ST FRANCIS HOSPITAL INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: ST FRANCIS HOSPITAL INC (EIN 58-2504530)
Tax period: 2010-09-01 to 2011-08-31
Filed: 2012-07-12
IRS object ID: 201221949349300732
Schema version: 2010v3.4
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	2012-07-12T13:23:30-05:00	Timestamp
Tax Period End Date	2011-08-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

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	1750 TYSONS BLVD	AddressLine1
City	MCLEAN	City
State	VA	State
ZIP Code	221024219	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-09-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	582504530	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	SFHI	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	Title
Phone	8642551000	Phone
Date Signed	2012-07-12	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Laura L Catlett	Name
Phone	7032511000	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Ronnie Hyatt	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	468500286	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	18	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	2797	TotalNbrEmployees
Total Nbr Volunteers	285	TotalNbrVolunteers
Total Gross UBI	457555	TotalGrossUBI
Net Unrelated Business Txbl Income	-239820	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	431086	ContributionsGrantsPriorYear
Contributions Grants Current Year	4667895	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	434198980	ProgramServiceRevenuePriorYear
Program Service Revenue CY	456648660	ProgramServiceRevenueCY
Investment Income Prior Year	1044833	InvestmentIncomePriorYear
Investment Income Current Year	1199148	InvestmentIncomeCurrentYear
Other Revenue Prior Year	4163486	OtherRevenuePriorYear
Other Revenue Current Year	5926029	OtherRevenueCurrentYear
Total Revenue Prior Year	439838385	TotalRevenuePriorYear
Total Revenue Current Year	468441732	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	798354	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	154933975	SalariesEtcPriorYear
Salaries Etc Current Year	158462712	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	240829906	OtherExpensePriorYear
Other Expenses Current Year	243084480	OtherExpensesCurrentYear
Total Expenses Prior Year	395763881	TotalExpensesPriorYear
Total Expenses Current Year	402345546	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	44074504	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	66096186	RevenuesLessExpensesCY
Total Assets BOY	506998161	TotalAssetsBOY
Total Assets EOY	576738604	TotalAssetsEOY
Total Liabilities BOY	320202068	TotalLiabilitiesBOY
Total Liabilities EOY	329674334	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	186796093	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	247064270	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	366905541	Expense
Grants	798354	Grants
Revenue	459779767	Revenue
Description	Bon Secours St. Francis Health System (BSSFHS) primarily serves Greenville County, which is comprised of approximately 450,000 residents with an 18% 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.BSSFHS is currently working with Greenville Hospital System, SC Department of Health and Environmental Control (DHEC) and other local organizations to complete a CHNA as imposed in the new IRS Notice 2011-52. Anticipated completion of this CHNA for Greenville County will be on or before August 31st, 2012. Development of Implementation strategies for addressing unmet needs in the community is projected to be complete by January 31st, 2013. See Community benefit information in Schedule H. The Community Benefit Report is available on the SFH website.	Description
Total Program Service Expense	366905541	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
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	1	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	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	189	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2797	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
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	18	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	1	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 (31 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Charlton Armstrong III MD
Board Member	4.00	X	0	0	0
Leonard Byrne
Board Member	4.00	X	0	0	0
Brother Peter Campbell
Board Member	4.00	X	0	0	0
Greg Haselden
Board Member	4.00	X	0	0	0
Camilla Hertwig
Board Member	4.00	X	0	0	0
Robert Hitt
Board Member	4.00	X	0	0	0
Valerie Hollinger
Board Member	4.00	X	0	0	0
Fletcher Kirkland
Board Member	4.00	X	0	0	0
Wayne McDonald MD
Board Member	4.00	X	0	0	0
Joanie Martin
Board Member	4.00	X	0	0	0
Jeff Oak
Board Member	50.00	X	0	400703	48182
Sam B Phillips
Board Member	4.00	X	0	0	0
David Poole
Board Member	4.00	X	0	0	0
Linton B Puckett
Board Member	4.00	X	0	0	0
Joe Sullivan
Board Member	4.00	X	0	0	0
Pearlie Harris
Chairperson	6.00	X	0	0	0	X
Thomas Morris PhD
President	50.00	X	0	351566	40989	X
Mark Nantz
CEO - BSSFHS	50.00	X	0	1085084	56277	X
Ronnie Hyatt
Treas/CFO - BSSFHS	50.00		444787	0	57435	X
Irene Holcombe
Secretary	50.00		80925	0	9588	X
Johnna Reed
Senior VP/Ancillary	50.00		257267	0	12838		X
Teresa Ficicchy
CNO	50.00		389963	0	46460		X
Patricia Fowler
VP/Surgical Services	50.00		232257	0	25923		X
Daniel Duggan
EVP/COO	50.00		0	364633	38702		X
Mary Jo Cagle
SVP, Medical Affairs	50.00		503763	0	61504			X
Bradley Howard MD
Chief Medical Officer	50.00		313623	0	14969			X
Mark Klapperich
CRNA	50.00		228055	0	20959			X
Nancy Graebner
SVP, Physician Services	50.00		331491	0	62410			X
Lisa Slayton
Senior VP/HR	50.00		256251	0	28785			X
John Shea
Former Int. CEO - BSSFHS	0.00		0	501057	10196				X
Richard Hanson
Former Int. CEO - BSSFHS	0.00		0	100022	8651				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3038382	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2803065	TotalReportableCompFrmRltdOrgs
Total Other Compensation	543868	TotalOtherCompensation
Number Individuals GT100 K	108	NumberIndividualsGT100K
Formers Listed	1	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
Hospital Medicine Associates
PO Box 634850	Cincinnati	OH	45263	ER Physician Staffing	1178579
Cameron Construction
PO Box 15120	Greenville	SC	29610	Construction	1178532
American Security
PO Box 100199	Columbia	SC	29202	Security Services	996232
Brains on Fire
148 River Street Suite 100	Greenville	SC	29601	Public Relations	914749
Sleepworks LLC
554 Hall Road	Thomasville	GA	31757	Sleep Study Services	862275

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	31	NumberOfContractorsGT100K
Related Organizations	1577378	RelatedOrganizations
Government Grants	3090517	GovernmentGrants
Total Contributions	4667895	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	449504814	449413818	90996
Disprop. Share Income	561499	7143846	7143846

Field	Value	IRS element (for citing)
Total Program Service Revenue	456648660	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	463097	TotalRevenueColumn
Exclusion	$463,097	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	480548	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	480548	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	480548	TotalRevenueColumn
Unrelated Business Revenue	3377	UnrelatedBusinessRevenue
Exclusion	$477,171	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	782204	Securities
Other	12401	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	58554	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	782204	Securities
Other	-46153	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	736051	TotalRevenueColumn
Exclusion	$736,051	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
Cafeteria/Vending/Gift	561499	1988413	$1,988,413
Regency Hospital	900099	1488522	$1,488,522
Supply Rebates	900099	689775	$689,775

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1278771	TotalRevenueColumn
Unrelated Business Revenue	363182	UnrelatedBusinessRevenue
Exclusion	$915,589	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	5445481	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	468441732	TotalRevenueColumn
Related Or Exempt Function Income	456557664	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	457555	UnrelatedBusinessRevenue
Exclusion	$6,758,618	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	798354	Total
Program Services	798354	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2096359	Total
Program Services	1886723	ProgramServices
Management And General	209636	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	123361248	Total
Program Services	111025123	ProgramServices
Management And General	12336125	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	6539348	Total
Program Services	5885413	ProgramServices
Management And General	653935	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	18225094	Total
Program Services	16402585	ProgramServices
Management And General	1822509	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	8240663	Total
Program Services	7416597	ProgramServices
Management And General	824066	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	931799	Total
Program Services	838619	ProgramServices
Management And General	93180	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	223724	Total
Program Services	201352	ProgramServices
Management And General	22372	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	18368	Total
Program Services	16531	ProgramServices
Management And General	1837	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	13021073	Total
Program Services	11718966	ProgramServices
Management And General	1302107	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1798187	Total
Program Services	1618368	ProgramServices
Management And General	179819	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2840249	Total
Program Services	2556224	ProgramServices
Management And General	284025	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	2703730	Total
Program Services	2433357	ProgramServices
Management And General	270373	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	9142390	Total
Program Services	8228151	ProgramServices
Management And General	914239	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	611602	Total
Program Services	550442	ProgramServices
Management And General	61160	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	521537	Total
Program Services	469383	ProgramServices
Management And General	52154	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	7562446	Total
Program Services	7562446	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	12194333	Total
Program Services	10974900	ProgramServices
Management And General	1219433	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1433320	Total
Program Services	1289988	ProgramServices
Management And General	143332	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Medical supplies	89431648	80488483	8943165
Bad Debt	39584702	39584702
Purchased Services	29065818	26159236	2906582
BSHSI Mgmt Allocation	6730817	6057735	673082
Repairs & Maintenance	6708839	6037955	670884

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	18559898	Total
Program Services	16703908	ProgramServices
Management And General	1855990	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	402345546	Total
Program Services	366905541	ProgramServices
Management And General	35440005	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	166160882	BOY
EOY	234525058	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	46078742	BOY
EOY	56901792	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	10631266	BOY
EOY	13130586	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1671800	BOY
EOY	1504357	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	266393935	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	101205525	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	171140655	BOY
EOY	165188410	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	14490060	BOY
EOY	16330910	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	96824756	BOY
EOY	89157491	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	506998161	BOY
EOY	576738604	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	41528486	BOY
EOY	49904277	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	278673582	BOY
EOY	279770057	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	320202068	BOY
EOY	329674334	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	186796093	BOY
EOY	247064270	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	186796093	BOY
EOY	247064270	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	506998161	BOY
EOY	576738604	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	66096186	ReconcilationRevenueExpenses
Reconcilation Other Changes	-5828009	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
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	$18,368	OtherActivitiesAmount
Total Lobbying Expenditures IIB	18368	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Explanation of Other Lobbying Activities:	Identifier
Return Reference	Part II-B, Line 1i:	ReturnReference
Explanation	SFH, Inc. paid dues to the South Carolina Hospital Association (SCHA), American Hospital Association (AHA), and the Catholic Hospital Association (CHA), a portion of which is used for lobbying activities. The portion of dues allocated to lobbying activities for each of these organizations is as follows: Lobbying activity for AHA ($7,113 or 24.2%), SCHA ($8,571 or 6.7%), CHA ($2,684 or 4.68%) for a total of $18,368.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	18689610	OtherCostOrOtherBasis
Book Value	18689610	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	156886269	OtherCostOrOtherBasis
Depreciation	35862407	Depreciation
Book Value	121023862	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	645127	OtherCostOrOtherBasis
Depreciation	352709	Depreciation
Book Value	292418	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	68400171	OtherCostOrOtherBasis
Depreciation	44865068	Depreciation
Book Value	23535103	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	21772758	OtherCostOrOtherBasis
Depreciation	20125341	Depreciation
Book Value	1647417	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	165188410	TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescription	Book ValueBookValue
Goodwill	83640996
Due from BSHSI	2853652
Third party settlements	2662843

Field	Value	IRS element (for citing)
Total Book Value Other Assets	89157491	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
Due to BSHSI	$259,300,131
Millennium building liability	$17,644,251
Third party settlements	$2,018,664
FIN 47 Asbestos Liability	$807,011

Field	Value	IRS element (for citing)
Total Of Amounts	279770057	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Description of Uncertain Tax Positions Under FIN 48:	Identifier
Return Reference	Part X:	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 FIN 48. FIN 48 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 FIN 48 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 $89,500 and $98,300 of net operating loss carryforwards as of August 31, 2011 and 2010, respectively, which expire in varying periods through 2031 and are available to offset future taxable income. The System's deferred tax assets are fully reserved at August 31, 2011 and 2010. 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 Most Hospitals	X	PolicyAppliedToMostHospitals
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	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
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	4431506	TotalCommunityBenefitExpense
Net Community Benefit Expense	4431506	NetCommunityBenefitExpense
Percent Of Total Expense	0.01220	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	21827133	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21637470	DirectOffsettingRevenue
Net Community Benefit Expense	189663	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	26258639	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21637470	DirectOffsettingRevenue
Net Community Benefit Expense	4621169	NetCommunityBenefitExpense
Percent Of Total Expense	0.01270	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	20	NumberOfActivitiesOrPrograms
Persons Served	78578	PersonsServed
Total Community Benefit Expense	1981687	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5675	DirectOffsettingRevenue
Net Community Benefit Expense	1976012	NetCommunityBenefitExpense
Percent Of Total Expense	0.00550	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	2864	PersonsServed
Total Community Benefit Expense	1413741	TotalCommunityBenefitExpense
Net Community Benefit Expense	1413741	NetCommunityBenefitExpense
Percent Of Total Expense	0.00390	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	586	PersonsServed
Total Community Benefit Expense	625078	TotalCommunityBenefitExpense
Net Community Benefit Expense	625078	NetCommunityBenefitExpense
Percent Of Total Expense	0.00170	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	25	NumberOfActivitiesOrPrograms
Persons Served	82028	PersonsServed
Total Community Benefit Expense	4020506	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5675	DirectOffsettingRevenue
Net Community Benefit Expense	4014831	NetCommunityBenefitExpense
Percent Of Total Expense	0.01110	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	25	NumberOfActivitiesOrPrograms
Persons Served	82028	PersonsServed
Total Community Benefit Expense	30279145	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21643145	DirectOffsettingRevenue
Net Community Benefit Expense	8636000	NetCommunityBenefitExpense
Percent Of Total Expense	0.02380	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	453799	PersonsServed
Total Community Building Expense	390811	TotalCommunityBuildingExpense
Net Community Building Expense	390811	NetCommunityBuildingExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	411	PersonsServed
Total Community Building Expense	21249	TotalCommunityBuildingExpense
Net Community Building Expense	21249	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	31	PersonsServed
Total Community Building Expense	6847	TotalCommunityBuildingExpense
Net Community Building Expense	6847	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	100	PersonsServed
Total Community Building Expense	28790	TotalCommunityBuildingExpense
Net Community Building Expense	28790	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	9	NumberOfActivitiesOrPrograms
Persons Served	454341	PersonsServed
Total Community Building Expense	447697	TotalCommunityBuildingExpense
Net Community Building Expense	447697	NetCommunityBuildingExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$7,725,805	BadDebtExpenseAmount
Amount Reimbursed By Medicare	106650906	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	122914623	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-16263717	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	0.58090	OrganizationProfitOrOwnership
Physicans Profit Or Ownership	0.23700	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	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Critical Access HospitalCriticalAccessHospital	Er24 HoursEr24Hours
SFH Inc dba St Francis- Downtown
1	One St Francis Drive	Greenville	SC	296013955	X	X	X	X
SFH Inc dba St Francis- Eastside
2	125 Commonwealth Drive	Greenville	SC	296154812	X	X	X	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	0	CHNAConducted

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	21	NumberOfOtherFacilities

Other Facilities OtherFacilities (21 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

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
Part I, Line 6a: BSSFHS annually develops a report to the community, describing the various community benefit services and programs in which our organization leads and participates. This report also includes the annual financial commitment of the local system to the community, detailing monetary contributions for government sponsored healthcare shortfall, community benefit programs and charity care at cost. This report is published each year and posted on the web at http://www.stfrancishealth.org/communityreport.php on or around January 24, commemorating Foundation Day of the Sisters of Bon Secours.
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 Carolinawas reimbursed to hospitals on a fixed prospective basis (fixed rates notdirectly related to costs). For years 2006 - 2011, the state has adjustedtheir methodology from a fixed prospective basis to a cost-to-care basis(actual costs to provide services). As a result of this change, a greaterpercentage of Medicaid is reimbursed to hospitals and unreimbursedMedicaid as a percentage of total expenses is significantly lower thanthose of hospitals in other states. As a nonprofit hospital in SouthCarolina, the unreimbursed Medicaid percentage for SFH, Inc. is fairlyconsistent 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 otheroperating 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): Current year bad debt expense not included in the calculation for line 7, Column (f): $39,584,702
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. Through intense research and asset mapping, the Sterling community was identified as a vulnerable area where this Initiative could work to create positive health outcomes among its 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. Data collected from 2010, measuring the health and environment of Sterling, suggests that the Sterling Community has higher rates of hypertension, chronic illness, and poverty. Furthermore, the community faces high traffic speeds, limited sidewalks or sidewalks in need of repair, limiting opportunity for safe and convenient exercising. Since the start of this initiative and in response to this specific community assessment, the following activities have taken place using the neighborhood and its residents to affect positive health change:Sterling has become home to the first organic community garden, the Odessa Street Community Garden, which is operated by residents. Through this garden development, seniors and residents have engaged in growing their own produce since its inception in 2010. Preliminary plans are underway to add additional gardens to the community and create an Urban Farm on vacant satellite sites that will help create jobs and grow healthy foods that serve Sterling and beyond. Agreements currently exist with two property owners in the community to be farm/co-op sites in 2012.The first phase of a biking/walking trail that sits between our health system and the historic core of the community has been completed, offering residents and safe and convenient place to exercise.Bon Secours St. Francis was able to assist in the restoration of the Sterling Community Center's weight room, which has been transformed into a complete fitness room with cardiovascular and strength training equipment, free and open to the community.	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 hospitals 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 patients ability to pay or the hospitals 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: 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 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 Financial Assistance Program (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 VI, Line 2: Bon Secours St. Francis has participated in local needs assessments of the medically underserved in Greenville County on a quinquennial basis through a collaborative partnership of several local agencies and organizations. The first health care assessment was conducted in 1998. Subsequent assessments since then have reflected successes and critical areas for action. A full report of findings, including over 400 pages of charts, graphs, and slide for the 2008 assessment can be found at http://www.greenvilleforward.com/healthassessment. An additional needs assessment was conducted in 2010, specifically targeting the Sterling Community.BSSFHS is in the planning process with local constituents to complete a more updated needs assessment to debut in approximately 2013. This needs assessment will correlate to the new guidelines imposed by the IRS Notice 2011-52, and will measure carefully identified health indicators to determine the most critical needs in Greenville County.
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 patients 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: BSSFHS primarily serves Greenville County, which is comprised of approximately 450,000 residents with an 18% population increase over the past decade. Greenville County is the largest county in the state and one of the fastest growing. Conveniently located along Interstate 85 and less than a two-hour drive to Atlanta, Georgia and Charlotte, North Carolina, Greenville County has become a premiere destination for capital investment that totaled approximately $250 million in 2010. Greenville is home to world-class companies such as Lockheed, General Electric, and IBM. Greenville County has announced over $1.1 Billion in new capital investment and 6,195 new jobs in the last five years, while the SC Department of Commerce indicates that Greenville is home to more corporate headquarters than any other region in SC (Greenville Area Development Cooperation, 2011). As of 2010, the median household income for Greenville County is $45,917. 15.3% of residents in Greenville County are in households that fall below the federal poverty guidelines, while 19% of children under the age of 18 live in poverty (US Census). It is estimated that 21% of the population under age 65 are without health insurance (CountyHealthRankings.org). 14.4% are currently using or qualify for Medicare and/or Medicaid. Two specific populations with large growth rates in the county are the senior population, with a 17% growth of residents 60 an older since 2000, and the Hispanic population, with an estimated growth of over 1200% estimated between 1990 and 2013 (Greenville County Health Assessment, 2008).The major health problems plaguing Greenville residents are cardiovascular disease, cancer and stroke. Greenville County data from 2008 indicates an age-adjusted rate of 181.4 (per 100,000) for cancer deaths. State level data from 2008 indicates an age-adjusted rate of 186.3 (per 100,000) for cancer deaths. Prevalence of cardiovascular disease in Greenville County is 5.5%, whereas the state of SC has a prevalence rate of 4.6%. Mortality rates for stoke for Greenville County reached an age-adjusted rate (per 100,00) of 51.6 in 2007, while the state of South Carolina had an age adjusted rate (per 100,000) of 53.3 (State of South Carolina, Department of Health and Environmental Control, Bureau of Community Health and Chronic Disease Prevention, County Chronic Disease Fact Sheet, February 2010).Risk factors that contribute to the incidence of these diseases are also an issue in Greenville County. County level data indicates 20% of Greenville County residents smoke, compared to 22% of South Carolina. Additionally, 26% of Greenville residents are considered obese, less than the approximate 30% by the state (CountyHealthRankings.org). Finally 42% of Greenville County residents have high cholesterol, not significantly different from 43% reflected by the state (State of South Carolina, Department of Health and Environmental Control, Bureau of Community Health and Chronic Disease Prevention, County Chronic Disease Fact Sheet, February 2010).BSSFHS uses these statistics to develop community programming in partnership with local agencies, as well as improve services within the hospital. For example, the Pearlie Harris Breast Health Center, which was granted a full accreditation designation by the National Accreditation Program for Breast Centers (NAPBC), offers free mammograms, breast ultrasounds, breast MRI's and needle biopsies for patients who are unable to pay for these breast procedures with the help of funds received by the Susan G. Komen Foundation. In addition, two full time Breast Health Navigators are available at no cost to patients who have mammogram results indicative of breast cancer, as well as those whose results are abnormal but non-cancerous. They offer emotional support to ensure our patients know all of their options and understand exactly what to expect during their testing and treatment.BSSFHS has several specialty services that are recognized centers of excellence. The first is a fully accredited bone marrow transplant unit that is one of just three programs in South Carolina. In 2010, the unit underwent a major expansion that more than doubled capacity for both inpatient and outpatient services. In 2011, St. Francis oncology rehab program earned STAR certification. The STAR (Survivorship Training and Rehabilitation) Program is a nationally recognized cancer survivorship program that focuses on helping survivors to heal physically and emotionally as well as possible. Based on conventional medicine, like orthopedic and cardiac rehabilitation, the STAR Program utilizes an interdisciplinary approach in which caregivers from different specialties team up to help patients increase strength and energy, alleviate pain and improve daily function and well-being. Also, in 2011, St. Francis was awarded designation as a Center of Excellence for Minimally Invasive Gynecologic Surgery by the American Association of Gynecologic Laparoscopists for the high quality use of minimally invasive techniques such as robotic surgery or single incision laparoscopic surgery.
Part VI, Line 6: 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 2010-2011, 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. Additionally, 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 Faith Community Nursing Program, 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 Oral disease is the most common, yet preventable, chronic health problem among children - five times more common than asthma (CDC, Jan. 2005). 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 2010-2011, the BSSFHS Oral Health Services program was able to conduct 4,358 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 through October 2010. 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. Since 2006, the BSSFHS Oral Health Services program has served over 10,900 residents. We continue to grow in the areas of restorative care services, working with new community partners and establishing new community sites to implement programs and services. Care for Families and ChildrenAnnually, 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. In 2010-2011, this health literacy project, "A Healthy You", documented a six-month follow-up study concluding that 47% of families surveyed were able to avoid one or more visits to the doctor in the past 6 months because of the Health at Home book (10% said they were able to avoid a visit to the doctor 4-7 times). In addition, 66% of families specified that Health at Home books helped them decide when to see a doctor, and 61% of families 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 in through financial support of case management of childrens 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 health-related problems of students and determine the barriers to receiving needed care. Services provided by CIS staff include coordinating the child's health care appointments, accompanying the child to the appointment, age appropriate education during visits and follow-up with the child's family. Particular attention is paid to the parent, child, and staff relationship. 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 January to October 2011, over 700 Hispanic families 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 by families using 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.The Faith Community Nursing ProgramIn addition to the volunteer parish nurses and lay health promoters who met the needs of their local congregations, BSSFHS employs three nurses and a licensed social worker, who directly serves and minister to vulnerable populations. These Faith Community nurses and social worker work with organizations throughout Greenville, focusing on the needs of the underserved in local organizations such as Triune Mercy Center, Mercy Housing's Mulberry Court and St. Anthony of Padua Catholic Church. These four individuals keep the community healthy by helping people with major health issues connect to the appropriate resources available in the community with an emphasis on spiritual health.BSSFHS's Faith Community Nursing program is actively involved in strong partnerships that exist with the following local organizations: United Way of Greenville County; New Horizon Family Health Services (a federally-qualified health center); Greenville Free Medical Clinic; Greenville Technical College; Greenville Forward; Greenville County School District; Upstate Homeless Coalition; Mercy Housing; Meals on Wheels; and local churches and universities. These local organizations support BSSFHS to identify community needs, as well as gaps in services and work collaboratively to improve the health and wellness of Greenville County.
Part VI, Line 7: 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 four goal areas for the current three year period (2010-2012). One of those goals is to partner with communities to co-create a more humane world, improve health and model social justice. To accomplish this, two key strategies are to: - Engage communities to identify needs and assets and building partnerships to improve health and quality of life of a specific population.- Demonstrate sustainable stewardship for healing the earth as a way to improve health and life quality.As a member of the Catholic health ministry and BSHSI, Bon Secours St. Francis Health System, Inc. (BSSFHS) is called to live the teachings and promises of Jesus. The community benefit services provided by BSSFHS include programs and partnership working to improve access to health care and the quality of life and holistic health of the communities served. BSSFHS exists 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". BSSFHS shares 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". BSSFHS is comprised of two general acute care hospitals (St. Francis - Downtown and St. Francis - Eastside), a physician joint-ventured ambulatory surgery center (Upstate Surgery Center) and leased space in a medical office building at the Millennium campus; all of which are located in Greenville, South Carolina. St. Francis downtown is located in downtown Greenville and has 245 licensed beds, 16 operating rooms and offers a full range of medical/surgical services. Core clinical areas of excellence include cardiology/CV surgery, orthopedics, and general surgery.St. Francis eastside is located in a suburb of Greenville County which is considered a fast growing area in regards to residential growth as well as commercial and business growth. This facility has 93 licensed beds (13 of which are Labor/Delivery/Recovery rooms), an Intermediate NICU and eight operating rooms. Core clinical areas of excellence include OB/GYN, ENT, and orthopedics. The health system operates two emergency departments on opposite sides of the county to ensure that all persons, regardless of their ability to pay, have access to emergency care. Additionally, St. Francis Hospital, Inc. leases approximately 38,000 sq. ft in a medical office building on the Millennium campus for community education, cardiac rehab and diagnostic services.Finally, The Upstate Surgery Center is a physician joint-ventured ambulatory surgery center that is located on the eastside of Greenville County, very close in proximity to St. Francis eastside. This facility has two licensed operating rooms, focusing on ENT and ophthalmology surgical procedures.
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	St Francis Hospital 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	798354	AmountOfCashGrant
Purpose Of Grant	Cost of admin services provided to the Foundation by SFH, Inc.	PurposeOfGrant

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	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 (15 entries)

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
0	304801	0	69644	0	26258	0	17150	0	31032	0	448885	0	0
Thomas Morris PhD
0	258451	0	70978	0	22137	0	28541	0	12448	0	392555	0	0
Mark Nantz
0	437094	0	328628	0	319362	0	30500	0	25777	0	1141361	0	0
Ronnie Hyatt
323005	0	117458	0	4324	0	46671	0	10764	0	502222	0	0	0
Johnna Reed
186806	0	59337	0	11124	0	7257	0	5581	0	270105	0	0	0
Teresa Ficicchy
228631	0	85902	0	75430	0	39804	0	6656	0	436423	0	32386	0
Patricia Fowler
173959	0	55996	0	2302	0	20210	0	5713	0	258180	0	0	0
Daniel Duggan
0	276156	0	64882	0	23595	17831	0	20871	0	38702	364633	0	0
Mary Jo Cagle
348774	0	127215	0	27774	0	42559	0	18945	0	565267	0	58410	0
Bradley Howard MD
267268	0	45732	0	623	0	0	0	14969	0	328592	0	0	0
Mark Klapperich
227673	0	166	0	216	0	6956	0	14003	0	249014	0	0	0
Nancy Graebner
240366	0	88933	0	2192	0	51092	0	11318	0	393901	0	0	0
Lisa Slayton
193342	0	61242	0	1667	0	24447	0	4338	0	285036	0	0	0
John Shea
0	67836	0	0	0	433221	0	4848	0	5348	0	511253	0	89556
Richard Hanson
0	91580	0	680	0	7762	0	6444	0	2207	0	108673	0	69611

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part I, Lines 4a-b	Part I, Lines 4a: Bon Secours Health System, Inc. has system wide severance policies for various levels of executive management. Executive positions throughout the system may include, but are not limited to, CEO/President, CFO, COO, EVP, SVP, VP and Directors. Severance periods vary based on length of service, subsequent employment and violations of the severance policy. Generally, severance periods can be up to 24 months. Benefits may include, but are not limited to, base salary, certain health benefits and payment of unused vacation. The following individual(s) received severance payments during the applicable calendar year: John Shea, $228,582 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 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 are made into this plan. The following individuals received payments in 2011: John Shea - $105,932 Richard Hanson - $71,180 Mary Jo Cagle - $112,931 Teresa Ficicchy - $63,161
Part III	Part I, Line 3: Bon Secours Health System, Inc., a related organization of SFH, Inc., 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	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	See Part V	Relationship
Amount Of Transaction	165317	AmountOfTransaction
Description Of Transaction	Employment	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	Sch L, Part IV, Business Transactions Involving Interested Persons:	Identifier
Explanation	(a) Name of Person: Katie Hertwig(b) Relationship Between Interested Person and Organization:Daughter-in-Law of BM Camilla Hertwig	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Form 990, Part VI, Section A, line 2	Board member Sam B. Phillips and board member David Poole have a business relationship.
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 SFH, Inc.
Form 990, Part VI, Section A, line 7a	The governing body of SFH, 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 SFH, 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 of July 16, 2012. 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 July 16, 2012.
	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 12c
	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 positions of other officers or key employees of the organization were compared to similar position market data in comparably situated organizations taking into consideration geographic location and organization size where appropriate. During the review and approval of the compensation, documentation of the decision was recorded in human resources.	Form 990, Part VI, Section B, line 15
	SFH, Inc. provides any documents open to public inspection upon request.	Form 990, Part VI, Section C, line 19
	Hours worked are not tracked on an entity by entity basis. All officer's and director's hours reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors represent aggregate hours worked per week. Volunteer Board Members are not compensated for their time. Mark Nantz's compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation he receives is for his role as the CEO of Bon Secours St. Francis Health System, which includes direct management, monitoring and oversight of Bon Secours St. Francis Health System and its related organizations. Jeff Oak's compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation he receives is for his role as the Chief Corporate Responsibility and Development Officer of Bon Secours Health System, Inc. Thomas Morris' compensation is from Bon Secours Health System, Inc., a related organization. The compensation he receives is for the role as an SVP of Sponsorship at Bon Secours Health System, Inc. Brother Peter Campbell does not receive payroll distributions as he has taken a vow of poverty.	Form 990, Part VII:
Changes in Net Assets or Fund Balances:	Net unrealized gains on investments: 734,329. Transfers to HSO for principal and swap -7,189,727. Distributions from Upstate 627,389. Total to Form 990, Part XI, Line 5: -5,828,009.	Form 990, Part XI, line 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	EINEIN
Physicians' Surgery Center at St Francis LLC
One St Francis Drive	Greenville	SC	29601	No activity	SC	SFH Inc
Bon Secours St Francis Diagnostic Services LLC
One St Francis Drive	Greenville	SC	29601	No activity	SC	SFH Inc	800520229

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
1 St Francis Drive	Greenville	SC	296013955	582504528	Local System Parent Org.	SC	501(c)(3)	11b	Bon Secours Health System Inc	0
St Francis Hospital Foundation Inc
1 St Francis Drive	Greenville	SC	296013955	260012031	Grant Making Foundation	SC	501(c)(3)	7	SFH Inc	1
St Francis Physician Services
1 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	1 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	SFH Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Predominant Income Type	Related	PredominantIncomeType
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 & Subs	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1 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	Bon Secours St Francis Health System Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C	TypeOfEntity

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
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
Upstate Surgery Center
R	627388	Actual
Upstate Surgery Center
K	90996	Cost
St Francis Hospital Foundation Inc
B	798354	Actual
St Francis Hospital Foundation Inc
C	1577378	Actual