ROPER ST FRANCIS MOUNT PLEASANT HOSPITAL: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- ROPER ST FRANCIS MOUNT PLEASANT HOSPITAL (EIN 57-0360499)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-11
- IRS object ID
- 201133159349302413
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-11T10:48:40-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 570360499 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROPER ST FRANCIS MT PLEASANT HOSPITAL | 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 | 2011-11-02 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | AMY BIBBY | Name |
| Phone | 8282542254 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | 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 | 5472236 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.ROPERSAINTFRANCIS.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2005 | YearFormation |
| State Legal Domicile | SC | StateLegalDomicile |
| Activity Or Mission Description | OPERATION OF NONPROFIT HOSPITAL FACILITY IN MT. PLEASANT, SOUTH CAROLINA | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 266 | TotalNbrEmployees |
| Total Nbr Volunteers | 34 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 5129 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 34295 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 5393670 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 44271 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 5129 | TotalRevenuePriorYear |
| Total Revenue Current Year | 5472236 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 5514 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 213770 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3194240 | 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 | 577894 | OtherExpensePriorYear |
| Other Expenses Current Year | 6413974 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 791664 | TotalExpensesPriorYear |
| Total Expenses Current Year | 9613728 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -786535 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -4141492 | RevenuesLessExpensesCY |
| Total Assets BOY | 100844984 | TotalAssetsBOY |
| Total Assets EOY | 147764220 | TotalAssetsEOY |
| Total Liabilities BOY | 102155112 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 156581762 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -1310128 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -8817542 | 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 | 8118383 | Expense |
| Grants | 5514 | Grants |
| Revenue | 5393670 | Revenue |
| Description | ROPER ST. FRANCIS MT. PLEASANT HOSPITAL IS A SUBSIDIARY OF CAREALLIANCE HEALTH SERVICES (D/B/A ROPER ST. FRANCIS HEALTHCARE). MT. PLEASANT HOSPITAL IS THE NEWEST ADDITION TO THE ROPER ST. FRANCIS HEALTHCARE SYSTEM, OPENING ITS DOORS IN NOVEMBER OF 2010. THE NEW FACILITY IS WORKING TO MEET THE GROWING HEALTHCARE NEEDS OF PEOPLE LIVING AND WORKING EAST OF THE COOPER, WHILE PROVIDING THEM A CHOICE WITH THE PROVEN, QUALITY CARE LOWCOUNTRY RESIDENTS HAVE TRUSTED FOR OVER 150 YEARS.IN THE MONTHS SINCE IT OPENED, MOUNT PLEASANT HOSPITAL HAS PROVIDED FREE BREAST CANCER SCREENINGS AND SPONSORED COMMUNITY EVENTS INCLUDING SPLASH DAYS AND FIT WEEK, BOTH EVENTS FOCUSED ON FUN, FAMILY-FOCUSED WAYS TO STAY HEALTHY. THE HOSPITAL ALSO OFFERED FREE PARENTING CLASSES TO NEW PARENTS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PLEASE SEE SCHEDULE O FOR A DETAILED EXPLANATION OF THE GROUP'S 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 | 8118383 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| 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 | 0 | 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 | 0 | FinancialStmtAttached |
| Grants To Organizations | 0 | 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 | 0 | 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 | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | 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 |
| Number Of Employees | 266 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| 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 | 0 | InvestmentInJointVenture |
| 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 |
Form990 Part VII Section A Form990PartVIISectionA (42 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 | 289925 | 51575 | |||
| W BLOUNT ELLISON | ||||||||
| VICE CHAIR | 1.00 | X | 0 | 0 | 0 | |||
| SIS PATRICIA A ECK CBS | ||||||||
| BOARD MEMBER (THRU JUNE 2010) | 1.00 | X | 0 | 0 | 0 | |||
| RICHARD STATUTO | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| MICHAEL C TARWATER | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| G FREDERICK WORSHAM MD | ||||||||
| BOARD MEMBER | 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 | 0 | 23813 | 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 MD | ||||||||
| BOARD MEMBER (SEE SCH O) | 1.00 | X | 0 | 12000 | 0 | |||
| ANGRESS WALKER | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| DAVID DUNLAP | ||||||||
| PRESIDENT & CEO OF CAHS | 1.00 | 0 | 1439245 | 319287 | X | |||
| MATTHEW J SEVERANCE | ||||||||
| SVP OPERATIONS | 1.00 | 0 | 627104 | 213613 | X | |||
| BRET JOHNSON | ||||||||
| CFO & SVP / TREASURER | 1.00 | 0 | 563160 | 200812 | X | |||
| STEVEN D SHAPIRO | ||||||||
| CMO & VP MED AFFIARS | 1.00 | 0 | 526921 | 142758 | X | |||
| ALLEN CARROLL | ||||||||
| SVP OPERATIONS | 1.00 | 0 | 525356 | 178850 | X | |||
| JOHN SULLIVAN | ||||||||
| CEO MPH / SECRETARY | 50.00 | 398274 | 0 | 143132 | X | |||
| DOUGLAS W BOWLING | ||||||||
| CSO & VP | 1.00 | 0 | 443797 | 136438 | X | |||
| MICHAEL TAYLOR | ||||||||
| CIO & VP | 1.00 | 0 | 372551 | 100965 | X | |||
| H DOUGLAS HARRISON | ||||||||
| VP HUMAN RESOURCES | 1.00 | 0 | 398399 | 97367 | X | |||
| GREGORY T EDWARDS | ||||||||
| VP & GENERAL COUNSEL | 1.00 | 0 | 333952 | 113262 | X | |||
| ELLEN BROWN | ||||||||
| VP MGD CARE & BUS RELATION | 1.00 | 0 | 284893 | 94411 | X | |||
| LISA IRVIN | ||||||||
| VP NURSING/SR NURSE EXEC | 1.00 | 0 | 279465 | 83939 | X | |||
| FATHER TERENCE K FLEMING | ||||||||
| VP MISSION | 1.00 | 0 | 258280 | 74997 | X | |||
| PENNIE L PERALTA | ||||||||
| VP NURSING/SR NURSE EXEC | 1.00 | 0 | 236699 | 75265 | X | |||
| DIANA TOPJIAN | ||||||||
| VP NURSING/SR NURSE EXEC MPH | 50.00 | 88026 | 0 | 15037 | X | |||
| JAMES FLATLEY III | ||||||||
| CHAIR OF BOARD | 1.00 | 0 | 0 | 0 | X | |||
| GEORGE P WATERS | ||||||||
| VICE CHAIR OF BOARD | 1.00 | 0 | 0 | 0 | X | |||
| FRANCIS WYCKOFF JR | ||||||||
| DIR OF PHARMACY | 1.00 | 0 | 199367 | 38174 | X | |||
| PETER DINICOLA | ||||||||
| DIR OF PLANT ENGINEERING | 1.00 | 0 | 206746 | 15525 | X | |||
| MICHAEL RICCIARDONE | ||||||||
| DIR OF IMAGING SERVICES | 1.00 | 0 | 163077 | 18984 | X | |||
| WANDA BROCKMEYER | ||||||||
| DIR OF EMERGENCY SERVICES | 1.00 | 0 | 163703 | 18923 | X | |||
| STEPHANIE TUCKER | ||||||||
| DIR OF PROPERTY MGMT | 1.00 | 0 | 157638 | 42685 | X | |||
| MARIA SAMPLE | ||||||||
| DIR PERIOP SERVICES | 1.00 | 317 | 158141 | 17811 | X | |||
| ROBERT LOWERY MD | ||||||||
| DOCTOR | 0.10 | 795 | 794417 | 51999 | X | |||
| KEITH D MERRILL MD | ||||||||
| DOCTOR | 0.30 | 2831 | 469047 | 32817 | X | |||
| HARRY P RUDOLPH MD | ||||||||
| DOCTOR | 0.10 | 912 | 455305 | 33483 | X | |||
| ELEANOR D OAKMAN MD | ||||||||
| DOCTOR | 0.40 | 1931 | 239416 | 36472 | X | |||
| THOMAS C EUSTIS MD | ||||||||
| DOCTOR | 3.00 | 10637 | 163742 | 27055 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 503723 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 9786159 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 2375636 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | 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 |
|---|---|---|---|---|---|
| BE & K BUILDING GROUP INC | |||||
| 5605 CARNEGIE BLVD 200 | CHARLOTTE | NC | 28209 | CONTRACTOR SERVICES | 22826275 |
| PRESIDIO NETWORKED SOLUTIONS INC | |||||
| PO BOX 822169 | PHILADELPHIA | PA | 191822169 | NETWORK SERVICES | 2438440 |
| COLEMAN TECHNOLOGIES INC | |||||
| PO BOX 530644 | ATLANTA | GA | 303530644 | TECHNOLOGY SERVICES | 1910718 |
| MCKESSON INFORMATION SOLUTIONS | |||||
| PO BOX 98347 | CHICAGO | IL | 606938347 | TECHNOLOGY SERVICES | 812580 |
| ROPER EMERGENCY PHYSICIANS | |||||
| 639 MCCUTCHEN STREET | CHARLESTON | SC | 29412 | PHYSICIAN FEES | 734526 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 16 | NumberOfContractorsGT100K |
| Related Organizations | 34295 | RelatedOrganizations |
| Noncash Contributions | 34295 | NoncashContributions |
| Total Contributions | 34295 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE RE | Description |
| Business Code | 624100 | BusinessCode |
| Total Revenue Column | 5393670 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5393670 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 5393670 | TotalProgramServiceRevenue |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| CAFETERIA REVENUE | 722210 | 25929 | $25,929 |
| MISCELLANEOUS REVENUE | 900099 | 18342 | $18,342 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 44271 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5472236 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5393670 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $44,271 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5514 | Total |
| Program Services | 5514 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 486617 | Total |
| Program Services | 317 | ProgramServices |
| Management And General | 486300 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1905859 | Total |
| Program Services | 1731562 | ProgramServices |
| Management And General | 174297 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85813 | Total |
| Program Services | 19823 | ProgramServices |
| Management And General | 65990 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 389230 | Total |
| Program Services | 329428 | ProgramServices |
| Management And General | 59802 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 326721 | Total |
| Program Services | 233897 | ProgramServices |
| Management And General | 92824 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 451751 | Total |
| Program Services | 71765 | ProgramServices |
| Management And General | 379986 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14699 | Total |
| Management And General | 14699 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3165 | Total |
| Management And General | 3165 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1137244 | Total |
| Program Services | 1101728 | ProgramServices |
| Management And General | 35516 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30694 | Total |
| Program Services | 24334 | ProgramServices |
| Management And General | 6360 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 475429 | Total |
| Program Services | 356567 | ProgramServices |
| Management And General | 118862 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4852 | Total |
| Management And General | 4852 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1510511 | Total |
| Program Services | 1508243 | ProgramServices |
| Management And General | 2268 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9433 | Total |
| Management And General | 9433 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23513 | Total |
| Management And General | 23513 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1291457 | Total |
| Program Services | 1291457 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18733 | Total |
| Program Services | 14734 | ProgramServices |
| Management And General | 3999 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 739564 | 739564 | |
| BAD DEBT EXPENSE | 676001 | 676001 | |
| OTHER EXPENSES | 26928 | 13449 | 13479 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9613728 | Total |
| Program Services | 8118383 | ProgramServices |
| Management And General | 1495345 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 650 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 4127199 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1501516 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61609 | BOY |
| EOY | 355651 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 143276187 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1522781 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100783375 | BOY |
| EOY | 141753406 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 25798 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100844984 | BOY |
| EOY | 147764220 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 250049 | BOY |
| EOY | 12883 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 99168 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 101905063 | BOY |
| EOY | 156469711 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 102155112 | BOY |
| EOY | 156581762 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -1310128 | BOY |
| EOY | -8817542 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -1310128 | BOY |
| EOY | -8817542 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100844984 | BOY |
| EOY | 147764220 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -4141492 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -3365922 | 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 D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15467846 | OtherCostOrOtherBasis |
| Book Value | 15467846 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 101606759 | OtherCostOrOtherBasis |
| Depreciation | 741849 | Depreciation |
| Book Value | 100864910 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2356738 | OtherCostOrOtherBasis |
| Depreciation | 39416 | Depreciation |
| Book Value | 2317322 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 23844844 | OtherCostOrOtherBasis |
| Depreciation | 741516 | Depreciation |
| Book Value | 23103328 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 141753406 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO AFFILIATES | Description |
| Amount | $156,469,711 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 156469711 | 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 | CAREALLIANCE, 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 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 | 300.000000000000 | 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 | 142452 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 142452 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01590 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 253266 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 107842 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 145424 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01630 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 395718 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 107842 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 287876 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03220 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6972 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 6972 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 15 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3227 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3227 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17970 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2328 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 15642 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 28184 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2328 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 25856 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00300 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 423902 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 110170 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 313732 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03520 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1174 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1174 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1174 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1174 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $386,193 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 1455798 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 2734678 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1278880 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| 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 STFRANCIS MT PLEASANT HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3500 HIGHWAY 17 NORTH | AddressLine1 |
| City | MT PLEASANT | City |
| State | SC | State |
| ZIP Code | 29466 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA FOR 2010 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 2 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (2 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| MOUNT PLEASANT HOSPITAL IMAGING | ||||
| 3510 HIGHWAY 17 NORTH STE 140 | MT PLEASANT | SC | 29466 | X-RAY |
| MOUNT PLEASANT HOSPITAL BREAST CARE | ||||
| 3510 HIGHWAY 17 NORTH STE 205 | MT PLEASANT | SC | 29466 | BONE DENSITY, MAMMOGRAPHY |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 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. | ||
| 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 $ 676001. | ||
| PART II: IN 2010, ROPER ST. FRANCIS HEALTHCARE PROVIDED APPROXIMATELY 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. RSFH FURTHER SUPPORTED THE COMMUNITY BY PROVIDING $479,905 IN SPONSORSHIPS TO SEVERAL LOCAL ORGANIZATIONS.PART I, LINE 7(E), COL (E): COMMUNITY HEALTH SERVICES, NET: ADVANTAGE PROGRAMS - $ 71 COMMUNITY CALENDARS AND NEWSLETTERS - 123 ENROLLMENT ASSISTANCE IN PUBLIC PROGRAMS - 265 HEALTH EDUCATION AND LECTURES BY STAFF - 18 HEALTH FAIRS AND CAREER DAYS - 278 HOUSE CALLS MAGAZINE - 4,803 COMMUNITY BENEFIT PROGRAM OVERSIGHT COSTS - 1,414 TOTAL TO LINE 7(E), COL (E) - 6,972 | ||
| 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.CAREALLIANCE PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICIES WITHOUT CHARGE OR AT AMOUNT LESS THAN ITS ESTABLISHED RATES. BECAUSE CAREALLIANCE DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. DURING 2010, CAREALLIANCE 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.MT. PLEASANT HOSPITAL HAD TWO MONTHS OF ACTIVITY PRIOR TO YEAR END; THUS, WE ESTIMATED BAD DEBT EXPENSE AT YEAR END. WE BELIEVE THE ESTIMATE OF BAD DEBT EXPENSE TO BE APPROPRIATE. | ||
| PART III, LINE 8: THE ENTIRE AMOUNT OF MEDICARE SHORTFALL QUALIFIES AS COMMUNITY BENEFIT. OUR TREATMENT OF MEDICARE PATIENTS, AS DESCRIBED IN IRS REV. RUL. 69-545, INDICATES THAT MT. PLEASANT HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. BY TAKING MEDICARE PATIENTS, THE HOSPITAL PROMOTES ACCESS TO HEALTHCARE SERVICES, WHICH IS A COMMUNITY BENEFIT.MT. PLEASANT HOSPITAL BEGAN OPERATIONS ON NOVEMBER 1, 2010. CMS APPROVED THE FACILITY ON DECEMBER 5, 2010. THE FACILITY'S 2011 COST REPORT WILL INCLUDE THE PERIOD DECEMBER 5, 2010 - DECEMBER 31, 2010. WE USED THE COST TO CHARGE RATIO TO CALCULATE MEDICARE AT COST FOR 2010. | ||
| 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, RSFH 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 COLLECT PAYMENT OR TO SET UP MONTHLY 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, RSFH 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 LACKS 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 SEND THEM 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. WE WANT OUR PATIENTS FOCUS TO BE ON HEALTH AND RECOVERY AND NOT FINANCIAL WORRY. THERE IS ABSOLUTELY NOADDITIONAL 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: WE ARE THE LOWCOUNTRY'S ONLY NON-GOVERNMENTAL, NOT-FOR-PROFIT HEALTHCARE SYSTEM. WITH THIS DISTINCTION, WE BELIEVE IT IS OUR RESPONSIBILITY TO ADVOCATE FOR AND RESPOND TO OUR NEIGHBORS NEEDS THROUGH COMMUNITY BENEFIT. IN KEEPING WITH OUR MISSION OF HEALING ALL PEOPLE WITH COMPASSION, FAITH, AND EXCELLENCE, ROPER ST. FRANCIS HEALTHCARE (RSFH) STRIVES TO ENRICH THE HEALTH OF OUR COMMUNITY. WE DO THIS BY OFFERING CHARITY CARE TO THOSE IN NEED, REACHING OUT TO OUR NEIGHBORS WITH HEALTH FAIRS AND EDUCATIONAL MATERIALS, SPONSORING ORGANIZATIONS AND EVENTS THAT PROMOTE WELLNESS AND COMMUNITY WELL-BEING, AND MARSHALLING OUR RESOURCES TO ADVANCE THE HEALTH AND DIGNITY OF EACH PERSON WITH WHOM WE COME IN CONTACT.RSFH IS COMMITTED TO THE ENRICHMENT OF HEALTHCARE IN OUR COMMUNITY AS EVIDENCED BY THE COMPOSITION OF OUR BOARD OF DIRECTORS AND OPEN MEDICAL STAFF. OUR GOVERNING BODY IS COMPRISED OF A 13 MEMBER BOARD OF DIRECTORS. AT LEAST NINE DIRECTORS MUST HAVE THEIR PRIMARY RESIDENCE IN A COMMUNITY SERVED BY THE SYSTEM. FIVE DIRECTORS MUST BE PHYSICIANS ACTIVELY ENGAGED IN THE FULL TIME PRACTICE OF MEDICINE. RSFH EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE AREA FOR MOST OF OUR DEPARTMENTS.SURPLUS FUNDS ARE RETURNED TO OUR COMMUNITY THROUGH THE DEVELOPMENT OF NEW FACILITIES TO SERVE POPULATION GROWTH, THE EXPANSION OR EXISTING FACILITIES, SUBSIDIZING CARE FOR THOSE WHO ARE UNABLE TO PAY, SPONSORSHIP OF HEALTHCARE RELATED ACTIVITIES INCLUDING OUTREACH CLINICS AND PROGRAMS FOR THE UNINSURED, AND INVESTING IN TECHNOLOGY TO IMPROVE THE QUALITY OF PATIENT CARE. MT. PLEASANT HOSPITAL IS THE HEALTH SYSTEM'S PRIME EXAMPLE OF RETURNING SURPLUS FUNDS TO THE COMMUNITY IN 2010. MT. PLEASANT HOSPITAL OPENED IN 2010 TO MEET THE GROWING HEALTHCARE NEEDS OF PEOPLE LIVING AND WORKING EAST OF THE COOPER RIVER. THE HOSPITAL FEATURES: 24-HOUR EMERGENCY ROOM, HOME-LIKE LABOR & DELIVERY SUITES, INPATIENT AND OUTPATIENT SURGERY, 10-BED INTENSIVE CARE UNIT, MEDICALSURGICAL UNITS, IMAGING SERVICES, LABORATORY, PHARMACY, AND HELIPAD. | ||
| 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 ST.FRANCIS MOUNT PLEASANT HOSPITAL, AN ACUTE CARE HOSPITAL WITH 85 LICENSED BEDS. CAREALLIANCE WAS FORMED EFFECTIVE AUGUST 1, 1998, THROUGH THE EXECUTION OF AN AFFILIATION AGREEMENT BETWEEN THE FOLLOWING FOUNDING MEMBERS: THE MEDICAL SOCIETY OF SOUTH CAROLINA, BON-SECOURS HEALTH SYSTEM, INC., AND CAROLINAS HEALTHCARE SYSTEM. CAREALLIANCE IS THE SOLE CORPORATE MEMBER AND, THROUGH ITS BY-LAWS, HAS THE POWER TO CONTROL THE FINANCIAL AND BUSINESS AFFAIRS OF ROPER ST. FRANCIS MT. PLEASANT HOSPITAL. | ||
| 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 | OTHER INFORMATION: | Identifier |
| Return Reference | PART IV: | 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 2010 HAVE BEEN LISTED ON CAREALLIANCE HEALTH SERVICE'S FORM 990. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (26 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 | 254925 | 0 | 35000 | 0 | 0 | 0 | 34564 | 0 | 17011 | 0 | 341500 | 0 | 0 |
| DAVID DUNLAP | |||||||||||||
| 0 | 474480 | 0 | 357193 | 0 | 607572 | 0 | 291001 | 0 | 28286 | 0 | 1758532 | 0 | 468825 |
| MATTHEW J SEVERANCE | |||||||||||||
| 0 | 376867 | 0 | 248672 | 0 | 1565 | 0 | 184639 | 0 | 28974 | 0 | 840717 | 0 | 0 |
| BRET JOHNSON | |||||||||||||
| 0 | 271352 | 0 | 181925 | 0 | 109883 | 0 | 167390 | 0 | 33422 | 0 | 763972 | 0 | 65987 |
| STEVEN D SHAPIRO | |||||||||||||
| 0 | 335914 | 0 | 189233 | 0 | 1774 | 0 | 133607 | 0 | 9151 | 0 | 669679 | 0 | 0 |
| ALLEN CARROLL | |||||||||||||
| 0 | 313887 | 0 | 210964 | 0 | 505 | 0 | 156185 | 0 | 22665 | 0 | 704206 | 0 | 0 |
| JOHN SULLIVAN | |||||||||||||
| 221513 | 0 | 147737 | 0 | 29024 | 0 | 122170 | 0 | 20962 | 0 | 541406 | 0 | 0 | 0 |
| DOUGLAS W BOWLING | |||||||||||||
| 0 | 287909 | 0 | 155073 | 0 | 815 | 0 | 119220 | 0 | 17218 | 0 | 580235 | 0 | 0 |
| MICHAEL TAYLOR | |||||||||||||
| 0 | 237177 | 0 | 121008 | 0 | 14366 | 0 | 86356 | 0 | 14609 | 0 | 473516 | 0 | 0 |
| H DOUGLAS HARRISON | |||||||||||||
| 0 | 225524 | 0 | 130506 | 0 | 42369 | 0 | 86586 | 0 | 10781 | 0 | 495766 | 0 | 36246 |
| GREGORY T EDWARDS | |||||||||||||
| 0 | 253678 | 0 | 79591 | 0 | 683 | 0 | 89837 | 0 | 23425 | 0 | 447214 | 0 | 0 |
| ELLEN BROWN | |||||||||||||
| 0 | 180746 | 0 | 98512 | 0 | 5635 | 0 | 70119 | 0 | 24292 | 0 | 379304 | 0 | 0 |
| LISA IRVIN | |||||||||||||
| 0 | 182524 | 0 | 91804 | 0 | 5137 | 0 | 75527 | 0 | 8412 | 0 | 363404 | 0 | 0 |
| FATHER TERENCE K FLEMING | |||||||||||||
| 0 | 163353 | 0 | 77130 | 0 | 17797 | 0 | 68580 | 0 | 6417 | 0 | 333277 | 0 | 10290 |
| PENNIE L PERALTA | |||||||||||||
| 0 | 153036 | 0 | 83028 | 0 | 635 | 0 | 55770 | 0 | 19495 | 0 | 311964 | 0 | 0 |
| FRANCIS WYCKOFF JR | |||||||||||||
| 0 | 168210 | 0 | 28768 | 0 | 2389 | 0 | 28560 | 0 | 9614 | 0 | 237541 | 0 | 0 |
| PETER DINICOLA | |||||||||||||
| 0 | 176189 | 0 | 29922 | 0 | 635 | 0 | 10464 | 0 | 5061 | 0 | 222271 | 0 | 0 |
| MICHAEL RICCIARDONE | |||||||||||||
| 0 | 128122 | 0 | 22740 | 0 | 12215 | 0 | 9542 | 0 | 9442 | 0 | 182061 | 0 | 0 |
| WANDA BROCKMEYER | |||||||||||||
| 0 | 136113 | 0 | 19640 | 0 | 7950 | 0 | 9564 | 0 | 9359 | 0 | 182626 | 0 | 0 |
| STEPHANIE TUCKER | |||||||||||||
| 0 | 131564 | 0 | 23251 | 0 | 2823 | 0 | 25879 | 0 | 16806 | 0 | 200323 | 0 | 0 |
| MARIA SAMPLE | |||||||||||||
| 271 | 135100 | 45 | 22668 | 1 | 373 | 14 | 7174 | 21 | 10602 | 352 | 175917 | 0 | 0 |
| ROBERT LOWERY MD | |||||||||||||
| 784 | 783050 | 2 | 1998 | 9 | 9369 | 29 | 29035 | 23 | 22912 | 847 | 846364 | 0 | 0 |
| KEITH D MERRILL MD | |||||||||||||
| 2817 | 466706 | 12 | 1988 | 2 | 353 | 75 | 12489 | 122 | 20131 | 3028 | 501667 | 0 | 0 |
| HARRY P RUDOLPH MD | |||||||||||||
| 893 | 445786 | 19 | 9481 | 0 | 38 | 25 | 12539 | 42 | 20877 | 979 | 488721 | 0 | 0 |
| ELEANOR D OAKMAN MD | |||||||||||||
| 1894 | 234877 | 0 | 0 | 37 | 4539 | 101 | 12463 | 191 | 23717 | 2223 | 275596 | 0 | 0 |
| THOMAS C EUSTIS MD | |||||||||||||
| 9052 | 139348 | 1525 | 23475 | 60 | 919 | 1006 | 15494 | 644 | 9911 | 12287 | 189147 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 1A | ||
| PART I, LINE 4B | THE FOLLOWING PARTICIPANTS RECEIVED COMPENSATION THROUGH A 457(F) PLAN: 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) MATTHEW SEVERANCE - 29,237 (FROM A RELATED ORGANIZATION) LISA IRVIN - 11,100 (FROM A RELATED ORGANIZATION) ALLEN CARROLL - 22,285 (FROM A RELATED ORGANIZATION) FATHER TERENCE FLEMING - 10,290 (FROM A RELATED ORGANIZATION) GREGORY EDWARDS - 16,362 (FROM A RELATED ORGANIZATION) PENNIE PERALTA - 9,600 (FROM A RELATED ORGANIZATION) STEVEN SHAPIRO - 24,087 (FROM A RELATED ORGANIZATION) MICHAEL TAYLOR - 14,400 (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 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 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 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
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANESTHESIA ASSOCIATES OF CHARLESTON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | A MEMBER IN THIS ORGANIZATION IS BOARD MEMBER JULIUS IVESTER | Relationship |
| Amount Of Transaction | 328980 | AmountOfTransaction |
| Description Of Transaction | PROVISION OF ANESTHESIA SERVICES | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 21 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 31695 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | PIANO | Description |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 2600 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| 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 (13 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PROGRAM SERVICE STATEMENT | FORM 990, PART III, LINE 4B | AT 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 3 | CAROLINAS HEALTHCARE SYSTEM (CHS), AN UNRELATED ORGANIZATION, PROVIDES THE COMPENSATION OF MR. DAVID L. DUNLAP, CEO, CAREALLIANCE HEALTH SERVICES; MR. BRET D. JOHNSON, CFO, CAREALLIANCE HEALTH SERVICES; AND MR. JOHN SULLIVAN, CEO, ROPER ST. FRANCIS MT. PLEASANT HOSPITAL. MR. DUNLAP AND MR. JOHNSON ARE EMPLOYEES OF CHS AND THEIR COMPENSATION IS PAID BY CAREALLIANCE HEALTH SERVICES, A RELATED ORGANIZATION, THROUGH A MANAGEMENT FEE TO CHS. MR. SULLIVAN IS ALSO AN EMPLOYEE OF CHS, AND HIS COMPENSATION IS PAID THROUGH A MANAGEMENT FEE BY ROPER ST. FRANCIS MT. PLEASANT HOSPITAL. | |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE CORPORATION IS CAREALLIANCE HEALTH SERVICES, A SOUTH CAROLINA NONPROFIT, NONSTOCK CORPORATION, D/B/A ROPER ST. FRANCIS HEALTHCARE. CAREALLIANCE HEALTH SERVICES IS IN TURN GOVERNED BY A BOARD OF DIRECTORS APPOINTED BY THE "FOUNDING MEMBERS". PLEASE SEE THE RESPONSE TO LINE 7A BELOW. THE BYLAWS OF THE ORGANIZATION SPECIFY CERTAIN QUALIFICATIONS OF THE THIRTEEN MEMBER BOARD OF DIRECTORS. AT LEAST NINE DIRECTORS MUST HAVE THEIR PRIMARY RESIDENCE IN A COMMUNITY SERVED BY THE SYSTEM. FIVE DIRECTORS MUST BE PHYSICIANS ACTIVELY ENGAGED IN THE FULL TIME PRACTICE OF MEDICINE. FIVE OF THE DIRECTORS ARE APPOINTED TO THE BOARD OF DIRECTORS BY VIRTUE OF POSITIONS HELD WITHIN MSSC, BSHSI AND CHS (EX-OFFICIO DIRECTORS). EACH OF THE FIVE EX-OFFICIO DIRECTORS SERVES AS A DIRECTOR OF THE ORGANIZATION FOR SO LONG AS SUCH PERSON HOLDS HIS OR HER RESPECTIVE ELECTED OR APPOINTED OFFICE IN HIS OR HER RESPECTIVE FOUNDING MEMBER ORGANIZATION. DIRECTORS SERVE THREE-YEAR TERMS AND ARE LIMITED TO THREE CONSECUTIVE TERMS. AFTER AN ABSENCE OF AT LEAST ONE YEAR, DIRECTORS ARE AGAIN ELIGIBLE FOR APPOINTMENT TO THE BOARD OF DIRECTORS FOR TWO CONSECUTIVE COMPLETE TERMS. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE ORGANIZATION IS GOVERNED BY A THIRTEEN MEMBER BOARD OF DIRECTORS APPOINTED BY THE FOUNDING MEMBERS. SUBJECT TO CERTAIN NOMINATING AND GOVERNANCE COMMITTEE APPROVALS, SIX DIRECTORS ARE APPOINTED BY THE MEDICAL SOCIETY OF SOUTH CAROLINA (MSSC), BON SECOURS HEALTH SYSTEMS, INC. (BSHSI) AND ONE DIRECTOR IS APPOINTED BY CAROLINAS HEALTHCARE SYSTEMS (CHS). IT IS THE FOUNDING MEMBERS' INTENT THAT THE MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS ARE APPOINTED TO SUCH POSITIONS BECAUSE THEY HAVE A WILLINGNESS TO SERVE THE NEEDS OF THE SYSTEM AS A WHOLE AND NOT THE NEEDS OF ANY INDIVIDUAL FOUNDING MEMBER. | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FOLLOWING ACTIONS SHALL REQUIRE THE UNANIMOUS AFFIRMATIVE APPROVAL OF ALL OF THE FOUNDING MEMBERS: (A) TO AMEND THE ARTICLES OF INCORPORATION OR THE BY-LAWS, INCLUDING WITHOUT LIMITATION, ANY CHANGE IN THE CORPORATION'S PURPOSES; PROVIDED, HOWEVER, THAT, SUBJECT TO THE PROCEDURES AND VOTING REQUIREMENTS WITH RESPECT TO THE ADMISSION OF NON-FOUNDING MEMBERS, SCHEDULE 3.1 MAY BE AMENDED WITH THE APPROVAL OF TWO (2) OF THE FOUNDING MEMBERS TO REFLECT THE ADMISSION OF A NON-FOUNDING MEMBER; (B) TO DISSOLVE OR LIQUIDATE THE CORPORATION AND TO DETERMINE THE DISTRIBUTION OF ASSETS UPON DISSOLUTION; (C) TO MERGE OR CONSOLIDATE THE CORPORATION OR TO SELL, CONVEY, TRANSFER, LEASE, OR OTHERWISE DISPOSE OF ALL OR SUBSTANTIALLY ALL OF ITS ASSETS; (D) TO APPOINT THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION IN A MANNER OTHER THAN THAT ESTABLISHED BY THE BY-LAWS; (E) TO ALTER OR AMEND THE CORPORATION'S ETHICAL PERFORMANCE STANDARDS (DEFINED BELOW); OR (F) TO ENTER INTO ANY MATERIAL AGREEMENT WHEREBY A THIRD PARTY WILL: (I) BECOME AN EQUITY OWNER IN ANY JOINT VENTURE WITH THE CORPORATION OR ANY SYSTEM PARTICIPANT AND WILL NOT BE LEGALLY OBLIGATED TO SUPPORT THE CORPORATION'S ETHICAL PERFORMANCE STANDARDS; OR (II) MANAGE A SUBSTANTIAL PART OF THE FACILITIES, ASSETS, OR OPERATIONS OF THE SYSTEM AND WILL NOT BE LEGALLY OBLIGATED TO COMPLY WITH AND SUPPORT THE CORPORATION'S ETHICAL PERFORMANCE STANDARDS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE 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 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. | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | START UP COSTS -3,365,922. TOTAL TO FORM 990, PART XI, LINE 5: -3,365,922. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. | |
| 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 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 A RELATED ORGANIZATION. ALISON E. DILLON WAS COMPENSATED FOR MEDICAL SERVICES RENDERED TO RELATED ORGANIZATIONS. |
Schedule R IRS990ScheduleR
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| CAREALLIANCE HEALTH SERVICES | ||||||||||
| 315 CALHOUN STREET 107 | CHARLESTON | SC | 29401 | 570831165 | HEALTHCARE | SC | 501(C)(3) | LINE 3 | N/A | 0 |
| ROPER HOSPITAL INC | ||||||||||
| 315 CALHOUN STREET 107 | CHARLESTON | SC | 29401 | 570828733 | 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 | N/A | 0 |
| ROPER ST FRANCIS HOSPITAL - BERKELEY | ||||||||||
| 315 CALHOUN STREET 107 | CHARLESTON | SC | 29401 | 263710229 | HEALTHCARE (FUTURE) | SC | 501(C)(3) | LINE 3 | N/A | 0 |
| ROPER ST FRANCIS PHYSICIANS NETWORK | ||||||||||
| 125 DOUGHTY STREET 760 | CHARLESTON | SC | 29403 | 262946628 | HEALTHCARE | SC | 501(C)(3) | LINE 3 | N/A | 0 |
| ROPER ST FRANCIS FOUNDATION | ||||||||||
| 315 CALHOUN STREET 107 | CHARLESTON | SC | 29401 | 571068509 | SUPPORTING ORG | SC | 501(C)(3) | LINE 11A, I | N/A | 0 |
| 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 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 | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | 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 | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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