2016-08-15T10:09:06-05:00 2015-09-30 111986323 MARCUM LLP CITY PLACE II 185 ASYLUM STREET HARTFORD CT 06103 990 2014-10-01 061450168 SAINT FRANCIS MEDICAL GROUP INC SAIN 8607149632 114 WOODLAND STREET HARTFORD CT 06105 JENNIFER SCHNEIDER VP FINANCE 8607144603 2016-08-12 1 DOUGLAS FARRINGTON P00370668 8607600600 2014 2016-12-15 16:53:06Z JENNIFER SCHNEIDER 114 WOODLAND STREET HARTFORD CT 06105 90006860 0 X WWW.STFRANCISCARE.ORG X 1995 CT MEDICAL AND EDUCATIONAL PROGRAMS 15 1 551 0 0 0 0 0 75699162 85849028 0 16 4409861 4157816 80109023 90006860 0 0 0 0 80498307 89698117 0 0 0 19511895 16527602 100010202 106225719 -19901179 -16218859 11496643 12128591 21197171 15047978 -9700528 -2919387 TO ENGAGE IN THE TEACHING AND EDUCATION OF MEDICAL STUDENTS, RESIDENTS AND FELLOWS, TO PERFORM MEDICAL AND RELATED RESEARCH ACTIVITIES, AND TO RENDER PROFESSIONAL MEDICAL SERVICES TO PERSONS IN NEED OF SUCH SERVICES. 0 0 99875668 89957381 EMPLOYS PHYSICIANS AND PHYSICIAN ASSISTANTS WHO PROVIDE MEDICAL SERVICES IN THE GREATER HARTFORD CONNECTICUT COMMUNITY AND CONDUCTS TEACHING AND EDUCATION PROGRAMS FOR MEDICAL STUDENTS AND RESIDENTS IN SUPPORT OF THE SAINT FRANCIS CARE HEALTH SYSTEM. 99875668 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 53 0 1 551 1 0 0 0 0 0 0 0 0 0 0 X 15 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X X DONNA GILBERT 8607149632 114 WOODLAND ST MS 5-103-58 HARTFORD CT 06105 JOHN RODIS MD DIRECTOR 1.00 57.00 X 0 914647 59160 JOHN N GIAMALIS TREASURER 2.00 61.00 X X 0 724755 54761 DANIEL DIVER MD VICE PRESIDENT 55.00 2.00 X X 667222 0 60084 ROBERT J KRUG MD SECRETARY 55.00 5.00 X X 378241 0 34814 JONATHON SPORN MD DIRECTOR 55.00 2.00 X 463956 0 37400 DAVID BITTNER TREASURER 2.00 61.00 X X 0 395908 39261 ROBERT ELLIS DIRECTOR 2.00 4.00 X 0 0 0 SCOTT ELLNER DO DIRECTOR/PRESIDENT 55.00 2.00 X X 677020 0 27198 THEODORE HARTENSTEIN MD DIRECTOR 55.00 1.00 X 384048 0 27690 SURENDRA KHERAMD DIRECTOR 55.00 2.00 X 488019 0 55696 STEVEN RUBY MD DIRECTOR 1.00 58.00 X 0 683168 45003 JENNIFER SCHNEIDER DIRECTOR 2.00 59.00 X 0 278987 46358 ADAM SILVERMAN MD DIRECTOR 55.00 3.00 X 346050 0 24011 KARIANNE SILVERMAN MD DIRECTOR 55.00 1.00 X 223259 0 18166 STEVEN WOLF MD DIRECTOR 1.00 55.00 X 0 410926 45678 PHILIP Y ROLAND DIRECTOR 55.00 2.00 X 448921 0 29148 DAVID SPIRO MD STAFF PHYSICIAN 55.00 0.00 X 687306 0 40365 ERIC A SILVERSTEIN STAFF PHYSICIAN 55.00 0.00 X 810793 0 34665 WILLIAM T MARSHALL DO DIRECTOR OF TRAUMA 55.00 0.00 X 674558 0 45766 BRUCE S CHOZICK MD STAFF PHYSICIAN 55.00 0.00 X 1121306 0 12560 GAGANDEEP SINGH MD SECTION CHIEF 55.00 0.00 X 591157 0 26446 BERNARD CLARK III MD FORMER OFFICER 55.00 3.00 X 366235 0 57710 PAUL F MITCHELL DMD FORMER DIRECTOR 55.00 2.00 X 266484 0 55218 KATHLEEN M ROCHE MSRN FORMER DIRECTOR 0.00 0.00 X 0 287380 5985 THOMAS TERENZI DOEDD FORMER DIRECTOR 55.00 0.00 X 229341 0 34199 JOSE ARIAS-CAMISON MD FORMER DIRECTOR 55.00 0.00 X 309220 0 47576 WALTER TRYMBULAK MD FORMER DIRECTOR 55.00 0.00 X 224533 0 39568 9357669 3695771 1004486 235 1 1 0 DELPHI OF TEAM HEALTH PO BOX 634850 CINCINNATI OH 45263 PHYSICIAN SERVICES 1983199 MED3000 PO BOX 1236 BUTLER PA 16003 BILLING AND REVENUE MANAGEMENT 1360157 ACCOUNTEMPS 12400 COLLECTIONS CENTER DR CHICAGO IL 60693 TEMP LABOR 406513 CENTRAL CT CARDIOLOGY 21 WOODLAND ST STE 211 HARTFORD CT 06105 PHYSICIAN SERVICES 296058 SAPPINGTON FREUND PRAKASH PC 300 HEBRON AVE STE 213 GLASTONBURY CT 06033 PHYSICIAN SERVICES 288610 13 PATIENT SERVICE REVENUE 621110 48771281 48771281 PHYSICIAN LEASE REVENUE 900099 20836904 20836904 ADMINISTRATION REVENUE 900099 5979249 5979249 TEACHING REVENUE 900099 5890469 5890469 CONTRACT REVENUE 900099 3660009 3660009 711116 711116 85849028 16 16 49463 0 49463 49463 49463 WPA SUBSIDY 900099 4075000 4075000 OTHER REVENUE 900099 33353 33353 4108353 90006860 89957381 0 49479 4357954 4140056 217898 72690674 70616556 2074118 2418830 2349933 68897 6486055 5652235 833820 3744604 3633530 111074 196747 68291 128456 50956 50956 5283358 4009287 1274071 11365 11126 239 1430740 683723 747017 11625 4293 7332 2646421 2353316 293105 669081 612989 56092 268821 198173 70648 BAD DEBT EXPENSE 2354207 2354207 LICENSES & FEES 1742930 1735481 7449 MEDICAL SUPPLIES 1397926 1397894 32 RECRUITMENT EXPENSES 240946 240946 222479 54578 167901 106225719 99875668 6350051 0 2757934 3393108 6847441 6610869 42823 54825 1718326 780932 1105925 937394 742520 1132395 11496643 12128591 10840889 13543602 10356282 1504376 21197171 15047978 X -9700528 -2919387 -9700528 -2919387 11496643 12128591 X -16218859 23000000 X X 0 1 X 1 0 X 186193 80588 105605 1366970 610633 756337 165163 89711 75452 937394 DEFERRED COMP TRUST 1132395 1132395 DUE TO/FROM AFFILIATES 371981 DEFERRED COMP TRUST 1132395 1504376 1 0 0 0 0 0 0 0 0 JOHN RODIS MD DIRECTOR 0 732647 0 182000 0 0 0 23992 0 35168 0 973807 0 0 JOHN N GIAMALIS TREASURER 0 677070 0 0 0 47685 0 28024 0 26737 0 779516 0 0 DANIEL DIVER MD VICE PRESIDENT 654722 0 12500 0 0 0 17850 0 42234 0 727306 0 0 0 ROBERT J KRUG MD SECRETARY 365741 0 12500 0 0 0 16650 0 18164 0 413055 0 0 0 JONATHON SPORN MD DIRECTOR 448956 0 15000 0 0 0 17850 0 19550 0 501356 0 0 0 DAVID BITTNER TREASURER 0 320908 0 75000 0 0 0 9308 0 29953 0 435169 0 0 SCOTT ELLNER DO DIRECTOR/PRESIDENT 632020 0 45000 0 0 0 13350 0 13848 0 704218 0 0 0 THEODORE HARTENSTEIN MD DIRECTOR 384048 0 0 0 0 0 12907 0 14783 0 411738 0 0 0 SURENDRA KHERAMD DIRECTOR 418019 0 70000 0 0 0 20909 0 34787 0 543715 0 0 0 STEVEN RUBY MD DIRECTOR 0 668168 0 15000 0 0 0 13464 0 31539 0 728171 0 0 JENNIFER SCHNEIDER DIRECTOR 0 228987 0 50000 0 0 0 16372 0 29986 0 325345 0 0 ADAM SILVERMAN MD DIRECTOR 346050 0 0 0 0 0 15300 0 8711 0 370061 0 0 0 KARIANNE SILVERMAN MD DIRECTOR 223259 0 0 0 0 0 6234 0 11932 0 241425 0 0 0 STEVEN WOLF MD DIRECTOR 0 400926 0 10000 0 0 0 15300 0 30378 0 456604 0 0 PHILIP Y ROLAND DIRECTOR 448921 0 0 0 0 0 15300 0 13848 0 478069 0 0 0 DAVID SPIRO MD STAFF PHYSICIAN 687306 0 0 0 0 0 8813 0 31552 0 727671 0 0 0 ERIC A SILVERSTEIN STAFF PHYSICIAN 810793 0 0 0 0 0 13754 0 20911 0 845458 0 0 0 WILLIAM T MARSHALL DO DIRECTOR OF TRAUMA 674558 0 0 0 0 0 13683 0 32083 0 720324 0 0 0 BRUCE S CHOZICK MD STAFF PHYSICIAN 1121306 0 0 0 0 0 0 0 12560 0 1133866 0 0 0 GAGANDEEP SINGH MD SECTION CHIEF 591157 0 0 0 0 0 13625 0 12821 0 617603 0 0 0 BERNARD CLARK III MD FORMER OFFICER 356235 0 10000 0 0 0 20400 0 37310 0 423945 0 0 0 PAUL F MITCHELL DMD FORMER DIRECTOR 266484 0 0 0 0 0 20400 0 34818 0 321702 0 0 0 KATHLEEN M ROCHE MSRN FORMER DIRECTOR 0 0 0 0 0 287380 0 0 0 5985 0 293365 0 0 THOMAS TERENZI DOEDD FORMER DIRECTOR 229341 0 0 0 0 0 16113 0 18086 0 263540 0 0 0 JOSE ARIAS-CAMISON MD FORMER DIRECTOR 309220 0 0 0 0 0 17850 0 29726 0 356796 0 0 0 WALTER TRYMBULAK MD FORMER DIRECTOR 224533 0 0 0 0 0 14502 0 25066 0 264101 0 0 0 PART I, LINE 3 SAINT FRANCIS MEDICAL GROUP 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 PART I, LINE 4A JOHN GIAMALIS RECEIVED A SEVERANCE PAYMENT OF $47,685. KATHLEEN M. ROCHE RECEIVED A SEVERANCE PAYMENT OF $287,380. FORM 990, PART VI, SECTION B, LINE 11 THE FINANCE COMMITTEE OF TRINITY HEALTH-NEW ENGLAND,INC. (FORMERLY KNOWN AS SAINT FRANCIS CARE, INC.) HAS THE RESPONSIBILITY FOR OVERSEEING THE REVIEW OF THE FORM 990 INCLUDING ENSURING APPROPRIATE DIRECTORS AND MANAGEMENT PERSONNEL HAVE REVIEWED, ANY ISSUES ARE COMMUNICATED TO THE COMMITTEE AND FORM 990S ARE AVAILABLE TO THE BOARD OF DIRECTORS. 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 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 9: TRANSFER TO/FROM PARENT 23,000,000. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS HAS DELEGATED ITS OVERSIGHT RESPONSIBILITY OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS TO SAINT FRANCIS HOSPITAL AND MEDICAL CENTER AUDIT & CORPORATE COMPLIANCE COMMITTEE. 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