ROPER ST FRANCIS HEALTHCARE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: ROPER ST FRANCIS HEALTHCARE (EIN 57-0831165)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-12
IRS object ID: 201223179349302462
Schema version: 2011v1.2
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-12T15:15:30-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	560747981	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DIXON HUGHES GOODMAN LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 Ridgefield Court	AddressLine1
City	Asheville	City
State	NC	State
ZIP Code	28806	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	570831165	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CareAlliance Health Services	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	CARE	NameControl
Phone	8437891704	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	315 Calhoun Street No 107	AddressLine1
City	Charleston	City
State	SC	State
ZIP Code	29401	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Bret D Johnson	Name
Title	SVP & CFO	Title
Phone	8437891704	Phone
Date Signed	2012-11-09	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Amy Bibby	Name
PTIN	P00445891	PTIN
Phone	8282542254	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	Roper St Francis Healthcare	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	David L Dunlap	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	315 Calhoun Street No 107	AddressLine1
City	Charleston	City
State	SC	State
ZIP Code	29401	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	97520293	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.ropersaintfrancis.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1998	YearFormation
State Legal Domicile	SC	StateLegalDomicile
Activity Or Mission Description	Management and oversight of related nonprofit hospital and healthcare subsidiaries	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	731	TotalNbrEmployees
Total Nbr Volunteers	80	TotalNbrVolunteers
Total Gross UBI	106619	TotalGrossUBI
Net Unrelated Business Txbl Income	-7624	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	8552512	ContributionsGrantsPriorYear
Contributions Grants Current Year	6263364	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	70630315	ProgramServiceRevenuePriorYear
Program Service Revenue CY	72938905	ProgramServiceRevenueCY
Investment Income Prior Year	6117290	InvestmentIncomePriorYear
Investment Income Current Year	17075954	InvestmentIncomeCurrentYear
Other Revenue Prior Year	921805	OtherRevenuePriorYear
Other Revenue Current Year	863424	OtherRevenueCurrentYear
Total Revenue Prior Year	86221922	TotalRevenuePriorYear
Total Revenue Current Year	97141647	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	552326	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	815267	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	38995116	SalariesEtcPriorYear
Salaries Etc Current Year	42010092	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	61051552	OtherExpensePriorYear
Other Expenses Current Year	67305503	OtherExpensesCurrentYear
Total Expenses Prior Year	100598994	TotalExpensesPriorYear
Total Expenses Current Year	110130862	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-14377072	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-12989215	RevenuesLessExpensesCY
Total Assets BOY	276329101	TotalAssetsBOY
Total Assets EOY	259271248	TotalAssetsEOY
Total Liabilities BOY	673040153	TotalLiabilitiesBOY
Total Liabilities EOY	744360491	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	-396711052	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	-485089243	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	Healing all people with compassion, faith, and excellence.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	62340959	Expense
Grants	815267	Grants
Revenue	72938905	Revenue
Description	During 2011, the Roper St. Francis Healthcare system as a whole contributed $55,293,337 million in Community Benefit - $7.6 million more than in 2010. This benefit comes in many forms, including Charity Care, sponsorships and numerous community outreach programs. It is important to note that 7.2 percent of the system's Net Operating Revenue goes towards Community Benefit, including the $7.3 million in unreimbursed cost of Medicaid. Highlights of Roper St. Francis Healthcare's extraordinary year include: giving $706,081 in sponsorship dollars to local organizations that support the overall health of our community including Barrier Islands Free Medical Clinic; Berkeley County Family YMCA; Lowcountry Pregnancy Center; NAACP; and March of Dimes. In addition to those initiatives, Roper St. Francis Healthcare contributed $513,647 to the local Trident United Way organization, thus shattering the record amount given to the Trident United Way by employees. The system sponsored 45 community healthfairs in 2011 and participated in over 85 community healthfairs and screenings. Staff hours for these and other community initiatives exceeded 88,354. Each month Roper St. Francis Healthcare employees serve a full, hot dinner at the Crisis Ministries Clinic and conduct food drives that benefit the Lowcountry Food Bank. In 2011, the Ryan White Program and Wellness Center served 549, largely uninsured and poor, clients. Of these, 117 were newly enrolled. Throughout the year, Roper St. Francis Healthcare employees collected school supplies along with making sure the supply closet at local nonprofit Charleston HALOS was stocked with items such as diapers, formula and soaps. On the annual Day of Caring, more than 1,000 Hope Bags were decorated and stuffed with essential and fun items by employees for the children at Charleston HALOS. Roper St. Francis Healthcare is also a leader of helping others around the world. As part of the system's Hands Across the Water project, employees, doctors and volunteers came together to raise more than $27,000. The healthcare system worked with MedShare, an Atlanta-based nonprofit that recovers and redistributes surplus medical supplies to hospitals in developing countries. The 1,000 boxes of medical supplies, biomedical equipment and durable medical goods will support Plateau Mission Hospital in Kenya.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Description	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.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	62340959	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	1031	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	731	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	7	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	SC	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	The Finance Department	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	8437891704	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	315 Calhoun Street 107	AddressLine1
City	Charleston	City
State	SC	State
ZIP Code	29401	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (39 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
John M Jordan
Chair	1.00	X	X	0	332573	23167
W Blount Ellison
Vice Chair	1.00	X	X	0	0	0
Joseph G Piemont
Board Member (as of July)	1.00	X		0	0	0
Richard Statuto
Board Member	1.00	X		0	0	0
Michael C Tarwater
Board Member (through June)	1.00	X		0	0	0
G Frederick Worsham MD
Board Member (through June)	1.00	X		0	0	0
Perry Keith Waring
Board Member	1.00	X		0	0	0
Brantley D Thomas PhD
Board Member	1.00	X		0	0	0
Sister Anne Lutz
Board Member	1.00	X		0	0	0
David M Ellison MD
Board Member (see Sch O)	1.00	X		0	29025	0
Katherine Duffy PhD
Board Member	1.00	X		0	0	0
Julius R Ivester MD
Board Member	1.00	X		0	0	0
Alison E Dillon MD
Board Member (see Sch O)	1.00	X		0	10500	0
Angress Walker
Board Member	1.00	X		0	0	0
Stanley Wilson MD
Board Member (as of July)	1.00	X		0	567091	55850
David Dunlap
President & CEO Of CAHS	50.00		X	1000085	0	187803
Matthew J Severance
Svp Ops. / Secretary	1.00		X	0	659875	169576
Bret Johnson
CFO & SVP / Treasurer	50.00		X	577927	0	168182
Steven D Shapiro
CMO & VP Med Affiars	50.00		X	584528	0	110606
Allen Carroll
SVP of Operations	1.00		X	0	554527	141872
John Sullivan
VP Operations	1.00		X	0	421106	139574
Douglas W Bowling
CSO & VP	50.00		X	463622	0	110458
Michael Taylor
CIO & VP	50.00		X	402977	0	91527
H Douglas Harrison
VP Human Resources	50.00		X	386285	0	74074
Gregory T Edwards
VP & General Counsel	50.00		X	367601	0	109170
Ellen Brown
VP Mgd Care & Bus Relation	50.00		X	298193	0	50312
Lisa Irvin
VP Nursing/Sr Nurse Execut	1.00		X	0	300850	73734
Father Terence K Fleming
VP Mission (through August)	50.00		X	180985	0	47849
Pennie L Peralta
VP Nursing/Sr Nurse Execut	1.00		X	0	251740	59908
Diana Topjian
VP Nursing/Sr Nurse Exec M	1.00		X	0	165146	34608
Mark Dickson
VP Mission (as of September)	50.00		X	98234	0	24031
Lori Roberts
Dir Of Legal Srvc / Asst. Secretary	50.00		X	100228	0	3913
Peter Dinicola
Dir Of Plant Engineering	50.00			217251	0	16080	X
Christopher Glenn
Dir Of Finance	50.00			176020	0	30296		X
Francis Wyckoff Jr
Dir Of Pharmacy	2.00			8308	199391	39628		X
Bobbie Jo Maner
Dir Pfs Administration	50.00			167798	0	17465		X
Ronald Roy
Dir Of Support Services	1.00			0	181102	27632		X
Brian Cuddy MD
MD	1.00			18710	794803	52376		X
Stephanie Tucker
Dir Of Prop. Mgmt (Former Key EE)	50.00			167724	0	39987			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	5216476	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	4467729	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1899678	TotalOtherCompensation
Number Individuals GT100 K	25	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	1	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
McKesson Information Solutions
PO Box 98347	Chicago	IL	60693	Maintenance & Info Tech Services	8489818
Carolinas Healthcare Systems
PO Box 32861	Charlotte	NC	28232	Management Company	5378715
Wells Fargo Insurance Services
PO Box 601321	Charlotte	NC	28260	Property Insurance	2132683
NBM Construction Co
PO Box 847950	Boston	MA	02284	General Contractor	2115443
Credit Adjustment Bureau
PO Box 62889	North Charleston	SC	29419	Collection Services	1891706

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	56	NumberOfContractorsGT100K
Related Organizations	6242704	RelatedOrganizations
Government Grants	20000	GovernmentGrants
All Other Contributions	660	AllOtherContributions
Noncash Contributions	16206	NoncashContributions
Total Contributions	6263364	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Network Fees	900099	72413410	72413410
Medshare Revenue	621110	322767	322767
Senior Center Revenue	531390	202728	202728

Field	Value	IRS element (for citing)
Total Program Service Revenue	72938905	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3507700	TotalRevenueColumn
Exclusion	$3,507,700	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	1094538	TotalRevenueColumn
Exclusion	$1,094,538	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	359116	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	227271	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	131845	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	131845	TotalRevenueColumn
Exclusion	$131,845	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	12625091	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	151375	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	12625091	Securities
Other	-151375	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	12473716	TotalRevenueColumn
Exclusion	$12,473,716	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
Daycare Revenues	624410	552852	$552,852
Other Income	900099	178727	$72,108	106619

Field	Value	IRS element (for citing)
Total Other Revenue	731579	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	97141647	TotalRevenueColumn
Related Or Exempt Function Income	72938905	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	106619	UnrelatedBusinessRevenue
Exclusion	$17,832,759	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	732767	Total
Program Services	732767	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	82500	Total
Program Services	82500	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	4677915	Total
Management And General	4677915	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	24595058	Total
Program Services	7506921	ProgramServices
Management And General	17088137	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3940943	Total
Program Services	1010637	ProgramServices
Management And General	2930306	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	4504259	Total
Program Services	1155097	ProgramServices
Management And General	3349162	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	4291917	Total
Program Services	1100643	ProgramServices
Management And General	3191274	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	7626612	Total
Program Services	7626612	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1655185	Total
Management And General	1655185	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	338771	Total
Management And General	338771	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	63977	Total
Management And General	63977	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	698255	Total
Management And General	698255	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	8252493	Total
Program Services	4833973	ProgramServices
Management And General	3418520	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	3129980	Total
Program Services	2503984	ProgramServices
Management And General	625996	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	12866442	Total
Program Services	9360188	ProgramServices
Management And General	3506254	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	348294	Total
Management And General	348294	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	3155510	Total
Program Services	2524408	ProgramServices
Management And General	631102	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	167475	Total
Management And General	167475	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	483471	Total
Management And General	483471	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	14769636	Total
Program Services	14769636	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	10278189	Total
Program Services	7212846	ProgramServices
Management And General	3065343	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1984044	Total
Program Services	1587235	ProgramServices
Management And General	396809	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Other Expenses	1437216	287441	1149775
Medical Supplies	46071	46071
UBI Tax	3882		3882

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	110130862	Total
Program Services	62340959	ProgramServices
Management And General	47789903	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	29432647	BOY
EOY	25098251	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	3092950	BOY
EOY	18039537	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2673784	BOY
EOY	4233532	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	131776808	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	68495312	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	53502246	BOY
EOY	63281496	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	171155392	BOY
EOY	128929390	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	644252	BOY
EOY	472082	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	15827830	BOY
EOY	19216960	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	276329101	BOY
EOY	259271248	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	125838829	BOY
EOY	118958142	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	900	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	352505907	BOY
EOY	334158318	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	8295959	BOY
EOY	6320826	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	186398558	BOY
EOY	284923205	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	673040153	BOY
EOY	744360491	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	-397211052	BOY
EOY	-485589243	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	500000	BOY
EOY	500000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	-396711052	BOY
EOY	-485089243	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	276329101	BOY
EOY	259271248	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-12989215	ReconcilationRevenueExpenses
Reconcilation Other Changes	-75388976	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$49,614	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$14,363	OtherActivitiesAmount
Total Lobbying Expenditures IIB	63977	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Explanation of Lobbying Activities:	Identifier
Return Reference	Part II-B, Line 1:	ReturnReference
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 2011 was $49,614. 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 2011, the amount of membership dues allocated to lobbying was $ 14,363.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4031955	OtherCostOrOtherBasis
Book Value	4031955	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5799582	OtherCostOrOtherBasis
Depreciation	3631238	Depreciation
Book Value	2168344	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4814399	OtherCostOrOtherBasis
Depreciation	3257560	Depreciation
Book Value	1556839	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	102963105	OtherCostOrOtherBasis
Depreciation	61606514	Depreciation
Book Value	41356591	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	14167767	OtherCostOrOtherBasis
Book Value	14167767	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	63281496	TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
Deferred compensation asset	2485767
Other receivables	6871552
Net bond issuance costs	8484065
Other assets	1375576

Field	Value	IRS element (for citing)
Total Book Value Other Assets	19216960	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
Net due to affiliates	$244,944,958
Interest rate swap liability	$35,317,258
Other liabilities	$4,660,989

Field	Value	IRS element (for citing)
Total Of Amounts	284923205	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Description of Uncertain Tax Positions Under FIN 48:	Identifier
Return Reference	Part X:	ReturnReference
Explanation	CareAlliance 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, 2011 and 2010, and does not expect that unrecognized tax benefits will materially increase within the next 12 months. Tax years 2008 through 2010 are subject to examination by the federal and state taxing authorities, respectively. There are no income tax examinations currently in process. Interest and penalties related to uncertain tax positions, if any, would be recognized in the consolidated financial statements as income tax expense.	Explanation

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (25 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	IRC SectionIRCSection	Address Line2AddressUS/AddressLine2
Advisory Board Company
Po Box 79461	Baltimore	MD	21279	521468699	27731	Philanthropy
American Cancer Society
5900 Core Road Suite 504	N Charleston	SC	29406	580659875	17500	Sponsorship For Relay For Life In Charleston & Moncks Corner	501(C)(3)
American Heart Association
409 King Street	Charleston	SC	29403	135613797	39000	Sponsorship Donation For The American Heart Association'S Fund Raising Events	501(C)(3)
American Red Cross Lowcountry Chapter
8085 Rivers Avenue Suite F	N Charleston	SC	29406	570314371	10000	Sponsorship Donation	501(C)(3)
Barrier Island Free Medical Clinic
3226 Maybank Highway Suite A	Johns Island	SC	29455	205628911	6000	Sponsorship Donation Towards Fundraising Events	501(C)(3)
Black Pages USA
1806 Washington St	Columbia	SC	29201	262031919	15000	Donation To The 2011 Charleston Black Expo
Charleston Metro Chamber Of Commerce
4500 Leeds Avenue Suite 100	Charleston	SC	29405	570138852	43313	Various Local Business Development Initiatives	501(C)(6)
Charleston Regional Development Alliance
5300 International Blvd Ste 103-A	Charleston	SC	29418	571015804	25000	Dues To Regional Development Alliance	501(C)(6)
Charleston Southern University
Po Box 118087	Charleston	SC	29423	570474291	50000	Sponsorship Of School Of Nursing
City Of Charleston Office Of Cultural Affairs
180 Meeting Street Suite 200	Charleston	SC	29401	576000226	8000	Donation To 2011 Piccolo Spoleto Festival & Moja Festival	501(C)(3)
City Of Charleston
Revenue Collections Div PO Box	Charleston	SC	29413	576000226	163900	Donation To City	501(C)(3)	22009
Coastal Community Foundation
90 Mary Street	Charleston	SC	29403	237390313	10250	Donation To Charleston Promise Neighborhood Fund	501(C)(3)
College Of Charleston
66 George Street	Charleston	SC	29424	570640443	13850	Sponsorship Donation	501(C)(3)
Crisis Ministries
PO Box 20038	Charleston	SC	29413	570789483	46500	Donation Towards Crisis Ministries nurse salary	501(C)(3)
East Cooper Community Outreach
1145 Six Mile Road	Mt Pleasant	SC	29466	570939280	26500	Sponsorship Of 2011 Prescription Assistance Program & Annual Fundraiser	501(C)(3)
Education Foundation
PO Box 975	Charleston	SC	29402	570737326	15000	Support Of The Education Foundation	501(C)(3)
Family Circle Cup LLC
161 Seven Farms Drive	Daniel Island	SC	29492	420410230	12895	Sponsorship Of Family Circle Cup Tennis Tournament	501(C)(7)
Franklin C Fetter Family Health Ctr Inc
51 Nassau St	Charleston	SC	29403	570604703	15000	Sponsorship Towards Salary Of An Interpreter	501(C)(3)
Hemangioma Treatment Foundation
PO Box 81077	Charleston	SC	29416	562325247	10000	Sponsorship Donation	501(C)(3)
Leukemia And Lymphoma Society
300 W Coleman Blvd Ste 206	Mt Pleasant	SC	29464	135644916	10000	Sponsorship of Light the Night Walk	501(C)(3)
Medshare International Inc
3240 Clifton Springs Rd	Decatur	GA	30034	010577001	12756	Sponsorship Donation	501(C)(3)
Our Lady Of Mercy Outreach
PO Box 607	Johns Island	SC	29457	570905488	10000	Sponsorship Towards Our Lady Of Mercy'S Fundraising Events	501(C)(3)
Palmetto Palace
Po Box 21076	Charleston	SC	29413	204940283	10000	Sponsorship Donation	501(C)(3)
Susan G Komen Race For The Cure
9300 Medical Plaza Dr Ste F N	Charleston	SC	29406	752844655	15400	Sponsorship Donation Towards The 2011 Race For The Cure	501(C)(3)
Trident United Way
PO Box 63305	N Charleston	SC	29419	570314378	20000	Sponsorship Donation Towards The Access Health Tricounty Network	501(C)(3)

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	19	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	6	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	NURSING SCHOLARSHIPS	TypeOfGrant
Number Of Recipients	10	NumberOfRecipients
Amount Of Cash Grant	82500	AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Procedure for Monitoring Grants in the U.S.:	Part I, Line 2:	Schedule I, 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.
FORM 990, SCHEDULE I	GRANTS	SCHEDULE I, PART III: NURSING SCHOLARSHIP INFORMATION SCHOLARSHIP FUNDING: I. ELIGIBILITY STUDENTS OR NURSES APPLYING FOR ROPER ST. FRANCIS HEALTHCARE NURSING SCHOLARSHIPS MUST: A. BE A RISING JUNIOR OR SENIOR IN AN ACCREDITED BSN NURSING PROGRAM, OR BE ACCEPTED INTO AN ACCREDITED LPN, ADN OR MSN PROGRAM (ALL PRE-REQUISITE COURSES HAVE BEEN COMPLETED). B. HAVE MAINTAINED A B (3.0) AVERAGE IN COLLEGE. C. HAVE TWO LETTERS OF RECOMMENDATION/ENDORSEMENT FROM INSTRUCTORS, COUNSELORS, ETC. (FOR CURRENT EMPLOYEES OF RSFH, ONE LETTER TO BE AN ENDORSEMENT FROM CURRENT SUPERVISOR OR MANAGER) D. CURRENT EMPLOYEES (RNS) WHO ARE PURSUING AN ADVANCED DEGREE OTHER THAN NURSING (MBA/MHA) WOULD NEED TO BE PURSUING OR BE EMPLOYED CURRENTLY IN A MANAGEMENT POSITION WITHIN RSFH. E. RN'S 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. II. AWARDS A. SCHOLARSHIP MONEY FOR THE TUITION AND FEES MAY BE AWARDED UP TO FOUR SEMESTERS. SCHOLARSHIP ALLOCATIONS: TECHNICAL COLLEGE: UP TO $2,500 ANNUALLY BSN / MSN: UP TO $5,000 ANNUALLY ALLOCATION AMOUNTS WILL BE DEPENDENT UPON THE AVAILABLE FUNDING AND THE NUMBER OF REQUESTS FOR FUNDING. B. PAYMENT WILL BE MADE TO THE STUDENT THROUGH THE DEPARTMENT OF PROFESSIONAL DEVELOPMENT AT ROPER HOSPITAL. C. THE NUMBER OF NEW AWARDS WILL BE DETERMINED ANNUALLY BY ROPER ST. FRANCIS HEALTHCARE DEPARTMENT OF NURSING. III. PAYMENT A. NON-EMPLOYED SCHOLARSHIP RECIPIENTS OF THE SCHOLARSHIP FUNDING WILL SIGN A LETTER OF INTENT TO ACCEPT EMPLOYMENT AS A REGISTERED NURSE AT ROPER ST. FRANCIS HEALTHCARE FOLLOWING SUCCESSFUL COMPLETION OF THE NCLEX-RN. B. FOLLOWING SUCCESSFUL COMPLETION OF THE NCLEX-RN, A YEAR OF EMPLOYMENT (AS A FULLTIME EMPLOYEE) WILL BE EXPECTED FOR EVERY YEAR OF PAYMENT, NOT TO EXCEED 3 YEARS OF EMPLOYMENT.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	1	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	1	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (24 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
John M Jordan
0	262573	0	70000	0	0	12564	0	10603	0	23167	332573	0	0
Stanley Wilson MD
0	566497	0	0	0	594	0	29064	0	26786	0	622941	0	0
David Dunlap
511752	0	405684	0	82649	0	157885	0	29918	0	1187888	0	76753	0
Matthew J Severance
0	387609	0	245588	0	26678	0	136108	0	33468	0	829451	0	26369
Bret Johnson
291943	0	214879	0	71105	0	132264	0	35918	0	746109	0	65514	0
Steven D Shapiro
353282	0	203839	0	27407	0	103182	0	7424	0	695134	0	14267	0
Allen Carroll
0	318981	0	212427	0	23119	0	116460	0	25412	0	696399	0	21774
John Sullivan
0	223463	0	167609	0	30034	0	119147	0	20427	0	560680	0	0
Douglas W Bowling
289576	0	154054	0	19992	0	91212	0	19246	0	574080	0	19605	0
Michael Taylor
243327	0	132696	0	26954	0	74164	0	17363	0	494504	0	12605	0
H Douglas Harrison
230973	0	125475	0	29837	0	62019	0	12055	0	460359	0	10396	0
Gregory T Edwards
265465	0	92221	0	9915	0	85159	0	24011	0	476771	0	0	0
Ellen Brown
181535	0	101955	0	14703	0	26444	0	23868	0	348505	0	11837	0
Lisa Irvin
0	181781	0	101929	0	17140	0	62807	0	10927	0	374584	0	10745
Father Terence K Fleming
72625	0	96432	0	11928	0	45252	0	2597	0	228834	0	10628	0
Pennie L Peralta
0	156520	0	85568	0	9652	0	45576	0	14332	0	311648	0	9265
Diana Topjian
0	125981	0	38662	0	503	0	20145	0	14463	0	199754	0	0
Peter Dinicola
184172	0	30642	0	2437	0	10464	0	5616	0	233331	0	0	0
Christopher Glenn
151932	0	23870	0	218	0	8643	0	21653	0	206316	0	0	0
Francis Wyckoff Jr
6719	161260	1195	28677	394	9454	1142	27418	443	10625	9893	237434	0	0
Bobbie Jo Maner
138749	0	20520	0	8529	0	9737	0	7728	0	185263	0	0	0
Ronald Roy
0	149053	0	21630	0	10419	0	15750	0	11882	0	208734	0	0
Brian Cuddy MD
18697	794231	0	0	13	572	668	28396	536	22776	19914	845975	0	0
Stephanie Tucker
138858	0	25863	0	3003	0	25879	0	14108	0	207711	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part I, Line 1a	David Dunlap was reimbursed for his monthly Harbour Club dues.
Part I, Line 4b	The following participants received compensation through a 457(f) Plan: Matthew Severance - 30,458 (from a related organization) Lisa Irvin - 11,130 (from a related organization) Allen Carroll - 22,750 (from a related organization) Ellen Brown - 11,430 Douglas Bowling - 19,760 Steven Shapiro - 25,831 Michael Taylor - 14,970 Pennie Peralta - 9,630 (from a related organization)
Part I, Line 6	Goals are developed each year to support the organization's strategic initiatives for people, quality, financial, growth and service. The Ad Hoc Compensation Committee approves the system goals annually and reports to the full Board of Directors. Progress on each metric is reported to the board each month on the corporate scorecard. At year end, the Ad Hoc Compensation Committee approves the final scorecard number and reports results to the full board. Annual incentives for the executives are based on 60% on the corporate scorecard and 40% on individual performance. Executives maintain an individual scorecard on the leader evaluation manager and discuss results monthly with the President/CEO. The President/CEO approves the individual executive scorecard. System Vice Presidents and the system CEO are eligible to participate in a long term incentive plan (LTIP). An LTIP typically takes place over a three year period and does not vest until the end of the third year. To receive payment, executives must still be employed by the system at the end of the plan period. Each LTIP has a financial and clinical objective that is aligned with the organization's strategic goals. Threshold, target, and maximum performance ranges are established for these objectives and are measured based on performance against similar organizations or compared to an internal metric such as an improvement over prior performance. These targets and objectives are approved by the Ad Hoc Compensation Committee. The incentive is earned based on the satisfaction of the threshold, target, or maximum performance ranges. The Ad Hoc Compensation Committee also approves the final LTIP performance score and the amount paid to executives under the plan. Results are reported to the full board annually.
Part I, Line 7	See the response to Line 6 above.
Part III	Part II, Line 1: Compensation from unrelated organizations Carolinas Healthcare System provides the compensation of David L. Dunlap, CEO, CareAlliance Health Services; Bret D. Johnson, CFO, CareAlliance Health Services; and John Sullivan, CEO, Roper St. Francis Mt. Pleasant Hospital. Mr. Dunlap and Mr. Johnson are employees of Carolinas Healthcare System and their compensation is paid by CareAlliance Healthcare Services 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.	Supplemental Information

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
Charleston County South Carolina
576001289	160900JK3	2004-07-13	100661242	Construction of patient care tower/parking garage, issuance costs, and DSRF	0	0	0
SC Jobs - Economic Development Authority
570960018	83703FBD3	2007-11-01	130000000	Buildings, equipment, land, improvements, issuance costs	0	0	0
SC Jobs - Economic Development Authority
570960018		2009-09-15	12500000	Acquisition of medical equipment, issuance costs	0	0	0
SC Jobs - Economic Development Authority
570960018		2010-08-10	30000000	Partial current refunding of bonds issued 1/26/1999	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Other Spent ProceedsOtherSpentProceeds
44200000	103618934	8863090	2180490	1224756	3510342	87840256	2006	0	1	1
99380000	135304428	82441	10373107	1330300	2537558	121063463	2010	0	1	1
2812509	12500000			160470		12339530	2009	0	1	1
	30000000			105000			2010	1	1	1	29895000

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
1	1	1
1	1	1
0		1
0		1

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate	Business Name Line2NameOfHedgeProvider/BusinessNameLine2
Goldman Sachs
0	1	1	29.100000000000	0	0	1	Morgan Stanley	2.000000000000	1	0	1
Goldman Sachs &
0	1	1	29.400000000000	0	0	1	Citigroup	2.200000000000	1	0	0	Wells Fargo
(no name)
0	1	0				0				0	1
BB&T
0	1	1	11.000000000000	0	0	0				0	1

Form990 Schedule K Part VI Form990ScheduleKPartVI (4 entries)

IdentifierIdentifier	ExplanationExplanation
Schedule K, Part II, Line 3: Total Proceeds:	The amounts reported on Part II, Line 3 for Entity 1, columns (A) and (B) include earnings from investment of bond proceeds as follows: Column (A) Sale Proceeds (Issue Price): $ 100,661,242 Investment earnings to date 12/31/2011: 2,957,692 Total to Line 3: $ 103,618,934 Column (B) Sale Proceeds (Issue Price): $ 130,000,000 Investment earnings to date 12/31/2011: 5,304,428 Total to Line 3: $ 135,304,428
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, Part III:	Bonds issued 8/10/2010 and 8/31/2011 were issued entirely to refund a prior issue dated prior to January 1, 2003. These issues are not required to complete Schedule K, Part III.
Schedule K, Part V:	During the 12-month period covered by the return, the organization had policies in place to adhere to its responsibilites in post-issuance compliance; however those policies did not have provisions regarding remedies that were not covered by self-remediation. A policy is currently in development that will ensure the timely identification of violations of Federal tax requirements and timely correction of any identified violations through the use of the VCAP if self-remediation is not available under applicable Regulations, and that policy is estimated to be in place prior to the filing of the 2012 Schedule K.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
Charleston County South Carolina
576001289	160900KJ4	2011-02-03	20475000	Partial current refunding of bonds issued 7/13/2004	0	0	0
SC Jobs - Economic Development Authority
570960018	83703FTD6	2011-02-03	80000000	Partial current refunding of bonds issued 11/1/2007	0	0	0
SC Jobs - Economic Development Authority
570960018	837031SA2	2011-08-31	39855000	Partial current refunding of bonds issued 1/26/1999	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceeds	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
20475000	20475000	2006	1	1	1
80000000	80000000	2010	1	1	1
39855000	39855000	2001	1	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
1	1	1
1	1	1
0		1

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate	Business Name Line2NameOfHedgeProvider/BusinessNameLine2	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated
(no name)
0	1	0	0	0	1
Goldman Sachs &
0	1	1	0	0	1	Wells Fargo	29.400000000000	0	0
(no name)
0	0	0	0	0	1

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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 2011 Form 990 was prepared by an independent accounting firm with assistance and oversight by management. Reviews were then conducted by the Assistant Controller, Director of Finance, and Chief Financial Officer before presentation and review with the organization's governing body. Highlights of the 2011 Form 990 were presented to the organization's Board of Directors in October 2012. In addition to the organization's executive management, representatives of Dixon Hughes Goodman participated in this review with board members. The October board meeting was held prior to the filing of the Form 990 with the Internal Revenue Service. A final version of the Form 990 was sent to all members of the governing body prior to filing.
Form 990, Part VI, Section B, line 12c	The directors shall complete and return to the secretary an annual statement that each of them: (a) has received a copy of the conflict of interest policy; (b) has read and understands the policy; (c) agrees to comply with this policy; (d) understands that the policy applies to all committees; and (e) understands that the organization is a charitable organization and must continuously engage primarily in activities which accomplish one or more of its tax-exempt purposes.
Form 990, Part VI, Section B, line 15	An independent company, Towers Perrin, provides research, advice and guidance to the compensation committee and senior leadership to ensure the organization's compensation programs for executives covered by the "Intermediate Sanctions Legislation" (IRC Section 4958) are aligned with its stated philosophy: Base salaries are targeted at the 50th percentile of the established comparator market; Total cash compensation (base salary plus annual incentive payments) are targeted at the 75th percentile of the established comparator market; Total direct compensation (total cash compensation plus long term incentive payments) will not exceed the 90th percentile of the established comparator market; Benefits are targeted at market median; and In aggregate, base salary, total cash compensation, total direct compensation and benefits comprise total compensation for executives. The compensation committee ensures that executive total compensation is reflective of the organization's stated compensation philosophy. The committee, in this process, authorizes and supports an annual three step process utilizing Towers Perrin's resources: 1) salary levels, annual bonus targets/payments and long term incentive grants are compared rigorously each year with market data based on comparable positions and organizations. A. Comparable organizations are typically not-for-profit healthcare systems with similar operating revenues. Private sector employer data, when available, are also included in the analysis for "transferable skills positions". B. Historically, performance incentive payouts generally track with a normal bonus payout distribution. Incentive goals are primarily based on formally defined quantitative goals. 2) All recommended pay decisions are tested against these data and the organization's stated compensation philosophy. 3) A formal opinion letter is prepared by Towers Perrin, representing that senior executives are compensated within the reasonableness standards mandated by the IRS. A similar process is performed by Watson Wyatt (compensation consulting firm) for the CEO and CFO positions. This letter provides a "safe harbor" for the organization's "directors" relative to the reasonableness of total executive compensation consistent with IRC Section 4958.
Form 990, Part VI, Section C, line 18	Photocopies of the Form 990 are available upon request at the organization's 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.
Form990, Part VII, Line 1	The following board members were compensated for services performed for the organization (or a related organization) not in the capacity of their positions on the board. No board member is compensated for his services as a board member. John M. Jordan was compensated by the Medical Society of South Carolina for services as Chief Executive Officer. David M. Ellison was compensated for medical services rendered to a related organization. Alison E. Dillon was compensated for medical services rendered to a related organization. Stanley Wilson was compensated for medical services rendered to a related organization.	Compensation of Board Members:
Form 990, Part XI, line 5:	Net unrealized losses on investments: -16,427,356. Loss on early extinguishment of debt -1,360,300. Other nonoperating loss -21,574,149. Contribution to affiliates to close LLCs -31,045,312. Contribution from founding member 9,186,601. Net pension and benefit expense allocated from affiliates 5,669,027. Support to founding member -5,436,721. Distributions to founding members -14,421,000. Net support from foundation 20,234. Total to Form 990, Part XI, Line 5: -75,388,976.	Changes in Net Assets or Fund Balances:
Form 990, Part XII, Line 2C:	The process has not changed from the prior year.
	-- 2011 COMMUNITY BENEFIT REPORT -- Dear Friends, The spirit of giving is strong at Roper St. Francis. This desire to give back with our time, talent and treasure is something that runs deep within our culture. It is evident in our staff that is always willing to go the extra mile, in our volunteers who serve meals each month at Crisis Ministries and our numerous co-workers reaching out into the community. Even in these challenging economic times and with increasing demands within healthcare, Roper St. Francis continues to excel in providing high levels of quality support in the effort to create healthy communities. I am proud to report that as a system we gave back over $55 million in Community Benefit in 2011. This benefit comes in many forms, including charity care, sponsorships and numerous community outreach programs, many of which are outlined in this Report to Our Community. I hope you enjoy learning about the many ways we touch our community in the year's report. Warm regards, David L. Dunlap, FACHE President and CEO Charity Care: $38,437,116 Unreimbursed Cost of Medicaid: $7,305,167 Community Investment: $706,081 Community Outreach Programs: $8,844,973* Total Community Benefit: $55,293,337 *The $8,844,073 given to community outreach programs went to the following programs: - Support Groups - Families for a Healthy Heart - Access Health - Mental Health Grant - Barrier Island Free Clinic - Our Lady of Mercy Outreach Center Prenatal Clinic - Ryan White Program - Education: Nursing, CPE, Imaging, PT - Disaster Preparedness
	CHARITY BEGINS AT HOME Trident United Way Roper St. Francis employees continue to show their incredible generosity by donating $513,647 to the Trident United Way in 2011. This is the highest amount raised by employees at a single company in the Lowcountry. Roper St. Francis employees raised $46,000 for the American Heart Association. Healthfairs Bringing lifesaving screenings and preventive tests out into our community is a large part of our outreach mission. In 2011, we sponsored 45 community healthfairs and participated in over 85 requested community healthfairs and screenings. Our staff hours for these and other community initiatives exceeded 88,354. Community Investment Roper St. Francis is proud to support organizations in our community that enhance the overall health and vitality of our community. Monetary donations, contributions of paid employee time and donations of supplies and equipment are just a few of the ways we supported our community. In 2011, we provided $706,081 in sponsorships. The following are just a sampling of the organizations we partnered with: Achieving Wheelchair Equality Alzheimer's Association American Cancer Society American Foundation for Suicide Prevention American Heart Association American Lung Association Arthritis Foundation Barrier Islands Free Medical Clinic Berkeley County Family YMCA Berkeley Seniors Callen Lacy Center for Children Camp Happy Days Charleston County Medical Society Alliance Charleston Ride for Hope Closing the Gap in Healthcare Coastal Crisis Chaplaincy Crisis Ministries Darkness to Light Down Syndrome Association Lowcountry Dragon Boat Charleston Florence Crittenton Program of SC Franklin C. Fetter Family Health Center Inc. HALOS Hemangioma Treatment Foundation Hospice of Charleston, Inc. ITN of Charleston Leukemia and Lymphoma Society Lowcountry Pregnancy Center Lowcountry Food Bank Make a Wish Foundation SC March of Dimes MedShare International Inc. Metanoia Muscular Dystrophy Association NAACP National Kidney Foundation Our Lady of Mercy Outreach Palmetto Project Palmetto Palace Respite Care Ministries Salvation Army Nearly $3 million in Grants Supports Community Health Initiatives The Roper St. Francis Foundation has a simple mission: to secure philanthropic support to fund the programs and activities of Roper St. Francis Healthcare. In 2011, the Foundation received more than $2.9 million in grant support for projects that reach out to help some of the area's most vulnerable residents. These grants provide much-needed support for programs such as: - The Center for Spinal Cord Injury - Ryan White HIV Program - Home Health Telemonitoring TOUCHING COMMUNITIES LOCALLY AND GLOBALLY The Inner City Crisis Ministries Roper St. Francis has been a long time partner of Crisis Ministries, a place where people can go for a warm meal and safe place to sleep. In 2011, our service included many things we have been doing for years and some exciting new partnerships including: - Each month Roper St. Francis employees serve a full, hot dinner at the shelter that has been prepared by the Roper Hospital cafeteria. - The system sponsors an on-site nurse practitioner to care for the homeless. - The system regularly makes in-kind donations of medical equipment, laboratory testing and medication. - In 2011, the Medical Society of South Carolina, one of Roper St. Francis' founding members, completed a $500,000 challenge grant for Crisis Ministries. The Society donated $200,000 in matching funds to complement $300,000 raised by the shelter for its new health clinic.
	Bringing Hope to Abused and Neglected Children An abused girl receives a surprise birthday party, while a foster child is given clothes for the new school year. These are just a few things that happen because of local nonprofit Charleston HALOS and Roper St. Francis employees. In 2011, Roper St. Francis received the first HALOS/Charleston County DSS Organizational Commitment Award. The honor, named for HALOS close association with the county's Department of Social Services, recognizes an organization that has greatly assisted HALOS in impacting the lives of maltreated children. Throughout the year Roper St. Francis employees collected school supplies along with making sure the program's closet is stocked with items such as diapers, formula and soaps. On the annual Day of Caring, more than 1,000 Hope Bags were created by employees for the children. The Ryan White Program In late 2010, The Ryan White Program opened a new Wellness Center that provides a range of care and support services including vaccines, lab services, medical case management, housing services and physician care in one convenient location. Functioning under a clinic model allows for better coordination of care, improved clinical outcomes, cost containment and increased convenience for clients. In 2011, the Ryan White Program and Wellness Center served 549, largely uninsured and poor, clients. Of these, 117 were newly enrolled. The program is committed to addressing the primary goals of the new National HIV/AIDS Strategy to: 1. Reduce HIV infection rates 2. Increase access to care and optimizing health outcomes 3. Reduce the HIV-related health outcomes for all of those that are enrolled RURAL AREAS Our Lady of Mercy Outreach Center In August of 2011, Roper St. Francis began providing the Pre-natal Clinic at the Wellness House, as part of our on-going relationship with Our Lady of Mercy Outreach Center (OLM). We have partnered with OLM since 1999, providing women access to top quality healthcare including ultrasounds, labs, cultures and vaccines. In fact, last year we helped provide 985 services. Barrier Island Free Medical Clinic Hundreds of uninsured people were able to receive free medical care, thanks to numerous volunteer physicians and staff. Retired Roper St. Francis physician, Dr. Jim Hayes, is the chairman of the Barrier Island Board of Directors and our system has long been a partner of the clinic, helping them to obtain their seed money with a $269,000 grant from the Duke Endowment Foundation. In 2011, we provided well over 4,000 free lab and imaging tests in areas such as vascular, sleep lab, neuro diagnostics and many more. AccessHealth Tri-County Network "I think one of the best examples of community building is our leadership role in AccessHealth Tri-County Network. Having served as the Director of the local DHEC district, I have seen many attempts to get healthcare providers to come together to provide our citizens a community-wide system of care. With Roper St. Francis serving as The Duke Endowment grantee and Trident United Way serving as the coordinating agency for this program, we have made a major step forward in improving the life of our citizens." -Dr. Joe Chambers, Roper St. Francis Community Health Consultant Since initiated in 2010 with grant funding from The Duke Endowment, AccessHealth Tri-County Network (AHTN) continues to move towards its goal of providing access to a coordinated, sustainable provider network of care for low-income, uninsured residents of Berkeley, Charleston and Dorchester counties. Made up of 27 partners, AccessHealth navigates uninsured Tri-county residents into a wide range of healthcare and health-related services, from primary care medical homes to specialty care services to supportive services. Roper St. Francis continues to play a leading role in establishing the AHTN infrastructure and providing patient-centered, coordinated care for Tri-county residents who otherwise would forego medical care or end up in emergency rooms. Staff members participating across the system, from case managers to mission coordinators to doctors and operating room staff, have been essential to the success of this community-based effort. GLOBALLY Roper St. Francis Supports Medical Missions Around the World for Those Most In Need China Tanya Lott, RN-BC, MSN, professional development specialist, went to Southeast China with a team from ifMissions. During the trip, the group visited schools in remote villages in the rugged mountains of Southeast China. The team conducted health screenings and eye exams, and children were also given antiparasitics and multivitamins. A World Health Organization study found that if children exposed to parasites - such as those common in an unclean water supply - were given just one dose each of an antiparisitic and multivitamin, it could have lifespan-increasing benefits. (Dr. Philip McGaha and Dr. Taryn Stelter of Plantation Pediatrics provided the anitparasitic and dosing information.) "It was a life-changing, memorable trip," said Lott. Guatemala Kelly Walker, MSN, RNC-MNN, clinical nurse specialist, Women's Services, went to Guatemala on behalf of a national nursing organization to which she belongs. The group had partnered with Save the Children, an international group that supports community health workers in developing countries. Walker and others travelled to remote Central American villages where they saw first hand the challenges that families face in accessing care. Kenya As part of Roper St. Francis' Hands Across the Water project, employees, doctors and volunteers came together to raise more than $27,000. The healthcare system worked with MedShare, an Atlanta-based nonprofit that recovers and redistributes surplus medical supplies to hospitals in developing countries, to send the tractor trailer-sized container of medical supplies and equipment to Kenya. The 1,000 boxes of medical supplies, biomedical equipment and durable medical goods, will support Plateau Mission Hospital's capable professionals and strong leadership by enabling them to provide better healthcare to the community it serves. Scott Broome, director of oncology services, went to Atlanta to see off the shipment.
	A Shared Statement of Identity for Roper St. Francis Healthcare We are the people of Roper St. Francis Healthcare, continuing the mission of healing all people with compassion, faith and excellence. As provider, employer, advocate, citizen...bringing together people of diverse faiths and backgrounds... our work is an enduring sign of healthcare rooted in our belief that every person is a treasure, every life a sacred gift, every human being a unity of body, mind and spirit. We work to bring alive the vision of justice and peace. We answer the call to foster healing, act with compassion and promote wellness for all persons and communities, with special attention to our neighbors who are poor, underserved and most vulnerable. By our service, we strive to transform hurt into hope. In promoting the mission of healthcare, we commit to: - Defend Human Dignity - Attend to the Whole Person - Care for Poor and Vulnerable Persons - Promote the Common Good - Act on Behalf of Justice - Work in Solidarity and Collaboration with Each Other

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
Roper Hospital Inc
315 Calhoun Street 107	Charleston	SC	29401	570828733	Healthcare	SC	501(c)(3)	Line 3	CareAlliance Health Services	1
Bon Secours St Francis Xavier Hospital
315 Calhoun Street 107	Charleston	SC	29401	571067254	Healthcare	SC	501(c)(3)	Line 3	CareAlliance Health Services	1
Roper St Francis Mt Pleasant Hospital
315 Calhoun Street 107	Charleston	SC	29401	570360499	Healthcare	SC	501(c)(3)	Line 3	CareAlliance Health Services	1
Roper St Francis Hospital - Berkeley
315 Calhoun Street 107	Charleston	SC	29401	263710229	Healthcare (future)	SC	501(c)(3)	Line 3	CareAlliance Health Services	1
Roper St Francis Physicians Network
125 Doughty Street 760	Charleston	SC	29403	262946628	Healthcare	SC	501(c)(3)	Line 3	CareAlliance Health Services	1
Roper St Francis Foundation
315 Calhoun Street 107	Charleston	SC	29401	571068509	Supporting Org	SC	501(c)(3)	Line 11a, I	CareAlliance Health Services	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

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Lowcountry Surgery Center LLC (dba Roper St Francis Eye Surgery Center)	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	315 Calhoun Street 107	AddressLine1
City	Charleston	City
State	SC	State
ZIP Code	29401	ZIPCode

Field	Value	IRS element (for citing)
EIN	581693021	EIN
Primary Activity	Ambulatory Surgery Center	PrimaryActivity
Legal Domicile State	SC	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	CareAlliance Medical Services Organization	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	225 Doughty Street	AddressLine1
City	Charleston	City
State	SC	State
ZIP Code	29403	ZIPCode

Field	Value	IRS element (for citing)
EIN	571012837	EIN
Primary Activity	Inactive	PrimaryActivity
Legal Domicile State	SC	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Type Of Entity	C	TypeOfEntity
Percentage Ownership	1.00000	PercentageOwnership

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	1	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	1	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Roper St Francis Foundation
C	805983	Cash
Roper Hospital Inc
P	26084416	Cash
Bon Secours St Francis Hospital
P	10544048	Cash
Roper St Francis Mt Pleasant Hospital
P	2955567	Cash
Roper St Francis Physicians Network
P	3659754	Cash
Bon Secours St Francis Hospital
N	7109188	Cash
Roper St Francis Physicians Network
N	2467540	Cash
Roper St Francis Mt Pleasant Hospital
N	1992754	Cash
Roper Hospital Inc
N	17587074	Cash