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Nonprofiteer
← ROPER ST FRANCIS ANCILLARY SERVICES

Form 990 for tax year 2023

Filed by ROPER ST FRANCIS ANCILLARY SERVICES.

Totals

Total revenue
$3,808,671
Total expenses
$5,415,527
Contributions and grants received
$418,648
Grants paid
$0
Program service revenue
$3,390,023
Investment income
$0
Other revenue
$0
Total assets, end of year
$1,588,035
Total liabilities, end of year
$126,812
Net assets or fund balances, end of year
$1,461,223
Program services expenses (Part IX)
$4,404,532
Management and general expenses
$1,010,995
Fundraising expenses
$0
Program service expenses (Part III)
$4,404,532

Program services were 81.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $418,648

  • 2a · Program service revenue: Net Patient Revenue

    total $3,193,075 · related or exempt $3,193,075

  • 2b · Program service revenue: Intercompany Patient Transportation

    total $196,948 · related or exempt $196,948

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $1,897,560 · program services $1,518,048 · management and general $379,512

  • 8 · Pension plan contributions

    total $95,520 · program services $76,416 · management and general $19,104

  • 9 · Other employee benefits

    total $389,164 · program services $311,331 · management and general $77,833

  • 10 · Payroll taxes

    total $134,858 · program services $107,886 · management and general $26,972

  • 11g · Fees: other

    total $2,237,917 · program services $1,842,004 · management and general $395,913 · fundraising $0

  • 12 · Advertising and promotion

    total $1,199 · program services $959 · management and general $240

  • 13 · Office expenses

    total $14,965 · program services $11,972 · management and general $2,993

  • 14 · Information technology

    total $95,544 · program services $76,435 · management and general $19,109

  • 16 · Occupancy

    total $100,420 · program services $80,336 · management and general $20,084

  • 17 · Travel

    total $874 · program services $699 · management and general $175

  • 22 · Depreciation, depletion and amortization

    total $312,924 · program services $250,339 · management and general $62,585

  • 24a · Other expenses: Vehicle Expenses

    total $101,103 · program services $101,103

  • 24b · Other expenses: Sales Tax

    total $20,995 · program services $16,796 · management and general $4,199

  • 24c · Other expenses: Medical Supplies

    total $1,110 · program services $1,110

  • 24d · Other expenses: Recruitment

    total $2,796 · program services $2,237 · management and general $559

  • 24e · All other expenses

    total $8,578 · program services $6,861 · management and general $1,717 · fundraising $0

Balance sheet

Part X, book values.

  • 4 · Accounts receivable

    beginning of year $313,641 · end of year $682,645

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 10a · Land, buildings and equipment: cost or other basis

    $2,005,917

  • 10b · Land, buildings and equipment: accumulated depreciation

    $1,100,527

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $905,390

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $32,482 · end of year $126,812

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $179,947 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $101,212 · end of year $1,461,223

Mission and programs · 2023

Mission

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.

Activities or mission (Part I)

Medical, diagnostic and therapeutic healthcare services

  • 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.

    Expenses $4,404,532 · Revenue $3,390,023

As filed on the 2023 return.

Listed in Part VII

  • Adriana Day

    CFO/Treasurer RSFH (End 09/23)

    Total calculated
    $528,426
    From this org
    $0
    From related orgs
    $486,984
    Other
    $41,442
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $364,467 related
    Bonus
    $0 + $110,256 related
    Other
    $0 + $12,261 related
    Deferred
    $0 + $25,995 related
    Nontaxable benefits
    $0 + $15,447 related
    Filer's total
    $0 + $528,426 related

  • Kevin Hoak

    Board Treasurer, RSFH COO (Beg 09/23)

    Total calculated
    $653,715
    From this org
    $0
    From related orgs
    $534,439
    Other
    $119,276
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $464,020 related
    Bonus
    $0 + $66,766 related
    Other
    $0 + $3,653 related
    Deferred
    $0 + $70,887 related
    Nontaxable benefits
    $0 + $48,389 related
    Filer's total
    $0 + $653,715 related

  • Marissa Blair Jamarik

    Board Secretary, RSFH SVP & Chief Nursing Officer

    Total calculated
    $574,860
    From this org
    $0
    From related orgs
    $482,585
    Other
    $92,275
    Hours/week
    25 + 25 related

    Schedule J breakdown matched by us

    Base
    $0 + $386,812 related
    Bonus
    $0 + $82,246 related
    Other
    $0 + $13,527 related
    Deferred
    $0 + $59,203 related
    Nontaxable benefits
    $0 + $33,072 related
    Filer's total
    $0 + $574,860 related

  • Troy Powell

    Regional President - RH/BH (Beg 03/23) & VP Continuing Care

    Total calculated
    $517,153
    From this org
    $0
    From related orgs
    $423,550
    Other
    $93,603
    Hours/week
    8 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $348,151 related
    Bonus
    $0 + $50,300 related
    Other
    $0 + $25,099 related
    Deferred
    $0 + $45,333 related
    Nontaxable benefits
    $0 + $48,270 related
    Filer's total
    $0 + $517,153 related

  • Kishma Rollins

    Clinical Manager

    Total calculated
    $150,874
    From this org
    $131,071
    From related orgs
    $0
    Other
    $19,803
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $123,527
    Bonus
    $6,957
    Other
    $587
    Deferred
    $5,968
    Nontaxable benefits
    $13,835
    Filer's total
    $150,874

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
A related organization of Roper St. Francis Ancillary Services 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 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: Troy Powell, $22,560; Kevin Hoak, $0; Marissa Jamarik, $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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • Broad64 Imaging LLC

    N/A · Imaging Services · VA

    Directly controlled by NA

  • Memorial Ambulatory Surgery Center LLC

    N/A · Ambulatory Surgery Center · VA

    Directly controlled by NA

  • Richmond Radiation Oncology Center I LLC

    N/A · Radiation Oncology Services · VA

    Directly controlled by NA

  • RI LP

    N/A · Imaging Services · VA

    Directly controlled by NA

  • Chesterfield Community Healthcare MOB I LLC

    N/A · Real Estate · VA

    Directly controlled by NA

  • St Mary's MRI Center LP

    N/A · Imaging Services · VA

    Directly controlled by NA

  • Harbour View MOB 2 LLC

    N/A · Real Estate · VA

    Directly controlled by NA

  • Lourdes Ambulatory Surgery Center LLC

    N/A · Surgery Center · KY

    Directly controlled by NA

  • Community Mercy Home Care Services of Springfield LLC

    N/A · Home Care · OH

    Directly controlled by NA

  • Urologic Oncology of Mahoning Valley LLC

    N/A · Radiation Therapy · OH

    Directly controlled by NA

  • Mercy Health Rehabilitation Hospital LLC

    N/A · Rehabilitation Services · OH

    Directly controlled by NA

  • Mercy Health Behavioral Hospital LLC

    N/A · Behavioral Health Services · OH

    Directly controlled by NA

  • Waterville Medical Center LLC

    N/A · Real Estate · OH

    Directly controlled by NA

  • Vascular Institute of Northwest Ohio LLC

    N/A · Surgery Center · OH

    Directly controlled by NA

  • West Central Ohio Group Ltd

    N/A · Orthopedic Hospital · OH

    Directly controlled by NA

  • Bon Secours Place at St Petersburg LLP

    N/A · Assisted Living/Senior Care · FL

    Directly controlled by NA

  • Bon Secours Apartments Consolidated GP LLC

    N/A · Low Income Housing · MD

    Directly controlled by NA

  • Bon Secours Apartments Consolidated LP

    N/A · Low Income Housing · MD

    Directly controlled by NA

  • Bon Secours Apartments II LP

    N/A · Low Income Housing · MD

    Directly controlled by NA

  • Bon Secours Apartments III LP

    N/A · Low Income Housing · MD

    Directly controlled by NA

  • Bon Secours Apartments LP

    N/A · Low Income Housing · MD

    Directly controlled by NA

  • Bon Secours Benet House LLC

    N/A · Low Income Housing · MD

    Directly controlled by NA

  • Bon Secours Benet House LP

    N/A · Low Income Housing · MD

    Directly controlled by NA

  • Bon Secours Chesapeake Apartments LP

    N/A · Low Income Housing · MD

    Directly controlled by NA

  • Bon Secours Gibbons Apartments LP

    N/A · Low Income Housing · MD

    Directly controlled by NA

  • Bon Secours New Shiloh II Limited Partnership

    N/A · Low Income Housing · MD

    Directly controlled by NA

  • Bon Secours Shiloh LP

    N/A · Low Income Housing · MD

    Directly controlled by NA

  • Bon Secours Smallwood Summit LP

    N/A · Low Income Housing · MD

    Directly controlled by NA

  • Bon Secours Wayland LP

    N/A · Low Income Housing · MD

    Directly controlled by NA

  • Liberty Senior Housing LP

    N/A · Low Income Housing · MD

    Directly controlled by NA

  • Lowcountry Surgery Center LLC dba Roper St Francis Eye Center

    N/A · Ambulatory Surgery Center · SC

    Directly controlled by NA

  • BON SECOURS MERCY HEALTH INNOVATIONS LLC

    N/A · BUSINESS DEVELOPMENT · OH

    Directly controlled by NA

  • Nordic Holdings LLC

    N/A · Holding company · DE

    Directly controlled by NA

  • Catherine JV LLC

    N/A · Holding company · DE

    Directly controlled by NA

  • BSMH-CSP Surgical Ventures LLC

    N/A · Holding company · SC

    Directly controlled by NA

  • BSMH-CSP SV DE LLC

    N/A · Holding company · DE

    Directly controlled by NA

  • Strive BSMH LLC

    N/A · Holding company · SC

    Directly controlled by NA

  • RSFH - ATI Physician Therapy

    N/A · Physical Therapy · SC · 65% owned · share of income $11,563,731 · share of assets $7,494,435

    Directly controlled by NA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • BON SECOURS MERCY HEALTH INSURANCE COMPANY (SPC) LTD

    C Corporation · SELF-INSURANCE · CJ

    Directly controlled by NA

  • Bon Secours - Venice Healthcare Corporation

    C Corporation · Inactive · FL

    Directly controlled by NA

  • MERCY HEALTH VENTURES INC

    C Corporation · DIVERSIFIED ACTIVITIES · OH

    Directly controlled by NA

  • Bon Secours-Virginia Healthsource Inc

    C Corporation · Ambulatory Healthcare Services · VA

    Directly controlled by NA

  • Richmond Radiation Oncology Center Inc

    C Corporation · Ambulatory Healthcare Services · VA

    Directly controlled by NA

  • Ironbridge Assisted Living Retirement Community LC

    C Corporation · Ambulatory Healthcare Services · VA

    Directly controlled by NA

  • Richmond MRI Inc

    C Corporation · Medical Services · VA

    Directly controlled by NA

  • Chesterfield Community Healthcare Center Inc

    C Corporation · Ambulatory Healthcare Services · VA

    Directly controlled by NA

  • RHS Management Corp

    C Corporation · Independent Living Facility · VA

    Directly controlled by NA

  • Professional Health Care Management Services Inc

    C Corporation · Administrative · VA

    Directly controlled by NA

  • Maryview Building Corporation

    C Corporation · Administrative · VA

    Directly controlled by NA

  • Bon Secours - Tidewater Diversified Inc

    C Corporation · Pharmacy · VA

    Directly controlled by NA

  • OSF Inc

    C Corporation · Rental · VA

    Directly controlled by NA

  • Harbour View Station West Mixed-Use Property Owners Association Inc

    C Corporation · REAL PROPERTY MGMNT · VA

    Directly controlled by NA

  • NORTHPARKE MEDICAL COMMONS CONDO ASSN

    C Corporation · REAL PROPERTY MGMNT · OH

    Directly controlled by NA

  • RALPH EWE TRUST

    Trust · BENEFICIAL TRUST · NY

    Directly controlled by NA

  • ELIZABETH HINES CATES TRUST

    Trust · BENEFICIAL TRUST · OH

    Directly controlled by NA

  • WILLIS PARK TRUST

    Trust · BENEFICIAL TRUST · OH

    Directly controlled by NA

  • ERMA GIBSON BALDWIN TRUST

    Trust · BENEFICIAL TRUST · OH

    Directly controlled by NA

  • MCAULEY MANAGEMENT SERVICES INC

    C Corporation · PROPERTY RENTAL · OH

    Directly controlled by NA

  • LIMA MEDICAL SUPPLIES INC

    C Corporation · MEDICAL EQUIPMENT · OH

    Directly controlled by NA

  • COMMUNITY HEALTH PARTNERS ENTERPRISES INC

    C Corporation · HOLDING COMPANY · OH

    Directly controlled by NA

  • Optimum Health Network Inc

    C Corporation · Healthcare Services · SC

    Directly controlled by NA

  • Bon Secours-Florida Integrated Services Inc

    C Corporation · Holding Company/Assisted Living · FL

    Directly controlled by NA

  • Unity Housing Inc

    C Corporation · Low Income Housing · MD

    Directly controlled by NA

  • Bon Secours Wayland LLC

    C Corporation · Low Income Housing · MD

    Directly controlled by NA

  • Bon Secours New Shiloh II LLC

    C Corporation · Low Income Housing · MD

    Directly controlled by NA

  • HEALTHSPAN INC

    C Corporation · INSURANCE · OH

    Directly controlled by NA

  • HEALTHSPAN SOLUTIONS INC

    C Corporation · CONSULTING · OH

    Directly controlled by NA

  • HEALTHCARE SERVICES AND SUPPORT

    C Corporation · HEALTHCARE SERVICES · OH

    Directly controlled by NA

  • HealthSpan Partners Innovations Inc

    C Corporation · HEALTHCARE SERVICES · OH

    Directly controlled by NA

  • Barringtons Hospital Limited

    C Corporation · Hospital · EI

    Directly controlled by NA

  • Bon Secours Hospital Limerick Dev Co Limited

    C Corporation · REAL PROPERTY MGMNT · EI

    Directly controlled by NA

  • Bon Secours New York Housing Development Fund Corporation

    C Corporation · Low Income Housing · NY

    Directly controlled by NA

  • CareAlliance Medical Services Corporation

    C Corporation · Inactive · SC

    Directly controlled by NA

  • Bon Secours Mercy Health Innovations Inc

    C Corporation · Holding Company · OH

    Directly controlled by NA

  • Nordic Consulting Group Incorporated

    C Corporation · Holding Company · DE

    Directly controlled by NA

  • Nordic Consulting Partners Inc

    C Corporation · Healthcare Consulting · WI

    Directly controlled by NA

  • S & P Consultants Inc

    C Corporation · Healthcare Consulting · MA

    Directly controlled by NA

  • Healthtech Inc

    C Corporation · Healthcare Consulting · CA

    Directly controlled by NA

  • Tasman Global Holdings BV

    C Corporation · Healthcare Consulting · NL

    Directly controlled by NA

  • Tasman Global Healthcare Ireland Limited

    C Corporation · Healthcare Consulting · EI

    Directly controlled by NA

  • Tasman Global Singapore Pte Ltd

    C Corporation · Healthcare Consulting · SN

    Directly controlled by NA

  • Tasman Group LLC

    C Corporation · Healthcare Consulting · VA

    Directly controlled by NA

  • Tasman Group Limited

    C Corporation · Healthcare Consulting · UK

    Directly controlled by NA

  • Hygeian Consulting Ltd

    C Corporation · Healthcare Consulting · UK

    Directly controlled by NA

  • Tasman Global Switzerland GmbH

    C Corporation · Healthcare Consulting · SZ

    Directly controlled by NA

  • Tasman Global Norway AS

    C Corporation · Healthcare Consulting · NO

    Directly controlled by NA

  • Nordic Philippines Technology Solutions Inc

    C Corporation · Healthcare Consulting · RP

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2023
Filed
1 November 2024
IRS schema version
2023v5.1
Source object
202423069349301507

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