ROPER HOSPITAL INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: ROPER HOSPITAL INC (EIN 57-0828733)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-12
IRS object ID: 201233179349302338
Schema version: 2011v1.2
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 C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-12T15:15:30-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	560747981	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DIXON HUGHES GOODMAN LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 Ridgefield Court	AddressLine1
City	Asheville	City
State	NC	State
ZIP Code	28806	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	570828733	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Roper Hospital Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	ROPE	NameControl
Phone	8437891704	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	315 Calhoun Street No 107	AddressLine1
City	Charleston	City
State	SC	State
ZIP Code	29401	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Bret D Johnson	Name
Title	SVP & CFO	Title
Phone	8437891704	Phone
Date Signed	2012-11-09	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Amy Bibby	Name
PTIN	P00445891	PTIN
Phone	8282542254	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	David L Dunlap	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	315 Calhoun Street No 107	AddressLine1
City	Charleston	City
State	SC	State
ZIP Code	29401	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	432382057	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.ropersaintfrancis.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1986	YearFormation
State Legal Domicile	SC	StateLegalDomicile
Activity Or Mission Description	Operation of nonprofit hospital facility in Charleston, SC.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	2403	TotalNbrEmployees
Total Nbr Volunteers	205	TotalNbrVolunteers
Total Gross UBI	523896	TotalGrossUBI
Net Unrelated Business Txbl Income	92524	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2654858	ContributionsGrantsPriorYear
Contributions Grants Current Year	2341951	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	417269053	ProgramServiceRevenuePriorYear
Program Service Revenue CY	425205618	ProgramServiceRevenueCY
Investment Income Prior Year	2771087	InvestmentIncomePriorYear
Investment Income Current Year	-115987	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3341486	OtherRevenuePriorYear
Other Revenue Current Year	4709566	OtherRevenueCurrentYear
Total Revenue Prior Year	426036484	TotalRevenuePriorYear
Total Revenue Current Year	432141148	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	451492	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	446704	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	168684798	SalariesEtcPriorYear
Salaries Etc Current Year	166659420	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	198690595	OtherExpensePriorYear
Other Expenses Current Year	207171242	OtherExpensesCurrentYear
Total Expenses Prior Year	367826885	TotalExpensesPriorYear
Total Expenses Current Year	374277366	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	58209599	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	57863782	RevenuesLessExpensesCY
Total Assets BOY	465343856	TotalAssetsBOY
Total Assets EOY	535768621	TotalAssetsEOY
Total Liabilities BOY	16826248	TotalLiabilitiesBOY
Total Liabilities EOY	11320234	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	448517608	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	524448387	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	Healing all people with compassion, faith, and excellence.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	326316136	Expense
Grants	446704	Grants
Revenue	425018815	Revenue
Description	Actively demonstrating Roper St. Francis Healthcare's commitment to heal all people with faith, compassion and excellence, Roper Hospital contributed almost $ 26,000,000 million in Community Benefit in 2011. This benefit included $18,428,000 in Charity Care, $1,405,000 in unreimbursed Medicaid, and $6,023,000 in numerous sponsorships and community outreach programs (see Schedule H for additional details). Highlights of Roper Hospital's busy year include: nearly 52,565 volunteer staff hours for activities such as health fairs, career days and public programs that benefited 97,490 individuals in the community; hosting the Students Can Really Use Bedside Skills "SCRUBS" program, which gives students an opportunity to learn about health careers from experts in the field; the American Heart Association Heartwalk to raise awareness of the prevalence of heart disease and stroke in the Lowcountry; Lowcountry Alzheimer's Association; Charleston Breast Center; and American Red Cross Lowcountry, among others. In addition to Roper Hospital's commitment to bettering and supporting the health of the community, the organization also supported many charitable organizations that work to fulfill additional needs. That list includes: Crisis Ministries, which provides food, hope and shelter to the homeless; Respite Care Ministries, which offers day programs with people suffering from memory loss; Wando High School; and sponsors the Charleston Dining Out for Life event which partners with local restaurants who then donate a portion of their proceeds to support the Ryan White program.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Description	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.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	326316136	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	1	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	1	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2403	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	7	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	SC	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	The Finance Department	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	8437891704	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	315 Calhoun Street 107	AddressLine1
City	Charleston	City
State	SC	State
ZIP Code	29401	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (44 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
John M Jordan
Chair	1.00	X	0	332573	23167
W Blount Ellison MD
Vice Chair	1.00	X	0	0	0
Joseph G Piemont
Board Member (as of July)	1.00	X	0	0	0
Richard Statuto
Board Member	1.00	X	0	0	0
Michael C Tarwater
Board Member (through June)	1.00	X	0	0	0
G Frederick Worsham MD
Board Member (through June)	1.00	X	0	0	0
Perry Keith Waring
Board Member	1.00	X	0	0	0
Brantley D Thomas PhD
Board Member	1.00	X	0	0	0
Sister Anne Lutz
Board Member	1.00	X	0	0	0
David M Ellison MD
Board Member (see Sch O)	1.00	X	29025	0	0
Katherine Duffy PhD
Board Member	1.00	X	0	0	0
Julius R Ivester MD
Board Member	1.00	X	0	0	0
Alison E Dillon
Board Member (see Sch O)	1.00	X	0	10500	0
Angress Walker
Board Member	1.00	X	0	0	0
Stanley Wilson MD
Board Member (as of July)	1.00	X	0	567091	55850
David Dunlap
President & CEO Of CAHS	1.00		0	1000085	187803	X
Matthew J Severance
CEO / Secretary	50.00		659875	0	169576	X
Bret Johnson
CFO & SVP / Treasurer	1.00		0	577927	168182	X
Steven D Shapiro
CMO & VP Med. Affiars	1.00		0	584528	110606	X
Allen Carroll
SVP Operations	1.00		0	554527	141872	X
John Sullivan
SVP Operations	1.00		0	421106	139574	X
Douglas W Bowling
CSO & VP	1.00		0	463622	110458	X
Michael Taylor
CIO & VP	1.00		0	402977	91527	X
H Douglas Harrison
VP Human Resources	1.00		0	386285	74074	X
Gregory T Edwards
VP & General Counsel	1.00		0	367601	109170	X
Ellen Brown
VP Mgd Care & Bus Relation	1.00		0	298193	50312	X
Lisa Irvin
VP Nursing/Sr. Nurse Exec	50.00		300850	0	73734	X
Father Terence K Fleming
VP Mission (through August)	1.00		0	180985	47849	X
Pennie Lynn Peralta
VP Nursing/Sr. Nurse Exec	1.00		0	251740	59908	X
Diana Topjian
VP Nursing/Sr. Nurse Exec-	1.00		0	165146	34608	X
Levern Livingston MD
Roper Board Vice Chair/Chair (begining July)	1.00		0	233657	31698	X
Allan Nussbaum
Roper Board Chair (through June)	1.00		0	0	0	X
Mark Dickson
VP Mission (as of September)	1.00		0	98234	24031	X
John Walters
Roper Board Vice Chair (as of August)	1.00		0	0	0	X
Peter DiNicola
Former Dir Of Plant Engin	1.00		0	217251	16080		X
Francis Wyckoff Jr
Dir Of Pharmacy	35.00		145182	62517	39628		X
Michael Ricciardone
Dir Of Imaging Services	22.00		71374	89741	19648		X
Catherine Landis
Dir Heart Care Center	43.00		136460	21115	26886		X
Wanda Brockmeyer
Director Of Emergency Services	38.00		125571	41190	18292		X
John D Steichen MD
MD	0.60		15120	1064891	53876			X
George H Khoury MD
MD	0.70		12928	981511	55376			X
Stephen E Rawe MD
MD	0.80		15780	1036220	45062			X
Brian G Cuddy MD
MD	0.90		13830	799684	52376			X
Robert Lowery MD
MD	0.30		6052	1204263	63030			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1532047	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	12415160	TotalReportableCompFrmRltdOrgs
Total Other Compensation	2094253	TotalOtherCompensation
Number Individuals GT100 K	86	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	1	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Roper Emergency Physicians
639 McCutchen Street	Charleston	SC	29412	Physician Fees	5339336
Morrison Management Specialists
PO Box 102289	Atlanta	GA	303682289	Cafeteria Management	4445342
Anesthesia Assoc of Charleston
PO Box 22206	Charleston	SC	29413	Anesthesia Services	2753643
NBM Construction Co Inc
PO Box 31027	Charleston	SC	29417	Construction Services	2738147
Rogers Builders Inc
PO Box 18446	Charlotte	NC	28218	Construction Services	1965709

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	52	NumberOfContractorsGT100K
Related Organizations	2314792	RelatedOrganizations
All Other Contributions	27159	AllOtherContributions
Noncash Contributions	64260	NoncashContributions
Total Contributions	2341951	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Net Patient Service	621400	424986847	424462951	523896
Cytology Net Income	900099	218771	218771

Field	Value	IRS element (for citing)
Total Program Service Revenue	425205618	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	16090	TotalRevenueColumn
Exclusion	$16,090	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	110152	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	110152	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	110152	TotalRevenueColumn
Exclusion	$110,152	ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	132077	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-132077	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-132077	TotalRevenueColumn
Exclusion	-$132,077	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	0	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	108832	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-108832	TotalRevenueColumn
Exclusion	-$108,832	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Cafeteria & Vending	722210	1803981	$1,803,981
Incentive Payments	900099	337093		337093
Garage & Parking	812930	92018	$92,018

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2475154	TotalRevenueColumn
Exclusion	$2,475,154	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	4708246	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	432141148	TotalRevenueColumn
Related Or Exempt Function Income	425018815	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	523896	UnrelatedBusinessRevenue
Exclusion	$4,256,486	ExclusionAmount

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

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	446704	Total
Program Services	446704	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1468336	Total
Program Services	29025	ProgramServices
Management And General	1439311	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	239887	Total
Program Services	239887	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	138301619	Total
Program Services	107945515	ProgramServices
Management And General	30356104	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	4705915	Total
Program Services	4000028	ProgramServices
Management And General	705887	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	14859575	Total
Program Services	12599261	ProgramServices
Management And General	2260314	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	7084088	Total
Program Services	6021475	ProgramServices
Management And General	1062613	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	4800018	Total
Program Services	4800018	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	799577	Total
Management And General	799577	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	316256	Total
Management And General	316256	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	4571	Total
Management And General	4571	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	27847995	Total
Program Services	26557994	ProgramServices
Management And General	1290001	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2022444	Total
Program Services	1580425	ProgramServices
Management And General	442019	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	24454164	Total
Program Services	18801021	ProgramServices
Management And General	5653143	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	186779	Total
Management And General	186779	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	9113041	Total
Program Services	8749252	ProgramServices
Management And General	363789	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	559610	Total
Management And General	559610	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	694572	Total
Management And General	694572	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	142921	Total
Program Services	142921	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	18062514	Total
Program Services	18062514	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1642611	Total
Program Services	1093702	ProgramServices
Management And General	548909	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
UBI taxes	18071	18071
Medical supplies	71181276	71181276
Bad debt expense	32415837	32415837
Medical DSH tax	10358544	10358544

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2550441	Total
Program Services	1272666	ProgramServices
Management And General	1277775	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	374277366	Total
Program Services	326316136	ProgramServices
Management And General	47961230	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	43253	BOY
EOY	61707	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	59864363	BOY
EOY	60678991	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	6678847	BOY
EOY	6178876	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1030868	BOY
EOY	1025858	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	346967190	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	179800585	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	168898676	BOY
EOY	167166605	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	214012538	BOY
EOY	285309937	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	11124499	BOY
EOY	11124499	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	3690812	BOY
EOY	4222148	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	465343856	BOY
EOY	535768621	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	1968516	BOY
EOY	1936235	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	4631364	BOY
EOY	285863	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	2495587	BOY
EOY	1985867	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	7730781	BOY
EOY	7112269	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	16826248	BOY
EOY	11320234	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	448517608	BOY
EOY	524448387	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	448517608	BOY
EOY	524448387	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	465343856	BOY
EOY	535768621	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	57863782	ReconcilationRevenueExpenses
Reconcilation Other Changes	18066998	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$4,571	OtherActivitiesAmount
Total Lobbying Expenditures IIB	4571	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Explanation of Lobbying Activities:	Identifier
Return Reference	Part II-B, Line 1:	ReturnReference
Explanation	The organization is a member of the American Rehab Providers Association (ARPA). This organization engages in lobbying efforts on behalf of their membership bodies, and each year a portion of membership dues is allocated to these lobbying expenditures. For 2011, membership dues attributable to lobbying were approximately $ 4,571.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3872178	OtherCostOrOtherBasis
Book Value	3872178	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	231664163	OtherCostOrOtherBasis
Depreciation	117562281	Depreciation
Book Value	114101882	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	8410749	OtherCostOrOtherBasis
Depreciation	4494022	Depreciation
Book Value	3916727	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	101043348	OtherCostOrOtherBasis
Depreciation	57744282	Depreciation
Book Value	43299066	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1976752	OtherCostOrOtherBasis
Book Value	1976752	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	167166605	TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
Net Intercompany Receivables	285057422	F
Investment in RSF Eye Surgery Center	252515	F

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	285309937	TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
Third Party Reserves	$6,057,936
Fin-47 Asbestos Accrual	$610,000
Other Liabilities	$444,333

Field	Value	IRS element (for citing)
Total Of Amounts	7112269	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Description of Uncertain Tax Positions Under FIN 48:	Identifier
Return Reference	Part X:	ReturnReference
Explanation	Roper 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. The Lowcountry Surgery Center is a limited liability company. Under current laws, income or loss of limited liability companies is included in the income tax returns of the members. 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, 2011 and 2010, and does not expect that unrecognized tax benefits will materially increase within the next 12 months. Tax years 2008 through 2010 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.	Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Spirit of Caring Golf	NameOfEvent1
Cash Prizes Event1	3279	CashPrizesEvent1
Non Cash Prizes Event1	27297	NonCashPrizesEvent1
Rent Facility Costs Event1	14280	RentFacilityCostsEvent1
Food And Beverage Event1	12572	FoodAndBeverageEvent1
Entertainment Event1	1000	EntertainmentEvent1
Other Direct Expenses Event1	2409	OtherDirectExpensesEvent1
Name Of Event2	Ryan White Dining Out for Life	NameOfEvent2
Other Direct Expenses Event2	8320	OtherDirectExpensesEvent2
Total Number Of Other Events	2	TotalNumberOfOtherEvents
Non Cash Prizes Other Events	4152	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	34236	RentFacilityCostsOtherEvents
Food And Beverage Other Events	226	FoodAndBeverageOtherEvents
Other Direct Expenses Other Events	1061	OtherDirectExpensesOtherEvents
Cash Prizes Total Events	3279	CashPrizesTotalEvents
Non Cash Prizes Total Events	31449	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	48516	RentFacilityCostsTotalEvents
Food And Beverage Total Events	12798	FoodAndBeverageTotalEvents
Entertainment Total Events	1000	EntertainmentTotalEvents
Other Direct Expenses Total Events	11790	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	108832	DirectExpenseSummaryEvents
Net Income Summary	-108832	NetIncomeSummary

Form990 Schedule G Part IV Form990ScheduleGPartIV

Field	Value	IRS element (for citing)
Identifier	Fundraising expenses	Identifier
Return Reference	Form 990, Schedule G	ReturnReference
Explanation	Roper St. Francis Foundation (57-1068509), a related organization, holds various fundraising events throughout the year for which Roper Hospital, Inc. covers the expense. Revenues from the fundraising events are presented on the foundation Schedule G, while related expenses are incurred here on the Schedule G of Roper Hospital, Inc.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	299.000000000000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	399.000000000000	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	30200420	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11772505	DirectOffsettingRevenue
Net Community Benefit Expense	18427915	NetCommunityBenefitExpense
Percent Of Total Expense	0.05390	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	24109656	TotalCommunityBenefitExpense
Direct Offsetting Revenue	22704568	DirectOffsettingRevenue
Net Community Benefit Expense	1405088	NetCommunityBenefitExpense
Percent Of Total Expense	0.00410	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	54310076	TotalCommunityBenefitExpense
Direct Offsetting Revenue	34477073	DirectOffsettingRevenue
Net Community Benefit Expense	19833003	NetCommunityBenefitExpense
Percent Of Total Expense	0.05800	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	483434	TotalCommunityBenefitExpense
Net Community Benefit Expense	483434	NetCommunityBenefitExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2210530	TotalCommunityBenefitExpense
Direct Offsetting Revenue	165702	DirectOffsettingRevenue
Net Community Benefit Expense	2044828	NetCommunityBenefitExpense
Percent Of Total Expense	0.00600	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2160	TotalCommunityBenefitExpense
Net Community Benefit Expense	2160	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3404568	TotalCommunityBenefitExpense
Direct Offsetting Revenue	65092	DirectOffsettingRevenue
Net Community Benefit Expense	3339476	NetCommunityBenefitExpense
Percent Of Total Expense	0.00980	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6100692	TotalCommunityBenefitExpense
Direct Offsetting Revenue	230794	DirectOffsettingRevenue
Net Community Benefit Expense	5869898	NetCommunityBenefitExpense
Percent Of Total Expense	0.01720	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	60410768	TotalCommunityBenefitExpense
Direct Offsetting Revenue	34707867	DirectOffsettingRevenue
Net Community Benefit Expense	25702901	NetCommunityBenefitExpense
Percent Of Total Expense	0.07520	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	152808	TotalCommunityBuildingExpense
Net Community Building Expense	152808	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	152808	TotalCommunityBuildingExpense
Net Community Building Expense	152808	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$32,415,837	BadDebtExpenseAmount
Amount Attributable To	12966335	AmountAttributableTo
Amount Reimbursed By Medicare	129554130	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	151969764	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-22415634	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 Lowcountry Surgery Center (DBA Roper St Francis Eye Surgery Center)	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	Eye Surgery	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.50500	OrganizationProfitOrOwnership
Physicans Profit Or Ownership	0.49500	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Roper Hospital Inc	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	316 Calhoun Street	AddressLine1
City	Charleston	City
State	SC	State
ZIP Code	29401	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours
Other	Rehab	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Roper Hospital Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	299.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	399.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	19	NumberOfOtherFacilities

Other Facilities OtherFacilities (19 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType	Address Line2Address/AddressLine2
Roper Hospital Diagn & ER-Northwoods
2233 Northwoods Blvd	North Charleston	SC	29406	X-ray, EKG, CT, pharmacy, lab, and emergency services
Roper Hospital Diagn & ER - Berkeley
730 Stoney Landing Road	Moncks Corner	SC	29461	X-ray, CT, bone density, fluroscopy, mobile MRI, mammo, US, EKG, lab, pharma
Roper Hospital Amb Surgery & Pain
325 Folly Road Ste 200	Charleston	SC	29412	Ambulatory Surgery
Roper Hospital Radiation Oncology - Rope
2085 Henry Tecklenburg Drive Ste	Charleston	SC	29414	radiation therapy	106
Roper Hospital Diagn - Farmfield
16 Farmfield Avenue Ste E	Charleston	SC	29407	X-ray, EKG, CT, MRI, bone density, lab, mammo
Roper St Francis Home Health Care
1483 Tobias Gadson Blvd 208	Charleston	SC	29407	Home Health Care
Roper Hospital Imaging - Wesley Drive
615 Wesley Drive Ste 120	Charleston	SC	29407	Echo, Ultrasound, duplex scan, nuc med, CT
Roper Hospital PETCT - Roper St Franci
2085 Henry Tecklenburg Dr Ste 105	Charleston	SC	29414	PET/CT and CT
Roper Hospital Amb Surgery - Berkeley
730 Stoney Landing Road	Moncks Corner	SC	29461	Ambulatory Surgery
Roper Hospital Imaging - Wingo Way
180 Wingo Way Ste 105	Mt Pleasant	SC	29464	Bone Density/DEXA, ultrasound, X-Ray, nuc med
Roper Hospital Diagn - Medical Office
125 Doughty Street Ste 160	Charleston	SC	29403	X-ray, EKG, lab
Roper Hospital Diagn - Moncks Corner
2061 Highway 52	Moncks Corner	SC	29461	X-ray, MRI
Roper Hospital Amb Surgery - West
18 Farmfield Avenue	Charleston	SC	29407	Ambulatory Surgery
Roper Hospital Rehab - Berkeley
730 Stoney Landing Road	Moncks Corner	SC	29461	PT, OT, ST
Roper Hospital Diagn - James Island
347 Folly Road	Charleston	SC	29412	X-ray, EKG, and lab
Roper Hospital Diagn - Goose Creek
149 St James Avenue	Goose Creek	SC	29445	X-ray, mammo, EKG, lab
Roper Hospital Sleep Lab - Berkeley
730 Stoney Landing Road	Moncks Corner	SC	29461	sleep lab services
Roper Hospital Diagn - KiawahSeab
345 Freshfield Drive Ste J101	Johns Island	SC	29455	X-ray, EKG, lab
Roper Hospital Diagn - Mt Pleasant
570 Longpoint Road Ste 150	Moncks Corner	SC	29464	lab and EKG

Form990 Schedule H Part VI Form990ScheduleHPartVI (20 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
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, 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 2011 Schedule H instructions was used to compute a cost-to-charges ratio used to calculate charity care and unreimbursed Medicaid at cost.
Part I, L7 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 $ 32,415,837.
Advantage Programs - $ 7,564 Amputee Support Group - 1,542 Aneurysm Support Group - 3,214 Breastfeeding Support Group - 2,245 Colorectal Cancer Support Group - 123 Community Calendars and Newsletters - 5,293 Diabetes Support Group 82 Enrollment Assistance in Public Programs - 122,141 Expressions of Healing - 2,597 Health Education and Lectures by Staff - 6,966 Health Fairs and Career Days - 26,596 HIV Program and Activities - 11,957 House Calls Magazine - 206,380 WIC - 19,778 Community Benefit Program Oversight Costs - 66,956 Total to Line 7(e), Col (e) - 483,434	Detail of Community Health Services (net):	Part I, Line 7(e):
Part II: In 2011, the hospital provided 52,565 hours of staff time for activities such as health fairs, career days and public programs, in support of community and health related initiatives. During this time, the healthcare system served more than 97,490 community residents. The hospital further supported the community by providing $416,478 in sponsorships to several local organizations.
Part III, Line 4: Bad debts reported on Part III, Line 2 are reported at gross charges per the organization's audited financial statements.Receivables are reported at the net realizable amounts from patients, third-party payors, and others for services rendered, including estimated retroactive adjustments under reimbursement agreements. Retroactive adjustments are accrued on an estimated basis in the period the related services are rendered and adjusted in future periods as final settlements are determined. The organization provides care to patients who meet certain criteria under its charity care policies without charge or at amount less than its established rates. Because the organization does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue. During 2010, the organization enhanced its efforts to qualify patients for charity care through the use of an electronic credit scoring technique, which resulted in substantially more charity care and substantially less bad debt expense recognized in future periods.For patients who do not turn in a signed charity care application, the organization 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 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 and Physicians Practices this would have resulted in an additional shortfall of $5,012,307.
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 V, Section B, Line 9: 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, 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 Hospital, Inc.
Part V, Section B, Line 10: 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 Hospital, Inc.
Part V, Section B, Line 11h: 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 Hospital, Inc.
Part V, Section B, Line 13g: The patient handbook provided with registration references the policy and includes contact information for patients who need assistance.	Roper Hospital, Inc.
Part V, Section B, Line 19d: 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 Section 1.501(r), however given the high level of discount available under the current policy, the organization is confident that its policies are well within guidelines.	Roper Hospital, Inc.
Part VI, Line 2: The hospital participates in periodic needs assessment projects to assess the healthcare needs of the community. The most recent needs assessment titled "Health System Profile for the Tricounty Area of Berkeley, Charleston, & Dorchester Counties" was performed in 2010. This report was a collaboration between the South Carolina Hospital Association and the South Carolina Rural Health Research Senter in the Arnold School of Public Health, University of South Carolina. A number of data sets were examined in partnership with the Office of Research and Statistics at the South Carolina Budget and Control Board. The majority of the information delineated in this report was drawn from a series of interviews and focus groups with healthcare professionals, community leaders, and uninsured residents. The purpose of this report was to assess local healthcare infrastructure including location, service availability, business rules, and workforce issues as well as to describe health service utilization issues such as the types of care uninsured people are seeking, the degree of unmet healthcare needs, and perceived reasons for needs going unmet. Data suggests that resources available to uninsured in the Tricounty area are moderately effective in preventing potentially avoidable emergency room visits but lack impact on the same type of inpatient hospitalizations. Diabetes, bacterial pneumonia, congestive heart failure, kidney/urinary tract infections, and dental conditions are among the most prevalent reasons for an avoidable hospital visit. Dental care remains a significant unmet healthcare need among the uninsured. Access to specialty care for the uninsured is unanimously the biggest obstacle for the Tricounty Key Stakeholders. The participants in the needs assessment will engage in strategic planning and implementation of activities that will improve access to care for the uninsured. A project database will inform on the group's progress. The University of South Carolina team will continue to monitor progress as a project evaluator.
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 682,000 residents live within the primary service area. Population in the primary service area is projected to grow 5.4% between 2010 and 2015. In 2010, income levels in the primary service area were estimated as follows: Income less than $ 15,000 - 14.0% Between $ 15,000 and $ 25,000 - 12.0% Between $ 25,000 and $ 50,000 - 26.0% Between $ 50,000 and $ 75,000 - 18.0% Between $ 75,000 and $100,000 - 12.0% Income above $100,000 - 18.0%Compared to the national averages of 14.0%, 12.0%, 25.0%, 18.0%, 11.0%, and 20.0%, respectively (most recent data available).Within the primary service area, poverty continues to be an issue. An estimated 113,131 Tricounty residents lack health insurance. There is a vast over-representation of the uninsured living at or below the federal poverty level. The US Department of Health and Human Services designated six medically underserved areas and one medically underserved population within our primary service area. From April 2011 to April 2012, the unemployment rate in the primary service area decreased from 8.0% to 7.1%. This is a lower unemployment rate than the national average, which was 8.7% in April 2011 declining to 7.7% in April 2012. 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: In keeping with our mission of healing all people with compassion, faith, and excellence, Roper St. Francis Healthcare strives to enrich the health of our community. We do this by offering charity care to those in need, reaching out to our neighbors with health fairs and educational materials, sponsoring organizations and events that promote wellness and community well-being, and marshalling our resources to advance the health and dignity of each person with whom we come in contact. 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. Surplus funds are returned to our community through the development of new facilities to serve population growth, the expansion of existing facilities, subsidizing care for those who are unable to pay, sponsorship of healthcare related activities including outreach clinics and programs for the uninsured, and investing in technology to improve the quality of patient care.The organization is committed to the enrichment of healthcare in our community as evidenced by the composition of our Board of Directors and Open Medical Staff. Our governing body is comprised of a 13-member Board of Directors. At least nine directors must have their primary residence in a community served by the system. Five directors must be physicians actively engaged in the full time practice of medicine. The hospital extends medical staff privileges to all qualified physicians in the area for most of our departments.
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 Hospital, Inc, an acute care hospital with 368 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 Hospital, Inc.
SC	Reports Filed With States	Part VI, Line 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained
No Grant More Than5000	X	NoGrantMoreThan5000

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Form 990, Schedule I	Identifier
Return Reference	Grants	ReturnReference
Explanation	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 2011 have been listed on CareAlliance Health Service's Form 990.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	1	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	1	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (28 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
John M Jordan
0	262573	0	70000	0	0	0	12564	0	10603	0	355740	0	0
Stanley Wilson MD
0	566497	0	0	0	594	0	29064	0	26786	0	622941	0	0
David Dunlap
0	511752	0	405684	0	82649	0	157885	0	29918	0	1187888	0	76753
Matthew J Severance
387609	0	245588	0	26678	0	136108	0	33468	0	829451	0	26369	0
Bret Johnson
0	291943	0	214879	0	71105	0	132264	0	35918	0	746109	0	65514
Steven D Shapiro
0	353282	0	203839	0	27407	0	103182	0	7424	0	695134	0	14267
Allen Carroll
0	318981	0	212427	0	23119	0	116460	0	25412	0	696399	0	21774
John Sullivan
0	223463	0	167609	0	30034	0	119147	0	20427	0	560680	0	0
Douglas W Bowling
0	289576	0	154054	0	19992	0	91212	0	19246	0	574080	0	19605
Michael Taylor
0	243327	0	132696	0	26954	0	74164	0	17363	0	494504	0	12605
H Douglas Harrison
0	230973	0	125475	0	29837	0	62019	0	12055	0	460359	0	10396
Gregory T Edwards
0	265465	0	92221	0	9915	0	85159	0	24011	0	476771	0	0
Ellen Brown
0	181535	0	101955	0	14703	0	26444	0	23868	0	348505	0	11837
Lisa Irvin
181781	0	101929	0	17140	0	62807	0	10927	0	374584	0	10745	0
Father Terence K Fleming
0	72625	0	96432	0	11928	0	45252	0	2597	0	228834	0	10628
Pennie Lynn Peralta
0	156520	0	85568	0	9652	0	45576	0	14332	0	311648	0	9265
Diana Topjian
0	125981	0	38662	0	503	0	20145	0	14463	0	199754	0	0
Levern Livingston MD
0	215460	0	17810	0	387	0	11449	0	20249	0	265355	0	0
Peter DiNicola
0	184172	0	30642	0	2437	0	10464	0	5616	0	233331	0	0
Francis Wyckoff Jr
117418	50562	20880	8991	6884	2964	19964	8597	7736	3331	172882	74445	0	0
Michael Ricciardone
56725	71323	9427	11853	5222	6565	4227	5315	4477	5629	80078	100685	0	0
Catherine Landis
118009	18260	17701	2739	750	116	3632	562	19651	3041	159743	24718	0	0
Wanda Brockmeyer
102787	33716	14721	4829	8063	2645	7202	2362	6572	2156	139345	45708	0	0
John D Steichen MD
15117	1064687	0	0	3	204	407	28657	347	24465	15874	1118013	0	0
George H Khoury MD
12923	981129	0	0	5	382	378	28686	342	25970	13648	1036167	0	0
Stephen E Rawe MD
14866	976211	823	54034	91	5975	436	28628	240	15758	16456	1080606	0	0
Brian G Cuddy MD
13820	799109	0	0	10	575	494	28570	396	22916	14720	851170	0	0
Robert Lowery MD
6049	1203681	0	0	3	582	145	28919	170	33796	6367	1266978	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part I, Line 4b	The following participants received compensation through a 457(f) Plan: Matthew Severance - 30,458 Lisa Irvin - 11,130 Allen Carroll - 22,750 (from a related organization) Ellen Brown - 11,430 (from a related organization) Douglas Bowling - 19,760 (from a related organization) Steven Shapiro - 25,831 (from a related organization) Michael Taylor - 14,970 (from a related organization) Pennie Peralta - 9,630 (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 III	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.	Supplemental Information

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Charleston Pathology PA
Owned in part by Board member G. Frederick Worsham	937448	Provision of pathology services to organization. Amount of transaction indicates the aggregate payment for services performed in 2011.	0
Coastal Cardiology
Owned in part by Board member W. Blount Ellison, MD	592206	Provision of cardiology services to organization. Amount of transaction indicates the aggregate payment for services performed in 2011.	0
Anesthesia Associates of Charleston
Business relationship with Board member Julius Ivester	2967046	Provision of anesthesia services to organization. Amount of transaction indicates the accrued aggregate payment for services performed in 2011.	0
Sonde Smith
Family relationship with Board member Julius Ivester	54257	Compensation as employee	0
Laurie Pendarvis
Family relationship with Board member Julius Ivester	129528	Compensation as employee	0
Jennifer Dunlap
Family relationship with Officer David Dunlap	56102	Compensation as employee	0
Roper St Francis Cancer Center
Owned in part by Board member David Ellison	603142	Lease payments made to organization.	0

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	2	NumberOfContributions
Noncash Contribs Rptd F990	17500	NoncashContribsRptdF990
Method Of Determining Revenues	Fair market value	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	Rehab equipment	1	24127	Fair market value
X	Medical equip	1	21474	Fair market value
X	Oncology smocks	1	1159	Fair market value

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (17 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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 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 11	The 2011 Form 990 was prepared by an independent accounting firm with assistance and oversight by management. Reviews were then conducted by the Assistant Controller, Director of Finance, and Chief Financial Officer of Carealliance Health Services, the sole member, before presentation and review with the organization's governing body. Highlights of the 2011 Form 990 were presented to the organization's Board of Directors in October 2012. In addition to the organization's executive management, representatives of Dixon Hughes Goodman LLP participated in this review with board members. The October board meeting was held prior to the filing of the Form 990 with the Internal Revenue Service. A final version of the Form 990 was sent to all members of the governing body prior to filing.
Form 990, Part VI, Section B, line 12c	The 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 15	An independent company, Towers Perrin, 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 the 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 Perrin'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. 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 Perrin, representing that senior executives are compensated within the reasonableness standards mandated by the IRS. A similar process is performed by Watson Wyatt (compensation consulting firm) 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 administrative 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 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. David M. Ellison was compensated for medical services rendered to the organization. Alison E. Dillon was compensated for medical services rendered to a related organization. Stanley Wilson was compensated for medical services rendered to a related organization.	Compensation of Board members:
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 for 2011 have been listed on CareAlliance Health Service's Form 990.	GRANTS
Form 990, Part XI, line 5:	Donated services and use of facilities: 533,209. Funds Released from Foundation 60,298. Intercompany contribution to close LLCs 19,704,572. Pension and benefits expense allocation from CAHS -2,231,081. Total to Form 990, Part XI, Line 5: 18,066,998.	Changes in Net Assets or Fund Balances:
Form 990, Part XII, Line 2C:	The process has not changed from the prior year.
	-- 2011 COMMUNITY BENEFIT REPORT -- Dear Friends, The spirit of giving is strong at Roper St. Francis. This desire to give back with our time, talent and treasure is something that runs deep within our culture. It is evident in our staff that is always willing to go the extra mile, in our volunteers who serve meals each month at Crisis Ministries and our numerous co-workers reaching out into the community. Even in these challenging economic times and with increasing demands within healthcare, Roper St. Francis continues to excel in providing high levels of quality support in the effort to create healthy communities. I am proud to report that as a system we gave back over $55 million in Community Benefit in 2011. This benefit comes in many forms, including charity care, sponsorships and numerous community outreach programs, many of which are outlined in this Report to Our Community. I hope you enjoy learning about the many ways we touch our community in the year's report. Warm regards, David L. Dunlap, FACHE President and CEO Charity Care: $38,437,116 Unreimbursed Cost of Medicaid: $7,305,167 Community Investment: $706,081 Community Outreach Programs: $8,844,973* Total Community Benefit: $55,293,337 *The $8,844,073 given to community outreach programs went to the following programs: - Support Groups - Families for a Healthy Heart - Access Health - Mental Health Grant - Barrier Island Free Clinic - Our Lady of Mercy Outreach Center Prenatal Clinic - Ryan White Program - Education: Nursing, CPE, Imaging, PT - Disaster Preparedness
	CHARITY BEGINS AT HOME Trident United Way Roper St. Francis employees continue to show their incredible generosity by donating $513,647 to the Trident United Way in 2011. This is the highest amount raised by employees at a single company in the Lowcountry. Roper St. Francis employees raised $46,000 for the American Heart Association. Healthfairs Bringing lifesaving screenings and preventive tests out into our community is a large part of our outreach mission. In 2011, we sponsored 45 community healthfairs and participated in over 85 requested community healthfairs and screenings. Our staff hours for these and other community initiatives exceeded 88,354. Community Investment Roper St. Francis is proud to support organizations in our community that enhance the overall health and vitality of our community. Monetary donations, contributions of paid employee time and donations of supplies and equipment are just a few of the ways we supported our community. In 2011, we provided $706,081 in sponsorships. The following are just a sampling of the organizations we partnered with: Achieving Wheelchair Equality Alzheimer's Association American Cancer Society American Foundation for Suicide Prevention American Heart Association American Lung Association Arthritis Foundation Barrier Islands Free Medical Clinic Berkeley County Family YMCA Berkeley Seniors Callen Lacy Center for Children Camp Happy Days Charleston County Medical Society Alliance Charleston Ride for Hope Closing the Gap in Healthcare Coastal Crisis Chaplaincy Crisis Ministries Darkness to Light Down Syndrome Association Lowcountry Dragon Boat Charleston Florence Crittenton Program of SC Franklin C. Fetter Family Health Center Inc. HALOS Hemangioma Treatment Foundation Hospice of Charleston, Inc. ITN of Charleston Leukemia and Lymphoma Society Lowcountry Pregnancy Center Lowcountry Food Bank Make a Wish Foundation SC March of Dimes MedShare International Inc. Metanoia Muscular Dystrophy Association NAACP National Kidney Foundation Our Lady of Mercy Outreach Palmetto Project Palmetto Palace Respite Care Ministries Salvation Army Nearly $3 million in Grants Supports Community Health Initiatives The Roper St. Francis Foundation has a simple mission: to secure philanthropic support to fund the programs and activities of Roper St. Francis Healthcare. In 2011, the Foundation received more than $2.9 million in grant support for projects that reach out to help some of the area's most vulnerable residents. These grants provide much-needed support for programs such as: - The Center for Spinal Cord Injury - Ryan White HIV Program - Home Health Telemonitoring TOUCHING COMMUNITIES LOCALLY AND GLOBALLY The Inner City Crisis Ministries Roper St. Francis has been a long time partner of Crisis Ministries, a place where people can go for a warm meal and safe place to sleep. In 2011, our service included many things we have been doing for years and some exciting new partnerships including: - Each month Roper St. Francis employees serve a full, hot dinner at the shelter that has been prepared by the Roper Hospital cafeteria. - The system sponsors an on-site nurse practitioner to care for the homeless. - The system regularly makes in-kind donations of medical equipment, laboratory testing and medication. - In 2011, the Medical Society of South Carolina, one of Roper St. Francis' founding members, completed a $500,000 challenge grant for Crisis Ministries. The Society donated $200,000 in matching funds to complement $300,000 raised by the shelter for its new health clinic.
	Bringing Hope to Abused and Neglected Children An abused girl receives a surprise birthday party, while a foster child is given clothes for the new school year. These are just a few things that happen because of local nonprofit Charleston HALOS and Roper St. Francis employees. In 2011, Roper St. Francis received the first HALOS/Charleston County DSS Organizational Commitment Award. The honor, named for HALOS close association with the county's Department of Social Services, recognizes an organization that has greatly assisted HALOS in impacting the lives of maltreated children. Throughout the year Roper St. Francis employees collected school supplies along with making sure the program's closet is stocked with items such as diapers, formula and soaps. On the annual Day of Caring, more than 1,000 Hope Bags were created by employees for the children. The Ryan White Program In late 2010, The Ryan White Program opened a new Wellness Center that provides a range of care and support services including vaccines, lab services, medical case management, housing services and physician care in one convenient location. Functioning under a clinic model allows for better coordination of care, improved clinical outcomes, cost containment and increased convenience for clients. In 2011, the Ryan White Program and Wellness Center served 549, largely uninsured and poor, clients. Of these, 117 were newly enrolled. The program is committed to addressing the primary goals of the new National HIV/AIDS Strategy to: 1. Reduce HIV infection rates 2. Increase access to care and optimizing health outcomes 3. Reduce the HIV-related health outcomes for all of those that are enrolled RURAL AREAS Our Lady of Mercy Outreach Center In August of 2011, Roper St. Francis began providing the Pre-natal Clinic at the Wellness House, as part of our on-going relationship with Our Lady of Mercy Outreach Center (OLM). We have partnered with OLM since 1999, providing women access to top quality healthcare including ultrasounds, labs, cultures and vaccines. In fact, last year we helped provide 985 services. Barrier Island Free Medical Clinic Hundreds of uninsured people were able to receive free medical care, thanks to numerous volunteer physicians and staff. Retired Roper St. Francis physician, Dr. Jim Hayes, is the chairman of the Barrier Island Board of Directors and our system has long been a partner of the clinic, helping them to obtain their seed money with a $269,000 grant from the Duke Endowment Foundation. In 2011, we provided well over 4,000 free lab and imaging tests in areas such as vascular, sleep lab, neuro diagnostics and many more. AccessHealth Tri-County Network "I think one of the best examples of community building is our leadership role in AccessHealth Tri-County Network. Having served as the Director of the local DHEC district, I have seen many attempts to get healthcare providers to come together to provide our citizens a community-wide system of care. With Roper St. Francis serving as The Duke Endowment grantee and Trident United Way serving as the coordinating agency for this program, we have made a major step forward in improving the life of our citizens." -Dr. Joe Chambers, Roper St. Francis Community Health Consultant Since initiated in 2010 with grant funding from The Duke Endowment, AccessHealth Tri-County Network (AHTN) continues to move towards its goal of providing access to a coordinated, sustainable provider network of care for low-income, uninsured residents of Berkeley, Charleston and Dorchester counties. Made up of 27 partners, AccessHealth navigates uninsured Tri-county residents into a wide range of healthcare and health-related services, from primary care medical homes to specialty care services to supportive services. Roper St. Francis continues to play a leading role in establishing the AHTN infrastructure and providing patient-centered, coordinated care for Tri-county residents who otherwise would forego medical care or end up in emergency rooms. Staff members participating across the system, from case managers to mission coordinators to doctors and operating room staff, have been essential to the success of this community-based effort.
	GLOBALLY Roper St. Francis Supports Medical Missions Around the World for Those Most In Need China Tanya Lott, RN-BC, MSN, professional development specialist, went to Southeast China with a team from ifMissions. During the trip, the group visited schools in remote villages in the rugged mountains of Southeast China. The team conducted health screenings and eye exams, and children were also given antiparasitics and multivitamins. A World Health Organization study found that if children exposed to parasites - such as those common in an unclean water supply - were given just one dose each of an antiparisitic and multivitamin, it could have lifespan-increasing benefits. (Dr. Philip McGaha and Dr. Taryn Stelter of Plantation Pediatrics provided the anitparasitic and dosing information.) "It was a life-changing, memorable trip," said Lott. Guatemala Kelly Walker, MSN, RNC-MNN, clinical nurse specialist, Women's Services, went to Guatemala on behalf of a national nursing organization to which she belongs. The group had partnered with Save the Children, an international group that supports community health workers in developing countries. Walker and others travelled to remote Central American villages where they saw first hand the challenges that families face in accessing care. Kenya As part of Roper St. Francis' Hands Across the Water project, employees, doctors and volunteers came together to raise more than $27,000. The healthcare system worked with MedShare, an Atlanta-based nonprofit that recovers and redistributes surplus medical supplies to hospitals in developing countries, to send the tractor trailer-sized container of medical supplies and equipment to Kenya. The 1,000 boxes of medical supplies, biomedical equipment and durable medical goods, will support Plateau Mission Hospital's capable professionals and strong leadership by enabling them to provide better healthcare to the community it serves. Scott Broome, director of oncology services, went to Atlanta to see off the shipment. A Shared Statement of Identity for Roper St. Francis Healthcare We are the people of Roper St. Francis Healthcare, continuing the mission of healing all people with compassion, faith and excellence. As provider, employer, advocate, citizen...bringing together people of diverse faiths and backgrounds... our work is an enduring sign of healthcare rooted in our belief that every person is a treasure, every life a sacred gift, every human being a unity of body, mind and spirit. We work to bring alive the vision of justice and peace. We answer the call to foster healing, act with compassion and promote wellness for all persons and communities, with special attention to our neighbors who are poor, underserved and most vulnerable. By our service, we strive to transform hurt into hope. In promoting the mission of healthcare, we commit to: - Defend Human Dignity - Attend to the Whole Person - Care for Poor and Vulnerable Persons - Promote the Common Good - Act on Behalf of Justice - Work in Solidarity and Collaboration with Each Other

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	James Island Surgery Center	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	315 Calhoun Street 107	AddressLine1
City	Charleston	City
State	SC	State
ZIP Code	29401	ZIPCode

Field	Value	IRS element (for citing)
EIN	263858266	EIN
Primary Activities	Surgery Center	PrimaryActivities
Legal Domicile State	SC	LegalDomicileState
Total Income	0	TotalIncome
EOY Assets	0	EOYAssets
Direct Controlling Entity NA	N/A	DirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
CareAlliance Health Services
315 Calhoun Street 107	Charleston	SC	29401	570831165	Healthcare	SC	501(c)(3)	Line 3	N/A	0
Bon Secours St Francis Xavier Hospital
315 Calhoun Street 107	Charleston	SC	29401	571067254	Healthcare	SC	501(c)(3)	Line 3		0	CareAlliance Health Services
Roper St Francis Mt Pleasant Hospital
315 Calhoun Street 107	Charleston	SC	29401	570360499	Healthcare	SC	501(c)(3)	Line 3		0	CareAlliance Health Services
Roper St Francis Hospital - Berkeley
315 Calhoun Street 107	Charleston	SC	29401	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	29401	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

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Lowcountry Surgery Center LLC (dba Roper St Francis Eye Surgery Center)	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	315 Calhoun Street 107	AddressLine1
City	Charleston	City
State	SC	State
ZIP Code	29401	ZIPCode

Field	Value	IRS element (for citing)
EIN	581693021	EIN
Primary Activity	Ambulatory Surgery Center	PrimaryActivity
Legal Domicile State	SC	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Predominant Income Type	Related	PredominantIncomeType
Share Of EOY Assets	252515	ShareOfEOYAssets
Disproportionate Allocations	0	DisproportionateAllocations
General Or Managing Partner	1	GeneralOrManagingPartner
Percentage Ownership	0.50500	PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	CareAlliance Medical Services Organization	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	225 Doughty Street	AddressLine1
City	Charleston	City
State	SC	State
ZIP Code	29403	ZIPCode

Field	Value	IRS element (for citing)
EIN	571012837	EIN
Primary Activity	Inactive	PrimaryActivity
Legal Domicile State	SC	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Type Of Entity	C	TypeOfEntity

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	1	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	1	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

Field	Value	IRS element (for citing)
Business Name Line1	Lowcountry Surgery Center LLC	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	Q	TransactionType
Amount Involved	252515	AmountInvolved
Method Of Amt Determination	CASH	MethodOfAmtDetermination