Civic Intelligence

Apella Health Management Inc

EIN 81-4193950 • 501(c)3 • Spartanburg, SC

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Profile

Apella health management was formed to provide certain charitable and health care services to the benefit of spartanburg regional health serivces district, inc., a public hospital corporation and political subdivision of the state of south carolina, in furtherance of serving the health care needs of spartanburg county communities in south carolina and other surrounding communities.

700 N Pine StreetSpartanburg, SC 29303

www.apellahealth.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

67th percentile

0.48x

Higher debt load relative to assets than 67% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Liabilities / Revenue

10th percentile

0.08x

Higher debt load relative to revenue than 10% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Net Margin

43rd percentile

2.2%

Higher net margin than 43% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Top Officer Pay

83rd percentile

$2,238,505

Higher top officer pay than 83% of similar nonprofits.

Top officer pay equals 0.5% of source-year revenue.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Asset Growth

93rd percentile

28%

Faster asset growth than 93% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Revenue Growth

70th percentile

17%

Faster revenue growth than 70% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets67th percentile

Assets

Up

$78,430,719

Up $17,279,523 (+28%) from 2023

Liabilities

Up

$37,862,007

Up $6,742,530 (+22%) from 2023

Net Assets

Up

$40,568,712

Up $10,536,993 (+35%) from 2023

Operations
Liabilities / Revenue10th percentileNet Margin43rd percentile

Revenue

Up

$473,759,564

Up $68,737,622 (+17%) from 2023

Expenses

Up

$463,222,571

Up $63,856,575 (+16%) from 2023

Net Income

Up

$10,536,993

Up $4,881,047 (+86%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth93rd percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$80M$60M$40M$20M$0Assets 2017: $5,676,339Liabilities 2017: $4,688,413Net Assets 2017: $987,9262017Assets 2018: $10,970,363Liabilities 2018: $8,226,695Net Assets 2018: $2,743,6682018Assets 2019: $24,957,794Liabilities 2019: $18,648,604Net Assets 2019: $6,309,1902019Assets 2020: $39,656,964Liabilities 2020: $29,115,451Net Assets 2020: $10,541,5132020Assets 2021: $56,380,726Liabilities 2021: $39,667,819Net Assets 2021: $16,712,9072021Assets 2022: $51,496,580Liabilities 2022: $28,228,043Net Assets 2022: $23,268,5372022Assets 2023: $61,151,196Liabilities 2023: $31,119,477Net Assets 2023: $30,031,7192023Assets 2024: $78,430,719Liabilities 2024: $37,862,007Net Assets 2024: $40,568,7122024

Highlighted filing

2024

Assets$78,430,719
Liabilities$37,862,007
Net Assets$40,568,712
Open 2024 Filing

Operations Trend

Revenue Growth70th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$600M$400M$200M$0Revenue 2017: $12,376,019Expenses 2017: $11,388,093Net Income 2017: $987,9262017Revenue 2018: $72,348,631Expenses 2018: $70,592,889Net Income 2018: $1,755,7422018Revenue 2019: $179,171,179Expenses 2019: $175,605,657Net Income 2019: $3,565,5222019Revenue 2020: $237,715,064Expenses 2020: $233,482,741Net Income 2020: $4,232,3232020Revenue 2021: $292,650,959Expenses 2021: $286,479,565Net Income 2021: $6,171,3942021Revenue 2022: $335,907,316Expenses 2022: $329,351,686Net Income 2022: $6,555,6302022Revenue 2023: $405,021,942Expenses 2023: $399,365,996Net Income 2023: $5,655,9462023Revenue 2024: $473,759,564Expenses 2024: $463,222,571Net Income 2024: $10,536,9932024

Highlighted filing

2024

Revenue$473,759,564
Expenses$463,222,571
Net Income$10,536,993
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$78,430,719
Liabilities
$37,862,007
Net assets
$40,568,712
Revenue
$473,759,564
Expenses
$463,222,571
Net income
$10,536,993
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$78.4$37.9$40.6$474$463$10.5
2023Detailed filing. Detailed filing data is available for this year.$61.2$31.1$30.0$405$399$5.66
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$51.5$28.2$23.3$336$329$6.56
2021Detailed filing. Detailed filing data is available for this year.$56.4$39.7$16.7$293$286$6.17
2020Detailed filing. Detailed filing data is available for this year.$39.7$29.1$10.5$238$233$4.23
2019Detailed filing. Detailed filing data is available for this year.$25.0$18.6$6.31$179$176$3.57
2018Detailed filing. Detailed filing data is available for this year.$11.0$8.23$2.74$72.3$70.6$1.76
2017Summary only. Only limited summary data is available for this year.$5.68$4.69$0.99$12.4$11.4$0.99
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 11, 2025
Return Version
2023v6.0
Gross Receipts
$473,759,564
Mission and Program Overview

Mission

Apella health management was formed to provide certain charitable and health care services to the benefit of spartanburg regional health serivces district, inc., a public hospital corporation and political subdivision of the state of south carolina, in furtherance of serving the health care needs of spartanburg county communities in south carolina and other surrounding communities.

Apella Health Management was formed to provide certain charitable and health care services to the benefit of Spartanburg Regional Health Services District, Inc., a public hospital corporation and political subdivision of the State of South Carolina, in furtherance of serving the health care needs of Spartanburg County communities in South Carolina and other surrounding communities.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$23,853,301$35,255,442▲ $11,402,141
Cash and Non-Interest-Bearing Accounts$9,280,969$7,880,479▼ $1,400,490
Accounts Receivable$2,002,388$2,925,579▲ $923,191
Investments Program Related$1,291,705$1,375,993▲ $84,288
Land, Buildings, and Equipment, Net$87,582$76,845▼ $10,737
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Loans From Officers Directors-$0-
Total Assets$61,151,196$78,430,719▲ $17,279,523
Other Assets Total$24,635,251$30,916,381▲ $6,281,130
Liabilities
Accounts Payable and Accrued Expenses$31,119,477$37,862,007▲ $6,742,530
Other Liabilities$0$0→ $0
Total Liabilities$31,119,477$37,862,007▲ $6,742,530
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$30,031,719$40,568,712▲ $10,536,993
Total Net Assets Fund Balance$30,031,719$40,568,712▲ $10,536,993
Total Liabilities and Net Assets / Fund Balance$61,151,196$78,430,719▲ $17,279,523

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$76,845$16,106$92,951
Other Assets Org$30,916,381--
Compensation and Service Providers
Top Officer Pay83rd percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Bruce HolstienPresident/CEOFT$1,221,834$1,016,671$2,238,505
Mark AycockVP-OperationsFT$693,961$629,573$1,323,534
Bruce DavisEvp/CFOFT$639,460$599,628$1,239,088
Kenneth MeinkeEvp/CFOFT$432,591$543,780$976,371
David ChurchFoundation PresidentFT$362,268$143,517$505,785
Maria WilliamsonVP-marketingFT$345,665$124,660$470,325
Brett EnglishVP FinanceFT$324,981$131,807$456,788
Mary JenningsChief Nursing Officer-smcFT$329,770$121,983$451,753
Paul NewhousePresident-umcFT$258,686$116,089$374,775

Board Members and Trustees

NameTitle
D Byrd Miller IIIChair
Mary L ThomasPast Chair
Katherine O'NeilVice Chair
Ashley AllenBoard Member
Michael Orseck MDBoard Member
Terry CashBoard Member
Vic Bailey IIIBoard Member
Wellesley Alexander MDBoard Member
Robert BarrettSecretary
Scott MontgomeryTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$471,855,286
Investment Income
$1,904,278
Other Revenue
$0
Change in Net Assets
$10,536,993

Audited Revenue Reconciliation

Revenue per Audited Statements
$471,738,243
Revenue Not Reported on Financial Statements
$2,021,321
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$2,021,321
Total Revenue per Audited Statements
$471,738,243
Total Revenue per Form 990
$473,759,564
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$455,459,682
Other Expenses$7,762,889
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$374,199,852--$374,199,852
Other Employee Benefits$35,124,063$611,648-$35,735,711
Payroll Taxes$27,844,677$152,644-$27,997,321
Pension Plan Contributions$10,564,840$1,410,556-$11,975,396
Fees for Services Other$0$7,221,617$0$7,221,617
Current Officers, Directors, Trustees, and Key Employees-$5,551,402-$5,551,402
Insurance-$195,708-$195,708
Fees for Services Accounting-$130,000-$130,000
Other Expenses-$103,729-$103,729
Office Expenses$7,239$81,259-$88,498
Information Technology-$12,600-$12,600
Depreciation Depletion-$10,737-$10,737
Total Functional Expenses$447,740,671$15,481,900$0$463,222,571

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$463,222,571
Total Expenses per Audited Statements$463,222,571
Total Expenses per Form 990$463,222,571
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Other Expense Adjustments$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees-$0-
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Bond Issues

BondIssuerIssuedIssue PricePurpose
CSpartanburg Regional Health Services District Inc2017-12-21$201,824,247See Part VI.
ASpartanburg Regional Health Services District Inc2022-01-19$125,980,226See Part VI.
BSpartanburg Regional Health Services District Inc2020-07-09$77,557,006See Part VI.

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$125,991,361$125,177,858$7,030,000$813,503
B$77,557,590$59,089,468$4,135,000$781,789
C-$40,093,672$0$1,867,799

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
Yes
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 11B Review of form 990 by governing body

“The return was reviewed by the audit and compliance committee. Return was then provided to the Board members for their review prior to issuance. All questions and comments were appropriately addressed.”

Form 990, Part VI, Line 12C Conflict of interest policy

“Board members must disclose to the board all applicable financial interests, board memberships, and other interests, and all material facts relating to any organization entering into a transaction or arrangement with the corporation that may result in a conflict of interest. Board members are responsible for identifying potential conflicts as items are discussed.”

Form 990, Part VI, Line 15A Process to establish compensation of top management official

“The organization utilizes several sources of comparibility data during its compensation review process including: willis towers watson conducts an annual executive market compensation assessment. The data is provided from national surveys: tower data services, mercer, inc., integrated healthcare strategies, and sullivan cotter and associates.”

Form 990, Part VI, Line 19 Required documents available to the public

“The organization makes its governing documents, conflict of interest policy, and financial statements available upon request.”

Form 990, Part VII, Section A

“Compensation reported in part vii of the return is reported on a calendar year basis as required by the form 990 instructions. Compensation reported in part part ix ln 5 of the return is reported on the fiscal year basis. This difference results in a discrepancy between the amounts illustrated in each section.”

Filing and Contact Details

Filer

Filer Name
Apella Health Management Inc
EIN
81-4193950
Phone
8645605010
Address
700 N Pine Street, Spartanburg, SC 29303

Signing Officer

Name
Bruce Holstien
Title
EVP, Chief Financial Officer
Phone
8645604376
Signed
2025-08-11
Discuss with paid preparer
Yes

Organization Details

Formed
2016
Legal Domicile
Sc
Voting Board Members
10
Independent Board Members
8
Employees
8,010
Volunteers
0

Preparer

Firm
Forvis Mazars LLP
Address
500 Ridgefield Court, Asheville, NC 28806
Preparer
Amy Bibby
Phone
8282542254
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 2 New program services

“On August 27, 2024, the Company formed Palmetto Shield Insurance Company, LLC, a wholly owned subsidiary under the laws of the District of Columbia. This entity was authorized to transact insurance business as of October 9, 2024 applicable to Captive Insurers and will provide certain coverages to the District. There was no activity for this organization during the year ended September 30, 2024.”

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

“The company has been granted exemption from income taxes under section 501(c)(3) of the internal revenue code and, accordingly, no provision for income tax is recorded in the accompanying financial statements. The company has determined that it does not have any unrecognized tax benefits or obligations as of september 30, 2024.”

Schedule D, Part XI, Line 4(B) Other revenues in form 990 not in audited financial statements

“Total non-operating gains - 2021321”

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IRS990/Form990PartVIISectionAGrp/PersonNm1D Byrd Miller III
IRS990/Form990PartVIISectionAGrp/PersonNm2Katherine O'Neil
IRS990/Form990PartVIISectionAGrp/PersonNm3Mary L Thomas
IRS990/Form990PartVIISectionAGrp/PersonNm4Michael Orseck MD
IRS990/Form990PartVIISectionAGrp/PersonNm5Robert Barrett
IRS990/Form990PartVIISectionAGrp/PersonNm6Scott Montgomery
IRS990/Form990PartVIISectionAGrp/PersonNm7Terry Cash
IRS990/Form990PartVIISectionAGrp/PersonNm8Vic Bailey III
IRS990/Form990PartVIISectionAGrp/PersonNm9Wellesley Alexander MD
IRS990/Form990PartVIISectionAGrp/PersonNm10Bruce Davis
IRS990/Form990PartVIISectionAGrp/PersonNm11Bruce Holstien
IRS990/Form990PartVIISectionAGrp/PersonNm12Mark Aycock
IRS990/Form990PartVIISectionAGrp/PersonNm13Brett English
IRS990/Form990PartVIISectionAGrp/PersonNm14David Church
IRS990/Form990PartVIISectionAGrp/PersonNm15Maria Williamson
IRS990/Form990PartVIISectionAGrp/PersonNm16Mary Jennings
IRS990/Form990PartVIISectionAGrp/PersonNm17Paul Newhouse
IRS990/Form990PartVIISectionAGrp/PersonNm18Kenneth Meinke
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IRS990/Form990PartVIISectionAGrp/TitleTxt1Chair
IRS990/Form990PartVIISectionAGrp/TitleTxt2Vice Chair
IRS990/Form990PartVIISectionAGrp/TitleTxt3Past Chair
IRS990/Form990PartVIISectionAGrp/TitleTxt4Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt5Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt6Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt7Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt8Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt9Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt10EVP/CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt11President/CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt12VP-Operations
IRS990/Form990PartVIISectionAGrp/TitleTxt13VP Finance
IRS990/Form990PartVIISectionAGrp/TitleTxt14FOUNDATION PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt15VP-MARKETING
IRS990/Form990PartVIISectionAGrp/TitleTxt16CHIEF NURSING OFFICER-SMC
IRS990/Form990PartVIISectionAGrp/TitleTxt17PRESIDENT-UMC
IRS990/Form990PartVIISectionAGrp/TitleTxt18EVP/CFO
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IRS990/MissionDesc0Apella Health Management was formed to provide certain charitable and health care services to the benefit of Spartanburg Regional Health Services District, Inc., a public hospital corporation and political subdivision of the State of South Carolina, in furtherance of serving the health care needs of Spartanburg County communities in South Carolina and other surrounding communities.
IRS990/MoreThan5000KToIndividualsInd0false
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IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt081259
IRS990/OfficeExpensesGrp/ProgramServicesAmt07239
IRS990/OfficeExpensesGrp/TotalAmt088498
IRS990/OfficerMailingAddressInd0false
IRS990/OnBehalfOfIssuerInd0false
IRS990/OperateHospitalInd0false
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IRS990/PartialLiquidationInd0false
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IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt0152644
IRS990/PayrollTaxesGrp/ProgramServicesAmt027844677
IRS990/PayrollTaxesGrp/TotalAmt027997321
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt01410556
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt010564840
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IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfcrBusinessName/BusinessNameLine1Txt0BRUCE HOLSTIEN
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IRS990/ProgramServiceRevenueGrp/Desc0LEASED STAFFING REVENUE
IRS990/ProgramServiceRevenueGrp/Desc1MANAGEMENT FEE REVENUE
IRS990/ProgramServiceRevenueGrp/Desc2ADMINISTRATIVE FEE REVENUE
IRS990/ProgramServiceRevenueGrp/Desc3JOINT VENTURE REVENUE
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IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0true
IRS990/ReportOtherLiabilitiesInd0false
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IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd0true
IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd0false
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IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd0false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd0false
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IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd0false
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IRS990ScheduleA/Form990SchAType3FuncIntGrp/GovernmentalEntityInd0X
IRS990ScheduleA/Form990SchAType3SprtOrgAllGrp/OfficersCloseRelationshipInd0false
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0The Organization submits an annual letter to the supported Organization demonstrating the amount of support provided to the supported Organization. Due to the timing of the audited financial statements and Form 990 this letter has been issued for the prior year at the time of the 990 filing. The Organization is modifying the timing of its notification to provide the support notification to the supported organization following the close of each tax period.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1Officers of Apella, who are also Officers of the supporting organization, attend all Board and Committee meetings of the supported organization. Officers present financial and operational data of both Apella and the District to the Apella Board and are available for discussion and questions.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt2THE OFFICERS PERFORM THE SAME FUNCTIONS FOR BOTH THE FILING ORGANIZATION AND SUPPORTED ORGANIZATION, AS A RESULT THE SUPPORTED ORGANIZATION HAD A DIRECT SIGNIFICANT VOICE IN TO THE USE OF THE INCOME AND THE ASSETS OF THE ORGANIZATION. In addition, one of the supporting organization's Board members is invited to attend the Apella board meeting for informational purposes.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt3THE ORGANIZATION SUPPORTS SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT WHICH IS A GOVERNMENTAL ENTITY. THE ORGANIZATION LESSENS THE BURDENS OF THE GOVERNMENTAL ENTITY BY PROVIDING CERTAIN ESSENTIAL CHARITABLE AND HEALTH CARE SERVICES.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0Schedule A, Part IV, Section D, Line 1
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc1Schedule A, Part IV, Section D, Line 2 Officers Appointed Or Serving Supported Org.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc2Schedule A, Part IV, Section D, Line 3 Supp. Org. Have Significant Voice In Investment Policies
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc3Schedule A, Part IV, Section E, Line 1c The Organization Supported A Government Entity Explanation
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT
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IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt0463222571

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