2014-11-20T13:06:12-06:00 2013-12-31 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2013-01-01 581995070 ST FRANCIS HOSPITAL FOUNDATION INC STFR 7065964000 PO BOX 7000 COLUMBUS GA 319087000 ROBERT GRANGER CEO 7065964000 2014-11-17 true JACQUELINE G ATKINS P00861721 2298837878 2014-11-17 2013 2015-11-30 17:44:51Z ROBERT GRANGER CEO 2122 MANCHESTER EXPRESSWAY COLUMBUS GA 319046878 11207851 false X WWW.WECAREFORLIFE.COM X 1950 GA THE ST. FRANCIS HOSPITAL FOUNDATION'S PRIMARY EXEMPT PURPOSE IS TO ASSIST, ADVANCE AND STRENGTHEN ST. FRANCIS HOSPITAL, INC. X 22 18 0 120 0 2709692 3005864 0 567798 1107940 140885 187846 3418375 4301650 773677 7095535 0 10863 0 94500 334777 501371 488477 1285911 7678512 2132464 -3376862 19892179 31497503 84866 15013245 19807313 16484258 THE ST. FRANCIS HOSPITAL FOUNDATION'S PRIMARY EXEMPT PURPOSE IS TO ASSIST, ADVANCE AND STRENGTHEN ST. FRANCIS HOSPITAL, INC. false false 7096461 7000000 ALLOCATIONS TO ST. 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SCHOLARSHIPS WHICH SUPPORT STUDENTS IN ATTAINING THEIR PROFESSIONAL GOALS IN HEALTH CARE. 7191996 true true false false false false false false false true true false false true false true false true false false false false false true true false false true true true false false false false false false false false true false false true false true false false false true 0 0 0 false false false false false true true false false false false X 22 18 false false false false true true true true true false false true true true true true true false false false GA X MATT MOORE EXECUTIVE CFO 7065964000 2122 MANCHESTER EXPRESSWAY COLUMBUS GA 319046878 X ROBERT GRANGER PRES/HOSP CE 1.00 50.00 X X 0 823287 107319 LELAND C MCCLUSKEY MD TRUSTEE 1.00 50.00 X 0 672982 19203 SYLVESTER MCRAE MD TRUSTEE 1.00 50.00 X 0 436078 35561 MCDONALD PLUMMER FNDN VICE PR 1.00 50.00 X X 0 220537 39536 MARTHA PAULL TRUSTEE 1.00 X 0 0 0 H BANKS CARROLL MD TRUSTEE 1.00 X 0 0 0 KENT A ILLGES TRUSTEE 1.00 X 0 0 0 C DEXTER JORDAN TRUSTEE 1.00 X 0 0 0 ASHOK KUMAR MD TRUSTEE 1.00 X 0 0 0 SALLIE MARTIN TRUSTEE 1.00 X 0 0 0 BETSY RAMSAY SECRETARY 1.00 X X 0 0 0 LINDA SHINKLE CHAIRMAN 1.00 X X 0 0 0 GEORGE E WADE III TRUSTEE 1.00 X 0 0 0 LISA WHITE TRUSTEE 1.00 X 0 0 0 MASON LAMPTON TRUSTEE 1.00 X 0 0 0 LEE SESSIONS TRUSTEE 1.00 X 0 0 0 DONNA S HAND TRUSTEE 1.00 X 0 0 0 ANGIE HART TRUSTEE 1.00 X 0 0 0 MEG POYDASHEFF TRUSTEE 1.00 X 0 0 0 CATHERIN BICKERSTAFF TRUSTEE 1.00 X 0 0 0 CHARLES HUFF TRUSTEE 1.00 X 0 0 0 ROY G PLUMMER TRUSTEE 1.00 X 0 0 0 MATTHEW MOORE HOSPITAL CFO 1.00 50.00 X 0 447614 65636 2600498 267255 false true false 3005864 375667 3005864 118627 118627 7822344 6833031 989313 989313 989313 261016 73170 187846 187846 4301650 1295786 7000000 7000000 95535 95535 5000 5000 94500 94500 39816 39816 364140 90451 92787 180902 76 76 1059 1059 19665 4916 4916 9833 4376 1094 1094 2188 2120 2120 MISCELLANEOUS 49650 2296 47354 DUES 1668 1668 MAINTENANCE 907 907 7678512 7191996 151739 334777 4921729 1866377 951457 958808 5205076 5838438 92458 89286 5291 3172 8808626 8381035 14449673 19892179 31497503 11724 13245 15000000 73142 84866 15013245 X 2077296 1566997 17730017 14917261 19807313 16484258 19892179 31497503 -3376862 53807 X false true X true false X X X false false false ST FRANCIS HOSPITAL INC 580641240 3 true true true 7000000 1 7000000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 17730017 3145548 975259 6933563 14917261 15042462 2850541 732899 895885 17730017 19395520 1982839 -275766 6060131 15042462 14320990 5134825 718149 778444 19395520 7188779 6350414 1106535 324738 14320990 1.00000 false false 18805 15984 2821 73653 73302 351 3172 DUE FROM RELATED PARTIES 14449673 14449673 SCHEDULE D, PAGE 2, PART V, LINE 4 TEMPORARILY RESTRICTED NET ASSETS ARE AVAILABLE FOR THE PURPOSES OF HEALTH CARE OPERATIONS AND CAPITAL NEEDS. SCHEDULE D, PAGE 3, PART X THE 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. X X X X X X true JF SMITH GROUP 735 E GLENN AVENUE AUBURN AL 36830 CONSULTING false 94500 -94500 94500 -94500 GA BUTLER DINNER 168806 168806 5000 30160 9714 19161 BUNCO FOR BREAS 90152 90152 1700 700 6615 258958 258958 6700 30860 9714 25776 73050 185908 true ST FRANCIS HOSPITAL INC PO BOX 7000 COLUMBUS GA 319046878 580641240 3 7000000 CAPITAL PURCHASES 1 INDIGENT PATIENT MEDICAL 1500 60435 EMPLOYEE HEALTH SCHOLARSH 18 24500 FINANCIAL CRISIS INDIVIDU 32 10100 LESS THAN 5000 500 SCHEDULE I, PAGE 1, PART I, LINE 2 SHAREFUND - 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. false true false false false false false false false ROBERT GRANGER PRES/HOSP CEO 687504 116942 18841 89690 17629 930606 LELAND C MCCLUSKEY MD TRUSTEE 632583 27308 13091 9690 9513 692185 SYLVESTER MCRAE MD TRUSTEE 253739 166283 16056 28040 7521 471639 MCDONALD PLUMMER FNDN VICE PRES 178537 21837 20163 35970 3566 260073 MATTHEW MOORE HOSPITAL CFO 378944 55026 13644 54690 10946 513250 SCHEDULE J, PAGE 1, PART I, LINE 3 THE 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 4 ROBERT 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 III THE 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. X 6 375667 FMV false false false CASH TRANSFER 2013-12-31 7000000 CASH 580641240 ST FRANCIS HOSPITAL INC P O BOX 7000 COLUMBUS GA 319087000 501C3 true true false false SCHEDULE N, PART II, PAGE 2, LINE 2E BOTH 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. FORM 990 PART 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 6 ST. 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 7A THE 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 7B THE 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 11B THE 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 12C I.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 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII SECTION A - THE FOUNDATION DIRECTOR IS AN EMPLOYEE OF AND COMPENSATED BY ST. FRANCIS HOSPITAL, INC., THE SUPPORTED ORGANIZATION. 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