TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC (EIN 06-1450168)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-08-13
- IRS object ID
- 201322259349300222
- Schema version
- 2011v1.5
- 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) |
|---|---|---|
| Timestamp | 2013-08-13T08:35:54-05:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 111986323 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARCUM LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 061450168 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT FRANCIS MEDICAL GROUP INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SAIN | NameControl |
| Phone | 8607149632 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 114 WOODLAND STREET NO 4312 | AddressLine1 |
| City | HARTFORD | City |
| State | CT | State |
| ZIP Code | 06105 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAVID BITTNER | Name |
| Title | VICE PRESIDENT OF FINANCE | Title |
| Phone | 8607144603 | Phone |
| Date Signed | 2013-08-06 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DOUGLAS FARRINGTON | Name |
| PTIN | P00370668 | PTIN |
| Phone | 8605498500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DAVID BITTNER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 114 WOODLAND STREET NO 4312 | AddressLine1 |
| City | HARTFORD | City |
| State | CT | State |
| ZIP Code | 06105 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 65686118 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.STFRANCISCARE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1995 | YearFormation |
| State Legal Domicile | CT | StateLegalDomicile |
| Activity Or Mission Description | MEDICAL AND EDUCATIONAL PROGRAMS | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 301 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 57104185 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 62514698 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 244 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3229282 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3171420 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 60333711 | TotalRevenuePriorYear |
| Total Revenue Current Year | 65686118 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 49897706 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 56740165 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 12210093 | OtherExpensePriorYear |
| Other Expenses Current Year | 13350040 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 62107799 | TotalExpensesPriorYear |
| Total Expenses Current Year | 70090205 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1774088 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -4404087 | RevenuesLessExpensesCY |
| Total Assets BOY | 4829159 | TotalAssetsBOY |
| Total Assets EOY | 5453522 | TotalAssetsEOY |
| Total Liabilities BOY | 7354541 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 12382991 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -2525382 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -6929469 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 66691950 | Expense |
| Revenue | 65686118 | Revenue |
| Description | 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. | Description |
| Total Program Service Expense | 66691950 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 45 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 301 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Own Website | X | OwnWebsite |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DONNA GILBERT | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8607149632 | TelephoneNumber |
Address US AddressUS
| 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) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| ROLF KNOLL MD | ||||||||
| PRESIDENT | 55.00 | X | X | 428481 | 0 | 43508 | ||
| JOHN RODIS MD | ||||||||
| VICE PRESIDENT | 55.00 | X | X | 383302 | 0 | 7238 | ||
| JOHN N GIAMALIS | ||||||||
| TREASURER | 2.00 | X | X | 0 | 533020 | 30228 | ||
| DANIEL DIVER MD | ||||||||
| SECRETARY | 55.00 | X | X | 615345 | 0 | 30380 | ||
| BERNARD CLARK III MD | ||||||||
| DIRECTOR | 55.00 | X | 314879 | 0 | 32830 | |||
| HEMA DESILVA MD | ||||||||
| DIRECTOR | 55.00 | X | 216713 | 0 | 24108 | |||
| ROBERT J KRUG MD | ||||||||
| DIRECTOR | 55.00 | X | 357564 | 0 | 30792 | |||
| PAUL F MITCHELL DMD | ||||||||
| DIRECTOR | 55.00 | X | 263770 | 68750 | 32601 | |||
| KATHLEEN M ROCHE MSRN | ||||||||
| DIRECTOR | 2.00 | X | 0 | 621542 | 30637 | |||
| JONATHON SPORN MD | ||||||||
| DIRECTOR | 55.00 | X | 402315 | 0 | 19083 | |||
| THOMAS TERENZI DOEDD | ||||||||
| DIRECTOR | 55.00 | X | 221602 | 0 | 19677 | |||
| JOSE ARIAS-CAMISON MD | ||||||||
| DIRECTOR | 55.00 | X | 265249 | 0 | 28326 | |||
| LAURIE LOIACONO MD | ||||||||
| DIRECTOR | 55.00 | X | 318985 | 0 | 25834 | |||
| WALTER TRYMBULAK MD | ||||||||
| DIRECTOR | 55.00 | X | 213373 | 0 | 25268 | |||
| RAUL MENDELOVICI | ||||||||
| SECTION CHIEF | 55.00 | 588799 | 0 | 30252 | X | |||
| ANDREW P MACKENZIE MD | ||||||||
| PHYSICIAN | 55.00 | 509506 | 0 | 5581 | X | |||
| IOANNIS RAFTOPOULOS MD | ||||||||
| MEDICAL DIRECTOR | 55.00 | 490644 | 0 | 25424 | X | |||
| ERIC A SILVERSTEIN | ||||||||
| STAFF PHYSICIAN | 55.00 | 738820 | 0 | 16544 | X | |||
| WILLIAM T MARSHALL DO | ||||||||
| DIRECTOR OF TRAUMA | 55.00 | 575587 | 0 | 26132 | X | |||
| HOWARD SHAW | ||||||||
| FORMER DIRECTOR | 0.00 | 96842 | 0 | 80 | X | |||
| JEFFREY STEINBERG | ||||||||
| FORMER DIRECTOR | 0.00 | 439451 | 0 | 0 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 7441227 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1223312 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 484523 | TotalOtherCompensation |
| Number Individuals GT100 K | 157 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| DELPHI HEALTHCARE PARTNERS INC | |||||
| PO BOX 634850 | CINCINNATI | OH | 45263 | PHYSICIAN SERVICES | 1887590 |
| HEALY MACINSKI RAO WADE & GORDON | |||||
| 1000 ASYLUM AVENUE STE 4304 | HARTFORD | CT | 06105 | PHYSICIAN SERVICES | 263466 |
| SAPPINGTONFREUNDPRAKASH PC | |||||
| 1000 ASYLUM AVENUE STE 3211 | HARTFORD | CT | 06105 | PHYSICIAN SERVICES | 233479 |
| VISTA STAFFING SOLUTIONS | |||||
| PO BOX 50834 | LOS ANGELES | CA | 90074 | PHYSICIAN SERVICES | 226042 |
| CENTRAL CT CARDIOLOGY LLC | |||||
| 19 WOODLAND STREET | HARTFORD | CT | 06105 | PHYSICIAN SERVICES | 205950 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 8 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE REVENU | 621400 | 31313283 | 31313283 |
| PHYSICIAN LEASE REVENU | 531190 | 17714740 | 17714740 |
| TEACHING REVENUE | 900099 | 6360440 | 6360440 |
| ADMINISTRATION REVENUE | 900099 | 4035939 | 4035939 |
| CONTRACT REVENUE | 900099 | 2431391 | 2431391 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 658905 | TotalRevenueColumn |
| Related Or Exempt Function Income | 658905 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 62514698 | TotalProgramServiceRevenue |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 11113 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 11113 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11113 | TotalRevenueColumn |
| Related Or Exempt Function Income | 11113 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| WPA SUBSIDY | 900099 | 3075000 | 3075000 |
| OTHER REVENUE | 900099 | 85307 | 85307 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3160307 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 65686118 | TotalRevenueColumn |
| Related Or Exempt Function Income | 65686118 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4273745 | Total |
| Program Services | 3997235 | ProgramServices |
| Management And General | 276510 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44115202 | Total |
| Program Services | 43593534 | ProgramServices |
| Management And General | 521668 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1673384 | Total |
| Program Services | 1663449 | ProgramServices |
| Management And General | 9935 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4344745 | Total |
| Program Services | 4189675 | ProgramServices |
| Management And General | 155070 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2333089 | Total |
| Program Services | 2318465 | ProgramServices |
| Management And General | 14624 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48019 | Total |
| Management And General | 48019 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44140 | Total |
| Management And General | 44140 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6355133 | Total |
| Program Services | 4668763 | ProgramServices |
| Management And General | 1686370 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2330 | Total |
| Program Services | 2330 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 492943 | Total |
| Program Services | 365614 | ProgramServices |
| Management And General | 127329 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 922724 | Total |
| Program Services | 857531 | ProgramServices |
| Management And General | 65193 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 437965 | Total |
| Program Services | 6101 | ProgramServices |
| Management And General | 431864 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58819 | Total |
| Program Services | 41286 | ProgramServices |
| Management And General | 17533 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| LICENSES & FEES | 1975420 | 1975420 |
| BAD DEBT EXPENSE | 1843439 | 1843439 |
| MEDICAL SUPPLIES | 565448 | 565448 |
| RECRUITMENT EXPENSES | 307211 | 307211 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 296449 | Total |
| Program Services | 296449 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 70090205 | Total |
| Program Services | 66691950 | ProgramServices |
| Management And General | 3398255 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1175353 | BOY |
| EOY | 939124 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3275060 | BOY |
| EOY | 3884450 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 136667 | BOY |
| EOY | 12694 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 685568 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 332634 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 189802 | BOY |
| EOY | 352934 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52277 | BOY |
| EOY | 264320 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4829159 | BOY |
| EOY | 5453522 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7285761 | BOY |
| EOY | 8566440 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 68780 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 3816551 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7354541 | BOY |
| EOY | 12382991 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -2525382 | BOY |
| EOY | -6929469 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -2525382 | BOY |
| EOY | -6929469 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4829159 | BOY |
| EOY | 5453522 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -4404087 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 42775 | OtherCostOrOtherBasis |
| Depreciation | 36253 | Depreciation |
| Book Value | 6522 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 642793 | OtherCostOrOtherBasis |
| Depreciation | 296381 | Depreciation |
| Book Value | 346412 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 352934 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO AFFILIATES | Description |
| Amount | $3,816,551 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 3816551 | TotalOfAmounts |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROLF KNOLL MD | |||||||||||||
| 359809 | 0 | 68672 | 0 | 0 | 0 | 17484 | 0 | 26024 | 0 | 471989 | 0 | 0 | 0 |
| JOHN RODIS MD | |||||||||||||
| 383302 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 7238 | 0 | 390540 | 0 | 0 | 0 |
| JOHN N GIAMALIS | |||||||||||||
| 0 | 533020 | 0 | 0 | 0 | 0 | 0 | 334 | 0 | 29894 | 0 | 563248 | 0 | 0 |
| DANIEL DIVER MD | |||||||||||||
| 565345 | 0 | 50000 | 0 | 0 | 0 | 17150 | 0 | 13230 | 0 | 645725 | 0 | 0 | 0 |
| BERNARD CLARK III MD | |||||||||||||
| 314879 | 0 | 0 | 0 | 0 | 0 | 19600 | 0 | 13230 | 0 | 347709 | 0 | 0 | 0 |
| HEMA DESILVA MD | |||||||||||||
| 216713 | 0 | 0 | 0 | 0 | 0 | 17199 | 0 | 6909 | 0 | 240821 | 0 | 0 | 0 |
| ROBERT J KRUG MD | |||||||||||||
| 357564 | 0 | 0 | 0 | 0 | 0 | 15100 | 0 | 15692 | 0 | 388356 | 0 | 0 | 0 |
| PAUL F MITCHELL DMD | |||||||||||||
| 263770 | 68750 | 0 | 0 | 0 | 0 | 19600 | 0 | 13001 | 0 | 296371 | 68750 | 0 | 0 |
| KATHLEEN M ROCHE MSRN | |||||||||||||
| 0 | 451542 | 0 | 170000 | 0 | 0 | 0 | 15034 | 0 | 15603 | 0 | 652179 | 0 | 0 |
| JONATHON SPORN MD | |||||||||||||
| 402315 | 0 | 0 | 0 | 0 | 0 | 14700 | 0 | 4383 | 0 | 421398 | 0 | 0 | 0 |
| THOMAS TERENZI DOEDD | |||||||||||||
| 221602 | 0 | 0 | 0 | 0 | 0 | 13341 | 0 | 6336 | 0 | 241279 | 0 | 0 | 0 |
| JOSE ARIAS-CAMISON MD | |||||||||||||
| 265249 | 0 | 0 | 0 | 0 | 0 | 13326 | 0 | 15000 | 0 | 293575 | 0 | 0 | 0 |
| LAURIE LOIACONO MD | |||||||||||||
| 318985 | 0 | 0 | 0 | 0 | 0 | 11930 | 0 | 13904 | 0 | 344819 | 0 | 0 | 0 |
| WALTER TRYMBULAK MD | |||||||||||||
| 213373 | 0 | 0 | 0 | 0 | 0 | 12098 | 0 | 13170 | 0 | 238641 | 0 | 0 | 0 |
| RAUL MENDELOVICI | |||||||||||||
| 588799 | 0 | 0 | 0 | 0 | 0 | 17150 | 0 | 13102 | 0 | 619051 | 0 | 0 | 0 |
| ANDREW P MACKENZIE MD | |||||||||||||
| 509506 | 0 | 0 | 0 | 0 | 0 | 4817 | 0 | 764 | 0 | 515087 | 0 | 0 | 0 |
| IOANNIS RAFTOPOULOS MD | |||||||||||||
| 490644 | 0 | 0 | 0 | 0 | 0 | 10400 | 0 | 15024 | 0 | 516068 | 0 | 0 | 0 |
| ERIC A SILVERSTEIN | |||||||||||||
| 738820 | 0 | 0 | 0 | 0 | 0 | 14700 | 0 | 1844 | 0 | 755364 | 0 | 0 | 0 |
| WILLIAM T MARSHALL DO | |||||||||||||
| 575587 | 0 | 0 | 0 | 0 | 0 | 12962 | 0 | 13170 | 0 | 601719 | 0 | 0 | 0 |
| HOWARD SHAW | |||||||||||||
| 96842 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 80 | 0 | 96922 | 0 | 0 | 0 |
| JEFFREY STEINBERG | |||||||||||||
| 439451 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 439451 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | PART III | ReturnReference |
| Explanation | 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 | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| 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 VII, SECTION A: | AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: BERNARD CLARK III, M.D. - 2 HOURS DANIEL DIVER, M.D. - 2 HOURS HEMA DESILVA, M.D.- 2 HOURS JOHN GIAMALIS - 64 HOURS JONATHON SPORN, M.D. - 2 HOURS KATHLEEN ROCHE, M.S.R.N. - 59 HOURS PAUL F. MITCHELL, D.M.D. - 4 HOURS ROBERT J. KRUG, M.D. - 3 HOURS ROLF KNOLL, M.D. - 6 HOURS THOMAS TERENZI, D.O., ED.D. - 2 HOURS WALTER TRYMBULAK, M.D. - 2 HOURS |
| 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
Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | |
| 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 | 0 | |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|
| 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 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| SAINT FRANCIS CARE MEDICAL GROUP PC | ||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061432373 | HEALTH SERVICES | CT | N/A | C |
| SAINT FRANCIS BEHAVIORAL HEALTH GROUP | ||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061384686 | BEHAVIOR HEALTH SERVICES | CT | N/A | C |
| SAINT FRANCIS HEALTH CARE PARTNERS | ||||||||
| 95 WOODLAND ST FOURTH FLOOR | HARTFORD | CT | 06105 | 061391257 | MGMT AND ADMIN SERVICES | CT | N/A | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |