2014-11-20T13:06:12-06:00 2013-12-31 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2013-01-01 580641240 ST FRANCIS HOSPITAL INC STFR 7065964000 2122 MANCHESTER PARKWAY/PO BOX 7000 COLUMBUS GA 319087000 ROBERT GRANGER - SEE NOTE ON SCH O CEO 7065964000 2014-11-17 true JACQUELINE G ATKINS P00861721 2298837878 2014-11-17 2013 2015-11-30 17:44:51Z ROBERT GRANGER CEO 2122 MANCHESTER PKWY COLUMBUS GA 319046878 311932992 false X WWW.WECAREFORLIFE.COM X 1950 GA ST. FRANCIS, A COMMUNITY-OWNED HEALING MINISTRY, EXISTS TO PROVIDE EXCEPTIONAL HEALTH CARE SERVICES, IN PARTNERSHIP WITH PHYSICIANS, FOR ALL THOSE IN NEED. 20 14 2797 553 9600 8600 600000 7100000 235431917 255964696 2064811 5708627 6755109 4978347 244851837 273751670 10034 20638 0 118429117 134629563 0 0 124476879 133261528 242916030 267911729 1935807 5839941 309780897 380462018 160118385 226353658 149662512 154108360 ST. FRANCIS, A COMMUNITY-OWNED HEALING MINISTRY, EXISTS TO PROVIDE EXCEPTIONAL HEALTH CARE SERVICES, IN PARTNERSHIP WITH PHYSICIANS, FOR ALL THOSE IN NEED. false false 208199788 20638 260173906 THE HOSPITAL IS A 292-LICENSED BED GENERAL ACUTE CARE HOSPITAL WITH A HOSPITAL-BASED 84-LICENSED BED BEHAVIORAL HEALTH CENTER. ADDITIONALLY, THE HOSPITAL PROVIDES ASSISTED LIVING FOR 60 LICENSED RESIDENTIAL UNITS. 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ADDITIONALLY, A SMALL PERCENTAGE OF THE DUES PAID TO THE GEORGIA HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION IS DESIGNATED LOBBYING COSTS. 7599804 7599804 125809088 104486066 21323022 173773871 108265920 65507951 128323673 128323673 222754450 DUE FROM RELATED ORGANIZATIONS 71465308 DEFERRED DEBT COSTS 6448923 MORTGAGE RESERVE FUND 1799131 79713362 SCHEDULE D, PAGE 3, PART X THE HOSPITAL AND THE FOUNDATION ARE TAX EXEMPT UNDER SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. AFFILIATED SERVICES IS A FOR-PROFIT ENTITY WHICH ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH FASB ASC 740, INCOME TAXES. WITH RESPECT TO ITS FOR-PROFIT ENTITY AS WELL AS ANY UNRELATED BUSINESS INCOME GENERATED THROUGH THE TAX EXEMPT ENTITIES, ST. FRANCIS RECORDS INCOME TAXES USING THE LIABILITY METHOD UNDER WHICH DEFERRED TAX ASSETS AND LIABILITY ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASIS OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIOD THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR TO BE SETTLED. THE CORPORATION APPLIES ASC 740-10-50-15, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE STANDARD PRESCRIBES A MINIMUM RECOGNITION THRESHOLD AND MEASUREMENT METHODOLOGY THAT A TAX POSITION, TAKEN OR EXPECTED TO BE TAKEN, IN A TAX RETURN IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. THE CORPORATION HAD NO UNRECOGNIZED TAX BENEFITS OR ACCRUED INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS FOR 2013 AND 2012. 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. true true X true X 2.500000000000 true X true true false true true 6807039 6807039 0.02540 17434936 13543952 3890984 0.01450 24241975 13543952 10698023 0.03990 3184413 3184413 0.01190 3184413 3184413 0.01190 27426388 13543952 13882436 0.05180 true 21866226 80576953 75168271 5408682 X true true ST FRANCIS CARDIAC PHYSICIAN PRACTICE MGMT 0.39000 0.61000 1 1 ST FRANCIS HOSPITAL INC 2122 MANCHESTER EXPRESSWAY COLUMBUS GA 319046878 WWW.WECAREFORLIFE.COM X X X PSYCH & ASSISTED LIVING UNITS ST FRANCIS HOSPITAL INC 1 true X X X X X X X X X X 12 true true true X X false false true true 250.000000000000 true 400.000000000000 true X X X X X true true X X X X true false X X X X true X false false FACILITY 1, ST FRANCIS HOSPITAL, INC. - PART V, LINE 3 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 SAMPLE OF 900 INDIVIDUALS AGE 18 AND OLDER IN MUSCOGEE COUNTY. ALL ADMINISTRATION OF THE SURVEYS, DATA COLLECTION AND DATA ANALYSIS 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. FACILITY 1, ST FRANCIS HOSPITAL, INC. - PART V, LINE 4 THE HOSPITAL ORGANIZATION CONDUCTED ITS CHNA IN PARTNERSHIP WITH COLUMBUS REGIONAL HEALTHCARE SYSTEM: THE MEDICAL CENTER, DOCTORS HOSPITAL AND HUGHSTON HOSPITAL. FACILITY 1, ST FRANCIS HOSPITAL, INC. - PART V, LINE 6I LATE IN 2012, THE BOARD APPROVED THE CHNA REPORT AND STRATEGIES WERE DISCUSSED AT THAT TIME REGARDING THE HEALTH NEEDS OF THE COMMUNITY. HOWEVER, THROUGH AN OVERSIGHT, THIS STRATEGY DISCUSSION WAS NOT FORMALIZED INTO A WRITTEN IMPLEMENTATION PLAN. ALTHOUGH TECHNICALLY NOT IN COMPLIANCE, THE ORGANIZATION IS MAKING A GOOD FAITH EFFORT BY FORMALIZING IN WRITING ITS PLAN OF ACTION. A WRITTEN IMPLEMENTATION PLAN HAS SINCE BEEN APPROVED BY THE BOARD AND IS ATTACHED. FACILITY 1, ST FRANCIS HOSPITAL, INC. - PART V, LINE 7 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 SERVICES PROGRAMS AND SUPPORT FOR THE COUNTY RESIDENTS. TO THAT END, THE HOSPITAL WILL NOT ADDRESS SOME OF THE NEEDS IDENTIFIED IN THE 2012 ASSESSMENT BECAUSE: (1) THE HOSPITAL ADDRESSES THE NEED, BUT CURRENTLY HAS NO PLANS TO EXPAND SERVICES, (2) OTHER PROVIDERS ARE ALREADY ADDRESSING THE NEEDS AND (3) THE NEED IDENTIFIED IS BEYOND THE SCOPE OF THE HOSPITAL. FACILITY 1, ST FRANCIS HOSPITAL, INC. - PART V, LINE 20D ALL UNINSURED PATIENTS ARE GIVEN A 45% DISCOUNT OFF GROSS CHARGES REGARDLESS OF THEIR ABILITY TO PAY. 2 THE BRADLEY CENTER 2000 16TH AVENUE COLUMBUS GA 31904 PSYCHIATRIC UNIT FRANCISCAN WOODS 2425 WILLIAMS ROAD COLUMBUS GA 31909 ASSISTED LIVING FACILITY PART I, LINE 6A - RELATED ORGANIZATION INFORMATION THE 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 - COSTING METHODOLOGY EXPLANATION 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 - BAD DEBT EXPENSE METHODOLOGY 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. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE CORPORATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. 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 93% OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2013 AND 2012. IN ADDITION, THE CORPORATION'S SELF-PAY WRITEOFFS DECREASED 25,000,000 FOR FISCAL YEAR 2012 TO 15,100,000 FOR FISCAL YEAR 2013. THE DECREASE IN SELF-PAY WRITE-OFFS 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 2013 OR 2012. THE CORPORATION DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY PAYORS, NOR DID IT HAVE SIGNIFICANT WRITE-OFFS FROM THIRD-PARTY PAYORS. PART III, LINE 8 - MEDICARE EXPLANATION 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 - COLLECTION PRACTICES EXPLANATION 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 - NEEDS ASSESSMENT TO DETERMINE HOW TO BEST SERVE THE COMMUNITY, WE CONDUCT REGULAR NEEDS ASSESSMENTS BY SEEKING INPUT 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 PREVENTIVE SERVICES FOR ALL RESIDENTS OF MUSCOGEE COUNTY, GEORGIA. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE 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 - COMMUNITY INFORMATION 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 - PROMOTION OF COMMUNITY HEALTH 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 PER 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 THROUGH HOSPITALISTS OR OTHER PHYSICIANS. ST. FRANCIS' FACILITIES INCLUDING THE HOSPITAL, THE BRADLEY CENTER, FRANCISCAN WOODS AND PHYSICIAN OFFICES FURTHER THEIR EXEMPT PURPOSES BY PROMOTING COMMUNITY HEALTH IN A VARIETY OF WAYS. WE TAKE A MULTI-FACETED APPROACH TO IMPROVING THE HEALTH OF OUR SERVICE AREA: BETTER ACCESS, GREATER CAPACITY, BUILDING PHYSICIAN AND COMMUNITY PARTNERSHIPS AND DEVELOPING LEADERSHIP. WE REINVEST OUR 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, FREE OR DISCOUNTED WELLNESS SERVICES, A PHARMACY DISCOUNT PROGRAM, AND FREE SEMINARS PRESENTED BY PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS. FUND 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 - STATE FILING OF COMMUNITY BENEFIT REPORT GEORGIA ADDITIONAL INFORMATION FOUNDED BY A DIVERSE GROUP OF COMMUNITY LEADERS IN 1950, ST. FRANCIS IS A NON-PROFIT, COMMUNITY HOSPITAL BASED IN COLUMBUS, GEORGIA. WHAT BEGAN AS A 154-BED HOSPITAL WITH 17 SISTERS, 171 LAY PEOPLE AND 60 PHYSICIANS HAS GROWN TO A FACILITY LICENSED FOR 376-BEDS WITH MORE THAN 2,800 ASSOCIATES AND 300 PHYSICIANS OFFERING A FULL RANGE OF INPATIENT, OUTPATIENT AND EMERGENCY ROOM SERVICES, INCLUDING THE AREA'S ONLY OPEN HEART SURGERY PROGRAM. SINCE THE FIRST PATIENT WAS ADMITTED IN APRIL 1950, ST. FRANCIS HAS SERVED THE COMMUNITY AND REGION, PROVIDING OUTSTANDING, COMPASSIONATE CARE FROM ONE GENERATION TO THE NEXT. RECOGNIZED AS THE AREA'S FINEST HEALTH CARE PROVIDER, ST. FRANCIS CONTINUES TO REACH FOR THE HIGHEST STANDARDS OF QUALITY AND SAFETY TO OFFER ITS PATIENTS THE BEST POSSIBLE CARE. IN ADDITION TO PROVIDING A FULL RANGE OF INPATIENT, OUTPATIENT AND EMERGENCY ROOM SERVICES AT ITS HOSPITAL, ST. FRANCIS OFFERS: "HIGH QUALITY CARDIAC CARE, INCLUDING THE AREA'S ONLY OPEN HEART SURGERY PROGRAM, AT ST. FRANCIS HEART HOSPITAL. "OUTSTANDING ORTHOPEDIC CARE THROUGH THE ST. FRANCIS ORTHOPEDIC INSTITUTE. "TOP-NOTCH SURGICAL SERVICES THROUGH THE ST. FRANCIS CENTER FOR SURGICAL CARE. "PAIN MANAGEMENT AND RELIEF FROM BACK AND NECK PAIN AT THE ST. FRANCIS SPINE CENTER. "WOMEN'S HEALTH CARE SERVICES AT THE ST. FRANCIS WOMEN'S HOSPITAL. "A SENIOR LIVING COMMUNITY AT FRANCISCAN WOODS. "SAFE, COMPASSIONATE MENTAL HEALTH CARE THROUGH THE BRADLEY CENTER. THE JOINT COMMISSION ACCREDITATION - ST. FRANCIS IS ACCREDITED BY THE JOINT COMMISSION. AS THE NATION'S OLDEST AND LARGEST HEALTH CARE ACCREDITING BODY, THE JOINT COMMISSION AWARDS ACCREDITATION AFTER A TEAM OF SURVEYORS MEET WITH PERSONNEL, PATIENTS AND VISITORS; OBSERVE THE DELIVERY OF CARE; AND REVIEW SYSTEMS AND PROCESSES TO ASSESS THE ORGANIZATION'S COMPLIANCE WITH STANDARDS. AS AN INDEPENDENT, NOT-FOR-PROFIT ORGANIZATION, THE JOINT COMMISSION'S MISSION IS TO CONTINUOUSLY IMPROVE THE SAFETY AND QUALITY OF CARE PROVIDED TO THE PUBLIC. DISEASE SPECIFIC CARE CERTIFICATION, THROUGH THE JOINT COMMISSION, IMPROVES THE QUALITY OF PATIENT CARE BY REDUCING VARIATIONS IN CLINICAL PROCESSES. THE JOINT COMMISSION'S EMPHASIS ON CLINICAL PRACTICE GUIDELINES HELPS ORGANIZATIONS ESTABLISH A CONSISTENT APPROACH TO CARE, REDUCING THE RISK OF ERROR. IT PROVIDES A FRAMEWORK FOR PROGRAM STRUCTURE AND MANAGEMENT, HELPS TO MAINTAIN A CONSISTENTLY HIGH-LEVEL OF QUALITY, AND DEMONSTRATES OUR COMMITMENT TO HEALTHCARE QUALITY FOR OUR COMMUNITY. ST. FRANCIS HOSPITAL HAS DISEASE SPECIFIC CERTIFICATIONS FOR THE FOLLOWING PROGRAMS: "ADVANCED PRIMARY STROKE CARE "ACUTE CORONARY SYNDROME CARE "TOTAL HIP REPLACEMENT CARE "TOTAL KNEE REPLACEMENT CARE "ADVANCED INPATIENT DIABETES CARE SOCIETY OF CHEST PAIN CENTER ACCREDITATION - THE SOCIETY OF CHEST PAIN CENTERS (SCPC) IS AN INTERNATIONAL NOT-FOR-PROFIT ORGANIZATION THAT FOCUSES ON TRANSFORMING CARDIOVASCULAR CARE BY ASSISTING FACILITIES IN THEIR EFFORT TO CREATE COMMUNITIES OF EXCELLENCE BRINGING TOGETHER QUALITY, COST AND PATIENT SATISFACTION. THE ACCREDITED CHEST PAIN CENTER WITH PCI AT ST. FRANCIS HAS DEMONSTRATED ITS EXPERTISE AND COMMITMENT TO QUALITY PATIENT CARE BY MEETING OR EXCEEDING A WIDE SET OF STRINGENT CRITERIA AND UNDERGOING AN ONSITE REVIEW BY A TEAM OF SPCP'S ACCREDITATION REVIEW SPECIALISTS. 2013 HIGHLIGHTS AND ACHIEVEMENTS "OPENING THE ST. FRANCIS HEART HOSPITAL - THE NEW HEART HOSPITAL INCLUDES A DEDICATED CARDIOVASCULAR-SURGICAL UNIT, FOUR STATE-OF-THE-ART CATH LABS (ONE WITH AN ELECTROPHYSIOLOGY ROOM), 30 PREP AND RECOVER BAYS, A 16-BED MEDICAL-SURGICAL INTENSIVE CARE UNIT, AN EIGHT-BED CARDIAC OBSERVATION UNIT AND 43 PRIVATE PATIENT ROOMS. "OPENING THE ST. FRANCIS WOMEN'S HOSPITAL - THE NEW WOMEN'S HOSPITAL CONSOLIDATES ALL WOMEN'S SERVICES ONTO THE HOSPITAL'S MAIN CAMPUS. IT INCLUDES A NEW LABOR AND DELIVERY UNIT, ST. FRANCIS CENTER FOR BREAST HEALTH, ST. FRANCIS OB/GYN ASSOCIATES AND ST. FRANCIS OB/GYN PHYSICIAN PARTNER OFFICES. THE FIRST BABY WAS DELIVERED AT ST. FRANCIS ON OCTOBER 22, 2013, AND MORE THAN 200 BABIES WERE DELIVERED BY YEAR-END. THE NEW LABOR AND DELIVERY UNIT HAS AN ON-SITE NEONATOLOGIST AND 24-HOUR NEONATAL NURSE PRACTITIONER COVERAGE FOR NEWBORNS. "RENOVATING MOST OF THE HOSPITAL'S EXISTING FACILITY - RENOVATION OF ST. FRANCIS' EXISTING FACILITIES NEARED COMPLETION BY YEAR-END 2013. ONCE FULLY RENOVATED IN EARLY 2014, THE SOUTH TOWER WILL BE AN ALL PRIVATE ROOM FACILITY. ST. FRANCIS FURTHERED ITS VISION FOR BRINGING WORLD-CLASS HEALTHCARE TO COLUMBUS BY: "JOINING THE MAYO CLINIC CARE NETWORK IN NOVEMBER 2013, ST. FRANCIS ANNOUNCED IT IS THE FIRST HOSPITAL IN GEORGIA TO BECOME A MEMBER OF THE MAYO CLINIC CARE NETWORK. THROUGH THE NETWORK, ST. FRANCIS PHYSICIANS HAVE ACCESS TO THE LATEST MAYO CLINIC EXPERTISE AND CLINICAL CARE RESOURCES AS THEY CONSIDER THEIR PATIENTS' CARE. "WELCOMING 15 NEW PHYSICIANS "ADDING AUTOMATED BREAST ULTRASOUND (ABUS) AT THE CENTER FOR BREAST HEALTH ABUS OFFERS MORE DETAILED IMAGING FOR DETECTING BREAST CANCER IN WOMEN WITH DENSE BREAST TISSUE. CANCER IS FOUR TO SIX TIMES MORE LIKELY TO OCCUR IN THESE WOMEN. THE ST. FRANCIS CENTER FOR BREAST HEALTH IS THE FIRST FACILITY IN GEORGIA TO OFFER ABUS. "EARNING 'BLUE DISTINCTION' FOR CARDIAC CARE IN AUGUST 2013, BLUE CROSS BLUE SHIELD OF GEORGIA AWARDED ST. FRANCIS BLUE DISTINCTION-SPECIALTY CARE PROGRAM FOR CARDIAC CARE. BLUE DISTINCTION CENTERS DEMONSTRATE IMPROVED PATIENT OUTCOMES, INCLUDING LOWER RATES OF COMPLICATIONS AFTER CERTAIN CARDIAC PROCEDURES AND LOWER RATES OF HEALTH CARE-ASSOCIATED INFECTIONS. "RECEIVING NATIONAL RESEARCH CORPORATION'S 2013/2014 CONSUMER CHOICE AWARD FOR THE NINTH CONSECUTIVE YEAR, AREA CONSUMERS CHOSE ST. FRANCIS AS THE AREA'S "CONSUMER HOSPITAL OF CHOICE," ACCORDING TO DATA COMPILED BY NATIONAL RESEARCH CORPORATION (NRC). THE AWARD IDENTIFIES HOSPITALS THAT HEALTH CARE CONSUMERS HAVE SELECTED AS HAVING THE HIGHEST QUALITY AND IMAGE IN MORE THAN 300 MARKETS THROUGHOUT THE UNITED STATES. "ACHIEVING ADVANCED PRIMARY STROKE CENTER RE-CERTIFICATION ST. FRANCIS RECEIVED RE-CERTIFICATION FROM THE JOINT COMMISSION AS AN ADVANCED PRIMARY STROKE CENTER ON SEPTEMBER 26, 2013. "EARNING TOTAL HIP AND KNEE REPLACEMENT RE-CERTIFICATIONS THE JOINT COMMISSION AWARDED ST. FRANCIS DISEASE-SPECIFIC RE-CERTIFICATIONS IN BOTH TOTAL HIP AND KNEE REPLACEMENT IN SEPTEMBER 2013. "RECEIVING SLEEP LAB ACCREDITATION THE ST. FRANCIS SLEEP DISORDERS LAB EARNED ACCREDITATION BY THE AMERICAN ASSOCIATION OF SLEEP MEDICINE (AASM) IN OCTOBER 2013. AASM ACCREDITATION IS THE GOLD STANDARD FOR EVALUATING SLEEP MEDICINE SERVICES. "GETTING INPATIENT DIABETES CERTIFICATION THE ST. FRANCIS DIABETES PROGRAM WAS RE-CERTIFIED BY AMERICAN DIABETES ASSOCIATION IN SEPTEMBER 2013. IT IS THE ONLY ADA-CERTIFIED PROGRAM IN MUSCOGEE COUNTY. "ACHIEVING ACUTE CORONARY SYNDROME CERTIFICATION THE JOINT COMMISSION AWARDED ST. FRANCIS CERTIFICATION IN ACUTE CORONARY SYNDROME IN DECEMBER 2013. "BEING NAMED TO JOINING GHA'S HOSPITAL ENGAGEMENT NETWORK SAFETY LEADERS CIRCLE THE GEORGIA HOSPITAL ASSOCIATION (GHA) NAMED ST. FRANCIS TO ITS HOSPITAL ENGAGEMENT NETWORK (HEN) SAFETY LEADERS CIRCLE FOR THE HOSPITAL'S SECOND QUARTER 2013 PATIENT CARE IMPROVEMENTS. ST. FRANCIS WAS ONE OF ONLY 31 GEORGIA HOSPITALS TO PLACE AMONG THOSE IN THE ELITE CIRCLE, THE HIGHEST LEVEL OF RECOGNITION. "EARNING AMERICAN COLLEGE OF RADIATION MAMMOGRAPHY AND BREAST ULTRASOUND ACCREDITATION THE ST. FRANCIS CENTER FOR BREAST HEALTH EARNED ACCREDITATION IN BREAST ULTRASOUND IN MARCH 2013 AND MAMMOGRAPHY IN APRIL 2013. "OPENING A STATE-FUNDED CRISIS CLINIC AT THE BRADLEY CENTER THE CLINIC PROVIDES EMERGENCY ASSISTANCE 24/7 FOR ADULTS IN CRISIS, AGE 18 AND OLDER. "SENDING ITS FIRST MEDICAL TEAM TO THE MATER DEI HOSPITAL IN BULAWAYO, ZIMBABWE ST. FRANCIS' FIRST MEDICAL TEAM VISITED THE HOSPITAL'S NEW SISTER HOSPITAL, THE MATER DEI, IN BULAWAYO, ZIMBABWE, MAY 27-JUNE 7, 2013. THE TEAM OF THREE SURGEONS, TWO NURSES, A PHYSICAL THERAPIST, MEDICAL STUDENT AND SUPPORT PERSON BUILT RELATIONSHIPS, EXCHANGED CULTURE AND TRAINED AREA PHYSICIANS AND NURSES IN MEDICAL SKILLS. true CHILDCARE SPONSORSHIP 17 20638 SCHEDULE I, PAGE 1, PART I, LINE 2 THE ORGANIZATION SPONSORS ST. LUKE EARLY LEARNING CENTER, AN ORGANIZATION THAT IS DEDICATED TO PROVIDING HIGH QUALITY, DEVELOPMENTALLY APPROPRIATE CARE AND EDUCATION TO CHILDREN. HUMAN RESOURCES REVIEWS AND APPROVES MONTHLY BILLING AND SUBMITS FOR PAYMENT. X true true X X X X false true false false false false false false false ROBERT P GRANGER PRES/HOSP CEO 687504 116942 18841 89690 17629 930606 WILLIAM TAYLOR MD TRUSTEE 406505 37698 14620 9690 9513 478026 EDWIN PAGE MD TRUSTEE 318217 68209 11547 4690 8333 410996 MATTHEW MOORE SR. VP/CFO 378944 55026 13644 54690 10946 513250 DEBORAH L SAYLOR SR. VP/CNO/ASST SEC 327346 51029 19632 50100 6996 455103 BOBBI FARBER MD SR. VP/CMO 405148 21852 20226 44000 9513 500739 EWINS R LOWE SR VP/CAO 249520 44744 14046 54690 12875 375875 KENNETH SORRELL CHF INTEGRATION OFCR 107336 49330 5874 19121 2162 183823 GEORGE M MCCLUSKEY III MD SURGEON 1124520 15224 15566 9690 9513 1174513 THOMAS WALSH MD SPINE/ NEURO 1107536 6200 15636 30000 4780 1164152 GEORGE ZIMMERMAN MD SURGEON 795341 110862 13437 79059 9513 1008212 ROBERT LEWIS MD SURGEON 563502 276771 10972 30000 9513 890758 LE WESTERLUND MD PHYSICIAN 592109 192004 11623 25000 9263 829999 SCHEDULE J, PAGE 1, 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. SCHEDULE J, PAGE 1, PART I, LINE 4 ROBERT P. GRANGER 0 80,000 0 MATTHEW MOORE 0 45,000 0 DEBORAH L. SAYLOR 0 45,000 0 BOBBI FARBER, MD 0 34,310 0 EWINS R. LOWE 0 45,000 0 THOMAS WALSH, MD 0 20,310 0 GEORGE ZIMMERMAN, MD 0 69,369 0 ROBERT LEWIS, MD 0 24,900 0 L.E. WESTERLUND, MD 0 15,310 0 SCHEDULE J, PART III THE ORGANIZATION HAS ESTABLISHED AN UNFUNDED 457(F) DEFERRED COMPENSATION PLAN. THIS IS A DEFINED CONTRIBUTION PLAN WHERE BENEFITS ARE PAYABLE TO ELIGIBLE PARTICIPANTS IN ACCORDANCE WITH CONTRACTUAL AGREEMENTS UPON A PARTICIPANT'S SERVICE COMPLETION DATE. 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. CHHOKAR CLINIC TRUSTEE 156506 MEDICAL SVCS false SCHEDULE L, PART V BOARD MEMBER, RAJINDER CHHOKAR, MD, IS A PHYSICIAN AND PARTNER IN THE CHHOKAR CLINIC. THE HOSPITAL ENGAGES THE CLINIC PHYSICIANS TO READ EKG TESTS AND FOR MEC PARTICIPATION. FORM 990 ROBERT GRANGER SIGNS FORM 990 SUBJECT TO THE FOLLOWING NOTATION: SUBSEQUENT TO THE COMPLETION OF THE 2013 AUDIT, FINANCIAL INFORMATION THAT SHOULD HAVE BEEN INCLUDED IN THE 2013 AND 2012 FINANCIAL STATEMENTS WAS IDENTIFIED. THE FINANCIAL STATEMENTS AS REFLECTED IN THIS FILING ARE NOT ACCURATE AND WILL BE RESTATED. THE HOSPITAL'S BOARD AND THE HOSPITAL'S KEY CREDITORS HAVE BEEN NOTIFIED OF THE INACCURATE FINANCIAL INFORMATION, THE NEED TO RESTATE THE FINANCIAL STATEMENTS AND ACTIONS ARE UNDERWAY TO CORRECT THE FINANCIAL STATEMENTS. THE AUDITED 2014 FINANCIAL STATEMENTS WILL BE PREPARED WITH 2013 RESULTS RESTATED TO ACCURATELY REFLECT THE HOSPITAL'S FINANCIAL STATEMENTS. FORM 990, PAGE 6, PART VI, LINE 7A THE MEDICAL STAFF HAVE THE AUTHORITY TO ELECT THREE MEMBERS OF THE GOVERNING BODY - THE MEDICAL STAFF PRESIDENT, PRESIDENT ELECT AND PAST PRESIDENT. FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 IS PROVIDED TO THE BOARD FOR THEIR REVIEW BEFORE THE RETURN IS FILED WITH THE IRS. MANAGEMENT'S REVIEW OF FORM 990 IS PERFORMED PRIOR TO THE FILING DATE AND INCLUDES A REVIEW FOR APPROPRIATE DISCLOSURE OF FINANCIAL DATA AND OTHER DETAILS. FORM 990, PAGE 6, PART VI, 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 CONFLICTS OF INTEREST C. THE BOARD OF TRUSTEES MAKES A DETERMINATION AS TO WHETHER A CONFLICT EXISTS. D. THE BOARD OF TRUSTEES REVIEWS THE POTENTIAL CONFLICT. E. UPON DETERMINATION OF THE EXISTENCE OF A CONFLICT, THE BOARD OF TRUSTEES MAKES A DETERMINATION OF HOW THE CONFLICT WILL BE RESOLVED AS FOLLOWS: A.IF DEEMED APPROPRIATE BY THE BOARD OF TRUSTEES, A COMMITTEE APPOINTED BY THE BOARD OF TRUSTEES AND CONSISTING SOLELY OF MEMBERS WITH NO CONFLICT OF INTEREST WITH RESPECT TO SAID TRANSACTION, CONTRACTUAL RELATIONSHIP OR ARRANGEMENT SHALL BE AUTHORIZED TO REVIEW AND INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION, CONTRACTUAL RELATIONSHIP OR ARRANGEMENT AND SUCH COMMITTEE SHALL REPORT ITS FINDINGS TO THE FULL BOARD OF TRUSTEES. B.THE COVERED INDIVIDUAL WITH THE CONFLICT OF INTEREST SHALL NOT PARTICIPATE IN ANY DISCUSSION, VOTE OR ACTION TAKEN WITH REGARD TO THE TRANSACTION, CONTRACTUAL RELATIONSHIP OR ARRANGEMENT, BUT SHALL BE ENTITLED TO FURNISH ANY INFORMATION REQUESTED BY THE BOARD OR COMMITTEE OR BELIEVED BY THE COVERED INDIVIDUAL TO BE RELEVANT TO THE DISCUSSION. C.ANY TRANSACTION, CONTRACTUAL RELATIONSHIP OR ARRANGEMENT IN WHICH A COVERED INDIVIDUAL SHALL BE DEEMED TO HAVE A CONFLICT OF INTEREST MUST BE CONSIDERED AND APPROVED BY A MAJORITY VOTE OF TRUSTEES WHO HAVE NO CONFLICT OF INTEREST WITH RESPECT TO THE PROPOSED TRANSACTION, CONTRACTUAL RELATIONSHIP OR ARRANGEMENT, AND THEN ONLY AFTER DETERMINING THAT SUCH TRANSACTION, CONTRACTUAL RELATIONSHIP OR ARRANGEMENT IS IN THE BEST INTEREST OF AND PRIMARILY FOR THE BENEFIT OF THE HOSPITAL AND IS FAIR AND REASONABLE TO THE HOSPITAL. FORM 990, PAGE 6, PART VI, LINE 15A 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 RECOMMENDATIONS AS IT RELATES TO SENIOR LEADERSHIP COMPENSATION. 3)THE COMPENSATION COMMITTEE WILL REVIEW THE INFORMATION AND PROVIDE A WRITTEN REPORT TO BE DISTRIBUTED TO THE BOARD FOR THE JANUARY BOARD MEETING THAT INCLUDES THE FOLLOWING ITEMS:. A.REVIEW OF SELF ASSESSMENT BY SENIOR LEADERSHIP ON ACCOMPLISHMENT OF GOALS B.GOALS FOR THE UPCOMING YEAR FOR SENIOR LEADERSHIP AND ASSOCIATES C.CEO RECOMMENDATIONS FOR SENIOR LEADERSHIP COMPENSATION D.CEO RECOMMENDATIONS FOR CURRENT YEAR INCENTIVE COMPENSATION AWARDS FOR SENIOR LEADERSHIP AND ASSOCIATES E.EVALUATION OF CEO PERFORMANCE F.ASSESSMENT OF CEO COMPENSATION, INCLUDING MARKET COMPARATIVE COMPENSATION INFORMATION G.ASSESSMENT OF SENIOR LEADERSHIP COMPENSATION ADJUSTMENTS H.ASSESSMENT OF ASSOCIATE RECOGNITION RECOMMENDATIONS THIS REPORT WILL BE REVIEWED DURING AN EXECUTIVE SESSION OF THE BOARD EACH JANUARY. FORM 990, PAGE 6, PART VI, LINE 15B SEE RESPONSE TO 15A ABOVE. FORM 990, PAGE 6, PART VI, LINE 19 FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. 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