2014-08-19T10:06:27-05:00 2013-09-30 111986323 MARCUM LLP CITY PLACE II 185 ASYLUM STREET HARTFORD CT 06103 990 2012-10-01 061450168 SAINT FRANCIS MEDICAL GROUP INC SAIN 8607149632 114 WOODLAND STREET HARTFORD CT 06105 DAVID BITTNER 8607144603 2014-08-19 1 DOUGLAS FARRINGTON P00370668 8605498500 2012 2015-11-30 17:44:51Z DAVID BITTNER 114 WOODLAND STREET HARTFORD CT 06105 72614790 0 X WWW.STFRANCISCARE.ORG X 1995 CT MEDICAL AND EDUCATIONAL PROGRAMS 9 0 364 0 0 0 0 0 62514698 69085815 0 0 3171420 3528975 65686118 72614790 0 0 0 0 56740165 67256389 0 0 0 13350040 15319778 70090205 82576167 -4404087 -9961377 5453522 9411939 12382991 9211288 -6929469 200651 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 78548090 72570630 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. 78548090 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 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 43 0 1 364 1 0 0 0 0 0 0 0 0 0 0 X 9 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X X X DONNA GILBERT 8607149632 114 WOODLAND ST MS 5-103-58 HARTFORD CT 06105 ROLF KNOLL MD 55.00 4.00 X X 502786 0 42919 JOHN RODIS MD 55.00 0.00 X X 714391 0 17835 JOHN N GIAMALIS 2.00 62.00 X X 0 751809 46607 DANIEL DIVER MD 55.00 2.00 X X 625201 0 41385 BERNARD CLARK III MD 55.00 3.00 X 362641 0 42286 HEMA DESILVA MD 1.00 2.00 X 1600 0 1999 ROBERT J KRUG MD 55.00 3.00 X 357646 0 37992 PAUL F MITCHELL DMD 55.00 4.00 X 327982 0 41305 KATHLEEN M ROCHE MSRN 2.00 59.00 X 0 671879 37828 JONATHON SPORN MD 55.00 2.00 X 430552 0 27981 THOMAS TERENZI DOEDD 55.00 2.00 X 224923 0 20596 JOSE ARIAS-CAMISON MD 55.00 0.00 X 298337 0 31297 WALTER TRYMBULAK MD 55.00 2.00 X 216066 0 25851 RAUL MENDELOVICI 55.00 0.00 X 611860 0 34238 DAVID SPIRO MD 55.00 0.00 X 633556 0 13480 IOANNIS RAFTOPOULOS MD 55.00 0.00 X 509515 0 26630 ERIC A SILVERSTEIN 55.00 0.00 X 743203 0 16507 WILLIAM T MARSHALL DO 55.00 0.00 X 564024 0 26880 LAURIE LOIACONO MD 55.00 0.00 X 325018 0 26934 7449301 1423688 560550 186 1 1 0 HEALY MACINSKI RAO WADE & GORDON 1000 ASYLUM AVE STE 4304 HARTFORD CT 06105 PHYSICIAN SERVICES 277206 SAPPINGTONFREUNDPRAKASH PC 1000 ASYLUM AVENUE STE 3211 HARTFORD CT 06105 PHYSICIAN SERVICES 219778 MICHAEL R LINKINS 6823 TAMMANY MANOR LANE SPRING TX 77379 ADMIN CONSULTING SERVICES 208742 CENTRAL CT CARDIOLOGY LLC 21 WOODLAND ST STE 211 HARTFORD CT 06105 PHYSICIAN SERVICES 202358 COTTAGE GROVE CARDIOLOGY PC 711 COTTAGE GROVE RD BLOOMFIELD CT 06002 PHYSICIAN SERVICES 158989 7 PATIENT SERVICE REVENUE 621400 35617742 35617742 PHYSICIAN LEASE REVENUE 531190 19330781 19330781 TEACHING REVENUE 900099 6288094 6288094 ADMINISTRATION REVENUE 900099 4246634 4246634 CONTRACT REVENUE 900099 3027308 3027308 575256 575256 69085815 44160 0 44160 44160 44160 WPA SUBSIDY 900099 3075000 3075000 MEANINGFUL USE 900099 363533 363533 OTHER REVENUE 900099 46282 46282 3484815 72614790 72570630 0 44160 4201924 3990764 211160 53117422 51906326 1211096 1904282 1882573 21709 5087982 4827322 260660 2944779 2774263 170516 24694 24694 56872 56872 7856615 6377687 1478928 7129 1429 5700 664385 334180 330205 1262010 1110337 151673 527602 518226 9376 169139 73651 95488 4096 4096 BAD DEBT EXPENSE 1392827 1392827 LICENSES & FEES 1026352 1026352 MEDICAL SUPPLIES 806134 806134 RECRUITMENT EXPENSES 354461 354461 1167462 1167462 82576167 78548090 4028077 0 939124 717039 3884450 6455906 12694 0 1042162 289090 352934 753072 264320 1485922 5453522 9411939 8566440 9211288 3816551 0 12382991 9211288 X -6929469 200651 -6929469 200651 5453522 9411939 X -9961377 1091497 16000000 X X 0 1 X 1 0 X 186193 45244 140949 855969 243846 612123 753072 DUE FROM AFFILIATES 986626 EMPLOYEE ASSISTANCE LOANS 1880 DEFERRED COMP TRUST 497416 1485922 X 1 1 0 0 0 0 0 0 0 0 0 ROLF KNOLL MD 432786 0 70000 0 0 0 17570 0 25349 0 545705 0 0 0 JOHN RODIS MD 714391 0 0 0 0 0 0 0 17835 0 732226 0 0 0 JOHN N GIAMALIS 0 557559 0 194250 0 0 0 14700 0 31907 0 798416 0 0 DANIEL DIVER MD 625201 0 0 0 0 0 18872 0 22513 0 666586 0 0 0 BERNARD CLARK III MD 362641 0 0 0 0 0 22640 0 19646 0 404927 0 0 0 ROBERT J KRUG MD 357646 0 0 0 0 0 17725 0 20267 0 395638 0 0 0 PAUL F MITCHELL DMD 327982 0 0 0 0 0 23261 0 18044 0 369287 0 0 0 KATHLEEN M ROCHE MSRN 0 499329 0 172550 0 0 0 14700 0 23128 0 709707 0 0 JONATHON SPORN MD 430552 0 0 0 0 0 15743 0 12238 0 458533 0 0 0 THOMAS TERENZI DOEDD 224923 0 0 0 0 0 14161 0 6435 0 245519 0 0 0 JOSE ARIAS-CAMISON MD 298337 0 0 0 0 0 15987 0 15310 0 329634 0 0 0 WALTER TRYMBULAK MD 216066 0 0 0 0 0 12371 0 13480 0 241917 0 0 0 RAUL MENDELOVICI 611860 0 0 0 0 0 20427 0 13811 0 646098 0 0 0 DAVID SPIRO MD 633556 0 0 0 0 0 0 0 13480 0 647036 0 0 0 IOANNIS RAFTOPOULOS MD 509515 0 0 0 0 0 13150 0 13480 0 536145 0 0 0 ERIC A SILVERSTEIN 743203 0 0 0 0 0 14700 0 1807 0 759710 0 0 0 WILLIAM T MARSHALL DO 564024 0 0 0 0 0 13400 0 13480 0 590904 0 0 0 LAURIE LOIACONO MD 325018 0 0 0 0 0 12720 0 14214 0 351952 0 0 0 SUPPLEMENTAL INFORMATION PART III 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 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: TRANSFER TO/FROM PARENT 16,000,000. 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. 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 N/A 0 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 THE CAMILLUS CORPORATION 1000 ASYLUM STREET HARTFORD CT 06105 061051261 SUPPORTS HEALTH CARE ORGANIZATIONS CT 501(C)(3) LINE 11A, I SAINT FRANCIS CARE 0 MT SINAI REHABILITATION HOSPITAL INC 114 WOODLAND STREET HARTFORD CT 06105 061422973 HOSPITAL CT 501(C)(3) LINE 3 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 1 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 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 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1 1 0 1