SFH WIND DOWN INC FKA: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SFH WIND DOWN INC FKA (EIN 58-0641240)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201113199349310691
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-15T21:39:01-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 6AddressLine1
CityALBANYCity
StateGAState
ZIP Code317020006ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN580641240EIN

Name Name

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line12122 MANCHESTER PKWYAddressLine1
CityCOLUMBUSCity
StateGAState
ZIP Code31908ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMATTHEW A MOOREName
TitleSVP/CFOTitle
Phone7065964000Phone
Date Signed2011-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJACQUELINE G ATKINSName
Phone2298837878Phone
Date Prepared2011-11-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12122 MANCHESTER PKWYAddressLine1
CityCOLUMBUSCity
StateGAState
ZIP Code31908ZIPCode
FieldValueIRS element (for citing)
Gross Receipts268549046GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SFHGA.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1950YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionPROVIDE HEALTHCARE SERVICESActivityOrMissionDescription
Nbr Voting Members Governing Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees2332TotalNbrEmployees
Total Nbr Volunteers362TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year125520ContributionsGrantsPriorYear
Contributions Grants Current Year574884ContributionsGrantsCurrentYear
Program Service Revenue Prior Year237787440ProgramServiceRevenuePriorYear
Program Service Revenue CY241534636ProgramServiceRevenueCY
Investment Income Prior Year-1919414InvestmentIncomePriorYear
Investment Income Current Year1977288InvestmentIncomeCurrentYear
Other Revenue Prior Year1811621OtherRevenuePriorYear
Other Revenue Current Year1806723OtherRevenueCurrentYear
Total Revenue Prior Year237805167TotalRevenuePriorYear
Total Revenue Current Year245893531TotalRevenueCurrentYear
Grants And Similar Amnts CY104424GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year106529920SalariesEtcPriorYear
Salaries Etc Current Year110594079SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year132453358OtherExpensePriorYear
Other Expenses Current Year133109591OtherExpensesCurrentYear
Total Expenses Prior Year238983278TotalExpensesPriorYear
Total Expenses Current Year243808094TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1178111RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2085437RevenuesLessExpensesCY
Total Assets BOY196707056TotalAssetsBOY
Total Assets EOY243316126TotalAssetsEOY
Total Liabilities BOY90081352TotalLiabilitiesBOY
Total Liabilities EOY94671528TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY106625704NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY148644598NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE HEALTHCARE SERVICESMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense193574300Expense
Grants104424Grants
Revenue241581594Revenue
DescriptionTHE 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 Expense193574300TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096175NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2332NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12122 MANCHESTER EXPRESSWAYAddressLine1
CityCOLUMBUSCity
StateGAState
ZIP Code31904ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
GEORGE M MCCLUSKEY III MD
TRUSTEE/SURG40.00X10233940104291
ROBERT P GRANGER
PRES/CEO40.00X6650240100951X
THOMAS B BUCK III
SECRETARY1.00X3063000X
MARK G HOLLADAY
TREASURER1.00X000X
MARTHA S BICKERSTAFF
CHAIR1.00X000X
AUDREY D HOLLINGSWORTH
TRUSTEE1.00X000
B RUSSELL SIMMONS MD
TRUSTEE1.00X000
BILLY G TURNER
TRUSTEE1.00X000
J DANIEL PARKER JR
TRUSTEE1.00X000
JOAN S REDMOND
TRUSTEE1.00X000
LAWRENCE H WILLIAMS MD
TRUSTEE1.00X000
MICHAEL SIMS MD
TRUSTEE1.00X000
OTIS J SCARBOROUGH
TRUSTEE1.00X000
R LARRY CARDIN
TRUSTEE1.00X000
R LARRY PHILLIPS
TRUSTEE1.00X000
RAJINDER CHHOKAR MD
TRUSTEE1.00X000
RICHARD Y BRADLEY
TRUSTEE1.00X000
ROBERT M GILSON JR
TRUSTEE1.00X000
STEPHEN T BUTLER
TRUSTEE1.00X000
W JEREMY JEFFERY
TRUSTEE1.00X000
WILLIAM TAYLOR MD
TRUSTEE1.00X000
CAROLYNN OBLETON
TRUSTEE1.00X000
PHILLIP THAYER
TRUSTEE1.00X000
BOBBI FARBER MD
SR. VP/CMO40.00471902054693X
MATTHEW MOORE
SR. VP/CFO40.00339198060898X
DEBORAH L SAYLOR
SR. VP/CNO40.00323437048462X
EWINS R LOWE
SR VP/CAO40.00267395055018X
DAVID STEELE
V.P./CIO40.00233719036606X
THOMAS WALSH MD
SPINE/ NEURO40.001154865064726X
RICHARD ROBBINS MD
GI PHYSICIAN40.0092477909626X
ROBERT LEWIS MD
ORTHO SURG40.00812109034726X
LELAND MCCLUSKEY
PHYSICIAN40.00775222066709X
LE WESTERLUND MD
PHYSICIAN40.00773671025000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7795345TotalReportableCompFromOrg
Total Other Compensation661706TotalOtherCompensation
Number Individuals GT100 K112NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensationAddress Line2AddressOfContractor/AddressUS/AddressLine2
SKANSKA
55 IVAN ALLEN BLVDATLANTAGA30308CONSTRUCTION4782045
HOWELL RUSK DODSON ARCHITECTS
3355 LENOX ROADATLANTAGA30326ARCHITECT3926054SUITE 1190
HUMAN PERFORMANCE & REHAB CTRS
P O BOX 8068COLUMBUSGA31908PT/OT/REHAB3530944
SODEXHO INC & AFFILIATES
PO BOX 536922ATLANTAGA30353FOOD SERVICE2908648
ENT ASSOCIATES OF COLUMBUS
2300A MANCHESTER EXPWY SUITE 005COLUMBUSGA31908ENT SERVICES1433161
FieldValueIRS element (for citing)
Number Of Contractors GT100 K44NumberOfContractorsGT100K
All Other Contributions574884AllOtherContributions
Total Contributions574884TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM SERVICE REVENUEDescription
Business Code621990BusinessCode
Total Revenue Column241534636TotalRevenueColumn
Related Or Exempt Function Income241534636RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue241534636TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1120916TotalRevenueColumn
Exclusion$1,120,916ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real4224Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real4224Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column4224TotalRevenueColumn
Exclusion$4,224ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities23508075Securities
Other3812Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities22623249Securities
Other32266Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities884826Securities
Other-28454Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column856372TotalRevenueColumn
Exclusion$856,372ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA621990748951$748,951
MISCELLANEOUS561499588169$588,169
ASSISTED LIVING623990418421$418,421

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column46958TotalRevenueColumn
Related Or Exempt Function Income46958RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1802499TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column245893531TotalRevenueColumn
Related Or Exempt Function Income241581594RelatedOrExemptFunctionIncome
Exclusion$3,737,053ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total104424Total
Program Services104424ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4152820Total
Program Services1219844ProgramServices
Management And General2932976ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total93448665Total
Program Services74602056ProgramServices
Management And General18846609ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1456409Total
Program Services1128049ProgramServices
Management And General328360ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5501539Total
Program Services4404094ProgramServices
Management And General1097445ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6034646Total
Program Services4714796ProgramServices
Management And General1319850ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1374190Total
Program Services953488ProgramServices
Management And General420702ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total520913Total
Management And General520913ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total100089Total
Management And General100089ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total46798Total
Management And General46798ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total63Total
Management And General63ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total14538587Total
Program Services11235689ProgramServices
Management And General3302898ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total975303Total
Program Services118444ProgramServices
Management And General856859ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total63263038Total
Program Services55807433ProgramServices
Management And General7455605ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3181805Total
Program Services192491ProgramServices
Management And General2989314ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2566396Total
Program Services164509ProgramServices
Management And General2401887ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total338467Total
Program Services79881ProgramServices
Management And General258586ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2552067Total
Program Services2552067ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total14163477Total
Program Services14163477ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total2713007Total
Management And General2713007ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT2038792820387928
COLLECTION FEES13933521393352
LICENSES & TAXES1366449897251276724
DUES & SUBSCRIPTIONS855429279213576216
COMMUNITY RELATIONS758586758586

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2013647Total
Program Services618106ProgramServices
Management And General1395541ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total243808094Total
Program Services193574300ProgramServices
Management And General50233794ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY50147BOY
EOY1303335EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY4451000EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY42606232BOY
EOY41951798EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY105677BOY
EOY95488EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7051113BOY
EOY7356843EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1696177BOY
EOY4485997EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis285627764LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec167828682LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY110765827BOY
EOY117799082EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY30357835BOY
EOY24342384EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4074048BOY
EOY41530199EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY196707056BOY
EOY243316126EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY31756868BOY
EOY30968392EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY52175000BOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY699970BOY
EOY59615383EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY4538831BOY
EOY3560330EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY910683BOY
EOY527423EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY90081352BOY
EOY94671528EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY106625704BOY
EOY148644598EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY106625704BOY
EOY148644598EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY196707056BOY
EOY243316126EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2085437ReconcilationRevenueExpenses
Reconcilation Other Changes39933457ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
Form1120 Pol FiledfalseForm1120PolFiled
Form4720 FiledfalseForm4720Filed
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$30,630DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$16,168OtherActivitiesAmount
Total Lobbying Expenditures IIB46798TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax
Substantially All Dues NondeductfalseSubstantiallyAllDuesNondeduct
Only In House LobbyingfalseOnlyInHouseLobbying
Agree To Carryover Prior YearfalseAgreeToCarryoverPriorYear

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
Return ReferenceSCHEDULE C, PART II-B, LINE 1IReturnReference
ExplanationLOBBYING EXPENSES-PAYMENT TO CONSULTANT FOR DIRECT CONTACT WITH GEORGIA GENERAL ASSEMBLY AND THE EXECUTIVE BRANCH OF THE STATE OF GA. ADDITIONALLY, 25% OF THE DUES PAID TO STATE ORGANIZATION OF GEORGIA HOSPITAL ASSOCIATION IS DESIGNATED LOBBYING COSTS.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5366089OtherCostOrOtherBasis
Book Value5366089BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis120999528OtherCostOrOtherBasis
Depreciation88434820Depreciation
Book Value32564708BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis144573810OtherCostOrOtherBasis
Depreciation79393862Depreciation
Book Value65179948BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis14688337OtherCostOrOtherBasis
Book Value14688337BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings117799082TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
I/C RECEIVABLES39930040
INVESTMENT IN BENEFIT PLAN 457(F)1301254
DEFERRED DEBT COSTS298905
FieldValueIRS element (for citing)
Total Book Value Other Assets41530199TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionINTEREST RATE SWAPDescription
Amount$527,423Amount
FieldValueIRS element (for citing)
Total Of Amounts527423TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierLIABILITY UNDER FIN 48 FOOTNOTEIdentifier
Return ReferenceSCHEDULE D, PAGE 3, PART XReturnReference
ExplanationTHE HOSPITAL AND THE FOUNDATION ARE TAX EXEMPT UNDER SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. AFFILIATED SERVICES IS A FOR-PROFIT ENTITY WHICH ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH FASB ASC 740, INCOME TAXES. WITH RESPECT TO ITS FOR-PROFIT ENTITY AS WELL AS ANY UNRELATED BUSINESS INCOME GENERATED THROUGH THE TAX EXEMPT ENTITIES, ST. FRANCIS RECORDS INCOME TAXES USING THE LIABILITY METHOD UNDER WHICH DEFERRED TAX ASSETS AND LIABILITY ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASIS OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIOD THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR TO BE SETTLED. EFFECTIVE DECEMBER 15, 2009, THE CORPORATION ADOPTED 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 2010 AND 2009. THE CORPORATION'S OPEN AUDIT PERIODS ARE 2008-2010.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage2.50000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense4214337TotalCommunityBenefitExpense
Net Community Benefit Expense4214337NetCommunityBenefitExpense
Percent Of Total Expense0.01890PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense12599052TotalCommunityBenefitExpense
Direct Offsetting Revenue7315043DirectOffsettingRevenue
Net Community Benefit Expense5284009NetCommunityBenefitExpense
Percent Of Total Expense0.02370PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense16813389TotalCommunityBenefitExpense
Direct Offsetting Revenue7315043DirectOffsettingRevenue
Net Community Benefit Expense9498346NetCommunityBenefitExpense
Percent Of Total Expense0.04260PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1031594TotalCommunityBenefitExpense
Net Community Benefit Expense1031594NetCommunityBenefitExpense
Percent Of Total Expense0.00460PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense1031594TotalCommunityBenefitExpense
Net Community Benefit Expense1031594NetCommunityBenefitExpense
Percent Of Total Expense0.00460PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense17844983TotalCommunityBenefitExpense
Direct Offsetting Revenue7315043DirectOffsettingRevenue
Net Community Benefit Expense10529940NetCommunityBenefitExpense
Percent Of Total Expense0.04720PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$6,334,448BadDebtExpenseAmount
Amount Reimbursed By Medicare77391325AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare74796215CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall2595110MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

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

Address Address

FieldValueIRS element (for citing)
Address Line12122 MANCHESTER EXPRESSWAYAddressLine1
CityCOLUMBUSCity
StateGAState
ZIP Code31904ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
OtherPSYCH & ASSISTED LIVING UNITSOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST FRANCIS HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities2NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
THE BRADLEY CENTER
2000 16TH AVENUECOLUMBUSGA31904PSYCHIATRIC UNIT
FRANCISCAN WOODS
2425 WILLIAMS ROADCOLUMBUSGA31909ASSISTED LIVING FACILITY

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OTHER TESTING METHODS FOR FREE OR DISCOUNTED CAREPART I LINE 3CST 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 1 APPLICANTS FOR FINANCIAL ASSISTANCE SHOULD COMPLETE A FINANCIAL ASSISTANCE APPLICATION AND MUST FURNISH APPROPRIATE PROOF OF INCOME ASSETS AND LIABILITIES 2 QUALIFIED 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 3 FOR 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
RELATED ORGANIZATION INFORMATIONPART I LINE 6ATHE 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
EXCLUSIONS FROM PERCENT OF TOTAL EXPENSEPART I LINE 7 COLUMN FIN DERIVING THE DENOMINATOR TO BE USED FOR COLUMN F THE FOLLOWING ADJUSTMENTS WERE MADE TO THE TOTAL EXPENSES REPORTED ON FORM 990 PART IX LINE 25 FORM 990 PART IX LINE 25 XXX-XX-XXXX LESS BAD DEBTS IN PART IX 20387928 DENOMINATOR FOR COLUMN F XXX-XX-XXXX
COSTING METHODOLOGY EXPLANATIONPART I LINE 7THE COST OF CHARITY CARE 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
COMMUNITY BUILDING ACTIVITIESPART IIST 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 1500000 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 15000 PEOPLE HAVE BENEFITTED FROM CHEERS
BAD DEBT EXPENSE EXPLANATIONPART III LINE 4AMOUNTS ON PART III LINES 2 AND 3 WERE CALCULATED USING THE RCC AS DEFINED IN WORKSHEET 2 FINANCIAL STATEMENT EXCERPT PATIENT ACCOUNTS RECEIVABLE CURRENT OPERATIONS ARE CHARGED WITH A PROVISION FOR DOUBTFUL ACCOUNTS BASED ON HISTORICAL EXPERIENCE AND ANY UNUSUAL CIRCUMSTANCES THAT AFFECT THE COLLECTIBILITY OF PATIENT ACCOUNTS RECEIVABLE PATIENT ACCOUNTS RECEIVABLE DEEMED UNCOLLECTIBLE ARE CHARGED AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS SUCH LOSSES HAVE CONSISTENTLY BEEN WITHIN MANAGEMENTS EXPECTATIONS
MEDICARE EXPLANATIONPART III LINE 8COSTS FOR PART I LINE 7A AND 7B AND PART III SECTION A LINE 2 WERE CALCULATED USING THE RCC CALCULATED IN WORKSHEET 2 OTHER COSTS WERE OBTAINED FROM THE ORGANIZATIONS ACCOUNTING RECORDS
COLLECTION PRACTICES EXPLANATIONPART III LINE 9BST 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 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
NEEDS ASSESSMENTPART VIST 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 IN 2010 FOUR ADDITIONAL OBGYN PHYSICIANS JOINED THE GROUP 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 IN 2010 ST FRANCIS INCREASED ITS CAPACITY FOR PSYCHIATRY SERVICES AT THE BRADLEY CENTER AND HIRED AN ADDITIONAL PSYCHIATRIST WHO SPECIALIZES IN GERIATRIC AND SUBSTANCE ABUSE TREATMENT RECOGNIZING THE NEED FOR A MORE HOLISTIC APPROACH TO CANCER SURGERY ST FRANCIS SUCCESSFULLY RECRUITED TWO BOARDCERTIFIED SURGEONS WHO SPECIALIZE IN CANCER TO EXPAND THE ST FRANCIS CENTER FOR SURGICAL CARE FROM FIVE TO SEVEN PHYSICIANS 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 ASSISTANCEPART VITHE 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
COMMUNITY INFORMATIONPART VITHE 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 2010 THE MEDICAL CENTERS EMERGENCY DEPARTMENT HAD MORE THAN 51000 VISITS ALMOST 9900 SURGERIES WERE PERFORMED AND INPATIENT ADMISSIONS WERE 11443 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 50 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
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSEPART VIMEETING 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 ONE OF THE HOSPITALS GREATEST ACCOMPLISHMENTS LAST YEAR WAS FINALIZING PLANS FOR 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 2010 ST FRANCIS GAVE BACK 10393720 FOR THE BENEFIT OF THE COMMUNITY THATS OVER 20000 LIVES TOUCHED THIS TIME AND EFFORT COMES IN MANY DIFFERENT WAYS IT COULD BE 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 2010 HIGHLIGHTS 9362126 CARE FOR THE POOR O PROVIDING HEALTH CARE TO THE UNDERSERVED IN OUR COMMUNITY THROUGH ST FRANCIS HOSPITAL AND THE TRINITY CENTER FOR WOMEN 818159 COMMUNITY SUPPORT AND OUTREACH O SCHOLARSHIPS O SUPPORT OF COMMUNITY ORGANIZATIONS O ASSOCIATE VOLUNTEER TIME O ARTHRITIS WALK O HEART WALK
LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILEDPART VIGEORGIA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained
No Grant More Than5000XNoGrantMoreThan5000

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Discretionary Spending AccountXDiscretionarySpendingAccount
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
GEORGE M MCCLUSKEY III MD
89322469916602549949247991127685
ROBERT P GRANGER
527560120285171798931011641765975
BOBBI FARBER MD
3597229786714313500004693526595
MATTHEW MOORE
2750005265011548543106588400096
DEBORAH L SAYLOR
2543754860020462449003562371899
EWINS R LOWE
2194133608611896473207698322413
DAVID STEELE
197209319854525325774029270325
THOMAS WALSH MD
950000194494103716000047261219591
RICHARD ROBBINS MD
6963652160411237349004726934405
ROBERT LEWIS MD
4157873883337989300004726846835
LELAND MCCLUSKEY
5255572421947471619834726841931
LE WESTERLUND MD
593102174455611425000798671

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FRINGE OR EXPENSE EXPLANATIONSCHEDULE J, PAGE 1, PART I, LINE 1ASOCIAL CLUB DUES ARE 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 PAYMENTSSCHEDULE J, PAGE 1, PART I, LINE 4GEORGE M. MCCLUSKEY, III, MD 0 90,182 0 ROBERT P. GRANGER 0 80,000 0 BOBBI FARBER, MD 0 40,690 0 MATTHEW MOORE 0 45,000 0 DEBORAH L. SAYLOR 0 40,000 0 EWINS R. LOWE 0 40,000 0 DAVID STEELE 0 25,000 0 THOMAS WALSH, MD 0 50,690 0 ROBERT LEWIS, MD 0 25,100 0 LELAND MCCLUSKEY 0 57,083 0 L.E. WESTERLUND, MD 0 20,100 0
COMPENSATION CONTINGENT UPON NET EARNINGS OF ORGANIZATIONSCHEDULE J, PAGE 1, PART I, LINE 6APHYSICIAN PRODUCTIVITY INCENTIVE - EACH OF THE ORGANIZATION'S PHYSICIAN CONTRACTS PROVIDES THE PHYSICIAN WITH THE ABILITY TO EARN ADDITIONAL COMPENSATION BASED ON HIS/HER OWN PRODUCTIVITY AS MEASURED BY WORK RVU'S. THE FORMULA FOR DETERMINING THIS ADDITIONAL COMPENSATION IS PRE-DETERMINED BASED ON THE TERMS OF THE CONTRACT. MANAGEMENT INCENTIVE - THE MANAGEMENT INCENTIVE PLAN CONSISTS OF SEVERAL INDICATORS EACH HAVING A POINT VALUE BASED ON A MINIMUM, TARGET, AND MAXIMUM VALUE. ONE OF THOSE INDICATORS IS INCOME FROM OPERATIONS. THE POINTS ASSIGNED FOR THIS INDICATOR ARE PURELY BASED ON WHETHER THE ORGANIZATION REACHES ONE OF THESE LEVELS. BEYOND THE MAXIMUM VALUE, THERE IS NO ADDITIONAL CREDIT AWARDED FOR A GREATER LEVEL OF OPERATING INCOME.

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonROBERT LEWIS MDNamePerson
Loan From OrganizationXLoanFromOrganization
Original Principal$116,961OriginalPrincipalAmount
Balance Due95488BalanceDue
DefaultfalseDefault
Approved By BoardfalseApprovedByBoard
Written AgreementtrueWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due95488TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1HUMAN PERFORM REHAB CTR-MCCLUSKEYBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipBD FAMILY BUSINRelationship
Amount Of Transaction3585551AmountOfTransaction
Description Of TransactionCONTRACTED REHABDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7ATHE 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 990FORM 990, PAGE 6, PART VI, LINE 11BFORM 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 POLICYFORM 990, PAGE 6, PART VI, LINE 12CI.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 OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE PROCESS FOR REVIEWING AND EVALUATING SENIOR LEADERSHIP COMPENSATION IS OVERSEEN BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. AT THE REQUEST OF THE BOARD, THIS PROCESS IS BEING DOCUMENTED SO THAT IT IS SPECIFICALLY FOLLOWED IN FUTURE YEARS. 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 OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BSEE RESPONSE TO 15A ABOVE.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
ADDITIONAL INFORMATIONFORM 990, PART VIIAVERAGE HOURS SPENT AT OTHER RELATED ORGANIZATIONS: ROBERT GRANGER 1 HOUR MATTHEW MOORE 1 HOUR

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
ST FRANCIS ANESTHETISTS LLC
2122 MANCHESTER HIGHWAYCOLUMBUSGA31908208105342ANESTHESIAGA2056826-22333NA
ST FRANCIS CENTER FOR DIGESTIVE
2122 MANCHESTER HIGHWAYCOLUMBUSGA31908208709718GASTROGA1479306142379NA
ST FRANCIS CENTER FOR SURGICAL CARE
2122 MANCHESTER HIGHWAYCOLUMBUSGA31908205705790SURGERYGA3826228699364NA
ST FRANCIS ENT LLC
2122 MANCHESTER HIGHWAYCOLUMBUSGA31908261188735EAR, NOSEGA2174387348024NA
ST FRANCIS GENERAL SURGEONS
2122 MANCHESTER HIGHWAYCOLUMBUSGA31908205951845SURGERYGA629NA
ST FRANCIS GI
2122 MANCHESTER HIGHWAYCOLUMBUSGA31908208709642GASTROGA97357263781NA
ST FRANCIS HOSPITALISTS
2122 MANCHESTER HIGHWAYCOLUMBUSGA31908208105270HOSPITALISGA1548081536377NA
ST FRANCIS ORTHOPAEDIC INSTITUTE
2122 MANCHESTER HIGHWAYCOLUMBUSGA31908205197130ORTHOGA109329212656100NA
ST FRANCIS PSYCHIATRISTS
2122 MANCHESTER HIGHWAYCOLUMBUSGA31908263484373PSYGA797327245711NA
ST FRANCIS OBSTETRIC & GYNECOLOBY
2122 MANCHESTER HIGHWAYCOLUMBUSGA31908264341272OB/GYNGA79468901415159NA
ST FRANCIS WOUND CARE PHYSICIANS LL
2122 MANCHESTER HIGHWAYCOLUMBUSGA31908263489307WOUND CAREGA41495936752NA
ST FRANCIS CENTER FOR BREAST HEALTH
2122 MANCHESTER HIGHWAYCOLUMBUSGA31908264290838BREAST HLTGA94084889074NA

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 7000AddressLine1
CityCOLUMBUSCity
StateGAState
ZIP Code31908ZIPCode
FieldValueIRS element (for citing)
EIN581995070EIN
Primary ActivitiesFOUNDATIONPrimaryActivities
Legal Domicile StateGALegalDomicileState
Exempt Code Section501C3ExemptCodeSection
Public Charity Status11BPublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

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

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
BEHAVORIAL HEALTH MTMT SERVICES LLC
PO BOX 7000COLUMBUSGA319087000204896461MANAGEMENTGANARELATED4894788773falsefalse0.66000
ST FRANCIS CARDIAC MGMT SERVICES
PO BOX 7000COLUMBUSGA319087000205369263MANAGEMENTGANARELATED245088282641falsefalse0.36570

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1ST FRANCIS AFFILIATED SERVICESBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 7000AddressLine1
CityCOLUMBUSCity
StateGAState
ZIP Code319087000ZIPCode
FieldValueIRS element (for citing)
EIN581187333EIN
Primary ActivityPHYSICIANPrimaryActivity
Legal Domicile StateGALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
Share Of Total Income3801252ShareOfTotalIncome
Share Of EOY Assets18148397ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ST FRANCIS HOSPITAL FOUNDATION
L
CARDIAC MANAGEMENT
K190024GENERAL LEDGER COSTS
BEHAVIORAL HEALTH
K166901GENERAL LEDGER COSTS
ST FRANCIS HOSPITAL FOUNDATION
C125520GENERAL LEDGER RECEIPTS

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierADDITIONAL INFORMATIONIdentifier
Return ReferenceSCHEDULE RReturnReference
ExplanationSCHEDULE R PART V ST FRANCIS HOSPITAL FOUNDATION IS ORGANIZED TO SUPPORT ST FRANCIS HOSPITALExplanation

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