BON SECOURS-ST FRANCIS XAVIER HOSPITAL INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- BON SECOURS-ST FRANCIS XAVIER HOSPITAL INC (EIN 57-1067254)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-13
- IRS object ID
- 201733179349305908
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-13T14:24:58-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560747981 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1Txt |
| City | ASHEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28806 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 571067254 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bon Secours-St Francis Xavier | BusinessNameLine1Txt |
| Business Name Line2 | Hospital Inc | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BONS | BusinessNameControlTxt |
| Phone | 8437242958 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8536 Palmetto Commerce Pkwy No 201 | AddressLine1Txt |
| City | Ladson | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29456 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Bret D Johnson | PersonNm |
| Person Title | SVP & CFO | PersonTitleTxt |
| Phone | 8437891706 | PhoneNum |
| Signature | 2017-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Amy Bibby | PreparerPersonNm |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 12.25.12.224 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-13 | IPDt |
| IP Tm | 14:24:09 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | ADBFC64F84809A3D359AE279AE52D225AAF16287 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Lorraine Lutton | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8536 Palmetto Commerce Pkwy No 201 | AddressLine1Txt |
| City | Ladson | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29456 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $236,863,089 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.rsfh.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1998 | FormationYr |
| Legal Domicile State | SC | LegalDomicileStateCd |
| Activity Or Mission | Operation of nonprofit hospital facility in Charleston, SC | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 1074 | TotalEmployeeCnt |
| Total Volunteers | 278 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $21,580 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $586,416 | PYContributionsGrantsAmt |
| CY Contributions Grants | $944,553 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $226,608,425 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $232,566,062 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$254,697 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,260 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,032,045 | PYOtherRevenueAmt |
| CY Other Revenue | $2,526,660 | CYOtherRevenueAmt |
| PY Total Revenue | $228,972,189 | PYTotalRevenueAmt |
| CY Total Revenue | $236,045,535 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $164,837 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $217,046 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $81,095,487 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $85,212,034 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $101,768,493 | PYOtherExpensesAmt |
| CY Other Expenses | $106,407,192 | CYOtherExpensesAmt |
| PY Total Expenses | $183,028,817 | PYTotalExpensesAmt |
| CY Total Expenses | $191,836,272 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $45,943,372 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $44,209,263 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $261,346,247 | TotalAssetsBOYAmt |
| Total Assets EOY | $278,419,426 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $56,709,298 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $52,550,055 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $204,636,949 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $225,869,371 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Healing all people with compassion, faith, and excellence. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $142,081,803 | ExpenseAmt |
| Grant | $217,046 | GrantAmt |
| Revenue | $232,566,062 | RevenueAmt |
| Desc | Bon Secours St. Francis Hospital traces its origins back to 1882 when five Sisters of Charity of Our Lady of Mercy opened St. Francis Infirmary in downtown Charleston as the first Catholic hospital in the state.Bon Secours St. Francis now is affiliated with the Bon Secours Health System, Inc. and has relocated to an expansive oak-graced campus west of the Ashley River. Bon Secours St. Francis contributed $15.4 million in community benefit in 2016. This benefit included charity care, unreimbursed Medicaid, numerous sponsorships and community outreach programs (see Schedule H for additional details). Overall, the hospital contributed 6,200 volunteer staff hours for activities such as health fairs, career days and public programs that benefited nearly 7,000 individuals in the community.Some of the national accolades Bon Secours St. Francis Hospital received in 2016 include:- Five out of five stars from the Centers for Medicare & Medicaid- Top 100 Hospital by Truven Health Analytics- Outstanding Patient Experience Award - Earned an "A" on the spring Hospital Safety Score from Leapfrog- Ranked No. 2 hospital in South Carolina by U.S. News and World Report- Ranked among America's Best 100 Hospitals by HealthgradesSome of the advancements Bon Secours St. Francis Hospital made this year for patients include: opening two new operating rooms with advanced imaging capabilities; and becoming the first in South Carolina to offer vBloc Therapy, a lifelong, weight loss solution that blocks hunger signals between the brain and stomach. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Please see Schedule O for a detailed statement of Program Service Accomplishments.Please visit our website for a detailed community benefit report at:http://www.rsfh.com/mission-department/ | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $142,081,803 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1074 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | SC | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Finance Department | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8437242958 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8536 Palmetto Commerce Parkway | AddressLine1Txt |
| City | Ladson | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29456 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (48 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Brian Cuddy MD | ||||||||||
| Chair (See Sch O) | 0.50 | 49.50 | Yes (X) | $16,000 | $1,070,702 | $60,821 | ||||
| Alison E Dillon MD | ||||||||||
| Vice Chair (See Sch O) | 0.50 | 2.50 | Yes (X) | $9,050 | $0 | $0 | ||||
| John B Holloway Jr | ||||||||||
| Board Member (See Sch O) | 0.50 | 2.50 | Yes (X) | $0 | $336,962 | $28,751 | ||||
| John A Spratt MD | ||||||||||
| Board Member (See Sch O) | 0.50 | 49.50 | Yes (X) | $0 | $820,778 | $62,634 | ||||
| Sister Anne Lutz | ||||||||||
| Board Member | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| Mark Nantz | ||||||||||
| Board Member | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| Michael C Tarwater | ||||||||||
| Board Member | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| Roberta Pinckney | ||||||||||
| Board Member | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| Mary Thornley | ||||||||||
| Board Member | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| Katherine Duffy PhD | ||||||||||
| Board Member | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| Susan Datta MD | ||||||||||
| Board Member (See Sch O) | 0.50 | 49.50 | Yes (X) | $0 | $205,827 | $48,243 | ||||
| Wills C Geils MD | ||||||||||
| Board Member (See Sch O) | 0.50 | 2.50 | Yes (X) | $0 | $25,116 | $0 | ||||
| Angress Walker | ||||||||||
| Board Member | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | ||||
| David Dunlap | ||||||||||
| President & CEO of CAHS (through Oct) | 1.00 | 49.00 | $0 | $1,230,606 | $389,625 | Yes (X) | ||||
| Lorraine Lutton | ||||||||||
| President & CEO of CAHS (from Nov) | 1.00 | 49.00 | $0 | $137,442 | $53,174 | Yes (X) | ||||
| Bret Johnson | ||||||||||
| CFO & SVP / Treasurer | 1.00 | 49.00 | $0 | $641,857 | $280,983 | Yes (X) | ||||
| Matthew Severance | ||||||||||
| SVP Operations & CEO, Roper Hospital | 47.00 | 3.00 | $0 | $769,819 | $237,006 | Yes (X) | ||||
| Todd Shuman MD | ||||||||||
| MD SVP & Chief Physician Officer | 1.00 | 49.00 | $0 | $637,564 | $169,855 | Yes (X) | ||||
| Allen Carroll | ||||||||||
| Regional CEO & CEO BSSF | 1.00 | 49.00 | $637,005 | $0 | $178,666 | Yes (X) | ||||
| Anthony Jackson | ||||||||||
| VP and CEO MPH | 1.00 | 49.00 | $0 | $357,426 | $99,615 | Yes (X) | ||||
| Steven Sapiro MD | ||||||||||
| Chief Medical Officer (through Apr) | 1.00 | 49.00 | $0 | $659,060 | $40,927 | Yes (X) | ||||
| Stanley Wilson MD | ||||||||||
| Interim VP Medical Affairs & CMO | 1.00 | 49.00 | $0 | $425,303 | $49,729 | Yes (X) | ||||
| Douglas Bowling | ||||||||||
| CSO & VP | 1.00 | 49.00 | $0 | $539,130 | $159,308 | Yes (X) | ||||
| Gregory Edwards | ||||||||||
| VP & General Council/ Secretary | 1.00 | 49.00 | $0 | $522,185 | $156,357 | Yes (X) | ||||
| Melanie Stith | ||||||||||
| VP Human Resources | 1.00 | 49.00 | $0 | $315,547 | $107,854 | Yes (X) | ||||
| Keith Neuman | ||||||||||
| VP & Chief Information Officer | 1.00 | 49.00 | $0 | $291,995 | $94,159 | Yes (X) | ||||
| Carolyn Donohue | ||||||||||
| VP Nursing/ Senior Nurse Exec RHI | 1.00 | 49.00 | $0 | $293,708 | $69,027 | Yes (X) | ||||
| Pennie Peralta | ||||||||||
| VP Nursing/ Sr. Nurse Exec SFX | 1.00 | 49.00 | $269,943 | $0 | $75,762 | Yes (X) | ||||
| Tavia Buck | ||||||||||
| VP Nursing/Sr. Nurse Exec MPH | 1.00 | 49.00 | $0 | $193,356 | $43,168 | Yes (X) | ||||
| Mark Dickson | ||||||||||
| VP Mission | 1.00 | 49.00 | $0 | $250,954 | $76,603 | Yes (X) | ||||
| Karen Fraser | ||||||||||
| VP Patient Engagement | 1.00 | 49.00 | $0 | $113,081 | $33,475 | Yes (X) | ||||
| Toni Flowers | ||||||||||
| VP and Chief Diversity Officer | 1.00 | 49.00 | $0 | $94,702 | $2,243 | Yes (X) | ||||
| Daniel Quirk Jr | ||||||||||
| SFX Board Chair | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||||
| John F Wallenhorst | ||||||||||
| SFX Board President | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||||
| Wanda Brockmeyer | ||||||||||
| Director of Emergency Serv | 1.00 | 49.00 | $0 | $179,258 | $18,297 | Yes (X) | ||||
| Peter DiNicola | ||||||||||
| Dir. Plant Engineering | 1.00 | 49.00 | $0 | $238,611 | $36,832 | Yes (X) | ||||
| Vanessa Shamrock | ||||||||||
| Director of Lab Services | 1.00 | 49.00 | $0 | $152,654 | $18,114 | Yes (X) | ||||
| Francis Wyckoff Jr | ||||||||||
| Director of Pharmacy | 1.00 | 49.00 | $0 | $237,014 | $40,487 | Yes (X) | ||||
| Mike DeGennaro | ||||||||||
| Director of Imaging | 1.00 | 49.00 | $0 | $167,215 | $14,937 | Yes (X) | ||||
| Stephanie McKoin | ||||||||||
| Director of Perioperative Services | 1.00 | 49.00 | $0 | $197,410 | $31,157 | Yes (X) | ||||
| George Khoury MD | ||||||||||
| Physician | 1.00 | 49.00 | $18,500 | $1,461,802 | $64,107 | Yes (X) | ||||
| John Steichen MD | ||||||||||
| Physician | 1.00 | 49.00 | $20,600 | $1,240,148 | $59,984 | Yes (X) | ||||
| John McCrosson MD | ||||||||||
| Physician | 1.00 | 49.00 | $6,000 | $1,152,392 | $60,325 | Yes (X) | ||||
| Robert Morgan Stuart MD | ||||||||||
| Physician | 1.00 | 49.00 | $17,500 | $1,067,109 | $61,575 | Yes (X) | ||||
| Robert Lowery MD | ||||||||||
| Physician | 1.00 | 49.00 | $9,500 | $1,103,331 | $57,202 | Yes (X) | ||||
| Melinda Cardell | ||||||||||
| Chief Information Officer (Former) | 1.00 | 49.00 | $0 | $250,899 | $22,485 | Yes (X) | ||||
| C Scott Ferguson | ||||||||||
| Director of Material Serv (Former) | 1.00 | 49.00 | $0 | $187,947 | $34,197 | Yes (X) | ||||
| Susan Oliver | ||||||||||
| Director of Periop Endo (Former) | 1.00 | 49.00 | $0 | $134,675 | $8,555 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,004,098 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $17,703,585 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $3,046,239 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 30 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Charleston Emergency Services | |||||
| 2053 Shell Ring Circle | Mt Pleasant | SC | 29466 | ER Physicians Services | $6,204,587 |
| Rightsourcing Inc | |||||
| 999 Steward Ave Suite 100 | Bethpage | NY | 11714 | Temp Labor | $1,991,256 |
| RSFH West Ashley Cancer Center LLC | |||||
| 125 Doughty St Ste 620 | Charleston | SC | 29403 | Property Management | $1,890,166 |
| Robins and Morton Group | |||||
| 400 Shades Creek Pkwy Suite 200 | Birmingham | AL | 35209 | General Contractor | $1,779,497 |
| Nurse Anesthesia of SC LLC | |||||
| PO Box 6633 | High Point | NC | 27262 | Anesthesia Services | $1,490,240 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 25 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $944,553 | RelatedOrganizationsAmt |
| Total Contributions | $944,553 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Net Patient Service | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $232,566,062 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $232,566,062 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $232,566,062 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,385 | TotalRevenueColumnAmt |
| Exclusion | $13,385 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,467,463 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $549,950 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $917,513 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $917,513 | TotalRevenueColumnAmt |
| Exclusion | $917,513 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,125 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$5,125 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$5,125 | TotalRevenueColumnAmt |
| Exclusion | -$5,125 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $488,750 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $262,479 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $226,271 | TotalRevenueColumnAmt |
| Exclusion | $226,271 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| Cafeteria Revenue | 722210 | $1,297,396 | $1,297,396 |
| Miscellaneous Revenue | 900099 | $85,480 | $85,480 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,382,876 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $236,045,535 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $232,566,062 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,534,920 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $217,046 | TotalAmt |
| Program Services | $217,046 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $931,998 | TotalAmt |
| Program Services | $25,050 | ProgramServicesAmt |
| Management And General | $906,948 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,948 | TotalAmt |
| Program Services | $118,948 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,672,192 | TotalAmt |
| Program Services | $49,995,871 | ProgramServicesAmt |
| Management And General | $21,676,321 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,018,691 | TotalAmt |
| Program Services | $1,391,812 | ProgramServicesAmt |
| Management And General | $626,879 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,859,992 | TotalAmt |
| Program Services | $4,729,707 | ProgramServicesAmt |
| Management And General | $2,130,285 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,610,213 | TotalAmt |
| Program Services | $2,489,106 | ProgramServicesAmt |
| Management And General | $1,121,107 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,472,464 | TotalAmt |
| Management And General | $2,472,464 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $297,556 | TotalAmt |
| Management And General | $297,556 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,879 | TotalAmt |
| Management And General | $87,879 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,622,777 | TotalAmt |
| Program Services | $5,301,538 | ProgramServicesAmt |
| Management And General | $14,321,239 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $621,767 | TotalAmt |
| Program Services | $497,416 | ProgramServicesAmt |
| Management And General | $124,351 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,584,847 | TotalAmt |
| Program Services | $9,123,577 | ProgramServicesAmt |
| Management And General | $4,461,270 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $324,910 | TotalAmt |
| Management And General | $324,910 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,429,355 | TotalAmt |
| Program Services | $3,783,959 | ProgramServicesAmt |
| Management And General | $645,396 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,608 | TotalAmt |
| Management And General | $67,608 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $247,050 | TotalAmt |
| Management And General | $247,050 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,727,638 | TotalAmt |
| Program Services | $1,727,638 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,005,863 | TotalAmt |
| Program Services | $10,005,863 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $862,529 | TotalAmt |
| Program Services | $690,023 | ProgramServicesAmt |
| Management And General | $172,506 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical supplies | $35,050,435 | $35,050,435 | |
| Bad debt expense | $12,116,222 | $12,116,222 | |
| Medical DSH tax | $4,516,200 | $4,516,200 | |
| Other expenses | $372,092 | $301,392 | $70,700 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $191,836,272 | TotalAmt |
| Program Services | $142,081,803 | ProgramServicesAmt |
| Management And General | $49,754,469 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,149 | BOYAmt |
| EOY | $25,152 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,029,237 | BOYAmt |
| EOY | $37,258,961 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,436,501 | BOYAmt |
| EOY | $3,346,202 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $507,258 | BOYAmt |
| EOY | $1,023,889 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $225,578,954 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $98,224,756 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $127,435,238 | BOYAmt |
| EOY | $127,354,198 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,096,863 | BOYAmt |
| EOY | $108,270,948 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $379,130 | BOYAmt |
| EOY | $379,130 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,436,871 | BOYAmt |
| EOY | $760,946 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $261,346,247 | BOYAmt |
| EOY | $278,419,426 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $743,136 | BOYAmt |
| EOY | $445,880 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,690,727 | BOYAmt |
| EOY | $34,348,899 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,782 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,272,653 | BOYAmt |
| EOY | $17,755,276 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,709,298 | BOYAmt |
| EOY | $52,550,055 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $204,636,949 | BOYAmt |
| EOY | $225,869,371 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $204,636,949 | BOYAmt |
| EOY | $225,869,371 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $261,346,247 | BOYAmt |
| EOY | $278,419,426 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $44,209,263 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$22,976,841 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,580,943 | OtherCostOrOtherBasisAmt |
| Book Value | $13,580,943 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $131,497,589 | OtherCostOrOtherBasisAmt |
| Depreciation | $49,882,041 | DepreciationAmt |
| Book Value | $81,615,548 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,996,942 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,477,645 | DepreciationAmt |
| Book Value | $1,519,297 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $74,991,916 | OtherCostOrOtherBasisAmt |
| Depreciation | $44,865,070 | DepreciationAmt |
| Book Value | $30,126,846 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $511,564 | OtherCostOrOtherBasisAmt |
| Book Value | $511,564 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $127,354,198 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Investment in RSF Cancer Center | -$87,425 | F |
| Intercompany receivables | $106,371,880 | F |
| Other Receivables | $1,986,493 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $108,270,948 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Other liabilities | $610,571 |
| Third party reserves | $2,748,996 |
| WACC lease obligation | $14,395,709 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $17,755,276 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | Bon Secours St. Francis Xavier Hospital is a not-for-profit organization as described in Section 501(c)(3) of the Internal Revenue Code and is generally exempt from federal and state income taxes. Accordingly, no provision for income taxes is made in the consolidated financial statements. Although [the consolidated group] is generally exempt from federal and state income taxes, it evaluates whether there are any uncertain tax positions that fail to meet the more-likely-than-not threshold for recognition in the consolidated financial statements. Uncertain tax positions may include the characterization of income, such as a characterization of income as passive, a decision to exclude reporting taxable income in a tax return, or a decision to classify a transaction, entity, or other position in a tax return as tax exempt. The tax return benefit from an uncertain tax position is recognized when it is more likely than not that the position will be sustained upon examination, including resolutions of any related appeals or litigation processes, based on the technical merits. The organization has no unrecognized tax positions as of December 31, 2016 and 2015, and does not expect that unrecognized tax benefits will materially increase within the next 12 months. Tax years 2013 through 2015 are subject to examination by the federal and state taxing authorities, respectively. There are no income tax examinations currently in process. Interest and penalties related to uncertain tax positions, if any, would be recognized in the consolidated financial statements as income tax expense. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 299.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 399.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,667,179 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,227,133 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,440,046 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08590 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,356,981 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,238,130 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,024,160 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,465,263 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,440,046 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08590 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $167,205 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $167,205 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $497,134 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $196,671 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $300,463 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $282,984 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $140,984 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $142,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $947,323 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $337,655 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $609,668 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00340 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,971,483 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,802,918 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,049,714 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08930 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,134 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,134 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,134 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,134 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $12,116,222 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $4,846,489 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $50,064,170 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $49,177,541 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $886,629 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 RSFH West Ashley Cancer Center LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | Cancer Treatment | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.09260 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.00000 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.90700 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bon Secours St Francis Xavier Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2095 Henry Tecklenburg Blvd | AddressLine1Txt |
| City | Charleston | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29414 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bon Secours St Francis Xavier Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.rsfh.com/mission-department | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.rsfh.com/mission-department | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 299.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 399.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.rsfh.com/billing-financial_assistance | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.rsfh.com/billing-financial_assistance | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.rsfh.com/billing-financial_assistance | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Bon Secours St. Francis Xavier Hospital | Part V, Section B, Line 5: In an effort to create a greater impact on the community and address the greatest needs, Roper St Francis produced a joint CHNA in collaboration with the Medical University of South Carolina and the Trident United Way. To gather community input the Community Health Needs Assessment team disseminated a community survey with the purpose of identifying a general overview of the most concerning health topics. The survey included over 900 respondents, a 173% increase over the last CHNA cycle and an immediate benefit of collaborating with community partners. In addition, the team hosted two health forums, facilitated 7 community focus groups, and conducted eight interviews with local healthcare, social service, and civic leaders. Respondents who participated in this phase included experts in the field of public health, hospital administration members, community outreach groups, and other local organizations. Using feedback from the survey, interviews and focus groups, a summary of community input was created. This summary would eventually be used to help focus in on priorities and ultimately, implementation strategies. |
| Bon Secours St. Francis Xavier Hospital | Part V, Section B, Line 6a: Roper St. Francis Healthcare produced a joint CHNA report in collaboration with its three Charleston area hospitals, as well as the Medical University of South Carolina and the Trident United Way. A major accomplishment of this collaborative effort was to recognize a set of common priorities, design programs that address the greatest needs, and create the greatest impact to improve the health and wellbeing of our community. Given different missions, goals and government requirements, the organizations individually prioritized health needs and corresponding support programs and services. The Rope St Francis facilities include Roper Hospital, Bon Secours St Francis Hospital, and Mount Pleasant Hospital. Each of these hospitals files a Schedule H and has a customized implementation plan. |
| Bon Secours St. Francis Xavier Hospital | Part V, Section B, Line 6b: See response above to question 6a. |
| Bon Secours St. Francis Xavier Hospital | Part V, Section B, Line 11: Roper St Francis used the Healthy People 2020 rankings reported in the survey and qualitative data collection methods to establish its current priorities. To ensure the priorities selected were strategically aligned with Roper St. Francis' mission and vision, priority was determined based on the system's ability to impact an identified need to the significance of the need in the community. As part of the prioritization process, Roper St. Francis Healthcare conducted an inventory of existing system-based outreach programs, community partnerships, and other collaborative resources that currently address each of the priority areas:After examining the range of services currently available, the expertise, outreach, and capacity of the RSFH system, and the resources available to best address needs through other community organizations, Roper St. Francis Healthcare senior leadership chose the following 5 issues as priorities to implement for its current CHNA: Access to Care; Clinical Preventive Services; Mental Health; Obesity/Nutrition/Physical Activity; Social Determinants; and Maternal, Infant, and Child Health.For the Healthy People 2020 topics that were not identified through the CHNA as strategic priority areas of need (Injury and Violence; Substance Abuse; Environmental Quality; Oral Health; Sexual Health; Tobacco Use), Roper St. Francis Healthcare is committed to providing support and collaboratively working with local partners, new and existing, to ensure these needs are acknowledged.The Roper St. Francis Community Needs Assessment Team developed implementation strategies for each health issue identified as a strategic priority. This implementation plan will be rolled out over the next 3 years. Strategies are be clearly defined with a matrix of which areas each RSFH hospital will address. Some strategies may be addressed by more than one RSFH hospital or the system as a whole. The team will develop a monitoring method at the conclusion of the implementation planning process to provide status updates to community partners, stakeholders, and the community-at-large.The Community Health Needs Assessment for fiscal December 31, 2016 was approved by the Board of Directors at its meeting held on October 15, 2016. |
| Bon Secours St. Francis Xavier Hospital | Part V, Section B, Line 13b: A 10% prompt payment discount is also offered to all self-pay or self-pay-after-insurance patients who pay the account balance at one time. |
| Bon Secours St. Francis Xavier Hospital | Part V, Section B, Line 16j: The patient handbook provided with registration references the policy and includes contact information for patients who need assistance. |
| Bon Secours St. Francis Xavier Hospital | Part V, Section B, Line 20e: We also send the patient a letter when they complete an application - either approving or denying their application. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 8 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|---|
| 1 - StFrancis Hospital Cardiac Rehab | |||||
| 2097 Henry Tecklenburg Drive STE | 309 | Charleston | SC | 29414 | Cardiac rehab |
| 2 - StFrancis Hospital Rehab- Spine & Sport | |||||
| 2093 Henry Tecklenburg Drive | Charleston | SC | 29414 | PT, OT, ST | |
| 3 - StFrancis Hospital Pain Management | |||||
| 2093 Henry Tecklenburg Drive | Charleston | SC | 29414 | Pain management for spine | |
| 4 - StFrancis Hospital Breast Care | |||||
| 2145 Henry Tecklenburg Drive STE | 103 | Charleston | SC | 29414 | Mammography, bone density, breast ultrasound |
| 5 - StFrancis Hospital Diabetes Treatment | |||||
| 2093 Henry Tecklenburg Drive STE | 201 | Charleston | SC | 29414 | Diabetes self mgmt training & treatment |
| 6 - StFrancis Hospital MRI Medical Plaza | |||||
| 2145 Henry Tecklenburg Drive STE | 150 | Charleston | SC | 29414 | MRI |
| 7 - StFrancis Hospital Infusion Therapy | |||||
| 2085 Henry Tecklenburg Drive STE | 110 | Charleston | SC | 29414 | Infusion Therapy |
| 8 - StFrancis Hospital PETCT & Radiation | |||||
| 2085 Henry Tecklenburg Drive STE | 105/106 | Charleston | SC | 29414 | PET/CT, CT, and radiation therapy |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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.The Hospital will provide free care for patients with a signed charity care application who have income between 0 - 299% of FPG. If a signed charity care application is not obtained, after 120 days of collection efforts, the hospital will use the Health Care Advisory Board's self pay compass program to automatically qualify patients for charity care through the use of an electronic scoring technique. The hospital will provide free care for patients who have income of 350% and below of FPG as determined by the self pay compass program.The Hospital will provide a 90% discount for patients with a signed charity care application who have income between 300 - 399% of FPG. If a signed charity care application is not obtained, the hospital will not provide discounted care. |
| Part I, Line 6a: | The organization's community benefit report is made available through its corporate parent, CareAlliance Health Services d/b/a Roper St. Francis Healthcare. |
| Part I, Line 7: | Worksheet 2 of the 2016 Schedule H instructions was used to compute a cost-to-charges ratio used to calculate charity care and unreimbursed Medicaid at cost. |
| Part I, Ln 7 Col(f): | The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $12,116,222. |
| Part II, Community Building Activities: | In 2016, the Hospital performed the following activities to build up the community.1. Collaborative partnerships with community groups to improve economic stability of the community. |
| Part III, Line 3: | Same methodology as prior year using Compass system error rate of 40%; Explanation for Schedule H: For patients who do not turn in a signed charity care application, after 120 days of collection efforts, RSFH uses the Health Care Advisory Board's self pay compass program to automatically qualify patients for charity care through the use of an electronic scoring technique. The data received through this software is believed to err on the side of denying charity. The estimate of bad debt that could have been charity is based on the system error rate. Please note that patients who complete a full charity care application and qualify for charity under our policy are granted charity regardless of the score in the self-pay compass system. |
| Part III, Line 4: | Bad debts reported on Part III, Line 2 are reported at gross charges per the organization's audited financial statements.Please refer to the second footnote of the organization's audited financial statements for a description of receivables and bad debts. |
| Part III, Line 8: | The entire amount of Medicare shortfall qualifies as community benefit. Our treatment of Medicare patients, as described in IRS Rev. Rul. 69-545, indicates that Roper Hospital operates to promote the health of the community. By Taking Medicare patients, the hospital promotes access to healthcare services, which is a community benefit. The organization uses the Medicare cost report to determine the costs reported on Part III, Line 5 and 6. Had we included revenues and costs from all Medicare programs including Medicare Part C this would have resulted in a shortfall of $3,077,886. |
| Part III, Line 9b: | The hospital uses the Health Care Advisory Board's Self Pay Compass Program to identify a patient's propensity to pay. Accounts with an FPL of 350% and below will be identified once the self pay accounts receivable billing process has been completed and prior to the account being referred to a collection agency. Accounts with FPL of 350% and below will be given a charity adjustment. Once an account has been referred to bad debt, the organization will make every effort to ensure that all self-pay collectors demonstrate consistent, compassionate, and professional service while conducting business on behalf of the health system. This will include, but is not limited to: guarantor notification and contact/collection attempts, discount opportunities, payment plan arrangements, account balance notifications, face to face meetings, and detailed bill generation. An outsourced self-pay billing agency will contact the guarantor to set up payment arrangements. Financial assistance discounts are offered to guarantors who meet the charity guidelines.Self pay patients receive a 35% discount off total charges. They are also eligible for a 10% prompt payment discount if they pay the balance during the discussion. Discounts may be combined if all requirements are met. In pursuit of collections, the hospital and its agents will not: attach liens on property, garnish wages, pursue legal actions (unless recommended by the self pay billing entities), sell accounts, or send bankrupt guarantors to collection agencies. |
| Part VI, Line 2: | The Community Needs Assessment Team used the 12 topic areas highlighted within the Healthy People 2020 framework to guide the discussion and research for the 2016 community health needs assessment. Healthy People 2020 is consistently recognized as a national benchmark for healthcare goals and standards. The 12 topic areas include Access to Public Health; Clinical Preventative Services; Environmental Quality; Injury and Violence; Maternal, Infant, and Child Health; Mental Health; Nutritional, Physical Activity and Obesity; Oral Health; Reproduction and Sexual Health; Social Determinants; Substance Abuse; and Tobacco. We used the following secondary sources in the data assessment process to provide a framework and foundation for subsequent primary data collection and analysis as it relates to our community: Nielson Claritas, 2016 County Health Rankings, Health Indicators Warehouse, The Advisory Board Company, Kids Count Data Center, Truven Health Analytics, and the USDA. Data from these sources was used to identify at-risk populations, underserved populations, health need areas, and professional shortage areas. In addition, the Community Needs Assessment Team entered into dialogue with community leaders, key hospital administrators, physicians, those with knowledge/expertise in public health, and those serving underserved and chronic disease populations. Collection and analysis of results from the CHNA data assessment, survey, interviews, and focus groups provided a strong foundation for identifying health needs and service gaps. |
| Part VI, Line 3: | The Hospital shall send anyone who requests information on the hospital's financial assistance program a letter outlining required information and a financial assistance application form. Requests for financial assistance may be proposed by sources other than the patient, such as the patient's physician, family members, social service organizations, community or religious groups, or hospital personnel. Statements to patients from the Hospital outline our charity care policy and our charity care policy is posted on our website. If patients indicate they are not able to pay their bill, we will provide the patient with a charity care application.Patients can also meet with a member or our financial counseling department to learn about their financial assistance options. Brochures are printed in English and Spanish telling patients to contact the financial counseling department. The Hospital wants its patients focus to be on health and recovery and not financial worry. There is absolutely no additional cost for our financial counseling assistance.Additionally, patients can meet with staff of the Medicaid program. The program staff will meet with patients individually to help them apply for publicly supported programs such as Medicaid, Medicare, and disability. Counselors meet with patients in the hospital as well as making home visits as appropriate. The staff can also help identify resources to help pay for medication. All of this information is posted on our website with the appropriate contact information. |
| Part VI, Line 4: | The System's primary service area consists of Charleston, Berkeley, and Dorchester counties, and includes the major municipalities of Charleston, North Charleston, Mount Pleasant, and Summerville. Approximately 739,000 residents live within the primary service area, based on Esri estimates for 2016. According to Esri's forecasts, population in the primary service area is projected to grow 9.6% between 2016 and 2021. The 2016 2021 population growth rate is projected to be 1.85% annually compared to 1.71% for the period 2010 2016.In 2016, 12% of households within the primary service area had income less than $15,000, 10.5% had income between $15,000 and $25,000, 24% had income between $25,000 and $50,000, 19% between $50,000 and $75,000, 13% between $75,000 and $100,000, and 21.5% above $100,000. Within the primary service area, poverty continues to be an issue. According to the US Census Bureau's 2015 Small Area Health Insurance Estimates (SAHIE), an estimated 12.3% of Tri-county residents lack health insurance. This is higher than the national average of 10.9%. The US Department of Health and Human Services designated 6 medically underserved areas and 1 medically underserved population within our primary service area. From December 2015 to December 2016, the unemployment rate in the primary service area decreased from 5.5% to 4.6%. The decrease in 2016 brings the Tri-county rate in line with the national average rate of 4.7%.The secondary service area includes Colleton, Orangeburg, Georgetown, Hampton, Beaufort, Williamsburg, and Horry counties. In addition to the system's facilities, there are four other non-military hospitals in the primary service area. |
| Part VI, Line 5: | We are the lowcountry's only non-governmental, not-for-profit healthcare system. With this distinction, we believe it is our responsibility to advocate for and respond to our neighbors needs through community benefit. In keeping with our mission of healing all people with compassion, faith, and excellence, Roper St. Francis Healthcare (RSFH) strives to enrich the health of our community. We do this by offering charity care to those in need, reaching out to our neighbors with health fairs and educational materials, sponsoring organizations and events that promote wellness and community well-being, and marshalling our resources to advance the health and dignity of each person with whom we come in contact.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 6: | CareAlliance Health Services (d/b/a Roper St. Francis Healthcare (RSFH)) is a charitable health care delivery system based in Charleston, South Carolina. The 657-bed health system provides services at 90 facilities and doctors offices conveniently located throughout our region. One of these facilities is 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. |
| Part VI, Line 7, Reports Filed With States | SC |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (35 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Brian Cuddy MD | ||||||||||||||
| Chair (See Sch O) | $16,000 | $902,196 | $0 | $156,015 | $0 | $12,491 | $0 | $31,530 | $0 | $29,291 | $16,000 | $1,131,523 | $0 | $0 |
| John B Holloway Jr | ||||||||||||||
| Board Member (See Sch O) | $0 | $296,962 | $0 | $40,000 | $0 | $0 | $0 | $13,530 | $0 | $15,221 | $0 | $365,713 | $0 | $0 |
| John A Spratt MD | ||||||||||||||
| Board Member (See Sch O) | $0 | $760,048 | $0 | $46,200 | $0 | $14,530 | $0 | $34,180 | $0 | $28,454 | $0 | $883,412 | $0 | $0 |
| Susan Datta MD | ||||||||||||||
| Board Member (See Sch O) | $0 | $200,311 | $0 | $0 | $0 | $5,516 | $0 | $22,961 | $0 | $25,282 | $0 | $254,070 | $0 | $0 |
| David Dunlap | ||||||||||||||
| President & CEO of CAHS (through Oct | $0 | $639,036 | $0 | $379,800 | $0 | $211,770 | $0 | $370,211 | $0 | $19,414 | $0 | $1,620,231 | $0 | $281,269 |
| Lorraine Lutton | ||||||||||||||
| President & CEO of CAHS (from Nov) | $0 | $27,500 | $0 | $100,000 | $0 | $9,942 | $0 | $53,174 | $0 | $0 | $0 | $190,616 | $0 | $0 |
| Bret Johnson | ||||||||||||||
| CFO & SVP / Treasurer | $0 | $382,635 | $0 | $190,926 | $0 | $68,296 | $0 | $250,189 | $0 | $30,794 | $0 | $922,840 | $0 | $147,258 |
| Matthew Severance | ||||||||||||||
| SVP Operations & CEO, Roper Hospital | $0 | $488,321 | $0 | $241,017 | $0 | $40,481 | $0 | $211,102 | $0 | $25,904 | $0 | $1,006,825 | $0 | $147,362 |
| Todd Shuman MD | ||||||||||||||
| MD SVP & Chief Physician Officer | $0 | $472,124 | $0 | $164,846 | $0 | $594 | $0 | $153,154 | $0 | $16,701 | $0 | $807,419 | $0 | $44,599 |
| Allen Carroll | ||||||||||||||
| Regional CEO & CEO BSSF | $409,338 | $0 | $199,802 | $0 | $27,865 | $0 | $161,965 | $0 | $16,701 | $0 | $815,671 | $0 | $117,204 | $0 |
| Anthony Jackson | ||||||||||||||
| VP and CEO MPH | $0 | $279,791 | $0 | $50,000 | $0 | $27,635 | $0 | $77,430 | $0 | $22,185 | $0 | $457,041 | $0 | $0 |
| Steven Sapiro MD | ||||||||||||||
| Chief Medical Officer (through Apr) | $0 | $446,614 | $0 | $176,870 | $0 | $35,576 | $0 | $34,180 | $0 | $6,747 | $0 | $699,987 | $0 | $73,815 |
| Stanley Wilson MD | ||||||||||||||
| Interim VP Medical Affairs & CMO | $0 | $327,034 | $0 | $89,392 | $0 | $8,877 | $0 | $31,530 | $0 | $18,199 | $0 | $475,032 | $0 | $0 |
| Douglas Bowling | ||||||||||||||
| CSO & VP | $0 | $332,898 | $0 | $177,568 | $0 | $28,664 | $0 | $139,730 | $0 | $19,578 | $0 | $698,438 | $0 | $109,200 |
| Gregory Edwards | ||||||||||||||
| VP & General Council/ Secretary | $0 | $353,160 | $0 | $143,580 | $0 | $25,445 | $0 | $129,312 | $0 | $27,045 | $0 | $678,542 | $0 | $82,884 |
| Melanie Stith | ||||||||||||||
| VP Human Resources | $0 | $228,237 | $0 | $87,085 | $0 | $225 | $0 | $79,277 | $0 | $28,577 | $0 | $423,401 | $0 | $23,275 |
| Keith Neuman | ||||||||||||||
| VP & Chief Information Officer | $0 | $273,834 | $0 | $0 | $0 | $18,161 | $0 | $70,025 | $0 | $24,134 | $0 | $386,154 | $0 | $0 |
| Carolyn Donohue | ||||||||||||||
| VP Nursing/ Senior Nurse Exec RHI | $0 | $204,412 | $0 | $76,174 | $0 | $13,122 | $0 | $61,269 | $0 | $7,758 | $0 | $362,735 | $0 | $30,309 |
| Pennie Peralta | ||||||||||||||
| VP Nursing/ Sr. Nurse Exec SFX | $181,093 | $0 | $75,386 | $0 | $13,464 | $0 | $57,561 | $0 | $18,201 | $0 | $345,705 | $0 | $46,519 | $0 |
| Tavia Buck | ||||||||||||||
| VP Nursing/Sr. Nurse Exec MPH | $0 | $140,688 | $0 | $52,578 | $0 | $90 | $0 | $41,208 | $0 | $1,960 | $0 | $236,524 | $0 | $15,129 |
| Mark Dickson | ||||||||||||||
| VP Mission | $0 | $178,287 | $0 | $72,280 | $0 | $387 | $0 | $55,071 | $0 | $21,532 | $0 | $327,557 | $0 | $26,201 |
| Wanda Brockmeyer | ||||||||||||||
| Director of Emergency Serv | $0 | $156,607 | $0 | $19,620 | $0 | $3,031 | $0 | $10,291 | $0 | $8,006 | $0 | $197,555 | $0 | $0 |
| Peter DiNicola | ||||||||||||||
| Dir. Plant Engineering | $0 | $212,113 | $0 | $25,904 | $0 | $594 | $0 | $32,554 | $0 | $4,278 | $0 | $275,443 | $0 | $0 |
| Vanessa Shamrock | ||||||||||||||
| Director of Lab Services | $0 | $133,641 | $0 | $18,607 | $0 | $406 | $0 | $7,039 | $0 | $11,075 | $0 | $170,768 | $0 | $0 |
| Francis Wyckoff Jr | ||||||||||||||
| Director of Pharmacy | $0 | $203,073 | $0 | $25,000 | $0 | $8,941 | $0 | $31,117 | $0 | $9,370 | $0 | $277,501 | $0 | $0 |
| Mike DeGennaro | ||||||||||||||
| Director of Imaging | $0 | $156,734 | $0 | $10,000 | $0 | $481 | $0 | $7,778 | $0 | $7,159 | $0 | $182,152 | $0 | $0 |
| Stephanie McKoin | ||||||||||||||
| Director of Perioperative Services | $0 | $173,103 | $0 | $22,369 | $0 | $1,938 | $0 | $9,995 | $0 | $21,162 | $0 | $228,567 | $0 | $0 |
| George Khoury MD | ||||||||||||||
| Physician | $18,500 | $1,166,768 | $0 | $278,120 | $0 | $16,914 | $0 | $31,530 | $0 | $32,577 | $18,500 | $1,525,909 | $0 | $0 |
| John Steichen MD | ||||||||||||||
| Physician | $20,600 | $1,137,744 | $0 | $90,147 | $0 | $12,257 | $0 | $31,530 | $0 | $28,454 | $20,600 | $1,300,132 | $0 | $0 |
| John McCrosson MD | ||||||||||||||
| Physician | $6,000 | $1,007,774 | $0 | $133,790 | $0 | $10,828 | $0 | $31,530 | $0 | $28,795 | $6,000 | $1,212,717 | $0 | $0 |
| Robert Morgan Stuart MD | ||||||||||||||
| Physician | $17,500 | $858,257 | $0 | $199,755 | $0 | $9,097 | $0 | $31,530 | $0 | $30,045 | $17,500 | $1,128,684 | $0 | $0 |
| Robert Lowery MD | ||||||||||||||
| Physician | $9,500 | $600,475 | $0 | $488,617 | $0 | $14,239 | $0 | $31,530 | $0 | $25,672 | $9,500 | $1,160,533 | $0 | $0 |
| Melinda Cardell | ||||||||||||||
| Chief Information Officer (Former) | $0 | $185,667 | $0 | $64,882 | $0 | $350 | $0 | $12,836 | $0 | $9,649 | $0 | $273,384 | $0 | $0 |
| C Scott Ferguson | ||||||||||||||
| Director of Material Serv (Former) | $0 | $163,585 | $0 | $22,653 | $0 | $1,709 | $0 | $11,052 | $0 | $23,145 | $0 | $222,144 | $0 | $0 |
| Susan Oliver | ||||||||||||||
| Director of Periop Endo (Former) | $0 | $115,435 | $0 | $18,502 | $0 | $738 | $0 | $4,700 | $0 | $3,855 | $0 | $143,230 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 4b | The Vice Presidents, CFO, and CEO participate in the 457(f) Plan. The following participants received compensation through a 457(f) Plan: David Dunlap - $137,676 (from a related organization) Bret Johnson - $65,744 (from a related organization) Steven Shapiro - $35,195 (from a related organization) Douglas Bowling - $28,070 (from a related organization) Greg Edwards - $25,295 (from a related organization) Matt Severance - $35,642 (from a related organization) Allen Carroll - $26,764 (from a related organization) Pennie Peralta - $12,870 (from a related organization) Carolyn Donohue - $12,051 (from a related organization) |
| Part I, Line 6 | Goals are developed each year to support the organization's strategic initiatives for people, quality, financial, growth and service. The Ad Hoc Compensation Committee approves the system goals annually and reports to the full Board of Directors. Progress on each metric is reported to the board each month on the corporate scorecard. At year end, the Ad Hoc Compensation Committee approves the final scorecard number and reports results to the full board. Annual incentives for the executives are based on 60% on the corporate scorecard and 40% on individual performance. Executives maintain an individual scorecard on the leader evaluation manager and discuss results monthly with the President/CEO. The President/CEO approves the individual executive scorecard. System Vice Presidents and the system CEO are eligible to participate in a long term incentive plan (LTIP). An LTIP typically takes place over a three year period and does not vest until the end of the third year. To receive payment, executives must still be employed by the system at the end of the plan period. Each LTIP has a financial and clinical objective that is aligned with the organization's strategic goals. Threshold, target, and maximum performance ranges are established for these objectives and are measured based on performance against similar organizations or compared to an internal metric such as an improvement over prior performance. These targets and objectives are approved by the Ad Hoc Compensation Committee. The incentive is earned based on the satisfaction of the threshold, target, or maximum performance ranges. The Ad Hoc Compensation Committee also approves the final LTIP performance score and the amount paid to executives under the plan. Results are reported to the full board annually. |
| Part I, Line 7 | See the response to Line 6 above. |
| Part II, Line 1: Compensation from unrelated organizations | Carolinas Healthcare System (CHS), an unrelated organization, provides the compensation of Mr. David L. Dunlap, CEO through October, CareAlliance Health Services; Ms. Lorraine Lutton, CEO from November, CareAlliance Health Services; and Mr. Bret D. Johnson, CFO, CareAlliance Health Services. Mr. Dunlap, Ms. Lutton, 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. Additional information: CareAlliance Health Services has board representations from the 3 founding organizations: the Medical Society of SC (6 board members), Bon-Secours Health System, Inc. (6 board members), and Carolinas Healthcare System (1 board member). None of the 13 appointed board members receive compensation for their membership. Additionally, 4 of the 6 board members appointed by the Medical Society of South Carolina also serve on the board of the Medical Society. None receive compensation for their services as a board member. It is the founding members' intent that the members of the Board of Directors are appointed to such positions because they have a willingness to serve the needs of the system as a whole and not the needs of any individual founding member. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Charleston Maternal Fetal Medicine | |||
| 35% owner or more to board member Alison Dillon | $711,917 | Contracted services | 0 |
| Jessica Burke | |||
| Family relationship to Officer Pennie Peralta | $51,154 | Compensation for employment | 0 |
| Patricia Ferguson | |||
| family relationship to Officer Scott Ferguson | $67,794 | Compensation for employment | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 3 | Carolinas Healthcare System (CHS), an unrelated organization, provides the compensation of Mr. David L. Dunlap, CEO through October, CareAlliance Health Services; Ms. Lorraine Lutton, CEO from November, CareAlliance Health Services; and Mr. Bret D. Johnson, CFO, CareAlliance Health Services. Mr. Dunlap, Ms. Lutton, 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. |
| 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 11b | The Form 990 was prepared by an independent accounting firm with assistance and oversight by management. Reviews were then conducted by senior management before drafts were sent to each member of the organization's governing body. A transmittal letter accompanied the drafts and provided highlights of the Form 990 to the organization's Board of Directors. After the governing body approved the Form 990 draft, a final version was filed with the Internal Revenue Service. |
| Form 990, Part VI, Section B, line 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 Watson, provides research, advice and guidance to the compensation committee and senior leadership to ensure the organization's compensation programs for executives covered by the "Intermediate Sanctions Legislation" (IRC Section 4958) are aligned with its stated philosophy: Base salaries are targeted at the 50th percentile of the established comparator market; Total cash compensation (base salary plus annual incentive payments) are targeted at the 75th percentile of the established comparator market; Total direct compensation (total cash compensation plus long term incentive payments) will not exceed the 90th percentile of the established comparator market; Benefits are targeted at market median; and In aggregate, base salary, total cash compensation, total direct compensation and benefits comprise total compensation for executives. The compensation committee ensures that executive total compensation is reflective of the organization's stated compensation philosophy. The committee, in this process, authorizes and supports an annual three step process utilizing Towers Watson's resources: 1) Salary levels, annual bonus targets/payments and long term incentive grants are compared rigorously each year with market data based on comparable positions and organizations. A. Comparable organizations are typically not-for-profit healthcare systems with similar operating revenues. Private sector employer data, when available, are also included in the analysis for "transferable skills positions". B. Historically, performance incentive payouts generally track with a normal bonus payout distribution. Incentive goals are primarily based on formally defined quantitative goals approved by the ad hoc Compensation Committee of the RSFH Board of Directors. 2) All recommended pay decisions are tested against these data and the organization's stated compensation philosophy. 3) A formal opinion letter is prepared by Towers Watson, representing that senior executives are compensated within the reasonableness standards mandated by the IRS. A similar process is performed by Towers Watson for the CEO and CFO positions. This letter provides a "safe harbor" for the organization's "directors" relative to the reasonableness of total executive compensation consistent with IRC Section 4958. |
| Form 990, Part VI, Section C, line 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. |
| Form 990, Part IX, line 11g | Other Fees: Program service expenses 5,301,538. Management and general expenses 14,321,239. Fundraising expenses 0. Total expenses 19,622,777. |
| 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 have been listed on Carealliance Health Service's Form 990. |
| Form 990, Part XI, line 9: | Equity transfer from affiliate -23,412,468. Donated Services and use of facilities 13,244. Pension and benefits expense allocation from CAHS 422,383. |
| Form 990, Part XII, Line 2C: | The process has not been changed from the prior year. |
| Form 990, Part VII, Line 1: | The following board members were compensated for services performed for the organization (or a related organization) not in the capacity of their positions on the board. No board member is compensated for his services as a board member. Brian Cuddy was compensated for medical services rendered to the organization and a related organization. Alison E. Dillon was compensated for medical services rendered to the organization and a related organization. John B. Holloway, Jr. was compensated by the Medical Society of South Carolina for services as Cheif Executive Officer. John A. Spratt was compensated for medical services rendered to a related organization. Susan Datta was compensated for medical services rendered to a related organization. Wills C. Geils was compensated for medical services rendered to a related organization. |
| Form 990, Part III: | Creating Life Changing Moments in our Community The Roper St. Francis 2016 Community Benefit Report Dear Friends, As we look back on the moments that shaped our 2016 community benefit, I am honored to share some of the highlights that reflect our commitment to meeting the priority needs identified in our Community Health Needs Assessment. Through the strategic proces we are working hard to create a healthier community for all of us. In 2016, Roper St. Francis gave over $67 million dollars to our community, and in addition to that our teammates gave back millions of moments of their time volunteering. This passion for generosity and service is what I believe makes our organiztion special. Thank you for your continued support, trust and faith in Roper St. Francis. Together we are creating life changing moments in our community. Sincerely, Brian G. Cuddy, MD Chair, Board of Directors Roper St. Francis |
| Form 990, Page 11, Part X, Line 20: | Tax-exempt bonds are reported on CareAlliance Health Services (the parent organization) Form 990, Schedule K. Tax-exempt bond liabilities are issued to the parent entity and allocated among the subsidiary entities for financial reporting purposes. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Neurosciences Resonance Imaging Center LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8536 Palmetto Commerice Pkwy Ste 20 | AddressLine1Txt |
| City | Ladson | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29456 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | Inactive | PrimaryActivitiesTxt |
| Legal Domicile State | SC | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bon Secours-St Francis Xavier Hospital | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CareAlliance Health Services | |||||||||||
| 8536 Palmetto Commerice Pkwy Ste 20 | Ladson | SC | 29456 | 570831165 | Healthcare | SC | 501(c)(3) | Line 3 | N/A | 0 | |
| Roper Hospital Inc | |||||||||||
| 8536 Palmetto Commerice Pkwy Ste 20 | Ladson | SC | 29456 | 570828733 | Healthcare | SC | 501(c)(3) | Line 3 | 0 | CareAlliance Health Services | |
| Roper St Francis Mt Pleasant Hospital | |||||||||||
| 8536 Palmetto Commerice Pkwy Ste 20 | Ladson | SC | 29456 | 570360499 | Healthcare | SC | 501(c)(3) | Line 3 | 0 | CareAlliance Health Services | |
| Roper St Francis Hospital - Berkeley | |||||||||||
| 8536 Palmetto Commerice Pkwy Ste 20 | Ladson | SC | 29456 | 263710229 | Healthcare (future) | SC | 501(c)(3) | Line 3 | 0 | CareAlliance Health Services | |
| Roper St Francis Physicians Network | |||||||||||
| 8536 Palmetto Commerice Pkwy Ste 20 | Ladson | SC | 29456 | 262946628 | Healthcare | SC | 501(c)(3) | Line 3 | 0 | CareAlliance Health Services | |
| Roper St Francis Foundation | |||||||||||
| 8536 Palmetto Commerice Pkwy Ste 20 | Ladson | SC | 29456 | 571068509 | Supporting Org | SC | 501(c)(3) | Line 12a, I | 0 | CareAlliance Health Services | |
| The Medical Society of South Carolina | |||||||||||
| 69-B Barre Street | Charleston | SC | 29401 | 570288358 | Supporting Org/Founding Member | SC | 501(c)(3) | Line 12c, III-FI | N/A | 0 | |
| Clinical Biotechnology Research Institute at RSFH | |||||||||||
| 8536 Palmetto Commerice Pkwy Ste 20 | Ladson | SC | 29456 | 475407453 | Healthcare | SC | 501(c)(3) | Line 3 | 0 | CareAlliance Health Services | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| Lowcountry Surgery Center LLC (dba Roper St Francis Eye Surgery Center) | |||||||
| 8536 Palmetto Commerice Pkwy Ste 20 | Ladson | SC | 29456 | 581693021 | Ambulatory Surgery Center | SC | N/A |
| RSFH-ATI Physical Therapy LLC | |||||||
| 125 Doughty St Ste 760 | Charleston | SC | 29403 | 474797980 | Physical Therapy | SC | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Carealliance Medical Services Organization | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 Doughty Street | AddressLine1Txt |
| City | Charleston | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29403 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 571012837 | EIN |
| Primary Activities | Inactive | PrimaryActivitiesTxt |
| Legal Domicile State | SC | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (1) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |