2023-11-10T14:47:52+00:00 2022-12-31 920460586 PwC US Tax LLP 655 New York Ave Suite 1100 Washington DC 20001 990 2022-01-01 570831165 ROPER ST FRANCIS HEALTHCARE 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 194397070 false X www.rsfh.com X 1998 SC Management and oversight of related hospital and healthcare subsidiaries. 12 4 7319 82 2983 0 1546404 1480568 132968348 175962678 54714392 12485872 2506815 3458571 191735959 193387689 525689 488894 0 81535386 73206838 0 0 124956688 158263697 207017763 231959429 -15281804 -38571740 1652435884 1290964887 789882465 527910167 862553419 763054720 Healing all people with compassion, faith, and excellence. false false 184413754 488894 175962678 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, our 668-bed health system includes more than 117 facilities and doctors' offices conveniently located throughout our region. 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. We have more than 1,000 doctors on our team and are Charleston's second largest private employer with more than 5,900 employees. Our team puts patients first, a quality that has led us to receive top national awards in patient satisfaction year after year. 184413754 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 false true true true false false false false false false false false false false false false true true true true false false true 644 0 true 7319 true true false false false false false false false false false true 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 St 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 43.0 7.0 X 582719 0 168441 Jeffrey DiLisi MD President/CEO RSFH 44.5 5.5 X 1248827 0 320279 Lori Roberts Assist. Secretary, Director, Legal Services 50.0 0 X 148337 0 7579 Mark Dickson VP Mission 50.0 0 X 354386 0 41323 Michael Pazzo SVP & Chief Legal Officer (Beg 02/22) 49.0 1.0 X 456712 219854 153006 Anthony Jackson SVP and COO (End 6/22) 50.0 0.0 X 1273787 0 39979 Chris McLain MD SVP & Chief Physician Officer 50.0 0 X 927864 0 187341 Katherine Phillips Smith VP & Chief Marketing & Digital Officer (Beg 01/22) 50.0 0 X 353814 0 75108 Kevin Hoak SVP AND COO (Beg 10/22) 50.0 0 X 403999 0 103901 Laishy Williams-Carlson CIO of BSMH, HSP and RSFH 12.5 37.5 X 387580 958693 -21348 Marissa Blair Jamarik VP & Chief Nursing Officer 25.0 25.0 X 440371 0 121490 Melanie Stith VP Human Resources 50.0 0.0 X 595085 0 149849 Michael Moxley VP & Chief Div, Inclus & Health Eq. Officer 50.0 0 X 448195 0 65925 Jeanne Ballard Chief Medical Information Officer 50.0 0 X 375825 0 34183 Matthew Desmond VP Ops-Acute Care 9.5 40.5 X 524055 0 89410 Mitchell Siegan MD VP CMO - Acute Care 10.0 40.0 X 678109 0 127787 Stanley Wilson MD AVP CMO Quality & Cont Care 49.5 0.5 X 635553 0 60147 Troy Powell VP Post Acute Care Services 10.0 40.0 X 428007 0 85454 Christopher Glenn Former Interim CFO/Treasurer 50.0 0.0 X 303072 0 54029 Craig Self Former VP, Chief Strategy/Bus Devlpt Officer 0.0 0 X 141582 0 0 Gregory Edwards Former VP & General Counsel, Secretary 0.0 0.0 X 326475 0 0 11034354 7604107 3116817 146 true true false Ensemble Health Partners 11511 Reed Hartman Hwy Blue Ash OH 45241 Revenue Cycle Services 9378367 MEDASOURCE PO BOX 301136 INDIANAPOLIS IN 46230 Consulting and Management Services 5555958 Cardinal ValueLink PO BOX 70539 Chicago IL 60673 Medical products and services 4491857 Rightsourcing Inc PO BOX 515743 Los Angeles CA 90051 Technology services 4378465 In Compass Health Inc 13000 DEERFIELD PKWY Ste 1000 Alpharetta GA 30004 Medical services 2601025 171 1274337 108552 97679 1480568 Network Fees 900099 174977494 174977494 Operating Rental Income 900002 367808 367808 Senior Center Revenue 531390 536338 536338 JV and Partnership Income 900099 81038 81038 0 0 0 0 175962678 5102342 2783 5099559 496189 224439 271750 0 271750 271750 8168472 0 363698 421244 7804774 -421244 7383530 7383530 Daycare Revenue 624410 907011 907011 FCC Reimbursements 541900 380316 380316 Vendor Rebates 900099 747483 747483 1152011 0 200 1151811 3186821 193387689 175962678 2983 15941460 X 227418 227418 261476 261476 9034549 7227639 1806910 48935394 39148315 9787079 2247006 1797605 449401 8581294 6865035 1716259 4408595 3526876 881719 2025330 2025330 25000 25000 179839 179839 637125 637125 56118183 45208767 10909416 0 3880158 3104126 776032 18665193 14932154 3733039 8708981 6967185 1741796 9473552 7578842 1894710 472688 378150 94538 30949 24759 6190 3215580 3215580 32606504 26085203 6521301 20581029 16464823 4116206 Business Development 118104 94483 23621 Medical Supplies 293024 293024 Recruitment 131638 131638 Sales Tax 598340 478672 119668 502480 401984 100496 0 231959429 184413754 47545675 0 54534894 30190011 150162285 29731453 629156 0 0 0 0 3474 1750 7920 21233287 14968474 146011927 32281480 94797235 113730447 319825437 237901460 0 776146344 664248903 99170802 99170802 136562126 100384511 1652435884 1290964887 133840030 128445741 367826 0 0 656042435 399096600 789882465 527910167 X 862553419 763054720 862553419 763054720 1652435884 1290964887 X -38571740 -42285819 -18641140 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 17988 true 11851 false true 150000 179839 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING ACTIVITIES PERFORMED INCLUDE BOTH THE USE OF VOLUNTEERS ENCOURAGED TO WRITE LETTERS TO PUBLIC OFFICIALS ON ISSUES THAT IMPACT THE ABILITY OF ROPER ST. FRANCIS HEALTHCARE (RSFH) TO CONTINUE TO PROVIDE HEALTH SERVICES TO THE COMMUNITIES IT SERVES, AND THE USE OF PAID STAFF MEMBERS AND MANAGEMENT PERSONNEL. PAID MANAGEMENT PERSONNEL REGULARLY ISSUE MAILINGS TO LEGISLATORS ATTEMPTING TO INFLUENCE LEGISLATIVE MATTERS AND REFERENDA, AND ORGANIZE AND HOST MEETINGS AMONG HOSPITAL EXECUTIVES AND THEIR LEGISLATORS REGARDING ISSUES THAT IMPACT RSFH'S ABILITY TO CONTINUE PROVIDING HEALTHCARE SERVICES TO ITS PATIENTS AND TO CONTINUE IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES. PAID STAFF MEMBERS HAVE, ON LIMITED OCCASIONS, WRITTEN TO LEGISLATURES ON SUCH ISSUES. 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). THE SCHA ENGAGES IN LOBBYING EFFORTS ON BEHALF OF ITS MEMBERSHIP BODY, AND EACH YEAR A PORTION OF THE DUES PAID TO THE SCHA ARE ALLOCATED TOWARDS THOSE EFFORTS. FOR 2022, THE AMOUNT OF MEMBERSHIP DUES ALLOCATED TO LOBBYING WAS $17,988. OTHER LOBBYING ACTIVITIES OF $150,000 CONSTITUTE ISSUED-BASED LOBBYING SUPPORT. 24147417 24147417 2839112 221799 2617313 9672266 3113947 6558319 85729472 28742780 56986692 23623660 202954 23420706 113730447 Investment in RSF ATI 3269698 C Investment in Affiliates 660979205 C 664248903 Due from Affiliates 22316333 Other Receivables 1395619 Right of Use Assets 76672559 100384511 Due to Affiliates 222397176 Other Liabilities Right of Use Liabilities 82041634 Intercompany Notes Payable 94657790 399096600 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 American Cancer Society 250 Williams St 4th Floor Atlanta GA 30303 131788491 501(c)(3) 10000 Mission Support Beautiful Gate Center 3107 Meeting Street Rd North Charleston SC 29405 473410814 501(c)(3) 10000 Mission Support Charleston County Adult Drug Court 100 Broad St Ste 469 Charleston SC 29401 743151199 Government 30000 Mission Support Green Heart Project Inc 7759 King St Ste A Charleston SC 29403 460829120 501(c)(3) 10000 Mission Support Lowcounty Food Bank 2864 Azalea Dr North Charleston SC 29405 570751835 501(c)(3) 10000 Mission Support Tricounty Cradle to Career Collaborative 2180 McMillan Ave North Charleston SC 29415 462902337 501(c)(3) 10000 Mission Support Trident United Way 6296 Rivers Ave 200 North Charleston SC 29406 570314378 501(c)(3) 20000 Mission Support 7 0 Nursing Scholarships 70 242282 Employee Relief Fund 16 19194 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 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 Gregory Edwards Former VP & General Counsel, Secretary 0 0 0 0 326475 0 0 0 0 0 326475 0 0 0 Christopher Glenn Former Interim CFO/Treasurer 239000 0 47699 0 16373 0 11216 0 42813 0 357101 0 0 0 Mark Dickson VP Mission 232403 0 101405 0 20578 0 13172 0 28151 0 395709 0 17202 0 Lori Roberts Assist. Secretary, Director, Legal Services 77364 0 42607 0 28366 0 1366 0 6213 0 155916 0 0 0 Jeffrey DiLisi MD President/CEO RSFH 765516 0 414703 0 68608 0 269854 0 50425 0 1569106 0 64797 0 Adriana Day CFO/Treasurer RSFH 484665 0 116946 0 -18892 0 137654 0 30787 0 751160 0 0 0 Michael Pazzo SVP & Chief Legal Officer (Beg 02/22) 356469 57878 0 121981 100243 39995 108744 0 41060 3202 606516 223056 0 0 Craig Self Former VP, Chief Strategy/Bus Devlpt Officer 0 0 0 0 141582 0 0 0 0 0 141582 0 0 0 Laishy Williams-Carlson CIO of BSMH, HSP and RSFH 222858 305807 157357 73003 7365 579883 7783 -56144 19007 8006 414370 910555 0 0 Melanie Stith VP Human Resources 422283 0 138393 0 34409 0 103431 0 46418 0 744934 0 32628 0 Anthony Jackson SVP and COO (End 6/22) 216756 0 304126 0 752905 0 29650 0 10329 0 1313766 0 372044 0 Chris McLain MD SVP & Chief Physician Officer 596175 0 298046 0 33643 0 143702 0 43639 0 1115205 0 31933 0 Marissa Blair Jamarik VP & Chief Nursing Officer 366533 0 88535 0 -14697 0 89933 0 31557 0 561861 0 0 0 Michael Moxley VP & Chief Div, Inclus & Health Eq. Officer 367783 0 75936 0 4476 0 63804 0 2121 0 514120 0 0 0 Katherine Phillips Smith VP & Chief Marketing & Digital Officer (Beg 01/22) 303604 0 0 0 50210 0 38630 0 36478 0 428922 0 0 0 Kevin Hoak SVP AND COO (Beg 10/22) 340966 0 62143 0 890 0 55499 0 48402 0 507900 0 0 0 Jeanne Ballard Chief Medical Information Officer 315706 0 59732 0 387 0 9753 0 24430 0 410008 0 0 0 Matthew Desmond VP Ops-Acute Care 347543 0 125708 0 50804 0 41188 0 48222 0 613465 0 0 0 Troy Powell VP Post Acute Care Services 309763 0 116890 0 1354 0 39468 0 45986 0 513461 0 0 0 Mitchell Siegan MD VP CMO - Acute Care 498448 0 177040 0 2621 0 81887 0 45900 0 805896 0 0 0 Stanley Wilson MD AVP CMO Quality & Cont Care 444631 0 145997 0 44925 0 30088 0 30059 0 695700 0 38879 0 Schedule J, Part I, Line 1a Housing allowance or residence for personal use Employer provided temporary housing related to employee relocation was provided for one officer and two key employees. 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 listed individuals for specified periods. The listed individuals executed releases and waivers of claims in exchange for the severance benefits. Salary continuation amounts provided during the reporting year to listed individuals were as follows: Gregory Edwards, $326,475; Craig Self, $141,582 and 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: Mark Dickson, $17,202; Anthony Jackson, $241,704; Melanie Stith, $32,628; Troy Powell, $0; Jeffrey DiLisi, MD, $0; Christopher McLain, MD, $0; Mitchell Siegan, MD, $0; Matthew Desmond, $0; Adriana Day, $0; Marissa Blair Jamarik, $0; Michael Moxley, $0; Stanley Wilson, MD, $38,879; Katherine Phillips Smith, $0; Kevin Hoak, $0; Michael Pazzo, $0. 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; Wael Haidar, MD, $239,145; Laishy Williams-Carlson, $89,766; Michael Pazzo, $38,722. 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 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 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. Schedule J, Part II, Column (C) REPORTING NEGATIVE DEFERRED COMPENSATION ANNUAL ACTUARIALLY-DETERMINED CONTRIBUTIONS TO DEFINED BENEFIT PLANS, WHICH ARE BASED ON PRIOR PLAN CONTRIBUTIONS, CHANGES IN INTEREST RATES, THE PRESENT VALUE OF ACCRUED BENEFITS, AND OTHER DATA AND ASSUMPTIONS ABOUT THE FUTURE, MAY, FOR SOME PLAN PARTICIPANTS AND FOR SOME PLAN YEARS, RESULT IN NEGATIVE CONTRIBUTION AMOUNTS. Form 990, Part VI, Line 6 Classes of members or stockholders The members of Roper St. Francis Healthcare (RSFH) were The Medical Society of South Carolina (49%), a South Carolina nonprofit corporation, 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 RSFH 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 Other Revenue - Total Revenue: 1152011, Related or Exempt Function Revenue: , Unrelated Business Revenue: 200, Revenue Excluded from Tax Under Sections 512, 513, or 514: 1151811; Form 990, Part IX, Line 11g Other Fees Purchased Services - Total Expense: 2371531, Program Service Expense: 1897225, Management and General Expenses: 474306, Fundraising Expenses: ; Medical Professional Fees - Total Expense: 571503, Program Service Expense: 571503, Management and General Expenses: , Fundraising Expenses: ; Corp Admin Fees - Total Expense: 44573384, Program Service Expense: 35658707, Management and General Expenses: 8914677, Fundraising Expenses: ; Contract Labor - Total Expense: 2687275, Program Service Expense: 2149820, Management and General Expenses: 537455, Fundraising Expenses: ; Maintenance & Service Agreements - Total Expense: 585575, Program Service Expense: 468460, Management and General Expenses: 117115, Fundraising Expenses: ; Employee Wellness - Total Expense: 1698405, Program Service Expense: 1358724, Management and General Expenses: 339681, Fundraising Expenses: ; Physician Services - Total Expense: 999598, Program Service Expense: 999598, Management and General Expenses: , Fundraising Expenses: ; Supply Chain - Total Expense: 684670, Program Service Expense: 547736, Management and General Expenses: 136934, Fundraising Expenses: ; Consulting - Total Expense: 1946242, Program Service Expense: 1556994, Management and General Expenses: 389248, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Loss on Discontinued Operation - -46005; Adjustment to Investment in Affiliates - -XXX-XX-XXXX; Net Pension and Benefit Allocation - 1688782; Intercompany Eliminations - 91567162; Roper St Francis Health Alliance 8536 Palmetto Commerce Pkwy Ste 201 Ladson SC 29456 472412912 ACO SC 0 10488682 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 Local System Parent Org. 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