GREATER COLUMBUS HEALTH FOUNDATION INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
GREATER COLUMBUS HEALTH FOUNDATION INC (EIN 58-1995070)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-20
IRS object ID
201403249349300220
Schema version
2013v3.1
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

FieldValueIRS element (for citing)
Return2014-11-20T13:06:12-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN580914992PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DRAFFIN & TUCKER LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 71309AddressLine1
CityALBANYCity
StateGAState
ZIP Code317081309ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN581995070EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST FRANCIS HOSPITAL FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlSTFRBusinessNameControlTxt
Phone7065964000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 7000AddressLine1
CityCOLUMBUSCity
StateGAState
ZIP Code319087000ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROBERT GRANGERPersonNm
Person TitleCEOPersonTitleTxt
Phone7065964000PhoneNum
Signature2014-11-17SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJACQUELINE G ATKINSPreparerPersonNm
PTINP00861721PTIN
Phone2298837878PhoneNum
Preparation2014-11-17PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerROBERT GRANGER CEOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12122 MANCHESTER EXPRESSWAYAddressLine1
CityCOLUMBUSCity
StateGAState
ZIP Code319046878ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$11,207,851GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WECAREFORLIFE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1950FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionTHE ST. FRANCIS HOSPITAL FOUNDATION'S PRIMARY EXEMPT PURPOSE IS TO ASSIST, ADVANCE AND STRENGTHEN ST. FRANCIS HOSPITAL, INC.ActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body22VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers120TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$2,709,692PYContributionsGrantsAmt
CY Contributions Grants$3,005,864CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$567,798PYInvestmentIncomeAmt
CY Investment Income$1,107,940CYInvestmentIncomeAmt
PY Other Revenue$140,885PYOtherRevenueAmt
CY Other Revenue$187,846CYOtherRevenueAmt
PY Total Revenue$3,418,375PYTotalRevenueAmt
CY Total Revenue$4,301,650CYTotalRevenueAmt
PY Grants And Similar Paid$773,677PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$7,095,535CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$10,863PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$94,500CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$334,777CYTotalFundraisingExpenseAmt
PY Other Expenses$501,371PYOtherExpensesAmt
CY Other Expenses$488,477CYOtherExpensesAmt
PY Total Expenses$1,285,911PYTotalExpensesAmt
CY Total Expenses$7,678,512CYTotalExpensesAmt
PY Revenues Less Expenses$2,132,464PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$3,376,862CYRevenuesLessExpensesAmt
Total Assets BOY$19,892,179TotalAssetsBOYAmt
Total Assets EOY$31,497,503TotalAssetsEOYAmt
Total Liabilities BOY$84,866TotalLiabilitiesBOYAmt
Total Liabilities EOY$15,013,245TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$19,807,313NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$16,484,258NetAssetsOrFundBalancesEOYAmt
MissionTHE ST. FRANCIS HOSPITAL FOUNDATION'S PRIMARY EXEMPT PURPOSE IS TO ASSIST, ADVANCE AND STRENGTHEN ST. FRANCIS HOSPITAL, INC.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$7,096,461ExpenseAmt
Grant$7,000,000GrantAmt
DescALLOCATIONS TO ST. FRANCIS HOSPITAL FOR CAPITAL IMPROVEMENTSDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$95,535ExpenseAmt
Grant$95,535GrantAmt
DescCHARITABLE GIFTS TO INDIGENT PATIENTS TO DEFRAY COSTS INCURRED AT ST. FRANCIS HOSPITAL; ASSISTANCE TO EMPLOYEES AND FRIENDS OF ST. FRANCIS HOSPITAL IN TIMES OF CRISIS. SCHOLARSHIPS WHICH SUPPORT STUDENTS IN ATTAINING THEIR PROFESSIONAL GOALS IN HEALTH CARE.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$7,191,996TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingYes (true)ProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationYes (true)PartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMATT MOORE EXECUTIVE CFOPersonNm
Phone7065964000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12122 MANCHESTER EXPRESSWAYAddressLine1
CityCOLUMBUSCity
StateGAState
ZIP Code319046878ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ROBERT GRANGER
PRES/HOSP CE1.0050.00Yes (X)Yes (X)$0$823,287$107,319
LELAND C MCCLUSKEY MD
TRUSTEE1.0050.00Yes (X)$0$672,982$19,203
SYLVESTER MCRAE MD
TRUSTEE1.0050.00Yes (X)$0$436,078$35,561
MCDONALD PLUMMER
FNDN VICE PR1.0050.00Yes (X)Yes (X)$0$220,537$39,536
MARTHA PAULL
TRUSTEE1.00Yes (X)$0$0$0
H BANKS CARROLL MD
TRUSTEE1.00Yes (X)$0$0$0
KENT A ILLGES
TRUSTEE1.00Yes (X)$0$0$0
C DEXTER JORDAN
TRUSTEE1.00Yes (X)$0$0$0
ASHOK KUMAR MD
TRUSTEE1.00Yes (X)$0$0$0
SALLIE MARTIN
TRUSTEE1.00Yes (X)$0$0$0
BETSY RAMSAY
SECRETARY1.00Yes (X)Yes (X)$0$0$0
LINDA SHINKLE
CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
GEORGE E WADE III
TRUSTEE1.00Yes (X)$0$0$0
LISA WHITE
TRUSTEE1.00Yes (X)$0$0$0
MASON LAMPTON
TRUSTEE1.00Yes (X)$0$0$0
LEE SESSIONS
TRUSTEE1.00Yes (X)$0$0$0
DONNA S HAND
TRUSTEE1.00Yes (X)$0$0$0
ANGIE HART
TRUSTEE1.00Yes (X)$0$0$0
MEG POYDASHEFF
TRUSTEE1.00Yes (X)$0$0$0
CATHERIN BICKERSTAFF
TRUSTEE1.00Yes (X)$0$0$0
CHARLES HUFF
TRUSTEE1.00Yes (X)$0$0$0
ROY G PLUMMER
TRUSTEE1.00Yes (X)$0$0$0
MATTHEW MOORE
HOSPITAL CFO1.0050.00Yes (X)$0$447,614$65,636
FieldValueIRS element (for citing)
Tot Reportable Comp Rltd Org$2,600,498TotReportableCompRltdOrgAmt
Total Other Compensation$267,255TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$3,005,864AllOtherContributionsAmt
Noncash Contributions$375,667NoncashContributionsAmt
Total Contributions$3,005,864TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$118,627TotalRevenueColumnAmt
Exclusion$118,627ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$7,822,344SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$6,833,031SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$989,313SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$989,313TotalRevenueColumnAmt
Exclusion$989,313ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$261,016FundraisingGrossIncomeAmt
Fundraising Direct Expenses$73,170FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$187,846TotalRevenueColumnAmt
Exclusion$187,846ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,301,650TotalRevenueColumnAmt
Exclusion$1,295,786ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$7,000,000TotalAmt
Program Services$7,000,000ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$95,535TotalAmt
Program Services$95,535ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$5,000TotalAmt
Management And General$5,000ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$94,500TotalAmt
Fundraising$94,500FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$39,816TotalAmt
Management And General$39,816ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$364,140TotalAmt
Program Services$90,451ProgramServicesAmt
Management And General$92,787ManagementAndGeneralAmt
Fundraising$180,902FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$76TotalAmt
Management And General$76ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,059TotalAmt
Management And General$1,059ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$19,665TotalAmt
Program Services$4,916ProgramServicesAmt
Management And General$4,916ManagementAndGeneralAmt
Fundraising$9,833FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,376TotalAmt
Program Services$1,094ProgramServicesAmt
Management And General$1,094ManagementAndGeneralAmt
Fundraising$2,188FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,120TotalAmt
Management And General$2,120ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MISCELLANEOUS$49,650$2,296$47,354
DUES$1,668$1,668
MAINTENANCE$907$907

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,678,512TotalAmt
Program Services$7,191,996ProgramServicesAmt
Management And General$151,739ManagementAndGeneralAmt
Fundraising$334,777FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,921,729BOYAmt
EOY$1,866,377EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$951,457BOYAmt
EOY$958,808EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,205,076BOYAmt
EOY$5,838,438EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$92,458LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$89,286LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,291BOYAmt
EOY$3,172EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$8,808,626BOYAmt
EOY$8,381,035EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$14,449,673EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$19,892,179BOYAmt
EOY$31,497,503EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$11,724BOYAmt
EOY$13,245EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$15,000,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$73,142BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$84,866BOYAmt
EOY$15,013,245EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,077,296BOYAmt
EOY$1,566,997EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$17,730,017BOYAmt
EOY$14,917,261EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,807,313BOYAmt
EOY$16,484,258EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,892,179BOYAmt
EOY$31,497,503EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$3,376,862ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$53,807NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
CertificationYes (X)CertificationInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ST FRANCIS HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
EIN580641240EIN
Organization Type3OrganizationTypeDesc
Governing Document ListedYes (true)GoverningDocumentListedInd
Supported Org NotifiedYes (true)SupportedOrgNotifiedInd
US OrganizedYes (true)USOrganizedInd
Support$7,000,000SupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$7,000,000SupportSumAmt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$17,730,017BeginningYearBalanceAmt
Contributions$3,145,548ContributionsAmt
Investment Earnings Or Losses$975,259InvestmentEarningsOrLossesAmt
Grants Or Scholarships$6,933,563GrantsOrScholarshipsAmt
End Year Balance$14,917,261EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,042,462BeginningYearBalanceAmt
Contributions$2,850,541ContributionsAmt
Investment Earnings Or Losses$732,899InvestmentEarningsOrLossesAmt
Grants Or Scholarships$895,885GrantsOrScholarshipsAmt
End Year Balance$17,730,017EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$19,395,520BeginningYearBalanceAmt
Contributions$1,982,839ContributionsAmt
Investment Earnings Or Losses-$275,766InvestmentEarningsOrLossesAmt
Grants Or Scholarships$6,060,131GrantsOrScholarshipsAmt
End Year Balance$15,042,462EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,320,990BeginningYearBalanceAmt
Contributions$5,134,825ContributionsAmt
Investment Earnings Or Losses$718,149InvestmentEarningsOrLossesAmt
Grants Or Scholarships$778,444GrantsOrScholarshipsAmt
End Year Balance$19,395,520EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,188,779BeginningYearBalanceAmt
Contributions$6,350,414ContributionsAmt
Investment Earnings Or Losses$1,106,535InvestmentEarningsOrLossesAmt
Grants Or Scholarships$324,738GrantsOrScholarshipsAmt
End Year Balance$14,320,990EndYearBalanceAmt
FieldValueIRS element (for citing)
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,805OtherCostOrOtherBasisAmt
Depreciation$15,984DepreciationAmt
Book Value$2,821BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$73,653OtherCostOrOtherBasisAmt
Depreciation$73,302DepreciationAmt
Book Value$351BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,172TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDUE FROM RELATED PARTIESDesc
Book Value$14,449,673BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$14,449,673TotalBookValueOtherAssetsAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 2, PART V, LINE 4TEMPORARILY RESTRICTED NET ASSETS ARE AVAILABLE FOR THE PURPOSES OF HEALTH CARE OPERATIONS AND CAPITAL NEEDS.
SCHEDULE D, PAGE 3, PART XTHE HOSPITAL AND THE FOUNDATION ARE TAX EXEMPT UNDER SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. AFFILIATED SERVICES IS A FOR-PROFIT ENTITY WHICH ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH FASB ASC 740, INCOME TAXES. WITH RESPECT TO ITS FOR-PROFIT ENTITY AS WELL AS ANY UNRELATED BUSINESS INCOME GENERATED THROUGH THE TAX EXEMPT ENTITIES, ST. FRANCIS RECORDS INCOME TAXES USING THE LIABILITY METHOD UNDER WHICH DEFERRED TAX ASSETS AND LIABILITY ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASIS OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIOD THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR TO BE SETTLED. THE CORPORATION APPLIES ASC 740-10-50-15, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE STANDARD PRESCRIBES A MINIMUM RECOGNITION THRESHOLD AND MEASUREMENT METHODOLOGY THAT A TAX POSITION, TAKEN OR EXPECTED TO BE TAKEN, IN A TAX RETURN IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. THE CORPORATION HAD NO UNRECOGNIZED TAX BENEFITS OR ACCRUED INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS FOR 2013 AND 2012. THE CORPORATION'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAX AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES FOR THOSE RETURNS.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
Phone SolicitationsYes (X)PhoneSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyYes (true)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

FieldValueIRS element (for citing)
Business Name Line1JF SMITH GROUPBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1735 E GLENN AVENUEAddressLine1
CityAUBURNCity
StateALState
ZIP Code36830ZIPCode
FieldValueIRS element (for citing)
ActivityCONSULTINGActivityTxt
Fundraiser Control Of FundsfalseFundraiserControlOfFundsInd
Retained By Contractor$94,500RetainedByContractorAmt
Net To Organization-$94,500NetToOrganizationAmt
FieldValueIRS element (for citing)
Total Retained By Contractors$94,500TotalRetainedByContractorsAmt
Total Net To Organization-$94,500TotalNetToOrganizationAmt
Licensed StatesGALicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1BUTLER DINNERNameOfEvent1Amt
Gross Receipts Event1$168,806GrossReceiptsEvent1Amt
Gross Revenue Event1$168,806GrossRevenueEvent1Amt
Rent Facility Costs Event1$5,000RentFacilityCostsEvent1Amt
Food And Beverage Event1$30,160FoodAndBeverageEvent1Amt
Entertainment Event1$9,714EntertainmentEvent1Amt
Other Direct Expenses Event1$19,161OtherDirectExpensesEvent1Amt
Name Of Event2BUNCO FOR BREASNameOfEvent2Amt
Gross Receipts Event2$90,152GrossReceiptsEvent2Amt
Gross Revenue Event2$90,152GrossRevenueEvent2Amt
Rent Facility Costs Event2$1,700RentFacilityCostsEvent2Amt
Food And Beverage Event2$700FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$6,615OtherDirectExpensesEvent2Amt
Gross Receipts Total$258,958GrossReceiptsTotalAmt
Gross Revenue Total Events$258,958GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$6,700RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$30,860FoodAndBeverageTotalEventsAmt
Entertainment Total Events$9,714EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$25,776OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$73,050DirectExpenseSummaryEventsAmt
Net Income Summary$185,908NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1ST FRANCIS HOSPITAL INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 7000AddressLine1
CityCOLUMBUSCity
StateGAState
ZIP Code319046878ZIPCode
FieldValueIRS element (for citing)
Recipient EIN580641240RecipientEIN
IRC Section3IRCSectionDesc
Cash Grant$7,000,000CashGrantAmt
Purpose Of GrantCAPITAL PURCHASESPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
INDIGENT PATIENT MEDICAL1500$60,435
EMPLOYEE HEALTH SCHOLARSH18$24,500
FINANCIAL CRISIS INDIVIDU32$10,100
LESS THAN 5000$500

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PAGE 1, PART I, LINE 2FormAndLineReferenceDesc
ExplanationSHAREFUND - CRISIS ASSISTANCE FUND - APPLICATIONS SUBMITTED THROUGH CHAPLAIN SERVICES. ANONYMOUS COMMITTEE OF HOSPITAL ASSOCIATES REVIEW AND DETERMINE IF FUNDS SHOULD BE GIVEN. CAREFUND - INDIGENT PATIENT ASSISTANCE (CAB RIDES HOME, PRESCRIPTION DRUGS AND OCCASIONALLY HOME HEALTH - USE OF THIS FUND IS DETERMINED BY CASE MANAGEMENT. SCHOLARSHIPS FOR ALLIED HEALTH STUDENTS - INTERVIEWS DONE BY FOUNDATION STAFF AND NURSE RESIDENT COORDINATOR. HOSPITAL FINANCE COMMITTEE MONITORS EXPENDITURE OF FUNDS AND REPORTS ARE MADE AT BOTH THE HOSPITAL AND FOUNDATION BOARD MEETINGS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
ROBERT GRANGER
PRES/HOSP CEO$687,504$116,942$18,841$89,690$17,629$930,606
LELAND C MCCLUSKEY MD
TRUSTEE$632,583$27,308$13,091$9,690$9,513$692,185
SYLVESTER MCRAE MD
TRUSTEE$253,739$166,283$16,056$28,040$7,521$471,639
MCDONALD PLUMMER
FNDN VICE PRES$178,537$21,837$20,163$35,970$3,566$260,073
MATTHEW MOORE
HOSPITAL CFO$378,944$55,026$13,644$54,690$10,946$513,250

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 3THE FILING ORGANIZATION HAS NO EMPLOYEES AND DOES NOT COMPENSATE ANY OFFICERS, DIRECTORS OR KEY EMPLOYEES. OFFICERS ARE COMPENSATED BY THE RELATED ORGANIZATION AND THEREFORE THE FILING ORGANIZATION RELIES ON METHODS EMPLOYED BY THE RELATED ORGANIZATION TO ESTABLISH COMPENSATION OF THE CEO AND OTHER OFFICERS.
SCHEDULE J, PAGE 1, PART I, LINE 4ROBERT GRANGER 0 80,000 0 SYLVESTER MCRAE, MD 0 19,415 0 MCDONALD PLUMMER 0 30,000 0 MATTHEW MOORE 0 45,000 0
SCHEDULE J, PART IIITHE ORGANIZATION HAS ESTABLISHED AN UNFUNDED 457(F) DEFERRED COMPENSATION PLAN. THIS IS A DEFINED CONTRIBUTION PLAN WHERE BENEFITS ARE PAYABLE TO ELIGIBLE PARTICIPANTS IN ACCORDANCE WITH CONTRACTUAL AGREEMENTS UPON A PARTICIPANT'S SERVICE COMPLETION DATE. PHYSICIAN PRODUCTIVITY INCENTIVE: EACH OF THE ORGANIZATION'S PHYSICIAN CONTRACTS PROVIDES THE PHYSICIAN WITH THE ABILITY TO EARN ADDITIONAL COMPENSATION BASED ON HIS/HER OWN PRODUCTIVITY AS MEASURED BY WORK RVU'S. THE FORMULA FOR DETERMINING THIS ADDITIONAL COMPENSATION IS PRE-DETERMINED BASED ON THE TERMS OF THE CONTRACT. MANAGEMENT INCENTIVE: THE MANAGEMENT INCENTIVE PLAN CONSISTS OF SEVERAL INDICATORS EACH HAVING A POINT VALUE BASED ON A MINIMUM, TARGET, AND MAXIMUM VALUE. ONE OF THOSE INDICATORS IS INCOME FROM OPERATIONS. THE POINTS ASSIGNED FOR THIS INDICATOR ARE PURELY BASED ON WHETHER THE ORGANIZATION REACHES ONE OF THESE LEVELS. BEYOND THE MAXIMUM VALUE, THERE IS NO ADDITIONAL CREDIT AWARDED FOR A GREATER LEVEL OF OPERATING INCOME.

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution6ContributionCnt
Noncash Contributions Rpt F990$375,667NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule N IRS990ScheduleN

Disposition Of Assets Detail DispositionOfAssetsDetail

FieldValueIRS element (for citing)
Assets Distri Or Expnss PaidCASH TRANSFERAssetsDistriOrExpnssPaidDesc
Distribution2013-12-31DistributionDt
Fair Market Value Of Asset$7,000,000FairMarketValueOfAssetAmt
Method Of FMV DeterminationCASHMethodOfFMVDeterminationTxt
EIN580641240EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST FRANCIS HOSPITAL INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 7000AddressLine1
CityCOLUMBUSCity
StateGAState
ZIP Code319087000ZIPCode
FieldValueIRS element (for citing)
IRC Section501C3IRCSectionTxt
FieldValueIRS element (for citing)
Director Of Successor2Yes (true)DirectorOfSuccessor2Ind
Employee Of Successor2Yes (true)EmployeeOfSuccessor2Ind
Owner Of Successor2falseOwnerOfSuccessor2Ind
Receive Compensation2falseReceiveCompensation2Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE N, PART II, PAGE 2, LINE 2EFormAndLineReferenceDesc
ExplanationBOTH ROBERT GRANGER AND MATTHEW MOORE ARE EMPLOYED AS CEO AND CFO, RESPECTIVELY, OF THE TRANSFEREE ORGANIZATION AND CONTINUED IN THEIR EMPLOYMENT AFTER THE FISCAL YEAR END. TRUSTEES LELAND MCCLUSKEY, MD AND SYLVESTER MCRAE, MD ARE ALSO EMPLOYED BY THE TRANSFEREE ORGANIZATION AS PHYSICIANS AND MAINTAINED THAT POSITION AFTER THE FISCAL YEAR END. FOUNDATION VICE PRESIDENT, MCDONALD PLUMMER, IS ALSO COMPENSATED BY THE TRANSFEREE ORGANIZATION CONTINUING THAT ARRANGEMENT PAST THE FISCAL YEAR END.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990PART I - THE ST. FRANCIS HOSPITAL FOUNDATION'S PRIMARY EXEMPT PURPOSE IS TO ASSIST, ADVANCE, AND STRENGTHEN ST. FRANCIS HOSPITAL, INC. IN ITS MINIS- TRY OF HEALING; IN ITS SERVICE AS A HEALTH CENTER FOR THE COMMUNITY; IN ITS PROVISION OF EDUCATION FOR STUDENTS IN VARIOUS HEALTHCARE RELATED FIELDS; AND IN ALL RELATED HEALTH AND HUMANITARIAN ENDEAVORS. RESOURCES GO TOWARD CARING FOR LIFE, EDUCATING PATIENTS AND CAREGIVERS, PROMOTING HEALTHY LIVING, ADDRESSING COMMUNITY HEALTH NEEDS AND PROVIDING COM- PASSIONATE CARE FOR ALL PATIENTS. THE FOUNDATION HAS AN ONGOING CONTRIBUTION CAMPAIGN TO WHICH ST. FRANCIS HOSPITAL EMPLOYEES CONTRIBUTE THROUGH PAYROLL DEDUCTIONS. IN ADDITION, SUBSTANTIAL PLEDGES HAVE BEEN RECEIVED AND ACCRUED DURING THE CURRENT FISCAL YEAR.
FORM 990, PAGE 6, PART VI, LINE 6ST. FRANCIS HOSPITAL, INC.'S ("SFHI") BOARD OF TRUSTEES ELECT THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY, AND APPROVE SIGNIFICANT DECISIONS AND ACTIONS OF THE ORGANIZATION'S GOVERNING BODY.
FORM 990, PAGE 6, PART VI, LINE 7ATHE ORGANIZATION'S BOARD OF TRUSTEES ARE ELECTED BY THE BOARD OF TRUSTEES OF ST. FRANCIS HOSPITAL, INC., THE SUPPORTED ORGANIZATION.
FORM 990, PAGE 6, PART VI, LINE 7BTHE BYLAWS OF THE CORPORATION MAY BE ALTERED, AMENDED, OR ADDED TO AFTER APPROVAL OF THE HOSPITAL BOARD OF TRUSTEES.
FORM 990, PAGE 6, PART VI, LINE 11BTHE ENTIRE BOARD REVIEWS FORM 990 WITH PARTICIPATION BY MANAGEMENT. MANAGEMENT REVIEWS FORM 990 FOR APPROPRIATE DISCLOSURE OF FINANCIAL DATA. ALL REVIEWS ARE CONDUCTED PRIOR TO THE FILING OF THE RETURN WITH THE IRS.
FORM 990, PAGE 6, PART VI, LINE 12CI.COVERED INDIVIDUALS. THIS POLICY SHALL APPLY TO: (A) ALL TRUSTEES AND OFFICERS OF THE FOUNDATION, (B) ALL MEMBERS OF COMMITTEES AUTHORIZED TO ACT ON BEHALF OF THE BOARD OF TRUSTEES OF THE FOUNDATION, (C) ANY OTHER PERSON EXERCISING MATERIAL AND SUBSTANTIAL INFLUENCE OVER THE OPERATIONS OF THE FOUNDATION, AND (D) ANY RELATED PERSON TO ANY OF THE FOREGOING PERSONS. II. LEVEL AT WHICH THE CONFLICT IS ADDRESSED AND III RESTRICTIONS IMPOSED. A. ALL COVERED INDIVIDUALS SHALL FILE ANNUALLY AT THE BEGINNING OF EACH FISCAL YEAR OF THE FOUNDATION A DISCLOSURE STATEMENT SETTING FORTH ANY CONFLICT OF INTEREST THAT SUCH COVERED INDIVIDUAL MAY HAVE WITH THE FOUNDATION. B. THE BOARD OR DESIGNEE OF THE BOARD SHALL REVIEW ALL DISCLOSURE STATEMENTS WITH THE CHAIR OF THE BOARD TO ENSURE COMPLIANCE WITH THE POLICIES REGARDING CONFLICTS OF INTEREST C. THE BOARD MAKES A DETERMINATION AS TO WHETHER A CONFLICT EXISTS. D. THE BOARD REVIEWS THE POTENTIAL CONFLICT. E. UPON DETERMINATION OF THE EXISTENCE OF A CONFLICT, THE BOARD MAKES A DETERMINATION OF HOW THE CONFLICT WILL BE RESOLVED AS FOLLOWS: A. IF DEEMED APPROPRIATE BY THE BOARD OF TRUSTEES, A COMMITTEE APPOINTED BY THE BOARD OF TRUSTEES AND CONSISTING SOLELY OF MEMBERS WITH NO CONFLICT OF INTEREST WITH RESPECT TO SAID TRANSACTION, CONTRACTUAL RELATIONSHIP OR ARRANGEMENT SHALL BE AUTHORIZED TO REVIEW AND INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION, CONTRACTUAL RELATIONSHIP OR ARRANGEMENT AND SUCH COMMITTEE SHALL REPORT ITS FINDINGS TO THE FULL BOARD OF TRUSTEES. B. THE COVERED INDIVIDUAL WITH THE CONFLICT OF INTEREST SHALL NOT PARTICIPATE IN ANY DISCUSSION, VOTE ON ACTION TAKEN WITH REGARD TO THE TRANSACTION, CONTRACTUAL RELATIONSHIP OR ARRANGEMENT, BUT SHALL BE ENTITLED TO FURNISH ANY INFORMATION REQUESTED BY THE BOARD OR COMMITTEE OR BELIEVED BY THE COVERED INDIVIDUAL TO BE RELEVANT TO THE DISCUSSION. C. ANY TRANSACTION, CONTRACTUAL RELATIONSHIP OR ARRANGEMENT IN WHICH A COVERED INDIVIDUAL SHALL BE DEEMED TO HAVE A CONFLICT OF INTEREST MUST BE CONSIDERED AND APPROVED BY A MAJORITY VOTE OF TRUSTEES WHO HAVE NO CONFLICT OF INTEREST WITH RESPECT TO THE PROPOSED TRANSACTION, CONTRACTUAL RELATIONSHIP OR ARRANGEMENT, AND THEN ONLY AFTER DETERMINING THAT SUCH TRANSACTION, CONTRACTUAL RELATIONSHIP OR ARRANGEMENT IS IN THE BEST INTEREST OF AND PRIMARILY FOR THE BENEFIT OF THE FOUNDATION AND IS FAIR AND REASONABLE TO THE FOUNDATION.
FORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VIISECTION A - THE FOUNDATION DIRECTOR IS AN EMPLOYEE OF AND COMPENSATED BY ST. FRANCIS HOSPITAL, INC., THE SUPPORTED ORGANIZATION.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1ST FRANCIS HOSPITAL INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line12122 MANCHESTER EXPRESSWAYAddressLine1
CityCOLUMBUSCity
StateGAState
ZIP Code319046878ZIPCode
FieldValueIRS element (for citing)
EIN580641240EIN
Primary ActivitiesHOSPITALPrimaryActivitiesTxt
Legal Domicile StateGALegalDomicileStateCd
Exempt Code Section501C3ExemptCodeSectionTxt
Public Charity Status3PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
BEHAVIORAL HEALTH MANAGEMENT SERVIC
P O BOX 7000COLUMBUSGA319087000205369263MANAGEMENTGAN/Afalsefalse
COLUMBUS GYNECOLOGY ONCOLOGY SVC
P O BOX 7000COLUMBUSGA319087000462160343MANAGEMENTGAN/Afalsefalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ST FRANCIS AFFILIATED SERVICES INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 7000AddressLine1
CityCOLUMBUSCity
StateGAState
ZIP Code319087000ZIPCode
FieldValueIRS element (for citing)
EIN581187333EIN
Primary ActivitiesMED. OFC.PrimaryActivitiesTxt
Legal Domicile StateGALegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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