Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
ST FRANCIS HEALTHCARE SYSTEM OF HAWAII
Employer identification number
99-0240059
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
No
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
No
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
No
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
(1)
SISTERS OF ST FRANCIS OF THE NEUMANN COMMUNITIES
204292535
01
Yes
Yes
Yes
663,893
Total
663,893
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public Support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2011.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2010.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2011.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public Support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13
Total support (Add lines 9, 10c, 11 and 12.).
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2011 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2010 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2010 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2011.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2010.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2011
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
ST FRANCIS HEALTHCARE SYSTEM OF HAWAII
Employer identification number
99-0240059
Identifier
Return Reference
Explanation
ORGANIZATION'S MISSION
FORM 990, PART I, LINE 1 AND PART III, LINE 1
ST. FRANCIS HEALTHCARE SYSTEM OF HAWAII'S MISSION IS TO CREATE HEALTHY COMMUNITIES IN THE SPIRIT OF CHRIST'S HEALING MINISTRY. BY INTEGRATING SERVICES AMONG ITS SUBSIDIARIES, ST. FRANCIS HEALTHCARE SYSTEM ENDEAVORS TO IMPROVE PATIENT CARE OUTCOMES, FACILITATE ACCESS TO SERVICES, MEET COMMUNITY NEEDS, AND PROVIDE A CONTINUUM OF CARE THROUGH PRE- AND POST-ACUTE CARE AND SERVICES FOR THE ELDERLY. AS A CATHOLIC HEALTH CARE ORGANIZATION, ST. FRANCIS HEALTHCARE SYSTEM IS COMMITTED TO CREATING HEALTHY COMMUNITIES IN THE SPIRIT OF CHRIST'S HEALING MINISTRY, UPHOLDING THE VALUES OF PEACEMAKING, SIMPLICITY, CHARITY AND JOY.
PROGRAM SERVICE ACCOMPLISHMENTS
FORM 990, PART III, LINE 4A
ST. FRANCIS HEALTHCARE SYSTEM OF HAWAII IS ONE OF THE LARGEST INTEGRATED PRE- AND POST-ACUTE PROVIDERS IN THE STATE, OFFERING A GROWING NUMBER OF WORLD-CLASS SPECIALTY HEALTHCARE PROGRAMS. SPONSORED BY THE SISTERS OF ST. FRANCIS OF THE NEUMANN COMMUNITIES, IT IS THE ONLY CATHOLIC HEALTHCARE SYSTEM IN HAWAII. THE ORGANIZATION 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. WHILE REMAINING TRUE TO ITS ROOTS, ST. FRANCIS HEALTHCARE SYSTEM ALSO IS FORWARD-LOOKING AND PLACES A STRONG EMPHASIS ON HEALTHCARE INNOVATION. ITS COMMUNITY-BASED PROGRAMS, PRIMARILY DESIGNED TO SERVE HAWAII'S GROWING OLDER ADULT POPULATION AND THEIR FAMILY CAREGIVERS, HAVE BECOME MARKET LEADERS IN DIFFERENT SERVICE CATEGORIES. TODAY, ST. FRANCIS HEALTHCARE SYSTEM REMAINS DEEPLY COMMITTED TO SERVING ALL THOSE IN NEED, INCLUDING THE MOST VULNERABLE. ENTERPRISE-WIDE, ST. FRANCIS HEALTHCARE SYSTEM PROVIDES UNCOMPENSATED CARE AND SIGNIFICANT COMMUNITY BENEFITS TO CREATE HEALTHY COMMUNITIES IN THE SPIRIT OF CHRIST'S HEALING MINISTRY. THE HEALTHCARE SYSTEM'S MULTI-FACETED SERVICES ALONG THE HEALTHCARE CONTINUUM ALLOW SEAMLESS CONTINUITY OF CARE TO DELIVER THE HIGHEST QUALITY PATIENT OUTCOMES. VISIT: WWW.STFRANCISHAWAII.ORG. THE SYSTEM'S EIGHT SUBSIDIARIES INCLUDE ST. FRANCIS COMMUNITY HEALTH SERVICES, ST. FRANCIS RESIDENTIAL CARE COMMUNITY, OUR LADY OF KEA'AU, ST. FRANCIS HEALTHCARE FOUNDATION, ST. FRANCIS MEDICAL CENTER, ST. FRANCIS MEDICAL CENTER - WEST, ST FRANCIS FRANCISCAN CARE SERVICES AND ST. FRANCIS HEALTHCARE ENTERPRISES. BY INTEGRATING SERVICES AMONG ITS SUBSIDIARIES, ST. FRANCIS HEALTHCARE SYSTEM ENDEAVORS TO IMPROVE PATIENT CARE OUTCOMES, FACILITATE ACCESS TO SERVICES, MEET COMMUNITY NEEDS, AND PROVIDE A CONTINUUM OF CARE, WHILE PROVIDING STRATEGIC PLANNING, OVERALL DIRECTION, FINANCIAL GOAL-SETTING AND COORDINATING ACTIVITIES. ST. FRANCIS HEALTHCARE SYSTEM OF HAWAII PROVIDES ADMINISTRATIVE AND SUPPORT SERVICES TO ITS SUBSIDIARIES. A MAJORITY OF ITS EXPENSES ARE ALLOCATED AMONGST THESE SUBSIDIARIES.
ISSUANCE OF FORMS 1099
FORM 990, PART V, LINE 1A
ST. FRANCIS MEDICAL CENTER (SFMC) ISSUED FORMS 1099 ON SFHS' BEHALF FOR PAYMENTS MADE TO INDEPENDENT CONTRACTORS. SFHS REIMBURSES SFMC FOR THE PAYMENTS. DELEGATION OF AUTHORITY TO THE EXECUTIVE COMMITTEE FORM 990, PART VI, 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 THE CORPORATION IN ALL MATTERS RELATING TO THE REGULAR BUSINESS OF ST. FRANCIS HEALTHCARE SYSTEM OF HAWAII 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.
SIGNIFICANT CHANGES TO ITS GOVERNING DOCUMENTS
FORM 990, PART VI, LINE 4
ST. FRANCIS HEALTHCARE SYSTEM OF HAWAII (THE HEALTH SYSTEM) IS A NON-PROFIT ORGANIZATION PREVIOUSLY SPONSORED BY THE SISTERS OF ST. FRANCIS OF THE NEUMANN COMMUNITIES, A RELIGIOUS ORDER OF THE ROMAN CATHOLIC CHURCH, WITH ITS MOTHERHOUSE IN SYRACUSE, NEW YORK. IN AUGUST 2011, THE SISTERS OF ST. FRANCIS OF THE NEUMANN COMMUNITIES EXPANDED SPONSORSHIP OF THE HEALTH SYSTEM TO INCLUDE THE LAITY IN A NEW NONPROFIT ORGANIZATION, PARTNERS IN FRANCISCAN MINISTRIES, INC. (PFM). PFM IS A PUBLIC JURIDIC PERSON; A PONTIFICAL STRUCTURE THAT ALLOWS LAYPEOPLE TO ASSUME SPONSORSHIP RESPONSIBILITIES OF "TEMPORAL GOODS" OF THE CATHOLIC CHURCH SUCH AS THE HEALTH SYSTEM. PFM FORMALLY ASSUMED SPONSORSHIP RESPONSIBILITIES PREVIOUSLY EXERCISED BY THE ST. FRANCIS OF THE NEUMANN COMMUNITIES. THERE WAS NO DIRECT IMPACT ON THE OPERATIONS OF THE HEALTH SYSTEM AND ITS AFFILIATES AS A RESULT OF THE EXPANDED SPONSORSHIP.
MEMBERS AND RIGHTS
FORM 990, PART VI, LINE 6
THE SOLE CORPORATE MEMBER OF ST. FRANCIS HEALTHCARE SYSTEM OF HAWAII IS PARTNERS IN FRANCISCAN MINISTRIES, INC., OF SYRACUSE, NEW YORK.
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS
FORM 990, PART VI, LINE 7A
PARTNERS IN FRANCISCAN MINISTRIES, INC., OF SYRACUSE, NEW YORK, AS THE SOLE CORPORATE MEMBER, APPROVES THE APPOINTMENT OF THE DIRECTORS OF THE BOARD OF ST. FRANCIS HEALTHCARE SYSTEM OF HAWAII.
DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS
FORM 990, PART VI, LINE 7B
PARTNERS IN FRANCISCAN MINISTRIES, INC., OF SYRACUSE, NEW YORK, AS THE SOLE CORPORATE MEMBER, HAS THE FOLLOWING POWERS RESERVED TO APPROVE THE FOLLOWING: A) TO APPOINT AND REMOVE THE PRINCIPAL DIRECTOR/CEO OF EACH OF THE SPONSORED MINISTRIES; B) TO APPOINT AND REMOVE THE BOARD OF DIRECTORS OF EACH OF THE SPONSORED MINISTRIES; C) TO APPROVE THE ARTICLES OF INCORPORATION AND BY-LAWS OF EACH OF THE SPONSORED MINISTRIES; D) TO RECEIVE THE ANNUAL REPORT OF EACH OF THE SPONSORED MINISTRIES; E) TO APPROVE THE FORMATION OF SUBSIDIARIES, AFFILIATES OR DIVISIONS OF EACH OF THE SPONSORED MINISTRIES; F) TO APPROVE A CHANGE IN THE NAME OF EACH OF THE SPONSORED MINISTRIES; G) TO RECEIVE, REVIEW AND MONITOR THE BUDGET OF EACH OF THE SPONSORED MINISTRIES AS DEEMED NECESSARY; H) TO RECEIVE THE ANNUAL AUDIT OF EACH OF THE SPONSORED MINISTRIES; I) TO RECEIVE, REVIEW AND MONITOR STRATEGIC, LONG RANGE PLANS OF EACH OF THE SPONSORED MINISTRIES AS IT DEEMS NECESSARY.
DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990
FORM 990, PART VI, 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, ERNST & YOUNG, LLP. A COPY OF THE FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST
FORM 990, PART VI, 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.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC
FORM 990, PART VI, LINE 19
THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED TO THE GENERAL PUBLIC UPON REQUEST.
HOURS DEVOTED TO RELATED ORGANIZATIONS
FORM 990, PART VII
INDIVIDUALS LISTED ON FORM 990, PART VII ALSO DEVOTE TIME TO RELATED ORGANIZATIONS AS FOLLOWS: ST. FRANCIS MEDICAL CENTER TOM 2.0 CHING 2.0 HADANO 2.0 ST. FRANCIS MEDICAL CENTER - WEST ELENIKI 2.0 TOM 2.0 CHING 2.0 KAISER 2.0 ST. FRANCIS DEVELOPMENT CORPORATION CHING 2.0 ELENIKI 2.0 KAISER 2.0 HADANO 2.0 ST. FRANCIS RESIDENTIAL CARE COMMUNITY ELENIKI 2.0 KAISER 2.0 HADANO 2.0 CHING 2.0 ST. FRANCIS COMMUNITY HEALTH SERVICES TOM 2.0 CHING 2.0 CORREA 2.0 ST. FRANCIS HEALTHCARE FOUNDATION OF HAWAII ELENIKI 40.0 CHING 2.0 OUR LADY OF KEA'AU CHING 2.0 TOM 40.0 KAISER 2.0 CORREA 2.0 FRANCISCAN CARE SERVICES CHING 2.0
OTHER CHANGES IN NET ASSETS
FORM 990, PART XI, LINE 5
CHANGE IN NET ASSETS OF FOUNDATION $ (443,054) UNREALIZED GAIN ON INVESTMENTS $ 255,821 DECREASE IN ACCRUED PENSION/POSTRETIREMENT $(19,078,873) ENTERPRISE NET INCOME $ 1,753,457 DECREASE IN NET ASSETS FROM HMC NOTE REC. SETTLEMENT $(18,672,832)* ------------ TOTAL $(36,185,481) *DECREASE IN NET ASSETS FROM HMC NOTE RECEIVABLE SETTLEMENT - IN APRIL 2012, THE U.S. BANKRUPTCY COURT APPROVED AN ORDERLY WIND DOWN OF HMC'S AFFAIRS AND A SETTLEMENT AGREEMENT WAS REACHED BETWEEN HMC AND ST. FRANCIS HEALTHCARE SYSTEM OF HAWAII (SYSTEM). IN ACCORDANCE WITH THE SETTLEMENT AGREEMENT, SYSTEM RECEIVED CERTAIN ASSETS OF HMC THAT INCLUDED PROPERTY, PLANT AND EQUIPMENT IN SETTLEMENT OF HMC NOTES RECEIVABLE.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.