SFH WIND DOWN INC FKA: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- SFH WIND DOWN INC FKA (EIN 58-0641240)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2017-03-13
- IRS object ID
- 201740729349300429
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-03-13T12:51:21-05:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 621517792 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Pershing Yoakley & Associates P C | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2220 Sutherland Ave | AddressLine1Txt |
| City | Knoxville | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37919 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 580641240 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Francis Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STFR | BusinessNameControlTxt |
| Phone | 7065964000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2122 Manchester Pkwy PO Box 7000 | AddressLine1Txt |
| City | Columbus | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 319087000 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | David Koontz | PersonNm |
| Person Title | Board Chairman | PersonTitleTxt |
| Phone | 7065964000 | PhoneNum |
| Signature | 2017-03-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Deborah O Ernsberger | PreparerPersonNm |
| PTIN | P00364912 | PTIN |
| Phone | 8656730844 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | Yes (X) | AmendedReturnInd |
| Principal Officer | Larry Cardin | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2122 Manchester Pkwy PO Box 7000 | AddressLine1Txt |
| City | Columbus | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 319087000 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $371,340,378 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.mystfrancis.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1950 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | ST. FRANCIS, A COMMUNITY-OWNED Faith-based organization, EXISTS TO PROVIDE EXCEPTIONAL HEALTH CARE SERVICES, IN PARTNERSHIP WITH PHYSICIANS, FOR ALL THOSE IN NEED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 22 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 3307 | TotalEmployeeCnt |
| Total Volunteers | 232 | TotalVolunteersCnt |
| Total Gross UBI | $35,383 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $28,619 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $7,925,502 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,711,663 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $313,596,023 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $361,860,467 | CYProgramServiceRevenueAmt |
| PY Investment Income | $889,733 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,251,631 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,040,916 | PYOtherRevenueAmt |
| CY Other Revenue | -$1,486,669 | CYOtherRevenueAmt |
| PY Total Revenue | $326,452,174 | PYTotalRevenueAmt |
| CY Total Revenue | $369,337,092 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $18,200 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $183,607,710 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $198,063,052 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $166,277,320 | PYOtherExpensesAmt |
| CY Other Expenses | $210,379,777 | CYOtherExpensesAmt |
| PY Total Expenses | $349,903,230 | PYTotalExpensesAmt |
| CY Total Expenses | $408,442,829 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$23,451,056 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$39,105,737 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $337,630,922 | TotalAssetsBOYAmt |
| Total Assets EOY | $357,699,293 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $253,328,004 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $315,782,686 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $84,302,918 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $41,916,607 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | St. Francis, a community-owned faith-based organization, exists to provide exceptional health care services, in partnership with physicians, for all those in need. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $337,591,404 | ExpenseAmt |
| Revenue | $359,389,912 | RevenueAmt |
| Desc | The hospital is a 292-licensed bed general acute care hospital with a hospital-based 84-licensed bed behavioral health center serving Southwest Georgia and East Central Alabama. St. Francis is home to 300 physicians offering a full range of inpatient, outpatient and emergency room services, including the area's only open heart surgery program. St. Francis continues to reach for the highest standards of quality and safety to offer its patients the best possible care. St. Francis has many areas of expertise:- St. Francis Heart Hospital, the area's only open heart surgery program, provides high quality cardiac care- St. Francis Orthopedic Institute offers outstanding orthopedic care- Top-notch surgical services are performed at St. Francis Center for Surgical Care- St. Francis Spine Center houses pain management and relief from back and neck pain- Women's Health services are provided at St. Francis Women's Hospital- The Bradley Center is St. Francis's mental health care facilityThe hospital's program service revenues are generated predominantly from the provision of inpatient and outpatient services for the year ending December 31, 2015. | Desc |
| Total Program Service Expenses | $337,591,404 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 222 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 3307 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 22 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | David Koontz CEO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7065964000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2122 Manchester Expressway | AddressLine1Txt |
| City | Columbus | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 319046878 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Robert P Granger | |||||||||
| President/CEO | 50.00 | Yes (X) | Yes (X) | $608,749 | $0 | $80,905 | |||
| William Taylor MD | |||||||||
| Trustee/Imm. Past Chief of Staff | 50.00 | Yes (X) | $748,266 | $0 | $5,218 | ||||
| Edwin Page MD | |||||||||
| Trustee/Chief of Staff-Elect | 50.00 | Yes (X) | $523,140 | $0 | $5,218 | ||||
| Bipin Patel MD | |||||||||
| Trustee/Chief of Staff | 20.00 | Yes (X) | $0 | $0 | $0 | ||||
| Thomas B Buck III | |||||||||
| Trustee/Imm. Past Chair | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Mark G Holladay | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Martha S Bickerstaff | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Audrey D Hollingsworth | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| J Daniel Parker Jr | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Michael Sims MD | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Otis J Scarborough | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| R Larry Cardin | |||||||||
| Treasurer | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Richard Y Bradley | |||||||||
| Chair | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Stephen T Butler | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Carolynn Obleton | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Philip Thayer | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Mario Davis | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Paul Todd | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Sara Dismuke | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| John Martin | |||||||||
| trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Robert M Gilson Jr | |||||||||
| Secretary/Chair-Elect | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| GEORGE M MCCLUSKEY III MD | |||||||||
| Orthopedic Surgeon | 50.00 | Yes (X) | $1,222,772 | $0 | $5,218 | ||||
| Deborah Bostic | |||||||||
| Assistant Secretary | 50.00 | Yes (X) | $384,750 | $0 | $24,036 | ||||
| Greg Hembree | |||||||||
| Chief Financial Officer | 50.00 | Yes (X) | $354,419 | $0 | $23,092 | ||||
| Mcdonald Plummer | |||||||||
| Foundation Vice President | 1.00 | Yes (X) | $207,493 | $0 | $31,536 | 50.00 | |||
| Bobbie Farber MD | |||||||||
| Chief Medical Officer | 50.00 | $459,393 | $0 | $43,752 | Yes (X) | ||||
| Ewins R Lowe | |||||||||
| Chief Administrative Officer | 50.00 | $329,761 | $0 | $50,218 | Yes (X) | ||||
| GEORGE ZIMMERMAN MD | |||||||||
| Orthopedic Surgeon | 50.00 | $1,025,070 | $0 | $52,770 | Yes (X) | ||||
| Robert Lewis MD | |||||||||
| Orthopedic Surgeon | 50.00 | $936,077 | $0 | $35,218 | Yes (X) | ||||
| John W Yeoman MD | |||||||||
| Radiologist | 50.00 | $1,019,232 | $0 | $79,687 | Yes (X) | ||||
| Nicholas Henson MD | |||||||||
| Radiologist | 50.00 | $1,017,223 | $0 | $25,628 | Yes (X) | ||||
| L Erik Westerlund | |||||||||
| Orthopedic Surgeon | 50.00 | $908,683 | $0 | $35,218 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $9,745,028 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $497,714 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 201 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SODEXO INC & AFFILIATES | |||||
| 9801 Washington Blvd | Gaithersburg | MD | 20878 | Dietary & Environmental | $5,954,325 |
| Human Performance and Rehabilitation Cen | |||||
| 6298 Veterans Parkway Suite 54 | Columbus | GA | 31908 | PT/OT Patient Monitoring | $5,802,531 |
| TRIMEDX LLC | |||||
| 5451 Lakeview Parkway South Drive | Indianapolis | IN | 46268 | Healthcare Equipment Maintenance | $3,686,519 |
| Huron Consulting Services LLC | |||||
| 6 Concourse Pkwy | Atlanta | GA | 30328 | Consulting | $2,063,137 |
| Troutman Sanders LLP | |||||
| 600 Peachtree Street NE | Atlanta | GA | 30308 | Legal | $1,897,219 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 99 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $5,710,613 | RelatedOrganizationsAmt |
| All Other Contributions | $1,050 | AllOtherContributionsAmt |
| Total Contributions | $5,711,663 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Service Revenues | 621990 | $356,264,817 | $356,264,817 |
| Military Rehab PT Service Revenue | 621990 | $5,595,650 | $5,595,650 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $361,860,467 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $132,712 | TotalRevenueColumnAmt |
| Exclusion | $132,712 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $307,943 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $307,943 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $307,943 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $307,943 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $5,122,205 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,003,286 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,118,919 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,118,919 | TotalRevenueColumnAmt |
| Exclusion | $3,118,919 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Cafeteria | 722514 | $948,503 | $948,503 | |
| Partnership Revenue | 622000 | -$280,947 | -$280,947 | |
| Miscellaneous | 621990 | -$2,497,551 | -$2,497,551 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35,383 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $35,383 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$1,794,612 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $369,337,092 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $359,389,912 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $35,383 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,200,134 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,342,639 | TotalAmt |
| Program Services | $1,817,958 | ProgramServicesAmt |
| Management And General | $2,524,681 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $168,689,809 | TotalAmt |
| Program Services | $153,507,726 | ProgramServicesAmt |
| Management And General | $15,182,083 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,388,576 | TotalAmt |
| Program Services | $922,452 | ProgramServicesAmt |
| Management And General | $466,124 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,184,720 | TotalAmt |
| Program Services | $12,147,776 | ProgramServicesAmt |
| Management And General | $3,036,944 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,457,308 | TotalAmt |
| Program Services | $6,765,846 | ProgramServicesAmt |
| Management And General | $1,691,462 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $244,357 | TotalAmt |
| Program Services | $146,614 | ProgramServicesAmt |
| Management And General | $97,743 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,321,180 | TotalAmt |
| Management And General | $5,321,180 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $355,616 | TotalAmt |
| Management And General | $355,616 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,711 | TotalAmt |
| Management And General | $131,711 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,432,760 | TotalAmt |
| Program Services | $16,733,984 | ProgramServicesAmt |
| Management And General | $10,698,776 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $299,751 | TotalAmt |
| Program Services | $29,975 | ProgramServicesAmt |
| Management And General | $269,776 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,554,670 | TotalAmt |
| Program Services | $1,555,308 | ProgramServicesAmt |
| Management And General | $3,999,362 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,530,486 | TotalAmt |
| Program Services | $122,439 | ProgramServicesAmt |
| Management And General | $1,408,047 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,984,271 | TotalAmt |
| Program Services | $8,085,844 | ProgramServicesAmt |
| Management And General | $898,427 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $169,703 | TotalAmt |
| Program Services | $39,032 | ProgramServicesAmt |
| Management And General | $130,671 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,664,055 | TotalAmt |
| Management And General | $10,664,055 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,862,837 | TotalAmt |
| Program Services | $19,676,553 | ProgramServicesAmt |
| Management And General | $2,186,284 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,666,691 | TotalAmt |
| Management And General | $4,666,691 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $75,051,461 | $75,051,461 | |
| Bad Debt Expense | $36,822,101 | $36,822,101 | |
| Debt Issuance Costs | $4,244,613 | $4,244,613 | |
| Unrelated Business Inco | $3,612 | $3,612 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,039,902 | TotalAmt |
| Program Services | $4,162,723 | ProgramServicesAmt |
| Management And General | $2,877,179 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $408,442,829 | TotalAmt |
| Program Services | $337,591,404 | ProgramServicesAmt |
| Management And General | $70,851,425 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,931,190 | BOYAmt |
| EOY | $14,750,194 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,221,605 | BOYAmt |
| EOY | $41,190,152 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,654,356 | BOYAmt |
| EOY | $10,365,513 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,352,554 | BOYAmt |
| EOY | $2,805,122 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $454,100,516 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $252,886,429 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $224,338,001 | BOYAmt |
| EOY | $201,214,087 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,715,129 | BOYAmt |
| EOY | $13,442,506 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,840,663 | BOYAmt |
| EOY | $5,710,613 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,577,424 | BOYAmt |
| EOY | $68,221,106 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $337,630,922 | BOYAmt |
| EOY | $357,699,293 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,666,893 | BOYAmt |
| EOY | $60,870,469 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $185,661,101 | BOYAmt |
| EOY | $254,912,217 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $253,328,004 | BOYAmt |
| EOY | $315,782,686 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,302,918 | BOYAmt |
| EOY | $41,916,607 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,302,918 | BOYAmt |
| EOY | $41,916,607 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $337,630,922 | BOYAmt |
| EOY | $357,699,293 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$39,105,737 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$3,280,574 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $131,711 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $131,711 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | A small percentage of the dues paid to the Georgia Hospital Association is designated lobbying costs. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,152,762 | OtherCostOrOtherBasisAmt |
| Book Value | $6,152,762 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $236,674,335 | OtherCostOrOtherBasisAmt |
| Depreciation | $84,550,859 | DepreciationAmt |
| Book Value | $152,123,476 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $206,387,162 | OtherCostOrOtherBasisAmt |
| Depreciation | $166,664,269 | DepreciationAmt |
| Book Value | $39,722,893 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,886,257 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,671,301 | DepreciationAmt |
| Book Value | $3,214,956 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $201,214,087 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other Current Assets | $2,800,730 |
| Due from Related Organizations | $58,645,975 |
| Other Assets | $6,774,401 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $68,221,106 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | 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 Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC)740, Income Taxes. With respect to its for-profit entity as well as any unrelated business income generated through the tax exempt entities, the Corporation 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 consolidated financial statements. The Corporation had no unrecognized tax benefits or accrued interest or penalties related to uncertain tax positions for 2015 and 2014. The Corporation's tax returns are subject to possible examination by the tax authorities. For federal income tax purposes, the tax returns essentially remain open for possible examination for a period of three years after the respective filing deadlines for those returns. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,612,969 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,612,969 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00880 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,947,952 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,100,522 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $847,430 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,560,921 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,100,522 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,460,399 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01090 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $227,209 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $227,209 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $227,209 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $227,209 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,788,130 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,100,522 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,687,608 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01150 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $36,822,101 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $97,515,830 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $96,759,372 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $756,458 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 St Francis Cardiac | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | Physician Practice Mgmt | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.38620 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.61380 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Francis Hospital Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2122 Manchester Expressway | AddressLine1Txt |
| City | Columbus | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 319046878 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.wecareforlife.com | WebsiteAddressTxt |
| State License | 099-287 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | Psych | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Francis Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | http://www.columbusregional.com/media/file/CommunityHealthResponsePlan/2013 | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | http://www.columbusregional.com/media/file/CommunityHealthResponsePlan/2013 | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.mystfrancis.com | FAPAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.mystfrancis.com | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| St Francis Hospital, Inc. | Part V, Section B, Line 3j: The study area for the survey effort is defined as each of the residential ZIP Codes primarily associated with Muscogee County in West Georgia, including 31820, 31829, 31901, 31903, 31904, 31906, 31907 and 31909. To ensure the best representation of the population surveyed, a telephone interview methodology - one that incorporates both landline and cell phone interviews - was employed. The primary advantages of telephone interviewing are timeliness, efficiency and random-selection capabilities.The sample design used for this effort consisted of a random sampling of 900 individuals age 18 and older in Muscogee County. All administration of the surveys, data collection and data analysts was conducted by Professional Research Consultants, Inc. (PRC), a nationally recognized healthcare consulting firm.As part of the community health assessment, two focus groups were held on August 16, 2012. The focus group participants included representatives from public health, physicians, other health professionals, social service providers, and other community leaders. A list of recommended participants for the focus groups was provided by St. Francis Hospital and Columbus Regional Healthcare System. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Participants included a representative of public health, as well as several individuals who work with low-income, minority or other medically underserved populations, and those who work with persons with chronic disease conditions. |
| St Francis Hospital, Inc. | Part V, Section B, Line 6a: The Hospital organization conducted its CHNA in partnership with Columbus Regional Healthcare System: The Medical Center, Doctors Hospital and Hughston Hospital. |
| St Francis Hospital, Inc. | Part V, Section B, Line 7d: St. Francis Hospital provides many community benefit programs that address the health and social determinants of health throughout Muscogee County and the surrounding communities. Muscogee County is fortunate to have a large number of health and social service agencies who work individually and collectively to provide service programs and support for the county residents. |
| St Francis Hospital, Inc. | Part V, Section B, Line 11: In 2012, St. Francis Hospital reviewed the healthcare needs prepared in partnership with Columbus Regional Healthcare System and identified a number of initiatives for focus. Action plans are in place to address these needs. Other at-risk behavior identified in the CHNA has been communicated to outside social service organizations in order for them to assist in addressing these needs. |
| St Francis Hospital, Inc. | Part V, Section B, Line 16i: The policy was attached to billing invoices, and the policy was provided, in writing, to patients on admission to the hospital facility. |
| St Francis Hospital, Inc. | Part V, Section B, Line 20e: All uninsured patients are given a 45% discount off gross charges regardless of their ability to pay. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 - The Bradley Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 16th Avenue | AddressLine1Txt |
| City | Columbus | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 31904 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | Psychiatric Unit | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a: | he hospital's 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 hospital's website. |
| Part I, Line 7: | The cost of Financial Assistance and other Community benefits is reported based on the ratio of cost-to-charges. This ratio was derived from the "Ratio of Patient Care Cost-to-Charges" worksheets provided by the IRS. |
| Part III, Line 2: | Amounts included on Part III line 2 represent the amount of charges considered uncollectible after reasonable attempts to collect and written off to bad debt expense. |
| Part III, Line 4: | Patient accounts receivable are reported net of both an estimated allowance for uncollectible accounts and an allowance for contractual adjustments. The contractual allowance represents the difference between established billing rates and estimated reimbursement from Medicare, Medicaid and other third party payment programs. Current operations include a provision for bad debts estimated based upon the age of the patient accounts receivable, historical write-offs and recoveries and any unusual circumstances (such as local, regional or national economic conditions) which affect the collectability of receivables, including management's assumptions about conditions it expects to exist and courses of action it expects to take. Additions to the allowance for uncollectible accounts result from the provision for bad debts. Patient accounts written off as uncollectible are deducted from the allowance for uncollectible accounts. Patient service revenue is recorded prior to assessing the patient's ability to pay and as such, the provision for bad debts is recorded as a deduction from patient service revenue, net of contractual adjustments in the accompanying consolidated statements of operations. For receivables associated with self-pay patients, which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill, the Corporation records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the agreed upon rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts.The Corporation's allowance for doubtful accounts for self-pay patients was 74% and 76% of self-pay accounts receivable at December 31, 2015 and 2014, respectively. The decrease in self-pay allowances for doubtful accounts as a percent of self-pay accounts receivable is due to the Corporation being more proactive in qualifying accounts for charity. The Corporation has not changed its charity care or uninsured discount policies during fiscal years 2015 or 2014. |
| Part III, Line 8: | Medicare costs on line 5 are from the Medicare cost report and include both direct and indirect costs allocated using the appropriate statistical basis. Amounts on line 6 represent the payments received for the related Medicare costs. |
| Part III, Line 9b: | Patient accounts receivable balances are written off for patients who qualify for full financial assistance and no further collection efforts are made. For patients who qualify for partial financial assistance, collection procedures follow the same process as other patients who are responsible for unpaid balances. All uninsured patients are offered a self-pay discount of 45% of charges, regardless of their ability to pay. |
| Part VI, Line 2: | To determine how to best serve the community, we conduct regular needs assessments by seeking inputs from members of the community and through our alliances with other local agencies. Our strategy is to develop and enhance programs and services that meet the changing needs of the community we serve.A formal community health needs assessment was completed late in 2012. This assessment consisted of a systematic, data-driven approach to determining the health status, behaviors and needs of the residents of Muscogee County, Georgia. The goal of the community health assessment was threefold:- To identify needs that if addressed could lead to improved health status, increased life spans, and elevated overall quality of life;- To reduce health disparities; and- To increase accessibility to preventative services for all residents of Muscogee County, Georgia. |
| Part VI, Line 3: | 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 who aid patients in obtaining Medicaid or other coverage. We inform patients about our financial assistance program and assist them in making an application. All uninsured patients are offered a self-pay discount of 45% of charges regardless of their ability to pay.Patient education on the organization's financial assistance program is conducted during pre-registration and through floor visits by business office representatives for those patients who have been identified as possibly qualifying for financial assistance or other programs. The "Patient Guide" booklet distributed to all inpatients gives additional information about how we can assist uninsured patients in qualifying for public assistance or our financial assistance program. Patient statements encourage patients to call for information on financial assistance. |
| Part VI, Line 4: | We are located in Columbus, Georgia and serve a metropolitan population base of approximately 300,000 people. The local Muscogee County service area reports a 2010 population of 189,885 residents consisting of a racial mix made up mainly by: 46.3% White, 45.5% African American and 6.9% Hispanic residents. Our service area is noted to have a significantly higher percentage of chronic disease conditions related to diabetes, heart disease, stroke, and cancer when compared with both state and national levels. These conditions have necessitated the development, operation and maintenance of community-focused services. |
| Part VI, Line 5: | St. Francis' leadership and its volunteer boards are comprised of business and community leaders, as well as local physicians who bring varied professional and community service experience to these positions. Our emergency department operates 24 hours a day, 7 days a week and is open to all, regardless of their ability to pay.We seek to maximize benefit to the community by utilizing delivery of care models that can most effectively meet the needs of the community (e.g. the Trinity Center for Women offers access to quality prenatal care and counseling to low income women in a newly renovated outpatient clinic). The hospital's medical staff is open to all qualified physicians in the region. For physicians in the region who do not have privileges, a process is available to admit patients throughout hospitalities or other physicians.St. Francis' facilities include the hospital, The Bradley Center, and physician offices that further their exempt purpose by promoting community health in a variety of ways. St. Francis takes a multi-faceted approach to improving the health of its service area, such as: better access, greater capacity, building physician and community partnerships and developing leadership.St. Francis reinvests funds in the community to improve health care services. An example is St. Francis' seniors' program, Primetime Seniors, which is offered free to the public. Members receive access to free health screenings and free seminars presented by physicians and other health care professionals. Funds 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. |
| Part VI, Line 7, Reports Filed With States | GA |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Robert P Granger | ||||||||||||||
| President/CEO | $115,951 | $0 | $0 | $0 | $492,798 | $0 | $80,000 | $0 | $905 | $0 | $689,654 | $0 | $0 | $0 |
| William Taylor MD | ||||||||||||||
| Trustee/Imm. Past Chief of Staff | $410,000 | $0 | $79,953 | $0 | $258,313 | $0 | $0 | $0 | $5,218 | $0 | $753,484 | $0 | $0 | $0 |
| Edwin Page MD | ||||||||||||||
| Trustee/Chief of Staff-Elect | $270,000 | $0 | $249,876 | $0 | $3,264 | $0 | $0 | $0 | $5,218 | $0 | $528,358 | $0 | $0 | $0 |
| GEORGE M MCCLUSKEY III MD | ||||||||||||||
| Orthopedic Surgeon | $1,000,000 | $0 | $125,000 | $0 | $97,772 | $0 | $0 | $0 | $5,218 | $0 | $1,227,990 | $0 | $0 | $0 |
| Deborah Bostic | ||||||||||||||
| Assistant Secretary | $370,014 | $0 | $0 | $0 | $14,736 | $0 | $22,500 | $0 | $1,536 | $0 | $408,786 | $0 | $0 | $0 |
| Greg Hembree | ||||||||||||||
| Chief Financial Officer | $345,013 | $0 | $0 | $0 | $9,406 | $0 | $18,750 | $0 | $4,342 | $0 | $377,511 | $0 | $0 | $0 |
| Mcdonald Plummer | ||||||||||||||
| Foundation Vice President | $165,000 | $0 | $0 | $0 | $42,493 | $0 | $30,000 | $0 | $1,536 | $0 | $239,029 | $0 | $0 | $0 |
| Bobbie Farber MD | ||||||||||||||
| Chief Medical Officer | $357,199 | $0 | $27,757 | $0 | $74,437 | $0 | $39,410 | $0 | $4,342 | $0 | $503,145 | $0 | $0 | $0 |
| Ewins R Lowe | ||||||||||||||
| Chief Administrative Officer | $257,501 | $0 | $0 | $0 | $72,260 | $0 | $45,000 | $0 | $5,218 | $0 | $379,979 | $0 | $0 | $0 |
| GEORGE ZIMMERMAN MD | ||||||||||||||
| Orthopedic Surgeon | $750,000 | $0 | $199,871 | $0 | $75,199 | $0 | $47,552 | $0 | $5,218 | $0 | $1,077,840 | $0 | $0 | $0 |
| Robert Lewis MD | ||||||||||||||
| Orthopedic Surgeon | $512,256 | $0 | $420,298 | $0 | $3,523 | $0 | $30,000 | $0 | $5,218 | $0 | $971,295 | $0 | $0 | $0 |
| John W Yeoman MD | ||||||||||||||
| Radiologist | $368,000 | $0 | $647,406 | $0 | $3,826 | $0 | $74,469 | $0 | $5,218 | $0 | $1,098,919 | $0 | $0 | $0 |
| Nicholas Henson MD | ||||||||||||||
| Radiologist | $368,000 | $0 | $647,406 | $0 | $1,817 | $0 | $20,410 | $0 | $5,218 | $0 | $1,042,851 | $0 | $0 | $0 |
| L Erik Westerlund | ||||||||||||||
| Orthopedic Surgeon | $600,000 | $0 | $283,774 | $0 | $24,909 | $0 | $30,000 | $0 | $5,218 | $0 | $943,901 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | The organization reimburses certain executives for their social club dues. 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. |
| Part I, Line 4b | Severance Nonqualified Equity-based Robert P. Granger 478,958 80,000 0 Bobbi Farber, MD 0 39,410 0 Ewins R. Lowe 0 45,000 0 George Zimmerman, MD 0 47,552 0 Robert Lewis, MD 0 30,000 0 Greg Hembree 0 18,750 0 McDonald Plummer 0 30,000 0 Debbie Bostic 0 22,500 0 John W. Yeoman, MD 0 74,469 0 Nicholas L. Henson, MD 0 20,410 0 L. Erik Westerlund, MD 0 30,000 0 |
| Part III - Other Additional Information | The organization has established an unfunded 457(f) deferred compensation plan. This is a defined contribution plan where benefits are payable to eligible participants in accordance with contractual agreements upon a participant's service completion date. Physician Productivity Incentive: Each of the organization's physician contracts provides the physician with the ability to earn additional compensation based on his/her own productivity as measured by work RVU's. The formula for determining this additional compensation is pre-determined based on the terms of the contract. Management incentive: The management incentive plan consists of several indicators each having a point value based on a minimum, target, and maximum value. One of those indicators is income from operations. The points assigned for this indicator are purely based on whether the organization reaches one of these levels. Beyond the maximum value, there is no additional credit awarded for a greater level of operating income. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Box B, Amended return | Form 990 is amended to attach revised audited financial statements as well as to reflect an audit adjusting journal entry posted after the original filing of Form 990. |
| Form 990, Part VI, Section A, line 7a | The Medical Staff have the authority to elect two members of the governing body - the Medical Staff President and president elect. |
| Form 990, Part VI, Section B, line 11 | The entire board reviews Form 990 with participation by executive management. Executive management reviews Form 990 for appropriate disclosure of financial data. All reviews are conducted prior to the filing of the return with the IRS. |
| Form 990, Part VI, Section B, line 12c | I. Covered Individuals (a) all Trustees and officers of the Hospital, (b) all members of committees authorized to act on behalf of the Board of Trustees of the Hospital, (c) the Chief of Staff of the Hospital, (d) any other officers of the Medical Staff of the Hospital, (e) any other person exercising material and substantial influence over the operations of the Hospital, and (f) any related person to any of the foregoing persons II. Level at which the conflict is addressed and III restrictions imposed. A. All Covered Individuals shall file annually at the beginning of each fiscal year of the Hospital with the Secretary of the Hospital a disclosure statement setting forth any conflict of interest that such covered individual may have with the Hospital. B. The Secretary of the Hospital shall review all disclosure statements with the Chair of the Board to ensure compliance with the policies regarding conflict 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. |
| Form 990, Part VI, Section B, line 15 | The process for reviewing and evaluating Senior Leadership compensation is overseen by the compensation committee of the board of trustees. The following highlights the key items related to this process: 1) Each December, each member of the Board is asked to complete an evaluation form for the CEO based on the Annual Goals previously approved by the Board. 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 recommendation 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. |
| Form 990, Part VI, Section C, line 19 | Financial statements are available to the public upon request. |
| Form 990, Part XI, line 9: | Noncontrolling dividends paid 80,811. Change in Minority Interest 13,419. Contributions in Net Assets -2,872,184. Partnership Book-Tax Difference 69,898. Unrestricted Reclass -160,863. Retained Earnings Adjustment -411,655. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (26 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| ST FRANCIS ANESTHETISTS LLC | |||||||||
| 2122 MANCHESTER HIGHWAY | Columbus | GA | 31908 | 208105342 | ANESTHESIA | GA | -$2,134,564 | $595,930 | SFHI |
| ST FRANCIS CENTER FOR DIGESTIVE Disorders | |||||||||
| 2122 MANCHESTER HIGHWAY | Columbus | GA | 31908 | 208709718 | GASTROENTEROLOGY | GA | -$93,299 | $204,052 | SFHI |
| ST FRANCIS CENTER FOR SURGICAL CARE | |||||||||
| 2122 MANCHESTER HIGHWAY | Columbus | GA | 31908 | 205705790 | Surgery center | GA | -$562,654 | $547,563 | SFHI |
| ST FRANCIS ENT LLC | |||||||||
| 2122 MANCHESTER HIGHWAY | Columbus | GA | 31908 | 261188735 | EAR, NOSE & Throat | GA | $39,681 | $329,368 | SFHI |
| ST FRANCIS GENERAL SURGEONS | |||||||||
| 2122 MANCHESTER HIGHWAY | Columbus | GA | 31908 | 205951845 | Surgery center | GA | $0 | $0 | SFHI |
| ST FRANCIS Gastroenterology | |||||||||
| 2122 MANCHESTER HIGHWAY | Columbus | GA | 31908 | 208709642 | GASTROENTEROLOGY | GA | -$152,132 | $50,039 | SFHI |
| ST FRANCIS HOSPITALISTS | |||||||||
| 2122 MANCHESTER HIGHWAY | Columbus | GA | 31908 | 208105270 | Hospitalists | GA | -$4,342,229 | $429,243 | SFHI |
| ST FRANCIS ORTHOPAEDIC INSTITUTE | |||||||||
| 2122 MANCHESTER HIGHWAY | Columbus | GA | 31908 | 205197130 | Orthopaedics | GA | -$560,339 | $1,284,651 | SFHI |
| ST FRANCIS PSYCHIATRISTS | |||||||||
| 2122 MANCHESTER HIGHWAY | Columbus | GA | 31908 | 263484373 | Psychiatric Services | GA | -$740,315 | $307,185 | SFHI |
| ST FRANCIS OBSTETRIC & GYNECOLOGY Partners | |||||||||
| 2122 MANCHESTER HIGHWAY | Columbus | GA | 31908 | 264341272 | OB/GYN | GA | -$2,026,467 | $1,020,474 | SFHI |
| ST FRANCIS WOUND CARE PHYSICIANS LLC | |||||||||
| 2122 MANCHESTER HIGHWAY | Columbus | GA | 31908 | 263489307 | WOUND CARE | GA | -$1,733 | $10,207 | SFHI |
| ST FRANCIS CENTER FOR BREAST HEALTH | |||||||||
| 2122 MANCHESTER HIGHWAY | Columbus | GA | 31908 | 264290838 | Breast Health | GA | -$321,220 | $45,166 | SFHI |
| St Francis Radiologists LLC | |||||||||
| 2122 MANCHESTER HIGHWAY | Columbus | GA | 31908 | 208105392 | Radiology | GA | -$1,368,366 | $346,309 | SFHI |
| Bradley Hospitalists LLC | |||||||||
| 2122 MANCHESTER HIGHWAY | Columbus | GA | 31908 | 263484373 | Hospitalists | GA | -$88,183 | $0 | SFHI |
| St Francis Cardiovascular Institute LLC | |||||||||
| 2122 MANCHESTER HIGHWAY | Columbus | GA | 31908 | 462151119 | Cardiovascular Services | GA | -$1,341,024 | $330,817 | SFHI |
| St Francis CVC LLC | |||||||||
| 2122 MANCHESTER HIGHWAY | Columbus | GA | 31908 | 460843584 | Cardiovascular Services | GA | -$186,318 | $159,789 | SFHI |
| St Francis Vascular LLC | |||||||||
| 2122 MANCHESTER HIGHWAY | Columbus | GA | 31908 | 461573997 | Cardiovascular Services | GA | -$637,829 | $54,863 | SFHI |
| SFH Emergency Physicians LLC | |||||||||
| 2122 MANCHESTER HIGHWAY | Columbus | GA | 31908 | 462160343 | Emergency Room Services | GA | -$724,263 | $656,175 | SFHI |
| St Francis EP LLC | |||||||||
| 2122 MANCHESTER HIGHWAY | Columbus | GA | 31908 | 455200538 | Electrophy | GA | -$120,751 | $50,321 | SFHI |
| St Francis Columbus Clinic | |||||||||
| 2122 MANCHESTER HIGHWAY | Columbus | GA | 31908 | 464744241 | Physician Services | GA | -$4,944,703 | $4,012,809 | SFHI |
| St Francis Midtown Acute Care | |||||||||
| 2122 MANCHESTER HIGHWAY | Columbus | GA | 31908 | 464828602 | Physician Services | GA | $2,878 | $191,596 | SFHI |
| St Francis Neurology | |||||||||
| 2122 MANCHESTER HIGHWAY | Columbus | GA | 31908 | 465206619 | Neurology Services | GA | -$494,389 | $22,329 | SFHI |
| St Francis Columbus Cardiology | |||||||||
| 2122 MANCHESTER HIGHWAY | Columbus | GA | 31908 | 471074189 | Cardiovascular Services | GA | -$2,505,171 | $898,723 | SFHI |
| St Francis Spine Center | |||||||||
| 2122 MANCHESTER HIGHWAY | columbus | GA | 31908 | 205197130 | Spinal Services | GA | -$672,262 | $417,822 | SFHI |
| St Francis Neonatology | |||||||||
| 2122 MANCHESTER HIGHWAY | columbus | GA | 31908 | 272588278 | Neonatal Services | GA | -$542,706 | $27,820 | SFHI |
| St Francis Gynecologic Oncology | |||||||||
| 2122 MANCHESTER HIGHWAY | columbus | GA | 31908 | 462160343 | Gynecologic Oncology Services | GA | $0 | $79,966 | SFHI |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Francis Hospital Foundation Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 7000 | AddressLine1Txt |
| City | Columbus | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 319087000 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581995070 | EIN |
| Primary Activities | Foundation | PrimaryActivitiesTxt |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line 11a, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SFHI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Columbus Gynecology Oncology Management Services | ||||||||||||||
| 2122 Manchester Expressway | Columbus | GA | 31904 | 462160343 | Management | GA | SFHI | Related | -$384,381 | $609,512 | 0 | 0 | 0.50000 | |
| St Francis Cardiac Management Services LLC | ||||||||||||||
| PO Box 7000 | Columbus | GA | 319087000 | 205369263 | Management | GA | Related | $103,434 | $102,072 | 0 | 0 | 0.38620 | N/A | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Francis Affiliated Services | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 7000 | AddressLine1Txt |
| City | Columbus | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 319087000 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581187333 | EIN |
| Primary Activities | Physician | PrimaryActivitiesTxt |
| Legal Domicile State | GA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SFHI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $11,780,572 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $70,964,269 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| St Francis Affiliated Services | ||
| K | $3,855,077 | General Ledger Costs |
| St Francis Hospital Foundation Inc | ||
| C | $5,710,613 | Cash Transfer |
| St Francis Obstetric & Gynecology | ||
| J | $307,943 | General Ledger Costs |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule R, Part V | FormAndLineReferenceDesc |
| Explanation | St. Francis Hospital Foundation, Inc. is organized to support St. Francis Hospital, Inc. | ExplanationTxt |