ROPER ST FRANCIS MOUNT PLEASANT HOSPITAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
ROPER ST FRANCIS MOUNT PLEASANT HOSPITAL (EIN 57-0360499)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-12
IRS object ID
201423169349300707
Schema version
2013v3.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2014-11-12T06:55:42-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN560747981PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 Ridgefield CourtAddressLine1
CityAshevilleCity
StateNCState
ZIP Code28806ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN570360499EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Roper St Francis Mt Pleasant HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlROPEBusinessNameControlTxt
Phone8437891704PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11483 Tobias Gadson Blvd No 101AddressLine1
CityCharlestonCity
StateSCState
ZIP Code29407ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBret D JohnsonPersonNm
Person TitleSVP & CFOPersonTitleTxt
Phone8437891704PhoneNum
Signature2014-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAmy BibbyPreparerPersonNm
PTINP00445891PTIN
Phone8282542254PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDavid L DunlapPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11483 Tobias Gadson Blvd No 101AddressLine1
CityCharlestonCity
StateSCState
ZIP Code29407ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$54,518,411GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.rsfh.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2005FormationYr
Legal Domicile StateSCLegalDomicileStateCd
Activity Or MissionOperation of nonprofit hospital facility in Mt. Pleasant, South CarolinaActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee270TotalEmployeeCnt
Total Volunteers30TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$484,110PYContributionsGrantsAmt
CY Contributions Grants$32,098CYContributionsGrantsAmt
PY Program Service Revenue$48,085,137PYProgramServiceRevenueAmt
CY Program Service Revenue$53,139,505CYProgramServiceRevenueAmt
PY Investment Income$7,573PYInvestmentIncomeAmt
CY Investment Income$2,999CYInvestmentIncomeAmt
PY Other Revenue$979,407PYOtherRevenueAmt
CY Other Revenue$1,321,724CYOtherRevenueAmt
PY Total Revenue$49,556,227PYTotalRevenueAmt
CY Total Revenue$54,496,326CYTotalRevenueAmt
PY Grants And Similar Paid$47,236PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$57,581CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$19,327,620PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$20,052,580CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$29,352,481PYOtherExpensesAmt
CY Other Expenses$30,033,228CYOtherExpensesAmt
PY Total Expenses$48,727,337PYTotalExpensesAmt
CY Total Expenses$50,143,389CYTotalExpensesAmt
PY Revenues Less Expenses$828,890PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,352,937CYRevenuesLessExpensesAmt
Total Assets BOY$136,951,464TotalAssetsBOYAmt
Total Assets EOY$129,296,563TotalAssetsEOYAmt
Total Liabilities BOY$156,580,029TotalLiabilitiesBOYAmt
Total Liabilities EOY$144,491,219TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$19,628,565NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$15,194,656NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionHealing all people with compassion, faith, and excellence.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$43,416,742ExpenseAmt
Grant$57,581GrantAmt
Revenue$54,260,127RevenueAmt
DescRoper St. Francis Mount Pleasant Hospital continues to grow as evidenced by the number of patients treated. In the three years it has been available to the community, the teammates and facilities have made a positive impact on east-of-the-Cooper communities. Continuously demonstrating Roper St. Francis Mount Pleasant Hospital's commitment to healing all people with faith, compassion and excellence, Roper St. Francis Mount Pleasant Hospital contributed $467,000 in community benefit in 2013. This benefit included charity care, unreimbursed Medicaid, and numerous sponsorships and community outreach programs (see Schedule H for additional details). In 2013, Mount Pleasant Hospital contributed 5,400 volunteer staff hours. The hospital also provided educational events such as free breast cancer screenings and sponsored community organizations which included assisting East Cooper Baptist Church, East Cooper Community Outreach and East Cooper Meals on Wheels. The hospital also offered free parenting classes to new parents and financial counseling for patients in need. For more information on how the healthcare system supports the Lowcountry community in Charitable Care and sponsorships, see Schedule H.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
DescPlease 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
FieldValueIRS element (for citing)
Total Program Service Expenses$43,416,742TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art ContributionYes (1)DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee270EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldSCStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Finance DepartmentBusinessNameLine1
FieldValueIRS element (for citing)
Phone8437891704PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11483 Tobias Gadson Blvd 101AddressLine1
CityCharlestonCity
StateSCState
ZIP Code29407ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (44 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
John M Jordan
Chair (See Sch O)0.502.50Yes (X)$0$318,568$29,358
Stanley Wilson MD
Vice Chair (As of July)(See Sch O)0.5049.50Yes (X)$0$599,386$60,448
W Blount Ellison MD
Vice Chair (Thru June)(See Sch O)0.502.50Yes (X)$0$167,679$23,800
Sister Anne Lutz
Board Member0.502.50Yes (X)$0$0$0
Richard Statuto
Board Member0.502.50Yes (X)$0$0$0
Joseph G Piemont
Board Member0.502.50Yes (X)$0$0$0
Perry Keith Waring
Board Member (Thru June)0.502.50Yes (X)$0$0$0
Brantley D Thomas PhD
Board Member (Thru June)0.502.50Yes (X)$0$0$0
Katherine Duffy PhD
Board Member0.502.50Yes (X)$0$0$0
Roberta Pinckney
Board Member (As of July)0.502.50Yes (X)$0$0$0
Shannon Honney MD
Board Member (See Sch O)0.5049.50Yes (X)$0$222,596$16,167
Julius R Ivester MD
Board Member0.502.50Yes (X)$0$0$0
Alison E Dillon MD
Board Member (See Sch O)0.502.50Yes (X)$0$46,595$0
Angress Walker
Board Member0.502.50Yes (X)$0$0$0
Mary Thornley
Board Member (As of July)0.502.50Yes (X)$0$0$0
Wills C Geils MD
Board Member (As of July)(See Sch O)0.502.50Yes (X)$20,000$9,930$0
David Dunlap
President & CEO Of CAHS1.0049.00$0$927,548$262,908Yes (X)
Matthew J Severance
CEO / Secretary1.0049.00$0$570,058$197,152Yes (X)
Steven D Shapiro MD
CMO & VP Med. Affiars1.0049.00$0$637,159$107,134Yes (X)
Bret Johnson
CFO & SVP / Treasurer1.0049.00$0$528,020$183,178Yes (X)
Allen Carroll
SVP Operations1.0049.00$0$467,456$155,505Yes (X)
Douglas W Bowling
CSO & VP1.0049.00$0$410,398$138,857Yes (X)
John Sullivan
VP Operations47.003.00$355,386$0$177,300Yes (X)
Gregory T Edwards
VP & General Counsel1.0049.00$0$393,731$127,710Yes (X)
H Douglas Harrison
VP Human Resources1.0049.00$0$338,567$86,512Yes (X)
Michael Taylor
CIO & VP1.0049.00$0$353,888$108,246Yes (X)
Lisa Schafer Thru June
VP Nursing/Sr. Nurse Exec RHI1.0049.00$0$148,315$32,988Yes (X)
Pennie Lynn Peralta
VP Nursing/Sr. Nurse Exec SFX1.0049.00$0$205,889$70,087Yes (X)
Diana Topjian
VP Nursing/Sr. Nurse Exec MPH47.003.00$178,568$0$57,038Yes (X)
Mark Dickson
VP Mission1.0049.00$0$161,827$57,556Yes (X)
Carolyn Donohue As of Sept
VP Nursing/Sr. Nurse Exec RHI1.0049.00$0$68,760$1,249Yes (X)
Admiral James Flatley USN Ret
MPH Board Chair1.00$0$0$0Yes (X)
George Waters
MPH Board Vice Chair1.00$0$0$0Yes (X)
Peter DiNicola
Dir of Plant Engineering1.0049.00$0$218,291$18,881Yes (X)
Wanda Brockmeyer
Dir of Emergency Services1.0049.00$0$166,976$20,285Yes (X)
Maria Sample
Dir of Perioperative Svc MPH1.0049.00$0$150,635$19,509Yes (X)
Joan Wherley
Dir of Imaging Services1.0049.00$0$159,752$15,228Yes (X)
Robert Lowery MD
Physician1.0049.00$12,500$1,263,938$57,789Yes (X)
John McCrosson MD
Physician1.0049.00$5,500$984,117$60,069Yes (X)
John Graham MD
Physician1.0049.00$13,000$969,568$60,573Yes (X)
Harry Rudolph MD
Physician1.0049.00$14,000$880,249$36,505Yes (X)
Blake Ohlson MD
Physician1.0049.00$6,000$878,062$42,370Yes (X)
Francis Wyckoff Jr
Dir of Pharmacy, Former Key Emp.1.0049.00$0$193,820$28,992Yes (X)
Stephanie Tucker
Dir of Property Mgmt, Former Key Emp.1.0049.00$0$178,589$20,922Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$604,954TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$12,620,367TotReportableCompRltdOrgAmt
Total Other Compensation$2,274,316TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K36IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
Roper Emergency Physicians
639 McCutchen StreetCharlestonSC29412Physician Fees$1,714,244
Anesthesia Associates of Charleston
PO Box 22206CharlestonSC29413Anesthesia Services$1,315,421
Cogdell Spencer Advisors LLC
125 Doughty St STE 620CharlestonSC29403Property Management$1,236,258
Morrison Management Specialists
PO Box 102289AtlantaGA30368Management Fees$369,892
Angelica Textile Services
PO Box 535122AtlantaGA30353Linen Rental$208,577
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt
Related Organizations$32,098RelatedOrganizationsAmt
Noncash Contributions$19,550NoncashContributionsAmt
Total Contributions$32,098TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNet Patient Service RevenueDesc
Business624100BusinessCd
Total Revenue Column$53,139,505TotalRevenueColumnAmt
Related Or Exempt Func Income$53,139,505RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$53,139,505TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,243TotalRevenueColumnAmt
Exclusion$1,243ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$1,756OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$1,756OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,756TotalRevenueColumnAmt
Exclusion$1,756ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$47,871GrossSalesOfInventoryAmt
Cost Of Goods Sold$22,085CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,786TotalRevenueColumnAmt
Exclusion$25,786ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Incentive Payments900099$1,120,622$1,120,622
Cafeteria Revenue722210$140,154$140,154
Miscellaneous Revenue900099$35,162$35,162
FieldValueIRS element (for citing)
Other Revenue Total$1,295,938OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$54,496,326TotalRevenueColumnAmt
Related Or Exempt Func Income$54,260,127RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$204,101ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$57,581TotalAmt
Program Services$57,581ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$553,954TotalAmt
Program Services$20,000ProgramServicesAmt
Management And General$533,954ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$16,211,644TotalAmt
Program Services$12,558,314ProgramServicesAmt
Management And General$3,653,330ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$399,569TotalAmt
Program Services$309,525ProgramServicesAmt
Management And General$90,044ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,810,179TotalAmt
Program Services$1,404,899ProgramServicesAmt
Management And General$405,280ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,077,234TotalAmt
Program Services$834,477ProgramServicesAmt
Management And General$242,757ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$886,395TotalAmt
Program Services$453,065ProgramServicesAmt
Management And General$433,330ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$86,047TotalAmt
Management And General$86,047ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$28,613TotalAmt
Management And General$28,613ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,100,605TotalAmt
Program Services$3,808,628ProgramServicesAmt
Management And General$291,977ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$314,897TotalAmt
Program Services$211,375ProgramServicesAmt
Management And General$103,522ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,563,153TotalAmt
Program Services$1,985,862ProgramServicesAmt
Management And General$577,291ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$41,532TotalAmt
Management And General$41,532ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,379,716TotalAmt
Program Services$2,308,215ProgramServicesAmt
Management And General$71,501ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$29,580TotalAmt
Management And General$29,580ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$68,597TotalAmt
Management And General$68,597ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,130,260TotalAmt
Program Services$8,130,260ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$175,387TotalAmt
Program Services$136,849ProgramServicesAmt
Management And General$38,538ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$6,525,927$6,525,927
Bad Debt Expense$3,371,745$3,371,745
DSH Taxes$1,157,887$1,157,887
Miscellaneous Expenses$172,887$142,133$30,754

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$50,143,389TotalAmt
Program Services$43,416,742ProgramServicesAmt
Management And General$6,726,647ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$725BOYAmt
EOY$639EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,194,650BOYAmt
EOY$6,977,893EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,075,467BOYAmt
EOY$1,083,275EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$200,840BOYAmt
EOY$155,840EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$145,677,778LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$25,805,058LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$127,687,553BOYAmt
EOY$119,872,720EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,792,229BOYAmt
EOY$1,206,196EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$136,951,464BOYAmt
EOY$129,296,563EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$89,740BOYAmt
EOY$104,319EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$275,919BOYAmt
EOY$294,468EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$156,214,370BOYAmt
EOY$144,092,432EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$156,580,029BOYAmt
EOY$144,491,219EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$19,628,565BOYAmt
EOY-$15,194,656EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$19,628,565BOYAmt
EOY-$15,194,656EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$136,951,464BOYAmt
EOY$129,296,563EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$4,352,937ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$80,972OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,467,846OtherCostOrOtherBasisAmt
Book Value$15,467,846BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$101,732,945OtherCostOrOtherBasisAmt
Depreciation$14,331,456DepreciationAmt
Book Value$87,401,489BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,935,894OtherCostOrOtherBasisAmt
Depreciation$884,275DepreciationAmt
Book Value$2,051,619BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,515,635OtherCostOrOtherBasisAmt
Depreciation$10,589,327DepreciationAmt
Book Value$14,926,308BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,458OtherCostOrOtherBasisAmt
Book Value$25,458BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$119,872,720TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Due to Affiliates$142,631,857
Third Party Reserves$1,460,575
FieldValueIRS element (for citing)
Total Liability$144,092,432TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationRoper St. Francis Mt. Pleasant 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, 2013 and 2012, and does not expect that unrecognized tax benefits will materially increase within the next 12 months. Tax years 2010 through 2012 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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other299.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other399.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,555,639TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,107,814DirectOffsettingRevenueAmt
Net Community Benefit Expns$447,825NetCommunityBenefitExpnsAmt
Total Expense0.00960TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,404,310TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,658,882DirectOffsettingRevenueAmt
Net Community Benefit Expns-$254,572NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,959,949TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,766,696DirectOffsettingRevenueAmt
Net Community Benefit Expns$193,253NetCommunityBenefitExpnsAmt
Total Expense0.00960TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$45,084TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$45,084NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$152,716TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$152,716NetCommunityBenefitExpnsAmt
Total Expense0.00330TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$102,419TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$32,744DirectOffsettingRevenueAmt
Net Community Benefit Expns$69,675NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$300,219TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$32,744DirectOffsettingRevenueAmt
Net Community Benefit Expns$267,475NetCommunityBenefitExpnsAmt
Total Expense0.00580TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,260,168TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,799,440DirectOffsettingRevenueAmt
Net Community Benefit Expns$460,728NetCommunityBenefitExpnsAmt
Total Expense0.01540TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,288TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,288NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,288TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,288NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$3,371,745BadDebtExpenseAmt
Bad Debt Expense Attributable$1,348,698BadDebtExpenseAttributableAmt
Reimbursed By Medicare$7,696,186ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$11,876,947CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$4,180,761MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Roper StFrancis Mt Pleasant HospitalBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line13500 Highway 17 NorthAddressLine1
CityMt PleasantCity
StateSCState
ZIP Code29466ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Roper St Francis Mt Pleasant HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.rsfh.comOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedYes (1)AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (1)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care299.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (1)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care399.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
Other FactorsYes (X)OtherFactorsInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Attached To InvoiceYes (X)AttachedToInvoiceInd
Available On RequestYes (X)AvailableOnRequestInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Roper St. Francis Mt. Pleasant HospitalPart V, Section B, Line 3: 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).
Roper St. Francis Mt. Pleasant HospitalPart V, Section B, Line 4: Roper Hospital and Bon Secours-St.Francis Xavier Hospital
Roper St. Francis Mt. Pleasant HospitalPart V, Section B, Line 10: 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.
Roper St. Francis Mt. Pleasant HospitalPart V, Section B, Line 11: 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.
Roper St. Francis Mt. Pleasant HospitalPart V, Section B, Line 12i: In addition to using the Federal Poverty Guidelines to determine free and discounted care (see Part I, lines 3a and 3b), the hospital offers a 35% discount to all uninsured patients regardless of income. A 10% prompt payment discount is also offered to all self-pay patients who pay their balance at one time. Medical indigency adjustments are available to those that meet the established guidelines.
Roper St. Francis Mt. Pleasant HospitalPart V, Section B, Line 14g: The patient handbook provided with registration references the policy and includes contact information for patients who need assistance.
Roper St. Francis Mt. Pleasant HospitalPart V, Section B, Line 20d: 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.
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
Mount Pleasant Hospital Breast Care
3510 Highway 17 N Ste 205Mt PleasantSC29466Bone Density, Mammography, Breast Ultrasound
Mount Pleasant Hospital Imaging
3510 Highway 17 N Ste 140Mt PleasantSC29466X-Ray

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:In addition to using the federal poverty guidelines to determine free and discounted care (see Part I, Lines 3a and 3b), the hospital 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 2013 Schedule H instructions was used to compute a cost-to-charges ration 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 $3,371,745.
Part I, line 7(e):Advantage programs - $ 2,191 Community calendars and newsletters - 878 Enrollment assistance in public programs - 887 Families for a Healthy Heart Program - 1,999 Health education and lectures by staff - 131 Health fairs and career days - 875 House calls magazine - 26,334 Young Stroke Survivors support group - 7 Community Benefit program oversight costs - 8,757 CHNA - 3,025 Total to Line 7(e), col (e) - 45,084
Part II, Community Building Activities:In 2013, the Hospital performed the following activities to build up the community.1. Habitat for Humanity2. Participation in economic development council and chamber of commerce on issues impacting the community's health and safety.3. 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 Mt. Pleasant Hospital operates to promote the health of the community. By taking Medicare patients, the hospital promotes access to healthcare services, which is a community benefit.The organization uses the Medicare cost report to determine the costs reported on Part III, Line 5 and 6. Had we included revenues and costs from all Medicare programs including Medicare Part C this would have resulted in an additional shortfall of $1,268,983.
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: 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 703,000 residents live within the primary service area, based on Nielsen Claritas estimates for 2013. Population in the primary service area is projected to grow 8.1% between 2013 and 2018 based on Nielsen Claritas projections. In 2013, 14% of households within the primary service area had income less than $15K, 12% had income between $15K and $25K, 26% had income between $25K and $50K, 18% between $50K and $75K, 12% between $75K and $100K, and 18% 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 2010 Small Area Health Insurance Estimates (SAHIE), an estimated 108,943 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 April 2012 to April 2013, the unemployment rate in the primary service area decreased from 7.1% to 5.9%. This is a lower unemployment rate than the national average, which was 7.7% in April 2012 declining to 7.1% in April 2013.The secondary service area includes Colleton, Orangeburg, Georgetown, Hampton, Beaufort, Williamsburg, and Horry counties. In addition to the system's facilities, there are three 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.RSFH 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. RSFH 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 or 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 Roper St. Francis Mount Pleasant Hospital, an acute care hospital with 85 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 Roper St. Francis Mt. Pleasant Hospital.
Part VI, Line 7, Reports Filed With StatesSC

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (29 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
John M Jordan
Chair (See Sch O)$0$278,568$0$40,000$0$0$0$15,298$0$14,060$0$347,926$0$0
Stanley Wilson MD
Vice Chair (As of July)(See Sch O)$0$403,272$0$192,395$0$3,719$0$30,298$0$30,150$0$659,834$0$0
W Blount Ellison MD
Vice Chair (Thru June)(See Sch O)$0$0$0$0$0$167,679$0$23,800$0$0$0$191,479$0$0
Shannon Honney MD
Board Member (See Sch O)$0$158,525$0$62,250$0$1,821$0$7,798$0$8,369$0$238,763$0$0
David Dunlap
President & CEO Of CAHS$0$564,253$0$243,585$0$119,710$0$239,566$0$23,342$0$1,190,456$0$147,469
Matthew J Severance
CEO / Secretary$0$404,868$0$158,411$0$6,779$0$161,638$0$35,514$0$767,210$0$80,348
Steven D Shapiro MD
CMO & VP Med. Affiars$0$365,522$0$132,182$0$139,455$0$94,178$0$12,956$0$744,293$0$164,373
Bret Johnson
CFO & SVP / Treasurer$0$318,383$0$126,517$0$83,120$0$153,397$0$29,781$0$711,198$0$113,869
Allen Carroll
SVP Operations$0$336,173$0$130,327$0$956$0$135,518$0$19,987$0$622,961$0$61,013
Douglas W Bowling
CSO & VP$0$298,362$0$107,128$0$4,908$0$116,358$0$22,499$0$549,255$0$45,559
John Sullivan
VP Operations$221,976$0$100,766$0$32,644$0$154,217$0$23,083$0$532,686$0$41,128$0
Gregory T Edwards
VP & General Counsel$0$289,786$0$98,139$0$5,806$0$98,514$0$29,196$0$521,441$0$40,386
H Douglas Harrison
VP Human Resources$0$241,994$0$66,916$0$29,657$0$75,118$0$11,394$0$425,079$0$16,069
Michael Taylor
CIO & VP$0$258,079$0$80,422$0$15,387$0$93,278$0$14,968$0$462,134$0$22,217
Lisa Schafer Thru June
VP Nursing/Sr. Nurse Exec RHI$0$101,288$0$43,025$0$4,002$0$27,298$0$5,690$0$181,303$0$10,266
Pennie Lynn Peralta
VP Nursing/Sr. Nurse Exec SFX$0$163,499$0$42,003$0$387$0$51,703$0$18,384$0$275,976$0$14,215
Diana Topjian
VP Nursing/Sr. Nurse Exec MPH$145,862$0$32,158$0$548$0$38,240$0$18,798$0$235,606$0$0$0
Mark Dickson
VP Mission$0$133,914$0$25,182$0$2,731$0$29,926$0$27,630$0$219,383$0$0
Peter DiNicola
Dir of Plant Engineering$0$192,390$0$21,764$0$4,137$0$13,742$0$5,139$0$237,172$0$0
Wanda Brockmeyer
Dir of Emergency Services$0$143,758$0$13,694$0$9,524$0$9,710$0$10,575$0$187,261$0$0
Maria Sample
Dir of Perioperative Svc MPH$0$135,919$0$12,476$0$2,240$0$7,530$0$11,979$0$170,144$0$0
Joan Wherley
Dir of Imaging Services$0$139,734$0$17,209$0$2,809$0$6,889$0$8,339$0$174,980$0$0
Robert Lowery MD
Physician$12,500$757,012$0$499,340$0$7,586$0$30,298$0$27,491$12,500$1,321,727$0$0
John McCrosson MD
Physician$5,500$873,023$0$108,033$0$3,061$0$31,298$0$28,771$5,500$1,044,186$0$0
John Graham MD
Physician$13,000$870,269$0$89,236$0$10,063$0$30,298$0$30,275$13,000$1,030,141$0$0
Harry Rudolph MD
Physician$14,000$640,356$0$232,158$0$7,735$0$12,798$0$23,707$14,000$916,754$0$0
Blake Ohlson MD
Physician$6,000$771,022$0$100,742$0$6,298$0$12,798$0$29,572$6,000$920,432$0$0
Francis Wyckoff Jr
Dir of Pharmacy, Former Key Emp.$0$169,277$0$20,749$0$3,794$0$16,965$0$12,027$0$222,812$0$0
Stephanie Tucker
Dir of Property Mgmt, Former Key Emp$0$155,855$0$18,643$0$4,091$0$10,416$0$10,506$0$199,511$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 4bThe Vice Presidents, CFO, and CEO participate in the 457(f) Plan. The vesting period changed from 3 to 5 years in 2013, so not all Vice Presidents received payouts in 2013. The following participants received compensation through a 457(f) Plan: Steven Shapiro - 138,861 (from a related organization) Howard Harrison - 14,400 (from a related organization) Bret Johnson - 77,448 (from a related organization) David Dunlap - 65,893 (from a related organization)
Part I, Line 6Goals 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 7See the response to line 6 above.
Part II, Line 1: Compensation from unrelated organizationsCarolinas 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 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

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Anesthesia Associates of CharlestonBusinessNameLine1
FieldValueIRS element (for citing)
Relationship DescriptionThe President of this organization is Board Member Dr. Julius InvesterRelationshipDescriptionTxt
Transaction$1,438,816TransactionAmt
TransactionProvision of anesthesia servicesTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$19,550NoncashContributionsRptF990Amt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 3Carolinas 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 6The 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 7aThe 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. (BHSHI) 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 7bThe following actions shall require the unanimous affirmative approval of all of the founding members: (a) to amend the Articles of Incorporation or by-laws, including without limitation, any change in the corporation's purposes; provided, however, that, subject to the procedures and voting requirements with respect to the admission of non-founding members, Schedule 3.1 may be amended with the approval of two (2) of the founding members to reflect the admission of a non-founding member; (b) to dissolve or liquidate the corporation and to determine the distribution of assets upon dissolution; (c) to merge or consolidate the corporation or to sell, convey, transfer, lease, or otherwise dispose of all or substantially all of its assets; (d) to appoint the President and Chief Executive Officer of the corporation in a manner other than that established within the by-laws; (e) to alter or amend the corporation's ethical performance standards (defined below); or (f) to enter into any material agreement whereby a third party will: (i) become an equity owner in any joint venture with the corporation or any system participant and will not be legally obligated to support the corporation's ethical performance standards; or (ii) manage a substantial part of the facilities, assets, or operations of the system and will not be legally obligated to comply with and support the corporation's ethical performance standards.
Form 990, Part VI, Section B, line 11The 2013 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 12cThe directors shall complete and return to the secretary an annual statement that each: (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 15An 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 18Photocopies of the Form 990 are available upon request at the organization's administrative office. In addition, recent filings of the Form 990 are available online at www.guidestar.org.
Form 990, Part VI, Section C, line 19The organization's audited financial statements are published annually and are available to the public at www.dacbond.com.
Form 990, Part IX, Line 1, Grants and Assistance: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 for 2013 have been listed on CareAlliance Health Service's Form 990.
Form 990, Part XI, line 9:Funds released for capital 10,000. Pension and benefits expense allocation from CAHS 80,972. Capital and support from Foundation -10,000.
Form 990, Part XII, Line 2C:The process has not changed from the prior year.
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. W. Blount Ellison 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 a related organization. Wills C. Geils was compensated for medical services rendered to the organization and a related organization.
Form 990, Part III:Creating Life Changing Moments in our Community The Roper St. Francis 2013 Community Benefit Report Dear Friends, At Roper St. Francis, we believe every moment matters. Each moment of providing excellent care, each smile amongst teammates and every moment spent giving back to our community. Moments of giving back can be found throughout our organization. It's the financial counselor going to a patient's home to help them enroll in Medicaid. It's the energized team of walkers at the Heart Walk coming together to raise awareness and dollars. And it's the nurse donating her own time to help the uninsured at the Barrier Island Free Clinic. In 2013, we gave over $50 million in community benefit. This number represents millions of small moments combined to make an enormous impact on our community. I hope you find the moments of giving detailed in this report as inspiring as I do. 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 $35,107,560 Charity Care at Cost $6,040,677 Unreimbursed Medicaid Cost $8,475,021 Community Outreach Programs $515,347 Community Investment $50,138,605 Total Community Benefit Expense 6.6% of Roper St. Francis' Net Operating Revenue goes towards Community Benefit A Teaching Moment We believe that feeling good helps you live every moment to the fullest, that's why we at Roper St. Francis are passionate about reaching out beyond the walls of our facilities to support our communities' health. In 2013, we provided 89,262 hours of staff time in support of wellness initiatives that directly touched 107,277 of our neighbors. This includes participating in over 100 community healthfairs. A Moment to Give Back Sponsorships Monetary contributions, volunteering our time and donating equipment are among the many ways we support community organizations and events that are consistent with our mission. In 2013, we provided $515,347 in sponsorships. Trident United Way In 2013, Roper St. Francis employees showed their enormous commitment to our Lowcounty community and donated $370,533 to the Trident United Way. American Heart Association's Heart Walk We walk the walk! Roper St. Francis employees raised $21,600 for the American Heart Association's Heart Walk. A Moment to Serve Barrier Island Free Clinic Roper St. Francis helps serve hundreds of uninsured people via our partnership with the Barrier Island Free Medical Clinic. In 2013, we provided financial support along with free lab and imaging tests. In addition, several of our nurses and doctors volunteer their time at the clinic. Crisis Ministries We create moments of wellness and fellowship through our partnership with Crisis Ministries a place where people can receive a meal, a bed and access to a health clinic. Roper St. Francis sponsors an on-site nurse and makes regular donations of medical equipment, lab tests and medication. We are also supporting the creation of the new health clinic that will open in 2014. East Cooper Community Outreach Roper St. Francis' sponsorship dollars and support helps East Cooper Community Outreach provide case management services, medication assistance and healthcare. Our Lady of Mercy Community Outreach Center Welcoming a new baby into the world is one of life's greatest moments. Roper St. Francis proudly partners with Our Lady of Mercy Community Outreach Center to provide prenatal and wellness care to women in need. A Moment for Advocacy Medicaid Expansion A large part of our mission is providing care to the poor. The Affordable Care Act gives states the option to accept federal funding to expand Medicaid and provide healthcare coverage to many more people. We believe the acceptance of federal funding available for Medicaid expansion is the moral and right thing to do. Mission Days Lowcountry In August of 2013, hundreds of our teammates volunteered at a two day medical clinic for the uninsured. Organized by the South Carolina Hospital Association, and with all local hospitals working together, one thousand people were seen and given primary medical care. Those attending were also put in touch with Tricounty Access Health and other local agencies for follow-up and ongoing care. Community Health Needs Assessment Throughout 2013, Roper St. Francis completed a Needs Assessment for the Tricounty area, utilizing public health data, surveys and focus groups. The assessment identified strategic priorities for our system and an implementation plan was created to address those needs. The six highlighted areas within our scope of care and planning are: Access to Services and Coverage for the Uninsured and Underinsured Access to Mental Health Services Infant Mortality and Maternal and Child Health Prevention Wellness Outreach High Prevalence of Chronic Disease Coordination of Care Across Settings A Moment for Recovery The Roper Rehabilitation Hospital is a 52-bed unique hospital within Roper Hospital that is dedicated to rehabilitation and functional recovery. Our excellent team is committed to making every moment of our patients' recovery matter. For generations, Roper St. Francis has been trusted with the health of our community. We understand the importance of your health and that of those you love - it's at the center of everything we do. It's why every moment matters. Why every second saved in the ER is crucial, why every bedside minute gets our full attention, why every moment spent learning about wellness and prevention is time well-spent. We believe that smiles can change lives. We believe in the power of caring. We believe it is the muscle behind medicine and the reason for hope. We believe in the power of community, of reaching out, of extending care and generosity to those who need it most. We believe that every moment matters.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CareAlliance Health Services
1483 Tobias Gadson Blvd 101CharlestonSC29407570831165HealthcareSC501(c)(3)Line 3N/A0
Roper Hospital Inc
1483 Tobias Gadson Blvd 101CharlestonSC29407570828733HealthcareSC501(c)(3)Line 30CareAlliance Health Services
Bon Secours St Francis Xavier Hospital
1483 Tobias Gadson Blvd 101CharlestonSC29407571067254HealthcareSC501(c)(3)Line 30CareAlliance Health Services
Roper St Francis Hospital - Berkeley
125 Doughty Street 720CharlestonSC29403263710229Healthcare (Future)SC501(c)(3)Line 30CareAlliance Health Services
Roper St Francis Physicians Network
125 Doughty Street 760CharlestonSC29403262946628HealthcareSC501(c)(3)Line 30CareAlliance Health Services
Roper St Francis Foundation
125 Doughty Street 790CharlestonSC29403571068509Supporting OrgSC501(c)(3)Line 11a, I0CareAlliance Health Services
The Medical Society Of South Carolina
69-B Barre StreetCharlestonSC29401570288358Supporting Org/Founding MemberSC501(c)(3)Line 11c, III-FIN/A0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Lowcountry Surgery Center LLC (dba Roper St Francis Eye Surgery Center)BusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11483 Tobias Gadson Blvd 101AddressLine1
CityCharlestonCity
StateSCState
ZIP Code29407ZIPCode
FieldValueIRS element (for citing)
EIN581693021EIN
Primary ActivitiesAmbulatory Surgery CenterPrimaryActivitiesTxt
Legal Domicile StateSCLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CareAlliance Medical Services OrganizationBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1225 Doughty StreetAddressLine1
CityCharlestonCity
StateSCState
ZIP Code29403ZIPCode
FieldValueIRS element (for citing)
EIN571012837EIN
Primary ActivitiesInactivePrimaryActivitiesTxt
Legal Domicile StateSCLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset ExchangeYes (1)AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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