Seabrook of Hilton Head

What it reported doing in 2025

Fraser health care is a medicare certified 33 bed all private room skilled nursing facility within the seabrook. It provides private pay services to resident members of the seabrook at reduced per diem rates and rates to the general public. The per diem rates are lower than the daily cost of operation and may be subsidized by the seabrook through the seabrook foundation. This helps extend seniors resources and keeps residents from accessing medicaid. Hospice and respite care are available to the community through fraser health care as well. Fraser health care provides free clinical space for nursing students from university of sc beaufort nursing school to help further their educational goals. Over 15 volunteers have providedover 2,000 hours of service to the patients of fraser health care. A state licensed home health program provides free services such as blood pressure and vital sign checks, professional nurse home visits and processing of insurance forms for long term health insurance. Other services are available below the comparable rates in the community such as medication management, home health aide services, lab work, dressing changes and injections. As part of our not for profit mission the seabrook supports skilled nursing patients, on a case by case basis, who through no fault of their own have exhausted their funds as long as the support does not adversely impact the financial operation of the seabrook. 2025 - fraser patient days, private, member 2,833 private, non-member 4,245 medicare 2,119 total 9,197

Financial Efficiency

• Mission deployment rate: 81.7%; rating input score 82
• Program expense ratio: 88.3%; rating input score 88
• Fundraising efficiency: $1.94 raised per $1 spent on fundraising; rating input score 5; 5th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 64th percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Limited
• Related-party transparency: Limited

Accountability

• Independent voting board: 50%; rating input score 50; 8th percentile among comparable filings
• Governance controls: 5 of 8 controls in place; rating input score 62
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Fail
  • CEO compensation review process: NotApplicable
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Fail
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 7.4%; rating input score 51; 51st percentile among comparable filings
• Total-asset coverage ratio: 1.53; rating input score 42; 42nd percentile among comparable filings
• Liabilities to assets ratio: 0.48; rating input score 27; 27th percentile among comparable filings
• Officer compensation ratio: 1.5%; rating input score 83; 83rd percentile among comparable filings

Growth

• Program expense growth: 4.5% per year; rating input score 100; 36th percentile among comparable filings
• Revenue growth: 3.9% per year; rating input score 100; 31st percentile among comparable filings
• Asset growth: 5.1% per year; rating input score 100; 34th percentile among comparable filings