2023-11-10T14:40:03+00:00 2022-12-31 920460586 PwC US Tax LLP 655 New York Avenue NW Ste 1100 Washington DC 20001 990 2022-01-01 570828733 Roper Hospital Inc ROPE 8437242958 8536 Palmetto Commerce Pkwy 201 Ladson SC 29456 BRIAN CUDDY CHAIR 8437242958 2023-11-10 true Brad Grosteffon 999009999 true Travis L Patton P00369623 2024141000 2022 2023-04-26 12:10:37Z BRIAN CUDDY 8536 Palmetto Commerce Pkwy 201 Ladson SC 29456 418683759 false X www.rsfh.com X 1986 SC Operation of nonprofit hospital facility in Charleston, SC. 12 4 2414 47 744226 296409 19725738 5958861 441631184 409596330 746856 -7818 1991853 2181664 464095631 417729037 382181 209318 0 145955952 149537475 0 0 248846187 267901618 395184320 417648411 68911311 80626 524371557 478029752 217379311 218892684 306992246 259137068 Healing all people with compassion, faith, and excellence. false false 360514156 209318 408853202 Roper Hospital builds on a long legacy of excellence. Founded in 1829 as the first community hospital in the Carolinas, downtown Roper Hospital today is one of the most trusted names in Lowcountry. In 2022, Roper Hospital contributed $23.6 million in community benefit. 360514156 true true false true false false false false false true false true true true true false true false false false false false false false false true true true true true false false false false false false true false true false false false false true true true false false true 0 0 2414 true true true false false false false false false false false false false false X 12 4 false false false false true true true true true false false true true true true true true true true true true SC X The Finance Department 8437242958 8536 Palmetto Commerce Pkwy Ste Ladson SC 29456 Brian Cuddy MD Chair, Neurosurgeon - RSFPP 0.5 49.5 X X 0 1007785 83602 Wael Haidar MD Vice Chair, BSMH Chief Clinical Officer 0.5 54.5 X X 0 1948860 613503 Brian Yanofchick Board Member; Chief Spons. Officer Prov Grp - BSMH 0.5 54.5 X 0 480901 17043 Charles Ford Rivers III Board Member 0.5 3.5 X 0 0 0 Edward McKelvey Board Member 0.5 3.0 X 0 0 0 Henry West MD Board Member, Surgeon - RSFPP 0.5 49.5 X 0 689828 67149 JOSEPH GAGE JR JD Board Member; BSMH Chief HR Officer 0.5 54.5 X 0 1415966 340501 Karen Wrighten Board Member 0.5 3.0 X 0 0 0 Kay W Phillips PHD Board Member 0.5 3.0 X 0 0 0 Roberta Pinckney Board Member 0.5 3.0 X 0 0 0 Susan Datta MD Board Member, Internist - RSFPP 0.5 49.5 X 0 378012 67717 Wills C Geils MD Board Member, Oncology Physician 0.5 49.5 X 0 504208 63419 Adriana Day CFO/Treasurer RSFH 1.0 49.0 X 0 582719 168441 Jeffrey DiLisi MD President/CEO RSFH 1.0 49.0 X 0 1248827 320279 Matthew Desmond VP Ops Acute Care 10.0 40.0 X 0 524055 89410 Mitchell Siegan MD VP CMO - Acute Care 10.0 40.0 X 0 678109 127787 Patrick Bosse Interim Chief Administrative Officer (Beg 10/22) 25.0 25.0 X 0 260276 25933 Susan M Bennett Chief Nursing Officer 50.0 0 X 241667 0 25003 Troy Powell VP Post Acute Care Services 8.0 42.0 X 0 428007 85454 Bonnie Mello Director Home Care Services 50.0 0 X 216276 0 10102 Frank Egbuniwe Registered Nurse 50.0 0 X 233999 0 60420 John Fowler Manager Pharmacy 50.0 0 X 220833 0 23624 Laurah Ebai Registered Nurse 50.0 0 X 195986 0 8432 Mary Elizabeth Hanley DO Osteopathic Medicine 50.0 0 X 320896 0 56959 Anthony Jackson FORMER VP & CEO Acute Care Services 0.0 50.0 X 0 1273787 39979 Christopher Glenn Former Interim CFO/Treasurer 0.0 50.0 X 0 303072 54029 Stanley Wilson MD FORMER VP, CMO Acute Care - RHI/MPH 0.0 50.0 X 0 635553 60147 1429657 12359965 2408933 176 true true false 0 3141535 2817326 0 111470 5958861 Net Patient Service 621400 400780736 400037683 743053 Pharmacy Revenue 621400 8764087 8764012 75 Joint Venture Income 900099 51507 51507 0 0 0 0 409596330 349147 349147 58194 5227 52967 0 52967 52967 590785 0 947750 590785 -947750 -356965 -356965 0 1745 -1745 -1745 Cafeteria & Vending 722210 1084843 1084843 Garage Revenue 900099 675409 675409 EYE CENTER MGT FEES 900099 132704 132704 237486 0 1098 236388 2130442 417729037 408853202 744226 2172748 X 112083 112083 97235 97235 266670 213336 53334 69532 55626 13906 115388603 92310882 23077721 4271881 3417505 854376 21033365 16826692 4206673 8507424 6805939 1701485 2808 2808 141483426 121520483 19962943 0 16795 13436 3359 10578879 8463103 2115776 114466 91573 22893 8102915 6482332 1620583 548761 439009 109752 27864 22291 5573 4177523 4177523 8629439 6903551 1725888 1502161 1201729 300432 Medical Supplies and Equipment 73272872 73272872 DSH Tax 7005207 7005207 Federal Income Taxes 65000 65000 Taxes - Other 5882496 4705997 1176499 6491006 6310752 180254 0 417648411 360514156 57134255 0 7125 7125 53398563 56410189 0 0 0 0 7521381 7223025 1696726 2717699 209348951 19212276 128363403 190136675 0 289257821 181370476 44126538 40164563 524371557 478029752 3688109 15158771 0 0 213691202 203733913 217379311 218892684 X 292837857 235854245 14154389 23282823 306992246 259137068 524371557 478029752 X 80626 -3660419 -44275385 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 2808 false false false 2808 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Roper Hospital, Inc. is a member of the American Rehab Providers Association. The ARPA engages in lobbying efforts on behalf of its membership body, and each year a portion of the dues paid to the ARPA are allocated towards those efforts. For 2022, the amount of membership dues allocated to lobbying was $2,808. 131820299 131820299 39931728 3620185 36311543 342494 248170 94324 36827534 15316364 21511170 426896 27557 399339 190136675 Net Intercompany Receivables 181051041 F Investment in RSF Eye Surgery Center 319435 F 181370476 Other Assets 328932 Right of Use Assets 15170753 Pooled Investments 23961157 Other Receivables 703721 40164563 Third Party Reserves 4219559 FIN-47 Asbestos Accrual 637731 Net Intercompany Payable 76892744 Other Liabilities 553025 RIGHT OF USE Liabilities 15318998 Intercompany Notes Payable 106111856 203733913 X 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 as of December 31, 2022. Accounting for uncertainty in income taxes, ASC Topic 740-10 prescribes a comprehensive model for how an organization should measure, recognize, present and disclose in its financial statements uncertain tax positions that an organization has taken or expects to take on a tax return. The Company is subject to routine audits by taxing jurisdictions. There are no current audits in progress. As of December 31, 2022, the Company has no uncertain tax positions. The Company's taxable subsidiaries had $282,807 and $269,112 federal and state net operating loss carryforwards as of December 31, 2022 and 2021, respectively, which are available to offset future taxable income subject to various limitations. The Company accounts for income taxes under the asset and liability method. Under this method, deferred tax assets and liabilities are recognized for the estimated future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases. Deferred tax assets and liabilities are measured using enacted tax rates expected to be in effect during the year in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. Interest and penalties related to income taxes are accounted for as income tax expense. The Company has placed a partial valuation allowance of $259,934 on the deferred tax assets as of December 31, 2022, and a full valuation allowance on the deferred tax assets as of December 31, 2021. When determining the valuation allowance for deferred tax assets, the Company annually considers whether it is more likely than not the deferred tax assets will or will not be utilized in future periods. There was a decrease in the valuation allowance of $9,178 and 59,497 as of December 31, 2022 and December 31, 2021, respectively. true true X true X true X true true true false true true 19239607 3537741 15701866 0.0376 27459293 20190260 7269033 0.0174 0 0.0 0 0 46698900 23728001 22970899 0.0550 70898 70898 0.0002 603691 603691 0.0014 0 0.0 0 0.0 0 0.0 0 0 674589 0 674589 0.0016 0 0 47373489 23728001 23645488 0.0566 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 46191207 0 113958862 134953663 -20994801 X true true Lowcountry Surgery Center (DBA Roper St Francis Eye Surgery) Eye Surgery 0.6465 0.0 0.3535 1 1 Roper Hospital Inc 316 Calhoun Street Charleston SC 29401 https://www.rsfh.com/roper-hospital/ HTL-0063 X X X REHAB Roper Hospital Inc 1 false false true X X X X X X X X X 22 true true true true X https://www.rsfh.com/mission-department/ X true 23 true https://www.rsfh.com/mission-department/ false true X 200.0 400.0 X X X X X true true X X X X true X https://www.rsfh.com/billing-financial-assistance/ X https://www.rsfh.com/billing-financial-assistance/ X https://www.rsfh.com/billing-financial-assistance/ X X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Roper Hospital, Inc.. In an effort to create a greater impact on the community and address the greatest needs, Roper St. Francis Healthcare participated in and produced a joint Community Health Needs Assessment (CHNA) in collaboration with the Medical University of South Carolina (MUSC) and the Trident United Way. This multi-sector regional initiative is known as the Healthy Tri-County Coalition (HTC). The CHNA process began in February 2022, and the collection of qualitative and quantitative data concluded in September 2022. HTC's Health Data Workgroup conducted focus groups and key informant interviews to target locations within the community. To gather community input the Community Health Needs Assessment team disseminated a community survey to identify specific areas of concern for Tri-County residents and provider insight into the effects of socio-economic and racial barriers regarding differences in health outcomes and health concerns. The surveys had 678 responses. HTC also conducted 9 focus groups with 47 community members from different areas with various perspectives represented, engaged in interviews with 10 community leaders and health care professionals, and hosted three virtual community input sessions with 194 participants. The results of the focus groups were analyzed to gain qualitative feedback from the public on their perceptions of community health and how the health and healthcare of their communities has changed since 2019. During the 2022 CHNA planning process, specific community groups and organizations were included to engage previously underrepresented groups. HTC participated in a statewide pilot project for CHNA survey tool development, data collection and analysis led by SC DHEC and SCHA. We worked closely with partners to engage more members from African American, LGBTQIA+, Latino, low socioeconomic and rural communities. Using feedback from the surveys, interviews, focus groups and the community input session, a summary of community feedback was created. This summary would be used in the creation of team's priorities and ultimately the implementation strategy. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Roper Hospital, Inc.. Roper Hospital, Inc. Bon Secours St. Francis Xavier Hospital Roper St. Francis Mt. Pleasant Hospital Roper St. Francis Hospital - Berkeley Inc. Medical University of South Carolina Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Roper Hospital, Inc.. Trident United Way Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Roper Hospital, Inc.. Roper St. Francis Healthcare (RSFH) is comprised of Roper Hospital, Bon Secours St. Francis Xavier Hospital, Roper St Francis Mount Pleasant Hospital, and Roper St. Francis Berkeley Hospital. These hospitals are collectively referred to as "Roper St. Francis Healthcare "RSFH." RSFH's Community Needs Assessment Team developed implementation strategies for each health issue identified as a strategic priority. This implementation plan was rolled out over 3 years. Some strategies may be addressed by more than one RSFH hospital or the system as a whole. The team developed a monitoring method at the conclusion of the implementation planning process to provide status updates to community partners, stakeholders, and the community-at-large. The following are the 2022 strategies and outcomes on the 5 issues identified as priorities in the 2019 Community Health Needs Assessment and corresponding Implementation Plan. Access to Care 2022 Strategies and Outcomes: Strategy (System-wide): Navigate high users of emergency departments to primary care medical homes, and to refer underinsured and uninsured patients to AccessHealth and/or the Transitions Clinic. * During 2022, the four local hospital systems actively participated in AccessHealth Tri-County Network in order to collaborate with local healthcare systems to identify Emergency Department (ED) "super utilizers". * RSFH coordinated with AccessHealth and the Transition Clinic to navigate uninsured ED "super utilizers" to these programs. During 2022, AccessHealth had 1,128 patients, including 640 new patients, and Transitions Clinic had 2,560 patients, including 997 new patients, which resulted in a reduction in ED visits for these patients by 58%. Strategy (System-wide): Coordinate and collaborate with safety-net partners for delivery of services, including area Federally Qualified health Centers (FQHC), free clinics, and homeless shelters. * RSFH provides lab work, free supplies, and ancillaries to partner medical clinics and supportive agencies, including Barrier Islands Free Medical Clinic, Our Lady of Mercy Outreach, East Cooper Community Outreach, Dream Center, One80 Place, and Shifa Clinic & Medical Ministries. In 2022, RSFH signed contracts to continue such partnerships. In 2022, Roper St. Francis provided over $2.1 million in lab and imaging services to partner medical clinics. * RSFH managed care coordination for eligible patients referred from local partners through the shared care navigation hub managed by AccessHealth. Those served are included in the 1,128 patients served by AccessHealth in 2022. Strategy (System-wide): Provide in-home care to patients with limited mobility through Home Health and Hospice Care. * RSFH provided high quality care for patients with transportation or mobility issues or those with end-of-life needs through in-home or inpatient Hospice or Home Health Services. During 2022, 6,364 patients received Home Health Services, while 573 patients received In-home Hospice care and 551 patients received Inpatient Hospice care. Clinical Preventative Services 2022 Strategies and Outcomes: Strategy (System-wide): Provide routine, primary care for low-income, uninsured adults. * RSFH provides lab work, free supplies, and ancillaries to partner medical clinics and supportive agencies, including Barrier Islands Free Medical Clinic, Our Lady of Mercy Outreach, East Cooper Community Outreach, Dream Center, One80 Place, and Shifa Clinic & Medical Ministries. In 2022, RSFH signed contracts to continue such partnerships. In 2022, Roper St. Francis provided over $2.1 million in lab and imaging services to partner medical clinics. * In 2022, Roper St. Francis provided $195,000 in financial support through our partnership with Our Lady of Mercy. Strategy (System-wide): Provide early intervention services for patients diagnosed with HIV/AIDS. * RSFH enrolled HIV positive patients into the federally funded Ryan White program. In 2022, The Ryan White Wellness Center provided comprehensive HIV and primary care for 880 HIV positive patients. * In 2022, RSFH worked with the Ryan White Wellness Center to ensure continued health insurance coverage for 338 HIV positive adult patients using federal and employer insurance programs. * RSFH continues to seek grant funding to expand primary prevention services for high-risk HIV negative adults and prevent the rate of transmission for HIV positive patients. In 2022, Ryan White Wellness Center invested over $78,039 in transportation assistance to reduce barriers to accessing services. RWWC provided HIV prevention (PrEP) to 155 HIV negative patients. * During 2022, RSFH through the Ryan White Wellness Center hosted various community and clinic events to promote HIV awareness, prevention and provide free HIV testing. A total of 351 free HIV tests were provided in 2022. Strategy (System-wide): Provide evidence-based outpatient care for diabetic patients and expand access to free annual breast health screenings for all women, particularly African-American women. * Through its affiliated physician entity, Roper St. Francis Physician Partners (RSFPP), RSFH tracked the number of patients diagnosed with diabetes who have a healthy A1c level to be considered having controlled diabetes. In 2022, 70.3% of RSFH's patients were considered to have controlled diabetes. RSFH is in the process of hiring additional diabetic educators to help improve these scores. * RSFH through its Oncology Services continued to host screening events for underserved men and women to get breast and colorectal screenings. During the events in 2022, 61 clinical breast exams were given with 17 referrals for additional testing, and 24 colorectal screenings were provided with no additional referrals for positive FIT tests. Additionally, RSFH resumed hosting annual skin cancer screenings and provided 84 skin cancer screenings with 30 individuals referred for biopsy in 2022. Behavioral Health 2022 Strategies and Outcomes: Strategy (System-wide): Coordinate services between Emergency Departments and regional mental health agencies. * During 2022, RSFH continued to participate and collaborate in the Charleston/Dorchester Mental Health Department's community task force. * During 2022, RSFH coordinated care of behavioral health patients, using local agencies and resources, such as Greer Transitions (LPC) and AccessHealth, for support. * RSFH continued their collaboration with mental health providers and other local agencies, including Charleston Police Department, MUSC, Lowcountry Food Bank and CDMHC to engage community members in highest need areas to direct appropriate services. In 2022, RSFH and Lowcounty Food Bank distributed over 2,000 bags of fresh produce to families in need. Additionally, in 2022 RSFH added the Charleston County Public Library to the list of collaborators, thereby expanding its partnerships throughout the community. Strategy (System-wide): Provide services and education to combat the opioid epidemic. * RSFH has continued building relationships with local law enforcement to create an alliance for holding Drug Take Back events and to expand their initiative. In 2022, the initiative was expanded, and new relationships were developed with North Charleston Police Department and Berkeley County Sheriff's Department. * In 2022, 2 drug take back events were held, and a total of 158 pounds of drugs were collected. Strategy (System-wide): Provide mental health screenings at wellness and postpartum OB/GYN visits. * RSFH incorporates depression screenings at primary care wellness visits and postpartum OB/GYN patient visits. In 2022, 82% of all patients received a depression screening during primary care wellness checks and 94.6% of all patients received a depression screening during the follow-up postpartum visit. Continued below. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - Roper Hospital, Inc.. Continued from above Obesity, Nutrition, and Physical Activity 2022 Strategies and Outcomes: Strategy (System-wide): increase opportunities for comprehensive wellness. * RSFH continued to implement Wellness Works incentives to increase employee participation in wellness exams and PCP visits. During the year 3,824 teammate wellness exams were conducted. * RSFH promotes employee participation in disease-specific events to increase health awareness and advocacy. In 2022, RSFH employees recorded 2,343 hours of staff time supporting initiatives while serving 68,898 community residents. * During the year RSFH's Community Health team participated in over 100 health fairs or screening events by hosting informative and interactive tables and booths to increase opportunities for comprehensive wellness. Strategy (System-wide): Collaborate with local partners to increase healthy food options in underprivileged communities. * RSFH collaborates with Lowcountry Food Bank and East Cooper Meals on Wheels to provide home-delivered meals in low-income communities. In 2022, RSFH and Lowcounty Food Bank prepared and distributed 3,000 nutritious, prepared meals to 400 homebound residents in Charleston County. Additionally, RSFH distributed over 2,000 bags of fresh produce to families in need. * In 2022 RSFH added the Charleston County Public Library to the list of collaborators, thereby expanding its partnerships throughout the community. Strategy (System-wide): Host evidence-based health and wellness community programs for older adults. * RSFH continued to offer physical wellness classes specifically targeting older adults throughout the Tri-county. In 2022, 434 seniors were enrolled as members at Lowcountry Senior Center resulting in over 75,000 visits to fitness and exercise activities. In 2022, 652 seniors were also enrolled as members at the Waring Senior Center. Significant Needs Not Addressed by the Hospital Roper Hospital, Inc. no longer offers labor and delivery services at its hospital facility and will not directly address the maternal, infant and child health need. While this need is not a direct focus for the hospital, Roper Hospital will support the strategies of the Roper St. Francis sites and other local organizations specifically designed and better prepared both through resources and experience to respond to this need. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - Roper Hospital, Inc.. Full charity care will be provided to patients with income 200% or less of FPG. Patients with an FPG of 201% - 400% will receive a discount based upon a sliding scale. Patients who qualify and are receiving benefits from the following programs may be presumed eligible for 100 percent financial assistance - food stamps, county and state relief programs, homelessness, deceased patients, and religious organizations. Patients who meet presumptive eligibility criteria may be granted financial assistance without completing the financial assistance application. In order to determine the appropriate level of financial assistance to apply to a patient's account, the facility will utilize a scoring mechanism, with the assistance of a third party vendor that provides a patient profile, or require the patient to complete a financial assistance application. Household income, as defined for federal tax guidelines, will be considered in determining whether a patient is eligible for financial assistance. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - Roper Hospital, Inc.. The patient handbook provided with registration references the Policy and includes contact information for patients who need assistance. In addition, signs are posted at all Hospital registration sites that reference our financial assistance policies and how they are accessed. 3 Roper St Francis Home Healthcare 1483 Tobias Gadson Blvd Ste 2018 Charleston SC 29407 Home Health Care Roper Hospice 1483 Tobias Gadson Blvd Ste 208 Charleston SC 29407 Hospice Care Lowcountry Surgery Center dba Roper 18 Farmfield Avenue Charleston SC 29407 Ambulatory Surgery Center Schedule H, Part I, Line 3c Roper Hospital, Inc. In addition to using the FPG to determine eligibility for free or discounted care, the system offers a 35% discount for patients who are uninsured. A 10% prompt payment discount is offered to all self-pay or self-pay-after-insurance patients who pay the balance at one time. Medical indigency adjustments are available to those that meet the established guidelines. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance Cost of financial assistance at cost was calculated with a cost to charge ratio using worksheet 2. The cost related to Medicaid patients was determined using Roper St. Francis Healthcare's cost accounting system and included both inpatients and outpatients for traditional Medicaid and Medicaid managed care plans. For subsidized services Roper St. Francis Healthcare's cost accounting system used to determine cost related to the specific service excluding traditional Medicaid and Medicaid managed care patients. Costs for charity and bad debt accounts are deducted using a ration of cost to charge specific to that subsidized service. Costs for other programs reflect the direct and indirect costs of providing those programs. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. NET PATIENT ACCOUNTS ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED UPON ROPER ST. FRANCIS HEALTHCARE'S HISTORICAL COLLECTION EXPERIENCE ADJUSTED FOR CURRENT ENVIRONMENTAL RISKS AND TRENDS FOR EACH MAJOR PAYOR SOURCE. SIGNIFICANT PROVISION IS MADE FOR SELF-PAY PATIENT ACCOUNTS IN THE PERIOD OF SERVICE BASED ON PAST COLLECTION EXPERIENCE. ROPER ST. FRANCIS HEALTHCARE'S CONCENTRATION OF CREDIT RISK RELATED TO NET PATIENT ACCOUNTS IS LIMITED DUE TO THE DIVERSITY OF PATIENTS AND PAYORS. NET PATIENT ACCOUNTS CONSIST OF AMOUNTS DUE FROM GOVERNMENTAL PROGRAMS (PRIMARILY MEDICARE AND MEDICAID), PRIVATE INSURANCE COMPANIES, MANAGED CARE PROGRAMS AND PATIENTS THEMSELVES. NET PATIENT SERVICE REVENUE FOR SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE IS RECOGNIZED BASED ON CONTRACTUAL RATES FOR SERVICES RENDERED. ROPER ST. FRANCIS HEALTHCARE RECOGNIZES A SIGNIFICANT AMOUNT OF PATIENT SERVICE REVENUE AT THE TIME SERVICES ARE RENDERED EVEN THOUGH IT DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY. AS A RESULT, THE PROVISION FOR BAD DEBTS IS PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). AMOUNTS RECOGNIZED ARE SUBJECT TO ADJUSTMENT UPON REVIEW BY THIRD-PARTY PAYORS. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, ROPER ST. FRANCIS HEALTHCARE RECOGNIZES REVENUE WHEN SERVICES ARE PROVIDED. BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF ROPER ST. FRANCIS HEALTHCARE'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR SERVICES PROVIDED. THUS, ROPER ST. FRANCIS HEALTH RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. ANY DISCOUNTS APPLIED TO SELF-PAY PATIENTS WOULD BE DEEMED EITHER CHARITY OR A CONTRACTUAL ADJUSTMENT. BAD DEBT WOULD BE BASED ON THE BALANCE AFTER THE CHARITY OR CONTRACTUAL ADJUSTMENT THAT IS DEEMED UNCOLLECTABLE FOLLOWING A REASONABLE COLLECTION EFFORT. Schedule H, Part III, Line 3 Bad Debt Expense Methodology For patients who do not turn in a signed charity care application, after 120 days of collection efforts, Roper St. Francis Healthcare uses the Health Care Advisory Board's self pay compass program to automatically qualify patients for charity care through the use of an electronic scoring technique. The data received through this software is believed to err on the side of denying charity. The estimate of bad debt that could have been charity is based on the system error rate. Please note that patients who complete a full charity care application and qualify for charity under our policy are granted charity regardless of the score in the self-pay compass system. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote BON SECOURS MERCY HEALTH'S (BSMH) AUDITED FINANCIAL STATEMENTS, WHICH INCLUDES THE ACTIVITY OF ROPER ST. FRANCIS HEALTHCARE, DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. BSMH ELECTED TO EARLY ADOPT ASU 2011-07. ACCORDINGLY, BAD DEBT EXPENSE IS REFLECTED AS A DEDUCTION FROM REVENUE RATHER THAN AS AN OPERATING EXPENSE. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, 2. SIGNIFICANT ACCOUNTING POLICIES, (d) NET PATIENT ACCOUNTS AND NET PATIENT SERVICE REVENUE (PAGE 11) STATES Patient receivables are recorded at net realizable value based on certain assumptions determined by payor class. For third party payors including Medicare, Medicaid, and commercial insurance, the net realizable value is based on the estimated contractual reimbursement percentage, which is based on current contract prices or historical paid claims data by payor. For self-pay receivables, which includes patients who are uninsured and the patient responsibility portion for patients with insurance, the net realizable value is determined using estimates of historical collection experience. These estimates are adjusted for estimated conversions of patient responsibility portions, expected recoveries and any anticipated changes in trends. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs BON SECOURS MERCY HEALTH AND ITS MEMBERS, INCLUDING ROPER ST. FRANCIS HEALTHCARE (RSFH), FOLLOW THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES POLICY DOCUMENT, COMMUNITY BENEFIT PROGRAM, A REVISED RESOURCE FOR SOCIAL ACCOUNTABILITY ("CHA GUIDELINES") FOR DETERMINING COMMUNITY BENEFIT. THE CHA GUIDELINES RECOMMEND THAT HOSPITALS NOT INCLUDE MEDICARE LOSSES AS COMMUNITY BENEFIT. RSFH'S COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE MEDICARE AMOUNTS IN PART III. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance Roper St. Francis Healthcare (RSFH) uses the same reasonable efforts and follows the same reasonable process for collecting amounts due for services provided to all patients, including insured, underinsured or uninsured patients. Collection activities may occur during the pre-registration process and will continue until account resolution, a determination the account is uncollectible, or determination of eligibility for financial assistance. The collection process may include the use of deposits, the implementation of payment plans or discretionary settlements. The collection process may involve the use of outside collection agencies. The collection process is documented in the patient's account files accessible to the Hospital and its business associates involved in the collection process. Collection will not, however, be pursued against patients who fall within populations exempt from collection action by law. Schedule H, Part V, Section B, Line 16a FAP website - Roper Hospital, Inc.: Line 16a URL: https://www.rsfh.com/billing-financial-assistance/; Schedule H, Part V, Section B, Line 16b FAP Application website - Roper Hospital, Inc.: Line 16b URL: https://www.rsfh.com/billing-financial-assistance/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Roper Hospital, Inc.: Line 16c URL: https://www.rsfh.com/billing-financial-assistance/; Schedule H, Part VI, Line 2 Needs assessment ROPER ST. FRANCIS HEALTHCARE (RSFH) HOSPITALS ASSESS AND CONTINUALLY RESPOND TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. EVERY THREE YEARS RSFH HOSPITALS EVALUATE THOSE NEEDS THROUGH A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS. THE MOST RECENT ASSESSMENT, COMPLETED BY MUSC HEALTH, RSFH, AND TRIDENT UNITED WAY AND COMMUNITY LEADERS, INCLUDE QUALITATIVE AND QUANTITATIVE DATA THAT GUIDE BOTH OUR COMMUNITY BENEFIT AND STRATEGIC PLANNING. RSFH, MUSC AND TRIDENT UNITED WAY AS THE THREE CORE PARTNER ORGANIZATIONS WORK COLLABORATIVELY TO ASSESS DATA AND GATHER COMMUNITY INPUT. BASED ON THE QUALITATIVE AND QUANTITATIVE DATA GATHERED THROUGH THIS PROCESS, RSFH STRATEGICALLY PRIORITIZED HEALTH NEEDS AND IMPLEMENTS SUPPORTING PROGRAMS. RSFH AND ITS PARTNER ORGANIZATIONS WILL ANNUALLY REPORT THE MONITORING OF THE HEALTH IMPROVEMENT PLANS AND EVALUATE THE PROCESS AND OUTCOMES. RSFH HOSPITALS INCORPORATE PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. RSFH HOSPITALS RECOGNIZE THE HEALTH OF THE COMMUNITY IS INFLUENCED BY SOCIAL, ECONOMIC, AND ENVIRONMENTAL FACTORS, NOT JUST BY DISEASE AND ILLNESS. OUR COMMUNITY BENEFIT INCLUDES BOTH QUALITATIVE AND QUANTITATIVE DATA; DEMOGRAPHICS INCLUDING RACE, AGE, AND ETHNICITY; SOCIOECONOMIC DATA INCLUDING INCOME, EDUCATION, AND HEALTH INSURANCE RATES; PRIMARY CARE AND CHRONIC DISEASE NEEDS OF UNINSURED PERSONS; AND DATA ON HEALTH DISPARITIES IN HEALTH OUTCOMES AMONG MINORITY GROUPS. RSFH'S COMMUNITY SERVICES TEAM PROVIDES OVERSIGHT TO THE ORGANIZATION'S COMMUNITY BENEFITS PROGRAM. RSFH HOSPITALS WORK CLOSELY WITH HEALTH AND HUMAN SERVICE ORGANIZATIONS IN THE AREA, PARTNERING WITH SOME TO PROVIDE SERVICES TO AVOID DUPLICATION. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Statements to patients from the Hospital outline our charity care policy and our charity care policy is posted on our website. If patients indicate they are not able to pay their bill, we will provide the patient with a charity care application. The Hospital shall send anyone who requests information on the Hospital's financial assistance program a letter outlining required information and a financial assistance application form. Requests for financial assistance may be proposed by sources other than the patient, such as the patient's physician, family members, social service organizations, community or religious groups, or Hospital personnel. Patients can also meet with a member or our financial counseling department to learn about their financial assistance options. Brochures are printed in English and Spanish telling patients to contact the financial counseling department. The Hospital wants its patients focus to be on health and recovery and not financial worry. There is absolutely no additional cost for our financial counseling assistance. Additionally, patients can meet with staff of the Medicaid program. The program staff will meet with patients individually to help them apply for publicly supported programs such as Medicaid, Medicare, and disability. Counselors meet with patients in the Hospital as well as making home visits as appropriate. The staff can also help identify resources to help pay for medication. All of this information is posted on our website with the appropriate contact information. Schedule H, Part VI, Line 4 Community information The primary service area for Roper St. Francis Healthcare and its four hospitals (collectively referred to as RSFH) consists of Charleston, Berkeley, and Dorchester counties. These counties include the major municipalities of Charleston, North Charleston, Mount Pleasant, and Summerville. The tri-county area that makes up the primary service area has a population of approximately 806,000 residents and is expected to grow by 11% through 2025 based on the results of the most recently completed Community Health Needs Assessment (CHNA). These residents are 49% Male and 51% Female with a majority between the ages of 18 and 64. The average annual household income of the tri-county area is between $65,000 - $75,000 with the average level of education being an Associate's degree. The race/ethnicity of the residents of the tri-county area is approximately 64% White (non-Hispanic), 25% African American, 6% Hispanic/Latinx, and 3% other race/ethnicities. Based on the respondents from the CHNA the average amount of individuals with no health insurance who are under the age of 65 is 12.6% in Dorchester County, 12.1% in Berkeley County, and 11.3% in Charleston County. According to national health rankings issued by the United Health Foundation, South Carolina ranked 43rd of 50 states based on overall health of its residents. South Carolina continues to face challenges such as high premature death rates, high prevalence of multiple chronic conditions, as well as high incidence of sexually transmitted infections. Despite the United Health Foundation ranking, Berkeley, Charleston and Dorchester Counties each rank within the top 10 of overall health compared to the other 46 counties in South Carolina. Additional detail regarding the community served by RSFH can be found in the CHNA at the following link: https://www.rsfh.com/mission-department/ Schedule H, Part VI, Line 5 Promotion of community health In keeping with our mission of healing all people with compassion, faith, and excellence, Roper St. Francis Healthcare strives to enrich the health of our community. We do this by offering charity care to those in need, reaching out to our neighbors with health fairs and educational materials, sponsoring organizations and events that promote wellness and community well-being, and marshaling our resources to advance the health and dignity of each person with whom we come in contact. We are the Low Country's only non-governmental, not for profit healthcare system. With this distinction, we believe it is our responsibility to advocate for and respond to our neighbors needs through community benefit. Surplus funds are returned to our community through the development of new facilities to serve population growth, the expansion of existing facilities, subsidizing care for those who are unable to pay, sponsorship of healthcare related activities including outreach clinics and programs for the uninsured, and investing in technology to improve the quality of patient care. The Organization is committed to the enrichment of healthcare in our community as evidenced by the composition of our Board of Directors and Open Medical Staff. Our governing body is comprised of a 13-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. The hospital extends medical staff privileges to all qualified physicians in the area for most of our departments. Schedule H, Part VI, Line 6 Affiliated health care system Roper St. Francis Healthcare (RSFH) is a charitable health care delivery system based in Charleston, South Carolina. The 657-bed health system provides services at 90 facilities and doctors' offices conveniently located throughout our region. On January 2, 2020, Bon Secours Mercy Health, Inc. (BSMH), through its affiliate HealthSpan Partners, completed an agreement with the Medical Society of South Carolina to restructure the RSFH joint venture. The restructuring increased BSMH's ownership interest in the joint venture from a noncontrolling 27% to a controlling 51%. Following the restructuring, RSFH is a member of Bon Secours Mercy Health, Inc., a Maryland nonprofit, nonstock membership corporation (BSMH), and all of the other entities that are controlled directly or indirectly by BSMH are described collectively as the System. The System was organized in June 1983 to fulfill the healthcare mission of the United States Province of the Congregation of the Sisters of Bon Secours of Paris, a congregation of religious women of the Roman Catholic Church founded in France in 1824. The System's activities are in the states of Ohio, New York, Pennsylvania, Maryland, Virginia, Kentucky, South Carolina, and Florida, each referred to as a local system. The Ministry of BSMH aids those in need, particularly those who are sick and dying, by offering services that include but are not limited to acute inpatient, outpatient, pastoral, palliative, home health, nursing home, rehabilitative, primary and secondary care and assisted living without regard to race, religion, color, gender, age, marital status, national origin, sexual orientation, or disability. As a member of the Catholic health ministry and a member of BSMH, this organization and its related entities are called to continue the healing ministry of Jesus. We exist to benefit the people living in the communities it serves. Through all of the services offered to the community, the mission is "to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a System of caregivers, we commit ourselves to help bring people and communities to health and wholeness as part of the healing ministry of Jesus Christ and the Catholic Church." This organization and related organizations share the BSMH Vision. We at BSMH are committed to improve the health of the communities by seeing health broadly though a lens of equity. This allows the Ministry to be recognized as a national leader in addressing the root causes of health disparity through intentional engagement, comprehensive investment and impactful program delivery. To achieve this goal of improving the health of our communities, our work is guided by the BSMH Community Health Strategic Plan. This strategic plan is broken down into four pillars, each with a corresponding focus area. We believe these pillars will allow us to expand upon our already existing commitment to the communities we serve. Pillar 1: Improve Health and Well-Being - Targeted interventions on focused populations that reduced utilization, enhanced well-being, and increased access to care. Pillar 2: Expand Community Development Principles - Clarity and focus on system wide fundraising strategy for community health priorities. Pillar 3: Partner to Build Scale - Work with partners of local, regional, and national prominence and excellence in addressing root causes of health and well-being Pillar 4: Cultivate Investment and Business Development in the Social Determinants of Health - Test and develop new ventures in the community health worker arena. Please see Schedule R for listings of the related organizations. Each of the reported entities play a role in achieving the vision of BSMH and the Community Health Strategic Plan. System-wide community benefit for 2022 per the audit footnote is as follows: Total 2022 Community Benefit: $644.7 Million Benefits to the Broader Community: $147.5 million Unreimbursed Care for Those Who Are Poor and Qualify for Medicaid: $404.3 million Cost of Care for Those Who Could Not Afford to Pay: $92.9 million Community Benefit as Percent of Total Expense: 5.6 percent. Schedule H, Part VI, Line 7 State filing of community benefit report SC true Medical University of South Carolina 18 Bee St MSC 450 Charleston SC 29425 576028985 501(c)(3) 37000 MISSION SUPPORT FORT MILL HOUSING SERVICES INC 105 BOZEMAN DR FORT MILL SC 29715 571063487 501(C)(3) 71106 MISSION SUPPORT 2 0 Housing Assistance 147 97235 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. THERE IS NO FORMAL REQUIREMENT FOR MONITORING THE USE OF THE FUNDS FOR ALL OTHER GRANTS PAID. true true false false false false false true false Wael Haidar MD Vice Chair, BSMH Chief Clinical Officer 0 798764 0 368640 0 781456 0 589664 0 23839 0 2562363 0 563554 Brian Cuddy MD Chair, Neurosurgeon - RSFPP 0 989231 0 0 0 18554 0 35438 0 48164 0 1091387 0 0 JOSEPH GAGE JR JD Board Member; BSMH Chief HR Officer 0 579548 0 267480 0 568938 0 305465 0 35036 0 1756467 0 299040 Brian Yanofchick Board Member; Chief Spons. Officer Prov Grp - BSMH 0 308002 0 50150 0 122749 0 4550 0 12493 0 497944 0 0 Susan Datta MD Board Member, Internist - RSFPP 0 340967 0 34305 0 2740 0 31365 0 36352 0 445729 0 0 Henry West MD Board Member, Surgeon - RSFPP 0 517943 0 151397 0 20488 0 35438 0 31711 0 756977 0 0 Wills C Geils MD Board Member, Oncology Physician 0 471034 0 32787 0 387 0 14938 0 48481 0 567627 0 0 Anthony Jackson FORMER VP & CEO Acute Care Services 0 216756 0 304126 0 752905 0 29650 0 10329 0 1313766 0 372044 Christopher Glenn Former Interim CFO/Treasurer 0 239000 0 47699 0 16373 0 11216 0 42813 0 357101 0 0 Matthew Desmond VP Ops Acute Care 0 347543 0 125708 0 50804 0 41188 0 48222 0 613465 0 0 Jeffrey DiLisi MD President/CEO RSFH 0 765516 0 414703 0 68608 0 269854 0 50425 0 1569106 0 64797 Adriana Day CFO/Treasurer RSFH 0 484665 0 116946 0 -18892 0 137654 0 30787 0 751160 0 0 Stanley Wilson MD FORMER VP, CMO Acute Care - RHI/MPH 0 444631 0 145997 0 44925 0 30088 0 30059 0 695700 0 38879 Susan M Bennett Chief Nursing Officer 211962 0 28522 0 1183 0 8797 0 16206 0 266670 0 0 0 Troy Powell VP Post Acute Care Services 0 309763 0 116890 0 1354 0 39468 0 45986 0 513461 0 0 Mitchell Siegan MD VP CMO - Acute Care 0 498448 0 177040 0 2621 0 81887 0 45900 0 805896 0 0 Patrick Bosse Interim Chief Administrative Officer (Beg 10/22) 0 204729 0 55466 0 81 0 12517 0 13416 0 286209 0 0 Mary Elizabeth Hanley DO Osteopathic Medicine 315616 0 4893 0 387 0 11038 0 45921 0 377855 0 0 0 John Fowler Manager Pharmacy 200768 0 19348 0 717 0 10360 0 13264 0 244457 0 0 0 Bonnie Mello Director Home Care Services 161750 0 33436 0 21090 0 7664 0 2438 0 226378 0 0 0 Laurah Ebai Registered Nurse 168077 0 27585 0 324 0 7200 0 1232 0 204418 0 0 0 Frank Egbuniwe Registered Nurse 194809 0 39006 0 184 0 7424 0 52996 0 294419 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation A related organization of Roper Hospital, Inc. determined the compensation of the Organization's CEO using the following methods: Compensation Committee Independent Compensation Consultant Compensation Survey or Study Approval by the Board or Compensation Committee 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 listed individuals 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 individual was as follow: Anthony Jackson, $379,777. 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). INDIVIDUALS THAT PARTICIPATED OR RECEIVED A DISTRIBUTION INCLUDE: Anthony Jackson, $241,704; Troy Powell, $0; Jeffrey DiLisi, MD, $0; Mitchell Siegan, MD, $0; Matthew Desmond, $0; Adriana Day, $0; Stanley Wilson, $38,879. 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. 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 for listed individuals due to SERP participation in the reporting year were as follows: Brian Yanofchick, $34,000; Joseph Gage, Jr., JD, $185,542; and Wael Haidar, MD, $239,145. 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. 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 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. Annette Rivers-Watson Family member of Roberta Pinckney, board member 69532 Compensation false X 63 111470 Cost 0 false false false Schedule M, Part I Explanations of reporting method for number of contributions Drugs and medical supplies - Number of Items received Form 990, Part VI, Line 6 Classes of members or stockholders The sole member of the Corporation is Roper St. Francis Healthcare, a South Carolina nonprofit, nonstock corporation. Roper St. Francis Healthcare is in turn governed by a Board of Directors appointed by its members. The members of Roper St. Francis Healthcare (RSFH) are The Medical Society of South Carolina (49%), a South Carolina nonprofit corporation, and HealthSpan Partners (51%), 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 12-member board of directors (the Board of Directors). Subject to certain Nominating Committee approvals, six directors are appointed by each of MSSC and 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 for review and resolution. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders 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, 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 organization's governing documents, conflict of interest policy and financial statements are available to the public upon request. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue - Total Revenue: 237486, Related or Exempt Function Revenue: , Unrelated Business Revenue: 1098, Revenue Excluded from Tax Under Sections 512, 513, or 514: 236388; Form 990, Part IX, Line 11g Other Fees Other Purchased Services - Total Expense: 2663054, Program Service Expense: 2130443, Management and General Expenses: 532611, Fundraising Expenses: ; Medical Professional Fees - Total Expense: 34504008, Program Service Expense: 34504008, Management and General Expenses: , Fundraising Expenses: ; Corp Admin Fees - Total Expense: 67119282, Program Service Expense: 53695426, Management and General Expenses: 13423856, Fundraising Expenses: ; Contract Labor - Total Expense: 22439113, Program Service Expense: 17951290, Management and General Expenses: 4487823, Fundraising Expenses: ; Maintenance & Service Agrts - Total Expense: 7593264, Program Service Expense: 6074611, Management and General Expenses: 1518653, Fundraising Expenses: ; Pharmacy Services - Total Expense: 2937041, Program Service Expense: 2937041, Management and General Expenses: , Fundraising Expenses: ; Physician Services - Total Expense: 4227664, Program Service Expense: 4227664, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Assets Released from Restrictions - 7034342; Net Pension Benefit - -917610; Adjustment for Intercompany Cash and Investments - -50416320; Other Changes in Net Assets - 24203; 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 Local System Parent Org. EI 501(c)(3) Type III-FI Bon Secours Mercy Health Inc false BON SECOURS MERCY HEALTH FOUNDATION 1701 Mercy Health Place CINCINNATI OH 45237 201072726 FUNDRAISING OH 501(c)(3) 7 Bon Secours Mercy Health Inc false Bon Secours New Jersey Health System Inc 1505 Marriottsville Road Marriottsville MD 27104 222754781 Local System Parent Org. NJ 501(c)(3) Type III-FI Bon Secours Mercy Health Inc false Bon Secours New York Health System Inc 2975 Independence Avenue Bronx NY 10463 912135196 Local System Parent Org. NY 501(c)(3) Type I Bon Secours Mercy Health Inc false Bon Secours Richmond Health System 8580 Magellan Parkway Richmond VA 23227 521988421 Local System Parent Org. VA 501(c)(3) 3 Bon Secours Richmond LLC false Bon Secours St Francis Health System Inc 1 St Francis Drive Greenville SC 29601 582504528 Local System Parent Org. 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 1505 Marriottsville Road Marriottsville MD 27104 251585441 Local System Parent Org. 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