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ST FRANCIS HOSPITAL INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
ST FRANCIS HOSPITAL INC (EIN 58-2504530)
Tax period
2009-09-01 to 2010-08-31
Filed
2011-07-12
IRS object ID
201111939349300536
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-07-12T20:08:10-05:00Timestamp
Tax Period End Date2010-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11750 TYSONS BLVDAddressLine1
CityMCLEANCity
StateVAState
ZIP Code221024219ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN582504530EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SFH IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSFHINameControl
Phone8642551000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One St Francis DriveAddressLine1
CityGreenvilleCity
StateSCState
ZIP Code296013955ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRonnie HyattName
TitleChief Financial OfficerTitle
Phone8642551000Phone
Date Signed2011-07-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone7032511000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRonnie HyattNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1One St Francis DriveAddressLine1
CityGreenvilleCity
StateSCState
ZIP Code296013955ZIPCode
FieldValueIRS element (for citing)
Gross Receipts440075242GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501cXOrganization501c
Web Sitewww.stfrancishealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1932YearFormation
State Legal DomicileSCStateLegalDomicile
Activity Or Mission DescriptionProvides acute care hospital services.ActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees2843TotalNbrEmployees
Total Nbr Volunteers345TotalNbrVolunteers
Total Gross UBI352113TotalGrossUBI
Net Unrelated Business Txbl Income-115766NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year662327ContributionsGrantsPriorYear
Contributions Grants Current Year431086ContributionsGrantsCurrentYear
Program Service Revenue Prior Year407073437ProgramServiceRevenuePriorYear
Program Service Revenue CY434198980ProgramServiceRevenueCY
Investment Income Prior Year-403917InvestmentIncomePriorYear
Investment Income Current Year1044833InvestmentIncomeCurrentYear
Other Revenue Prior Year3492483OtherRevenuePriorYear
Other Revenue Current Year4163486OtherRevenueCurrentYear
Total Revenue Prior Year410824330TotalRevenuePriorYear
Total Revenue Current Year439838385TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year153360273SalariesEtcPriorYear
Salaries Etc Current Year154933975SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year221235922OtherExpensePriorYear
Other Expenses Current Year240829906OtherExpensesCurrentYear
Total Expenses Prior Year374596195TotalExpensesPriorYear
Total Expenses Current Year395763881TotalExpensesCurrentYear
Revenues Less Expenses Prior Year36228135RevenuesLessExpensesPriorYear
Revenues Less Expenses CY44074504RevenuesLessExpensesCY
Total Assets BOY465951046TotalAssetsBOY
Total Assets EOY506998161TotalAssetsEOY
Total Liabilities BOY320076297TotalLiabilitiesBOY
Total Liabilities EOY320202068TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY145874749NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY186796093NetAssetsOrFundBalancesEOY
Mission DescriptionThe mission is to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a system of caregivers, we commit ourselves to help bring people and communities to health and wholeness.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense361209076Expense
Revenue434107980Revenue
DescriptionBSSFHS primarily serves Greenville County, which is comprised of approximately 425,000 residents with a growth of over 40,000 people each year, 13.2% of residents in Greenville County are in households that fall below the federal poverty guidelines. Currently, 37.2% of Greenville County residents are medically underserved. 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. The major health problems plaguing Greenville residents are cardiovascular disease, cancer and stroke. Please refer to the Community Benefit information on Schedule H.Description
Total Program Service Expense361209076TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096205NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2843NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Ronnie HyattBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8642551000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1One St Francis DriveAddressLine1
CityGreenvilleCity
StateSCState
ZIP Code296053955ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Leonard Byrne
Board Member4.00X000
Camilla Hertwig
Board Member4.00X000
Eric Le Corre
Board Member4.00X000
Sam B Phillips
Board Member4.00X000
David Poole
Board Member4.00X000
Linton B Puckett
Board Member4.00X000
Robert Hitt
Board Member4.00X000
Valerie Hollinger
Board Member4.00X000
Jeff Oak
Board Member50.00X053032154275
Fletcher Kirkland
Board Member4.00X000
Brother Peter Campbell
Board Member4.00X000
Charlton Armstrong III MD
Board Member4.00X000
Wayne McDonald MD
Board Member4.00X000
Greg Haselden
Board Member4.00X000
Sr Rose Marie Jasinski
President (Sept - Dec)50.00X000X
Valinda Rutledge
CEO (Sept)50.00X798608092051X
Thomas Morris
President (Jan - Aug)50.00X041765945481X
Pearlie Harris
Chairman6.00X000X
John Shea
Interim CEO (Sept)50.00X0792042131791X
Richard Hanson
Interim CEO (Oct-Jan)50.00X0772746108244X
Mark Nantz
CEO (Jan-Aug)50.00X000X
Ronnie Hyatt
CFO/Treasurer50.00392665087521X
Irene Holcombe
Secretary50.0086270012881X
Lisa Slayton
Senior VP/HR50.00233120064548X
Johnna Reed
Senior VP/Ancillary50.00228191061264X
Teresa Ficicchy
CNO50.00270174093196X
Patricia Fowler
VP/Surgical Services50.00213221081846X
Randall Romberger
EVP/COO50.0002844433373X
Mary Jo Cagle
SVP, Medical Affairs50.00401343082586X
Mark Klapperich
CRNA50.00224975046589X
Nancy Graebner
EVP50.002992020105561X
Elizabeth Keith
SVP, Mission Services50.00194047067691X
James Phil Feisal
Former EVP/COO0.00017041227850X
Mary Hassett
Former SVP, Strategic0.0035967301931X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3701489TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2967623TotalReportableCompFrmRltdOrgs
Total Other Compensation1168679TotalOtherCompensation
Number Individuals GT100 K94NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SE Emergency Physicians
PO Box 634706CincinnatiOH45263ER Physician Staffing1768555
American Security
PO Box 100199ColumbiaSC29202Security Services919206
Fayetteville Lithotripsy
PO Box 847324DallasTX75284Lithotripsy Services856340
Carolina Perfusion Associates
703 Lakewinds BlvdInmanSC29349Perfusion Services788727
Sleepworks LLC
554 Hall RoadThomasvilleGA31757Sleep Study Services723185
FieldValueIRS element (for citing)
Number Of Contractors GT100 K24NumberOfContractorsGT100K
Related Organizations431086RelatedOrganizations
Total Contributions431086TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Patient Service Rev.62211043154461443145361491000
Disprop. Share Income56149926543662654366
FieldValueIRS element (for citing)
Total Program Service Revenue434198980TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column477721TotalRevenueColumn
Exclusion$477,721ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real68840Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real68840Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column68840TotalRevenueColumn
Exclusion$68,840ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other803969Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities170282Securities
Other66575Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-170282Securities
Other737394Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column567112TotalRevenueColumn
Exclusion$567,112ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
Regency Hospital6214001960871$1,960,871
Cafeteria/Vending9000991480033$1,480,033
Laboratory Fees621500211960211960

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column441782TotalRevenueColumn
Unrelated Business Revenue49153UnrelatedBusinessRevenue
Exclusion$392,629ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue4094646TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column439838385TotalRevenueColumn
Related Or Exempt Function Income434107980RelatedOrExemptFunctionIncome
Unrelated Business Revenue352113UnrelatedBusinessRevenue
Exclusion$4,947,206ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1555299Total
Management And General1555299ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total117817011Total
Program Services107345928ProgramServices
Management And General10471083ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5853597Total
Program Services5321352ProgramServices
Management And General532245ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total18655791Total
Program Services16826248ProgramServices
Management And General1829543ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total11052277Total
Program Services9947049ProgramServices
Management And General1105228ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total540554Total
Program Services486499ProgramServices
Management And General54055ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total183250Total
Program Services164925ProgramServices
Management And General18325ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total12765Total
Program Services11490ProgramServices
Management And General1275ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total46626472Total
Program Services41963825ProgramServices
Management And General4662647ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1552666Total
Program Services1397399ProgramServices
Management And General155267ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1865053Total
Program Services1678548ProgramServices
Management And General186505ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total8826369Total
Program Services7943732ProgramServices
Management And General882637ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total557216Total
Program Services501494ProgramServices
Management And General55722ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total239892Total
Program Services215903ProgramServices
Management And General23989ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total8645750Total
Program Services7781175ProgramServices
Management And General864575ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total13490328Total
Program Services12141295ProgramServices
Management And General1349033ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1582656Total
Program Services1424390ProgramServices
Management And General158266ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Medical supplies78726445708538027872643
Bad debt5021582750215827
Repairs/Rental69373836243645693738
Tax and license fee49089964418096490900
UBIT expense46787942109146788

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total15450405Total
Program Services13905363ProgramServices
Management And General1545042ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total395763881Total
Program Services361209076ProgramServices
Management And General34554805ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY-1BOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY112624166BOY
EOY166160882EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY51477980BOY
EOY46078742EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY9069620BOY
EOY10631266EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2408888BOY
EOY1671800EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis261128704LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec89988049LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY178023282BOY
EOY171140655EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY13464922BOY
EOY14490060EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY98882189BOY
EOY96824756EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY465951046BOY
EOY506998161EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY38262924BOY
EOY41528486EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY281813373BOY
EOY278673582EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY320076297BOY
EOY320202068EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY145874749BOY
EOY186796093EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY145874749BOY
EOY186796093EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY465951046BOY
EOY506998161EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$12,765OtherActivitiesAmount
Total Lobbying Expenditures IIB12765TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1i:Identifier
Return ReferenceExplanation of Other Lobbying Activities:ReturnReference
ExplanationSFH, Inc. paid dues to the South Carolina Hospital Association (SCHA) and a portion of this dues is used for lobbying activities. The portion of dues allocated to lobbying activities for this organization is $12,765.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis18689610OtherCostOrOtherBasis
Book Value18689610BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis155433171OtherCostOrOtherBasis
Depreciation31612231Depreciation
Book Value123820940BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis512815OtherCostOrOtherBasis
Depreciation264476Depreciation
Book Value248339BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis65822742OtherCostOrOtherBasis
Depreciation39343552Depreciation
Book Value26479190BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis20670366OtherCostOrOtherBasis
Depreciation18767790Depreciation
Book Value1902576BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings171140655TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionThird party settlementsDescription
Book Value96824756BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets96824756TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Due to affiliates$259,300,131
Millennium building liability$17,059,631
Other$2,313,820
FieldValueIRS element (for citing)
Total Of Amounts278673582TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart X:Identifier
Return ReferenceDescription of Uncertain Tax Positions Under FIN 48:ReturnReference
ExplanationSchedule D, Part X, Line 2 requires that the organization provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48. As the organization does not conduct a separate audit of its financial statement, 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 $98,300 and $117,200 of net operating loss carryforwards as of August 31, 2010 and 2009, respectively, which expire in varying periods through 2030 and are available to offset future taxable income. The System's deferred tax assets are fully reserved at August 31, 2010 and 2009. Any changes to the valuation allowance on the deferred tax asset are reflected in the year of the change.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense3724435TotalCommunityBenefitExpense
Direct Offsetting Revenue13500DirectOffsettingRevenue
Net Community Benefit Expense3710935NetCommunityBenefitExpense
Percent Of Total Expense0.01070PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense20655547TotalCommunityBenefitExpense
Direct Offsetting Revenue20503098DirectOffsettingRevenue
Net Community Benefit Expense152449NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense24379982TotalCommunityBenefitExpense
Direct Offsetting Revenue20516598DirectOffsettingRevenue
Net Community Benefit Expense3863384NetCommunityBenefitExpense
Percent Of Total Expense0.01110PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served105793PersonsServed
Total Community Benefit Expense1718942TotalCommunityBenefitExpense
Direct Offsetting Revenue79501DirectOffsettingRevenue
Net Community Benefit Expense1639441NetCommunityBenefitExpense
Percent Of Total Expense0.00470PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served1753PersonsServed
Total Community Benefit Expense1162363TotalCommunityBenefitExpense
Net Community Benefit Expense1162363NetCommunityBenefitExpense
Percent Of Total Expense0.00340PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Persons Served329PersonsServed
Total Community Benefit Expense479688TotalCommunityBenefitExpense
Direct Offsetting Revenue3398DirectOffsettingRevenue
Net Community Benefit Expense476290NetCommunityBenefitExpense
Percent Of Total Expense0.00140PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served107875PersonsServed
Total Community Benefit Expense3360993TotalCommunityBenefitExpense
Direct Offsetting Revenue82899DirectOffsettingRevenue
Net Community Benefit Expense3278094NetCommunityBenefitExpense
Percent Of Total Expense0.00950PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served107875PersonsServed
Total Community Benefit Expense27740975TotalCommunityBenefitExpense
Direct Offsetting Revenue20599497DirectOffsettingRevenue
Net Community Benefit Expense7141478NetCommunityBenefitExpense
Percent Of Total Expense0.02060PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served559PersonsServed
Total Community Building Expense175231TotalCommunityBuildingExpense
Net Community Building Expense175231NetCommunityBuildingExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense1318TotalCommunityBuildingExpense
Net Community Building Expense1318NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served92PersonsServed
Total Community Building Expense42735TotalCommunityBuildingExpense
Net Community Building Expense42735NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs8NumberOfActivitiesOrPrograms
Persons Served651PersonsServed
Total Community Building Expense219284TotalCommunityBuildingExpense
Net Community Building Expense219284NetCommunityBuildingExpense
Percent Of Total Expense0.00060PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$11,082,633BadDebtExpenseAmount
Amount Reimbursed By Medicare145326096AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare163802032CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-18475936MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1Upstate Surgery CenterBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityAmbulatory Surgery CenterDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.58090OrganizationProfitOrOwnership
Physicans Profit Or Ownership0.23070PhysicansProfitOrOwnership

Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalCritical Access HospitalCriticalAccessHospitalEr24 HoursEr24Hours
SFH Inc dba St Francis- Downtown
One St Francis DriveGreenvilleSC296013955XXXX
SFH Inc dba St Francis- Eastside
125 Commonwealth DriveGreenvilleSC296154812XXXX

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Annual Community Benefit ExplnPart I, Line 6a: BSSFHS annually develops a report to the community, explaining the various community benefit services and programs that exist. 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.AnnualCommunityBenefitExpln
Costing Method UsedPart I, Line 7: Part I, line 7a: Charity Care at cost is computed by applying a cost-to-charge ratio to the aggregate charity adjustments recorded in the general ledger. Part I, line 7b: Unreimbursed Medicaid is computed by determining the cost of Medicaid services supplied less payments received for these services. To determine the cost of Medicaid services provided, a cost-to-charge ratio is applied to traditional and managed Medicaid gross charges recorded in the general ledger. Payments include payments for individual claims, payments from the Medicaid program paid outside the claim process (such as medical education payments) and expected or actual cost report settlements.Part I, line 7b(f): Prior to 2006, Medicaid in the state of South Carolina was reimbursed to hospitals on a fixed prospective basis (fixed rates not directly related to costs). For years 2006 - 2011, the state has adjusted their methodology from a fixed prospective basis to a cost-to-care basis (actual costs to provide services). As a result of this change, a greater percentage of Medicaid is reimbursed to hospitals and unreimbursed Medicaid as a percentage of total expenses is significantly lower than those of hospitals in other states. As a nonprofit hospital in South Carolina, the unreimbursed Medicaid percentage for SFH, Inc. is fairly consistent with those of other hospitals in the state.Part I, line 7c: Unreimbursed costs from other means-tested government programs are computed by applying a cost-to-charge ratio to the total charges to patients covered under these programs. The charges are identified by the financial class assigned to the patient. For Part I, Line 7 a-c computations: The cost-to-charge ratio is derived using the suggested computation in Worksheet 2, Ratio of Patient Care Cost-to-Charges. Operating expenses and Gross patient charges are taken from the general ledger. Expenses for nonpatient care activities recorded in operating expenses are approximated as directly equaling other operating revenue, assuming these activities do not provide profit. Part I, line 7e: Community health improvement services and community benefit operations are accumulated throughout the year and reported at actual cost in a software program that specifically addresses this purpose.Part I, line 7f: Health professions education cost is determined as the direct and indirect cost of qualifying education activities as traditionally reported in columns 21-24 on Worksheet B of the Medicare cost report as a Medical Education program, nursing school or other allied health program.CostingMethodUsed
Percent Of Total Expense ExplnPart I, Line 7f: Part I, Line 7, Column f: Current year bad debt expense not included in the calculation for line 7, Column (f): $50,736,215PercentOfTotalExpenseExpln
Bad Debt FootnotePart 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.BadDebtFootnote
Shortfall As Community BenefitPart 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 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.ShortfallAsCommunityBenefit
Debt Collection PolicyPart III, Line 9b: Part III, Line 9b: The hospital has a written policy that describes collection practices applying to patients who 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 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 approval. 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.DebtCollectionPolicy
General ExplanationQuantified Community Benefit and Community Building Activities: The financial information was prepared in accordance with the Catholic Health Association's community benefit reporting guidelines and IRS instructions. As a tax-exempt entity, BSSFHS is exempt from federal and state taxation. However, BSSFHS contributes value to the community that consistently exceeds the benefit of this tax exemption. Over the years, BSSFHS periodically has an independent analysis performed by outside consultants knowledgeable of tax law. The consultants help to quantify the value of its tax exemption including income, unemployment, real estate, property and excise taxes, and the benefit of being able to borrow at tax-exempt interest rates. This independent analysis provides BSSFHS with a baseline methodology to compare its cost of community benefit services and the taxes that it would pay if it were a taxable entity. For the fiscal year ending August 31, 2010, BSSFHS provided over $3 million in community benefit services and community building activities at cost. This is well in excess of the value of its potential tax obligation.GeneralExplanation
Needs AssessmentPart VI, Line 2: Bon Secours St. Francis currently participates in local needs assessments of the medically underserved in Greenville County on a quinquennial basis through the direction of Greenville Forward (a local community organization). The fiscal agents behind the most recent needs assessment include BSSFHS, Greenville Forward, Greenville Hospital System (GHS), the United Way of Greenville County and the Piedmont Healthcare Foundation. 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.NeedsAssessment
Patient Education AssistancePart VI, Line 3: BSSFHS Charity Care/Patient Financial Assistance Policy: BSSFHS is committed to ensuring access to health care services for all. As a health care provider, BSSFHS treats all patients, whether insured, underinsured or uninsured, with dignity, respect and compassion throughout admission, delivery of services, discharge and billing and collection processes. BSSFHS addresses the needs of the uninsured by providing free or reduced fees on hospital services, community outreach efforts to assist with Medicaid and SCHIP enrollment, and free community-based preventive and primary care services. BSSFHS 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). A sliding scale assistance policy is afforded patients that exceed the income guidelines for 100% assistance. Sliding scale assistance is provided to patients between 200% and 400% of the Adjusted FPG 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 eligible for a Prompt Pay Discount. In addition, a variety of other potential payment options are available. This patient financial assistance policy is communicated to patients verbally upon registration, visible postings of the policy in common areas throughout the hospital, brochures and on BSSFHS website: www.stfrancisehalth.org. BSSFHS is dedicated to meeting the needs of non-English speaking patients. BSSFHS staffs 3 full-time onsite Spanish translators, as well as offering a dedicated Spanish phone line. In addition, BSSFHS employs the telephone language service, Cyracom, 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.Programs are available through St. Francis that assists with the financial burden of treatment of illness, one specifically being cancer. St. Francis uses funds received through the Susan G. Komen Grant to provide free mammograms to women who qualify. In addition, Bon Secours St. Francis Foundation offers financial assistance for oncology patients who cannot afford treatment or travel. Additionally, a new program is in development through the BSSFHS Batson Cancer Unit and Patient Financial Services departments that will hire an Oncology Patient Assistance Coordinator. This coordinator will responsible for utilizing existing drug and patient financial assistance resources to allow for maximum drug and service coverage along with minimum out-of-pocket expenses for our oncology patient population. Patient financial counseling and patient need assessments will also be conducted under this position. The coordinator will determine patient qualifications for grants, drug cost recovery programs and other paying sources related to lack of insurance coverage or lack of benefits, non-covered services, or patient ability to pay out of pocket costs. This position will permit follow-up and maintain patient accounts that qualify for assistance. Finally, the coordinator will create and maintain a patient assistance database and train staff to interpret and assist with maintaining the database. Any collection attorneys or agencies used by BSSFHS commit to follow BSSFHS value-based procedure, including, without limitation, BSHSI/BSSFHS Code of Conduct, in pursuit of estates, garnishments and judgments for non-payment.PatientEducationAssistance
Community InformationPart VI, Line 4: BSSFHS primarily serves Greenville County, which is comprised of approximately 425,000 residents with a growth of over 40,000 people each year. Greenville County is the largest county in the state and one of the fastest growing with a 13% population increase over the past 8 years. 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 now totals approximately $300 billion annually and is home to 170 corporate headquarters including Michelin North America, Bowater, and Kemet. Per capita income for Greenville County is an average of $24,215 (Greenville County Health Assessment, 2008). 13.2% of residents in Greenville County are in households that fall below the federal poverty guidelines (US. Census). Currently, 37.2% of Greenville County (169,000 residents) are medically underserved. 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 100,000) 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 from 2008 indicates 23% of Greenville County residents smoke, compared to 20% of South Carolina. Additionally, 65% of Greenville residents are overweight, not significantly higher than 64% reflected by the state. Finally 42% of Greenville County residents have high cholesterol, not statistically 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 on services within the hospital. For example, the St. Francis Breast Health Center, which was recently 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 that indicate 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 two specialty services that are recognized centers of excellence. The first is a fully accredited bone marrow transplant program that is the first and only of its kind in the area and one of just two programs in South Carolina. The unit is currently undergoing major expansions that will more than double current capacity for both inpatient and outpatient services. In addition, BSSFHS is the only hospital in Greenville to offer Robotic Surgery in 2009.CommunityInformation
Community Building ActivitiesPart VI, Line 5: In 2008, BSSFHS conducted an analysis to identify the most vulnerable neighborhoods within the broader community. The analysis was based on socio/economic factors including household income, education, social/linguistic isolation, access to healthcare, housing, and environment. The criteria to select the initial vulnerable community of focus included the vulnerability assessment, the number of BSSFHS employees living in the community and the importance of BSSFHS presence as an anchor institution in the community. The BSSFHS decided to select Greenvilles Sterling community to have a full-time employee who works exclusively with this community. Sterling is one of the most low-income populations in Greenville County. According to the 2000 Census, Sterling was listed as a neighborhood with nearly 40% of its residents earning less than $15,000/year. The full time employees title is Director of Community Relationship Building, tasked with coordinating efforts to unite the community (Sterling and the wider Greenville area with Sterling) together as well as provide support for health and social issues. Specifically, the Director assesses the needs and assets of the community by conducting resident interviews, community forums, focus groups, and community summits. Data received is not only being used to develop programs and services that will work to alleviate paramount issues within this vulnerable community, but also create a sustainable, vibrant, and healthy environment. The community building activities exist for the sole purpose of co-creating a healthier community with the residents from that community. As an advocate for health, the Director facilitates dialogues, focus groups, and other related activities that help residents, caregivers, professionals, and others from an array of diverse backgrounds to see the connection between health, economics, culture, and neighborhood/environmental design/infrastructure. BSSFHS works with residents and various stakeholders to help promote positive change in Sterling through structured programming that empowers residents to make sustainable improvements in the areas of economic development and prosperity, environmental stewardship, and healthier lifestyle choices. Since the start of community building activities in the Fall of 2008 and throughout the 2009 calendar year, our efforts in Sterling have received wide community support and attention. The Director of Community Relationship Building spends considerable time monthly going door to door engaging the community of nearly 900 residents personally. He attends their events and meetings on a regular basis at local churches or community centers. He has held various community engagement and health advocacy related events to educate the community on things taking place as well as provide opportunities for residents to participate directly in the process as decision makers. In the Fall of 2008, the Director of Community Relationship Building revitalized community building efforts to be more tailored to the community of focus, calling the effort The Sterling Phoenix League. Into early 2009, the Sterling Phoenix League has seen over 100 participants rally behind the communitys effort to revitalize, rotating themselves across 8 different teams that were set up around the following areas: Health & Wellness Economic Development Housing Peace & Safety Community Spirit Going Green (Environment trails, gardens, urban farms, recycling) Youth Engagement Senior Advocacy The community also designed a Master Plan to help guide infrastructure improvements, promote economic development, and honor the character and history of the neighborhood. Sterling residents have been centrally involved in all aspects of the Sterling Phoenix League, eventually having created their own Sterling Community Land Trust in 2009, which is the first land trust organization in South Carolina. The Director of Community Relationship Building has spent considerable time facilitating and building the capacity of this organization as it will likely be a more organized and vocal representation for the community's interests in terms of historic preservation, housing, and economic development for the community. BSSFHS is slated to provide initial seed funding for the organization during the 2011 fiscal year (Fall 2010 calendar year). The Director of Community Relationship Building has met with the residents and facilitated their leadership development and capacity building and helped projects like the Land Trust, Sterling Trail System, Community Gardens, Sterling Health & Wellness events and assessments, and the Master Plan to come to fruition. Monthly meetings are held and bring residents, key stakeholders and community agencies together for updates and work sessions, at times facilitating groups as large as 50 to 80 people. The Director of Community Relationship Building has sought to leverage existing programs, resources, and relationships (or bridge new ones) within Sterling and from outside the community to cover costs, share costs, or more efficiently use established budgets.CommunityBuildingActivities
Other InformationPart 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 2009-2010, the health system was led in its mission to serve the community by a governing board that included 17 members, fourteen 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, which has four full-time dedicated staff members, the Faith Community Nursing Program, LifeWise (a community initiative targeting adults 55 and older), and Open Arms Hospice, a partnership providing the only community Hospice House in the region. These 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). BSSFHS in collaboration with the Community Health Alliance and the key service partners Greenville Technical College and New Horizon Family Health Services, Inc. (NHFHS), improved access to oral health care through an integrated service partnership that links businesses, funding agencies, a dental hygiene training program, and a mobile medical unit with a primary care provider. The target population for this program includes low income, uninsured and Medicaid-covered children and adults in Greenville and surrounding counties. The overall objective is to improve their oral health status by ensuring access to comprehensive and sustainable oral health services. Two key activities to accomplish this objective are: 1) a community-based dental clinic providing a full range of oral health services; and 2) operation of a mobile dental unit that will travel to churches, schools, shelters, and other sites. Both components provide preventive, primary and restorative care through Greenville Technical Colleges dental hygienist training program as well as NHFHS dentists. In 2009-2010, BSSFHS and the partners involved in this program were able to educate and provide direct service to 2,644 underserved children and over 900 underserved adults and seniors in Greenville County community. Healthy ConnectionsHealthy Connections (HC) is a collaboration among health care providers, Greenville County Schools, Communities-in-Schools, and the United Way of Greenville County. HC has staff in four 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 HC program works closely 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 HC staff include coordinating the childs health care appointments, accompanying the child to the appointment, age appropriate education during visits and follow-up with the childs family. Particular attention is paid to the parent, child, and staff relationship.Self-Care for Families with School 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 2009-2010, this health literacy project, A Healthy You, documented a six-month follow-up study concluding that 51% 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 (22% said they were able to avoid a visit to the doctor 3-4 times). In addition, 58% of families thought that the Health at Home books saved them money on medical or health care in the past 6 months and at least 67% thought it would save them money on health care in the next 6 months.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 who directly serve and minister to vulnerable populations. These Faith Community nurses work with organizations throughout Greenville, focusing on the needs of the underserved in local organizations such as Triune Mercy Center, Mercy Housings Mulberry Court and St. Anthony of Padua Catholic Church. These Faith Community nurses 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 is actively involved in National Cover the Uninsured Week each year, assisting with advocacy efforts to help more people in Greenville County receive coverage. In addition, strong partnerships 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.OtherInformation
Affiliated Health Care SystemPart 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. Activities directly associated with this purpose are considered operating activities. Operating activities also include other incidental services that are closely related to healthcare. 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 charisma 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) and a physician joint-ventured ambulatory surgery center (Upstate Surgery Center); 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 on the eastside of Greenville County, the fastest growing area of county with regards to residential growth as well as commercial and business growth. This facility has 93 licensed beds (35 of which are Labor/Delivery/Recovery/Post-partum units) 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. 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 and the primary surgical procedures performed are ENT and ophthalmology.AffiliatedHealthCareSystem
Reports Filed With StatesSCReportsFiledWithStates

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Jeff Oak
02788560200024051441029576024699058459600
Valinda Rutledge
42852803567420133380723250197260890659000
Thomas Morris
02257650157345034549035338010143046314000
John Shea
04469970341161038840116092015699092383300
Richard Hanson
04079900335679029077080844027400088099000
Ronnie Hyatt
309993069125013547082524049970480186000
Lisa Slayton
18670104217604243061508030400297668000
Johnna Reed
178849038174011168054275069890289455000
Teresa Ficicchy
22084004385805476084747084490363370000
Patricia Fowler
167832039086063030707640110820295067000
Randall Romberger
0-337303753802502780003373028781600
Mary Jo Cagle
325476074771010960520240305620483929000
Mark Klapperich
2182600108066070256560209330271564000
Nancy Graebner
2323130524210144680870600185010404763000
Elizabeth Keith
155154035231036620547780129130261738000
James Phil Feisal
013159302750001131904400023450019826200
Mary Hassett
-1931050625031097900019310361604000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 4b:SFH, Inc. 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.
Part IIIPart 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 CommitteeSupplemental Information

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 2Board member Sam B. Phillips and board member David Poole have a business relationship.
Form 990, Part VI, Section A, line 6Bon Secours Health System, Inc. is the sole member of Bon Secours St. Francis Health System, Inc., which in turn is the sole member of SFH, Inc.
Form 990, Part VI, Section A, line 7aThe 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 7bCertain authorities of SFH, Inc. are reserved to its member or to Bon Secours Health System, Inc.
Form 990, Part VI, Section B, line 11The process the organization uses to review the Form 990 consists of a review by St. Francis Health System's audit and compliance board committee and providing the form to SFH, Inc.'s board of directors to allow for a thorough review by both before the filing date of July 15, 2011. St. Francis Health System's audit and compliance board committee and SFH, Inc.'s board of directors will review the Form 990 and ask any additional questions regarding the Form 990 before the return is filed by July 15, 2011.
Form 990, Part VI, Section B, line 12cSFH, Inc. 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 SFH, Inc. 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 participates in a second review of all disclosures during which recommendations are made as to the resolution of any conflicts or potential conflicts. Depending on the facts and circumstances, resolutions may include ongoing disclosure, recusal or removal of the conflict; and (3) all disclosures and recommendations are reviewed by a board committee (audit and compliance committee reviews the disclosures of management and the governance committee reviews the disclosures of the board and board committee members).
Form 990, Part VI, Section B, line 15The compensation committee of the board of Bon Secours Health System, Inc. engages in a comprehensive process for the oversight and management of remuneration for executive employees and disqualified parties of SFH, Inc. as well as other officers, key employees and highest paid employees. The compensation committee consists of a group of independent board members and engages an independent external compensation consultant to ensure the reasonableness of compensation paid to executives and disqualified parties. The committee maintains a Board-approved 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 reported to the BSHSI Board of Directors and documented in the BSHSI compensation committee minutes. Form 990, Part VI, Section b , Line 15b - Compensation Process Other Officers/ Key Employees: 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 SFH, Inc. 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 19SFH, Inc. provides any documents open to public inspection upon request.
Form 990, Part VII: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. Richard Hanson'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 Hampton Roads Health System, Inc. (former). John Shea's compensation is from Bon Secours Health System, Inc., a related organization. The compensation he receives is for the role as an employee at Bon Secours Health System, Inc. 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. Thom Morris's 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. James Phil Feisal's compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation he receives is for his role as the Executive Vice President of Bon Secours St. Francis Health System - Downtown. Randall Romberger's compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation he received is for his role as the Executive Vice President of Bon Secours St. Francis Health System - Eastside. Sister Rose Marie Jasinski does not receive payroll distributions as she has taken a vow of poverty. Hours worked are based on hours spent across multiple entities. Hours worked are not tracked on an entity by entity basis.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1EINEIN
Physicians' Surgery Center at St Francis LLC
One St Francis DriveGreenvilleSC29601SCSFH Inc
Bon Secours St Francis Diagnostic
One St Francis DriveGreenvilleSC29601SCSFH Inc800520229

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
Bon Secours Health System Inc
1505 Marriottsville RoadMarriottsvilleSC21104521301088Parent Org. Management ServicesSC501(c)(3)Line 11, Type II: 50N/A
Bon Secours St Francis Health System Inc
1 St Francis DriveGreenvilleSC296013955582504528Local System Parent Org.SC501(c)(3)Line 11, Type II: 50N/A
St Francis Foundation
1 St Francis DriveGreenvilleSC296013955260012031Grant Making FoundationSC501(c)(3)Line 7: 170(b)(1)(a)N/A
St Francis Physician Services
1 St Francis DriveGreenvilleSC296013955134290167Physician ServicesSC501(c)(3)Line 11, Type I: 509N/A

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Upstate Surgery CenterBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11 St Francis DriveAddressLine1
CityGreenvilleCity
StateSCState
ZIP Code296013955ZIPCode
FieldValueIRS element (for citing)
EIN562186977EIN
Primary ActivityAmbulatory Surgery CenterPrimaryActivity
Legal Domicile StateSCLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Predominant Income TypeRelatedPredominantIncomeType
Share Of Total Income584388ShareOfTotalIncome
Share Of EOY Assets967617ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Health Care Enterprises IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11 St Francis DriveAddressLine1
CityGreenvilleCity
StateSCState
ZIP Code296013955ZIPCode
FieldValueIRS element (for citing)
EIN571012852EIN
Primary ActivityHolding CompanyPrimaryActivity
Legal Domicile StateSCLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1NoneBusinessNameLine1