SFH WIND DOWN INC FKA: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- SFH WIND DOWN INC FKA (EIN 58-0641240)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-15
- IRS object ID
- 201223209349302322
- Schema version
- 2011v1.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-15T07:49:46-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DRAFFIN & TUCKER LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 6 | AddressLine1 |
| City | ALBANY | City |
| State | GA | State |
| ZIP Code | 317020006 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 580641240 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST FRANCIS HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STFR | NameControl |
| Phone | 7065964000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2122 MANCHESTER PKWY | AddressLine1 |
| City | COLUMBUS | City |
| State | GA | State |
| ZIP Code | 31908 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MATTHEW A MOORE | Name |
| Title | SVP/CFO | Title |
| Phone | 7065964000 | Phone |
| Date Signed | 2012-11-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JACQUELINE G ATKINS | Name |
| Phone | 2298837878 | Phone |
| Date Prepared | 2012-11-14 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ROBERT GRANGER CEO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2122 MANCHESTER PKWY | AddressLine1 |
| City | COLUMBUS | City |
| State | GA | State |
| ZIP Code | 31908 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 230833780 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SFHGA.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1950 | YearFormation |
| State Legal Domicile | GA | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE HEALTHCARE SERVICES | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 22 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 18 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2307 | TotalNbrEmployees |
| Total Nbr Volunteers | 329 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 574884 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 5700000 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 241534636 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 220067902 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1977288 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2568253 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1806723 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2474345 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 245893531 | TotalRevenuePriorYear |
| Total Revenue Current Year | 230810500 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 104424 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 112367 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 110594079 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 112208447 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 133109591 | OtherExpensePriorYear |
| Other Expenses Current Year | 117482731 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 243808094 | TotalExpensesPriorYear |
| Total Expenses Current Year | 229803545 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2085437 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1006955 | RevenuesLessExpensesCY |
| Total Assets BOY | 243316126 | TotalAssetsBOY |
| Total Assets EOY | 245460844 | TotalAssetsEOY |
| Total Liabilities BOY | 94671528 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 101347727 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 148644598 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 144113117 | NetAssetsOrFundBalancesEOY |
| Mission Description | PROVIDE HEALTHCARE SERVICES | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 179488560 | Expense |
| Grants | 112367 | Grants |
| Revenue | 220067902 | Revenue |
| Description | THE HOSPITAL IS A 292-LICENSED BED GENERAL ACUTE CARE HOSPITAL WITH A HOSPITAL-BASED 84-LICENSED BED BEHAVIORAL HEALTH CENTER. ADDITIONALLY, THE HOSPITAL PROVIDES ASSISTED LIVING FOR 60 LICENSED RESIDENTIAL UNITS. THE HOSPITAL'S REVENUES ARE GENERATED PREDOMINATELY FROM THE PROVISION OF INPATIENT AND OUTPATIENT SERVICES IN SOUTHWEST GEORGIA AND EAST CENTRAL ALABAMA. | Description |
| Total Program Service Expense | 179488560 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | true | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 171 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 2307 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 22 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 18 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | GA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MATT MOORE CFO | NamePerson |
| Telephone Number | 7065964000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2122 MANCHESTER EXPRESSWAY | AddressLine1 |
| City | COLUMBUS | City |
| State | GA | State |
| ZIP Code | 31904 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (32 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| GEORGE M MCCLUSKEY III MD | ||||||||
| TRUSTEE/SURG | 40.00 | X | 1297458 | 0 | 14085 | |||
| ROBERT P GRANGER | ||||||||
| PRES/HOSP CE | 40.00 | X | 720481 | 0 | 100817 | X | ||
| WILLIAM TAYLOR MD | ||||||||
| TRUSTEE | 1.00 | X | 531858 | 0 | 111943 | |||
| THOMAS B BUCK III | ||||||||
| SECRETARY | 1.00 | X | 34295 | 0 | 0 | X | ||
| MARK G HOLLADAY | ||||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | X | ||
| MARTHA S BICKERSTAFF | ||||||||
| CHAIR | 1.00 | X | 0 | 0 | 0 | X | ||
| AUDREY D HOLLINGSWORTH | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| B RUSSELL SIMMONS MD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| BILLY G TURNER | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| J DANIEL PARKER JR | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| JOAN S REDMOND | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| MICHAEL SIMS MD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| OTIS J SCARBOROUGH | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| R LARRY CARDIN | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| R LARRY PHILLIPS | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| RAJINDER CHHOKAR MD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| RICHARD Y BRADLEY | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| ROBERT M GILSON JR | ||||||||
| PAST CHAIR | 1.00 | X | 0 | 0 | 0 | X | ||
| STEPHEN T BUTLER | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| W JEREMY JEFFERY | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| CAROLYNN OBLETON | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| PHILLIP THAYER | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| MATTHEW MOORE | ||||||||
| SR. VP/CFO | 40.00 | 359790 | 0 | 60304 | X | |||
| DEBORAH L SAYLOR | ||||||||
| SR. VP/CNO/A | 40.00 | 341906 | 0 | 50657 | X | |||
| BOBBI FARBER MD | ||||||||
| SR. VP/CMO | 40.00 | 432243 | 0 | 26214 | X | |||
| DAVID STEELE | ||||||||
| V.P./CIO | 40.00 | 247871 | 0 | 40481 | X | |||
| EWINS R LOWE | ||||||||
| SR VP/CAO | 40.00 | 246074 | 0 | 57271 | X | |||
| THOMAS WALSH MD | ||||||||
| SPINE/ NEURO | 40.00 | 1056733 | 0 | 104775 | X | |||
| ROBERT LEWIS MD | ||||||||
| ORTHO SURG | 40.00 | 934964 | 0 | 34775 | X | |||
| LE WESTERLUND MD | ||||||||
| PHYSICIAN | 40.00 | 922125 | 0 | 29775 | X | |||
| GEORGE ZIMMERMAN | ||||||||
| ORTHO SURG | 40.00 | 837658 | 0 | 82179 | X | |||
| LELAND MCCLUSKEY | ||||||||
| PHYSICIAN | 40.00 | 741618 | 0 | 14085 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 8705074 | TotalReportableCompFromOrg |
| Total Other Compensation | 727361 | TotalOtherCompensation |
| Number Individuals GT100 K | 127 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation | Address Line2AddressOfContractor/AddressUS/AddressLine2 |
|---|---|---|---|---|---|---|
| HUMAN PERFORMANCE & REHAB CTRS | ||||||
| P O BOX 8068 | COLUMBUS | GA | 31908 | PT/OT/REHAB | 3710325 | |
| SKANSKA | ||||||
| 55 IVAN ALLEN BLVD | ATLANTA | GA | 30308 | CONSTRUCTION | 3452042 | |
| SODEXHO INC & AFFILIATES | ||||||
| PO BOX 536922 | ATLANTA | GA | 30353 | FOOD SERVICE | 2989689 | |
| HOWELL RUSK DODSON ARCHITECTS | ||||||
| 3355 LENOX ROAD | ATLANTA | GA | 30326 | ARCHITECT | 1971350 | SUITE 1190 |
| ARAMARK INC | ||||||
| 12483 COLLECTIONS CENTER DR | CHICAGO | IL | 60693 | MAINTENANCE | 1902622 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 43 | NumberOfContractorsGT100K |
| Related Organizations | 5700000 | RelatedOrganizations |
| Total Contributions | 5700000 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE REVENUES | Description |
| Business Code | 621990 | BusinessCode |
| Total Revenue Column | 220067902 | TotalRevenueColumn |
| Related Or Exempt Function Income | 220067902 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 220067902 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2522587 | TotalRevenueColumn |
| Exclusion | $2,522,587 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 68946 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 23280 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 45666 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 45666 | TotalRevenueColumn |
| Exclusion | $45,666 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| MISCELLANEOUS | 621990 | 1336521 | $1,336,521 |
| CAFETERIA | 561499 | 692330 | $692,330 |
| ASSISTED LIVING | 623990 | 445494 | $445,494 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2474345 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 230810500 | TotalRevenueColumn |
| Related Or Exempt Function Income | 220067902 | RelatedOrExemptFunctionIncome |
| Exclusion | $5,042,598 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 112367 | Total |
| Program Services | 112367 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4639453 | Total |
| Program Services | 1955344 | ProgramServices |
| Management And General | 2684109 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 91431847 | Total |
| Program Services | 73710550 | ProgramServices |
| Management And General | 17721297 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1656146 | Total |
| Program Services | 1514253 | ProgramServices |
| Management And General | 141893 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8563904 | Total |
| Program Services | 6799290 | ProgramServices |
| Management And General | 1764614 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5917097 | Total |
| Program Services | 4675023 | ProgramServices |
| Management And General | 1242074 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1581535 | Total |
| Program Services | 1082214 | ProgramServices |
| Management And General | 499321 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 489853 | Total |
| Management And General | 489853 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58318 | Total |
| Management And General | 58318 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13833572 | Total |
| Program Services | 11189076 | ProgramServices |
| Management And General | 2644496 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1204335 | Total |
| Program Services | 162793 | ProgramServices |
| Management And General | 1041542 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20278424 | Total |
| Program Services | 12058564 | ProgramServices |
| Management And General | 8219860 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3614646 | Total |
| Program Services | 447632 | ProgramServices |
| Management And General | 3167014 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4895234 | Total |
| Program Services | 4408158 | ProgramServices |
| Management And General | 487076 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 432547 | Total |
| Program Services | 59972 | ProgramServices |
| Management And General | 372575 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14571511 | Total |
| Program Services | 13121646 | ProgramServices |
| Management And General | 1449865 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1772022 | Total |
| Management And General | 1772022 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 44496051 | 44496051 | |
| LICENSES & TAXES | 2730458 | 116695 | 2613763 |
| MISCELLANEOUS | 2586538 | 1921391 | 665147 |
| COLLECTION FEES | 1776415 | 1776415 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3161272 | Total |
| Program Services | 1657541 | ProgramServices |
| Management And General | 1503731 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 229803545 | Total |
| Program Services | 179488560 | ProgramServices |
| Management And General | 50314985 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1303335 | BOY |
| EOY | 1892408 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4451000 | BOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41951798 | BOY |
| EOY | 43411259 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 95488 | BOY |
| EOY | 22079 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7356843 | BOY |
| EOY | 7391948 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4485997 | BOY |
| EOY | 3312047 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 301398978 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 182064337 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 117799082 | BOY |
| EOY | 119334641 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24342384 | BOY |
| EOY | 20413343 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41530199 | BOY |
| EOY | 49683119 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 243316126 | BOY |
| EOY | 245460844 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30968392 | BOY |
| EOY | 30283863 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59615383 | BOY |
| EOY | 68514012 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3560330 | BOY |
| EOY | 2489369 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 527423 | BOY |
| EOY | 60483 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94671528 | BOY |
| EOY | 101347727 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 148644598 | BOY |
| EOY | 144113117 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 148644598 | BOY |
| EOY | 144113117 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 243316126 | BOY |
| EOY | 245460844 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1006955 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -5538436 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed4955 Tax | false | Form4720Filed4955Tax |
| Correction Made | false | CorrectionMade |
| Form1120 Pol Filed | false | Form1120PolFiled |
| Form4720 Filed | false | Form4720Filed |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $34,295 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $24,023 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 58318 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
| Substantially All Dues Nondeduct | false | SubstantiallyAllDuesNondeduct |
| Only In House Lobbying | false | OnlyInHouseLobbying |
| Agree To Carryover Prior Year | false | AgreeToCarryoverPriorYear |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | SCHEDULE C, PART II-B, LINE 1 | ReturnReference |
| Explanation | LOBBYING EXPENSES-PAYMENT TO CONSULTANT FOR DIRECT CONTACT WITH GEORGIA GENERAL ASSEMBLY AND THE EXECUTIVE BRANCH OF THE STATE OF GA. ADDITIONALLY, 23% OF THE DUES PAID TO STATE ORGANIZATION OF GEORGIA HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION IS DESIGNATED LOBBYING COSTS. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | false | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | false | DisclosedForCharitablePurposes |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Sect170h Requirements Satisfied | false | Sect170hRequirementsSatisfied |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5506942 | OtherCostOrOtherBasis |
| Book Value | 5506942 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 125667675 | OtherCostOrOtherBasis |
| Depreciation | 93417072 | Depreciation |
| Book Value | 32250603 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 149589696 | OtherCostOrOtherBasis |
| Depreciation | 88647265 | Depreciation |
| Book Value | 60942431 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 20634665 | OtherCostOrOtherBasis |
| Book Value | 20634665 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 119334641 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| I/C RECEIVABLES | 41358971 |
| DEFERRED DEBT COSTS | 7009199 |
| INVESTMENT IN BENEFIT PLAN 457(F) | 1314949 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 49683119 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INTEREST RATE SWAP | Description |
| Amount | $60,483 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 60483 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LIABILITY UNDER FIN 48 FOOTNOTE | Identifier |
| Return Reference | SCHEDULE D, PAGE 3, PART X | ReturnReference |
| Explanation | 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 2011 AND 2010. THE CORPORATION'S OPEN AUDIT PERIODS ARE 2009-2011. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 2.50000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3555466 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3555466 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01550 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15385362 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9700224 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5685138 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02470 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 18940828 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9700224 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9240604 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04020 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2056930 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2056930 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00900 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2056930 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2056930 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00900 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 20997758 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9700224 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11297534 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04920 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $25,159,653 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 73710924 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 71943969 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 1766955 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST FRANCIS CARDIAC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | PHYSICIAN PRACTICE MGMT | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.37000 | OrganizationProfitOrOwnership |
| Physicans Profit Or Ownership | 0.63000 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST FRANCIS HOSPITAL INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2122 MANCHESTER EXPRESSWAY | AddressLine1 |
| City | COLUMBUS | City |
| State | GA | State |
| ZIP Code | 31904 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
| Other | PSYCH & ASSISTED LIVING UNITS | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST FRANCIS HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | false | CHNAConducted |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 250.0 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 400.0 | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 2 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (2 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| THE BRADLEY CENTER | ||||
| 2000 16TH AVENUE | COLUMBUS | GA | 31904 | PSYCHIATRIC UNIT |
| FRANCISCAN WOODS | ||||
| 2425 WILLIAMS ROAD | COLUMBUS | GA | 31909 | ASSISTED LIVING FACILITY |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RELATED ORGANIZATION INFORMATION | PART I LINE 6A | THE HOSPITALS COMMUNITY BENEFIT REPORT IS REPORTED AS PART OF THE COMBINED ANNUAL REPORT PREPARED BY ST FRANCIS HOSPITAL THIS REPORT IS DISTRIBUTED TO THE COMMUNITY IN PRINT AND IS AVAILABLE ON THE HOSPITALS WEBSITE |
| COSTING METHODOLOGY EXPLANATION | PART I LINE 7 | THE COST OF FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS IS REPORTED BASED ON THE RATIO OF COSTTOCHARGES THIS RATIO WAS DERIVED FROM THE RATIO OF PATIENT CARE COSTTOCHARGES WORKSHEETS PROVIDED BY THE IRS |
| BAD DEBT EXPENSE EXPLANATION | PART III LINE 4 | AMOUNTS ON PART III LINES 2 AND 3 REPRESENT THE CHARGES WRITTEN OFF AS BAD DEBTS FINANCIAL STATEMENT EXCERPT ALLOWANCE FOR DOUBTFUL ACCOUNTS ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE THE CORPORATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRDPARTY COVERAGE THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS IF NECESSARY FOR RECEIVABLES ASSOCIATED WITH SELFPAY PATIENTS WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRDPARTY COVERAGE EXISTS FOR PART OF THE BILL THE CORPORATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE THE DIFFERENCE BETWEEN THE AGREED UPON RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS THE CORPORATIONS ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELFPAY PATIENTS WAS 90 PERCENT OF SELFPAY ACCOUNTS RECEIVABLE AT DECEMBER 31 2011 AND 2010 IN ADDITION THE CORPORATIONS SELFPAY WRITEOFFS INCREASED FROM 16200000 FOR FISCAL YEAR 2010 TO 21900000 FOR FISCAL YEAR 2011 THE CORPORATION HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2011 OR 2010 THE CORPORATION DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRDPARTY PAYORS NOR DID IT HAVE SIGNIFICANT WRITEOFFS FROM THIRDPARTY PAYORS |
| MEDICARE EXPLANATION | PART III LINE 8 | MEDICARE COSTS ON LINE 5 ARE FROM THE MEDICARE COST REPORT AND INCLUDE BOTH DIRECT AND INDIRECT COSTS ALLOCATED USING THE APPROPRIATE STATISTICAL BASIS AMOUNTS ON LINE 6 REPRESENT THE PAYMENTS RECEIVED FOR THE RELATED MEDICARE COSTS |
| COLLECTION PRACTICES EXPLANATION | PART III LINE 9B | ST FRANCIS HOSPITAL WRITES OFF PATIENT ACCOUNTS RECEIVABLE BALANCES FOR PATIENTS QUALIFYING FOR FINANCIAL ASSISTANCE AND DOES NOT MAKE FURTHER COLLECTION EFFORTS PATIENTS WHO HAVE NO INSURANCE LIMITED COVERAGE AND MEDICAID PATIENTS WITHOUT SUPPLEMENTAL INSURANCE HAVE THE OPPORTUNITY TO MEET WITH FINANCIAL COUNSELORS WHO PROVIDE APPLICATIONS FOR FINANCIAL ASSISTANCE FOR FULL OR PARTIAL DISCOUNTING OF THEIR BILLS AND AID PATIENTS IN OBTAINING MEDICAID OR OTHER COVERAGE WE INFORM PATIENTS ABOUT OUR FINANCIAL ASSISTANCE PROGRAM AND ASSIST THEM IN MAKING AN APPLICATION FOR PATIENTS WHO QUALIFY FOR CHARITY CARE AND FULL FINANCIAL ASSISTANCE THERE IS NO FINANCIAL OBLIGATION FOR THOSE WHO QUALITY FOR PARTIAL FINANCIAL ASSISTANCE COLLECTION PROCEDURES FOLLOW THE SAME PROCESS AS ALL OTHER PATIENTS WHO ARE RESPONSIBLE FOR UNPAID BALANCES ALL UNINSURED PATIENTS ARE OFFERED A SELFPAY DISCOUNT OF 45 OF CHARGES REGARDLESS OF THEIR ABILITY TO PAY ST FRANCIS HOSPITAL INC OFFERS FINANCIAL ASSISTANCE TO QUALIFIED APPLICANTS WHO CANNOT AFFORD TO PAY FOR MEDICAL SERVICES THIS ASSISTANCE IS AVAILABLE FOR INPATIENT AND OUTPATIENT SERVICES AS WELL AS RELATED SERVICES PROVIDED IN THE OFFICES OF ST FRANCIS EMPLOYED PHYSICIANS ASSISTANCE ELIGIBILITY MAY BE BASED ON TOTAL HOUSEHOLD INCOME AS WELL AS NET ASSETS OF THE APPLICANT 1APPLICANTS FOR FINANCIAL ASSISTANCE SHOULD COMPLETE A FINANCIAL ASSISTANCE APPLICATION AND MUST FURNISH APPROPRIATE PROOF OF INCOME ASSETS AND LIABILITIES 2QUALIFIED APPLICANTS WHOSE ACTUAL OR ESTIMATED ANNUAL HOUSEHOLD INCOME IS LESS THAN 250 OF THE PUBLISHED FEDERAL POVERTY INCOME GUIDELINES WILL BE ELIGIBLE TO RECEIVE AN INDIGENT ADJUSTMENT EQUAL TO 100 OF TOTAL UNPAID CHARGES OWED TO ST FRANCIS 3FOR APPLICANTS WHO DO NOT MEET THE CRITERIA FOR INDIGENT ADJUSTMENT ST FRANCIS WILL EVALUATE CREDIT SCORES AND PATIENT RESOURCES AND MAY PROVIDE FOR VARYING LEVELS OF FINANCIAL ASSISTANCE FOR THOSE WHO WOULD BE UNABLE TO OBTAIN FINANCING FROM OTHER LENDING INSTITUTIONS |
| NEEDS ASSESSMENT | PART VI | ST FRANCIS HOSPITAL IS A COMMUNITYOWNED CATHOLIC HEALING MINISTRY AND EXISTS TO PROVIDE EXCEPTIONAL HEALTHCARE SERVICES IN PARTNERSHIP WITH PHYSICIANS FOR ALL OF THOSE IN NEED TO DETERMINE HOW TO BEST SERVE THE COMMUNITY WE CONDUCT REGULAR NEEDS ASSESSMENTS BY SEEKING INPUT FROM MEMBERS OF THE COMMUNITY AND IN OUR ALLIANCE WITH OTHER LOCAL AGENCIES OUR STRATEGY IS TO DEVELOP AND ENHANCE PROGRAMS AND SERVICES THAT WILL MEET THE CHANGING NEEDS OF THE COMMUNITY WE SERVE ST FRANCIS HOSPITAL CONTINUALLY CONDUCTS VARIOUS TYPES OF ASSESSMENTS TO DETERMINE THE COMMUNITYS NEEDS FOR HEALTH AND PERSONAL SUPPORT SERVICES OUR SYSTEM COLLABORATES WITH OTHER AGENCIES AND PROGRAMS TO EXTEND AND STRENGTHEN OUR MISSION OUR PROGRAMS ARE SUCCESSFUL DUE IN LARGE PART BECAUSE OF THESE COLLABORATIONS ONE EXAMPLE OF OUR RESPONSE TO COMMUNITY NEEDS IS THE TRINITY CENTER FOR WOMEN WHICH OPENED IN DECEMBER 2009 THIS FACILITY OPENED WITH THE GOAL OF PROVIDING ALL WOMEN REGARDLESS OF THEIR ABILITY TO PAY WITH ACCESS TO TOP QUALITY PRENATAL CARE THE TRINITY CENTER IS STAFFED WITH BOARD CERTIFIED OBGYN PHYSICIANS AND CERTIFIED MIDWIVES THIS PROGRAM WAS DEVELOPED TO ADDRESS COLUMBUS PROBLEM WITH LOW BIRTH WEIGHT BABIES AND A HIGH INFANT MORTALITY RATE BOTH OF WHICH WERE SIGNIFICANTLY HIGHER THAN THE NATIONAL AVERAGE AS OF 2011 THERE ARE 13 PROVIDERS SEEING PATIENTS AT THE CLINIC ENABLING THE TRINITY CENTER TO REACH EVEN MORE WOMEN ANOTHER OF OUR COMMUNITYS GREATEST NEEDS HAS BEEN MORE ACCESS TO MENTAL HEALTH SERVICES FOR ALL AGES AS OF 2011 ST FRANCIS HAS INCREASED ITS CAPACITY FOR PSYCHIATRY SERVICES AT THE BRADLEY CENTER AND EMPLOYS 6 FULL TIME PSYCHIATRIC PRACTITIONERS MANY OF OUR SYSTEM LEADERS ARE ALSO INVOLVED AT EVERY LEVEL OF THE COMMUNITY THROUGH THEIR WORK AS SYSTEM REPRESENTATIVES ON THE BOARDS OF OTHER NOTFORPROFIT ORGANIZATIONS SUCH AS THE UNITED WAY AMERICAN HEART ASSOCIATION MISSION COLUMBUS AND COLUMBUS TECHNICAL COLLEGE BY OUR ASSOCIATION WITH THESE AGENCIES WE CAN ACCESS EXISTING NEEDS ASSESSMENTS AND STUDIES IN ORDER TO DETERMINE THE COMMUNITYS MOST PRESSING NEEDS THIS INFORMATION COMBINED WITH OUR EXTENSIVE COLLABORATIONS AND OUR ROLE AS A LEADER IN THE COMMUNITY PROVIDES US THE MEANS TO UNDERSTAND AND ADDRESS THE COMMUNITYS NEEDS AND ENSURES OUR OUTREACH PROGRAMS ARE FOCUSED ON THE POPULATIONS WHO NEED OUR SERVICES THE MOST |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PART VI | THE HOSPITAL HAS CLEARLY WRITTEN INDIGENT AND CHARITY CARE POLICIES THAT ARE MADE AVAILABLE AT THE TIME OF REGISTRATION AND THROUGH THE BUSINESS OFFICE PATIENT EDUCATION ON THE ORGANIZATIONS INDIGENT AND CHARITY CARE PROGRAMS IS CONDUCTED DURING PREREGISTRATION AND THROUGH FLOOR VISITS BY BUSINESS OFFICE REPRESENTATIVES FOR THOSE PATIENTS THAT HAVE BEEN IDENTIFIED AS POSSIBLY QUALIFYING FOR FINANCIAL ASSISTANCE OR STATE AND FEDERAL PROGRAMS IN ADDITION THE PATIENT GUIDE BOOKLET DISTRIBUTED TO ALL INPATIENTS GIVES ADDITIONAL INFORMATION ABOUT HOW WE CAN AID UNINSURED PATIENTS IN QUALIFYING FOR PUBLIC ASSISTANCE OR APPLYING FOR OUR FINANCIAL ASSISTANCE PROGRAM THE BUSINESS OFFICE PROVIDES UPDATED MATERIAL TO PHYSICIAN OFFICES FOR ISSUANCE TO THEIR PATIENTS THAT HIGHLIGHT OUR FINANCIAL ASSISTANCE PROGRAM AND POLICIES PATIENT STATEMENTS ENCOURAGE PATIENTS TO CALL FOR MORE INFORMATION ON FINANCIAL ASSISTANCE CUSTOMER SERVICE PERSONNEL AT THE HOSPITAL AND CLINICS INFORM PATIENTS ABOUT OUR FINANCIAL ASSISTANCE PROGRAM AND ASSIST THEM IN MAKING AN APPLICATION FOR PATIENTS WHO HAVE NO INSURANCE LIMITED COVERAGE AND MEDICAID PATIENTS WITHOUT SUPPLEMENTAL INSURANCE PATIENT FINANCIAL COUNSELORS DISCUSS THE FINANCIAL ASSISTANCE AND VARIOUS GOVERNMENT BENEFITS WHICH MAY BE AVAILABLE TO THEM PATIENT FINANCIAL COUNSELORS ALSO REFER APPROPRIATE PATIENTS TO A MEDICAID ELIGIBILITY VENDOR WHO SCREENS THEM FOR MEDICAID AND OTHER PROGRAMS FOR ASSISTANCE IN ADDITION THE BILLING STATEMENTS SENT TO PATIENTS PROVIDE A MESSAGE AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN THE EVENT THE PATIENT HAS DIFFICULTY PAYING THE BALANCE DUE ST FRANCIS HOSPITAL WRITES OFF PATIENT ACCOUNTS RECEIVABLE BALANCES FOR PATIENTS QUALIFYING FOR CHARITY CARE OR FINANCIAL ASSISTANCE AND DOES NOT MAKE FURTHER COLLECTION EFFORTS PATIENTS WHO HAVE NO INSURANCE LIMITED COVERAGE AND MEDICAID PATIENTS WITHOUT SUPPLEMENTAL INSURANCE HAVE THE OPPORTUNITY TO MEET WITH FINANCIAL COUNSELORS WHO PROVIDE APPLICATIONS FOR FINANCIAL ASSISTANCE FOR FULL OR PARTIAL DISCOUNTING OF THEIR BILLS AND AID PATIENTS IN OBTAINING MEDICAID OR OTHER COVERAGE WE INFORM PATIENTS ABOUT OUR FINANCIAL ASSISTANCE PROGRAM AND ASSIST THEM IN MAKING AN APPLICATION FOR PATIENTS WHO QUALIFY FOR CHARITY CARE AND FULL FINANCIAL ASSISTANCE THERE IS NO FINANCIAL OBLIGATION FOR THOSE WHO QUALIFY FOR PARTIAL FINANCIAL ASSISTANCE COLLECTIONS PROCEDURES FOLLOW THE SAME PROCESS AS ALL OTHER PATIENTS WHO ARE RESPONSIBLE FOR UNPAID BALANCES ALL UNINSURED PATIENTS ARE OFFERED A SELFPAY DISCOUNT OF 45 OF CHARGES REGARDLESS OF THEIR ABILITY TO PAY |
| COMMUNITY INFORMATION | PART VI | THE SYSTEM IS LOCATED IN COLUMBUS GEORGIA WHICH AS A METROPOLITAN POPULATION BASE OF APPROXIMATELY 300000 THIS REGION CONSISTS OF 4 COUNTIES IN SOUTHWEST GEORGIA AND ONE COUNTY IN ALABAMA ST FRANCIS HOSPITAL A NOTFORPROFIT 376BED COMMUNITY HOSPITAL STRIVES DAILY TO PROVIDE YOU YOUR FAMILY YOUR FRIENDS AND YOUR NEIGHBORS WITH AN UNSURPASSED QUALITY OF CARE THE HIGHEST LEVELS OF PATIENT SAFETY AND OUTSTANDING CUSTOMER SERVICE ST FRANCIS HOSPITAL IS OUR 292BED ACUTE CARE HOSPITAL PROVIDING A COMPREHENSIVE ARRAY OF HEALTH CARE SERVICES IN 2011 THE MEDICAL CENTERS EMERGENCY DEPARTMENT HAD MORE THAN 53000 VISITS ALMOST 10100 SURGERIES WERE PERFORMED AND INPATIENT ADMISSIONS WERE 11285 IN ADDITION TO PROVIDING A FULL RANGE OF INPATIENT OUTPATIENT AND EMERGENCY ROOM SERVICES AT ITS HOSPITAL ST FRANCIS OFFERS THE FOLLOWING SPECIAL PROGRAMS HIGH QUALITY CARDIAC CARE INCLUDING THE AREAS ONLY OPEN HEART SURGERY PROGRAM AT THE PATRICK HEART INSTITUTE OF ST FRANCIS OUTSTANDING ORTHOPAEDIC CARE THROUGH THE ST FRANCIS ORTHOPAEDIC INSTITUTE TOPNOTCH SURGICAL SERVICES THROUGH THE ST FRANCIS CENTER FOR SURGICAL CARE PAIN MANAGEMENT AND RELIEF FROM BACK AND NECK PAIN AT THE ST FRANCIS SPINE AND NEUROSURGERY CENTER WOMENS HEALTH CARE SERVICES AT THE CENTER FOR BREAST HEALTH THE BRADLEY CENTER IS A COMMUNITY SERVICE OF ST FRANCIS HOSPITAL AND COLUMBUS REGIONAL HEALTHCARE SYSTEM FOUNDED IN 1955 THE BRADLEY CENTER HAS ESTABLISHED A STRONG REPUTATION AS A MENTAL HEALTH CARE PROVIDER OF CHOICE FOR THE PEOPLE OF THE CHATTAHOOCHEE VALLEY OUR CAMPUS AND 84BED FACILITY PROVIDE AN EXCELLENT SETTING FOR CONFIDENTIAL CARE SERVICES INCLUDE PSYCHIATRIC CONDITIONS ASSOCIATED WITH SUBSTANCE ABUSE TREATMENT INPATIENT AND DAY TREATMENT SUPPORT GROUPS RESPITE DAY CARE AND EDUCATIONAL PROGRAMS FRANCISCAN WOODS IS A PREMIER PERSONAL CARE HOME THAT OFFERS HIGH QUALITY COMPASSIONATE CARE IN A HOMELIKE SETTING THE 60UNIT PERSONAL CARE FACILITY CATERS TO THE NEEDS OF RESIDENTS BY ASSISTING THEM WITH ACTIVITIES OF FAMILY LIVING SUCH AS EATING BATHING DRESSING AND AMBULATING OUR MISSION IS TO PROVIDE THE HIGHEST QUALITY CARE FOR THE AGING POPULATION SAINT FRANCIS MEDICAL GROUP IS AN INTEGRATED MULTISPECIALTY PRACTICE CONSISTING OF APPROXIMATELY 60 PHYSICIANS THE SPECIALTIES COVERED BY THESE PHYSICIANS INCLUDE ORTHOPAEDICS NEUROSURGERY OBGYN OTOLARYNGOLOGY GASTROENTEROLOGY GENERAL SURGERY HOSPITALIST AND PSYCHIATRY BY PARTNERING WITH THESE PHYSICIANS ST FRANCIS HOSPITAL HAS BEEN ABLE TO OFFER AREA RESIDENTS ACCESS TO WORLDCLASS PHYSICIAN CARE HERE IN THEIR OWN COMMUNITY ACCREDITATIONS AND AWARDS ACCREDITATIONS ST FRANCIS HOSPITAL IS COLUMBUS FIRST AND ONLY CHEST PAIN CENTER ACCREDITED BY THE SOCIETY OF CHEST PAIN CENTERS ST FRANCIS HOSPITAL IS COLUMBUS FIRST AND ONLY PRIMARY STROKE CENTER ACCREDITED BY THE JOINT COMMISSION ST FRANCIS HOSPITAL AND THE BRADLEY CENTER A MENTAL HEALTH FACILITY OPERATED BY ST FRANCIS ARE ACCREDITED BY THE JOINT COMMISSION ST FRANCIS CARDIAC REHABILITATION PROGRAM IS ACCREDITED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION AWARDS THREE CONSECUTIVE CONSUMER HOSPITAL OF CHOICE AWARDS 20052006 20062007 AND 20072008 FOR BEST DOCTORS BEST NURSES BEST QUALITY AND BEST REPUTATION ACCORDING TO INDEPENDENT RESEARCH CONDUCTED BY NATIONAL RESEARCH CORPORATION JOSH NAHUM FIRST PLACE AWARD FOR ACHIEVEMENT IN INFECTION PREVENTION AND CONTROL 2007 FROM THE GEORGIA HOSPITAL ASSOCIATION GHA FOR ACHIEVING A ZERO PERCENT DEEP STERNAL WOUND INFECTION RATE GEORGIA HOSPITAL ASSOCIATIONS CIRCLE OF EXCELLENCE AWARD 2007 2008 RECOGNIZING HOSPITALS THAT HAVE CONSISTENTLY SHOWN LEADERSHIP IN QUALITY AND PATIENT SAFETY QUALITY AND PATIENT SAFETY AWARD 2008 FROM THE PARTNERSHIP FOR HEALTH AND ACCOUNTABILITY COMPASS AWARD 2008 FOR OVERALL SERVICE EXCELLENCE AND PHYSICIAN SATISFACTION 2010 PATIENT SAFETY AND CLINICAL QUALITY ACHIEVEMENTS WERE EARNING BLUE CROSS BLUE SHIELD AND AETNA CENTER OF DISTINCTION AS A CENTER OF EXCELLENCE FOR TOTAL JOINT REPLACEMENT AND SPINE SURGERY DECREASING READMISSIONS AND MORTALITY RELATED TO CONGESTIVE HEART FAILURE BECOMING THE FIRST GEORGIA HOSPITAL TO ACHIEVE JOINT COMMISSION ACCREDITATION FOR ACUTE CORONARY SYNDROME EARNING RECOGNITION FROM THE AMERICAN SOCIETY FOR GASTROINTESTINAL ENDOSCOPY ASGE FOR THE SAFETY AND QUALITY OF THE HOSPITALS ENDOSCOPY SERVICES THE UNIT IS ONE OF ONLY 215 NATIONALLY TO RECEIVE THIS SEAL OF APPROVAL RECEIVING RECOGNITION FOR ADHERING TO ASGES QUALITY GUIDELINES AND THE CENTERS FOR DISEASE CONTROLS INFECTION CONTROL GUIDELINES RECEIVING THREEYEAR ACCREDITATION FOR MAGNETIC RESONANCE IMAGING MRI SERVICES AND NUCLEAR MEDICINE FROM THE AMERICAN COLLEGE OF RADIOLOGY ACR IN DECEMBER ST FRANCIS IS THE ONLY HOSPITAL IN COLUMBUS TO HAVE ACHIEVED ACR ACCREDITATION FOR MRI SERVICES ACHIEVING 416 STRAIGHT DAYS WITHOUT A CASE OF VENTILATORASSOCIATED PNEUMONIA AS OF AUGUST FALLING BELOW THE NATIONAL AVERAGE OF 8 PERCENT FOR SURGICAL SITE INFECTION RATE ST FRANCIS RATE IS 53 PERCENT REDUCING PATIENT FALLS TO BEST PRACTICE LEVELS BY INCREASING THE FREQUENCY OF ROUNDING ACHIEVING A 74 PERCENT REDUCTION IN CENTRALLINE ASSOCIATED BLOODSTREAM INFECTIONS SINCE OCTOBER 2009 ADDING A STATEOFTHEART HYPERBARIC CHAMBERTHE BARAMED XD MONOPLACEAT THE ST FRANCIS WOUND CARE AND HYPERBARIC CENTER PROGRESSING TOWARD THE FULL IMPLEMENTATION OF ELECTRONIC PATIENT RECORDS ST FRANCIS EARNED TWO STATEWIDE AWARDS FROM THE GEORGIA HOSPITAL ASSOCIATIONPARTNERSHIP FOR HEALTH AND ACCOUNTABILITY GHAPHA FIRST THE HOSPITAL RECEIVED A THIRD PLACE AWARD IN THE GREATER THAN 300 BEDS CATEGORY FOR IMPLEMENTING A BLOOD MANAGEMENT SAFETY PROGRAM ST FRANCIS ALSO BECAME THE ONLY HOSPITAL IN GEORGIA TO RECEIVE A FOURTH CONSECUTIVE PHA CIRCLE OF EXCELLENCE AWARD ST FRANCIS WON THE AWARD FOR WINNING A PHA PATIENT SAFETY AWARD IN 2010 AND FOR EARNING FOUR OR MORE PHA PATIENT SAFETY AWARDS WITHIN THE LAST FIVE YEARS |
| HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE | PART VI | ST FRANCIS HOSPITAL LEADERSHIP AND ITS VOLUNTEER BOARDS ARE COMPRISED OF BUSINESS AND COMMUNITY LEADERS AS WELL AS LOCAL PHYSICIANS WHO BRING VARIOUS PROFESSIONAL AND COMMUNITY SERVICE EXPERIENCE TO THESE POSITIONS OUR EMERGENCY DEPARTMENT IS IN OPERATION 247 AND IS OPEN TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY WE HAVE CLEARLY WRITTEN INDIGENT AND CHARITY CARE POLICIES THAT ARE PRESENTED TO UNINSURED AND UNDERINSURED PATIENTS UPON BOTH REGISTRATION AND DISCHARGE OUR INVOICES ALSO INCLUDE INFORMATION ON HOW TO APPLY FOR FINANCIAL ASSISTANCE IF NEEDED AND WE EMPLOY TRAINED FINANCIAL ASSISTANT COUNSELORS TO SUPPORT THIS PROCESS IN ADDITION WE OFFER ALL SELF PAY PATIENTS A 45 DISCOUNT SIMILAR TO OUR CONTRACTS WITH INSURANCE COMPANIES REGARDLESS OF WHETHER OR NOT THEY APPLY OR QUALIFY FOR FINANCIAL ASSISTANCE ST FRANCIS HOSPITAL SEEKS TO MAXIMIZE BENEFIT TO THE COMMUNITY BY UTILIZING DELIVERY OF CARE MODELS THAT CAN MOST EFFECTIVELY MEET THE NEEDS OF THE COMMUNITY FOR EXAMPLE THE TRINITY CENTER FOR WOMEN OFFERS ACCESS TO TOPQUALITY PRENATAL CARE AND COUNSELING TO LOWINCOME WOMEN IN A NEWLY RENOVATED OUTPATIENT CLINIC THE ASSOCIATES EMPLOYED BY ST FRANCIS ALSO SUPPORT THE COLUMBUS COMMUNITY BY VOLUNTEERING THEIR TIME AND CONTRIBUTING FINANCIAL RESOURCES SINCE ITS LAUNCH IN 1994 ST FRANCIS ASSOCIATES HAVE GIVEN OVER 1600000 TO THE CARING HOSPITAL EMPLOYEES ENVISION REAL SUCCESS CHEERS EMPLOYEE GIVING CAMPAIGN 100 PERCENT OF PLEDGES GO DIRECTLY INTO THE CHEERS FUND O ASSIST LOW INCOME PATIENTS WHO CANNOT AFFORD MEDICATION OR SUPPLIES O OFFER EMERGENCY ASSISTANCE TO PEOPLE IN CRISIS O PROVIDE SCHOLARSHIPS TO STUDENTS PURSUING THEIR HEALTH CARE EDUCATION O SUPPORT AREA AGENCIES THAT RECEIVE FUNDING FROM UNITED WAY TO DATE AN ESTIMATED 16000 PEOPLE HAVE BENEFITTED FROM CHEERS MEETING THE HEALTH CARE NEEDS OF THE GREATER COLUMBUS AREA CANNOT BE ACHIEVED THROUGH ANY ONE EMPLOYEE DEPARTMENT OR FACILITY ALL PARTS OF THE ST FRANCIS HOSPITAL WORK TOGETHER SO THAT WE CAN BETTER MEET SPECIFIC COMMUNITY NEEDS AND ACHIEVE OUR MISSION OF IMPROVING THE HEALTH AND WELL BEING OF THE REGION ALL OF THE ST FRANCIS FACILITIES INCLUDING THE HOSPITAL THE BRADLEY CENTER FRANCISCAN WOODS AND OUTPATIENT AND PHYSICIAN OFFICES FURTHER THEIR EXEMPT PURPOSES BY PROMOTING COMMUNITY HEALTH IN A VARIETY OF WAYS THE GOVERNING BODIES OF ALL OF OUR ORGANIZATIONS ARE PRIMARILY COMPRISED OF PERSONS WHO ARE NOT EMPLOYEES CONTRACTORS NOR FAMILY MEMBERS THEREOF AND WHO RESIDE IN OUR PRIMARY SERVICE AREA THE HOSPITALS MEDICAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS IN THE REGION FOR THOSE PHYSICIANS IN THE REGION WHO DO NOT HAVE PRIVILEGES THE SYSTEM PROVIDES A PROCESS FOR ADMITTING PATIENTS VIA THE HOSPITALISTS OR THROUGH OTHER PHYSICIANS ST FRANCIS HOSPITAL TAKES A MULTIFACETED APPROACH TO IMPROVING THE HEALTH OF THE COLUMBUS COMMUNITY BETTER ACCESS GREATER CAPACITY BUILDING PHYSICIAN AND COMMUNITY PARTNERSHIPS AND DEVELOPING LEADERSHIP WE REINVEST OUR FUNDS IN THIS COMMUNITY TO IMPROVE HEALTH CARE SERVICES FOR OUR NEIGHBORS FOR EXAMPLE ST FRANCIS SPONSORS A SENIORS PROGRAM PRIMETIME SENIORS WHICH IS OFFERED FREE TO THE PUBLIC MEMBERS RECEIVE ACCESS TO FREE HEALTH SCREENINGS FREE OR DISCOUNTED WELLNESS SERVICES PHARMACY DISCOUNT PROGRAM AND FREE SEMINARS PRESENTED BY PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS FUNDS GENERATED FROM THE OPERATIONS OF THE HOSPITAL AND OTHER FACILITIES AFTER OPERATING EXPENSES ARE USED TO SUPPORT OUTREACH EFFORTS PROVIDE MEDICAL EDUCATION TO THE COMMUNITY ENHANCE SAFETY INCREASE CAPACITY AND IMPLEMENT NEW TECHNOLOGY TO PROVIDE THE HIGHEST QUALITY TREATMENT RIGHT HERE IN OUR COMMUNITY THE HOSPITAL DOES THIS IN MANY DIFFERENT WAYS IN RECENT YEARS THE HOSPITAL INVESTED IN BREAST SPECIFIC GAMMA IMAGING EQUIPMENT FOR THE CENTER FOR BREAST HEALTH WHICH AIDS IN THE EARLY DETECTION OF BREAST DISEASE WE ALSO ADDED TWO NEW STATEOFTHE ART OPERATING ROOMS TO THE SURGICAL SUITE INCREASING CAPACITY BY 20 IN 2011 ST FRANCIS ESTABLISHED THE ST FRANCIS ROBOTICS AND MINIMALLY INVASIVE SURGERY CENTER WITH THE ACQUISITION OF A DA VINCI HD ROBOTIC SYSTEM ONE OF THE HOSPITALS GREATEST ACCOMPLISHMENTS LAST YEAR WAS BREAKING GROUND ON A 110 MILLION SERIES OF REMODELING AND EXPANSION PROJECTSTHE MOST EXTENSIVE PLANS IN THE HOSPITALS HISTORY THE PLANS ONCE COMPLETED WILL INCREASE THE NUMBER OF PRIVATE ROOMS AT ST FRANCIS TO 248 EXPAND THE HOSPITALS EMERGENCY DEPARTMENT OPERATING SUITE AND ORTHOPAEDIC INSTITUTE COMPLETE RENOVATION OF THE NOW 60YEAR OLD FACILITY AND CREATE A DEDICATED STATEOFTHE ART CARDIOVASCULARSURGICAL UNIT THE PROJECTS WILL ADD 300000 SQUARE FEET TO THE EXISTING FACILITY AND BRING WORLDCLASS HEALTH CARE TO OUR COMMUNITY AT ST FRANCIS HOSPITAL IN 2011 ST FRANCIS GAVE BACK 13007185 FOR THE BENEFIT OF THE COMMUNITY THIS TIME AND EFFORT COMES IN MANY DIFFERENT WAYS IN ADDITION TO UNCOMPENSATED HEALTH CARE IT ALSO INCLUDES SUCH ACTIVITIES AS A PHYSICIAN GIVING A FREE LECTURE TO A GROUP OF SENIORS NURSES DOING HEALTH SCREENINGS AT A LOCAL HEALTH FAIR OR ASSOCIATES VOLUNTEERING THEIR TIME TO JUDGE SCIENCE FAIR PROJECTS FOR OUR PARTNERINEDUCATION SCHOOLS OR DELIVERING EASTER BASKETS TO NEEDY CHILDREN THE FOLLOWING ARE 2011 HIGHLIGHTS 10950255 CARE FOR THE POOR O PROVIDING HEALTH CARE TO THE UNDERSERVED IN OUR COMMUNITY THROUGH ST FRANCIS HOSPITAL AND THE TRINITY CENTER FOR WOMEN 1011003 COMMUNITY SUPPORT AND OUTREACH O SCHOLARSHIPS O SUPPORT OF COMMUNITY ORGANIZATIONS O ASSOCIATE VOLUNTEER TIME O ARTHRITIS WALK O HEART WALK O HEART TRUTH LUNCHEON O ASSOCIATE MENTORING THROUGH THE PARTNERINEDUCATION PROGRAM O DONATING MEETING SPACE TO LOCAL COMMUNITY GROUPS O PROVIDING FREE SAFETYCAB RIDES TO PARTYGOERS DURING THE HOLIDAY SEASON 525537 THE TRINITY CENTER FOR WOMEN O PROVIDING FREE AND LOWCOST PRENATAL AND OBSTETRIC CARE TO AREA WOMEN 445539 EDUCATION O DISEASESPECIFIC EDUCATIONAL SERIES O PRIMETIME SENIORS PROGRAM O CPR TRAINING O PHYSICIAN LECTURES O FREE MONTHLY PHYSICIAN LECTURES O AARP DRIVER SAFETY COURSE 74851 COMMUNITY PROJECTS HEALTH FAIRS AND SCREENINGS O STOCKINGS FOR SENIORS O BROWN BAG OF COLUMBUS O ADOPTABUNNY O MISSION COLUMBUS MEDICAL CLINIC O BLOOD DRIVES O STROKE SCREENINGS O HEARING SCREENINGS O DIABETES HEALTH SUPPORT O STRESS ANXIETY AND DEPRESSION SCREENINGS O CAROTID SCREENINGS O HEALTH FAIRS AT LOCAL BUSINESSES |
| LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED | PART VI | GEORGIA |
| ST FRANCIS HOSPITAL INC LINE NUMBER 1 PART V LINE 19D | PART V LINE 19D | ALL UNINSURED PATIENTS ARE GIVEN A 45 DISCOUNT OFF OF GROSS CHARGES REGARDLESS OF THEIR ABILITY TO PAY |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)
| Type Of GrantTypeOfGrant | Amount Of Cash GrantAmountOfCashGrant |
|---|---|
| CHILDCARE SPONSORSHIP | 12367 |
| ASSISTANCE | 100000 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | true | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|---|
| GEORGE M MCCLUSKEY III MD | |||||
| 1120026 | 166846 | 10586 | 9310 | 4775 | 1311543 |
| ROBERT P GRANGER | |||||
| 657679 | 44186 | 18616 | 89310 | 11507 | 821298 |
| WILLIAM TAYLOR MD | |||||
| 346192 | 168213 | 17453 | 107500 | 4443 | 643801 |
| MATTHEW MOORE | |||||
| 327307 | 19341 | 13142 | 54310 | 5994 | 420094 |
| DEBORAH L SAYLOR | |||||
| 301524 | 17853 | 22529 | 44900 | 5757 | 392563 |
| BOBBI FARBER MD | |||||
| 361743 | 54388 | 16112 | 21500 | 4714 | 458457 |
| DAVID STEELE | |||||
| 224174 | 10866 | 12831 | 32822 | 7659 | 288352 |
| EWINS R LOWE | |||||
| 220425 | 12227 | 13422 | 48611 | 8660 | 303345 |
| THOMAS WALSH MD | |||||
| 1024001 | 19396 | 13336 | 100000 | 4775 | 1161508 |
| ROBERT LEWIS MD | |||||
| 520413 | 406579 | 7972 | 30000 | 4775 | 969739 |
| LE WESTERLUND MD | |||||
| 590212 | 323860 | 8053 | 25000 | 4775 | 951900 |
| GEORGE ZIMMERMAN | |||||
| 695026 | 132246 | 10386 | 79059 | 3120 | 919837 |
| LELAND MCCLUSKEY | |||||
| 575354 | 156172 | 10092 | 9310 | 4775 | 755703 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| FRINGE OR EXPENSE EXPLANATION | SCHEDULE J, PAGE 1, PART I, LINE 1A | SOCIAL CLUB DUES AE REIMBURSED FOR CERTAIN EXECUTIVES. AMOUNTS ARE NOT INCLUDED IN TAXABLE INCOME AS THE ORGANIZATION RECOGNIZES THAT MEMBERSHIP TO THE LOCAL CLUB IS A DESIRABLE MARKETING TOOL FOR THE BENEFIT OF THE HOSPITAL ORGANIZATION ITSELF. ADDITIONALLY, CERTAIN EXECUTIVE STAFF ARE ENTITLED TO RECEIVE AN AUTOMOBILE ALLOWANCE, WHICH IS INCLUDED IN THEIR TAXABLE INCOME AT YEAR END. |
| SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS | SCHEDULE J, PAGE 1, PART I, LINE 4 | ROBERT P. GRANGER 0 80,000 0 WILLIAM TAYLOR MD 0 98,190 0 MATTHEW MOORE 0 45,000 0 DEBORAH L. SAYLOR 0 40,000 0 BOBBI FARBER, MD 0 12,190 0 DAVID STEELE 0 25,000 0 EWINS R. LOWE 0 40,000 0 THOMAS WALSH, MD 0 90,690 0 ROBERT LEWIS, MD 0 25,100 0 L.E. WESTERLUND, MD 0 15,690 0 GEORGE ZIMMERMAN 0 69,749 0 |
| COMPENSATION CONTINGENT UPON NET EARNINGS OF ORGANIZATION | SCHEDULE J, PAGE 1, PART I, LINE 6A | 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. |
| 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. |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | ROBERT LEWIS MD | NamePerson |
| Purpose Of Loan | PHYSICIAN PRACTICE | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $116,961 | OriginalPrincipalAmount |
| Balance Due | 22079 | BalanceDue |
| Default | false | Default |
| Approved By Board | false | ApprovedByBoard |
| Written Agreement | true | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 22079 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HUMAN PERFORM REHAB CTR-MCCLUSKEY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | BD-FAMILY BUS | Relationship |
| Amount Of Transaction | 3710325 | AmountOfTransaction |
| Description Of Transaction | CONTRACTED REHAB | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ADDITIONAL INFORMATION | Identifier |
| Return Reference | SCHEDULE L PART V | ReturnReference |
| Explanation | FAMILY MEMBERS OF DR GEORGE MCCLUSKEY A BOARD MEMBER AND EMPLOYED PHYSICIAN OWN AND OPERATE A PHYSICAL OCCUPATIONAL AND REHABILITATION THERAPY BUSINESS WHICH PROVIDES SERVICES TO THE ORGANIZATION TOTAL AMOUNT PAID BY THE FILING ORGANIZATION TO HUMAN PERFORMANCE AND REHAB FOR THERAPY SERVICES DURING THE CALENDAR YEAR WERE IN EXCESS OF 37 MILLION | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ELECTION OF MEMBERS AND THEIR RIGHTS | FORM 990, PAGE 6, PART VI, LINE 7A | THE MEDICAL STAFF HAVE THE AUTHORITY TO ELECT THREE MEMBERS OF THE GOVERNING BODY - THE MEDICAL STAFF PRESIDENT, PRESIDENT ELECT AND PAST PRESIDENT. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | FORM 990 IS PROVIDED TO THE BOARD FOR THEIR REVIEW AFTER THE FILING DATE. MANAGEMENT'S REVIEW OF FORM 990 IS PERFORMED BEFORE THE FILING DATE AND INCLUDES A REVIEW FOR APPROPRIATE DISCLOSURE OF FINANCIAL DATA AND OTHER DETAILS. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | I.COVERED INDIVIDUALS (A) ALL TRUSTEES AND OFFICERS OF THE HOSPITAL, (B) ALL MEMBERS OF COMMITTEES AUTHORIZED TO ACT ON BEHALF OF THE BOARD OF TRUSTEES OF THE HOSPITAL, (C) THE CHIEF OF STAFF OF THE HOSPITAL, (D) ANY OTHER OFFICERS OF THE MEDICAL STAFF OF THE HOSPITAL, (E) ANY OTHER PERSON EXERCISING MATERIAL AND SUBSTANTIAL INFLUENCE OVER THE OPERATIONS OF THE HOSPITAL, AND (F) 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 HOSPITAL WITH THE SECRETARY OF THE HOSPITAL A DISCLOSURE STATEMENT SETTING FORTH ANY CONFLICT OF INTEREST THAT SUCH COVERED INDIVIDUAL MAY HAVE WITH THE HOSPITAL. B.THE SECRETARY OF THE HOSPITAL SHALL REVIEW ALL DISCLOSURE STATEMENTS WITH THE CHAIR OF THE BOARD TO ENSURE COMPLIANCE WITH THE POLICIES REGARDING CONFLICTS OF INTEREST C. THE BOARD OF TRUSTEES MAKES A DETERMINATION AS TO WHETHER A CONFLICT EXISTS. D. THE BOARD OF TRUSTEES REVIEWS THE POTENTIAL CONFLICT. E. UPON DETERMINATION OF THE EXISTENCE OF A CONFLICT, THE BOARD OF TRUSTEES 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 OR 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 HOSPITAL AND IS FAIR AND REASONABLE TO THE HOSPITAL. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | THE PROCESS FOR REVIEWING AND EVALUATING SENIOR LEADERSHIP COMPENSATION IS OVERSEEN BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE FOLLOWING HIGHLIGHTS THE KEY ITEMS RELATED TO THIS PROCESS: 1)EACH DECEMBER, THE BOARD WILL RECEIVE AN EVALUATION FORM FOR THE CEO AND A SUMMARY OF THE ANNUAL GOALS THAT WERE PREVIOUSLY APPROVED BY THE BOARD. EACH BOARD MEMBER WILL BE ASKED TO COMPLETE THE EVALUATION. 2)IN JANUARY, MANAGEMENT WILL PROVIDE THE COMPENSATION COMMITTEE WITH THE FOLLOWING: A.INFORMATION RELATED TO ACHIEVEMENT OF ANNUAL GOALS AND THE PROPOSED INCENTIVE AWARD TO SENIOR LEADERSHIP AND ASSOCIATES B.MARKET COMPARATIVE COMPENSATION INFORMATION FOR EACH KEY POSITION C.CEO'S RECOMMENDATIONS AS IT RELATES TO SENIOR LEADERSHIP COMPENSATION. 3)THE COMPENSATION COMMITTEE WILL REVIEW THE INFORMATION AND PROVIDE A WRITTEN REPORT TO BE DISTRIBUTED TO THE BOARD FOR THE JANUARY BOARD MEETING THAT INCLUDES THE FOLLOWING ITEMS:. A.REVIEW OF SELF ASSESSMENT BY SENIOR LEADERSHIP ON ACCOMPLISHMENT OF GOALS B.GOALS FOR THE UPCOMING YEAR FOR SENIOR LEADERSHIP AND ASSOCIATES C.CEO RECOMMENDATIONS FOR SENIOR LEADERSHIP COMPENSATION D.CEO RECOMMENDATIONS FOR CURRENT YEAR INCENTIVE COMPENSATION AWARDS FOR SENIOR LEADERSHIP AND ASSOCIATES E.EVALUATION OF CEO PERFORMANCE F.ASSESSMENT OF CEO COMPENSATION, INCLUDING MARKET COMPARATIVE COMPENSATION INFORMATION G.ASSESSMENT OF SENIOR LEADERSHIP COMPENSATION ADJUSTMENTS H.ASSESSMENT OF ASSOCIATE RECOGNITION RECOMMENDATIONS THIS REPORT WILL BE REVIEWED DURING AN EXECUTIVE SESSION OF THE BOARD EACH JANUARY. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | SEE RESPONSE TO 15A ABOVE. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| RELATED ORGANIZATIONS | FORM 990, PAGE 7, PART VII | AVERAGE WEEKLY HOURS BY INDIVIDUALS DEVOTED TO RELATED ORGANIZATIONS: ROBERT GRANGER 1 HOUR MATTHEW MOORE 1 HOUR |
| OTHER CHANGES IN NET ASSETS EXPLANATION | FORM 990, PART XI, LINE 5 | INCREASES AFFILIATE CASH DIVIDENDS 313,639 DECREASES OTHER CHANGES TO NET ASSETS 32,612 UNREALIZED LOSS ON INVESTMENTS 1,964,332 INVESTMENT IN AFFILIATES CHANGES 3,855,131 TOTAL DECREASES 5,852,075 NET DECREASE IN NET ASSETS (5,538,436) |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (12 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Business Name Line2DirectControllingEntityName/BusinessNameLine2 |
|---|---|---|---|---|---|---|---|---|---|---|
| ST FRANCIS ANESTHETISTS LLC | ||||||||||
| 2122 MANCHESTER HIGHWAY | COLUMBUS | GA | 31908 | 208105342 | ANESTHESIA | GA | 2045129 | 164785 | SFHI | ST FRANCIS HOSPITAL INC |
| ST FRANCIS CENTER FOR DIGESTIVE | ||||||||||
| 2122 MANCHESTER HIGHWAY | COLUMBUS | GA | 31908 | 208709718 | GASTRO | GA | 1737505 | 242434 | SFHI | ST FRANCIS HOSPITAL INC |
| ST FRANCIS CENTER FOR SURGICAL CARE | ||||||||||
| 2122 MANCHESTER HIGHWAY | COLUMBUS | GA | 31908 | 205705790 | SURGERY | GA | 4345440 | 669722 | SFHI | ST FRANCIS HOSPITAL INC |
| ST FRANCIS ENT LLC | ||||||||||
| 2122 MANCHESTER HIGHWAY | COLUMBUS | GA | 31908 | 261188735 | EAR, NOSE | GA | 2411310 | 375820 | SFHI | ST FRANCIS HOSPITAL INC |
| ST FRANCIS GENERAL SURGEONS | ||||||||||
| 2122 MANCHESTER HIGHWAY | COLUMBUS | GA | 31908 | 205951845 | SURGERY | GA | SFHI | ST FRANCIS HOSPITAL INC | ||
| ST FRANCIS GI | ||||||||||
| 2122 MANCHESTER HIGHWAY | COLUMBUS | GA | 31908 | 208709642 | GASTRO | GA | 960278 | 76724 | SFHI | ST FRANCIS HOSPITAL INC |
| ST FRANCIS HOSPITALISTS | ||||||||||
| 2122 MANCHESTER HIGHWAY | COLUMBUS | GA | 31908 | 208105270 | HOSPITALIS | GA | 1963635 | 672803 | SFHI | ST FRANCIS HOSPITAL INC |
| ST FRANCIS ORTHOPAEDIC INSTITUTE | ||||||||||
| 2122 MANCHESTER HIGHWAY | COLUMBUS | GA | 31908 | 205197130 | ORTHO | GA | 11620033 | 2668881 | SFHI | ST FRANCIS HOSPITAL INC |
| ST FRANCIS PSYCHIATRISTS | ||||||||||
| 2122 MANCHESTER HIGHWAY | COLUMBUS | GA | 31908 | 263484373 | PSY | GA | 859443 | 187518 | SFHI | ST FRANCIS HOSPITAL INC |
| ST FRANCIS OBSTETRIC & GYNECOLOBY | ||||||||||
| 2122 MANCHESTER HIGHWAY | COLUMBUS | GA | 31908 | 264341272 | OB/GYN | GA | 8020527 | 1336432 | SFHI | ST FRANCIS HOSPITAL INC |
| ST FRANCIS WOUND CARE PHYSICIANS LL | ||||||||||
| 2122 MANCHESTER HIGHWAY | COLUMBUS | GA | 31908 | 263489307 | WOUND CARE | GA | 436117 | 44630 | SFHI | ST FRANCIS HOSPITAL INC |
| ST FRANCIS CENTER FOR BREAST HEALTH | ||||||||||
| 2122 MANCHESTER HIGHWAY | COLUMBUS | GA | 31908 | 264290838 | BREAST HLT | GA | 861995 | 103190 | SFHI | ST FRANCIS HOSPITAL INC |
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST FRANCIS FOUNDATION INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 7000 | AddressLine1 |
| City | COLUMBUS | City |
| State | GA | State |
| ZIP Code | 31908 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581995070 | EIN |
| Primary Activities | FOUNDATION | PrimaryActivities |
| Legal Domicile State | GA | LegalDomicileState |
| Exempt Code Section | 501C3 | ExemptCodeSection |
| Public Charity Status | 11B | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | false | ControlledOrg |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Business Name Line2DirectControllingEntityName/BusinessNameLine2 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BEHAVIORAL HEALTH MGMT SERVICES LLC | ||||||||||||||
| PO BOX 7000 | COLUMBUS | GA | 319087000 | 204896461 | MANAGEMENT | GA | SFH | ST FRANCIS HOSPITAL INC | RELATED | 57951 | 75721 | false | false | 0.66000 |
| ST FRANCIS CARDIAC MGMT SERVICES | ||||||||||||||
| PO BOX 7000 | COLUMBUS | GA | 319087000 | 205369263 | MANAGEMENT | GA | NA | RELATED | 251304 | 279304 | false | false | 0.36570 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST FRANCIS AFFILIATED SERVICES | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 7000 | AddressLine1 |
| City | COLUMBUS | City |
| State | GA | State |
| ZIP Code | 319087000 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581187333 | EIN |
| Primary Activity | PHYSICIAN | PrimaryActivity |
| Legal Domicile State | GA | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SFH | BusinessNameLine1 |
| Business Name Line2 | ST FRANCIS HOSPITAL INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C CORP | TypeOfEntity |
| Share Of Total Income | 5707019 | ShareOfTotalIncome |
| Share Of EOY Assets | 23250842 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| BEHAVIORAL HEALTH MANAGEMENT SVCS | ||
| K | 158550 | GENERAL LEDGER COSTS |
| ST FRANCIS AFFILIATED SERVICES | ||
| J | 1277617 | GENERAL LEDGER COSTS |
| BEHAVIORAL HEALTH MANAGEMENT SVCS | ||
| N | 270000 | GENERAL LEDGER COSTS |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ADDITIONAL INFORMATION | Identifier |
| Return Reference | SCHEDULE R | ReturnReference |
| Explanation | SCHEDULE R PART V ST FRANCIS HOSPITAL FOUNDATION IS ORGANIZED TO SUPPORT ST FRANCIS HOSPITAL | Explanation |
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