GREATER COLUMBUS HEALTH FOUNDATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
GREATER COLUMBUS HEALTH FOUNDATION INC (EIN 58-1995070)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201303199349307845
Schema version
2012v2.3
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)
Timestamp2013-11-15T14:27:26-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 71309AddressLine1
CityALBANYCity
StateGAState
ZIP Code317081309ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN581995070EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST FRANCIS HOSPITAL FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTFRNameControl
Phone7065964000Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameMATTHEW A MOOREName
TitleSVP/CFOTitle
Phone7065964000Phone
Date Signed2013-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJACQUELINE G ATKINSName
Phone2298837878Phone
Date Prepared2013-11-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonROBERT GRANGER CEONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12122 MANCHESTER EXPRESSWAYAddressLine1
CityCOLUMBUSCity
StateGAState
ZIP Code319046878ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5821723GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WECAREFORLIFE.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1950YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionTHE ST. FRANCIS HOSPITAL FOUNDATION'S PRIMARY EXEMPT PURPOSE IS TO ASSIST, ADVANCE AND STRENGTHEN ST. FRANCIS HOSPITAL, INC.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers388TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year2663457ContributionsGrantsPriorYear
Contributions Grants Current Year2709692ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year317118InvestmentIncomePriorYear
Investment Income Current Year567798InvestmentIncomeCurrentYear
Other Revenue Prior Year96197OtherRevenuePriorYear
Other Revenue Current Year140885OtherRevenueCurrentYear
Total Revenue Prior Year3076772TotalRevenuePriorYear
Total Revenue Current Year3418375TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year5821977GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY773677GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12699SalariesEtcPriorYear
Salaries Etc Current Year10863SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year14777TotalFundrsngExpCurrentYear
Other Expense Prior Year461864OtherExpensePriorYear
Other Expenses Current Year501371OtherExpensesCurrentYear
Total Expenses Prior Year6296540TotalExpensesPriorYear
Total Expenses Current Year1285911TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-3219768RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2132464RevenuesLessExpensesCY
Total Assets BOY18597828TotalAssetsBOY
Total Assets EOY19892179TotalAssetsEOY
Total Liabilities BOY1304792TotalLiabilitiesBOY
Total Liabilities EOY84866TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY17293036NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY19807313NetAssetsOrFundBalancesEOY
Mission DescriptionTHE ST. FRANCIS HOSPITAL FOUNDATION'S PRIMARY EXEMPT PURPOSE IS TO ASSIST, ADVANCE AND STRENGTHEN ST. FRANCIS HOSPITAL, INC.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense600000Expense
Grants600000Grants
DescriptionALLOCATIONS TO ST. FRANCIS HOSPITAL FOR CAPITAL IMPROVEMENTS, LEADERSHIP DINNER AND EQUIPMENTDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense173677Expense
Grants173677Grants
DescriptionCHARITABLE 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.Description
FieldValueIRS element (for citing)
Total Program Service Expense773677TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMATT MOORE CFONamePerson
Telephone Number7065964000TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
LELAND C MCCLUSKEY MD
TRUSTEE1.0040.00X0101640225204
ROBERT GRANGER
PRES/HOSP CE1.0040.00X0641524115076X
SYLVESTER MCRAE MD
TRUSTEE1.0040.00X041420340174
MCDONALD PLUMMER
FNDN VICE PR1.0040.00X018199333680X
MARTHA PAULL
TRUSTEE1.00X000
H BANKS CARROLL MD
TRUSTEE1.00X000
KENT A ILLGES
TRUSTEE1.00X000
C DEXTER JORDAN
TRUSTEE1.00X000
ASHOK KUMAR MD
TRUSTEE1.00X000
SALLIE MARTIN
CHAIR1.00X000X
BETSY RAMSAY
TRUSTEE1.00X000
LINDA SHINKLE
SECRETARY1.00X000X
GEORGE E WADE III
TRUSTEE1.00X000
LISA WHITE
TRUSTEE1.00X000
MASON LAMPTON
TRUSTEE1.00X000
LEE SESSIONS
TRUSTEE1.00X000
DONNA S HAND
TRUSTEE1.00X000
ANGIE HART
TRUSTEE1.00X000
MEG POYDASHEFF
TRUSTEE1.00X000
MATTHEW MOORE
HOSPITAL CFO1.0040.00035993671314X
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs2614058TotalReportableCompFrmRltdOrgs
Total Other Compensation285448TotalOtherCompensation
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
All Other Contributions2709692AllOtherContributions
Total Contributions2709692TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column183488TotalRevenueColumn
Exclusion$183,488ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2676480Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2292170Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities384310Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column384310TotalRevenueColumn
Exclusion$384,310ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events252063GrossIncomeFundraisingEvents
Fundraising Direct Expenses111178FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column140885TotalRevenueColumn
Exclusion$140,885ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3418375TotalRevenueColumn
Exclusion$708,683ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total600000Total
Program Services600000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total173677Total
Program Services173677ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total10863Total
Management And General10863ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total5000Total
Management And General5000ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total46482Total
Management And General46482ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total386891Total
Management And General386891ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total3666Total
Management And General3666ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total820Total
Management And General820ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total19665Total
Management And General19665ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total4168Total
Management And General4168ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2593Total
Management And General2593ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralFundraisingFundraising
MISCELLANEOUS255971082014777
DUES32803280
MAINTENANCE32093209

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1285911Total
Program Services773677ProgramServices
Management And General497457ManagementAndGeneral
Fundraising14777Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2330863BOY
EOY4921729EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY947775BOY
EOY951457EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY7428589BOY
EOY5205076EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2360BOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis92458LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec87167LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7884BOY
EOY5291EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY7880357BOY
EOY8808626EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY18597828BOY
EOY19892179EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY32117BOY
EOY11724EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1272675BOY
EOY73142EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1304792BOY
EOY84866EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2250574BOY
EOY2077296EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY15042462BOY
EOY17730017EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17293036BOY
EOY19807313EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18597828BOY
EOY19892179EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2132464ReconcilationRevenueExpenses
Reconciliation Unrealized Invest381813ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST FRANCIS HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
EIN580641240EIN
Type Of Organization3TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$600,000Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts600000SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis18805OtherCostOrOtherBasis
Depreciation14104Depreciation
Book Value4701BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis73653OtherCostOrOtherBasis
Depreciation73063Depreciation
Book Value590BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5291TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionINTERCOMPANY PAYABLESDescription
Amount$73,142Amount
FieldValueIRS element (for citing)
Total Of Amounts73142TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierLIABILITY UNDER FIN 48 FOOTNOTEIdentifier
Return ReferenceSCHEDULE D, PAGE 3, PART XReturnReference
ExplanationEXCERPT FROM CONSOLIDATED AUDITED FINANCIAL STATEMENTS: 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 LIABILITIES 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 CUMULATIVE EFFECT OF THIS CHANGE IN ACCOUNTING PRINCIPLE WAS IMMATERIAL. THE COMPANY HAD NO UNRECOGNIZED TAX BENEFITS OR ACCRUED INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS FOR 2012 AND 2011. THE CORPORATION'S OPEN AUDIT PERIODS ARE 2010-2012.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1BUTLER DINNERNameOfEvent1
Gross Receipts Event1169056GrossReceiptsEvent1
Gross Revenue Event1169056GrossRevenueEvent1
Rent Facility Costs Event15800RentFacilityCostsEvent1
Food And Beverage Event128473FoodAndBeverageEvent1
Entertainment Event126050EntertainmentEvent1
Other Direct Expenses Event128452OtherDirectExpensesEvent1
Name Of Event2DERBY DAYNameOfEvent2
Gross Receipts Event247694GrossReceiptsEvent2
Gross Revenue Event247694GrossRevenueEvent2
Cash Prizes Event21400CashPrizesEvent2
Rent Facility Costs Event25435RentFacilityCostsEvent2
Entertainment Event2600EntertainmentEvent2
Other Direct Expenses Event28908OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events35313GrossReceiptsOtherEvents
Gross Revenue Other Events35313GrossRevenueOtherEvents
Rent Facility Costs Other Events600RentFacilityCostsOtherEvents
Food And Beverage Other Events298FoodAndBeverageOtherEvents
Other Direct Expenses Other Events5162OtherDirectExpensesOtherEvents
Gross Receipts Total252063GrossReceiptsTotal
Gross Revenue Total Events252063GrossRevenueTotalEvents
Cash Prizes Total Events1400CashPrizesTotalEvents
Rent Facility Costs Total Events11835RentFacilityCostsTotalEvents
Food And Beverage Total Events28771FoodAndBeverageTotalEvents
Entertainment Total Events26650EntertainmentTotalEvents
Other Direct Expenses Total Events42522OtherDirectExpensesTotalEvents
Direct Expense Summary Events111178DirectExpenseSummaryEvents
Net Income Summary140885NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 7000AddressLine1
CityCOLUMBUSCity
StateGAState
ZIP Code319046878ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient580641240EINOfRecipient
IRC Section3IRCSection
Amount Of Cash Grant600000AmountOfCashGrant
Purpose Of GrantCAPITAL PURCHASESPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII (4 entries)

Type Of GrantTypeOfGrantAmount Of Cash GrantAmountOfCashGrant
INDIGENT PATIENT MEDICAL93244
EMPLOYEE HEALTH SCHOLARSH68633
FINANCIAL CRISIS INDIVIDU7300
OTHER LESS THAN 5,0004500

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

TitleTitleComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
LELAND C MCCLUSKEY MD
TRUSTEE789142175454518069500157041041606
ROBERT GRANGER
PRESHOSP CEO605686358388950025576756600
SYLVESTER MCRAE MD
TRUSTEE255662147596109452750012674454377
MCDONALD PLUMMER
FNDN VICE PRES16194720046281185562215673
MATTHEW MOORE
HOSPITAL CFO346545133915450016814431250

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RELATED ORG METHODS USED FOR COMPENSATION EXPLANATIONSCHEDULE 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.
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTSSCHEDULE J, PAGE 1, PART I, LINE 4ROBERT GRANGER 0 80,000 0 SYLVESTER MCRAE, MD 0 20,700 0 MCDONALD PLUMMER 0 22,500 0 MATTHEW MOORE 0 45,000 0
OTHER ADDITIONAL INFORMATIONSCHEDULE 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 O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ADDITIONAL INFORMATIONFORM 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 2012.
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 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.
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 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.
DECISIONS SUBJECT TO APPROVAL OF MEMBERSFORM 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.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE ENTIRE BOARD REVIEWS FORM 990 WITH PARTICIPATION BY MANAGEMENT. FOR THE 2012 FORM 990, THE REVIEW WILL BE CONDUCTED AFTER THE FILING OF FORM 990. MANAGEMENT REVIEWS FORM 990 FOR APPROPRIATE DISCLOSURE OF FINANCIAL DATA.
ENFORCEMENT OF CONFLICTS POLICYFORM 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.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE CEO AND CFO ARE COMPENSATED BY ST. FRANCIS HOSPITAL, INC. THE SUPPORTED ORGANIZATION ("SFH"). REVIEWS OF EXECUTIVE COMPENSATION ARE PERFORMED BY SFH. THEREFORE, NO REVIEW WAS PERFORMED BY THE FILING ORGANIZATION.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BSEE NARRATIVE FOR LINE 15A ABOVE.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
ADDITIONAL INFORMATIONFORM 990, PART VIISECTION A - THE FOUNDATION DIRECTOR IS AN EMPLOYEE OF AND COMPENSATED BY ST. FRANCIS HOSPITAL, INC., THE SUPPORTED ORGANIZATION.
OTHER FEES FOR SERVICESFORM 990, PART IX, LINE 11GCONTRACTED EMPLOYEES 0 225,528 0 CONSULTING FEES 0 159,156 0 COLLECTION FEES 0 2,207 0

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12122 MANCHESTER EXPRESSWAYAddressLine1
CityCOLUMBUSCity
StateGAState
ZIP Code319046878ZIPCode
FieldValueIRS element (for citing)
EIN580641240EIN
Primary ActivitiesHOSPITALPrimaryActivities
Legal Domicile StateGALegalDomicileState
Exempt Code Section501C3ExemptCodeSection
Public Charity Status3PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

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

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1BEHAVIORAL HEALTH MANAGEMENT SERVICBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1P O BOX 7000AddressLine1
CityCOLUMBUSCity
StateGAState
ZIP Code319087000ZIPCode
FieldValueIRS element (for citing)
EIN205369263EIN
Primary ActivityMANAGEMENTPrimaryActivity
Legal Domicile StateGALegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnerfalseGeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1P O BOX 7000AddressLine1
CityCOLUMBUSCity
StateGAState
ZIP Code319087000ZIPCode
FieldValueIRS element (for citing)
EIN581187333EIN
Primary ActivityMED. OFC.PrimaryActivity
Legal Domicile StateGALegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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