2017-07-10T09:44:13-05:00 2016-08-31 990 2015-09-01 582504528 Bon Secours St Francis Health System Inc BONS 8642551000 One St Francis Drive Greenville SC 29601 Ronnie Hyatt CFO - BSSFHS 8642551000 2017-07-10 0 2015 2021-01-29 14:40:06Z Craig McCoy One St Francis Drive Greenville SC 29601 4657675 0 0928 X bonsecours.com X 1999 SC Provides support services to related not-for-profit entities within the System. 14 11 0 11 0 0 0 0 0 4629763 0 0 0 27912 0 4657675 0 0 0 0 0 2579933 0 0 0 0 2145846 0 4725779 0 -68104 0 6661007 0 6729111 0 -68104 X 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. 1 0 Supports the subsidiary members of the Bon Secours St. Francis Health System, Inc. in their effort to provide compassionate, quality healthcare services to those in need, including the poor and dying, for the purpose of alleviating human suffering and bringing people to wholeness in the midst of pain and loss. 4294657 4629763 Bon Secours Ambulatory Services - St. Francis, LLC provides urgent care center service to the surrounding community. Families have access to board-certified physicians and medical professionals trained in adult and pediatric life support. The organization provides quality urgent care without an emergency room visit. The organization follows the same Financial Assistance Policy of its related tax exempt hospital, St. Francis Hospital. Patients are never turned away due to their inability to pay. Upstate Good Help ACO, LLC is an Accountable Care Organization (ACO) that received approval from the Centers for Medicare and Medicaid Services (CMS) to participate in the Medicare Shared Savings Program (MSSP). The MSSP is intended to facilitate cooperation among health care providers for the coordination of care for Medicare Fee-for-Service beneficiaries. The goal of coordinated care is to ensure the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors. The organization is designed to allow participating providers to provide appropriate coordinated care at a time when it is needed and in a setting that is both convenient and appropriate. 4294657 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 14 11 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 X Laura Ellison 4433673835 8990 Old Annapolis Road Columbia MD 21045 X Katherine Arbuckle Board Member 2.00 0.50 X 0 0 0 Charlton Armstrong III MD Board Member (Sep-Oct) 2.00 0.00 X 0 0 0 Richard Davis Board Member (Sep-Nov) 2.00 0.00 X 0 0 0 Mills Gallivan Board Member 2.00 0.00 X 0 0 0 Gregory Haselden Board Member 2.00 0.00 X 0 0 0 Camilla Hertwig Chair 3.00 0.50 X X 0 0 0 Henry Horowitz Board Member 2.00 0.00 X 0 0 0 Fletcher Kirkland Jr Board Member 2.00 0.50 X 0 0 0 Joanie Martin Board Member 2.00 0.00 X 0 0 0 Craig McCoy CEO 2.00 48.00 X X 0 539414 14683 Wayne McDonald MD Board Member 2.00 0.50 X 0 0 0 Thomas Morris PhD President 3.00 47.00 X X 0 667551 61530 Jeffrey Oak PhD Board Member 2.00 48.00 X 0 695885 77047 Linton Puckett Board Member 2.00 0.00 X 0 0 0 Joseph Sullivan Board Member 2.00 0.00 X 0 0 0 Angela Webb Board Member 2.00 0.00 X 0 0 0 Daniel Duggan COO 2.00 48.00 X 0 598077 27916 Irene Holcombe Secretary 0.50 39.50 X 0 93508 16422 Ronnie Hyatt Treasurer/CFO - BSSFHS 2.00 48.00 X 0 533397 35214 0 3127832 232812 0 0 1 0 0 Patient Service Revenu 622110 4629763 4629763 4629763 Advertising Reimbursem 900099 27665 27665 Purchase Discounts 900099 247 247 27912 4657675 4629763 0 27912 2159999 1943999 216000 66863 60177 6686 187080 168372 18708 165991 149392 16599 111365 111365 130974 117877 13097 97846 88061 9785 110318 99286 11032 272349 245114 27235 4580 4122 458 19429 19429 279661 251695 27966 95830 86247 9583 Purchased Services 694592 625133 69459 Medical Supplies 283751 283751 Dues and Subscriptions 37624 33862 3762 Repairs - Medical Equip 3523 3171 352 4004 3604 400 4725779 4294657 431122 0 707928 94521 636777 175494 0 461283 5395597 1678 0 6661007 168016 0 6561095 0 6729111 X 0 -68104 0 -68104 0 6661007 -68104 0 X 0 1 X 1 0 X 4629763 4629763 4629763 4629763 0 0 0 4629763 27912 27912 4657675 4657675 0.99400 0.00000 X Schedule A, Part III, Line 12, Explanation of Other Income: Rebranding Payment - 2015 Amount: $ 27,665. Purchase Discounts - 2015 Amount: $ 247. 393489 124712 268777 243288 50782 192506 461283 Due to Affiliates 6551194 Deferred Rent 9901 6561095 X Part X, Line 2: 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. ASC 740 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 derecognition of tax positions taken or expected to be taken in a tax return. The adoption of ASC 740 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. The System's taxable subsidiaries had approximately $89,895 and $84,748 of net operating loss carryforwards as of August 31, 2016 and 2015, respectively, which expire in varying periods through 2036 and are available to offset future taxable income. The System accounts for income taxes under the asset and liability method. Under this method, deferred tax assets and liabilities are recognized for the estimated future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases. Deferred tax assets and liabilities are measured using enacted tax rates expected to be in effect during the year in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. Income tax liabilities are recorded for the impact of positions taken on income tax returns, which management believes are not more likely than not to be sustained on tax audit. Interest and penalties related to income taxes are accounted for as income tax expense. The System's deferred tax assets are fully reserved at August 31, 2016 and 2015 as the System considers it more likely than not that these amounts will not be recognized. 0 1 0 0 0 0 0 0 0 Craig McCoy CEO 0 262178 0 258832 0 18404 0 3293 0 11390 0 554097 0 0 Thomas Morris PhD President 0 319173 0 241261 0 107117 0 40598 0 20932 0 729081 0 18904 Jeffrey Oak PhD Board Member 0 354831 0 276043 0 65011 0 44993 0 32054 0 772932 0 20752 Daniel Duggan COO 0 342711 0 197332 0 58034 0 15900 0 12016 0 625993 0 0 Ronnie Hyatt Treasurer/CFO - BSSFHS 0 364693 0 107428 0 61276 0 15900 0 19314 0 568611 0 0 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 I, Line 4b The 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: Jeffrey Oak, $22,034; Thomas Morris, $24,711. Form 990, Part III, line 2 In FY16, a single member limited liability company which was previously inactive, was re-purposed to house health services in the form of Urgent Care. Please see the descriptions for Form 990, Part III, Line 4b and 990, Part VI, Line 4. Also in FY16, a single member limited liability company, Upstate Good Help ACO, LLC, was created to facilitate cooperation among health care providers for the coordination of care for Medicare Fee-for-Service beneficiaries. Please see the description for Form 990, Part III, Line 4c. Form 990, Part VI, Section A, line 4 Bon Secours St. Francis Diagnostic Services, LLC" was a dormant entity in Greenville. On July 29, 2015, its operating agreement was amended and restated in its entirety to "re-purpose" the entity in connection with the Doctors' Express transaction, and to bring up to date with current templates. On September 9, 2015, Amended and Restated Articles were filed, thereby changing the entity's legal name to "Bon Secours Ambulatory Services-St. Francis, LLC. 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. Form 990, Part VI, Section A, line 7a The governing body of Bon Secours St. Francis Health System, Inc., is appointed by its member Bon Secours Health System, Inc. Form 990, Part VI, Section A, line 7b Certain authorities of St. Francis Health System, Inc. are reserved to its member. 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 15b 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. 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 makes all documents available to the general public upon request. Form 990, Part VII - Additional Disclosure: 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. Bon Secours Ambulatory Services - St Francis LLC One St Francis Drive Greenville SC 29601 800520229 All Other Outpatient Care Centers SC 4657676 6661008 Bon Secours St Francis Health System Inc Upstate Good Help ACO LLC One St Francis Drive Greenville SC 29601 813049118 Accountable Care Organization SC 0 0 Bon Secours St Francis Health System Inc Bon Secours Health System Inc 1505 Marriottsville Road Marriottsville MD 21104 521301088 Parent Org. Management Services MD 501(c)(3) Line 11c, III-FI Bon Secours Inc 0 St Francis Hospital Inc One St Francis Drive Greenville SC 296013955 582504530 Health Care SC 501(c)(3) Line 3 Bon Secours St Francis Health System Inc 0 St Francis Physician Services One St Francis Drive Greenville SC 296013955 134290167 Physician Services SC 501(c)(3) Line 9 Bon Secours St Francis Health System Inc 0 Bon Secours St Francis Health System Foundation Inc One St Francis Drive Greenville SC 29601 260012031 Grant Making Foundation SC 501(c)(3) Line 7 St Francis Hospital Inc 0 Upstate Surgery Center LLC One St Francis Drive Greenville SC 296013955 562186977 Ambulatory Surgery Center SC St Francis Hospital Inc Related 45626 938118 0 0 0.58090 Southeastern Health Partners LLC One St Francis Drive Greenville SC 29601 813264385 Coordinated Care SC Bon Secours St Francis Health System Inc Related 0 1 0.50000 Optimum Health Network Inc One St Francis Drive Greenville SC 29601 570973524 Healthcare Services SC Bon Secours St Francis Health System Inc C 1.00000 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0