TY 2017 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)
(1) Angela Webb...................................................................... Board Member	2.00 ................. 0.00	X		0	0
(2) Carlos Quintero...................................................................... Board Member	2.00 ................. 0.00	X		0	0
(3) Craig McCoy...................................................................... CEO-BSSFHS	36.00 ................. 14.00	X	X	669,811	86,371
(4) Fletcher Kirkland Jr...................................................................... Board Member (End 12/17)	2.00 ................. 0.00	X		0	0
(5) Gregory Haselden...................................................................... Board Member	2.00 ................. 0.00	X		0	0
(6) Henry Gallivan...................................................................... Board Member	2.00 ................. 0.00	X		0	0
(7) Jeffrey Oak PhD...................................................................... Board Member	2.00 ................. 48.00	X		604,343	89,438
(8) Joanie Martin...................................................................... Board Member	2.00 ................. 0.00	X		0	0
(9) John Pazdan...................................................................... Board Member (Beg 01/18)	2.00 ................. 0.00	X		0	0
(10) Joseph Sullivan...................................................................... Board Member	2.00 ................. 0.00	X		0	0
(11) Katherine Arbuckle...................................................................... Board Member (End 12/17)	2.00 ................. 0.00	X		0	0
(12) Kenneth Baca...................................................................... Board Member	2.00 ................. 0.00	X		0	0
(13) Laurence Hinsdale...................................................................... Board Member	2.00 ................. 0.00	X		0	0
(14) Morris Williams Jr MD...................................................................... Board Member (Beg 01/18)	2.00 ................. 0.00	X		0	0
(15) Raymond Lattimore...................................................................... Board Member	2.00 ................. 0.00	X		0	0
(16) Sr Kathryn Clauss...................................................................... Board Member (Beg 01/18)	2.00 ................. 0.00	X		0	0
(17) Steven Owings...................................................................... Board Member	2.00 ................. 0.00	X		0	0

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Thomas Morris PhD........................................................................ President	3.50 .......................46.50	X	X				0	583,363	68,707
(19) Tilman McDonald MD........................................................................ Chair	3.50 .......................0.00	X	X				0	0	0
(20) Wendy Walden........................................................................ Board Member (Beg 01/18)	2.00 .......................0.00	X					0	0	0
(21) Irene Holcombe........................................................................ Secretary	50.00 .......................0.00		X				89,848	0	16,242
(22) Ronnie Hyatt........................................................................ Treasurer/CFO - BSSFHS	50.00 .......................0.00		X				528,455	0	35,154
(23) Rose Leo........................................................................ VP - Surgical Services	50.00 .......................0.00			X			259,454	0	31,854
(24) Teresa Ficicchy........................................................................ EVP - CNO	50.00 .......................0.00			X			381,474	0	28,250
(25) Aaron Collins MD........................................................................ Emergency Physician	50.00 .......................0.00				X		420,597	0	38,098
(26) Bruce Bourdon MD........................................................................ Emergency Physician	50.00 .......................0.00				X		404,437	0	46,043
(27) Gregory Hoffman MD........................................................................ Emergency Physician	50.00 .......................0.00				X		419,415	0	41,516
(28) Jesse Felder MD........................................................................ Emergency Physician	50.00 .......................0.00				X		411,571	0	35,383
(29) Joseph Hartzog MD........................................................................ Emergency Physician	50.00 .......................0.00				X		581,159	0	43,483
(30) Daniel Duggan........................................................................ Former COO	0.00 .......................50.00					X	0	545,263	27,153
(31) Mark Nantz........................................................................ Former CEO	0.00 .......................50.00					X	0	1,554,618	147,147

(A) Name and business address	(B) Description of services	(C) Compensation
Spartanburg Regional Med Center 101 East Wood Street Spartanburg,SC29303	Oncology Clinical Services	1,744,655
Sleepworks LLC 556 Hall Road Thomasville,GA31757	Sleep Studies	974,460
Invivo Molecular Imaging LLC PO Box 787442 Philadelphia,PA191787442	Imaging Services	630,338
Palmetto Anesthesia PO Box 26507 Greenville,SC296161507	Anesthesiology Services	506,954
Upstate Carolina Radiology PA PO Box 27049 Greenville,SC29616	Radiology Readings	476,162
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 28

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

St Francis Hospital Inc

Employer identification number

58-2504530

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2019

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2018. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2018. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2019

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2019

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2019

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2019 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Name of the organization

St Francis Hospital Inc

Employer identification number

58-2504530

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization St Francis Hospital Inc

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 3

Name of organization St Francis Hospital Inc		Employer identification number 58-2504530

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 4


Name of organization St Francis Hospital Inc			Employer identification number 58-2504530
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

St Francis Hospital Inc

Employer identification number

58-2504530

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2019

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2019

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

21,413

Total. Add lines 1c through 1i ....................................................................................................

21,413

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Part II-B, Line 1:	The filing organization maintains memberships to various professional healthcare associations. Portions of their membership dues are used for lobbying activities. The lobbying portion of such dues is included on line 1i.

Schedule C (Form 990 or 990EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

St Francis Hospital Inc

Employer identification number

58-2504530

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2019

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	13,363,668		13,363,668
b	Buildings ....	180,994,968	70,943,473	110,051,495
c	Leasehold improvements	1,801,948	1,406,881	395,067
d	Equipment ....	171,856,437	128,704,052	43,152,385
e	Other .....	10,070,775	3,961,349	6,109,426
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				173,072,041

Schedule D (Form 990) 2019

Page 3

Part VII

InvestmentsOther Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	283,392,782
2. Liability for uncertain tax positions. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2019

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

Part X, Line 2:

Schedule D, Part X, Line 2 requires that the organization provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under ASC 740. ASC 740 addresses the accounting for uncertainty in income taxes recognized in an entity's financial statements and prescribes a threshold of more-likely-than-not for recognition and derecognition of tax positions taken or expected to be taken in a tax return. The adoption of ASC 740 by Bon Secours Mercy Health, Inc. on September 1, 2007 did not have a material impact on BSMH'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 Mercy Health, 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. Their related income is exempt from federal income tax under Section 501(A). The System accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as of August 31, 2018 or 2017. Accounting for uncertainty in income taxes, ASC Topic 740-10 prescribes a comprehensive model for how an organization should measure, recognize, present, and disclose in its financial statements uncertain tax positions that an organization has taken or expects to take on a tax return. The System is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The System believes it is no longer subject to income tax examinations for years prior to 2013. As of August 31, 2018 and 2017, the System has no uncertain tax positions. The System's taxable subsidiaries had approximately $97,815 and $106,393 of net operating loss carryforwards as of August 31, 2018 and 2017, respectively, which expire in varying periods through 2037 and are available to offset future taxable income. The System accounts for income taxes under the asset and liability method. Under this method, deferred tax assets and liabilities are recognized for the estimated future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases. Deferred tax assets and liabilities are measured using enacted tax rates expected to be in effect during the year in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. Interest and penalties related to income taxes are accounted for as income tax expense. The System's deferred tax assets are fully reserved at August 31, 2018 and 2017 as the System considers it more likely than not that these amounts will not be recognized. On December 22, 2017, the President signed into law H.R. 1, originally known as the Tax Cuts and Jobs Act. The Act significantly revises the U.S. corporate income tax by, lowering the statutory corporate tax rate from 35% to 21% and eliminating certain deductions. The new law also includes several provisions that result in substantial changes to the tax treatment of tax-exempt organizations and their donors. The System has reviewed these provisions and the potential impact and concluded the enactment of H.R. 1 will not have a material effect on the operations of the organization.

Schedule D (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

St Francis Hospital Inc

Employer identification number

58-2504530

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			16,758,445	82,799	16,675,646	2.830 %
b	Medicaid (from Worksheet 3, column a) . . . . .			42,173,861	42,173,861
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			58,932,306	42,256,660	16,675,646	2.830 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	23	195,763	4,427,424	84,320	4,343,104	0.740 %
f	Health professions education (from Worksheet 5) . . .	1	517	677,351		677,351	0.110 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	3	1,037	884,257		884,257	0.150 %
j	Total. Other Benefits . .	27	197,317	5,989,032	84,320	5,904,712	1.000 %
k	Total. Add lines 7d and 7j .	27	197,317	64,921,338	42,340,980	22,580,358	3.830 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	5	2,937	619,701	619,701	0.110 %
4	Environmental improvements	1		503	503	0 %
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	1	1	550,716	550,716	0.090 %
8	Workforce development	1		34,146	34,146	0.010 %
9	Other
10	Total	8	2,938	1,205,066	1,205,066	0.210 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

26,986,609

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

144,164,252

Enter Medicare allowable costs of care relating to payments on line 5.....

157,303,165

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-13,138,913

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 Upstate Surgery Center	Ambulatory Surgery Center	59.540 %	0 %	11.650 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2019

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)							Facility reporting group
1	St Francis Hospital - Downtown One St Francis Drive Greenville,SC296013955 bonsecours.com HTL-0794	X	X	X	X	X	A
2	St Francis Hospital - Eastside 125 Commonwealth Drive Greenville,SC296154812 bonsecours.com HTL-0793	X	X	X		X	A

Schedule H (Form 990) 2019

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Facility Reporting Group - A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): See Section C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): See Section C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	Facility Reporting Group - A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

http://www.fa.bonsecours.com/

The FAP application form was widely available on a website (list url):

http://www.fa.bonsecours.com/

A plain language summary of the FAP was widely available on a website (list url):
http://www.fa.bonsecours.com/

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	Facility Reporting Group - A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	Facility Reporting Group - A
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2019

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Form 990, Schedule H, Part V, Section B, Line 14:	Charges for patients who are eligible for financial assistance shall be limited to no more than amounts generally billed ("AGB") for such services. These charges are based on the average allowed amounts from Medicare and commercial payers for emergency and other medically necessary care. The allowed amounts include both the amount the insurer will pay and the amount, if any, the individual is personally responsible for paying. The AGB is calculated using a look back method.
Form 990, Schedule H, Part V, Section B, Line 7a:	https://bonsecours.com/greenville/community-commitment/community-health-needs-assessment
Form 990, Schedule H, Part V, Section B, Line 10a:	https://bonsecours.com/greenville/community-commitment/community-health-needs-assessment
Part V, Section B	Facility Reporting Group A
Facility Reporting Group A consists of:	- Facility 1: St. Francis Hospital - Downtown, - Facility 2: St. Francis Hospital - Eastside
Facility Reporting Group - A Part V, Section B, line 5:	Specific groups were well-represented through the course of the assessment, including individuals representing the broad interests of the community, persons with special knowledge of the medically underserved, low-income, minority, and chronic disease populations. To do this, three primary data methods were used: focus groups, a town hall meeting, and a community questionnaire. The community questionnaire was collected through paper copies, an online version, and by phone. Additionally, the community questionnaire was available in Spanish. When soliciting feedback by all 3 methods of data gathering, specific people and organizations representing various populations of the community were targeted.
Facility Reporting Group - A Part V, Section B, line 7d:	In addition to having the CHNA available to the public on the web and paper copies available by request, key findings of the report were presented to the community on September 23, 2016. This event was held at the West End Community Center and was free and open to the public.
Facility Reporting Group - A Part V, Section B, line 11:	Nine health issues and conditions were identified by the community as being of greatest concern. Key findings from the survey, focus groups and town hall, as well as secondary data helped determine these results: behavioral health, transportation, community safety, homelessness, education, social environment and housing, adult obesity and nutrition and exercise, jobs and fair wages, and access to health care services for low income people (children, women, seniors). BSSFHS has developed a strategic three-year implementation plan to address the most paramount needs that were determined by the community: behavioral health, housing, and obesity/wellness. Due to limitations in capacity, resources and overall expertise, BSSFHS will work with other agencies and organizations to address remaining needs. A listing of these agencies and organizations has been included in the CHNA report. How significant needs are being addressed. BEHAVIORAL HEALTH: The Greenville Crisis Response Team (GCRT) was developed in order to provide a seamless and effective system of intervention for those with mental illness within our community. The GCRT, a multi-agency crisis intervention bureau is comprised of both individual community stakeholders and support organizations such as Greenville Mental Health, the Phoenix Center, Greenville Police Department, Greenville Health System, Bon Secours St. Francis Health System, Miracle Hill Ministries, Greenville Probate Court, and the City of Greenville. Currently the GCRT is developing a goal of an operational Crisis Stabilization Center in Greenville County. This endeavor is to provide citizens of Greenville that are in an applicable crisis, with a rapid, professionally coordinated response to their situation, instead of an individual experiencing crisis inappropriately and unnecessarily being placed in jail, a holding facility, hospital emergency room, or inpatient treatment program. Bon Secours St. Francis entered into a partnership with Anderson University and has developed a pathway for the placement of student interns studying to be psychiatric nurse practitioners. Bon Secours Mission funds supported two nurses to complete advanced degrees that will benefit the care of those with behavioral health diagnoses.The Bon Secours Medical Group Depression Screening Initiative continues to implement depression screening education for staff with ongoing process improvements to meet goals. Dr. Carson Felkel, BSSFHS psychiatrist, implemented an educational video message in support of our commitment to utilizing depression screening tools with confidence and competence to enhance the exceptional delivery patient care being delivered. Bon Secours continues to participate in the South Carolina Hospital Association (SCHA) Behavioral Health Coalition being developed within South Carolina. The SCHA Mission: to establish a comprehensive system at the state and community level that ensures access to, coverage for, effective coordination and awareness of mental health and substance use disorders services and resources for individuals and families living in SC. Purpose Statement: to implement a multi-sector coalition built on a common improvement agenda and focused on a mutually defined set of strategic goals and actions for collectively improving the availability and access to mental health and/or substance use disorders services for all SC residents. Strategic Priority Areas for the Coalition: Ensure efficient and effective crisis stabilization and management of patients with acute mental health and/or substance use disorders. Maximize alignment of mental health and substance use disorders services and primary care services and resources across the outpatient continuum, and cultivate public policy and perception of behavioral health illnesses as diseases of the brain to include both mental health and/or substance use disorder(s). Establish an interdisciplinary, cross-sector system for substance use disorders, initially focused on managing opioid prescribing and use, and preventing and effectively treating opioid use disorder, Institute a collaborative data analytics and informatics team focused on collecting, analyzing and disseminating key mental health and substance use disorders metrics. Dr. Carson Felkel, Bon Secours Lead Physician Behavioral Health Programs presented to the SC state Coalition March 2018 on the Integrated Care Model and the collaborative work being developed in the Greenville community. The Bon Secours Behavioral Health team members are actively involved in the Steering Committee and the development of an Upstate Behavioral Health Coalition with United Way of Greenville County as the convener of the Coalition. The Coalition is committed to improving the lives of Greenville County residents who are struggling with behavioral health issues and strive to help each person achieve their fullest potential. Bon Secours completed a Letter of Intent in February 2018 for Greenville Shared Solutions. A multi-agency crisis intervention bureau is comprised of both individual community stakeholders and support organizations such as Greenville Mental Health, the Phoenix Center, Greenville Police Department, Greenville Health System, Bon Secours St. Francis Health System, Miracle Hill Ministries, Greenville Probate Court, and the City of Greenville. This endeavor is to provide citizens of Greenville that are in an applicable crisis, with a rapid, professionally coordinated response to their situation, instead of an individual experiencing crisis inappropriately and unnecessarily being placed in jail, a holding facility, hospital emergency room, or inpatient treatment program. In March of 2018 BSMG began the implementation of a Behavioral Health/Primary Care Integrated Care model. Dr. Carson Felkel is the Lead Physician for Behavioral Health Programs and is completing the development of Adult Depression Clinical Guidelines and the Screening Treatment and Follow up Guidelines. The Integrated Care model includes an Integrated Care Manager within the Primary Care setting. The Bon Secours Medical Group Depression Screening Initiative continues to implement depression screening education for staff with ongoing process improvements to meet goals. Dr. Carson Felkel implemented an educational video message in support of our commitment to utilizing depression screening tools with confidence and competence to enhance the exceptional delivery patient care being delivered. BSSFHS/BSMG instituted a collaborative data analytics and informatics team focused on collecting, analyzing and disseminating key mental health and substance use disorders metrics. Dr. Carson Felkel, Bon Secours Lead Physician Behavioral Health Programs presented to the SC state Coalition March 2018 on the Integrated Care Model and the collaborative work being developed in the Greenville community. AFFORDABLE HOUSING: The Sterling Land Trust will embark on its first initiative to build a house in 2017 on property it owns in the Sterling neighborhood. The Sterling Land Trust will work closely with the Nehemiah Community Revitalization Corporation a nonprofit developer located in Greenville County. Nehemiah has a history of building affordable housing in Greenville and surrounding counties in the Upstate.To subsidize the building of the house Healthy Community Initiatives with the input of the Sterling Land Trust prepared proposals for grant funding which were submitted to the SC Association for Community Economic Development which awarded the Land Trust $10,000. A proposal to the Graham Foundation is pending for $25,000. A proposal to the Bank of America Foundation is pending for $25,000. The Land Trust also submitted a funding application to the City of Greenville Community Development Office for $20,000. According to the director Community Development; money has been placed in the City's budget for the Land Trust to receive $20,000 towards the build. A bank loan application was filed with TD bank. Property the Land Trust owns is collateral for the loan. Bon Secours has committed $15,000 toward the build if all funds can be raised. The build was expected to begin in August 2017.CONTINUED ON SCHEDULE H - SUPPLEMENTAL INFORMATION
Facility Reporting Group - A Part V, Section B, line 16j:	Information regarding the FAP is available on our websites, brochures are available at time of registration. We have on-site Financial Counselors who assist patients. We also have eligibility vendors who work with the patients and our statements indicate we have an FAP. We also provided local clinics in each market brochures regarding our FA program.

Schedule H (Form 990) 2019

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?21
Name and address		Type of Facility (describe)
1	1 - St Francis Outpatient Center 3 St Francis Drive Greenville,SC29601	Outpatient Services
2	2 - St Francis ES Outpatient Lab 135 Commonwealth Dr Suite 255 Greenville,SC29615	Outpatient Lab
3	3 - St Francis Rehab 131 Commonwealth Drive Suite 200 Greenville,SC29615	Outpatient Rehab-Physical, Occupational, Speech, Massage Therapy
4	4 - St Francis Outpatient Rehab 120 Summer Street Greenville,SC29601	Outpatient Rehab
5	5 - St Francis Physical Therapy 712 Congaree Road Greenville,SC29607	Outpatient Rehab
6	6 - St Francis Powdersville Rehab 3407 Hwy 153 Piemont,SC29673	Outpatient Rehab
7	7 - St Francis Physical Therapy 209 Patewood Dr Ste 100 Greenville,SC29615	Outpatient Rehab
8	8 - St Francis Homecare 10 Patewood Drive Ste 300 Greenville,SC29615	Homecare Offices
9	9 - McCall Hospice House 1836 West Georgia Rd Simpsonville,SC29680	Hospice
10	10 - St Francis Sleep Disorder Center 3 St Francis Drive Ste 340 Greenville,SC29601	Sleep Disorder Center
11	11 - St Francis Wound Healing Center 131 Commonwealth Drive Suite 200 Greenville,SC29615	Wound Care Rehab
12	12 - Central Registration & Lab 2 Innovation Dr Ste 110 Greenville,SC29607	Registration and Lab
13	13 - Healthy Self Cardiovascular Rehab 2 Innovation Dr Ste 200 Greenville,SC29607	Cardiac/Pulmonary/Vascular Fitness/ Diabetes Care
14	14 - Sleep Lab 2 Innovation Dr Ste 340 Greenville,SC29607	Sleep Lab
15	15 - Early Detection & Renewal 2 Innovation Dr Ste 350 Greenville,SC29607	Diagnostics & Early Detection Center
16	16 - Sports & Exe Medi & Phy Therapy 2 Innovation Dr Ste 250 Greenville,SC29607	Sports and Exercise Medicine & Physical Therapy
17	17 - Nu-Life 2 Innovation Dr Ste 330 Greenville,SC29607	Executive Physicals
18	18 - Community Education 2 Innovation Dr Ste 100 Greenville,SC29607	Classroom
19	20 - St Francis Pearlie Harris Breast Ctr 131 Commonwealth Drive Suite 220 Greenville,SC29615	Breast Cancer Treatment Facility
20	21 - St Francis Millennium Cancer Center 104 Innovation Dr Greenville,SC29607	Cancer Facility

Schedule H (Form 990) 2019

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Part I, Line 6a:	Annually, Bon Secours St. Francis Health System (BSSFHS) publishes a report for 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 available to the public each year on or around January 24, commemorating Foundation Day of the Sisters of Bon Secours. This report is available online at https://bonsecours.com/greenville.
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 captured in the patient accounting system and general ledger. Payments include payments for individual claims, payments from the Medicaid program paid outside the claim process (such as medical education payments) and expected or actual cost report settlements.Part I, line 7b(f): Prior to 2006, Medicaid in the state of South Carolina was reimbursed to hospitals on a fixed prospective basis (fixed rates not directly related to costs). For years 2006 - 2012, the State reimbursed Hospitals on a cost basis (actual costs to provide services). This reimbursement resulted in the hospitals receiving payments close to their costs. Starting is 2013 the State changed reimbursement methodologies to a fixed rate prospective basis (fixed rates not directly related to costs). For the first year the rates state wide were set to approximate the hospital's cost to provide service. For the subsequent years the fixed rate will be adjusted by a state wide inflationary factor and not related to an individual hospitals cost. The Hospital's unreimbursed Medicaid percentage for St. Francis Hospital, Inc. is fairly consistent with those of other hospitals in the state.For Part I, Line 7 a-c computations: The cost-to-charge ratio is derived using the suggested computation in Worksheet 2, Ratio of Patient Care Cost-to-Charges. Operating expenses and Gross patient charges are taken from the general ledger. Expenses for nonpatient care activities recorded in operating expenses are approximated as directly equaling other operating revenue, assuming these activities do not provide profit. Part I, line 7e: Community health improvement services and community benefit operations are accumulated throughout the year and reported at actual cost in a software program that specifically addresses this purpose.Part I, line 7f: Health professions education cost is determined as the direct and indirect cost of qualifying education activities as traditionally reported in columns 21-24 on Worksheet B of the Medicare cost report as a Medical Education program, nursing school or other allied health program.
Part I, Ln 7 Col(f):	Bad debt expense included in Part IX; line 25 and excluded from the "percent of total expense" calculation is: $26,986,609.
Part II, Community Building Activities:	The Healthy Community Initiatives Department focuses on revitalizing neighborhoods and systematically overcoming the social conditions in which people live. Using a grassroots strategy, Healthy Community Initiatives staff works closely with faith leaders, residents, local businesses and schools to address community concerns and to identify solutions to improve neighborhoods. With a focus on community development and community health our goal is to address a variety of social determinants. The department looks at the different variables affecting community health such as poverty rates, lack of access to health care, substance abuse, homelessness, affordable housing, public safety, etc. Each community is different, although there are some common themes amongst the communities; most of them have social challenges that impact negatively upon residents' health. We work to build trust and bring collaborations and partnerships into the community that can effect change. The staff team builds trust in these communities and Bon Secours St. Francis is a recognized name. Bon Secours St. Francis employs a Healthy Community Navigator who works with individuals who have chronic health conditions, the uninsured, the underinsured, and those who lack resources for good health. The Healthy Community Navigator is responsible for helping and supporting individuals and families to navigate and access healthcare services, educate on the importance of healthcare follow-ups, reinforce disease specific education, perform medication monitoring and case management and provide services to address barriers to health and social service resources. The Navigator works collaboratively with a team of healthcare professionals such as Bon Secours Saint Francis Community Wellness, Greenville Free Medical Clinic, New Horizon and other community agencies to provide patients with opportunities to stabilize and improve their health.
Part III, Line 2:	Bad debt expense on the general ledger includes: 1) actual write offs of discounted gross charges where it is determined an uninsured patient can pay and does not pay; and 2) the estimated write offs for uninsured patient accounts with outstanding balances after discount. Estimates are based on historical collection rates.When an uninsured patient is billed for patient care services, the charges are automatically discounted and the patient is requested to only pay the amount after discount. The discount is recorded as an adjustment to gross revenue and is not recorded in bad debt expense. If the balance after discount is not paid or not paid in full, the unpaid amount will be written off to bad debt expense. When a patient remits a payment on an account that has already been written off to bad debt expense, the payment is recorded as a recovery of bad debt, which reduces bad debt expense.
Part III, Line 3:	The organization does not report an estimate for the portion of bad debt expense that may have been likely to qualify for financial assistance under the hospital's charity care policy. The organization takes the position that ample opportunity and assistance is provided to the patient to qualify under the financial assistance policy. If sufficient information is not provided, the organization must assume the patient does not qualify.
Part III, Line 4:	Please see Footnote "(2d) Accounts Receivable, net" discussing "accounts receivable" on page 10 in the attached BSHSI consolidated audited financial statements ("AFS"). "Allowance for uncollectible accounts" is discussed in the second paragraph in Footnote "(10) Net Patient Service Revenue" on page 37-38 of the attached AFS. There is not a separate "bad debt expense" footnote in the AFS.
Part III, Line 8:	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 non-reimbursable departments. The cost report uses appropriate statistical bases to "step down" support costs to allowable clinical and non-reimbursable 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.The organization feels the total shortfall of Medicare reimbursement compared to computed Medicare allowable costs should be treated as community benefit. The hospital improves access to patient care by providing services regardless of a patient's ability to pay or the hospital's ability to receive full cost reimbursement for services. The hospital also relieves the government of a financial burden when it provides care to publicly insured patients where reimbursement is less than cost of providing the service.
Part III, Line 9b:	The hospital has a written policy that describes collection practices applying to patients who qualify for financial assistance. If full assistance is approved, no collection efforts are pursued on that patient's account(s). If partial assistance is approved, 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 exists 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 eight months from the date of the application. This eligibility is identified by hospital admissions, billing and collection staff by the assignment of a specific financial class with accompanying eligibility dates. At the end of the eight months, the patient is responsible for reapplying for FAP eligibility.
Part VI, Line 2:	Under the Affordable Care Act of 2010, IRS requires 501 (c)(3) hospitals to conduct a Community Health Needs Assessment at least once every 3 years. Health systems are to ensure broad participation by residents of their service areas (Counties), Prioritize health needs and create an implementation plan to address any unmet needs. Local hospital boards approve the CHNA and implementation plan. The Healthy Community Initiatives Director is responsible for conducting the CHNA. An oversight team composed of diverse representatives from Bon Secours Mercy Health, the Health Department, the United Way, Piedmont Health Foundation, Furman University/LiveWell, the Greenville Free Medical and the SC Hospital Association provided guidance to the process. To assess community needs a data collection methodology was used to collect primary data via a survey, focus groups and a town hall meeting. Our health system collaborated with Greenville Health System (a local hospital) to conduct 2 focus groups. More than 850 residents in Greenville County gave their input and their opinions about the health needs of the community and perceptions about the quality of life. In addition, secondary data was collected - community demographics, mortality, maternal and infant health, access to health care and health behaviors and safety. The data from survey and focus groups were analyzed and discussed using a prioritization process and strategy grid. Three priority areas emerged as the focus of Bon Secours St. Francis Health System for 2017 - 2019. Outcomes, goals, strategies and action steps exist for each priority area and are contained in the implementation plan. The Board of Directors will receive an update of progress and achievements in the implementation twice per year.1. Obesity/Wellness2. Housing/Social Environment3. Access to Behavioral Health (including Homeless People)
Part VI, Line 3:	The Patient Financial Assistance program is communicated to patients verbally upon scheduling, registration, visible postings of the program are in common areas throughout the hospital, along with brochures and the program is detailed on our Bon Secours website. In addition, patient billing statements and letters inform patients regarding our financial assistance program. Bon Secours Mercy Health proactively screens patients to identify individuals and their families who may qualify for federal, state or local health insurance programs or the Bon Secours Mercy Health 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. Bon Secours Mercy Health is also 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 Mercy Health 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 assistance process. Based on market need, our financial assistance policy and application are translated into multiple languages and placed on our Bon Secours Mercy Health website for patients to access.
Part VI, Line 4:	Approximately 500,000 residents reside in Greenville County. Greenville County is predominantly White (77.1%), with a large Black/African American population (18.5%). Compared to South Carolina, Greenville has a larger percentage of Hispanics/Latinos.Greenville has a similar age distribution compared to South Carolina, with slightly more children (age <18) and fewer older adults (age >65). The unemployment rate is lower in Greenville County than in South Carolina. Greenville has a higher median income and per capita income than South Carolina, but less than the nation. At 15.8%, Greenville has a lower percentage of people living below the poverty level than the state (18.3%); however, there are differences by race/ethnic group. Hispanic/Latinos, Black/African Americans, and those who identify as Other have twice the Greenville percentage.Similar to South Carolina and the U.S., 31.6% of Greenville County residents aged 25 or over have a Bachelor's degree or higher.
Part VI, Line 5:	BSSFHS has an open medical staff with privileges available to all qualified physicians. BSSFHS operates an emergency room at both of its hospitals which provide services 24 hours a day, seven days a week to ensure access to needed emergency care for all persons. The health system is driven by the Bon Secours mission to serve the community by the leadership of a governing board that includes eighteen members, fourteen of whom are representative of the community. BSSFHS supports several community programs through the Bon Secours mission to be "good help to those in need." As part of this mission, BSSFHS provides dedicated staff and services with the sole purpose of measuring needs, engaging partners, and addressing the needs of the community. Below gives examples of this commitment. Access to Oral Health Care Program The BSSFHS Oral Health Services program provides access to oral health care through an integrated service partnership providing a mutually beneficial relationship between businesses, funding agencies, a dental hygiene training program, and a college of dentistry. The St. Francis Mobile Dental Unit provides the opportunity to reach out to outlying portions of the county and reach populations that face multiple barriers to care, including transportation. The fixed sites at the Greenville Free Medical Clinic and the New Horizon Family Dental Care ensure that a range of comprehensive oral health services are available in the community on a sliding fee scale or at no cost for the underserved. During Fiscal Year 2017-2018, 2,117 children and adults have received education and services through the Oral Health Program.Center for Developmental ServicesBorn out of the vision of the Community Planning Council of the United Way of Greenville County, the Center for Developmental Services (CDS) is a unique collaboration that exists nowhere else in the United States. Visionaries recognized the need for an easier and more effective method for accessing developmental services in our area. Although quality services for children with developmental concerns existed all across the Upstate, the services were often geographically scattered, uncoordinated, and difficult to access. CDS is unique in that separate private and public nonprofit agencies are collaborating under one roof. CDS has existed to ensure that children with special developmental needs and their families are linked with appropriate interventions in as easy a manner as possible; and that parents, siblings, and caregivers are supported throughout their time in the service delivery system. Thousands of children from all over the Upstate benefit from the CDS each year receiving developmental evaluation, therapies, special education, family support and more. The Bilingual Support and Latina Outreach program at CDS continues to thrive in the partnership with Bon Secours St. Francis Health System through the Community Ministries department. Monthly an interpreter works side by side with an average of 45 families with partner agency clinicians, serving as the family's interpreter and offering advice and information regarding other resources to Spanish speaking families. Additionally, the resource room serves as a spot for families to have access to written materials and provides child-friendly space for family meetings. Finally, the Community Ministries Oral Health Team conducts "Tooth Times," an oral health prevention education program, developed for early childhood.Community Health TeamThe Community Health team is made up of a team of four nurses and two social workers, who bring their expansive experience to the community. Clients are treated holistically mind, body, and spirit. By fostering trusting relationships with community members, the health outreach team helps transform hurt into hope, promotes and defends human dignity, and fosters a healing and caring environment. CW provides the most vulnerable members of the community with opportunities to improve their health and quality of life, focusing on reaching those who are underserved and uninsured. Staff assist individuals and families with navigating the healthcare system and accessing community resources, including health education, personal safety, and basic life skills. Clients can establish a patient-primary care provider relationship, improve overall health, reduce unnecessary emergency department admissions, and decrease readmission to the healthcare system. CW assists clients with finding basic needs such as affordable health care, medications, medical supplies, transportation, and food/clothing. Additionally, the team provided individual and group presentations, screenings, and written literature in addition to annual flu clinics. In 2018, 5,589 contacts were made with community members in need and 209 events/screenings in the community were offered.Community Health has a satellite office at San Sebastian Church where staff provides individuals and families resources and services. San Sebastian Catholic Community is a mission of St. Mary's Catholic Church. The San Sebastian Catholic Community is located in the San Souci Community and is predominately Spanish-speaking. A thriving and engaged community, the San Sebastian Catholic Community is committed to health and wholeness. Many in the community face the harshest impacts of poverty and need health and health-related services and resources. The Community Health team coordinates rotations of services, including the St. Francis Mobile Dental Unit, Bon Secours mammography coach, and the IVAN Mobile, an eye screening van managed by Surgeons for Sight to bring resources to the community.
Part VI, Line 6:	Bon Secours Mercy Health, Inc., a Maryland nonprofit, nonstock membership corporation (BSMH), 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 BSMH, 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 BSMH 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. As a member of the Catholic health ministry and a member of Bon Secours Mercy Health, Inc. (BSMH), this organization and its related entities are called to continue the healing ministry of Jesus. We exist to benefit the people living in the communities it serves. Through all of the services offered to the community, the mission is "to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a System of caregivers, we commit ourselves to help bring people and communities to health and wholeness as part of the healing ministry of Jesus Christ and the Catholic Church." This organization and related organizations share the BSMH Vision. BSMH's vision to partner with communities to create a more humane world, build social justice for all and provide exceptional value for those served is implemented through its Strategic Quality Plan which provides focus in four goal areas for the current three year period (2016-2018). - Co-Create Healthy Communities: We recognize that the factors which drive health outcomes extend well beyond the scope of traditional health care services. Thus, we commit to improve the health of communities through partnership and collaboration with a broad range of constituencies including committed community residents - Be Person Centric: We recognize that those whom we serve are increasingly engaged in their own care and are seeking convenience, affordability and reliability. Thus, we commit to anticipate and respond to the changing expectations of health care consumers, and to ensure that we engage each person in an individualized plan for health with a focus on prevention and wellness. - Serve Those Who Are Vulnerable: We recognize, by our Catholic identity, that the struggle for a more humane world is not an option, but an integral part of spreading the gospel. Thus, we commit to serve those who are vulnerable in many ways, addressing health disparities, sustaining global ministries, healing the environment and working to end violence and oppression.- Strengthen Our Culture and Capabilities: We recognize that the health care delivery system is undergoing rapid change with increasing complexity. Thus, we commit to liberate the potential of our people by strengthening individual and collective capabilities with respect to ministry leadership, knowledge, analytics, innovation and finances. Please see Schedule R for listings of the related organizations. Each of the reported entities play a role in achieving the vision of BSMH and the SQP (Strategic Quality Plan).
Part VI, Line 7, Reports Filed With States	SC

Schedule H (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
St Francis Hospital Inc

Employer identification number
58-2504530

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) Bon Secours - St Francis Health System Foundation Inc One St Francis Drive Greenville,SC29601	26-0012031	501(c)(3)	823,483				Cost of administrative services provided to the Foundation
(2) St Francis Physician Services Inc One St Francis Drive Greenville,SC29601	13-4290167	501(c)(3)	69,450,688				General Support

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2019

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

Part I, Line 2:

The organization complies with Bon Secours Mercy Health, Inc.'s system-wide financial and accounting policies. Contributions are generally made as reimbursements for funds spent. In such cases, the donee/grantee organization must provide documentation to the filing organization before funds are approved for disbursement. In other cases, grantees submit progress reports on the anniversary date on which the grant was received. The evaluation report includes: 1) progress toward the deployment of the stated goals and objectives, 2) progress towards the achievement of desired outcome as demonstrated by Project Work Plan, 3) an accurate accounting of the revenue and expenses and the amount of the mission fund award expensed, and 4) a summary past, current and future funding sources and efforts to secure sustaining sources of funding.

Part II

Description of the Bon Secours Mercy Health Mission Fund: Bon Secours Mercy Health performs its philanthropic work through its mission department. This initiative, called the Bon Secours Health System Mission Fund ("Mission Fund"), was developed to promote the Catholic Health Ministry and the Bon Secours Mercy Health, Inc. Mission. This purpose is realized through the funding of initiatives that improve the health and well-being of communities, particularly for disenfranchised and marginalized people, served by Bon Secours Mercy Health Local Systems ("Local Systems"), Cosponsors and the Congregation of the Sisters of Bon Secours. The scope of its purpose and use of funds would be to: -promote healthy community coalition initiatives in conjunction with local system efforts, -develop local system and community excellence for a specific health condition and preventive need, and -improve access for uninsured populations and reduce health disparities among populations in the community. The Strategic Quality Plan of the health system calls for focused efforts to Build Healthier Communities. The health system understands "health" to include social and communal dimensions and has adopted the following articulation of a healthy community. The conditions of communities and individuals served by Bon Secours Mercy Health reflect the interaction of significant factors and complex behaviors at the individual, communal, and societal level. It is not likely that interventions by any one organization will result in substantial improvement or benefit to the community. Rather, increased participation by stakeholders and greater cooperation among entities with appropriate skills and resources is necessary for systemic change and improved outcomes. Mission Fund grants place emphasis on increased collaboration among community based members (Healthy Community Initiative), public health officials and other providers of services. The Mission Fund anticipates that most endeavors that seek to bring meaningful improvement require time and commitment. Consequently, local system grant recipients may expect continuity of support (several years) to establish and track outcomes. At the same time, grant applicants need to cultivate and achieve a wide array of financial resources necessary to sustain promising projects and service programs.

Schedule I (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

St Francis Hospital Inc

Employer identification number

58-2504530

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2019

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Craig McCoy CEO-BSSFHS	(i) (ii)	0 ------------- 466,054	0 ------------- 163,542	0 ------------- 40,215	0 ------------- 59,139	0 ------------- 27,232	0 ------------- 756,182	0 ------------- 0
2Jeffrey Oak PhD Board Member	(i) (ii)	0 ------------- 377,226	0 ------------- 156,456	0 ------------- 70,661	0 ------------- 61,039	0 ------------- 28,399	0 ------------- 693,781	0 ------------- 25,719
3Thomas Morris PhD President	(i) (ii)	0 ------------- 359,135	0 ------------- 151,630	0 ------------- 72,598	0 ------------- 47,280	0 ------------- 21,427	0 ------------- 652,070	0 ------------- 24,192
4Ronnie Hyatt Treasurer/CFO - BSSFHS	(i) (ii)	369,189 ------------- 0	94,510 ------------- 0	64,756 ------------- 0	16,200 ------------- 0	18,954 ------------- 0	563,609 ------------- 0	0 ------------- 0
5Rose Leo VP - Surgical Services	(i) (ii)	200,359 ------------- 0	33,942 ------------- 0	25,153 ------------- 0	11,947 ------------- 0	19,907 ------------- 0	291,308 ------------- 0	0 ------------- 0
6Teresa Ficicchy EVP - CNO	(i) (ii)	260,285 ------------- 0	71,391 ------------- 0	49,798 ------------- 0	16,170 ------------- 0	12,080 ------------- 0	409,724 ------------- 0	0 ------------- 0
7Aaron Collins MD Emergency Physician	(i) (ii)	417,198 ------------- 0	2,565 ------------- 0	834 ------------- 0	14,859 ------------- 0	23,239 ------------- 0	458,695 ------------- 0	0 ------------- 0
8Bruce Bourdon MD Emergency Physician	(i) (ii)	399,851 ------------- 0	2,463 ------------- 0	2,123 ------------- 0	16,200 ------------- 0	29,843 ------------- 0	450,480 ------------- 0	0 ------------- 0
9Gregory Hoffman MD Emergency Physician	(i) (ii)	293,861 ------------- 0	124,572 ------------- 0	982 ------------- 0	14,233 ------------- 0	27,283 ------------- 0	460,931 ------------- 0	0 ------------- 0
10Jesse Felder MD Emergency Physician	(i) (ii)	408,071 ------------- 0	2,181 ------------- 0	1,319 ------------- 0	8,100 ------------- 0	27,283 ------------- 0	446,954 ------------- 0	0 ------------- 0
11Joseph Hartzog MD Emergency Physician	(i) (ii)	572,246 ------------- 0	3,506 ------------- 0	5,407 ------------- 0	16,200 ------------- 0	27,283 ------------- 0	624,642 ------------- 0	0 ------------- 0
12Daniel Duggan Former COO	(i) (ii)	0 ------------- 347,504	0 ------------- 132,986	0 ------------- 64,773	0 ------------- 16,200	0 ------------- 10,953	0 ------------- 572,416	0 ------------- 0
13Mark Nantz Former CEO	(i) (ii)	0 ------------- 681,330	0 ------------- 243,372	0 ------------- 629,916	0 ------------- 117,365	0 ------------- 29,782	0 ------------- 1,701,765	0 ------------- 78,920

Schedule J (Form 990) 2019

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
Part I, Line 1a	A tax indemnification benefit to cover the income tax incurred on gifts was paid to two officers, two key employees, and one highest compensated employee. The entire benefit was treated as taxable compensation.
Part I, Line 3	Bon Secours Mercy Health, Inc., a related organization of the filing organization uses the following to establish the compensation of the organization's CEO/Executive Director: Compensation Committee Independent Compensation Consultant Written Employment Contract Compensation Survey or Study Approval by the Board or Compensation Committee
Part I, Line 4b	The filing organization participates in a BSMH sponsored executive retirement program that allows for deposits into additional retirement plans and available only to key employees. The 457F plan is a non-qualified plan and is subject to a minimum three-year service requirement before vesting on deposits made into this plan. Individuals that received a distribution include: Thomas Morris, PhD, $27,851; Jeff Oak, PhD, $27,548; Mark Nantz, $85,777; Craig McCoy, $0.
Part I, Line 7	The organization provides annual incentive compensation for listed individuals. The organization's Board of Trustees establishes objective thresholds which must be achieved for incentives to be awarded. The Board also establishes threshold, target and maximum levels for incentive awards. Within these established parameters, the Board determines the CEO's incentive award and incentive awards for other listed individuals are determined by the listed individual's supervisor and disclosed to the Board. The Board may authorize modified incentive awards when appropriate in its judgment.

Schedule J (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

St Francis Hospital Inc

Employer identification number

58-2504530

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2019

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) Krista Coben	Daughter of Former COO, Daniel Duggan	45,027	Employment		No
(2) Jason Coben	Son-in-law of Former COO, Daniel Duggan	180,905	Employment		No
(3) Kyle Duggan	Son of Former COO, Daniel Duggan	49,507	Employment		No
(4) Meagan Duggan	Daughter-in-law of Former COO, Daniel Duggan	52,441	Employment		No
(5) Michael Haskell	Brother of Key Employee, Teresa Ficicchy	67,037	Employment		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

St Francis Hospital Inc

Employer identification number

58-2504530

Return Reference	Explanation
Form 990, Part VI, Section A, line 2	Daniel Duggan (Former COO) and Teresa Ficicchy (Key Employee) are married.
Form 990, Part VI, Section A, line 6	Bon Secours Mercy Health, Inc. is the sole member of Bon Secours St. Francis Health System, Inc., which in turn is the sole member of St. Francis Hospital, Inc.
Form 990, Part VI, Section A, line 7a	The governing body of St. Francis Hospital, Inc. is appointed by its member Bon Secours St. Francis Health System, Inc. and subject to approval by Bon Secours Mercy Health, Inc.
Form 990, Part VI, Section A, line 7b	Certain authorities of St. Francis Hospital, Inc. are reserved to its member or to Bon Secours Mercy Health, Inc.
Form 990, Part VI, Section B, line 11b	The Form 990 is prepared by BSMH's tax department and reviewed by management. Upon review, the Form 990 is then forwarded to the local system's independent Audit and Compliance Committee for review and approval. Once the Form 990 is reviewed by all applicable parties a copy of the final version is provided to all members of the governing body prior to filing.
Form 990, Part VI, Section B, line 12c	The organization regularly and consistently monitors compliance with the conflict of interest policy. On an annual basis, all persons subject to the policy, including all officers, directors and key employees are required to make certain disclosures. These include disclosures related to certain personal, financial and organizational relationships that may present a conflict, or the appearance of a conflict of interest with the organization. All disclosures go through a three-part review process: (1) disclosures are reviewed first by the corporate responsibility officer (CRO); (2) a governance team comprised of the CEO, board president, board chair, CRO, and the BSMH CRO participate in a second review of all disclosures during which recommendations are made as to the resolution of any conflicts or potential conflicts. Depending on the facts and circumstances, resolutions may include ongoing disclosure, recusal or removal of the conflict; and (3) all disclosures and recommendations are reviewed by a board committee (audit and compliance committee reviews the disclosures of management and the governance committee reviews the disclosures of the board and board committee members).
Form 990, Part VI, Section B, line 15b	The compensation committee of the board of Bon Secours Mercy Health, Inc. (BSMH) engages in a comprehensive process for the oversight and management of remuneration for executive employees and disqualified parties of BSMH. The compensation committee consists of a group of independent board members and engages an 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 BSMH board of directors and compensation committee minutes. Compensation Process Other Officers/Key Employees: For those key employees and highest paid employees that are not reviewed by the BSMH compensation committee, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. In the review, the other officers or key employees of the organization were compared to other hospitals' employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in human resources.
Form 990, Part VI, Section C, line 19	The filing organization makes all documents available to the general public upon request.
Form 990, Part VII - Additional Disclosure:	Board Member positions are generally voluntary in nature. Compensated employees of the filing organization and other related organizations who also hold board positions are compensated only in relation to their employment and do not receive additional compensation for their board responsibilities. Sr. Kathryn Clauss did not receive payroll distributions as she has taken a vow of poverty.
Form 990, Part IX, line 11g	Physician Fees: Program service expenses 12,188,419. Management and general expenses 0. Fundraising expenses 0. Total expenses 12,188,419. Billing and Collections: Program service expenses 3,350,409. Management and general expenses 372,268. Fundraising expenses 0. Total expenses 3,722,677. Security Services: Program service expenses 933,797. Management and general expenses 103,755. Fundraising expenses 0. Total expenses 1,037,552. Other Purchased Services: Program service expenses 23,551,626. Management and general expenses 2,616,847. Fundraising expenses 0. Total expenses 26,168,473. Maintenance and Service Agreements: Program service expenses 2,689,727. Management and general expenses 298,859. Fundraising expenses 0. Total expenses 2,988,586. Consulting: Program service expenses 3,559,525. Management and general expenses 395,503. Fundraising expenses 0. Total expenses 3,955,028. Contracted Nursing and Ancillary Tech Staff: Program service expenses 5,771,840. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,771,840. Dues - Physicians: Program service expenses 629,506. Management and general expenses 0. Fundraising expenses 0. Total expenses 629,506. BSMH Corporate Dues: Program service expenses 44,005,384. Management and general expenses 4,889,488. Fundraising expenses 0. Total expenses 48,894,872.
Form 990, Part XI, line 9:	Principal Payments to BSMH -4,099,316. Swaps Allocation to BSMH -1,881,192. Sale of BSNY - Writedown of Goodwill -767,862.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

St Francis Hospital Inc

Employer identification number

58-2504530

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) Physicians' Surgery Center at St Francis LLC One St Francis Drive Greenville,SC29601	No Activity	SC	0	0	St Francis Hospital Inc
(2) Health Partners of Bon Secours St Francis LLC One St Francis Drive Greenville,SC29601 81-4408628	Health Care	SC	-30,815	0	St Francis Hospital Inc

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)Bon Secours Mercy Health Inc 1701 Mercy Health Place Cincinnati,OH45237 52-1301088	Healthcare system parent	OH	501(c)(3)	Line 12c, III-FI	Bon Secours Inc		No
(2)Bon Secours New York Health System Inc 2975 Independence Avenue Bronx,NY10463 91-2135196	Local System Parent Org.	NY	501(c)(3)	Line 12a, I	Bon Secours Mercy Health Inc		No
(3)Bon Secours Kentucky Health System Inc St Christopher Dr Ashland,KY41101 61-1356024	Local System Parent Org.	KY	501(c)(3)	Line 12c, III-FI	Bon Secours Mercy Health Inc		No
(4)Bon Secours Baltimore Health Corporation 2000 West Baltimore Street Baltimore,MD21223 80-0728893	Local System Parent Org.	MD	501(c)(3)	Line 12c, III-FI	Bon Secours Mercy Health Inc		No
(5)Bon Secours St Francis Health System Inc 1 St Francis Drive Greenville,SC29601 58-2504528	Local System Parent Org.	SC	501(c)(3)	Line 12c, III-FI	Bon Secours Mercy Health Inc		No
(6)Bon Secours Hampton Roads Health System 7007 Harbour View Blvd Portsmouth,VA23435 52-1538513	Local System Parent Org.	VA	501(c)(3)	Line 12c, III-FI	Bon Secours Mercy Health Inc		No
(7)Bon Secours Richmond Health System 8580 Magellan Parkway Richmond,VA23227 52-1988421	Local System Parent Org.	VA	501(c)(3)	Line 12c, III-FI	Bon Secours Mercy Health Inc		No
(8)Bon Secours Baltimore Health System Foundation Inc 26 North Fulton Avenue Baltimore,MD21223 38-3843816	Grant Making Foundation	MD	501(c)(3)	Line 12c, III-FI	Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health		No
(9)The Bon Secours of Maryland Foundation Inc 26 North Fulton Avenue Baltimore,MD21223 52-1732800	Grant Making Foundation	MD	501(c)(3)	Line 12c, III-FI	Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health		No
(10)Mary Immaculate Foundation 7007 Harbour View Blvd Suffolk,VA23435 31-1644734	Fundraising	VA	501(c)(3)	Line 12c, III-FI	Mary Immaculate Hospital		No
(11)Bon Secours DePaul Health Foundation 7007 Harbour View Blvd Suffolk,VA23435 54-1843876	Fundraising	VA	501(c)(3)	Line 7	Bon Secours DePaul Medical Center		No
(12)Bon Secours Maryview Foundation 7007 Harbour View Blvd Suffolk,VA23435 52-1694731	Fundraising	VA	501(c)(3)	Line 7	Bon Secours Hampton Roads Health System		No
(13)Our Lady of Bellefonte Hospital Inc 1000 St Christopher Dr Ashland,KY41101 61-1356023	Health Care	KY	501(c)(3)	Line 3	Bon Secours Kentucky Health System		No
(14)Bon Secours Hospital Baltimore Inc 2000 West Baltimore Street Baltimore,MD21223 52-0591555	Health Care	MD	501(c)(3)	Line 3	Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health		No
(15)St Francis Hospital Inc One St Francis Drive Greenville,SC29601 58-2504530	Health Care	SC	501(c)(3)	Line 3	Bon Secours St Francis Health System Inc		No
(16)Mary Immaculate Hospital Inc 7007 Harbour View Blvd Suffolk,VA23435 54-0548200	Health Care	VA	501(c)(3)	Line 3	Bon Secours Mercy Health Inc		No
(17)Bon Secours - DePaul Medical Center Inc 7007 Harbour View Blvd Suffolk,VA23435 54-1820093	Health Care	VA	501(c)(3)	Line 3	Bon Secours Hampton Roads Health System		No
(18)Maryview Hospital 7007 Harbour View Blvd Portsmouth,VA23707 54-0506463	Health Care	VA	501(c)(3)	Line 3	Bon Secours Hampton Roads Health System		No
(19)Bon Secours - Memorial Regional Medical Center Inc 8580 Magellan Parkway Richmond,VA23227 54-1744931	Health Care	VA	501(c)(3)	Line 3	Bon Secours Richmond Health System		No
(20)Bon Secours - St Mary's Hospital of Richmond Inc 8580 Magellan Parkway Richmond,VA23227 54-0793767	Health Care	VA	501(c)(3)	Line 3	Bon Secours Richmond Health System		No
(21)Bon Secours - Richmond Community Hospital 8580 Magellan Parkway Richmond,VA23227 54-0647482	Health Care	VA	501(c)(3)	Line 3	Bon Secours Richmond Health System		No
(22)Bon Secours - St Francis Medical Center Inc 8580 Magellan Parkway Richmond,VA23227 31-1716973	Health Care	VA	501(c)(3)	Line 3	Bon Secours Richmond Health System		No
(23)Bon Secours Kentucky Health System Foundation Inc St Christopher Dr Ashland,KY41101 61-1381952	Grant Making Foundation	KY	501(c)(3)	Line 7	Bon Secours Kentucky Health System		No
(24)Bon Secours Baltimore Development Inc 26 North Fulton Avenue Baltimore,MD21223 76-0785344	Community Housing	MD	501(c)(3)	Line 7	Unity Properties Inc		No
(25)Unity Properties Inc 26 North Fulton Avenue Baltimore,MD21223 52-1857768	Low Income Housing	MD	501(c)(3)	Line 7	Bon Secours of Maryland Foundation		No
(26)Bon Secours - St Francis Health System Foundation Inc One St Francis Drive Greenville,SC29601 26-0012031	Grant Making Foundation	SC	501(c)(3)	Line 7	St Francis Hospital Inc	Yes
(27)Bon Secours Richmond Health Care Foundation 8580 Magellan Parkway Richmond,VA23227 54-1201346	Grant Making Foundation	VA	501(c)(3)	Line 7	Bon Secours Richmond LLC		No
(28)Bon Secours St Petersburg Home Care Services Inc 10300 Fourth Street North St Petersburg,FL33716 13-4334363	Home Care Services	FL	501(c)(3)	Line 10	Maria Manor Nursing Care Center		No
(29)Bon Secours - Maria Manor Nursing Care Center Inc 10300 Fourth Street North St Petersburg,FL33716 65-0061820	Nursing Home	FL	501(c)(3)	Line 10	Bon Secours Mercy Health Inc		No
(30)Bellefonte Physician Services Inc St Christopher Dr Ashland,KY41101 35-2320780	Physician Practices	KY	501(c)(3)	Line 10	Bon Secours Kentucky Health System		No
(31)Bon Secours Housing Inc 26 North Fulton Avenue Baltimore,MD21223 52-1442707	Low Income Housing	MD	501(c)(3)	Line 10	Bon Secours of Maryland Foundation		No
(32)Bon Secours Housing II Inc 26 North Fulton Avenue Baltimore,MD21223 52-1543174	Low Income Housing	MD	501(c)(3)	Line 10	Bon Secours of Maryland Foundation		No
(33)Schervier Housing Development Fund Corporation 2975 Independence Avenue Bronx,NY10463 13-3098867	Housing	NY	501(c)(3)	Line 10	Bon Secours NY Health System		No
(34)St Francis Physician Services Inc One St Francis Drive Greenville,SC29601 13-4290167	Physician Services	SC	501(c)(3)	Line 10	St Francis Health System Inc		No
(35)Mary Immaculate Nursing Center Inc 7007 Harbour View Blvd Suffolk,VA23435 54-1516476	Nursing Care Center	VA	501(c)(3)	Line 10	Mary Immaculate Hospital		No
(36)Bon Secours - Maryview Nursing Care Center 7007 Harbour View Blvd Suffolk,VA23435 52-1578169	Nursing Care Center	VA	501(c)(3)	Line 10	Bon Secours Hampton Roads Health System		No
(37)Bayley Properties 7007 Harbour View Blvd Suffolk,VA23435 54-1424748	Title Holding Company	VA	501(c)(2)		Bon Secours DePaul Medical Center		No
(38)Laburnum Properties 8580 Magellan Parkway Richmond,VA23227 52-1260700	Title Holding Company	VA	501(c)(2)		Bon Secours Richmond Health System		No
(39)Bon Secours Health System Foundation Inc 8990 Old Annapolis Road Columbia,MD21045 47-4765376	Fundraising	MD	501(c)(3)	Line 7	Bon Secours Mercy Health Inc		No
(40)IVNA Health Services 5008 Monument Avenue Richmond,VA23230 54-1479847	Home Care Services	VA	501(c)(3)	Line 10	Bon Secours Home Care LLC		No
(41)Rappahanock General Hospital Foundation 101 Harris Road Kilmarnock,VA22482 54-1210450	Supporting Organization	VA	501(c)(3)	Line 7	Bon Secours Richmond Health System		No
(42)Chesapeake Medical Group 101 Harris Road Kilmarnock,VA22482 54-1857174	Healthcare Services	VA	501(c)(3)	Line 10	Bon Secours Richmond Health System		No
(43)Chesapeake Hospital Corporation 101 Harris Road Kilmarnock,VA22482 23-7424835	Health Care	VA	501(c)(3)	Line 3	Bon Secours Richmond Health System		No
(44)Bon Secours New Jersey Health System Inc 1505 Marriottsville Road Marriottsville,MD27104 22-2754781	Local System Parent Org.	NJ	501(c)(3)	Line 12c, III-FI	Bon Secours Mercy Health Inc		No
(45)St Mary Hospital Inc 308 Willow Hoboken,NJ07030 22-1487324	Health Care	NJ	501(c)(3)	Line 3	Bon Secours New Jersey Health System Inc		No
(46)Mercy Health Services 1505 Marriottsville Road Marriottsville,MD27104 25-1585441	Local System Parent Org.	PA	501(c)(3)		Bon Secours Mercy Health Inc		No
(47)Pennsylvania Health Choice Plan 1505 Marriottsville Road Marriottsville,MD27104	Health Care	PA	501(c)(3)		Mercy Health Services		No
(48)Liberty Medical Center 1505 Marriottsville Road Marriottsville,MD27104 52-1466304	Health Care	MD	501(c)(3)	Line 3	Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health		No
(49)Bon Secours - Stuart Circle Hospital Inc 8580 Magellan Parkway Richmond,VA23227 54-1740128	Health Care	VA	501(c)(3)	Line 3	Bon Secours Richmond Health System		No
(50)Post Office Plaza Owners Association Inc 1703 Laurel Street Columbia,SC29201	Health Care	SC	501(c)(3)		Bon Secours St Francis Health System Inc		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2019

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) Bon Secours Place at St Petersburg LLP 10300 Fourth Street North St Petersburg,FL33716 59-3589729	Assisted Living/Senior Care	FL	N/A
(2) Bon Secours Apartments LP 1800 West Baltimore St Baltimore,MD21223 52-1952505	Low Income Housing	MD	N/A
(3) Bon Secours Apartments II LP 1800 West Baltimore St Baltimore,MD21223 52-2063512	Low Income Housing	MD	N/A
(4) Liberty Senior Housing LP 1800 West Baltimore St Baltimore,MD21223 52-2134447	Low Income Housing	MD	N/A
(5) Bon Secours Apartments III LP 1800 West Baltimore St Baltimore,MD21223 52-2134444	Low Income Housing	MD	N/A
(6) Bon Secours Smallwood Summit LP 26 North Fulton Ave Baltimore,MD21223 52-2280175	Low Income Housing	MD	N/A
(7) Bon Secours Chesapeake Apartments LP 26 North Fulton Ave Baltimore,MD21223 20-0107034	Low Income Housing	MD	N/A
(8) Bon Secours Shiloh LP 26 North Fulton Ave Baltimore,MD21223 20-3965243	Low Income Housing	MD	N/A
(9) Bon Secours New Shiloh II Limited Partnership 26 North Fulton Ave Baltimore,MD21223 82-0655142	Low Income Housing	MD	N/A
(10) Bon Secours Wayland LP 26 North Fulton Ave Baltimore,MD21223 27-0468688	Low Income Housing	MD	N/A
(11) Bon Secours Gibbons Apartments LP 26 North Fulton Ave Baltimore,MD21223 47-2322323	Low Income Housing	MD	N/A
(12) Upstate Surgery Center LLC One St Francis Drive Greenville,SC29601 56-2186977	Ambulatory Surgery Center	SC	St Francis Hospital Inc	Related	304,338	976,229		No			No	59.540 %
(13) Province Place of DePaul LLC 6403 Granby Street Norfolk,VA23505 54-1950880	Assisted Living Facilities	VA	N/A
(14) Province Place of Maryview LLC One Bon Secours Way Portsmouth,VA23703 54-1842697	Assisted Living	VA	N/A
(15) Broad64 Imaging LLC 8580 Magellan Parkway Richmond,VA23227 20-5886018	Imaging Services	VA	N/A
(16) Richmond Radiation Oncology Center I LLC 8580 Magellan Parkway Richmond,VA23227 20-8444551	Radiation Oncology Services	VA	N/A
(17) RI LP 8580 Magellan Parkway Richmond,VA23227 54-1708835	Imaging Services	VA	N/A
(18) Bon Secours Benet House LP 26 North Fulton Ave Baltimore,MD21223 36-4765400	Low Income Housing	MD	N/A
(19) Bon Secours Benet House LLC 26 North Fulton Ave Baltimore,MD21223 46-3055312	Low Income Housing	MD	N/A
(20) Southeastern Health PartnersLLC One St Francis Drive Greenville,SC29601 81-3264385	Coordinated Care	SC	N/A
(21) Harbour View MOB 2 LLC 5818 Harbour View Blvd Suite A1 Suffolk,VA23435 82-2484997	Real Estate	VA	N/A
(22) Memorial Ambulatory Surgery Center LLC 8580 Magellan Parkway Richmond,VA23227 59-3813233	Ambulatory Surgery Center	VA	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) Bon Secours-Florida Integrated Services Inc 10300 Fourth Street North St Petersburg,FL33716 65-0779777	Holding Company/Assisted Living	FL	N/A	C				No
(2) Professional Health Care Management Services Inc 150 Kingsley Lane Norfolk,VA23505 54-1241031	Administrative	VA	N/A	C				No
(3) Bon Secours - Tidewater Diversified Inc 160 Kingsley Lane Norfolk,VA23505 54-1431826	Pharmacy	VA	N/A	C				No
(4) OSF Inc 2 Bernadine Drive Newport News,VA23602 54-1369919	Rental	VA	N/A	C				No
(5) Unity Housing Inc 26 North Fulton Avenue Baltimore,MD21223 52-1952507	Low Income Housing	MD	N/A	C				No
(6) Bon Secours Wayland LLC 26 North Fulton Avenue Baltimore,MD21223 27-0468561	Low Income Housing	MD	N/A	C				No
(7) Bon Secours New Shiloh II LLC 26 North Fulton Avenue Baltimore,MD21223 82-0631206	Low Income Housing	MD	N/A	C				No
(8) Bon Secours New York Housing Development Fund Corporation 2975 Independence Avenue Bronx,NY10463 47-2224316	Low Income Housing	NY	N/A	C				No
(9) Maryview Building Corporation 3636 High Street Portsmouth,VA23707 54-1306612	Administrative	VA	N/A	C				No
(10) Bon Secours-Virginia Healthsource Inc 8580 Magellan Parkway Richmond,VA23227 54-1417686	Ambulatory Healthcare Services	VA	N/A	C				No
(11) Chesterfield Community Healthcare Center Inc 8580 Magellan Parkway Richmond,VA23227 54-1812738	Ambulatory Healthcare Services	VA	N/A	C				No
(12) Richmond Radiation Oncology Center Inc 8580 Magellan Parkway Richmond,VA23227 54-1570244	Ambulatory Healthcare Services	VA	N/A	C				No
(13) RHS Management Corp 8580 Magellan Parkway Richmond,VA23227 54-1313425	Independent Living Facility	VA	N/A	C				No
(14) Richmond MRI Inc 8580 Magellan Parkway Richmond,VA23227 54-1568452	Medical Services	VA	N/A	C				No
(15) Good Help Connections LLC 8990 Old Annapolis Road Columbia,MD21045 47-2345223	IT Consulting	MD	N/A	C				No
(16) Optimum Health Network Inc One St Francis Drive Greenville,SC29601 57-0973524	Healthcare Services	SC	N/A	C				No
(17) Bon Secours Assurance Company Ltd PO Box 69 KY1-1102 CJ 98-0152147	Offshore Captive Management	CJ	N/A	C				No

Schedule R (Form 990) 2019

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) Bon Secours - St Francis Health System Foundation Inc	B	823,483	Actual
(2) Bon Secours - St Francis Health System Foundation Inc	C	1,896,558	Actual
(3) Upstate Surgery Center - SFH	S	93,715	Actual
(4) Upstate Surgery Center - PS Cost Transfers	L	150,996	Cost

Schedule R (Form 990) 2019

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2019

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2019

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: Provides acute care hospital services.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	18
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	15
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	3,452
6	Total number of volunteers (estimate if necessary) .............	6	279
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	682,903
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	130,121

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	3,019,879	2,014,235
9	Program service revenue (Part VIII, line 2g) .........	607,610,127	612,748,440
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,783,305	3,222,181
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	10,671,484	13,485,335
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	623,084,795	631,470,191
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	69,720,134	70,278,171
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	198,288,608	204,687,720
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	331,149,674	341,594,655
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	599,158,416	616,560,546
19	Revenue less expenses. Subtract line 18 from line 12.......	23,926,379	14,909,645
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	562,242,567	567,357,697
21	Total liabilities (Part X, line 26).............	335,966,040	332,426,960
22	Net assets or fund balances. Subtract line 21 from line 20.....	226,276,527	234,930,737

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 580,778,376 including grants of $ 70,278,171 ) (Revenue $ 618,107,426 )
	Bon Secours St. Francis Health System (BSSFHS) primarily serves Greenville County, which is comprised of approximately 506,837 (2017) residents with a 12.3% population increase since 2010. 15% (2016) being over the age of 65 and 6.4% (2016) under the age of 5. Median household income is approximately $51,595 (2012-2016) and 10.9% (2016) persons in poverty in Greenville County. Currently, 12.4% (2016) of Greenville County residents under the age of 65 are considered medically uninsured. The three leading causes of death for Greenville County are cancer, heart disease and accidents (2016). See Community benefit information in Sch. H. The Community Benefit Report is available on the SFH website.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses580,778,376

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	3,496,410	3,957,398	734,839

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	1,896,558
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	117,677

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		2,014,235

		Business Code
2a	Patient Service Rev.	622110	612,748,440	612,748,440
b
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		612,748,440

3 Investment income (including dividends, interest, and othersimilar amounts) ......			2,117,213			2,117,213
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents	33,769	1,052,559	6a
b	Less: rental expenses	0	0	6b
c	Rental income or (loss)	33,769	1,052,559	6c
d	Net rental income or (loss).......			1,086,328			1,086,328
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	17,000	1,087,968	7a
b	Less: cost or other basis and sales expenses	0	0	7b
c	Gain or (loss)	17,000	1,087,968	7c
d	Net gain or (loss).........			1,104,968			1,104,968
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	Vendor Rebates		900099	3,833,566			3,833,566
b	Retail Pharmacy Sales		446110	3,070,352	3,070,352
c	Clinical Trial Rsch.		900099	1,221,312	1,221,312
d	All other revenue ....			4,273,777	1,067,322	682,903	2,523,552
e	Total. Add lines 11a–11d ......			12,399,007
12	Total revenue. See instructions.....			631,470,191	618,107,426	682,903	10,665,627

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	70,274,171	70,274,171
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	4,000	4,000
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	1,370,731	1,233,658	137,073
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	159,512,941	143,561,647	15,951,294
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	6,135,777	5,522,199	613,578
9	Other employee benefits .......	24,573,014	22,115,713	2,457,301
10	Payroll taxes ...........	13,095,257	11,785,731	1,309,526
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	645,198		645,198
c	Accounting ...........	2,039		2,039
d	Lobbying ...........	21,413	19,272	2,141
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	105,356,953	96,680,233	8,676,720
12	Advertising and promotion ....	2,895,234	2,605,711	289,523
13	Office expenses .......	5,207,264	4,686,538	520,726
14	Information technology ......	1,486,672	1,338,005	148,667
15	Royalties ..
16	Occupancy ...........	14,288,951	12,860,056	1,428,895
17	Travel ............	947,418	852,676	94,742
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	121,436	109,292	12,144
20	Interest ...........	8,091,360	8,091,360
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	19,184,809	17,266,328	1,918,481
23	Insurance ...	2,641,564	2,377,408	264,156
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Medical Supplies	141,500,378	141,500,378	0
b	Bad Debt	26,986,609	26,986,609	0
c	Sales Tax	5,412,304	4,871,074	541,230
d	Unrel. Bus. Income Tax	98,033	0	98,033
e	All other expenses	6,707,020	6,036,317	670,703
25	Total functional expenses. Add lines 1 through 24e	616,560,546	580,778,376	35,782,170	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			12,260	1	12,107
2	Savings and temporary cash investments .........			167,158,792	2	173,477,688
3	Pledges and grants receivable, net ......				3	0
4	Accounts receivable, net .............			73,374,715	4	72,935,017
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6	0
7	Notes and loans receivable, net ...........				7	0
8	Inventories for sale or use ............			16,912,315	8	17,926,176
9	Prepaid expenses and deferred charges ......			5,644,131	9	5,561,614
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	378,087,796
b	Less: accumulated depreciation	10b	205,015,755	177,332,508	10c	173,072,041
11	Investments—publicly traded securities .			24,646,117	11	26,365,298
12	Investments—other securities. See Part IV, line 11 .....			4,038,304	12	5,127,500
13	Investments—program-related. See Part IV, line 11 ..				13	0
14	Intangible assets ...............			76,430,069	14	75,662,208
15	Other assets. See Part IV, line 11 ...........			16,693,356	15	17,218,048
16	Total assets. Add lines 1 through 15 (must equal line 33)...			562,242,567	16	567,357,697

17	Accounts payable and accrued expenses .....	48,724,673	17	48,611,357
18	Grants payable ...		18	0
19	Deferred revenue .........	635,534	19	422,821
20	Tax-exempt bond liabilities .........		20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21	0
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22	0
23	Secured mortgages and notes payable to unrelated third parties ..		23	0
24	Unsecured notes and loans payable to unrelated third parties ..		24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	286,605,833	25	283,392,782
26	Total liabilities. Add lines 17 through 25..	335,966,040	26	332,426,960

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	226,276,527	32	234,930,737
33	Total liabilities and net assets/fund balances ........	562,242,567	33	567,357,697