2013-11-15T14:27:26-06:00 2012-12-31 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2012-01-01 581995070 ST FRANCIS HOSPITAL FOUNDATION INC STFR 7065964000 PO BOX 7000 COLUMBUS GA 319087000 MATTHEW A MOORE 7065964000 2013-11-15 true JACQUELINE G ATKINS 2298837878 2013-11-15 2012 2016-02-25 16:41:14Z ROBERT GRANGER CEO 2122 MANCHESTER EXPRESSWAY COLUMBUS GA 319046878 5821723 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. 19 15 0 388 0 2663457 2709692 0 317118 567798 96197 140885 3076772 3418375 5821977 773677 0 12699 10863 0 14777 461864 501371 6296540 1285911 -3219768 2132464 18597828 19892179 1304792 84866 17293036 19807313 THE ST. FRANCIS HOSPITAL FOUNDATION'S PRIMARY EXEMPT PURPOSE IS TO ASSIST, ADVANCE AND STRENGTHEN ST. FRANCIS HOSPITAL, INC. false false 600000 600000 ALLOCATIONS TO ST. FRANCIS HOSPITAL FOR CAPITAL IMPROVEMENTS, LEADERSHIP DINNER AND EQUIPMENT 173677 173677 CHARITABLE 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. 773677 true true false false false false false false false false true false false false true true false true false false false false false false true false false true true true false false false false false false false false false false false false false true false false false true 0 0 0 false false false false false true true false false false false X 19 15 false false false false true true true true true false false false true true true true true true true false GA X MATT MOORE CFO 7065964000 2122 MANCHESTER EXPRESSWAY COLUMBUS GA 319046878 X LELAND C MCCLUSKEY MD 1.00 40.00 X 0 1016402 25204 ROBERT GRANGER 1.00 40.00 X X 0 641524 115076 SYLVESTER MCRAE MD 1.00 40.00 X 0 414203 40174 MCDONALD PLUMMER 1.00 40.00 X X 0 181993 33680 MARTHA PAULL 1.00 X 0 0 0 H BANKS CARROLL MD 1.00 X 0 0 0 KENT A ILLGES 1.00 X 0 0 0 C DEXTER JORDAN 1.00 X 0 0 0 ASHOK KUMAR MD 1.00 X 0 0 0 SALLIE MARTIN 1.00 X X 0 0 0 BETSY RAMSAY 1.00 X 0 0 0 LINDA SHINKLE 1.00 X X 0 0 0 GEORGE E WADE III 1.00 X 0 0 0 LISA WHITE 1.00 X 0 0 0 MASON LAMPTON 1.00 X 0 0 0 LEE SESSIONS 1.00 X 0 0 0 DONNA S HAND 1.00 X 0 0 0 ANGIE HART 1.00 X 0 0 0 MEG POYDASHEFF 1.00 X 0 0 0 MATTHEW MOORE 1.00 40.00 X 0 359936 71314 2614058 285448 false true false 2709692 2709692 183488 183488 2676480 2292170 384310 384310 384310 252063 111178 140885 140885 3418375 708683 X 600000 600000 173677 173677 10863 10863 5000 5000 46482 46482 386891 386891 3666 3666 820 820 19665 19665 4168 4168 2593 2593 MISCELLANEOUS 25597 10820 14777 DUES 3280 3280 MAINTENANCE 3209 3209 1285911 773677 497457 14777 2330863 4921729 947775 951457 7428589 5205076 2360 92458 87167 7884 5291 7880357 8808626 18597828 19892179 32117 11724 1272675 73142 1304792 84866 X 2250574 2077296 15042462 17730017 17293036 19807313 18597828 19892179 2132464 381813 X false true X true false X X X false false false ST FRANCIS HOSPITAL INC 580641240 3 true true true 600000 1 600000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 18805 14104 4701 73653 73063 590 5291 INTERCOMPANY PAYABLES 73142 73142 X LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X EXCERPT 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. BUTLER DINNER 169056 169056 5800 28473 26050 28452 DERBY DAY 47694 47694 1400 5435 600 8908 1 35313 35313 600 298 5162 252063 252063 1400 11835 28771 26650 42522 111178 140885 true ST FRANCIS HOSPITAL INC PO BOX 7000 COLUMBUS GA 319046878 580641240 3 600000 CAPITAL PURCHASES 1 INDIGENT PATIENT MEDICAL 93244 EMPLOYEE HEALTH SCHOLARSH 68633 FINANCIAL CRISIS INDIVIDU 7300 OTHER LESS THAN 5,000 4500 false true false false false false false false false LELAND C MCCLUSKEY MD 789142 175454 51806 9500 15704 1041606 ROBERT GRANGER 605686 35838 89500 25576 756600 SYLVESTER MCRAE MD 255662 147596 10945 27500 12674 454377 MCDONALD PLUMMER 161947 20046 28118 5562 215673 MATTHEW MOORE 346545 13391 54500 16814 431250 RELATED ORG METHODS USED FOR COMPENSATION EXPLANATION 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. SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 ROBERT 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 INFORMATION 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. ADDITIONAL INFORMATION 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 2012. CLASSES OF MEMBERS OR STOCKHOLDERS 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. ELECTION OF MEMBERS AND THEIR RIGHTS 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. DECISIONS SUBJECT TO APPROVAL OF MEMBERS 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. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B THE 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 POLICY 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. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A THE 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 OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B SEE NARRATIVE FOR LINE 15A ABOVE. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. ADDITIONAL INFORMATION FORM 990, PART VII SECTION A - THE FOUNDATION DIRECTOR IS AN EMPLOYEE OF AND COMPENSATED BY ST. FRANCIS HOSPITAL, INC., THE SUPPORTED ORGANIZATION. OTHER FEES FOR SERVICES FORM 990, PART IX, LINE 11G CONTRACTED EMPLOYEES 0 225,528 0 CONSULTING FEES 0 159,156 0 COLLECTION FEES 0 2,207 0 ST FRANCIS HOSPITAL INC 2122 MANCHESTER EXPRESSWAY COLUMBUS GA 319046878 580641240 HOSPITAL GA 501C3 3 NA false BEHAVIORAL HEALTH MANAGEMENT SERVIC P O BOX 7000 COLUMBUS GA 319087000 205369263 MANAGEMENT GA N/A false false ST FRANCIS AFFILIATED SERVICES INC P O BOX 7000 COLUMBUS GA 319087000 581187333 MED. OFC. GA N/A false false true false false false false false false false false false true false true true false false false false