2025-11-06T11:37:07+00:00 2024-12-31 990 2024-01-01 882224618 Roper St Francis Ancillary Services ROPE 8437242958 8536 Palmetto Pkwy Ste 301 Ladson SC 29456 Rebecca Tucker CFO 5139525000 2025-11-06 true 2024 2025-03-06 01:10:19Z X Rebecca Tucker 8536 Palmetto Pkwy Ste 301 Ladson SC 29456 3990817 false X www.rsfh.com X 2022 SC Medical, diagnostic and therapeutic healthcare services 3 0 50 0 0 418648 0 3390023 3987761 3056 0 3808671 3990817 0 0 2517102 2940848 0 0 2898425 1113294 5415527 4054142 -1606856 -63325 1588035 1299714 126812 182323 1461223 1117391 As an operating subsidiary of Roper St. Francis Healthcare (RSFH), Roper St. Francis Ancillary Services (RSFAS) provides a wide range of healthcare services to support the work of the four hospitals that are part of the RSFH System. The activities of RSFAS are devoted to fulfilling the healthcare mission of RSFH. These activities allow RSFH to extend our nonprofit mission into the community as we expand our reach and strengthen our support to those served. RSFAS services can be classified as medical, diagnostic and therapeutic. Medical services include but are not limited to patient transport, nursing, wound care, social work and virtual care. Diagnostic services include laboratory tests, diagnostic imaging and other services that render a medical diagnosis. Therapeutic services include physical rehabilitation, counseling and other services that support patient recovery and resumption of quality of life. false false 3305202 0 3987761 Roper St. Francis Ancillary Services (RSFAS) provides a wide range of healthcare services to support the work of the four hospitals that are part of the Roper St. Francis Healthcare System. These services can be classified as medical, diagnostic and therapeutic. Medical services include but are not limited to patient transport, nursing, wound care, social work and virtual care. Diagnostic services include laboratory tests, diagnostic imaging and other services that render a medical diagnosis. Therapeutic services include physical rehabilitation, counseling and other services that support patient recovery and resumption of quality of life. 3305202 true false false false false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false false false true false false false false true 0 0 50 true false false false false false false false false false false false false X 3 0 false false false false true true true true true false false false false true true true true true true true false false SC X The Finance Department 5139524999 4600 McAuley Place Suite 100 Blue Ash OH 45242 Kevin Hoak Board Treasurer, RSFH COO (End 04/24) 1.0 49.0 X X 0 964758 27446 Marissa Blair Jamarik PhD SVP & Chief Nursing Officer 24.5 25.5 X X 0 621894 145815 Rebecca Tucker Board Treasurer, RSFH CFO (Beg 08/24) 1.0 49.0 X X 0 234228 27846 Troy Powell Regional President - RH/BH & VP Continuing Care 8.0 42.0 X X 0 518180 91057 Kishma Rollins Clinical Manager 50.0 0 X 149310 0 19077 Paula Durham Sr. Paramedic 50.0 0 X 105408 0 16685 254718 2339060 327926 2 false true false 0 0 Net Patient Revenue 621400 3763141 3763141 Intercompany Patient Transportation 621400 224620 224620 0 0 0 0 3987761 0 0 3056 0 0 3056 3056 3056 0 0 0 0 0 0 3990817 3987761 0 3056 X 2329109 1863287 465822 67451 53961 13490 371783 297426 74357 172505 138004 34501 542768 475554 67214 0 16431 13145 3286 14721 11777 2944 104390 83512 20878 11679 9343 2336 303745 242996 60749 Vehicle Expenses 85824 85824 Medical Supplies 16918 16918 Sales Tax 13611 10889 2722 Other expenses 3207 2566 641 0 0 0 0 4054142 3305202 748940 0 682645 615241 0 0 0 0 1959222 1274749 905390 684473 0 0 0 0 1588035 1299714 126812 90718 0 0 0 91605 126812 182323 X 1461223 1117391 1461223 1117391 1588035 1299714 X -63325 -280507 X false true true false X 418648 418648 841477 3390023 3987761 8219261 0 0 0 0 0 841477 3808671 3987761 8637909 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8637909 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 841477 3808671 3987761 8637909 X 0 0 0 0 1956810 1273181 683629 2412 1568 844 684473 Federal Income Taxes Intercompany payable 91605 91605 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 requires that the organization provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under ASC 740. ASC 740 addresses the accounting for uncertainty in income taxes recognized in an entity's financial statements and prescribes a threshold of more-likely-than-not for recognition and derecognition of tax positions taken or expected to be taken in a tax return. The adoption of ASC 740 by Bon Secours Mercy Health, Inc. on September 1, 2007 did not have a material impact on BSMH's consolidated financial statements. As the organization does not conduct a separate audit of its financial statements, below is the related statement from the Bon Secours Mercy Health, Inc. consolidated audited financial statements: The Company and most of its subsidiaries (including certain joint venture entities) are exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. Their related income is exempt from federal income tax under Section 501(A). Some of the subsidiaries are taxable entities, and some of the income of the tax-exempt entities is subject to taxation as unrelated business taxable income. The Company and its subsidiaries file U.S. federal income tax returns, and they also file in various state and foreign jurisdictions. The Company accounts for uncertain tax positions in accordance with ASC Topic 740, Income Taxes. The Company accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The Company has determined that no significant unrecognized tax benefits or liabilities exist for the years ended December 31, 2024 and 2023. true true false false false false false true false Rebecca Tucker Board Treasurer, RSFH CFO (Beg 08/24) 0 140431 0 65000 0 28797 0 27476 0 370 0 262074 0 0 Kevin Hoak Board Treasurer, RSFH COO (End 04/24) 0 101817 0 218386 0 644555 0 10704 0 16742 0 992204 0 84623 Troy Powell Regional President - RH/BH & VP Continuing Care 0 345833 0 138150 0 34197 0 49099 0 41958 0 609237 0 0 Marissa Blair Jamarik PhD SVP & Chief Nursing Officer 0 366490 0 179389 0 76015 0 120081 0 25734 0 767709 0 0 Kishma Rollins Clinical Manager 108296 0 10884 0 30130 0 6790 0 12287 0 168387 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation Roper St. Francis Healthcare, a related organization of the filing organization, uses the following to establish the compensation of the organization's CEO/Executive Director: 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 individuals executed releases and waivers of claims in exchange for the severance benefits. Salary continuation amounts provided during the reporting year to the listed individual is as follow: Kevin Hoak, $349,286. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan The Roper St. Francis Healthcare 457(f) Plan's purpose is to offer eligible employees of the employer deferred compensation benefits to supplement Eligible Employees' retirement income. The Plan is intended to be a top-hat plan (i.e. an unfunded deferred compensation plan maintained for certain members of a select group of management or highly compensated employees). THOSE PAYMENTS THAT ARE NOT YET VESTED DUE TO SUBSTANTIAL RISK OF FORFEITURE ARE INCLUDED IN SCHEDULE J, COLUMN (C) IN ACCORDANCE WITH IRS INSTRUCTIONS. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION IN SCHEDULE J, COLUMN (B)(III) FOR LISTED INDIVIDUALS DUE TO SERP PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: Troy Powell, $0; Kevin Hoak, $96,197; Marissa Blair Jamarik, PHD, $0; Rebecca Tucker, $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. Form 990, Part VI, Line 6 Classes of members or stockholders Effective May 1, 2024, the members of Roper St. Francis Healthcare (RSFH) were The Medical Society of South Carolina (20%), a South Carolina nonprofit corporation, HealthSpan Partners (80%), a Ohio nonprofit corporation. HealthSpan Partners (HSP) is a supporting organization of Bon Secours Mercy Health, Inc. (BSMH). Form 990, Part VI, Line 7a Members or stockholders electing members of governing body RSFH is governed by a 13-member board of directors (the Board of Directors). Subject to certain Nominating Committee approvals, six directors are appointed by MSSC and seven directors are appointed by HSP. In the event of a dispute it is the Members intent that the members of RSFH's Board of Directors are appointed to such positions because they have a willingness to serve the needs of Roper as a whole and not the needs of any individual Member. In the event of a stalemate, the Members management teams are to attempt in good faith to resolve the matter within fifteen days. If the management teams are unable to resolve the stalemate, the matter shall be submitted to the President/CEO of BSMH and the President of the Medical Society for review and resolution. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Notwithstanding anything to the contrary contained the Bylaws, and in addition to the rights granted to the Members under the Act, action with respect to any of the following matters, whether initiated by the Members or by the Board of Directors, may only be taken by the Corporation following the unanimous written consent of the Members and concurrent with such approval by the applicable Board of Directors, unless otherwise set forth below: A) Amendment to the Governing Instruments concurrent with approval by the Board; B) Amendment of the IPN Document (including the Rapid Matrix Document appended to the Bylaws); C) Approval of the mission, vision and value statements of the Corporation and any amendments or modifications thereto; D) Approval of the sale, lease or transfer of all or substantially all the assets of the Corporation or any Affiliate controlled by the Corporation (whether by asset sale, merger, change of control, consolidation or otherwise), in one transaction or a series of related transactions; E) Approval of the incurrence of any borrowed debt shall be approved by HealthSpan and approval of the incurrence of any borrowed debt that requires a guarantee thereof by the Members shall be approved by both Members; F) Approval of the sale of any Catholic hospital operated by the Corporation (whether by asset sale, merger, change of control, consolidation or otherwise) or any action that affects the Catholic status of such hospital; G) Approval of the alteration or amendment of the Statement of Common Values; H) Approval of any call for a capital contribution or distribution by a Member to the Corporation; I) Approval of the admission of any new Member of the Corporation; J) Approval of any action(s) that could negatively affect the Catholic status of any Catholic hospital operated by the Corporation or that could negatively affect the tax-exempt status of the Members, the Corporation or any of its tax-exempt subsidiaries or affiliates, K) Approval of any amendment or modification to Article IX of the Bylaws and the defined term "Healthcare Facilities". In addition to the reserved powers set forth above, the Medical Society shall have the following additional rights related to the Corporation to: a) Engage an independent third-party auditor, on an annual basis and RSFH's cost and expense to audit any Support Services then currently being provided to the Corporation to ensure proper documentation, that the services are provided at cost, and that the cost does not exceed fair market value for the services provided; b) Remove the CEO following a material violation of the terms of the IPN Document (including the Rapid Matrix Document appended to the Bylaws) by the CEO that is not addressed by the Board or the Members within ninety (90) days of the Medical Society providing written notice of such violation to the Board and the Members. Form 990, Part VI, Line 11b Review of form 990 by governing body The Form 990 was prepared by the BSMH Tax Department with assistance and oversight by management. Reviews were then conducted by senior management 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 IX, Line 11g Other Fees Medical Professional Fees - Total Expense: 30561, Program Service Expense: 30561, Management and General Expenses: , Fundraising Expenses: ; Ambulance/Transport Services - Total Expense: 21000, Program Service Expense: 21000, Management and General Expenses: , Fundraising Expenses: ; Transportation Vehicle Maintenance - Total Expense: 155134, Program Service Expense: 155134, Management and General Expenses: , Fundraising Expenses: ; Other Purchased Services - Total Expense: 96911, Program Service Expense: 77529, Management and General Expenses: 19382, Fundraising Expenses: ; Shared Services Assessment - Total Expense: 239162, Program Service Expense: 191330, Management and General Expenses: 47832, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfers to/from Affiliates - -280507; Total - -280507; Bon Secours Mercy Health Inc 4600 McAuley Place Suite 100 Blue Ash OH 45242 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) 7 Bon Secours Mercy Health Inc false Bon Secours Ireland DAC College Road Cork EI Local System Parent Org. 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SC 501(c)(3) 3 HEALTHSPAN PARTNERS false Bon Secours - St Francis Xavier Hospital Inc 2095 Henry Tecklenburg Drive Charleston SC 29414 571067254 Hospital SC 501(c)(3) 3 Roper St Francis Healthcare false Clinical Biotechnology Research Institute at RSFH 8536 Palmetto Commerce Pkwy Suite 201 Ladson SC 29456 475407453 Healthcare SC 501(c)(3) 4 Roper St Francis Healthcare false Roper Hospital Inc 316 Calhoun Street Charleston SC 29401 570828733 Hospital SC 501(c)(3) 3 Roper St Francis Healthcare false Roper St Francis Foundation 8536 Palmetto Commerce Pkwy Suite 201 Ladson SC 29456 571068509 Fundraising SC 501(c)(3) Type I Roper St Francis Healthcare false Roper St Francis Hospital - Berkeley Inc 100 Callen Blvd Summerville SC 29486 263710229 Hospital SC 501(c)(3) 3 Roper St Francis Healthcare false Roper St Francis Mount Pleasant Hospital 3500 Highway 17 North Mount Pleasant SC 29466 570360499 Hospital SC 501(c)(3) 3 Roper St Francis Healthcare false Roper St Francis Physicians Network 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