Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| (A)
SISTERS OF ST FRANCIS OF THE NEUMANN COMMUNITIES |
204292535 | 1 | Yes | 110,828 | 0 | |
|
Total 1
|
110,828 | 0 | ||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2019 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART I, LINE 1 AND PART III, LINE 1 | ST. FRANCIS HEALTHCARE SYSTEM OF HAWAII IS A DYNAMIC, GROWING ORGANIZATION WHOSE MISSION IS TO CREATE HEALTHY COMMUNITIES. ALL OF ITS ACTIVITIES FOCUS ON MEETING THE CURRENT AND ANTICIPATED HEALTH AND SOCIAL NEEDS OF THE COMMUNITY, PARTICULARLY HAWAII'S GROWING OLDER ADULT POPULATION AND THEIR CAREGIVERS. THE ORGANIZATION'S ROOTS DATE BACK TO THE EARLY 1880S WHEN SAINT MARIANNE COPE AND THE SISTERS OF ST. FRANCIS VOYAGED TO HAWAII TO CARE FOR THOSE AFFLICTED WITH HANSEN'S DISEASE. TODAY, ST. FRANCIS HEALTHCARE SYSTEM CONTINUES THE SISTERS' LEGACY OF CARING BY IDENTIFYING NEEDS IN THE COMMUNITY AND MEETING THE NEEDS OF THE WHOLE PERSON - BODY, SOUL AND SPIRIT - IN INNOVATIVE WAYS. COLLABORATION AND PARTNERSHIPS ARE KEY TO ST. FRANCIS HEALTHCARE SYSTEM'S CONTINUED GROWTH. STRATEGIC PARTNERSHIPS AND ALLIANCES ALLOW THE ORGANIZATION TO FURTHER ITS BRAND AND FULFILL ITS MISSION IN HAWAII, WHILE REMAINING FINANCIALLY SUSTAINABLE INTO THE FUTURE. |
| FORM 990, PART III, LINE 4A | ST. FRANCIS HEALTHCARE SYSTEM OF HAWAII OFFERS A BROAD SPECTRUM OF HEALTH AND SOCIAL PROGRAMS AND SERVICES TO CREATE HEALTHY COMMUNITIES. ST. FRANCIS CURRENTLY OFFERS HOSPICE CARE IN AN INPATIENT FACILITY, NURSING HOMES, AND IN PATIENTS' HOMES; INDEPENDENT LIVING, PERSONAL CARE SERVICES, INCLUDING IN-HOME BATHING; ADULT DAY CARE; PRESCHOOL; A SPIRITUAL RETREAT CENTER FOR THE COMMUNITY; AND OUTREACH TO THE HOMELESS. ST. FRANCIS HEALTHCARE SYSTEM IS COMMITTED TO MAKING QUALITY CARE ACCESSIBLE TO THE COMMUNITY BY OFFERING MORE OPTIONS ACROSS THE CONTINUUM OF CARE. THE ST. FRANCIS KUPUNA VILLAGE AT ITS LILIHA CAMPUS IS HAWAII'S FIRST COMPREHENSIVE CENTER, A ONE-STOP SOURCE DESIGNED TO MEET THE NEEDS OF HAWAII'S GROWING NUMBER OF ACTIVE SENIORS AS WELL AS OLDER ADULTS AND THEIR CAREGIVERS. PHASE I WAS COMPLETED IN FISCAL YEAR 2015, AND PHASE 2 WAS COMPLETED IN FISCAL YEAR 2020. PHASE 3 IS SCHEDULED FOR COMPLETION IN FISCAL YEAR 2021. AS A GERIATRIC CENTER OF EXCELLENCE, IT OFFERS THE FINEST CLINICAL, SOCIAL, SPIRITUAL AND PSYCHOLOGICAL CARE TO ENHANCE THE QUALITY OF LIFE FOR OLDER ADULTS AND PROVIDE PROFESSIONAL AND PEER SUPPORT FOR CAREGIVERS. THROUGH PARTNERSHIP AGREEMENTS, ST. FRANCIS KUPUNA VILLAGE OFFERS A 119-BED SKILLED NURSING FACILITY AND TREATMENT FOR THOSE WITH ALZHEIMER'S DISEASE AND RELATED DEMENTIAS AS WELL AS OTHER NEUROLOGICAL CONDITIONS. FUTURE PHASES FOR THE ST. FRANCIS KUPUNA VILLAGE INCLUDE AN OUTPATIENT REHABILITATION CENTER, SENIOR COMMUNITY CENTER THAT OFFERS HEALTH AND WELLNESS PROGRAMS AND CAREGIVER EDUCATION AND TRAINING, AN ON-CAMPUS BISTRO, ADULT DAY CARE, ADULT DAY HEALTH, ASSISTED LIVING FACILITY AND A CLUSTER OF INDEPENDENT LIVING TOWN HOMES THAT WILL BLEND IN WITH THE SURROUNDING LILIHA NEIGHBORHOOD. |
| 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 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 THE 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 HEALTHCARE SYSTEM OF HAWAII IS PARTNERS IN FRANCISCAN MINISTRIES, INC., OF SYRACUSE, NEW YORK. |
| FORM 990, PART VI, SECTION A, 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. |
| FORM 990, PART VI, SECTION A, LINE 7B | PARTNERS IN FRANCISCAN MINISTRIES, INC., OF SYRACUSE, NEW YORK, AS THE SOLE CORPORATE MEMBER, HAS 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. |
| 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 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED TO THE GENERAL PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PURCHASED SERVICES - OTHER: PROGRAM SERVICE EXPENSES 624,639. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 624,639. PURCHASED SERVICES - R & M: PROGRAM SERVICE EXPENSES 384,478. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 384,478. PROFESSSIONAL FEES - OTHER: PROGRAM SERVICE EXPENSES 1,376,201. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,376,201. |
| FORM 990, PART XI, LINE 9: | CHANGE IN NET ASSETS OF FOUNDATION -48,889. INCREASE IN ACCRUED PENSION/POST RETIREMENT -8,027,854. NET ASSETS RELEASED FROM RESTRICTION 757,059. ENTERPRISE NET INCOME 212,416. CHANGE IN NET ASSETS WITH DONOR RESTRICTIONS 2,050,981. ROUNDING -2. |
| Software ID: | |
| Software Version: |