2017-03-13T12:51:21-05:00 2015-12-31 621517792 Pershing Yoakley & Associates P C 2220 Sutherland Ave Knoxville TN 37919 990 2015-01-01 580641240 St Francis Hospital Inc STFR 7065964000 2122 Manchester Pkwy PO Box 7000 Columbus GA 319087000 David Koontz Board Chairman 7065964000 2017-03-13 1 Deborah O Ernsberger P00364912 8656730844 2015 2021-01-29 14:40:06Z X Larry Cardin 2122 Manchester Pkwy PO Box 7000 Columbus GA 319087000 371340378 0 X www.mystfrancis.com X 1950 GA ST. FRANCIS, A COMMUNITY-OWNED Faith-based organization, EXISTS TO PROVIDE EXCEPTIONAL HEALTH CARE SERVICES, IN PARTNERSHIP WITH PHYSICIANS, FOR ALL THOSE IN NEED. 22 19 3307 232 35383 28619 7925502 5711663 313596023 361860467 889733 3251631 4040916 -1486669 326452174 369337092 18200 0 0 0 183607710 198063052 0 0 0 166277320 210379777 349903230 408442829 -23451056 -39105737 337630922 357699293 253328004 315782686 84302918 41916607 X St. Francis, a community-owned faith-based organization, exists to provide exceptional health care services, in partnership with physicians, for all those in need. 0 0 337591404 359389912 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. 337591404 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 222 0 1 3307 1 1 1 0 0 0 0 0 0 0 0 0 X 22 19 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 GA X David Koontz CEO 7065964000 2122 Manchester Expressway Columbus GA 319046878 Robert P Granger President/CEO 50.00 X X 608749 0 80905 William Taylor MD Trustee/Imm. Past Chief of Staff 50.00 X 748266 0 5218 Edwin Page MD Trustee/Chief of Staff-Elect 50.00 X 523140 0 5218 Bipin Patel MD Trustee/Chief of Staff 20.00 X 0 0 0 Thomas B Buck III Trustee/Imm. Past Chair 1.00 X X 0 0 0 Mark G Holladay Trustee 1.00 X 0 0 0 Martha S Bickerstaff Trustee 1.00 X 0 0 0 Audrey D Hollingsworth Trustee 1.00 X 0 0 0 J Daniel Parker Jr Trustee 1.00 X 0 0 0 Michael Sims MD Trustee 1.00 X 0 0 0 Otis J Scarborough Trustee 1.00 X 0 0 0 R Larry Cardin Treasurer 1.00 X X 0 0 0 Richard Y Bradley Chair 1.00 X X 0 0 0 Stephen T Butler Trustee 1.00 X 0 0 0 Carolynn Obleton Trustee 1.00 X 0 0 0 Philip Thayer Trustee 1.00 X 0 0 0 Mario Davis Trustee 1.00 X 0 0 0 Paul Todd Trustee 1.00 X 0 0 0 Sara Dismuke Trustee 1.00 X 0 0 0 John Martin trustee 1.00 X 0 0 0 Robert M Gilson Jr Secretary/Chair-Elect 1.00 X X 0 0 0 GEORGE M MCCLUSKEY III MD Orthopedic Surgeon 50.00 X 1222772 0 5218 Deborah Bostic Assistant Secretary 50.00 X 384750 0 24036 Greg Hembree Chief Financial Officer 50.00 X 354419 0 23092 Mcdonald Plummer Foundation Vice President 1.00 50.00 X 207493 0 31536 Bobbie Farber MD Chief Medical Officer 50.00 X 459393 0 43752 Ewins R Lowe Chief Administrative Officer 50.00 X 329761 0 50218 GEORGE ZIMMERMAN MD Orthopedic Surgeon 50.00 X 1025070 0 52770 Robert Lewis MD Orthopedic Surgeon 50.00 X 936077 0 35218 John W Yeoman MD Radiologist 50.00 X 1019232 0 79687 Nicholas Henson MD Radiologist 50.00 X 1017223 0 25628 L Erik Westerlund Orthopedic Surgeon 50.00 X 908683 0 35218 9745028 0 497714 201 0 1 0 SODEXO INC & AFFILIATES 9801 Washington Blvd Gaithersburg MD 20878 Dietary & Environmental 5954325 Human Performance and Rehabilitation Cen 6298 Veterans Parkway Suite 54 Columbus GA 31908 PT/OT Patient Monitoring 5802531 TRIMEDX LLC 5451 Lakeview Parkway South Drive Indianapolis IN 46268 Healthcare Equipment Maintenance 3686519 Huron Consulting Services LLC 6 Concourse Pkwy Atlanta GA 30328 Consulting 2063137 Troutman Sanders LLP 600 Peachtree Street NE Atlanta GA 30308 Legal 1897219 99 5710613 1050 5711663 Net Patient Service Revenues 621990 356264817 356264817 Military Rehab PT Service Revenue 621990 5595650 5595650 361860467 132712 132712 307943 0 307943 307943 307943 5122205 2003286 3118919 3118919 3118919 Cafeteria 722514 948503 948503 Partnership Revenue 622000 -280947 -280947 Miscellaneous 621990 -2497551 -2497551 35383 35383 -1794612 369337092 359389912 35383 4200134 4342639 1817958 2524681 168689809 153507726 15182083 1388576 922452 466124 15184720 12147776 3036944 8457308 6765846 1691462 244357 146614 97743 5321180 5321180 355616 355616 131711 131711 27432760 16733984 10698776 299751 29975 269776 5554670 1555308 3999362 1530486 122439 1408047 8984271 8085844 898427 169703 39032 130671 10664055 10664055 21862837 19676553 2186284 4666691 4666691 Medical Supplies 75051461 75051461 Bad Debt Expense 36822101 36822101 Debt Issuance Costs 4244613 4244613 Unrelated Business Inco 3612 3612 7039902 4162723 2877179 408442829 337591404 70851425 0 8931190 14750194 45221605 41190152 10654356 10365513 3352554 2805122 454100516 252886429 224338001 201214087 11715129 13442506 7840663 5710613 25577424 68221106 337630922 357699293 67666893 60870469 185661101 254912217 10 0 253328004 315782686 X 84302918 41916607 84302918 41916607 337630922 357699293 X -39105737 -3280574 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 131711 131711 0 Part II-B, Line 1: A small percentage of the dues paid to the Georgia Hospital Association is designated lobbying costs. 6152762 6152762 236674335 84550859 152123476 206387162 166664269 39722893 4886257 1671301 3214956 201214087 Other Current Assets 2800730 Due from Related Organizations 58645975 Other Assets 6774401 68221106 X Part X, Line 2: 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. 1 1 X 1 X 250.000000000000 1 X 1 1 0 1 1 3612969 3612969 0.00880 19947952 19100522 847430 0.00210 23560921 19100522 4460399 0.01090 227209 227209 0.00060 227209 227209 0.00060 23788130 19100522 4687608 0.01150 1 36822101 97515830 96759372 756458 X 1 1 1 St Francis Cardiac Physician Practice Mgmt 0.38620 0.61380 1 1 St Francis Hospital Inc 2122 Manchester Expressway Columbus GA 319046878 www.wecareforlife.com 099-287 X X X Psych St Francis Hospital Inc 0 0 1 X X X X X X X X X 12 1 1 0 1 X http://www.columbusregional.com/media/file/CommunityHealthResponsePlan/2013 X 1 12 1 http://www.columbusregional.com/media/file/CommunityHealthResponsePlan/2013 0 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X www.mystfrancis.com X www.mystfrancis.com X X X X X X 1 X 0 X X X X 1 X 0 0 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. 1 1 - The Bradley Center 2000 16th Avenue Columbus GA 31904 Psychiatric Unit 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 X 1 1 X X X X 0 1 0 0 0 0 0 0 0 Robert P Granger President/CEO 115951 0 0 0 492798 0 80000 0 905 0 689654 0 0 0 William Taylor MD Trustee/Imm. Past Chief of Staff 410000 0 79953 0 258313 0 0 0 5218 0 753484 0 0 0 Edwin Page MD Trustee/Chief of Staff-Elect 270000 0 249876 0 3264 0 0 0 5218 0 528358 0 0 0 GEORGE M MCCLUSKEY III MD Orthopedic Surgeon 1000000 0 125000 0 97772 0 0 0 5218 0 1227990 0 0 0 Deborah Bostic Assistant Secretary 370014 0 0 0 14736 0 22500 0 1536 0 408786 0 0 0 Greg Hembree Chief Financial Officer 345013 0 0 0 9406 0 18750 0 4342 0 377511 0 0 0 Mcdonald Plummer Foundation Vice President 165000 0 0 0 42493 0 30000 0 1536 0 239029 0 0 0 Bobbie Farber MD Chief Medical Officer 357199 0 27757 0 74437 0 39410 0 4342 0 503145 0 0 0 Ewins R Lowe Chief Administrative Officer 257501 0 0 0 72260 0 45000 0 5218 0 379979 0 0 0 GEORGE ZIMMERMAN MD Orthopedic Surgeon 750000 0 199871 0 75199 0 47552 0 5218 0 1077840 0 0 0 Robert Lewis MD Orthopedic Surgeon 512256 0 420298 0 3523 0 30000 0 5218 0 971295 0 0 0 John W Yeoman MD Radiologist 368000 0 647406 0 3826 0 74469 0 5218 0 1098919 0 0 0 Nicholas Henson MD Radiologist 368000 0 647406 0 1817 0 20410 0 5218 0 1042851 0 0 0 L Erik Westerlund Orthopedic Surgeon 600000 0 283774 0 24909 0 30000 0 5218 0 943901 0 0 0 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. 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. ST FRANCIS ANESTHETISTS LLC 2122 MANCHESTER HIGHWAY Columbus GA 31908 208105342 ANESTHESIA GA -2134564 595930 SFHI ST FRANCIS CENTER FOR DIGESTIVE Disorders 2122 MANCHESTER HIGHWAY Columbus GA 31908 208709718 GASTROENTEROLOGY GA -93299 204052 SFHI ST FRANCIS CENTER FOR SURGICAL CARE 2122 MANCHESTER HIGHWAY Columbus GA 31908 205705790 Surgery center GA -562654 547563 SFHI ST FRANCIS ENT LLC 2122 MANCHESTER HIGHWAY Columbus GA 31908 261188735 EAR, NOSE & Throat GA 39681 329368 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 -152132 50039 SFHI ST FRANCIS HOSPITALISTS 2122 MANCHESTER HIGHWAY Columbus GA 31908 208105270 Hospitalists GA -4342229 429243 SFHI ST FRANCIS ORTHOPAEDIC INSTITUTE 2122 MANCHESTER HIGHWAY Columbus GA 31908 205197130 Orthopaedics GA -560339 1284651 SFHI ST FRANCIS PSYCHIATRISTS 2122 MANCHESTER HIGHWAY Columbus GA 31908 263484373 Psychiatric Services GA -740315 307185 SFHI ST FRANCIS OBSTETRIC & GYNECOLOGY Partners 2122 MANCHESTER HIGHWAY Columbus GA 31908 264341272 OB/GYN GA -2026467 1020474 SFHI ST FRANCIS WOUND CARE PHYSICIANS LLC 2122 MANCHESTER HIGHWAY Columbus GA 31908 263489307 WOUND CARE GA -1733 10207 SFHI ST FRANCIS CENTER FOR BREAST HEALTH 2122 MANCHESTER HIGHWAY Columbus GA 31908 264290838 Breast Health GA -321220 45166 SFHI St Francis Radiologists LLC 2122 MANCHESTER HIGHWAY Columbus GA 31908 208105392 Radiology GA -1368366 346309 SFHI Bradley Hospitalists LLC 2122 MANCHESTER HIGHWAY Columbus GA 31908 263484373 Hospitalists GA -88183 0 SFHI St Francis Cardiovascular Institute LLC 2122 MANCHESTER HIGHWAY Columbus GA 31908 462151119 Cardiovascular Services GA -1341024 330817 SFHI St Francis CVC LLC 2122 MANCHESTER HIGHWAY Columbus GA 31908 460843584 Cardiovascular Services GA -186318 159789 SFHI St Francis Vascular LLC 2122 MANCHESTER HIGHWAY Columbus GA 31908 461573997 Cardiovascular Services GA -637829 54863 SFHI SFH Emergency Physicians LLC 2122 MANCHESTER HIGHWAY Columbus GA 31908 462160343 Emergency Room Services GA -724263 656175 SFHI St Francis EP LLC 2122 MANCHESTER HIGHWAY Columbus GA 31908 455200538 Electrophy GA -120751 50321 SFHI St Francis Columbus Clinic 2122 MANCHESTER HIGHWAY Columbus GA 31908 464744241 Physician Services GA -4944703 4012809 SFHI St Francis Midtown Acute Care 2122 MANCHESTER HIGHWAY Columbus GA 31908 464828602 Physician Services GA 2878 191596 SFHI St Francis Neurology 2122 MANCHESTER HIGHWAY Columbus GA 31908 465206619 Neurology Services GA -494389 22329 SFHI St Francis Columbus Cardiology 2122 MANCHESTER HIGHWAY Columbus GA 31908 471074189 Cardiovascular Services GA -2505171 898723 SFHI St Francis Spine Center 2122 MANCHESTER HIGHWAY columbus GA 31908 205197130 Spinal Services GA -672262 417822 SFHI St Francis Neonatology 2122 MANCHESTER HIGHWAY columbus GA 31908 272588278 Neonatal Services GA -542706 27820 SFHI St Francis Gynecologic Oncology 2122 MANCHESTER HIGHWAY columbus GA 31908 462160343 Gynecologic Oncology Services GA 0 79966 SFHI St Francis Hospital Foundation Inc PO Box 7000 Columbus GA 319087000 581995070 Foundation GA 501(c)(3) Line 11a, I SFHI 1 Columbus Gynecology Oncology Management Services 2122 Manchester Expressway Columbus GA 31904 462160343 Management GA SFHI Related -384381 609512 0 0 0.50000 St Francis Cardiac Management Services LLC PO Box 7000 Columbus GA 319087000 205369263 Management GA N/A Related 103434 102072 0 0 0.38620 St Francis Affiliated Services PO Box 7000 Columbus GA 319087000 581187333 Physician GA SFHI C 11780572 70964269 1.00000 1 0 0 1 0 0 0 0 0 0 1 1 1 1 1 1 1 1 0 0 St Francis Affiliated Services K 3855077 General Ledger Costs St Francis Hospital Foundation Inc C 5710613 Cash Transfer St Francis Obstetric & Gynecology J 307943 General Ledger Costs Schedule R, Part V St. Francis Hospital Foundation, Inc. is organized to support St. Francis Hospital, Inc.