2012-08-15T13:01:44-05:00 2011-09-30 990 2010-10-01 060653171 Hospital of Saint Raphael HOSP 2037893000 1450 Chapel Street New Haven CT 06511 James R Rude 2037893575 2012-08-15 2010 2016-02-24 21:20:13Z Christopher M O'Connor 1450 Chapel Street New Haven CT 06511 507729136 0 X srhs.org X 1907 CT Not for Profit Hospital 21 16 4262 700 6944566 0 3635690 5555754 471037065 477956801 233861 304901 20426376 22106354 495332992 505923810 0 0 0 0 280314635 284957442 0 0 0 215195197 216793388 495509832 501750830 -176840 4172980 283518684 277047305 291639962 323551576 -8121278 -46504271 X The Hospital of Saint Raphael is a community teaching hospital and health care resource sponsored and guided by the values of the Sisters of Charity of Saint Elizabeth and of the Roman Catholic Church. The mission is to witness, share in, and promote excellence in the healing ministry of Jesus Christ. The Hospital is committed to preserving the dignity and well-being of each individual, and assuring that every person is treated according to the principles of charity and justice. The Hospital accepts the Gospel challenge that prompted their founders of the sponsoring congregation, Saint Vincent DePaul, Saint Elizabeth Ann Seton, and Mother Mary Xavier Mehegan by pledging every loving service in their power to reach out to those in need of services. 0 0 449230975 493118589 The Hospital of Saint Raphael provides services to the poor and the medically underserved, as well as providing benefits to the broader community. The Hospital also provides services to other needy populations that may not qualify as poor but need special services and support. These include the cost of health promotion, health screening and education of the general community. Total discharges for the year were 23,120, Emergency Room Visits 58,448, Patient days 121,946, Inpatient Surgical Procedures 6,080 and Ambulatory Surgery 9,770. 449230975 1 1 0 1 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 305 0 1 4262 1 1 1 1 BD 0 0 0 0 0 0 0 0 X 21 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X Hospital of Saint Raphael Acctg Dep 2037893505 1450 Chapel Street New Haven CT 06511 Vincent Calarco 3.30 X 0 0 0 M Joseph Canavan 5.00 X 0 0 0 James M Carolan 3.00 X 24446 0 0 Sister Teresa Confroy 8.00 X 0 0 0 Ralph DeNatale MD 5.00 X 50829 0 0 James Farmer MD 3.00 X 266667 0 0 Sister Mary Kathleen Flanagan 2.50 X 0 0 0 Paul Fortgang MD 2.00 X 0 0 0 Rev Bonita Grubbs 3.00 X 0 0 0 WBruce Lundberg MD 4.00 X 187500 0 0 Michele Macauda 2.00 X 0 0 0 Linda Masci 3.00 X 0 0 0 Sister Mary Morley 8.50 X 0 0 0 Sister Rosemary Moynihan 6.00 X 0 0 0 Edward J Mullen 1.00 X 0 0 0 Christopher M O'Connor 40.00 X X 0 616352 290387 Most Reverend Peter Rosazza 1.50 X 0 0 0 Sister Maureen Shaughnessy 6.00 X 0 0 0 James P Torgerson 2.00 X 0 0 0 Kevin Twohig MD 3.00 X 0 0 0 Sister Margaret Welch 6.50 X 0 0 0 Alan Kliger MD 40.00 X 0 673486 174437 Lawrence E McManus 40.00 X 0 780054 220217 Joseph Bisson 40.00 X 0 96381 6105 Russ Braun MD 40.00 X 0 201778 15186 John Burke 40.00 X 0 249201 37044 Elizabeth Conrad 40.00 X 0 289090 80976 Thomas DonahueMD 40.00 X 443583 0 23510 Peter Duffy 40.00 X 0 242232 64996 John Fitzgerald 40.00 X 191291 0 28146 Sister Joan Granville 20.00 X 0 237356 45831 W Scott Helton MD 40.00 X 0 701271 127151 Mary Kuncas 40.00 X 0 307159 67192 Janeanne Lubin-Szafranski 40.00 X 0 352197 93626 Marshal Mandelkern MD 40.00 X 0 273155 79936 James Rude 40.00 X 202812 0 38096 Lucinda VonBeren 40.00 X 0 228718 68861 Andre Ghantous MD 40.00 X 531044 0 23312 John Federico MD 40.00 X 429383 0 18191 Donald Kim MD 40.00 X 432807 0 18510 Ernest Moritz MD 40.00 X 372883 0 20889 Samuel Hahn MD 40.00 X 305809 0 9868 David W Benfer 0.00 X 0 1842148 12166 Benedict Fernando MD 0.00 X 82533 0 0 Charles Hollander MD 0.00 X 0 696177 14984 Ronald Thomas MD 40.00 X 0 290453 6906 Keith Williams MD 40.00 X 0 88632 1888 3521587 7980827 1580418 409 1 1 0 Cardinal Health 21377 Network Place Chicago IL 60673 Management 20451204 Morrison Management PO Box 102289 Atlanta GA 30368 Dietary 3533508 Yale University PO Box 208087 New Haven CT 06511 Medical 1844051 Murphy Security Service LLC PO Box 356 New Britain CT 06050 Security 1424783 Saint Raphael MRI PO Box 9651 New Haven CT 06511 MRI Service 1251046 46 5555754 5555754 Net Patient Services 621500 477956801 474305925 3650876 477956801 310227 310227 1800000 1805326 -5326 -5326 -5326 Physician Premiums 524298 2369470 2369470 Yankee Alliance 561499 924205 924205 Auxiliary 453220 -5021 -5021 18817700 18817685 15 22106354 505923810 493118589 6944566 304901 3689665 3259307 430358 229482194 202715668 26766526 3925256 3467419 457837 31486591 27814033 3672558 16373736 14463923 1909813 205829 181821 24008 764199 675064 89135 386086 341053 45033 63519 56110 7409 25562543 22580959 2981584 873567 771675 101892 96682847 85405877 11276970 5490464 4850063 640401 12827465 11331285 1496180 827313 730816 96497 604722 534188 70534 2512441 2219393 293048 13478326 11906230 1572096 5041000 4453024 587976 Bad debts - net 22840000 22840000 Pharmacy 19885146 19885146 Red Cross charges 4030498 4030498 Malpractice Insurance 3114995 3114995 Laundry and Linen 1602428 1602428 501750830 449230975 52519855 0 12582506 26894270 46474066 42793002 2681453 2253020 7913605 7423719 9995656 6898002 443470672 352115592 94202092 91355080 39974541 43743670 45843443 41651039 23851322 14035503 283518684 277047305 56144302 61485997 1946643 660619 233549017 261404960 291639962 323551576 X -38810360 -77285560 17619759 19690868 13069323 11090421 -8121278 -46504271 283518684 277047305 X 4172980 -42555973 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 124453 1 3409 0 1 7789 135651 0 Explanation of Other Lobbying Activities: Part II-B, Line 1i: The majority of lobbying by Saint Raphael employees takes place at the state and federal levels. During fiscal 2011, state law required Saint Raphael to register as a state lobbyist as well (as its Chief Executive Officer, its Chief Financial Officer, the Executive Director of Saint Regis Health Center and its Director of Community and Government Relations). These four individuals met with elected officials, sent correspondence, and educated the Saint Raphael community about proposed legislation. Occasionally, other Saint Raphael employees may be asked to write to their legislators about proposed healthcare legislation. These combined efforts constitue Saint Raphael's direct lobbying efforts. Other lobbying activites include: dues paid to a national coalition to influence Medicare reimbursement; background and research work completed by Saint Raphael employees and a legal firm concerning a variety of federal issues; and a lobbying contract with a federal lobbying firm. The Hospital is also a member of several trade associations, and periodically participates in their lobbying efforts since a portion of the dues paid to these groups (American Hospital Association, Catholic Health Association, Association of American Medical Colleges, Premier, Connecticut Hospital Association, and Connecticut Catholic Hospital Council) may be used for lobbying efforts. 3431456 15217 3446673 3122933 308523 3431456 3173968 -51035 3122933 1.00000 0 0 6064040 6064040 181235016 123526222 57708794 46060269 45179733 880536 208109839 183409637 24700202 2001508 2001508 91355080 Cash 7447151 F Money Market Funds 10271872 F CD's and Other 23932016 F 41651039 Due from Affiliates 20500 Deferred financing costs 1629100 Investment in Caritas 4350000 Long Term Investments 2204090 Cash Surrender Value of life insurance 123876 Investment Cyberknife 124509 Investment Yankee Alliance 421111 SERP Deposit 445910 Long Term Third Party Receivables 4716407 14035503 Current Portion of Long Term Debt 67058020 Interest Payable 298983 Post retirement Medical Costs 21088907 Accrued Pension - Defined Benefit Plan 121576582 Self Insurance - Workers Compensation 6980642 Outstanding Malpractice Losses Payable 16804013 Malpractice IBNR Costs 12600970 Third party payables 7904216 Other Long term liabilities 7092627 261404960 505923810 501750830 4172980 -906607 -41649366 -42555973 -38382993 504909034 87810 87810 504821224 63519 1039067 1102586 505923810 502045661 358350 358350 501687311 63519 63519 501750830 Part XI, Line 8 - Other Adjustments: Net equity transfers to affiliates -14148301. Contributions restricted to Special Purpose Fund 3806715. Losses on restricted Net Assets -142946. Net assets released from restriction -5555755. Change in interest in net assets of Saint Raphael Foundation, Inc. 1598921. Decrease in Minimum Pension Liability -27208000. Part XII, Line 4b - Other Adjustments: Elimination/reclass Subsidiary activity 1039067. Part XIII, Line 2d - Other Adjustments: Elimination/reclass Subsidiary activity 358350. Footnote to financial statements that reports the organization's liability for uncertain tax positions under FIN 48: Based on status of tax matters as of September 30, 2011, there were no disclosures in the footnotes to the organization's financial statements related to uncertain tax positions under FIN 48. 1 1 1 X 250.000000000000 1 X 1 1 1 0 1 1 1565 2006450 1402572 603878 0.00120 85385 72434875 58344655 14090220 0.02810 86950 74441325 59747227 14694098 0.02930 4 12041 444390 6935 437455 0.00090 4 2623 40080098 28057139 12022959 0.02400 1 9090 11741693 12691382 -949689 0.00000 2 382 78541 78541 0.00020 3 3163 651386 651386 0.00130 14 27299 52996108 40755456 12240652 0.02640 14 114249 127437433 100502683 26934750 0.05570 1 0 20956 20956 0.00000 1 0 6691 6691 0.00000 1 1773 40196 40196 0.00010 1 0 21347 21347 0.00000 1 20 876 876 0.00000 1 0 15367 15367 0.00000 1 3500 9187 9187 0.00000 1 204 144118 144118 0.00030 8 5497 258738 258738 0.00040 1 7923196 5070845 197520043 232518456 -34998413 X 1 1 1 CT CK Leasing LLC Cyberkife stereotactic radiosurgery system. 0.49090 0.13640 2 Health CT LLC Provides comprehensive health care through hospital provider network. 0.15800 3 Yankee Alliance LLC Hospital supply chain management. 0.11110 1 1 Hospital of Saint Raphael

1450 Chapel Street New Haven CT 06511

X X X X NA 1 Part II: The Hospital of Saint Raphael's community building activities include: the HOPE Program which provides basic job skills training to members of the community in order to assist them in finding employment and improving their overall quality of life; Disaster Preparedness - the Disaster Preparedness Committee works with local agencies (police, fire, etc) to coordinate activities and prepare our staff in the event that a local disaster would occur; the maintenance of two Hospital parks and an adopted site within the neighborhood for community use; and periodic street patrols within the neighborhood promoting security and safety. Part III, Line 4: The Hospital is committed to the community by providing services to the poor and the medically underserved, as well as providing benefits to the broader community. Focused on providing nondiscriminatory treatment of all patients, the Hospital fosters universal access to emergency care regardless of ability to pay. The Hospital grants credit without collateral to its patients, most of who are local residents and are insured under third-party payer arrangements. Services provided to the poor and the medically underserved include services provided to persons who cannot afford healthcare due to lack of resources, lack of insurance, or both. The Hospital considers care provided for which no payment was received from the patient or their insurer as uncompensated care. Uncompensated care is composed of free care provided, charity car provided, and bad debt expense. The Hospital makes available free care and financial assistance programs for qualifying patients. In accordance with established policies, during the registration, billing, and collection processes, a patients eligibility for free care and financial assistance is determined. For patients who were determined to have the ability to pay but did not, the Hospital provision for uncollectible accounts is bad debt expense. Part III, Line 8: The Medicare shortfall should be considered a part of the community benefit provided by the Hospital. Medicare patients who receive care at the Hospital are primarily local residents. They receive the same quality care as Medicaid and charity care patients.The costs reported on line 6 were estimated using a cost to charge ratio, which was derived by comparing total routine costs to total charges. Part III, Line 9b: Whenever it is determined that the patient qualifies for Charity Care, a Patient Accounts Representative will adjust the balance by the appropriate amount, and the residual balance (if any) will become the patients responsibility. Part VI, Line 2: The Hospital of Saint Raphael community benefit programs have been designed to meet the long standing needs of individuals living in our services area. The Hospital utilizes data from local, regional, state, and federal resources to develop and expand our community benefit program. Examples of these informational sources include Connecticut Department of Public Health 2009 Connecticut Health Disparities Report, CDC Behavioral Risk Factors Surveillance System, DATA Haven of South Central CT Community Data Well Being Indicators, and the Community Alliance for Research and Engagement at the School of Public Health- Yale University /2009 CARE Neighborhood Health Survey Results. Part VI, Line 3: The Hospital of Saint Raphael is committed to providing quality healthcare that is affordable and accessible to all, regardless of their ability to pay. To ensure that cost will not be a barrier to our community, we provide financial assistance coordinators who work closely with our patients to apply for eligible financial assistance programs, including assistance from our charitable resources. In addition there are brochures and signage in two languages indicating that financial assistance is available to qualified patients and their families. Part VI, Line 4: The Hospital of Saint Raphael is a 511-bed community teaching hospital located in New Haven. The Hospital of Saint Raphael's Service Area consists of the 22 towns which surround New Haven. The Service Area has a population of approximately 700,000. Average household income for the entire service area in 2011 was determined to be approximately $82,000. The City of New Haven demographics include a population of approximately 129,000 in 48,000 households. Average household income approximates $39,000 and per capita income approximates $22,000. Part VI, Line 6: In addition to the community building activities identified in Part VI, line 5 and the quantified free or discounted health services identified in Part I, Charity Care and Certain Other Community Benefits at Cost, the Hospital of Saint Raphael provides the following community benefits: Community Health Improvement Services - provides free and discounted services, such as screenings, lectures, health fairs, support groups, consultations, and referrals to outside agencies, aimed toward improving the health of the community; Health Professions Education - in addition to our medical interns and residents program, we provide a training site for high school and college students who are interested in pursing other degrees within the medical industry; and Financial and In-Kind Contributions - we financially support other community organizations through sponsorships and in-kind donations via time spent by staff volunteering in the community. Part VI, Line 7: Saint Raphael Healthcare System affiliated organizations include Saint Regis Nursing Home, Inc., d/b/a The Sister Anne Virginie Grimes Health Center and DePaul Health Services Corporation, both of which operate healthcare organizations that complement the care given at the Hospital of Saint Raphael. Our healthcare providing organizations are supported through the fund raising efforts of The Saint Raphael Foundation, Inc., the One for All Fund, and the Saint Raphael Auxiliary. These affiliated organizations share the Hospitals mission to witness, share in, and promote excellence in the healing ministry of Jesus Christ. The Saint Raphael Healthcare System and its affiliates are committed to preserving the dignity and well-being of each individual, and assuring that every person is treated according to the principles of charity and justice. Reports Filed With States Part VI, Line 7 CT X X X 1 1 X X X X X 0 1 0 0 0 0 0 1 0 James Farmer MD 0 0 0 0 266667 0 0 0 0 0 266667 0 0 0 WBruce Lundberg MD 0 0 0 0 187500 0 0 0 0 0 187500 0 0 0 Christopher M O'Connor 0 595606 0 0 0 20746 0 271979 0 18408 0 906739 0 0 Alan Kliger MD 0 448456 0 39571 0 185459 0 159302 0 15135 0 847923 0 39571 Lawrence E McManus 0 436158 0 150000 0 193896 0 201703 0 18514 0 1000271 0 150000 Russ Braun MD 0 200929 0 0 0 849 0 0 0 15186 0 216964 0 0 John Burke 0 225370 0 0 0 23831 0 35002 0 2042 0 286245 0 0 Elizabeth Conrad 0 234082 0 21760 0 33248 0 63570 0 17406 0 370066 0 21760 Thomas DonahueMD 442889 0 0 0 694 0 1979 0 21531 0 467093 0 0 0 Peter Duffy 0 193055 0 19119 0 30058 0 47944 0 17052 0 307228 0 19119 John Fitzgerald 188674 0 1500 0 1117 0 21000 0 7146 0 219437 0 1500 0 Sister Joan Granville 0 166756 0 16414 0 54186 0 39162 0 6669 0 283187 0 16414 W Scott Helton MD 0 491718 0 47700 0 161853 0 107575 0 19576 0 828422 0 47700 Mary Kuncas 0 238011 0 23365 0 45783 0 58528 0 8664 0 374351 0 23365 Janeanne Lubin-Szafranski 0 264845 0 23791 0 63561 0 76076 0 17550 0 445823 0 23791 Marshal Mandelkern MD 0 253484 0 15231 0 4440 0 61931 0 18005 0 353091 0 15231 James Rude 192223 0 10000 0 589 0 22581 0 15515 0 240908 0 10000 0 Lucinda VonBeren 0 187254 0 15648 0 25816 0 54456 0 14405 0 297579 0 15648 Andre Ghantous MD 455624 0 75000 0 420 0 1979 0 21333 0 554356 0 0 0 John Federico MD 402827 0 26142 0 414 0 1979 0 16212 0 447574 0 0 0 Donald Kim MD 337812 0 94675 0 320 0 1979 0 16531 0 451317 0 0 0 Ernest Moritz MD 368651 0 2200 0 2032 0 1979 0 18910 0 393772 0 0 0 Samuel Hahn MD 305698 0 0 0 111 0 0 0 9868 0 315677 0 0 0 David W Benfer 0 678913 0 0 0 1163235 0 0 0 12166 0 1854314 0 1160639 Benedict Fernando MD 0 0 0 0 82533 0 0 0 0 0 82533 0 0 0 Charles Hollander MD 0 413769 0 150000 0 132408 0 0 0 14984 0 711161 0 150000 Ronald Thomas MD 0 129023 0 35321 0 126109 0 1979 0 4927 0 297359 0 35321 Part I, Line 1a Taxable housing and automobile allowances are provided to Christopher M. O'Connor ( Saint Raphael Healthcare System Inc. Chief Executive Officer) under the terms of the individual's employment contract. Taxable housing and automobile allowances are provided to Lawrence E. McManus (Saint Raphael Healthcare System, Inc. Chief Financial Officer) under the terms of the individual's employment arrangement. In addition, reimbursements (non-taxable) are made for the business use of a social club. Taxable housing and automobile allowances are provided to John Burke (Saint Raphael Healthcare System, Inc. Chief Information Officer) under the terms of the individual's employment arrangement. A taxable automobile allowance is provided to Saint Raphael Healthcare System, Inc.'s Vice Presidents under the terms of their employment arrangements. Certain payments to David W. Benfer (former Saint Raphael Healthcare System, Inc. Chief Executive Officer) are for gross-up payments (taxable) under the terms of the individual's employment arrangement. Part I, Line 4b The chief executive officer, chief financial officer, chief medical officer and key employees at the vice presidential/ clinical chairperson level are eligible to participate in a supplemental non-qualified retirement plan. During calendar year 2010 provision was made for participation in another such plan; these amounts are reported as a component of the value reported in Schedule J Part II Column (C) Deferred Compensation for the following individuals- Alan Kliger, MD ($27,323), Lawrence E. McManus ($26,138), Elizabeth Conrad ($8,210), Peter Duffy ($7,214), Sister Joan Granville ($6,193), W. Scott Helton ($30,596), Mary Kuncas ($11,461), Janeanne Lubin-Szafranski ($12,567), Marshal Mandelkern MD ($8,277), Lucinda VonBeren ($5,904). Part I, Line 7 The chief executive officer, chief financial officer, chief medical officer and key employees at the vice presidential/ clinical chairperson level are eligible to earn incentive compensation based upon the achievement of Board of Trustees' approved metrics. During calendar year 2010 payments were made for incentives related to fiscal year ended September 30, 2009 and are reported in Schedule J Part II Column (Bii) "Bonus and Incentive Compensation". During fiscal year 2010 provision was made for incentives related to fiscal year ended September 30, 2010; such provision is reported in Schedule J as a component of Part II Column (C) "Deferred Compensation" for the following individuals - Christopher M. O'Connor ($270,000), Alan Kliger MD ($130,000), Lawrence E. McManus ($175,000), John Burke ($35,002), Elizabeth Conrad ($53,550), Peter Duffy ($39,139), John Fitzgerald ($21,000), Sister Joan Granville ($31,700), Scott Helton MD ($75,000), Mary Kuncas ($45,123), Janeanne Lubin-Szafranski ($61,530), Marshal Mandelkern ($51,675), James Rude ($21,000), Lucinda VonBeren ($47,250). Certain Hospital of Saint Raphael physician caregivers are elibigle to earn incentive compensation based upon the achievement of approved productivity metrics. During calendar year 2010 payments were made for such incentives as reported in Schedule J Part II Column (B) (ii) "Bonus and Incentive Compensation" for the persons and amounts identified. State of Connecticut Health and Educational Faciliaites Authority 060806186 20774LY25 2004-12-16 27599152 See Schedule O below. 0 0 0 State of Connecticut Health and Educational Faciliaites Authority 060806186 20774LY33 2004-12-16 25366864 See Schedule O below. 0 0 0 27599152 1515508 1905382 1 0 1 1 25366864 465330 1 0 1 1 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 0 Form 990, Part VI, Section A, line 6 Hospital of Saint Raphael is a membership corporation and the sole Member of the Hospital is the Saint Raphael Healthcare System, Inc. Form 990, Part VI, Section A, line 7a Saint Raphael Healthcare System, Inc. is the sole Member of the Hospital of Saint Raphael. Form 990, Part VI, Section A, line 7b The following rights and powers are reserved to the Membership of the Hospital's sole Member: >To acquire, alienate or convey the real property or endowment funds of the Hospital having a value of $3,000,000 or more, or to place a mortgage on such property or funds in the amount of $3,000,000 or more. >To dispose of all or substantially all of the physical assets of the Hospital and to approve the merger or consolidation of the Hospital. >To borrow money and issue evidences of indebtedness in connection with the activities of the Hospital in the amount $3,000,000 or more, if such borrowings are to secured by mortgage, pledge or other lien on the Hospital's real property or endowment funds. >To organize or direct the organization of any corporation or other entity in which the Hospital will be a member or shareholder or have an equity interest greater than $1,000,000. >To dispose of stock or other equity interest of a corporation or other entity controlled by the Hospital. >To elect the Trustees of the Hospital who do not serve in an ex officio capacity. >To fill any vacancy occurring on the Board of Trustees, other than ex officio positions. >To amend the Certificate of Incorporation and Bylaws of the Hospital. >To appoint or remove the President of the Hospital. >To exercise any right specifically reserved to them in the certificate of incorporation of a subsidiary corporation controlled by the Hospital. Form 990, Part VI, Section B, line 11 The governing body reviewed key elements of the 990 prior to submission. Form 990, Part VI, Section B, line 12c Officers, trustees and key employees are required to complete the conflict of interest questionaire on an annual basis. Results of the questionaire are reviewed annually by the audit committee. Form 990, Part VI, Section B, line 15 Compensation of the organization's chief executive officer is determined by the Compensation Committee of the Board of Trustees (utilizing an independent compensation consultant in conjunction with a compensation survey of the relevant marketplace). The Compensation Committee maintains minutes of its meetings. The Chief Executive Officer is employed with a written employment contract. Compensation of the organization's other officers and most of its key employees are also determined by the Compensation Committee of the Board of Trustees (utilizing an independent compensation consultant in conjunction with a compensation survey of the relevant marketplace). The Compensation Committee maintains minutes of its meetings. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized losses on investments: -906607. Net equity transfers to affiliates -14148301. Contributions restricted to Special Purpose Fund 3806715. Losses on restricted Net Assets -142946. Net assets released from restriction -5555755. Change in interest in net assets of Saint Raphael Foundation, Inc. 1598921. Decrease in Minimum Pension Liability -27208000. Total to Form 990, Part XI, Line 5: -42555973. Purpose Series L Schedule K Part 1 Column F Refinance State of Connecticut Health and Educational Facilities Authority, Hospital of Saint Raphael Issue Series D and E (dated 4/1/1991), Series G (dated 1/1/1992) and Series F (dated 11/1/1993). PUrpose Series M Schedule K Part 1 Column F Refinance State of Connecticut Health and Educational Facilities Authority, Hospital of Saint Raphael Issue Series J and K (dated 1/8/1998) and fund a portion of the construction and renovation costs of a facilities upgrade at Saint Regis Health Center, Inc. Form 990, Part VII, Line 1a, Column F Amounts reported for James Carolan reflect payments made to Withers Bergman LLC in the normal and recurring course of Hospital of Saint Raphael business and are not related to the volunteer services provided by the Trustee to the organization. Amounts reported for Ralph De Natale MD reflect payments made to Connecticut Vascular Center ($15,000) and the individual physician ($35,829) in the normal and recurring course of Hospital of Saint Raphael business and are not related to the volunteer services provided by the trustee to the organization. Amounts reported for James Farmer MD reflect payments made to Anesthesia Associates in the normal and recurring course of Hospital of Saint Raphael business and are not related to the volunteer services provided by the Trustee to the organization. Amounts reported for W. Bruce Lundberg MD reflect payments made to Medical Oncology and Hematology in the normal and recurring course of Hospital of Saint Raphael business and are not related to the volunteer services provided by the Trustee to the organization. Amounts reported for Benedict Fernando MD include payments made to West Haven Medical Group as a stipend for his role as president of the Hospital of Saint Raphael Medical Staff. The Medical Staff President's responsibilities include participation as a Hospital Trustee. Lukan Indemnity Co Ltd FB Perry Building 40 Church Street Hamilton Hamilton BD 060653171 Direct and reinsurance malpractice BD 4133294 34714015 Saint Raphael Healthcare System Inc 659 George Street New Haven CT 06511 061157542 Tax exempt holding company CT 501 (c) 3 11a 0 Caritas Insurance Company LTD 30 Main Street Suite 330 Burlington VT 05401 030322238 Insurance VT 501 (c) 3 11a Hospital of Saint Raphael 0 Saint Raphael Foundation Inc 1450 Chapel Street New Haven CT 06511 510140710 Fundraising Foundation CT 501 (c) 3 11a Saint Raphael Healthcare System Inc 0 Saint Regis Health Center Inc 1354 Chapel Street New Haven CT 06511 061217867 Skilled Nursing Facility CT 501 (c) 3 3 Saint Raphael Healthcare System Inc 0 DePaul Health Services Corp 659 George Street New Haven CT 06511 061157544 Tax exempt holding company CT 501 (c) 3 11a Saint Raphael Healthcare System Inc 0 Hospital of Saint Raphael One for All Fund 1450 Chapel Street New Haven CT 06511 222505062 Fundraising Organization CT 501 (c) 3 11a Hospital of Saint Raphael 0 VNA Services Inc 1100 Sherman Avenue Hamden CT 06518 060646709 Provision of healthcare services to patients in their homes CT 501 (c) 3 9 DePaul Health Services Corporation 0 Saint Raphael Healthcare System Affiliated Physicians Inc 1450 Chapel Street New Haven CT 06511 800522532 Medical Foundation CT 501 (c) 3 11a Saint Raphael Healthcare System Inc 0 0 1 1 0 0 0 0 0 1 1 1 1 0 0 0 0 0 1 Saint Raphael Healthcare System Inc L 2680260 Cost Basis Saint Raphael Healthcare System Inc I 24996 FMV of Services Saint Raphael Healthcare System Inc C 1025000 Cash Value Saint Raphael Healthcare System Inc B 16667969 Cash Value Caritas Insurance Company LTD L 1440000 FMV of Services Saint Raphael Foundation Inc C 230044 Cash Value Saint Regis Health Center Inc I 30036 FMV of Services Saint Regis Health Center Inc K 720865 FMV of Services Saint Regis Health Center Inc J 18024 FMV of Services Saint Regis Health Center Inc B 142445 Cost Basis VNA Services Inc R 488629 FMV of Property Saint Raphael Healthcare System Affiliated Physicians Inc K 2434190 FMV of Services