Civic Intelligence

St Francis Medical Center Inc

990 • Fiscal year 2016 • EIN 72-0408970

Jul 01, 2015 to Jun 30, 2016 • Filed on May 15, 2017

PO Box 1901Monroe, LA 71210

(318) 966-4000

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

88th percentile

0.86x

Higher debt load relative to assets than 88% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Liabilities / Revenue

77th percentile

1.10x

Higher debt load relative to revenue than 77% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Net Margin

10th percentile

-16%

Higher net margin than 10% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Top Officer Pay

50th percentile

$870,033

Higher top officer pay than 50% of similar nonprofits.

Top officer pay equals 0.4% of source-year revenue.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Asset Growth

8th percentile

-7.2%

Faster asset growth than 8% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2015 to 2016

Revenue Growth

34th percentile

-0.9%

Faster revenue growth than 34% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2015 to 2016

Assets

Down

$308,730,912

Down $23,779,265 (-7.2%) from 2015

Net Assets

Down

$42,462,137

Down $58,854,290 (-58%) from 2015

Liabilities

Up

$266,268,775

Up $35,075,025 (+15%) from 2015

Revenue

Down

$241,085,319

Down $2,254,490 (-0.9%) from 2015

Expenses

Up

$280,848,881

Up $16,693,977 (+6.3%) from 2015

Net Income

Down

-$39,763,562

Down $18,948,467 (-91%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$400M$300M$200M$100M$0Assets 2010: $334,149,175Liabilities 2010: $219,025,839Net Assets 2010: $115,123,3362010Assets 2011: $365,327,372Liabilities 2011: $212,940,263Net Assets 2011: $152,387,1092011Assets 2012: $365,133,702Liabilities 2012: $234,049,883Net Assets 2012: $131,083,8192012Assets 2013: $374,036,971Liabilities 2013: $220,726,355Net Assets 2013: $153,310,6162013Assets 2014: $375,845,852Liabilities 2014: $231,131,509Net Assets 2014: $144,714,3432014Assets 2015: $332,510,177Liabilities 2015: $231,193,750Net Assets 2015: $101,316,4272015Assets 2016: $308,730,912Liabilities 2016: $266,268,775Net Assets 2016: $42,462,1372016Assets 2017: $305,374,843Liabilities 2017: $249,662,526Net Assets 2017: $55,712,3172017Assets 2018: $271,917,014Liabilities 2018: $244,696,420Net Assets 2018: $27,220,5942018Assets 2019: $260,641,986Liabilities 2019: $241,021,855Net Assets 2019: $19,620,1312019Assets 2020: $301,207,678Liabilities 2020: $292,628,917Net Assets 2020: $8,578,7612020Assets 2021: $337,131,087Liabilities 2021: $253,102,955Net Assets 2021: $84,028,1322021Assets 2022: $272,580,931Liabilities 2022: $196,196,512Net Assets 2022: $76,384,4192022Assets 2023: $284,893,122Liabilities 2023: $227,648,301Net Assets 2023: $57,244,8212023

Highlighted filing

2016

Assets$308,730,912
Liabilities$266,268,775
Net Assets$42,462,137

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$400M$200M$0-$200MExpenses 2010: $254,984,4112010Expenses 2011: $246,103,5252011Expenses 2012: $271,693,3762012Revenue 2013: $273,284,083Expenses 2013: $255,368,499Net Income 2013: $17,915,5842013Revenue 2014: $248,463,978Expenses 2014: $268,402,344Net Income 2014: -$19,938,3662014Revenue 2015: $243,339,809Expenses 2015: $264,154,904Net Income 2015: -$20,815,0952015Revenue 2016: $241,085,319Expenses 2016: $280,848,881Net Income 2016: -$39,763,5622016Revenue 2017: $266,081,293Expenses 2017: $259,790,320Net Income 2017: $6,290,9732017Revenue 2018: $261,055,776Expenses 2018: $263,001,902Net Income 2018: -$1,946,1262018Revenue 2019: $319,060,083Expenses 2019: $317,707,668Net Income 2019: $1,352,4152019Revenue 2020: $324,722,559Expenses 2020: $329,536,406Net Income 2020: -$4,813,8472020Revenue 2021: $382,485,371Expenses 2021: $318,073,500Net Income 2021: $64,411,8712021Revenue 2022: $335,904,058Expenses 2022: $326,518,271Net Income 2022: $9,385,7872022Revenue 2023: $346,153,367Expenses 2023: $347,101,676Net Income 2023: -$948,3092023

Highlighted filing

2016

Revenue$241,085,319
Expenses$280,848,881
Net Income-$39,763,562
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
May 15, 2017
Return Version
2015v3.0
Gross Receipts
$242,881,858
Mission and Program Overview

Mission

Inspired by the vision of st. Francis of assisi and in the tradition of the roman catholic church, we extend the healing ministry of jesus christ to god's people, especially those most in need. We call forth all who serve in this healthcare ministry, to share their gifts and talents to create a spirit of healing - with reverence and love for all of life, with joyfulness of spirit, and with humility and justice for all those entrusted to our care. We are, with god's help, a healing and spiritual presence for each other and for the communities we are privileged to serve. Privileged to serve.

To provide for the care of the ill, injured, or disabled persons and to provide for the research,education and the enhancement of health of those in northeast louisiana.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$116,089,672$109,803,873▼ $6,285,799
Investments Other Securities$65,098,800$65,987,104▲ $888,304
Investments in Publicly Traded Securities$49,016,269$47,167,598▼ $1,848,671
Accounts Receivable$42,984,986$35,645,119▼ $7,339,867
Cash and Non-Interest-Bearing Accounts$26,767,813$24,836,517▼ $1,931,296
Inventories for Sale or Use$5,809,216$6,038,839▲ $229,623
Intangible Assets$5,749,348$3,743,789▼ $2,005,559
Prepaid Expenses and Deferred Charges$3,162,822$3,392,293▲ $229,471
Savings and Temporary Cash Investments$8,837,915$2,563,479▼ $6,274,436
Other Notes and Loans Receivable, Net$1,720,224$182,333▼ $1,537,891
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Loans From Officers Directors$0$0→ $0
Investments Program Related$340,032$-110,587▼ $450,619
Total Assets$332,510,177$308,730,912▼ $23,779,265
Other Assets Total$6,933,080$9,480,555▲ $2,547,475
Liabilities
Tax Exempt Bond Liabilities$132,525,589$129,613,401▼ $2,912,188
Other Liabilities$70,356,774$106,603,707▲ $36,246,933
Accounts Payable and Accrued Expenses$28,311,387$30,051,667▲ $1,740,280
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Total Liabilities$231,193,750$266,268,775▲ $35,075,025
Net Assets / Fund Balance
Unrestricted Net Assets$100,484,754$41,579,291▼ $58,905,463
Temporarily Rstr Net Assets$831,673$882,844▲ $51,171
Permanently Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$101,316,427$42,462,137▼ $58,854,290
Total Liabilities and Net Assets / Fund Balance$332,510,177$308,730,912▼ $23,779,265

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$73,469,514$126,939,410$200,408,924
Equipment$19,464,777$120,887,528$140,352,305
Land$15,041,313-$15,041,313
Other Land Buildings$685,681$2,063,258$2,748,939
Leasehold Improvements$1,142,588$1,153,993$2,296,581
Other Securities$40,781,563--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
R Keith White MdDirectorFT$643,501$226,532$870,033
Michael LangiulliPhysicianFT$649,259$176,377$825,636
David M MccoyPhysicianFT$633,743$144,046$777,789
Homan David JPhysicianFT$608,311$104,858$713,169
Kevin M MeyerPhysicianFT$376,252$248,045$624,297
Sartor Frank BPhysicianFT$372,814$162,870$535,684
Thomas J Gullatt MdDirectorFT$324,827$183,388$508,215
Kayla JohnsonVP Patient Care ServicesFT$200,139$89,545$289,684
Sabrina HoganVP Physician ServicesFT$202,132$73,732$275,864
Fred TolbertVP Ancillary ServicesFT$173,516$78,168$251,684
Rolf Morstead MdEx-Officio/Chief of StaffFT$59,100-$59,100
Sidney Bailey MdDirectorFT$1,000-$1,000

Board Members and Trustees

NameTitle
Susan HoffmanChairman
J Stewart GentryPAST Chairman
Louis BremerFormer President/CEO
Kristin WolkartPresident/CEO
William CheekVice Chair
Bishop Michael G DucaDirector
Hill Hinkle MdDirector
John Luffey Jr EsqDirector
John ReaDirector
Lj HollandDirector
Nick J Bruno Ph DDirector
Rev Everett SlackDirector
Sr Helen CahillDirector
Sr Mary Ann Sepulvado OsfDirector
Tonya Hunter MdDirector
Judy BellPAST Secretary
Ronald E HoganRegional CFO
Rev Larry StaffordSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
FMOL Health SystemManagement Services4200 Essen Lane, Baton Rouge, LA 70809$23,045,001
Parish Anesthesia of MonroeAnesthesia Services3510 North Causeway Blvd Suite 404, Metarie, LA 70002$3,738,365
Trimedx INCMaintenance Services5451 Lakeview Parkway S Dr, Indianapolis, IN 46268$3,634,945
Lincoln BuildersBuilding Contractor1910 Farmerville HWY, Ruston, LA 71273-0400$2,648,127
Intuitive Surgical INCDavinci Robot1020 KIFER ROAD, Sunnyvale, CA 94086$2,356,383
Revenue and Support

Revenue Composition

Contributions and Grants
$1,173,969
Program Service Revenue
$233,025,307
Investment Income
$4,148,925
Other Revenue
$2,737,118
All Other Contributions
$1,044,942
Change in Net Assets
$-39,763,562

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Real Estate Other1$385,000Fair Market Value (FMV)
Total Noncash Contributions1$385,000-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$160,249,833
Salaries, Compensation, and Employee Benefits$120,531,485
Grants and Similar Amounts Paid$67,563
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$75,580,149$16,668,277-$92,248,426
Fees for Services Management$20,148,945$10,003,189-$30,152,134
Fees for Services Other$14,235,568$8,812,643-$23,048,211
Office Expenses$9,639,813$5,094,085-$14,733,898
Depreciation Depletion$10,665,193$1,349,877-$12,015,070
Other Employee Benefits$8,461,123$1,969,714-$10,430,837
Pension Plan Contributions$6,868,176$1,598,882-$8,467,058
Occupancy$992,783$5,665,168-$6,657,951
Payroll Taxes$5,061,764$1,179,622-$6,241,386
Interest$5,029,458--$5,029,458
Insurance$2,008,060$2,161,712-$4,169,772
Current Officers, Directors, Trustees, and Key Employees$2,550,121$593,657-$3,143,778
Travel$407,497$203,988-$611,485
Fees for Services Legal$320,767$171,176-$491,943
Fees for Service Investment Mgmnt Fees-$303,025-$303,025
Advertising$117,089$52,592-$169,681
Grants to Domestic Orgs$67,563--$67,563
Other Expenses$21,675$3,412,836-$21,675
Information Technology-$12,169-$12,169
Fees for Services Accounting$1,526$814-$2,340
Total Functional Expenses$215,668,329$65,180,552$0$280,848,881
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
St Francis Medical Center FoundationMonroe, LA501(c)(3)General Support$53,000

International Summary

Spending
$34,479,116

International Compliance

Foreign grant records maintained
Yes
Activity in boycott countries
No
Foreign corporation ownership
Yes
Foreign partnership interest
Yes
Interest in foreign trust
No
Passive foreign investment company interest
Yes
Transfers to foreign corporations
Yes

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and the CaribbeanInvestments---$34,479,116
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Accrued Pension Costs$80,780,628
Due to Related Parties$18,844,301
General & Professional Liability$5,037,810
Other Liabilities$1,940,968
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Part VI, Section A, Question 2

Ron Hogan, KRISTIN WOLKART, and J. Stewart Gentry have a business relationship with each other solely because they all serve as directors of other organizations which are related to St. Francis Medical Center. RON HOGAN AND SABRINA HOGAN HAVE A FAMILY RELATIONSHIP.

Part VI, Section A, Question 6

FMOL Health System, Inc. (an IRC Section 501(C)(3) organization) is the sole member of the medical center.

Part VI, Section A, Question 7A

Fmol health system, inc. As the sole member of the medical center, retains the power to appoint and remove the members of the board of trustees and officers of st. Francis medical center.

Part VI, Section A, Question 7B

THE RESERVED POWERS TO FMOL HEALTH SYSTEM, INC. ARE AS FOLLOWS: i. To change philosophy, objectives and purposes of corporation. ii. To appoint or remove the Members of the Board of Trustees and Officers of the corporation. iii. To amend, alter, modify or repeal the Articles of Incorporation and Bylaws of the corporation. iv. To authorize merger, consolidation, or affiliation, or participate in joint ventures. v. To dissolve and to distribute assets of the corporation. vi. To appoint and/or terminate with or without cause the Chief Executive Officer of the corporation. vii. To acquire, purchase, sell, lease, transfer, or encumber any immovable property on behalf of the corporation. viii. To add to or incur long-term debt in excess of $5 million by the Corporation. ix. To appoint the fiscal auditor for the corporation. x. To approve any increment or addition to the capital debt or efforts to renegotiate, modify or charge the existing capital debt obligations of the corporation. xi. To approve the annual operating and capital budgets of the corporation. xii. To approve a strategic business plan of the corporation.

Part VI, Section A, Question 11A

After preparation and review of form 990 by kpmg llp, the taxpayer's tax advisors, one or more members of senior management reviews the return. St. Francis medical center's governing body is provided a copy of the return electronically prior to the filing date and is given an opportunity to review and provide comments to management.

Part VI, Section B, Question 12C

St. Francis Medical Center has a comprehensive conflict of interest policy that requires each officer, trustee, board committee member and employee to complete a conflict of interest disclosure statement annually. Completed disclosure forms are reviewed and maintained by the Chief Compliance Officer. If any trustee, Board committee member or senior manager has a potential conflict, the Executive Committee of the Board determines whether action needs to be taken and communicates any such action to the individual. A potential conflict of any other employee is reviewed by the CEO or his designee. The Executive Committee, CEO or designee, as applicable, determines if a conflict of interest exists or creates the appearance of impropriety. If such a determination is made, the individual will be excused from participating in the business decision. During the year, any change to the information in the disclosure statement must be disclosed promptly to the Chief Compliance Officer, who takes appropriate action. The process also requires affirmation from each individual that she/he (a) has received a copy of the conflict of interest policy; (b) has read and understands the policy; (c) has agreed to comply with the policy; and (d) understands that St. Francis Medical Center is a charitable organization and that, in order to maintain its Federal tax exemption, it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. In addition to the above, St. Francis Medical Center provides mechanisms for confidential reporting of compliance issues. These mechanisms include an anonymous hotline and Web site where individuals may raise issues, seek clarification, and report possible conflicts of interest or other concerns. These reports, including reports of possible conflicts of interest, are reviewed and investigated by the Corporate Compliance Department and appropriate action is taken.

Part VI, Section B, Question 15A & 15B

Our Board of Directors designates an executive committee made up of independent board members to review and set the compensation annually of our officers and key employees. The executive committee obtains and relies upon comparable data including industry-wide compensation information provided by an outside consulting firm. The executive committee reviews compensation packages and appropriate compensation is determined and approved. The basis for determination is then documented by the executive committee. The compensation for the CEO of St. Francis Medical Center is set by the compensation committee of FMOL Health System (a related tax-exempt organization) according to their pay practices which are similar to those described above.

Filing and Contact Details

Filer

Filer Name
St Francis Medical Center
EIN
72-0408970
In Care Of
% AMANDA HYMEL
Phone
3189664000
Address
PO Box 1901, Monroe, LA 71210

Signing Officer

Name
Jeff Limbocker
Title
Officer
Phone
3189664000
Signed
2017-05-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kristin Wolkart
Formed
1913
Legal Domicile
La
Voting Board Members
16
Independent Board Members
11
Employees
2,344
Volunteers
92

Preparer

Firm
Kpmg Llp
Address
301 Main Street Suite 2150, Baton Rouge, LA 70801
Preparer
Brittany Elliser
Phone
2253444000
Supplemental Narrative

Additional Explanations

Governing Documents

PART VI, SECTION C, QUESTION 19 The organization makes its governing documents, conflict of interest policy and financial statements available upon request.

Part XI, Question 9

Capital transfer per fmol $(13,040,135)

Section 1.263(A)-3(N) Election-book Conformity Election

ST. FRANCIS MEDICAL CENTER is making the election under Treas. Reg. 1.263(a)-3(n) to capitalize those repair and maintenance costs that it treats as capital improvements on its books and records for the tax year ended JUNE 30, 2016.

Section 1.263 (A)-1(F)- Election- De Minimis Safe Harbor Election

ST. FRANCIS MEDICAL CENTER hereby makes the de minimis safe harbor election under Section 1.263(a)-1(f) of the Treasury Regulations, effective only for the tax year ending June 30, 2015. Taxpayer has an Applicable Financial Statement for the year of the election. This election permits the taxpayer to deduct for tax purposes any item deducted under its book policy that does not exceed $5,000 per invoice (or per item, as substantiated by the invoice) or items having an economic useful life of twelve months or less as described in Section 1.263(a)-1(f)(1)(i).

Financial Statement Notes

Fin 48 (asc 740) Footnote

SCHEDULE D, PART XIII "FMOLHS recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgement occurs. No reserves for uncertain tax positions have been recorded."

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IRS990/Desc0St. Francis Medical Center provides quality hospital and medical services primarily to residents of Northeast Louisiana. The Medical Center is an active, caring member of the communities it serves. In carrying out its mission of meeting the healthcare needs of the people of God, the Medical Center has established a policy under which it provides care to needy members of its communities. Following that policy, health care services costing approximately, $7,626,446 were provided without charge. The Medical Center provided 545 licensed beds, 73,767 inpatient days, 227,275 outpatient visits, and 58,470 ER visits in the year ended June 30, 2016. See Schedule O for further explanation.
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Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.
2023Summary only. Only limited summary data is available for this year.$285$228$57.2$346$347$0.95
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$273$196$76.4$336$327$9.39
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$337$253$84.0$382$318$64.4
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$301$293$8.58$325$330$4.81
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$261$241$19.6$319$318$1.35
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$272$245$27.2$261$263$1.95
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$305$250$55.7$266$260$6.29
2016Detailed filing. Detailed filing data is available for this year.$309$266$42.5$241$281$39.8
2015Detailed filing. Detailed filing data is available for this year.$333$231$101$243$264$20.8
2014Detailed filing. Detailed filing data is available for this year.$376$231$145$248$268$19.9
2013Summary only. Only limited summary data is available for this year.$374$221$153$273$255$17.9
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$365$234$131$272
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$365$213$152$246
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$334$219$115$255
Peer Organizations

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