Form 990 for tax year 2024

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $1,753,542

• 1e · Government grants (contributions)

  $539,027

• 1f · All other contributions, gifts and grants

  $443,888

• 1g · Noncash contributions included above

  $91,950

• 2a · Program service revenue: Network Fees

  total $177,303,829 · related or exempt $177,303,829

• 2b · Program service revenue: Operating Rental Income

  total $434,757 · related or exempt $434,757

• 2c · Program service revenue: Senior Center Revenue

  total $554,854 · related or exempt $554,854

• 2d · Program service revenue: JV and Partnership Income

  total $2,001,642 · related or exempt $2,001,642

• 2e · Program service revenue: Intercompany Services

  total $219,383 · related or exempt $219,383

• 2f · All other program service revenue

  total $3,793 · related or exempt $3,793 · unrelated business $0 · excluded $0

• 3 · Investment income

  total $30,800,115 · excluded $30,800,115

• 6a · Gross rents

  real property $95,049

• 6b · Less rental expenses

  real property $565,143

• 6c · Rental income or loss

  real property -$470,094 · personal property $0

• 6d · Net rental income or loss

  total -$470,094 · excluded -$470,094

• 7a · Gross sales of assets other than inventory

  securities $41,632,203 · other assets -$418,178

• 7c · Gain or loss

  securities $41,632,203 · other assets -$418,178

• 7d · Net gain or loss

  total $41,214,025 · excluded $41,214,025

• 11a · Other revenue: Vendor Rebates

  total $3,008,753 · excluded $3,008,753

• 11b · Other revenue: Daycare Revenue

  total $1,092,767 · excluded $1,092,767

• 11c · Other revenue: Cafeteria

  total $246,561 · excluded $246,561

• 11d · All other revenue

  total $205,051 · related or exempt $0 · unrelated business $0 · excluded $205,051

• 11e · Other revenue, total

  $4,553,132

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $240,826 · program services $240,826

• 2 · Grants to domestic individuals

  total $376,226 · program services $376,226

• 5 · Compensation of officers, directors and key employees

  total $5,378,684 · program services $4,302,947 · management and general $1,075,737

• 6 · Compensation of disqualified persons

  total $2,068,411 · program services $1,654,729 · management and general $413,682

• 7 · Other salaries and wages

  total $41,722,725 · program services $33,378,180 · management and general $8,344,545

• 8 · Pension plan contributions

  total $1,901,872 · program services $1,521,498 · management and general $380,374

• 9 · Other employee benefits

  total $2,340,069 · program services $1,872,055 · management and general $468,014

• 10 · Payroll taxes

  total $3,423,623 · program services $2,738,898 · management and general $684,725

• 11b · Fees: legal

  total $621,039 · management and general $621,039

• 11c · Fees: accounting

  total $137,029 · management and general $137,029

• 11d · Fees: lobbying

  total $190,392 · management and general $190,392

• 11f · Fees: investment management

  total $421,983 · management and general $421,983

• 11g · Fees: other

  total $86,562,756 · program services $69,303,498 · management and general $17,259,258 · fundraising $0

• 12 · Advertising and promotion

  total $1,813,801 · program services $1,451,041 · management and general $362,760

• 13 · Office expenses

  total $23,470,445 · program services $18,776,356 · management and general $4,694,089

• 14 · Information technology

  total $5,421,074 · program services $4,336,859 · management and general $1,084,215

• 16 · Occupancy

  total $7,837,081 · program services $6,269,665 · management and general $1,567,416

• 17 · Travel

  total $697,024 · program services $557,619 · management and general $139,405

• 19 · Conferences, conventions and meetings

  total $30,762 · program services $24,610 · management and general $6,152

• 20 · Interest

  total $20,624,810 · program services $20,624,810

• 22 · Depreciation, depletion and amortization

  total $19,511,385 · program services $15,609,108 · management and general $3,902,277

• 23 · Insurance

  total $10,815,325 · program services $8,652,260 · management and general $2,163,065

• 24a · Other expenses: Sales Tax

  total $1,236,645 · program services $989,316 · management and general $247,329

• 24b · Other expenses: Federal and State Income Tax

  total $49,438 · program services $49,438

• 24c · Other expenses: Restructuring

  total $784,813 · program services $627,850 · management and general $156,963

• 24d · Other expenses: Recruitment

  total $623,269 · program services $623,269

• 24e · All other expenses

  total $402,506 · program services $368,971 · management and general $33,535 · fundraising $0

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $67,999,172 · end of year $59,186,285

• 2 · Savings and temporary cash investments

  beginning of year $3,086,579 · end of year $3,233,393

• 4 · Accounts receivable

  beginning of year $1,728,876 · end of year $3,383,954

• 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

• 7 · Other notes and loans receivable

  beginning of year $5,363 · end of year $22,507

• 8 · Inventories for sale or use

  beginning of year $0

• 9 · Prepaid expenses and deferred charges

  beginning of year $10,679,467 · end of year $12,879,025

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

  $161,117,240

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

  $66,087,246

• 10c · Land, buildings and equipment, net

  beginning of year $104,742,371 · end of year $95,029,994

• 11 · Investments: publicly traded securities

  beginning of year $244,481,715 · end of year $1,427,623,796

• 12 · Investments: other securities

  beginning of year $0

• 13 · Investments: program-related

  beginning of year $664,282,594 · end of year $664,514,386

• 14 · Intangible assets

  beginning of year $99,170,802 · end of year $99,170,802

• 15 · Other assets

  beginning of year $78,480,193 · end of year $75,108,076

• 17 · Accounts payable and accrued expenses

  beginning of year $198,801,184 · end of year $108,310,953

• 19 · Deferred revenue

  beginning of year $228,004 · end of year $304,713

• 22 · Loans and payables to officers and key people

  end of year $0

• 25 · Other liabilities

  beginning of year $472,796,811 · end of year $559,494,400

• 27 · Net assets without donor restrictions

  beginning of year $602,831,133 · end of year $1,772,042,152

The filer's explanations (Part III)

Schedule J, Part I, Line 1a Housing allowance or residence for personal use

Employer provided temporary housing for one officer related to employee relocation. The entire benefit was treated as taxable compensation.

Schedule J, Part I, Line 4a Severance or change-of-control payment

Severance Benefits consisting of continuation of base salary and insurance benefits were provided to the listed individual for specified periods. The listed individual executed releases and waivers of claims in exchange for the severance benefits. Salary continuation amounts provided during the reporting year to the listed individuals are as follows: Jeffrey Dilisi, $800,000; Kevin Hoak, $349,286; Michael Moxley, $118,163; Melanie Stith, $323,839.

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

The Roper St. Francis Healthcare 457(f) Plan's purpose is to offer eligible employees of the employer deferred compensation benefits to supplement Eligible Employees' retirement income. The Plan is intended to be a top-hat plan (i.e. an unfunded deferred compensation plan maintained for certain members of a select group of management or highly compensated employees). THOSE PAYMENTS THAT ARE NOT YET VESTED DUE TO SUBSTANTIAL RISK OF FORFEITURE ARE INCLUDED IN SCHEDULE J, COLUMN (C) IN ACCORDANCE WITH IRS INSTRUCTIONS. AMOUNTS INCLUDIBLE AS TAXABLE COMPENSATION IN SCHEDULE J, COLUMN (B)(III) FOR LISTED INDIVIDUALS DUE TO SERP PARTICIPATION IN THE REPORTING YEAR WERE AS FOLLOWS: Melanie Stith, $168,339; Troy Powell, $0; Christopher McLain, MD, $0; Mitchell Siegan, MD, $0; Matthew Desmond, $0; Marissa Blair Jamarik, $0; Michael Moxley, $84,546; Stanley Wilson, MD, $0; Kevin Hoak, $96,197; Michael Pazzo, $0; Laishy Williams-Carlson $0; Jeffrey Dilisi, MD, $357,728; Rebecca Tucker, $0; Joseph DeLeon, $0; Megan Baker, MD, $0; Mark Dickson, $18,483.

Schedule J, Part I, Line 4b Terms and conditions of the Bon Secours Mercy Health System SERP

The Bon Secours Mercy Health System SERP is a non-qualified deferred compensation plan which provides supplemental retirement benefits to persons selected by the Board of Trustees or its delegate. The plan provides for annual credits of a specified percentage of an eligible participants base salary paid in a plan year and interest credits. Plan participants vest in plan credits after completing a three year class vesting schedule or earlier for death or total disability or reaching age 60 while employed, or due to involuntary separation of employment other than for cause. THOSE PAYMENTS THAT ARE NOT YET VESTED DUE TO SUBSTANTIAL RISK OF FORFEITURE ARE INCLUDED IN SCHEDULE J, COLUMN (C) IN ACCORDANCE WITH IRS INSTRUCTIONS. Payments during employment are made for required tax withholding and reduce the participants account balance. Distribution of the vested account balance in a lump sum occurs after termination of employment. Amounts includible as taxable compensation IN SCHEDULE J, COLUMN (B)(III) for listed individuals due to SERP participation in the reporting year were as follows: Brian Yanofchick, $89,154; Joseph Gage, Jr., JD, $138,734; Wael Haidar, MD, $185,122; Brad Grosteffon, $26,158; Eric Smith, $53,328; Michael Lutes, $0; Cheryl Dalton-Norman, $0; Michael Pazzo, $39,379.

Schedule J, Part I, Line 4b Terms and conditions of the Mercy Health SERP

The Mercy Health SERP plan is a deferred compensation plan which provides supplemental retirement benefits to persons selected by the Board of Trustees or its delegate. The plan is no longer accepting new participants and cessation of contributions has occurred. It provides annual credits of a specified percentage of compensation and annual interest credits. Participants vest 50%, 75%, and 100% in their accounts after 5, 6, and 7 years of service, respectively. Vesting occurs earlier for death or total disability or reaching age 60 while employed, or involuntary termination of employment within 24 months after a change in control of the organization or due to position elimination. Payments during employment are made for required tax withholding. Payment of the vested account balance in a lump sum occurs after termination of employment. Amounts includable as taxable compensation for listed individuals due to SERP participation in the reporting year were as follows: Joseph Gage, Jr., JD, $0.

Schedule J, Part I, Line 4b Terms and conditions of the Lorain SERP

THE LORAIN SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN IS AN EXECUTIVE RETENTION PLAN FOR CERTAIN HIGHLY COMPENSATED INDIVIDUALS, AS DETERMINED BY THE BOARD OF TRUSTEES' EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE. The plan is no longer accepting new participants and cessation of contributions has occurred. THE PLAN PURPOSE IS TO PROVIDE A BENEFIT TO REPLACE THE BENEFIT THESE PARTICIPANTS WOULD HAVE RECEIVED UNDER THE APPLICABLE QUALIFIED PLAN PRIOR TO ITS AMENDMENT TO COMPLY WITH THE OMNIBUS BUDGET RECONCILIATION ACT OF 1993. IT PROVIDES A DEFERRED COMPENSATION BENEFIT OF 3% TO 5% OF ANNUAL BASE SALARY. PARTICIPANTS VEST AND RECEIVE PLAN BENEFITS ONCE TWO CONDITIONS ARE SATISFIED: (1) MEET THE VESTING REQUIREMENTS OF THE APPLICABLE QUALIFIED PLAN, AND (2) COMPLETE A 24-MONTH POST-EMPLOYMENT NONCOMPETE REQUIREMENT. AMOUNT INCLUDIBLE AS TAXABLE COMPENSATION FOR LISTED PARTICIPATING INDIVIDUAL IN THE REPORTING YEAR IS AS FOLLOW: MICHAEL PAZZO, $0.

Schedule J, Part I, Line 7 NON-FIXED PAYMENTS

Goals are developed each year to support the Organization's strategic initiatives for people, quality, financial, growth and service. The Ad Hoc Compensation Committee approves the system goals annually and reports it to the full Board of Directors. Progress on each metric is reported to the Board each month on the corporate scorecard. At year-end, the Ad Hoc Compensation Committee approves the final scorecard number and reports results to the full Board. Annual incentives for the executives are based 60% on the corporate scorecard and 40% on individual performance. Executives maintain an individual scorecard on the leader evaluation manager and discuss results monthly with the President/CEO. The President/CEO approves the individual executive scorecard.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• Roper St Francis Health Alliance

  ACO · SC · income $0 · assets $19,331

  Directly controlled by Roper St Francis Healthcare

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

• Mary Immaculate Ambulatory Surgery Center LLC

  N/A · Ambulatory Surgery Center · VA

  Directly controlled by NA

• Harbour View MOB 2 LLC

  N/A · Real Estate · VA

  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

• 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 New Shiloh III 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 LLC

  Related · Physical Therapy · SC · 65% owned · share of income $1,644,479 · share of assets $9,586,739

  Directly controlled by Roper St Francis Healthcare

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