GREATER COLUMBUS HEALTH FOUNDATION INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- GREATER COLUMBUS HEALTH FOUNDATION INC (EIN 58-1995070)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-15
- IRS object ID
- 201233209349302273
- 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 D
- Schedule G
- Schedule I
- Schedule J
- Schedule N
- 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 | 581995070 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST FRANCIS HOSPITAL FOUNDATION 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 | PO BOX 7000 | AddressLine1 |
| City | COLUMBUS | City |
| State | GA | State |
| ZIP Code | 319087000 | 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 EXPRESSWAY | AddressLine1 |
| City | COLUMBUS | City |
| State | GA | State |
| ZIP Code | 319047000 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 3244339 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.WECAREFORLIFE.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1950 | YearFormation |
| State Legal Domicile | GA | StateLegalDomicile |
| Activity Or Mission Description | THE ST. FRANCIS HOSPITAL FOUNDATION'S PRIMARY EXEMPT PURPOSE IS TO ASSIST, ADVANCE AND STRENGTHEN ST. FRANCIS HOSPITAL, INC. | ActivityOrMissionDescription |
| Termination Or Contraction | X | TerminationOrContraction |
| Nbr Voting Members Governing Body | 23 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 20 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 329 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 5137818 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2663457 | ContributionsGrantsCurrentYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 106552 | InvestmentIncomePriorYear |
| Investment Income Current Year | 317118 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 149367 | OtherRevenuePriorYear |
| Other Revenue Current Year | 96197 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 5393737 | TotalRevenuePriorYear |
| Total Revenue Current Year | 3076772 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 709227 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 5821977 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 19742 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 12699 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 70586 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 473957 | OtherExpensePriorYear |
| Other Expenses Current Year | 461864 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1202926 | TotalExpensesPriorYear |
| Total Expenses Current Year | 6296540 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 4190811 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -3219768 | RevenuesLessExpensesCY |
| Total Assets BOY | 20868858 | TotalAssetsBOY |
| Total Assets EOY | 18597828 | TotalAssetsEOY |
| Total Liabilities BOY | 15384 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1304792 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 20853474 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 17293036 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE ST. FRANCIS HOSPITAL FOUNDATION'S PRIMARY EXEMPT PURPOSE IS TO ASSIST, ADVANCE AND STRENGTHEN ST. FRANCIS HOSPITAL, INC. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 5700000 | Expense |
| Grants | 5700000 | Grants |
| Description | ALLOCATIONS TO ST. FRANCIS HOSPITAL FOR CAPITAL IMPROVEMENTS, LEADERSHIP DINNER AND EQUIPMENT | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 121977 | Expense |
| Grants | 121977 | Grants |
| Description | 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. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 5821977 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | 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 | false | 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 | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | 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 | false | 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 | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | true | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| 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 | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| 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 | 23 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 20 | 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 | true | 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 | false | InvestmentInJointVenture |
| 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 | 319047000 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| LELAND C MCCLUSKEY MD | ||||||
| TRUSTEE | 1.00 | X | 0 | 741618 | 14085 | |
| ROBERT GRANGER | ||||||
| PRES/HOSP CE | 1.00 | X | 0 | 720481 | 100817 | X |
| MCDONALD PLUMMER | ||||||
| VICE PRES | 1.00 | X | 0 | 225338 | 24600 | X |
| CATHERINE Z BICKERSTAFF | ||||||
| PAST CHAIR | 1.00 | X | 0 | 0 | 0 | X |
| LANE WOOLFOLK | ||||||
| AUXILIARY PR | 1.00 | X | 0 | 0 | 0 | X |
| H BANKS CARROLL MD | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| THOMAS COCHRAN MD | ||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | X |
| EDDIE OBLETON | ||||||
| FELLOWS BD C | 1.00 | X | 0 | 0 | 0 | X |
| CHARLES E HUFF | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| KENT A ILLGES | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| C DEXTER JORDAN | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| ASHOK KUMAR MD | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| SALLIE MARTIN | ||||||
| CHAIR | 1.00 | X | 0 | 0 | 0 | X |
| ROY G PLUMMER | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| BETSY RAMSAY | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| LINDA SHINKLE | ||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | X |
| GEORGE E WADE III | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| LISA WHITE | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| MASON LAMPTON | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| LEE SESSIONS | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| DONNA S HAND | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| ANGIE HART | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| MEG POYDASHEFF | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| MATTHEW MOORE | ||||||
| HOSPITAL CFO | 1.00 | 0 | 359790 | 60304 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp Frm Rltd Orgs | 2047227 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 199806 | TotalOtherCompensation |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| All Other Contributions | 2663457 | AllOtherContributions |
| Total Contributions | 2663457 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 317118 | TotalRevenueColumn |
| Exclusion | $317,118 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 263764 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 167567 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 96197 | TotalRevenueColumn |
| Exclusion | $96,197 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3076772 | TotalRevenueColumn |
| Exclusion | $413,315 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5700000 | Total |
| Program Services | 5700000 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 121977 | Total |
| Program Services | 121977 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12699 | Total |
| Management And General | 12699 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5000 | Total |
| Management And General | 5000 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 345274 | Total |
| Management And General | 345274 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3015 | Total |
| Management And General | 3015 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 880 | Total |
| Management And General | 880 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19665 | Total |
| Management And General | 19665 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2257 | Total |
| Management And General | 2257 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3121 | Total |
| Management And General | 3121 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|
| MISCELLANEOUS | 74769 | 4183 | 70586 |
| MAINTENANCE | 4230 | 4230 | |
| DUES | 3653 | 3653 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6296540 | Total |
| Program Services | 5821977 | ProgramServices |
| Management And General | 403977 | ManagementAndGeneral |
| Fundraising | 70586 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1591407 | BOY |
| EOY | 2330863 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 940086 | BOY |
| EOY | 947775 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9872396 | BOY |
| EOY | 7428589 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16964 | BOY |
| EOY | 2360 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 92458 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 84574 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11005 | BOY |
| EOY | 7884 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7880896 | BOY |
| EOY | 7880357 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 556104 | BOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20868858 | BOY |
| EOY | 18597828 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15384 | BOY |
| EOY | 32117 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1272675 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15384 | BOY |
| EOY | 1304792 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1457954 | BOY |
| EOY | 2250574 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19395520 | BOY |
| EOY | 15042462 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20853474 | BOY |
| EOY | 17293036 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20868858 | BOY |
| EOY | 18597828 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -3219768 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -340670 | 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) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST FRANCIS HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 580641240 | EIN |
| Type Of Organization | 3 | TypeOfOrganization |
| Listed In Governing Doc | true | ListedInGoverningDoc |
| Supported Organization Notified | true | SupportedOrganizationNotified |
| Organized In US | true | OrganizedInUS |
| Amount | $5,700,000 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 5700000 | SumOfAmounts |
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 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 |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 18805 | OtherCostOrOtherBasis |
| Depreciation | 12223 | Depreciation |
| Book Value | 6582 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 73653 | OtherCostOrOtherBasis |
| Depreciation | 72351 | Depreciation |
| Book Value | 1302 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 7884 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INTERCOMPANY PAYABLES | Description |
| Amount | $1,272,675 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1272675 | 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 G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | BUTLER DINNER | NameOfEvent1 |
| Gross Receipts Event1 | 177749 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 177749 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 5441 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 33221 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 62891 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 38361 | OtherDirectExpensesEvent1 |
| Name Of Event2 | DERBY DAY | NameOfEvent2 |
| Gross Receipts Event2 | 51951 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 51951 | GrossRevenueEvent2 |
| Cash Prizes Event2 | 8000 | CashPrizesEvent2 |
| Rent Facility Costs Event2 | 4224 | RentFacilityCostsEvent2 |
| Entertainment Event2 | 600 | EntertainmentEvent2 |
| Other Direct Expenses Event2 | 5337 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 1 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 34064 | GrossReceiptsOtherEvents |
| Gross Revenue Other Events | 34064 | GrossRevenueOtherEvents |
| Rent Facility Costs Other Events | 400 | RentFacilityCostsOtherEvents |
| Food And Beverage Other Events | 1303 | FoodAndBeverageOtherEvents |
| Other Direct Expenses Other Events | 7789 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 263764 | GrossReceiptsTotal |
| Gross Revenue Total Events | 263764 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 8000 | CashPrizesTotalEvents |
| Rent Facility Costs Total Events | 10065 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 34524 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 63491 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 51487 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 167567 | DirectExpenseSummaryEvents |
| Net Income Summary | 96197 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST FRANCIS HOSPITAL 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 Of Recipient | 580641240 | EINOfRecipient |
| IRC Section | 3 | IRCSection |
| Amount Of Cash Grant | 5700000 | AmountOfCashGrant |
| Purpose Of Grant | CAPITAL PURCHASES | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)
| Type Of GrantTypeOfGrant | Amount Of Cash GrantAmountOfCashGrant |
|---|---|
| INDIGENT PATIENT MEDICAL | 57332 |
| EMPLOYEE HEALTH SCHOLARSH | 57445 |
| FINANCIAL CRISIS INDIVIDU | 7200 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | true | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)
| Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs |
|---|---|---|---|---|---|
| LELAND C MCCLUSKEY MD | |||||
| 575354 | 156172 | 10092 | 9310 | 4775 | 755703 |
| ROBERT GRANGER | |||||
| 657679 | 44186 | 18616 | 89310 | 11507 | 821298 |
| MCDONALD PLUMMER | |||||
| 204185 | 5811 | 15342 | 20442 | 4158 | 249938 |
| MATTHEW MOORE | |||||
| 327307 | 19341 | 13142 | 54310 | 5994 | 420094 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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 MCDONALD PLUMMER 0 15,000 0 MATTHEW MOORE 0 45,000 0 |
| COMPENSATION CONTINGENT UPON NET EARNINGS OF RELATED ORG | SCHEDULE J, PAGE 1, PART I, LINE 6B | 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 N IRS990ScheduleN
Disposition Table DispositionTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Asset | CAPITAL CONTRIBUTION | DescriptionOfAsset |
| Date Of Distribution | 2011-12-31 | DateOfDistribution |
| FMV Of Asset | 5700000 | FMVOfAsset |
| Method Of FMV Determination | CASH VALUE | MethodOfFMVDetermination |
| EIN | 580641240 | EIN |
| Name Person | ST FRANCIS HOSPITAL INC | NamePerson |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2122 MANCHESTER EXPRESSWAY | AddressLine1 |
| City | COLUMBUS | City |
| State | GA | State |
| ZIP Code | 319047000 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | 501C3 | IRCSection |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | true | DirectorOfSuccessor2 |
| Employee Of Successor2 | true | EmployeeOfSuccessor2 |
| Owner Of Successor2 | false | OwnerOfSuccessor2 |
| Receive Compensation2 | false | ReceiveCompensation2 |
Form990 Schedule N Part III Form990ScheduleNPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DETAIL | Identifier |
| Return Reference | SCHEDULE N PART II PAGE 2 LINE 2E | ReturnReference |
| Explanation | ROBERT GRANGER IS THE CORPORATE PRESIDENT AND HOSPITAL CEO MCDONALD PLUMMER FUNCTIONS AS CORPORATE VICE PRESIDENT MATTHEW MOORE IS THE HOSPITAL CFO WHILE LELAND MCCLUSKEY MD IS AN EMPLOYEE PHYSICIAN FOR THE HOSPITAL AS SUCH ALL ARE COMPENSATED BY ST FRANCIS HOSPITAL INC THE TRANSFEREE ORGANIZATION ROBERT GRANGER SERVES ON THE BOARD OF SFH AS A VOTING MEMBER | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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 2011. |
| 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 2011 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 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 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. |
| RELATED ORGANIZATIONS | FORM 990, PAGE 7, PART VII | AVERAGE WEEKLY HOURS DEVOTED TO RELATED ORGANIZATIONS: MCDONALD PLUMMER 40 HOURS ROBERT GRANGER 40 HOURS LELAND MCCLUSKEY 40 HOURS MATTHEW MOORE 40 HOURS |
| OTHER CHANGES IN NET ASSETS EXPLANATION | FORM 990, PART XI, LINE 5 | UNREALIZED LOSSES ON INVESTMENTS (340,670) |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST FRANCIS HOSPITAL INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2122 MANCHESTER EXPRESSWAY | AddressLine1 |
| City | COLUMBUS | City |
| State | GA | State |
| ZIP Code | 319047000 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 580641240 | EIN |
| Primary Activities | HOSPITAL | PrimaryActivities |
| Legal Domicile State | GA | LegalDomicileState |
| Exempt Code Section | 501C3 | ExemptCodeSection |
| Public Charity Status | 3 | 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
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEHAVIORAL HEALTH MANAGEMENT SERVIC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 7000 | AddressLine1 |
| City | COLUMBUS | City |
| State | GA | State |
| ZIP Code | 319087000 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 205369263 | EIN |
| Primary Activity | MANAGEMENT | PrimaryActivity |
| Legal Domicile State | GA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Disproportionate Allocations | false | DisproportionateAllocations |
| General Or Managing Partner | false | GeneralOrManagingPartner |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST FRANCIS AFFILIATED SERVICES IN | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 7000 | AddressLine1 |
| City | COLUMBUS | City |
| State | GA | State |
| ZIP Code | 319087000 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581187333 | EIN |
| Primary Activity | MED. OFC. | PrimaryActivity |
| Legal Domicile State | GA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | 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 | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | 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 |
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