Form990
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 09-01-2018 , and ending 08-31-2019
BCheck if applicable:
CName of organization
St Francis Hospital Inc
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
One St Francis Drive
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Greenville, SC29601
D Employer identification number

58-2504530
E Telephone number

G Gross receipts $ 652,974,792
F Name and address of principal officer:
WILLIAM KUSNIERZ
One St Francis Drive
Greenville,SC29601
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.BONSECOURS.COM
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet0928
K Form of organization:  
L Year of formation: 1932
M State of legal domicile: SC
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: PROVIDES ACUTE CARE HOSPITAL SERVICES
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 16
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 13
5 Total number of individuals employed in calendar year 2018 (Part V, line 2a) ...... 5 3,684
6 Total number of volunteers (estimate if necessary) ............. 6 279
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 404,762
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 2,014,235 2,349,041
9 Program service revenue (Part VIII, line 2g) ......... 612,748,440 642,230,437
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 3,222,181 3,850,496
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 13,485,335 4,544,818
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 631,470,191 652,974,792
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 70,278,171 31,003,820
14 Benefits paid to or for members (Part IX, column (A), line 4).....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 204,687,720 198,100,190
16a Professional fundraising fees (Part IX, column (A), line 11e) .....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 341,594,655 354,460,245
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 616,560,546 583,564,255
19 Revenue less expenses. Subtract line 18 from line 12....... 14,909,645 69,410,537
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 567,357,697 633,107,261
21 Total liabilities (Part X, line 26)............. 332,426,960 325,685,502
22 Net assets or fund balances. Subtract line 21 from line 20..... 234,930,737 307,421,759
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2018)
Form 990 (2018)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: 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.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 548,320,589 including grants of $ 31,003,820 ) (Revenue $ 644,280,259 )
Bon Secours St. Francis Health System (BSSFHS) primarily serves Greenville County, which is comprised of greater than 514,000 residents and has experienced a growth rate double that of the United States and significantly higher than that of South Carolina. St. Francis Hospital provides medical care to patients without regard to their ability to pay. St. Francis HOspital provides support for the community services. Greenville has a similar age distribution compared to South Carolina, with slightly more children (age <18) and fewer older adults (age >65). Greenville has a higher median income and per capita income than South Carolina, but less than the nation. 13.5% (2018) of residents live in poverty in Greenville County. Please see Schedule H for additional information regarding programs, community benefit programs, and charity care.
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 expensesMediumBullet548,320,589
Form 990 (2018)
Form 990 (2018)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment..............
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III.................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I..................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III.............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII .................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
Form 990 (2018)
Form 990 (2018)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I............
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L,
Part IV........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I.
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II...........
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
120
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2018)
Form 990 (2018)
Page 5
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
3,684
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
Yes
 
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? If "Yes," see instructions and file Form 4720, Schedule N .....
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income?
If "Yes," complete Form 4720, Schedule O ................
16
 
 
Form 990 (2018)
Form 990 (2018)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
16
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
13
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
No
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
SC
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletTRAVIS CRUM1701 MERCY HEALTH PLACE   CINCINNATI,OH45237 (513) 952-5000
Form 990 (2018)
Form 990 (2018)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(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) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) MATTHEW CALDWELL
 
Market President BSSFHS (Beg 05/19)
 2.0
.................
48.0 		X   X       0 684,951 211,765
(2) Thomas Morris PHD
 
Board President
 3.5
.................
46.5 		X   X       0 1,148,933 38,217
(3) Craig MCCoy
 
CEO/Market President BSSFHS (End 03/19)
 36.0
.................
14.0 		X   X       0 1,032,838 88,197
(4) Tilman MCDonald MD
 
Chairman (End 12/18)
 3.5
.................
0.0 		X   X       0 0 0
(5) Joseph Sullivan
 
Chairman (Beg 01/19)
 3.5
.................
0.0 		X   X       0 0 0
(6) Jeffrey Oak PHD
 
Board Member
 2.0
.................
48.0 		X           0 1,234,518 79,901
(7) Kenneth Baca
 
Board Member
 2.0
.................
0.0 		X           0 0 0
(8) SR KATHRYN CLAUSS
 
Board Member
 2.0
.................
0.0 		X           0 0 0
(9) HENRY GALLIVAN
 
Board Member
 2.0
.................
0.0 		X           0 0 0
(10) GREGORY HASELDEN
 
Board Member (End 12/18)
 2.0
.................
0.0 		X           0 0 0
(11) Laurence HInsdale
 
Board Member
 2.0
.................
0.0 		X           0 0 0
(12) Raymond LATtimore
 
Board Member
 2.0
.................
0.0 		X           0 0 0
(13) Joanie MARTIN
 
Board Member
 2.0
.................
0.0 		X           0 0 0
(14) Steven Owings
 
Board Member
 2.0
.................
0.0 		X           0 0 0
(15) John Pazdan
 
Board Member
 2.0
.................
0.0 		X           0 0 0
(16) Carlos Quintero
 
Board Member
 2.0
.................
0.0 		X           0 0 0
(17) Wendy WALDEN
 
Board Member
 2.0
.................
0.0 		X           0 0 0
Form 990 (2018)
Form 990 (2018)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(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) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Angela WEBB
 
Board Member
 2.0
.......................0.0 		X           0 0 0
(19) Morris Williams JR MD
 
Board Member
 2.0
.......................0.0 		X           0 0 0
(20) WILLIAM KUSNIERZ
 
CFO - BSSFHS (Beg 08/19)
 2.0
.......................48.0 		    X       0 374,524 37,852
(21) IRENE HOLCOMBE
 
Secretary
 50.0
.......................0.0 		    X       94,613 0 16,651
(22) RONNIE HYATT
 
Treasurer/CFO - BSSFHS (End 07/19)
 50.0
.......................0.0 		    X       518,953 0 35,721
(23) DENISE CAMPBELL
 
Interim Chief Nursing Officer (Ended 05/19)
 50.0
.......................0.0 		      X     171,887 0 36,034
(24) Kathleen Black
 
Chief Nursing Executive (Beg 05/19)
 50.0
.......................0.0 		      X     0 0 0
(25) Patricia Archer
 
VP - Surgical Services
 50.0
.......................0.0 		      X     198,190 0 11,070
(26) Thomas Cummins
 
Chief Medical Officer (Ended 05/19)
 50.0
.......................0.0 		      X     524,564 0 33,667
(27) Marcus Blackstone MD
 
Chief Clinical Officer (Begin 05/19)
 50.0
.......................0.0 		      X     322,483 0 29,347
(28) JOSEPH HARTZOG MD
 
Emergency Physician
 50.0
.......................0.0 		        X   616,726 0 44,182
(29) BRUCE BOURDON MD
 
Emergency Physician
 50.0
.......................0.0 		        X   450,135 0 46,738
(30) GREGORY HOFFMAN MD
 
Emergency Physician
 50.0
.......................0.0 		        X   429,957 0 42,894
(31) Jesse Felder MD
 
Emergency Physician
 50.0
.......................0.0 		        X   448,143 0 35,932
(32) KURT HOFFERT MD
 
Emergency Physician
 50.0
.......................0.0 		        X   435,715 0 45,177
(33) Teresa Ficicchy
 
Former EVP-CNO
 0.0
.......................50.0 		          X 0 395,573 28,389
(34) Rose Leo
 
Former VP Surgical Services
 0.0
.......................0 		          X 108,156 0 10,433
(35) Mark Nantz
 
Former CEO
 0.0
.......................50.0 		          X 0 2,460,450 137,158
(36) Daniel Duggan
 
Former COO
 0.0
.......................50.0 		          X 0 695,640 28,561
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 4,319,522 8,027,427 1,037,886
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet186
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
TRIMEDX INC

12483 COLLECTIONS CTR DR
CHICAGO,IL60693 		Asset Management 6,542,470
APOGEE MEDICAL MANAGEMENT

15059 N SCOTTSDALE RD
STE 600
SCOTTSDALE,AZ85254 		Hospitalist Management 6,237,019
MORRISON MGT SPECIALISTS

PO BOX 102289
ATLANTA,GA303682289 		Food Management 6,205,582
US BANK CORPORATE TRUST (SHIFTWISE)

PO BOX 70870
ST PAUL,MN551709705 		Contract Labor 4,710,887
SURGICAL OPERATIONAL SERVICES

196 WOODHAVEN LN
BALL GROUND,GA30107 		Contract Surgical Services 2,965,989
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet172
Form 990 (2018)
Form 990 (2018)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 2,174,141
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f 174,900
g Noncash contributions included in lines 1a - 1f:$  
h Total. Add lines 1a-1f.......MediumBullet 2,349,041
Program Service RevenueAmt Business Code
2a PATIENT SERVICE REV. 622110 642,230,437 641,825,675 404,762  
b
c
d
e
f All other program service revenue. 0 0 0 0
g Total. Add lines 2a–2f ....MediumBullet 642,230,437
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 2,022,699     2,022,699
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   1,170,910
b Less: rental expenses    
c Rental income or (loss) 0 1,170,910
d Net rental income or (loss)......MediumBullet 1,170,910     1,170,910
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 244,435 1,583,362
b Less: cost or other basis and sales expenses    
c Gain or (loss) 244,435 1,583,362
d Net gain or (loss).....MediumBullet 1,827,797     1,827,797
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a RETAIL PHARMACY SALES 446110 1,130,463 1,130,463    
b clinical drug research 900099 1,110,957 1,110,957    
c health and fitness 900099 213,164 213,164    
d All other revenue .... 919,324 0 0 919,324
e Total. Add lines 11a–11d ...... MediumBullet 3,373,908
12 Total revenue. See Instructions......MediumBullet 652,974,792 644,280,259 404,762 5,940,730
Form 990 (2018)
Form 990 (2018)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 31,003,820 31,003,820
2 Grants and other assistance to domestic individuals. See Part IV, line 22    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 1,993,180 1,793,862 199,318  
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 153,050,682 137,745,614 15,305,068  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 5,937,980 5,344,182 593,798  
9 Other employee benefits ....... 24,103,520 21,693,168 2,410,352  
10 Payroll taxes ........... 13,014,828 11,713,345 1,301,483  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 283,837   283,837  
c Accounting ...........        
d Lobbying ........... 25,369 22,832 2,537  
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) 108,957,317 99,588,494 9,368,823 0
12 Advertising and promotion .... 1,145,383 1,030,845 114,538  
13 Office expenses ....... 1,005,842 905,258 100,584  
14 Information technology ...... 851,234 766,111 85,123  
15 Royalties ..        
16 Occupancy ........... 13,003,748 11,703,373 1,300,375  
17 Travel ............ 844,797 760,317 84,480  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 70,810 63,729 7,081  
20 Interest ........... 2,393,517 2,393,517    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 18,049,177 16,244,259 1,804,918  
23 Insurance ... 2,653,651 2,388,286 265,365  
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 151,360,969 151,360,969    
b BAD DEBT 34,215,116 34,215,116    
c SALES AND USE TAX 5,764,182 5,187,764 576,418  
d FEDERAL INCOME TAX 62,265   62,265  
e All other expenses 13,773,031 12,395,728 1,377,303 0
25 Total functional expenses. Add lines 1 through 24e 583,564,255 548,320,589 35,243,666 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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2018)
Form 990 (2018)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 12,107 1 11,513
2 Savings and temporary cash investments ......... 173,477,688 2 229,989,059
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net ............. 72,935,017 4 78,655,103
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
  6 0
7 Notes and loans receivable, net ....   7  
8 Inventories for sale or use ........ 17,926,176 8 19,490,478
9 Prepaid expenses and deferred charges ...... 5,561,614 9 6,939,426
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 386,321,009
b Less: accumulated depreciation 10b 221,723,471 173,072,041 10c 164,597,538
11 Investments—publicly traded securities . 26,365,298 11 26,677,949
12 Investments—other securities. See Part IV, line 11 ..... 5,127,500 12 5,183,529
13 Investments—program-related. See Part IV, line 11 .. 0 13  
14 Intangible assets ............... 75,662,208 14 75,662,208
15 Other assets. See Part IV, line 11 ........... 17,218,048 15 25,900,458
16 Total assets. Add lines 1 through 15 (must equal line 34)... 567,357,697 16 633,107,261
Liabilities 17 Accounts payable and accrued expenses ..... 48,611,357 17 38,108,528
18 Grants payable ...   18  
19 Deferred revenue ......... 422,821 19 225,504
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..   22 0
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
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 283,392,782 25 287,351,470
26 Total liabilities. Add lines 17 through 25.. 332,426,960 26 325,685,502
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets 234,930,737 27 307,421,759
28 Temporarily restricted net assets ...........   28  
29 Permanently restricted net assets   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund ...   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 234,930,737 33 307,421,759
34 Total liabilities and net assets/fund balances ........ 567,357,697 34 633,107,261
Form 990 (2018)
Form 990 (2018)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
652,974,792
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
583,564,255
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
69,410,537
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
234,930,737
5
Net unrealized gains (losses) on investments ...............
5
-1,517,088
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
4,597,573
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
307,421,759
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2018)
Form 990 (2018)
Additional Data


Software ID: 18007697
Software Version: 2018v3.1
Form 990, Special Condition Description:
Special Condition Description
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 the latest information.
OMB No. 1545-0047
2018
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.)
1
2
3
4
5
6
7
8
9

10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
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) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (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) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (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  
12
12
 
13
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
14
14
 
15
15
 
16a
b
17a
b
18
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) 2018

Schedule A (Form 990 or 990-EZ) 2018
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) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (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) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (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.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
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
No
1
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.
1
 
 
2
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).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
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.
3b
 
 
c
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.
3c
 
 
4a
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.
4a
 
 
b
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.
4b
 
 
c
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.
4c
 
 
5a
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).
5a
 
 
b
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?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
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.
6
 
 
7
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) .
7
 
 
8
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).
8
 
 
9a
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.
9a
 
 
b
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.
9b
 
 
c
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.
9c
 
 
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
 
 
b
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) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
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
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
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
No
1
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.
1
 
 
2
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.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
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).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
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?
1
 
 
2
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).
2
 
 
3
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.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
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.
2a
 
 
b
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.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
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.
3a
 
 
b
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.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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  
7
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
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 2018 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-2018 		(iii)
Distributable
Amount for 2018
1 Distributable amount for 2018 from Section C, line
6 		 
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2018:
a From 2013.......  
b From 2014.......  
c From 2015.......  
d From 2016.......  
e From 2017.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2018 distributable amount  
i Carryover from 2013 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2018 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2018 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2018, 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 2018. 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 2019. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a Excess from 2014......  
b Excess from 2015.....  
c Excess from 2016.....  
d Excess from 2017.....  
e Excess from 2018.....  
Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018
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) 2018


Additional Data


Software ID: 18007697
Software Version: 2018v3.1
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
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






Form 990-PF




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
Special Rules
......... 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) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2
Name of organization
St Francis Hospital Inc
  		Employer identification number
58-2504530
Part I
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
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
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) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
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 $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (c) Use 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 (c) Use 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 (c) Use 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 (c) Use 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) (2018)

Additional Data


Software ID: 18007697
Software Version: 2018v3.1
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 BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
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.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

2
Political campaign activity expenditures (see instructions) ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities (see instructions) ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
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) 2018

Schedule C (Form 990 or 990-EZ) 2018
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 Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(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? ...................................................................................................................

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) 2015 (b) 2016 (c) 2017 (d) 2018 (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) 2018


Schedule C (Form 990 or 990-EZ) 2018
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)
No
Yes
(b)
Amount
1
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:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
No
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
25,369
j
Total. Add lines 1c through 1i ....................................................................................................
25,369
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
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
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
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."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
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? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) .........................................
5
 
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
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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) 2018


Additional Data


Software ID: 18007697
Software Version: 2018v3.1

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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 the latest information.
OMB No. 1545-0047
2018
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 ........    
5
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? ............
6
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? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
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)? .............................
9
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.
1a
If the organization elected, as permitted under SFAS 116 (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.
b
If the organization elected, as permitted under SFAS 116 (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 $  
2
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 SFAS 116 (ASC 958) relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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) 2018

Schedule D (Form 990) 2018
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?...
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
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  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
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 ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations .................
3a(i)
 
 
(ii) related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
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 ....   175,880,768 76,712,342 99,168,426
c Leasehold improvements   1,801,948 1,570,174 231,774
d Equipment ....   178,085,072 139,439,820 38,645,252
e Other .....   17,189,553 4,001,135 13,188,418
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 164,597,538
Schedule D (Form 990) 2018

Schedule D (Form 990) 2018
Page 3
Part VII
Investments—Other 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
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program 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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
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  
DUE TO AFFILIATES 259,621,863
MEDICARE/MEDICAID SETTLEMENT 1,182,814
HOSPICE HOUSE LIABILITY 0
HPL/GL LIABILITY 6,146,901
PATIENT CREDIT BALANCES 3,691,922
FIN 47 LIABILITY 1,046,897
DEFERRED RENT 0
OTHER MISC LIABILITIES 0
Lease Liability 15,652,008
Unclaimed Property 9,065
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 287,351,470
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) 2018

Schedule D (Form 990) 2018
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
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote 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 Company 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 Company 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 Company 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 Company has determined that no significant unrecognized tax benefits or liabilities exist as of December 31, 2018. 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 Company is subject to routine audits by taxing jurisdictions; with currently the IRS audit of Mercy for 2016 tax period in progress. The Company believes it is no longer subject to income tax examinations for years prior to 2013. As of December 31, 2018, the Company has no uncertain tax positions. The Company's taxable subsidiaries had $169,666 of gross net operating loss carryforwards as of December 31, 2018, which expire in varying periods through 2037 and are available to offset future taxable income. The Company 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 Company's deferred tax assets are fully reserved at December 31, 2018 as the Company 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 Company 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) 2018


Additional Data


Software ID: 18007697
Software Version: 2018v3.1




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet 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
2018
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
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
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.
3
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.
a
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:
3a
Yes
 
%
b
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: . . . . . . . .
3b
Yes
 
%
c
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.
4
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"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
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? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
 
No
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
 
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
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) . . . 		    27,570,962 5,861,073 21,709,889 3.95 %
b Medicaid (from Worksheet 3, column a) . . . . .     48,802,061 42,253,802 6,548,259 1.19 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .         0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 76,373,023 48,114,875 28,258,148 5.14 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     2,480,651 72,046 2,408,605 0.44 %
f Health professions education (from Worksheet 5) . . .     330,395   330,395 0.06 %
g Subsidized health services (from Worksheet 6) . . . .         0 0 %
h Research (from Worksheet 7) .         0 0 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     938,464   938,464 0.17 %
j Total. Other Benefits . . 0 0 3,749,510 72,046 3,677,464 0.67 %
k Total. Add lines 7d and 7j . 0 0 80,122,533 48,186,921 31,935,612 5.81 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
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 (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing         0 0 %
2 Economic development         0 0 %
3 Community support     550,416   550,416 0.10 %
4 Environmental improvements     181   181 0 %
5 Leadership development and
training for community members		     3,390   3,390 0 %
6 Coalition building         0 0 %
7 Community health improvement advocacy     162,901   162,901 0.03 %
8 Workforce development     29,877   29,877 0.01 %
9 Other         0 0 %
10 Total 0 0 746,765 0 746,765 0.14 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
34,215,116
3
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. ......
3
 
4
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
5
Enter total revenue received from Medicare (including DSH and IME).....
5
149,693,932
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
165,315,075
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-15,621,143
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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 .........................

9b

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 %
1UPSTATE SURGERY CENTER
  		AMBULATORY SURGERY CENTER 59.54 % 0 % 11.65 %
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
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) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 ST FRANCIS HOSPITAL - DOWNTOWN
ONE ST FRANCIS DRIVE
GREENVILLE,SC296013955
WWW.BONSECOURS.COM
HTL-0794 		X X     X X X     A
2 ST FRANCIS HOSPITAL - EASTSIDE
125 COMMONWEALTH DRIVE
GREENVILLE,SC296154812
WWW.BONSECOURS.COM
HTL-0793 		X X     X   X     A
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
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)
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 No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 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 ................. 5 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.................................. 6a   No
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.bonsecours.com/about-us/community-commitment/community-health-needs-assessment
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
http://www.fa.bonsecours.com/
b
http://www.fa.bonsecours.com/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
A
Name of hospital facility or letter of facility reporting group  
Yes No
17 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?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
A
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
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, 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
Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - St. Francis Hospital, Inc.. A community-based approach was taken to complete the Community Health Needs Assessment. Data was collected as outlined below from primary and secondary sources during the time period of April 2019 - July 2019. National, state, and county-specific data was collected from a broad set of reliable data sources. Additional attention was placed on assessing Healthy People 2020 Leading Indicators, review of the previous CHNA data, and gathering information from community residents, providers of health and human services, and other stakeholders and representatives of Greenville County. Efforts were made to ensure that the research was conducted in a manner that was representative of the communities within Bon Secours Mercy Health's service area. Collection of statistical (secondary, quantitative) data at national, state, regional and local levels - key data sources included Census Bureau American Fact Finder, Healthy People 2020, Robert Wood Johnson County Health Rankings, Centers for Disease Control, and South Carolina DHEC biostatistics, vital records, county health profiles and hospital discharge data. Collection and analysis of qualitative data was completed through a community survey, a town hall meeting and a stakeholder focus group. The community survey was completed by 1,014 individuals from January - March 2019. A Town Hall meeting was held in April 2019 to allow discussion among leaders of social service agencies, senior health groups, free medical clinics and others in tune with the needs of at-risk populations in Greenville County. Community Focus Group consisted of neighborhood leaders, organizers and advocates. This group represented the interests of urban and suburban residents, mostly from less affluent communities that are home to lower-income families, minority families and the elderly. Lastly, a Stakeholder Focus Group was held for small group discussion with additional health and social service providers. The meetings with stakeholders were facilitated to review the assessment findings and identify priorities and potential actions. The assessment was completed in partnership and with local public health professionals, health and human service agencies, the South Carolina Hospital Association and Bon Secours St. Francis Health System leaders and board.
Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - St. Francis Hospital, Inc.. 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 Bon Secours Medical Group and Community Ministries continues to participate in the South Carolina Hospital Association (SCHA) Behavioral Health Coalition being developed within South Carolina. The SCHA's 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. Collaborations/Partnerships: * Greenville Crisis Response Team (GCRT) - developed to provide a seamless and effective system of intervention for those with mental illness within our 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. * Greenville Shared Solutions was a crisis intervention center to offer treatment and care for the mentally ill. It was designed to keep individuals out of jail and the ER. Unfortunately, in 2018 ongoing funding for Shared Solutions could not be found and the effort ceased to exist. * Through partnership, Bon Secours St. Francis & Anderson University created a hub for the placement of student interns studying to be psychiatric nurse practitioners within Bon Secours St. Francis. * Sixty-seven (67) patients in the Bon Secours St. Francis ED received intervention services from FAVOR. Greenville achieved its Opioid KPIs. * The Homeless Management Information System contract was formally signed in 2018 between Bon Secours St. Francis and United Housing Connections. Community health nurses, social workers & Emergency Department case management staff were trained to collect data to better serve the homeless. * The Bon Secours Medical Group Depression Screening Initiative implemented depression screening education for staff with ongoing process improvements to meet goals. Dr. Carson Felkel, MD was appointed as Lead Physician for the Behavioral Health Program in 2017. 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 of patient care. * The Bon Secours Medical Group (BSMG) continues to use the Behavioral Health/Primary Care Integrated model that was implemented in March of 2018. The Integrated Care model includes an Integrated Care Manager within the Primary Care setting. * 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. * Practitioners of BSMG practices were surveyed to assess needs with respect to behavioral health care for their patients. * Launched BSMG depression screening initiative, depression screening education for staff on adult depression clinical guidelines. * Ongoing process improvements via LEAN transformation. Affordable Housing * Bon Secours St. Francis was instrumental in leading the cause for affordable housing along with nonprofits, local government and real estate developers. Gentrification is a significant issue that has pushed the poor out of the city where the cost of living is higher. Bon Secours St. Francis' Director Community Health co-chaired an affordable housing study in 2016 which led to the development of the Greenville Housing Fund a year later. The Director Community Health currently serves on the Housing Fund's board of directors. The Housing Fund was developed to make low interest loans to developers. * In 2017, the City of Greenville initially designated $2M with an additional $3M plus $5M over the next 5 years to be allocated for affordable housing. In 2018, Greenville County committed $5M for housing to be disbursed over the next 5 years. * Philanthropic funds or investments in affordable housing were made via donations to the Greenville Housing Fund to support affordable housing projects. * Advocacy at the local, state & national levels occurred. Housing and social determinants of health Op-eds were written by Bon Secours staff and printed in the local newspapers. Advocacy at County Council and City Council meetings helped to raise awareness of housing needs for those at the lowest income levels. * Coalition Work established an additional advocacy platform with the Homeless Alliance, Homeless Coalition, United Ministries and the Continuum of Care. * An advocacy letter was prepared by the director Healthy Community Initiatives on behalf of the Homeless Alliance supporting Bill S346. The letter was approved by the Alliance. In April 2017 the director Healthy Community Initiatives spoke before a State Senate committee supporting Bill S346. A letter was drafted from Alex Garvey, SVP, Mission in support of Bill 346 which was sent to Greenville's state legislators indicating the Health System's support for inclusionary zoning. * Provided nursing and social work assistance for the homeless at Triune Mercy Center, First Christian Fellowship for the homeless in need of medical care, health insurance, housing and benefits. * The Sterling Land Trust with financial support from Bon Secours St. Francis, Community Works, and the SC Association for Community Economic Development, the City of Greenville and the Graham Foundation completed its first affordable home in 2019 in partnership with the Nehemiah Revitalization Corporation who builds affordable housing in Counties in the Upstate. The home is rented in the Sterling neighborhood. The County of Greenville in 2019 quick deeded a building and a couple parcels of surrounding land to the Sterling Land Trust to build affordable housing. The Land Trust owns several other parcels of land and worked with Clemson University School of Architecture on several projects between 2017-2019 to create a design for the use of land owned by the Sterling Land Trust. The Nehemiah Revitalization Corporation is interested in partnering with the Land Trust for future builds. * An application for funding a part time Community Development Manager for the Sterling Land Trust was approved via a Mission Grant through the Bon Secours corporate office from 2018-2019. This position provided the Sterling Land Trust an opportunity to build its internal operations and capacity to focus on community development projects that will benefit the Sterling community. * Bon Scours St. Francis built 3 Habitat homes in Sterling at an investment of $210,000 between 2017 and 2019. * Mercy Housing SE & Bon Secours joined efforts to bring 46 units of affordable housing to Mauldin. Mercy's SC State Tax Credit application was approved in 2019 and building will begin in 2020. In 2019 Mercy Housing SE made an offer on 5 acres of land in Greenville. This has the potential to bring an additional 60 units of senior citizen housing to Greenville County by 2022. Description continued below.
Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - St. Francis Hospital, Inc. (Continued). Continued Description From Above Obesity * In 2019, Bon Secours joined a partnership with several organizations called Build Health. The lead agency LiveWell is working with Bon Secours St. Francis, PRIS'MA Health, and the County Health Department. The purpose of the grant is to reduce obesity in Hispanic youth who reside in the Berea neighborhood. Obesity rates are extremely high particularly for Hispanic boys. According to our CHNA every 2 out of 3 people residing in Greenville are obese or overweight. This is a 3 year grant. * Bon Secours St. Francis funded Communities in Schools, to address the risk of obesity in youth. The initiative took place at Berea Middle School between March and June 2018. After school activities were provided for 77 children: nutrition, healthy eating, exercise, sports, gardening & dance. Students reported enjoying the program, changing habits and behaviors. * Bon Secours St. Francis helped fund a University of SC Peer Support study: Yellow Jackets Choose to Bee Healthy. Focus: Applying peer support among students, teachers and parents to encourage healthy eating. * Benefits of participating in the study included weight loss, creating a routine for meals, improvement in how students felt, increased energy level and improved sleep. * Bon Secours St. Francis Health conducted an obesity intervention study in partnership with the Greenville Free Medical Clinic. Intervention included: Evidence-based Diabetes Prevention. * Bon Secours St. Francis Health conducted an obesity intervention study in partnership with the Greenville Free Medical Clinic in 2017-2018. Intervention included: Evidence-based Diabetes Prevention Program curriculum, restorative exercise and group counseling sessions, coordinated patient participation with BSMG Behavioral Health Therapist and Community Wellness Outreach RN and Healthy Self Exercise Specialist, and free fresh market produce for participants. Target: BMIs of 50-55; 60 participants recruited; 12 participated. Four finished the program. Outcomes for those finishing the program: 3 out of 4 achieved a greater than 5% weight loss and maintained the loss and A1c was lowered. There clearly were lessons learned from the program. A major learning was to consider a much smaller sample as a way to address the individual needs and to explore the interest and commitments of participants. * Bon Secours as a partner in the Live Well Coalition became the fiscal agent of the Duke Endowment Grant in 2017. The focus was in three areas: 1) Early childhood (technical assistance and implementation of healthy eating & active living). Measures were established and data was interpreted and presented back to early childhood centers who were participating, 2) Wellness policies developed in the work place and 3)the At Worship program with 130 congregations who are majority African-American. * Major in-roads were created in 2018/19 in the Hispanic faith community on health and wellness. Bon Secours St. Francis' Faith Community Coordinator who is bilingual worked closely with LiveWell to discuss ways to address health promotion and healthy eating habits in Hispanic communities. Several Hispanic ministers committed their congregations to be involved in health related activities.
Schedule H, Part V, Section B, Line 16 Facility A, 1 Facility A, 1 - St. Francis Hospital, Inc.. Information regarding the Financial Assistance Policy (FAP) is available on our websites and 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 FAP.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
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?20
Name and address Type of Facility (describe)
1 ST FRANCIS OUTPATIENT CENTER
3 ST FRANCIS DRIVE
GREENVILLE,SC29601 		OUTPATIENT SERVICES
2 ST FRANCIS ES OUTPATIENT LAB
135 COMMONWEALTH DR SUITE 255
GREENVILLE,SC29615 		OUTPATIENT LAB
3 ST FRANCIS REHAB
131 COMMONWEALTH DR SUITE 200
GREENVILLE,SC29615 		OUTPATIENT REHAB-PHYSICAL, OCCUPATIONAL, SPEECH, MASSAGE THERAPY
4 ST FRANCIS OUTPATIENT REHAB
120 SUMMER STREET
GREENVILLE,SC29601 		OUTPATIENT REHAB
5 ST FRANCIS PHYSICAL THERAPY
712 CONGAREE ROAD
GREENVILLE,SC29607 		OUTPATIENT REHAB
6 ST FRANCIS POWDERSVILLE REHAB
3407 HWY 153
PIEMONT,SC29673 		OUTPATIENT REHAB
7 ST FRANCIS PHYSICAL THERAPY
209 PATEWOOD DR SUITE 100
GREENVILLE,SC29615 		OUTPATIENT REHAB
8 ST FRANCIS HOMECARE
10 PATEWOOD DRIVE SUITE 300
GREENVILLE,SC29615 		HOMECARE OFFICES
9 MCCALL HOSPICE HOUSE
1836 WEST GEORGIA RD
SIMPSONVILLE,SC29680 		HOSPICE
10 ST FRANCIS SLEEP DISORDER CENTER
3 ST FRANCIS DRIVE SUITE 340
GREENVILLE,SC29601 		SLEEP DISORDER CENTER
11 ST FRANCIS WOUND HEALING CENTER
131 COMMONWEALTH DR SUITE 200
GREENVILLE,SC29315 		WOUND CARE REHAB
12 CENTRAL REGISTRATION & LAB
2 INNOVATION DR STE 110
GREENVILLE,SC29607 		REGISTRATION AND LAB
13 HEALTHY SELF CARDIOVASCULAR REHAB
2 INNOVATION DR STE 200
GREENVILLE,SC29607 		CARDIAC/PULMONARY/VASCULAR FITNESS/DIABETES CARE
14 SLEEP LAB
2 INNOVATION DR STE 340
GREENVILLE,SC29607 		SLEEP LAB
15 EARLY DETECTION & RENEWAL
2 INNOVATION DR STE 350
GREENVILLE,SC29607 		DIAGNOSTICS & EARLY DETECTION CENTER
16 SPORTS & EXE MEDI & PHY THERAPY
2 INNOVATION DR STE 250
GREENVILLE,SC29607 		SPORTS AND EXERCISE MEDICINE & PHYSICAL THERAPY
17 NU-LIFE
2 INNOVATION DR STE 330
GREENVILLE,SC29607 		EXECUTIVE PHYSICALS
18 COMMUNITY EDUCATION
2 INNOVATION DR STE 100
GREENVILLE,SC29607 		CLASSROOM
19 ST FRANCIS PEARLIE HARRIS BREAT CTR
131 COMMONWEALTH DR SUITE 220
GREENVILLE,SC29615 		BREAST CANCER TREATMENT FACILITY
20 ST FRANCIS MILLENNIUM CANCER CENTER
104 INNOVATION DR
GREENVILLE,SC29607 		CANCER FACILITY
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
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
Schedule H, Part V, Section B, Line 14 AGB 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.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 34215116
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance Cost of financial assistance at cost was calculated with a cost to charge ratio using worksheet 2. The cost related to Medicaid patients was determined using Bon Secours Mercy Health's cost accounting system and included both inpatients and outpatients for traditional Medicaid and Medicaid managed care plans. For subsidized services Bon Secours Mercy Health's cost accounting system used to determine cost related to the specific service excluding traditional Medicaid and Medicaid managed care patients. Costs for charity and bad debt accounts are deducted using a ratio of cost to charge specific to that subsidized service. Costs for other programs reflect the direct and indirect costs of providing those programs.
Schedule H, Part II Community Building Activities Bon Secours Mercy Health addresses various community concerns including health improvement, poverty, workforce development, and access to health care. Bon Secours Mercy Health hospitals conduct community health education and support groups, health fairs and screenings for the communities served. Bon Secours Mercy Health hospitals work with state and local leadership to address community needs and provide healthcare services to the poor and underserved. Bon Secours Mercy Health hospitals provide programs to improve the physical surroundings and housing in the communities served. Inadequate housing has a negative impact on the health of residents in the area by leading to violence in the neighborhoods. A robust economy positively impacts residents covered by health insurance and improves the capacity of the community to support health services. Social support services such as HELP (Hospital Eligibility Link Program) are also important to support the ability of residents to gain and retain employment and therefore access to health insurance and improved access to health services.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. NET PATIENT ACCOUNTS ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED UPON BON SECOURS MERCY HEALTH'S HISTORICAL COLLECTION EXPERIENCE ADJUSTED FOR CURRENT ENVIRONMENTAL RISKS AND TRENDS FOR EACH MAJOR PAYOR SOURCE. SIGNIFICANT PROVISION IS MADE FOR SELF-PAY PATIENT ACCOUNTS IN THE PERIOD OF SERVICE BASED ON PAST COLLECTION EXPERIENCE. BON SECOURS MERCY HEALTH'S CONCENTRATION OF CREDIT RISK RELATED TO NET PATIENT ACCOUNTS IS LIMITED DUE TO THE DIVERSITY OF PATIENTS AND PAYORS. NET PATIENT ACCOUNTS CONSIST OF AMOUNTS DUE FROM GOVERNMENTAL PROGRAMS (PRIMARILY MEDICARE AND MEDICAID), PRIVATE INSURANCE COMPANIES, MANAGED CARE PROGRAMS AND PATIENTS THEMSELVES. NET PATIENT SERVICE REVENUE FOR SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE IS RECOGNIZED BASED ON CONTRACTUAL RATES FOR SERVICES RENDERED. BON SECOURS MERCY HEALTH RECOGNIZES A SIGNIFICANT AMOUNT OF PATIENT SERVICE REVENUE AT THE TIME SERVICES ARE RENDERED EVEN THOUGH IT DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY. AS A RESULT, THE PROVISION FOR BAD DEBTS IS PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). AMOUNTS RECOGNIZED ARE SUBJECT TO ADJUSTMENT UPON REVIEW BY THIRD-PARTY PAYORS. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, BON SECOURS MERCY HEALTH RECOGNIZES REVENUE WHEN SERVICES ARE PROVIDED. BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF BON SECOURS MERCY HEALTH'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR SERVICES PROVIDED. THUS, BON SECOURS MERCY HEALTH RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. ANY DISCOUNTS APPLIED TO SELF-PAY PATIENTS WOULD BE DEEMED EITHER CHARITY OR A CONTRACTUAL ADJUSTMENT. BAD DEBT WOULD BE BASED ON THE BALANCE AFTER THE CHARITY OR CONTRACTUAL ADJUSTMENT THAT IS DEEMED UNCOLLECTABLE FOLLOWING A REASONABLE COLLECTION EFFORT.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology BON SECOURS MERCY HEALTH'S FINANCIAL ASSISTANCE POLICY DOES NOT PERMIT THE COST OF PATIENTS WHO ARE UNCOOPERATIVE OR UNABLE TO BE LOCATED TO BE RECLASSIFIED FROM FINANCIAL ASSISTANCE TO BAD DEBT. BON SECOURS MERCY HEALTH'S FINANCIAL ASSISTANCE POLICY REQUIRES AN APPLICATION AND SUPPORTING DOCUMENTATION. THEREFORE, ZERO DOLLARS ARE BEING REPORTED ON PART III, LINE 3 AS AMOUNTS INCLUDED IN BAD DEBT THAT COULD BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER BON SECOURS MERCY HEALTH'S FINANCIAL ASSISTANCE POLICY. THE HOSPITAL FOLLOWS THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES POLICY DOCUMENT, COMMUNITY BENEFIT PROGRAM, A REVISED RESOURCE FOR SOCIAL ACCOUNTABILITY ("CHA GUIDELINES") FOR DETERMINING COMMUNITY BENEFIT. THE CHA GUIDELINES RECOMMEND THAT HOSPITALS NOT INCLUDE BAD DEBT EXPENSE AS COMMUNITY BENEFIT.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote BON SECOURS MERCY HEALTH'S AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. BON SECOURS MERCY HEALTH ELECTED TO EARLY ADOPT ASU 2011-07. ACCORDINGLY, BAD DEBT EXPENSE IS REFLECTED AS A DEDUCTION FROM REVENUE RATHER THAN AS AN OPERATING EXPENSE. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, B. SIGNIFICANT ACCOUNTING POLICIES, NET PATIENT ACCOUNTS AND NET PATIENT SERVICE REVENUE (PAGE 10) STATES NET PATIENT ACCOUNTS ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED UPON THE HISTORICAL COLLECTION EXPERIENCE OF EACH REGIONAL AFFILIATE ADJUSTED FOR CURRENT ENVIRONMENTAL RISKS AND TRENDS FOR EACH MAJOR PAYOR SOURCE. SIGNIFICANT PROVISION IS MADE FOR SELF-PAY PATIENT ACCOUNTS IN THE PERIOD OF SERVICE BASED UPON PAST COLLECTION EXPERIENCE.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs 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.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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.
Schedule H, Part V, Section B, Line 16a FAP website A - ST. FRANCIS HOSPITAL - DOWNTOWN: Line 16a URL: http://www.fa.bonsecours.com/;
Schedule H, Part V, Section B, Line 16b FAP Application website A - ST. FRANCIS HOSPITAL - DOWNTOWN: Line 16b URL: http://www.fa.bonsecours.com/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - ST. FRANCIS HOSPITAL - DOWNTOWN: Line 16c URL: http://www.fa.bonsecours.com/;
Schedule H, Part VI, Line 2 Needs assessment BON SECOURS HOSPITALS ASSESS AND CONTINUALLY RESPOND TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. BON SECOURS HOSPITALS JOIN AN EXISTING COMMUNITY-BASED NEEDS ASSESSMENT EVERY THREE YEARS AND UPDATES ARE PROVIDED BETWEEN ASSESSMENTS. BON SECOURS HOSPITALS INCORPORATE PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. BON SECOURS HOSPITALS RECOGNIZE THE HEALTH OF THE COMMUNITY IS INFLUENCED BY SOCIAL, ECONOMIC, AND ENVIRONMENTAL FACTORS, NOT JUST BY DISEASE AND ILLNESS. OUR COMMUNITY BENEFIT INCLUDES BOTH QUALITATIVE AND QUANTITATIVE DATA; DEMOGRAPHICS INCLUDING RACE, AGE, AND ETHNICITY; SOCIOECONOMIC DATA INCLUDING INCOME, EDUCATION, AND HEALTH INSURANCE RATES; PRIMARY CARE AND CHRONIC DISEASE NEEDS OF UNINSURED PERSONS; AND DATA ON HEALTH DISPARITIES IN HEALTH OUTCOMES AMONG MINORITY GROUPS. BON SECOURS HAS A DEDICATED STAFF TO ASSIST IN THE COMMUNITY BENEFIT EFFORT. BON SECOURS'S COMMUNITY BENEFITS COMMITTEES MEET TO PROVIDE OVERSIGHT TO THE ORGANIZATION'S COMMUNITY BENEFITS PROGRAM. BON SECOURS HOSPITALS WORK CLOSELY WITH HEALTH AND HUMAN SERVICE ORGANIZATIONS IN THE AREA, PARTNERING WITH SOME TO PROVIDE SERVICES TO AVOID DUPLICATION.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance 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 proactively screens patients to identify individuals and their families who may qualify for federal, state or local health insurance programs or the Bon Secours Patient Financial Assistance Program ("FAP") and assist the potential eligible patients through the qualification process. Potentially eligible patients that do not qualify for a federal or state health insurance program are referred to the Financial Assistance Coordinator located in Patient Financial Services for assistance in completing the documentation required to establish FAP eligibility. Bon Secours 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 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 website for patients to access.
Schedule H, Part VI, Line 4 Community information Approximately 514,000 residents reside in Greenville County. Greenville County has experienced a growth rate double that of the United States and significantly higher than the growth rate of South Carolina. As of 2017, Greenville County is predominantly White (75.3%), with a large Black/African American population (18.2%). Compared to South Carolina, Greenville has a larger percentage of Hispanics/Latinos. There is a slow, but steady increase in minority populations in Greenville County. 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 and the U.S. Greenville has a higher median income and per capita income than South Carolina, but less than the nation. At 13.5%, Greenville has a lower percentage of people living below the poverty level than the state (16.6%); 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., 33.2% of Greenville County residents aged 25 or over have a Bachelor's degree or higher.
Schedule H, Part VI, Line 5 Promotion of community health BON SECOURS HOSPITALS OPERATE EMERGENCY ROOMS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. IN ADDITION TO PROVIDING EMERGENCY SERVICES, BON SECOURS HOSPITALS ALSO PROVIDE MINOR EMERGENCY AND URGENT CARE SERVICES TO ALL REGARDLESS OF ABILITY TO PAY. BON SECOURS HOSPITALS OPERATE TRAUMA SERVICES, AIR AMBULANCE SERVICES, DISEASE MANAGEMENT, WOUND CARE, SPECIALTY CLINICS, DEVELOPMENTAL THERAPY, HOSPICE, HOME CARE, CRISIS INTERVENTION, BEHAVIORAL SERVICES AND SUBSTANCE ABUSE SERVICES. BON SECOURS HOSPITALS HAVE OPEN MEDICAL STAFFS WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. THE MAJORITY OF THE GOVERNING BODY CONSISTS OF INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITIES SERVED BY BON SECOURS HOSPITALS. THE BON SECOURS MERCY HEALTH BOARD AND ITS MARKET GOVERNING BOARDS ARE COMPOSED OF MEMBERS OF THE COMMUNITIES SERVED WHO DIRECT AND GUIDE MANAGEMENT IN CARRYING OUT THE MISSION OF BON SECOURS MERCY HEALTH. BOARD MEMBERS ARE SELECTED ON THE BASIS OF THEIR EXPERTISE AND EXPERIENCE IN A VARIETY OF AREAS BENEFICIAL TO BON SECOURS MERCY HEALTH AND ITS AFFILIATED HOSPITALS IN FULFILLING ITS MISSION OF PROVIDING HEALTHCARE SERVICES TO THE POOR AND UNDER SERVED. BON SECOURS HOSPITALS ENGAGE IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS. BON SECOURS HOSPITALS PROVIDE RESIDENCY PROGRAMS AND OTHER TRAINING PROGRAMS. BON SECOURS HOSPITALS PARTICIPATE IN MEDICAID, MEDICARE, CHAMPUS, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. BON SECOURS HOSPITAL'S EMERGENCY DEPARTMENTS TREAT AN INCREASING NUMBER OF PATIENTS WHO USE THE FACILITY FOR PRIMARY CARE NEEDS. PATIENT DEMOGRAPHICS REFLECT THE CHANGING COMMUNITY. AS IN OTHER COMMUNITIES, SOME AREA PHYSICIANS PLACE LIMITS ON THEIR ACCEPTANCE OF MEDICAID PATIENTS. IN ADDITION, SOME PRIMARY CARE PHYSICIANS REFER PATIENTS WITH AFTER-HOURS NEEDS DIRECTLY TO AREA EMERGENCY ROOMS. COMMUNITY GROUPS AND INDIVIDUALS ARE VERY SUPPORTIVE OF BON SECOURS MERCY HEALTH. BON SECOURS MERCY HEALTH FORGES COLLABORATIVE RELATIONSHIPS WITH THE FEDERALLY QUALIFIED HEALTH CENTERS IN ITS COMMUNITIES.
Schedule H, Part VI, Line 6 Affiliated health care system 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 BSMH are described collectively as the System. 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, Ohio, 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 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).
Schedule H (Form 990) 2018
Additional Data


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Software Version: 2018v3.1

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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
2018
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
1
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? ........................
2
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 Hospital Foundation Inc
One St Francis Drive
Greenville,SC29601 		26-0012031 501(C)(3) 830,723       MISSION SUPPORT
(2) St Francis Physician Services Inc
One St Francis Drive
Greenville,SC29601 		13-4290167 501(C)(3) 30,173,097       MISSION SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
2
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2018

Schedule I (Form 990) 2018
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
Schedule I, Part II SCHEDULE I, 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, Part I, Line 2 Procedures for monitoring use of grant funds. 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.
Schedule I (Form 990) 2018



Additional Data


Software ID: 18007697
Software Version: 2018v3.1


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
2018
Open to Public Inspection
Name of the organization
St Francis Hospital Inc
 
Employer identification number

58-2504530
Part I
Questions Regarding Compensation
Yes
No
1a
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.
b
If any of the boxes in 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 .........
1b
 
 
2
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 in line 1a? ..
2
 
 
3
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.
4
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:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
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.
5
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:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
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:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
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 ............
7
Yes
 
8
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 ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2018

Schedule J (Form 990) 2018
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
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1MATTHEW CALDWELL
 
Market President BSSFHS (Beg 05/19) 		(i)

(ii)		 0
-------------
449,852 		0
-------------
198,000 		0
-------------
37,099 		0
-------------
181,002 		0
-------------
30,763 		0
-------------
896,716 		0
-------------
0
2Thomas Morris PHD
 
Board President 		(i)

(ii)		 0
-------------
379,921 		0
-------------
120,444 		0
-------------
648,568 		0
-------------
16,500 		0
-------------
21,717 		0
-------------
1,187,150 		0
-------------
107,606
3Craig MCCoy
 
CEO/Market President BSSFHS (End 03/19) 		(i)

(ii)		 0
-------------
483,484 		0
-------------
63,315 		0
-------------
486,039 		0
-------------
60,567 		0
-------------
27,630 		0
-------------
1,121,035 		0
-------------
0
4Jeffrey Oak PHD
 
Board Member 		(i)

(ii)		 0
-------------
416,389 		0
-------------
125,649 		0
-------------
692,480 		0
-------------
58,195 		0
-------------
21,706 		0
-------------
1,314,419 		0
-------------
29,093
5Mark Nantz
 
Former CEO 		(i)

(ii)		 0
-------------
723,711 		0
-------------
219,430 		0
-------------
1,517,309 		0
-------------
109,945 		0
-------------
27,213 		0
-------------
2,597,608 		0
-------------
81,973
6Daniel Duggan
 
Former COO 		(i)

(ii)		 0
-------------
342,522 		0
-------------
145,311 		0
-------------
207,807 		0
-------------
16,500 		0
-------------
12,061 		0
-------------
724,201 		0
-------------
0
7WILLIAM KUSNIERZ
 
CFO - BSSFHS (Beg 08/19) 		(i)

(ii)		 0
-------------
285,070 		0
-------------
62,334 		0
-------------
27,120 		0
-------------
25,383 		0
-------------
12,469 		0
-------------
412,376 		0
-------------
13,637
8RONNIE HYATT
 
Treasurer/CFO - BSSFHS (End 07/19) 		(i)

(ii)		 361,967
-------------
0 		48,435
-------------
0 		108,551
-------------
0 		16,500
-------------
0 		19,221
-------------
0 		554,674
-------------
0 		0
-------------
0
9Teresa Ficicchy
 
Former EVP-CNO 		(i)

(ii)		 0
-------------
261,289 		0
-------------
71,391 		0
-------------
62,893 		0
-------------
16,138 		0
-------------
12,251 		0
-------------
423,962 		0
-------------
0
10Rose Leo
 
Former VP Surgical Services 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		108,156
-------------
0 		1,606
-------------
0 		8,827
-------------
0 		118,589
-------------
0 		0
-------------
0
11DENISE CAMPBELL
 
Interim Chief Nursing Officer (Ended 05/19) 		(i)

(ii)		 153,904
-------------
0 		17,440
-------------
0 		543
-------------
0 		9,456
-------------
0 		26,578
-------------
0 		207,921
-------------
0 		0
-------------
0
12Patricia Archer
 
VP - Surgical Services 		(i)

(ii)		 188,888
-------------
0 		7,500
-------------
0 		1,802
-------------
0 		11,070
-------------
0 		0
-------------
0 		209,260
-------------
0 		0
-------------
0
13Thomas Cummins
 
Chief Medical Officer (Ended 05/19) 		(i)

(ii)		 392,239
-------------
0 		35,415
-------------
0 		96,910
-------------
0 		8,250
-------------
0 		25,417
-------------
0 		558,231
-------------
0 		0
-------------
0
14Marcus Blackstone MD
 
Chief Clinical Officer (Begin 05/19) 		(i)

(ii)		 320,827
-------------
0 		0
-------------
0 		1,656
-------------
0 		18,750
-------------
0 		10,597
-------------
0 		351,830
-------------
0 		0
-------------
0
15JOSEPH HARTZOG MD
 
Emergency Physician 		(i)

(ii)		 599,784
-------------
0 		11,217
-------------
0 		5,725
-------------
0 		16,500
-------------
0 		27,682
-------------
0 		660,908
-------------
0 		0
-------------
0
16BRUCE BOURDON MD
 
Emergency Physician 		(i)

(ii)		 439,082
-------------
0 		6,419
-------------
0 		4,634
-------------
0 		16,500
-------------
0 		30,238
-------------
0 		496,873
-------------
0 		0
-------------
0
17GREGORY HOFFMAN MD
 
Emergency Physician 		(i)

(ii)		 283,228
-------------
0 		144,176
-------------
0 		2,553
-------------
0 		15,212
-------------
0 		27,682
-------------
0 		472,851
-------------
0 		0
-------------
0
18Jesse Felder MD
 
Emergency Physician 		(i)

(ii)		 437,211
-------------
0 		6,766
-------------
0 		4,166
-------------
0 		8,250
-------------
0 		27,682
-------------
0 		484,075
-------------
0 		0
-------------
0
19KURT HOFFERT MD
 
Emergency Physician 		(i)

(ii)		 427,671
-------------
0 		6,767
-------------
0 		1,277
-------------
0 		15,547
-------------
0 		29,630
-------------
0 		480,892
-------------
0 		0
-------------
0
Schedule J (Form 990) 2018

Schedule J (Form 990) 2018
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
Schedule J, Part I, Line 4b Terms and conditions of the Mercy Health System SERP The Mercy Health System SERP is a non-qualified deferred compensation plan which provides supplemental retirement benefits to persons selected by the Board of Trustees or its delegate. The plan provides for annual credits of a specified percentage of an eligible participants base salary paid in a plan year and interest credits. Plan participants vest in plan credits after completing a three year class vesting schedule or earlier for death or total disability or reaching age 60 while employed, or due to involuntary separation of employment other than for cause. Payments during employment are made for required tax withholding and reduce the participants account balance. Distribution of the vested account balance in a lump sum occurs after termination of employment. Amounts includible as taxable compensation for listed individuals due to SERP participation in the reporting year were as follows: Matthew Caldwell $0; William Kusnierz $15,327.
Schedule J, Part I, Line 4b Terms and conditions of the St. Francis 457F plan Bon Secours St. Francis Health System, Inc. established the Bon Secours St. Francis Health System Nonqualified Deferred Compensation Plan (the "St. Francis 457F plan") that allows for deposits of employee deferrals and employer contributions and is available only to eligible Bon Secours St. Francis physicians. The St. Francis 457F plan is a non-qualified plan and is subject to a minimum deferred vesting date of at least two years after the first day of the calendar year to which the deferred compensation relates, provided the participant is employed, or upon specified events, such as death or disability. For a participant who separates employment prior to reaching the deferred vesting date, the portion of the account attributable to the deferred vesting date will become vested after the participant satisfies certain conditions during the three year post-employment period. Individuals that received a distribution or participated in the plan include: Marcus Blackstone, MD, $0.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation 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
Schedule J, Part I, Line 4a Severance or change-of-control payment Severance benefits consisting of continuation of base salary and insurance benefits were provided to listed individuals for specified periods. Salary continuation amounts provided during the reporting year to listed individuals were as follows: Daniel Duggan, $15,030; Rose Leo, $76,952.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan The filing organization participates in a BSMH sponsored executive retirement program that allows for deposits into additional retirement plans and is available only to officers and key employees. The 457F plan is a non-qualified plan and is subject to a minimum three-year service requirement before vesting on deposits made into this plan. Individuals that received a distribution or participated in the plan include: Thomas Morris, PhD, $144,390; Jeffrey Oak, PhD, $30,451; Mark Nantz, $85,799; Craig McCoy, $12,817.
Schedule J, Part I, Line 7 Non-fixed payments 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 the 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) 2018
Additional Data


Software ID: 18007697
Software Version: 2018v3.1
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet 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.
MediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
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 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 (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
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?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
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) 2018
Schedule L (Form 990 or 990-EZ) 2018
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?
Yes No
(1) KRISTA COBEN
  		DAUGHTER OF FORMER COO, DANIEL DUGGAN 45,991 EMPLOYMENT   No
(2) JASON COBEN
  		SON-IN-LAW OF FORMER COO, DANIEL DUGGAN 198,248 EMPLOYMENT   No
(3) KYLE DUGGAN
  		SON OF FORMER COO, DANIEL DUGGAN 53,500 EMPLOYMENT   No
(4) MEAGAN DUGGAN
  		DAUGHTER-IN-LAW OF FORMER COO, DANIEL DUGGAN 54,075 EMPLOYMENT   No
(5) MICHAEL HASKELL
  		BROTHER OF KEY EMPLOYEE, TERESA FICICCHY 68,831 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) 2018


Additional Data


Software ID: 18007697
Software Version: 2018v3.1




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
2018
Open to Public
Inspection
Name of the organization
St Francis Hospital Inc
 
Employer identification number

58-2504530
Return Reference Explanation
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons DANIEL DUGGAN (FORMER COO) AND TERESA FICICCHY (KEY EMPLOYEE) - Family relationship
Form 990, Part VI, Line 6 Classes of members or stockholders 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, Line 7a Members or stockholders electing members of governing body 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, Line 7b Decisions requiring approval by members or stockholders Certain matters require approval of the BSMH corporate member, BSMH governing body, or BSMH CEO. The regulations of the organization describe the level of approval required for various decisions.
Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED BY BSMH'S TAX DEPARTMENT AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. A COPY OF THE FORM 990 IS THEN REVIEWED BY MANAGEMENT. Upon review, a copy of the final version of the Form 990 is provided to all members of the governing body prior to filing.
Form 990, Part VI, Line 12c Conflict of interest policy 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, Line 15b Process to establish compensation of other employees 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 by human resources.
Form 990, Part VI, Line 19 Required documents available to the public The conflict of interest policy and financial statements are posted on the BSMH website.
Form 990, Part VII, Section A 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 VIII, Line 11d Other Miscellaneous Revenue Other Rev - Total Revenue: 919324, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 919324;
Form 990, Part IX, Line 11g Other Fees PHYSICIAN FEES - Total Expense: 12638642, Program Service Expense: 12638642, Management and General Expenses: , Fundraising Expenses: ; BILLING AND COLLECTIONS - Total Expense: 1775881, Program Service Expense: 1598293, Management and General Expenses: 177588, Fundraising Expenses: ; SECURITY SERVICES - Total Expense: 1101083, Program Service Expense: 990975, Management and General Expenses: 110108, Fundraising Expenses: ; OTHER PURCHASED SERVICES - Total Expense: 19675424, Program Service Expense: 17707882, Management and General Expenses: 1967542, Fundraising Expenses: ; MAINTENANCE AND SERVICE AGREEMENTS - Total Expense: 2931697, Program Service Expense: 2638527, Management and General Expenses: 293170, Fundraising Expenses: ; CONSULTING - Total Expense: 3762759, Program Service Expense: 3386483, Management and General Expenses: 376276, Fundraising Expenses: ; CONTRACTED NURSING AND ANCILLARY TECH STAFF - Total Expense: 2591785, Program Service Expense: 2591785, Management and General Expenses: , Fundraising Expenses: ; DUES - PHYSICIANS - Total Expense: 38655, Program Service Expense: 38655, Management and General Expenses: , Fundraising Expenses: ; BSMH CORPORATE DUES - Total Expense: 64441391, Program Service Expense: 57997252, Management and General Expenses: 6444139, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances SWAPS Allocation to BSMH - -476375; Transfers to Affiliate - 7032096; Miscellaneous Adjustment - -1958148;
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2018


Additional Data


Software ID: 18007697
Software Version: 2018v3.1
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2018
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 Saint 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 200,731 87,658 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?
Yes No
(1)MERCY HEALTH
1701 Mercy Health Place

CINCINNATI,OH45237
31-1161086 		HEALTHCARE SYSTEM PARENT OH 501(c)(3) 3 Bon Secours Mercy Health Inc
 
 
No
(2)MERCY HEALTH FOUNDATION
1701 Mercy Health Place

CINCINNATI,OH45237
20-1072726 		FUNDRAISING OH 501(c)(3) 7 MERCY HEALTH
 
 
No
(3)MERCY HEALTH RETIREMENT TRUST
1701 Mercy Health Place

CINCINNATI,OH45237
31-6046304 		RETIREMENT TRUST OH 501(c)(3) 7 MERCY HEALTH
 
 
No
(4)COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS
3700 KOLBE ROAD

LORAIN,OH44053
34-1268828 		MEDICAL OFFICE RENTAL OH 501(c)(3) 10 MERCY HEALTH - REGIONAL MEDICAL CENTER LLC
 
 
No
(5)ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING
200 WEST LORAIN ST

OBERLIN,OH44074
36-4504991 		MEDICAL OFFICE RENTAL OH 501(c)(3) 10 MERCY HEALTH - ALLEN HOSPITAL LLC
 
 
No
(6)MERCY FRANCISCAN SENIOR HEALTH AND HOUSING SERVICES INC
7010 ROWAN HILLS DR

CINCINNATI,OH45227
31-1308729 		RETIREMENT HOME OH 501(c)(3) 10 MERCY HEALTH CINCINNATI LLC
 
 
No
(7)MERCY FRANCISCAN SOCIAL MINISTRIES INC
1800 LOGAN STREET

CINCINNATI,OH45210
31-1222942 		LOW INCOME HOUSING OH 501(c)(3) 7 MERCY HEALTH CINCINNATI LLC
 
 
No
(8)COMMUNITY MERCY HEALTH SYSTEM
100 Medical Center Drive

SPRINGFIELD,OH45504
30-0272454 		MARKET PARENT OH 501(c)(3) Type III-FI MERCY HEALTH
 
 
No
(9)COMMUNITY MERCY HEALTH PARTNERS
100 Medical Center Drive

SPRINGFIELD,OH45504
31-0785684 		HOSPITAL OH 501(c)(3) 3 COMMUNITY MERCY HEALTH SYSTEM
 
 
No
(10)C H HEALTH SERVICES COMPANY
100 Medical Center Drive

SPRINGFIELD,OH45504
31-1181984 		HOSPITAL OH 501(c)(3) 3 COMMUNITY MERCY HEALTH SYSTEM
 
 
No
(11)THE WALLACE S MURRAY AND FRANCES RABBITTS MURRAY MEMORIAL TRUST
100 Medical Center Drive

SPRINGFIELD,OH45504
34-6827136 		INDIGENT MEDICAL CARE OH 501(c)(3) Type I NA
 
 
No
(12)MERCY PROPERTY HOLDINGS
2200 JEFFERSON AVENUE

TOLEDO,OH43604
30-0699825 		TITLE HOLDING COMPANY OH 501(c)(2)   MERCY HEALTH NORTH LLC
 
 
No
(13)MERCY COLLEGE OF OHIO
2221 MADISON AVENUE

TOLEDO,OH43604
34-1726619 		MEDICAL COLLEGE OH 501(c)(3) 2 MERCY HEALTH NORTH LLC
 
 
No
(14)MERCY COLLEGE OF NORTHWEST OHIO FOUNDATION INC
2221 MADISON AVENUE

TOLEDO,OH43604
14-1963204 		FOUNDATION OH 501(c)(3) 7 MERCY COLLEGE OF OHIO
 
 
No
(15)LIFESTAR AMBULANCE INC
2200 JEFFERSON AVENUE

TOLEDO,OH43604
34-1354653 		MEDICAL TRANSPORTATION OH 501(c)(3) 10 MERCY HEALTH NORTH LLC
 
 
No
(16)SIMON OUTREACH SERVICES
2600 NAVARRE AVENUE

OREGON,OH43616
34-1383325 		MEDICAL OFFICE RENTAL OH 501(c)(3) 10 MERCY HEALTH - ST CHARLES HOSPITAL LLC
 
 
No
(17)NEW VISION MEDICAL LABORATORIES INC
750 W HIGH ST STE 400

LIMA,OH45801
34-1937267 		MEDICAL LAB SERVICES OH 501(c)(3) 3 ST RITA'S MEDICAL CENTER LLC
 
 
No
(18)THE ASSUMPTION VILLAGE
9800 N MARKET STREET

NORTH LIMA,OH44452
34-1013695 		NURSING HOME OH 501(c)(3) 10 MERCY HEALTH YOUNGSTOWN LLC
 
 
No
(19)HOSPICE OF THE VALLEY
5190 MARKET STREET

YOUNGSTOWN,OH44512
34-1288745 		HOSPICE SERVICES OH 501(c)(3) 10 MERCY HEALTH YOUNGSTOWN LLC
 
 
No
(20)HUMILITY HOUSE
755 OHLTOWN ROAD

AUSTINTOWN,OH44515
34-1894783 		NURSING HOME OH 501(c)(3) 10 MERCY HEALTH YOUNGSTOWN LLC
 
 
No
(21)ST JOSEPH HEALTH CENTER AUXILIARY
677 EASTLAND SE

WARREN,OH44484
34-6556121 		FUNDRAISING OH 501(c)(3) 10 MERCY HEALTH YOUNGSTOWN LLC
 
 
No
(22)LOURDES HOSPITAL AUXILIARY GIFT SHOP
1530 LONE OAK ROAD

PADUCAH,KY42003
61-0927805 		FUNDRAISING KY 501(c)(3) 10 MERCY HEALTH FOUNDATION
 
 
No
(23)HEALTHSPAN PARTNERS
1701 Mercy Health Place

CINCINNATI,OH45237
46-3055925 		MARKET PARENT OH 501(c)(3) Type II MERCY HEALTH
 
 
No
(24)HEALTHSPAN INTEGRATED CARE
1701 Mercy Health Place

CIncinnati,OH45237
34-0922268 		HMO OH 501(c)(3) 10 HEALTHSPAN PARTNERS
 
 
No
(25)Bon Secours Mercy Health Inc
1701 Mercy Health Place

CINCINNATI,OH45237
52-1301088 		HEALTHCARE SYSTEM PARENT MD 501(c)(3)   NA
 
 
No
(26)Bon Secours New York Health System Inc
2975 Independence Avenue

Bronx,NY10463
91-2135196 		Local System Parent Org. NY 501(c)(3) Type I Bon Secours Mercy Health Inc
 
 
No
(27)Bon Secours Kentucky Health System Inc
St Christopher Dr

Ashland,KY41101
61-1356024 		Local System Parent Org. KY 501(c)(3) Type III-FI Bon Secours Mercy Health Inc
 
 
No
(28)Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health
S2000 West Baltimore Street

Baltimore,MD21223
80-0728893 		Local System Parent Org. MD 501(c)(3) Type III-FI Bon Secours Mercy Health Inc
 
 
No
(29)Bon Secours St Francis Health System Inc
1 St Francis Drive

Greenville,SC29601
58-2504528 		Local System Parent Org. SC 501(c)(3) Type III-FI Bon Secours Mercy Health Inc
 
 
No
(30)Bon Secours Hampton Roads Health System
7007 Harbour View Blvd

Portsmouth,VA23435
52-1538513 		Local System Parent Org. VA 501(c)(3) Type III-FI Bon Secours Mercy Health Inc
 
 
No
(31)Bon Secours Richmond Health System
8580 Magellan Parkway

Richmond,VA23227
52-1988421 		Local System Parent Org. VA 501(c)(3) Type III-FI Bon Secours Mercy Health Inc
 
 
No
(32)Bon Secours Baltimore Health System Foundation Inc
26 North Fulton Avenue

Baltimore,MD21223
38-3843816 		Grant Making Foundation MD 501(c)(3) Type III-FI Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health
S
 
No
(33)The Bon Secours of Maryland Foundation Inc (dba Bon Secours Community Work
26 North Fulton Avenue

Baltimore,MD21223
52-1732800 		Grant Making Foundation MD 501(c)(3) Type III-FI Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health
S
 
No
(34)Mary Immaculate Foundation
7007 Harbour View Blvd

Suffolk,VA23435
31-1644734 		Fundraising VA 501(c)(3) Type III-FI Mary Immaculate Hospital
 
 
No
(35)Bon Secours DePaul Health Foundation
7007 Harbour View Blvd

Suffolk,VA23435
54-1843876 		Fundraising VA 501(c)(3) 7 Bon Secours DePaul Medical Center
 
 
No
(36)Bon Secours Maryview Foundation
7007 Harbour View Blvd

Suffolk,VA23435
52-1694731 		Fundraising VA 501(c)(3) 7 Bon Secours Hampton Roads Health System
 
 
No
(37)Our Lady of Bellefonte Hospital Inc
1000 St Christopher Dr

Ashland,KY41101
61-1356023 		Health Care KY 501(c)(3) 3 Bon Secours Kentucky Health System
 
 
No
(38)Bon Secours Hospital Baltimore Inc
2000 West Baltimore Street

Baltimore,MD21223
52-0591555 		Health Care MD 501(c)(3) 3 Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health
S
 
No
(39)St Francis Hospital Inc
One St Francis Drive

Greenville,SC29601
58-2504530 		Health Care SC 501(c)(3) 3 Bon Secours St Francis Health System Inc
 
 
No
(40)Mary Immaculate Hospital Inc
7007 Harbour View Blvd

Suffolk,VA23435
54-0548200 		Health Care VA 501(c)(3) 3 Bon Secours Mercy Health Inc
 
 
No
(41)Bon Secours - DePaul Medical Center Inc
7007 Harbour View Blvd

Suffolk,VA23435
54-1820093 		Health Care VA 501(c)(3) 3 Bon Secours Hampton Roads Health System
 
 
No
(42)Maryview Hospital
7007 Harbour View Blvd

Portsmouth,VA23707
54-0506463 		Health Care VA 501(c)(3) 3 Bon Secours Hampton Roads Health System
 
 
No
(43)Bon Secours - Memorial Regional Medical Center Inc
8580 Magellan Parkway

Richmond,VA23227
54-1744931 		Health Care VA 501(c)(3) 3 Bon Secours Richmond Health System
 
 
No
(44)Bon Secours - St Mary's Hospital of Richmond Inc
8580 Magellan Parkway

Richmond,VA23227
54-0793767 		Health Care VA 501(c)(3) 3 Bon Secours Richmond Health System
 
 
No
(45)Bon Secours - Richmond Community Hospital
8580 Magellan Parkway

Richmond,VA23227
54-0647482 		Health Care VA 501(c)(3) 3 Bon Secours Richmond Health System
 
 
No
(46)Bon Secours - St Francis Medical Center Inc
8580 Magellan Parkway

Richmond,VA23227
31-1716973 		Health Care VA 501(c)(3) 3 Bon Secours Richmond Health System
 
 
No
(47)Bon Secours Kentucky Health System Foundation Inc
St Christopher Dr

Ashland,KY41101
61-1381952 		Grant Making Foundation KY 501(c)(3) 7 Bon Secours Kentucky Health System
 
 
No
(48)Bon Secours Baltimore Development Inc
26 North Fulton Avenue

Baltimore,MD21223
76-0785344 		Community Housing MD 501(c)(3) 7 Unity Properties Inc
 
 
No
(49)Unity Properties Inc
26 North Fulton Avenue

Baltimore,MD21223
52-1857768 		Low Income Housing MD 501(c)(3) 7 Bon Secours of Maryland Foundation
 
 
No
(50)Bon Secours - St Francis Health System Foundation Inc
One St Francis Drive

Greenville,SC29601
26-0012031 		Grant Making Foundation SC 501(c)(3) 7 St Francis Hospital Inc
 
Yes
 
(51)Bon Secours Richmond Health Care Foundation
8580 Magellan Parkway

Richmond,VA23227
54-1201346 		Grant Making Foundation VA 501(c)(3) 7 Bon Secours Richmond LLC
 
 
No
(52)Bon Secours St Petersburg Home Care Services Inc
10300 Fourth Street North

St Petersburg,FL33716
13-4334363 		Home Care Services FL 501(c)(3) 10 Maria Manor Nursing Care Center
 
 
No
(53)Bon Secours - Maria Manor Nursing Care Center Inc
10300 Fourth Street North

St Petersburg,FL33716
65-0061820 		Nursing Home FL 501(c)(3) 10 Bon Secours Mercy Health Inc
 
 
No
(54)Bellefonte Physician Services Inc
St Christopher Dr

Ashland,KY41101
35-2320780 		Physician Practices KY 501(c)(3) 10 Bon Secours Kentucky Health System
 
 
No
(55)Bon Secours Housing Inc
26 North Fulton Avenue

Baltimore,MD21223
52-1442707 		Low Income Housing MD 501(c)(3) 10 Bon Secours of Maryland Foundation
 
 
No
(56)Bon Secours Housing II Inc
26 North Fulton Avenue

Baltimore,MD21223
52-1543174 		Low Income Housing MD 501(c)(3) 10 Bon Secours of Maryland Foundation
 
 
No
(57)Schervier Housing Development Fund Corporation
2975 Independence Avenue

Bronx,NY10463
13-3098867 		Housing NY 501(c)(3) 10 Bon Secours NY Health System
 
 
No
(58)St Francis Physician Services Inc
One St Francis Drive

Greenville,SC29601
13-4290167 		Physician Services SC 501(c)(3) 10 St Francis Health System Inc
 
 
No
(59)Mary Immaculate Nursing Center Inc
7007 Harbour View Blvd

Suffolk,VA23435
54-1516476 		Nursing Care Center VA 501(c)(3) 10 Mary Immaculate Hospital
 
 
No
(60)Bon Secours - Maryview Nursing Care Center
7007 Harbour View Blvd

Suffolk,VA23435
52-1578169 		Nursing Care Center VA 501(c)(3) 10 Bon Secours Hampton Roads Health System
 
 
No
(61)Bayley Properties
7007 Harbour View Blvd

Suffolk,VA23435
54-1424748 		Title Holding Company VA 501(c)(2)   Bon Secours DePaul Medical Center
 
 
No
(62)Laburnum Properties
8580 Magellan Parkway

Richmond,VA23227
52-1260700 		Title Holding Company VA 501(c)(2)   Bon Secours Richmond Health System
 
 
No
(63)Bon Secours Health System Foundation Inc
8990 Old Annapolis Road

Columbia,MD21045
47-4765376 		Fundraising MD 501(c)(3) 7 Bon Secours Mercy Health Inc
 
 
No
(64)IVNA Health Services
5008 Monument Avenue

Richmond,VA23230
54-1479847 		Home Care Services VA 501(c)(3) 10 Bon Secours Home Care LLC
 
 
No
(65)Rappahannock General Hospital Foundation
101 Harris Road

Kilmarnock,VA22482
54-1210450 		Supporting Organization VA 501(c)(3) 7 Bon Secours Richmond Health System
 
 
No
(66)Chesapeake Medical Group
101 Harris Road

Kilmarnock,VA22482
54-1857174 		Healthcare Services VA 501(c)(3) 10 Bon Secours Richmond Health System
 
 
No
(67)Chesapeake Hospital Corporation
101 Harris Road

Kilmarnock,VA22482
23-7424835 		Health Care VA 501(c)(3) 3 Bon Secours Richmond Health System
 
 
No
(68)Bon Secours New Jersey Health System Inc
1505 Marriottsville Road

Marriottsville,MD27104
22-2754781 		Local System Parent Org. NJ 501(c)(3) Type III-FI Bon Secours Mercy Health Inc
 
 
No
(69)St Mary Hospital Inc
308 Willow

Hoboken,NJ07030
22-1487324 		Health Care NJ 501(c)(3) 3 Bon Secours New Jersey Health System Inc
 
 
No
(70)Mercy Health Services
1505 Marriottsville Road

Marriottsville,MD27104
25-1585441 		Local System Parent Org. PA 501(c)(3) Type III-FI Bon Secours Mercy Health Inc
 
 
No
(71)Pennsylvania Health Choice Plan
1505 Marriottsville Road

Marriottsville,MD27104
 Health Care PA 501(c)(3) 10 Mercy Health Services
 
 
No
(72)Liberty Medical Center
1505 Marriottsville Road

Marriottsville,MD27104
52-1466304 		Health Care MD 501(c)(3) 3 Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health
S
 
No
(73)Bon Secours - Stuart Circle Hospital Inc
8580 Magellan Parkway

Richmond,VA23227
54-1740128 		Health Care VA 501(c)(3) 3 Bon Secours Richmond Health System
 
 
No
(74)Bon Secours Ireland DAC
 
 
Local System Parent Org. EI 501(c)(3) Type III-FI Bon Secours Mercy Health Inc
 
 
No
(75)Bon Secours Health System CLG
 
 
Hospital EI 501(c)(3) 3 Bon Secours Ireland DAC
 
 
No
(76)Our Money Place Inc
26 North Fulton Avenue

Baltimore,MD21223
56-2306119 		Financial services education MD 501(c)(3) 10 Bon Secours of Maryland Foundation
 
 
No
(77)Frances Schervier Home and Hospital
2975 Independence Avenue

Bronx,NY10463
13-1740397 		Long term nursing care NY 501(c)(3) 10 Bon Secours NY Health System
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
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
Yes No Yes No
(1) NWO Integrated Laboratories Mercy LLC

2200 Jefferson Avenue
Toledo,OH43624
34-1898285 		Laboratory services OH NA
  		N/A                
(2) Tiffin Ambulatory Surgical Associates

45 St Lawrence Drive
Tiffin,OH44833
37-1567866 		Ambulatory Surgery Center OH NA
  		N/A                
(3) New Vision Medical Lab LLC

750 W High Street
Lima,OH45801
34-1913433 		Lab Services OH NA
  		N/A                
(4) West Central Ohio Group Ltd

801 Medical Drive
Lima,OH45804
34-1848147 		Orthopedic Hospital OH NA
  		N/A                
(5) West Central Ohio Regional Healthcare Alliance Ltd

2615 Fort Amanda Road
Lima,OH45805
34-1817078 		Healthcare quality OH NA
  		N/A                
(6) Urologic Oncology of Mahoning Valley LLC

1044 Belmont Ave
Youngstown,OH44501
26-2989686 		Radiation Therapy OH NA
  		N/A                
(7) Lourdes Ambulatory Surgery Center

225 Medical Center Drive
Paducah,KY42003
20-5588350 		Surgery Center KY NA
  		N/A                
(8) Marshall County MRI LLC

615 Old Symsonia Road
Benton,KY42025
61-0601267 		MRI facility KY NA
  		N/A                
(9) PREMIUM SURGERY CENTER LLC

5217 Maryland Way
SUITE 200
Brentwood,TN37027
20-0400753 		Surgery Center TN NA
  		N/A                
(10) MERCY HEALTH INNOVATIONS LLC

1701 MERCY HEALTH PLACE
CINCINNATI,OH45237
82-0639499 		BUSINESS DEVELOPMENT OH NA
  		N/A                
(11) MERCY FRANCISCAN AT WINTON WOODS I LP

10290 Mill Road
Cincinnati,OH45231
31-1624311 		Rental Real Estate OH NA
  		N/A                
(12) Bon Secours Place at St Petersburg LLP

10300 Fourth Street North
St Petersburg,FL33716
59-3589729 		Assisted Living/Senior Care FL NA
  		N/A                
(13) Bon Secours Apartments LP

1800 West Baltimore St
Baltimore,MD21223
52-1952505 		Low Income Housing MD NA
  		N/A                
(14) Bon Secours Apartments II LP

1800 West Baltimore St
Baltimore,MD21223
52-2063512 		Low Income Housing MD NA
  		N/A                
(15) Liberty Senior Housing LP

1800 West Baltimore St
Baltimore,MD21223
52-2134447 		Low Income Housing MD NA
  		N/A                
(16) Bon Secours Apartments III LP

1800 West Baltimore St
Baltimore,MD21223
52-2134444 		Low Income Housing MD NA
  		N/A                
(17) Bon Secours Smallwood Summit LP

26 North Fulton Ave
Baltimore,MD21223
52-2280175 		Low Income Housing MD NA
  		N/A                
(18) Bon Secours Chesapeake Apartments LP

26 North Fulton Ave
Baltimore,MD21223
20-0107034 		Low Income Housing MD NA
  		N/A                
(19) Bon Secours Shiloh LP

26 North Fulton Ave
Baltimore,MD21223
20-3965243 		Low Income Housing MD NA
  		N/A                
(20) Bon Secours New Shiloh II Limited Partnership

26 North Fulton Ave
Baltimore,MD21223
82-0655142 		Low Income Housing MD NA
  		N/A                
(21) Bon Secours Wayland LP

26 North Fulton Ave
Baltimore,MD21223
27-0468688 		Low Income Housing MD NA
  		N/A                
(22) Bon Secours Gibbons Apartments LP

26 North Fulton Ave
Baltimore,MD21223
47-2322323 		Low Income Housing MD NA
  		N/A                
(23) Upstate Surgery Center LLC

One St Francis Drive
Greenville,SC29601
56-2186977 		Ambulatory Surgery Center SC St Francis Hospital Inc
  		Related 117,953 1,713,978           59.54 %
(24) Broad64 Imaging LLC

8580 Magellan Parkway
Richmond,VA23227
20-5886018 		Imaging Services VA NA
  		N/A                
(25) Richmond Radiation Oncology Center I LLC

8580 Magellan Parkway
Richmond,VA23227
20-8444551 		Radiation Oncology Services VA NA
  		N/A                
(26) RI LP

8580 Magellan Parkway
Richmond,VA23227
54-1708835 		Imaging Services VA NA
  		N/A                
(27) Bon Secours Benet House LP

26 North Fulton Ave
Baltimore,MD21223
36-4765400 		Low Income Housing MD NA
  		N/A                
(28) Bon Secours Benet House LLC

26 North Fulton Ave
Baltimore,MD21223
46-3055312 		Low Income Housing MD NA
  		N/A                
(29) Southeastern Health PartnersLLC

One St Francis Drive
Greenville,SC29601
81-3264385 		Coordinated Care SC NA
  		N/A                
(30) Harbour View MOB 2 LLC

5818 Harbour View Blvd Suite A1
Suffolk,VA23435
82-2484997 		Real Estate VA NA
  		N/A                
(31) Bon Secours Diagnostic Imaging LLC

10 S Academy Street Suite 300
Greenville,SC29601
 Outpatient Imaging Centers SC NA
  		N/A                
(32) Memorial Ambulatory Surgery Center LLC

8580 Magellan Parkway
Richmond,VA23227
59-3813233 		Ambulatory Surgery Center VA NA
  		N/A                
(33) Community Mercy Home Care Services of Springfield LLC

1700 Edison Drive
Milford,OH45150
31-1746556 		Home Care OH NA
  		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
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) MERCY HEALTH INSURANCE COMPANY (SPC) LTD

 
 
98-0621978 		SELF-INSURANCE CJ NA
  		C Corporation         No
(2) NORTHPARKE MEDICAL COMMONS CONDO ASSN

333 N LIMESTONE ST
SPRINGFIELD,OH45503
31-1391230 		REAL PROPERTY MGMNT OH NA
  		C Corporation         No
(3) NORTHSIDE CORPORATION

2200 JEFFERSON AVENUE
TOLEDO,OH43604
34-1318438 		RESIDENT RENTALS OH NA
  		C Corporation         No
(4) MERCY HEALTH SYSTEM PHO INC

2200 JEFFERSON AVENUE
TOLEDO,OH43604
34-1778321 		MEDICAL SERVICES OH NA
  		C Corporation         No
(5) MCAULEY MANAGEMENT SERVICES INC

730 W MARKET STREET
LIMA,OH45801
34-1379037 		PROPERTY RENTAL OH NA
  		C Corporation         No
(6) LIMA MEDICAL SUPPLIES INC

730 W MARKET STREET
LIMA,OH45801
34-0944477 		MEDICAL EQUIPMENT OH NA
  		C Corporation         No
(7) COMMUNITY HEALTH PARTNERS ENTERPRISES INC

3700 KOLBE ROAD
LORAIN,OH44053
34-1455525 		HOLDING COMPANY OH NA
  		C Corporation         No
(8) MERCY HEALTH VENTURES INC

1701 Mercy Health Place
CINCINNATI,OH45237
31-1185477 		DIVERSIFIED ACTIVITIES OH NA
  		C Corporation         No
(9) MERCY FRANCISCAN AT WINTON WOODS I INC

10290 MILL ROAD
CINCINNATI,OH45231
31-1658668 		LOW-INCOME HOUSING OH NA
  		C Corporation         No
(10) RALPH EWE TRUST

270 PARK AVENUE
NEW YORK,NY10017
34-6866422 		BENEFICIAL TRUST NY NA
  		Trust         No
(11) ELIZABETH HINES CATES TRUST

PNC 1900 E 9TH ST
CLEVELAND,OH44114
34-6515678 		BENEFICIAL TRUST OH NA
  		Trust         No
(12) WILLIS PARK TRUST

PNC 1900 E 9TH ST
CLEVELAND,OH44114
34-6519904 		BENEFICIAL TRUST OH NA
  		Trust         No
(13) ERMA GIBSON BALDWIN TRUST

PNC 1900 E 9TH ST
CLEVELAND,OH44114
34-6515566 		BENEFICIAL TRUST OH NA
  		Trust         No
(14) HEALTHSPAN INC

225 PICTORIA DR
CINCINNATI,OH45246
31-1431434 		INSURANCE OH NA
  		C Corporation         No
(15) HEALTHSPAN SOLUTIONS INC

1701 Mercy Health Place
CINCINNATI,OH45237
30-0810766 		CONSULTING OH NA
  		C Corporation         No
(16) HEALTHCARE SERVICES AND SUPPORT

1701 Mercy Health Place
CINCINNATI,OH45237
81-2388652 		HEALTHCARE SERVICES OH NA
  		C Corporation         No
(17) Bon Secours Assurance Company Ltd

 
 
98-0152147 		SELF-INSURANCE CJ NA
  		C Corporation         No
(18) Bon Secours-Florida Integrated Services Inc

10300 Fourth Street North
St Petersburg,FL33716
65-0779777 		Holding Company/Assisted Living FL NA
  		C Corporation         No
(19) Unity Housing Inc

26 North Fulton Avenue
Baltimore,MD21223
52-1952507 		Low Income Housing MD NA
  		C Corporation         No
(20) Bon Secours Wayland LLC

26 North Fulton Avenue
Baltimore,MD21223
27-0468561 		Low Income Housing MD NA
  		C Corporation         No
(21) Professional Health Care Management Services Inc

150 Kingsley Lane
Norfolk,VA23505
54-1241031 		Administrative VA NA
  		C Corporation         No
(22) OSF Inc

2 Bernadine Drive
Newport News,VA23602
54-1369919 		Rental VA NA
  		C Corporation         No
(23) Bon Secours Tidewater Diversified Inc

160 Kingsley Lane
Norfolk,VA23505
54-1431826 		Pharmacy VA NA
  		C Corporation         No
(24) Chesterfield Community Healthcare Center Inc

8580 Magellan Parkway
Richmond,VA23227
54-1812738 		Ambulatory Healthcare Services VA NA
  		C Corporation         No
(25) Ironbridge Assisted Living Retirement Community LC

5801 Bremo Road
Richmond,VA23226
54-1807857 		Ambulatory Healthcare Services VA NA
  		C Corporation         No
(26) Bon Secours-Virginia Healthsource Inc

8580 Magellan Parkway
Richmond,VA23227
54-1417686 		Ambulatory Healthcare Services VA NA
  		C Corporation         No
(27) RHS Management Corp

8580 Magellan Parkway
Richmond,VA23227
54-1313425 		Independent Living Facility VA NA
  		C Corporation         No
(28) Bon Secours New York Housing Development Fund Corporation

2975 Independence Avenue
Bronx,NY10463
47-2224316 		Low Income Housing NY NA
  		C Corporation         No
(29) Richmond MRI Inc

8580 Magellan Parkway
Richmond,VA23227
54-1568452 		Medical Services VA NA
  		C Corporation         No
(30) Good Help Connections LLC

8990 Old Annapolis Road
Columbia,MD21045
47-2345223 		IT Consulting MD NA
  		C Corporation         No
(31) Bon Secours New Shiloh II LLC

26 North Fulton Avenue
Baltimore,MD21223
82-0631206 		Low Income Housing MD NA
  		C Corporation         No
(32) Maryview Building Corporation

3636 High Street
Portsmouth,VA23707
54-1306612 		Administrative VA NA
  		C Corporation         No
(33) Richmond Radiation Oncology Center Inc

8580 Magellan Parkway
Richmond,VA23227
54-1570244 		Ambulatory Healthcare Services VA NA
  		C Corporation         No
(34) Optimum Health Network Inc

One St Francis Drive
Greenville,SC29601
57-0973524 		Healthcare Services SC NA
  		C Corporation         No
(35) Barringtons Hospital Limited

 
 
Healthcare Services EI NA
  		C Corporation         No
(36) BMC Properties Limited

 
 
REAL PROPERTY MGMNT EI NA
  		C Corporation         No
(37) Post Office Plaza Owners Association Inc

1807 N Boulevard
Anderson,SC29621
 REAL PROPERTY MGMNT SC NA
  		C Corporation         No
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
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
No
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 .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
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) St Francis Hospital Foundation Inc

 C 1,970,265 FMV
(2) Upstate Surgery Center

 C 203,876 FMV
(3) St Francis Hospital Foundation Inc

 B 830,723 FMV
(4) St Francis Physician Services Inc

 B 30,173,097 FMV


Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
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) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
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) 2018

Additional Data


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