TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC (EIN 06-1450168)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-08-13
- IRS object ID
- 201512259349300801
- Schema version
- 2013v4.0
- 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 | 2015-08-13T06:40:27-05:00 | ReturnTs |
| Tax Period End | 2014-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 111986323 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARCUM LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| 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 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 061450168 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT FRANCIS MEDICAL GROUP INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SAIN | BusinessNameControlTxt |
| Phone | 8607149632 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 114 WOODLAND STREET | AddressLine1 |
| City | HARTFORD | City |
| State | CT | State |
| ZIP Code | 06105 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID BITTNER | PersonNm |
| Person Title | SENIOR VICE PRESIDENT & CFO | PersonTitleTxt |
| Phone | 8607144603 | PhoneNum |
| Signature | 2015-08-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DOUGLAS FARRINGTON | PreparerPersonNm |
| PTIN | P00370668 | PTIN |
| Phone | 8607600600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAVID BITTNER | PrincipalOfficerNm |
US Address USAddress
| 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 | $80,109,023 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.STFRANCISCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | MEDICAL AND EDUCATIONAL PROGRAMS | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 1 | VotingMembersIndependentCnt |
| Total Employee | 455 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $69,085,815 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $75,699,162 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,528,975 | PYOtherRevenueAmt |
| CY Other Revenue | $4,409,861 | CYOtherRevenueAmt |
| PY Total Revenue | $72,614,790 | PYTotalRevenueAmt |
| CY Total Revenue | $80,109,023 | 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 | $67,256,389 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $80,498,307 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $15,319,778 | PYOtherExpensesAmt |
| CY Other Expenses | $19,511,895 | CYOtherExpensesAmt |
| PY Total Expenses | $82,576,167 | PYTotalExpensesAmt |
| CY Total Expenses | $100,010,202 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$9,961,377 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$19,901,179 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,411,939 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,496,643 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,211,288 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $21,197,171 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $200,651 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$9,700,528 | NetAssetsOrFundBalancesEOYAmt |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $92,910,781 | ExpenseAmt |
| Revenue | $80,048,260 | RevenueAmt |
| Desc | 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. | Desc |
| Total Program Service Expenses | $92,910,781 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 54 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 455 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | 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 | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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 | 0 | 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 |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DONNA GILBERT | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8607149632 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 114 WOODLAND ST MS 5-103-58 | AddressLine1 |
| City | HARTFORD | City |
| State | CT | State |
| ZIP Code | 06105 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| ROLF KNOLL MD | |||||||||
| CHAIRMAN | 55.00 | 2.00 | Yes (X) | Yes (X) | $162,942 | $0 | $4,124 | ||
| JOHN RODIS MD | |||||||||
| VICE PRESIDENT | 55.00 | 2.00 | Yes (X) | Yes (X) | $773,627 | $0 | $34,542 | ||
| JOHN N GIAMALIS | |||||||||
| TREASURER | 2.00 | 61.00 | Yes (X) | Yes (X) | $0 | $693,200 | $23,634 | ||
| DANIEL DIVER MD | |||||||||
| SECRETARY | 55.00 | 2.00 | Yes (X) | Yes (X) | $638,062 | $0 | $41,897 | ||
| BERNARD CLARK III MD | |||||||||
| PRESIDENT | 55.00 | 3.00 | Yes (X) | Yes (X) | $368,676 | $0 | $43,784 | ||
| ROBERT J KRUG MD | |||||||||
| DIRECTOR | 55.00 | 3.00 | Yes (X) | $376,021 | $0 | $38,613 | |||
| PAUL F MITCHELL DMD | |||||||||
| DIRECTOR | 55.00 | 2.00 | Yes (X) | $263,173 | $0 | $43,232 | |||
| JONATHON SPORN MD | |||||||||
| DIRECTOR | 55.00 | 2.00 | Yes (X) | $442,463 | $0 | $23,025 | |||
| THOMAS TERENZI DOEDD | |||||||||
| DIRECTOR | 55.00 | 2.00 | Yes (X) | $226,280 | $0 | $20,848 | |||
| JOSE ARIAS-CAMISON MD | |||||||||
| DIRECTOR | 55.00 | 0.00 | Yes (X) | $307,971 | $0 | $32,430 | |||
| WALTER TRYMBULAK MD | |||||||||
| DIRECTOR | 55.00 | 2.00 | Yes (X) | $217,159 | $0 | $25,996 | |||
| DAVID BITTNER | |||||||||
| TREASURER | 2.00 | 63.00 | Yes (X) | Yes (X) | $0 | $345,714 | $16,058 | ||
| ROBERT ELLIS | |||||||||
| DIRECTOR | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| SCOTT ELLNER DO | |||||||||
| DIRECTOR | 55.00 | 2.00 | Yes (X) | $426,370 | $0 | $27,919 | |||
| THEODORE HARTENSTEIN MD | |||||||||
| DIRECTOR | 55.00 | 1.00 | Yes (X) | $333,215 | $0 | $14,611 | |||
| SURENDRA KHERAMD | |||||||||
| DIRECTOR | 55.00 | 2.00 | Yes (X) | $451,352 | $0 | $31,159 | |||
| STEVEN RUBY MD | |||||||||
| DIRECTOR | 1.00 | 58.00 | Yes (X) | $0 | $690,480 | $18,179 | |||
| JENNIFER SCHNEIDER | |||||||||
| DIRECTOR | 2.00 | 59.00 | Yes (X) | $0 | $221,960 | $33,853 | |||
| ADAM SILVERMAN MD | |||||||||
| DIRECTOR | 55.00 | 3.00 | Yes (X) | $329,305 | $0 | $27,369 | |||
| KARIANNE SILVERMAN MD | |||||||||
| DIRECTOR | 55.00 | 1.00 | Yes (X) | $211,486 | $0 | $7,686 | |||
| STEVEN WOLF MD | |||||||||
| DIRECTOR | 1.00 | 55.00 | Yes (X) | $0 | $441,504 | $30,713 | |||
| RAUL MENDELOVICI | |||||||||
| SECTION CHIEF | 55.00 | 0.00 | $595,278 | $0 | $35,836 | Yes (X) | |||
| DAVID SPIRO MD | |||||||||
| STAFF PHYSICIAN | 55.00 | 0.00 | $645,398 | $0 | $28,573 | Yes (X) | |||
| IOANNIS RAFTOPOULOS MD | |||||||||
| MEDICAL DIRECTOR | 55.00 | 0.00 | $590,171 | $0 | $26,785 | Yes (X) | |||
| ERIC A SILVERSTEIN | |||||||||
| STAFF PHYSICIAN | 55.00 | 0.00 | $777,908 | $0 | $14,634 | Yes (X) | |||
| WILLIAM T MARSHALL DO | |||||||||
| DIRECTOR OF TRAUMA | 55.00 | 0.00 | $760,015 | $0 | $27,133 | Yes (X) | |||
| KATHLEEN M ROCHE MSRN | |||||||||
| FORMER DIRECTOR | 0.00 | 0.00 | $0 | $640,052 | $10,215 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,896,872 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,032,910 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $682,848 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 203 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DHP MANAGEMENT SERVICES INC | |||||
| PO BOX 634850 | CINCINNATI | OH | 45263 | PHYSICIAN SERVICES | $1,885,234 |
| MED3000 | |||||
| PO BOX 1236 | BUTLER | PA | 16003 | BILLING AND REVENUE MANAGEMENT | $1,482,286 |
| COMPHEALTH | |||||
| PO BOX 972651 | DALLAS | TX | 75397 | PHYSICIAN SERVICES | $587,623 |
| VISTA STAFFING SOLUTIONS | |||||
| FILE 50834 | LOS ANGELES | CA | 90074 | PHYSICIAN SERVICES | $441,125 |
| J MORRISSEY & CO | |||||
| 289 BROAD STREET | WINDSOR | CT | 06095 | TEMPORARY EMPLOYMENT SERVICES | $387,568 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | $40,763,510 | $40,763,510 |
| PHYSICIAN LEASE REVENUE | 900099 | $21,070,610 | $21,070,610 |
| TEACHING REVENUE | 900099 | $5,982,386 | $5,982,386 |
| ADMINISTRATION REVENUE | 900099 | $4,098,395 | $4,098,395 |
| CONTRACT REVENUE | 900099 | $3,233,244 | $3,233,244 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $551,017 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $551,017 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $75,699,162 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $59,516 | 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 | $59,516 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $59,516 | TotalRevenueColumnAmt |
| Exclusion | $59,516 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| WPA SUBSIDY | 900099 | $4,074,996 | $4,074,996 |
| MEANINGFUL USE | 900099 | $254,332 | $254,332 |
| OTHER REVENUE | 900099 | $21,017 | $21,017 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,350,345 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $80,109,023 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $80,049,507 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $59,516 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,907,019 | TotalAmt |
| Program Services | $5,611,668 | ProgramServicesAmt |
| Management And General | $295,351 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,291,472 | TotalAmt |
| Program Services | $60,070,909 | ProgramServicesAmt |
| Management And General | $2,220,563 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,891,339 | TotalAmt |
| Program Services | $1,824,007 | ProgramServicesAmt |
| Management And General | $67,332 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,058,678 | TotalAmt |
| Program Services | $6,195,017 | ProgramServicesAmt |
| Management And General | $863,661 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,349,799 | TotalAmt |
| Program Services | $3,230,546 | ProgramServicesAmt |
| Management And General | $119,253 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,789 | TotalAmt |
| Program Services | $14,246 | ProgramServicesAmt |
| Management And General | $27,543 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,888 | TotalAmt |
| Management And General | $56,888 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,794,442 | TotalAmt |
| Program Services | $6,575,230 | ProgramServicesAmt |
| Management And General | $1,219,212 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,191 | TotalAmt |
| Program Services | $5,191 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,385,228 | TotalAmt |
| Program Services | $572,926 | ProgramServicesAmt |
| Management And General | $812,302 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,940 | TotalAmt |
| Program Services | $558 | ProgramServicesAmt |
| Management And General | $10,382 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,998,645 | TotalAmt |
| Program Services | $1,702,651 | ProgramServicesAmt |
| Management And General | $295,994 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $592,532 | TotalAmt |
| Program Services | $581,433 | ProgramServicesAmt |
| Management And General | $11,099 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89 | TotalAmt |
| Management And General | $89 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,355 | TotalAmt |
| Program Services | $157,868 | ProgramServicesAmt |
| Management And General | $68,487 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $2,324,573 | $2,324,573 | |
| LICENSES & FEES | $1,354,567 | $1,297,679 | $56,888 |
| MEDICAL SUPPLIES | $1,202,116 | $1,202,055 | $61 |
| RECRUITMENT EXPENSES | $339,611 | $9,497 | $330,114 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,178,929 | TotalAmt |
| Program Services | $1,534,727 | ProgramServicesAmt |
| Management And General | $644,202 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,010,202 | TotalAmt |
| Program Services | $92,910,781 | ProgramServicesAmt |
| Management And General | $7,099,421 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $717,039 | BOYAmt |
| EOY | $2,757,934 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,455,906 | BOYAmt |
| EOY | $6,847,441 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $42,823 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,618,036 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $512,111 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $753,072 | BOYAmt |
| EOY | $1,105,925 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,485,922 | BOYAmt |
| EOY | $742,520 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,411,939 | BOYAmt |
| EOY | $11,496,643 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,211,288 | BOYAmt |
| EOY | $11,583,409 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $9,613,762 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,211,288 | BOYAmt |
| EOY | $21,197,171 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,651 | BOYAmt |
| EOY | -$9,700,528 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,651 | BOYAmt |
| EOY | -$9,700,528 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,411,939 | BOYAmt |
| EOY | $11,496,643 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$19,901,179 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $10,000,000 | 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $186,193 | OtherCostOrOtherBasisAmt |
| Depreciation | $62,916 | DepreciationAmt |
| Book Value | $123,277 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,431,843 | OtherCostOrOtherBasisAmt |
| Depreciation | $449,195 | DepreciationAmt |
| Book Value | $982,648 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,105,925 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED COMP TRUST | Desc |
| Book Value | $742,520 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $742,520 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO/FROM AFFILIATES | Desc |
| Amt | $9,613,762 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $9,613,762 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | 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 | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (26 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROLF KNOLL MD | ||||||||||||||
| CHAIRMAN | $162,942 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $4,124 | $0 | $167,066 | $0 | $0 | $0 |
| JOHN RODIS MD | ||||||||||||||
| VICE PRESIDENT | $698,627 | $0 | $75,000 | $0 | $0 | $0 | $15,000 | $0 | $19,542 | $0 | $808,169 | $0 | $0 | $0 |
| JOHN N GIAMALIS | ||||||||||||||
| TREASURER | $0 | $564,200 | $0 | $129,000 | $0 | $0 | $0 | $0 | $0 | $23,634 | $0 | $716,834 | $0 | $0 |
| DANIEL DIVER MD | ||||||||||||||
| SECRETARY | $638,062 | $0 | $0 | $0 | $0 | $0 | $19,291 | $0 | $22,606 | $0 | $679,959 | $0 | $0 | $0 |
| BERNARD CLARK III MD | ||||||||||||||
| PRESIDENT | $358,676 | $0 | $10,000 | $0 | $0 | $0 | $23,162 | $0 | $20,622 | $0 | $412,460 | $0 | $0 | $0 |
| ROBERT J KRUG MD | ||||||||||||||
| DIRECTOR | $376,021 | $0 | $0 | $0 | $0 | $0 | $18,188 | $0 | $20,425 | $0 | $414,634 | $0 | $0 | $0 |
| PAUL F MITCHELL DMD | ||||||||||||||
| DIRECTOR | $263,173 | $0 | $0 | $0 | $0 | $0 | $24,614 | $0 | $18,618 | $0 | $306,405 | $0 | $0 | $0 |
| JONATHON SPORN MD | ||||||||||||||
| DIRECTOR | $442,463 | $0 | $0 | $0 | $0 | $0 | $18,585 | $0 | $4,440 | $0 | $465,488 | $0 | $0 | $0 |
| THOMAS TERENZI DOEDD | ||||||||||||||
| DIRECTOR | $226,280 | $0 | $0 | $0 | $0 | $0 | $14,320 | $0 | $6,528 | $0 | $247,128 | $0 | $0 | $0 |
| JOSE ARIAS-CAMISON MD | ||||||||||||||
| DIRECTOR | $307,971 | $0 | $0 | $0 | $0 | $0 | $16,978 | $0 | $15,452 | $0 | $340,401 | $0 | $0 | $0 |
| WALTER TRYMBULAK MD | ||||||||||||||
| DIRECTOR | $217,159 | $0 | $0 | $0 | $0 | $0 | $12,423 | $0 | $13,573 | $0 | $243,155 | $0 | $0 | $0 |
| DAVID BITTNER | ||||||||||||||
| TREASURER | $0 | $240,714 | $0 | $105,000 | $0 | $0 | $0 | $0 | $0 | $16,058 | $0 | $361,772 | $0 | $0 |
| SCOTT ELLNER DO | ||||||||||||||
| DIRECTOR | $426,370 | $0 | $0 | $0 | $0 | $0 | $13,250 | $0 | $14,669 | $0 | $454,289 | $0 | $0 | $0 |
| THEODORE HARTENSTEIN MD | ||||||||||||||
| DIRECTOR | $333,215 | $0 | $0 | $0 | $0 | $0 | $11,550 | $0 | $3,061 | $0 | $347,826 | $0 | $0 | $0 |
| SURENDRA KHERAMD | ||||||||||||||
| DIRECTOR | $451,352 | $0 | $0 | $0 | $0 | $0 | $13,583 | $0 | $17,576 | $0 | $482,511 | $0 | $0 | $0 |
| STEVEN RUBY MD | ||||||||||||||
| DIRECTOR | $0 | $636,792 | $0 | $53,688 | $0 | $0 | $0 | $5,000 | $0 | $13,179 | $0 | $708,659 | $0 | $0 |
| JENNIFER SCHNEIDER | ||||||||||||||
| DIRECTOR | $0 | $185,960 | $0 | $36,000 | $0 | $0 | $0 | $14,368 | $0 | $19,485 | $0 | $255,813 | $0 | $0 |
| ADAM SILVERMAN MD | ||||||||||||||
| DIRECTOR | $294,305 | $0 | $35,000 | $0 | $0 | $0 | $13,496 | $0 | $13,873 | $0 | $356,674 | $0 | $0 | $0 |
| KARIANNE SILVERMAN MD | ||||||||||||||
| DIRECTOR | $211,486 | $0 | $0 | $0 | $0 | $0 | $6,197 | $0 | $1,489 | $0 | $219,172 | $0 | $0 | $0 |
| STEVEN WOLF MD | ||||||||||||||
| DIRECTOR | $0 | $441,504 | $0 | $0 | $0 | $0 | $0 | $15,935 | $0 | $14,778 | $0 | $472,217 | $0 | $0 |
| RAUL MENDELOVICI | ||||||||||||||
| SECTION CHIEF | $595,278 | $0 | $0 | $0 | $0 | $0 | $21,728 | $0 | $14,108 | $0 | $631,114 | $0 | $0 | $0 |
| DAVID SPIRO MD | ||||||||||||||
| STAFF PHYSICIAN | $645,398 | $0 | $0 | $0 | $0 | $0 | $15,000 | $0 | $13,573 | $0 | $673,971 | $0 | $0 | $0 |
| IOANNIS RAFTOPOULOS MD | ||||||||||||||
| MEDICAL DIRECTOR | $590,171 | $0 | $0 | $0 | $0 | $0 | $13,250 | $0 | $13,535 | $0 | $616,956 | $0 | $0 | $0 |
| ERIC A SILVERSTEIN | ||||||||||||||
| STAFF PHYSICIAN | $777,908 | $0 | $0 | $0 | $0 | $0 | $12,733 | $0 | $1,901 | $0 | $792,542 | $0 | $0 | $0 |
| WILLIAM T MARSHALL DO | ||||||||||||||
| DIRECTOR OF TRAUMA | $760,015 | $0 | $0 | $0 | $0 | $0 | $13,500 | $0 | $13,633 | $0 | $787,148 | $0 | $0 | $0 |
| KATHLEEN M ROCHE MSRN | ||||||||||||||
| FORMER DIRECTOR | $0 | $431,719 | $0 | $0 | $0 | $208,333 | $0 | $0 | $0 | $10,215 | $0 | $650,267 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 | KATHLEEN M. ROCHE RECEIVED A SEVERANCE BENEFIT OF $208,333. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | THE ORGANIZATION MADE A CHANGE RELATED TO BOARD OF DIRECTOR REQUIREMENTS. |
| 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 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 10,000,000. |
| 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ASYLUM HILL FAMILY MEDICAL CENTER | |||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061450170 | HEALTH SERVICES | CT | 501(C)(3) | LINE 3 | SAINT FRANCIS CARE | 0 | |
| ONE THOUSAND CORPORATION | |||||||||||
| 1000 ASYLUM STREET | HARTFORD | CT | 06105 | 060922325 | PROPERTY MANAGEMENT | CT | 501(C)(2) | ST FRANCIS HOSPITAL & MEDICAL CENTER | 0 | ||
| SAINT FRANCIS CARE INC | |||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061491191 | SUPPORTS HEALTH CARE ORGANIZATIONS | CT | 501(C)(3) | LINE 11A, I | 0 | N/A | |
| SAINT FRANCIS HOSPITAL & MEDICAL CENTER INC | |||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 060646813 | HOSPITAL | CT | 501(C)(3) | LINE 3 | SAINT FRANCIS CARE | 0 | |
| SAINT FRANCIS FOUNDATION INC | |||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061008255 | FUNDRAISING | CT | 501(C)(3) | LINE 11A, I | SAINT FRANCIS CARE | 0 | |
| SAINT FRANCIS EMERGENCY MEDICAL GROUP INC | |||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 451994612 | HEALTH SERVICES | CT | 501(C)(3) | LINE 3 | SAINT FRANCIS MEDICAL GROUP INC | Yes (1) | |
| MT SINAI REHABILITATION HOSPITAL INC | |||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061422973 | HOSPITAL | CT | 501(C)(3) | LINE 3 | SAINT FRANCIS CARE | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| TOTAL LAUNDRY COLLABORATIVE | |||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 208335788 | LAUNDRY SERVICES | CT | N/A |
| MEDWORKS LLC | |||||||
| 375 EAST CEDAR STREET | NEWINGTON | CT | 06111 | 061490483 | REHABILITATION SERVICES | CT | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| SAINT FRANCIS CARE MEDICAL GROUP PC | |||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061432373 | HEALTH SERVICES | CT | N/A | C | 0 |
| SAINT FRANCIS BEHAVIORAL HEALTH GROUP | |||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061384686 | BEHAVIOR HEALTH SERVICES | CT | N/A | C | 0 |
| SAINT FRANCIS HEALTH CARE PARTNERS | |||||||||
| 95 WOODLAND ST FOURTH FLOOR | HARTFORD | CT | 06105 | 061391257 | MGMT AND ADMIN SERVICES | CT | N/A | C | 0 |
| SAINT FRANCIS HEALTHCARE PARTNERS ACO INC | |||||||||
| 95 WOODLAND ST FOURTH FLOOR | HARTFORD | CT | 06105 | 461315402 | MGMT AND ADMIN SERVICES | CT | N/A | C | 0 |
| 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 | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |