ROPER ST FRANCIS MOUNT PLEASANT HOSPITAL: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: ROPER ST FRANCIS MOUNT PLEASANT HOSPITAL (EIN 57-0360499)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-11
IRS object ID: 202033169349302693
Schema version: 2019v5.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-11T12:31:15-06:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	134008324	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PRICEWATERHOUSECOOPERS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	600 13TH STREET NW STE 1000	AddressLine1Txt
City	WASHINGTON	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20005	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	570360499	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Roper St Francis Mt Pleasant Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ROPE	BusinessNameControlTxt
Phone	8437242958	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8536 Palmetto Commerce Pkwy 201	AddressLine1Txt
City	Ladson	CityNm
State Abbreviation	SC	StateAbbreviationCd
ZIP	29456	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Anthony Jackson	PersonNm
Person Title	SVP & COO	PersonTitleTxt
Signature	2020-11-11	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	TRAVIS L PATTON	PreparerPersonNm
PTIN	P00369623	PTIN
Phone	2124141000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Anthony Jackson SVP & COO	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8536 Palmetto Commerce Pkwy 201	AddressLine1Txt
City	Ladson	CityNm
State Abbreviation	SC	StateAbbreviationCd
ZIP	29456	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$94,273,501	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.rsfh.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2005	FormationYr
Legal Domicile State	SC	LegalDomicileStateCd
Activity Or Mission	Operation of nonprofit hospital facility in Mt. Pleasant, SC.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	316	TotalEmployeeCnt
Total Volunteers	74	TotalVolunteersCnt
Total Gross UBI	$36,593	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,225	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$27,900	PYContributionsGrantsAmt
CY Contributions Grants	$62,594	CYContributionsGrantsAmt
PY Program Service Revenue	$88,439,109	PYProgramServiceRevenueAmt
CY Program Service Revenue	$93,805,788	CYProgramServiceRevenueAmt
PY Investment Income	-$130,417	PYInvestmentIncomeAmt
CY Investment Income	-$1,012	CYInvestmentIncomeAmt
PY Other Revenue	$337,557	PYOtherRevenueAmt
CY Other Revenue	$379,111	CYOtherRevenueAmt
PY Total Revenue	$88,674,149	PYTotalRevenueAmt
CY Total Revenue	$94,246,481	CYTotalRevenueAmt
PY Grants And Similar Paid	$46,954	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$28,851,610	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$24,694,439	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$45,375,074	PYOtherExpensesAmt
CY Other Expenses	$57,474,855	CYOtherExpensesAmt
PY Total Expenses	$74,273,638	PYTotalExpensesAmt
CY Total Expenses	$82,169,294	CYTotalExpensesAmt
PY Revenues Less Expenses	$14,400,511	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$12,077,187	CYRevenuesLessExpensesAmt
Total Assets BOY	$141,945,060	TotalAssetsBOYAmt
Total Assets EOY	$135,959,666	TotalAssetsEOYAmt
Total Liabilities BOY	$110,328,845	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$109,416,626	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$31,616,215	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$26,543,040	NetAssetsOrFundBalancesEOYAmt
Mission	Healing all people with compassion, faith, and excellence.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$66,958,118	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$93,805,788	RevenueAmt
Desc	Roper St. Francis Mount Pleasant Hospital opened in November of 2010 and has become a true community hospital. The hospital places an emphasis on comfort, communication and care with a personal touch. In 2019, Roper St. Francis Mount Pleasant Hospital contributed $4.7 million in community benefit. Please visit our website for a detailed community benefit report at http://www.rsfh.com/mission-department.	Desc
Total Program Service Expenses	$66,958,118	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	316	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	SC	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	The Finance Department	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8437242958	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8536 Palmetto Commerce Pkwy Ste 201	AddressLine1Txt
City	Ladson	CityNm
State Abbreviation	SC	StateAbbreviationCd
ZIP	29456	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Brian Cuddy MD
Chair, Neurosurgeon - RSFPP	0.5	49.5	Yes (X)	Yes (X)	$0	$961,103	$70,412
Susan Datta MD
Vice-Chairperson, Internist - RSFPP	0.5	49.5	Yes (X)	Yes (X)	$0	$301,585	$70,729
Brett Denton
Board Member (Beg 6/1/19)	0.5	3.5	Yes (X)		$0	$0	$0
Edward McKelvey
Board Member	0.5	3.5	Yes (X)		$0	$0	$0
Henry West MD
Board Member (Beg 01/19), Surgeon - RSFPP	0.5	49.5	Yes (X)		$0	$593,280	$61,811
John B Holloway Jr
Board Member, CEO - MSSC	0.5	49.5	Yes (X)		$0	$464,000	$36,462
Julie Medich
Board Member (7/1/19-10/11/19)	0.5	3.5	Yes (X)		$0	$0	$0
Katherine Duffy PHD
Board Member (End 6/30/19)	0.5	3.5	Yes (X)		$0	$0	$0
Kent Stock MD
Board Member	0.5	3.5	Yes (X)		$0	$25,028	$0
Mark Nantz
Board Member	0.5	3.5	Yes (X)		$0	$0	$0
Mary Thornley
Board Member	0.5	3.5	Yes (X)		$0	$0	$0
Roberta Pinckney
Board Member	0.5	3.5	Yes (X)		$0	$0	$0
Roger Ray MD
Board Member (1/1/19-05/31/19)	0.5	3.5	Yes (X)		$0	$0	$0
Sr Anne Lutz CBS
Board Member	0.5	3.5	Yes (X)		$0	$0	$0
Wills C Geils MD
Board Member	0.5	3.5	Yes (X)		$0	$9,359	$0
Anthony Jackson
VP and CEO Acute Care Services	10.0	40.0		Yes (X)	$0	$574,760	$91,673
Bret D Johnson
CFO & SVP / Treasurer	1.0	49.0		Yes (X)	$0	$720,630	$110,425
Lorraine Lutton
President & CEO	1.0	49.0		Yes (X)	$0	$1,437,023	$81,309
Stanley Wilson MD
Chief Medical Officer	25.0	25.0			$0	$456,039	$55,361	Yes (X)
Tavia Buck
Chief Administrative Officer and CNO	50.0	0			$217,468	$0	$24,518	Yes (X)
John Prentice
Pharmacist	40.0	0			$172,180	$0	$46,084		Yes (X)
Kimberly Gaillard
Medication Safety Coordinator	40.0	0			$150,353	$0	$25,186		Yes (X)
Phillip Creger
Manager Pharmacy	40.0	0			$194,451	$0	$35,594		Yes (X)
Spencer Morris
Pharmacist	40.0	0			$135,012	$0	$14,662		Yes (X)
Tracy Bishop
Clinical Pharmacist	40.0	0			$154,362	$0	$39,352		Yes (X)
Pennie Peralta
Former Key EE, VP Nursing/Sr. Nurse Exec SFX	0.0	50.0			$0	$467,835	$36,947			Yes (X)
Stephanie McKoin
Former Key EE, Director of Perioperative Services	15.0	35.0			$0	$214,003	$40,446			Yes (X)
Stephen Porter
Former Key, VP and CEO, Roper Hospital and Berkeley Hospital	1.0	49.0			$0	$373,844	$29,322			Yes (X)
Vanessa Shamrock
Former Key EE, Director of Lab Services	15.0	35.0			$0	$169,206	$21,777			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,023,826	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,767,695	TotReportableCompRltdOrgAmt
Total Other Compensation	$892,070	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	16	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Related Organizations	$61,974	RelatedOrganizationsAmt
All Other Contributions	$620	AllOtherContributionsAmt
Total Contributions	$62,594	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	Net Patient Service	Desc
Business	624100	BusinessCd
Total Revenue Column	$93,805,788	TotalRevenueColumnAmt
Related Or Exempt Func Income	$93,805,788	RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$93,805,788	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,891	TotalRevenueColumnAmt
Exclusion	$1,891	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$2,903	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	-$2,903	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,903	TotalRevenueColumnAmt
Exclusion	-$2,903	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$29,783	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$24,117	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,666	TotalRevenueColumnAmt
Exclusion	$5,666	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Cafeteria Revenue	722210	$261,981	$261,981
Miscellaneous Revenue	900099	$111,464	$74,871	$36,593

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$373,445	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$94,246,481	TotalRevenueColumnAmt
Related Or Exempt Func Income	$93,805,788	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$36,593	UnrelatedBusinessRevenueAmt
Exclusion	$341,506	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$241,986	TotalAmt
Program Services	$205,688	ProgramServicesAmt
Management And General	$36,298	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$19,760,137	TotalAmt
Program Services	$16,796,116	ProgramServicesAmt
Management And General	$2,964,021	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$888,431	TotalAmt
Program Services	$755,166	ProgramServicesAmt
Management And General	$133,265	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,488,091	TotalAmt
Program Services	$2,114,877	ProgramServicesAmt
Management And General	$373,214	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,315,794	TotalAmt
Program Services	$1,118,425	ProgramServicesAmt
Management And General	$197,369	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$22,967,866	TotalAmt
Program Services	$12,591,741	ProgramServicesAmt
Management And General	$10,376,125	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,079	TotalAmt
Program Services	$1,663	ProgramServicesAmt
Management And General	$416	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,412,582	TotalAmt
Program Services	$1,616,430	ProgramServicesAmt
Management And General	$796,152	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$9,109	TotalAmt
Program Services	$7,287	ProgramServicesAmt
Management And General	$1,822	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,612,277	TotalAmt
Program Services	$1,289,822	ProgramServicesAmt
Management And General	$322,455	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$9,796	TotalAmt
Program Services	$7,837	ProgramServicesAmt
Management And General	$1,959	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$15,130	TotalAmt
Program Services	$12,104	ProgramServicesAmt
Management And General	$3,026	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,338,490	TotalAmt
Program Services	$4,338,490	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$7,740,668	TotalAmt
Program Services	$7,740,668	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$7,521	TotalAmt
Program Services	$6,017	ProgramServicesAmt
Management And General	$1,504	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
Medical Supplies	$16,804,089	$16,804,089
Sales Tax	$1,406	$1,406
Medicaid DSH Tax	$1,515,586	$1,515,586
Physician Recruitment	$14,586	$14,586

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$23,670	TotalAmt
Program Services	$20,120	ProgramServicesAmt
Management And General	$3,550	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$82,169,294	TotalAmt
Program Services	$66,958,118	ProgramServicesAmt
Management And General	$15,211,176	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,638	BOYAmt
EOY	$188	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$12,994,204	BOYAmt
EOY	$12,778,978	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,547,605	BOYAmt
EOY	$1,470,067	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$245,277	BOYAmt
EOY	$232,924	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$159,257,751	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$69,374,476	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$95,535,299	BOYAmt
EOY	$89,883,275	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$31,620,037	BOYAmt
EOY	$31,594,234	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$141,945,060	BOYAmt
EOY	$135,959,666	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$265,594	BOYAmt
EOY	$115,738	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$106,938,887	BOYAmt
EOY	$106,668,287	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,124,364	BOYAmt
EOY	$2,632,601	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$110,328,845	BOYAmt
EOY	$109,416,626	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$31,616,215	BOYAmt
EOY	$26,543,040	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$31,616,215	BOYAmt
EOY	$26,543,040	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$141,945,060	BOYAmt
EOY	$135,959,666	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$12,077,187	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$17,150,362	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,828,435	OtherCostOrOtherBasisAmt
Book Value	$16,828,435	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$106,959,367	OtherCostOrOtherBasisAmt
Depreciation	$43,060,211	DepreciationAmt
Book Value	$63,899,156	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,929,527	OtherCostOrOtherBasisAmt
Depreciation	$1,449,958	DepreciationAmt
Book Value	$479,569	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$33,540,422	OtherCostOrOtherBasisAmt
Depreciation	$24,864,307	DepreciationAmt
Book Value	$8,676,115	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$89,883,275	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
Third Party Receivable	$344,592
Intercompany Receivables	$31,151,201
Other Assets	$98,441

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$31,594,234	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Due to Affiliates	$793,526
Third Party Reserve	$1,734,347
Other Liabilities	$104,728

Field	Value	IRS element (for citing)
Total Liability	$2,632,601	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	Roper St. Francis Mt. Pleasant Hospital is a not-for-profit organization as described in Section 501(c)(3) of the Internal Revenue Code and are generally exempt from federal and state income taxes. Accordingly no provision for income taxes is made on the consolidated financial statements. Although Roper St. Francis Healthcare (RSFH), including Roper St. Francis Mt. Pleasant Hospital, is generally exempt from federal and state income taxes, it evaluates whether there are any uncertain tax positions that fail to meet the more-likely-than-not threshold for recognition in the consolidated financial statements. Uncertain tax positions may include the characterization of income, such as a characterization of income as passive, a decision to exclude reporting taxable income in a tax return, or a decision to classify a transaction, entity, or other position in a tax return as tax exempt. The tax benefit from an uncertain tax position is recognized when it is more likely than not that the position will be sustained upon examination, including resolutions of any related appeals or litigation processes, based on the technical merits. RSFH had no unrecognized tax positions as of December 31, 2019 and 2018, and does not expect that unrecognized tax benefits will materially increase within the next 12 months. Interest and penalties related to uncertain tax positions, if any, would be recognized in the consolidated financial statements as income tax expense.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,361,242	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$288,455	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,072,787	NetCommunityBenefitExpnsAmt
Total Expense	0.0374	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,247,269	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,666,410	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,580,859	NetCommunityBenefitExpnsAmt
Total Expense	0.0192	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$7,608,511	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,954,865	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,653,646	NetCommunityBenefitExpnsAmt
Total Expense	0.0566	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,012	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,012	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$50,023	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$50,023	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,418	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$19,418	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$77,453	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$77,453	NetCommunityBenefitExpnsAmt
Total Expense	0.0009	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$7,685,964	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,954,865	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,731,099	NetCommunityBenefitExpnsAmt
Total Expense	0.0576	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,916	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,916	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,916	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,916	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$5,525,793	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$16,768,706	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$23,715,279	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$6,946,573	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Roper St Francis Mt Pleasant Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3500 Highway 17 North	AddressLine1Txt
City	Mt Pleasant	CityNm
State Abbreviation	SC	StateAbbreviationCd
ZIP	29466	ZIPCd

Field	Value	IRS element (for citing)
Website Address	https://www.rsfh.com/mount-pleasant-hospital	WebsiteAddressTxt
State License	HTL-0909	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Roper St Francis Mt Pleasant Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.rsfh.com/mission-department/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	20	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.rsfh.com/mission-department/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.rsfh.com/billing-financial-assistance/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.rsfh.com/billing-financial-assistance/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.rsfh.com/billing-financial-assistance/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - Roper St. Francis Mt. Pleasant Hospital. In an effort to create a greater impact on the community and address the greatest needs, Roper St. Francis Healthcare participated in and produced a joint Community Health Needs Assessment (CHNA) in collaboration with the Medical University of South Carolina and the Trident United Way. Data for the CHNA was collected from January - February 2019. To gather community input the Community Health Needs Assessment team disseminated a community survey with the purpose of identifying a general overview of the most concerning health topics. The surveys had 5,128 responses which greatly surpassed the number of responses from the previous CHNA of 905 survey responses. This level of engagement is an immediate benefit of collaborating with community partners. Furthermore, the team hosted 19 Interviews with community leaders, elected officials and health care professionals, held 12 focus groups with 57 participants from the community at large, and had 100 participants at the team's community input session. During the 2019 CHNA planning process, specific community groups and organizations, including area schools, churches, and clinics, were included to engage more members from African American, Latino, low socioeconomic and rural communities. Using feedback from the surveys, interviews, focus groups and the community input session a summary of community feedback was created. This summary would be used in the creation of team's priorities and ultimately the implementation strategy.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - Roper St. Francis Mt. Pleasant Hospital. Roper Hospital, Inc. Bon Secours St. Francis Xavier Hospital Roper St. Francis Mt. Pleasant Hospital Roper St. Francis Hospital - Berkeley Inc. Medical University of South Carolina
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - Roper St. Francis Mt. Pleasant Hospital. Trident United Way
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Roper St. Francis Mt. Pleasant Hospital. The Roper St. Francis Healthcare (RSFH) Community Needs Assessment Team developed implementation strategies for each health issue identified as a strategic priority. This implementation plan was rolled out over 3 years. Some strategies may be addressed by more than one RSFH hospital or the system as a whole. The team developed a monitoring method at the conclusion of the implementation planning process to provide status updates to community partners, stakeholders, and the community-at-large. The following are the 2019 strategies and outcomes on the 5 issues identified as priorities in the 2016 Community Health Needs Assessment. Access to Care 2019 Strategies and Outcomes: Strategy (System-wide): Navigate high users of emergency departments to primary care medical homes, and to refer underinsured and uninsured patients to AccessHealth and/or the Transitions Clinic * During 2019, the four local hospital systems actively participated in AccessHealth Tri-County Network in order to collaborate with local healthcare systems to identify Emergency Department (ED) "super utilizers". * RSFH took steps to navigate uninsured ED "super utilizers" to AccessHealth and/or the Transitions Clinic. During 2019, AccessHealth had 3,411 patients, including 1,042 new patients, and Transitions Clinic had 1,321 patients, including 406 new patients. The resulting new patients reduced the number of ED visits by 61%. * RSFH developed a team-based program to create a comprehensive, patient-centered care plan for ED "super utilizers," engaging both RSFH and community resources. During 2019, Bon Secours St. Francis Xavier enrolled 45 patients in the program, and Roper Hospital enrolled 25 patients in the program. Strategy (System-wide): Coordinate and collaborate with safety-net partners for delivery of services, including area Federally Qualified health Centers (FQHC), free clinics, and homeless shelters. * RSFH provides lab work, free supplies, and ancillaries to partner medical clinics and supportive agencies. During 2019, RSFH signed contracts to continue its partnership with these clinics and supportive agencies. * RSFH coordinated with local partners and managed care coordination for eligible patients through the shared care navigation hub through AccessHealth. Strategy (System-wide): Provide in-home care to patients with limited mobility through Home Health and Hospice Care. * RSFH provided high quality care for patients with transportation or mobility issues or those with end-of-life needs through in-home or inpatient Hospice or Home Health Services. During 2019, 5,525 patients received Home Health Services, while 561 patients received In-home Hospice care and 562 patients received Inpatient Hospice care. Clinical Preventative Services 2019 Strategies and Outcomes: Strategy (System-wide): Provide routine, primary care for low-income, uninsured adults that live or work on the Sea Islands of Charleston County. * RSFH provides lab work, free supplies, and ancillaries to partner medical clinics and supportive agencies. During 2019, RSFH signed contracts to continue its partnership with these clinics and supportive agencies. * RSFH also provided financial support for clinical staff and infrastructure at Our Lady of Mercy Outreach. Strategy (System-wide): Provide early intervention services for patients diagnosed with HIV/AIDS. * During 2019, RSFH enrolled HIV positive patients into the federally funded Ryan White program. The Ryan White Wellness Center provided comprehensive HIV and primary care for 869 HIV positive patients. * During 2019, RSFH worked with the Ryan White Wellness Center to ensure continued health insurance coverage for 267 HIV positive adult patients using federal and employer insurance programs. * RSFH sought grant funding to expand primary prevention services for high risk HIV negative adults and prevent the rate of transmission for HIV positive patients. Partially due to RSFH's support, the Ryan White Wellness Center invested over $105,000 in transportation assistance to reduce barriers to accessing services and provided HIV prevention to 123 HIV negative patients. * During 2019, RFSH provided 44 free HIV testing at community events and 311 HIV tests in the clinic. Strategy (System-wide): Provide evidence-based outpatient care for diabetic patients and expand access to free annual breast health screenings for all women, particularly African-American women. * Through its affiliated physician entity, Roper St. Francis Physician Partners (RSFPP), the system tracked the percentage of patients who receive evidence-based outpatient care for diabetes. In 2019, 92.6% of all RSFPP with a diagnosis of diabetes received A1c testing. * RSFPP hosted the annual "Family Wellness Night" and other screening events for underserved men and women to get breast and colorectal screenings. In 2019, 79 clinical breast exams were provided and resulted in 72 referrals for additional screening. 55 colorectal screenings were also provided no resulting referrals. * RSFPP hosted an annual skin cancer screening event and offered 119 screenings in 2019 resulting in 31 referrals for biopsy. Mental Health 2019 Strategies and Outcomes: Strategy (System-wide): Coordinate services between Emergency Departments and regional mental health agencies. * During 2019, RSFH continued to participate and collaborate in the Charleston/Dorchester Mental Health Department's community task force. * During 2019, RSFH continued to coordinate care of behavioral health patients, using local agencies and resources for support. * RSFH continued to collaborate with mental health providers to engage community members in highest need areas to direct appropriate services. * During 2019, RSFH added Charleston County Public Library to the list of collaborators. RSFH continues to work with other agencies to broaden the scope of the project. Strategy (System-wide): Provide services and education to combat the opioid epidemic. * RSFH has continued work to develop partnerships with local law enforcement to create an alliance for holding Drug Take Back events. During 2019, RSFH expanded the initiative and created relationships with the North Charleston Police Depart and Berkeley County Sheriff's Dept. * RSFH organized Drug Take Back events with local law enforcement throughout the tri-county area. During 2019, RSFH successfully applied for two grants to increase the reach of the take back events with education and awareness around the opioid epidemic. 755 pounds of drugs were collected at 11 drug take back events in 2019. Strategy (System-wide): Provide mental health screenings at wellness and postpartum OB/GYN visits. * RSFH incorporates depression screenings at primary care wellness visits and postpartum OB/GYN patient visits. In 2019, 79.8% of all patients received a depression screening during primary care wellness checks and 90.6% of all patients received a depression screening during the follow-up postpartum visit.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - Roper St. Francis Mt. Pleasant Hospital. Obesity, Nutrition, and Physical Activity 2019 Strategies and Outcomes: Strategy (System-wide): increase opportunities for comprehensive wellness. * RSFH requires all system employees to have an annual primary care screening. In 2019, RSFH had 3,463 employees with PCP visits. * RSFH promotes employee participation in disease-specific events to increase health awareness and advocacy. In 2019, RSFH employees recorded 7,859 hours of staff time supporting initiatives while serving 19,373 community residents. * In 2019, RSFH hosted informative and interactive tables/booths and participated in over 100 local community and health fairs, screenings, and events. Strategy (System-wide): Collaborate with local partners to increase healthy food options in underprivileged communities. * RSFH engaged community members in highest need areas to promote wellness and nutrition. In 2019, over 2,000 bags of fresh produce was distributed to families in need. * RSFH collaborates with Lowcountry Food Bank and East Cooper Meals on Wheels to provide home-delivered meals in low-income communities. In 2019, 3,000 meals were provided to 400 homebound residents in Charleston County. Strategy (System-wide): Host evidence-based health and wellness community programs for older adults. * RSFH offered physical wellness classes specifically targeting older adults. In 2019, 1,789 seniors were enrolled as members at Lowcountry Senior Center and 1,619 seniors enrolled at Waring Senior Center. There were 76,882 visits to fitness centers and exercise activities in 2019. Maternal, Infant, and Child Health 2019 Strategies and Outcomes: Strategy (Bon Secours St. Francis Xavier Hospital (BSSF)): Offer specialized services for high risk pregnancies. * BSSF offered specialized care teams for high risk pregnant women to include a board-certified maternal fetal medicine specialist during 2019. * BSSF supports a Maternal Fetal Medicine program that includes medical management, counseling, biophysical profiles, diagnosis and management of birth defects as well as other highly specialized services. During 2019, this program had 5,761 patient visits with 1,930 total patients served. Strategy (BSSF): Provide prenatal care for uninsured patients that are not eligible for Medicaid. * BSSF provided prenatal care for eligible uninsured and immigrant patients of Our Lady of Mercy Outreach. During 2019, this support resulted in 103 annual exams, 25 deliveries, and 60 GYN patients. * During 2019, BSSF signed contracts to continue partnerships that provide routine lab work, radiology services, prenatal education classes, and Maternal Fetal Medicine services for Spanish speaking patients. Strategy (BSSF, Roper St. Francis Mt. Pleasant Hospital (MPH), and Roper St. Francis Hospital - Berkeley, Inc. (BH)): Host expectant parent education classes and tours, and Safe Sitter classes. * During 2019, BSSF, MPH, and BH facilitated regularly scheduled expectant parent education classes and hospital tours as well as Safe Sitter classes. The total classes facilitated during the year total 251, including 134 free classes, and had 2,582 participants. This was the first year of expanding to the BH campus.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - Roper St. Francis Mt. Pleasant Hospital. Full charity care will be provided to patients with income 200% or less of FPG. Patients with an FPG of 201% - 400% will receive a discount based upon a sliding scale. Patients who qualify and are receiving benefits from the following programs may be presumed eligible for 100 percent financial assistance - food stamps, county and state relief programs, homelessness, deceased patients, and religious organizations. Patients who meet presumptive eligibility criteria may be granted financial assistance without completing the financial assistance application. In order to determine the appropriate level of financial assistance to apply to a patient's account, the facility will utilize a scoring mechanism, with the assistance of a third party vendor that provides a patient profile, or require the patient to complete a financial assistance application. Household income, as defined for federal tax guidelines, will be considered in determining whether a patient is eligible for financial assistance.
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - Roper St. Francis Mt. Pleasant Hospital. The patient handbook provided with registration references the Policy and includes contact information for patients who need assistance. In addition, signs are posted at all Hospital registration sites that reference our financial assistance policies and how they are accessed.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c Roper St. Francis Mt. Pleasant Hospital	In addition to using the FPG to determine eligibility for free or discounted care, the system offers a 35% discount for patients who are uninsured. A 10% prompt payment discount is offered to all self-pay or self-pay-after-insurance patients who pay the balance at one time. Medical indigency adjustments are available to those that meet the established guidelines.
Schedule H, Part V, Section B, Line 9 Roper St. Francis Mt. Pleasant Hospital	The hospital adopted its Community Health Needs Assessment (CHNA) in August 2019. Both the hospital's CHNA and its implementation strategy to address the needs identified in the CHNA were posted to the hospital's website and made publicly available as required by the IRS. The hospital's implementation strategy was adopted by the Board in October 2020. The hospital is eligible for and is relying on the relief provided in Notice 2020-56, and should not be treated as failing to meet the requirements of Section 501(r)(3) prior to December 31, 2020. Although the hospital's implementation strategy was not formally adopted by the fifteenth day of the fifth month following the hospital's tax year end, the hospital had documented its strategies to address the prioritized health needs identified in its CHNA, had posted those strategies on the hospital's website, and began taking actions towards those strategies as required by the IRS.
Schedule H, Part I, Line 6a Community benefit report prepared by related organization	Roper St. Francis Healthcare dba CareAlliance Health Services
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	A cost to charge ratio was used to report financial assistance costs and actual expenses were used to report other community benefit costs.
Schedule H, Part II Community Building Activities	Roper St. Francis Healthcare addresses various community concerns including health improvement, poverty, workforce development, and access to health care. Roper St. Francis Healthcare hospitals conduct community health education and support groups, health fairs and screenings for the communities served. Roper St. Francis Healthcare hospitals work with state and local leadership to address community needs and provide healthcare services to the poor and underserved. Roper St. Francis Healthcare 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.
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 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. 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. 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, MERCY HEALTH RECOGNIZES REVENUE WHEN SERVICES ARE PROVIDED. BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF MERCY HEALTH'S ININSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR SERVICES PROVIDED. THUS, 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	For patients who do not turn in a signed charity care application, after 120 days of collection efforts, Roper St. Francis Healthcare uses the Health Care Advisory Board's self pay compass program to automatically qualify patients for charity care through the use of an electronic scoring technique. The data received through this software is believed to err on the side of denying charity. The estimate of bad debt that could have been charity is based on the system error rate. Please note that patients who complete a full charity care application and qualify for charity under our policy are granted charity regardless of the score in the self-pay compass system.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	From the consolidated audited financial statements of Roper St. Francis Healthcare (RSFH) dba CareAlliance Health Services (CareAlliance) which includes the activity of Roper St. Francis Mt. Pleasant Hospital: The process of estimating the allowance for doubtful accounts requires CareAlliance to estimate the collectibility of patient accounts receivable, which is primarily based on collection history, adjusted for expected recoveries. CareAlliance collects substantially all of its third-party insured receivables, which include receivables from governmental agencies. Collections are impacted by the economic ability of patients to pay and the effectiveness of collection efforts. Significant changes in payor mix, business office operations, economic conditions, or trends in federal and state governmental healthcare coverage could affect the collection of accounts receivable. CareAlliance also continually reviews overall reserve adequacy by monitoring historical cash collections as a percentage of trailing net revenue, as well as by analyzing current-period gross charges and admissions by payor classification, aged accounts receivable by payor, and days revenue outstanding.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	The entire amount of Medicare shortfall qualifies as community benefit. Our treatment of Medicare patients, as described in IRS Rev. Rul. 69-545, indicates that Roper St. Francis Mt. Pleasant Hospital operates to promote the health of the community. By Taking Medicare patients, the hospital promotes access to healthcare services, which is a community benefit. The organization uses the Medicare cost report to determine the costs reported on Part III, Line 5 and 6. Had we included revenues and costs from all Medicare programs including Medicare Part C this would have resulted in an additional shortfall of $4,284,588.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	Roper St. Francis Mt. Pleasant Hospital uses the same reasonable efforts and follows the same reasonable process for collecting amounts due for services provided to all patients, including insured, underinsured or uninsured patients. Collection activities may occur during the pre-registration process and will continue until account resolution, a determination the account is uncollectible, or determination of eligibility for financial assistance. The collection process may include the use of deposits, the implementation of payment plans or discretionary settlements. The collection process may involve the use of outside collection agencies. The collection process is documented in the patient's account files accessible to the Hospital and its business associates involved in the collection process. Collection will not, however, be pursued against patients who fall within populations exempt from collection action by law.
Schedule H, Part V, Section B, Line 16a FAP website	- Roper St. Francis Mt. Pleasant Hospital: Line 16a URL: https://www.rsfh.com/billing-financial-assistance/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- Roper St. Francis Mt. Pleasant Hospital: Line 16b URL: https://www.rsfh.com/billing-financial-assistance/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- Roper St. Francis Mt. Pleasant Hospital: Line 16c URL: https://www.rsfh.com/billing-financial-assistance/;
Schedule H, Part VI, Line 2 Needs assessment	The CHNA team used surveys sent out to the community at large and asked respondents to rank the top 10 topics areas from Health People 2020 that impact the communities where they live and/or work from 1 (most concerning) to 10 (least concerning). The top five health topic areas prioritized by the community were then used as the focus of health improvement efforts going forward. Additionally, secondary sources of data in the assessment process came from interviews with community leaders, elected officials and health care professionals, health focus groups with the community at large, and feedback from participants at the CHNA team's community input session. Healthy People 2020 is consistently recognized as a national benchmark for healthcare goals and standards.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	Statements to patients from the Hospital outline our charity care policy and our charity care policy is posted on our website. If patients indicate they are not able to pay their bill, we will provide the patient with a charity care application. The Hospital shall send anyone who requests information on the Hospital's financial assistance program a letter outlining required information and a financial assistance application form. Requests for financial assistance may be proposed by sources other than the patient, such as the patient's physician, family members, social service organizations, community or religious groups, or Hospital personnel. Patients can also meet with a member or our financial counseling department to learn about their financial assistance options. Brochures are printed in English and Spanish telling patients to contact the financial counseling department. The Hospital wants its patients focus to be on health and recovery and not financial worry. There is absolutely no additional cost for our financial counseling assistance. Additionally, patients can meet with staff of the Medicaid program. The program staff will meet with patients individually to help them apply for publicly supported programs such as Medicaid, Medicare, and disability. Counselors meet with patients in the Hospital as well as making home visits as appropriate. The staff can also help identify resources to help pay for medication. All of this information is posted on our website with the appropriate contact information.
Schedule H, Part VI, Line 4 Community information	The primary service area for Roper St. Francis Healthcare and its four hospitals (collectively referred to as RSFH) consists of Charleston, Berkeley, and Dorchester counties. These counties include the major municipalities of Charleston, North Charleston, Mount Pleasant, and Summerville. The tri-county area that makes up the primary service area has a population of approximately 750,000 residents and is expected to grow based on the results of the most recently completed Community Health Needs Assessment (CHNA). These residents are 47% Male and 53% Female with a majority between the ages of 18 and 64. The average annual household income of the tri-county area is between $50,000 - $75,000 with the average level of education being an Associates degree. The race/ethnicity of these residents is approximately 66% White (non-Hispanic), 27% African American, and 6% Hispanic/Latinx. Based on the respondents from the CHNA the average amount of individuals with no health insurance is between 6.8% in Dorchester County, 7.5% in Berkeley County, and 10.6% in Charleston County. Accordingly to national health rankings, South Carolina struggles with high rates of premature death, obesity, violent crime, poverty, and diabetes. However, County Health Rankings and Roadmaps ranks the Tri-County region high in overall health compared to the other 43 counties in South Carolina. Additional detail regarding the community served by RSFH can be found in the CHNA at the following link: https://www.rsfh.com/mission-department/
Schedule H, Part VI, Line 5 Promotion of community health	In keeping with our mission of healing all people with compassion, faith, and excellence, Roper St. Francis Healthcare strives to enrich the health of our community. We do this by offering charity care to those in need, reaching out to our neighbors with health fairs and educational materials, sponsoring organizations and events that promote wellness and community well-being, and marshaling our resources to advance the health and dignity of each person with whom we come in contact. We are the Low Country's only non-governmental, not for profit healthcare system. With this distinction, we believe it is our responsibility to advocate for and respond to our neighbors needs through community benefit. Surplus funds are returned to our community through the development of new facilities to serve population growth, the expansion of existing facilities, subsidizing care for those who are unable to pay, sponsorship of healthcare related activities including outreach clinics and programs for the uninsured, and investing in technology to improve the quality of patient care. The Organization is committed to the enrichment of healthcare in our community as evidenced by the composition of our Board of Directors and Open Medical Staff. Our governing body is comprised of a 13-member Board of Directors. At least nine directors must have their primary residence in a community served by the System. Five directors must be physicians actively engaged in the full time practice of medicine. The hospital extends medical staff privileges to all qualified physicians in the area for most of our departments.
Schedule H, Part VI, Line 6 Affiliated health care system	Roper St. Francis Healthcare (RSFH) dba CareAlliance Health Services is a charitable health care delivery system based in Charleston, South Carolina. The 657-bed health system provides services at 90 facilities and doctors' offices conveniently located throughout our region. RSFH was formed effective August 1, 1998, through the execution of an affiliation agreement between the following founding members: - The Medical Society of South Carolina (MSSC), - Bon Secours Mercy Health, Inc. (BSMH), and - Atrium Health (formerly Carolinas Healthcare System). During the year Atrium redeemed its 10% interest in RSFH and its membership interest was terminated. As of December 31, 2019, MSSC's membership percentage was 70% and BSMH's membership percentage was 30%. RSFH is the sole corporate member and, through its by-laws, has the power to control the financial and business affairs of Bon SEcours Mt. Pleasant Hospital. System leadership provides strategic vision and management oversight in support of the system by directing resources, providing access to lower cost debt financing, improving clinical outcomes and reducing operating costs. System-wide community benefit for 2019 per the 2019 Community Benefit Report is as follows: Total 2019 Community Benefit: $54.1 Million Charity Care: $40.5 million Unreimbursed Care for Those Who Are Poor and Qualify for Medicaid: $11.8 million Community Outreach and Community Sponsorship Programs: $1.8 million Community Benefit as Percent of Net Operating Expense: 5.7 percent.
Schedule H, Part VI, Line 7 State filing of community benefit report	SC

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Brian Cuddy MD
Chair, Neurosurgeon - RSFPP	$0	$896,742	$0	$24,960	$0	$39,401	$0	$35,942	$0	$34,470	$0	$1,031,515	$0	$0
Susan Datta MD
Vice-Chairperson, Internist - RSFPP	$0	$256,943	$0	$38,014	$0	$6,628	$0	$33,765	$0	$36,964	$0	$372,314	$0	$0
John B Holloway Jr
Board Member, CEO - MSSC	$0	$339,000	$0	$125,000	$0	$0	$0	$16,942	$0	$19,520	$0	$500,462	$0	$0
Henry West MD
Board Member (Beg 01/19), Surgeon - RSFPP	$0	$491,911	$0	$100,775	$0	$594	$0	$35,942	$0	$25,869	$0	$655,091	$0	$0
Lorraine Lutton
President & CEO	$0	$837,453	$0	$220,326	$0	$379,244	$0	$45,036	$0	$36,273	$0	$1,518,332	$0	$218,986
Bret D Johnson
CFO & SVP / Treasurer	$0	$460,454	$0	$113,613	$0	$146,563	$0	$71,967	$0	$38,458	$0	$831,055	$0	$137,301
Anthony Jackson
VP and CEO Acute Care Services	$0	$410,968	$0	$76,554	$0	$87,238	$0	$54,790	$0	$36,883	$0	$666,433	$0	$53,200
Pennie Peralta
Former Key EE, VP Nursing/Sr. Nurse Exec SFX	$0	$264,787	$0	$55,871	$0	$147,177	$0	$14,120	$0	$22,827	$0	$504,782	$0	$117,649
Stephen Porter
Former Key, VP and CEO, Roper Hospital and Berkeley Hospital	$0	$219,311	$0	$103,345	$0	$51,188	$0	$8,352	$0	$20,970	$0	$403,166	$0	$16,403
Stephanie McKoin
Former Key EE, Director of Perioperative Services	$0	$192,153	$0	$20,163	$0	$1,687	$0	$12,724	$0	$27,722	$0	$254,449	$0	$0
Vanessa Shamrock
Former Key EE, Director of Lab Services	$0	$149,170	$0	$19,442	$0	$594	$0	$9,321	$0	$12,456	$0	$190,983	$0	$0
Tavia Buck
Chief Administrative Officer and CNO	$175,496	$0	$21,642	$0	$20,330	$0	$21,903	$0	$2,615	$0	$241,986	$0	$20,195	$0
Stanley Wilson MD
Chief Medical Officer	$0	$417,226	$0	$38,325	$0	$488	$0	$31,565	$0	$23,796	$0	$511,400	$0	$0
Phillip Creger
Manager Pharmacy	$176,072	$0	$14,155	$0	$4,224	$0	$8,574	$0	$27,020	$0	$230,045	$0	$0	$0
John Prentice
Pharmacist	$165,855	$0	$0	$0	$6,325	$0	$9,302	$0	$36,782	$0	$218,264	$0	$0	$0
Tracy Bishop
Clinical Pharmacist	$153,975	$0	$0	$0	$387	$0	$8,534	$0	$30,818	$0	$193,714	$0	$0	$0
Kimberly Gaillard
Medication Safety Coordinator	$147,771	$0	$0	$0	$2,582	$0	$8,335	$0	$16,851	$0	$175,539	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	A related organization of Roper St. Francis Mount Pleasant Hospital determined the compensation of the Organization's CEO using the following methods: Compensation Committee Independent Compensation Consultant Compensation Survey or Study Approval by the Board or Compensation Committee
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	The Roper St. Francis Healthcare 457(f) Plan's purpose is to offer eligible employees of the employer deferred compensation benefits to supplement Eligible Employees' retirement income. The Plan is intended to be a top-hat plan (i.e. an unfunded deferred compensation plan maintained for certain members of a select group of management or highly compensated employees). INDIVIDUALS THAT PARTICIPATED OR RECEIVED A DISTRIBUTION INCLUDE: Bret D. Johnson, $51,320; Pennie Peralta, $92,610; Anthony Jackson, $0; Tavia Buck, $20,195; Lorraine Lutton, $142,112.
Schedule J, Part I, Line 7 Non-fixed payments	Goals are developed each year to support the Organization's strategic initiatives for people, quality, financial, growth and service. The Ad Hoc Compensation Committee approves the system goals annually and reports it to the full Board of Directors. Progress on each metric is reported to the Board each month on the corporate scorecard. At year-end, the Ad Hoc Compensation Committee approves the final scorecard number and reports results to the full Board. Annual incentives for the executives are based 60% on the corporate scorecard and 40% on individual performance. Executives maintain an individual scorecard on the leader evaluation manager and discuss results monthly with the President/CEO. The President/CEO approves the individual executive scorecard.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 6 Classes of members or stockholders	The sole member of the Corporation is Roper St. Francis Healthcare (RSFH), a South Carolina nonprofit, nonstock Corporation. RSFH is in turn governed by a Board of Directors appointed by the "founding members". Please see the response to Line 7a below.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	RSFH is governed by a 13-member board of directors (the "Board of Directors") appointed by the Founding Members. Subject to certain Nominating Committee approvals, six directors are appointed by each of the Medical Society of South Carolina (MSSC) and Bon Secours Mercy Health (BSMH) and one director is appointed by Atrium. It is the Founding Members' intent that the members of RSFH's Board of Directors are appointed to such positions because they have a willingness to serve the needs of RSFH as a whole and not the needs of any individual Founding Member. During the year Atrium redeemed its 10% interest in RSFH and its membership interest was terminated. As of December 31, 2019, MSSC's membership percentage was 70% and BSMH's membership percentage was 30%.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	The following actions shall require the unanimous affirmative approval of all of the founding members: (a) to amend the Articles of Incorporation or By-laws, including without limitation, any change in the Corporation's purposes; provided, however, that, subject to the procedures and voting requirements with respect to the admission of non-founding members, Schedule 3.1 may be amended with the approval of two (2) of the founding members to reflect the admission of a non-founding member; (b) to dissolve or liquidate the Corporation and to determine the distribution of assets upon dissolution; (c) to merge or consolidate the Corporation or to sell, convey, transfer, lease, or otherwise dispose of all or substantially all of its assets; (d) to appoint the President and Chief Executive Officer of the Corporation in a manner other than that established within the By-laws; (e) to alter or amend the Corporation's ethical performance standards (defined below); or (f) to enter into any material agreement whereby a third party will: (i) become an equity owner in any joint venture with the Corporation or any System participant and will not be legally obligated to support the Corporation's ethical performance standards; or (ii) manage a substantial part of the facilities, assets, or operations of the system and will not be legally obligated to comply with and support the Corporation's ethical performance standards.
Form 990, Part VI, Line 11b Review of form 990 by governing body	The Form 990 was prepared by the BSMH Tax Department with assistance and oversight by management and was reviewed by an independent accounting firm. Reviews were then conducted by senior management. Upon review, the Form 990 along with a summary memo is forwarded to the governing body for approval. After approval by the governing body the final version is filed with the Internal Revenue Service.
Form 990, Part VI, Line 12c Conflict of interest policy	The HR policy requires COI disclosures from "every RSFH senior leader, employed physicians and non-physician practitioners, all directors and all Value Analysis Team members". The governing board policies define covered persons as "directors and to all officers (as defined by the President/CEO) and all persons who serve in a position functionally equivalent to that of a corporate officer". All covered persons shall complete and return to the Secretary an annual statement that each of them: (a) has received a copy of the Conflict of Interest Policy; (b) has read and understands the Policy; (c) agrees to comply with this Policy; (d) understands that the Policy applies to all committees; and (e) understands that the Organization is a charitable organization and must continuously engage primarily in activities which accomplish one or more of its tax-exempt purposes.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	An independent company, Towers Watson, provides research, advice and guidance to the Compensation Committee and senior leadership to ensure the Organization's compensation programs for executives covered by the "Intermediate Sanctions Legislation" (IRC Section 4958) are aligned with its stated philosophy: Base salaries are targeted at the 50th percentile of the established comparator market; Total cash compensation (base salary plus annual incentive payments) are targeted at the 75th percentile of the established comparator market; Total direct compensation (total cash compensation plus long term incentive payments) will not exceed the 90th percentile of the established comparator market; Benefits are targeted at market median; and In aggregate, base salary, total cash compensation, total direct compensation and benefits comprise total compensation for executives. The Compensation Committee ensures that executive total compensation is reflective of the Organization's stated compensation philosophy. The committee, in this process, authorizes and supports an annual three step process utilizing Towers Watson's resources: 1) Salary levels, annual bonus targets/payments and long term incentive grants are compared rigorously each year with market data based on comparable positions and organizations. A. Comparable organizations are typically not-for-profit healthcare systems with similar operating revenues. Private sector employer data, when available, are also included in the analysis for "transferable skills positions". B. Historically, performance incentive payouts generally track with a normal bonus payout distribution. Incentive goals are primarily based on formally defined quantitative goals approved by the ad hoc Compensation Committee of the RSFH Board of Directors. 2) All recommended pay decisions are tested against these data and the organization's stated compensation philosophy. 3) A formal opinion letter is prepared by Towers Watson, representing that senior executives are compensated within the reasonableness standards mandated by the IRS. A similar process is performed by Towers Watson for the CEO and CFO positions. This letter provides a "safe harbor" for the organization's "directors" relative to the reasonableness of total executive compensation consistent with IRC Section 4958.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	See explanation for 15A.
Form 990, Part VI, Line 19 Required documents available to the public	The Organization's governing documents, conflict of interest policy and financial statements are available to the public upon request.
Form 990, Part IX, Line 11g Other Fees	Purchased Services - Total Expense: 4960712, Program Service Expense: 3621320, Management and General Expenses: 1339392, Fundraising Expenses: ; Professional Fees - Total Expense: 3433782, Program Service Expense: 3433782, Management and General Expenses: , Fundraising Expenses: ; Administration Fees - Total Expense: 12030786, Program Service Expense: 3248312, Management and General Expenses: 8782474, Fundraising Expenses: ; Other - Total Expense: 2542586, Program Service Expense: 2288327, Management and General Expenses: 254259, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Pension - -99213; Equity Transfer - -17051149;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Roper St Francis Healthcare
8536 Palmetto Commerce Pkwy	Ste 201	Ladson	SC	29456	570831165	HEALTHCARE SYSTEM PARENT	SC	501(c)(3)	3	NA	false
Roper Hospital Inc
8536 Palmetto Commerce Pkwy	Ste 201	Ladson	SC	29456	570828733	Healthcare	SC	501(c)(3)	3	Roper St Francis Healthcare	false
Bon Secours St Francis Xavier Hospital
8536 Palmetto Commerce Pkwy	Ste 201	Ladson	SC	29456	571067254	Healthcare	SC	501(c)(3)	3	Roper St Francis Healthcare	false
Roper St Francis Mt Pleasant Hospital
8536 Palmetto Commerce Pkwy	Ste 201	Ladson	SC	29456	570360499	Healthcare	SC	501(c)(3)	3	Roper St Francis Healthcare	false
Roper St Francis Hospital - Berkeley
8536 Palmetto Commerce Pkwy	Ste 201	Ladson	SC	29456	263710229	Healthcare	SC	501(c)(3)	3	Roper St Francis Healthcare	false
Roper St Francis Physicians Network
8536 Palmetto Commerce Pkwy	Ste 201	Ladson	SC	29456	262946628	Healthcare	SC	501(c)(3)	3	Roper St Francis Healthcare	false
Roper St Francis Foundation
8536 Palmetto Commerce Pkwy	Ste 201	Ladson	SC	29456	571068509	Fundraising	SC	501(c)(3)	Type I	Roper St Francis Healthcare	false
The Medical Society of South Carolina
69-B Barre St		Charleston	SC	29401	570288358	Supporting Org/Founding Member	SC	501(c)(3)	Type III-FI	NA	false
Clinical Biotechnology Research Institute at RSFH
8536 Palmetto Commerce Pkwy	Ste 201	Ladson	SC	29456	475407453	Healthcare	SC	501(c)(3)	4	Roper St Francis Healthcare	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Address Line2USAddress/AddressLine2Txt
LOWCOUNTY SURGERY CENTER (DBA ROPER ST FRANCIS EYE SURGERY CENTER)
8536 PALMETTO COMMERCE PKY	LADSON	SC	29456	581693021	EYE SURGERY	SC	NA	N/A
RSFH - ATI PHYSICAL THERAPY
125 DOUGHTY ST	CHARLESTON	SC	29403	474797980	PHYSICAL THERAPY	SC	NA	N/A	STE 760

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	CAREALLIANCE MEDICAL SERVICES ORGANIZATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8536 PALMETTO COMMERCE PKWY	AddressLine1Txt
Address Line2	STE 201	AddressLine2Txt
City	LADSON	CityNm
State Abbreviation	SC	StateAbbreviationCd
ZIP	29546	ZIPCd

Field	Value	IRS element (for citing)
EIN	571012837	EIN
Primary Activities	INACTIVE	PrimaryActivitiesTxt
Legal Domicile State	SC	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C Corporation	EntityTypeTxt
Controlled Organization	false	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	Yes (true)	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd