2016-05-03T21:42:58-05:00 2015-06-30 421539623 KMH LLP 1003 BISHOP STREET SUITE 2400 HONOLULU HI 96813 990 2014-07-01 990325194 ST FRANCIS COMMUNITY HEALTH SERVICES STFR 8085478066 PO BOX 29700 HONOLULU HI 968202100 JERRY CORREA TREASURER 8085478066 2016-05-03 1 ALAN ML YEE P00130314 8085262255 2014 2016-08-17 19:52:53Z SISTER BEATRICE TOM PO BOX 29700 HONOLULU HI 968202100 19555852 0 0928 X WWW.STFRANCISHAWAII.ORG X 1994 HI SEE SCHEDULE O 2 1 265 155 0 0 1973202 1800360 19611842 17588906 70542 150753 3940924 13222 25596510 19553241 0 0 0 0 13674896 12318177 0 0 159769 15477286 9797404 29152182 22115581 -3555672 -2562340 31579257 27197119 24752185 23005808 6827072 4191311 X SEE SCHEDULE O 0 1 17928890 17588906 FOR THE YEAR ENDED JUNE 30, 2015, ST. FRANCIS COMMUNITY HEALTH SERVICE'S INPATIENT HOSPICE FACILITY HAD AN AGGREGATE OF 4,922 IN-PATIENT DAYS; OUTPATIENT HOSPICE SERVICES HAD A TOTAL OF 65,338 OUTPATIENT DAYS. HEALTH SERVICES FOR SENIOR CITIZENS PROVIDED 26,782 BATHS FOR QUALIFIED SENIORS.ST. FRANCIS COMMUNITY HEALTH SERVICES INCLUDES ST. FRANCIS HOSPICE, THE FIRST AND LARGEST HOSPICE PROGRAM IN THE STATE, AND THE ONLY HOSPICE PROGRAM ACCREDITED BY THE JOINT COMMISSION. IT PROVIDES CARE FOR TERMINALLY ILL IN THEIR HOMES, A FREESTANDING, STATE-OF-THE-ART INPATIENT FACILITY IN NUUANU, AND IN NURSING HOMES THROUGHOUT THE COMMUNITY. ST. FRANCIS HEALTH SERVICES FOR SENIOR CITIZENS PROVIDES A RANGE OF PERSONAL CARE SERVICES IN THE HOMES OF OAHU'S FRAIL ELDERS, INCLUDING BATHS, SHOWERS AND SHAMPOOS IN THEIR BED, TUB OR SHOWER; ROUTINE NAIL, SKIN AND HAIR CARE; ORAL CARE; SHAVING; AND CHANGE IN BED LINENS TO GIVE FAMILY CAREGIVERS A WELCOME BREAK. THIS KUPUNA PROJECT PROGRAM IS PRIMARILY FUNDED BY THE CITY & COUNTY OF HONOLULU'S ELDERLY AFFAIRS DIVISION, STATE OF HAWAII'S EXECUTIVE OFFICE ON AGING. ST. FRANCIS HEALTHCARE SYSTEM OF HAWAII, CLIENT CONTRIBUTIONS, AND GENEROUS DONATIONS FROM OTHERS SUPPLEMENT THE GOVERNMENT CONTRACTOR TO COVER THE COSTS ASSOCIATED WITH THIS SERVICE. 17928890 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 62 0 1 265 1 0 0 0 0 0 0 0 0 0 0 X 2 1 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 HI X X KEVIN NISHIDA 8085478066 2228 LILIHA STREET SUITE 208 HONOLULU HI 96817 SISTER BEATRICE TOM PRESIDENT / TREASURER 2.00 40.00 X X 0 0 0 JERRY CORREA TREASURER 2.00 52.00 X X 0 285385 19642 PATRICIA WALSH DOMINGO DIR ADMISSIONS/PROG DEVELOP 40.00 0.00 X 131376 0 15755 NAOMI FUJIE MORITA STAFF PHYSICIAN-HOME HOSPICE 40.00 0.00 X 232332 0 1612 BRANDON INOUYE HOSPICE MANAGER 40.00 0.00 X 139564 0 3159 HERMINA TAYLOR NURSE PRACTITIONER 40.00 0.00 X 123956 0 12388 GARY SIMON EXECUTIVE DIRECTOR 40.00 0.00 X 116006 0 15806 743234 285385 68362 22 0 1 0 ALOHA NURSING & REHAB CENTRE 45-545 KAMEHAMEHA HIGHWAY KANEOHE HI 96744 NURSING HOME 531105 HOSPISCRIPT SERVICES LLC PO BOX 933273 ATLANTA GA 311933273 PHARMACEUTICAL SERVICES 460076 HALE HO ALOHA 2670 PACIFIC HEIGHTS ROAD HONOLULU HI 96813 NURSING HOME 249063 SBM SITE SERVICES LLC 5241 ARNOLD AVENUE MCCLELLAN CA 95652 CLEANING SERVICES 217375 NUUANU HALE 2900 PALI HIGHWAY HONOLULU HI 96817 NURSING HOME 179231 11 32962 16980 1017716 732702 1800360 NET PATIENT SERVICE REVENUE 900099 17588906 17588906 17588906 153364 153364 2611 -2611 -2611 -2611 ALL OTHER REVENUE 900099 13222 13222 13222 19553241 17602128 0 150753 X 9692680 8529558 1163122 203435 179023 24412 1713707 1508062 205645 708355 623352 85003 4924291 4333376 590915 845202 743778 101424 353544 311119 42425 17199 15135 2064 505156 444537 60619 143922 126651 17271 ADMINISTRATIVE 1582072 1582072 EQUIPMENT RENTALS 875409 770360 105049 AUTOMOTIVE 246834 217214 29620 303775 126725 17281 159769 22115581 17928890 4026922 159769 582828 1993920 3637360 2699663 218500 158354 13417002 7310462 6495280 6106540 20645289 16238642 31579257 27197119 2523298 2041530 22228887 20964278 24752185 23005808 X 3163834 1966357 3407615 1968864 255623 256090 6827072 4191311 31579257 27197119 X -2562340 -19134 -54287 X 0 1 X 1 0 X 1741363 1944599 1804347 1973596 1800360 9264265 25454054 26940547 24274049 19611446 17588906 113869002 27195417 28885146 26078396 21585042 19389266 123133267 1375507 1491780 1105282 1243881 1272000 6488450 0 1375507 1491780 1105282 1243881 1272000 6488450 116644817 120807 36604 52141 70542 153364 433458 120807 36604 52141 70542 153364 433458 2028 39799 834 3940924 13222 3996807 27318252 28961549 26131371 25596508 19555852 127563532 0.91440 0.91880 0.00340 0.00250 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1063675 1063675 9648528 5197854 4450674 2704799 2112608 592191 6106540 DUE FROM AFFILIATES 11520287 ASSETS RESTRICTED FOR PROGRAMS 1943660 INTEREST IN NET ASSETS OF FOUNDATION 1332782 ASSETS LIMITED AS TO USE 607047 OTHER RECEIVABLES 517836 NET ASSETS HELD BY FOUNDATION 256090 ASSETS RESTRICTED FOR PROPERTY 25204 OTHER ASSETS 35736 16238642 DUE TO AFFILIATES 20308423 WORKER'S COMPENSATION LIABILITY 651840 OTHER CURRENT LIABILITIES 4015 20964278 X PART X, LINE 2: THE FOLLOWING IS THE FIN 48 (ASC 740) FOOTNOTE FROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF ST. FRANCIS HEALTHCARE SYSTEM OF HAWAII: THE SYSTEM RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF IT IS MORE-LIKELY-THAN-NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX EFFECTS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST AMOUNT THAT HAS A GREATER THAN 50 PERCENT LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. ANY INTEREST OR PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS ARE CLASSIFIED AS INCOME TAX EXPENSES. THE SYSTEM DID NOT ACCRUE FOR ANY INTEREST OR PENALTIES ON UNRECOGNIZED TAX POSITIONS AS OF JUNE 30, 2015 AND 2014. 0 0 0 0 0 0 0 0 0 JERRY CORREA TREASURER 0 285385 0 0 0 0 0 7356 0 12286 0 305027 0 0 NAOMI FUJIE MORITA STAFF PHYSICIAN-HOME HOSPICE 232332 0 0 0 0 0 0 0 1612 0 233944 0 0 0 FORM 990, PART I, LINE 1 AND PART III, LINE 1 ST. FRANCIS COMMUNITY HEALTH SERVICES (SFCHS), A SUBSIDIARY OF ST. FRANCIS HEALTHCARE SYSTEM OF HAWAII, PROVIDES COMMUNITY-BASED CARE TO MEET THE PHYSICAL, SPIRITUAL, AND PSYCHOSOCIAL NEEDS OF CLIENTS AND PATIENTS STATEWIDE. THE SISTERS OF ST. FRANCIS INTRODUCED MANY OF THESE FIRST-TO-MARKET HEALTHCARE PROGRAMS IN THE STATE OF HAWAII. AS PART OF ST. FRANCIS HEALTHCARE SYSTEM OF HAWAII, ST. FRANCIS COMMUNITY HEALTH SERVICES CARRIES ON THE LEGACY OF ST. MARIANNE COPE AND THE SISTERS OF ST. FRANCIS, WHO CAME TO THE ISLANDS IN 1883 TO CARE FOR THOSE AFFLICTED WITH HANSEN'S DISEASE. ST. FRANCIS COMMUNITY HEALTH SERVICES SERVES ALL THOSE IN NEED, INCLUDING THE MOST VULNERABLE, AND OFFERS CHARITY CARE FOR THOSE IN NEED OF FINANCIAL ASSISTANCE TO CARRY ON THE HEALTHCARE SYSTEM'S MISSION OF CREATING HEALTHY COMMUNITIES IN THE SPIRIT OF CHRIST'S HEALING MINISTRY. FORM 990, PART III, LINE 3 EFFECTIVE SEPTEMBER 30, 2014 AND JUNE 30, 2014, ST. FRANCIS COMMUNITY HEALTH SERVICES TERMINATED ITS HOSPICE - WEST AND HOME CARE SERVICES, RESPECTIVELY, PROGRAMS AS PART OF ITS FUTURE PLAN TO FOCUS ON ITS EXISTING PROGRAMS AND TO THE DEVELOPMENT OF ADDITIONAL PROGRAMS IN PROVIDING SPECIALIZED NURSING CARE. OPERATING RESULTS FOR THE HOME CARE SERVICES PROGRAM ARE CLASSIFIED AS DISCONTINUED OPERATIONS IN PART VIII AND PART IX. FORM 990, PART VI, SECTION A, LINE 1 PURSUANT TO THE BYLAWS, THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE OFFICERS OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL HAVE THE AUTHORITY TO BIND ST. FRANCIS COMMUNITY HEALTH SERVICES (CHS) IN ALL MATTERS RELATING TO THE REGULAR BUSINESS OF CHS DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD, SUBJECT TO ANY LIMITATIONS IMPOSED BY THE BOARD OF DIRECTORS, AND WITH UNDERSTANDING THAT ALL MATTERS OF MAJOR IMPORTANCE WILL BE REFERRED TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF ST. FRANCIS COMMUNITY HEALTH SERVICES IS ST. FRANCIS HEALTHCARE SYSTEM OF HAWAII. FORM 990, PART VI, SECTION A, LINE 7A ST. FRANCIS HEALTHCARE SYSTEM OF HAWAII, AS THE SOLE CORPORATE MEMBER, APPROVES THE APPOINTMENT OF THE DIRECTORS OF ST. FRANCIS COMMUNITY HEALTH SERVICES. FORM 990, PART VI, SECTION A, LINE 7B ST. FRANCIS HEALTHCARE SYSTEM OF HAWAII, AS THE SOLE CORPORATE MEMBER, HAS THE FOLLOWING POWERS RESERVED TO APPROVE THE FOLLOWING: A) ANY CHANGE IN THE PHILOSOPHY, MISSION, AND/OR PURPOSE OF THE CORPORATION; B) THE ADOPTION AND/OR AMENDMENT OF THE ARTICLES OF INCORPORATION; C) THE ADOPTION AND/OR AMENDMENT OF THE BYLAWS; D) THE APPOINTMENT OF DIRECTORS OF THE BOARD, AND REMOVAL OF DIRECTORS WITH OR WITHOUT CAUSE; E) APPOINT THE PRESIDENT OF THE CORPORATION; F) APPOINT THE CHIEF EXECUTIVE; G) APPROVE OR DISAPPROVE ANY SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS AND/OR SERVICES, OR ANY MERGER, CONSOLIDATION, REORGANIZATION, DIVESTING TRANSACTION OR ANY SIMILAR TRANSACTION REGARDING THE SAME, PLUS ALL OTHER ANCILLARY TRANSACTIONS NECESSARY OR APPROPRIATE TO CONSUMMATE THE SAME; H) THE DISSOLUTION OF THE CORPORATION AND DISPOSITION OF ASSETS; I) THE PURCHASE, SALE, LEASE OR MORTGAGE OF REAL PROPERTY; TO APPROVE THE PURCHASE, SALE, OR GIFT OF CAPITAL ASSETS; J) THE CORPORATION'S ANNUAL BUDGET, INCLUDING BUDGETS FOR OPERATIONS, CAPITAL EXPENDITURES, AND CASH FLOW. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 AND SUPPORTING WORKPAPERS WERE REVIEWED BY THE CHIEF FINANCIAL OFFICER OF ST. FRANCIS HEALTHCARE SYSTEM OF HAWAII AND THE COMPANY'S TAX ADVISORS, KMH LLP. A COPY OF THE FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST QUESTIONNAIRE IS COMPLETED PRIOR TO EMPLOYMENT FOR ALL EMPLOYEES AND DIRECTORS. CONFLICT OF INTEREST QUESTIONNAIRES ARE REVIEWED BY HR PERSONNEL AND UPDATED ON AN ANNUAL BASIS. AFTER REVIEW BY HR PERSONNEL, POTENTIAL CONCERNS ARE REFERRED TO MANAGEMENT PERSONNEL AND RECOMMENDATIONS FOR RESOLUTIONS OF CONFLICTS ARE REFERRED TO THE CORPORATE COMPLIANCE STEERING COMMITTEE. IF A POTENTIAL OR IDENTIFIED CONFLICT OF INTEREST CANNOT BE RESOLVED BY THE AFOREMENTIONED COMMITTEE, THE MATTER WILL BE REFERRED TO THE ORGANIZATIONAL ETHICS COMMITTEE FOR ADVICE AND RECOMMENDATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNMENT DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED TO THE GENERAL PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 4,333,376. MANAGEMENT AND GENERAL EXPENSES 590,915. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,924,291. FORM 990, PART XI, LINE 9: ROUNDING -5. ALLOCATION OF INVESTMENT INCOME FROM ST. FRANCIS MEDICAL CENTER - WEST -54,282. FRANCISCAN CARE SERVICES PO BOX 29700 HONOLULU HI 96820 274348363 ADULT DAYCARE HI 501(C)(3) LINE 9 SFHS 0 OUR LADY OF KEA'AU PO BOX 29700 HONOLULU HI 96820 680613210 REL. RETREAT HI 501(C)(3) LINE 7 SFHS 0 PARTNERS IN FRANCISCAN MINISTRIES INC 960 JAMES STREET 2ND FLOOR SYRACUSE NY 13203 452279986 RELIGIOUS ORG NY 501(C)(3) LINE 1 SSFNC 0 SISTERS OF ST FRANCIS OF THE NEUMANN CO 960 JAMES STREET 2ND FLOOR SYRACUSE NY 13203 204292535 RELIGIOUS ORG NY 501(C)(3) LINE 1 N/A 0 ST FRANCIS RESIDENTIAL CARE COMMUNITY PO BOX 29700 HONOLULU HI 96820 752986938 HEALTHCARE HI 501(C)(3) LINE 7 SFHS 0 ST FRANCIS DEVELOPMENT CORP PO BOX 29700 HONOLULU HI 96820 203154399 SUPPORTING HI 501(C)(3) LINE 11A, I SFRCC 0 ST FRANCIS HEALTHCARE FOUNDATION OF HAWAII PO BOX 29700 HONOLULU HI 96820 990240060 FOUNDATION HI 501(C)(3) LINE 7 SFHS 0 ST FRANCIS HOSPITALS HAWAII PO BOX 29700 HONOLULU HI 96820 272409865 INACTIVE HI 501(C)(3) LINE 9 SFHS 0 ST FRANCIS MEDICAL CENTER PO BOX 29700 HONOLULU HI 96820 990073526 HEALTHCARE HI 501(C)(3) LINE 11B, II SFHS 0 ST FRANCIS MEDICAL CENTER - WEST PO BOX 29700 HONOLULU HI 96820 990240058 HEALTHCARE HI 501(C)(3) LINE 9 SFHS 0 ST FRANCIS HEALTHCARE SYSTEM OF HAWAII PO BOX 29700 HONOLULU HI 96820 990240059 HEALTHCARE HI 501(C)(3) LINE 11A, I PFM 0 ST FRANCIS HEALTHCARE ENTERPRISES INC PO BOX 29700 HONOLULU HI 96820 990244110 HEALTHCARE SVCS HI N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 ST FRANCIS HEALTHCARE SYSTEM OF HAWAII R 2016346 CASH ST FRANCIS HEALTHCARE SYSTEM OF HAWAII S 2918648 CASH ST FRANCIS HEALTHCARE SYSTEM OF HAWAII M 1612135 CASH ST FRANCIS HEALTHCARE FOUNDATION OF HAWAII M 159769 CASH ST FRANCIS MEDICAL CENTER R 3600000 CASH ST FRANCIS MEDICAL CENTER S 2647140 CASH