ST FRANCIS PHYSICIAN SERVICES INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ST FRANCIS PHYSICIAN SERVICES INC (EIN 13-4290167)
Tax period
2012-09-01 to 2013-08-31
Filed
2014-07-10
IRS object ID
201401919349300410
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-07-10T08:52:20-05:00Timestamp
Tax Period End Date2013-08-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN134290167EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Francis Physician Services IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTFRNameControl
Phone8642551000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One St Francis DriveAddressLine1
CityGreenvilleCity
StateSCState
ZIP Code29601ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRonnie HyattName
TitleChief Financial Officer-BSSFHSTitle
Phone8642551000Phone
Date Signed2014-07-10DateSigned
Authorize Third Party0AuthorizeThirdParty
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Bon Secours Express CareBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonMark NantzNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1One St Francis DriveAddressLine1
CityGreenvilleCity
StateSCState
ZIP Code29601ZIPCode
FieldValueIRS element (for citing)
Gross Receipts142363255GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.stfrancishealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2004YearFormation
State Legal DomicileSCStateLegalDomicile
Activity Or Mission DescriptionPrimary, urgent, and specialty careActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees1376TotalNbrEmployees
Total Nbr Volunteers4TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year133976483ProgramServiceRevenuePriorYear
Program Service Revenue CY142262334ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year254104OtherRevenuePriorYear
Other Revenue Current Year71580OtherRevenueCurrentYear
Total Revenue Prior Year134230587TotalRevenuePriorYear
Total Revenue Current Year142333914TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year125160800SalariesEtcPriorYear
Salaries Etc Current Year133539876SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year43523069OtherExpensePriorYear
Other Expenses Current Year48001939OtherExpensesCurrentYear
Total Expenses Prior Year168683869TotalExpensesPriorYear
Total Expenses Current Year181541815TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-34453282RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-39207901RevenuesLessExpensesCY
Total Assets BOY28945699TotalAssetsBOY
Total Assets EOY29457688TotalAssetsEOY
Total Liabilities BOY169351048TotalLiabilitiesBOY
Total Liabilities EOY209070938TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-140405349NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-179613250NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionThe mission is to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a system of caregivers, we commit ourselves to help bring people and communities to health and wholeness. St. Francis Physician Services, Inc. serves this mission as the vehicle for physician employment relationships in the Bon Secours St. Francis Health System, Inc.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense163834942Expense
Revenue142262334Revenue
DescriptionSt. Francis Physician Services, Inc. (SFPS) operates as an affiliate model in the provision of services to the residents of Greenville, South Carolina and the surrounding communities including primary care, urgent care, and various specialties. A member of Bon Secours St. Francis Health System, Inc., SFPS continues to expand to meet the needs of the community residents. The various practices that comprise SFPS are strategically located with the area to most effectively meet the needs of the community.Description
Total Program Service Expense163834942TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096159NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1376NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Ronnie Hyatt CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8642551000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1One St Francis DriveAddressLine1
CityGreenvilleCity
StateSCState
ZIP Code29601ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Thomas E Baumgarten MD
Board Member (Jul-Aug)50.000.00X1645707041891
Stacy Bizzell MD
Board Member (Jul-Aug)50.000.00X249935036850
Brother Peter Campbell CFX
Board Member0.502.00X000
Camilla Hertwig
Board Member0.503.00X000
Wayne McDonald MD
Board Member (Jan-Aug)0.502.00X000
Raana Naidu MD
Board Member (Jul-Aug)50.000.00X322365024458
James Wallace MD
Board Member (Jul-Aug)50.000.00X478317044676
Fletcher Kirkland
Chairman0.502.00X000X
Thomas Morris PhD
President0.5049.50X052237552845X
Ronnie Hyatt
Treas (Aug)/CFO-BSSFHS8.0042.00X044543332744X
John S Pietras
Executive Vice President49.900.10X027647851441X
Mark Nantz
CEO - BSSFHS10.0040.00X095210480530X
Betsy Pearson
Treasurer (Sept-Jul)50.000.00112545013596X
Courtney Ouzts
Secretary50.000.0043817024873X
John R Vann
Physician50.000.001603647043391X
Christopher Kavolus
Physician50.000.001301662046244X
James E Jennings
Physician50.000.001294225043526X
Michael Tollison
Physician50.000.001222987044015X
Craig J McCotter
Physician50.000.001180105045468X
FieldValueIRS element (for citing)
Total Reportable Comp From Org9455312TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2196390TotalReportableCompFrmRltdOrgs
Total Other Compensation626548TotalOtherCompensation
Number Individuals GT100 K199NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Zirmed
1311 Solutions CenterChicagoIL606771311Claims Filing437052
Philips Healthcare
PO Box 100355AtlantaGA303840355Equip Maint Contracts333634
Digital Transcription Inc
100 Iverson StreetGreenvilleSC296151937Transcription189147
Godshall & Godshall Personnel Consultant
PO Box 1984GreenvilleSC29602Contract Labor161506
AAPC Physician Services
2500 S 3850 W Suite DSalt Lake CityUT84120Reimbursement Audit131968
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet Patient Svc Rev.Description
Business Code621110BusinessCode
Total Revenue Column142262334TotalRevenueColumn
Related Or Exempt Function Income142262334RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue142262334TotalProgramServiceRevenue
Gross Sales Of Inventory59171GrossSalesOfInventory
Cost Of Goods Sold29341CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column29830TotalRevenueColumn
Exclusion$29,830ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Copies of Med. Records90009920081$20,081
Clinical Research90009915500$15,500
Purchase Discounts9000996169$6,169
FieldValueIRS element (for citing)
Total Other Revenue41750TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column142333914TotalRevenueColumn
Related Or Exempt Function Income142262334RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$71,580ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2914530Total
Program Services2623078ProgramServices
Management And General291452ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total109730710Total
Program Services98757639ProgramServices
Management And General10973071ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2003929Total
Program Services1803536ProgramServices
Management And General200393ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total12263431Total
Program Services11037088ProgramServices
Management And General1226343ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6627276Total
Program Services5964548ProgramServices
Management And General662728ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3810Total
Program Services3429ProgramServices
Management And General381ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1496173Total
Program Services1346556ProgramServices
Management And General149617ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total521882Total
Program Services469694ProgramServices
Management And General52188ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1321760Total
Program Services1189584ProgramServices
Management And General132176ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total881308Total
Program Services793177ProgramServices
Management And General88131ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total11423783Total
Program Services10281405ProgramServices
Management And General1142378ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total573150Total
Program Services515835ProgramServices
Management And General57315ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total40146Total
Program Services36131ProgramServices
Management And General4015ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total168442Total
Program Services168442ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total286057Total
Program Services257451ProgramServices
Management And General28606ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2645281Total
Program Services2380753ProgramServices
Management And General264528ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Medical Supplies11923003107307031192300
Purchased Services77810007002900778100
Bad Debt43046324304632
Medical Equip Rental27197872447808271979

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1911725Total
Program Services1720553ProgramServices
Management And General191172ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total181541815Total
Program Services163834942ProgramServices
Management And General17706873ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY37225BOY
EOY38197EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY11697968BOY
EOY10909280EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY47113BOY
EOY62742EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1710843BOY
EOY3503105EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY15452550BOY
EOY14944364EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY28945699BOY
EOY29457688EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY8491650BOY
EOY8889354EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY160859398BOY
EOY200181584EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY169351048BOY
EOY209070938EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-140405349BOY
EOY-179613250EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-140405349BOY
EOY-179613250EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY28945699BOY
EOY29457688EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-39207901ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years72649000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years89298745CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years107982858CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year133976483CurrentTaxYearMinus1Year
Current Tax Year142262334CurrentTaxYear
Total546169420Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years72649000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years89298745CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years107982858CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year133976483CurrentTaxYearMinus1Year
Current Tax Year142262334CurrentTaxYear
Total546169420Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509546169420PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4320CurrentTaxYearMinus4Years
Total4320Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4320CurrentTaxYearMinus4Years
Total4320Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years317506CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years494906CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years438698CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year281533CurrentTaxYearMinus1Year
Current Tax Year100921CurrentTaxYear
Total1633564Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years72970826CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years89793651CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years108421556CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year134258016CurrentTaxYearMinus1Year
Current Tax Year142363255CurrentTaxYear
Total547807304Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99700PublicSupportPercentage509
Prior Year Support Percentage0.99550PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSchedule A, Part IV, Supplemental Information: Schedule A, Part III, Line 12, Explanation for Other Income: Physician Consulting Fees Copies of Medical Records Sales of Inventory MiscellaneousGeneralExplanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
LT Non-Cash HPL/GL14638523
Non-Compete117143
Misc A/R - Phys Services188698
FieldValueIRS element (for citing)
Total Book Value Other Assets14944364TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Due to BSHSI$185,496,753
Unclaimed Property Accrual$9,382
HPL/GL Liability$14,638,523
LT Deferred Rent$36,926
FieldValueIRS element (for citing)
Total Of Amounts200181584TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X, Line 2:ReturnReference
ExplanationSchedule D, Part X, Line 2 requires that the organization provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under ASC 740 (formerly FIN48). ASC 740 (formerly FIN48) addresses the accounting for uncertainty in income taxes recognized in an entity's financial statements and prescribes a threshold of more-likely-than-not for recognition and de-recognition of tax positions taken or expected to be taken in a tax return. The adoption of ASC 740 (formerly FIN48) by BSHSI on September 1, 2007 did not have a material impact on BSHSI's consolidated financial statements. As the organization does not conduct a separate audit of its financial statements, below is the related statement from the Bon Secours Health System, Inc. consolidated audited financial statements: The System and most of its subsidiaries (including certain joint venture entities) are exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. The system accounts for uncertain tax positions in accordance with ASC Topic 740. Income taxes of the Systems for-profit subsidiaries are not material to the accompanying consolidated financial statements. The Systems taxable subsidiaries have approximately $66,681 and $95,733 of net operating loss carryforwards as of August 31, 2013 and 2012, respectively, which expire in varying periods through 2032 and are available to offset future taxable income. The Systems deferred tax assets are fully reserved at August 31, 2013 and 2012. Any changes to the valuation allowance on the deferred tax asset are reflected in the year of the change.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Thomas E Baumgarten MD
Board Member (Jul-Aug)77222508702830319901500002689101687598000
Stacy Bizzell MD
Board Member (Jul-Aug)187466060993014760117000251500286785000
Raana Naidu MD
Board Member (Jul-Aug)220800098166033990134390110190346823000
James Wallace MD
Board Member (Jul-Aug)2288020246528029870142850303910522993000
Thomas Morris PhD
President026526201850270720860339040189410575220014543
Ronnie Hyatt
Treas (Aug)/CFO-BSSFHS03327710681670444950150000177440478177028125
John S Pietras
Executive Vice President0174544078389023545023411028030032791909300
Mark Nantz
CEO - BSSFHS054657303645030410280619600185700103263400
John R Vann
Physician82743207684800773501500002839101647038000
Christopher Kavolus
Physician84859304485740449501500003124401347906000
James E Jennings
Physician82710704593830773501500002852601337751000
Michael Tollison
Physician83000803884840449501500002901501267002000
Craig J McCotter
Physician63790705404940170401500003046801225573000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 3Bon Secours Health System, Inc., a related organization of the filing organization, uses the following to establish the compensation of the organization's CEO/Executive Director: Compensation Committee Independent Compensation Consultant Written Employment Contract Compensation Survey or Study Approval by the Board or Compensation Committee
Part I, Line 4bThe filing organization participates in a BSHSI sponsored executive retirement program that allows for deposits into additional retirement plans and available only to officers and key employees. The 457F plan is a non-qualified plan and is subject to a minimum three-year service requirement before vesting on deposits made into this plan. Individuals that received a distribution include: John S. Pietras, $16,114; Thomas Morris, PhD, $23,265; Ronnie Hyatt, $39,089.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Section A, line 6Bon Secours Health System, Inc. is the sole member of Bon Secours St. Francis Health System, Inc., which in turn is the sole member of St. Francis Physician Services, Inc.
Form 990, Part VI, Section A, line 7aThe governing body of is appointed by its member Bon Secours St. Francis Health System, Inc. and subject to approval by Bon Secours Health System, Inc.
Form 990, Part VI, Section A, line 7bCertain authorities of St. Francis Physician Services, Inc. are reserved to its member or to Bon Secours Health System, Inc.
Form 990, Part VI, Section B, line 11The process the organization uses to review the Form 990 consists of a review by the local system's audit and compliance board-committee and providing the form to the local system board of directors to allow for a thorough review by both before the filing date. The local system's audit and compliance committee and board of directors have reviewed the Form 990, scheduled time on meeting agendas, and asked questions regarding the Form 990 before the return is filed.
Form 990, Part VI, Section B, line 12cThe organization regularly and consistently monitors compliance with the conflict of interest policy. On an annual basis, all persons subject to the policy, including all officers, directors and key employees are required to make certain disclosures. These include disclosures related to certain personal, financial and organizational relationships that may present a conflict, or the appearance of a conflict of interest with the organization. All disclosures go through a three-part review process: (1) disclosures are reviewed first by the corporate responsibility officer (CRO); (2) a governance team comprised of the CEO, board president, board chair, CRO, and the BSHSI CRO participate in a second review of all disclosures during which recommendations are made as to the resolution of any conflicts or potential conflicts. Depending on the facts and circumstances, resolutions may include ongoing disclosure, recusal or removal of the conflict; and (3) all disclosures and recommendations are reviewed by a board committee (audit and compliance committee reviews the disclosures of management and the governance committee reviews the disclosures of the board and board committee members).
Form 990, Part VI, Section B, line 15The compensation committee of the board of Bon Secours Health System, Inc. (BSHSI) engages in a comprehensive process for the oversight and management of remuneration for executive employees and disqualified parties of the BSHSI. The compensation committee consists of a group of independent board members and engages independent external compensation consultant to ensure they receive appropriate analysis of market and follow the practices necessary to obtain full compliance with the IRS' rebuttable presumption of reasonableness. The committee establishes and maintains a compensation philosophy; reviews pay practices against local, regional and national healthcare organizations and approves all remunerative decisions for this group of individuals. The committee reviews and receives assurances that all levels of pay within the organization are reasonable based on performance and validates incentives are met. These decisions are documented in the BSHSI board of directors and compensation committee minutes. Form 990, Part VI, Section b, Line 15b - Compensation Process Other Officers/ Key Employees: For those key employees and highest paid employees that are not reviewed by the BSHSI compensation committee, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. In the review, the other officers or key employees of the organization were compared to other hospitals' employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in human resources.
Form 990, Part VI, Section C, line 19The filing organization provides any documents open to public inspection upon request.
Form 990, Part VII:Board Member positions are generally voluntary in nature. Compensated employees of the filing organization and other related organizations who also hold board positions are compensated only in relation to their employment.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Bon Secours Health System Inc
1505 Marriottsville RoadMarriottsvilleMD21104521301088Parent Org. Management ServicesMD501(c)(3)Line 11b, IIBon Secours Inc0
St Francis Hospital Inc
One St Francis DriveGreenvilleSC29601582504530Health CareSC501(c)(3)Line 3Bon Secours St Francis Health System Inc0
St Francis Health System Foundation Inc
One St Francis DriveGreenvilleSC29601260012031Grant Making FoundationSC501(c)(3)Line 7SFH Inc0
Bon Secours St Francis Health System Inc
One St Francis DriveGreenvilleSC296013955582504528Local System Parent Org.SC501(c)(3)Line 11b, IIBon Secours Health System Inc0

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Upstate Surgery CenterBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1One St Francis DriveAddressLine1
CityGreenvilleCity
StateSCState
ZIP Code29601ZIPCode
FieldValueIRS element (for citing)
EIN562186977EIN
Primary ActivityAmbulatory Surgery CenterPrimaryActivity
Legal Domicile StateSCLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Health Care Enterprises Inc & SubsBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1One St Francis DriveAddressLine1
CityGreenvilleCity
StateSCState
ZIP Code29601ZIPCode
FieldValueIRS element (for citing)
EIN571015852EIN
Primary ActivityHolding CompanyPrimaryActivity
Legal Domicile StateSCLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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