2023-11-13T14:45:07+00:00 2022-12-31 920460586 PWC US TAX LLP 655 New York Avenue NW STE 1100 WASHINGTON DC 20001 990 2022-01-01 582504530 St Francis Hospital Inc STFR 8642551000 One St Francis Drive Greenville SC 29601 Robert Stiekes CFO - BSSFHS 5139525000 2023-11-13 true ROBERT STIEKES 999009999 TRAVIS L PATTON P00369623 2024141000 2022 2023-04-26 12:10:37Z MATTHEW CALDWELL One St Francis Drive Greenville SC 29601 725756393 false 0928 X WWW.BONSECOURS.COM X 1932 SC PROVIDES ACUTE CARE HOSPITAL SERVICES 11 9 2778 280 562400 13204 32185836 12663818 712775983 705944292 1724960 693061 5515820 6455222 752202599 725756393 746596 0 186521735 206293443 0 0 494068308 492976420 680590043 700016459 71612556 25739934 778217234 706791268 372072192 362410968 406145042 344380300 THE MISSION IS TO BRING COMPASSION TO HEALTH CARE AND TO BE GOOD HELP TO THOSE IN NEED, ESPECIALLY THOSE WHO ARE POOR AND DYING. AS A SYSTEM OF CAREGIVERS, WE COMMIT OURSELVES TO HELP BRING PEOPLE AND COMMUNITIES TO HEALTH AND WHOLENESS. false false 659891760 746596 706395396 BON SECOURS ST. FRANCIS HEALTH SYSTEM (BSSFHS) PRIMARILY SERVES GREENVILLE COUNTY, WHICH IS COMPRISED OF GREATER THAN 514,000 RESIDENTS AND HAS EXPERIENCED A GROWTH RATE DOUBLE THAT OF THE UNITED STATES AND SIGNIFICANTLY HIGHER THAN THAT OF SOUTH CAROLINA. ST. FRANCIS HOSPITAL PROVIDES MEDICAL CARE TO PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. ST. FRANCIS HOSPITAL PROVIDES SUPPORT FOR THE COMMUNITY SERVICES. DURING 2022 ST. FRANCIS HOSPITAL PROVIDED $37.59M IN NET COMMUNITY BENEFITS REPRESENTING 5.99% OF TOTAL OPERATING EXPENSES. 659891760 true true false true false false false false false true false false false true true false true false false false false false false false false true true true true true false false false false false false false true false false false false true true true false false false true 0 0 2778 true true true false false false false false false false false false false false X 11 9 false false false false true true true true true false false true true true true true true false true true false SC X TRAVIS CRUM 5139524999 1701 MERCY HEALTH PLACE CINCINNATI OH 45237 HENRY GALLIVAN BOARD CHAIR 3.5 3.0 X X 0 0 0 John Pazdan VICE CHAIR 3.5 3.0 X X 0 0 0 MATTHEW CALDWELL Market President BSSFHS 15.0 35.0 X X 0 1086217 288767 Carlos Quintero Board Member 2.0 2.0 X 0 0 0 DONALD KLINE Board Member (End 04/22), BSMH COO 3.0 47.0 X 0 1790988 45892 GARY DANIELS Jr Board Member 2.0 2.0 X 0 0 0 Kenneth Baca Board Member 2.0 2.0 X 0 0 0 Matthew COOney Board Member 2.0 2.0 X 0 0 0 Paul Smith Board Member (05/22-06/22); Group President (End 06/22) 3.0 47.0 X 0 1760664 507249 Raymond LATtimore Board Member 2.0 2.0 X 0 0 0 SR KATHRYN CLAUSS Board Member 2.0 2.0 X 0 0 0 TOMMY MANN JR MD Board Member; General Surgeon 2.0 48.0 X 0 512400 36114 Wendy WALDEN Board Member 2.0 2.0 X 0 0 0 Robert Stiekes CFO - BSSFHS 25.0 25.0 X 0 432622 60791 Bruce Swords Chief Clinical Officer - BSSFHS 20.0 30.0 X 0 389128 43050 Jenny Wehrs COO - BSSFHS 50.0 0 X 338697 0 60405 Kathleen Black CHIEF NURSING OFFICER 50.0 0 X 341913 0 15626 Surabhi Gaur MD Chief Medical Officer - BSSFHS 50.0 0 X 401211 0 31344 ALBERT ATTIA MD RADIATION ONCOLOGIST 50.0 0 X 600391 0 20296 Andrew Holder Surgeon 50.0 0 X 240680 0 492 Elizabeth Lanford RN Emergency Department 50.0 0 X 243327 0 13345 Jennifer Vogel Radiation Oncologist 50.0 0 X 974636 0 49558 Karen Schwartz VP Operations 50.0 0 X 231138 0 18229 DENISE CAMPBELL Former Key - Interim CNO 50.0 0 X 222744 0 13102 LISA LANDRETH Former Interim CFO - BSSFHS 0.0 50.0 X 0 180734 12897 Marcus Blackstone MD Former Chief Clinical Officer - Greenville 0.0 50.0 X 0 609568 62590 Thomas Morris PHD Former Board President; BSMH Chief Sponsorship Officer 0.0 50.0 X 0 530903 28962 WILLIAM KUSNIERZ FORMER CFO - BSSFHS 0.0 50.0 X 0 565581 47539 3594737 7858805 1356248 238 true true false 0 3283850 9379360 608 12663818 PATIENT SERVICE REV. 622110 705608705 705046305 562400 ACO Revenue 900099 181534 181534 Joint Venture Income 900003 154053 154053 0 0 0 0 705944292 347039 347039 1948791 1948791 0 1948791 1948791 321504 24518 321504 24518 346022 346022 Cafeteria 722514 1728059 1728059 Ancillary Services 900099 1483037 1483037 Clinical Drug Research 541700 1013504 1013504 281831 0 0 281831 4506431 725756393 706395396 562400 6134779 X 734493 734493 12103 12103 1282318 1154086 128232 161286104 145157494 16128610 6885620 6197058 688562 25255122 22729610 2525512 11584279 10425851 1158428 88149 88149 28304 28304 25296 25296 192865630 178883416 13982214 0 440829 396746 44083 2087600 1878840 208760 2062472 1856225 206247 8795799 7916219 879580 671786 604607 67179 510525 510525 25109889 22598900 2510989 3498024 3148222 349802 MEDICAL SUPPLIES 163045200 163045200 BAD DEBT 71889559 71889559 MEDICAID ASSESSMENT 10809840 10809840 Federal Income Tax Expense 4986 4487 499 11042532 9938279 1104253 0 700016459 659891760 40124699 0 5508 0 290325415 157654416 94407204 99709652 0 0 0 0 18686 19392628 20182915 1423247 1162356 536809367 248546438 223504965 288262929 36294316 31829544 5654217 1136336 0 75662208 75662208 31547526 31172226 778217234 706791268 82035845 72143187 85058 154984 0 0 289951289 290112797 372072192 362410968 X 406145042 344380300 406145042 344380300 778217234 706791268 X 25739934 -5134254 -82370422 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false true 0 false true 13445 true 11851 false false 25296 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 ST FRANCIS HOSPITAL'S ABILITY 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 ST FRANCIS HOSPITAL'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 ST FRANCIS HOSPITAL'S PUBLIC POSITION ON LEGISLATIVE AND REGULATORY ISSUES THAT IMPACT PATIENT CARE. ST FRANCIS HOSPITAL FOCUSES ON PUBLIC POLICY ISSUES THAT EXTEND ITS HEALING MINISTRY TO THOSE WHO ARE POOR AND UNDERSERVED IN THE COMMUNITIES. TO CARRY OUT THESE EFFORTS, ST FRANCIS HOSPITAL PARTNERS WITH EXPERT CONSULTANTS AND PROFESSIONAL TRADE ASSOCIATIONS TO BUILD AWARENESS AND EXECUTE SPECIFIC STRATEGIES THAT WILL YIELD A FAVORABLE OUTCOME FOR PATIENT CARE. GRANTS PAID TO OTHER ORGANIZATIONS OF $13,445 CONSTITUTE THE PORTION OF DUES DEEMED TO BE FOR LOBBYING PURPOSES. 18611086 18611086 261976016 98769690 163206326 1827454 1809706 17748 188641925 128425898 60216027 65752886 19541144 46211742 288262929 DUE TO AFFILIATES 259300000 FIN 47 LIABILITY 812220 Capital Lease Liability 15356035 Right of Use Liability 14636777 Unclaimed Property Accrual 7765 290112797 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 requires that the organization provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under ASC 740. ASC 740 addresses the accounting for uncertainty in income taxes recognized in an entity's financial statements and prescribes a threshold of more-likely-than-not for recognition and derecognition of tax positions taken or expected to be taken in a tax return. The adoption of ASC 740 by Bon Secours Mercy Health, Inc. on September 1, 2007 did not have a material impact on BSMH's consolidated financial statements. As the organization does not conduct a separate audit of its financial statements, below is the related statement from the Bon Secours Mercy Health, Inc. consolidated audited financial statements: The Company and most of its subsidiaries (including certain joint venture entities) are exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. Their related income is exempt from federal income tax under Section 501(A). Some of the subsidiaries are taxable entities, and some of the income of the tax-exempt entities is subject to taxation as unrelated business taxable income. The Company and its subsidiaries file U.S. federal income tax returns, and they also file in various state and foreign jurisdictions. The Company accounts for uncertain tax positions in accordance with ASC Topic 740, Income Taxes. The Company accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The Company has determined that no significant unrecognized tax benefits or liabilities exist as of December 31, 2022. Accounting for uncertainty in income taxes, ASC Topic 740-10 prescribes a comprehensive model for how an organization should measure, recognize, present and disclose in its financial statements uncertain tax positions that an organization has taken or expects to take on a tax return. The Company is subject to routine audits by taxing jurisdictions. There are no current audits in progress. As of December 31, 2022, the Company has no uncertain tax positions. The Company's taxable subsidiaries had $282,807 and $269,112 federal and state net operating loss carryforwards as of December 31, 2022 and 2021, respectively, which are available to offset future taxable income subject to various limitations. The Company accounts for income taxes under the asset and liability method. Under this method, deferred tax assets and liabilities are recognized for the estimated future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases. Deferred tax assets and liabilities are measured using enacted tax rates expected to be in effect during the year in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. Interest and penalties related to income taxes are accounted for as income tax expense. The Company has placed a partial valuation allowance of $259,934 on the deferred tax assets as of December 31, 2022, and a full valuation allowance on the deferred tax assets as of December 31, 2021. When determining the valuation allowance for deferred tax assets, the Company annually considers whether it is more likely than not the deferred tax assets will or will not be utilized in future periods. There was a decrease in the valuation allowance of $9,178 and 59,497 as of December 31, 2022 and December 31, 2021, respectively. true true X true X true X true true false true true 9726186 0 9726186 0.0155 58346409 39771901 18574508 0.0296 0 0 0 0.0 0 0 68072595 39771901 28300694 0.0451 2972308 0 2972308 0.0047 131705 0 131705 0.0002 21656505 15841688 5814817 0.0093 0 0 0 0.0 375003 0 375003 0.0006 0 0 25135521 15841688 9293833 0.0148 0 0 93208116 55613589 37594527 0.0599 1932 1932 0.0000 0 0 0.0 136920 136920 0.0002 0 0 0.0 0 0 0.0 0 0 0.0 0 0 0.0 119774 119774 0.0002 0 0 0.0 0 0 258626 0 258626 0.0004 true 71889559 0 139486794 154522171 -15035377 X true true 2 1 ST FRANCIS HOSPITAL - DOWNTOWN ONE ST FRANCIS DRIVE GREENVILLE SC 296013955 WWW.BONSECOURS.COM HTL-0794 X X X X X A 2 ST FRANCIS HOSPITAL - EASTSIDE 125 COMMONWEALTH DRIVE GREENVILLE SC 296154812 WWW.BONSECOURS.COM HTL-0793 X X X X A A false false true X X X X X X X X X 22 true false false true X https://www.bonsecours.com/about-us/community-commitment/community-health-needs-assessment X true 23 true https://www.bonsecours.com/about-us/community-commitment/community-health-needs-assessment false true X 200.0 400.0 X X X X X X true true X X X true X https://www.bonsecours.com/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE X https://www.bonsecours.com/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE X https://www.bonsecours.com/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - St. Francis Hospital, Inc.. Bon Secours St. Francis Health System, including Bon Secours St. Francis Downtown, Bon Secours St. Francis Eastside, Bon Secours St. Francis Millennium, and Bon Secours St. Francis Medical Campus at Simpsonville completed a joint CHNA report which reflects the collaborative efforts to conduct an assessment of the health needs of the community they serve. The CHNA was created utilizing quantitative data which was collected at national, state, regional, and local levels as well as qualitative data that was collected through community input. Key data sources included the United States Census Bureau; Healthy People 2030; County Health Rankings and Roadmaps; Centers for Disease Control; and South Carolina DHEC biostatistics, vital records, county health profiles and hospital discharge data. Dates of data collected ranged from 2000 - 2021. For each indicator, data was pulled for the most recent year available. To assess trends and progress, data points were compared to data pulls from the previous CHNA study when updated data points were available. Collection and analysis of qualitative data was completed through a series of town hall meetings and the implementation of a community survey. Qualitative data was collected by the Johnson Group, the consulting firm that compiled that data in the previous CHNA studies. Three Town Hall meetings were conducted in January 2022. Originally set to be completed in person, due to a community spike in COVID cases, all three Town Halls were completed by Zoom. The Town Halls included over 70 community residents, faith-based representative, and some health and human service representatives. These groups represented the interests of urban and suburban residents, mostly from less affluent communities that are home to lower-income families, minority families and the elderly. The community-wide survey reached 775 randomly selected Greenville County residents who completed a lengthy questionnaire about community health issues. Both the secondary data and the town hall results were used to inform survey question selection and the prioritization process of identified needs. A 21-member Advisory team of local public health professionals, health and human service agencies, and Bon Secours St. Francis Health System leaders assisted in guiding the assessment, providing additional insight and feedback into community issues and priorities. The advisory committee met three times between January - April 2022. Additional detail can be found on the Bon Secours website at https://www.bonsecours.com/about-us/community-commitment/community-health-needs-assessment Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - St. Francis Hospital, Inc.. St. Francis Hospital, Inc. St. Francis Hospital, Inc. is comprised of Bon Secours St. Francis Downtown, Bon Secours St. Francis Eastside, Bon Secours St. Francis Millennium, and Bon Secours St. Francis Medical Campus at Simpsonville. These hospitals are collectively referred to as "the hospital needs identified in its CHNA are addressed with regional strategies. Unless noted below, both St. Francis Hospital - Downtown and St. Francis Hospital - Eastside participated in the regional strategies. Affordable Housing Implementation Activities: Goal: Advocate for a comprehensive affordable housing strategy to address housing inequities in Greenville County and its municipalities; Partner with organizations to address the housing affordability gap in Greenville; Expand housing for women affected by domestic violence. 2022 Strategies and Outcomes: * Education and advocating for policies and practices that specifically address the preservation of affordable housing in Greenville was a focus for the hospital during the year as it continued their engagement with affordable housing partners, such as the Greenville Housing Fund, to increase funding to support affordable housing units. The Greenville Housing Fund has been at the helm of advocating for government funds released by the federal government for municipalities for rent payment to landlords to those impacted by loss of wages or those who are homeless. During 2022, the Greenville Housing fund raised $5 million for affordable housing projects in Greenville County. * During 2022, the Hospital continued its participation with the Homeless Alliance which includes a cross sector of organizations looking at the needs and services of the homeless, particularly in the wake of COVID-19. * The Hospital continued its support of the Sterling Land Trust and its efforts to lead affordable housing initiatives in Greenville. During 2022, the Hospital and the Sterling land trust worked with Habitat for Humanity to finish building their 7th home as a part of a 10-year commitment. * The hospital completed their agreement with Mercy Housing SE to build 46 affordable 1-, 2- and 3-bedroom apartments in Mauldin, SC. By the end of 2022, all units were completed and occupied, and the hospital is currently working to provide health education to residents. * In 2022, the hospital supports residents of Jasmine Road, an organization that provides services to women involved in domestic violence, by identifying and leveraging funding resources to support the costs of housing expansion. In 2022, Bon Secours successfully identified a funder that helped develop additional housing for these residents. Behavioral Health Implementation Activities: Goal: Actively address behavioral health issues in the Upstate through community and partnership-based collaborative approaches; Increase education, early detection and easy access to behavioral health interventions through Bon Secours St. Francis Health System (BSSFHS) access points; Expand community addiction service resources. 2022 Strategies and Outcomes: * Greenville County is classified as a Medically Underserved area and resource guides were previously unavailable. During 2022, the hospital made available the Behavioral Health Resource Guide, which was developed in 2021, as part of its partnership with Greenville County Behavioral Health Coalition in both a physical and digital format. The hospital also began working with the Hispanic Alliance and Clemson to provide translation of this document. * The hospital successfully continued utilizing the Columbia-Suicide Severity Rating Scales (C-SSRS), which was implemented in 2021, in combination with the already established Patient Health Questionnaire (PHQ-9) depression screening in ambulatory settings locally. The Patient Point Committee focus is to share the message with all patients within the practices through the electronic message boards within the sites about how important Depression Screening is to complete and to encourage support in reaching out to a Behavioral Health Provider for an appointment as needed. * The hospital continues to seek opportunities to expand pathways to behavioral health education and training for providers to increase the behavioral health workforce. In 2022, one psychiatrist and one behavioral health MD were hired. * The hospital provides behavioral health and early detection education and awareness to faith-based organizations. In 2022, the hospital continued the Screening, Brief Intervention, and Referral to Treatment (SBIRT) program and the hospital has now equipped Legacy Early College to treat Medication for Opioid Use Disorder (MOUD) and is building a behavioral health system of care there. * The hospital held Market Behavioral Health Work group meetings monthly during 2022 in an effort to expand community addiction service resources. * The hospital supports Jasmine Road behavioral health clients through Dr. Felkel or through the St. Francis Primary Care Downtown as needed. Obesity and Chronic Conditions Implementation Activities: Goal: Reduce one or more modifiable risk factors associated with chronic disease in two identified adult populations; Increase knowledge and awareness of the prevention of childhood obesity. 2022 Strategies and Outcomes: * Throughout the year the hospital continued to provide education, programming and activities addressing nutrition, physical activity, and behavioral health to underserved populations through a partnership with the Free Clinic. During 2022, the Free Clinic went through a period of transition where they relied on the Hospital's training material to continue their own trainings. * The hospital continued to increase awareness for the risk of diabetes during 2022 by performing the following actions: - Implementing a Food share Produce Box Distribution. - Continuing Obesity and related Chronic condition education - Adding blood pressure screenings to the vision screenings being offered at the St. Sebastian site, with 23 participants. * During 2022, the hospital continued work with the University of South Carolina (USC) on the healthy outcomes program (HOP). During the year HOP instituted more reporting and provided new training with USC to help improve tracking and understanding of HOP metrics. * The hospital continues to partner with community organizations, such as LiveWell and their Build Trust/Build Health group as well as the Healthy Carolinas organization, Healthy People. During 2022, a representative of the hospital met twice a month with the LiveWell BUILD group to increase knowledge and awareness of the prevention of childhood obesity. * The hospital continues to work in partnership with a Hispanic faith-based organizations to implement family-based obesity prevention strategies aimed at reversing the increasing trend of overweight Hispanic Children. During 2022, the hospital used monthly meetings held to focus on building trust with the Hispanic community so that they feel confident in reaching out to providers. All prioritized health needs identified in the hospital's most recent CHNA have been addressed. Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - St. Francis HOspital, Inc.. BON SECOURS MERCY HEALTH'S FINANCIAL ASSISTANCE POLICY REQUIRES A PATIENT OR FAMILY MEMBER TO COMPLETE AN APPLICATION INCLUDING GROSS INCOME FOR A MINIMUM OF 3 MONTHS (UP TO 12 MONTHS) PRIOR TO THE DATE OF APPLICATION OR DATE OF SERVICE. PROOF OF INCOME IS REQUIRED WITH THE EXCEPTIONS OF PATIENTS WHO QUALIFY FOR PRESUMPTIVE ELIGIBILITY. PROOF OF INCOME IS NOT REQUIRED IF A PATIENT OR FAMILY MEMEBER ATTESTS TO AN INCOME LEVEL THAT QUALIFIES THE APPLICANT FOR DISCOUNTED CARE UNDER OHIO'S HEALTHCARE ASSURANCE PROGRAM (HCAP). THIRD PARTY INCOME SCORING MAY BE USED TO VERIFY INCOME IN SITUATIONS WHERE INCOME VERIFICATION IS UNABLE TO BE OBTAINED THROUGH OTHER METHODS. Patients are presumed to be eligible for financial assistance based on individual life circumstances including but not limited to when the Patient's income is below 200% Federal Poverty Guidelines and considered self-pay, the Patient is discharged to a SNF, the Patient is deceased with no known estate and below 200% Federal Poverty Guidelines, the patient is supported by State-funded prescription programs, the patient is Homeless or received care from a homeless clinic, the patient has Participated in Women, Infants and Children programs (WIC), the patient is eligible for Food stamps, the patient is eligible for Subsidized school lunch program, the patient is eligible for other state or local assistance programs that are unfunded (e.g., Medicaid spend-down), the Patient is referred through the National Association of Free Clinics, the patient provides Low income/subsidized housing as a valid address, or Other significant barriers are present. Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - St. Francis Hospital, Inc.. There are situations where individuals may not have reported income but have significant assets available to pay for healthcare services. In these situations, BON SECOURS MERCY HEALTH may evaluate and require documented proof of any assets that are categorized as convertible to cash and unnecessary for the patient's essential daily living expenses. PATIENTS WHO LIVE IN THE COMMUNITY SERVED BY A BON SECOURS MERCY HEALTH HOSPITAL WILL BE OFFERED HEALTHCARE FINANCIAL ASSISTANCE. FOR THOSE PATIENTS LIVING OUTSIDE OF THE COMMUNITY, EXTENUATING CIRCUMSTANCES MUST BE DOCUMENTED AND APPROVED BY THE PFS MANAGER AND BE MEDICALLY NECESSARY OR EMERGENT IN NATURE. A LIST OF THE ZIP CODES OF THE COMMUNITY SERVED FOR EACH BON SECOURS MERCY HEALTH HOSPITAL IS MAINTAINED IN A SEPARATE DOCUMENT AND READILY AVAILABLE VIA THE CONTACT LIST AT THE END OF THE POLICY LOCATED AT HTTPS://WWW.MERCY.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE AND AT https://www.bonsecours.com/patient-resources/financial-assistance. BON SECOURS MERCY HEALTH'S FINANCIAL ASSISTANCE POLICY REQUIRES A PATIENT TO APPLY FOR HEALTH INSURANCE COVERAGE AND/OR ENTER THE MARKETPLACE/EXCHANGE BEFORE FINANCIAL ASSISTANCE MAY BE EXTENDED. EXCEPTIONS TO THIS POLICY INCLUDE PATIENTS DISCHARGED TO A SKILLED NURSING FACILITY, PATIENTS WHO ARE DECEASED WITH NO ESTATE, AND PATIENTS WHO HAVE DOCUMENTED HOMELESSNESS. 39 St Francis Downtown Emergency Department 1 St Francis Drive Greenville SC 29601 Emergency Departments St Francis Eastside Emergency Department 125 Commonwealth Drive Greenville SC 29615 Emergency Departments Bon Secours - St Francis Emergency Center at Simpsonville 3970 Grandview Dr Simpsonville SC 29680 Emergency Departments St Francis Downtown 1 St Francis Drive Greenville SC 29601 Imaging & Radiology St Francis Eastside 125 Commonwealth Drive Greenville SC 29615 Imaging & Radiology AFC Urgent Care Bon Secours - Wade Hampton 2310 Wade Hampton Blvd Greenville SC 29615 Walk-In & Urgent Care AFC Urgent Care Bon Secours - Simpsonville 3930 Grandview Drive Suite B Simpsonville SC 29680 Walk-In & Urgent Care AFC Urgent Care Bon Secours - Greer 1494 W Wade Hampton Blvd Suite C Greer SC 29650 Walk-In & Urgent Care AFC Urgent Care Bon Secours - Cherrydale 3213 N Pleasantburg Dr Suite E-2 Greenville SC 29609 Walk-In & Urgent Care AFC Urgent Care Bon Secours - Haywood Road 649-A Haywood Rd Greenville SC 29607 Walk-In & Urgent Care AFC Urgent Care Bon Secours - Boiling Springs 2746 Boiling Springs Rd Boiling Springs SC 29316 Walk-In and Urgent Care AFC Urgent Care Bon Secours - Anderson 3710 Clemson Blvd Anderson SC 29621 Walk-In and Urgent Care AFC Urgent Care Bon Secours - Clemson 13400 Clemson Blvd Seneca SC 29678 Walk-In and Urgent Care AFC Urgent Care Bon Secours - Augusta Road 1800 Augusta Road Suite B Greenville SC 29605 Walk-In and Urgent Care AFC Urgent Care Bon Secours - Duncan 1667 E Main St Duncan SC 29334 Walk-In and Urgent Care AFC Urgent Care Bon Secours - Powdersville 3613 SC-153 Powdersville SC 29611 Walk-In and Urgent Care AFC Urgent Care Bon Secours - Pelham Road 2709 Pelham Road Suite B Greenville SC 29615 Walk-In and Urgent Care AFC Urgent Care Bon Secours - Greenwood 474 By-pass 72 NW Suite B Greenwood SC 29649 Walk-In and Urgent Care AFC Urgent Care Bon Secours - Woodruff Road 1467 Woodruff Road Suite C Greenville SC 29607 Walk-In and Urgent Care AFC Urgent Care Bon Secours - Easley 5208 Calhoun Memorial Hwy Suite C Easley SC 29640 Walk-In and Urgent Care Bon Secours St Francis Cancer Center Laboratory 104 Innovation Dr Greenville SC 29607 Laboratory Services Bon Secours St Francis Millennium Draw Station 2 Innovation Dr Greenville SC 29607 Laboratory Services Bon Secours St Francis Eastside Draw Station 131 Commonwealth Dr Suite 310 Greenville SC 29615 Laboratory Services Bon Secours St Francis Eastside Main Laboratory 125 Commonwealth Dr Greenville SC 29615 Laboratory Services Bon Secours St Francis Downtown Draw Station 3 St Francis Dr Greenville SC 29605 Laboratory Services Bon Secours St Francis Downtown Main Laboratory 1 St Francis Dr Greenville SC 29605 Laboratory Services Bon Secours St Francis Mobile Medical Van 135 Commonwealth Dr Greenville SC 29615 Primary Care & Family Medicine Harness Health Pharmacy - St Francis Simpsonville 3970 Grandview Dr Simpsonville SC 29680 Pharmacy Harness Health Pharmacy - St Francis Cancer Center 104 Innovation Drive Suite 1050 Greenville SC 29607 Pharmacy HealThy Self 2 Innovation Dr Suite 200 Greenville SC 29607 Fitness Centers St Francis LifeWise 131 Commonwealth Dr Suite 390 Greenville SC 29615 Community Services St Francis Eastside - Imaging and Radiology 125 Commonwealth Drive Greenville SC 29615 Imaging and Radiology Bon Secours Hematology and Oncology 104 Innovation Drive Suite 2000 Greenville SC 29607 Cancer Care and Oncology Melissa Richardson MD Physical Medicine and Neurodiagnostics 131 Commonwealth Dr Greenville SC 29615 Physical Therapy and Rehabilitation Bon Secours - St Francis Gastroenterology 317 St Francis Suite 330 Greenville SC 29601 Digestive Health and Gastroenterology St Francis Eastside 125 Commonwealth Drive Fourth Floor Greenville SC 29615 Maternity and Birthing Centers St Francis Cancer Center 104 Innovation Drive Greenville SC 29607 Cancer Care and Oncology Bon Secours St Francis Simpsonville Draw Station 3970 Grandview Dr Suite 1700 Simpsonville SC 29680 Laboratory Services St Francis Cardiovascular and Thoracic Associates 317 St Francis Drive Suite 340 Greenville SC 29601 Cardiology and Heart Institutes Schedule H, Part I, Line 6a Community benefit report prepared by related organization Bon Secours Mercy Health, Inc. Schedule H, Part I, Line 7g Subsidized Health Services $85,690 of costs attributable to physician clinics was included as subsidized health services in 2022. These clinics provide community benefit by improving access to physician services for the poor and underserved. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 71889559 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance Cost of financial assistance at cost was calculated with a cost to charge ratio using worksheet 2. The cost related to Medicaid patients was determined using Bon Secours Mercy Health's cost accounting system and included both inpatients and outpatients for traditional Medicaid and Medicaid managed care plans. For subsidized services Bon Secours Mercy Health's cost accounting system used to determine cost related to the specific service excluding traditional Medicaid and Medicaid managed care patients. Costs for charity and bad debt accounts are deducted using a ration of cost to charge specific to that subsidized service. Costs for other programs reflect the direct and indirect costs of providing those programs. Schedule H, Part II Community Building Activities Bon Secours Mercy Health (BSMH) addresses various community concerns including health improvement, poverty, workforce development, and access to health care. BSMH hospitals conduct community health education and support groups, health fairs and screenings for the communities served. BSMH hospitals work with state and local leadership to address community needs and provide healthcare services to the poor and underserved. BSMH is committed to addressing the social determinants of health (SDOH) and social needs for patients and communities throughout our footprint. With a deep understanding of both areas, the team is working systematically across the ministry and in our local communities to ensure we respond holistically and impactfully. BSMH addresses SDOH through its Community Health Needs Assessment (CHNA), Community, investment strategy, advocacy/public policy partnerships, and cross sector solutions. BSMH addresses social needs through SDOH patient assessment, health education/promotion programs, capacity building of local community resources, and closed loop referral system. BSMH hospitals provide programs to improve the physical surroundings and housing in the communities served. Inadequate housing has a negative impact on the health of residents in the area by leading to violence in the neighborhoods. A robust economy positively impacts residents covered by health insurance and improves the capacity of the community to support health services. Additional detail regarding BSMH's community building activities and the promotion of health of its communities can be found in its 2022 Community Health Annual Report available at https://www.bonsecours.com/about-us/community-commitment/community-health-needs-assessment and https://www.mercy.com/about-us/mission/giving-back/community-health-needs-assessment. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. NET PATIENT ACCOUNTS ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED UPON BON SECOURS MERCY HEALTH'S (BSMH) HISTORICAL COLLECTION EXPERIENCE ADJUSTED FOR CURRENT ENVIRONMENTAL RISKS AND TRENDS FOR EACH MAJOR PAYOR SOURCE. SIGNIFICANT PROVISION IS MADE FOR SELF-PAY PATIENT ACCOUNTS IN THE PERIOD OF SERVICE BASED ON PAST COLLECTION EXPERIENCE. BSMH'S CONCENTRATION OF CREDIT RISK RELATED TO NET PATIENT ACCOUNTS IS LIMITED DUE TO THE DIVERSITY OF PATIENTS AND PAYORS. NET PATIENT ACCOUNTS CONSIST OF AMOUNTS DUE FROM GOVERNMENTAL PROGRAMS (PRIMARILY MEDICARE AND MEDICAID), PRIVATE INSURANCE COMPANIES, MANAGED CARE PROGRAMS AND PATIENTS THEMSELVES. NET PATIENT SERVICE REVENUE FOR SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE IS RECOGNIZED BASED ON CONTRACTUAL RATES FOR SERVICES RENDERED. BSMH RECOGNIZES A SIGNIFICANT AMOUNT OF PATIENT SERVICE REVENUE AT THE TIME SERVICES ARE RENDERED EVEN THOUGH IT DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY. AS A RESULT, THE PROVISION FOR BAD DEBTS IS PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). AMOUNTS RECOGNIZED ARE SUBJECT TO ADJUSTMENT UPON REVIEW BY THIRD-PARTY PAYORS. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, BSMH RECOGNIZES REVENUE WHEN SERVICES ARE PROVIDED. BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF BSMH'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR SERVICES PROVIDED. THUS, BSMH RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. ANY DISCOUNTS APPLIED TO SELF-PAY PATIENTS WOULD BE DEEMED EITHER CHARITY OR A CONTRACTUAL ADJUSTMENT. BAD DEBT WOULD BE BASED ON THE BALANCE AFTER THE CHARITY OR CONTRACTUAL ADJUSTMENT THAT IS DEEMED UNCOLLECTABLE FOLLOWING A REASONABLE COLLECTION EFFORT. Schedule H, Part III, Line 3 Bad Debt Expense Methodology BON SECOURS MERCY HEALTH'S (BSMH) FINANCIAL ASSISTANCE POLICY DOES NOT PERMIT THE COST OF PATIENTS WHO ARE UNCOOPERATIVE OR UNABLE TO BE LOCATED TO BE RECLASSIFIED FROM FINANCIAL ASSISTANCE TO BAD DEBT. BSMH'S FINANCIAL ASSISTANCE POLICY REQUIRES AN APPLICATION AND SUPPORTING DOCUMENTATION. THEREFORE, ZERO DOLLARS ARE BEING REPORTED ON PART III, LINE 3 AS AMOUNTS INCLUDED IN BAD DEBT THAT COULD BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER BSMH'S FINANCIAL ASSISTANCE POLICY. THE HOSPITAL FOLLOWS THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES POLICY DOCUMENT, COMMUNITY BENEFIT PROGRAM, A REVISED RESOURCE FOR SOCIAL ACCOUNTABILITY ("CHA GUIDELINES") FOR DETERMINING COMMUNITY BENEFIT. THE CHA GUIDELINES RECOMMEND THAT HOSPITALS NOT INCLUDE BAD DEBT EXPENSE AS COMMUNITY BENEFIT. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote BON SECOURS MERCY HEALTH'S (BSMH) AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. BSMH ELECTED TO EARLY ADOPT ASU 2011-07. ACCORDINGLY, BAD DEBT EXPENSE IS REFLECTED AS A DEDUCTION FROM REVENUE RATHER THAN AS AN OPERATING EXPENSE. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, 2. SIGNIFICANT ACCOUNTING POLICIES, (d) NET PATIENT ACCOUNTS AND NET PATIENT SERVICE REVENUE (PAGE 11) STATES Patient receivables are recorded at net realizable value based on certain assumptions determined by payor class. For third party payors including Medicare, Medicaid, and commercial insurance, the net realizable value is based on the estimated contractual reimbursement percentage, which is based on current contract prices or historical paid claims data by payor. For self-pay receivables, which includes patients who are uninsured and the patient responsibility portion for patients with insurance, the net realizable value is determined using estimates of historical collection experience. These estimates are adjusted for estimated conversions of patient responsibility portions, expected recoveries and any anticipated changes in trends. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs BON SECOURS MERCY HEALTH (BSMH) FOLLOWS THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES POLICY DOCUMENT, COMMUNITY BENEFIT PROGRAM, A REVISED RESOURCE FOR SOCIAL ACCOUNTABILITY ("CHA GUIDELINES") FOR DETERMINING COMMUNITY BENEFIT. THE CHA GUIDELINES RECOMMEND THAT HOSPITALS NOT INCLUDE MEDICARE LOSSES AS COMMUNITY BENEFIT. BSMH'S COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE MEDICARE AMOUNTS IN PART III. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE NOT SENT TO A COLLECTION AGENCY. THE ORGANIZATION REPEATEDLY OFFERS PATIENTS ACCESS TO FINANCIAL HELP DURING THEIR HOSPITAL STAYS AND AFTER, AS WELL AS WITH EACH BILLING NOTICE. BILLS ARE SENT TO A COLLECTION AGENCY AS A LAST RESORT AND ONLY: WHEN PATIENTS HAVE THE ABILITY TO PAY SOME PORTION OF THEIR HEALTHCARE EXPENSES BUT REFUSE TO DO SO; WHEN PATIENTS REFUSE TO WORK WITH THE ORGANIZATION TO DETERMINE IF THEY QUALIFY FOR FREE OR DISCOUNTED CARE VIA FEDERAL, STATE, LOCAL OR HOSPITAL ASSISTANCE PROGRAMS; WHEN THE ORGANIZATION IS UNABLE TO LOCATE THE PATIENT OR PERSON RESPONSIBLE FOR THE BILL. Patients that are presumed to be eligible for financial assistance based on individual life circumstances will be provided 100% financial assistance. Patients determined to have presumptive financial assistance eligibility will not be required to meet income criteria, asset eligibility criteria, or fill out a financial assistance application. BSMH utilizes available resources (e.g. technology solutions, service organizations, etc.) to obtain information such as credit scores to assist in determining a patient's presumed eligibility. Schedule H, Part V, Section B, Line 16a FAP website A - ST. FRANCIS HOSPITAL - DOWNTOWN: Line 16a URL: https://www.bonsecours.com/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE; Schedule H, Part V, Section B, Line 16b FAP Application website A - ST. FRANCIS HOSPITAL - DOWNTOWN: Line 16b URL: https://www.bonsecours.com/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - ST. FRANCIS HOSPITAL - DOWNTOWN: Line 16c URL: https://www.bonsecours.com/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE; Schedule H, Part VI, Line 2 Needs assessment BON SECOURS MERCY HEALTH (BSMH) HOSPITALS ASSESS AND CONTINUALLY RESPOND TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. BSMH HOSPITALS JOIN AN EXISTING COMMUNITY-BASED NEEDS ASSESSMENT EVERY THREE YEARS AND UPDATES ARE PROVIDED BETWEEN ASSESSMENTS. BSMH HOSPITALS INCORPORATE PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. BSMH HOSPITALS RECOGNIZE THE HEALTH OF THE COMMUNITY IS INFLUENCED BY SOCIAL, ECONOMIC, AND ENVIRONMENTAL FACTORS, NOT JUST BY DISEASE AND ILLNESS. OUR COMMUNITY BENEFIT INCLUDES BOTH QUALITATIVE AND QUANTITATIVE DATA; DEMOGRAPHICS INCLUDING RACE, AGE, AND ETHNICITY; SOCIOECONOMIC DATA INCLUDING INCOME, EDUCATION, AND HEALTH INSURANCE RATES; PRIMARY CARE AND CHRONIC DISEASE NEEDS OF UNINSURED PERSONS; AND DATA ON HEALTH DISPARITIES IN HEALTH OUTCOMES AMONG MINORITY GROUPS. BSMH HAS A DEDICATED STAFF TO ASSIST IN THE COMMUNITY BENEFIT EFFORT. BSMH'S COMMUNITY BENEFITS COMMITTEES MEET TO PROVIDE OVERSIGHT TO THE ORGANIZATION'S COMMUNITY BENEFITS PROGRAM. BSMH HOSPITALS WORK CLOSELY WITH HEALTH AND HUMAN SERVICE ORGANIZATIONS IN THE AREA, PARTNERING WITH SOME TO PROVIDE SERVICES TO AVOID DUPLICATION. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance ST. FRANCIS HOSPITAL, INC. POSTS THE BON SECOURS MERCY HEALTH (BSMH) CHARITY CARE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN ADMISSIONS AREAS, EMERGENCY DEPARTMENTS AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. BSMH HOSPITALS PROVIDE A COPY OF THE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION TO PATIENTS AS PART OF THE INTAKE PROCESS AND WITH DISCHARGE MATERIALS. ADDITIONALLY, A COPY OF THE POLICY OR A SUMMARY ALONG WITH FINANCIAL ASSISTANCE CONTACT INFORMATION IS INCLUDED IN PATIENT BILLS. BSMH HOSPITALS DISCUSS WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTS THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. THE HOSPITAL ELIGIBILITY LINK PROGRAM (HELP) IS A FREE REFERRAL SERVICE PROVIDED BY BSMH HOSPITALS. THE PURPOSE OF HELP IS TO ASSIST PATIENTS IN OBTAINING MEDICAL BENEFITS THROUGH FEDERAL, STATE, AND HOSPITAL PROGRAMS. HELP REPRESENTATIVES WILL PROVIDE THE FOLLOWING SERVICES AT NO COST TO THE PATIENT: *EXPLORE ELIGIBILITY UNDER PUBLIC ASSISTANCE PROGRAMS *FILE APPLICATIONS ON PATIENT'S BEHALF *SCHEDULE AND ATTEND APPOINTMENTS *PROVIDE TRANSPORTATION WHEN NECESSARY *PROVIDE MEDICAL DOCUMENTATION TO SOCIAL SECURITY ADMINISTRATION FOR DISABILITY CLAIMS. THROUGH HELP, PATIENTS AND THEIR COUNSELORS LOOK AT WHAT OPTIONS ARE AVAILABLE. BSmh HOSPITALS UNDERSTAND THAT NOT EVERYONE CAN PAY FOR HEALTHCARE SERVICES. HELP IS HERE TO OFFER OPTIONS AND ASSISTANCE FOR THOSE WHO ARE UNINSURED OR UNDERINSURED. HELP IS AN EXTENSION OF BMH'S MISSION TO IMPROVE THE HEALTH OF OUR COMMUNITY WITH EMPHASIS ON THE POOR AND UNDERSERVED. MEETING THE NEEDS OF THOSE WITH LIMITED RESOURCES HAS ALWAYS BEEN THE HEART OF OUR MISSION. BSMH IS PROUD TO MAKE OUR FINANCIAL ASSISTANCE INFORMATION AVAILABLE TO THE PUBLIC THROUGH OUR WEBSITE, WHICH CAN BE FOUND AT: https://www.bonsecours.com/patient-resources/financial-assistance OTHER PATIENT EDUCATION INFORMATION THAT IS PROVIDED FOR ELIGIBILITY OF ASSISTANCE IS AS FOLLOWS: *BILINGUAL REPRESENTATIVES ARE AVAILABLE IN OUR CUSTOMER SERVICE DEPARTMENTS. *STAFF TRAINING ON HOSPITAL CARE ASSURANCE PROGRAM (HCAP) AND HOSPITAL FINANCIAL ASSISTANCE (HFA) WAS PROVIDED. TRAINING INCLUDED A MANUAL AND IN-DEPTH INFORMATION REGARDING THE PREPARATION OF THE COST REPORT LOGS, ACCURATE COMPLETION OF THE HCAP APPLICATION AS WELL AS AN OVERVIEW OF THE FAQ'S PROVIDED BY THE OHIO HOSPITAL ASSOCIATION. *STAFF TRAINING PROVIDED BY SOCIAL SECURITY ADMINISTRATION TO ASSIST PATIENTS IN OBTAINING DISABILITY BENEFITS. *FINANCIAL ASSISTANCE COUNSELORS WORK WITH CASE MANAGERS TO EXPEDITE THE TRANSFER OF PATIENTS TO EXTENDED CARE FACILITIES. *FEDERAL POVERTY GUIDELINES ARE POSTED ON OUR WEBSITE AS WELL AS A COPY OF OUR CHARITY APPLICATION. *ALL THIRD PARTIES THAT WORK ON BEHALF OF THE ORGANIZATION TO COLLECT FEES (SUCH AS COLLECTION AGENCIES AND LAW FIRMS) ARE REQUIRED TO FOLLOW BSMH'S POLICIES REGARDING PATIENT NOTIFICATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. *CONSISTENT REVIEW OF SELF PAY PATIENTS FOR RETROACTIVE MEDICAID COVERAGE. *SERVICES PROVIDED BY VENDOR TO REACH OUT TO PATIENTS IN BAD DEBT TO SCREEN FOR HCAP ELIGIBILITY. Schedule H, Part VI, Line 4 Community information THE COMMUNITY FOR EACH HOSPITAL IN THE BON SECOURS MERCY HEALTH (BSMH) SYSTEM IS DEFINED BOTH BY MISSION AND GEOGRAPHY. THE GEOGRAPHIC COMMUNITY IS DEFINED BY EACH HOSPITAL'S IMMEDIATELY CONTIGUOUS AREAS AS WELL AS BY THE BROADER SURROUNDING COUNTIES/REGIONS WHERE THE MAJORITY OF DISCHARGED PATIENTS RESIDE. ADDITIONALLY, THE COMMUNITY INCLUDES PATIENTS WHO REQUIRE THE EXPERTISE AND SPECIALIZED SERVICES OF A BSMH HOSPITAL. Approximately 533,000 residents reside in Greenville County. Greenville County has experienced a growth rate significantly higher than that of the United States and South Carolina and is now the largest population and population density than any other county in South Carolina. As of 2019, Greenville County is predominantly White (73.5%), with a large Black/African American population (17.7%). There is a slow, but steady increase in minority populations in Greenville County. Greenville has a similar age distribution compared to South Carolina, with slightly more children (age 19 and under) and fewer older adults (age 65 and over). The unemployment rate is lower in Greenville County than in South Carolina and the U.S. At 11.5%, Greenville has a lower percentage of people living below the poverty level than the state at 15.2% or the nation at 13.4%. Greenville county has seen a decrease in percentage since 2017 of adults aged 25 and over with less than a high school degree (12.7% in 2017 to 12.0% in 2019), and an increase in percentage since 2017 of adults aged 25 and over with a bachelor's degree (21.2% in 2017 to 22.2% in 2019). ADDITIONAL DETAIL REGARDING THE COMMUNITY FOR EACH HOSPITAL IN THE BSMH SYSTEM CAN BE FOUND IN EACH HOSPITAL'S CHNA AT THE FOLLOWING LINK: https://www.bonsecours.com/about-us/community-commitment/community-health-needs-assessment Schedule H, Part VI, Line 5 Promotion of community health BON SECOURS MERCY HEALTH (BSMH) HOSPITALS, INCLUDING ST. FRANCIS HOSPITAL, INC., OPERATE EMERGENCY ROOMS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. IN ADDITION TO PROVIDING EMERGENCY SERVICES, BSMH HOSPITALS ALSO PROVIDE MINOR EMERGENCY AND URGENT CARE SERVICES TO ALL REGARDLESS OF ABILITY TO PAY. BSMH HOSPITALS OPERATE TRAUMA SERVICES, AIR AMBULANCE SERVICES, DISEASE MANAGEMENT, WOUND CARE, SPECIALTY CLINICS, DEVELOPMENTAL THERAPY, HOSPICE, HOME CARE, CRISIS INTERVENTION, BEHAVIORAL SERVICES AND SUBSTANCE ABUSE SERVICES. BSMH HOSPITALS HAVE OPEN MEDICAL STAFFS WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. THE MAJORITY OF THE GOVERNING BODY CONSISTS OF INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITIES SERVED BY BSMH HOSPITALS. THE BSMH BOARD AND ITS MARKET GOVERNING BOARDS ARE COMPOSED OF MEMBERS OF THE COMMUNITIES SERVED WHO DIRECT AND GUIDE MANAGEMENT IN CARRYING OUT THE MISSION OF BSMH. BOARD MEMBERS ARE SELECTED ON THE BASIS OF THEIR EXPERTISE AND EXPERIENCE IN A VARIETY OF AREAS BENEFICIAL TO BSMH AND ITS AFFILIATED HOSPITALS IN FULFILLING ITS MISSION OF PROVIDING HEALTHCARE SERVICES TO THE POOR AND UNDER SERVED. BSMH HOSPITALS ENGAGE IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS. BSMH HOSPITALS PROVIDE RESIDENCY PROGRAMS AND OTHER TRAINING PROGRAMS. BSMH HOSPITALS PARTICIPATE IN MEDICAID, MEDICARE, CHAMPUS, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. BSMH HOSPITAL'S EMERGENCY DEPARTMENTS TREAT AN INCREASING NUMBER OF PATIENTS WHO USE THE FACILITY FOR PRIMARY CARE NEEDS. PATIENT DEMOGRAPHICS REFLECT THE CHANGING COMMUNITY. AS IN OTHER COMMUNITIES, SOME AREA PHYSICIANS PLACE LIMITS ON THEIR ACCEPTANCE OF MEDICAID PATIENTS. IN ADDITION, SOME PRIMARY CARE PHYSICIANS REFER PATIENTS WITH AFTER-HOURS NEEDS DIRECTLY TO AREA EMERGENCY ROOMS. COMMUNITY GROUPS AND INDIVIDUALS ARE VERY SUPPORTIVE OF BSMH. BSMH FORGES COLLABORATIVE RELATIONSHIPS WITH THE FEDERALLY QUALIFIED HEALTH CENTERS IN ITS COMMUNITIES. Schedule H, Part VI, Line 6 Affiliated health care system ST. FRANCIS HOSPITAL, INC. IS A MEMBER of Bon Secours Mercy Health, Inc., a Maryland nonprofit, nonstock membership corporation (BSMH), and all of the other entities that are controlled directly or indirectly by BSMH are described collectively as the System. The System was organized in June 1983 to fulfill the healthcare mission of the United States Province of the Congregation of the Sisters of Bon Secours of Paris, a congregation of religious women of the Roman Catholic Church founded in France in 1824. The System's activities are in the states of Ohio, New York, Pennsylvania, Maryland, Virginia, Kentucky, South Carolina, and Florida, each referred to as a local system. The Ministry of BSMH aids those in need, particularly those who are sick and dying, by offering services that include but are not limited to acute inpatient, outpatient, pastoral, palliative, home health, nursing home, rehabilitative, primary and secondary care and assisted living without regard to race, religion, color, gender, age, marital status, national origin, sexual orientation, or disability. As a member of the Catholic health ministry and a member of BSMH, this organization and its related entities are called to continue the healing ministry of Jesus. We exist to benefit the people living in the communities it serves. Through all of the services offered to the community, the mission is "to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a System of caregivers, we commit ourselves to help bring people and communities to health and wholeness as part of the healing ministry of Jesus Christ and the Catholic Church." This organization and related organizations share the BSMH Vision. We at BSMH are committed to improve the health of the communities by seeing health broadly though a lens of equity. This allows the Ministry to be recognized as a national leader in addressing the root causes of health disparity through intentional engagement, comprehensive investment and impactful program delivery. To achieve this goal of improving the health of our communities, our work is guided by the BSMH Community Health Strategic Plan. This strategic plan is broken down into four pillars, each with a corresponding focus area. We believe these pillars will allow us to expand upon our already existing commitment to the communities we serve. Pillar 1: Improve Health and Well-Being - Targeted interventions on focused populations that reduced utilization, enhanced well-being, and increased access to care. Pillar 2: Expand Community Development Principles - Clarity and focus on system wide fundraising strategy for community health priorities. Pillar 3: Partner to Build Scale - Work with partners of local, regional, and national prominence and excellence in addressing root causes of health and well-being Pillar 4: Cultivate Investment and Business Development in the Social Determinants of Health - Test and develop new ventures in the community health worker arena. Please see Schedule R for listings of the related organizations. Each of the reported entities play a role in achieving the vision of BSMH and the SQP (Strategic Quality Plan). System-wide community benefit for 2022 per the audit footnote is as follows: Total 2022 Community Benefit: $644.7 Million Benefits to the Broader Community: $147.5 million Unreimbursed Care for Those Who Are Poor and Qualify for Medicaid: $404.3 million Cost of Care for Those Who Could Not Afford to Pay: $92.9 million Community Benefit as Percent of Total Expense: 5.7 percent. true Greenville Tech Foundation Inc Mail Stop 6002 PO Box 5616 Greenville SC 29606 570565961 501(c)(3) 100000 Mission Support American Heart Association 7272 Greenville Ave Dallas TX 75231 135613797 501(c)(3) 85000 Mission Support SC Childrens Theatre PO Box 9340 Greenville SC 29604 570856956 501(c)(3) 50000 Mission Support Greater Greenville Chamber of Commerce 550 S Main St Ste 550 Greenville SC 29601 570173240 501(c)(6) 42500 Mission Support Greenville Free Medical Clinic PO Box 8993 Greenville SC 29604 570855205 501(c)(3) 36500 Mission Support Charity Ball Board of Greenville South Carolina PO Box 16834 Greenville SC 29606 570646214 501(c)(3) 30000 Mission Support Dabo's All In Team Foundation PO Box 1585 Clemson SC 29633 264097429 501(c)(3) 20000 Mission Support St Anthony of Padua Parish 512 W Sycamore St Columbus Grove OH 45830 344449845 501(c)(3) 20000 Mission Support Cancer Society of Greenville 113 Mills Ave Greenville SC 29605 570471686 501(c)(3) 20000 Mission Support Parker Sewer & Fire Subdistrict 117 SMYTHE ST Greenville SC 29611 576000786 115 Government 15000 Mission Support United Ministries 606 Pendleton St Greenville SC 29601 570511977 501(c)(3) 15000 Mission Support Alianza Hispana-Hispanic Alliance PO Box 17934 Greenville SC 29606 271041624 501(c)(3) 15000 Mission Support YMCA of Greenville 723 Cleveland St Greenville SC 29607 570314424 501(c)(3) 12500 Mission Support Community Foundation of Greenville 630 E Washington St Ste A Greenville SC 29601 576019318 501(c)(3) 12500 Mission Support Jasmine Road Inc PO Box 25452 Greenville SC 29616 814552155 501(c)(3) 12500 Mission Support Urban League of the Upstate 225 S Pleasantburg Dr Ste E 11 Greenville SC 29607 570541039 501(c)(3) 10000 Mission Support Greenville Area Parkinson Society PO Box 6505 Greenville SC 29606 264792316 501(c)(3) 10000 Mission Support Rebuild Upsate PO Box 8693 Greenville SC 29604 208296408 501(c)(3) 10000 Mission Support Loaves & Fishes 25 Woods Lake Rd Ste 810 Greenville SC 29607 570931804 501(c)(3) 10000 Mission Support Cancer Survivors Park Alliance PO Box 9428 Greenville SC 29604 571085380 501(c)(3) 10000 Mission Support Mill Community Ministries 1186 Pendleton St Greenville SC 29611 900854058 501(c)(3) 10000 Mission Support Livewell Greenville 225 S Pleasantburg Dr Ste A7 Greenville SC 29607 811376760 501(c)(3) 10000 Mission Support Phillis Wheatley Association 40 John McCarroll Way Greenville SC 29607 570327895 501(c)(3) 10000 Mission Support Mental Health America of Greenville County 130 Industrial Dr Ste B Greenville SC 29607 570955844 501(c)(3) 8000 Mission Support American Cancer Society Inc 3380 Chastain Meadows Pkwy NW Ste Kennesaw GA 30144 131788491 501(c)(3) 7500 Mission Support Camp Kesem National 440 N Barranca Ave 2273 Los Angeles SC 91723 510454157 501(c)(3) 7500 Mission Support Meals on Wheels of Greenville 15 Oregon St Greenville SC 29605 570531378 501(c)(3) 7500 Mission Support Greenville Arts Festival 101B Augusta St Greenville SC 29601 582676608 501(c)(3) 7500 Mission Support Project Host Inc 525 S Academy St Greenville SC 29601 570728041 501(c)(3) 7500 Mission Support Habitat for Humanity of Greenville County PO Box 1206 Greenville SC 29602 570827063 501(c)(3) 70000 Mission Support 29 1 Patient Childcare 25 3753 Patient Funeral Expenses 7 2050 Other Patient Assistance 70 3400 HOP Program Patient Assistance 600 2900 Schedule I, Part III, Column (b) Estimated Number Of Recipients HOP Program Patient Assistance : Estimated 600 individuals based on the number of active enrollees in the program. Schedule I, Part II SCHEDULE I, PART II Description of the Bon Secours Mercy Health Mission Fund: Bon Secours Mercy Health performs its philanthropic work through its mission department. This initiative, called the Bon Secours Health System Mission Fund ("Mission Fund"), was developed to promote the Catholic Health Ministry and the Bon Secours Mercy Health, Inc. Mission. This purpose is realized through the funding of initiatives that improve the health and well-being of communities, particularly for disenfranchised and marginalized people, served by Bon Secours Mercy Health Local Systems ("Local Systems"), Cosponsors and the Congregation of the Sisters of Bon Secours. The scope of its purpose and use of funds would be to: -promote healthy community coalition initiatives in conjunction with local system efforts, -develop local system and community excellence for a specific health condition and preventive need, and -improve access for uninsured populations and reduce health disparities among populations in the community. The Strategic Quality Plan of the health system calls for focused efforts to Build Healthier Communities. The health system understands "health" to include social and communal dimensions and has adopted the following articulation of a healthy community. The conditions of communities and individuals served by Bon Secours Mercy Health reflect the interaction of significant factors and complex behaviors at the individual, communal, and societal level. It is not likely that interventions by any one organization will result in substantial improvement or benefit to the community. Rather, increased participation by stakeholders and greater cooperation among entities with appropriate skills and resources is necessary for systemic change and improved outcomes. Mission Fund grants place emphasis on increased collaboration among community based members (Healthy Community Initiative), public health officials and other providers of services. The Mission Fund anticipates that most endeavors that seek to bring meaningful improvement require time and commitment. Consequently, local system grant recipients may expect continuity of support (several years) to establish and track outcomes. At the same time, grant applicants need to cultivate and achieve a wide array of financial resources necessary to sustain promising projects and service programs. Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE ORGANIZATION COMPLIES WITH BON SECOURS MERCY HEALTH, INC.'S SYSTEM-WIDE FINANCIAL AND ACCOUNTING POLICIES. CONTRIBUTIONS ARE GENERALLY MADE AS REIMBURSEMENTS FOR FUNDS SPENT. IN SUCH CASES, THE DONEE/GRANTEE ORGANIZATION MUST PROVIDE DOCUMENTATION TO THE FILING ORGANIZATION BEFORE FUNDS ARE APPROVED FOR DISBURSEMENT. IN OTHER CASES, GRANTEES SUBMIT PROGRESS REPORTS ON THE ANNIVERSARY DATE ON WHICH THE GRANT WAS RECEIVED. THE EVALUATION REPORT INCLUDES: 1) PROGRESS TOWARD THE DEPLOYMENT OF THE STATED GOALS AND OBJECTIVES, 2) PROGRESS TOWARDS THE ACHIEVEMENT OF DESIRED OUTCOME AS DEMONSTRATED BY PROJECT WORK PLAN, 3) AN ACCURATE ACCOUNTING OF THE REVENUE AND EXPENSES AND THE AMOUNT OF THE MISSION FUND AWARD EXPENSED, AND 4) A SUMMARY PAST, CURRENT AND FUTURE FUNDING SOURCES AND EFFORTS TO SECURE SUSTAINING SOURCES OF FUNDING. X true true false true false false false false false true false MATTHEW CALDWELL Market President BSSFHS 0 535911 0 232063 0 318243 0 257354 0 31413 0 1374984 0 199882 DONALD KLINE Board Member (End 04/22), BSMH COO 0 858576 0 320000 0 612412 0 3742 0 42150 0 1836880 0 0 TOMMY MANN JR MD Board Member; General Surgeon 0 374171 0 65971 0 72258 0 4550 0 31564 0 548514 0 0 Paul Smith Board Member (05/22-06/22); Group President (End 06/22) 0 806642 0 339394 0 614628 0 465114 0 42135 0 2267913 0 420409 WILLIAM KUSNIERZ FORMER CFO - BSSFHS 0 364405 0 121270 0 79906 0 35696 0 11843 0 613120 0 24720 Thomas Morris PHD Former Board President; BSMH Chief Sponsorship Officer 0 225804 0 67202 0 237897 0 4031 0 24931 0 559865 0 0 LISA LANDRETH Former Interim CFO - BSSFHS 0 143123 0 24616 0 12995 0 3324 0 9573 0 193631 0 0 Robert Stiekes CFO - BSSFHS 0 321979 0 100500 0 10143 0 30312 0 30479 0 493413 0 0 DENISE CAMPBELL Former Key - Interim CNO 172145 0 28430 0 22169 0 3735 0 9367 0 235846 0 0 0 Marcus Blackstone MD Former Chief Clinical Officer - Greenville 0 416013 0 136386 0 57169 0 49646 0 12944 0 672158 0 19107 Kathleen Black CHIEF NURSING OFFICER 245020 0 69180 0 27713 0 4550 0 11076 0 357539 0 0 0 Jenny Wehrs COO - BSSFHS 262540 0 74188 0 1969 0 31957 0 28448 0 399102 0 0 0 Surabhi Gaur MD Chief Medical Officer - BSSFHS 311389 0 49471 0 40351 0 4550 0 26794 0 432555 0 0 0 Bruce Swords Chief Clinical Officer - BSSFHS 0 250468 0 25000 0 113660 0 23293 0 19757 0 432178 0 0 ALBERT ATTIA MD RADIATION ONCOLOGIST 398107 0 166064 0 36220 0 0 0 20296 0 620687 0 0 0 Jennifer Vogel Radiation Oncologist 489979 0 422979 0 61678 0 29550 0 20008 0 1024194 0 0 0 Karen Schwartz VP Operations 173253 0 27177 0 30708 0 3822 0 14407 0 249367 0 0 0 Elizabeth Lanford RN Emergency Department 230112 0 3341 0 9874 0 3957 0 9388 0 256672 0 0 0 Andrew Holder Surgeon 231965 0 1725 0 6990 0 0 0 492 0 241172 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments A tax indemnification benefit to cover the income tax incurred on gifts was paid to one former key employee and one highest compensated employee. The entire benefit was treated as taxable compensation. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation Bon Secours Mercy Health, Inc., 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 Written Employment Contract Compensation Survey or Study Approval by the Board or Compensation Committee Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan 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: Matthew Caldwell $89,724; William Kusnierz $27,913; Marcus Blackstone, MD, $21,575; Thomas MOrris, PH.D, $56,298; Donald Kline, $184,492; Kathleen Black, $19,106; Robert Stiekes, $0; Jenny Wehrs, $0; Bruce Swords, $0; Paul Smith, $309,220. Schedule J, Part I, Line 4b Terms and conditions of the St. Francis 457F plan Bon Secours St. Francis Health System, Inc. established the Bon Secours St. Francis Health System Nonqualified Deferred Compensation Plan (the "St. Francis 457F plan") that allows for deposits of employee deferrals and employer contributions and is available only to eligible Bon Secours St. Francis physicians. The St. Francis 457F plan is a non-qualified plan and is subject to a minimum deferred vesting date of at least two years after the first day of the calendar year to which the deferred compensation relates, provided the participant is employed, or upon specified events, such as death or disability. For a participant who separates employment prior to reaching the deferred vesting date, the portion of the account attributable to the deferred vesting date will become vested after the participant satisfies certain conditions during the three year post-employment period. Individuals that received a distribution or participated in the plan include: Marcus Blackstone, MD, $0; Tommy Mann, Jr, MD, $4,155. Schedule J, Part I, Line 4b Terms and conditions of the Youngstown Market SERP The Youngstown Market SERP Plan is a deferred compensation plan which provides supplemental retirement benefits to persons selected by the Mercy Health Youngstown LLC Board of trustees or its delegate. The Plan provides annual credits of a specified percentage of compensation and annual interest credits. Participants vest 100% in their accounts after three years of service, except for participants who had attained at least ten years of service at plan inception, who had immediate vesting. Vesting occurs earlier upon death or total disability. Payments are made during employment for required tax withholding. The vested account balance is paid as a lump sum after termination of employment. Amounts includible as taxable compensation for listed individuals due to SERP participation in the reporting year are as follows: Donald Kline $0. Schedule J, Part I, Line 4b Terms and conditions of the Bon Secours Mercy Health Physicians SERP The Bon Secours Mercy Health Physician 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: Tommy Mann, Jr, MD, $12,500; Jennifer Vogel, $0. Schedule J, Part I, Line 7 Non-Fixed Payments The organization provides annual incentive compensation for listed individuals. The organization's Board of Trustees establishes objective thresholds for quality, community benefit, and financial performance which must be achieved for incentives to be awarded. The Board also establishes threshold, target and maximum levels for incentive awards. Within these established parameters, the Board determines the CEO's incentive award and incentive awards for other listed individuals are determined by the listed individual's supervisor and disclosed to the Board. The Board may authorize modified incentive awards when appropriate in its judgment. McMillan Pazdan Smith 35% Controlled Entity of Family Member of Vice Chair, John Pazdan 745480 Independent Contractor false CP Enterprises Limited Partnership 35% Controlled Entity of Vice Chair, John Pazdan 97103 Independent Contractor false Form 990, Part VI, Line 6 Classes of members or stockholders Bon Secours Mercy Health, Inc. is the sole member of Bon Secours St. Francis Health System, Inc., which in turn is the sole member of St. Francis Hospital, Inc. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body The governing body of St. Francis Hospital, Inc. is appointed by its member Bon Secours St. Francis Health System, Inc. and subject to approval by Bon Secours Mercy Health, Inc. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Certain matters require approval of the BSMH corporate member, BSMH governing body, or BSMH CEO. The regulations of the organization describe the level of approval required for various decisions. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED BY BSMH'S TAX DEPARTMENT AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. A COPY OF THE FORM 990 IS THEN REVIEWED BY MANAGEMENT. ONCE THE FORM 990 IS REVIEWED BY ALL APPLICABLE PARTIES A COPY OF THE FINAL VERSION IS PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY PRIOR TO FILING. Form 990, Part VI, Line 12c Conflict of interest policy BSMH maintains a written and board approved Conflict of Interest Policy. The policy requires board members, officers, directors and key employees to annually disclose interests that could give rise to conflicts. The Integrity and Stewardship Committee (ISC) of the BSMH Board has the ultimate responsibility for Conflict of Interest, including the Policy implementation, compliance monitoring, and enforcement. Through the ISC, the Policy establishes the annual and ongoing requirement to make disclosures. BSMH Compliance Department reviews all Conflict of Interest disclosures to determine if a disclosed matter constitutes a potential Conflict of Interest requiring management intervention. The review constitutes an independent evaluation of all available facts and circumstances by a disinterested party. Potential Conflicts are shared with the disclosing individual's board chair or supervisor ("Leader"), and in collaboration with the BSMH Compliance Department, the Leader will conclude if an actual conflict exists and, if so, determine how it will be managed. Depending on the facts and circumstances, resolutions may include, but are not limited to, ongoing disclosure, recusal from board or committee deliberations and decision, or removal of the conflict. Upon the completion of the annual review process and review with the individual's Leader, the BSMH Compliance Department reviews all potential and actual conflicts and how they will be managed with the ISC Chair for input prior to submission to the ISC. The ISC will review such recommendations and either approve or request changes until approval may be granted. Form 990, Part VI, Line 15b Process to establish compensation of other employees The People and Culture committee of the board of Bon Secours Mercy Health, Inc. (BSMH) engages in a comprehensive process for the oversight and management of remuneration for executive employees and disqualified parties of BSMH. The People and Culture Committee consists of a group of independent board members and engages an independent external compensation consultant to ensure they receive appropriate analysis of market and follow the practices necessary to obtain full compliance with the IRS' rebuttable presumption of reasonableness. The committee establishes and maintains a compensation philosophy; reviews pay practices against local, regional, and national healthcare organizations and approves all remunerative decisions for this group of individuals. The committee reviews and receives assurances that all levels of pay within the organization are reasonable based on performance and validates incentives are met. These decisions are documented in the BSMH board of directors People and Culture Committee minutes. Compensation Process Other Officers/ Key Employees: For those key employees and highest paid employees that are not reviewed by the BSMH People and Culture committee, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. In the review, the other officers or key employees of the organization were compared to other hospitals' employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded by human resources. Form 990, Part VI, Line 19 Required documents available to the public The governing documents, conflict of interest policy and financial statements are available to the public upon request. Form 990, Part VII, Section A ADDITIONAL DISCLOSURE Board Member positions are generally voluntary in nature. Compensated employees of the filing organization and other related organizations who also hold board positions are compensated only in relation to their employment and do not receive additional compensation for their board responsibilities. Sr. Kathryn Clauss did not receive payroll distributions as she has taken a vow of poverty. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other Revenue - Total Revenue: 281831, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 281831; Form 990, Part IX, Line 11g Other Fees Corporate Dues - Total Expense: XXX-XX-XXXX, Program Service Expense: 97534317, Management and General Expenses: 10837146, Fundraising Expenses: ; Medical and Professional Fees - Total Expense: 33340832, Program Service Expense: 33340832, Management and General Expenses: , Fundraising Expenses: ; Ambulance/Transport Services - Total Expense: 1334042, Program Service Expense: 1334042, Management and General Expenses: , Fundraising Expenses: ; Building Maintenance - Total Expense: 4602082, Program Service Expense: 4141874, Management and General Expenses: 460208, Fundraising Expenses: ; Equipment Maintenance - Total Expense: 2598156, Program Service Expense: 2338340, Management and General Expenses: 259816, Fundraising Expenses: ; Security Services - Total Expense: 593041, Program Service Expense: 533737, Management and General Expenses: 59304, Fundraising Expenses: ; Contract Labor & Recruiting - Total Expense: 11749214, Program Service Expense: 10574293, Management and General Expenses: 1174921, Fundraising Expenses: ; Diagnostic Tests & Ancillary Procedures - Total Expense: 10162639, Program Service Expense: 10162639, Management and General Expenses: , Fundraising Expenses: ; Medical Equipment Repairs - Total Expense: 8205972, Program Service Expense: 8205972, Management and General Expenses: , Fundraising Expenses: ; Dietary - Total Expense: 8836967, Program Service Expense: 7953270, Management and General Expenses: 883697, Fundraising Expenses: ; Other professional services - Total Expense: 3071222, Program Service Expense: 2764100, Management and General Expenses: 307122, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfers to Affiliates - -76542982; Equity Buyout - -5827440; Bon Secours Diagnostic Imaging LLC One St Francis Drive Greenville SC 29601 Health Care SC 2262279 10884609 St Francis Hospital Inc Health Partners of Bon Secours St Francis LLC One St Francis Drive Greenville SC 29601 814408628 Health Care SC 181534 0 St Francis Hospital Inc Upstate Surgery Center LLC One St Francis Dr Greenville SC 29601 Health Care SC 357309 2354080 St Francis Hospital Inc 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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