2025-11-14T09:29:36+00:00 2024-12-31 991856619 GRANT THORNTON ADVISORS LLC 1000 WILSON BOULEVARD SUITE 1500 ARLINGTON VA 22209 990 2024-01-01 570831165 ROPER ST FRANCIS HEALTHCARE ROPE 8437242958 8536 Palmetto Commerce Pkwy Ste 301 Ladson SC 29456 Rebecca Tucker CFO 8437242958 2025-11-14 true true MARY TORRETTA P00847851 7038477500 2025-11-14 2024 2025-03-06 01:10:19Z X Edward McKelvey 8536 Palmetto Commerce Pkwy Ste 301 Ladson SC 29456 259917036 false X www.rsfh.com X 1998 SC Management and oversight of related hospital and healthcare subsidiaries. 13 3 8112 82 0 2050868 2736457 177993060 180518258 8541709 72014140 2566009 4083038 191151646 259351893 399375 617052 0 68438587 56835384 0 0 175279103 181251577 244117065 238704013 -52965419 20647880 1274657132 2440152218 671825999 668110066 602831133 1772042152 Healing all people with compassion, faith, and excellence. false false 194350029 617052 180518258 Roper St. Francis Healthcare provides care for more Lowcountry adults than any other healthcare provider. Our mission is simple: Healing all people with compassion, faith and excellence. Throughout our entire 160 year history, people have trusted Roper St. Francis Healthcare. Anchored by Roper Hospital, Bon Secours St. Francis Hospital, Roper St. Francis Mount Pleasant Hospital, and Roper St. Francis Berkeley Hospital, In an emergency, we have six strategically placed ERs. With almost 7,000 teammates, we're the Lowcountry's second-largest private employer. We have more than 1,000 doctors representing almost every medical specialty. Our system includes nearly 700 beds across more than 120 facilities and services spanning four counties. We are Charleston's only private, not-for-profit hospital system with a specific focus on community outreach. The Roper St. Francis Foundation raises funds to enrich the wellness of our community. Roper St. Francis Healthcare continues to receive top national awards for patient, employee and doctor satisfaction. 194350029 true true false true false false false false false false true false true false true true false true false false false false false false false false false true true true false false false false false false false false false false true true false false true true true true false false true 617 0 true 8112 true true true false false false false false false false false false false true false X 13 3 false false true false true true true true true false false false true true true true true true true true true true SC X The Finance Department 5139524999 4600 McAuley Place Suite 100 Blue Ash OH 45242 Edward McKelvey Board Chair 0.5 3.0 X X 0 0 0 Scott Woodfield MD Board Vice Chair, RSFPP Physician 0.5 49.5 X X 0 1167520 56060 Brian Yanofchick Board Member, Chief Sponsorship Officer-BSMH 0.5 54.5 X 0 716610 23245 Charles Ford Rivers III Board Member 0.5 3.5 X 0 0 0 Cheryl Dalton-Norman Board Member (Beg 05/2024), President - Conduit Health Partners 0.5 54.5 X 0 580510 39737 Eric Smith Board Member (Beg 05/2024), CFO Ambulatory Finance - BSMH 0.5 54.5 X 0 854751 156887 Henry West MD Board Member (Beg 01/24), Surgeon - RSFPP 0.5 49.5 X 0 548163 42490 John Spratt MD Board Member, Physician 0.5 49.5 X 0 891404 59408 JOSEPH GAGE JR JD Board Member, BSMH Chief HR Officer 0.5 54.5 X 0 1480052 298294 Karen Wrighten Board Member 0.5 3.0 X 0 0 0 Kay W Phillips PhD Board Member (End 05/24) 0.5 3.0 X 0 0 0 Michael Lutes Board Member (Beg 05/2024), Richmond Market President - BSMH 0.5 54.5 X 0 1113136 320047 Roberta Pinckney Board Member (End 05/24) 0.5 3.0 X 0 0 0 Susan Datta MD Board Member (End 12/24), Internist - RSFPP 0.5 49.5 X 0 415338 17475 Wael Haidar MD Board Member, BSMH CHIEF CLINICAL OFFICER 0.5 54.5 X 0 1988113 551052 Brad Grosteffon Interim CFO/Treasurer (End 08/24) 25.0 25.0 X 0 519231 65548 Joseph DeLeon President/CEO RSFH (Beg 08/24) 45.0 5.0 X 532392 0 70055 Megan Baker MD Interim President/CEO (End 08/24); SVP & COO (Beg 08/24) 40.5 9.5 X 901811 0 78516 Michael Pazzo Secretary, RSFH SVP & Chief Legal Officer 50.0 0.0 X 699574 0 170618 Rebecca Tucker CFO/Treasurer (Beg 08/24) 43.5 6.5 X 234228 0 27846 Christopher McLain SVP & Chief Physician Officer 50.0 0 X 1079891 0 229596 Kevin Hoak SVP AND COO (End 04/24) 45.0 5.0 X 964758 0 27446 Marissa Blair Jamarik PhD SVP & Chief Nursing Officer 25.0 25.0 X 621894 0 145815 Mark Dickson VP Mission 50.0 0 X 353565 0 41688 Melanie Stith SVP & CAO (End 03/24) 50.0 0 X 920668 0 25158 Sallie Jara Bissette AVP & Chief Compliance Officer 50.0 0 X 303067 0 18511 Matthew Desmond VP Chief Transformation Officer, Regional President - BSSF/MPH 29.5 20.5 X 552522 0 90242 Michael Moxley VP & Chief Diversity, Inclusion & Health Equity Officer 50.0 0 X 561702 0 8875 Mitchell Siegan MD VP CMO - Acute Care 10.0 40.0 X 710621 0 111978 Stanley Wilson MD AVP CMO - Quality & Cont Care 49.5 0.5 X 616237 0 43401 Troy Powell Regional President - RH/BH & VP Continuing Care 25.5 24.5 X 518180 0 91057 Brian Cuddy MD Former Chairperson, Neurosurgeon - RSFPP 0.0 50.0 X 0 1129716 55882 Jeffrey DiLisi Former President/CEO RSFH 0.0 0.0 X 2056692 0 11719 Laishy Williams-Carlson Former CIO of BSMH, HSP and RSFH 0.0 50.0 X 0 954092 25565 11627802 12358636 2904211 123 true true false Rodgers Builders Inc PO BOX 18446 CHARLOTTE NC 28215 Construction services 118905790 Ensemble Health Partners 11511 Reed Hartman Hwy Blue Ash OH 45241 Revenue Cycle Services 63531459 ANESTHESIA ASSOC OF CHARLESTON 1064 Gardner Rd Ste 112 Charleston SC 29407 Medical services 23639336 DPI Management Company LLC 8946 INTERLINE AVE SUITE C BATON ROUGE LA 70809 Medical services 18551486 Charleston Oncology PA 2085 HENRY TECKLENBURG DR 2nd Fl Charleston SC 29414 Medical services 17440389 466 1753542 539027 443888 91950 2736457 Network Fees 900099 177303829 177303829 Operating Rental Income 900002 434757 434757 Senior Center Revenue 531390 554854 554854 JV and Partnership Income 900099 2001642 2001642 Intercompany Services 900099 219383 219383 3793 3793 0 0 180518258 30800115 30800115 95049 565143 -470094 0 -470094 -470094 41632203 -418178 41632203 -418178 41214025 41214025 Vendor Rebates 900099 3008753 3008753 Daycare Revenue 624410 1092767 1092767 Cafeteria 541900 246561 246561 205051 0 0 205051 4553132 259351893 180518258 0 76097178 X 240826 240826 376226 376226 5378684 4302947 1075737 2068411 1654729 413682 41722725 33378180 8344545 1901872 1521498 380374 2340069 1872055 468014 3423623 2738898 684725 621039 621039 137029 137029 190392 190392 421983 421983 86562756 69303498 17259258 0 1813801 1451041 362760 23470445 18776356 4694089 5421074 4336859 1084215 7837081 6269665 1567416 697024 557619 139405 30762 24610 6152 20624810 20624810 19511385 15609108 3902277 10815325 8652260 2163065 Sales Tax 1236645 989316 247329 Federal and State Income Tax 49438 49438 Restructuring 784813 627850 156963 Recruitment 623269 623269 402506 368971 33535 0 238704013 194350029 44353984 0 67999172 59186285 3086579 3233393 1728876 3383954 0 0 0 0 5363 22507 0 10679467 12879025 161117240 66087246 104742371 95029994 244481715 1427623796 0 664282594 664514386 99170802 99170802 78480193 75108076 1274657132 2440152218 198801184 108310953 228004 304713 0 472796811 559494400 671825999 668110066 X 602831133 1772042152 602831133 1772042152 1274657132 2440152218 X 20647880 21509932 1127053207 X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 190392 190392 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE PRIMARY PURPOSE FOR LOBBYING ACTIVITIES IS TO ENHANCE RSFH'S PUBLIC POSITION ON LEGISLATIVE AND REGULATORY ISSUES THAT IMPACT PATIENT CARE THROUGHOUT THE RSFH SYSTEM. TO CARRY OUT THESE EFFORTS, RSFH PARTNERS WITH EXPERT CONSULTANTS AND PROFESSIONAL TRADE ASSOCIATIONS TO BUILD AWARENESS AND EXECUTE SPECIFIC STRATEGIES THAT WILL YIELD A FAVORABLE OUTCOME FOR PATIENT CARE IN THE RSFH FACILITIES WHERE THEY ARE TREATED. RSFH IS A MEMBER OF THE SOUTH CAROLINA HOSPITAL ASSOCIATION (SCHA), American HOspital Association (AHA), and Charleston Metro Chamber of Commerce. THE SCHA, AHA and the Charleston Metro Chamber of Commerce ENGAGE IN LOBBYING EFFORTS ON BEHALF OF their MEMBERSHIP BODies, AND EACH YEAR A PORTION OF THE DUES PAID TO THE organizations ARE ALLOCATED TOWARDS THOSE EFFORTS. FOR 2024, THE AMOUNT OF MEMBERSHIP DUES ALLOCATED TO LOBBYING WAS $40,392. OTHER LOBBYING ACTIVITIES OF $150,000 CONSTITUTE ISSUED-BASED LOBBYING SUPPORT. 24273013 24273013 3706605 373700 3332905 9975647 5004159 4971488 94458696 54910164 39548532 28703279 5799223 22904056 95029994 Investment in RSF ATI 3269698 C Investment in Affiliates 661244688 C 664514386 Federal Income Taxes Due to Affiliates 33348888 Other Liabilities 625825 Right of Use Liabilities 4150586 Intercompany Notes Payable 448141527 Capital Lease Liability 73227574 559494400 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 requires that the organization provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under ASC 740. ASC 740 addresses the accounting for uncertainty in income taxes recognized in an entity's financial statements and prescribes a threshold of more-likely-than-not for recognition and derecognition of tax positions taken or expected to be taken in a tax return. The adoption of ASC 740 by Bon Secours Mercy Health, Inc. on September 1, 2007 did not have a material impact on BSMH's consolidated financial statements. As the organization does not conduct a separate audit of its financial statements, below is the related statement from the Bon Secours Mercy Health, Inc. consolidated audited financial statements: The Company and most of its subsidiaries (including certain joint venture entities) are exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. Their related income is exempt from federal income tax under Section 501(A). Some of the subsidiaries are taxable entities, and some of the income of the tax-exempt entities is subject to taxation as unrelated business taxable income. The Company and its subsidiaries file U.S. federal income tax returns, and they also file in various state and foreign jurisdictions. The Company accounts for uncertain tax positions in accordance with ASC Topic 740, Income Taxes. The Company accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The Company has determined that no significant unrecognized tax benefits or liabilities exist for the years ended December 31, 2024 and 2023. true LOWCOUNTRY STREET GROCERY 1108 Wapoo Rd Charleston SC 29407 464384055 15000 MISSION SUPPORT TRI COUNTY PLAY COLLABORATIVE PO BOX 50923 SUMMERVILLE SC 29485 883187434 501(C)(3) 10000 MISSION SUPPORT PARTNERS 4 GLOBAL HEALTH INC PO BOX 4187 WINTER PARK FL 32793 823593311 501(C)(3) 5500 MISSION SUPPORT CHARLESTON COUNTY PUBLIC LIBRARY 4355 BRIDGE VIEW DR North Charleston SC 29405 576000317 Government 30000 MISSION SUPPORT LOWCOUNTRY FOOD BANK 2864 Azalea Dr North Charleston SC 29405 570751835 501(C)(3) 5786 MISSION SUPPORT NEIGHBORS TOGETHER INC 2105 COSGROVE AVE North Charleston SC 29405 570794782 501(C)(3) 10000 MISSION SUPPORT GREEN HEART PROJECT INC 7759 King St suite A Charleston SC 29403 460829120 501(C)(3) 10000 MISSION SUPPORT OPERATION HOME 3973 RIVERS AVENUE Ste 104 North Charleston SC 29405 621745925 501(C)(3) 10000 MISSION SUPPORT 7 1 Nursing Scholarships 46 361300 Patient Transportation 469 11726 PATIENT ASSISTANCE 12 3200 Schedule I, Part III, Column (b) Estimated Number Of Recipients Patient Transportation : Cab fares are estimated at $25 per fare. Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds 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 givings 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. Roper St. Francis Healthcare provides funding to dozens of non-profit community partners to meet the health needs of our community. Organizations must apply annually for funding by describing which priority health need they are impacting and by providing program details outlining the strategies used to impact the community health need. The Committee, which is comprised of leaders throughout the system who have a stake in community engagement, meets annually to review applications from community partners and awardees are provided a restricted-use letter to specify the intent of funding. Awardees are required to report back on how the funds were used in their subsequent application for funding. X true true X X X X true true false false false false false true false Scott Woodfield MD Board Vice Chair, RSFPP Physician 0 881358 0 218131 0 68031 0 18171 0 37889 0 1223580 0 0 John Spratt MD Board Member, Physician 0 756430 0 62181 0 72793 0 18171 0 41237 0 950812 0 0 Henry West MD Board Member (Beg 01/24), Surgeon - RSFPP 0 456348 0 38327 0 53488 0 18171 0 24319 0 590653 0 0 Cheryl Dalton-Norman Board Member (Beg 05/2024), President - Conduit Health Partners 0 396831 0 149219 0 34460 0 8400 0 31337 0 620247 0 0 Wael Haidar MD Board Member, BSMH CHIEF CLINICAL OFFICER 0 840737 0 414229 0 733147 0 529255 0 21797 0 2539165 0 536167 JOSEPH GAGE JR JD Board Member, BSMH Chief HR Officer 0 662273 0 303480 0 514299 0 257687 0 40607 0 1778346 0 270155 Eric Smith Board Member (Beg 05/2024), CFO Ambulatory Finance - BSMH 0 479818 0 194459 0 180474 0 117398 0 39489 0 1011638 0 118702 Michael Lutes Board Member (Beg 05/2024), Richmond Market President - BSMH 0 679087 0 275500 0 158549 0 275708 0 44339 0 1433183 0 45313 Brian Yanofchick Board Member, Chief Sponsorship Officer-BSMH 0 409600 0 118999 0 188011 0 8400 0 14845 0 739855 0 0 Susan Datta MD Board Member (End 12/24), Internist - RSFPP 0 260723 0 98344 0 56271 0 16952 0 523 0 432813 0 0 Jeffrey DiLisi Former President/CEO RSFH 0 0 425984 0 1630708 0 10350 0 1369 0 2068411 0 216971 0 Brian Cuddy MD Former Chairperson, Neurosurgeon - RSFPP 0 1051392 0 0 0 78324 0 18171 0 37711 0 1185598 0 0 Joseph DeLeon President/CEO RSFH (Beg 08/24) 271831 0 200000 0 60561 0 58129 0 11926 0 602447 0 0 0 Rebecca Tucker CFO/Treasurer (Beg 08/24) 140431 0 65000 0 28797 0 27476 0 370 0 262074 0 0 0 Megan Baker MD Interim President/CEO (End 08/24); SVP & COO (Beg 08/24) 495103 0 372272 0 34436 0 39181 0 39335 0 980327 0 0 0 Michael Pazzo Secretary, RSFH SVP & Chief Legal Officer 378602 0 193366 0 127606 0 126793 0 43825 0 870192 0 8604 0 Brad Grosteffon Interim CFO/Treasurer (End 08/24) 0 312985 0 156010 0 50236 0 32985 0 32563 0 584779 0 0 Laishy Williams-Carlson Former CIO of BSMH, HSP and RSFH 0 556987 0 174115 0 222990 0 0 0 25565 0 979657 0 0 Kevin Hoak SVP AND COO (End 04/24) 101817 0 218386 0 644555 0 10704 0 16742 0 992204 0 84623 0 Marissa Blair Jamarik PhD SVP & Chief Nursing Officer 366490 0 179389 0 76015 0 120081 0 25734 0 767709 0 0 0 Sallie Jara Bissette AVP & Chief Compliance Officer 202436 0 56970 0 43661 0 14489 0 4022 0 321578 0 0 0 Melanie Stith SVP & CAO (End 03/24) 79715 0 203896 0 637057 0 11199 0 13959 0 945826 0 145089 0 Christopher McLain SVP & Chief Physician Officer 624461 0 318447 0 136983 0 188265 0 41331 0 1309487 0 0 0 Mark Dickson VP Mission 202718 0 95767 0 55080 0 17066 0 24622 0 395253 0 0 0 Matthew Desmond VP Chief Transformation Officer, Regional President - BSSF/MPH 367299 0 146415 0 38808 0 51815 0 38427 0 642764 0 0 0 Mitchell Siegan MD VP CMO - Acute Care 479207 0 171073 0 60341 0 66350 0 45628 0 822599 0 0 0 Troy Powell Regional President - RH/BH & VP Continuing Care 345833 0 138150 0 34197 0 49099 0 41958 0 609237 0 0 0 Michael Moxley VP & Chief Diversity, Inclusion & Health Equity Officer 156583 0 144225 0 260894 0 8311 0 564 0 570577 0 71163 0 Stanley Wilson MD AVP CMO - Quality & Cont Care 372492 0 133674 0 110071 0 16461 0 26940 0 659638 0 0 0 Schedule J, Part I, Line 1a Housing allowance or residence for personal use Employer provided temporary housing for one officer related to employee relocation. The entire benefit was treated as taxable compensation. Schedule J, Part I, Line 4a Severance or change-of-control payment Severance Benefits consisting of continuation of base salary and insurance benefits were provided to the listed individual for specified periods. The listed individual executed releases and waivers of claims in exchange for the severance benefits. Salary continuation amounts provided during the reporting year to the listed individuals are as follows: Jeffrey Dilisi, $800,000; Kevin Hoak, $349,286; Michael Moxley, $118,163; Melanie Stith, $323,839. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan The Roper St. Francis Healthcare 457(f) Plan's purpose is to offer eligible employees of the employer deferred compensation benefits to supplement Eligible Employees' retirement income. The Plan is intended to be a top-hat plan (i.e. an unfunded deferred compensation plan maintained for certain members of a select group of management or highly compensated employees). THOSE PAYMENTS THAT ARE NOT YET VESTED DUE TO SUBSTANTIAL RISK OF FORFEITURE ARE INCLUDED IN SCHEDULE J, COLUMN (C) IN ACCORDANCE WITH IRS INSTRUCTIONS. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION IN SCHEDULE J, COLUMN (B)(III) FOR LISTED INDIVIDUALS DUE TO SERP PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: Melanie Stith, $168,339; Troy Powell, $0; Christopher McLain, MD, $0; Mitchell Siegan, MD, $0; Matthew Desmond, $0; Marissa Blair Jamarik, $0; Michael Moxley, $84,546; Stanley Wilson, MD, $0; Kevin Hoak, $96,197; Michael Pazzo, $0; Laishy Williams-Carlson $0; Jeffrey Dilisi, MD, $357,728; Rebecca Tucker, $0; Joseph DeLeon, $0; Megan Baker, MD, $0; Mark Dickson, $18,483. Schedule J, Part I, Line 4b Terms and conditions of the Bon Secours Mercy Health System SERP The Bon Secours Mercy Health System SERP is a non-qualified deferred compensation plan which provides supplemental retirement benefits to persons selected by the Board of Trustees or its delegate. The plan provides for annual credits of a specified percentage of an eligible participants base salary paid in a plan year and interest credits. Plan participants vest in plan credits after completing a three year class vesting schedule or earlier for death or total disability or reaching age 60 while employed, or due to involuntary separation of employment other than for cause. THOSE PAYMENTS THAT ARE NOT YET VESTED DUE TO SUBSTANTIAL RISK OF FORFEITURE ARE INCLUDED IN SCHEDULE J, COLUMN (C) IN ACCORDANCE WITH IRS INSTRUCTIONS. Payments during employment are made for required tax withholding and reduce the participants account balance. Distribution of the vested account balance in a lump sum occurs after termination of employment. Amounts includible as taxable compensation IN SCHEDULE J, COLUMN (B)(III) for listed individuals due to SERP participation in the reporting year were as follows: Brian Yanofchick, $89,154; Joseph Gage, Jr., JD, $138,734; Wael Haidar, MD, $185,122; Brad Grosteffon, $26,158; Eric Smith, $53,328; Michael Lutes, $0; Cheryl Dalton-Norman, $0; Michael Pazzo, $39,379. Schedule J, Part I, Line 4b Terms and conditions of the Mercy Health SERP The Mercy Health SERP plan is a deferred compensation plan which provides supplemental retirement benefits to persons selected by the Board of Trustees or its delegate. The plan is no longer accepting new participants and cessation of contributions has occurred. It provides annual credits of a specified percentage of compensation and annual interest credits. Participants vest 50%, 75%, and 100% in their accounts after 5, 6, and 7 years of service, respectively. Vesting occurs earlier for death or total disability or reaching age 60 while employed, or involuntary termination of employment within 24 months after a change in control of the organization or due to position elimination. Payments during employment are made for required tax withholding. Payment of the vested account balance in a lump sum occurs after termination of employment. Amounts includable as taxable compensation for listed individuals due to SERP participation in the reporting year were as follows: Joseph Gage, Jr., JD, $0. Schedule J, Part I, Line 4b Terms and conditions of the Lorain SERP THE LORAIN SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN IS AN EXECUTIVE RETENTION PLAN FOR CERTAIN HIGHLY COMPENSATED INDIVIDUALS, AS DETERMINED BY THE BOARD OF TRUSTEES' EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE. The plan is no longer accepting new participants and cessation of contributions has occurred. THE PLAN PURPOSE IS TO PROVIDE A BENEFIT TO REPLACE THE BENEFIT THESE PARTICIPANTS WOULD HAVE RECEIVED UNDER THE APPLICABLE QUALIFIED PLAN PRIOR TO ITS AMENDMENT TO COMPLY WITH THE OMNIBUS BUDGET RECONCILIATION ACT OF 1993. IT PROVIDES A DEFERRED COMPENSATION BENEFIT OF 3% TO 5% OF ANNUAL BASE SALARY. PARTICIPANTS VEST AND RECEIVE PLAN BENEFITS ONCE TWO CONDITIONS ARE SATISFIED: (1) MEET THE VESTING REQUIREMENTS OF THE APPLICABLE QUALIFIED PLAN, AND (2) COMPLETE A 24-MONTH POST-EMPLOYMENT NONCOMPETE REQUIREMENT. AMOUNT INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED PARTICIPATING INDIVIDUAL IN THE REPORTING YEAR IS AS FOLLOW: MICHAEL PAZZO, $0. Schedule J, Part I, Line 7 NON-FIXED PAYMENTS 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 it 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 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. 1 559 Market value 1 91391 Market value 0 false false false Schedule M, Part I Explanations of reporting method for number of contributions Art - Works of art - Number of contributions Cars and other vehicles - Number of contributions Form 990, Part VI, Line 4 Significant changes to organizational documents Roper St. Francis Healthcare (RSFH) amended and restated its Bylaws on May 1, 2024 to amend Article IV Membership as follows: - Section 4.2, Reserved Powers of the Members. Capital expenditures over $50M must be approved by HealthSpan Partners (HSP) only, concurrent with such approval by the Board. Section 4.3 Medical Society Reserved Powers. Medical Society of South Carolina (MSSC) has the ability to remove the CEO if he/she violates the IPN Document. - Section 4.6 HealthSpan Policies and Procedures. Any unbudgeted, non-capital, discretionary expenditure between $1M and $5M must be solely approved by HSP President and if over $5M, also by the Board. RSFH'S Bylaws were also amended on May 1, 2024 to amend Article V Board of Directors as follows: - Section 5.2 Specific Duties of Board. Approve, by supermajority of the vote, the outsourcing of support services to BSMH, HSP or an affiliate. - Section 5.3 Number and Qualification of Directors. Number of Board of Directors increased from 12 to 13. - Section 5.8 Committees of the Board of Directors. The Executive Committee increased its number of Board of Directors to 5, 3 of which are appointed by HSP and 2 appointed by MSSC. Form 990, Part VI, Line 6 Classes of members or stockholders Effective May 1, 2024, the members of Roper St. Francis Healthcare (RSFH) were The Medical Society of South Carolina (20%), a South Carolina nonprofit corporation, HealthSpan Partners (80%), a Ohio nonprofit corporation. HealthSpan Partners (HSP) is a supporting organization of Bon Secours Mercy Health, Inc. (BSMH). Form 990, Part VI, Line 7a Members or stockholders electing members of governing body RSFH is governed by a 13-member board of directors (the Board of Directors). Subject to certain Nominating Committee approvals, six directors are appointed by MSSC and seven directors are appointed by HSP. In the event of a dispute it is the Members intent that the members of RSFH's Board of Directors are appointed to such positions because they have a willingness to serve the needs of Roper as a whole and not the needs of any individual Member. In the event of a stalemate, the Members management teams are to attempt in good faith to resolve the matter within fifteen days. If the management teams are unable to resolve the stalemate, the matter shall be submitted to the President/CEO of BSMH and the President of the Medical Society for review and resolution. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Notwithstanding anything to the contrary contained the Bylaws, and in addition to the rights granted to the Members under the Act, action with respect to any of the following matters, whether initiated by the Members or by the Board of Directors, may only be taken by the Corporation following the unanimous written consent of the Members and concurrent with such approval by the applicable Board of Directors, unless otherwise set forth below: A) Amendment to the Governing Instruments concurrent with approval by the Board; B) Amendment of the IPN Document (including the Rapid Matrix Document appended to the Bylaws); C) Approval of the mission, vision and value statements of the Corporation and any amendments or modifications thereto; D) Approval of the sale, lease or transfer of all or substantially all the assets of the Corporation or any Affiliate controlled by the Corporation (whether by asset sale, merger, change of control, consolidation or otherwise), in one transaction or a series of related transactions; E) Approval of the incurrence of any borrowed debt shall be approved by HealthSpan and approval of the incurrence of any borrowed debt that requires a guarantee thereof by the Members shall be approved by both Members; F) Approval of the sale of any Catholic hospital operated by the Corporation (whether by asset sale, merger, change of control, consolidation or otherwise) or any action that affects the Catholic status of such hospital; G) Approval of the alteration or amendment of the Statement of Common Values; H) Approval of any call for a capital contribution or distribution by a Member to the Corporation; I) Approval of the admission of any new Member of the Corporation; J) Approval of any action(s) that could negatively affect the Catholic status of any Catholic hospital operated by the Corporation or that could negatively affect the tax-exempt status of the Members, the Corporation or any of its tax-exempt subsidiaries or affiliates, K) Approval of any amendment or modification to Article IX of the Bylaws and the defined term "Healthcare Facilities". In addition to the reserved powers set forth above, the Medical Society shall have the following additional rights related to the Corporation to: a) Engage an independent third-party auditor, on an annual basis and RSFH's cost and expense to audit any Support Services then currently being provided to the Corporation to ensure proper documentation, that the services are provided at cost, and that the cost does not exceed fair market value for the services provided; b) Remove the CEO following a material violation of the terms of the IPN Document (including the Rapid Matrix Document appended to the Bylaws) by the CEO that is not addressed by the Board or the Members within ninety (90) days of the Medical Society providing written notice of such violation to the Board and the Members. Form 990, Part VI, Line 11b Review of form 990 by governing body The Form 990 was prepared by the BSMH Tax Department with assistance and oversight by management and was reviewed by an independent accounting firm. Reviews were then conducted by senior management. Once the Form 990 and summary memo is reviewed by all applicable parties, a copy of the final version is provided to all members of the governing body prior to filing with the Internal Revenue Service. Form 990, Part VI, Line 12c Conflict of interest policy The Compliance policy requires COI disclosures from all RSFH Board of Directors, Board Committees, Senior and Executive management, any staff involved in the selection of vendors, contracting, and/or purchasing, employed physicians, other contracted service providers or staff members who have decision making capacity or business decision influence. All covered persons are required to complete Conflict of Interest training which includes examples of possible conflicts and overall conflict of interest education. The education provides the Conflict of Interest policy for the covered person's review. Covered persons are required to complete their disclosure upon completion of education course. Form 990, Part VI, Line 15a Process to establish compensation of top management official An independent company, Gallagher, provides research, advice and guidance to the HR 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) should 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 remuneration for executives. The HR 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 Gallagher'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 primarily not-for-profit healthcare systems with similar operating revenues. B. Incentive goals are primarily based on formally defined quantitative goals approved by the HR Committee of the RSFH Board of Directors. 2) All recommended pay decisions are tested against these data points and the organization's stated compensation philosophy. 3) A formal opinion letter is prepared by Gallagher, representing that senior executives are compensated within the reasonableness standards mandated by the IRS. This letter provides a "safe harbor" for the organization's senior leadership relative to the reasonableness of total executive compensation consistent with IRC Section 4958. Form 990, Part VI, Line 15b Process to establish compensation of other employees See explanation for 15A. Form 990, Part VI, Line 19 Required documents available to the public The RSFH governing documents, conflict of interest policy and financial statements are available to the public upon request. Form 990, Part VII, Section A ADDITIONAL DISCLOSURE Board Member positions are generally voluntary in nature. Compensated employees of the filing organization and other related organizations who also hold board positions are compensated only in relation to their employment and do not receive additional compensation for their board responsibilities. Form 990, Part VIII, Line 2f Other Program Service Revenue - Total Revenue: 3793, Related or Exempt Function Revenue: 3793, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other Revenue - Total Revenue: 205051, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 205051; Form 990, Part IX, Line 11g Other Fees Purchased Services - Total Expense: 39287020, Program Service Expense: 31429616, Management and General Expenses: 7857404, Fundraising Expenses: ; Medical Professional Fees - Total Expense: 266466, Program Service Expense: 266466, Management and General Expenses: , Fundraising Expenses: ; Corp Admin Fees - Total Expense: 49760, Program Service Expense: 39808, Management and General Expenses: 9952, Fundraising Expenses: ; Contract Labor - Total Expense: 164915, Program Service Expense: 131932, Management and General Expenses: 32983, Fundraising Expenses: ; Maintenance & Service Agreements - Total Expense: 79038, Program Service Expense: 63230, Management and General Expenses: 15808, Fundraising Expenses: ; Consulting - Total Expense: 2444136, Program Service Expense: 1955309, Management and General Expenses: 488827, Fundraising Expenses: ; Revenue Cycle - Total Expense: 44271421, Program Service Expense: 35417137, Management and General Expenses: 8854284, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Equity Investment - 1125000000; Transfers from Affiliates - 2053207; Total - 1127053207; Roper St Francis Health Alliance 8536 Palmetto Commerce Pkwy Ste 201 Ladson SC 29456 472412912 ACO SC 0 19331 Roper St Francis Healthcare Bon Secours Mercy Health Inc 1701 Mercy Health Place CINCINNATI OH 45237 521301088 HEALTHCARE SYSTEM PARENT MD 501(c)(3) 3 NA false Bon Secours Baltimore Community Works Inc 26 North Fulton Avenue Baltimore MD 21223 521732800 Grant Making Foundation MD 501(c)(3) Type III-FI Bon Secours Mercy Health Inc false Bon Secours Ireland DAC College Road Cork EI Local System Parent Org. 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SC 501(c)(3) Type III-FI Bon Secours Mercy Health Inc false COMMUNITY MERCY HEALTH SYSTEM 100 Medical Center Drive SPRINGFIELD OH 45504 300272454 MARKET PARENT OH 501(c)(3) Type III-FI Bon Secours Mercy Health Inc false HEALTHSPAN PARTNERS 1701 Mercy Health Place CINCINNATI OH 45237 463055925 MARKET PARENT OH 501(c)(3) Type II Bon Secours Mercy Health Inc false MERCY HEALTH RETIREMENT TRUST 1701 Mercy Health Place CINCINNATI OH 45237 316046304 RETIREMENT TRUST OH 501(c)(3) 7 Bon Secours Mercy Health Inc false Mercy Health Services 1701 Mercy Health Place CINCINNATI OH 45237 251585441 Local System Parent Org. 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