ROPER ST FRANCIS HEALTHCARE: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: ROPER ST FRANCIS HEALTHCARE (EIN 57-0831165)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-11
IRS object ID: 201603169349303245
Schema version: 2015v2.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-11T14:40:41-06:00	ReturnTs
Tax Period End	2015-12-31	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	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	570831165	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CareAlliance Health Services	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CARE	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	8437242958	PhoneNum
Signature	2016-11-11	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

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Roper St Francis Healthcare	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	David L Dunlap	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	$108,342,572	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	Management and oversight of related nonprofit hospital and healthcare subsidiaries	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	761	TotalEmployeeCnt
Total Volunteers	74	TotalVolunteersCnt
Total Gross UBI	$123,913	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$21,756	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$8,141,479	PYContributionsGrantsAmt
CY Contributions Grants	$3,387,387	CYContributionsGrantsAmt
PY Program Service Revenue	$88,837,754	PYProgramServiceRevenueAmt
CY Program Service Revenue	$100,017,474	CYProgramServiceRevenueAmt
PY Investment Income	$10,546,919	PYInvestmentIncomeAmt
CY Investment Income	$3,275,375	CYInvestmentIncomeAmt
PY Other Revenue	$1,585,122	PYOtherRevenueAmt
CY Other Revenue	$1,009,231	CYOtherRevenueAmt
PY Total Revenue	$109,111,274	PYTotalRevenueAmt
CY Total Revenue	$107,689,467	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,493,971	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,049,522	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$53,065,878	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$56,204,011	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$76,241,962	PYOtherExpensesAmt
CY Other Expenses	$77,830,696	CYOtherExpensesAmt
PY Total Expenses	$130,801,811	PYTotalExpensesAmt
CY Total Expenses	$135,084,229	CYTotalExpensesAmt
PY Revenues Less Expenses	-$21,690,537	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$27,394,762	CYRevenuesLessExpensesAmt
Total Assets BOY	$756,421,068	TotalAssetsBOYAmt
Total Assets EOY	$838,671,932	TotalAssetsEOYAmt
Total Liabilities BOY	$387,174,657	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$466,960,789	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$369,246,411	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$371,711,143	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	$72,327,408	ExpenseAmt
Grant	$1,049,522	GrantAmt
Revenue	$100,017,474	RevenueAmt
Desc	Roper St. Francis cares for more Lowcountry adults than any other healthcare provider. Our mission is simple: Healing all people with compassion, faith and excellence.Our history spans more than 150 years, and our healthcare system has grown to include three flagship hospitals: Roper Hospital, Bon Secours St. Francis Hospital and Roper St. Francis Mount Pleasant Hospital. We plan to build a fourth hospital in Berkeley County by 2019. Our Roper St. Francis Physician Partners offers a comprehensive network of more than 230 physicians covering a complete range of primary care and 20 subspecialties spread across five counties. We are the second largest private employer in the Lowcountry with more than 5,500 teammates.As Charleston's only private, not-for-profit healthcare system with a specific focus on community outreach, our entire organization is committed to making a difference. Roper St. Francis contributed $56,827,475 in community benefit in 2015, which represents 6.9 percent of our net operating revenue. This community benefit comes in many forms, such as $46,479,148 in charity care, $533,371 in sponsorships and $5,128,121 in numerous community outreach programs. Our teammates go beyond the walls of their work spaces to support our community's health. Our teammates provided 90,589 hours of their time in 2015 in support of wellness initiatives that touched 96,984 of our neighbors. This includes participating in more than 100 community health fairs and screenings. Our organization's service to the community was recognized in 2015 with the Governor's Volunteer Award.Our health system's quality is top notch and continues to be recognized nationally. Truven Health ranked Roper St. Francis as a Top 15 Health System for the third consecutive year in 2015. We rank among the best organizations in the country as an excellent place to work and for our teammate engagement. All three of our hospitals received The Joint Commission re-accreditation this year. Roper St. Francis experienced significant growth in 2015. We created a clinically integrated network, Roper St. Francis Health Alliance, to allow for a new strategic collaboration with independent and employed physicians. Boeing South Carolina selected the RSF Health Alliance to offer an innovative health plan option to its teammates to pay less for a better experience. This marked the first time a healthcare system has partnered with a large private employer in the Lowcountry to improve and maintain the health of employees and their family members.We've expanded in the community to be more accessible to residents. We opened this year three new Primary Care Partner and Express Care locations in and around Summerville. We also collaborated with ATI Physical Therapy to create a new company, Roper St. Francis Physical Therapy powered by ATI, that offers more options for residents seeking outpatient therapy.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Desc	Please see the detailed explanation of Program Service accomplishments on Schedule O. Please visit our website for a detailed Community Benefit Report at:http://www.ropersaintfrancis.com/about_us/mission_and_community_activities/annualreport.aspx.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$72,327,408	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	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	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
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	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	861	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	761	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

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

Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Brian Cuddy MD
Chair (See Sch O)	0.50	49.50	Yes (X)	Yes (X)	$0	$1,162,553	$58,152
Alison E Dillon MD
Vice Chair (See Sch O)	0.50	2.50	Yes (X)	Yes (X)	$243	$50,200	$0
John B Holloway Jr
Board Member (See Sch O)	0.50	2.50	Yes (X)		$0	$326,920	$32,128
John A Spratt MD
Board Member (See Sch O)	0.50	49.50	Yes (X)		$0	$826,947	$62,752
Sister Anne Lutz
Board Member	0.50	2.50	Yes (X)		$0	$0	$0
Richard Statuto
Board Member (through June)	0.50	2.50	Yes (X)		$0	$0	$0
Mark Nantz
Board Member (from July)	0.50	2.50	Yes (X)		$0	$0	$0
Joseph G Piemont
Board Member (through April)	0.50	2.50	Yes (X)		$0	$0	$0
Michael C Tarwater
Board Member (from May)	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
Shannon Honney MD
Board Member (through June)(See Sch O)	0.50	49.50	Yes (X)		$0	$255,165	$20,663
Susan Datta MD
Board Member (from July)(See Sch O)	0.50	49.50	Yes (X)		$0	$292,132	$58,020
Wills C Geils MD
Board Member (See Sch O)	0.50	2.50	Yes (X)		$0	$32,592	$0
Angress Walker
Board Member	0.50	2.50	Yes (X)		$0	$0	$0
David Dunlap
President & CEO of CAHS	45.00	5.00		Yes (X)	$1,126,396	$0	$318,437
Matthew Severance
Chief Operating Officer / CEO of RHI	3.00	47.00		Yes (X)	$0	$788,265	$198,061
Steven Shapiro MD
Chief Medical Officer	47.00	3.00		Yes (X)	$638,012	$0	$108,063
Bret Johnson
CFO & SVP / Treasurer	45.00	5.00		Yes (X)	$723,326	$0	$220,215
Allen Carroll
Regional CEO & CEO BSSF	1.00	49.00		Yes (X)	$0	$632,098	$158,723
Douglas Bowling
CSO & VP	46.00	4.00		Yes (X)	$668,847	$0	$149,716
Gregory Edwards
VP & General Council/ Secretary	45.00	5.00		Yes (X)	$520,909	$0	$138,034
Melanie Stith
VP Human Resources	45.00	5.00		Yes (X)	$276,339	$0	$77,873
Melinda Cardell
CIO & VP	45.00	5.00		Yes (X)	$287,139	$0	$24,638
Carolyn Donohue
VP Nursing/ Senior Nurse Exec RHI	1.00	49.00		Yes (X)	$0	$290,124	$41,284
Pennie Peralta
VP Nursing/ Sr. Nurse Exec SFX	1.00	49.00		Yes (X)	$0	$286,040	$74,531
John Sullivan
VP Operations (through 7/1/15)	1.00	49.00		Yes (X)	$0	$299,034	$166,215
Tavia Buck
CEO MPH (Interim) & VP Nursing/Sr. Nurse Exec MPH	1.00	49.00		Yes (X)	$0	$189,378	$31,643
Mark Dickson
VP Mission	47.00	3.00		Yes (X)	$245,423	$0	$69,972
Todd Shuman MD
VP & Chief Physician Officer	33.00	17.00		Yes (X)	$522,919	$0	$73,194
Lori Roberts
Dir. Legal Svcs/Assistant Secretary of Board	50.00			Yes (X)	$190,431	$0	$16,875
Steven Akman MD
Physician	47.00	3.00			$558,887	$62,099	$51,116	Yes (X)
John M Grayson MD
Director Heart & Vasc	26.00	24.00			$395,065	$0	$30,423	Yes (X)
John Hallett MD
Chief Medical Officer	45.00	5.00			$25,713	$488,548	$53,023	Yes (X)
Jeanne Ballard
Chief Medical Information Officer	50.00	0.00			$303,607	$0	$39,652	Yes (X)
Jacobo Mintzer MD
Physician	45.00	5.00			$305,899	$0	$32,343	Yes (X)
Stanley Wilson MD
Former Vice Chair	0.50	49.50			$0	$644,697	$50,423		Yes (X)
Peter DiNicola
Director of Plant Engineering (Former Key EE)	50.00	0.00			$250,698	$0	$36,594		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,039,853	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,626,792	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,392,763	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	73	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
Carolinas Healthcare Systems
PO Box 32861	Charlotte	NC	282322861	Management Company	$11,703,050
Huron Consulting Services LLC
3005 Momentum Place	Chicago	IL	606895330	Consulting	$7,028,083
McKesson Information Solutions
PO Box 98347	Chicago	IL	606938347	Maintenance & Info Tech Services	$5,481,259
Credit Adjustment Bureau
PO Box 62889	North Charleston	SC	29419	Collection Services	$2,904,987
Dell Financial Services
PO Box 6549	Carol Stream	IL	601976549	Equipment Leasing Services	$2,818,700

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	92	CntrctRcvdGreaterThan100KCnt
Related Organizations	$3,306,368	RelatedOrganizationsAmt
Government Grants	$37,165	GovernmentGrantsAmt
All Other Contributions	$43,854	AllOtherContributionsAmt
Total Contributions	$3,387,387	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Network Fees	900099	$99,249,458	$99,249,458
Medshare Revenue	621110	$520,164	$520,164
Senior Center Revenue	531390	$247,852	$247,852

Field	Value	IRS element (for citing)
Total Program Service Revenue	$100,017,474	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,906,581	TotalRevenueColumnAmt
Exclusion	$1,906,581	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,116,047	TotalRevenueColumnAmt
Exclusion	$1,116,047	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$574,363	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$505,618	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$68,745	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$68,745	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,131	UnrelatedBusinessRevenueAmt
Exclusion	$67,614	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$335,344	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$82,597	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$335,344	SecuritiesAmt
Other	-$82,597	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$252,747	TotalRevenueColumnAmt
Exclusion	$252,747	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Direct Expenses	$64,890	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$64,890	TotalRevenueColumnAmt
Exclusion	-$64,890	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Daycare Revenues	624410	$678,549	$678,549
Other Income	900099	$204,045	$204,045
Billing & Collection Fees	900099	$122,782		$122,782

Field	Value	IRS element (for citing)
Other Revenue Total	$1,005,376	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$107,689,467	TotalRevenueColumnAmt
Related Or Exempt Func Income	$100,017,474	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$123,913	UnrelatedBusinessRevenueAmt
Exclusion	$4,160,693	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	$759,440	TotalAmt
Program Services	$759,440	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$290,082	TotalAmt
Program Services	$290,082	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,199,984	TotalAmt
Management And General	$5,199,984	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$121,474	TotalAmt
Program Services	$65,094	ProgramServicesAmt
Management And General	$56,380	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$40,513,110	TotalAmt
Program Services	$15,243,652	ProgramServicesAmt
Management And General	$25,269,458	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,962,868	TotalAmt
Program Services	$655,598	ProgramServicesAmt
Management And General	$1,307,270	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,686,489	TotalAmt
Program Services	$1,565,287	ProgramServicesAmt
Management And General	$3,121,202	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,720,086	TotalAmt
Program Services	$1,242,509	ProgramServicesAmt
Management And General	$2,477,577	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$8,701,405	TotalAmt
Program Services	$6,805,121	ProgramServicesAmt
Management And General	$1,896,284	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,493,108	TotalAmt
Management And General	$1,493,108	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$464,152	TotalAmt
Management And General	$464,152	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$520,542	TotalAmt
Management And General	$520,542	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$14,085,586	TotalAmt
Program Services	$4,412,338	ProgramServicesAmt
Management And General	$9,673,248	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,643,016	TotalAmt
Program Services	$2,114,413	ProgramServicesAmt
Management And General	$528,603	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$19,607,621	TotalAmt
Program Services	$12,941,030	ProgramServicesAmt
Management And General	$6,666,591	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,197,746	TotalAmt
Management And General	$1,197,746	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,135,788	TotalAmt
Program Services	$2,508,630	ProgramServicesAmt
Management And General	$627,158	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$195,969	TotalAmt
Management And General	$195,969	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$764,256	TotalAmt
Management And General	$764,256	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,678,377	TotalAmt
Program Services	$1,678,377	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$16,487,438	TotalAmt
Program Services	$16,487,438	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,670,310	TotalAmt
Program Services	$2,136,248	ProgramServicesAmt
Management And General	$534,062	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

Field	Value	IRS element (for citing)
Desc	Other Expenses	Desc
Total	$4,185,382	TotalAmt
Program Services	$3,422,151	ProgramServicesAmt
Management And General	$763,231	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$135,084,229	TotalAmt
Program Services	$72,327,408	ProgramServicesAmt
Management And General	$62,756,821	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$54,698,158	BOYAmt
EOY	$29,373,970	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$21,657,085	BOYAmt
EOY	$9,592,751	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$21,283	BOYAmt
EOY	$15,284	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,378,709	BOYAmt
EOY	$7,199,906	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$234,923,028	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$104,198,736	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$89,965,184	BOYAmt
EOY	$130,724,292	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$149,360,041	BOYAmt
EOY	$141,374,516	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$424,760,175	BOYAmt
EOY	$513,482,123	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,580,433	BOYAmt
EOY	$6,909,090	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$756,421,068	BOYAmt
EOY	$838,671,932	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$133,610,276	BOYAmt
EOY	$114,028,917	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$3,208	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$14,579,935	BOYAmt
EOY	$24,779,941	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$26,805,942	BOYAmt
EOY	$28,490,054	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$212,175,296	BOYAmt
EOY	$299,661,877	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$387,174,657	BOYAmt
EOY	$466,960,789	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$368,746,411	BOYAmt
EOY	$371,211,143	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$500,000	BOYAmt
EOY	$500,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$369,246,411	BOYAmt
EOY	$371,711,143	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$756,421,068	BOYAmt
EOY	$838,671,932	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$27,394,762	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$986,464	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$30,845,957	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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$48,208	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$24,401	OtherActivitiesAmt
Total Lobbying Expenditures	$72,609	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	The total expenses directed for lobbying of the SC General Assembly on any and all legislative, regulatory, or gubernatorial action as it relates to healthcare for 2015 was $48,208. The organization is a member of the South Carolina Hospital Association (SCHA). The SCHA engages in lobbying efforts on behalf of its membership body, and each year a portion of the dues paid to the SCHA are allocated towards those efforts. For 2015, the amount of membership dues allocated to lobbying was $24,401.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,166,838	OtherCostOrOtherBasisAmt
Book Value	$3,166,838	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,125,979	OtherCostOrOtherBasisAmt
Depreciation	$4,688,228	DepreciationAmt
Book Value	$21,437,751	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,822,067	OtherCostOrOtherBasisAmt
Depreciation	$4,281,339	DepreciationAmt
Book Value	$2,540,728	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$134,693,734	OtherCostOrOtherBasisAmt
Depreciation	$95,229,169	DepreciationAmt
Book Value	$39,464,565	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$64,114,410	OtherCostOrOtherBasisAmt
Book Value	$64,114,410	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$130,724,292	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	Investments-program related	Desc
Book Value	$513,482,123	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$513,482,123	TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Net due to affiliates	$228,612,986
Interest rate swap liability	$31,115,715
Other liabilities	$39,933,176

Field	Value	IRS element (for citing)
Total Liability	$299,661,877	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	CareAlliance Health Services 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, 2015 and 2014, and does not expect that unrecognized tax benefits will materially increase within the next 12 months. Tax years 2012 through 2014 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 I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (30 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
Spoleto Festival USA
14 George St	Charleston	SC	29401	570660848	501c3	$9,000	Community support
American Red Cross Lowcountry Chapter
2424 City Hall Lane	North Charleston	SC	29406	570314371	501c3	$10,000	Emergency services campaign
Charleston Riverdogs
360 Fishburne St	Charleston	SC	29403			$10,000	Sponsorship
Charleston Metro Chamber of Commerce
4500 Leeds Avenue Suite 100	Charleston	SC	29406	570138852	501c6	$81,850	Various local business development initiatives
American Heart Association
174 East Bay St Suite 300 A-B	Charleston	SC	29401	135613797	501c3	$38,000	Support annual fundraising events
One Eighty Place
PO Box 20038	Charleston	SC	29413	570789483	501c3	$65,000	Support Men's Homeless Health Clinic
American Lung Association
44-A Markfield Dr	Charleston	SC	29407	131632524	501c3	$7,500	Support annual fundraising events
City of Charleston
180 Meeting St Suite 200	Charleston	SC	29401	576000226	501c3	$8,000	Annual sponsorship donation - Piccolo Spoleto & Moja
College of Charleston
307 Meeting St	Charleston	SC	29401	570640443	501c3	$7,500	Sponsorship donation
Our Lady of Mercy Outreach
PO Box 607	Johns Island	SC	29457	570905488	501c3	$10,000	Support annual fundraising events
Komen Charleston Race for the Cure
9300 Medical Plaza Dr Ste F	Charleston	SC	29406	752844655	501c3	$7,500	Sponsorship donation
Trident Technical Foundation
PO Box 61227	Charleston	SC	29419	560699317	501c3	$35,000	Support capital technology for nursing students
Family Circle Cup
161 Seven Farms Drive	Daniel Island	SC	29492	420410230	501c7	$13,620	Sponsorship
Leukemia & Lymphoma Society
300 West Coleman Blvd Ste 206	Mount Pleasant	SC	29464	135644916	501c3	$7,500	Fundraising sponsorship
College of Charleston Foundation
66 George St	Charleston	SC	29424	237069236	501c3	$10,000	Cradle to Career Campaign
American Cancer Society
5900 Core Rd Suite 504	North Charleston	SC	29406	580659875	501c3	$15,000	Relay for Life Sponsorship & Gala
Post and Courier
134 Columbus Street	Charleston	SC	29403	576020356	501c3	$7,500	Sponsorship
Charleston Regional Development
5300 International Blvd Ste 103-A	Charleston	SC	29418	571015804	501c6	$52,000	Economic Development Support
March of Dimes
1064 Gardner Rd Ste 116	Charleston	SC	29407	131846366	501c3	$15,000	Sponsorship donation
Black Pages International
1806 Washington Street	Columbia	SC	29201	743042885	501c3	$12,000	Black Expo sponsorship
Charleston Southern University
Office Development PO Box 118087	Charleston	SC	29423	570474291	501c3	$25,000	Support school of nursing
Closing the Gap in Healthcare
3951 Montague Ave	North Charleston	SC	29418	522450102	501c3	$10,000	Fundraising sponsorship
East Cooper Community Outreach
1145 Six Mile Rd	Mount Pleasant	SC	29466	570939280	501c3	$45,000	Health services funding; event sponsorship
Barrier Islands Free Medical Clinic
3226 Maybank Highway Suite A	Johns Island	SC	29455	205628911	501c3	$6,000	Support annual fundraising events
East Cooper Meals on Wheels
PO Box 583	Mount Pleasant	SC	29465	570804618	501c3	$6,000	Fundraising sponsorship
Share Our Suzy
PO Box 1778	Mount Pleasant	SC	29465	203767681	501c3	$6,000	Fundraising sponsorship
Charleston Promise Neighborhood
975 Morrison Dr Ste C-1	Charleston	SC	29403	800597710	501c3	$10,000	Improve Charleston Promise Neighborhood in 1 generation
Carolina eHealth Alliance
Trident Medical System 9330 Medical	Charleston	SC	29406	454994889	501c3	$18,750	Support Health Information Exchange for Tricounty area	Plaza Dr
Sumter Free Medical Clinic
PO Box 340-Hwy 35	St Stephen	SC	29497	271097304	501c3	$10,000	Support free medical care
Harbour House Inc
PO Box 829	Johns Island	SC	29457	462521401	501c3	$7,000	Fundraising sponsorship

Field	Value	IRS element (for citing)
Total501c3 Org	26	Total501c3OrgCnt
Total Other Org	3	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Nursing Scholarships - See Part IV for purpose, eligibility, and application process	GrantTypeTxt
Recipient	57	RecipientCnt
Cash Grant	$287,397	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part I, Line 2:

The sponsorship committee for Roper St. Francis Healthcare meets monthly to discuss charitable giving in the community and the organization's plans to sponsor worthy community activities that promote healthcare. The committee is comprised of the CEO of the System, the Hospital and Physicians Network CEOs, the VP of Mission, and the Director of the Foundation. The committee's goals are as follows: To support the community through charitable giving and sponsorships that are consistent with our organization's mission and values, to enhance the health of those whom we serve, to meet community needs and exercise care of the resources entrusted to Roper St. Francis Healthcare, and to focus charitable giving and sponsorships on the major public health needs of the community.

Schedule I, Part II, Nursing Scholarships:

Purpose The purpose of the RSFH General Nursing Scholarship initiative is to financially support continued education and development of high performing, exemplary staff nurses and students to meet a specific nursing workforce strategic need (i.e. hard to fill nursing positions or educational goals) for the RSFH system. Eligibility RSFH nurses applying for RSFH General Nursing Scholarships must: 1) Demonstrate prior or current success of a 3.0 average from an accredited school or college. 2) Be enrolled in an academic program that will meet the intent of the healthcare system's strategic initiative. 3) For RSFH employees [letters of recommendation]: a. Be a high performing employee as reflected in annual performance evaluations and participation in organizational activities b. Two letters of recommendation/endorsement from RSFH nursing. For current employees, one reference must be an endorsement from direct supervisor, current manager or nursing senior leader. c. Current employees (RNs) who are pursuing an advanced degree other than nursing (MBA/MHA) need to be pursuing or be employed currently in a management position within RSFH. 4) For external students (non-RSFH employees) in addition to #3: a. Demonstrate exemplary student evaluations (grades or clinical performance) b. Must be enrolled in BSN/MSN or DNP/PhD program c. Two letters of recommendation/endorsement from faculty, instructor, or Dean. 5) Applicants seeking advanced nursing degrees in specialties that positions are not currently offered or anticipated in the near future, may not be eligible for scholarship consideration. (This may include Master's in Business, Nurse Practitioner or PhD programs). Application Process Interested students/candidates must complete the scholarship application (see eligibility for details) that includes: 1) Official School transcript: a. Grades from previous school acceptable, if within 5 years of application. b. If grades more than 5 years old, candidate may still apply, however, award may be held until after 1st successful semester (successful is grade average greater than 3.0) that includes nursing courses. c. If grades from previous school are less than 3.0, candidate may still apply for scholarship after two semesters of that demonstrates successful 3.0 grade point average that includes nursing courses. 2) Letter of acceptance into nursing program 3) Two sealed letters of recommendation (see eligibility for guidelines) 4) Candidate paragraph: A clear, concise and cogent paragraph/s describing: a. Candidate/student professional goals b. How will advancing nursing education meet professional goals c. How candidate intends to translate or engage goals into RSFH nursing culture. 5) Completed application/demographic form Award All scholarship awards are dependent upon the number of scholarship applications and funds available. The number of awards is dependent on available funding from RSFH Foundation and other identified sources that support RSFH nursing scholarships. Award amount is dependent on availability of funds and NEVER guaranteed. Allocation amounts will be dependent upon the available funding and the number of requests for funding. Awards will be paid on a semi-annual basis: December and May. Awards are, in general, paid directly to the school. Awardees must submit copy of the tuition bill to the clinical technician (call professional development at 763-2699 for details). Scholarship monies for tuition and fees may be awarded up to $15,000. Scholarships exceeding $10,000 are only granted for specific advanced nursing positions that are difficult to fill and match the strategic initiatives for RSFH. Strategic initiatives for nursing workforce are defined by the senior nursing leaders of RSFH.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
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 (28 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)	$0	$953,365	$0	$196,697	$0	$12,491	$0	$31,260	$0	$26,892	$0	$1,220,705	$0	$0
John B Holloway Jr
Board Member (See Sch O)	$0	$286,920	$0	$40,000	$0	$0	$7,801	$0	$24,327	$0	$32,128	$326,920	$0	$0
John A Spratt MD
Board Member (See Sch O)	$0	$770,557	$0	$36,600	$0	$19,790	$0	$33,860	$0	$28,892	$0	$889,699	$0	$0
Shannon Honney MD
Board Member (through June)(See Sch	$0	$162,962	$0	$81,375	$0	$10,828	$0	$7,634	$0	$13,029	$0	$275,828	$0	$0
Susan Datta MD
Board Member (from July)(See Sch O)	$0	$277,065	$0	$9,500	$0	$5,567	$0	$31,146	$0	$26,874	$0	$350,152	$0	$0
David Dunlap
President & CEO of CAHS	$616,450	$0	$443,937	$0	$66,009	$0	$293,993	$0	$24,444	$0	$1,444,833	$0	$139,440	$0
Matthew Severance
Chief Operating Officer / CEO of RHI	$0	$478,719	$0	$265,080	$0	$44,466	$0	$169,840	$0	$28,221	$0	$986,326	$0	$141,645
Steven Shapiro MD
Chief Medical Officer	$406,038	$0	$198,845	$0	$33,129	$0	$97,860	$0	$10,203	$0	$746,075	$0	$67,818	$0
Bret Johnson
CFO & SVP / Treasurer	$360,099	$0	$229,028	$0	$134,199	$0	$189,275	$0	$30,940	$0	$943,541	$0	$153,398	$0
Allen Carroll
Regional CEO & CEO BSSF	$0	$387,917	$0	$210,926	$0	$33,255	$0	$141,560	$0	$17,163	$0	$790,821	$0	$113,185
Douglas Bowling
CSO & VP	$336,838	$0	$185,628	$0	$146,381	$0	$129,725	$0	$19,991	$0	$818,563	$0	$217,764	$0
Gregory Edwards
VP & General Council/ Secretary	$335,698	$0	$152,499	$0	$32,712	$0	$109,963	$0	$28,071	$0	$658,943	$0	$82,726	$0
Melanie Stith
VP Human Resources	$205,461	$0	$70,653	$0	$225	$0	$46,401	$0	$31,472	$0	$354,212	$0	$0	$0
Melinda Cardell
CIO & VP	$214,240	$0	$72,533	$0	$366	$0	$10,804	$0	$13,834	$0	$311,777	$0	$0	$0
Carolyn Donohue
VP Nursing/ Senior Nurse Exec RHI	$0	$205,182	$0	$59,405	$0	$25,537	$0	$33,743	$0	$7,541	$0	$331,408	$0	$23,707
Pennie Peralta
VP Nursing/ Sr. Nurse Exec SFX	$0	$182,774	$0	$85,837	$0	$17,429	$0	$56,168	$0	$18,363	$0	$360,571	$0	$45,943
John Sullivan
VP Operations (through 7/1/15)	$0	$125,839	$0	$126,150	$0	$47,045	$0	$151,574	$0	$14,641	$0	$465,249	$0	$34,080
Tavia Buck
CEO MPH (Interim) & VP Nursing/Sr. N	$0	$149,470	$0	$39,818	$0	$90	$0	$28,617	$0	$3,026	$0	$221,021	$0	$0
Mark Dickson
VP Mission	$161,307	$0	$82,272	$0	$1,844	$0	$43,580	$0	$26,392	$0	$315,395	$0	$23,876	$0
Todd Shuman MD
VP & Chief Physician Officer	$404,189	$0	$118,343	$0	$387	$0	$56,280	$0	$16,914	$0	$596,113	$0	$0	$0
Lori Roberts
Dir. Legal Svcs/Assistant Secretary	$165,142	$0	$24,684	$0	$605	$0	$8,437	$0	$8,438	$0	$207,306	$0	$0	$0
Steven Akman MD
Physician	$495,169	$55,019	$58,500	$6,500	$5,218	$580	$21,176	$2,353	$24,828	$2,759	$604,891	$67,211	$0	$0
John M Grayson MD
Director Heart & Vasc	$336,476	$0	$56,735	$0	$1,854	$0	$13,260	$0	$17,163	$0	$425,488	$0	$0	$0
John Hallett MD
Chief Medical Officer	$21,768	$413,590	$3,588	$68,177	$357	$6,781	$1,693	$32,167	$958	$18,205	$28,364	$538,920	$0	$0
Jeanne Ballard
Chief Medical Information Officer	$264,627	$0	$38,773	$0	$207	$0	$13,260	$0	$26,392	$0	$343,259	$0	$0	$0
Jacobo Mintzer MD
Physician	$281,418	$0	$23,125	$0	$1,356	$0	$31,260	$0	$1,083	$0	$338,242	$0	$0	$0
Stanley Wilson MD
Former Vice Chair	$0	$420,981	$0	$215,060	$0	$8,656	$0	$31,260	$0	$19,163	$0	$695,120	$0	$0
Peter DiNicola
Director of Plant Engineering (Forme	$213,768	$0	$34,574	$0	$2,356	$0	$32,366	$0	$4,228	$0	$287,292	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a	David Dunlap was reimbursed for his monthly Harbour Club dues.
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: Bret Johnson $ 132,179 Steven Shapiro 28,250 Douglas Bowling 142,707 Gregory Edwards 30,275 Matthew Severance 39,410 Allen Carroll 30,508 Pennie Peralta 15,336 Carolyn Donohue 23,707 John Sullivan 16,055
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 provides the compensation of David L. Dunlap, CEO, CareAlliance Health Services; Bret D. Johnson, CFO, CareAlliance Health Services; and John Sullivan, CEO, Roper St. Francis Mt. Pleasant Hospital. Mr. Dunlap and Mr. Johnson are employees of Carolinas Healthcare System and their compensation is paid by CareAlliance Healthcare Services through a management fee to Carolinas Healthcare System. Mr. Sullivan is also an employee of Carolinas Healthcare System, and his compensation is paid by Roper St. Francis Mt. Pleasant Hospital, a related organization, through a management fee to Carolinas Healthcare System. Additional information: CareAlliance Health Services has board representations from the 3 founding organizations: the Medical Society of SC (6 board members), Bon-Secours Health System, Inc. (6 board members), and Carolinas Healthcare System (1 board member). None of the 13 appointed board members receive compensation for their membership. Additionally, 4 of the 6 board members appointed by the Medical Society of South Carolina also serve on the Board of the Medical Society. None receive compensation for their services as a board member. It is the founding members' intent that the members of the Board of Directors are appointed to such positions because they have a willingness to serve the needs of the system as a whole and not the needs of any individual founding member.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Charleston County South Carolina
A	576001289	160900JK3	2004-07-13	$100,661,242	Construction, See Part VI	Yes (1)	0	0
SC Jobs - Economic Development Authority
B	570960018	83703FBD3	2007-11-01	$130,000,000	Construction, See Part VI	Yes (1)	0	0
SC Jobs - Economic Development Authority
C	570960018	837031SA2	2011-08-31	$39,855,000	Cur. Refunding, See Part VI	0	0	0
SC Jobs - Economic Development Authority
D	570960018		2012-09-25	$79,200,000	Cur. Refunding, See Part VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capitalized InterestCapitalizedInterestAmt	In Reserve FundInReserveFundAmt	Other Spent ProceedsOtherSpentProceedsAmt
A	$29,495,000	$30,510,000	$105,018,246	$27,622,852	$1,224,756	$3,510,342	$90,020,746	2006	0	Yes (1)	Yes (1)
B	$30,480,000	$19,520,000	$135,304,800	$8,897,543	$1,330,300	$2,537,558	$121,063,373	2010	0	Yes (1)	Yes (1)	$10,373,107
C	$17,490,000		$39,855,032					2001	Yes (1)	Yes (1)	Yes (1)		$1	$39,855,000
D	$10,487,667		$79,317,023		$449,469		$19,179,887	2013	Yes (1)	0	Yes (1)			$49,200,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	0.00000	0.00000	Yes (1)
B	Yes (1)	Yes (1)	0.00010	0.00010	Yes (1)
C	0		0.00000	0.00000	Yes (1)
D	0		0.00000	0.00000	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Business Name Line2HedgeProviderName/BusinessNameLine2Txt
Goldman Sachs
A	0	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)	29.100000000000	0	0	Yes (1)	Morgan Stanley	2.000000000000	Yes (1)	0	Yes (1)
Goldman Sachs &
B	0	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)	29.400000000000	0	0	Yes (1)	Citigroup	2.200000000000	Yes (1)	0	Yes (1)	Wells Fargo
(no name)
C	0	0	Yes (1)	0	Yes (1)	0				0				0	Yes (1)
(no name)
D	0	0	Yes (1)	0	Yes (1)	Yes (1)		0	0	0				0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Date Rebate Computation Performed	Issuer Name: Charleston County, South Carolina Date the Rebate Computation was Performed: 11/07/2013 Issuer Name: SC Jobs - Economic Development Authority Date the Rebate Computation was Performed: 12/14/2012
Schedule K, Part I, Description of Use:	Entity 1, Bond (A), dated 07/13/04, proceeds used for construction of a patient care tower and parking garage, to pay costs related to the issuance, and to fund a debt service reserve fund. Entity 1, Bond (B), dated 11/01/07, proceeds used for construction of building, acquisition of new equipment, acquisition of land and improvements to land, and to pay costs related to the issuance. Entity 1, Bond (C), dated 08/31/11, proceeds used to currently refund a portion of bonds dated 01/26/1999. Entity 1, Bond (D), dated 09/25/12, proceeds used for acquisition of new equipment, new construction, and to currently refund a portion of bonds dated 01/26/1999. Entity 2, Bond (A), dated 06/24/14, proceeds used to defease Series 2004B-1, refund Series 2010, and defease Series 2007A. Entity 2, Bond (B), dated 09/01/15, proceeds used to purchase of acquiring certain tracts of land and acquisition of equipment.
Schedule K, Part II, Line 3: Total Proceeds:	The amounts reported on Part II, Line 3 for the bonds identified below include earnings from investment of bond proceeds as follows: -Bond issued 07/13/04- Sale Proceeds (Issue Price): $ 100,661,242 Investment earnings to date 12/31/2015: 4,357,004 Total to Line 3: $ 105,018,246 -Bond issued 11/01/07- Sale Proceeds (Issue Price): $ 130,000,000 Investment earnings to date 12/31/2015: 5,304,800 Total to Line 3: $ 135,304,800 -Bond issued 8/31/11- Sale Proceeds (Issue Price): $ 39,855,000 Investment earnings to date 12/31/2015: 32 Total to Line 3: $ 39,855,032 -Bond issued 09/25/12- Sale Proceeds (Issue Price): $ 79,200,000 Investment earnings to date 12/31/2015: 117,023 Total to Line 3: $ 79,317,023 -Bond issued 6/24/14- Sale Proceeds (Issue Price): $ 75,490,000 Investment earnings to date 12/31/2015: 2 Total to Line 3: $ 75,490,002 -Bond issue 9/01/15- Sale Proceeds (issue Price): $ 27,500,000 Investment earnings to date 12/31/2015: 52 Total to Line 3: $ 27,500,052
Schedule K, Part II, Line 11: Other Spent Proceeds:	Amounts present on Part II, Line 11 represent amounts used to currently refund prior issues. For original use of bond proceeds refunded, please see the applicable disclosure in Part VI.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
SC Jobs - Economic Development Authority
A	570960018	2014-06-24	$75,490,000	Cur. Refunding, See Part VI	0	0	0
SC Jobs - Economic Development Authority
B	570960018	2015-09-16	$27,500,000	Acquire land and equipment	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Bond DefeasedBondDefeasedAmt
A	$8,280,000	$75,490,002	$2	$75,490,000	2010	Yes (1)	0	Yes (1)	Yes (1)
B				$27,500,052	2015	0	0	Yes (1)	Yes (1)	$27,500,052

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	Yes (1)	Yes (1)	Yes (1)	0	0.00000	0.00000	0.00000	0	0	0
B	0	Yes (1)	Yes (1)	0	0	0.00000	0.00000	0.00000	0	0	0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	Yes (1)	0	Yes (1)	0	0	0	Yes (1)
B	0	Yes (1)	0	0	0	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Laura Dunlap
Family relationship with Officer, David Dunlap	$65,094	Compensation as employee.	0
Nancy Weiller
Family relationship with Officer, Tavia Buck	$56,380	Compensation as employee.	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part V, Line 2a, Total employees:	The filing organization is the common paymaster for related organizations. The total number of Forms W-2 reported for the calendar year 2015 was 6,258. The number reported on line 2a represents the number of employees dedicated to the filing organization.
Form 990, Part VI, Section A, line 3	Carolinas Healthcare System (CHS), an unrelated organization, provides the compensation of Mr. David L. Dunlap, CEO, CareAlliance Health Services; Mr. Bret D. Johnson, CFO, CareAlliance Health Services; and Mr. John Sullivan, CEO, Roper St. Francis Mt. Pleasant Hospital. Mr. Dunlap and Mr. Johnson are employees of CHS and their compensation is paid by CareAlliance Health Services through a management fee to CHS. Mr. Sullivan is also an employee of CHS, and his compensation is paid through a management fee by Roper St. Francis Mt. Pleasant Hospital.
Form 990, Part VI, Section A, line 6	The 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 7a	See answer to Part VI, Section A, Line 6 above. 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 7b	The following actions shall require the unanimous affirmative approval of all of the founding members: (a) to amend the Articles of Incorporation or by-laws, including without limitation, any change in the corporation's purposes; provided, however, that, subject to the procedures and voting requirements with respect to the admission of non-founding members, Schedule 3.1 may be amended with the approval of two (2) of the founding members to reflect the admission of a non-founding member; (b) to dissolve or liquidate the corporation and to determine the distribution of assets upon dissolution; (c) to merge or consolidate the corporation or to sell, convey, transfer, lease, or otherwise dispose of all or substantially all of its assets; (d) to appoint the president and chief executive officer of the corporation in a manner other than that established within the by-laws; (e) to alter or amend the corporation's ethical performance standards (defined below); or (f) to enter into any material agreement whereby a third party will: (i) become an equity owner in any joint venture with the corporation or any system participant and will not be legally obligated to support the corporation's ethical performance standards; or (ii) manage a substantial part of the facilities, assets, or operations of the system and will not be legally obligated to comply with and support the corporation's ethical performance standards.
Form 990, Part VI, Section B, line 11	The 2015 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 administrative office. In addition, recent filing of the Form 990 are available online at www.guidestar.org.
Form 990, Part VI, Section C, line 19	The organization's audited financial statements are published annually and are available to the public at www.dacbond.com.
Form 990, Part VII, Line 1:	The following board members were compensated for services performed for the organization (or a related organization) not in the capacity of their positions on the board. No board member is compensated for his services as a board member. Brian Cuddy was compensated for medical services rendered to a related organization. Alison E. Dillon was compensated for medical services rendered to a related organization and the organization. John B. Holloway, Jr. was compensated for medical services rendered to a related organization. John A. Spratt was compensated for medical services rendered to a related organization. Shannon Honney 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 IX, line 11g	Purchased Services: Program service expenses 4,412,338. Management and general expenses 9,673,248. Fundraising expenses 0. Total expenses 14,085,586.
Form 990, Part XI, line 9:	Equity Transfer from Affiliate -37,426,047. Other changes in net assets -931,912. Distributions -14,800,000. Contributions 1,401,402. Adjust investment in affiliates 86,081,253. Net pension and benefit expense allocated from affiliates -1,054,669. Contribution from MSSC -2,424,070.
Form 990, Part XII, Line 2c:	The process has not changed from the prior year.
Form 990, Part III:	Creating Life Changing Moments in our Community The Roper St. Francis 2015 Community Benefit Report Dear Community, The Roper St. Francis healthcare system has experienced unprecedented growth in recent years while maintaining our mission of Healing all people with compassion, faith, and excellence. Roper St. Francis has a long tradition of caring for our community. This is illustrated by our physicians and teammates' exceptional dedication, our partnerships with local leaders such as Boeing and our investment in new life-saving procedures. We maintain the highest technology levels, including HARBOR, our system's integration to all electronic medical records. As much as we are investing in growing our services and reach, we are also compelled to give back to the community we serve. In 2015, I am proud that as a system we gave 90,589 staff hours and over $56 million in Community Benefits. This benefit occurred in many forms, including charity care, sponsorships and numerous community outreach programs, which are outlined in the community benefit report. In turn our community also helps support us. The Roper St. Francis Foundation raised $9.8 million in 2015. The Foundation's philanthropy has supported a large number of projects including the Center for Spinal Cord Injury, the Roper St. Francis Nursing Scholarship program and the Roper Hospital Cardiac Wellness and Rehabilitation program. We also continue to focus on ways to recruit a more diverse workforce. Most recently our board formed a subcommittee dedicated to diversity, which resulted in a recommendation to create a new leadership position, VP Chief Diversity Officer, who reports directly to the CEO. I would like to thank each and every teammate, physician, volunteer, donor and board member who has contributed to the ongoing success of our system. I hope you enjoy learning about the many ways Roper St. Francis cares for our community in the community benefit report. Warm Regards, 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	Roper St Francis Health Alliance	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1483 Tobias Gadson Blvd Ste 101	AddressLine1Txt
City	Charleston	CityNm
State Abbreviation	SC	StateAbbreviationCd
ZIP	29407	ZIPCd

Field	Value	IRS element (for citing)
Primary Activities	ACO	PrimaryActivitiesTxt
Legal Domicile State	SC	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
Roper Hospital Inc
1483 Tobias Gadson Blvd 101	Charleston	SC	29407	570828733	Healthcare	SC	501(c)(3)	Line 3	CareAlliance Health Services	Yes (1)
Bon Secours St Francis Xavier Hospital
1483 Tobias Gadson Blvd 101	Charleston	SC	29407	571067254	Healthcare	SC	501(c)(3)	Line 3	CareAlliance Health Services	Yes (1)
Roper St Francis Mt Pleasant Hospital
1483 Tobias Gadson Blvd 101	Charleston	SC	29407	570360499	Healthcare	SC	501(c)(3)	Line 3	CareAlliance Health Services	Yes (1)
Roper St Francis Hospital - Berkeley
125 Doughty Street 720	Charleston	SC	29403	263710229	Healthcare (future)	SC	501(c)(3)	Line 3	CareAlliance Health Services	Yes (1)
Roper St Francis Physicians Network
125 Doughty Street 760	Charleston	SC	29403	262946628	Healthcare	SC	501(c)(3)	Line 3	CareAlliance Health Services	Yes (1)
Roper St Francis Foundation
125 Doughty Street 790	Charleston	SC	29403	571068509	Supporting Org	SC	501(c)(3)	Line 11a, I	CareAlliance Health Services	Yes (1)
The Medical Society of South Carolina
69-B Barre Street	Charleston	SC	29401	570288358	Supporting Org/Founding member	SC	501(c)(3)	Line 11c, III-FI		0	N/A

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	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
Lowcountry Surgery Center LLC (dba Roper St Francis Eye Surgery Center)
1483 Tobias Gadson Blvd 101	Charleston	SC	29407	581693021	Ambulatory Surgery Center	SC	N/A
RSFH-ATI Physical Therapy LLC
125 Doughty St Ste 760	Charleston	SC	29403	474797980	Physical Therapy	SC		Care Alliance Health Services	Related	0	0	0.65000

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
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (1)	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	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	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	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt
Roper St Francis Foundation
C	$882,298
Roper Hospital Inc
P	$27,313,091
Bon Secours St Francis Xavier Hospital
P	$16,286,278
Roper St Francis Mt Pleasant Hospital
P	$4,084,216
Roper St Francis Physicians Network
P	$8,516,212
Roper St Francis Foundation
P	$285,591
Roper Hospital Inc
N	$21,974,188
Bon Secours St Francis Xavier Hospital
N	$13,106,888
Roper St Francis Mt Pleasant Hospital
N	$3,279,545
Roper St Francis Physicians Network
N	$4,296,847
Roper St Francis Foundation
N	$106,602