2011-08-08T09:42:05-05:00 2010-09-30 MARCUM LLP CITY PLACE II 185 ASYLUM STREET HARTFORD CT 06103 990 2009-10-01 061491191 Saint Francis Care Inc SAIN 8607144000 114 woodland street No 4312 hartford CT 06105 John N Giamalis 8607144603 2011-07-27 1 Douglas Farrington 8605498500 2009 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 33 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15847219 15847219 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 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 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 1 0 0 0 0 0 0 0 0 0 0 0 0 33 26 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 2.00 X X 0 0 0 CHRISTOPHER M DADLEZ 2.00 X X 0 1594976 290008 MARTHA E HARTLE 2.00 X 0 98951 12186 MOST REV HENRY J MANSELL DD 2.00 X X 0 0 0 E MERRITT MCDONOUGH JR 2.00 X X 0 0 0 L JEFFREY BALDWIN 2.00 X 0 0 0 BARBARA J CALDERONE JD 2.00 X 0 0 0 SURENDRA K CHAWLA MD 2.00 X 0 0 0 HEMA N DESILVA MD 2.00 X 0 352466 10366 ROBERT M ELLIS 2.00 X 0 0 0 JOHN N GIAMALIS 2.00 X 0 0 0 P ANTHONY GIORGIO PHD 2.00 X 0 0 0 RICHARD H GORDON JD 2.00 X 0 0 0 WALTER HARRISON PHD 2.00 X 0 0 0 JEFFREY S HOFFMAN 2.00 X 0 0 0 ronald d jarvis 2.00 X 0 0 0 PETER G KELLY JD 2.00 X 0 0 0 KARL J KRAPEK 2.00 X 0 0 0 SISTER DOLORES LAHR CSJ 2.00 X 0 0 0 DAVID A LENTINI 2.00 X 0 0 0 JOYCE D MANDELL 2.00 X 0 0 0 JOHN J MARA MD 2.00 X 0 0 0 REV MSGR JOHN J MCCARTHY 2.00 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 2.00 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 Jennifer Smith Turner 2.00 X 0 0 0 ANDREW A SADANOWICZ 2.00 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 2.00 X 0 0 0 0 2046393 312560 0 0 1 0 0 0 0 0 0 0 0 0 0 15847219 15847219 15847219 15847219 0 0 X 15847219 15847219 15847219 15847219 15847219 15847219 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 0 1 0 0 0 0 0 0 0 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 Part I, Line 4b: 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 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 0 0 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. 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. 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 12746085 40803096 st francis hospital & medical center 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 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 n/a 6849 102412 0 0 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 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 na