAINT MARY'S FOR OUTPATIENT CARE. THE HEALTH SYSTEM'S TWO LARGEST PROGRAMS ARE ITS EMERGENCY DEPARTMENT, WHICH PROVIDED TREATMENT FOR 60,525 PATIENTS IN 2010, GENERATING $20 MILLION IN REVENUE, AND AMBULATORY SURGERY. IN 2010, 8,380 PATIENTS CHOSE TO HAVE OUTPATIENT SURGERY AT SAINT MARY'S, GENERATING $19 MILLION IN REVENUE. OUTPATIENT SERVICES INCLUDE BUT ARE NOT LIMITED TO: MEDICAL IMAGING, BLOOD DRAW AND LAB SERVICES, CARDIAC AND PULMONARY REHABILITATION CLASSES AND EXPECTANT PARENT CLASSES. SAINT MARY'S SATELLITE FACILITIES INCLUDE HEALTH AND WELLNESS CENTERS PROVIDING WALK-IN HEALTH CARE, BLOOD DRAW STATIONS AND X-RAY SERVICES IN NAUGATUCK AND WOLCOTT; OUTPATIENT REHABILITATION THERAPY OFFICES IN WATERBURY, WOLCOTT AND NAUGATUCK; OUTPATIENT SLEEP DISORDERS CENTERS IN WATERBURY AND WOLCOTT; THE BREAST & ONCOLOGY CENTERS IN SOUTHBURY AND PROSPECT, AND OCCUPATIONAL THERAPY IN WATERBURY. SAINT MARY'S HAS BEEN RECOGNIZED AT THE STATE AND NATIONAL LEVELS AS A DISTINGUISHED PROVIDER OF OUTPATIENT SERVICES. SAINT MARY'S IS AMONG THE LARGEST AND BUSIEST EMERGENCY DEPARTMENTS IN THE STATE OF CONNECTICUT. IN FACT, WITH APPROXIMATELY 70,000 EMERGENCY VISITS PER YEAR, WE RANK AS THE 6TH BUSIEST IN THE STATE. (THIS IS IN ADDITION TO OUR PRIMARY CARE VISITS, WHICH AT 85,000 RANKS US SECOND IN CONNECTICUT.) THE SAINT MARY'S EMERGENCY DEPARTMENTS IS A CERTIFIED LEVEL 2 TRAUMA CENTER, AND ALL PHYSICIANS ARE BOARD CERTIFIED IN EMERGENCY MEDICINE. THE EMERGENCY DEPARTMENT PLAYS A CRITICAL ROLE IN HELPING SAINT MARY'S ACHIEVE ITS EXTRAORDINARY PERFORMANCE WITH DOOR-TO-BALLOON TIME, A MEASURE OF THE TIME IT TAKES A HEART ATTACK VICTIM TO HAVE HIS OR HER BLOCKED ARTERIES OPENED. ONE HUNDRED PERCENT OF PATIENTS NEEDING THIS SERVICE RECEIVE IT WITHIN 90 MINUTES OF ARRIVAL, WHICH RANKS SAINT MARY'S FIRST IN CONNECTICUT AND WELL AHEAD OF THE NATIONAL AVERAGE FOR THIS MEASURE. THE DEPARTMENT ALSO PROVIDES AMBULATORY CARE SERVICES, WHICH ARE DESIGNED TO ACCOMMODATE NON-EMERGENT, LOWER ACUITY NEEDS. THIS UNIT CONTAINS A PEDIATRIC CENTER, WHICH IS STAFFED BY PEDIATRICIANS EACH AFTERNOON. FINALLY, THE EMERGENCY DEPARTMENT CONTAINS A DEDICATED BEHAVIORAL HEALTH AREA, SUPPORTED BY A PSYCHIATRIST. THIS UNIT PROVIDES A MUCH NEEDED RESOURCE FOR SERVING OUR PATIENT POPULATION, AND HAS SEEN CONTINUED GROWTH AND INCREASE IN DEMAND. SAINT MARY'S CANCER PROGRAM WAS AWARDED A THREE-YEAR ACCREDITATION FROM THE AMERICAN COLLEGE OF SURGEONS' COMMISSION ON CANCER WITH COMMENDATIONS IN SEVEN CATEGORIES. ONLY 40 PERCENT OF ALL U.S. HOSPITALS SURVEYED BY THE COMMISSION ACHIEVE THIS LEVEL OF RECOGNITION. ACS ACCREDITATION ENSURES THAT PATIENTS WHO CHOOSE SAINT MARY'S FOR CANCER CARE HAVE ACCESS TO A COMPLETE RANGE OF STATE-OF-THE-ART SERVICES AND EQUIPMENT, A TEAM THAT COORDINATES THE BEST AVAILABLE TREATMENT OPTIONS, AND ACCESS TO CLINICAL TRIALS AND NEW TREATMENT OPTIONS, AS WELL AS EARLY DETECTION PROGRAMS, EDUCATION AND SUPPORT SERVICES. SAINT MARY'S WOUND HEALING CENTER IS STAFFED BY A SPECIALIZED TEAM OF PHYSICIANS, SURGEONS, NURSES AND TECHNICIANS, WHO COLLABORATE TO PRODUCE THE BEST POSSIBLE OUTCOMES. ON AVERAGE, 87.7 PERCENT OF PATIENTS WHO COME TO THE CENTER WITH CHRONIC WOUNDS THAT HAVE RESISTED TRADITIONAL TREATMENT ACHIEVE SUCCESSFUL RESULTS IN 12 TO 18 WEEKS. SPECIALIZED WOUND CARE ALSO HELPS PATIENTS WITH DIABETIC ULCERS, PRESSURE ULCERS, INFECTIONS AND COMPROMISED SKIN GRAFTS. IN ADDITION THE CENTER OFFERS HYPERBARIC OXYGEN THERAPY, WHICH IS PARTICULARLY EFFECTIVE FOR PATIENTS WHO SUFFER FROM RADIATION DAMAGE OR FACE THE POSSIBILITY OF AMPUTATION. |
| PROCESS TO ELECT MEMBERS OF THE GOVERNING BODY | 990 PART VI SECTION A LINE 7A | SAINT MARY'S HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF SAINT MARY'S HOSPITAL FOUNDATION, INC. AND APPOINTS THE BOARD OF DIRECTORS. |
| ARE THE DECISIONS OF THE GOVERNING BODY SUBJECT TO APPROVAL | 990 PART VI SECTION A LINE 7B | PURSUANT TO THE PROVISIONS OF SECTION 33-1080(B) OF THE CONNECTICUT REVISED NON-STOCK CORPORATION ACT AND THE AMENDED AND RESTATED CERTIFICATE OF INCORPORATION OF THE CORPORATION, THERE SHALL BE RESERVED TO THE ARCHBISHOP OF THE HARTFORD ROMAN CATHOLIC ARCHDIOCESE OF HARTFORD (UNLESS SPECIFICALLY DELEGATED BY HIM) THE FOLLOWING RIGHTS AND POWERS: (A)TO APPROVE THE MISSION OR PURPOSE AND THE PHILOSOPHY OF THE CORPORATION AND OF ANY SAINT MARY'S SUBSIDIARIES. (B)TO APPROVE THE ACQUISITION, ALIENATION OR CONVEYANCE OF THE REAL PROPERTY OF THE CORPORATION THAT IS VALUED AT AN AMOUNT GREATER THAN THAT ESTABLISHED BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS PURSUANT TO CANON LAW OR TO PLACE A MORTGAGE ON SUCH PROPERTY OR TO BORROW FUNDS IN AMOUNTS GREATER THAN THOSE ESTABLISHED BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS PURSUANT TO CANON LAW, WHETHER IN A SINGLE TRANSACTION OR A SERIES OF RELATED TRANSACTIONS. (C)TO APPROVE THE DISPOSAL OF ALL OR SUBSTANTIALLY ALL OF THE PHYSICAL ASSETS OF THE CORPORATION AND TO APPROVE THE MERGER OR CONSOLIDATION OF THE CORPORATION. (D)TO APPROVE THE AMENDMENT OF THE CERTIFICATE OF INCORPORATION OR THE BYLAWS OF THE CORPORATION. |
| FORM 990 REVIEW PROCESS | PART VI, SECTION B, QUESTION 11A | THE FORM 990 WAS REVIEWED BY THE ORGANIZATION'S GOVERNING BODY BEFORE IT WAS FILED. THE ORGANIZATION HAS A FORM 990 TASK FORCE COMPRISED OF TWO INDEPENDENT BOARD MEMBERS, FOUR MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM, AND SIX EMPLOYEES FROM THE FINANCE, PLANNING, AND MARKETING DEPARTMENTS. THE TASK FORCE OVERSEES THE PREPARATION OF THE FORM 990. WHEN COMPLETE, THE TASK FORCE PRESENTS THE FORM 990 TO THE ORGANIZATION'S GOVERNANCE, COMPENSATION, AND FINANCE COMMITTEES WHICH REVIEW THE DOCUMENT FOR ACCURACY AND COMPLETENESS. ONCE COMMITTEE REVIEWS ARE COMPLETE, THE FORM 990 IS DISTRIBUTED TO BOARD MEMBERS FOR THEIR REVIEW. |
| CONFLICT OF INTEREST POLICY | PART VI, SECTION B, QUESTION 12C | ANNUALLY, EACH DIRECTOR, OFFICER, AND BOARD COMMITTEE MEMBER OF SMHS AND ANY OF ITS AFFILIATES, AS APPROPRIATE, WILL SIGN A STATEMENT WHICH AFFIRMS THAT THE PERSON: 1) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; AND 3) HAS AGREED TO COMPLY WITH THE POLICY. THE STATEMENTS WILL BE DISTRIBUTED ANNUALLY BY THE COMPLIANCE OFFICER AND RETURNED TO THE CEO OR DELEGATED PERSON, WHERE THEY WILL BE RECORDED, REVIEWED, SUMMARIZED AND PRESENTED TO THE CHAIRPERSON OF THE BOARD, AS WELL AS TO THE AUDIT AND GOVERNANCE COMMITTEES, WHERE THEY EXISTS. CONFLICT OF INTEREST STATEMENTS WILL BE MAINTAINED FOR A MINIMUM OF SEVEN YEARS BY THE COMPLIANCE OFFICER. CONFLICT OF INTEREST FORMS PROVIDED BY OFFICERS, DIRECTORS AND BOARD COMMITTEE MEMBERS WILL BE FORWARDED TO THE COMPLIANCE OFFICER, ALONG WITH A STATEMENT OF IMPACT AS TO THE EFFECT OF THE CONFLICT OF INTEREST ON THE BUSINESS AND ANY ACTION TAKEN TO MINIMIZE THE EFFECT. THEY WILL BE MAINTAINED BY THE COMPLIANCE OFFICER FOR A MINIMUM OF SEVEN YEARS. |
| COMPENSATION POLICY | PART VI, SECTION B, QUESTION 15A & 15B | THE PROCESS FOR DETERMINING THE COMPENSATION OF THE FOUNDATION'S TOP MANAGEMENT OFFICIALS, INCLUDING THE CEO, ALL OFFICERS, AND KEY EMPLOYEES, IS THE RESPONSIBILITY OF THE HEALTH SYSTEM'S EXECUTIVE COMPENSATION COMMITTEE. THE COMMITTEE IS APPOINTED BY THE HEALTH SYSTEM'S BOARD OF DIRECTORS FOR THE PURPOSE OF ASSISTING THE BOARD IN FULFILLING ITS RESPONSIBILITY TO THE FOUNDATION AND THE COMMUNITY TO ENSURE THE COMPENSATION IS IN ACCORDANCE WITH THE FOUNDATION'S POLICIES. THE COMMITTEE IS COMPRISED OF SIX DIRECTORS WHO ARE INDEPENDENT OF MANAGEMENTS AND SAINT MARY'S HEALTH SYSTEM AND FREE OF ANY CONFLICTS OF INTEREST THAT WOULD INTERFERE WITH THEIR EXERCISE OF INDEPENDENT JUDGMENT. THE COMMITTEE CONTACTS AN INDEPENDENT COMPENSATION CONSULTANT AND UTILIZES LOCAL AND NATIONAL COMPENSATION SURVEYS TO SET COMPENSATION LEVELS. |
| PUBLIC DISCLOSURE | PART VI, SECTION C, QUESTION 19 | COPIES OF THE GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| ORGANIZATIONS FINANCIAL STATEMENTS | 990 PART XI - LINES 2B 2C | SAINT MARY'S HOSPITAL FOUNDATION IS AUDITED AS PART OF THE CONSOLIDATED FINANCIAL STATEMENTS OF SAINT MARY'S HEALTH SYSTEM. ADDITIONALLY, THE FOUNDATION ALSO RECEIVES SEPARATE AUDITED FINANCIAL STATEMENTS. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| SAINT MARY'S HOSPITAL INC | |||||||||
| 56 FRANKLIN STREET | WATERBURY | CT | 06706 | 060646844 | HOSPITAL | CT | 501(C)(3) | 3 | SM HEALTHSYS |
| HEART CENTER OF GREATER WATERBURY INC | |||||||||
| PO BOX 2153 | WATERBURY | CT | 06722 | 830416893 | MANAGEMENT | CT | 501(C)(3) | 11A | ST MARY HOSP |
| HAROLD LEVER REGIONAL CANCER CENTER | |||||||||
| 1075 CHASE PARKWAY | WATERBURY | CT | 06708 | 061548409 | TREATMENT CTR | CT | 501(C)(3) | 3 | ST MARY HOSP |
| SAINT MARY S HEALTH SYSTEM INC | |||||||||
| 56 FRANKLIN STREET | WATERBURY | CT | 06703 | 222528399 | HOLDING CO. | CT | 501(C)(3) | 11B | NA |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | Code VCodeVAmount | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NAUGATUCK VALLEY SURGICAL CENTER LP | |||||||||||||
| 160 ROBBINS STREET | WATERBURY | CT | 06708 | 061152998 | surgery | CT | NA | RELATED | 0 | 0 | false | $0 | false |
| DIAGNOSTIC IMAGING OF SOUTHBURY LLC | |||||||||||||
| 385 MAIN ST SOUTH | SOUTHBURY | CT | 06488 | 061487582 | IMAGING CENTER | CT | ST MARY'S HOSP | RELATED | 0 | 0 | false | $0 | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| FRANKLIN MEDICAL GROUP PC | |||||||||||
| 56 FRANKLIN STREET | WATERBURY | CT | 06703 | 061470493 | PHYSICIAN OFF | CT | ST MARY'S HOSP | C CORP | 0 | 0 | 0.00000 |
| SCOVILL MEDICAL GROUP PC | |||||||||||
| 56 FRANKLIN STREET | WATERBURY | CT | 06703 | 061470495 | PHYSICIAN OFF | CT | ST MARY'S HOSP | C CORP | 0 | 0 | 0.00000 |
| SAINT MARY'S PHO | |||||||||||
| 56 FRANKLIN STREET | WATERBURY | CT | 06703 | 061461285 | MANAGEMENT | CT | NA | C CORP | 0 | 0 | 0.00000 |
| PRIMARY CARE PARTNERS PC | |||||||||||
| 56 FRANKLIN STREET | WATERBURY | CT | 06703 | 263677154 | PHYSICIAN OFF | CT | ST MARY'S HOSP | C CORP | 0 | 0 | 0.00000 |
| SAINT MARY'S IDEMNITY COMPANY LLC | |||||||||||
| 126 COLLEGE STREET | BURLINGTON | VT | 05401 | 060646844 | INSURANCE | CT | ST MARY'S HOSP | C CORP | 0 | 0 | 0.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
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