2011-11-11T10:48:40-06:00 2010-12-31 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2010-01-01 571067254 BON SECOURS-ST FRANCIS XAVIER HOSPITAL INC BONS 8437891704 315 CALHOUN STREET NO 107 CHARLESTON SC 29401 BRET D JOHNSON 8437891706 2011-11-02 1 AMY BIBBY 8282542254 2010 2016-03-07 17:11:31Z DAVID L DUNLAP 315 CALHOUN STREET NO 107 CHARLESTON SC 29401 174533704 0 X WWW.ROPERSAINTFRANCIS.COM X 1998 SC OPERATION OF NONPROFIT HOSPITAL FACILITY IN CHARLESTON, SC 13 7 1040 343 1119 0 703581 45775 187937259 171436330 -82239 584778 1348225 1623373 189906826 173690256 3008 147167 0 0 55886675 68379071 0 0 0 97800399 69471371 153690082 137997609 36216744 35692647 295148647 344403930 10567237 24745626 284581410 319658304 X HEALING ALL PEOPLE WITH COMPASSION, FAITH, AND EXCELLENCE. 0 0 117859593 147167 171436330 ACTIVELY DEMONSTRATING ROPER ST. FRANCIS HEALTHCARE'S COMMITMENT TO HEAL ALL PEOPLE WITH FAITH, COMPASSION AND EXCELLENCE, BON SECOURS ST. FRANCIS HOSPITAL CONTRIBUTED $12,412,000 MILLION IN COMMUNITY BENEFIT IN 2010. THIS BENEFIT INCLUDED $9,102,000 IN CHARITY CARE, $336,000 IN UNREIMBURSED MEDICAID, AND $2,974,000 IN NUMEROUS SPONSORSHIPS AND COMMUNITY OUTREACH PROGRAMS (SEE SCHEDULE H FOR ADDITIONAL DETAILS). HIGHLIGHTS OF BON SECOURS ST. FRANCIS HOSPITAL'S ACTIVE YEAR INCLUDE: NEARLY 29,000 VOLUNTEER STAFF HOURS FOR ACTIVITIES SUCH AS HEALTH FAIRS, CAREER DAYS AND PUBLIC PROGRAMS THAT BENEFITED 51,000 INDIVIDUALS IN THE COMMUNITY; OFFERED FREE SKIN CANCER SCREENINGS, HOSTED THE STUDENTS CAN REALLY USE BEDSIDE SKILLS ("SCRUBS") PROGRAM, WHICH GIVES STUDENTS AN OPPORTUNITY TO LEARN ABOUT HEALTH CAREERS FROM EXPERTS IN THE FIELD WHO LOVE THEIR WORK; THE ARK ORGANIZATION, WHICH OFFERS ADULT RESPITE-CARE PROGRAMS TO PEOPLE WITH ALZHEIMERS AND OTHER MEMORY-RELATED DISEASES; DOWN SYNDROME ASSOCIATION OF THE LOWCOUNTRY; AMERICAN CANCER SOCIETY; AND THE AMERICAN CANCER SOCIETY RELAY FOR LIFE, TO NAME A FEW.IN ADDITION TO BON SECOURS ST. FRANCIS HOSPITAL'S COMMITMENT TO BETTERING AND SUPPORTING THE HEALTH OF THE COMMUNITY, THE ORGANIZATION ALSO SUPPORTED MANY CHARITABLE ORGANIZATIONS THAT WORK TO FULFILL OTHER NEEDS SUCH AS: TRIDENT UNITED WAY, YOUTH ENDOWMENT FOR THE ARTS, AND OLD SANTEE CANAL PARK. PLEASE 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. 117859593 1 1 0 0 0 0 0 0 0 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 1 0 0 1040 1 1 1 0 0 0 0 0 0 0 0 0 X 13 7 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 SC X X THE FINANCE DEPARTMENT 8437891704 315 CALHOUN STREET 107 CHARLESTON SC 29401 JOHN M JORDAN 1.00 X 0 289925 51575 W BLOUNT ELLISON 1.00 X 0 0 0 SIS PATRICIA A ECK CBS 1.00 X 0 0 0 RICHARD STATUTO 1.00 X 0 0 0 MICHAEL C TARWATER 1.00 X 0 0 0 G FREDERICK WORSHAM MD 1.00 X 0 0 0 PERRY KEITH WARING 1.00 X 0 0 0 BRANTLEY D THOMAS PHD 1.00 X 0 0 0 SISTER ANNE LUTZ 1.00 X 0 0 0 DAVID M ELLISON MD 1.00 X 0 23813 0 KATHERINE DUFFY PHD 1.00 X 0 0 0 JULIUS R IVESTER MD 1.00 X 0 0 0 ALISON E DILLON MD 1.00 X 12000 0 0 ANGRESS WALKER 1.00 X 0 0 0 DAVID DUNLAP 1.00 X 0 1439245 319287 MATTHEW J SEVERANCE 1.00 X 0 627104 213613 BRET JOHNSON 1.00 X 0 563160 200812 STEVEN D SHAPIRO 1.00 X 0 526921 142758 ALLEN CARROLL 50.00 X 525356 0 178850 JOHN SULLIVAN 1.00 X 0 398274 143132 DOUGLAS W BOWLING 1.00 X 0 443797 136438 MICHAEL TAYLOR 1.00 X 0 372551 100965 H DOUGLAS HARRISON 1.00 X 0 398399 97367 GREGORY T EDWARDS 1.00 X 0 333952 113262 ELLEN BROWN 1.00 X 0 284893 94411 LISA IRVIN 1.00 X 0 279465 83939 FATHER TERENCE K FLEMING 1.00 X 0 258280 74997 PENNIE L PERALTA 50.00 X 236699 0 75265 DIANA TOPJIAN 1.00 X 0 88026 15037 ROBERT OLSON 1.00 X 0 0 0 NANCY GLYNN 1.00 X 0 0 0 BROTHER PETER CAMPBELL 1.00 X 0 0 0 FRANCIS WYCKOFF JR 12.10 X 48247 151120 38175 WANDA J BROCKMEYER 12.20 X 40108 123595 18923 MICHAEL RICCIARDONE 25.60 X 83495 79582 18984 JOHN D STEICHEN MD 0.60 X 12926 1064194 51978 GEORGE H KHOURY MD 0.90 X 17909 977027 54978 STEPHEN E RAWE MD 1.00 X 18830 922645 44740 BRIAN G CUDDY MD 0.90 X 13936 805821 51978 ROBERT LOWERY MD 0.80 X 11929 783283 51999 PETER DINICOLA 1.00 X 0 206746 15525 1021435 11441818 2388988 22 1 1 1 NURSE ANESTHESIA OF SC LLC PO BOX 6633 HIGH POINT NC 27262 ANESTHESIA SERVICES 1602060 ROBINS AND MORTON GROUP 400 SHADES CREEK PKWY 200 BIRMINGHAM AL 35209 CONSTRUCTION 1386214 MCKESSON INFORMATION SOLUTIONS PO BOX 98347 CHICAGO IL 60693 INFO SERVICES 651742 ANGELICA TEXTILE SERVICES P O BOX 535122 ATLANTA GA 303535122 LINEN RENTAL 641828 CHARLESTON EMERGENCY SERVICES 2053 SHELL RING CIRCLE MT PLEASANT SC 29466 ER PHYSICIANS SERVICES 509492 21 45775 45775 NET PATIENT SERVICE 621400 171436330 171436330 171436330 60943 60943 1358992 843448 515544 515544 515544 523835 523835 523835 523835 CAFETERIA REVENUE 722210 923486 923486 MISCELLANEOUS REVENUE 900099 184343 1119 183224 1107829 173690256 171436330 1119 2207032 147167 147167 945905 12000 933905 75842 75842 54645663 42804311 11841352 2266289 523513 1742776 6731515 6433844 297671 3713857 2533705 1180152 1895293 1895293 388200 388200 83576 83576 9869896 8931936 937960 803842 642652 161190 8143667 6480346 1663321 116558 116558 2730324 2670431 59893 39825 39825 278978 278978 136745 136745 7580924 7580924 503216 389118 114098 MEDICAL SUPPLIES 24282256 24282256 BAD DEBT EXPENSE 8328812 8328812 MEDICAL DSH TAX 3806404 3806404 OTHER EXPENSES 482855 184294 298561 137997609 117859593 20138016 0 24600 25199 21532147 24974183 670989 2261341 2685262 178341988 54422259 111593809 123919729 155630348 189542037 379129 3435413 2878391 295148647 344403930 793283 722317 2305851 2302295 11699 7468103 21709315 10567237 24745626 X 284581410 319658304 284581410 319658304 295148647 344403930 X 35692647 -615753 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13580943 13580943 116029981 23621506 92408475 4628554 2179077 2449477 43934029 28621676 15312353 168481 168481 123919729 INVESTMENT IN WEST ASHLEY CANCER CENTER 464387 F INTERCOMPANY RECEIVABLES 189077650 C 189542037 OTHER LIABILITIE 487526 THIRD PARTY RESERVES 3835746 WACC LEASE OBLIGATION 17386043 21709315 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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. 1 1 X 1 X 300.000000000000 1 X 399.000000000000 1 1 1 0 1 1 13254371 4152866 9101505 0.07020 13554597 13218810 335787 0.00260 26808968 17371676 9437292 0.07280 1489488 3119 1486369 0.01150 1196751 124456 1072295 0.00830 58136 58136 0.00040 362991 41940 321051 0.00250 3107366 169515 2937851 0.02270 29916334 17541191 12375143 0.09550 36509 36509 0.00030 36509 36509 0.00030 0 1454792 581917 39094284 42968279 -3873995 X 1 1 1 RSFH WEST ASHLEY CANCER CENTER LLC CANCER TREATMENT 0.22200 0.13000 0.64800 1 1 BON SECOURS ST FRANCIS HOSPITAL INC

2095 HENRY TECKLENBURG BLVD CHARLESTON SC 29414

X X X NA FOR 2010 1 7 STFRANCIS HOSPITAL PAIN MANAGEMENT

2093 HENRY TECKLENBURG DRIVE CHARLESTON SC 29414

PAIN MANAGEMENT FOR SPINE STFRANCIS HOSPITAL MRI

2145 HENRY TECKLENBURG DRIVE STE 150 CHARLESTON SC 29414

MRI STFRANCIS HOSPITAL REHAB- SPINE & SPORT

2093 HENRY TECKLENBURG DRIVE CHARLESTON SC 29414

PT, OT, ST STFRANCIS HOSPITAL BREAST CARE

2145 HENRY TECKLENBURG DRIVE STE 103 CHARLESTON SC 29414

MAMMOGRAPHY, BONE DENSITY, BREAST ULTRASOUND STFRANCIS HOSPITAL CARDIAC REHAB

2097 HENRY TECKLENBURG DRIVE STE 309 CHARLESTON SC 29414

CARDIAC REHAB STFRANCIS HOSPITAL DIABETES TREATMENT

2093 HENRY TECKLENBURG DRIVE STE 201 CHARLESTON SC 29414

DIABETES SELF MGMT TRAINING & TREATMENT STFRANCIS HOSPITAL INFUSION THERAPY

2085 HENRY TECKLENBURG DRIVE STE 110 CHARLESTON SC 29414

INFUSION THERAPY PART I, LINE 3C: IN ADDITION TO USING THE FPG TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE, THE SYSTEM OFFERS A 35% DISCOUNT FOR PATIENTS WHO ARE UNINSURED. A 10% PROMPT PAYMENT DISCOUNT IS OFFERED TO ALL SELF-PAY OR SELF-PAY-AFTER-INSURANCE PATIENTS WHO PAY THE BALANCE AT ONE TIME. MEDICAL INDIGENCY ADJUSTMENTS ARE AVAILABLE TO THOSE THAT MEET THE ESTABLISHED GUIDELINES. 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 $ 8328812. 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): DETAIL OF COMMUNITY HEALTH SERVICES (NET): ADVANTAGE PROGRAMS - $ 1,288 COMMUNITY CALENDARS & NEWSLETTERS - 2,219 DIABETES SUPPORT GROUP - 39 ENROLLMENT ASSISTANCE IN PUBLIC PROGRAMS - 1,115,417 HEALTH EDUCATION AND LECTURES BY STAFF - 1,879 HEALTH FAIRS & CAREER DAYS - 10,623 HOUSE CALLS MAGAZINE - 86,530 WELLNESS HOUSE - 242,902 OVERSIGHT OF COMMUNITY BENEFIT PROGRAMS - 25,472 TOTAL TO LINE 7(E), COL(E) - 1,486,369 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.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 ST. FRANCIS 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 $535,914. 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 ACCESS 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 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 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. WE 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.THE ORGANIZATION IS COMMITTED TO THE ENRICHMENT OF HEALTHCARE IN OUR COMMUNITY AS EVIDENCED BY THE COMPOSITION OF OUR BOARD OF DIRECTORS AND OPEN MEDICAL STAFF. OUR GOVERNING BODY IS COMPRISED OF A 13-MEMBER BOARD OF DIRECTORS. AT LEAST NINE DIRECTORS MUST HAVE THEIR PRIMARY RESIDENCE IN A COMMUNITY SERVED BY THE SYSTEM. FIVE DIRECTORS MUST BE PHYSICIANS ACTIVELY ENGAGED IN THE FULL TIME PRACTICE OF MEDICINE. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE AREA FOR MOST OF OUR DEPARTMENTS.SURPLUS FUNDS ARE RETURNED TO OUR COMMUNITY THROUGH THE DEVELOPMENT OF NEW FACILITIES TO SERVE POPULATION GROWTH, THE EXPANSION OF EXISTING FACILITIES, SUBSIDIZING CARE FOR THOSE WHO ARE UNABLE TO PAY, SPONSORSHIP OF HEALTHCARE RELATED ACTIVITIES INCLUDING OUTREACH CLINICS AND PROGRAMS FOR THE UNINSURED, AND INVESTING IN TECHNOLOGY TO IMPROVE THE QUALITY OF PATIENT CARE. PART VI, LINE 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 BON SECOURS - ST. FRANCIS XAVIER HOSPITAL, INC, AN ACUTE CARE HOSPITAL WITH 204 LICENSED BEDS. CAREALLIANCE WAS FORMED EFFECTIVE AUGUST 1, 1998, THROUGH THE EXECUTION OF AN AFFILIATION AGREEMENT BETWEEN THE FOLLOWING FOUNDING MEMBERS: - THE MEDICAL SOCIETY OF SOUTH CAROLINA, - BON-SECOURS HEALTH SYSTEM, INC., AND - CAROLINAS HEALTHCARE SYSTEM. CAREALLIANCE IS THE SOLE CORPORATE MEMBER AND, THROUGH ITS BY-LAWS, HAS THE POWER TO CONTROL THE FINANCIAL AND BUSINESS AFFAIRS OF BON SECOURS ST. FRANCIS XAVIER HOSPITAL. REPORTS FILED WITH STATES PART VI, LINE 7 SC 1 X OTHER INFORMATION: PART IV: 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. X X 1 1 X X X X 0 1 0 0 0 1 1 1 0 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 313887 0 210964 0 505 0 156185 0 22665 0 704206 0 0 0 JOHN SULLIVAN 0 221513 0 147737 0 29024 0 122170 0 20962 0 541406 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 153036 0 83028 0 635 0 55770 0 19495 0 311964 0 0 0 FRANCIS WYCKOFF JR 40707 127503 6962 21806 578 1811 6912 21648 2327 7288 57486 180056 0 0 WANDA J BROCKMEYER 33348 102765 4812 14828 1948 6002 2343 7221 2293 7066 44744 137882 0 0 MICHAEL RICCIARDONE 65598 62524 11643 11097 6254 5961 4886 4656 4834 4608 93215 88846 0 0 JOHN D STEICHEN MD 12869 1059539 48 3952 9 703 349 28715 275 22639 13550 1115548 0 0 GEORGE H KHOURY MD 17806 971423 8 442 95 5162 523 28541 466 25448 18898 1031016 0 0 STEPHEN E RAWE MD 18074 885606 610 29908 146 7131 581 28482 314 15363 19725 966490 0 0 BRIAN G CUDDY MD 13883 802743 0 0 53 3078 494 28570 390 22524 14820 856915 0 0 ROBERT LOWERY MD 11758 772076 30 1970 141 9237 436 28628 344 22591 12709 834502 0 0 PETER DINICOLA 0 176189 0 29922 0 635 0 10464 0 5061 0 222271 0 0 PART I, LINE 1A THE ORGANIZATION PROVIDED TAX GROSS UP PAYMENTS FOR EMPLOYEE PERSONAL USE OF CELL PHONES FOR THE FOLLOWING INDIVIDUALS: ALLEN CARROLL BRIAN CUDDY GEORGE KHOURY PENNIE PERALTA STEPHEN RAWE MICHAEL RICCIARDONE JOHN STEICHEN FRANCIS WYCKOFF WANDA BROCKMEYER PART I, LINE 4B THE FOLLOWING PARTICIPANTS RECEIVED COMPENSATION THROUGH A 457(F) PLAN: ALLEN CARROLL - $ 22,285 PENNIE PERALTA - 9,600 TERENCE FLEMING - 10,290 (FROM A RELATED ORGANIZATION) LISA IRVIN - 11,100 (FROM A RELATED ORGANIZATION) ELLEN BROWN - 11,400 (FROM A RELATED ORGANIZATION) DOUGLAS BOWLING - 19,710 (FROM A RELATED ORGANIZATION) MATTHEW SEVERANCE - 29,237 (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) 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. SUPPLEMENTAL INFORMATION PART III PART II, LINE 1: COMPENSATION FROM UNRELATED ORGANIZATIONS CAROLINAS HEALTHCARE SYSTEM PROVIDES THE COMPENSATION OF DAVID L. DUNLAP, CEO, CAREALLIANCE HEALTH SERVICES; BRET D. JOHNSON, CFO, CAREALLIANCE HEALTH SERVICES; AND JOHN SULLIVAN, CEO, ROPER ST. FRANCIS MT. PLEASANT HOSPITAL. MR. DUNLAP AND MR. JOHNSON ARE EMPLOYEES OF CAROLINAS HEALTHCARE SYSTEM AND THEIR COMPENSATION IS PAID BY CAREALLIANCE HEALTHCARE SERVICES, A RELATED ORGANIZATION, THROUGH A MANAGEMENT FEE TO CAROLINAS HEALTHCARE SYSTEM. MR. SULLIVAN IS ALSO AN EMPLOYEE OF CAROLINAS HEALTHCARE SYSTEM, AND HIS COMPENSATION IS PAID BY ROPER ST. FRANCIS MT. PLEASANT HOSPITAL, A RELATED ORGANIZATION, THROUGH A MANAGEMENT FEE TO CAROLINAS HEALTHCARE SYSTEM. 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. JESSICA PERALTA FAMILY RELATIONSHIP TO OFFICER PENNIE PERALTA 53932 COMPENSATION FOR EMPLOYMENT 0 KIMBERLY TAYLOR FAMILY RELATIONSHIP TO OFFICER MICHAEL TAYLOR 21910 COMPENSATION FOR EMPLOYMENT 0 CHARLESTON PATHOLOGY PA OWNED IN PART BY BOARD MEMBER G. FREDERICK WORSHAM, MD 244929 PROVIDED PATHOLOGY SERVICES THROUGHOUT THE YEAR TO THE ORGANIZATION 0 WEST ASHLEY CANCER CENTER LLC OWNED IN PART BY BOARD MEMBER DAVID ELLISON 103015 LEASE PAYMENTS TO WEST ASHLEY CANCER CENTER 0 WEST ASHLEY CANCER CENTER LLC OWNED IN PART BY BOARD MEMBER DAVID ELLISON 464387 INVESTMENT IN JOINT VENTURE 0 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 OF THEM: (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) AGREES TO COMPLY WITH THIS POLICY; (D) UNDERSTANDS THAT THE POLICY APPLIES TO ALL COMMITTEES; AND (E) UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND MUST CONTINUOUSLY ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. FORM 990, PART VI, SECTION B, LINE 15 AN INDEPENDENT COMPANY, TOWERS 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 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 ADMINSITRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS ARE PUBLISHED ANNUALLY AND ARE AVAILABLE TO THE PUBLIC AT WWW.DACBOND.COM. GRANTS FORM 990, PART IX, LINE 1 THE MAJORITY OF THE GRANTS EXPENSE SHOWN ON PAGE 10 OF THE 990 IS AN ALLOCATION FROM THE PARENT COMPANY, CAREALLIANCE HEALTH SERVICES. ALL GRANTS MEETING DISCLOSURE REQUIREMENTS FOR 2010 HAVE BEEN LISTED ON CAREALLIANCE HEALTH SERVICE'S FORM 990. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET SUPPORT FROM FOUNDATION 13,253. INDIGENT CARE SUPPORT 3,141. INTERCOMPANY EQUITY TRANSFER -632,147. TOTAL TO FORM 990, PART XI, LINE 5: -615,753. 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 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 A RELATED ORGANIZATION. ALISON E. DILLON WAS COMPENSATED FOR MEDICAL SERVICES RENDERED TO THE ORGANIZATION. NEUROSCIENCES MRI CENTER LLC 315 CALHOUN STREET 107 CHARLESTON SC 29401 203348220 HEALTHCARE SC N/A 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 ROPER ST FRANCIS MT PLEASANT HOSPITAL 315 CALHOUN STREET 107 CHARLESTON SC 29401 570360499 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 CAREALLIANCE MEDICAL SERVICES ORGANIZATION 225 DOUGHTY STREET CHARLESTON SC 29403 571012837 INACTIVE SC N/A C 0 0 1 1 1 0 0 1 0 0 1 1 1 1 1 1 0 0