ST FRANCIS HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: ST FRANCIS HOSPITAL INC (EIN 58-2504530)
Tax period: 2012-09-01 to 2013-08-31
Filed: 2014-07-14
IRS object ID: 201431959349301818
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-07-14T20:58:42-05:00	Timestamp
Tax Period End Date	2013-08-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	861065772	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Deloitte Tax LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	191 Peachtree Street Suite 2000	AddressLine1
City	Atlanta	City
State	GA	State
ZIP Code	303031749	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-09-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	582504530	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	St Francis Hospital Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	STFR	NameControl
Phone	8642551000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	One St Francis Drive	AddressLine1
City	Greenville	City
State	SC	State
ZIP Code	296013955	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Ronnie Hyatt	Name
Title	Chief Financial Officer-BSSFHS	Title
Phone	8642551000	Phone
Date Signed	2014-07-14	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	David A Craig	Name
PTIN	P00542227	PTIN
Phone	4042201500	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Mark Nantz	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	One St Francis Drive	AddressLine1
City	Greenville	City
State	SC	State
ZIP Code	296013955	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	519319508	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	www.stfrancishealth.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1932	YearFormation
State Legal Domicile	SC	StateLegalDomicile
Activity Or Mission Description	Provides acute care hospital services.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	2942	TotalNbrEmployees
Total Nbr Volunteers	343	TotalNbrVolunteers
Total Gross UBI	470273	TotalGrossUBI
Net Unrelated Business Txbl Income	104980	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	6091360	ContributionsGrantsPriorYear
Contributions Grants Current Year	3146444	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	493330144	ProgramServiceRevenuePriorYear
Program Service Revenue CY	508363581	ProgramServiceRevenueCY
Investment Income Prior Year	758735	InvestmentIncomePriorYear
Investment Income Current Year	2123654	InvestmentIncomeCurrentYear
Other Revenue Prior Year	6530587	OtherRevenuePriorYear
Other Revenue Current Year	5497982	OtherRevenueCurrentYear
Total Revenue Prior Year	506710826	TotalRevenuePriorYear
Total Revenue Current Year	519131661	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	837228	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	780122	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	168077821	SalariesEtcPriorYear
Salaries Etc Current Year	171789747	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	270309285	OtherExpensePriorYear
Other Expenses Current Year	279820130	OtherExpensesCurrentYear
Total Expenses Prior Year	439224334	TotalExpensesPriorYear
Total Expenses Current Year	452389999	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	67486492	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	66741662	RevenuesLessExpensesCY
Total Assets BOY	629460247	TotalAssetsBOY
Total Assets EOY	690919912	TotalAssetsEOY
Total Liabilities BOY	320135936	TotalLiabilitiesBOY
Total Liabilities EOY	319668296	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	309324311	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	371251616	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	The 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.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	412629440	Expense
Grants	780122	Grants
Revenue	509994446	Revenue
Description	Bon Secours St. Francis Health System (BSSFHS) primarily serves Greenville County, which is comprised of approximately 451,000, in 2012, residents with an 19% population increase over the last decade. 15.3% of residents in Greenville County are in households that fall below the federal poverty guidelines. Currently, 27% of Greenville County residents are considered medically uninsured. Two specific populations with large growth rates in the county are the senior population, with a 17% growth of residents 60 and older since 2000, and the Hispanic population, with an estimated growth of over 147% over the past decade. The three leading causes of death for Greenville County are cancer, cardiovascular disease and accidents. See Community benefit information in Sch H. The Community Benefit Report is available on the SFH website.	Description
Total Program Service Expense	412629440	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	141	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2942	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	16	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Ronnie Hyatt	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	8642551000	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	One St Francis Drive	AddressLine1
City	Greenville	City
State	SC	State
ZIP Code	296053955	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Charlton Armstrong III MD
Board Member	2.00	0.00	X	0	0	0
Brother Peter Campbell
Board Member	2.00	0.50	X	0	0	0
John Castile
Board Member	2.00	0.00	X	0	0	0
Greg Haselden
Board Member	2.00	0.00	X	0	0	0
Robert Hitt
Board Member (Sep-Dec)	2.00	0.00	X	0	0	0
Valerie Hollinger
Board Member	2.00	0.00	X	0	0	0
Fletcher Kirkland
Board Member	2.00	0.50	X	0	0	0
Joanie Martin
Board Member	2.00	0.00	X	0	0	0
Wayne McDonald MD
Board Member	2.00	0.50	X	0	0	0
Jeff Oak PhD
Board Member	2.00	48.00	X	0	567670	64067
Linton B Puckett
Board Member	2.00	0.00	X	0	0	0
Joe Sullivan
Board Member (Jan-Aug)	2.00	0.00	X	0	0	0
Angela Webb
Board Member	2.00	0.00	X	0	0	0
Camilla Hertwig
Chairman	3.00	0.50	X	0	0	0	X
Mark Nantz
CEO-BSSFHS	25.00	25.00	X	0	952104	80530	X
Thomas Morris PhD
President	3.00	47.00	X	0	522375	52845	X
Daniel Duggan
COO-BSSFHS (Jan-Aug)	48.00	2.00		0	495487	42949	X
Irene Holcombe
Secretary	50.00	0.00		86852	0	14699	X
Ronnie Hyatt
Treasurer/CFO-BSSFHS	36.00	14.00		445433	0	32744	X
Teresa Ficicchy
EVP/CNO	50.00	0.00		324827	0	25758		X
Patricia Fowler
VP/Surgical Services	50.00	0.00		235591	0	33850		X
Rose M Leo
VP/Surg Serv - Women's	50.00	0.00		187038	0	25471		X
Johnna Reed
VP Bus Dev/Heart & Vasc	50.00	0.00		249763	0	21438		X
Fernando Fleites
SVPHR	50.00	0.00		328602	0	25903			X
Elizabeth Keith
VP of Mission Services	50.00	0.00		251266	0	19085			X
John S Pietras
EVP SFPS	50.00	0.00		276478	0	51441			X
Frank C Smeeks
SVP, CMO (Sept-Aug)	50.00	0.00		503681	0	38379			X
Jerome J Weems Jr MD
Physician	50.00	0.00		271766	0	22353			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3161297	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2537636	TotalReportableCompFrmRltdOrgs
Total Other Compensation	551512	TotalOtherCompensation
Number Individuals GT100 K	141	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Sleepworks LLC
554 Hall Road	Thomasville	GA	31757	Sleep Study	854920
Fayeteville Lithotripters LP
PO Box 847324	Dallas	TX	75284	Lithotripsy Services	640000
Anesthesia Business Consultant
PO Box 77000	Detroit	MI	482770181	Billing Services	295534
Carolina Perfusion Assoc Inc
703 Lakewinds BLVD	Inman	SC	29349	Profusion Services	295183
Upstate Carolina Radiology PA
PO Box 27049	Greenville	SC	29616	Radiology readings	290847

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	20	NumberOfContractorsGT100K
Related Organizations	1014851	RelatedOrganizations
Government Grants	2131593	GovernmentGrants
Total Contributions	3146444	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Patient Service Rev.	622110	507141268	507050272	90996
Disprop. Share Income	561499	1222313	1222313

Field	Value	IRS element (for citing)
Total Program Service Revenue	508363581	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	637176	TotalRevenueColumn
Exclusion	$637,176	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	490956	Real
Personal	12667	Personal

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real
Personal	0	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	490956	Real
Personal	12667	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	503623	TotalRevenueColumn
Unrelated Business Revenue	13408	UnrelatedBusinessRevenue
Exclusion	$490,215	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	1509061	Securities
Other	165264	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	187847	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1509061	Securities
Other	-22583	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1486478	TotalRevenueColumn
Exclusion	$1,486,478	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
Regency Hospital	900099	1721861	1721861
Supplies - Rebates	900099	1181029		$1,181,029
Cafeteria/Vending/Gift	561499	807913		$807,913

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1283556	TotalRevenueColumn
Unrelated Business Revenue	365869	UnrelatedBusinessRevenue
Exclusion	$917,687	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	4994359	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	519131661	TotalRevenueColumn
Related Or Exempt Function Income	509994446	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	470273	UnrelatedBusinessRevenue
Exclusion	$5,520,498	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	780122	Total
Program Services	780122	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1741633	Total
Program Services	1567471	ProgramServices
Management And General	174162	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	135012920	Total
Program Services	121511628	ProgramServices
Management And General	13501292	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	6383494	Total
Program Services	5745145	ProgramServices
Management And General	638349	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	18100144	Total
Program Services	16290130	ProgramServices
Management And General	1810014	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	10551556	Total
Program Services	9496400	ProgramServices
Management And General	1055156	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1056662	Total
Program Services	950996	ProgramServices
Management And General	105666	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	210095	Total
Program Services	189085	ProgramServices
Management And General	21010	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	21168	Total
Program Services	19051	ProgramServices
Management And General	2117	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	10485284	Total
Program Services	9436756	ProgramServices
Management And General	1048528	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2477802	Total
Program Services	2230022	ProgramServices
Management And General	247780	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2971943	Total
Program Services	2674749	ProgramServices
Management And General	297194	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	10812596	Total
Program Services	9731336	ProgramServices
Management And General	1081260	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	10000063	Total
Program Services	9000057	ProgramServices
Management And General	1000006	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	926231	Total
Program Services	833608	ProgramServices
Management And General	92623	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	352736	Total
Program Services	317462	ProgramServices
Management And General	35274	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	6945682	Total
Program Services	6945682	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	17892436	Total
Program Services	16103192	ProgramServices
Management And General	1789244	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2225279	Total
Program Services	2002751	ProgramServices
Management And General	222528	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Medical Supplies	106319592	95687633	10631959
Bad Debt Expense	47058593	47058593
Purchased Services	31125586	28013027	3112559
BSHSI Mgmt. Allocation	15668712	14101841	1566871

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	13269670	Total
Program Services	11942703	ProgramServices
Management And General	1326967	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	452389999	Total
Program Services	412629440	ProgramServices
Management And General	39760559	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	9550	BOY
EOY	10864	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	278689736	BOY
EOY	318393517	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	59116396	BOY
EOY	72411315	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	13410820	BOY
EOY	14744505	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2423498	BOY
EOY	1459216	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	289734008	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	124984219	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	157539047	BOY
EOY	164749789	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	17673054	BOY
EOY	19558397	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	83640996	BOY
EOY	83640996	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	16957150	BOY
EOY	15951313	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	629460247	BOY
EOY	690919912	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	39917502	BOY
EOY	39604829	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	280218434	BOY
EOY	280063467	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	320135936	BOY
EOY	319668296	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	309324311	BOY
EOY	371251616	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	309324311	BOY
EOY	371251616	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	629460247	BOY
EOY	690919912	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	66741662	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	98050	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-4912407	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$21,168	OtherActivitiesAmount
Total Lobbying Expenditures IIB	21168	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Explanation of Lobbying Activities:	Identifier
Return Reference	Part II-B, Line 1:	ReturnReference
Explanation	The filing organization maintains memberships to various professional healthcare associations. Portions of their membership dues are used for lobbying activities. The lobbying portion of such dues is included on line 1i.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	20442764	OtherCostOrOtherBasis
Book Value	20442764	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	161112957	OtherCostOrOtherBasis
Depreciation	44493415	Depreciation
Book Value	116619542	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1398058	OtherCostOrOtherBasis
Depreciation	609943	Depreciation
Book Value	788115	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	91103627	OtherCostOrOtherBasis
Depreciation	56962375	Depreciation
Book Value	34141252	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	15676602	OtherCostOrOtherBasis
Depreciation	22918486	Depreciation
Book Value	-7241884	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	164749789	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescription	AmountAmount
Due to BSHSI	$259,300,131
Hospice House liability	$7,920,277
HPL/GL liability	$7,292,924
Third party settlements	$4,392,320
FIN 47 liability	$873,823
Capital Lease Liability	$120,000
LT Deferred Rent	$163,992

Field	Value	IRS element (for citing)
Total Of Amounts	280063467	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	Description of Uncertain Tax Positions Under FIN 48:	Identifier
Return Reference	Part X, Line 2:	ReturnReference
Explanation	Schedule 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 System's for-profit subsidiaries are not material to the accompanying consolidated financial statements. The System's 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 System's 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 H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent200 D	X	Pcent200D
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7393175	TotalCommunityBenefitExpense
Net Community Benefit Expense	7393175	NetCommunityBenefitExpense
Percent Of Total Expense	0.01820	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	33390492	TotalCommunityBenefitExpense
Direct Offsetting Revenue	32688233	DirectOffsettingRevenue
Net Community Benefit Expense	702259	NetCommunityBenefitExpense
Percent Of Total Expense	0.00170	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	40783667	TotalCommunityBenefitExpense
Direct Offsetting Revenue	32688233	DirectOffsettingRevenue
Net Community Benefit Expense	8095434	NetCommunityBenefitExpense
Percent Of Total Expense	0.01990	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	24	NumberOfActivitiesOrPrograms
Persons Served	119766	PersonsServed
Total Community Benefit Expense	2300133	TotalCommunityBenefitExpense
Net Community Benefit Expense	2300133	NetCommunityBenefitExpense
Percent Of Total Expense	0.00570	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	1579	PersonsServed
Total Community Benefit Expense	3435712	TotalCommunityBenefitExpense
Net Community Benefit Expense	3435712	NetCommunityBenefitExpense
Percent Of Total Expense	0.00850	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	1	PersonsServed
Total Community Benefit Expense	21787	TotalCommunityBenefitExpense
Net Community Benefit Expense	21787	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	57	PersonsServed
Total Community Benefit Expense	689169	TotalCommunityBenefitExpense
Net Community Benefit Expense	689169	NetCommunityBenefitExpense
Percent Of Total Expense	0.00170	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	31	NumberOfActivitiesOrPrograms
Persons Served	121403	PersonsServed
Total Community Benefit Expense	6446801	TotalCommunityBenefitExpense
Net Community Benefit Expense	6446801	NetCommunityBenefitExpense
Percent Of Total Expense	0.01600	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	31	NumberOfActivitiesOrPrograms
Persons Served	121403	PersonsServed
Total Community Benefit Expense	47230468	TotalCommunityBenefitExpense
Direct Offsetting Revenue	32688233	DirectOffsettingRevenue
Net Community Benefit Expense	14542235	NetCommunityBenefitExpense
Percent Of Total Expense	0.03590	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	157	PersonsServed
Total Community Building Expense	194139	TotalCommunityBuildingExpense
Net Community Building Expense	194139	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	351	PersonsServed
Total Community Building Expense	77856	TotalCommunityBuildingExpense
Net Community Building Expense	77856	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	4261	TotalCommunityBuildingExpense
Net Community Building Expense	4261	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	27	PersonsServed
Total Community Building Expense	41693	TotalCommunityBuildingExpense
Net Community Building Expense	41693	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	8	NumberOfActivitiesOrPrograms
Persons Served	535	PersonsServed
Total Community Building Expense	317949	TotalCommunityBuildingExpense
Net Community Building Expense	317949	NetCommunityBuildingExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$8,209,589	BadDebtExpenseAmount
Amount Reimbursed By Medicare	73343638	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	84591746	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-11248108	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 Upstate Surgery Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	Ambulatory Surgery Center	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.00580	OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership	0.00000	OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership	0.00240	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Website AddressWebsiteAddress	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Critical Access HospitalCriticalAccessHospital	Research FacilityResearchFacility	Er24 HoursEr24Hours
St Francis- Downtown
1	One St Francis Drive	Greenville	SC	296013955	http://www.stfrancishealth.org	X	X	X	X	X
St Francis- Eastside
2	125 Commonwealth Drive	Greenville	SC	296154812	http://www.stfrancishealth.org	X	X	X		X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	CHNA ConductedCHNAConducted	Community DefinitionCommunityDefinition	Community DemographicsCommunityDemographics	Existing ResourcesExistingResources	How Data ObtainedHowDataObtained	Community Health NeedsCommunityHealthNeeds	Other Health IssuesOtherHealthIssues	Identifying ProcessIdentifyingProcess	Consulting ProcessConsultingProcess	Information GapsInformationGaps	Needs Assessment ConductedNeedsAssessmentConducted	Take Into AccountTakeIntoAccount	Other FacilitiesOtherFacilities	CHNA Widely AvailableCHNAWidelyAvailable	Own WebsiteOwnWebsite	On RequestOnRequest	Adopt Implement StrategyAdoptImplementStrategy	Execute Implement StrategyExecuteImplementStrategy	Develop Community PlanDevelopCommunityPlan	Participate Community PlanParticipateCommunityPlan	Include Operational PlansIncludeOperationalPlans	Adopt BudgetAdoptBudget	Prioritize Health NeedsPrioritizeHealthNeeds	Prioritize ServicesPrioritizeServices	All Needs AddressedAllNeedsAddressed	Organization Incur Excise TaxOrganizationIncurExciseTax	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Other FactorsOtherFactors	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
St Francis- Downtown
1	1	X	X	X	X	X	X	X	X	X	12	1	1	1	X	X	X	X	X	X	X	X	X	X	0	0	1	1	200.000000000000	1	200.000000000000	1	X	X	1	1	X	X	X	X	X	0	0	1	X	0	0
St Francis- Eastside
2	1	X	X	X	X	X	X	X	X	X	12	1	1	1	X	X	X	X	X	X	X	X	X	X	0	0	1	1	200.000000000000	1	200.000000000000	1	X	X	1	1	X	X	X	X	X	0	0	1	X	0	0

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	22	NumberOfOtherFacilities

Other Facilities OtherFacilities (22 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
St Francis Outpatient Center
3 St Francis Drive Floor 12	Greenville	SC	29601	Outpatient services
St Francis Eastside Outpatient Lab
135 Commonwealth Drive Suite 255	Greenville	SC	29615	Outpatient Lab
St Francis Rehab
131 Commonwealth Drive Suite 200	Greenville	SC	29615	Outpatient Rehabilitation - Physical, Occupational, Speech, & Massage therap
St Francis Outpatient Rehab
120 Sumner Street	Greenville	SC	29601	Outpatient Rehabilitation
St Francis Physical Therapy
712 Congaree Rd	Greenville	SC	29607	Outpatient Rehabilitation
St Francis Therapy Services
1130 Grove Rd	Greenville	SC	29605	Outpatient Rehabilitation
St Francis Powdersville Rehab
3407 HWY 153	Piedmont	SC	29673	Outpatient Rehabilitation
St Francis Physical Therapy
209 Patewood Dr Suite 100	Greenville	SC	29615	Outpatient Rehabilitation
St Francis Homecare
131 Commonwealth Drive Suite 230	Greenville	SC	29615	Homecare Offices
McCall Hospice House
1836 West Georgia Rd	Simpsonville	SC	29680	Hospice
St Francis Sleep Disorder Center
3 St Francis Drive Suite 340	Greenville	SC	29601	Sleep Disorder Center
St Francis Wound Healing Center
131 Commonwealth Drive Suite 100	Greenville	SC	29615	Wound Care Rehab
Central Registration & Lab
2 Innovation Drive Suite 110	Greenville	SC	29607	Registration and Lab
HealThy Self Cardiovascular Rehabilitati
2 Innovation Drive Suite 200	Greenville	SC	29607	Cardiac/Pulmonary/Vascular Fitness/Diabeties Care
Sleep Lab
2 Innovation Drive Suite 340	Greenville	SC	29607	Sleep Lab
Sports Medicine & Workwell Admin
135 Commonwealth Drive Suite 250	Greenville	SC	29615	Workwell & Sports Administration Offices
Workwell Occupational Health
135 Commonwealth Drive Suite 120	Greenville	SC	29615	Occupational Health/ Employee Health
Early Detection & Renewal
2 Innovation Drive Suite 350	Greenville	SC	29607	Diagnostics & Early Detection Center
Sports & Exe Medi & Phy Therapy
2 Innovation Drive Suite 250	Greenville	SC	29607	Sports & Exercise Medicine and Physical Therapy
Nu-Life
2 Innovation Drive Suite 330	Greenville	SC	29607	Executive Physicals
Community Education
2 Innovation Drive Suite 100	Greenville	SC	29607	Classroom
St Francis Pearlie Harris Breast Ctr
131 Commonwealth Drive Suite 220	Greenville	SC	29615	Breast Cancer Treatment Facility

Form990 Schedule H Part VI Form990ScheduleHPartVI (24 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
Part I, Line 7: Part I, line 7a: Charity Care at cost is computed by applying a cost-to-charge ratio to the aggregate charity adjustments recorded in the general ledger. Part I, line 7b: Unreimbursed Medicaid is computed by determining the cost of Medicaid services supplied less payments received for these services. To determine the cost of Medicaid services provided, a cost-to-charge ratio is applied to traditional and managed Medicaid gross charges recorded in the general ledger. Payments include payments for individual claims, payments from the Medicaid program paid outside the claim process (such as medical education payments) and expected or actual cost report settlements.Part I, line 7b(f): Prior to 2006, Medicaid in the state of South Carolina was reimbursed to hospitals on a fixed prospective basis (fixed rates not directly related to costs). For years 2006 - 2012, the State reimbursed Hospitals on a cost basis (actual costs to provide services). This reimbursement resulted in the hospitals receiving payments close to their costs. Starting is 2013 the State changed reimbursement methodologies to a fixed rate prospective basis (fixed rates not directly related to costs). For the first year the rates state wide were set to approximate the hospital's cost to provide service. For the subsequent years the fixed rate will be adjusted by a state wide inflationary factor and not related to an individual hospitals cost. For 2013 the Hospital's unreimbursed Medicaid percentage for St. Francis Hospital, Inc. is fairly consistent with those of other hospitals in the state. Part I, line 7c: Unreimbursed costs from other means-tested government programs are computed by applying a cost-to-charge ratio to the total charges to patients covered under these programs. The charges are identified by the financial class assigned to the patient. For Part I, Line 7 a-c computations: The cost-to-charge ratio is derived using the suggested computation in Worksheet 2, Ratio of Patient Care Cost-to-Charges. Operating expenses and Gross patient charges are taken from the general ledger. Expenses for nonpatient care activities recorded in operating expenses are approximated as directly equaling other operating revenue, assuming these activities do not provide profit. Part I, line 7e: Community health improvement services and community benefit operations are accumulated throughout the year and reported at actual cost in a software program that specifically addresses this purpose.Part I, line 7f: Health professions education cost is determined as the direct and indirect cost of qualifying education activities as traditionally reported in columns 21-24 on Worksheet B of the Medicare cost report as a Medical Education program, nursing school or other allied health program.
Part I, L7 Col(f): Bad debt expense included in Part IX; line 25 and excluded from the "percent of total expense" calculation is: $47,058,593
The Bon Secours' Building Healthy Communities Initiative was created in 2008 to lead efforts towards building healthier communities in which each Bon Secours facility serves. Using a multi-level process of community engagement, grassroots advocacy, and strategic partnerships with public or private organizations and individuals, the Bon Secours St. Francis Healthy Community Initiative works to strengthen the assets of the community while identifying needs to ultimately improve the overall health of community residents. The Bon Secours St. Francis Healthy Community Initiative seeks to leverage our health care resources, outreach services and programs, clinical expertise, and relationships to best target the sources of poor health rather than just address the symptoms.	Community Building Activities	Part II
Part III, Line 4: Part III, line 2: Bad Debt Expense at cost is computed by applying the cost-to-charge ratio computed on Worksheet 2 to the aggregate bad debt expense for patient accounts recorded in the general ledger. Bad debt expense on the general ledger includes: 1) actual write offs of discounted gross charges where it is determined an uninsured patient can pay and does not pay; and 2) the estimated write offs for uninsured patient accounts with outstanding balances after discount. Estimates are based on historical collection rates.When an uninsured patient is billed for patient care services, the charges are automatically discounted and the patient is requested to only pay the amount after discount. The discount is recorded as an adjustment to gross revenue and is not recorded in bad debt expense. If the balance after discount is not paid or not paid in full, the unpaid amount will be written off to bad debt expense. When a patient remits a payment on an account that has already been written off to bad debt expense, the payment is recorded as a recovery of bad debt, which reduces bad debt expense.Part III, line 3: The organization does not report an estimate for the portion of bad debt expense that may have been likely to qualify for financial assistance under the hospital's charity care policy. The organization takes the position that ample opportunity and assistance is provided to the patient to qualify under the financial assistance policy. If sufficient information is not provided, the organization must assume the patient does not qualify.
Part III, Line 8: Part III, Line 6: Medicare allowable costs reflected in Part III come directly from the facility's Medicare cost report. The cost report segregates the total facility actual expenses into costs for support departments, clinical departments (routine and ancillary) and nonreimburseable departments. The cost report uses appropriate statistical bases to "step down" support costs to allowable clinical and nonreimburseable departments. The charges for clinical departments are matched to the total cost for these departments for a cost-to-charge ratio. Medicare-specific allowable costs for in- and outpatient ancillary departments are computed by applying the department-specific cost-to-charge ratio to the Medicare program charges by department. For routine departments, a per diem total cost is computed and applied to Medicare program days for the Medicare routine program cost.Part III, Line 8: The organization feels the total shortfall of Medicare reimbursement compared to computed Medicare allowable costs should be treated as community benefit. The hospital improves access to patient care by providing services regardless of a patient's ability to pay or the hospital's ability to receive full cost reimbursement for services. The hospital also relieves the government of a financial burden when it provides care to publically insured patients where reimbursement is less than cost of providing the service.
Part III, Line 9b: The hospital has a written policy that describes collection practices applying to patients that qualify for charity care or financial assistance. If full assistance is approved, no collection efforts are pursued on that patient's account(s). If partial assistance is provided, the patient is responsible for the adjusted account balance and collection efforts will follow the established practices for all patients where a self-pay balance exists. Collection efforts are not pursued on any pending Patient Financial Assistance Program (FAP) account.Specific criteria exist for how much financial assistance, partial or total, will be provided to the patient based on the assessed need. Criteria is based on Federal Poverty Guidelines and is reviewed and updated annually. Once a patient has been deemed eligible for the Patient FAP, the patient is notified by letter within 60 days after receipt of the application and supporting documentation. The patient retains eligibility for a period of twelve months from the date of the application. This eligibility is signaled to hospital admissions, billing and collection staff by the assignment of a specific financial class with accompanying eligibility dates. At the end of those twelve months, the patient is responsible for reapplying for FAP eligibility.
Part V, Section B, Line 3: BSSFHS took into account input from persons who represented the community through a county-wide telephone survey, with an over-sampling of low income households. Focus groups were organized to capture perspectives from individuals that represent the chronically ill. Participants included representatives from Taylors Free Medical Clinic, The Greenville Free Medical Clinic, BSSF-Downtown, Faces and Voices of Recovery (substance abuse recovery program), Carolina Centers for Behavioral Health, community residents suffering from chronic disease, AID Upstate, the Greenville County Medical Society, New Horizon Family Health Services, Cancer Society of Greenville, Greenville County EMS and SCDHEC. These focus groups generated insightful perspective on the struggles and strengths of individuals experience in managing a chronic disease in Greenville County. Representatives also discussed common traits and characteristics of the current populations they serve. Expert Interviews were conducted using the NPHPSP (National Public Health Performance Standards Program) Local Public Health System Performance (LPHSA) assessment instrument. This instrument evaluated responses from key experts in the community, measuring how well Greenville County provides the 10 Essential Public Health Services. A serious of 8 group interviews was conducted. Those with special knowledge in public health were consulted throughout the CHNA process. They included Natalie Dougherty (BSSFHS), Lillie Hall (SC Department of Health and Environment Control), Dr. Alicia Powers (Health Sciences professor, Furman University).	St. Francis- Downtown
Part V, Section B, Line 3: BSSFHS took into account input from persons who represented the community through a county-wide telephone survey, with an over-sampling of low income households. Focus groups were organized to capture perspectives from individuals that represent the chronically ill. Participants included representatives from Taylors Free Medical Clinic, The Greenville Free Medical Clinic, BSSF-Eastside, Faces and Voices of Recovery (substance abuse recovery program), Carolina Centers for Behavioral Health, community residents suffering from chronic disease, AID Upstate, the Greenville County Medical Society, New Horizon Family Health Services, Cancer Society of Greenville, Greenville County EMS and SCDHEC. These focus groups generated insightful perspective on the struggles and strengths of individuals experience in managing a chronic disease in Greenville County. Representatives also discussed common traits and characteristics of the current populations they serve. Expert Interviews were conducted using the NPHPSP (National Public Health Performance Standards Program) Local Public Health System Performance (LPHSA) assessment instrument. This instrument evaluated responses from key experts in the community, measuring how well Greenville County provides the 10 Essential Public Health Services. A serious of 8 group interviews was conducted. Those with special knowledge in public health were consulted throughout the CHNA process. They included Natalie Dougherty (BSSFHS), Lillie Hall (SC Department of Health and Environment Control), Dr. Alicia Powers (Health Sciences professor, Furman University).	St. Francis- Eastside
Part V, Section B, Line 4: Greenville Health System	St. Francis- Downtown
Part V, Section B, Line 4: Greenville Health System	St. Francis- Eastside
Part V, Section B, Line 7: Identified needs through the CHNA that could not be addressed through BSSFHS were asthma, mental health, alcohol/substance abuse, current technology to manage and communicate population health data to the public, and public health policy development. These needs could not be addressed by BSSFHS either because limited resources and infrastructure to address issue, or there are current community organizations that already exist to mitigate the need.	St. Francis- Downtown
Part V, Section B, Line 7: Identified needs through the CHNA that could not be addressed through BSSFHS were asthma, mental health, alcohol/substance abuse, current technology to manage and communicate population health data to the public, and public health policy development. These needs could not be addressed by BSSFHS either because limited resources and infrastructure to address issue, or there are current community organizations that already exist to mitigate the need.	St. Francis- Eastside
Part V, Section B, Line 12h: Please see the narrative for Part VI, Line 3regarding the Financial Assistance Policy.	St. Francis- Downtown
Part V, Section B, Line 12h: Please see the narrative for Part VI, Line 3regarding the Financial Assistance Policy.	St. Francis- Eastside
Part V, Section B, Line 14g: Please see the narrative for Part VI, Line 3regarding the Financial Assistance Policy.	St. Francis- Downtown
Part V, Section B, Line 14g: Please see the narrative for Part VI, Line 3regarding the Financial Assistance Policy.	St. Francis- Eastside
Part V, Section B, Line 20d: Please see the narrative for Part VI, Line 3regarding the Financial Assistance Policy.	St. Francis- Downtown
Part V, Section B, Line 20d: Please see the narrative for Part VI, Line 3regarding the Financial Assistance Policy.	St. Francis- Eastside
Part VI, Line 2: BSSFHS conducted a comprehensive needs assessment over the course of 18 months, and released it in 2013. The CHNA process included a community telephone survey, secondary data analysis, and focus groups. This was completed with input provided by those with public health knowledge. Additional groups were well-captured through this document, including individuals representing the broad interests of the community, persons with special knowledge of the medically underserved, low-income, minority, and chronic disease populations. This CHNA process will be conducted every three years.
Part VI, Line 3: Patient financial assistance policy is communicated to patients verbally upon scheduling, registration, visible postings of the policy in common areas throughout the hospital, brochures and on Bon Secours website. In addition, patient statements request that patients apply for financial assistance, if needed, once any patient financial obligation is determined.Bon Secours is committed to ensuring access to health care services for all. As a health care provider, Bon Secours treats all patients, whether insured, underinsured or uninsured, with dignity, respect and compassion throughout admission, delivery of services, discharge and billing and collection processes. Bon Secours addresses the needs of the uninsured by providing free or reduced fees on hospital services, community outreach efforts to assist with enrollment in Medicaid and other medical coverage programs, including free community-based preventive and primary care services. Bon Secours proactively screens to identify individuals and their families who may qualify for federal, state or local health insurance programs or the Bon Secours Patient Financial Assistance Program (FAP) and assist the potential eligible patients through the qualification process. Potentially eligible patients that do not qualify for a federal or state health insurance program are referred to the Financial Assistance Coordinator located in Patient Financial Services for assistance in completing the documentation required to establish FAP eligibility. Patients are responsible for providing the information necessary to complete the documentation. The FAP aids uninsured and underinsured patients who do not qualify for government-sponsored health insurance and who communicate their inability to pay for their medical care. The FAP provides 100% financial assistance to uninsured patients with annual family incomes at or below 200% of the Federal Poverty Guidelines (FPG), as adjusted by the Medicare geographic wage index for each community served to reflect that communitys relative cost of living (Adjusted FPG). Adjustments to these guidelines are made in certain States, where applicable. A sliding scale assistance policy is afforded patients that exceed the income guidelines for 100% assistance. Sliding scale assistance is provided to patients and progressively declines in proportion to the patient's higher income level. Additionally, all uninsured (i.e. self pay) patients are given a reduction to the amount of the full charges for medically necessary services through a community service adjustment (CSA). The CSA is market adjusted and based on the payment discount received by other health care payers doing business in the community. For these patients, the FAP also sets a maximum annual family payment liability to ensure that no family suffers a catastrophic financial burden to receive necessary health care services. Based on research conducted by the Tax Foundation, a non partisan tax research group based in Washington DC, the maximum annual family liability is based on a sliding scale determined by the family income and size. The standard sliding scale is adjusted by the Medicare geographic wage index of each community served to reflect that community's relative cost of living. All patients are also eligible for a Prompt Pay Discount. In addition, a variety of other potential payment options are available. Bon Secours is dedicated to meeting the needs of non-English speaking patients by having on-site Spanish translators, and other language translation services. In addition, Bon Secours employs a telephone language service which assists in meeting any language needs that arise. The translation services are offered to non-English speaking patients from admission to discharge, including the financial process.
Part VI, Line 4: BSSF Downtown primarily serves Greenville County, which is comprised of approximately 450,000 residents. Greenville County is the largest county in the state and one of the fastest growing, with a nearly 18% increase in population over the past decade. As aforementioned, this CHNA was conducted by multiple organizations, including both BSSF-Downtown and BSSF-Eastside facilities. All contributing partners agreed to complete this CHNA for the service area of Greenville County; therefore the identified service area and identified needs overlap both BSSF-Downtown and BSSF-Eastside facility CHNAs. While BSSF-Downtown and BSSF-Eastside will be referenced individually in separate documents, both BSSF-Downtown and BSSF-Eastside work together to fulfill the mission of BSSFHS and will contribute to each other's Implementation Plans.As of 2011, the median household income for Greenville County $48,147 was higher than the median income of South Carolina $44,695, yet a greater percentage of people 18.6% are in poverty than the state poverty rate 17%. Approximately 21% of children under the age of 18 live in poverty. It is estimated that 27% of the county's population, or an estimated 117,578 people, are considered medically uninsured, a higher percentage of residents (27%) than the state percent of uninsured as a whole (23.5%).
Part VI, Line 5: BSSFHS has an open medical staff with privileges available to all qualified physicians. BSSFHS operates an emergency room at both of its hospitals which provide services 24 hours a day, seven days a week to ensure access to needed emergency care for all persons. In 2013, the health system was driven by the Bon Secours mission to serve the community by the leadership of a governing board that included 15 members, twelve of whom are representative of the community. BSSFHS supports several community programs through the Bon Secours mission to be "good help to those in need". As part of this mission, BSSFHS provides dedicated staff and services with the sole purpose of measuring the needs of the community and engaging community partners to address the needs. These include the Community Ministries department, the Community Health Outreach department, LifeWisetm (a community initiative targeting adults 55 and older), and Open Arms Hospice, a partnership providing the only community Hospice House in the region. The dedicated staff assist in the following programs and also work to build collaborative partnerships in the community.Access to Oral Health Care Program: The BSSFHS Oral Health Services program provides access to oral health care through an integrated service partnership providing a mutually beneficial relationship between businesses, funding agencies, a dental hygiene training program, and a college of dentistry. The St. Francis Mobile Dental Unit provides the opportunity to reach out to outlying portions of the county and reach populations that face multiple barriers to care, including transportation. The fixed sites at the Greenville Free Medical Clinic and the New Horizon Family Dental Care ensure that a range of comprehensive oral health services are available in the community on a sliding fee scale or at no cost for the underserved. During Fiscal Year 2012-2013, the BSSFHS Oral Health Services program was able to conduct 7,143 oral health screenings, hygiene cleanings, and dental restorations to low income adults and children. Screenings and cleanings were provided by Greenville Technical College dental hygiene students. The Medical University of South Carolina College of Dentistry joined BSSFHS in December of 2010 to create a new model of service for the Mobile Dental Unit. Under the direct supervision of a licensed dentist (employed by BSSFHS) and credentialed faculty from the Medical University of South Carolina, senior dental students performed limited restorative services to underserved populations in our Greenville communities. This new model also allows Greenville Technical College dental assisting students to work in tandem with the Medical University of South Carolina senior dental students to provide comprehensive oral health prevention and dental services, while receiving hands-on-training experience. Care for Families and Children:Annually, BSSFHS provides each family with a 4-year-old kindergarten student residing in Greenville County a self-care manual/resource for accessing appropriate health care in Greenville. The self-care guides are purchased from the American Institute of Preventive Medicine (Health at Home) explains common medical issues and provides a decision tree for how to care for the problem at home and how and when to seek appropriate medical care. On average, this health literacy project, "A Healthy You", documents nearly 50% of families able to avoid one or more visits to the doctor in the past 6 months because of the Health at Home book. In addition, over 60% of families specify that Health at Home books helped them decide when to see a doctor, and thought that the Health at Home books saved them money on medical or health care in the past 6 months.Another way BSSFHS reaches out to families is through supporting of case management of children's services through Communities in Schools (CIS). CIS works to improve services among high-risk children in Greenville County, and works with seven Title I schools in Greenville County (a school is considered Title I when over 60% of students are eligible for free and reduced lunch). Each school involved in the CIS program works directly with school nurses and additional school staff to identify oral health health-related problems of students and determine the barriers to receiving needed oral health care. Services provided by the CIS staff include coordinating the BSSFHS Community Ministries programs and or services in oral health around the needs of preventative education sessions and visits conducted on the Bon Secours St. Francis Mobile Dental Unit. Finally, the Center for Developmental Services (CDS) is a local organization that ensures children with special developmental needs and their families are linked with appropriate interventions in a comfortable, convenient and organized manner; parents, siblings, and caregivers are supported throughout their time in the service delivery system. BSSFHS financially supports the Bilingual Support and Hispanic Outreach program administered by CDS. This program assists thousands of Spanish-speaking families in making certain their children with developmental delays and disabilities receive services in a culturally respective and understandable way. From September 2012 through August 2013 over 48 Hispanic families per month received translation services at CDS because of BSSFHS's involvement. Additionally, BSSFHS unveiled a new, state-of-the-art bilingual kiosk in the CDS waiting area. This kiosk links Spanish speaking families to on-line health resources and information that might not otherwise be available in Spanish. On average, 200 health-related sites are visited each month and over 1,800 families utilized the kiosk CDS services. The kiosk also offers Spanish-language take-home health materials and a telephone available that immediately links the person United Way's 211 system, Greenville County's comprehensive source for community health and human service assistance. Hispanic Outreach through CDS engaged in over 26 community health fairs with an attendance of more than 5,000 participants. Community Health Outreach:Two teams of nursing and social work professionals bring their expansive experience to the community, including bilingual staff. Clients are treated holistically-mind, body, and spirit. By fostering trusting relationships with community members, the health outreach team helps transform hurt into hope, promotes and defends human dignity, and fosters a healing and caring environment. Community Health Outreach (CHO) provides the most vulnerable members of the community with opportunities to improve their health and quality of life, focusing on reaching those who are underserved and uninsured. Staff assist individuals and families with navigating the healthcare system and accessing community resources, including health education, personal safety, and basic life skills. Clients are able to establish a patient-primary care provider relationship, improve overall health, reduce unnecessary emergency department admissions, and decrease readmission to the healthcare system. CHO assists clients with finding affordable health care, medications, medical supplies, transportation, and food/clothing. In 2012, CHO provided over 200 individuals with medication assistance vouchers filling at least 500 medications and approximately 700 bus passes for transportation needs. In addition, our interventions redirected over 250 individuals to primary care that would have gone to the hospital's emergency department for treatment. Additionally, they provided individual and group presentations, screenings, and written literature in addition to annual flu clinics. In 2012, our nurses and social workers had more than 2,000 individual contacts and participated in over 90 events serving 3,000 plus participants.
Part VI, Line 6: Bon Secours Health System, Inc., a Maryland nonprofit, nonstock membership corporation (BSHSI), and all of the other entities that are controlled directly or indirectly by Bon Secours, Inc., a Maryland nonprofit, nonstock membership corporation (BSI) are described collectively as the System. BSI, which is the sole corporate member of BSHSI, has no healthcare operations. The System was organized in June 1983 to fulfill the healthcare mission of the United States Province of the Congregation of the Sisters of Bon Secours of Paris, a congregation of religious women of the Roman Catholic Church founded in France in 1824. The System's activities are in the states of New York, Pennsylvania, Maryland, Virginia, Kentucky, South Carolina, and Florida, each referred to as a local system. The Ministry of BSHSI aids those in need, particularly those who are sick and dying, by offering services that include but are not limited to acute inpatient, outpatient, pastoral, palliative, home health, nursing home, rehabilitative, primary and secondary care and assisted living without regard to race, religion, color, gender, age, marital status, national origin, sexual orientation, or disability. BSHSI's vision to bring about the holistic health of the communities it serves is implemented through its Strategic Quality Plan which provides focus in five goal areas for the current three year period (2013-2015). One of those goals was to bring our communities to wholeness. To accomplish this, two key strategies are to: - Improve Health Locally and Globally- Build Partnerships for Population Health As a member of the Catholic health ministry and a member of Bon Secours Health System, Inc. (BSHSI), this organization and it's related entities are called to continue the healing ministry of Jesus. We exist to benefit the people living in the communities it serves. Through all of the services offered to the community, the 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 as part of the healing ministry of Jesus Christ and the Catholic Church." This organization and related organizations share the BSHSI Vision. "Inspired by the healing ministry of Jesus Christ and the charism of Bon Secours, Bon Secours Health System will be recognized for its leadership in justice, transforming the communities in which we serve and work into places of health and hope, and being a prophetic voice for systemic US health reform and a more humane world." Please see Schedule R for listings of the related organizations.
SC	Reports Filed With States	Part VI, Line 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Bon Secours - St Francis Health System Foundation Inc	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	One St Francis Drive	AddressLine1
City	Greenville	City
State	SC	State
ZIP Code	29601	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	260012031	EINOfRecipient
IRC Section	501(c)(3)	IRCSection
Amount Of Cash Grant	780122	AmountOfCashGrant
Purpose Of Grant	Cost of administrative services provided to the Foundation	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedure for Monitoring Grants in the U.S.:	Identifier
Return Reference	Part I, Line 2:	ReturnReference
Explanation	Schedule I, Part I, Line 2: The organization complies with Bon Secours Health System, Inc.'s system-wide financial and accounting policies. Contributions are generally made as reimbursements for funds spent. In such cases, the donee/grantee organization must provide documentation to the filing organization before funds are approved for disbursement.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Jeff Oak PhD
Board Member	0	302204	0	224950	0	40516	0	35752	0	28315	0	631737	0	0
Mark Nantz
CEO-BSSFHS	0	546573	0	364503	0	41028	0	61960	0	18570	0	1032634	0	0
Thomas Morris PhD
President	0	265262	0	185027	0	72086	0	33904	0	18941	0	575220	0	14543
Daniel Duggan
COO-BSSFHS (Jan-Aug)	0	290135	0	149241	0	56111	0	22875	0	20074	0	538436	0	8837
Ronnie Hyatt
Treasurer/CFO-BSSFHS	332771	0	68167	0	44495	0	15000	0	17744	0	478177	0	28125	0
Teresa Ficicchy
EVP/CNO	231479	0	49730	0	43618	0	14233	0	11525	0	350585	0	0	0
Patricia Fowler
VP/Surgical Services	166199	0	30542	0	38850	0	24602	0	9248	0	269441	0	10048	0
Rose M Leo
VP/Surg Serv - Women's	140631	0	26444	0	19963	0	9715	0	15756	0	212509	0	0	0
Johnna Reed
VP Bus Dev/Heart & Vasc	178113	0	32439	0	39211	0	11912	0	9526	0	271201	0	0	0
Fernando Fleites
SVPHR	190415	0	43051	0	95136	0	8298	0	17605	0	354505	0	0	0
Elizabeth Keith
VP of Mission Services	145825	0	34743	0	70698	0	9936	0	9149	0	270351	0	27522	0
John S Pietras
EVP SFPS	174544	0	78389	0	23545	0	23411	0	28030	0	327919	0	9300	0
Frank C Smeeks
SVP, CMO (Sept-Aug)	324452	0	73500	0	105729	0	13566	0	24813	0	542060	0	0	0
Jerome J Weems Jr MD
Physician	214268	0	54995	0	2503	0	12946	0	9407	0	294119	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part I, Line 3	Bon 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 III	Part I, Lines 4b: The filing organization participates in a BSHSI sponsored executive retirement program that allows for deposits into additional retirement plans and available only to 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: Thomas Morris, Ph.D., $23,265; Elizabeth Keith, $31,484; Ronnie Hyatt, $39,089; John S. Pietras, $16,114; Daniel Duggan, $13,203; Patricia Fowler, $18,294.	Supplemental Information

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Katie Hertwig	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship	Daughter-in-law of BM Camilla Hertwig	Relationship
Amount Of Transaction	158260	AmountOfTransaction
Description Of Transaction	Employment	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Form 990, Part VI, Section A, line 6	Bon 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 Hospital, Inc.
Form 990, Part VI, Section A, line 7a	The governing body of St. Francis Hospital, Inc. 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 7b	Certain authorities of St. Francis Hospital, Inc. are reserved to its member or to Bon Secours Health System, Inc.
Form 990, Part VI, Section B, line 11	The 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 12c	The 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 15	The 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 19	The 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 and do not receive additional compensation for their board responsibilities.	Avg hours devoted to related org(s) when related comp is reported:
Form 990, Part XI, line 9:	Transfers to BSHSI for principal and swap -5,215,919. Distributions from JV 303,512.	Changes in Net Assets or Fund Balances:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	Physicians' Surgery Center at St Francis LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	One St Francis Drive	AddressLine1
City	Greenville	City
State	SC	State
ZIP Code	29601	ZIPCode

Field	Value	IRS element (for citing)
Primary Activities	No Activity	PrimaryActivities
Legal Domicile State	SC	LegalDomicileState
Total Income	0	TotalIncome
EOY Assets	0	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	St Francis Hospital Inc	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
Bon Secours Health System Inc
1505 Marriottsville Road	Marriottsville	MD	21104	521301088	Parent Org. - Management Services	MD	501(c)(3)	11b	Bon Secours Inc	0
Bon Secours St Francis Health System Inc
One St Francis Drive	Greenville	SC	296013955	582504528	Local System Parent Org.	SC	501(c)(3)	11b	Bon Secours Health System Inc	0
Bon Secours St Francis Health System Foundation Inc
One St Francis Drive	Greenville	SC	296013955	260012031	Grant Making Foundation	SC	501(c)(3)	7	St Francis Hospital Inc	1
St Francis Physician Services
One St Francis Drive	Greenville	SC	296013955	134290167	Physician Services	SC	501(c)(3)	11a	Bon Secours St Francis Health System Inc	0

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Upstate Surgery Center	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	One St Francis Drive	AddressLine1
City	Greenville	City
State	SC	State
ZIP Code	296013955	ZIPCode

Field	Value	IRS element (for citing)
EIN	562186977	EIN
Primary Activity	Ambulatory Surgery Center	PrimaryActivity
Legal Domicile State	SC	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	St Francis Hospital Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Predominant Income Type	Related	PredominantIncomeType
Share Of Total Income	450978	ShareOfTotalIncome
Share Of EOY Assets	1000808	ShareOfEOYAssets
Disproportionate Allocations	0	DisproportionateAllocations
General Or Managing Partner	0	GeneralOrManagingPartner
Percentage Ownership	0.58090	PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Health Care Enterprises Inc	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	One St Francis Drive	AddressLine1
City	Greenville	City
State	SC	State
ZIP Code	296013955	ZIPCode

Field	Value	IRS element (for citing)
EIN	571012852	EIN
Primary Activity	Holding Company	PrimaryActivity
Legal Domicile State	SC	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	St Francis Health System Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C	TypeOfEntity
Controlled Org	0	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Bon Secours - St Francis Health System Foundation Inc
B	780122	Actual
Bon Secours - St Francis Health System Foundation Inc
C	1014851	Actual
Upstate Surgery Center
L	90996	Cost
Upstate Surgery Center
R	303512	Actual