ROPER HOSPITAL INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ROPER HOSPITAL INC (EIN 57-0828733)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-11
IRS object ID
201103159349302455
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-11T10:48:40-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1
CityASHEVILLECity
StateNCState
ZIP Code28806ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN570828733EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ROPER HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlROPENameControl
Phone8437891704Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1315 CALHOUN STREET NO 107AddressLine1
CityCHARLESTONCity
StateSCState
ZIP Code29401ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBRET D JOHNSONName
TitleSVP & CFOTitle
Phone8437891704Phone
Date Signed2011-11-02DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMY BIBBYName
Phone8282542254Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDAVID L DUNLAPNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1315 CALHOUN STREET NO 107AddressLine1
CityCHARLESTONCity
StateSCState
ZIP Code29401ZIPCode
FieldValueIRS element (for citing)
Gross Receipts426138418GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ROPERSAINTFRANCIS.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1986YearFormation
State Legal DomicileSCStateLegalDomicile
Activity Or Mission DescriptionOPERATION OF NONPROFIT HOSPITAL FACILITY IN CHARLESTON, SCActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees2390TotalNbrEmployees
Total Nbr Volunteers422TotalNbrVolunteers
Total Gross UBI30743TotalGrossUBI
Net Unrelated Business Txbl Income10815NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2008180ContributionsGrantsPriorYear
Contributions Grants Current Year2654858ContributionsGrantsCurrentYear
Program Service Revenue Prior Year445304393ProgramServiceRevenuePriorYear
Program Service Revenue CY417269053ProgramServiceRevenueCY
Investment Income Prior Year-179945InvestmentIncomePriorYear
Investment Income Current Year2771087InvestmentIncomeCurrentYear
Other Revenue Prior Year3540420OtherRevenuePriorYear
Other Revenue Current Year3341486OtherRevenueCurrentYear
Total Revenue Prior Year450673048TotalRevenuePriorYear
Total Revenue Current Year426036484TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year229401GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY451492GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year153139508SalariesEtcPriorYear
Salaries Etc Current Year168684798SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year248761863OtherExpensePriorYear
Other Expenses Current Year198690595OtherExpensesCurrentYear
Total Expenses Prior Year402130772TotalExpensesPriorYear
Total Expenses Current Year367826885TotalExpensesCurrentYear
Revenues Less Expenses Prior Year48542276RevenuesLessExpensesPriorYear
Revenues Less Expenses CY58209599RevenuesLessExpensesCY
Total Assets BOY404004880TotalAssetsBOY
Total Assets EOY465343856TotalAssetsEOY
Total Liabilities BOY17427578TotalLiabilitiesBOY
Total Liabilities EOY16826248TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY386577302NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY448517608NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionHEALING ALL PEOPLE WITH COMPASSION, FAITH, AND EXCELLENCE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense319343794Expense
Grants451492Grants
Revenue417238310Revenue
DescriptionACTIVELY DEMONSTRATING ROPER ST. FRANCIS HEALTHCARE'S COMMITMENT TO HEAL ALL PEOPLE WITH FAITH, COMPASSION AND EXCELLENCE, ROPER HOSPITAL CONTRIBUTED ALMOST $ 27,000,000 MILLION IN COMMUNITY BENEFIT IN 2010. THIS BENEFIT INCLUDED $18,917,000 IN CHARITY CARE, $2,747,000 IN UNREIMBURSED MEDICAID, AND $5,288,000 IN NUMEROUS SPONSORSHIPS AND COMMUNITY OUTREACH PROGRAMS (SEE SCHEDULE H FOR ADDITIONAL DETAILS). HIGHLIGHTS OF ROPER HOSPITAL'S BUSY YEAR INCLUDE: NEARLY 44,000 VOLUNTEER STAFF HOURS FOR ACTIVITIES SUCH AS HEALTH FAIRS, CAREER DAYS AND PUBLIC PROGRAMS THAT BENEFITED 197,000 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; AND PARTICIPATION IN THE AMERICAN HEART ASSOCIATION HEARTWALK TO RAISE AWARENESS OF THE PREVALENCE OF HEART DISEASE AND STROKE IN THE LOWCOUNTRY. IN ADDITION TO ROPER HOSPITAL'S COMMITMENT TO BETTERING AND SUPPORTING THE HEALTH OF THE COMMUNITY, THE ORGANIZATION ALSO SUPPORTED MANY CHARITABLE ORGANIZATIONS SUCH AS THE LOWCOUNTRY ALZHEIMERS ASSOCIATION, CHARLESTON BREAST CENTER, AND AMERICAN RED CROSS LOWCOUNTRY, AMONG OTHERS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
DescriptionPLEASE SEE A DETAILED DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS IN SCHEDULE O.PLEASE VISIT OUR WEBSITE FOR A DETAILED COMMUNITY BENEFIT REPORT AT: HTTP://WWW.ROPERSAINTFRANCIS.COM/ABOUT_US/MISSION_AND_COMMUNITY_ACTIVITIES/ANNUALREPORT.ASPX.Description
FieldValueIRS element (for citing)
Total Program Service Expense319343794TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest1ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached0FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art1DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees2390NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledSCStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE FINANCE DEPARTMENTBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8437891704TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1315 CALHOUN STREET 107AddressLine1
CityCHARLESTONCity
StateSCState
ZIP Code29401ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (40 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JOHN M JORDAN
CHAIR1.00X028992551575
W BLOUNT ELLISON MD
VICE CHAIR1.00X000
SIS PATRICIA A ECK CBS
BOARD MEMBER (UNTIL JUNE 2010)1.00X000
RICHARD STATUTO
BOARD MEMBER1.00X000
MICHAEL C TARWATER
BOARD MEMBER1.00X000
G FREDERICK WORSHAM MD
BOARD MEMBER1.00X000
PERRY KEITH WARING
BOARD MEMBER1.00X000
BRANTLEY D THOMAS PHD
BOARD MEMBER1.00X000
SISTER ANNE LUTZ
BOARD MEMBER1.00X000
DAVID M ELLISON MD
BOARD MEMBER (SEE SCH O)1.00X2381300
KATHERINE DUFFY PHD
BOARD MEMBER1.00X000
JULIUS R IVESTER MD
BOARD MEMBER1.00X000
ALISON E DILLON
BOARD MEMBER (SEE SCH O)1.00X0120000
ANGRESS WALKER
BOARD MEMBER1.00X000
DAVID DUNLAP
PRESIDENT & CEO OF CAHS1.0001439245319287X
MATTHEW J SEVERANCE
CEO / SECRETARY50.006271040213613X
BRET JOHNSON
CFO & SVP / TREASURER1.000563160200812X
STEVEN D SHAPIRO
CMO & VP MED. AFFIARS1.000526921142758X
ALLEN CARROLL
SVP OPERATIONS1.000525356178850X
JOHN SULLIVAN
SVP OPERATIONS1.000398274143132X
DOUGLAS W BOWLING
CSO & VP1.000443797136438X
MICHAEL TAYLOR
CIO & VP1.000372551100965X
H DOUGLAS HARRISON
VP HUMAN RESOURCES1.00039839997367X
GREGORY T EDWARDS
VP & GENERAL COUNSEL1.000333952113262X
ELLEN BROWN
VP MGD CARE & BUS RELATION1.00028489394411X
LISA IRVIN
VP NURSING/SR. NURSE EXEC50.00279465083939X
FATHER TERENCE K FLEMING
VP MISSION1.00025828074997X
PENNIE LYNN PERALTA
VP NURSING/SR. NURSE EXEC1.00023669975265X
DIANA TOPJIAN
VP NURSING/SR. NURSE EXEC- ROPER1.0008802615037X
LEVERN R LIVINGSTON
VICE CHAIR/ROPER1.00021771629983X
ALLAN NUSSBAUM
CHAIR/ROPER1.00000X
PETER DINICOLA
DIR OF PLANT ENGINEERING50.00020674615525X
FRANCIS WYCKOFF JR
DIR OF PHARMACY25.701024739689438175X
MICHAEL RICCIARDONE
DIR OF IMAGING SERVICES24.40795828349518984X
CATHERINE LANDIS
DIR HEART CARE CENTER42.701291452207926744X
JOHN D STEICHEN MD
MD0.6012926106419451978X
GEORGE H KHOURY MD
MD0.801492498001254978X
STEPHEN E RAWE MD
MD1.001883092264544740X
BRIAN G CUDDY MD
MD2.203525078450751978X
ROBERT LOWERY MD
MD0.50795278726051999X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1331464TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs11337026TotalReportableCompFrmRltdOrgs
Total Other Compensation2426792TotalOtherCompensation
Number Individuals GT100 K63NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ROPER EMERGENCY PHYSICIANS
639 MCCUTCHEN STREETCHARLESTONSC29412PHYSICIAN FEES6904961
BOVIS LEND LEASE
PO BOX 21949CHARLESTONSC29413GENERAL CONTRACTORS6141034
MORRISON MANAGEMENT SPECIALISTS
PO BOX 102289ATLANTAGA303682289CAFETERIA MANAGEMENT6047627
ANESTHESIA ASSOC OF CHARLESTON
PO BOX 22206CHARLESTONSC29413ANESTHESIA SERVICES3297511
PALMETTO EMERGENCY PHYS OF BERKELEY CNTY
1385 MILES DRIVECHARLESTONSC29407PHYSICIAN FEES1530935
FieldValueIRS element (for citing)
Number Of Contractors GT100 K58NumberOfContractorsGT100K
Related Organizations2654858RelatedOrganizations
Noncash Contributions60533NoncashContributions
Total Contributions2654858TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE62140041706188441703114130743
CYTOLOGY NET INCOME900099207169207169
FieldValueIRS element (for citing)
Total Program Service Revenue417269053TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column15958TotalRevenueColumn
Exclusion$15,958ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real13430Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real13430Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column13430TotalRevenueColumn
Exclusion$13,430ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities963364Securities
Other1791765Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities963364Securities
Other1791765Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2755129TotalRevenueColumn
Exclusion$2,755,129ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events0GrossIncomeFundraisingEvents
Fundraising Direct Expenses101934FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-101934TotalRevenueColumn
Exclusion-$101,934ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA & VENDING7222101902051$1,902,051
MISCELLANEOUS REVENUE9000991419655$1,419,655
GARAGE & PARKING812930108284$108,284
FieldValueIRS element (for citing)
Total Other Revenue3429990TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column426036484TotalRevenueColumn
Related Or Exempt Function Income417238310RelatedOrExemptFunctionIncome
Unrelated Business Revenue30743UnrelatedBusinessRevenue
Exclusion$6,112,573ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total358992Total
Program Services358992ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total92500Total
Program Services92500ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1241582Total
Program Services23813ProgramServices
Management And General1217769ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total307301Total
Program Services307301ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total135314135Total
Program Services106489569ProgramServices
Management And General28824566ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5579767Total
Program Services1288926ProgramServices
Management And General4290841ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total16813092Total
Program Services16268017ProgramServices
Management And General545075ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total9428921Total
Program Services6556649ProgramServices
Management And General2872272ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total4666348Total
Program Services4666348ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total955776Total
Management And General955776ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total205771Total
Management And General205771ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total1997Total
Management And General1997ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total30849634Total
Program Services28540308ProgramServices
Management And General2309326ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2011607Total
Program Services1582256ProgramServices
Management And General429351ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total20756357Total
Program Services16694405ProgramServices
Management And General4061952ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total155332Total
Management And General155332ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total8376946Total
Program Services8229486ProgramServices
Management And General147460ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total538402Total
Management And General538402ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total484007Total
Management And General484007ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total161836Total
Program Services161836ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total18547230Total
Program Services18547230ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total1483995Total
Program Services958038ProgramServices
Management And General525957ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES7284535572845355
BAD DEBT EXPENSE2434475624344756
MEDICAL DSH TAX1046431410464314
OVERHEAD FROM PARENT4174741747
UBI TAXES2143321433

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1777752Total
Program Services923695ProgramServices
Management And General854057ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total367826885Total
Program Services319343794ProgramServices
Management And General48483091ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY20607BOY
EOY43253EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY53246189BOY
EOY59864363EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY3475272BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY6269181BOY
EOY6678847EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY687028BOY
EOY1030868EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis335943741LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec167045065LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY167000298BOY
EOY168898676EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY160265693BOY
EOY214012538EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY11124499EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY13040612BOY
EOY3690812EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY404004880BOY
EOY465343856EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2824099BOY
EOY1968516EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY4639484BOY
EOY4631364EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY3035590BOY
EOY2495587EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6928405BOY
EOY7730781EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY17427578BOY
EOY16826248EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY386577302BOY
EOY448517608EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY386577302BOY
EOY448517608EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY404004880BOY
EOY465343856EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses58209599ReconcilationRevenueExpenses
Reconcilation Other Changes3730707ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$1,997OtherActivitiesAmount
Total Lobbying Expenditures IIB1997TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationTHE 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 2010, MEMBERSHIP DUES ATTRIBUTABLE TO LOBBYING EFFORTS WERE $ 1,997.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3872178OtherCostOrOtherBasis
Book Value3872178BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis219329258OtherCostOrOtherBasis
Depreciation109685351Depreciation
Book Value109643907BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis8361765OtherCostOrOtherBasis
Depreciation3670376Depreciation
Book Value4691389BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis98668602OtherCostOrOtherBasis
Depreciation53689338Depreciation
Book Value44979264BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5711938OtherCostOrOtherBasis
Book Value5711938BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings168898676TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
DescriptionNET INTERCOMPANY RECEIVABLESDescription
Book Value214012538BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Program Related214012538TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
THIRD PARTY RESERVES$6,007,292
FIN-47 ASBESTOS ACCRUAL$624,000
WEST ASHLEY SURGERY CENTER INVESTMENT$474,156
OTHER LIABILITIES$625,333
FieldValueIRS element (for citing)
Total Of Amounts7730781TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationCAREALLIANCE, ROPER HOSPITAL, ST.FRANCIS, MOUNT PLEASANT, THE FOUNDATION, AND PHYSICIAN PARTNERS ARE NOT-FOR-PROFIT ORGANIZATIONS AS DESCRIBED IN SECTION 501C3 OF THE INTERNAL REVENUE CODE AND ARE GENERALLY EXEMPT FROM FEDERAL AND STATE INCOME TAXES. THE SURGERY CENTER AND NEUROSCIENCES MRI ARE LIMITED LIABILITY COMPANIES. 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 CAREALLIANCE 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 CHARACTERISTICS OF INCOME, SUCH AS A CHARACTERIZATION OF INCOME AS PASSIVE, A DECISION TO EXCLUDE REPORTING TAXABLE INCOME IN A TAX RETURN, OR A DECISION TO CLASSIFY A TRANSACTION, ENTITY, OR OTHER POSITION IN A TAX RETURN AS TAX EXEMPT. THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION IS RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON TECHNICAL MERITS. CAREALLIANCE HAD NO UNRECOGNIZED TAX POSITIONS AS OF DECEMBER 31, 2010 AND 2009, AND DOES NOT EXPECT THAT UNRECOGNIZED TAX BENEFITS WILL MATERIALLY INCREASE WITHIN THE NEXT TWELVE MONTHS. TAX YEARS FROM 2007 THROUGH 2009 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

FieldValueIRS element (for citing)
Name Of Event1SPIRIT OF CARINGNameOfEvent1
Cash Prizes Event12400CashPrizesEvent1
Non Cash Prizes Event124600NonCashPrizesEvent1
Rent Facility Costs Event114280RentFacilityCostsEvent1
Food And Beverage Event112707FoodAndBeverageEvent1
Other Direct Expenses Event12181OtherDirectExpensesEvent1
Name Of Event2BURGER EVENTNameOfEvent2
Non Cash Prizes Event22590NonCashPrizesEvent2
Rent Facility Costs Event227550RentFacilityCostsEvent2
Food And Beverage Event21858FoodAndBeverageEvent2
Other Direct Expenses Event21220OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Non Cash Prizes Other Events2628NonCashPrizesOtherEvents
Rent Facility Costs Other Events971RentFacilityCostsOtherEvents
Food And Beverage Other Events6675FoodAndBeverageOtherEvents
Other Direct Expenses Other Events2275OtherDirectExpensesOtherEvents
Cash Prizes Total Events2400CashPrizesTotalEvents
Non Cash Prizes Total Events29818NonCashPrizesTotalEvents
Rent Facility Costs Total Events42801RentFacilityCostsTotalEvents
Food And Beverage Total Events21240FoodAndBeverageTotalEvents
Other Direct Expenses Total Events5676OtherDirectExpensesTotalEvents
Direct Expense Summary Events101935DirectExpenseSummaryEvents
Net Income Summary-101935NetIncomeSummary

Form990 Schedule G Part IV Form990ScheduleGPartIV

FieldValueIRS element (for citing)
IdentifierFUNDRAISING EXPENSESIdentifier
Return ReferenceFORM 990, SCHEDULE GReturnReference
ExplanationROPER 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

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage300.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage399.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense26332973TotalCommunityBenefitExpense
Direct Offsetting Revenue7415869DirectOffsettingRevenue
Net Community Benefit Expense18917104NetCommunityBenefitExpense
Percent Of Total Expense0.05510PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense24497662TotalCommunityBenefitExpense
Direct Offsetting Revenue21750503DirectOffsettingRevenue
Net Community Benefit Expense2747159NetCommunityBenefitExpense
Percent Of Total Expense0.00800PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense50830635TotalCommunityBenefitExpense
Direct Offsetting Revenue29166372DirectOffsettingRevenue
Net Community Benefit Expense21664263NetCommunityBenefitExpense
Percent Of Total Expense0.06310PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense564439TotalCommunityBenefitExpense
Net Community Benefit Expense564439NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense1549648TotalCommunityBenefitExpense
Direct Offsetting Revenue166578DirectOffsettingRevenue
Net Community Benefit Expense1383070NetCommunityBenefitExpense
Percent Of Total Expense0.00400PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense158289TotalCommunityBenefitExpense
Net Community Benefit Expense158289NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense3106961TotalCommunityBenefitExpense
Direct Offsetting Revenue112760DirectOffsettingRevenue
Net Community Benefit Expense2994201NetCommunityBenefitExpense
Percent Of Total Expense0.00870PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense5379337TotalCommunityBenefitExpense
Direct Offsetting Revenue279338DirectOffsettingRevenue
Net Community Benefit Expense5099999NetCommunityBenefitExpense
Percent Of Total Expense0.01480PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense56209972TotalCommunityBenefitExpense
Direct Offsetting Revenue29445710DirectOffsettingRevenue
Net Community Benefit Expense26764262NetCommunityBenefitExpense
Percent Of Total Expense0.07790PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense187693TotalCommunityBuildingExpense
Net Community Building Expense187693NetCommunityBuildingExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense187693TotalCommunityBuildingExpense
Net Community Building Expense187693NetCommunityBuildingExpense
Percent Of Total Expense0.00050PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$6,577,691BadDebtExpenseAmount
Amount Attributable To2631076AmountAttributableTo
Amount Reimbursed By Medicare130084401AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare160795603CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-30711202MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1ROPER HOSPITAL INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1316 CALHOUN STREETAddressLine1
CityCHARLESTONCity
StateSCState
ZIP Code29401ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
OtherREHABOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NA FOR 2010BusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities19NumberOfOtherFacilities

Other Facilities OtherFacilities (19 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityTypeAddress Line2Address/AddressLine2
ROPER HOSPITAL DIAGNOSTICS & ER - NORTHW
2233 NORTHWOODS BLVDNORTH CHARLESTONSC29406X-RAY, EKG, CT, PHARMACY, LAB, AND EMERGENCY SERVICES
ROPER HOSPITAL DIAGNOSTICS & ER - BERKEL
730 STONEY LANDING ROADMONCKS CORNERSC29461X-RAY, CT, BONE DENSITY, FLUROSCOPY, MOBILE MRI, MAMMO, US, EKG, LAB, PHARMA
ROPER HOSPITAL AMBULATORY SURGERY & PAIN
325 FOLLY ROAD STE 200CHARLESTONSC29412AMBULATORY SURGERY
ROPER HOSPITAL DIAGNOSTICS - FARMFIELD
16 FARMFIELD AVENUE STE ECHARLESTONSC29407X-RAY, EKG, CT, MRI, BONE DENSITY, LAB, MAMMO
ROPER HOSPITAL IMAGING - WESLEY DRIVE
615 WESLEY DRIVE STE 120CHARLESTONSC29407MOBILE MRI, ECHO, BONE DENSITY/DEXA, ULTRASOUND, DUPLEX SCAN, NUC MED, CT
ROPER ST FRANCIS HOME HEALTH CARE
1483 TOBIAS GADSON BLVD 208CHARLESTONSC29407HOME HEALTH CARE
ROPER HOSPITAL PETCT - ROPER ST FRANCI
2085 HENRY TECKLENBURG DR STE 105CHARLESTONSC29414PET/CT AND CT
ROPER HOSPITAL IMAGING - WINGO WAY
180 WINGO WAY STE 105MT PLEASANTSC29464MOBILE MRI, ECHO (STRESS TEST ONLY), BONE DENSITY/DEXA, ULTRASOUND, DUPLEX S
ROPER HOSPITAL DIAGNOSTICS - MT PLEASAN
570 LONGPOINT ROAD STE 150MONCKS CORNERSC29464LAB AND EKG
ROPER HOSPITAL AMBULATORY SURGERY - BERK
730 STONEY LANDING ROADMONCKS CORNERSC29461AMBULATORY SURGERY
ROPER HOSPITAL DIAGNOSTICS - MEDICAL OFF
125 DOUGHTY STREET STE 160CHARLESTONSC29403X-RAY, EKG, LAB
ROPER HOSPITAL RADIATION ONCOLOGY - ROPE
2085 HENRY TECKLENBURG DRIVE STECHARLESTONSC29414RADIATION THERAPY106
ROPER HOSPITAL DIAGNOSTICS - MONCKS CORN
2061 HIGHWAY 52MONCKS CORNERSC29461X-RAY, MRI
ROPER HOSPITAL DIAGNOSTICS - JAMES ISLAN
347 FOLLY ROADCHARLESTONSC29412X-RAY, CT, EKG, AND LAB
ROPER HOSPITAL REHAB - BERKELEY
730 STONEY LANDING ROADMONCKS CORNERSC29461PT, OT, ST
ROPER HOSPITAL DIAGNOSTICS - GOOSE CREEK
149 ST JAMES AVENUEGOOSE CREEKSC29445X-RAY, MAMMO, EKG, LAB
ROPER HOSPITAL AMBULATORY SURGERY - WEST
18 FARMFIELD AVENUECHARLESTONSC29407AMBULATORY SURGERY
ROPER HOSPITAL SLEEP LAB - BERKELEY
730 STONEY LANDING ROADMONCKS CORNERSC29461SLEEP LAB SERVICES
ROPER HOSPITAL DIAGNOSTICS - KIAWAHSEAB
345 FRESHFIELD DRIVE STE J101JOHNS ISLANDSC29455X-RAY, EKG, LAB

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanationIdentifierIdentifierReturn 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.
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 2010 SCHEDULE H INSTRUCTIONS WAS USED TO COMPUTE A COST-TO-CHARGES RATIO USED TO CALCULATE CHARITY CARE AND UNREIMBURSED MEDICAID AT COST.
PART I, LINE 7, COLUMN (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 $ 24344756.
PART II: IN 2010, THE HOSPITAL PROVIDED 78,300 HOURS OF STAFF TIME IN SUPPORT OF COMMUNITY AND HEALTH RELATED INITIATIVES. DURING THIS TIME, THE HEALTHCARE SYSTEM SERVED MORE THAN 264,000 COMMUNITY RESIDENTS, SPONSORED 36 HEALTH FAIRS, AND PARTICIPATED IN 80 COMMUNITY SCREENINGS. THE HOSPITAL FURTHER SUPPORTED THE COMMUNITY BY PROVIDING $479,905 IN SPONSORSHIPS TO SEVERAL LOCAL ORGANIZATIONS.PART I, LINE 7(E): DETAIL OF COMMUNITY HEALTH SERVICES (NET): ADVANTAGE PROGRAMS - $ 3,462 AMPUTEE SUPPORT GROUP - 904 ANEURYSM SUPPORT GROUP - 1,438 BREASTFEEDING SUPPORT GROUP - 2,305 COLORECTAL CANCER SUPPORT GROUP - 1,492 COMMUNITY CALENDARS AND NEWSLETTERS - 5,967 ENROLLMENT ASSISTANCE IN PUBLIC PROGRAMS - 37,469 EXPRESSIONS OF HEALING - 1,813 HEALTH EDUCATION AND LECTURES BY STAFF - 75,444 HEALTH FAIRS AND CAREER DAYS - 49,663 HIV PROGRAM AND ACTIVITIES - 4,254 HOUSE CALLS MAGAZINE - 232,645 WELLNESS HOUSE - 62,572 WIC - 16,528 COMMUNITY BENEFIT PROGRAM OVERSIGHT COSTS - 68,484 TOTAL TO LINE 7(E), COL (E) - 564,439
PART III, LINE 4: TO CALCULATE BAD DEBT EXPENSE AT COST, THE ORGANIZATION TOOK BAD DEBT EXPENSE FROM THE FINANCIAL STATEMENTS LESS BAD DEBT AMOUNTS THAT RELATE TO MEDICARE OR MEDICAID AS THOSE AMOUNTS ARE INCLUDED IN UNREIMBURSED MEDICAID AND THE MEDICARE SHORTFALL. THE ORGANIZATION THEN USED THE COST TO CHARGE RATIO METHODOLOGY, RATIO OF PATIENT CARE COST-TO-CHARGES.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 2010.RSFH USES THE 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.MEDICARE SHORTFALL IS REPORTED BASED ON THE HOSPITAL'S COST REPORT. 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 $4,023,115.
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 399% AND BELOW WILL BE IDENTIFIED ONCE THE SELF PAY AR BILLING PROCESS HAS BEEN COMPLETED AND PRIOR TO THE ACCOUNT BEING REFERRED TO BAD DEBT. ACCOUNTS WITH FPL OF 399% AND BELOW WILL BE GIVEN A CHARITY ADJUSTMENT. ONCE AN ACCOUNT HAS BEEN REFERRED TO BAD DEBT, THE ORGANIZATION WILL MAKE EVERY EFFORT TO INSURE 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 DETAIL 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. IF THE PATIENT DOES NOT MEET THE CHARITY GUIDELINES, OR NEGLECTS TO COMPLETE THE REQUIRED CHARITY CARE DOCUMENTATION, THE PATIENT WILL RECEIVE A 35% DISCOUNT OFF OF TOTAL CHARGES. PATIENTS ARE ELIGIBLE FOR A 10% PROMPT PAYMENT DISCOUNT IF THEY PAY THE BALANCE DURING THE DISCUSSION. DISCOUNTS MAY BE COMBINED IF ALL REQUIREMENTS ARE MET. IN PURSUIT OF COLLECTIONS, THE HOSPITAL AND ITS AGENTS WILL NOT: ATTACH LIENS ON PROPERTY, GARNISH WAGES, PURSUE LEGAL ACTIONS, UNLESS RECOMMENDED BY THE SELF PAY BILLING ENTITIES, SELL ACCOUNTS, OR SEND BANKRUPT GUARANTORS TO COLLECTION AGENCIES.
PART VI, LINE 2: 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 CENTER 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 OF 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 NAVIGATOR 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 AT A NUMBER OF LOCAL OUTREACH CENTERS, SCHOOLS, AND CHURCHES. 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 665,000 RESIDENTS LIVE WITHIN THE PRIMARY SERVICE AREA. POPULATION IN THE PRIMARY SERVICE AREA IS PROJECTED TO GROW 9.1% BETWEEN 2009 AND 2014 COMPARED TO PROJECTED NATIONAL POPULATION GROWTH OF 5.1% OVER THE SAME PERIOD. IN 2009, INCOME LEVELS IN THE PRIMARY SERVICE AREA WERE ESTIMATED AS FOLLOWS: INCOME LESS THAN $ 15,000 - 13.4% BETWEEN $ 15,000 AND $ 25,000 - 10.4% BETWEEN $ 25,000 AND $ 50,000 - 26.9% BETWEEN $ 50,000 AND $ 75,000 - 20.4% BETWEEN $ 75,000 AND $100,000 - 12.2% INCOME ABOVE $100,000 - 16.8%COMPARED TO THE NATIONAL AVERAGES OF 12.4%, 10.4%, 26.0%, 19.6%, 12.3%, AND 19.3%, RESPECTIVELY (MOST RECENT DATA AVAILABLE).WITHIN THE PRIMARY SERVICE AREA, POVERTY CONTINUES TO BE AN ISSUE. AN ESTIMATED 148,511 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 2010 TO APRIL 2011, THE UNEMPLOYMENT RATE IN THE PRIMARY SERVICE AREA DECREASED FROM 8.7% TO 8.0%. THIS IS A LOWER UNEMPLOYMENT RATE THAN THE NATIONAL AVERAGE, WHICH WAS 9.8% IN APRIL 2010 DECLINING TO 9.0% IN APRIL 2011. 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 6: 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 7: 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.
SCREPORTS FILED WITH STATESPART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained
No Grant More Than5000XNoGrantMoreThan5000

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantNURSING SCHOLARSHIPTypeOfGrant
Number Of Recipients15NumberOfRecipients
Amount Of Cash Grant92500AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OTHER INFORMATION:PART IV:SCHEDULE I, PART III: NURSING SCHOLARSHIP INFORMATION SCHOLARSHIP FUNDING: I. ELIGIBILITY STUDENTS OR NURSES APPLYING FOR ROPER ST. FRANCIS HEALTHCARE NURSING SCHOLARSHIPS MUST: A. BE A RISING JUNIOR OR SENIOR IN AN ACCREDITED BSN NURSING PROGRAM, OR BE ACCEPTED INTO AN ACCREDITED LPN, ADN OR MSN PROGRAM (ALL PRE-REQUISITE COURSES HAVE BEEN COMPLETED). B. HAVE MAINTAINED A B (3.0) AVERAGE IN COLLEGE. C. HAVE TWO LETTERS OF RECOMMENDATION/ENDORSEMENT FROM INSTRUCTORS, COUNSELORS, ETC. (FOR CURRENT EMPLOYEES OF RSFH, ONE LETTER TO BE AN ENDORSEMENT FROM CURRENT SUPERVISOR OR MANAGER) D. CURRENT EMPLOYEES (RNS) WHO ARE PURSUING AN ADVANCED DEGREE OTHER THAN NURSING (MBA/MHA) WOULD NEED TO BE PURSUING OR BE EMPLOYED CURRENTLY IN A MANAGEMENT POSITION WITHIN RSFH. E. RN'S SEEKING ADVANCED NURSING DEGREES IN SPECIALTIES THAT POSITIONS ARE NOT CURRENTLY OFFERED OR ANTICIPATED IN THE NEAR FUTURE, MAY NOT BE ELIGIBLE FOR SCHOLARSHIP CONSIDERATION. II. AWARDS A. SCHOLARSHIP MONEY FOR THE TUITION AND FEES MAY BE AWARDED UP TO FOUR SEMESTERS. SCHOLARSHIP ALLOCATIONS: TECHNICAL COLLEGE: UP TO $2,500 ANNUALLY BSN / MSN: UP TO $5,000 ANNUALLY ALLOCATION AMOUNTS WILL BE DEPENDENT UPON THE AVAILABLE FUNDING AND THE NUMBER OF REQUESTS FOR FUNDING. B. PAYMENT WILL BE MADE TO THE STUDENT THROUGH THE DEPARTMENT OF PROFESSIONAL DEVELOPMENT AT ROPER HOSPITAL. C. THE NUMBER OF NEW AWARDS WILL BE DETERMINED ANNUALLY BY ROPER ST. FRANCIS HEALTHCARE DEPARTMENT OF NURSING. III. PAYMENT A. NON-EMPLOYED SCHOLARSHIP RECIPIENTS OF THE SCHOLARSHIP FUNDING WILL SIGN A LETTER OF INTENT TO ACCEPT EMPLOYMENT AS A REGISTERED NURSE AT ROPER ST. FRANCIS HEALTHCARE FOLLOWING SUCCESSFUL COMPLETION OF THE NCLEX-RN. B. FOLLOWING SUCCESSFUL COMPLETION OF THE NCLEX-RN, A YEAR OF EMPLOYMENT (AS A FULLTIME EMPLOYEE) WILL BE EXPECTED FOR EVERY YEAR OF PAYMENT, NOT TO EXCEED 3 YEARS OF EMPLOYMENT. C. STUDENTS MUST MAINTAIN A B AVERAGE TO CONTINUE SCHOLARSHIP FUNDING. STUDENTS NOT MAINTAINING A B AVERAGE WILL BE EXPECTED TO REPAY THE MONIES OR RETAKE THE COURSE AT THEIR OWN EXPENSE. D. IN THE EVENT OF DEFAULT, THE AMOUNT OWED WILL BE DUE IN FULL IN ADDITION TO INTEREST DETERMINED BY THE PRIME RATE. THE STUDENT WILL MAKE PAYMENT IN FULL: 1. WITHIN 30-DAYS OF DEFAULT. 2.IT IS UNDERSTOOD THAT EMPLOYMENT AT ROPER-ST. FRANCIS HEALTHCARE IS AT-WILL IN NATURE AND THIS AGREEMENT DOES NOTHING TO CHANGE THE BASIS OF AN EMPLOYMENT RELATIONSHIP. E. IN THE EVENT THERE ARE NO JOB OPPORTUNITIES AVAILABLE AT THE TIME OF READINESS FOR EMPLOYMENT, THE STUDENT WILL NOT BE REQUIRED TO REPAY THE SCHOLARSHIP TO ROPER ST. FRANCIS HEALTHCARE. EVERY EFFORT WILL BE MADE TO MATCH A STUDENT WITH A UNIT AND SHIFT OF THEIR CHOICE, ALTHOUGH THIS CANNOT BE GUARANTEED. IV. APPLICATION PROCESS A. INTERESTED STUDENTS MUST COMPLETE THE SCHOLARSHIP APPLICATION. B. APPLICANTS SHOULD COMPILE A COMPLETE PACKET THAT CONTAINS TWO LETTERS OF ENDORSEMENT FROM INSTRUCTORS/COUNSELORS/MANAGER. THE LETTERS SHOULD ADDRESS ABILITY, INTERPERSONAL SKILLS, DEPENDABILITY, AND POTENTIAL FOR SUCCESSFUL COMPLETION OF THE PROGRAM. C. SEALED COPY OF CURRENT SCHOOL TRANSCRIPT. D. PACKETS MUST BE SUBMITTED TO: CLINICAL TECHNICIAN PROFESSIONAL DEVELOPMENT DEPARTMENT 316 CALHOUN STREET CHARLESTON, SC, 20401 E. STUDENTS WILL BE NOTIFIED IN WRITING IF SELECTED TO RECEIVE A RSFH SCHOLARSHIP. V. STUDENT RESPONSIBILITIES STUDENTS: A. WHO WITHDRAW FROM NURSING STUDY, OR B. WITH LESS THAN A B AVERAGE MUST SUBMIT A LETTER STATING THEIR INTENT TO CONTINUE WITH OR TERMINATE THE SCHOLARSHIP WITHIN 30 DAYS. C. WILL PROVIDE A COPY OF OFFICIAL TRANSCRIPTS AFTER EACH COMPLETED SEMESTER WITHIN TWO WEEKS OF THE SEMESTER ENDING. IN THE EVENT THE STUDENT TERMINATES THE SCHOLARSHIP, THE DEFAULT STATEMENT UNDER SECTION III WILL BE IMPLEMENTED.
FORM 990, SCHEDULE IGRANTSTHE 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 2010 HAVE BEEN LISTED ON CAREALLIANCE HEALTH SERVICE'S FORM 990.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Personal ServicesXPersonalServices
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs1CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (25 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOHN M JORDAN
025492503500000034564017011034150000
DAVID DUNLAP
0474480035719306075720291001028286017585320468825
MATTHEW J SEVERANCE
37686702486720156501846390289740840717000
BRET JOHNSON
02713520181925010988301673900334220763972065987
STEVEN D SHAPIRO
0335914018923301774013360709151066967900
ALLEN CARROLL
0313887021096405050156185022665070420600
JOHN SULLIVAN
022151301477370290240122170020962054140600
DOUGLAS W BOWLING
0287909015507308150119220017218058023500
MICHAEL TAYLOR
02371770121008014366086356014609047351600
H DOUGLAS HARRISON
022552401305060423690865860107810495766036246
GREGORY T EDWARDS
02536780795910683089837023425044721400
ELLEN BROWN
018074609851205635070119024292037930400
LISA IRVIN
18252409180405137075527084120363404000
FATHER TERENCE K FLEMING
0163353077130017797068580064170333277010290
PENNIE LYNN PERALTA
01530360830280635055770019495031196400
LEVERN R LIVINGSTON
01810050363240387011449018534024769900
PETER DINICOLA
0176189029922063501046405061022227100
FRANCIS WYCKOFF JR
864608175014787139811226116314651139094932468312205611548600
MICHAEL RICCIARDONE
62524655981109711643596162544656488646084834888469321500
CATHERINE LANDIS
113566194151527126113085335826121925832921519852598300
JOHN D STEICHEN MD
1286910595394839529703349287152752263913550111554800
GEORGE H KHOURY MD
148389743917443795178436286283892552515749103416500
STEPHEN E RAWE MD
1807488560661029908146713158128482314153631972596649000
BRIAN G CUDDY MD
35115781511001352996125027814985219293748583425000
ROBERT LOWERY MD
78387759962019809492842912877322922706847283873900

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 1ATHE ORGANIZATION PROVIDED REIMBURSEMENT FOR TAX PREPARATION SERVICES FOR THE FOLLOWING INDIVIDUALS: LISA IRVIN MATTHEW SEVERANCE THE ORGANIZATION PROVIDED TAX GROSS-UP PAYMENTS FOR EMPLOYEE PERSONAL USE OF CELL PHONES FOR THE FOLLOWING INDIVIDUALS: BRIAN CUDDY LISA IRVIN GEORGE KHOURY STEPHEN RAWE MICHAEL RICCIARDONE MATTHEW SEVERANCE JOHN STEICHEN FRANCIS WYCKOFF
PART I, LINE 4BTHE FOLLOWING PARTICIPANTS RECEIVED COMPENSATION THROUGH A 457(F) PLAN: MATTHEW SEVERANCE - 29,237 LISA IRVIN - 11,100 ALLEN CARROLL - 22,285 (FROM A RELATED ORGANIZATION) TERENCE FLEMING - 10,290 (FROM A RELATED ORGANIZATION) ELLEN BROWN - 11,400 (FROM A RELATED ORGANIZATION) DOUGLAS BOWLING - 19,710 (FROM A RELATED ORGANIZATION) H. DOUGLAS HARRISON - 50,046 (FROM A RELATED ORGANIZATION) GREGORY EDWARDS - 16,362 (FROM A RELATED ORGANIZATION) STEVEN SHAPIRO - 24,087 (FROM A RELATED ORGANIZATION) MICHAEL TAYLOR - 14,400 (FROM A RELATED ORGANIZATION) PENNIE PERALTA - 9,600 (FROM A RELATED ORGANIZATION)
PART I, LINE 6GOALS ARE DEVELOPED EACH YEAR TO SUPPORT THE ORGANIZATION'S STRATEGIC INITIATIVES FOR PEOPLE, QUALITY, FINANCIAL, GROWTH AND SERVICE. THE AD HOC COMPENSATION COMMITTEE APPROVES THE SYSTEM GOALS ANNUALLY AND REPORTS TO THE FULL BOARD OF DIRECTORS. PROGRESS ON EACH METRIC IS REPORTED TO THE BOARD EACH MONTH ON THE CORPORATE SCORECARD. AT YEAR END, THE AD HOC COMPENSATION COMMITTEE APPROVES THE FINAL SCORECARD NUMBER AND REPORTS RESULTS TO THE FULL BOARD. ANNUAL INCENTIVES FOR THE EXECUTIVES ARE BASED ON 60% ON THE CORPORATE SCORECARD AND 40% ON INDIVIDUAL PERFORMANCE. EXECUTIVES MAINTAIN AN INDIVIDUAL SCORECARD ON THE LEADER EVALUATION MANAGER AND DISCUSS RESULTS MONTHLY WITH THE PRESIDENT/CEO. THE PRESIDENT/CEO APPROVES THE INDIVIDUAL EXECUTIVE SCORECARD. SYSTEM VICE PRESIDENTS AND THE SYSTEM CEO ARE ELIGIBLE TO PARTICIPATE IN A LONG TERM INCENTIVE PLAN (LTIP). AN LTIP PLAN 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 PLAN HAS A FINANCIAL AND CLINICAL OBJECTIVE THAT IS ALIGNED WITH THE ORGANIZATIONS STRATEGIC GOALS. THRESHOLD, TARGET, AND MAXIMUM PERFORMANCE RANGES ARE ESTABLISHED FOR THESE OBJECTIVES AND ARE MEASURED BASED ON PERFORMANCE AGAINST SIMILAR ORGANIZATIONS OR COMPARED TO AN INTERNAL METRIC SUCH AS AN IMPROVEMENT OVER PRIOR PERFORMANCE. THESE TARGETS AND OBJECTIVES ARE APPROVED BY THE AD HOC COMPENSATION COMMITTEE. THE INCENTIVE IS EARNED BASED ON THE SATISFACTION OF THE THRESHOLD, TARGET, OR MAXIMUM PERFORMANCE RANGES. THE AD HOC COMPENSATION COMMITTEE ALSO APPROVES THE FINAL LTIP PERFORMANCE SCORE AND THE AMOUNT PAID TO EXECUTIVES UNDER THE PLAN. RESULTS ARE REPORTED TO THE FULL BOARD ANNUALLY.
PART I, LINE 7SEE THE RESPONSE TO LINE 6 ABOVE.
PART IIIPART 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. OF THE FULL BONUS AMOUNT RECEIVED BY JOHN SULLIVAN ($147,737), $71,456 RELATES TO SERVICES PROVIDED UNDER CAROLINAS HEALTHCARE SYSTEM PRIOR TO HIS SERVICE WITH ROPER ST. FRANCIS HOSPITAL. 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)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
CHARLESTON PATHOLOGY PA
OWNED IN PART BY BOARD MEMBER G. FREDERICK WORSHAM912507PROVISION OF PATHOLOGY SERVICES TO ORGANIZATION. AMOUNT OF TRANSACTION INDICATES THE AGGREGATE PAYMENT FOR SERVICES PERFORMED IN 2010.0
COASTAL CARDIOLOGY
OWNED IN PART BY BOARD MEMBER W. BLOUNT ELLISON502334PROVISION OF CARDIOLOGY SERVICES TO ORGANIZATION. AMOUNT OF TRANSACTION INDICATES THE AGGREGATE PAYMENT FOR SERVICES PERFORMED IN 2010.0
ANESTHESIA ASSOCIATES OF CHARLESTON
BUSINESS RELATIONSHIP WITH BOARD MEMBER JULIUS IVESTER3035373PROVISION OF ANESTHESIA SERVICES TO ORGANIZATION. AMOUNT OF TRANSACTION INDICATES THE ACCRUED AGGREGATE PAYMENT FOR SERVICES PERFORMED IN 2010.0
SONDE SMITH
FAMILY RELATIONSHIP WITH BOARD MEMBER JULIUS IVESTER76782COMPENSATION AS EMPLOYEE0
LAURIE PENDARVIS
FAMILY RELATIONSHIP WITH BOARD MEMBER JULIUS IVESTER163997COMPENSATION AS EMPLOYEE0
JENNIFER DUNLAP
FAMILY RELATIONSHIP WITH OFFICER DAVID DUNLAP66522COMPENSATION AS EMPLOYEE0
WEST ASHLEY CANCER CENTER LLC
OWNED IN PART BY BOARD MEMBER DAVID ELLISON104732LEASE PAYMENTS MADE TO ORGANIZATION.0

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions2NumberOfContributions
Noncash Contribs Rptd F99025000NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XREHAB EQUIPMENT128276FAIR MARKET VALUE
XMEDICAL EQUIP17257FAIR MARKET VALUE
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROGRAM SERVICE STATEMENTFORM 990, PART III, LINE 4BAT ROPER ST. FRANCIS HEALTHCARE EVERY NUMBER IS A HUMAN STORY COST OF CHARITY CARE: $33,516,340 COMMUNITY OUTREACH PROGRAMS: $8,539,229 UNREIMBURSED COST OF MEDICAID: $4,777,286 SPONSORSHIPS: $479,905 THE TOTAL AMOUNT OF COMMUNITY BENEFIT WE GAVE BACK INCLUDING CHARITY CARE, UNREIMBURSED COST OF MEDICAID, SPONSORSHIPS AND COMMUNITY OUTREACH PROGRAMS: $47,312,760 PATIENTS WHO RECEIVED FINANCIAL ASSISTANCE FOR THEIR HEALTHCARE: 40,200 SPONSORSHIP DOLLARS GIVEN TO LOCAL ORGANIZATIONS WHO SUPPORT THE OVERALL HEALTH OF OUR NEIGHBORS: $479,905 DONATED TO THE TRIDENT UNITED WAY BY ROPER ST. FRANCIS EMPLOYEES SHATTERING THE RECORD AMOUNT GIVEN BY EMPLOYEES FROM A LOWCOUNTRY COMPANY: $506,497.84 HOURS OF ROPER ST. FRANCIS EMPLOYEE TIME DEVOTED TO SUPPORTING OUTSIDE COMMUNITY HEALTH INITIATIVES: 78,312 FREE COMMUNITY HEALTHFAIRS OFFERING VITAL HEALTH SCREENINGS AND INFORMATION: 36 EVENTS THAT ROPER ST. FRANCIS ATTENDED AND PROVIDED PREVENTIVE SCREENINGS AND SUPPORT: 80+ MEALS PROVIDED BY THE LOWCOUNTRY FOOD BANK FROM ROPER ST. FRANCIS FOOD DRIVES AND FINANCIAL SUPPORT: 14,198 HEALTHY BABIES BROUGHT INTO THE WORLD THANKS TO THE GREAT PRENATAL CARE THEIR MOMS RECEIVED AT THE ROPER ST. FRANCIS SUPPORTED OUR LADY OF MERCY COMMUNITY OUTREACH CENTER: 69 RAISED BY ROPER ST. FRANCIS EMPLOYEES FOR THE AMERICAN HEART ASSOCIATION: $56,400 VOLUNTEERS SERVED 88,000 HOURS IN 2010 EQUALING THE WORK OF 42 FULL TIME EMPLOYEES: 860 MEALS CREATED IN ROPER ST. FRANCIS KITCHENS AND DISTRIBUTED TO OUR COMMUNITY THROUGH MEALS ON WHEELS: 16,652 PEOPLE WHO RECEIVED THEIR PRESCRIPTION DRUGS FROM EAST COOPER COMMUNITY OUTREACH: 523 PATIENT VISITS TO THE BARRIER ISLAND FREE CLINIC: 4,497 REDUCTION IN WATER BORNE ILLNESSES IN CHILDREN SINCE THE EMPLOYEE FUNDED WATER TREATMENT SYSTEM WE SENT TO KENYA WAS PUT IN PLACE: 80% PEOPLE ASSISTED WITH NAVIGATING THEIR HEALTHCARE OPTIONS BY OUR MEDICAID NAVIGATOR PROGRAM: 872 LAB TESTS FOR THE HOMELESS WHO STAY AT THE CRISIS MINISTRIES CLINIC: 110 GRANTS RECEIVED BY THE ROPER ST. FRANCIS FOUNDATION TO BENEFIT THE COMMUNITY: $2,830,108 HIV-POSITIVE RESIDENTS BROUGHT INTO CARE THROUGH FEDERAL AND FOUNDATION GRANTS TO THE ROPER ST. FRANCIS FOUNDATION: 469 COMMUNITY PARTNERS BROUGHT TOGETHER TO PROVIDE ACCESS TO QUALITY HEALTHCARE FOR THE TRI-COUNTYS 149,000 UNINSURED THROUGH A GRANT TO THE ROPER ST. FRANCIS FOUNDATION FROM THE DUKE ENDOWMENT: 25 IN COMMUNITY SUPPORT FROM INDIVIDUALS, BUSINESSES AND CORPORATIONS TO THE ROPER ST. FRANCIS FOUNDATION: $3,060,411 HARD-WORKING, SUPPORTIVE MEMBERS MADE UP OUR 2010 BOARD OF DIRECTORS: 13 JOHN JORDAN, CHAIRPERSON BLOUNT ELLISON, MD, VICE CHAIRPERSON ALISON DILLON, MD KATHERINE DUFFY, PHD DAVID ELLISON, MD JULIUS IVESTER, JR, MD SISTER ANNE LUTZ RICHARD STATUTO MICHAEL TARWATER BRANTLEY THOMAS, PHD ANGRESS WALKER PERRY WARING FREDERICK WORSHAM, MD DEAR FRIENDS, WHEN YOU READ THAT ROPER ST. FRANCIS GAVE OVER $47 MILLION* IN COMMUNITY BENEFIT IN 2010, IT CAN BE HARD TO UNDERSTAND WHAT THAT REALLY MEANS. IN OUR CASE, EACH DOLLAR WE GIVE BACK OR EACH VOLUNTEER HOUR THAT IS SPENT DIRECTLY IMPACTS A LIFE. IN THIS YEARS REPORT TO THE COMMUNITY WE HAVE BROKEN DOWN SOME OF THESE BIG NUMBERS TO REVEAL THEIR IMPORTANCE TO THE PEOPLE WE SERVE. WARM REGARDS, DAVID L. DUNLAP, FACHE PRESIDENT AND CHIEF EXECUTIVE OFFICER * ROPER ST. FRANCIS USES THE VOLUNTARY HOSPITAL ASSOCIATION /CATHOLIC HEALTH ASSOCIATIONS STANDARDIZED COMMUNITY BENEFIT VALUATION METHODOLOGY.
FORM 990, PART VI, SECTION A, LINE 3CAROLINAS HEALTHCARE SYSTEM (CHS), AN UNRELATED ORGANIZATION, PROVIDES THE COMPENSATION OF MR. DAVID L. DUNLAP, CEO, CAREALLIANCE HEALTH SERVICES; MR. BRET D. JOHNSON, CFO, CAREALLIANCE HEALTH SERVICES; AND MR. JOHN SULLIVAN, CEO, ROPER ST. FRANCIS MT. PLEASANT HOSPITAL. MR. DUNLAP AND MR. JOHNSON ARE EMPLOYEES OF CHS AND THEIR COMPENSATION IS PAID BY CAREALLIANCE HEALTH SERVICES, A RELATED ORGANIZATION, THROUGH A MANAGEMENT FEE TO CHS. MR. SULLIVAN IS ALSO AN EMPLOYEE OF CHS, AND HIS COMPENSATION IS PAID THROUGH A MANAGEMENT FEE BY ROPER ST. FRANCIS MT. PLEASANT HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF THE CORPORATION IS CAREALLIANCE HEALTH SERVICES, A SOUTH CAROLINA NONPROFIT, NONSTOCK CORPORATION, D/B/A ROPER ST. FRANCIS HEALTHCARE. CAREALLIANCE HEALTH SERVICES IS IN TURN GOVERNED BY A BOARD OF DIRECTORS APPOINTED BY THE "FOUNDING MEMBERS". PLEASE SEE THE RESPONSE TO LINE 7A BELOW. THE BYLAWS OF THE ORGANIZATION SPECIFY CERTAIN QUALIFICATIONS OF THE THIRTEEN MEMBER BOARD OF DIRECTORS. AT LEAST NINE DIRECTORS MUST HAVE THEIR PRIMARY RESIDENCE IN A COMMUNITY SERVED BY THE SYSTEM. FIVE DIRECTORS MUST BE PHYSICIANS ACTIVELY ENGAGED IN THE FULL TIME PRACTICE OF MEDICINE. FIVE OF THE DIRECTORS ARE APPOINTED TO THE BOARD OF DIRECTORS BY VIRTUE OF POSITIONS HELD WITHIN MSSC, BSHSI AND CHS (EX-OFFICIO DIRECTORS). EACH OF THE FIVE EX-OFFICIO DIRECTORS SERVES AS A DIRECTOR OF THE ORGANIZATION FOR SO LONG AS SUCH PERSON HOLDS HIS OR HER RESPECTIVE ELECTED OR APPOINTED OFFICE IN HIS OR HER RESPECTIVE FOUNDING MEMBER ORGANIZATION. DIRECTORS SERVE THREE-YEAR TERMS AND ARE LIMITED TO THREE CONSECUTIVE TERMS. AFTER AN ABSENCE OF AT LEAST ONE YEAR, DIRECTORS ARE AGAIN ELIGIBLE FOR APPOINTMENT TO THE BOARD OF DIRECTORS FOR TWO CONSECUTIVE COMPLETE TERMS.
FORM 990, PART VI, SECTION A, LINE 7ATHE ORGANIZATION IS GOVERNED BY A THIRTEEN MEMBER BOARD OF DIRECTORS APPOINTED BY THE FOUNDING MEMBERS. SUBJECT TO CERTAIN NOMINATING AND GOVERNANCE COMMITTEE APPROVALS, SIX DIRECTORS ARE APPOINTED BY THE MEDICAL SOCIETY OF SOUTH CAROLINA (MSSC), BON SECOURS HEALTH SYSTEMS, INC. (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 7BTHE FOLLOWING ACTIONS SHALL REQUIRE THE UNANIMOUS AFFIRMATIVE APPROVAL OF ALL OF THE FOUNDING MEMBERS: (A) TO AMEND THE ARTICLES OF INCORPORATION OR BY-LAWS, INCLUDING WITHOUT LIMITATION, ANY CHANGE IN THE CORPORATION'S PURPOSES; PROVIDED, HOWEVER, THAT, SUBJECT TO THE PROCEDURES AND VOTING REQUIREMENTS WITH RESPECT TO THE ADMISSION OF NON-FOUNDING MEMBERS, SCHEDULE 3.1 MAY BE AMENDED WITH THE APPROVAL OF TWO (2) OF THE FOUNDING MEMBERS TO REFLECT THE ADMISSION OF A NON-FOUNDING MEMBER; (B) TO DISSOLVE OR LIQUIDATE THE CORPORATION AND TO DETERMINE THE DISTRIBUTION OF ASSETS UPON DISSOLUTION; (C) TO MERGE OR CONSOLIDATE THE CORPORATION OR TO SELL, CONVEY, TRANSFER, LEASE, OR OTHERWISE DISPOSE OF ALL OR SUBSTANTIALLY ALL OF ITS ASSETS; (D) TO APPOINT THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION IN A MANNER OTHER THAN THAT ESTABLISHED WITHIN THE BY-LAWS; (E) TO ALTER OR AMEND THE CORPORATION'S ETHICAL PERFORMANCE STANDARDS (DEFINED BELOW); OR (F) TO ENTER INTO ANY MATERIAL AGREEMENT WHEREBY A THIRD PARTY WILL: (I) BECOME AN EQUITY OWNER IN ANY JOINT VENTURE WITH THE CORPORATION OR ANY SYSTEM PARTICIPANT AND WILL NOT BE LEGALLY OBLIGATED TO SUPPORT THE CORPORATION'S ETHICAL PERFORMANCE STANDARDS; OR (II) MANAGE A SUBSTANTIAL PART OF THE FACILITIES, ASSETS, OR OPERATIONS OF THE SYSTEM AND WILL NOT BE LEGALLY OBLIGATED TO COMPLY WITH AND SUPPORT THE CORPORATION'S ETHICAL PERFORMANCE STANDARDS.
FORM 990, PART VI, SECTION B, LINE 11THE 2010 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 2010 FORM 990 WERE PRESENTED TO THE ORGANIZATION'S BOARD OF DIRECTORS ON OCTOBER 15, 2011. IN ADDITION TO THE ORGANIZATION'S EXECUTIVE MANAGEMENT, REPRESENTATIVES OF DIXON HUGHES GOODMAN LLP. PARTICIPATED IN THIS REVIEW WITH BOARD MEMBERS. THE OCTOBER 15 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 12CTHE DIRECTORS SHALL COMPLETE AND RETURN TO THE SECRETARY AN ANNUAL STATEMENT THAT EACH: (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) AGREES TO COMPLY WITH THIS POLICY; (D) UNDERSTANDS THAT THE POLICY APPLIES TO ALL COMMITTEES; AND (E) UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND MUST CONTINUOUSLY ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES.
FORM 990, PART VI, SECTION B, LINE 15AN INDEPENDENT COMPANY, TOWERS 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 18PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS ARE PUBLISHED ANNUALLY AND ARE AVAILABLE TO THE PUBLIC AT WWW.DACBOND.COM.
COMPENSATION OF BOARD MEMBERS: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.
GRANTSFORM 990, PART IX, LINE 1THE 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 2010 HAVE BEEN LISTED ON CAREALLIANCE HEALTH SERVICE'S FORM 990.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 5:DONATED SERVICES AND USE OF FACILITIES: 362,376. INDIGENT CARE SUPPORT 7,995. NET SUPPORT FROM FOUNDATION -1,039,512. INTERCOMPANY EQUITY TRANSFER FOR CAPITAL ACQUISTION 964,511. INTERCOMPANY EQUITY TRANSFER 3,435,337. TOTAL TO FORM 990, PART XI, LINE 5: 3,730,707.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
LOWCOUNTRY SURGERY CENTER
315 CALHOUN STREET 107CHARLESTONSC29401581693021AMBULATORY SURGERY CENTERSCN/A
JAMES ISLAND SURGERY CENTER
315 CALHOUN STREET 107CHARLESTONSC29401263858266SURGERY CENTERSCN/A

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
CAREALLIANCE HEALTH SERVICES
315 CALHOUN STREET 107CHARLESTONSC29401570831165HEALTHCARESC501(C)(3)LINE 3N/A0
BON SECOURS ST FRANCIS XAVIER HOSPITAL
315 CALHOUN STREET 107CHARLESTONSC29401571067254HEALTHCARESC501(C)(3)LINE 3N/A0
ROPER ST FRANCIS MT PLEASANT HOSPITAL
315 CALHOUN STREET 107CHARLESTONSC29401570360499HEALTHCARESC501(C)(3)LINE 3N/A0
ROPER ST FRANCIS HOSPITAL - BERKELEY
315 CALHOUN STREET 107CHARLESTONSC29401263710229HEALTHCARE (FUTURE)SC501(C)(3)LINE 3N/A0
ROPER ST FRANCIS PHYSICIANS NETWORK
125 DOUGHTY STREET 760CHARLESTONSC29403262946628HEALTHCARESC501(C)(3)LINE 3N/A0
ROPER ST FRANCIS FOUNDATION
315 CALHOUN STREET 107CHARLESTONSC29401571068509SUPPORTING ORGSC501(C)(3)LINE 11A, IN/A0
THE MEDICAL SOCIETY OF SOUTH CAROLINA
69-B BARRE STREETCHARLESTONSC29401570288358SUPPORTING ORG/FOUNDING MEMBERSC501(C)(3)LINE 11C, III-FIN/A0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1CAREALLIANCE MEDICAL SERVICES ORGANIZATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1225 DOUGHTY STREETAddressLine1
CityCHARLESTONCity
StateSCState
ZIP Code29403ZIPCode
FieldValueIRS element (for citing)
EIN571012837EIN
Primary ActivityINACTIVEPrimaryActivity
Legal Domicile StateSCLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets1ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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