MOUNT SINAI REHABILITATION HOSPITAL INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- MOUNT SINAI REHABILITATION HOSPITAL INC (EIN 06-1422973)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-08
- IRS object ID
- 201142209349300029
- Schema version
- 2009v1.7
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-08T09:42:05-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 061422973 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mount Sinai Rehabilitation Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MOUN | NameControl |
| Phone | 8607143500 | 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 | john n giamalis | Name |
| Title | senior vp & cfo | Title |
| Phone | 8607143500 | Phone |
| Date Signed | 2011-07-29 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Douglas Farrington | Name |
| Phone | 8605498500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | John N Giamalis | 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 | 19502763 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| 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 | Rehabilitation services | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 211 | TotalNbrEmployees |
| Total Nbr Volunteers | 52 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 597696 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 705148 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 15252472 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 16459401 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 81680 | InvestmentIncomePriorYear |
| Investment Income Current Year | 172612 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 52404 | OtherRevenuePriorYear |
| Other Revenue Current Year | 54723 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 15984252 | TotalRevenuePriorYear |
| Total Revenue Current Year | 17391884 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 12461704 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 13470874 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3118075 | OtherExpensePriorYear |
| Other Expenses Current Year | 2980627 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 15579779 | TotalExpensesPriorYear |
| Total Expenses Current Year | 16451501 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 404473 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 940383 | RevenuesLessExpensesCY |
| Total Assets BOY | 16937841 | TotalAssetsBOY |
| Total Assets EOY | 18411350 | TotalAssetsEOY |
| Total Liabilities BOY | 1043300 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1536085 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 15894541 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 16875265 | NetAssetsOrFundBalancesEOY |
| Mission Description | To operate a rehabilitation hospital in Hartford, Connecticut, and provide inpatient and outpatient rehabilitation services to persons who are disabled with physical or mental handicap. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 16390807 | Expense |
| Revenue | 16509522 | Revenue |
| Description | To provide comprehensive inpatient and outpatient medical rehabilitation services in the greater hartford connecticut community as part of the saint francis care health system. | Description |
| Total Program Service Expense | 16390807 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| 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 | 1 | 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 | 1 | 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 |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 7 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 211 | 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 |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | 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 suite 4312 | AddressLine1 |
| City | hartford | City |
| State | CT | State |
| ZIP Code | 06105 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (16 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 |
|---|---|---|---|---|---|---|---|
| howard w orr | |||||||
| chairman | 2.00 | X | X | 0 | 0 | 0 | |
| christopher m dadlez | |||||||
| president & ceo | 2.00 | X | X | 0 | 1594976 | 290008 | |
| delores graham | |||||||
| vice chairman | 2.00 | X | X | 0 | 0 | 0 | |
| p anthony giorgio phd | |||||||
| secretary | 2.00 | X | X | 0 | 0 | 0 | |
| edward s johnson dds | |||||||
| asst secretary | 2.00 | X | X | 0 | 292914 | 14839 | |
| brad davis | |||||||
| director | 2.00 | X | 0 | 0 | 0 | ||
| jeannine mara | |||||||
| Treasurer | 2.00 | X | X | 0 | 0 | 0 | |
| rolf knoll md | |||||||
| director | 2.00 | X | 0 | 491043 | 28134 | ||
| john suisman | |||||||
| director | 2.00 | X | 0 | 0 | 0 | ||
| michael e cummings | |||||||
| director | 2.00 | X | 0 | 0 | 0 | ||
| wendy e elberth | |||||||
| director | 2.00 | X | 0 | 0 | 0 | ||
| Diane M Bernier | |||||||
| STAFF RN | 55.00 | 139781 | 0 | 12981 | X | ||
| Anne-Marie Alcide | |||||||
| STAFF RN | 55.00 | 132229 | 0 | 10663 | X | ||
| Maura A Murray | |||||||
| director of nursing | 55.00 | 122967 | 0 | 7095 | X | ||
| margaret c vansteenburgh | |||||||
| STAFF RN | 55.00 | 117498 | 0 | 11364 | X | ||
| JOAN R PAGE | |||||||
| DIRECTOR OF CLINICAL PROGRAMS | 55.00 | 120554 | 0 | 3177 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 633029 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2378933 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 378261 | TotalOtherCompensation |
| Number Individuals GT100 K | 11 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cross Country Staffing | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 404674 | AddressLine1 |
| City | Atlanta | City |
| State | GA | State |
| ZIP Code | 303844674 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | Nursing Fees | DescriptionOfServices |
| Compensation | 101507 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Related Organizations | 666750 | RelatedOrganizations |
| All Other Contributions | 38398 | AllOtherContributions |
| Total Contributions | 705148 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Patient Care Services | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 16459401 | TotalRevenueColumn |
| Related Or Exempt Function Income | 16459401 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 16459401 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 167610 | TotalRevenueColumn |
| Exclusion | $167,610 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 24130 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 24130 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 24130 | TotalRevenueColumn |
| Related Or Exempt Function Income | 24130 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2115881 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2110879 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 5002 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5002 | TotalRevenueColumn |
| Exclusion | $5,002 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| Wellness Revenue | 900099 | 25921 | 25921 | |
| Coffee shop revenue | 900099 | 3102 | $3,102 | |
| Miscellaneous Revenue | 900099 | 1500 | $1,500 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 70 | TotalRevenueColumn |
| Related Or Exempt Function Income | 70 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 30593 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 17391884 | TotalRevenueColumn |
| Related Or Exempt Function Income | 16509522 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $177,214 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8945742 | Total |
| Program Services | 8945742 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 460824 | Total |
| Program Services | 460824 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3152032 | Total |
| Program Services | 3152032 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 912276 | Total |
| Program Services | 912276 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19200 | Total |
| Management And General | 19200 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1350318 | Total |
| Program Services | 1350318 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51225 | Total |
| Program Services | 51225 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 292058 | Total |
| Program Services | 280812 | ProgramServices |
| Management And General | 11246 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 455354 | Total |
| Program Services | 455354 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34278 | Total |
| Program Services | 9373 | ProgramServices |
| Management And General | 24905 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 544177 | Total |
| Program Services | 544177 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5343 | Total |
| Management And General | 5343 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| Licenses & Fees | 62107 | 62107 |
| Miscellaneous | 57868 | 57868 |
| Bad Debts | 43258 | 43258 |
| Repairs & Maintenance | 28073 | 28073 |
| Dues & Subscriptions | 21278 | 21278 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16090 | Total |
| Program Services | 16090 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16451501 | Total |
| Program Services | 16390807 | ProgramServices |
| Management And General | 60694 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2278826 | BOY |
| EOY | 1240998 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2045178 | BOY |
| EOY | 6519568 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3436337 | BOY |
| EOY | 3292109 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6460 | BOY |
| EOY | 9210 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 12120907 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 7374496 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4894200 | BOY |
| EOY | 4746411 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 203069 | BOY |
| EOY | 186689 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4073771 | BOY |
| EOY | 2416365 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16937841 | BOY |
| EOY | 18411350 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 908742 | BOY |
| EOY | 1264233 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 134558 | BOY |
| EOY | 271852 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1043300 | BOY |
| EOY | 1536085 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15136507 | BOY |
| EOY | 15809467 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 758034 | BOY |
| EOY | 1065798 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15894541 | BOY |
| EOY | 16875265 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16937841 | BOY |
| EOY | 18411350 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8500517 | OtherCostOrOtherBasis |
| Depreciation | 5160256 | Depreciation |
| Book Value | 3340261 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 361098 | OtherCostOrOtherBasis |
| Depreciation | 93325 | Depreciation |
| Book Value | 267773 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2166183 | OtherCostOrOtherBasis |
| Depreciation | 1243185 | Depreciation |
| Book Value | 922998 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1093109 | OtherCostOrOtherBasis |
| Depreciation | 877730 | Depreciation |
| Book Value | 215379 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 4746411 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE FROM AFFILIATES | Description |
| Book Value | 2416365 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 2416365 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | due to third parties reimbursement agencies | Description |
| Amount | $271,852 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 271852 | TotalOfAmounts |
| Total Revenue | 17391884 | TotalRevenue |
| Total Expenses | 16451501 | TotalExpenses |
| Excess Or Deficit For Year | 940383 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 40341 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 40341 | TotalAdjustments |
| Excess Or Deficit Per FS | 980724 | ExcessOrDeficitPerFS |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent250 | X | Pcent250 |
| Free Disc Care Medically Indigent | 0 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 31 | PersonsServed |
| Total Community Benefit Expense | 72296 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 72296 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00440 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 675 | PersonsServed |
| Total Community Benefit Expense | 887390 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 887390 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05390 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 706 | PersonsServed |
| Total Community Benefit Expense | 959686 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 959686 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05830 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 15 | PersonsServed |
| Total Community Benefit Expense | 41981 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 41981 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00260 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3550 | PersonsServed |
| Total Community Benefit Expense | 28842 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 28842 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3565 | PersonsServed |
| Total Community Benefit Expense | 70823 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 70823 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00440 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 4271 | PersonsServed |
| Total Community Benefit Expense | 1030509 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1030509 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06270 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1536 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 1536 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 34513 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 34513 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00210 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 36049 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 36049 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00220 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $17,338 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 6316364 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 5361744 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 954620 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | X | CostAccountingSystem |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOUNT SINAI REHABILITATION HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 490 BLUE HILLS AVENUE | AddressLine1 |
| City | HARTFORD | City |
| State | CT | State |
| ZIP Code | 06112 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | Part I, Line 3c: n/aPart I, Line 4: The Hospital accepts all patients regardless of their ability to pay. A patient is classified as a charity patient by reference to the established policies of the Hospital. Essentially, these policies define charity services as those services for which no payment is anticipated. In assessing a patient's inability to pay, the Hospital utilizes the generally recognized poverty income levels for the State of Connecticut, but also includes certain cases where incurred charges are significant when compared to incomes. In addition, all self-pay patients receive a 35% discount from charges which is not included in net patient service revenue for financial reporting purposes. | IncomeBasedCriteria |
| Annual Community Benefit Expln | Part I, Line 6a: Mount Sinai Rehabilitation Hospital, Inc. prepares an annual community benefit report jointly with Saint Francis Hospital & Medical Center, Inc. a related entity. This report is available on the Saint Francis Hospital website. | AnnualCommunityBenefitExpln |
| Costing Method Used | Part I, Line 7: MSR uses a cost accounting system within the Decision Support System product. It is a fully absorbed costing system using remaps of expense and revenues where needed. Indirect, or Overhead, costs are allocated using statistics in order to allocate the costs to the revenue producing departments. The method of allocating dollars to the charge items is currently primarily based on a RCC method using our charge item price as the driver. We have interspersed some National RVU's from the CMS Fee schedule to many departments as well as using costs to help allocate our Pharmacy and Supply expenses. All charge items obtain a cost and all patient segments are fully costed. | CostingMethodUsed |
| Subsidized Health Services Expln | Part I, Line 7g: n/a | SubsidizedHealthServicesExpln |
| Percent Of Total Expense Expln | Part I, Line 7f: n/a | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | Part III, Line 4: The Hospital accepts all patients regardless of their ability to pay. A patient is classified as a charity patient by reference to the established policies of the Hospital. Essentially, these policies define charity services as those services for which no payment is anticipated. In assessing a patient's inability to pay, the Hospital utilizes the generally recognized poverty income levels for the State of Connecticut, but also includes certain cases where incurred charges are significant when compared to incomes. In addition, all self-pay patients receive a 35% discount from charges which is not included in net patient service revenue for financial reporting purposes. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: n/a for shortfall reported in line 7.Medicare allowable costs of care on line 6 were determined from the Medicare cost reports. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: See Part III, line 4 | DebtCollectionPolicy |
| Needs Assessment | Part VI, Line 2: Mount Sinai Rehabilitation Hospital participated in a community health assessment with the three other hospitals located in Hartford, Saint Francis Hospital and Medical Center, Connecticut Children's Medical Center, and Hartford Hospital and the city of Hartford Health and Human Services Department to conduct a community health needs assessment. Meetings of the "Community Needs Assessment Workgroup" took place over a 6 month period every two weeks to discuss the design and implementation of the needs assessment. An inventory of local resources was conducted to determine how best utilize resources at the local colleges and universities, local community organization, city government and the hospitals themselves. An outside consultant was engaged to complete the needs assessment once the work plan was agreed upon. The assessment methodology included a number of data gathering processes: review of the available secondary data, inclusion of data from a local Health Equity Index and telephone interviews of local key informants. Secondary Data Profile Findings:Hartford is a very diverse (42% Hispanic and 37% African American), young (49% between the ages of 15-45), poor (32% of all people below the poverty level) and under educated (32% of 25 year olds did not graduate from high school) city. The unemployment rate is 18% and safety is a major concern for residents with rates of larceny, drug abuse, assault and murder all higher than state levels. Health issues of the cities residents include high rates of diabetes, obesity, asthma, drug abuse and mental illness. Rates of heart disease and cancer are on average lower than the rest of the state which is likely due to the age of the city's residents. Key Informant Interview Findings:Results from the key informant interviews served to clarify the issues that those working in the community see as key community needs. Interestingly, the information on the most important health issues was right on target with diabetes, obesity, mental illness and drug abuse all included in the top 5 key health issues. Additionally, key informants felt that neighborhood safety was a major concern as is the quality of housing and the limited number of job opportunities. Information collected from key informants on the quality of health care indicate a problem with access to primary care, transportation challenges, limited insurance coverage, and limited knowledge about where to go for help. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: Patients' ability to pay for health care is assessed during the intake process. If it becomes clear that the patient does not have coverage or has minimal coverage they are referred to a financial counselor who reviews their current income to determine eligibility for either state assistance or help from Mount Sinai Charity Care dollars. In areas of the hospital where new patients arrive: the rehabilitation clinic, the Mandell Center, and the admissions area, signage is posted about the financial assistance available to all patients who qualify. This information outlines, in both English and Spanish, the availability of financial counseling and assistance for medical bills. Additionally, a "Patient and Family Information Notebook" which includes a chapter on the availability of financial assistance for patients who either do not have coverage or are not covered fully by their health insurance is located in each patient room. Information about the financial assistance policy is also included in discharge materials. Mount Sinai does not turn patients away due to their inability to pay. Finally, patients who have not been forthcoming in their need for financial assistance prior to the delivery of health care services are provided with information about our charity care policy when they receive a bill for the services rendered. They are encouraged to talk to a financial counselor to discuss a payment plan and to determine if they are eligible for state assistance or if a portion of their bill can be "written off" to charity care. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: Mount Sinai Rehabilitation Hospital serves patients from all over Connecticut, and on occasion nationally due to the strong reputation of the rehabilitation program and the Multiple Sclerosis Mandell Center. The majority of patients, however, come from Hartford County, which includes the state capital, Hartford, and thirty-five surrounding urban and suburban communities. Hartford, CT is the second most impoverished city of its size 850,000 in the United States, second only to Brownsville, TX. According to U.S. Census Bureau 2009 estimates, 38% of families with children in Hartford live below the federally established poverty level. The median household income is $28,300 per year and only 26% of households are owner occupied. Over 70% of children in the Hartford Public schools received free or reduced price lunch. The rate of infants born low-birth weight (less than 2500 g) is 9.4%, well over the national average of 6.8%. Hartford is an urban community, the majority of Hartford residents are minorities with 42% Latino, 37% African American, 17% White and 4% other races. Acute rehabilitation service are available in Hartford at Nursing Home facilities but Mount Sinai is the only licensed rehabilitation hospital in the area. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: The hospital is involved in a variety of community building activities which address the root causes of health problems. Some are specific to the community served and others are more global in approach, such as advocacy work and board membership in local organizations that provide critical services to those in need. Economic DevelopmentThe Mount Sinai Foundation makes contributions on an annual basis to support patients with multiple sclerosis and stroke related compilations so that they may have access to expertise and technology not often covered by insurance. The staff at Mount Sinai advocate on behalf of MS patients so that their lives can be improved both physically and economically when they are able to get back to work. Community Support Mount Sinai Rehabilitation Hospital is involved in a wide array of Community Support programs and initiatives. They range from advocating for increased levels of treatment for rehabilitation, partnering with business to develop adapted golf carts and rowing shells, and organizing and sponsoring the MS walk on an annual basis. The services offered by Mount Sinai include an array of outpatient sites designed to increase access to care and to provide specialized treatment as needed. They include a Sports Medicine clinic at 95 Woodland Street, the main hospital Blue Hills site, and the Mandell Jewish Community Center in West Hartford. Each of these sites offers state of the art facilities that provide much needed services to the community of rehabilitation patients treated by the hospital. Additionally physical therapy services are provided via partnerships in numerous communities throughout the state including: Avon, East Hartford, Enfield, Glastonbury, Granby and Winsted.Leadership DevelopmentOn a regular basis grand rounds are offered to nursing staff within the Hartford community to educate them about rehabilitation treatment and encourage connections for patients to the specialized services available.Community activities such as student training, participation in research projects, and educational session are encouraged. Coalition BuildingAdaptive Rowing Program includes collaboration with a variety of agencies including Riverfront Recapture, Jaycees Foundation and the Christopher Reeves foundation. Staff play a role in developing coalitions to provide unique services to the disabled population.Executive staff at Mount Sinai is expected to participate in community improvement activities such as serving on boards, assisting small non-profits with fundraising activities, providing expertise and in-kind support and providing meeting space free of charge. In the area of workforce development Mount Sinai offers training of nursing staff in the area of rehabilitation. Internship opportunities for college students as well as high school students during the summer months to expose them to careers in rehabilitation are on-going. Masters and PhD level student are also recruited to participate in a variety of projects so that they better understand the opportunities available in the workplace. Advocacy for Health ImprovementsAdvocacy work at Mount Sinai is done by those with high level expertise in an area of health care to which they can speak with both knowledge and conviction. Some examples of staff who have been engaged in advocacy work in the past include:Dr. Wade is a board member of the CT MS Society and also serves as a diplomat for the American Board of Psychiatry and Neurology. Dr. Lo conducts a number of research projects focused on improvement of services to MS patients including a cooperative study with VA hospitals, brain injury rehabilitation, the use of robotics for rehabilitation and epidemiological studies of MS patients. | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: The hospital is involved in a variety of initiatives that focus on the improving the health of the community overall. Collaborative efforts with a variety of local community foundations and non-profit organizations are numerous. The Mt. Sinai Rehabilitation - Rowing disabled persons including Veterans is very well known in the Hartford region and has enabled numerous patients to regain physical and social confidence. Numerous resources are donated by the hospital and partnering organizations including Riverfront Recapture, the Jaycees Foundation, the Christopher Reeves foundation and others. The Golfers in Motion program is designed to re-introduce golf into the lives of those who have suffered an injury or illness resulting in disability. The program had developed adaptive equipment and specialized rehabilitation services to enable golfers to return to the course and begin to normalize their lives. | OtherInformation |
| Affiliated Health Care System | Part VI, Line 7: The organization is not a part of an affiliated health care system.Part VI, Line 8: Community Benefits are reported to the state's office of the Health Care Advocate in Connecticut. A Community Benefit report is published and widely distributed in the local community and it is posted on the website for full viewing. | AffiliatedHealthCareSystem |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | 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 (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| christopher m dadlez | |||||||||||||
| 0 | 784033 | 0 | 526000 | 0 | 284943 | 0 | 258500 | 0 | 31508 | 0 | 1884984 | 0 | 0 |
| edward s johnson dds | |||||||||||||
| 0 | 265914 | 0 | 27000 | 0 | 0 | 0 | 0 | 0 | 14839 | 0 | 307753 | 0 | 0 |
| rolf knoll md | |||||||||||||
| 0 | 341947 | 0 | 82539 | 0 | 66557 | 0 | 0 | 0 | 28134 | 0 | 519177 | 0 | 0 |
| Diane M Bernier | |||||||||||||
| 139781 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 12981 | 0 | 152762 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 4b: | ReturnReference |
| Explanation | Christopher Dadlez participated in a supplemental nonqualified retirement plan. AMOUNT: $258,500 Part I, Line 3: Mount Sinai Rehabilitation Hospital 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 L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | P Anthony Giorgio | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | Director | Relationship |
| Description Of Transaction | P. Anthony Giorgio is a Director of Connecticut Bank & Trust. Mt. Sinai Rehabilitation Hospital maintains a banking relationsip with Connecticut Bank & Trust. One Thousand Corporation, a related entity, leases space to a CBT branch location. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | 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 xi, 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 (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|
| ASYLUM HILL FAMILY MEDICAL CENTER | |||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061450170 | Educates students, Performs Research & Provides Services to the Community | CT | 501(C)(3) | 3 | N/A |
| ONE THOUSAND CORPORATION | |||||||||
| 1000 ASYLUM STREET | HARTFORD | CT | 06105 | 060922325 | MANAGEMENT | CT | 501(C)(2) | N/A | |
| SAINT FRANCIS CARE INC | |||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061491191 | SUPPORTS HEALTH CARE ORGANIZATIONS | CT | 501(C)(3) | 11 TYPE 1 | N/A |
| SAINT FRANCIS FOUNDATION INC | |||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061008255 | FUNDRAISING | CT | 501(C)(3) | 11 TYPE 1 | N/A |
| THE CAMILLUS CORPORATION | |||||||||
| 1000 ASYLUM STREET | HARTFORD | CT | 06105 | 061051261 | SUPPORTS HEALTH CARE ORGANIZATIONS | CT | 501(C)(3) | 11 TYPE 1 | N/A |
| SAINT FRANCIS MEDICAL GROUP INC | |||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061450168 | HEALTH SERVICES | CT | 501(C)(3) | 3 | N/A |
| SAINT FRANCIS HOSPITAL & MEDICAL CENTER INC | |||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 060646813 | HOSPITAL | CT | 501(C)(3) | 3 | N/A |
Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COLLABORATIVE LABORATORY SERVICES | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061520109 | LAB SERVICES | CT | N/A | |||||
| 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 | |||||
| SFH-FF | ||||||||||||
| 1000 ASYLUM AVE | HARTFORD | CT | 06105 | 061422973 | FITNESS MGMT | CT | N/A | related | 162899 | 209493 | 0 | 0 |
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 | 1 | 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 | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT FRANCIS HOSPITAL & MEDICAL CENTER FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | R | TransactionType |
| Amount Involved | 666750 | AmountInvolved |