TRINITY HEALTH OF NEW ENGLAND CORPORATION INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- TRINITY HEALTH OF NEW ENGLAND CORPORATION INC (EIN 06-1491191)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-08
- IRS object ID
- 201122209349300737
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-08T09:42:05-05:00 | 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 | MARCUM LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | CITY PLACE II 185 ASYLUM STREET | AddressLine1 |
| City | HARTFORD | City |
| State | CT | State |
| ZIP Code | 06103 | 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 | 061491191 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Saint Francis Care Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SAIN | NameControl |
| Phone | 8607144000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 114 woodland street No 4312 | AddressLine1 |
| City | hartford | City |
| State | CT | State |
| ZIP Code | 06105 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | John N Giamalis | Name |
| Title | sr vp & cfo | Title |
| Phone | 8607144603 | Phone |
| Date Signed | 2011-07-27 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Douglas Farrington | Name |
| Phone | 8605498500 | 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 | John N Giamalis | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 114 woodland street | AddressLine1 |
| City | hartford | City |
| State | CT | State |
| ZIP Code | 06105 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 0 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.stfranciscare.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1995 | YearFormation |
| State Legal Domicile | CT | StateLegalDomicile |
| Activity Or Mission Description | HEALTHCARE | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 33 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 26 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Current Year | 0 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expenses Current Year | 0 | OtherExpensesCurrentYear |
| Total Expenses Current Year | 0 | TotalExpensesCurrentYear |
| Revenues Less Expenses CY | 0 | RevenuesLessExpensesCY |
| Total Assets BOY | 15847219 | TotalAssetsBOY |
| Total Assets EOY | 15847219 | TotalAssetsEOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 15847219 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 15847219 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 0 | Expense |
| Revenue | 0 | Revenue |
| Description | SUPPPORTS HEALTHCARE ORGANIZATIONS AFFILIATED WITH THE ROMAN CATHOLIC CHURCH WITHIN THE CONFINES OF THE AREA ADMINISTERED BY THE ARCHDIOCESE OF HARTFORD. | Description |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 33 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 26 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Own Website | X | OwnWebsite |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Donna Gilbert | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8607149632 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 114 woodland street | AddressLine1 |
| City | hartford | City |
| State | CT | State |
| ZIP Code | 06105 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (35 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| REV THOMAS J BARRY JCL | ||||||
| VICE CHAIRMAN | 2.00 | X | X | 0 | 0 | 0 |
| CHRISTOPHER M DADLEZ | ||||||
| PRESIDENT | 2.00 | X | X | 0 | 1594976 | 290008 |
| MARTHA E HARTLE | ||||||
| ASSISTANT SECRETARY | 2.00 | X | 0 | 98951 | 12186 | |
| MOST REV HENRY J MANSELL DD | ||||||
| Chairman | 2.00 | X | X | 0 | 0 | 0 |
| E MERRITT MCDONOUGH JR | ||||||
| SECRETARY | 2.00 | X | X | 0 | 0 | 0 |
| L JEFFREY BALDWIN | ||||||
| director | 2.00 | X | 0 | 0 | 0 | |
| BARBARA J CALDERONE JD | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| SURENDRA K CHAWLA MD | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| HEMA N DESILVA MD | ||||||
| Director | 2.00 | X | 0 | 352466 | 10366 | |
| ROBERT M ELLIS | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| JOHN N GIAMALIS | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| P ANTHONY GIORGIO PHD | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| RICHARD H GORDON JD | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| WALTER HARRISON PHD | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| JEFFREY S HOFFMAN | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| ronald d jarvis | ||||||
| director | 2.00 | X | 0 | 0 | 0 | |
| PETER G KELLY JD | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| KARL J KRAPEK | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| SISTER DOLORES LAHR CSJ | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| DAVID A LENTINI | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| JOYCE D MANDELL | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| JOHN J MARA MD | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| REV MSGR JOHN J MCCARTHY | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| DANIEL P O'CONNELL | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| Kevin J O'Connor | ||||||
| director | 2.00 | X | 0 | 0 | 0 | |
| CURTIS D ROBINSON | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| JOHN W RODGERS MD | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| DR GALO A RODRIGUEZ MPH | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| JEAN-PIERRE VAN ROOY | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| Jennifer Smith Turner | ||||||
| director | 2.00 | X | 0 | 0 | 0 | |
| ANDREW A SADANOWICZ | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| SUSAN J SAPPINGTON | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| HENRY S SCHERER JR | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| PHILIP J SCHULZ | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| ROSALIND E SHENKMAN | ||||||
| Director | 2.00 | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2046393 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 312560 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15847219 | BOY |
| EOY | 15847219 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15847219 | BOY |
| EOY | 15847219 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15847219 | BOY |
| EOY | 15847219 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15847219 | BOY |
| EOY | 15847219 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15847219 | BOY |
| EOY | 15847219 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (4 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 4 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 0 | SumOfAmounts |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| investment in mount sinai rehabilitation hospital | 14252138 | C |
| investment in saint francis medical group, inc. | 1595081 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 15847219 | TotalOfBookValueSecurities |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHRISTOPHER M DADLEZ | |||||||||||||
| 0 | 784033 | 0 | 526000 | 0 | 284943 | 0 | 258500 | 0 | 31508 | 0 | 1884984 | 0 | 0 |
| HEMA N DESILVA MD | |||||||||||||
| 0 | 307466 | 0 | 0 | 0 | 45000 | 0 | 0 | 0 | 10366 | 0 | 362832 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 4b: | ReturnReference |
| Explanation | Christopher Dadlez participated in a supplemental nonqualified retirement plan. Amount: $258,500. 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 | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| john n giamalis | |||
| director | 564490 | hartford financial servcies group - insurance & employee benefits | 0 |
| peter kelly | |||
| director | 90266 | updike, kelly & spellacy - legal services & lobbying | 0 |
| e merritt mcdonough jr | |||
| director | 2836457 | rc knox & company - insurance | 0 |
| (no name) | |||
| 0 | |||
| (no name) | |||
| 0 | |||
| (no name) | |||
| 0 | |||
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| 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. |
| 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 (diector) are members of the board of directors of connecticut bank & trust, company. saint francis care has no transactions with connecticut bank & trust, company. 1000 corporation, a related party to saint francis care, inc leases office space to cbt for a bank branch located in the hospital garage. |
| 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 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. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Total IncomeTotalIncome | EOY AssetsEOYAssets |
|---|---|---|---|---|---|---|---|---|---|
| MOUNTAIN VIEW AMBULATORY SURGERY | |||||||||
| 114 woodland street | hartford | CT | 06105 | 251924185 | AMBULATORY SURGERY | CT | st francis hospital & medical center | ||
| saint francis indemnity company | |||||||||
| 76 st paul st suite 500 | burlington | VT | 05401 | 900656448 | malpractice insurance | VT | st francis hospital & medical center | 12746085 | 40803096 |
Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|
| ASYLUM HILL FAMILY MEDICAL CENTER | ||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061450170 | HEALTH SERVICES | CT | 501(C)(3) | 3 | N/A | |
| ONE THOUSAND CORPORATION | ||||||||||
| 1000 ASYLUM STREET | HARTFORD | CT | 06105 | 060922325 | MANAGEMENT | CT | 501(C)(2) | saint francis hospital & medical center | ||
| SAINT FRANCIS FOUNDATION INC | ||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061008255 | FUNDRAISING | CT | 501(C)(3) | 11 TYPE 1 | N/A | |
| THE CAMILLUS CORPORATION | ||||||||||
| 1000 ASYLUM STREET | HARTFORD | CT | 06105 | 061051261 | SUPPORT HEALTH CARE ORGANIZATIONS | CT | 501(C)(3) | 11 TYPE 1 | N/A | |
| MT SINAI REHABILITATION HOSPITAL INC | ||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061422973 | HOSPITAL | CT | 501(C)(3) | 3 | N/A | |
| SAINT FRANCIS MEDICAL GROUP INC | ||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061450168 | HEALTH SERVICES | CT | 501(C)(3) | 3 | N/A | |
| SAINT FRANCIS HOSPITAL & MEDICAL CENTER INC | ||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 060646813 | HOSPITAL | CT | 501(C)(3) | 3 | saint francis hospital & medical center | |
Form990 Schedule R Part III Form990ScheduleRPartIII (3 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 | General Or Managing PartnerGeneralOrManagingPartner | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COLLABORATIVE LABORATORY SERVICES | |||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061520109 | LAB SERVICES | CT | saint francis hospital & medical center | n/a | 175772 | 9114429 | 0 | 0 | |
| TOTAL LAUNDRY COLLABORATIVE | |||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 208335788 | LAUNDRY SERVICES | CT | saint francis hospital & medical center | n/a | -156131 | 2688568 | 0 | 0 | |
| MEDWORKS LLC | |||||||||||||
| 375 EAST CEDAR STREET | NEWINGTON | CT | 06111 | 061490483 | REHABILITATION SERVICES | CT | n/a | 6849 | 102412 | 0 | 0 | N/A | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SAINT FRANCIS CARE MEDICAL GROUP PC | |||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061432373 | HEALTH SERVICES | CT | saint francis hospital & medical center | C | -1032979 | 430427 | 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 | 219799 | 839126 | 0.50000 |
| saint francis behavioral health group | |||||||||||
| 114 WOODLAND STREET | hARTFORD | CT | 06105 | 061384686 | behavior health services | CT | saint francis hospital & medical center | C | 617398 | 1237478 | 1.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | na | BusinessNameLine1 |
Comments