ROPER ST FRANCIS HEALTHCARE: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: ROPER ST FRANCIS HEALTHCARE (EIN 57-0831165)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2015-11-13
IRS object ID: 201543179349303359
Schema version: 2014v5.0
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 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	2015-11-13T10:34:43-06:00	ReturnTs
Tax Period End	2014-12-31	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	2014-01-01	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	1483 Tobias Gadson Blvd No 101	AddressLine1Txt
City	Charleston	CityNm
State Abbreviation	SC	StateAbbreviationCd
ZIP	29407	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Bret D Johnson	PersonNm
Person Title	SVP & CFO	PersonTitleTxt
Phone	8437242958	PhoneNum
Signature	2015-11-13	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

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-04-25 22:37:26Z	BuildTS

Form 990 IRS990

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	1483 Tobias Gadson Blvd No 101	AddressLine1Txt
City	Charleston	CityNm
State Abbreviation	SC	StateAbbreviationCd
ZIP	29407	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$109,645,662	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	688	TotalEmployeeCnt
Total Volunteers	88	TotalVolunteersCnt
Total Gross UBI	$489,696	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$527,269	PYContributionsGrantsAmt
CY Contributions Grants	$8,141,479	CYContributionsGrantsAmt
PY Program Service Revenue	$86,695,922	PYProgramServiceRevenueAmt
CY Program Service Revenue	$88,837,754	CYProgramServiceRevenueAmt
PY Investment Income	$5,012,926	PYInvestmentIncomeAmt
CY Investment Income	$10,546,919	CYInvestmentIncomeAmt
PY Other Revenue	$1,572,060	PYOtherRevenueAmt
CY Other Revenue	$1,585,122	CYOtherRevenueAmt
PY Total Revenue	$93,808,177	PYTotalRevenueAmt
CY Total Revenue	$109,111,274	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,205,256	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,493,971	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$53,522,382	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$53,065,878	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$76,237,268	PYOtherExpensesAmt
CY Other Expenses	$76,241,962	CYOtherExpensesAmt
PY Total Expenses	$130,964,906	PYTotalExpensesAmt
CY Total Expenses	$130,801,811	CYTotalExpensesAmt
PY Revenues Less Expenses	-$37,156,729	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$21,690,537	CYRevenuesLessExpensesAmt
Total Assets BOY	$327,555,915	TotalAssetsBOYAmt
Total Assets EOY	$756,421,068	TotalAssetsEOYAmt
Total Liabilities BOY	$875,592,462	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$387,174,657	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$548,036,547	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$369,246,411	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	$70,854,211	ExpenseAmt
Grant	$1,493,971	GrantAmt
Revenue	$88,837,754	RevenueAmt
Desc	Roper St. Francis cares for more Lowcountry families than any other healthcare provider. Our mission is simple: Healing all people with compassion, faith and excellence. As Charleston's only private, not-for-profit hospital system with a specific focus on community outreach, our entire organization is committed to making a difference. Roper St. Francis contributed $61,407,603 in community benefit in 2014, which represents 7.7 percent of our net operating revenue. This community benefit comes in many forms, such as $48,472,773 in charity care, $7,620,320 in unreimbursed Medicaid costs, $603,308 in sponsorships and $4,711,202 in numerous community outreach programs.Our teammates go beyond the walls of their work spaces to support our community's health. Our teammates provided 52,381 hours of their time in 2014 in support of wellness initiatives that touched 87,273 of our neighbors. This includes participating in more than 100 community health fairs and screenings. Our teammates and leaders have shown their commitment to the community by contributing money and volunteering their time. Roper St. Francis teammates organized an extensive campaign to support the Trident United Way, and it yielded more than $320,000 in donations that will help improve the education, financial stability and health of our community. Dozens of Roper St. Francis teammates participated in the American Heart Association's annual Lowcountry Heart Walk. Those teams helped to raise more than $25,000 that will go toward fighting cardiovascular disease and stroke. Caring for the uninsured is an integral part of our mission. We've taken a strong position on Medicaid expansion and called on our state's leaders and lawmakers to expand it to provide healthcare for the poor and most vulnerable. We've been a leader in enrolling uninsured and underinsured residents to our AccessHealth Tri-county network, which gives patients care navigation and a primary care medical home. We enrolled last year more than 2,500 residents, many of whom visited the region's emergency rooms for their primary care. We've been a benefactor of One80 Place, which provides food and shelter for our community's homeless. We donated more than $200,000 to help it establish a health clinic, and we fund an on-site nurse. We also make regular donations of medical equipment, lab tests and medication. In 2014, our Ryan White Program and Wellness Center served 700 clients, many of them are uninsured and poor. The program has made great strides to treat, counsel and support individuals in our community who are struggling with an HIV or AIDS diagnosis. The program organized its fifth annual Dining Out for Life fundraiser, which involves local restaurants donating a portion of their sales to the program. Dining Out for Life raised a record-setting $50,379 in 2014. The program also sponsored its 6th annual AIDS walk, which attracted 150 participants and raised $7,818. Proceeds from both events help fund the life-saving services the clinic provides.	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	$70,854,211	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	0	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	768	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	688	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	0	InvestmentInJointVentureInd
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	1483 Tobias Gadson Blvd 101	AddressLine1Txt
City	Charleston	CityNm
State Abbreviation	SC	StateAbbreviationCd
ZIP	29407	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
John M Jordan
Chair (See Sch O)	0.50	2.50	Yes (X)	Yes (X)	$0	$324,425	$29,636
Stanley Wilson MD
Vice Chair (See Sch O)	0.50	49.50	Yes (X)	Yes (X)	$0	$572,182	$49,623
Sister Anne Lutz
Board Member	0.50	2.50	Yes (X)		$0	$0	$0
Richard Statuto
Board Member	0.50	2.50	Yes (X)		$0	$0	$0
Joseph G Piemont
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
Roberta Pinckney
Board Member	0.50	2.50	Yes (X)		$0	$0	$0
Shannon Honney MD
Board Member (See Sch O)	0.50	49.50	Yes (X)		$0	$220,816	$19,405
Julius R Ivester MD
Board Member (through June)	0.50	2.50	Yes (X)		$0	$0	$0
Brian Cuddy MD
Board Member (from July)(See Sch O)	0.50	49.50	Yes (X)		$0	$982,399	$58,684
Alison E Dillon MD
Board Member (See Sch O)	0.50	2.50	Yes (X)		$0	$57,455	$0
Angress Walker
Board Member	0.50	2.50	Yes (X)		$0	$0	$0
Mary Thornley
Board Member	0.50	2.50	Yes (X)		$0	$0	$0
Wills C Geils MD
Board Member (See Sch O)	0.50	2.50	Yes (X)		$0	$32,267	$0
David Dunlap
President & CEO of CAHS	45.00	5.00		Yes (X)	$1,167,999	$0	$250,028
Matthew Severance
SVP of Operations	1.00	49.00		Yes (X)	$0	$736,801	$194,372
Steven Shapiro MD
CMO & VP Med Affairs	47.00	3.00		Yes (X)	$622,233	$0	$109,792
Bret Johnson
CFO & SVP / Treasurer	45.00	5.00		Yes (X)	$669,558	$0	$202,137
Allen Carroll
SVP of Operations	1.00	49.00		Yes (X)	$0	$575,491	$157,960
Douglas Bowling
CSO & VP	46.00	4.00		Yes (X)	$507,941	$0	$149,153
John Sullivan
VP Operations	1.00	49.00		Yes (X)	$0	$395,084	$189,764
Gregory Edwards
VP & General Council/ Secretary	45.00	5.00		Yes (X)	$501,631	$0	$128,056
H Douglas Harrison
VP Human Resources (through March)	45.00	5.00		Yes (X)	$244,199	$0	$58,829
Melanie Stith
VP Human Resources (from April)	45.00	5.00		Yes (X)	$201,787	$0	$51,673
Michael Taylor
CIO & VP (through April)	45.00	5.00		Yes (X)	$526,676	$0	$60,774
Melinda Cardell
CIO & VP (from April)	45.00	5.00		Yes (X)	$215,340	$0	$23,245
Carolyn Donohue
VP Nursing/ Senior Nurse Exec RHI	1.00	49.00		Yes (X)	$0	$209,491	$33,373
Pennie Peralta
VP Nursing/ Sr. Nurse Exec SFX	1.00	49.00		Yes (X)	$0	$264,694	$69,882
Diana Topjian
VP Nursing/Sr. Exec MPH (thru March)	1.00	49.00		Yes (X)	$0	$124,236	$1,353
Tavia Buck
VP Nursing/Sr. Exec MPH (from April)	1.00	49.00		Yes (X)	$0	$120,342	$18,627
Mark Dickson
VP Mission	47.00	3.00		Yes (X)	$203,721	$0	$67,422
Todd Shuman MD
VP & CQO	50.00	0.00		Yes (X)	$260,817	$128,462	$70,191
Lori Roberts
Dir. Legal Svcs/Assistant Secretary	50.00	0.00		Yes (X)	$177,966	$0	$15,157
Steven Akman MD
Physician	50.00	0.00			$630,071	$0	$42,708	Yes (X)
John M Grayson MD
Director Heart & Vasc	26.00	24.00			$377,024	$1,704	$30,533	Yes (X)
Jeanne Ballard
Chief Medical Information Officer	50.00	0.00			$285,492	$0	$34,295	Yes (X)
Mary Lou Applebaum MD
Associate Chief Medical Information Officer	49.00	1.00			$262,368	$13,490	$21,717	Yes (X)
Peter DiNicola
Director of Plant Engineering	47.00	3.00			$235,552	$0	$19,034	Yes (X)
Stephanie Tucker
Dir of Property Mgmt (Former Key EE)	48.00	2.00			$197,469	$0	$36,727		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,287,844	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,759,339	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,194,150	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	71	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	Carlotte	NC	282322861	Management Company	$12,669,328
Huron Consulting Services LLC
3005 Momentum Place	Chicago	IL	606895330	Consulting	$5,186,652
McKesson Information Solutions
PO Box 98347	Chicago	IL	606938347	Maintenance & Info Tech Services	$5,070,324
Credit Adjustment Bureau
PO Box 62889	Charleston	SC	29419	Collection Services	$2,725,989
Dell Financial Services
PO Box 6549	Carol Stream	IL	601976549	Equipment Leasing Services	$2,607,358

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Related Organizations	$8,074,614	RelatedOrganizationsAmt
Government Grants	$36,875	GovernmentGrantsAmt
All Other Contributions	$29,990	AllOtherContributionsAmt
Noncash Contributions	$5,200	NoncashContributionsAmt
Total Contributions	$8,141,479	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Network Fees	900099	$88,084,873	$88,084,873
Medshare Revenue	621110	$534,701	$534,701
Senior Center Revenue	531390	$218,180	$218,180

Field	Value	IRS element (for citing)
Total Program Service Revenue	$88,837,754	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,835,028	TotalRevenueColumnAmt
Exclusion	$1,835,028	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,175,402	TotalRevenueColumnAmt
Exclusion	$1,175,402	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$541,513	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$323,595	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$217,918	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$217,918	TotalRevenueColumnAmt
Unrelated Business Revenue	$2,699	UnrelatedBusinessRevenueAmt
Exclusion	$215,219	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$7,672,825	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$136,336	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$7,672,825	SecuritiesAmt
Other	-$136,336	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,536,489	TotalRevenueColumnAmt
Exclusion	$7,536,489	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Direct Expenses	$74,457	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$74,457	TotalRevenueColumnAmt
Exclusion	-$74,457	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Daycare Revenues	624410	$662,857	$662,857
Billing & Collection Fees	900099	$486,997		$486,997
Other Income	900099	$291,807	$291,807

Field	Value	IRS element (for citing)
Other Revenue Total	$1,441,661	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$109,111,274	TotalRevenueColumnAmt
Related Or Exempt Func Income	$88,837,754	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$489,696	UnrelatedBusinessRevenueAmt
Exclusion	$11,642,345	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,160,993	TotalAmt
Program Services	$1,160,993	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$332,978	TotalAmt
Program Services	$332,978	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,299,864	TotalAmt
Management And General	$5,299,864	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$108,283	TotalAmt
Program Services	$59,470	ProgramServicesAmt
Management And General	$48,813	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$37,111,279	TotalAmt
Program Services	$15,171,445	ProgramServicesAmt
Management And General	$21,939,834	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,446,801	TotalAmt
Program Services	$591,466	ProgramServicesAmt
Management And General	$855,335	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,221,066	TotalAmt
Program Services	$1,725,612	ProgramServicesAmt
Management And General	$2,495,454	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,878,585	TotalAmt
Program Services	$1,994,412	ProgramServicesAmt
Management And General	$2,884,173	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$8,141,330	TotalAmt
Program Services	$6,217,204	ProgramServicesAmt
Management And General	$1,924,126	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$737,721	TotalAmt
Management And General	$737,721	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$329,294	TotalAmt
Management And General	$329,294	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$70,625	TotalAmt
Management And General	$70,625	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$450,222	TotalAmt
Management And General	$450,222	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$12,005,501	TotalAmt
Program Services	$3,276,757	ProgramServicesAmt
Management And General	$8,728,744	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,440,184	TotalAmt
Program Services	$1,952,147	ProgramServicesAmt
Management And General	$488,037	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$18,836,495	TotalAmt
Program Services	$12,206,922	ProgramServicesAmt
Management And General	$6,629,573	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$745,876	TotalAmt
Management And General	$745,876	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,305,081	TotalAmt
Program Services	$2,644,065	ProgramServicesAmt
Management And General	$661,016	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$190,997	TotalAmt
Management And General	$190,997	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$470,805	TotalAmt
Management And General	$470,805	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,332,104	TotalAmt
Program Services	$2,332,104	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$16,128,692	TotalAmt
Program Services	$11,962,441	ProgramServicesAmt
Management And General	$4,166,251	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,510,356	TotalAmt
Program Services	$2,008,285	ProgramServicesAmt
Management And General	$502,071	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Other Expenses	$7,334,246	$7,005,502	$328,744
Medical Supplies	$212,408	$212,408
UBI Tax	$25		$25

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$130,801,811	TotalAmt
Program Services	$70,854,211	ProgramServicesAmt
Management And General	$59,947,600	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$38,411,093	BOYAmt
EOY	$54,698,158	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$16,586,234	BOYAmt
EOY	$21,657,085	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$9,807	BOYAmt
EOY	$21,283	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,071,304	BOYAmt
EOY	$9,378,709	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$182,384,200	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$92,419,016	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$73,430,212	BOYAmt
EOY	$89,965,184	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$184,887,454	BOYAmt
EOY	$149,360,041	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
EOY	$424,760,175	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$9,159,811	BOYAmt
EOY	$6,580,433	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$327,555,915	BOYAmt
EOY	$756,421,068	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$125,344,494	BOYAmt
EOY	$133,610,276	EOYAmt

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$329,552,825	BOYAmt
EOY	$14,579,935	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$7,152,005	BOYAmt
EOY	$26,805,942	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$413,543,138	BOYAmt
EOY	$212,175,296	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$875,592,462	BOYAmt
EOY	$387,174,657	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$548,536,547	BOYAmt
EOY	$368,746,411	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	-$548,036,547	BOYAmt
EOY	$369,246,411	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$327,555,915	BOYAmt
EOY	$756,421,068	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$21,690,537	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$2,184,776	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$12,896	DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets	$941,145,375	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	$22,417	OtherActivitiesAmt
Total Lobbying Expenditures	$70,625	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 2014 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 2014, the amount of membership dues allocated to lobbying was $22,417.	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	$24,597,473	OtherCostOrOtherBasisAmt
Depreciation	$4,595,413	DepreciationAmt
Book Value	$20,002,060	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,681,995	OtherCostOrOtherBasisAmt
Depreciation	$3,852,446	DepreciationAmt
Book Value	$1,829,549	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$132,101,231	OtherCostOrOtherBasisAmt
Depreciation	$83,971,157	DepreciationAmt
Book Value	$48,130,074	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,836,663	OtherCostOrOtherBasisAmt
Book Value	$16,836,663	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$89,965,184	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	Investments-program related	Desc
Book Value	$424,760,175	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$424,760,175	TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Net due to affiliates	$163,351,644
Interest rate swap liability	$30,374,909
Other liabilities	$18,448,743

Field	Value	IRS element (for citing)
Total Liability	$212,175,296	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, 2014 and 2013, and does not expect that unrecognized tax benefits will materially increase within the next 12 months. Tax years 2011 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 (31 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
American Cancer Society
5900 Core Rd Suite 504	North Charleston	SC	29406	580659875	501(c)3	$10,000	Relay for Life Sponsorship & Gala Support
American Heart Association
4217 Park Place Court	Glen Allen	VA	23060	135613797	501(c)3	$35,000	Sponsorship Donation for Fundraising events
American Lung Association
44-A Markfield Drive	Charleston	SC	29407	131632524	501(c)3	$7,500	Oxygen Ball Support
American Red Cross Lowcountry Chapter
2424 City Hall Lane	North Charleston	SC	29406	570314371	501(c)3	$10,000	Workplace Campaign
Barrier Islands Free Medical Clinic
3226 Maybank Highway Suite A	Johns Island	SC	29455	205628911	501(c)3	$6,000	Sponsorship donation toward fundraising events
Black Pages International
1806 Washington St	Columbia	SC	29201	262031919	501(c)3	$10,000	Donation to 2014 Black Expo
Callen Lacey Center for Children
PO Box 1829	Moncks Corner	SC	29461		501(c)3	$5,300	Sponsorship Donation
Charleston County
4045 Bridge View Rm A311	Charleston	SC	29405	576001289	govt	$10,250	Donation to County
Charleston Metro Chamber of Commerce
4500 Leeds Avenue Suite 100	Charleston	SC	29405	570138852	501(c)3	$90,520	Various local business development initiatives
Charleston Promise Neighborhood
975 Morrison Dr Suite C-1	Charleston	SC	29403	800597710	501(c)3	$10,000	Improve Charleston Promise Neighborhood in 1 generation
Charleston Regional Development
5300 International Blvd Ste 103-A	Charleston	SC	29418	571015804	501(c)3	$75,000	Support
City of Charleston
PO Box 22009	Charleston	SC	29413	576000226	501(c)3	$241,190	Donation to City
City of Charleston Office of Cultural Affairs
180 Meeting St Suite 200	Charleston	SC	29401	576000226	501(c)3	$8,000	2014 Sponsoship Donation Piccolo Spoleto & Moja 2014
City of North Charleston
PO Box 190016 Cultural Arts Dept	Charleston	SC	29419	570545285	govt	$22,513	Donation to City
Coastal Community Foundation
635 Rutledge Ave Suite 201	Charleston	SC	29403	237390313	501(c)3	$10,000	Medical Exhibit - USS Yorktown Foundation
Coastal Crisis Chaplaincy
PO Box 21833	Charleston	SC	29413		501(c)3	$5,400	Sponsorship Donation
College of Charleston
66 George St	Charleston	SC	29424	570640443	501(c)3	$7,500	Sponsorship Donation
East Cooper Community Outreach
1145 Six Mile Rd	Mt Pleasant	SC	29466	570939280	501(c)3	$45,000	Support for Prescription Assistance program for uninsured/underinsured - $25K; Fundraising support - $20K
Family Circle Cup
161 Seven Farms Drive	Daniel Island	SC	29492	420410230	501(c)7	$13,400	Sponsorship
Franklin C Fetter Family Health Ctr Inc
51 Nassau Street	Charleston	SC	29403	570604703	501(c)3	$25,000	Providing Nursing Assistance to Clinic
Gibbes Museum of Art
135 Meeting St	Charleston	SC	29401	570323047	501(c)3	$20,000	Museum of Art Healing Program
Hampton Regional Medical Center
595 West Carolina Ave	Varnville	SC	29944	571017988	501(c)3	$75,000	Donation for cardiology services
Komen Charleston Race for the Cure
9300 Medical Plaza Dr Ste F	Charleston	SC	29406	752844655	501(c)3	$10,000	Sponsorship Donation to Race for the Cure
Leukemia & Lymphoma Society
300 West Coleman Blvd Suite 206	Mt Pleasant	SC	29464	135644916	501(c)3	$10,500	Fundraising Sponsorship
March of Dimes
1064 Gardner Rd Ste 116	Charleston	SC	29407	131846366	501(c)3	$15,000	Sponsorship Donation - March for Babies and Chef's Auction
Medal of Honor Bowl
1105 Mazzy Lane	Mt Pleasant	SC	29464	471402327	501(c)3	$10,000	Sponsorship in support of Medal of Honor Museum & Wounded Warrior project
One80Place (Formerly Crisis Ministries)
PO Box 20038	Charleston	SC	29413	570789483	501(c)3	$65,000	Homeless Health Clinic; New Men's Shelter and Soup Kitchen
Sumpter Free Medical Clinic
PO Box 340 - 1083 Hwy 35	St Stephen	SC	29497	271097304	501(c)3	$10,000	Support free medical care
Town of Mt Pleasant
100 Ann Edwards Lane	Mt Pleasant	SC	29464	576001079	govt	$66,386	Donation to Town
Trident Technical College Foundation
PO Box 61227	Charleston	SC	29419	560699317	501(c)3	$30,000	Capital technology to train nursing students
Trident United Way
PO Box 63305	North Charleston	SC	29419	570314378	501(c)3	$15,000	Sponsorship Donation

Field	Value	IRS element (for citing)
Total501c3 Org	28	Total501c3OrgCnt
Total Other Org	2	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	54	RecipientCnt
Cash Grant	$332,978	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 (27 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
John M Jordan
Chair (See Sch O)	$0	$284,425	$0	$40,000	$0	$0	$15,576	$0	$14,060	$0	$29,636	$324,425	$0	$0
Stanley Wilson MD
Vice Chair (See Sch O)	$0	$405,402	$0	$158,883	$0	$7,897	$0	$30,526	$0	$19,097	$0	$621,805	$0	$0
Shannon Honney MD
Board Member (See Sch O)	$0	$157,202	$0	$53,027	$0	$10,587	$0	$6,689	$0	$12,716	$0	$240,221	$0	$0
Brian Cuddy MD
Board Member (from July)(See Sch O)	$0	$927,760	$0	$42,715	$0	$11,924	$0	$30,526	$0	$28,158	$0	$1,041,083	$0	$0
David Dunlap
President & CEO of CAHS	$595,161	$0	$429,833	$0	$143,005	$0	$225,455	$0	$24,573	$0	$1,418,027	$0	$178,132	$0
Matthew Severance
SVP of Operations	$0	$423,641	$0	$252,539	$0	$60,621	$0	$164,076	$0	$30,296	$0	$931,173	$0	$145,166
Steven Shapiro MD
CMO & VP Med Affairs	$377,693	$0	$204,012	$0	$40,528	$0	$96,286	$0	$13,506	$0	$732,025	$0	$60,452	$0
Bret Johnson
CFO & SVP / Treasurer	$337,964	$0	$211,888	$0	$119,706	$0	$170,590	$0	$31,547	$0	$871,695	$0	$144,292	$0
Allen Carroll
SVP of Operations	$0	$335,625	$0	$201,518	$0	$38,348	$0	$137,116	$0	$20,844	$0	$733,451	$0	$113,773
Douglas Bowling
CSO & VP	$307,813	$0	$151,537	$0	$48,591	$0	$125,616	$0	$23,537	$0	$657,094	$0	$97,324	$0
John Sullivan
VP Operations	$0	$223,036	$0	$138,268	$0	$33,780	$0	$165,478	$0	$24,286	$0	$584,848	$0	$43,596
Gregory Edwards
VP & General Council/ Secretary	$305,134	$0	$162,091	$0	$34,406	$0	$101,834	$0	$26,222	$0	$629,687	$0	$78,247	$0
H Douglas Harrison
VP Human Resources (through March)	$87,470	$0	$136,876	$0	$19,853	$0	$57,961	$0	$868	$0	$303,028	$0	$41,055	$0
Melanie Stith
VP Human Resources (from April)	$172,488	$0	$29,074	$0	$225	$0	$18,377	$0	$33,296	$0	$253,460	$0	$0	$0
Michael Taylor
CIO & VP (through April)	$260,028	$0	$137,480	$0	$129,168	$0	$48,676	$0	$12,098	$0	$587,450	$0	$167,687	$0
Melinda Cardell
CIO & VP (from April)	$186,433	$0	$27,170	$0	$1,737	$0	$8,242	$0	$15,003	$0	$238,585	$0	$0	$0
Carolyn Donohue
VP Nursing/ Senior Nurse Exec RHI	$0	$193,443	$0	$0	$0	$16,048	$0	$23,420	$0	$9,953	$0	$242,864	$0	$0
Pennie Peralta
VP Nursing/ Sr. Nurse Exec SFX	$0	$169,334	$0	$74,959	$0	$20,401	$0	$51,487	$0	$18,395	$0	$334,576	$0	$46,075
Mark Dickson
VP Mission	$144,128	$0	$56,490	$0	$3,103	$0	$39,581	$0	$27,841	$0	$271,143	$0	$0	$0
Todd Shuman MD
VP & CQO	$220,894	$108,798	$39,664	$19,536	$259	$128	$35,675	$17,571	$11,353	$5,592	$307,845	$151,625	$0	$0
Lori Roberts
Dir. Legal Svcs/Assistant Secretary	$149,983	$0	$27,282	$0	$701	$0	$6,834	$0	$8,323	$0	$193,123	$0	$0	$0
Steven Akman MD
Physician	$529,338	$0	$98,975	$0	$1,758	$0	$13,026	$0	$29,682	$0	$672,779	$0	$0	$0
John M Grayson MD
Director Heart & Vasc	$322,577	$1,458	$53,309	$241	$1,138	$5	$12,967	$59	$17,428	$79	$407,419	$1,842	$0	$0
Jeanne Ballard
Chief Medical Information Officer	$242,685	$0	$42,600	$0	$207	$0	$8,279	$0	$26,016	$0	$319,787	$0	$0	$0
Mary Lou Applebaum MD
Associate Chief Medical Information	$214,391	$11,023	$45,447	$2,337	$2,530	$130	$12,389	$637	$8,266	$425	$283,023	$14,552	$0	$0
Peter DiNicola
Director of Plant Engineering	$198,265	$0	$33,150	$0	$4,137	$0	$13,189	$0	$5,845	$0	$254,586	$0	$0	$0
Stephanie Tucker
Dir of Property Mgmt (Former Key EE)	$166,776	$0	$26,761	$0	$3,932	$0	$27,899	$0	$8,828	$0	$234,196	$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: Michael Taylor $124,847 Matthew Severance 52,227 Steven Shapiro 26,600 Allen Carroll 37,375 Douglas Bowling 44,607 Gregory Edwards 31,599 H. Douglas Harrison 14,818 Pennie Peralta 18,943 David Dunlap 83,583 Bret Johnson 115,178
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	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt
A	$68,970,000	$30,510,000	$105,018,246	$3,382	$2,180,490	$1,224,756	$3,510,342	$87,840,256	2006	0	Yes (1)	Yes (1)
B	$110,480,000	$19,520,000	$135,304,800		$10,373,107	$1,330,300	$2,537,558	$121,063,373	2010	0	Yes (1)	Yes (1)
C	$17,490,000		$39,855,000	$8					2001	Yes (1)	Yes (1)	Yes (1)	$39,855,000
D			$79,303,873	$10,474,516		$449,469		$19,179,887	2013	Yes (1)	0	Yes (1)	$49,200,000	$10,474,516

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00000	0.00000	Yes (1)
B	Yes (1)	Yes (1)	0		0.00010	0.00010	Yes (1)
C	0		0		0.00000	0.00000	Yes (1)
D	0		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)	0	Yes (1)	Yes (1)	29.100000000000	0	0	Yes (1)	Morgan Stanley	2.000000000000	Yes (1)	0	Yes (1)
Goldman Sachs &
B	0	0	0	0	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)
BB&T
D	0	0	Yes (1)	0	Yes (1)	Yes (1)	11.000000000000	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 (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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.
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 12/31/2014: 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 12/31/2014: 5,304,800 Total to Line 3: $ 135,304,800 -Bond issued 09/25/12- Sale Proceeds (Issue Price): $ 79,200,000 Investment earnings to date 12/31/2014: 103,873 Total to Line 3: $ 79,303,873 -Bond issued 6/24/14- Sale Proceeds (Issue Price): $ 75,490,000 Investment earnings to date 12/31/2014: 4 Total to Line 3: $ 75,490,004
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

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	SC Jobs - Economic Development Authority	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	570960018	BondIssuerEIN
Bond Issued	2014-06-24	BondIssuedDt
Issue Price	$75,490,000	IssuePriceAmt
Purpose	Cur. Refunding, See Part VI	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$2,995,000	RetiredAmt
Total Proceeds	$75,490,004	TotalProceedsAmt
Other Spent Proceeds	$75,490,000	OtherSpentProceedsAmt
Substantial Completion	2010	SubstantialCompletionYr
Current Refunding	Yes (1)	CurrentRefundingInd
Advance Refunding	0	AdvanceRefundingInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	0	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	Yes (1)	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	Yes (1)	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

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	$59,470	Compensation as employee.	0
Nancy Weiller
Family relationship with Officer, Tavia Buck	$48,813	Compensation as employee.	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 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 2014 was 6,045. 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 2014 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. John M. Jordan was compensated by the Medical Society of South Carolina for services as Chief Executive Officer. Stanley Wilson was compensated for medical services rendered to a related organization. Brian Cuddy was compensated for medical services rendered to a related organization. Shannon Honney was compensated for medical services rendered to a related organization. Alison E. Dillon 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 XI, line 9:	Loss on early extinguishment of debt -6,283,867. Other nonoperating loss -12,322,975. ACO nonoperating start up costs -934,002. Distribution to founding members -14,800,000. Contribution from founding member 2,382,000. Support to MSSC -7,313,190. Net pension and benefit expense allocated from affiliates 3,252,081. Financial statement presentation adjustment 977,165,328.
Form 990, Part XII, Line 2c:	The process has not changed from the prior year.
Form 990, Part XI, Line 9, Change in net assets:	Financial Statement Presentation Adjustment - Accounting Standards Update (ASU) 2013-04 required the reclassification of certain assets and liabilities among related entities. These reclasses net to zero when the entities are consolidated. In addition, an Investment in Affiliates in the amount of $424,760,175 was recorded at CareAlliance equal to the net assets of these entities with a corresponding increase in the net assets at CareAlliance. Eelated Entities include: Roper Hospital, Inc - 57-0828733 Bon Secours - St. Francis Xavier - 57-1067254 Roper St. Francis Mt Pleasant Hospital - 57-0360499 Roper St. Francis Physicians Network - 26-2946628
Form 990, Part III:	Creating Life Changing Moments in our Community The Roper St. Francis 2014 Community Benefit Report Dear Friends, As we look back on the moments that shaped our 2014 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 this strategic process we are working hard to create a healthier community for all of us. In 2014, Roper St. Francis gave over $61 million dollars to our community. This represents a $10 million increase from the previous year. This also reflects 7.7% of our net operating revenue, which is a very high percentage, even for not-for-profit community health systems such as Roper St. Francis. Thank you for your continued support, trust and faith in Roper St. Francis. Together we are creating life changing moments in our community. Sincerely, David L. Dunlap, FACHE President and Chief Executive Officer * Roper St. Francis uses the Voluntary Hospital Association /Catholic Health Association's standardized community benefit valuation methodology.
Form 990, Part III:	Our Community Benefit $48,472,773 Charity Care at Cost $7,620,320 Unreimbursed Medicaid Cost $4,711,202 Community Outreach Programs $603,308 Community Investment $61,407,603 Total Community Benefit Expense In 2014, we provided 52,381 hours of staff time in support of wellness initiatives that touched 87,273 of our neighbors. This includes participating in over 100 community healthfairs. Community Health Needs Assessment Priorities The following are priorities identified in our recent Community Health Needs Assessment. To see the full assessment, visit www.rsfh.com/mission. Access to Services and Coverage for the Uninsured and Underinsured The AccessHealth Tri-county Network enrolled over 2,500 clients in 2014, providing patients with care navigation and a primary care medical home assignment. AccessHealth believes in quality case management while coordinating with health clinics and organizations. Access to Mental Health Services The local Mental Health Task Force has been in existence since 1998, and was created out of a need to better communicate with other agencies serving those with mental health issues. From the beginning, Roper St. Francis has been involved by contributing to the conversation and action steps. Maternal and Child Health/Infant Mortality Roper St. Francis provides the Our Lady of Mercy Outreach Center Prenatal Clinic on Johns Island and also recently opened the Maternal Fetal Medicine Clinic for high-risk pregnancies. Prevention and Wellness Outreach From employee focused Wellness Works programs to community-based programs like Families for a Healthy Heart, to supporting urban gardening in areas without available and affordable healthy foods, Roper St. Francis is a leader in prevention and wellness outreach. High Prevalence of Chronic Disease We are implementing programs through our Physician Partners and beyond to diagnose, treat and control diabetes and obesity. Recognizing the need for more access for the uninsured, we opened the "Transitions" or "Gap Clinic". These programs have been successful in assisting people who may not have seen a healthcare provider in years. Coordination of Care across Settings With more emphasis on the outpatient setting, Roper St. Francis has developed some of the best home health and hospice care services in the country based on our quality measures and comparative scores. Roper Rehab Hospital In 2014, Roper Rehabilitation Hospital served 55 patients who did not have insurance coverage. These patients ranged in age from 19 to 83 with an average age of 50, and their diagnoses included stroke, spinal cord injury, brain injury and amputation. The average length of stay was 25.31 days. Medication Support Bon Secours St. Francis Hospital participates in the 340 B Drug Discount Program, a federal program that requires pharmaceutical makers to provide outpatient drugs to eligible healthcare organizations or covered entities, allowing them to optimize federal resources and reach more eligible patients, maximizing comprehensive services to unfunded patients. Partners for Community Roper St. Francis partners with several local agencies, such as those below, to assist and grow our community. One80 Place, formally called Crisis Ministries, opened its new shelter and service center in 2014, with an expanded health clinic that was funded by the Medical Society of South Carolina while also receiving program and in-kind support from Roper St. Francis. Metanoia serves in the poorest section of the Tricounty area, providing housing, education and community development support. Research has shown a link between poverty and healthcare issues. Water Missions International provides water purification systems throughout the world in places most in need due to poverty and natural disasters. Trident United Way has energized Roper St. Francis employees for years to show their enormous support for our community. In 2014, we raised over $320,000. Roper St. Francis Every Moment Matters www.rsfh.com
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 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

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Lowcountry Surgery Center LLC (dba Roper St Francis Eye Surgery Center)	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	581693021	EIN
Primary Activities	Ambulatory Surgery Center	PrimaryActivitiesTxt
Legal Domicile State	SC	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd

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	$761,423
Roper Hospital Inc
P	$23,695,277
Bon Secours St Francis Xavier Hospital
P	$13,365,077
Roper St Francis Mt Pleasant Hospital
P	$3,533,833
Roper St Francis Physicians Network
P	$7,066,448
Roper St Francis Foundation
P	$175,157
Roper Hospital Inc
N	$21,029,251
Bon Secours St Francis Xavier Hospital
N	$11,827,013
Roper St Francis Mt Pleasant Hospital
N	$3,143,740
Roper St Francis Physicians Network
N	$4,175,150
Roper St Francis Foundation
N	$73,927