2024-04-16T13:13:41-05:00 2023-06-30 421539623 KMH LLP 1003 BISHOP STREET SUITE 2400 HONOLULU HI 96813 990 2022-07-01 990325194 ST FRANCIS COMMUNITY HEALTH SERVICES STFR 8085478066 PO BOX 29700 HONOLULU HI 968202100 CRAIG SHANER CFO 8085478066 2024-04-16 1 CRAIG SHANER 999009999 0 DUANE AKAMINE P01498021 8085262255 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KATHLEEN MORIMOTO PO BOX 29700 HONOLULU HI 968202100 27533562 0 0928 X WWW.STFRANCISHAWAII.ORG X 1994 HI SEE SCHEDULE O 1 0 135 71 0 0 3080155 2977059 22234932 24545728 14150 9441 158 1334 25329395 27533562 0 0 0 0 10949791 10536316 0 0 0 13265450 14162914 24215241 24699230 1114154 2834332 12606099 16753892 2730815 4014157 9875284 12739735 X SEE SCHEDULE O 0 0 19105767 24547062 SEE SCHEDULE O 19105767 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 45 0 1 135 1 0 0 0 0 0 0 0 0 0 0 0 0 X 1 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 HI X X CRAIG SHANER 8085478066 2228 LILIHA STREET SUITE 300 HONOLULU HI 96817 JERRY CORREA PRESIDENT 2.00 52.00 X X 0 283894 22749 NELSON MOKU III DIRECTOR 2.00 52.00 X 0 245265 914 SR DAVILYN AH CHICK DIRECTOR 2.00 52.00 X X 0 0 0 CRAIG SHANER CFO/DIRECTOR 2.00 52.00 X 0 99760 9100 MELISSA AH HO-MAUGA PRESIDENT 2.00 52.00 X 0 177741 18250 IAN DALTON TAYLOR NURSE PRACTITIONER 40.00 X 145109 0 21215 REID WATANABE RN, HOSPICE HC 40.00 X 152115 0 21805 BARON WONG MEDICAL DIRECTOR 40.00 X 233882 0 9363 MELANIE PAYANAL MEDICAL DIRECTOR 40.00 X 186865 0 20717 ELAINE ABBEY RN, HOSPICE HC 40.00 X 153957 0 19619 KEVIN NISHIDA EX-OFFICIO DIRECTOR 2.00 52.00 X 0 94011 2997 871928 900671 146729 5 1 1 0 MAUNALANI NURSING & REHABILITATION CENTE 5113 MAUNALANI CIRCLE HONOLULU HI 96816 NURSING HOME / HEALTHCARE SERVICES 1204816 PALOLO CHINESE HOME 2459 10TH AVENUE HONOLULU HI 96816 NURSING HOME / HEALTHCARE SERVICES 724156 OAHU CARE FACILITY 1808 S BERETANIA STREET HONOLULU HI 968261305 NURSING HOME / HEALTHCARE SERVICES 584580 ANN PEARL CARE HOME INC 45-181 WAIKALUA ROAD KANEOHE HI 96744 NURSING HOME / HEALTHCARE SERVICES 497032 HALE NANI REHABILITATION & NURSING CTR 1677 PENSACOLA STREET HONOLULU HI 96822 NURSING HOME / HEALTHCARE SERVICES 321163 19 81 2191289 785689 2977059 NET PATIENT SERVICE REVENUE 900099 24545728 24545728 24545728 9441 9441 ALL OTHER REVENUE 900099 1334 1334 1334 27533562 24547062 0 9441 X 8266372 7109080 1157292 157611 135545 22066 1500934 1290803 210131 611399 525803 85596 8723588 7502286 1221302 990580 851899 138681 70785 60875 9910 160120 137703 22417 342778 294789 47989 ADMINISTRATIVE 2483221 2483221 EQUIPMENT & BUILDING RE 1064428 915408 149020 AUTOMOTIVE 141144 121384 19760 186270 160192 26078 24699230 19105767 5593463 0 719256 1329167 2462546 2346758 418682 367229 6501278 5183671 1457727 1317607 7547888 11393131 12606099 16753892 2793584 3641642 -62769 372515 2730815 4014157 X 7060998 9900134 2814286 2839601 9875284 12739735 12606099 16753892 X 2834332 4803 25316 X 0 1 X 1 0 X 3528053 1204502 1890439 949473 2977059 10549526 24800910 25093895 21569976 22234932 24545728 118245441 28328963 26298397 23460415 23184405 27522787 128794967 1341364 1239721 2035981 1194451 2776879 8588396 0 1341364 1239721 2035981 1194451 2776879 8588396 120206571 197567 10789 11006 14150 9441 242953 197567 10789 11006 14150 9441 242953 3320 3320 2082 490 225 2130840 1334 2134971 28531932 26309676 23471646 25329395 27533562 131176211 0.91640 0.92190 0.00190 0.00680 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1063675 1063675 3390849 3285920 104929 2046754 1897751 149003 1317607 DUE FROM AFFILIATES 5956358 ASSETS RESTRICTED FOR PROGRAMS 2583511 INTEREST IN NET ASSETS OF FOUNDATION 390974 ASSETS LIMITED AS TO USE 416200 OTHER RECEIVABLES 1754262 NET ASSETS HELD BY FOUNDATION 256090 OTHER ASSETS 35736 11393131 WORKER'S COMPENSATION LIABILITY 206730 DEFERRED INCOME-OTHER 64209 DUE TO AFFILIATE 101576 372515 X 25942354 4803 4803 25937551 1596011 1596011 27533562 24699230 0 24699230 0 24699230 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 FILING ORGANIZATION'S PARENT: 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 CHANGES 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, 2023 AND 2022. PART XI, LINE 4B - OTHER ADJUSTMENTS: EMPLOYEE RETENTION CREDIT 1,596,011. 0 0 0 0 0 0 0 0 0 JERRY CORREA PRESIDENT 0 283894 0 0 0 0 0 8406 0 14343 0 306643 0 0 NELSON MOKU III DIRECTOR 0 245265 0 0 0 0 0 0 0 914 0 246179 0 0 BARON WONG MEDICAL DIRECTOR 233882 0 0 0 0 0 269 0 9094 0 243245 0 0 0 MELANIE PAYANAL MEDICAL DIRECTOR 186865 0 0 0 0 0 3231 0 17486 0 207582 0 0 0 MELISSA AH HO-MAUGA PRESIDENT 0 177741 0 0 0 0 0 887 0 17363 0 195991 0 0 REID WATANABE RN, HOSPICE HC 152115 0 0 0 0 0 4560 0 17245 0 173920 0 0 0 ELAINE ABBEY RN, HOSPICE HC 153957 0 0 0 0 0 658 0 18961 0 173576 0 0 0 IAN DALTON TAYLOR NURSE PRACTITIONER 145109 0 0 0 0 0 4351 0 16864 0 166324 0 0 0 KEVIN NISHIDA EX-OFFICIO DIRECTOR 0 94011 0 0 0 0 0 2568 0 429 0 97008 0 0 PART I, LINE 3 JERRY CORREA AND MELISSA AH HO-MAUGA ARE OFFICERS, COMPENSATED BY A RELATED ORGANIZATION, ST. FRANCIS HEALTHCARE SYSTEM OF HAWAII (SFHS), IN THE CURRENT YEAR. THEIR COMPENSATION ARE DETERMINED AND APPROVED BY THE GOVERNANCE COMMITTEE, WHICH IS A SUB-COMMITTEE OF SFHS BOARD OF DIRECTORS. 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 4A FOR THE YEAR ENDED JUNE 30, 2023, ST. FRANCIS COMMUNITY HEALTH SERVICE'S INPATIENT HOSPICE FACILITY HAD AN AGGREGATE OF 4,196 IN-PATIENT DAYS; OUTPATIENT HOSPICE SERVICES HAD A TOTAL OF 71,410 OUTPATIENT DAYS. HEALTH SERVICES FOR SENIOR CITIZENS PROVIDED 9,977 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. FORM 990, PART VI, SECTION A, LINE 1A 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 11B 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 MEDICAL-PHYSICIANS : PROGRAM SERVICE EXPENSES 11,180. MANAGEMENT AND GENERAL EXPENSES 1,820. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,000. CONSULTING & MGMT : PROGRAM SERVICE EXPENSES 2,864. MANAGEMENT AND GENERAL EXPENSES 466. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,330. PRO FEES-OTHER CONTRACTED SVCS : PROGRAM SERVICE EXPENSES 5,208. MANAGEMENT AND GENERAL EXPENSES 848. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,056. OTHER : PROGRAM SERVICE EXPENSES 164,346. MANAGEMENT AND GENERAL EXPENSES 26,754. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 191,100. MEDICAL : PROGRAM SERVICE EXPENSES 145,919. MANAGEMENT AND GENERAL EXPENSES 23,754. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 169,673. R&B MEDICAL : PROGRAM SERVICE EXPENSES 6,391,922. MANAGEMENT AND GENERAL EXPENSES 1,040,546. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,432,468. REPS & MAINTENANCE : PROGRAM SERVICE EXPENSES 55,243. MANAGEMENT AND GENERAL EXPENSES 8,993. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 64,236. R&M (BIOMED) : PROGRAM SERVICE EXPENSES 9,427. MANAGEMENT AND GENERAL EXPENSES 1,535. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,962. HARDWARE SUPP&MAINT : PROGRAM SERVICE EXPENSES 1,278. MANAGEMENT AND GENERAL EXPENSES 208. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,486. SOFTWARE SUPP&MAINT : PROGRAM SERVICE EXPENSES 272,205. MANAGEMENT AND GENERAL EXPENSES 44,313. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 316,518. PURCH SVCS-OTHER : PROGRAM SERVICE EXPENSES 442,694. MANAGEMENT AND GENERAL EXPENSES 72,065. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 514,759. FORM 990, PART XI, LINE 9: TEMP RESTRICTED DONATIONS 585,590. INSURANCE ADJUSTMENTS 170. NET ASSETS RELEASE FROM RESTRICTION -560,446. ROUNDING 2. FRANCISCAN CARE SERVICES PO BOX 29700 HONOLULU HI 96820 274348363 ADULT DAYCARE HI 501(C)(3) LINE 10 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 DEVELOPMENT CORP PO BOX 29700 HONOLULU HI 96820 203154399 SUPPORTING HI 501(C)(3) LINE 12A, 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 HEALTHCARE SYSTEM OF HAWAII PO BOX 29700 HONOLULU HI 96820 990240059 HEALTHCARE HI 501(C)(3) LINE 12A, I PFM 0 ST FRANCIS HOSPITALS HAWAII PO BOX 29700 HONOLULU HI 96820 272409865 INACTIVE HI 501(C)(3) LINE 10 SFHS 0 ST FRANCIS KUPUNA COMMUNITIES PO BOX 29700 HONOLULU HI 96820 843134336 SUPPORTING HI 501(C)(3) LINE 12B, II SFHS 0 ST FRANCIS MEDICAL CENTER PO BOX 29700 HONOLULU HI 96820 990073526 HEALTHCARE HI 501(C)(3) LINE 12B, II SFHS 0 ST FRANCIS RESIDENTIAL CARE COMMUNITY PO BOX 29700 HONOLULU HI 96820 752986938 HEALTHCARE HI 501(C)(3) LINE 7 SFHS 0 ST FRANCIS HEALTHCARE ENTERPRISES INC PO BOX 29700 HONOLULU HI 96820 990244110 HEALTHCARE SVCS HI SFHS C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 ST FRANCIS HEALTHCARE SYSTEM OF HAWAII O 2483221 FMV ST FRANCIS HEALTHCARE SYSTEM OF HAWAII S 2502331 CASH ST FRANCIS HEALTHCARE SYSTEM OF HAWAII R 2250000 CASH