BON SECOURS-ST FRANCIS XAVIER HOSPITAL INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- BON SECOURS-ST FRANCIS XAVIER HOSPITAL INC (EIN 57-1067254)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-13
- IRS object ID
- 201503179349303415
- Schema version
- 2014v5.0
- 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 L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-13T10:34:43-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560747981 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 Ridgefield Court | AddressLine1Txt |
| City | Asheville | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28806 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 571067254 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bon Secours-St Francis Xavier Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BONS | BusinessNameControlTxt |
| Phone | 8437242958 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1483 Tobias Gadson Blvd No 101 | AddressLine1Txt |
| City | Charleston | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29407 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Bret D Johnson | PersonNm |
| Person Title | SVP & CFO | PersonTitleTxt |
| Phone | 8437891706 | PhoneNum |
| Signature | 2015-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Amy Bibby | PreparerPersonNm |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | David L Dunlap | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1483 Tobias Gadson Blvd No 101 | AddressLine1Txt |
| City | Charleston | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29407 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $234,849,284 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.rsfh.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1998 | FormationYr |
| Legal Domicile State | SC | LegalDomicileStateCd |
| Activity Or Mission | Operation of nonprofit hospital facility in Charleston, SC | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 1051 | TotalEmployeeCnt |
| Total Volunteers | 163 | TotalVolunteersCnt |
| Total Gross UBI | $46,711 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $12,279 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $86,703 | PYContributionsGrantsAmt |
| CY Contributions Grants | $70,440 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $208,086,113 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $231,739,705 | CYProgramServiceRevenueAmt |
| PY Investment Income | $154,920 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,437 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,722,119 | PYOtherRevenueAmt |
| CY Other Revenue | $1,734,425 | CYOtherRevenueAmt |
| PY Total Revenue | $212,049,855 | PYTotalRevenueAmt |
| CY Total Revenue | $233,550,007 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $246,167 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $157,526 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $75,006,408 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $77,883,365 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $93,525,756 | PYOtherExpensesAmt |
| CY Other Expenses | $100,049,802 | CYOtherExpensesAmt |
| PY Total Expenses | $168,778,331 | PYTotalExpensesAmt |
| CY Total Expenses | $178,090,693 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $43,271,524 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $55,459,314 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $465,731,705 | TotalAssetsBOYAmt |
| Total Assets EOY | $228,205,793 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $21,576,001 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $61,185,323 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $444,155,704 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $167,020,470 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Healing all people with compassion, faith, and excellence. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $153,736,507 | ExpenseAmt |
| Grant | $157,526 | GrantAmt |
| Revenue | $231,739,705 | RevenueAmt |
| Desc | Bon Secours St. Francis Hospital traces its mission back to 1882 when five Sisters of Charity of Our Lady of Mercy opened St. Francis Infirmary in downtown Charleston as the first Catholic hospital in the state.Bon Secours St. Francis now is affiliated with the Bon Secours Health System, Inc and relocated to an expansive oak-graced campus west of the Ashley. Known for compassionate and quality care, the hospital offers the latest medical technology and comprehensive acute care while honoring its commitment to caring for the "whole person" - physically, spiritually and emotionally.Bon Secours St. Francis contributed $12,604,000 in community benefit in 2014. This benefit included charity care, unreimbursed Medicaid, numerous sponsorships and community outreach programs (see Schedule H for additional details). Overall, the hospital contributed over 10,000 volunteer staff hours for activities such as health fairs, career days and public programs that benefited 10,200 individuals in the community.Hospital teammates gave back to the community in a number of ways. The hospital hosted free skin, breast and prostate cancer screenings, and staff welcomed students from SCRUBS, a healthcare career exploration program. Teammates participated in events such as the American Cancer Society's Relay for Life; Komen Charleston Race for the Cure; and the annual March of Dimes March for Babies, which benefits the Leukemia and Lymphoma Society. Our teammates also organized blood drives for the American Red Cross and signed Holiday Cards for Heroes.One of the hospital's teammates, Eric Jackson, won last year the President's Humanitarian Award, the highest honor Roper St. Francis bestows on a teammate. Jackson is an equipment tech and a mentor for teenagers from troubled neighborhoods. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Please see Schedule O for a detailed statement of Program Service Accomplishments.Please visit our website for a detailed community benefit report at:http://www.ropersaintfrancis.com/about_us/mission_and_community_activities/annualreport.aspx. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $153,736,507 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1051 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | SC | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| 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 | 1483 Tobias Gadson Blvd 101 | AddressLine1Txt |
| City | Charleston | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29407 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (45 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| John M Jordan | ||||||||||
| Chair (See Sch O) | 0.50 | 2.50 | Yes (X) | $0 | $324,425 | $29,636 | ||||
| Stanley Wilson MD | ||||||||||
| Vice Chair (See Sch O) | 0.50 | 49.50 | Yes (X) | $0 | $572,182 | $49,623 | ||||
| Sister Anne Lutz | ||||||||||
| Board Member | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| Richard Statuto | ||||||||||
| Board Member | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| Joseph G Piemont | ||||||||||
| Board Member | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| Katherine Duffy PhD | ||||||||||
| Board Member | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| Roberta Pinckney | ||||||||||
| Board Member | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| Shannon Honney MD | ||||||||||
| Board Member (See Sch O) | 0.50 | 49.50 | Yes (X) | $0 | $220,816 | $19,405 | ||||
| Julius R Ivester MD | ||||||||||
| Board Member (through June) | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| Brian Cuddy MD | ||||||||||
| Board Member (from July)(See Sch O) | 0.50 | 49.50 | Yes (X) | $19,000 | $963,399 | $58,684 | ||||
| Alison E Dillon MD | ||||||||||
| Board Member (See Sch O) | 0.50 | 2.50 | Yes (X) | $57,455 | $0 | $0 | ||||
| Angress Walker | ||||||||||
| Board Member | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| Mary Thornley | ||||||||||
| Board Member | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| Wills C Geils MD | ||||||||||
| Board Member (See Sch O) | 0.50 | 2.50 | Yes (X) | $0 | $32,267 | $0 | ||||
| David Dunlap | ||||||||||
| President & CEO of CAHS | 1.00 | 49.00 | $0 | $1,167,999 | $250,028 | Yes (X) | ||||
| Matthew Severance | ||||||||||
| SVP Operations | 1.00 | 49.00 | $0 | $736,801 | $194,372 | Yes (X) | ||||
| Steven Shapiro MD | ||||||||||
| CMO & VP Med Affairs | 1.00 | 49.00 | $0 | $622,233 | $109,792 | Yes (X) | ||||
| Bret Johnson | ||||||||||
| CFO & SVP / Treasurer | 1.00 | 49.00 | $0 | $669,558 | $202,137 | Yes (X) | ||||
| Allen Carroll | ||||||||||
| CEO / Secretary | 46.00 | 4.00 | $575,491 | $0 | $157,960 | Yes (X) | ||||
| Douglas Bowling | ||||||||||
| CSO & VP | 1.00 | 49.00 | $0 | $507,941 | $149,153 | Yes (X) | ||||
| John Sullivan | ||||||||||
| VP Operations | 1.00 | 49.00 | $0 | $395,084 | $189,764 | Yes (X) | ||||
| Gregory Edwards | ||||||||||
| VP & General Council | 1.00 | 49.00 | $0 | $501,631 | $128,056 | Yes (X) | ||||
| H Douglas Harrison | ||||||||||
| VP Human Resources (through March) | 1.00 | 49.00 | $0 | $244,199 | $58,829 | Yes (X) | ||||
| Melanie Stith | ||||||||||
| VP Human Resources (from April) | 1.00 | 49.00 | $0 | $201,787 | $51,673 | Yes (X) | ||||
| Michael Taylor | ||||||||||
| CIO & VP (through April) | 1.00 | 49.00 | $0 | $526,676 | $60,774 | Yes (X) | ||||
| Melinda Cardell | ||||||||||
| CIO & VP (from April) | 1.00 | 49.00 | $0 | $215,340 | $23,245 | Yes (X) | ||||
| Carolyn Donohue | ||||||||||
| VP Nursing / Senior Nurse Exec RHI | 1.00 | 49.00 | $0 | $209,491 | $33,373 | Yes (X) | ||||
| Pennie Peralta | ||||||||||
| VP Nursing / Sr. Nurse Exec SFX | 47.00 | 3.00 | $264,694 | $0 | $69,882 | Yes (X) | ||||
| Diana Topjian | ||||||||||
| VP Nursing/Sr. Exec MPH (thru March) | 1.00 | 49.00 | $416 | $123,820 | $1,353 | Yes (X) | ||||
| Tavia Buck | ||||||||||
| VP Nursing/Sr. Exec MPH (from April) | 1.00 | 49.00 | $0 | $120,342 | $18,627 | Yes (X) | ||||
| Mark Dickson | ||||||||||
| VP Mission | 1.00 | 49.00 | $0 | $203,721 | $67,422 | Yes (X) | ||||
| Todd Shuman MD | ||||||||||
| VP & CQO | 1.00 | 49.00 | $0 | $389,279 | $70,191 | Yes (X) | ||||
| William Brown | ||||||||||
| SFX Board Chair | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||||
| Sister Nancy Glynn | ||||||||||
| SFX Board President | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||||
| Wanda Brockmeyer | ||||||||||
| Director of Emergency Services | 1.00 | 49.00 | $0 | $184,933 | $20,318 | Yes (X) | ||||
| C Scott Ferguson | ||||||||||
| Director of Material Services | 1.00 | 49.00 | $0 | $180,967 | $31,131 | Yes (X) | ||||
| Susan Oliver | ||||||||||
| Director of Periop Endo | 1.00 | 49.00 | $0 | $164,299 | $6,475 | Yes (X) | ||||
| Francis Wyckoff Jr | ||||||||||
| Director of Pharmacy | 1.00 | 49.00 | $0 | $216,267 | $41,290 | Yes (X) | ||||
| Joan Wherley | ||||||||||
| Director of Imaging Services | 1.00 | 49.00 | $0 | $179,878 | $34,676 | Yes (X) | ||||
| George Khoury MD | ||||||||||
| Physician | 1.00 | 49.00 | $11,500 | $1,252,465 | $62,894 | Yes (X) | ||||
| John Steichen MD | ||||||||||
| Physician | 1.00 | 49.00 | $18,750 | $1,152,280 | $60,910 | Yes (X) | ||||
| Stephen Rawe MD | ||||||||||
| Physician | 1.00 | 49.00 | $15,000 | $1,111,110 | $48,765 | Yes (X) | ||||
| Morgan Stuart MD | ||||||||||
| Physician | 1.00 | 49.00 | $17,500 | $929,199 | $60,108 | Yes (X) | ||||
| Robert Lowery MD | ||||||||||
| Physician | 1.00 | 49.00 | $3,500 | $921,537 | $57,504 | Yes (X) | ||||
| Peter DiNicola | ||||||||||
| Dir. Plant Eng, (Former Key EE) | 1.00 | 49.00 | $0 | $235,552 | $19,034 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $983,306 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $15,477,478 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,437,084 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 59 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Charleston Emergency Services | |||||
| 2053 Shell Ring Circle | Mt Pleasant | SC | 29466 | ER Physicians Services | $4,795,428 |
| Nurse Anesthesia of SC LLC | |||||
| PO Box 6633 | High Point | NC | 27262 | Anesthesia Services | $1,592,540 |
| Huron Consulting Services LLC | |||||
| 3005 Momentum Place | Chicago | IL | 606895330 | Consulting | $1,520,567 |
| Cogdell Spencer Advisors LLC | |||||
| 125 Doughty St Ste 620 | Charleston | SC | 29403 | Property Management | $1,342,214 |
| Angelica Textile Services | |||||
| PO Box 535122 | Atlanta | GA | 303535122 | Linen Rental | $758,082 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $70,440 | RelatedOrganizationsAmt |
| Total Contributions | $70,440 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Net Patient Service | 621400 | $230,647,018 | $230,600,307 | $46,711 |
| EHR Meaningful Use | 600000 | $1,092,687 | $1,092,687 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $231,739,705 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,845 | TotalRevenueColumnAmt |
| Exclusion | $9,845 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,308,686 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,009,444 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $299,242 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $299,242 | TotalRevenueColumnAmt |
| Exclusion | $299,242 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,890 | SecuritiesAmt |
| Other | $2,518 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$1,890 | SecuritiesAmt |
| Other | -$2,518 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$4,408 | TotalRevenueColumnAmt |
| Exclusion | -$4,408 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $540,538 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $285,425 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $255,113 | TotalRevenueColumnAmt |
| Exclusion | $255,113 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| Cafeteria Revenue | 722210 | $1,121,866 | $1,121,866 |
| Miscellaneous Revenue | 900099 | $58,204 | $58,204 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,180,070 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $233,550,007 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $231,692,994 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $46,711 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,739,862 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $157,526 | TotalAmt |
| Program Services | $157,526 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $917,056 | TotalAmt |
| Program Services | $76,455 | ProgramServicesAmt |
| Management And General | $840,601 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,109 | TotalAmt |
| Program Services | $153,109 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,747,708 | TotalAmt |
| Program Services | $50,975,898 | ProgramServicesAmt |
| Management And General | $14,771,810 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,670,103 | TotalAmt |
| Program Services | $1,294,874 | ProgramServicesAmt |
| Management And General | $375,229 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,448,169 | TotalAmt |
| Program Services | $4,999,432 | ProgramServicesAmt |
| Management And General | $1,448,737 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,947,220 | TotalAmt |
| Program Services | $2,285,056 | ProgramServicesAmt |
| Management And General | $662,164 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,992,645 | TotalAmt |
| Program Services | $1,548,285 | ProgramServicesAmt |
| Management And General | $444,360 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $175,899 | TotalAmt |
| Management And General | $175,899 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,664 | TotalAmt |
| Management And General | $95,664 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,788,102 | TotalAmt |
| Program Services | $15,136,993 | ProgramServicesAmt |
| Management And General | $1,651,109 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $763,288 | TotalAmt |
| Program Services | $608,548 | ProgramServicesAmt |
| Management And General | $154,740 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,245,274 | TotalAmt |
| Program Services | $7,845,583 | ProgramServicesAmt |
| Management And General | $2,399,691 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $420,420 | TotalAmt |
| Management And General | $420,420 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,800,131 | TotalAmt |
| Program Services | $4,473,437 | ProgramServicesAmt |
| Management And General | $326,694 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,458 | TotalAmt |
| Management And General | $76,458 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $279,765 | TotalAmt |
| Management And General | $279,765 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,309,721 | TotalAmt |
| Program Services | $1,309,721 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,098,062 | TotalAmt |
| Program Services | $8,098,062 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $802,835 | TotalAmt |
| Program Services | $642,268 | ProgramServicesAmt |
| Management And General | $160,567 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical supplies | $32,350,457 | $32,350,457 | |
| Bad debt expense | $14,770,318 | $14,770,318 | |
| Medical DSH tax | $4,357,421 | $4,357,421 | |
| Other expenses | $2,723,342 | $2,653,064 | $70,278 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,090,693 | TotalAmt |
| Program Services | $153,736,507 | ProgramServicesAmt |
| Management And General | $24,354,186 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,450 | BOYAmt |
| EOY | $25,550 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,512,518 | BOYAmt |
| EOY | $31,792,101 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,770,735 | BOYAmt |
| EOY | $3,110,065 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $427,153 | BOYAmt |
| EOY | $423,170 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $197,211,709 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $85,332,554 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,658,648 | BOYAmt |
| EOY | $111,879,155 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $317,960,415 | BOYAmt |
| EOY | $75,642,651 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $379,130 | BOYAmt |
| EOY | $379,130 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,997,656 | BOYAmt |
| EOY | $4,953,971 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $465,731,705 | BOYAmt |
| EOY | $228,205,793 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $878,841 | BOYAmt |
| EOY | $498,333 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $41,016,820 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,616 | BOYAmt |
| EOY | $7,331 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,685,544 | BOYAmt |
| EOY | $19,662,839 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,576,001 | BOYAmt |
| EOY | $61,185,323 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $444,155,704 | BOYAmt |
| EOY | $167,020,470 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $444,155,704 | BOYAmt |
| EOY | $167,020,470 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $465,731,705 | BOYAmt |
| EOY | $228,205,793 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $55,459,314 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$332,594,548 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | 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 | $13,580,943 | OtherCostOrOtherBasisAmt |
| Book Value | $13,580,943 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $119,359,873 | OtherCostOrOtherBasisAmt |
| Depreciation | $41,319,550 | DepreciationAmt |
| Book Value | $78,040,323 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,193,142 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,961,152 | DepreciationAmt |
| Book Value | $1,231,990 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $57,966,337 | OtherCostOrOtherBasisAmt |
| Depreciation | $41,051,852 | DepreciationAmt |
| Book Value | $16,914,485 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,111,414 | OtherCostOrOtherBasisAmt |
| Book Value | $2,111,414 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $111,879,155 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Investment in RSF Cancer Center | $45,648 | F |
| Intercompany receivables | $75,597,003 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $75,642,651 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Other liabilities | $715,311 |
| Third party reserves | $3,089,056 |
| WACC lease obligation | $15,858,472 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $19,662,839 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | Bon Secours St. Francis Xavier Hospital is a not-for-profit organization as described in Section 501(c)(3) of the Internal Revenue Code and is generally exempt from federal and state income taxes. Accordingly, no provision for income taxes is made in the consolidated financial statements. Although [the consolidated group] 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 return 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. The organization has no unrecognized tax positions as of December 31, 2014 and 2013, and does not expect that unrecognized tax benefits will materially increase within the next 12 months. Tax years 2011 through 2013 are subject to examination by the federal and state taxing authorities, respectively. There are no income tax examinations currently in process. 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 (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 299.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 399.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,585,286 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,680,335 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,904,951 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07900 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,582,434 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,895,523 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$1,313,089 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,167,720 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,575,858 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,591,862 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07900 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $212,386 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $212,386 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $779,092 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $187,688 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $591,404 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00360 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $322,100 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $123,029 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $199,071 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,313,578 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $310,717 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,002,861 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00610 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,481,298 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,886,575 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,594,723 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08510 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,721 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,721 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,721 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,721 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $14,770,318 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $5,908,127 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $51,348,333 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $51,015,981 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $332,352 | 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 (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 RSFH West Ashley Cancer Center LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | Cancer Treatment | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.09260 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.00000 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.90700 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | Bon Secours St Francis Xavier Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2095 Henry Tecklenburg Blvd | AddressLine1Txt |
| City | Charleston | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29414 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | Bon Secours St Francis Xavier Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| 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 |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.rsfh.com/mission-department | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | 0 | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (1) | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 299.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 399.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Bon Secours St. Francis Xavier Hospital | Part V, Section B, Line 5: The Community Needs Assessment Team entered into dialogue with key hospital administrators, physicians, those with knowledge/expertise in public health, and those serving underserved and chronic disease populations. During the community input phase, the team conducted face-to-face interviews, phone interviews, and surveys in which respondents were able to comment and discuss general community health issues of their specific service area. Through these numerous interviews and surveys, a summary of community input was created. This summary would eventually be used to help focus in on priorities and ultimately, implementation strategies. Respondents who participated in this phase included experts in the field of public health, hospital administration members, community outreach groups, and other local organizations. Respondents included Dana Millet, Director of DHEC Lowcountry Region, Joseph Chambers, MD; Public Health expert and consultant, Thaddeus Bell, MD; with Closing the Gap in Healthcare. Other respondents were from focus groups in the Charleston Promise Neighborhood (North Charleston), East Cooper Community Outreach (Mt. Pleasant), Neighborhood House (Charleston), and Our Lady of Mercy Outreach Center (Johns Island). |
| Bon Secours St. Francis Xavier Hospital | Part V, Section B, Line 6a: Roper St. Francis Healthcare decided to produce a joint CHNA report in collaboration with its three Charleston area hospitals as those facilities define their communities to be the same. These hospitals include Roper Hospital Inc., Bon Secours St Francis Xavier Hospital, and Mount Pleasant Hospital . Each of these hospitals has a customized implementation plan. |
| Bon Secours St. Francis Xavier Hospital | Part V, Section B, Line 11: The organization has programs in place that address all of the community needs identified by the CHNA. However, RSFH senior leadership identified 6 issues as strategic priorities to address in the implementation plan for its current CHNA. For the needs that did not emerge as strategic priority areas, Roper St. Francis Healthcare will continue to provide the current support and services as listed in Schedule H, Part VI, question 4. |
| Bon Secours St. Francis Xavier Hospital | Part V, Section B, Line 13b: A 10% prompt payment discount is also offered to all self-pay or self-pay-after-insurance patients who pay the account balance at one time. |
| Bon Secours St. Francis Xavier Hospital | Part V, Section B, Line 16i: The patient handbook provided with registration references the policy and includes contact information for patients who need assistance. |
| Bon Secours St. Francis Xavier Hospital | Part V, Section B, Line 22d: The hospital's FAP provides a minimum discount of 90% for individuals that qualify under the policy's provisions. The hospital has made plans to implement a method of determining Amounts Generally Billed (AGB) per the recently released Proposed Regulations under IRC Section 501(r), however given the high level of discount available under the current policy, the organization is confident that its policies are well within guidelines. |
| Part V, Section B, Line 16 | Financial Assistance Policy Website Availability |
| Bon Secours St. Francis Xavier Hospital Part V, Section B, line 16a website: | www.rsfh.com/billing-financial_assistance |
| Bon Secours St. Francis Xavier Hospital Part V, Section B, line 16b website: | www.rsfh.com/billing-financial_assistance |
| Bon Secours St. Francis Xavier Hospital Part V, Section B, line 16c website: | www.rsfh.com/billing-financial_assistance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 8 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|---|
| StFrancis Hospital Infusion Therapy | |||||
| 2085 Henry Tecklenburg Drive STE | 110 | Charleston | SC | 29414 | Infusion Therapy |
| StFrancis Hospital Rehab- Spine & Sport | |||||
| 2093 Henry Tecklenburg Drive | Charleston | SC | 29414 | PT, OT, ST | |
| StFrancis Hospital MRI Medical Plaza | |||||
| 2145 Henry Tecklenburg Drive STE | 150 | Charleston | SC | 29414 | MRI |
| StFrancis Hospital Pain Management | |||||
| 2093 Henry Tecklenburg Drive | Charleston | SC | 29414 | Pain management for spine | |
| StFrancis Hospital Breast Care | |||||
| 2145 Henry Tecklenburg Drive STE | 103 | Charleston | SC | 29414 | Mammography, bone density, breast ultrasound |
| StFrancis Hospital Cardiac Rehab | |||||
| 2097 Henry Tecklenburg Drive STE | 309 | Charleston | SC | 29414 | Cardiac rehab |
| StFrancis Hospital Diabetes Treatment | |||||
| 2093 Henry Tecklenburg Drive STE | 201 | Charleston | SC | 29414 | Diabetes self mgmt training & treatment |
| StFrancis Hospital PETCT & Radiation | |||||
| 2085 Henry Tecklenburg Drive STE | 105/106 | Charleston | SC | 29414 | PET/CT, CT, and radiation therapy |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | 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.The Hospital will provide free care for patients with a signed charity care application who have income between 0 - 299% of FPG. If a signed charity care application is not obtained, after 120 days of collection efforts, the hospital will use 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 hospital will provide free care for patients who have income of 350% and below of FPG as determined by the self pay compass program.The Hospital will provide a 90% discount for patients with a signed charity care application who have income between 300 - 399% of FPG. If a signed charity care application is not obtained, the hospital will not provide discounted care. |
| Part I, Line 6a: | The organization's community benefit report is made available through its corporate parent, CareAlliance Health Services d/b/a Roper St. Francis Healthcare. |
| Part I, Line 7: | Worksheet 2 of the 2014 Schedule H instructions was used to compute a cost-to-charges ratio used to calculate charity care and unreimbursed Medicaid at cost. |
| Part I, Ln 7 Col(f): | The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $14,770,318. |
| Part II, Community Building Activities: | In 2014, the Hospital performed the following activities to build up the community.1. Collaborative partnerships with community groups to improve economic stability of the community. |
| Part III, Line 3: | For patients who do not turn in a signed charity care application, after 120 days of collection efforts, RSFH 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. |
| Part III, Line 4: | Bad debts reported on Part III, Line 2 are reported at gross charges per the organization's audited financial statements.Please refer to the second footnote of the organization's audited financial statements for a description of receivables and bad debts. |
| Part III, Line 8: | 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 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 a shortfall of $3,006,471. |
| Part III, Line 9b: | The hospital uses the Health Care Advisory Board's Self Pay Compass Program to identify a patient's propensity to pay. Accounts with an FPL of 350% and below will be identified once the self pay accounts receivable billing process has been completed and prior to the account being referred to a collection agency. Accounts with FPL of 350% and below will be given a charity adjustment. Once an account has been referred to bad debt, the organization will make every effort to ensure that all self-pay collectors demonstrate consistent, compassionate, and professional service while conducting business on behalf of the health system. This will include, but is not limited to: guarantor notification and contact/collection attempts, discount opportunities, payment plan arrangements, account balance notifications, face to face meetings, and detailed bill generation. An outsourced self-pay billing agency will contact the guarantor to set up payment arrangements. Financial assistance discounts are offered to guarantors who meet the charity guidelines.Self pay patients receive a 35% discount off total charges. They are also eligible for a 10% prompt payment discount if they pay the balance during the discussion. Discounts may be combined if all requirements are met. In pursuit of collections, the hospital and its agents will not: attach liens on property, garnish wages, pursue legal actions (unless recommended by the self pay billing entities), sell accounts, or send bankrupt guarantors to collection agencies. |
| Part VI, Line 2: | Roper St. Francis Healthcare identified community health needs by undergoing an assessment process in 2013 that complies with IRS Section 501(r). The Needs Assessment is posted on our website: http://www.rsfh.com/About_Us/Mission_and_Community_Activities/Needs_Assessment.aspx and we invite the community to review and respond to this document so that our collaborative efforts can make living in our community more enjoyable and healthier.As allowed by IRS guidelines, Roper St. Francis Healthcare decided to produce a joint CHNA report in collaboration with its three Charleston area hospitals as those facilities define their communities to be the same. Each hospital files a Schedule H and has a customized implementation plan attached.The community needs assessment process consists of 5 steps: data assessment, community input, prioritization and implementation strategy, reporting, and monitoring. In the data assessment step, service areas were defined, external data research was completed and key findings were summarized. Interviews were conducted with persons with special knowledge of public health, hospital personnel, local organizations, and community outreach advocates. Our service area for this assessment is defined as the Tri-County area of Charleston, Berkeley, and Dorchester Counties. We used the following sources in the data assessment process: Nielson Claritas, 2012 County Health Rankings, Health Indicators Warehouse, The Advisory Board Company, Kids Count Data Center, Truven Health Analytics, and the USDA. Data from these sources was used to identify at-risk populations, underserved populations, health need areas, and professional shortage areas. See the answer to Schedule H, Part VI, question 4 for a description of the community served.Subsequent to the data assessment step, the Community Needs Assessment Team entered into dialogue with key hospital administrators, physicians, those with knowledge/expertise in public health, and those serving underserved and chronic disease populations. During the community input phase, the team conducted face-to-face interviews, phone interviews, and surveys in which respondents were able to comment and discuss general community health issues of their specific service area. Through these numerous interviews and surveys, a summary of community input was created. This summary would eventually be used to help focus in on priorities and ultimately, implementation strategies. Respondents who participated in this phase included experts in the field of public health, hospital administration members, community outreach groups, and other local organizations. Respondents included Dana Millet, Director of DHEC Lowcountry Region, Joseph Chambers, MD; Public Health expert and consultant, Thaddeus Bell, MD; with Closing the Gap in Healthcare. Other respondents were from focus groups in the Charleston Promise Neighborhood (North Charleston), East Cooper Community Outreach (Mt. Pleasant), Neighborhood House (Charleston), and Our Lady of Mercy Outreach Center (Johns Island). Collection and analysis of results from the CHNA data assessment, survey, interviews, and focus groups provided a strong foundation for identifying health needs and service gaps. In June 2013, Roper St. Francis Healthcare held multiple sessions with leading stakeholders to assess initial findings and establish priorities. These various constituents included representatives from the Medical University of South Carolinas strategic planning team, leadership of Trident United Way's Health Council and 2-1-1 program, experts from Joseph P. Riley Jr. Center for Livable Communities at the College of Charleston, and public health consultants. Twelve priority areas of need emerged for the Tri-County service area. As part of the prioritization process, Roper St. Francis Healthcare conducted an inventory of existing system-based outreach programs, community partnerships, and other collaborative resources that currently address each of the priority areas:1)Access to Services for Uninsured and Underinsured: Access Health Tri-county Network; RSF Financial Assistance Policy and Patient Financial Services staff to assist; partnerships with Free Clinics such as Barrier Island Free Medical Clinic, Our Lady of Mercy Outreach and Crisis Ministries; new RSF Mt. Pleasant Hospital and Physician Partners network development.2)Obesity, Nutrition, and Activity: RSF Bariatric & Metabolic Services; Diabetes Treatment Center; Cardiac Rehabilitation Centers and related programs; Lowcountry Senior Center programs; Families for Healthy Heart program; Employee "Wellness Works" program with coaching available; partnering with community groups such as City of Charleston's "Lighten Up Charleston" and "Closing the Gap in Healthcare"; farmers markets at hospitals.3)Mental Health: "Highway to Hope" program with mobile van/partnership with mental health departments; Behavioral Health Unit; case management/assessment through Emergency Departments.4)Alcohol and Drug Abuse: Community investment support for community programs; addressed through Behavioral Health Unit and Physician Partners practices.5)Breast Center/Mammography: Breast Cancer Center at Roper Hospital; RSF Cancer Center; "Ladies Night Out" community outreach programs.6)Maternal and Child Healthcare/Infant Mortality: Prenatal Care programs throughout system; special focus on prenatal care and treatment through RSF Mt. Pleasant and Bon Secours St. Francis hospitals specifically, with outreach to rural communities; support and partnership with Our Lady of Mercy Outreach, Franklin C. Fetter Clinic and others.7)Prevention/Wellness/Outreach: Employee "Wellness Works" program with coaching available; Families for Healthy Heart program; Community Screenings and health fairs; partnerships and support for community wellness and prevention programs.8)High Prevalence of Chronic Disease: Heart and Vascular treatments and programs; development of Palliative Care program; Cancer Center outreach and support programs.9)Lack of Transportation: ITN (Independent Transportation Network), volunteers giving rides for medical appointments; support for CARTA public transportation and use of taxis throughout system when needed; development of Physician Partners network for closer proximity of population areas.10)Low Healthcare Literacy and Distrust Among Those with Limited Access: Health Literacy training through Professional Development; Case Management and Nursing focus on discharge planning and instructions; "Closing the Gap in Healthcare" public education programs.11)Coordination of Care Across Settings: "Transitions of Care" process throughout RSF; new grant through Duke Endowment for this; Case Management model for Access Health Tri-County Network; RSF Home Health, Palliative Care program and new Hospice program.12)Cultural Awareness and Effective Programs: Professional Development programs for cultural competencies; development of Diversity program and educational efforts; support for "Closing the Gap in Healthcare" program; Mandatory on-line program for employees.After examining the range of services currently available, the expertise, outreach, and capacity of the RSFH system, and the resources available to best address needs through other community organizations, Roper St. Francis Healthcare senior leadership chose the following 6 issues as priorities to implement for its current CHNA: Access to Services and Coverage for the Uninsured and Underserved, Mental Health, Maternal and Child Health, Prevention/Wellness/Outreach, High Prevalence of Chronic Disease, and Coordination of Care Across Settings.For the needs identified through the CHNA that did not emerge as strategic priority areas of need (Obesity, Nutrition and Activity; Alcohol and Drug Abuse; Breast Cancer/Mammography; Lack of Transportation; Low Healthcare Literacy and Distrust Among Those with Limited Access; Cultural Awareness and Effective Programs), Roper St. Francis Healthcare will continue to provide the support and services as listed in the inventory of community outreach and services to address these issues.The Roper St. Francis Community Needs Assessment Team developed implementation strategies for each health issue identified as a strategic priority. This implementation plan (attached) will be rolled out over the next 3 years. Strategies are be clearly defined with a matrix of which areas each RSFH hospital will address. Some strategies may be addressed by more than one RSFH hospital or the system as a whole. The team will develop a monitoring method to provide status and results of these efforts to improve community health. RSFH is committed to conducting another health needs assessment in three years.The Community Health Needs Assessment for fiscal December 31, 2013 was approved by the Board of Directors at its meeting held on October 12, 2013. |
| Part VI, Line 3: | 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. 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.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. |
| Part VI, Line 4: | The System's primary service area consists of Charleston, Berkeley, and Dorchester counties, and includes the major municipalities of Charleston, North Charleston, Mount Pleasant, and Summerville. Approximately 705,000 residents live within the primary service area, based on Esri estimates for 2014. According to Esri's forecasts, population in the primary service area is projected to grow 9.5% between 2014 and 2019. In 2014, 14% of households within the primary service area had income less than $15K, 11% had income between $15K and $25K, 25% had income between $25K and $50K, 20% between $50K and $75K, 13% between $75K and $100K, and 17% above $100K compared to the national rates of 14%, 12%, 25%, 18%, 12%,and 19%, respectively.Within the primary service area, poverty continues to be an issue. According to the US Census Bureau's 2013 Small Area Health Insurance Estimates (SAHIE), an estimated 111,194 Tri-county residents lack health insurance. There is a vast overrepresentation of the uninsured living at or below the Federal Poverty Level. The US Department of Health and Human Services designated 6 medically underserved areas and 1 medically underserved population within our primary service area. From December 2013 to December 2014, the unemployment rate in the primary service area increased from 5.2% to 5.4%. This is a lower unemployment rate than the national average, which was 6.7% in December 2013 declining to 5.6% in December 2014.The secondary service area includes Colleton, Orangeburg, Georgetown, Hampton, Beaufort, Williamsburg, and Horry counties. In addition to the system's facilities, there are four other non-military hospitals in the primary service area. |
| Part VI, Line 5: | We are the lowcountry'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. In keeping with our mission of healing all people with compassion, faith, and excellence, Roper St. Francis Healthcare (RSFH) 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 marshalling our resources to advance the health and dignity of each person with whom we come in contact.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.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. |
| Part VI, Line 6: | CareAlliance Health Services (d/b/a Roper St. Francis Healthcare (RSFH)) 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. One of these facilities is Bon Secours - St. Francis Xavier Hospital, Inc, an acute care hospital with 204 licensed beds. CareAlliance was formed effective August 1, 1998, through the execution of an affiliation agreement between the following founding members: - The Medical Society of South Carolina, - Bon-Secours Health System, Inc., and - Carolinas Healthcare System. CareAlliance is the sole corporate member and, through its by-laws, has the power to control the financial and business affairs of Bon Secours St. Francis Xavier Hospital. |
| Part VI, Line 7, Reports Filed With States | SC |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (31 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| John M Jordan | ||||||||||||||
| Chair (See Sch O) | $0 | $284,425 | $0 | $40,000 | $0 | $0 | $0 | $15,576 | $0 | $14,060 | $0 | $354,061 | $0 | $0 |
| Stanley Wilson MD | ||||||||||||||
| Vice Chair (See Sch O) | $0 | $405,402 | $0 | $158,883 | $0 | $7,897 | $0 | $30,526 | $0 | $19,097 | $0 | $621,805 | $0 | $0 |
| Shannon Honney MD | ||||||||||||||
| Board Member (See Sch O) | $0 | $157,202 | $0 | $53,027 | $0 | $10,587 | $0 | $6,689 | $0 | $12,716 | $0 | $240,221 | $0 | $0 |
| Brian Cuddy MD | ||||||||||||||
| Board Member (from July)(See Sch O) | $19,000 | $908,760 | $0 | $42,715 | $0 | $11,924 | $0 | $30,526 | $0 | $28,158 | $19,000 | $1,022,083 | $0 | $0 |
| David Dunlap | ||||||||||||||
| President & CEO of CAHS | $0 | $595,161 | $0 | $429,833 | $0 | $143,005 | $0 | $225,455 | $0 | $24,573 | $0 | $1,418,027 | $0 | $178,132 |
| Matthew Severance | ||||||||||||||
| SVP Operations | $0 | $423,641 | $0 | $252,539 | $0 | $60,621 | $0 | $164,076 | $0 | $30,296 | $0 | $931,173 | $0 | $145,166 |
| Steven Shapiro MD | ||||||||||||||
| CMO & VP Med Affairs | $0 | $377,693 | $0 | $204,012 | $0 | $40,528 | $0 | $96,286 | $0 | $13,506 | $0 | $732,025 | $0 | $60,452 |
| Bret Johnson | ||||||||||||||
| CFO & SVP / Treasurer | $0 | $337,964 | $0 | $211,888 | $0 | $119,706 | $0 | $170,590 | $0 | $31,547 | $0 | $871,695 | $0 | $144,292 |
| Allen Carroll | ||||||||||||||
| CEO / Secretary | $335,625 | $0 | $201,518 | $0 | $38,348 | $0 | $137,116 | $0 | $20,844 | $0 | $733,451 | $0 | $113,773 | $0 |
| Douglas Bowling | ||||||||||||||
| CSO & VP | $0 | $307,813 | $0 | $151,537 | $0 | $48,591 | $0 | $125,616 | $0 | $23,537 | $0 | $657,094 | $0 | $97,324 |
| John Sullivan | ||||||||||||||
| VP Operations | $0 | $223,036 | $0 | $138,268 | $0 | $33,780 | $0 | $165,478 | $0 | $24,286 | $0 | $584,848 | $0 | $43,596 |
| Gregory Edwards | ||||||||||||||
| VP & General Council | $0 | $305,134 | $0 | $162,091 | $0 | $34,406 | $0 | $101,834 | $0 | $26,222 | $0 | $629,687 | $0 | $78,247 |
| H Douglas Harrison | ||||||||||||||
| VP Human Resources (through March) | $0 | $87,470 | $0 | $136,876 | $0 | $19,853 | $0 | $57,961 | $0 | $868 | $0 | $303,028 | $0 | $41,055 |
| Melanie Stith | ||||||||||||||
| VP Human Resources (from April) | $0 | $172,488 | $0 | $29,074 | $0 | $225 | $0 | $18,377 | $0 | $33,296 | $0 | $253,460 | $0 | $0 |
| Michael Taylor | ||||||||||||||
| CIO & VP (through April) | $0 | $260,028 | $0 | $137,480 | $0 | $129,168 | $0 | $48,676 | $0 | $12,098 | $0 | $587,450 | $0 | $167,687 |
| Melinda Cardell | ||||||||||||||
| CIO & VP (from April) | $0 | $186,433 | $0 | $27,170 | $0 | $1,737 | $0 | $8,242 | $0 | $15,003 | $0 | $238,585 | $0 | $0 |
| Carolyn Donohue | ||||||||||||||
| VP Nursing / Senior Nurse Exec RHI | $0 | $193,443 | $0 | $0 | $0 | $16,048 | $0 | $23,420 | $0 | $9,953 | $0 | $242,864 | $0 | $0 |
| Pennie Peralta | ||||||||||||||
| VP Nursing / Sr. Nurse Exec SFX | $169,334 | $0 | $74,959 | $0 | $20,401 | $0 | $51,487 | $0 | $18,395 | $0 | $334,576 | $0 | $46,075 | $0 |
| Mark Dickson | ||||||||||||||
| VP Mission | $0 | $144,128 | $0 | $56,490 | $0 | $3,103 | $0 | $39,581 | $0 | $27,841 | $0 | $271,143 | $0 | $0 |
| Todd Shuman MD | ||||||||||||||
| VP & CQO | $0 | $329,692 | $0 | $59,200 | $0 | $387 | $0 | $53,246 | $0 | $16,945 | $0 | $459,470 | $0 | $0 |
| Wanda Brockmeyer | ||||||||||||||
| Director of Emergency Services | $0 | $150,011 | $0 | $25,916 | $0 | $9,006 | $0 | $9,612 | $0 | $10,706 | $0 | $205,251 | $0 | $0 |
| C Scott Ferguson | ||||||||||||||
| Director of Material Services | $0 | $149,392 | $0 | $28,119 | $0 | $3,456 | $0 | $9,355 | $0 | $21,776 | $0 | $212,098 | $0 | $0 |
| Susan Oliver | ||||||||||||||
| Director of Periop Endo | $0 | $137,828 | $0 | $23,888 | $0 | $2,583 | $0 | $3,340 | $0 | $3,135 | $0 | $170,774 | $0 | $0 |
| Francis Wyckoff Jr | ||||||||||||||
| Director of Pharmacy | $0 | $178,451 | $0 | $34,207 | $0 | $3,609 | $0 | $29,077 | $0 | $12,213 | $0 | $257,557 | $0 | $0 |
| Joan Wherley | ||||||||||||||
| Director of Imaging Services | $0 | $148,246 | $0 | $28,438 | $0 | $3,194 | $0 | $26,285 | $0 | $8,391 | $0 | $214,554 | $0 | $0 |
| George Khoury MD | ||||||||||||||
| Physician | $11,500 | $1,162,483 | $0 | $74,357 | $0 | $15,625 | $0 | $30,526 | $0 | $32,368 | $11,500 | $1,315,359 | $0 | $0 |
| John Steichen MD | ||||||||||||||
| Physician | $18,750 | $1,130,582 | $0 | $3,680 | $0 | $18,018 | $0 | $30,526 | $0 | $30,384 | $18,750 | $1,213,190 | $0 | $0 |
| Stephen Rawe MD | ||||||||||||||
| Physician | $15,000 | $1,098,125 | $0 | $800 | $0 | $12,185 | $0 | $30,526 | $0 | $18,239 | $15,000 | $1,159,875 | $0 | $0 |
| Morgan Stuart MD | ||||||||||||||
| Physician | $17,500 | $736,438 | $0 | $184,967 | $0 | $7,794 | $0 | $30,526 | $0 | $29,582 | $17,500 | $989,307 | $0 | $0 |
| Robert Lowery MD | ||||||||||||||
| Physician | $3,500 | $594,511 | $0 | $315,273 | $0 | $11,753 | $0 | $30,526 | $0 | $26,978 | $3,500 | $979,041 | $0 | $0 |
| Peter DiNicola | ||||||||||||||
| Dir. Plant Eng, (Former Key EE) | $0 | $198,265 | $0 | $33,150 | $0 | $4,137 | $0 | $13,189 | $0 | $5,845 | $0 | $254,586 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 4b | The Vice Presidents, CFO, and CEO participate in the 457(f) Plan. The following participants received compensation through a 457(f) Plan: Michael Taylor $ 124,847 (from a related organization) Matthew Severance 52,227 (from a related organization) Steven Shapiro 26,600 (from a related organization) Allen Carroll 37,375 (from a related organization) Douglas Bowling 44,607 (from a related organization) Gregory Edwards 31,599 (from a related organization) H. Douglas Harrison 14,818 (from a related organization) Pennie Peralta 18,943 (from a related organization) David Dunlap 83,583 (from a related organization) Bret Johnson 115,178 (from a related organization) |
| Part I, Line 6 | 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 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 on 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. System Vice Presidents and the system CEO are eligible to participate in a long term incentive plan (LTIP). An LTIP typically takes place over a three year period and does not vest until the end of the third year. To receive payment, executives must still be employed by the system at the end of the plan period. Each LTIP has a financial and clinical objective that is aligned with the organization's strategic goals. Threshold, target, and maximum performance ranges are established for these objectives and are measured based on performance against similar organizations or compared to an internal metric such as an improvement over prior performance. These targets and objectives are approved by the Ad Hoc Compensation Committee. The incentive is earned based on the satisfaction of the threshold, target, or maximum performance ranges. The Ad Hoc Compensation Committee also approves the final LTIP performance score and the amount paid to executives under the plan. Results are reported to the full board annually. |
| Part I, Line 7 | See the response to Line 6 above. |
| Part II, Line 1: Compensation from unrelated organizations | Carolinas Healthcare System provides the compensation of David L. Dunlap, CEO, Carealliance Health Services; Bret D. Johnson, CFO, Carealliance Health Services; and John Sullivan, CEO, Roper St. Francis Mt. Pleasant Hospital. Mr. Dunlap and Mr. Johnson are employees of Carolinas Healthcare System and their compensation is paid by Carealliance Healthcare Services, a related organization, through a management fee to Carolinas Healthcare System. Mr. Sullivan is also an employee of Carolinas Healthcare System, and his compensation is paid by Roper St. Francis Mt. Pleasant Hospital, a related organization, through a management fee to Carolinas Healthcare System. Additional information: CareAlliance Health Services has board representations from the 3 founding organizations: the Medical Society of SC (6 board members), Bon-Secours Health System, Inc. (6 board members), and Carolinas Healthcare System (1 board member). None of the 13 appointed board members receive compensation for their membership. Additionally, 4 of the 6 board members appointed by the Medical Society of South Carolina also serve on the board of the Medical Society. None receive compensation for their services as a board member. It is the founding members' intent that the members of the Board of Directors are appointed to such positions because they have a willingness to serve the needs of the system as a whole and not the needs of any individual founding member. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Jessica Peralta | |||
| Family relationship to Officer Pennie Peralta | $52,204 | Compensation for employment | 0 |
| Kimberly Taylor | |||
| Family Relationship to Officer Michael Taylor | $26,156 | Compensation for employment | 0 |
| Patricia Ferguson | |||
| Family relationship to key employee Scott Ferguson | $63,065 | Compensation for employment | 0 |
| Leah Brown | |||
| Family relationship to Board Chair William Glen Brown | $11,684 | Compensation for employment | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 3 | Carolinas Healthcare System (CHS), an unrelated organization, provides the compensation of Mr. David L. Dunlap, CEO, CareAlliance Health Services; Mr. Bret D. Johnson, CFO, CareAlliance Health Services; and Mr. John Sullivan, CEO, Roper St. Francis Mt. Pleasant Hospital. Mr. Dunlap and Mr. Johnson are employees of CHS and their compensation is paid by CareAlliance Health Services, a related organization, through a management fee to CHS. Mr. Sullivan is also an employee of CHS, and his compensation is paid through a management fee by Roper St. Francis Mt. Pleasant Hospital. |
| Form 990, Part VI, Section A, line 6 | The sole member of the corporation is CareAlliance Health Services, a South Carolina nonprofit, nonstock corporation, d/b/a Roper St. Francis Healthcare. Carealliance Health Services is in turn governed by a Board of Directors appointed by the "founding members". Please see the response to Line 7a below. The bylaws of the organization specify certain qualifications of the thirteen 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. Five of the directors are appointed to the board of directors by virtue of positions held within MSSC, BSHSI and CHS (ex-officio directors). Each of the five ex-officio directors serves as a director of the organization for so long as such person holds his or her respective elected or appointed office in his or her respective founding member organization. Directors serve three-year terms and are limited to three consecutive terms. After an absence of at least one year, directors are again eligible for appointment to the Board of Directors for two consecutive complete terms. |
| Form 990, Part VI, Section A, line 7a | The organization is governed by a thirteen member Board of Directors appointed by the founding members. Subject to certain nominating and governance committee approvals, six directors are appointed by the Medical Society of South Carolina (MSSC), Bon Secours Health Systems, Inc. (BSHSI) and one director is appointed by Carolinas Healthcare Systems (CHS). It is the founding members' intent that the members of the organization's Board of Directors are appointed to such positions because they have a willingness to serve the needs of the system as a whole and not the needs of any individual founding member. |
| Form 990, Part VI, Section A, line 7b | The following actions shall require the unanimous affirmative approval of all of the founding members: (a) to amend the Articles of Incorporation or the 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 by 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, Section B, line 11 | The 2014 Form 990 was prepared by an independent accounting firm with assistance and oversight by management. Reviews were then conducted by senior management before drafts were sent to each member of the organization's governing body. A transmittal letter accompanied the drafts and provided highlights of the Form 990 to the organization's Board of Directors. After the governing body approved the Form 990 draft, a final version was filed with the Internal Revenue Service. |
| Form 990, Part VI, Section B, line 12c | The directors 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, Section B, line 15 | 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, Section C, line 18 | Photocopies of the Form 990 are available upon request at the organization's adminsitrative office. In addition, recent filings of the Form 990 are available online at www.guidestar.org. |
| Form 990, Part VI, Section C, line 19 | The organization's audited financial statements are published annually and are available to the public at www.dacbond.com. |
| Form 990, Part IX, Line 1 | The majority of the grants expense shown on Page 10 of the 990 is an allocation from the parent company, Carealliance Health Services. All grants meeting disclosure requirements have been listed on Carealliance Health Service's Form 990. |
| Form 990, Part XI, line 9: | Pension allocation 1,670,102. Financial statement presentation adjustment -332,999,927. Benefits expense allocation from CAHS -1,264,723. |
| Form 990, Part XII, Line 2C: | The process has not been changed from the prior year. |
| Form 990, Part XI, Line 9, Changes in net assets: | Financial Statement Presentation Adjustment - Accounting Standards Update (ASU) 2013-04 required the reclassification of certain assets and liabilities among related entities. These reclasses net to zero when the entities are consolidated. Related Entities include: Care Alliance Health Services - 57-0831165 Roper Hospital, Inc - 57-0828733 Bon Secours - St. Francis Xavier - 57-1067254 Roper St. Francis Mt Pleasant Hospital - 57-0360499 Roper St. Francis Physicians Network - 26-2946628 |
| Form 990, Part VII, Line 1: | The following board members were compensated for services performed for the organization (or a related organization) not in the capacity of their positions on the board. No board member is compensated for his services as a board member. John M. Jordan was compensated by the Medical Society of South Carolina for services as Chief Executive Officer. Stanley Wilson was compensated for medical services rendered to a related organization. Brian Cuddy was compensated for medical services rendered to a related organization. Shannon Honney was compensated for medical services rendered to a related organization. Alison E. Dillon was compensated for medical services rendered to the organization. Wills C. Geils was compensated for medical services rendered to a related organization. |
| Form 990, Part III: | Creating Life Changing Moments in our Community The Roper St. Francis 2014 Community Benefit Report Dear Friends, As we look back on the moments that shaped our 2014 community benefit, I am honored to share some of the highlights that reflect our commitment to meeting the priority needs identified in our Community Health Needs Assessment. Through this strategic process we are working hard to create a healthier community for all of us. In 2014, Roper St. Francis gave over $61 million dollars to our community. This represents a $10 million increase from the previous year. This also reflects 7.7% of our net operating revenue, which is a very high percentage, even for not-for-profit community health systems such as Roper St. Francis. Thank you for your continued support, trust and faith in Roper St. Francis. Together we are creating life changing moments in our community. Sincerely, David L. Dunlap, FACHE President and Chief Executive Officer * Roper St. Francis uses the Voluntary Hospital Association /Catholic Health Association's standardized community benefit valuation methodology. |
| Form 990, Part III: | Our Community Benefit $48,472,773 Charity Care at Cost $7,620,320 Unreimbursed Medicaid Cost $4,711,202 Community Outreach Programs $603,308 Community Investment $61,407,603 Total Community Benefit Expense In 2014, we provided 52,381 hours of staff time in support of wellness initiatives that touched 87,273 of our neighbors. This includes participating in over 100 community healthfairs. Community Health Needs Assessment Priorities The following are priorities identified in our recent Community Health Needs Assessment. To see the full assessment, visit www.rsfh.com/mission. Access to Services and Coverage for the Uninsured and Underinsured The AccessHealth Tri-county Network enrolled over 2,500 clients in 2014, providing patients with care navigation and a primary care medical home assignment. AccessHealth believes in quality case management while coordinating with health clinics and organizations. Access to Mental Health Services The local Mental Health Task Force has been in existence since 1998, and was created out of a need to better communicate with other agencies serving those with mental health issues. From the beginning, Roper St. Francis has been involved by contributing to the conversation and action steps. Maternal and Child Health/Infant Mortality Roper St. Francis provides the Our Lady of Mercy Outreach Center Prenatal Clinic on Johns Island and also recently opened the Maternal Fetal Medicine Clinic for high-risk pregnancies. Prevention and Wellness Outreach From employee focused Wellness Works programs to community-based programs like Families for a Healthy Heart, to supporting urban gardening in areas without available and affordable healthy foods, Roper St. Francis is a leader in prevention and wellness outreach. High Prevalence of Chronic Disease We are implementing programs through our Physician Partners and beyond to diagnose, treat and control diabetes and obesity. Recognizing the need for more access for the uninsured, we opened the "Transitions" or "Gap Clinic". These programs have been successful in assisting people who may not have seen a healthcare provider in years. Coordination of Care across Settings With more emphasis on the outpatient setting, Roper St. Francis has developed some of the best home health and hospice care services in the country based on our quality measures and comparative scores. Roper Rehab Hospital In 2014, Roper Rehabilitation Hospital served 55 patients who did not have insurance coverage. These patients ranged in age from 19 to 83 with an average age of 50, and their diagnoses included stroke, spinal cord injury, brain injury and amputation. The average length of stay was 25.31 days. Medication Support Bon Secours St. Francis Hospital participates in the 340 B Drug Discount Program, a federal program that requires pharmaceutical makers to provide outpatient drugs to eligible healthcare organizations or covered entities, allowing them to optimize federal resources and reach more eligible patients, maximizing comprehensive services to unfunded patients. Partners for Community Roper St. Francis partners with several local agencies, such as those below, to assist and grow our community. One80 Place, formally called Crisis Ministries, opened its new shelter and service center in 2014, with an expanded health clinic that was funded by the Medical Society of South Carolina while also receiving program and in-kind support from Roper St. Francis. Metanoia serves in the poorest section of the Tricounty area, providing housing, education and community development support. Research has shown a link between poverty and healthcare issues. Water Missions International provides water purification systems throughout the world in places most in need due to poverty and natural disasters. Trident United Way has energized Roper St. Francis employees for years to show their enormous support for our community. In 2014, we raised over $320,000. Roper St. Francis Every Moment Matters www.rsfh.com |
| Form 990, Page 11, Part X, Line 20: | Tax-exempt bonds are reported on CareAlliance Health Services (the parent organization) Form 990, Schedule K. Tax-exempt bond liabilities are issued to the parent entity and allocated among the subsidiary entities for financial reporting purposes. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Neurosciences Resonance Imaging Center LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1483 Tobias Gadson Blvd 101 | AddressLine1Txt |
| City | Charleston | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29407 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | Inactive | PrimaryActivitiesTxt |
| Legal Domicile State | SC | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bon Secours-St Francis Xavier Hospital | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CareAlliance Health Services | |||||||||||
| 1483 Tobias Gadson Blvd 101 | Charleston | SC | 29407 | 570831165 | Healthcare | SC | 501(c)(3) | Line 3 | N/A | 0 | |
| Roper Hospital Inc | |||||||||||
| 1483 Tobias Gadson Blvd 101 | Charleston | SC | 29407 | 570828733 | Healthcare | SC | 501(c)(3) | Line 3 | 0 | CareAlliance Health Services | |
| Roper St Francis Mt Pleasant Hospital | |||||||||||
| 1483 Tobias Gadson Blvd 101 | Charleston | SC | 29407 | 570360499 | Healthcare | SC | 501(c)(3) | Line 3 | 0 | CareAlliance Health Services | |
| Roper St Francis Hospital - Berkeley | |||||||||||
| 125 Doughty Street 720 | Charleston | SC | 29403 | 263710229 | Healthcare (future) | SC | 501(c)(3) | Line 3 | 0 | CareAlliance Health Services | |
| Roper St Francis Physicians Network | |||||||||||
| 125 Doughty Street 760 | Charleston | SC | 29403 | 262946628 | Healthcare | SC | 501(c)(3) | Line 3 | 0 | CareAlliance Health Services | |
| Roper St Francis Foundation | |||||||||||
| 125 Doughty Street 760 | Charleston | SC | 29403 | 571068509 | Supporting Org | SC | 501(c)(3) | Line 11a, I | 0 | CareAlliance Health Services | |
| The Medical Society of South Carolina | |||||||||||
| 69-B Barre Street | Charleston | SC | 29401 | 570288358 | Supporting Org/Founding Member | SC | 501(c)(3) | Line 11c, III-FI | N/A | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lowcountry Surgery Center LLC (dba Roper St Francis Eye Surgery Center) | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1483 Tobias Gadson Blvd 101 | AddressLine1Txt |
| City | Charleston | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29407 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581693021 | EIN |
| Primary Activities | Ambulatory Surgery Center | PrimaryActivitiesTxt |
| Legal Domicile State | SC | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
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 | 225 Doughty Street | AddressLine1Txt |
| City | Charleston | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29403 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 571012837 | EIN |
| Primary Activities | Inactive | PrimaryActivitiesTxt |
| Legal Domicile State | SC | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (1) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
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