NEIGHBORHOOD HEALTH INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- NEIGHBORHOOD HEALTH INC (EIN 80-0458769)
- Tax period
- 2019-10-01 to 2020-09-30
- Filed
- 2021-08-12
- IRS object ID
- 202142249349301809
- Schema version
- 2019v5.2
- 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) |
|---|---|---|
| Return | 2021-08-12T10:15:14-05:00 | ReturnTs |
| Tax Period End | 2020-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 WALNUT SUITE 1700 | AddressLine1Txt |
| City | KANSAS CITY | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64106 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 800458769 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Vincent's Multispecialty Group Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STVI | BusinessNameControlTxt |
| Phone | 8606966200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2800 Main Street | AddressLine1Txt |
| City | Bridgeport | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06606 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Mark Keise | PersonNm |
| Person Title | Authorized Signer | PersonTitleTxt |
| Phone | 8606966282 | PhoneNum |
| Signature | 2021-08-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL ENGLE | PreparerPersonNm |
| PTIN | P00482834 | PTIN |
| Phone | 8162216300 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Vincent DiBattista | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2800 Main Street | AddressLine1Txt |
| City | Bridgeport | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $103,265,314 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | See Schedule O | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2010 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | To improve the health and well-being of all people in the communities we serve. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 1 | VotingMembersIndependentCnt |
| Total Employee | 453 | TotalEmployeeCnt |
| Total Volunteers | 1 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $30,869 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $77,301,926 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $103,173,427 | CYProgramServiceRevenueAmt |
| PY Investment Income | $66,944 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,348 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,407,457 | PYOtherRevenueAmt |
| CY Other Revenue | $82,539 | CYOtherRevenueAmt |
| PY Total Revenue | $78,807,196 | PYTotalRevenueAmt |
| CY Total Revenue | $103,265,314 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $59,948,040 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $60,739,914 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $52,610,281 | PYOtherExpensesAmt |
| CY Other Expenses | $42,325,137 | CYOtherExpensesAmt |
| PY Total Expenses | $112,558,321 | PYTotalExpensesAmt |
| CY Total Expenses | $103,065,051 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$33,751,125 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $200,263 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $15,707,325 | TotalAssetsBOYAmt |
| Total Assets EOY | $28,159,725 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $16,518,608 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $22,760,554 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$811,283 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,399,171 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | None | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $98,562,862 | ExpenseAmt |
| Revenue | $103,173,427 | RevenueAmt |
| Desc | Professional service revenue from professional medical services provided to patients in Bridgeport, Connecticut and other communities in lower Fairfield County, Connecticut. Services are provided through a network of employed primary care physicians, hospital-based providers, and specialists. Employed primary care physicians and other specialists provide services at (1) private practice offices located in the community and within St. Vincent's Medical Center and (2) Urgent Care Centers owned and operated by SVMC Holdings, Inc. dba St. Vincent's Medical Center at various locations in Southern Connecticut.Employed hospital-based providers provide services in St. Vincent's Medical Center departments pursuant to a professional services agreement between SVMC Holdings, Inc. dba St. Vincent's Medical Center and St. Vincent's Multispecialty Group, Inc. Hospital-based providers include hospitalists, intensivists, psychiatrists, emergency services, and rehabilitation. | Desc |
| Total Program Service Expenses | $98,562,862 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 67 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 453 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 1 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CT | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Carol Wardell | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8606966200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 181 Patricia M Genova Drive | AddressLine1Txt |
| City | Newington | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06111 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Rafael Squitieri MD | |||||||||
| Physician | 60.00 | 0.00 | Yes (X) | $1,114,267 | $0 | $67,512 | |||
| Jeffrey Cohen MD | |||||||||
| Director | 1.00 | 59.00 | $0 | $945,213 | $89,922 | Yes (X) | |||
| Vincent DiBattista | |||||||||
| Fairfield Region President | 1.00 | 59.00 | $0 | $815,533 | $136,336 | Yes (X) | |||
| Christopher Iannuzzi MD | |||||||||
| Director, Vice Chair | 1.00 | 59.00 | $782,955 | $0 | $80,389 | Yes (X) | Yes (X) | ||
| Deborah Fang MD | |||||||||
| Physician | 60.00 | 0.00 | Yes (X) | $629,803 | $0 | $83,429 | |||
| Dawn Rudolph Thru 93019 | |||||||||
| Former Director | 0.00 | 0.00 | $0 | $607,516 | $67,813 | Yes (X) | |||
| Ahmad Fotovat MD | |||||||||
| Physician | 60.00 | 0.00 | Yes (X) | $560,712 | $0 | $77,529 | |||
| Cristina Tamasdan MD | |||||||||
| Physician | 60.00 | 0.00 | Yes (X) | $532,481 | $0 | $58,990 | |||
| Daniel Gottshall MD | |||||||||
| Director / Chair, President and Secretary | 1.00 | 59.00 | $0 | $513,740 | $61,716 | Yes (X) | Yes (X) | ||
| Edward Tristine MD | |||||||||
| Director | 1.00 | 59.00 | $488,964 | $0 | $77,250 | Yes (X) | |||
| Nathan Selsky MD | |||||||||
| Physician | 60.00 | 0.00 | Yes (X) | $517,003 | $0 | $42,684 | |||
| Dianne Auger | |||||||||
| Director | 1.00 | 59.00 | $0 | $428,035 | $49,977 | Yes (X) | |||
| Christopher Given | |||||||||
| Director & Treasurer | 1.00 | 59.00 | $0 | $440,441 | $33,991 | Yes (X) | Yes (X) | ||
| Corina Marcu MD | |||||||||
| Director | 1.00 | 59.00 | $0 | $350,588 | $57,869 | Yes (X) | |||
| Francis Scifo MD | |||||||||
| Director | 1.00 | 59.00 | $0 | $308,325 | $72,887 | Yes (X) | |||
| Anna Pankratov MD | |||||||||
| Director | 1.00 | 59.00 | $321,460 | $0 | $57,788 | Yes (X) | |||
| Christopher Willey | |||||||||
| Director | 1.00 | 59.00 | $313,907 | $0 | $48,200 | Yes (X) | |||
| Robert Fitton MD | |||||||||
| Director | 1.00 | 59.00 | $277,064 | $0 | $59,321 | Yes (X) | |||
| Robert Jumper MD | |||||||||
| Director | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,538,616 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,409,391 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,223,603 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 128 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Cardiology Assoc of Fairfield Cnty PC | |||||
| 40 Cross St | Norwalk | CT | 06851 | Physician Services | $17,937,859 |
| Assoc Neurologists of So CT | |||||
| 75 Kings Hwy Cutoff Fl 5 | Fairfield | CT | 068245340 | Physician Services | $1,895,532 |
| Connecticut Orthopaedic Specialists PC | |||||
| 2408 Whitney Ave | Hamden | CT | 065183209 | Physician Services | $322,074 |
| Med Doc Solutions LLC | |||||
| 8130 Baymeadows Way W Ste 202 | Jacksonville | FL | 32256 | Medical Chart Abstraction Svcs | $223,450 |
| ScribeAmerica LLC | |||||
| 1637 West Ave H4 | Lancaster | CA | 935345411 | Transcription Services | $189,998 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Care | 621990 | $69,298,481 | $69,298,481 |
| Services to Affiliates | 900099 | $31,050,579 | $31,050,579 |
| HHS Stimulus Operating Revenue | 900099 | $1,779,246 | $1,779,246 |
| Contract Services Revenue | 900099 | $558,646 | $558,646 |
| Other Miscellaneous Revenue | 900099 | $486,475 | $486,475 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $103,173,427 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,214 | TotalRevenueColumnAmt |
| Exclusion | $9,214 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $82,505 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $82,505 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $82,505 | TotalRevenueColumnAmt |
| Exclusion | $82,505 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $134 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $134 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $134 | TotalRevenueColumnAmt |
| Exclusion | $134 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Rebates | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $34 | TotalRevenueColumnAmt |
| Exclusion | $34 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $34 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $103,265,314 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $103,173,427 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $91,887 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,696,429 | TotalAmt |
| Program Services | $50,107,754 | ProgramServicesAmt |
| Management And General | $1,588,675 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,801,166 | TotalAmt |
| Program Services | $2,715,084 | ProgramServicesAmt |
| Management And General | $86,082 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,584,712 | TotalAmt |
| Program Services | $2,505,282 | ProgramServicesAmt |
| Management And General | $79,430 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,657,607 | TotalAmt |
| Program Services | $3,545,206 | ProgramServicesAmt |
| Management And General | $112,401 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,376 | TotalAmt |
| Management And General | $23,376 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,952 | TotalAmt |
| Management And General | $2,952 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,626,870 | TotalAmt |
| Program Services | $20,626,870 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $235,635 | TotalAmt |
| Program Services | $98,428 | ProgramServicesAmt |
| Management And General | $137,207 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,326,718 | TotalAmt |
| Program Services | $3,326,718 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,370,354 | TotalAmt |
| Program Services | $4,342,985 | ProgramServicesAmt |
| Management And General | $27,369 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,158 | TotalAmt |
| Program Services | $13,215 | ProgramServicesAmt |
| Management And General | $26,943 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,210 | TotalAmt |
| Program Services | $16,107 | ProgramServicesAmt |
| Management And General | $35,103 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,399,341 | TotalAmt |
| Program Services | $1,140,569 | ProgramServicesAmt |
| Management And General | $258,772 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,285,045 | TotalAmt |
| Program Services | $3,285,045 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Purchased Services | $7,687,909 | $5,691,226 | $1,996,683 |
| Medical Supplies | $827,178 | $827,178 | |
| Dues, Subs, & Licenses | $231,484 | $106,222 | $125,262 |
| Repair and Maintenance | $200,386 | $200,386 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,521 | TotalAmt |
| Program Services | $14,587 | ProgramServicesAmt |
| Management And General | $1,934 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,065,051 | TotalAmt |
| Program Services | $98,562,862 | ProgramServicesAmt |
| Management And General | $4,502,189 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $116,960 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $303,866 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,778,398 | BOYAmt |
| EOY | $3,447,314 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,056 | BOYAmt |
| EOY | $64,344 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $9,915,940 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,206,341 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,148,318 | BOYAmt |
| EOY | $8,709,599 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,391,201 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,981,486 | BOYAmt |
| EOY | $15,821,508 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,707,325 | BOYAmt |
| EOY | $28,159,725 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,732,184 | BOYAmt |
| EOY | $6,597,411 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,786,424 | BOYAmt |
| EOY | $16,163,143 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,518,608 | BOYAmt |
| EOY | $22,760,554 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$811,283 | BOYAmt |
| EOY | $5,399,171 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$811,283 | BOYAmt |
| EOY | $5,399,171 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,707,325 | BOYAmt |
| EOY | $28,159,725 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $200,263 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $6,010,191 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| IRS Written Determination | Yes (X) | IRSWrittenDeterminationInd |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SVMC Holdings Inc dba St Vincent's Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 832550272 | EIN |
| Organization Type | 3 | OrganizationTypeCd |
| Governing Document Listed | Yes (1) | GoverningDocumentListedInd |
| Support | $0 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | Yes (1) | OrganizationChangeSuprtOrgInd |
| Supported Org Class Designated | Yes (1) | SupportedOrgClassDesignatedInd |
| Substitution Beyond Org Cntl | 0 | SubstitutionBeyondOrgCntlInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | Yes (1) | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | 0 | OperateBenefitNonSuprtOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part IV, Line 5a-5c | FormAndLineReferenceDesc |
| Explanation | On October 2, 2019, St. Vincent's Multispecialty Group, Inc. filed amended Articles of Incorporation with the State of Connecticut. The Articles were filed because the ownership of St. Vincent's Multispecialty Group, Inc. was transferred from Ascension Health to Hartford HealthCare Corporation. Prior to the transfer, St. Vincent's Medical Center, a corporation owned by Ascension Health, under FEIN 06-0646886 was the supported organization of St. Vincent's Multispecialty Group, Inc. At the time of the transfer, SVMC Holdings, Inc. dba St. Vincent's Medical Center, a company owned by Hartford HealthCare Corporation, under FEIN 83-2550272 became the supported organization of St. Vincent's Multispecialty Group, Inc. | ExplanationTxt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $2,952 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $2,952 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Lobbying Expenses represent the portion of dues paid to the Fairfield County Medical Association (FCMA) and the portion of fees paid to Hall, Render, Killian, Heath, and Lyman, PC that are specifically allocable to lobbying. St. Vincent's Multispecialty Group, Inc. does not participate in or intervene in (including the publishing or distribution of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. | ExplanationTxt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $30,400 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,600 | DepreciationAmt |
| Book Value | $22,800 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,961,110 | OtherCostOrOtherBasisAmt |
| Depreciation | $954,411 | DepreciationAmt |
| Book Value | $7,006,699 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,005,491 | OtherCostOrOtherBasisAmt |
| Depreciation | $244,330 | DepreciationAmt |
| Book Value | $761,161 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $918,939 | OtherCostOrOtherBasisAmt |
| Book Value | $918,939 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,709,599 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Security Deposits | $71,484 |
| Due From Affiliates | $1,473,853 |
| Operating Lease Asset net of amortization | $13,830,635 |
| Other Assets | $445,536 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $15,821,508 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| Medicare Cash Advance | $1,095,160 |
| Current Portion of IBNR | $33,434 |
| Current Portion of Operating Lease Liability | $2,455,194 |
| Long Term Portion of Operating Lease Liability | $11,181,183 |
| Long Term Portion of IBNR | $860,898 |
| Patient Refunds | $92,738 |
| Accrued Malpractice | $444,536 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $16,163,143 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Rafael Squitieri MD | ||||||||||||||
| Physician | $606,631 | $0 | $111,255 | $0 | $396,381 | $0 | $25,378 | $0 | $42,134 | $0 | $1,181,779 | $0 | $0 | $0 |
| Jeffrey Cohen MD | ||||||||||||||
| Director | $0 | $634,152 | $0 | $243,711 | $0 | $67,350 | $0 | $19,600 | $0 | $70,322 | $0 | $1,035,135 | $0 | $0 |
| Vincent DiBattista | ||||||||||||||
| Fairfield Region President | $0 | $513,422 | $0 | $242,714 | $0 | $59,397 | $0 | $87,533 | $0 | $48,803 | $0 | $951,869 | $0 | $0 |
| Christopher Iannuzzi MD | ||||||||||||||
| Director, Vice Chair | $759,836 | $0 | $19,250 | $0 | $3,869 | $0 | $45,938 | $0 | $34,451 | $0 | $863,344 | $0 | $0 | $0 |
| Deborah Fang MD | ||||||||||||||
| Physician | $600,316 | $0 | $24,500 | $0 | $4,987 | $0 | $51,398 | $0 | $32,031 | $0 | $713,232 | $0 | $0 | $0 |
| Dawn Rudolph Thru 93019 | ||||||||||||||
| Former Director | $0 | $419,500 | $0 | $92,523 | $0 | $95,493 | $0 | $52,400 | $0 | $15,413 | $0 | $675,329 | $0 | $0 |
| Ahmad Fotovat MD | ||||||||||||||
| Physician | $482,986 | $0 | $66,865 | $0 | $10,861 | $0 | $52,400 | $0 | $25,129 | $0 | $638,241 | $0 | $0 | $0 |
| Cristina Tamasdan MD | ||||||||||||||
| Physician | $388,563 | $0 | $142,231 | $0 | $1,687 | $0 | $27,400 | $0 | $31,590 | $0 | $591,471 | $0 | $0 | $0 |
| Daniel Gottshall MD | ||||||||||||||
| Director / Chair, President and Secr | $0 | $404,138 | $0 | $73,790 | $0 | $35,812 | $0 | $33,400 | $0 | $28,316 | $0 | $575,456 | $0 | $0 |
| Edward Tristine MD | ||||||||||||||
| Director | $234,313 | $0 | $253,834 | $0 | $817 | $0 | $43,035 | $0 | $34,215 | $0 | $566,214 | $0 | $0 | $0 |
| Nathan Selsky MD | ||||||||||||||
| Physician | $501,163 | $0 | $15,300 | $0 | $540 | $0 | $27,225 | $0 | $15,459 | $0 | $559,687 | $0 | $0 | $0 |
| Dianne Auger | ||||||||||||||
| Director | $0 | $327,175 | $0 | $70,753 | $0 | $30,107 | $0 | $30,500 | $0 | $19,477 | $0 | $478,012 | $0 | $0 |
| Christopher Given | ||||||||||||||
| Director & Treasurer | $0 | $296,070 | $0 | $129,302 | $0 | $15,069 | $0 | $27,400 | $0 | $6,591 | $0 | $474,432 | $0 | $0 |
| Corina Marcu MD | ||||||||||||||
| Director | $0 | $334,666 | $0 | $14,303 | $0 | $1,619 | $0 | $26,284 | $0 | $31,585 | $0 | $408,457 | $0 | $0 |
| Francis Scifo MD | ||||||||||||||
| Director | $0 | $287,787 | $0 | $12,497 | $0 | $8,041 | $0 | $49,000 | $0 | $23,887 | $0 | $381,212 | $0 | $0 |
| Anna Pankratov MD | ||||||||||||||
| Director | $196,051 | $0 | $124,747 | $0 | $662 | $0 | $27,400 | $0 | $30,388 | $0 | $379,248 | $0 | $0 | $0 |
| Christopher Willey | ||||||||||||||
| Director | $260,613 | $0 | $38,438 | $0 | $14,856 | $0 | $18,375 | $0 | $29,825 | $0 | $362,107 | $0 | $0 | $0 |
| Robert Fitton MD | ||||||||||||||
| Director | $266,141 | $0 | $8,310 | $0 | $2,613 | $0 | $29,728 | $0 | $29,593 | $0 | $336,385 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare on behalf of St. Vincent's Multispecialty Group, Inc. hires an outside consultant to determine best practices in governing executive compensation. Please refer to compensation narrative reported on Schedule O. |
| Part I, Line 4b | Hartford Healthcare Corporation, a related organization, maintains a 457(f) Supplemental Executive Retirement Plan (SERP). Participants include certain officers and key employees at the President & CEO, Executive Vice President and Senior Vice President levels that are reported by St. Vincent's Multispecialty Group, Inc. on its Form 990, Part VII. Contributions are made by Hartford HealthCare Corporation to the plan based on a percentage of the participant's compensation. Participants vest in the plan at the earlier of reaching age 55 and having 5 years of service, death, disability, involuntary separation without reasonable cause, upon reaching age 65 or the occurrence of a change in control. Each participant ceases to be eligible for further contributions by Hartford Healthcare Corporation on the date of the participant's separation from service. Participants receive a one-time lump sum payment of the accumulated amount during the 30-day period following the participant's separation from service. 2019 SERP Accruals were made on behalf of the following individuals: Vincent DiBattista $67,933 |
| Part I, Line 7 | Hartford HealthCare Corporation, a related organization, has a Compensation At Risk Plan that encourages and rewards achievements of significant functional goals. These goals contribute to the organization's strategic and financial direction. The plan utilizes market practice alignment to ensure competitive recruitment and retention. Awards are based on CEO and/or Hartford HealthCare Corporation's Compensation Committee discretionary assessment of overall organization performance and individual contribution to results. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Page 1, Item J - Company Website | The website address for St. Vincent's Multispecialty Group, Inc. is https://stvincents.org/health-professionals/multispecialty-group. |
| Form 990, Part VI, Section A, line 4 | Effective October 2, 2019, an amended and restated Certificate of Incorporation for St. Vincent's Multispecialty Group, Inc. (the Corporation) was filed with the Secretary of the State of Connecticut. The amended and restated Certificate indicates the following substantive amendments: 1. The section relating to the Corporation's purpose has been revised to remove wording indicating the organization is to be guided by the teachings and morality of the Roman Catholic Church, but is otherwise consistent with its charitable purpose. In addition, the Corporation, is to be operated as a part of Hartford HealthCare Corporation (the System Parent). Some provisions specifically related to Connecticut law were added. The provision for integrating into one entity certain physicians employed or under contract with St. Vincent's Medical Center was removed. 2. The section regarding the single member of the Corporation states that the single member of the Corporation changes from St. Vincent's Medical Center to SVMC Holdings, Inc. However, the System Parent has been given exclusive powers. 3. The section indicating that the Chief Executive Officer of the Corporation is to serve as the corporate President and serve on the Board of Directors in an ex-officio capacity was removed. The provisions for the Chief Executive Officer of St. Vincent's Medical Center and the President of the Medical Staff of St. Vincent's Medical Center to serve on the Board of Directors in an ex-officio capacity were also removed. 4. The section regarding the dissolution or liquidation of the Corporation, states that the remaining assets are to be distributed to the System Parent providing that the System Parent is, at that time, exempt from federal taxation under Section 501(C)(3) of the IRS code. If the System Parent does not meet this requirement, the remaining assets shall be distributed to one or more organizations then exempt from Section 501(C)(3) of the code. 5. The Certificate names Hartford HealthCare Corporation Legal Department at 85 Jefferson Street in Hartford, CT as the initial registered agent of the Corporation and lists the email address of the organization as Legal.Support@hhchealth.org. 6. The Certificate includes any changes required by Connecticut law. The Corporation's governing documents are available upon request. |
| Form 990, Part VI, Section A, line 6 | St. Vincent's Multispecialty Group, Inc. is organized as a non-stock not-for-profit entity. SVMC Holdings, Inc. dba St. Vincent's Medical Center is the sole member. |
| Form 990, Part VI, Section A, line 7a | Hartford HealthCare Corporation, the System Parent of the organization, has the authority to approve/remove members of the governing body. The bylaws and articles of incorporation of St. Vincent's Multispecialty Group, Inc. cannot be amended without the approval of Hartford HealthCare Corporation. |
| Form 990, Part VI, Section A, line 7b | Hartford HealthCare Corporation, the System Parent of the organization, has the right to review, approve, disapprove and deny significant transactions such as mergers, acquisitions, dissolutions, etc. |
| Form 990, Part VI, Section B, line 11b | The Form 990 was prepared by Hartford Healthcare's Tax Department. It was then reviewed by an independent accounting firm. The final Form was provided to the entire Board prior to submission to the Internal Revenue Service (IRS). Once the entire review process was completed, the Form was signed by the Tax Director and then filed with the IRS. |
| Form 990, Part VI, Section B, line 12c | The Organization's board has adopted the policy of the member, Hartford HealthCare Corporation (HHC). HHC's Conflict of Interest Policy (Policy) requires all covered individuals, including board members and officers, to provide a disclosure of relationships that create or have the appearance of creating a conflict of interest or commitment. The Policy requires updates if changes in circumstances arise during the year that either (a) create a new potential conflict of interest or commitment or (b) change or eliminate a conflict of interest or commitment previously disclosed. Conflict of interest disclosure statements are maintained by the HHC Office of Compliance and Integrity (OCI). Employee disclosures are reviewed by OCI in collaboration with the Covered Individuals' supervisor when deemed appropriate, to determine if there is a potential conflict. Oversight review of employee disclosures is provided by the HHC Conflict of Interest Committee. The Conflict of Interest Committee assesses and may recommend the conflicting interest either be (a) eliminated for continued relationship with HHC/HHC Affiliate, or, (b) managed through a management plan. Oversight review of physician disclosures is provided by the HHC Physician Conflict Resolution Committee. The Physician Conflict Resolution Committee assesses and may recommend the conflicting interest either be (a) eliminated for continued relationship with HHC/HHC Affiliate, or, (b) managed through a management plan. Board member disclosures are reported to the HHC Nominating and Governance Committee for determinations of conflicts and the management of them, where applicable. |
| Form 990, Part VI, Section B, line 15 | The Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford Healthcare on behalf of St. Vincent's Multispecialty Group, Inc. hires an outside consultant to determine best practices in governing executive compensation. The following steps were taken: - The use of an Independent Executive Compensation Committee (Committee) of the Board of Directors of Hartford HealthCare, on behalf of St. Vincent's Multispecialty Group, Inc., established and regularly reviews Executive Compensation Philosophy; - The Committee regularly reviews scope and depth of positions taking into account complexity and the financial impact and accountability of all "disqualified persons; - National peer groups are selected for comparative purposes based on organizational size, operating revenue, geography and other relevant factors; - Analysis of current total compensation versus market is performed by independent third party compensation consulting firm and is then reviewed by the committee; - Recommendations are made based on market data analysis to ensure appropriate competitive positioning within parameters of compensation philosophy; - The CEO compensation is reviewed by the Committee and is based on comparative market information and organizational performance; - All changes are reviewed and approved by the Executive Compensation Committee; The compensation determination process for the CEO is reviewed on an annual basis. All other executive compensation is regularly reviewed for scope and depth of positions taking into account complexity and the financial impact and accountability. |
| Form 990, Part VI, Section C, line 18 | The St. Vincent's Multispecialty Group, Inc. Form 990 and its attachments are available upon request. |
| Form 990, Part VI, Section C, line 19 | The St. Vincent's Multispecialty Group, Inc. Financial Statements, Governing Documents and Conflict of Interest Policy are available for inspection upon request at the Organization's address. |
| Form 990, Part IX, line 11g | Professional Fees - Physician: Program service expenses 17,332,023. Management and general expenses 0. Fundraising expenses 0. Total expenses 17,332,023. Professional Fees - Locum Physician: Program service expenses 3,100,827. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,100,827. Professional Fees - Non-Physician Medical: Program service expenses 51,431. Management and general expenses 0. Fundraising expenses 0. Total expenses 51,431. High Volume Lab Fee - Non-Affiliate: Program service expenses 83,914. Management and general expenses 0. Fundraising expenses 0. Total expenses 83,914. Recruitment Fee: Program service expenses 58,150. Management and general expenses 0. Fundraising expenses 0. Total expenses 58,150. Contract Temp Labor Clinical: Program service expenses 500. Management and general expenses 0. Fundraising expenses 0. Total expenses 500. Transcription Services: Program service expenses 25. Management and general expenses 0. Fundraising expenses 0. Total expenses 25. |
| Form 990, Part XI, line 9: | FMV Adjustment to Assets Due to Hartford HealthCare Acquisition 6,010,191. |
| Form 990, Part XII, Line 2c | The activity of St. Vincent's Multispecialty Group, Inc. is included in the consolidated financial statements of Hartford HealthCare Corporation and Subsidiaries. The finance and audit committee of Hartford HealthCare Corporation's board assumes responsibility for the consolidated organization as a whole. |
| Form 990. Part V, Line 1a | Calendar year 2019 Form 1099's were not issued by the organization, but were issued by a related organization on its behalf. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| Cardiology Physicians of Fairfield County LLC | |||||||||
| 2800 Main Street | Bridgeport | CT | 06606 | 300734694 | Physicians Services | CT | $0 | $0 | St Vincent's Multispecialty Group Inc |
| St Vincent's Urgent Care LLC | |||||||||
| 2800 Main Street | Bridgeport | CT | 06606 | 472516729 | Physicians Services | CT | $0 | $0 | St Vincent's Multispecialty Group Inc |
| Primary Care Physicians of Stratford LLC | |||||||||
| 2800 Main Street | Bridgeport | CT | 06606 | 475613906 | Physicians Services | CT | $0 | $0 | St Vincent's Multispecialty Group Inc |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (32 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Backus HealthCare Inc | |||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 222481794 | Supporting Organization | CT | 501(c)(3) | 12 (a) | Hartford HealthCare Corporation | Yes (1) | |
| Caring for Colleagues Employee Crisis Fund | |||||||||||
| 100 Grand Street | New Britian | CT | 06052 | 264469178 | Employee Fund | CT | 501(c)(3) | 7 | Hartford HealthCare Corporation | Yes (1) | |
| Center for Hospice Care Southeast Connecticut Inc | |||||||||||
| 227 Dunham Street | Norwich | CT | 06360 | 222667260 | Hospice | CT | 501(c)(3) | 7 | HHC Independence at Home | Yes (1) | |
| Connecticut Health System Inc | |||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 222779421 | Coordination of Health Care Delivery | CT | 501(c)(3) | 12 (c) | Hartford HealthCare Corporation | Yes (1) | |
| Hartford HealthCare ACO Inc | |||||||||||
| 1290 Silas Deane Hwy 2nd Floor | Wethersfield | CT | 06109 | 460886367 | Government Contracts | CT | 501(c)(3) | 7 | Hartford HealthCare Medical Group Inc | Yes (1) | |
| Hartford HealthCare At Home Inc | |||||||||||
| 1290 Silas Deane Hwy Suite 4B | Wethersfield | CT | 06109 | 060646938 | Home Healthcare | CT | 501(c)(3) | 10 | Hartford HealthCare Corporation | Yes (1) | |
| Hartford HealthCare Corporation | |||||||||||
| One State Street Suite 19 | Hartford | CT | 06102 | 222672834 | Support & Management Svcs. To HH and Affiliates | CT | 501(c)(3) | 12 (c) | 0 | N/A | |
| Hartford HealthCare Endowment LLC | |||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 454181103 | Investment Management | CT | 501(c)(3) | 12 (a) | Hartford HealthCare Corporation | Yes (1) | |
| Hartford HealthCare Independence At Home Inc | |||||||||||
| 1290 Silas Deane Hwy Suite 4B | Wethersfield | CT | 06109 | 061161422 | Home Healthcare | CT | 501(c)(3) | 10 | Hartford HealthCare At Home Inc | Yes (1) | |
| Hartford Healthcare Medical Group Specialists PLLC | |||||||||||
| 1290 Silas Dean Highway 2nd Floor | Wethersfield | CT | 06109 | 371911194 | Medical Services | CT | 501(c)(3) | 10 | Hartford HealthCare Medical Group Inc | Yes (1) | |
| Hartford HealthCare Medical Group Inc | |||||||||||
| 1290 Silas Deane Highway 2nd Floor | Wethersfield | CT | 06109 | 454456939 | Medical Services | CT | 501(c)(3) | 10 | Hartford HealthCare Corporation | Yes (1) | |
| Hartford HealthCare Senior Services Inc | |||||||||||
| 45 Meriden Avenue | Southington | CT | 06489 | 222635676 | Sub-Acute & Long Term Healthcare | CT | 501(c)(3) | 10 | Hartford HealthCare Corporation | Yes (1) | |
| Hartford Hospital | |||||||||||
| 80 Seymour Street PO Box 5037 | Hartford | CT | 06102 | 060646668 | Healthcare Services | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| Hartford Hospital Auxiliary co Hartford Hospital | |||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 066040747 | Fundraising | CT | 501(c)(3) | 12 (a) | Hartford Hospital | Yes (1) | |
| Midstate Medical Center | |||||||||||
| 435 Lewis Avenue | Meriden | CT | 06451 | 060646715 | Healthcare Services | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| Midstate Medical Center Auxiliary | |||||||||||
| 435 Lewis Avenue | Meriden | CT | 06451 | 066063082 | Fundraising | CT | 501(c)(3) | 12 (a) | Midstate Medical Center | Yes (1) | |
| Mulberry Gardens of Southington LLC | |||||||||||
| 58 Mulberry Street | Plantsville | CT | 06479 | 820586577 | Assisted Living & Adult Day Care Facility | CT | 501(c)(3) | 10 | Hartford HealthCare Senior Services Inc | Yes (1) | |
| Natchaug Hospital Inc | |||||||||||
| 189 Storrs Road | Mansfield Center | CT | 06226 | 060966963 | Behavioral Health | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| Rushford Center Inc | |||||||||||
| 883 Paddock Avenue | Meriden | CT | 06450 | 060932875 | Substance Abuse Healthcare Services | CT | 501(c)(3) | 7 | Hartford HealthCare Corporation | Yes (1) | |
| Rushford Foundation Inc | |||||||||||
| 883 Paddock Avenue | Meriden | CT | 06450 | 061432692 | Supporting Organization | CT | 501(c)(3) | 12 (a) | Rushford Center Inc | Yes (1) | |
| St Vincent's Development Inc | |||||||||||
| 95 Merritt Boulevard | Trumbull | CT | 06611 | 222554128 | Holding Company | CT | 501(c)(25) | St Vincent's Health Services Corp | Yes (1) | ||
| St Vincent's Health Services Corp | |||||||||||
| 2800 Main Street | Bridgeport | CT | 06606 | 222558134 | Supporting Organization | CT | 501(c)(3) | 12 (a) | SVMC Holdings Inc dba St Vincent's Medical Center | Yes (1) | |
| St Vincent's Special Needs Center Inc | |||||||||||
| 95 Merritt Boulevard | Trumbull | CT | 06611 | 060702617 | Residential Services for Handicapped | CT | 501(c)(3) | 10 | St Vincent's Health Services Corp | Yes (1) | |
| SVMC Holdings Inc dba St Vincent's Medical Center | |||||||||||
| One State Street Suite 19 | Hartford | CT | 06103 | 832550272 | Hospital | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| The Charlotte Hungerford Hospital | |||||||||||
| 540 Litchfield Street PO Box 988 | Torrington | CT | 06790 | 060646678 | Healthcare Services | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| The Hospital of Central CT and Bradley Memorial | |||||||||||
| 100 Grand Street | New Britian | CT | 06052 | 060646768 | Healthcare Services | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| The Orchards of Southington | |||||||||||
| 34 Hobart Street | Southington | CT | 06489 | 061490803 | Residential Services for Senior Citizens | CT | 501(c)(3) | 10 | Hartford HealthCare Senior Services Inc | Yes (1) | |
| The William W Backus Hospital | |||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 060250773 | Hospital | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| Visiting Nurse Services of CT Inc | |||||||||||
| 765 Fairfield Avenue | Bridgeport | CT | 06604 | 060665196 | Home Healthcare | CT | 501(c)(3) | 10 | Hartford HealthCare At Home Inc | Yes (1) | |
| WCMH Women's Auxiliary Inc | |||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 060677728 | Fundraising | CT | 501(c)(3) | 12 (a) | Windham Community Memorial Hospital | Yes (1) | |
| Windham Community Memorial Hospital | |||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 060646966 | Healthcare Services | CT | 501(c)(3) | 3 | Hartford HealthCare Corporation | Yes (1) | |
| Windham Hospital Foundation Inc | |||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 562546632 | Supporting Organization | CT | 501(c)(3) | 12 (a) | Windham Community Memorial Hospital | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (19 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| Advanced Medical Imaging of NW CT LLC | |||||||
| 57 Commercial Blvd | Torrington | CT | 06790 | 061594854 | Magnetic Resonance Imaging | CT | N/A |
| Ambulance Service of Manchester LLC | |||||||
| PO Box 300 | Manchester | CT | 06450 | 061557358 | Ambulatory Service | CT | N/A |
| Central Connecticut Endoscopy Center | |||||||
| 440 New Britain Avenue | Plainville | CT | 06062 | 141855010 | Endoscopy Svcs | CT | N/A |
| Connecticut Imaging Partners LLC | |||||||
| c/o Jefferson Radiology 1500 Concor | Sunrise | FL | 33323 | 134298940 | Imaging Services | CT | N/A |
| Connecticut Orthopaedic Surgery Center LLC | |||||||
| 205 Sub Way | Milford | CT | 06461 | 134298940 | Surgery Svcs | CT | N/A |
| Constitution Surgery Center East LLC | |||||||
| 174 Cross Road | Waterford | CT | 06385 | 061574704 | Surgery Svcs | CT | N/A |
| CT GI Endoscopy Center LLC ( Bloomfield) | |||||||
| 4 Northwestern Drive | Bloomfield | CT | 06002 | 061573358 | GI Services | CT | N/A |
| Glastonbury Endoscopy Center LLC | |||||||
| 300 Western Blvd Suite B | Glastonbury | CT | 06033 | 261721234 | Endoscopy Svcs | CT | N/A |
| Glastonbury Surgery Center LLC | |||||||
| 195 Eastern Boulevard | Glastonbury | CT | 06033 | 262600828 | Surgery Svcs | CT | N/A |
| Hartford-Middlesex Clinical System LLC | |||||||
| 80 Seymour Street | Hartford | CT | 06110 | 061543605 | Affiliate Support Services | CT | N/A |
| HHC Hartford Surgery Center LLC | |||||||
| 100 Avon Meadow Lane | Avon | CT | 06001 | 812637261 | Surgery Svcs | CT | N/A |
| HHC Southington Surgery Center LLC | |||||||
| 100 Avon Meadow Lane PO Box 1281 | Avon | CT | 06001 | 465500829 | Surgery Svcs | CT | N/A |
| HHC Urgent Care Go Health LLC | |||||||
| 2711 Centerville Road Suite 400 | Avon | CT | 06001 | 815112698 | Urgent Care Services | DE | N/A |
| Med East Assoc LLC | |||||||
| 1703 West Main Street | Willimantic | CT | 06226 | 061469575 | Outpatient Care Clinic | CT | N/A |
| MedConn Collection Agency | |||||||
| 2049 Silas Deane Highway Suite 305 | Rocky Hill | CT | 06067 | 061408854 | Collections Services | CT | N/A |
| New Britain MRI Limited Partnership | |||||||
| 100 Grand Street | New Britain | CT | 06050 | 061271349 | Magnetic resonance imaging | CT | N/A |
| Rocky Hill Surgery Center LLC | |||||||
| 1111 Cromwell Avenue Building 1 | Rocky Hill | CT | 06067 | 833096156 | Surgery Svcs | CT | N/A |
| The Endoscopy Center of Northwest Connecticut LLC | |||||||
| 245 Alvord Park Road | Torrington | CT | 06790 | 061609993 | Endoscopy Svcs | CT | N/A |
| Wallingford Endoscopy Center LLC | |||||||
| 85 Seymour Street Suite 1000 | Hartford | CT | 06106 | 824601730 | Endoscopy Svcs | CT | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Aetna Ambulance Service Inc | |||||||||||||
| PO Box 1150 | Manchester | CT | 06045 | 060795431 | Ambulance Services | CT | N/A | C | Yes (1) | ||||
| Backus Medical Center Condo Assoc Inc | |||||||||||||
| 330 Washington Street | Norwich | CT | 06360 | 061542647 | Condo Association | CT | N/A | C | Yes (1) | ||||
| CenConn Services Inc | |||||||||||||
| 100 Grand Street | New Britain | CT | 06050 | 222836001 | Billing Services | CT | N/A | C | Yes (1) | ||||
| ConnCare Inc | |||||||||||||
| 326 Washington Street | Norwich | CT | 06360 | 061387598 | Health Care Services | CT | N/A | C | Yes (1) | ||||
| HHMOB Corporation | |||||||||||||
| 80 Seymour Street PO Box 5037 | Hartford | CT | 06102 | 061140244 | Real Estate & Parking | CT | N/A | C | Yes (1) | ||||
| Hartford HealthCare Indemnity Services Ltd | |||||||||||||
| Captive Insurance | N/A | C | Yes (1) | FB Perry Bld 40 Church Street | Hamilton | BD | BD | ||||||
| Hartford Physician Services PC | |||||||||||||
| 80 Seymour Street | Hartford | CT | 06102 | 061254082 | Medical Services | CT | N/A | C | Yes (1) | ||||
| Litchfield County Healthcare Service Corporation | |||||||||||||
| 540 Litchfield Street | Torrington | CT | 06790 | 061227655 | Management Services | CT | N/A | C | Yes (1) | ||||
| Meriden Imaging Center | |||||||||||||
| 101 North Plains Industrial Road | Meriden | CT | 06429 | 061541468 | Imaging | CT | N/A | S | Yes (1) | ||||
| Metro Wheelchair Service Inc | |||||||||||||
| PO Box 300 | Manchester | CT | 06045 | 060878432 | Wheelchair Services | CT | N/A | C | Yes (1) | ||||
| Midstate Medical Group PC | |||||||||||||
| 435 Lewis Avenue | Meriden | CT | 06450 | 204327968 | Medical Services | CT | N/A | C | Yes (1) | ||||
| Windham Professional Office Condo Assoc | |||||||||||||
| 112 Mansfield Avenue | Willimantic | CT | 06226 | 061090041 | Condo Association | CT | N/A | C | Yes (1) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| SVMC Holdings Inc dba St Vincents Medical Center | ||
| R | $115,529,896 | FMV |
| SVMC Holdings Inc dba St Vincents Medical Center | ||
| S | $114,682,087 | FMV |
| Hartford HealthCare Medical Group Specialists PLLC | ||
| O | $44,475,129 | FMV |
| Hartford HealthCare Medical Group Specialists PLLC | ||
| S | $46,828,924 | FMV |