2022-11-07T15:00:32-06:00 2021-12-31 134008324 PRICEWATERHOUSECOOPERS LLP 655 NEW YORK AVE NW STE 1100 WASHINGTON DC 20001 990 2021-01-01 521988421 Bon Secours - Richmond Health System Inc BONS 8042818413 8580 Magellan Parkway Building IV Richmond VA 23227 William Kusnierz CFO - Richmond 8042818413 2022-11-07 true William Kusnierz 999009999 TRAVIS L PATTON P00369623 2024141000 2021 2022-09-23 18:48:47Z Bon Secours Virginia Sr Anne Marie Mack 8580 Magellan Parkway Building IV Richmond VA 23227 1921616534 false X WWW.BONSECOURS.COM X 1996 VA BON SECOURS-RICHMOND HEALTH SYSTEM EXTENDS THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH AND WELL-BEING OF OUR COMMUNITIES AND BRING GOOD HELP TO THOSE IN NEED, ESPECIALLY PEOPLE WHO ARE POOR, DYING AND UNDERSERVED. BON SECOURS-RICHMOND HEALTH SYSTEM DEMONSTRATES BEHAVIORS REFLECTING OUR CORE VALUES OF HUMAN DIGNITY, INTEGRITY, COMPASSION, STEWARDSHIP, AND SERVICE. 18 15 2990 1749 3428792 2785706 65808638 23093116 1543681132 1856180795 17978239 33397753 13088180 8944870 1640556189 1921616534 4530476 3972617 0 463856367 523993697 0 0 903565223 1086930481 1371952066 1614896795 268604123 306719739 2583959912 2696702645 844559200 578789932 1739400712 2117912713 THE MISSION IS TO BRING COMPASSION TO HEALTH CARE AND TO BE GOOD 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 272090029 3921447 462987292 BON SECOURS-RICHMOND HEALTH SYSTEM IS A MISSION-DRIVEN, NONPROFIT, CATHOLIC HEALTH SYSTEM. BON SECOURS-RICHMOND HEALTH SYSTEM OPERATES ACUTE CARE HOSPITALS, HOME HEALTH AGENCIES, AMBULATORY AGENCIES, AND OTHER HEALTHCARE ORGANIZATIONS. BON SECOURS-RICHMOND HEALTH SYSTEM SUPPORTS ITS subsidiary members in their effort to provide compassionate, quality healthcare services to those in need, including the poor and dying, for the purpose of alleviating human suffering and bringing people to wholeness in the midst of pain and loss. 1015561226 51170 1389764711 THE FIVE HOSPITALS INCLUDED ON THIS RETURN EXTEND THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH AND WELL-BEING OF OUR COMMUNITIES AND BRINGING GOOD HELP TO THOSE IN NEEED, ESPECIALLY PEOPLE WHO ARE POOR, DYING AND UNDERSERVED. THIS IS ACCOMPLISHED BY DEMONSTRATING BEHAVIORS REFLECTING OUR CORE VALUES OF HUMAN DIGNITY, INTEGRITY, COMPASSION, STEWARDSHIP, AND SERVICE. TOTAL COMMUNITY BENEFIT PROVIDED IN 2021 WAS $64,149,084. 1287651255 true true false true false false false false true 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 false false false false false true true true true false false true 0 0 2990 true true true false false false false false false false false false false false X 18 15 false false false false true true true true true false false true true true true true true false true true false VA X TRAVIS CRUM 5139525000 1701 MERCY HEALTH PLACE CINCINNATI OH 45237 Faraaz Yousuf PRESIDENT/CEO - RICHMOND 47.5 2.5 X X 0 817732 307129 Jane Watkins Vice Chairman 2.0 0.0 X X 0 0 0 SHANNON Sinclair CHAIR 2.0 0 X X 0 0 0 Birdie Jamison Board Member 2.0 0.0 X 0 0 0 Brian YANofchick CHIEF SPONSORSHIP OFFICER - PROVIDENCE GROUP 2.5 51.5 X 0 439251 25418 Chandrashekar Challa Board Member 2.0 0.0 X 0 0 0 CHRIS HAIRSTON-WHITE Board Member 2.0 0.0 X 0 0 0 Elizabeth CROWTHER Board Member 2.0 0.0 X 0 0 0 JEFFREY BROWN MD Board Member (End 12/21) 2.0 0.0 X 0 0 0 John Daniel III MD Board Member 2.0 0.0 X 0 0 0 Joyce Lanier Board Member 2.0 0.0 X 0 0 0 Kyle Woolfolk Jr BOARD MEMBER 2.0 0.5 X 0 0 0 Linda Rigsby ESQ Board Member 2.0 1.5 X 0 0 0 Matthew Illian Board Member (End 06/21) 2.0 0.0 X 0 0 0 Pamela Royal MD Board Member (End 12/21) 2.0 0.0 X 0 0 0 Paul Smith PRESIDENT, PROVIDENCE GROUP 2.5 47.7 X 0 1129272 499209 ROSALYN HOBSON HARGRAVES MD Board Member 2.0 0.0 X 0 0 0 Sr Anne Marie MACK CBS Board Member 2.0 48.0 X 0 0 0 Sr VICTORIA SEGURA MD CBS Board Member (End 08/21) 2.0 48.0 X 0 0 0 STUART BUNTING Board Member 2.0 0.0 X 0 0 0 Rhodes Ritenour Secretary, VP External & Regulatory Affairs 49.5 0.5 X 0 251113 40394 WILLIAM KUSNIERZ TREASURER/CFO - RICHMOND 49.5 0.5 X 0 650445 56633 BRENDA WOODCOCK CHIEF NURSING OFFICER - RICHMOND 49.5 0.5 X 0 323261 51247 Christopher Accashian CHIEF OPERATING OFFICER - RICHMOND 50.0 0 X 590651 0 95258 MARK TOWNSEND Chief Clinical Officer - Richmond (End 6/21) 50.0 0 X 481984 0 79888 RYAN STUHLREYER VP SERVICE LINE STRATEGY - RICHMOND 49.0 1.0 X 184509 0 35345 Bryan Lee Hospital President - SMH 50.0 0 X 539500 0 476144 JOSEPH KARCH MD GENERAL SURGEON 50.0 0 X 415793 0 35692 Joseph Wilkins Hospital President - SFMC 50.0 0 X 519490 0 58085 Leigh Sewell CEO - MRMC and RCH 50.0 0.0 X 428281 0 71159 MARK WOOD MD GENERAL SURGEON 50.0 0 X 424477 0 42591 Brian White FORMER PRESIDENT, ATLANTIC GROUP 0.0 0.0 X 0 770590 28179 James Godwin Former SVP HR - Richmond 0.0 50.0 X 0 340592 -10536 Jill KENNEDY FORMER CHIEF NURSING EXECUTIVE - RICHMOND 50.0 0.0 X 0 428073 -15878 John MCCurley MD FORMER CMO - RICHMOND MARKET 0.0 0.0 X 288575 0 11889 Kevin Sheppard Former Key, VP - Integration 0.0 0.0 X 164553 0 -28773 Paul Junod FORMER VP HR - RICHMOND 0.0 50.0 X 0 258186 53248 4037813 5408515 1912321 601 true true false 0 4947757 14797600 3347759 23093116 PATIENT SERVICE REVENUE 621990 1727530923 1724102131 3428792 SHARED SERVICE ASSESSMENTS 561499 95451827 95451827 HOME CARE & HOSPICE 621610 22349434 22349434 COLLEGE OF NURSING 611310 4739540 4739540 ACO REVENUE 900099 3139218 3139218 2969853 2969853 0 0 1856180795 32919335 32919335 2583559 2583559 0 2583559 2583559 478418 0 478418 478418 478418 PURCHASE DISCOUNTS 900099 2494597 2494597 CHILD CARE SERVICES 900099 1764948 1764948 GIFT SHOP 453220 487180 487180 1614586 0 0 1614586 6361311 1921616534 1852752003 3428792 42342623 X 3921447 3921447 51170 51170 1603416 1443074 160342 0 406551090 365895981 40655109 2269759 2042783 226976 85558141 77002327 8555814 28011291 25210162 2801129 103703 103703 59786 59786 558451991 296553469 261898522 0 175333 157800 17533 6923260 6230934 692326 7466699 6720029 746670 28199908 25379917 2819991 1959234 1763311 195923 48661 48661 35194022 31674620 3519402 5864306 5277875 586431 MEDICAL SUPPLIES 322998949 322998949 NON-MEDICAL SUPPLIES 3809284 3809284 BAD DEBT EXPENSE 111709358 111709358 DUES AND SUBSCRIPTIONS 1735883 1562295 173588 2230104 2007093 223011 0 1614896795 1287651255 327245540 0 30808245 0 1535006715 1500607522 0 0 0 0 51255772 65988919 4206722 4757216 1014211635 563583308 377551013 450628327 541810370 629486474 68778 75609 727164 926131 385942 338840 42139191 43893607 2583959912 2696702645 346144589 166458406 15994168 12458345 0 0 482420443 399873181 844559200 578789932 X 1739280712 2117792713 120000 120000 1739400712 2117912713 2583959912 2696702645 X 306719739 54734973 17057289 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false true 0 false true 59786 false false false 59786 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 BON SECOURS-RICHMOND HEALTH SYSTEM'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 BON SECOURS-RICHMOND HEALTH SYSTEM'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 BON SECOURS-RICHMOND HEALTH SYSTEM'S PUBLIC POSITION ON LEGISLATIVE AND REGULATORY ISSUES THAT IMPACT PATIENT CARE THROUGHOUT BON SECOURS-RICHMOND HEALTH SYSTEM. BON SECOURS-RICHMOND HEALTH SYSTEM FOCUSES ON PUBLIC POLICY ISSUES THAT EXTEND ITS HEALING MINISTRY TO THOSE WHO ARE POOR AND UNDERSERVED IN THE COMMUNITIES BON SECOURS-RICHMOND HEALTH SYSTEM SERVES. TO CARRY OUT THESE EFFORTS, BON SECOURS-RICHMOND HEALTH SYSTEM PARTNERS WITH EXPERT CONSULTANTS AND PROFESSIONAL TRADE ASSOCIATIONS TO BUILD AWARENESS AND EXECUTE SPECIFIC STRATEGIES THAT WILL YIELD A FAVORABLE OUTCOME FOR PATIENT CARE IN THE BON SECOURS-RICHMOND HEALTH SYSTEM FACILITIES WHERE THEY ARE TREATED. GRANTS PAID TO OTHER ORGANIZATIONS OF $59,786 CONSTITUTE THE PORTION OF DUES DEEMED TO BE FOR LOBBYING PURPOSES. 120000 120000 0 120000 120000 0 0 0 0 0 0 0.0 1.0 0.0 true false 42083020 42083020 458858847 207727737 251131110 70353550 62250099 8103451 348139230 246635330 101503900 94776988 46970142 47806846 450628327 DUE TO AFFILIATES 162153433 Lease Liability 44040500 DEFINED BENEFIT PLAN LIABILITY 191949621 OTHER MISCELLANEOUS LIABILITIES 1729627 399873181 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, 2021. 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, 2021, the Company has no uncertain tax positions. The Company s taxable subsidiaries had $155,184 and $199,705 net operating loss carryforwards as of December 31, 2021 and 2020, respectively, which expire in varying periods through 2037 and are available to offset future taxable income. 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 full valuation allowance on the deferred tax assets as of December 31, 2021 and 2020 as the Company considers it more likely than not that these amounts will not be utilized in future periods. true true X true X true X true true false true true 14028894 14028894 0.0093 269055956 246773627 22282329 0.0148 0 0.0 0 0 283084850 246773627 36311223 0.0242 10366466 10366466 0.0069 23856634 8455284 15401350 0.0102 1522797 1348428 174369 0.0001 0 0.0 1895676 1895676 0.0013 0 0 37641573 9803712 27837861 0.0185 0 0 320726423 256577339 64149084 0.0427 396160 396160 0.0003 398000 398000 0.0003 630000 630000 0.0004 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 1424160 0 1424160 0.0009 true 111709358 0 337990397 371535545 -33545148 X true true St Mary's Ambulatory Surgery Center LLC Surgery Center 0.2957 0.0 0.7043 Memorial Ambulatory Surgery Center LLC Surgery Center 0.7498 0.0 0.2502 Richmond Community MOB I LLC MOB Management 0.1907 0.0 0.4141 5 1 BON SECOURS - ST MARY'S HOSPITAL OF RICHMOND LLC 5801 BREMO ROAD RICHMOND VA 23226 www.bonsecours.com H1833 X X X X X A 2 BON SECOURS - MEMORIAL REGIONAL MEDICAL CENTER LLC 8260 ATLEE ROAD MECHANICSVILLE VA 23116 www.bonsecours.com H1831 X X X X X A 3 Bon Secours - St Francis Medical Center LLC 13710 St Francis BLVD Midlothian VA 23114 www.bonsecours.com H1924 X X X X X A 4 BON SECOURS - RICHMOND COMMUNITY HOSPITAL LLC 1500 N 28TH STREET RICHMOND VA 23223 www.bonsecours.com H1832 X X X A 5 CHESAPEAKE HOSPITAL LLC dba Rappahannock General Hospital 101 HARRIS DRIVE KILMARNOCK VA 22482 www.bonsecours.com H1885 X X X A A false false true X X X X X X X X X 19 true true false true X https://www.bonsecours.com/about-us/community-commitment/community-health-needs-assessment X www.behealthyrva.org X true 20 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 - Bon Secours - St. Mary's Hospital of Richmond LLC, Bon Secours - Memorial Regional Medical Center LLC, Bon Secours - St. Francis Medical Center LLC, Bon Secours - Richmond Community Hospital, LLC, Rappahannock General Hospital. In order to obtain input from the community, three initiatives were advanced: a Community Health Needs Assessment Steering Committee was convened, a community engagement survey was conducted, and several community conversations were held. The purpose of the CHNA Steering Committee is to support the CHNA process by engaging community members and providing feedback on the findings. All organizations involved with the CHNA Steering Committee have special knowledge of public health and underserved populations in the service area. Organizations involved in the Steering Committee are identified as having either a) conducted a previous Community Health Needs Assessment/Community Health Assessment due to IRS or accreditation requirements or b) already engaged in regional population health assessment. From January 2018 to April 2019 Steering Committee members served as key informants representing medically underserved, low- income or minority populations. The committee met bi-monthly to identify regional indicators and to inform the community engagement strategy for the creation of this document. Additionally, a survey to assess community health needs was conducted as part of the CHNA process during a six-week period between January and February 2019. One thousand one hundred (1100) individuals responded listing their top five health concerns. Seven Community Conversations occurred in March of 2019 as part of the CHNA process in which 60 individuals participated from all of the core jurisdictions. The purpose of the conversation was to elicit feedback from community members about publicly available health data describing health conditions in the service areas and to review the survey results to further explore the findings. The top 10 health issues as identified from the survey results were presented to the attendees and they were asked to 1) rank the health issues according to which issues impacted them and the people close to them the most and 2) from a community perspective, rank the issues that should be addressed to improve the overall health of the region. 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 6a Facility A, 1 Facility A, 1 - Bon Secours - St. Mary's Hospital of Richmond LLC, Bon Secours - Memorial Regional Medical Center LLC, Bon Secours - St. Francis Medical Center LLC, Bon Secours - Richmond Community Hospital, LLC, Rappahannock General Hospital. Bon Secours - St. Mary's Hospital of Richmond LLC Bon Secours - Memorial Regional Medical Center LLC Bon Secours - St. Francis Medical Center LLC Bon Secours - Richmond Community Hospital, LLC Rappahannock General Hospital Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - Bon Secours - St. Mary's Hospital of Richmond LLC, Bon Secours - Memorial Regional Medical Center LLC, Bon Secours - St. Francis Medical Center LLC, Bon Secours - Richmond Community Hospital, LLC, Rappahannock General Hospital. Bon Secours Richmond Health System (BSR) BSR is comprised of Bon Secours - St. Mary's Hospital of Richmond LLC, Bon Secours - Memorial Regional Medical Center LLC, Bon Secours - St. Francis Medical Center, Bon Secours - Richmond Community Hospital, LLC, Rappahannock General Hospital, Bon Secours - Southern Virginia Medical Center, and Bon Secours - Southside Medical Center. BSR will address each need identified in its CHNA with regional strategies. Unless noted below, all BSR hospitals participated in the regional strategies. Chronic Disease Implementation Activities: Goal: Improve overall chronic disease status by increasing equitable access to high quality health care services. 2021 Strategies and Outcomes: * BSR supports community partners by providing high- quality clinical services to uninsured and underinsured populations through investment and advocacy. During 2021, the support from BSR included: - Provided $700k to support and/or expand safety area net clinics providing chronic disease management services to enable uninsured patients with chronic diseases to manage their health conditions, facilitate patient's' ability to acquire affordable medications, enhance patient's understanding of their conditions, and reduce emergency health care visits. - Worked with area free clinics and FQHCs to create the Greater Richmond Safety Net Collaborative to assess safety net capacity and expand access for patients. In 2021, the collaborative created the new online platform that identified appropriate referral sources for patients and care managers. - Partnered with Shalom Farms, an area non-profit providing wellness services, by providing 2 Diabetes Prevention Programs (DPP) and 2 Food Rx Programs. All programs were free of charge and open to anyone who qualified. The DPP achieved CDC certification as a result. - Coordinated programs with VCU Health to establish a work group comprised of health systems, health departments and schools to identify referral pathways for children with Asthma. In 2021, BSR identified specific pediatric linkages and coordination with other area health systems and health departments with a focus on immunizations and back to school physicals. - Partners with clinical staff and non-profit organizations to discharge uninsured patients to Medical Homes with a goal to increase control of chronic disease through available follow-up appointments and reduce readmissions. In 2021, BSR created transitions of care appointments for patients discharged from hospitals to ensure follow-up care appointment with primary care providers. Additionally, BSR developed a partnership with safety net clinic to ensure appropriate follow-up care for the most vulnerable and signed an agreement to join the referral platform "Unite VA". - Help to enhance understanding of insurance usage to first time consumers and ensure continued coverage. BSR provided enrollment support for uninsured patients. In 2021, BSR allocated 2 FTEs to Medicaid enrollment and other financial assistance services, resulting in Medicaid enrollment assistance provided to 233 patients. * Providing primary care services to the uninsured through the Care-A-Van mobile health clinic remained a priority for BSR. During 2021, nearly 13,000 patient visits occurred through this program. * During 2021, BSR signed the lease and broke ground on a $3 million fixed site clinic to support uninsured patients in South Richmond. * BSR continued to provide comprehensive chronic disease management services to patients by providing medical homes and financial assistance for uninsured patients through community health and the medical group. * In an effort to enhance the understanding of nutrition for chronic disease patients BSR established a diabetes prevention program to uninsured residents of the area in 2021. * BSR worked to facilitate a smooth transition of care from emergency department/admissions hospitals settings to post hospital setting follow-ups by establishing a pathway for uninsured patients to seek follow up care for complex chronic diseases. During 2021, over 1,000 patients were served using this pathway. * Continued efforts were made to leverage the collective influence of Richmond's congregations to improve the overall health status in the East end of Richmond by providing health education and offerings. In 2021, BSR continued the Congregational Health Initiative which was comprised of 7 local congregations that facilitated COVID-19 vaccinations for vulnerable residents and provided a connection to healthcare resources. * During the year BSR co-lead the East End Diabetes Coalition (EEDC). The EEDC's main goal is to catalog diabetes providers in the East End of Richmond to connect community members to resources. In 2021, the EEDC implemented the regional guide in tandem with individual counseling provided to East End residents. The Community Nutrition Outreach team began two new community programs that were included in the resource guide. These programs were The Diabetes Prevention Program and the Food Rx Program. * During 2021, BSR provided over 5,000 COVID-19 vaccinations to vulnerable neighborhoods with high incidence of Covid-19. * Throughout the year BSR hosted 385 Flu Clinics that distributed 12,089 flu vaccines. Additionally, BSR hosted 43 wellness clinics that provided PPDs, A1c screenings, and biometric screenings to community members. Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - CONTINUED DESCRIPTION: Bon Secours - St. Mary's Hospital of Richmond LLC, Bon Secours - Memorial Regional Medical Center LLC, Bon Secours - St. Francis Medical Center LLC, Bon Secours - Richmond Community Hospital, LLC, Rappahannock General Hospital. Behavioral Health Implementation Activities: Goal: Improve behavioral health status by increasing the availability of appropriate, quality mental health and addiction services. 2021 Strategies and Outcomes: * BSR continued to support area non-profits who provide comprehensive behavioral health services to the uninsured by providing more than $500k in grants to expand access during 2021. * As an advocate for increased substance, alcohol, and drug abuse programs and resources, BSR revised internal policies and procedures to reduce unnecessary opioid prescribing by its providers. Additionally, during 2021, BSR provided SUD training to over 100 providers. * During 2021, BSR worked with housing and homeless partners to ensure every child and adult had the availability of stable and affordable housing and provided over $800k across the housing continuum. * Collaborations with BSR and community partners occurred during the year to increase mental health awareness by providing screenings, support groups, education, and programs to the public. BSR contributed to these collaboration efforts by deploying a Violence Response team who provided 220 hours of education sessions in 2021. * BSR worked with Free Clinics and FQHCs to bring low or no cost mental health services into area public school systems. In 2021, BSR provided mental health counseling services to Powhatan Middle and High schools. * Efforts were made by BSR to ensure patients receive depression screenings and follow-up in primary care settings. Of the total patients seen by primary care providers 91% received the depression screening in 2021. * During the year BSR worked on the development of strategies to overcome mental health provider shortages and improve mental health provider stability. In 2021, the Richmond market consolidated outpatient behavioral health and improved inpatient services and identified an expansion opportunity for 2022. * BSR seeks to integrate behavioral health with primary care by collaborating with health departments, safety net providers, and community providers to increase the number of mental health patients who receive counseling following their primary care physician's recommendation. This will also enhance the capacity for the treatment of anxiety/depression in primary care settings and ensure behavioral health practitioners are available in primary care in primary care settings. During 2021, BSR provided $50k through partnerships with Health Brigade to expand these services. * BSR intends to implement SBIRT in its emergency departments. The education of ED staff on SBIRT screenings and community resources to ensure warm handoffs occur launched during 2021 but was put on hold until 2022 due to COVID-19. * During 2021, BSR implemented an annual Opioid education webinar for all associates across the market to increase mental health awareness. The education webinar was provided to nearly 10k associates in 2021. * BSR continues to expand behavioral health services available through community health programs by identifying new providers, volunteers, and partners to enhance services offered via mobile health and fixed-site locations. During 2021, BSR developed a plan to increase FTEs of bi-lingual LCSW in 2022, once the planned fixed-site is completed. This fixed-site will be a market-wide referral source of the uninsured. * During 2021, BSR successfully launched the Life Matters program to expand behavioral health service resources available to all employees and expanded the offering through the Called to Shine platform and the Be Well employee resource. * Due to the impact of COVID-19, several of the programs and strategies that BSR intended to implement to address this health need were delayed with plans to resume these programs in 2022. Social Determinants of Health Implementation Activities: Goal: Reduce health disparity by ensuring that every community has social and economic opportunities to thrive. 2021 Strategies and Outcomes: * BSR Supports area non-profits who are building affordable housing units that offset displacement, expanding home ownership and affordable rental housing options, closing gaps along the education and achievement continuum, and providing early childhood education programs and advocacy. In 2021, BSR donated over $800k in direct services and investments in affordable housing and neighborhood assets. * In 2021, BSR donated nearly $700k in direct services and investments to area non-profits who are along the education continuum and who are providing expanded access to early childhood programs. * In 2021, BSR donated almost $400k in direct services and investments to area non-profits who are providing financial literacy services. * BSR continues to focus on programs to improve neighborhood infrastructure through corridor development in the East End. BSR supports long-term sustainability of community spaces such as the Sarah Garland Jones Center (SGJC) in the East End, enhancement of community oneness and collaboration, and providing space for Health Education and workforce development, and improving aesthetics of the neighborhood. In 2021, BSR hosted 10 community events at the SGJC and 2 community events in the neighborhood greenspace. * BSR will identify opportunities to enhance the environment and promote place-making. BSR provides over $100k annually to support the PULSE Rapid Transit System. In 2021, BSR worked in collaboration with Greater Richmond Transit to identify 14 bus stops in the East End to receive bus shelters. The bus shelters that were built were a result of a $200k investment made by BSR. * Through 2021 BSR participated in community meetings and advocated for the redevelopment of Nine Mile Road Corridor. This included building new and/or replacement of sidewalks and streetlights along the full corridor. * In an effort to support entrepreneurship tied to the local supply chain and entrepreneurial offerings in the public school system BSR has requested funding to continue the partnership with the Claude Moore Society. This partnership which began in 2020 is a five-year effort to develop Claude Moore Scholars at Meadowbrook high School in North Chesterfield. BSR provides work-based learning experiences and appropriate employment opportunities to these scholars. * BSR remained committed to advocating for food access and food education during 2021 by investing $75k in Shalom Farms, a non-profit sustainable agricultural organization, to double their farming production yield. Additionally, BSR served as a member of the Virginia Food Access Coalition which testified and supported Virginia Food Access Investment Program and Funding Legislation during the Virginia Assembly. * BSR continues to focus on increased screenings and coordination of resources to support individuals with needs related to the social determinants of health. In 2021, BSR provided the following: - Established an interdisciplinary team that co-managed 12 complex patients. - Hired a designated FTE community health worker who served 897 patients. - Created the SDOH screening tool for social needs screening which was implemented in 2021 and performed 142 screenings. - Created a master resource list of community partners and resources to address patient needs and provided to SDOH team. Schedule H, Part V, Section B, Line 11 Facility A, 3 Facility A, 3 - CONTINUED DESCRIPTION 2: Bon Secours - St. Mary's Hospital of Richmond LLC, Bon Secours - Memorial Regional Medical Center LLC, Bon Secours - St. Francis Medical Center LLC, Bon Secours - Richmond Community Hospital, LLC, Rappahannock General Hospital. Stress / Trauma Implementation Activities: Goal: Promote the well-being, safety, and overall health of individuals by decreasing the occurrences of Adverse Childhood Experiences within communities. 2021 Strategies and Outcomes: * BSR supports community partners who are collaborating to promote safer and supportive communities through investment and advocacy. In 2021, the following actions occurred: - Provided $60k of investment to fund SCAN TRAUMA Informed Networks that addresses the impacts of trauma and adverse childhood experiences through 170 in state networks with 540 individual members. - Increased HVIP advocates from 3 to 6 to address increase in community demand. - Established and will continue to Chair the Richmond Regional Human Trafficking Collaborative which is aimed at enhancing awareness to the issue of human trafficking. - Continued development of a trauma informed leadership team in partnership with SCAN. The activity was paused due to Covid-19 but will restart in 2022. * In an effort to ensure all victims of violence, abuse, and stress have access to high quality, timely forensic nurses for evaluation and treatment, BSR provides in-house forensic nursing services across the market. In 2021, BSR had 18 forensic nurses and established a hospital-based violence intervention program that hired and trained 6 advocates. During 2021, 2,934 patients were served by these programs. * During 2021, BSR continued the Clinicians Against Gun Violence campaign to engage physicians in conversations around gun violence. BSR's Diversity and Inclusion team created and hosted a Difference in Dialogue panel and follow-up break out discussion for all associates. * To further the enhancement of staff awareness levels of trauma BSR created a mandatory education webinar with nearly 10k associates completing the webinar by the end of 2021. All prioritized needs in the CHNA have been addressed. Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - Bon Secours - St. Mary's Hospital of Richmond LLC, Bon Secours - Memorial Regional Medical Center LLC, Bon Secours - St. Francis Medical Center LLC, Bon Secours - Richmond Community Hospital, LLC, Rappahannock General Hospital. 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 MEMBER 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 - Bon Secours - St. Mary's Hospital of Richmond LLC, Bon Secours - Memorial Regional Medical Center LLC, Bon Secours - St. Francis Medical Center LLC, Bon Secours - Richmond Community Hospital, LLC, Rappahannock General Hospital. 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.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. 45 Bon Secours - Chester Emergency Center 12021 US-1 Suite 100 Chester VA 23831 Emergency Departments Rappahannock General Hospital Emergency Department 101 Harris Road Kilmarnock VA 22482 Emergency Departments Richmond Community Hospital Emergency Department 1500 N 28th Street Richmond VA 23223 Emergency Departments Bon Secours Westchester Emergency Center 601 Watkins Centre Parkway Midlothian VA 23114 Emergency Departments Memorial Regional Medical Center Emergency Department 8260 Atlee Rd Mechanicsville VA 23116 Emergency Departments St Francis Medical Center Emergency Department 13710 St Francis Boulevard Midlothian VA 23114 Emergency Departments Bon Secours Short Pump Emergency Center 12320 West Broad Street Henrico VA 23233 Emergency Departments Bon Secours - Southern Virginia Medical Center Emergency Department 727 N Main St Emporia VA 23847 Emergency Departments Bon Secours - Southside Medical Center Emergency Department 200 Medical Park Blvd Petersburg VA 23805 Emergency Departments St Mary's Hospital Emergency Department 5801 Bremo Road Richmond VA 23226 Emergency Departments Bon Secours - Colonial Heights Emergency Care 60 East Roslyn Ct Colonial Heights VA 23834 Emergency Departments Bon Secours - Chester Emergency Center Imaging 12021 US-1 Suite 100 Chester VA 23831 Imaging & Radiology Bon Secours Imaging Center at Reynolds Crossing 6605 W Broad St Suite B - Ground Fl oor Richmond VA 23230 Imaging & Radiology St Mary's Grove Avenue Imaging Center 2201 Grove Avenue Richmond VA 23220 Imaging & Radiology Bon Secours - Colonial Heights Imaging Services 436 Clairmont Ct Suite 101 Colonial Heights VA 23834 Imaging & Radiology Bon Secours - Southside Medical Center Imaging Services 200 Medical Park Blvd Petersburg VA 23805 Imaging & Radiology Bon Secours - Tuckahoe Orthopedics Imaging 1501 Maple Ave Suite 101A Richmond VA 23226 Imaging & Radiology Richmond Community Hospital 1500 N 28th Street Richmond VA 23223 Imaging & Radiology Rappahannock General Hospital 101 Harris Road Kilmarnock VA 22482 Imaging & Radiology St Mary's Hospital 5801 Bremo Road Richmond VA 23226 Imaging & Radiology St Francis Medical Center 13710 St Francis Boulevard Midlothian VA 23114 Imaging & Radiology Bon Secours Imaging Center at Innsbrook 4900 Cox Road Suite 100 Glen Allen VA 23060 Imaging & Radiology Midlothian Imaging Center 8013 Midlothian Turnpike Richmond VA 23235 Imaging & Radiology Memorial Regional Medical Center 8260 Atlee Road Mechanicsville VA 23116 Imaging & Radiology Bon Secours Westchester Imaging Center 601 Watkins Centre Parkway Suite 15 0 Midlothian VA 23113 Imaging & Radiology Bon Secours Short Pump Imaging Center 12320 West Broad St Henrico VA 23233 Imaging & Radiology Bon Secours Laburnum Diagnostic Imaging Center 4630 S Laburnum Ave Suite C Richmond VA 23231 Imaging & Radiology Southern Virginia Regional Medical Center 727 North Main St Emporia VA 23847 Imaging & Radiology Good Health Pharmacy at Reynolds Crossing 6900 Forest Ave Suite 100 Richmond VA 23230 Pharmacy Harness Health Pharmacy - St Mary's 5801 Bremo Rd Richmond VA 23226 Pharmacy Harness Health Pharmacy - Richmond Community 1510 N 28th St Suite 100 Richmond VA 23223 Pharmacy Harness Health Pharmacy - Hanover 8200 Meadowbridge Rd Suite 301 Mechanicsville VA 23116 Pharmacy Richmond Community Hospital Draw Center 1510 North 28th St MOB Suite 200 Richmond VA 23223 Laboratory Services Short Pump Draw Center 12320 West Broad St Richmond VA 23233 Laboratory Services Memorial Regional Medical Center Outpatient Lab 8266 Atlee Road MOB II Suite 322 Mechanicsville VA 23116 Laboratory Services Stony Point Lab Services 9220 Forest Hill Ave Suite 1-A Richmond VA 23235 Laboratory Services Bon Secours - Southside Medical Center Lab Services 200 Medical Park Blvd Petersburg VA 23805 Laboratory Services St Francis Cancer Center 14051 St Francis Boulevard Suite 22 04 Midlothian VA 23114 Laboratory Services Heart and Vascular Institute Draw Center 7001 Forest Ave Suite 104 Richmond VA 23230 Laboratory Services Good Health Express Urgent Care Center 9851 Brook Road Glen Allen VA 23059 Walk-In & Urgent Care Hanover County and Bon Secours Good Health Clinic 8200 Meadowbridge Road Suite 301 Mechanicsville VA 23116 Walk-In & Urgent Care Bon Secours Center for Healthy Living Sarah Garland Jones Center 2600 Nine Mile Road Richmond VA 23223 Community Services Jewish Family Services 6716 Patterson Ave Richmond VA 23226 Community Services Bon Secours Care-A-Van 5008 Monument Ave Richmond VA 23230 Community Services Evelyn D Reinhart Guest House 1100 Libbie Ave Richmond VA 23226 Community Services Schedule H, Part I, Line 7e Community Health Improvement Services Bon Secours Richmond Health System hospitals incurred significant additional costs in responding to the COVID-19 pandemic in 2021. Certain costs associated with health care support services, including executive and other employee time spent planning for and recovering from the public health emergency and for planning for community COVID-19 vaccine services were included as Community Health Improvement Services. These costs were not directly reimbursed by any provider relief funds or other government funding sources. 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 Bon Secours Richmond Health System, Inc. OPERATES THE RICHMOND HOPE THERAPY CENTER CLINIC. THE AMOUNT OF SUBSIDIZED HEALTH SERVICES ATTRIBUTABLE TO THE PHYSICIAN CLINIC IS $174,369. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 111709358 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 2021 Community Health Annual Report available at https://www.bonsecours.com/about-us/community-commitment/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 ININSURED 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 HOSPITALS FOLLOW 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 10) 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 - BON SECOURS - ST. MARY'S HOSPITAL OF RICHMOND LLC: Line 16a URL: HTTPS://WWW.BONSECOURS.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE; Schedule H, Part V, Section B, Line 16b FAP Application website A - BON SECOURS - ST. MARY'S HOSPITAL OF RICHMOND LLC: 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 - BON SECOURS - ST. MARY'S HOSPITAL OF RICHMOND LLC: Line 16c URL: HTTPS://WWW.BONSECOURS.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE; Schedule H, Part VI, Line 2 Needs assessment BON SECOURS RICHMOND HEALTH SYSTEM (BSR) HOSPITALS ASSESS AND CONTINUALLY RESPOND TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. BSR HOSPITALS JOIN AN EXISTING COMMUNITY-BASED NEEDS ASSESSMENT EVERY THREE YEARS AND UPDATES ARE PROVIDED BETWEEN ASSESSMENTS. BSR HOSPITALS INCORPORATE PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. BSR 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. BSR HAS A DEDICATED STAFF TO ASSIST IN THE COMMUNITY BENEFIT EFFORT. BSR'S COMMUNITY BENEFITS COMMITTEES MEET TO PROVIDE OVERSIGHT TO THE ORGANIZATION'S COMMUNITY BENEFITS PROGRAM. BSR 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 BON SECOURS RICHMOND HEALTH SYSTEM (BSR) HOSPITALS POST 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. BSR 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. BSR 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 BSR 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. BSR 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 BSR'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. BSR 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 BSR'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 RICHMOND HEALTH SYSTEM (BSR) 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 BSR HOSPITAL. Bon Secours Richmond Health System serves the larger Richmond, Virginia metropolitan area and includes four hospital facilities, Richmond Community Hospital, Memorial Regional Medical Center, St. Mary's Hospital, and St. Francis Medical Center, whose service areas largely overlap. While the hospitals serve patients from many cities and counties, the majority of patients fall within the counties of Chesterfield, Henrico, Hanover and the City of Richmond totaling approximately 1,067,000 residents. For the purpose of this CHNA, we refer to these as the "Richmond Core Service Area." The Richmond Core Service Area is primarily Caucasian and African American. When the demographics of the City of Richmond are viewed alone, we find a much lower percentage of Caucasians and a much higher percentage of African Americans than the community overall. The population age distribution for the Richmond Core Service Area is similar to Virginia overall with the exception of the City of Richmond, which has a higher percentage of 19-64 year olds (69%) and lower percentages of children (18%) and older adults (13%). Median household incomes in the United States are less than those found in Virginia overall. The Richmond Core Service Area counties of Henrico, Hanover and Chesterfield all have higher median household incomes than the U.S. overall. In contrast, the City of Richmond has a much lower median household income as compared to the U.S. and Virginia overall. Compared to Virginia, the percentage of uninsured adults is highest in the City of Richmond and lowest in Hanover County. The percentages of uninsured children show a much lower degree of variance. Bon Secours Richmond Health System also includes Rappahannock General HOspital (RGH). For purposes of the CHNA, RGH defines the three counties of Lancaster, Middlesex and Northumberland as the community it serves as many secondary data sources are county specific and enable comparison to data for the state of Virginia and the United States. The counties of Lancaster, Middlesex, and Northumberland are collectively referred to as the "Northern Neck Core Service Area". Approximately 35,000 residents reside in the Northern Neck Core Service Areas. The population is relatively evenly distributed among the three counties. The actual population served by the hospital is closer to 40,000. The RGH community is predominantly White (over 70%), with a large African American population. Compared to Virginia as a whole, RGH has a larger percentage of African Americans but has less ethnic diversity, due to a lower percentage of Hispanics, Asians, and Native Americans. The RGH community is comprised of approximately 20% more older adults (65+) than Virginia and the nation, and a comparatively lower percentage of children (age <18). Middlesex has a greater percentage of adults (19-64) residing in the community and fewer older adults (65+) compared to Lancaster and Northumberland. The median household incomes for Lancaster, Middlesex and Northumberland are lower than the Virginia state average of $68,766 and the national average of $57,652. While Middlesex has lower rates of unemployment than Virginia, the median household income is lower than Virginia and consistent with Lancaster and Northumberland. Compared to Virginia, the percentage of uninsured adults is higher in Lancaster, Middlesex, and Northumberland. The leading causes of death in the Northern Neck Service Area are cancer and diseases of the heart. ADDITIONAL DETAIL REGARDING THE COMMUNITY FOR EACH HOSPITAL IN THE BSR 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 RICHMOND HEALTH SYSTEM (BSR) HOSPITALS OPERATE EMERGENCY ROOMS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. IN ADDITION TO PROVIDING EMERGENCY SERVICES, BSR HOSPITALS ALSO PROVIDE MINOR EMERGENCY AND URGENT CARE SERVICES TO ALL REGARDLESS OF ABILITY TO PAY. BSR 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. BSR 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 BSR HOSPITALS. THE BON SECOURS MERCY HEALTH 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 BON SECOURS MERCY HEALTH. BOARD MEMBERS ARE SELECTED ON THE BASIS OF THEIR EXPERTISE AND EXPERIENCE IN A VARIETY OF AREAS BENEFICIAL TO BON SECOURS MERCY HEALTH AND ITS AFFILIATED HOSPITALS IN FULFILLING ITS MISSION OF PROVIDING HEALTHCARE SERVICES TO THE POOR AND UNDER SERVED. BSR HOSPITALS ENGAGE IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS. BSR HOSPITALS PROVIDE RESIDENCY PROGRAMS AND OTHER TRAINING PROGRAMS. BSR HOSPITALS PARTICIPATE IN MEDICAID, MEDICARE, CHAMPUS, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. BSR 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 BON SECOURS MERCY HEALTH. BON SECOURS MERCY HEALTH FORGES COLLABORATIVE RELATIONSHIPS WITH THE FEDERALLY QUALIFIED HEALTH CENTERS IN ITS COMMUNITIES. Schedule H, Part VI, Line 6 Affiliated health care system BON SECOURS RICHMOND HEALTH SYSTEM 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. BSMH's vision to partner with communities to create a more humane world, build social justice for all and provide exceptional value for those served is implemented through its Strategic Quality Plan which provides focus in four goal areas for the current three year period (2019-2021). - Co-Create Healthy Communities: We recognize that the factors which drive health outcomes extend well beyond the scope of traditional health care services. Thus, we commit to improve the health of communities through partnership and collaboration with a broad range of constituencies including committed community residents - Be Person Centric: We recognize that those whom we serve are increasingly engaged in their own care and are seeking convenience, affordability and reliability. Thus, we commit to anticipate and respond to the changing expectations of health care consumers, and to ensure that we engage each person in an individualized plan for health with a focus on prevention and wellness. - Serve Those Who Are Vulnerable: We recognize, by our Catholic identity, that the struggle for a more humane world is not an option, but an integral part of spreading the gospel. Thus, we commit to serve those who are vulnerable in many ways, addressing health disparities, sustaining global ministries, healing the environment and working to end violence and oppression. - Strengthen Our Culture and Capabilities: We recognize that the health care delivery system is undergoing rapid change with increasing complexity. Thus, we commit to liberate the potential of our people by strengthening individual and collective capabilities with respect to ministry leadership, knowledge, analytics, innovation and finances. 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 2021 per the audit footnote is as follows: Total 2021 Community Benefit: $605.3 Million Benefits to the Broader Community: $138.9 million Unreimbursed Care for Those Who Are Poor and Qualify for Medicaid: $371.6 million Cost of Care for Those Who Could Not Afford to Pay: $94.8 million Community Benefit as Percent of Total Expense: 5.7 percent. true Cristo Rey Richmond High School 7800 Carousel Ln Richmond VA 23294 812742073 501(C)(3) 451000 MISSION SUPPORT Salvation Army 615 Slaters Ln Alexandria VA 22314 222406433 501(C)(3) 323000 MISSION SUPPORT Maggie Walker Community Land Trust 203 N Robinson St Richmond VA 23220 475629011 501(C)(3) 260000 MISSION SUPPORT Cross Over Ministry Inc 8600 Quioccasin Rd Ste 101 Richmond VA 23229 541371067 501(C)(3) 125000 MISSION SUPPORT Retail Advancement Fund 5101 Monument Ave Richmond VA 23230 843933913 501(C)(3) 125000 MISSION SUPPORT YMCA of Greater Richmond 2 W Franklin St Richmond VA 23220 540505986 501(C)(3) 115000 MISSION SUPPORT Peter Paul Development Center Inc 1719 N 22nd St Richmond VA 23223 541137164 501(C)(3) 110000 MISSION SUPPORT Greater Richmond Transit Co 301 East Belt Blvd Richmond VA 23224 540943543 Government 106250 MISSION SUPPORT Commonwealth Catholic Charities 1601 Rolling Hills Dr Richmond VA 23229 540505877 501(C)(3) 101000 MISSION SUPPORT City of Richmond 900 E Broad St Richmond VA 23219 546001556 Government 100000 MISSION SUPPORT Communities in Schools of Chesterfield PO Box 10 Chesterfield VA 23832 460651192 501(C)(3) 100000 MISSION SUPPORT Sacred Heart Center 1400 Perry St Richmond VA 23224 541590419 501(C)(3) 100000 MISSION SUPPORT Daily Planet Health Services 517 W Grace St Richmond VA 23220 540900368 501(C)(3) 98000 MISSION SUPPORT Family Lifeline 2325 W Broad St Richmond VA 23220 540737133 501(C)(3) 90000 MISSION SUPPORT BSMH Foundation 1701 Mercy Health Place Cincinnati OH 45237 201072726 501(C)(3) 88853 MISSION SUPPORT Childsavers-Memorial Child Guidance Clinic 200 N 22nd St Richmond VA 23223 540505927 501(C)(3) 80000 MISSION SUPPORT Friends Association for Children 1004 Saint John St Richmond VA 23220 540505899 501(C)(3) 80000 MISSION SUPPORT NextUp RVA Inc 3409 Moore St Richmond VA 23230 474933093 501(C)(3) 80000 MISSION SUPPORT Richmond Metropolitan Habitat for Humanity 2281 Dabney Rd Ste A Richmond VA 23230 541385198 501(C)(3) 80000 MISSION SUPPORT Local Initiatives Support Corporation 28 Liberty St 34th Floor New York NY 10005 133030229 501(C)(3) 75000 MISSION SUPPORT United Methodist Urban Ministries of Richmond 1010 W Laburnum Ave 3rd Floor Richmond VA 23227 237136747 501(C)(3) 75000 MISSION SUPPORT RVA Rapid Transit 1627 Monument Ave Richmond VA 23220 814216743 501(C)(3) 60000 MISSION SUPPORT Project Homes 88 Carnation St Richmond VA 23225 541595851 501(C)(3) 56160 MISSION SUPPORT Access Now Inc 2821 Emerywood Pkwy Ste 200 Richmond VA 23294 261695468 501(C)(3) 50000 MISSION SUPPORT Boys and Girls Clubs of Metro Richmond 5511 Staples Mill Rd Ste 301 Richmond VA 23228 540564901 501(C)(3) 50000 MISSION SUPPORT Caritas 2200 Stockton St Richmond VA 23224 541441917 501(C)(3) 50000 MISSION SUPPORT GoochlandCares 2999 River Rd W Goochland VA 23063 541967650 501(C)(3) 50000 MISSION SUPPORT Hanover & King William Habitat for Humanity PO Box 2604 Mechanicsville VA 23116 541541798 501(C)(3) 50000 MISSION SUPPORT Health Brigade 1010 N Thompson St Richmond VA 23230 540927792 501(C)(3) 50000 MISSION SUPPORT St Joseph's Villa 8000 Brook Rd Richmond VA 23227 540505950 501(C)(3) 50000 MISSION SUPPORT VA Supportive Housing PO Box 8585 Richmond VA 23226 541444564 501(C)(3) 50000 MISSION SUPPORT Virginia Ready Iniative 107 S West St Ste 135 Alexandria VA 22314 851103573 501(C)(3) 50000 MISSION SUPPORT Free Clinic of Powhatan 2320 Skaggs Rd Powhatan VA 23139 261275136 501(C)(3) 45000 MISSION SUPPORT Feed More 1415 Rhoadmiller St Richmond VA 23220 541150923 501(C)(3) 36000 MISSION SUPPORT J Sargeant Reynolds Community College Educational Foundation PO Box 26924 Richmond VA 23261 541130296 501(C)(3) 33334 MISSION SUPPORT Challenge Discovery Projects Inc 1503 Santa Rosa Rd Ste 211 Richmond VA 23229 510250681 501(C)(3) 30000 MISSION SUPPORT Lead Virginia 707 E Main St Ste 1035 Richmond VA 23219 593806367 501(C)(3) 30000 MISSION SUPPORT Positive Vibe Foundation 2837 Hathaway Rd Richmond VA 23225 800016181 501(C)(3) 30000 MISSION SUPPORT Carole & Marcus Weinstein Jewish Community Center 5403 Monument Ave Richmond VA 23226 540535104 501(C)(3) 25000 MISSION SUPPORT Girls for a Change 100 Buford Rd North Chesterfield VA 23235 260035835 501(C)(3) 25000 MISSION SUPPORT Metropolitan Business League 707 E Main St Richmond VA 23219 540836123 501(C)(3) 25000 MISSION SUPPORT Richmond Hill 2209 E Grace St Richmond VA 23223 541360535 501(C)(3) 25000 MISSION SUPPORT Sportable Richmond Adaptive Sports & Recreation Inc 1365 Overbrook Rd Room 2 Richmond VA 23220 208924701 501(C)(3) 25000 MISSION SUPPORT Venture Richmond Inc 200 S 3rd St Richmond VA 23219 521256458 501(C)(3) 25000 MISSION SUPPORT Blind Squirrel Charitable Corp 215 Dryden Ln Henrico VA 23229 463284950 501(C)(3) 20000 MISSION SUPPORT Legal Information Network for Cancer 200 S 3rd St Richmond VA 23219 541817025 501(C)(3) 20000 MISSION SUPPORT Educational Fund to Stop Gun Violence 805 15th St NW Ste 410 Washington DC 20005 521114375 501(C)(3) 15000 MISSION SUPPORT Partnership for Housing Affordability 8975 Three Chopt Rd Richmond VA 23229 800099199 501(C)(3) 15000 MISSION SUPPORT Ronald McDonald House Charities Inc One Kroc Dr Oak Brook IL 60523 362934689 501(C)(3) 15000 MISSION SUPPORT Robinson Theater Community Arts Center 2903 Q St Richmond VA 23223 264176813 501(C)(3) 12500 MISSION SUPPORT Home Inc 401 Harbison Blvd 3a Columbia SC 29212 571006409 501(C)(3) 10000 MISSION SUPPORT Hopewell Downtown Partnership Inc 204 N Main St Ste 230 Hopewell VA 23860 261282648 501(C)(3) 10000 MISSION SUPPORT Jewish Community Federation of Richmond PO Box 17128 Richmond VA 23226 540524512 501(C)(3) 10000 MISSION SUPPORT Libbie Grove Merchants Association PO Box 18381 Richmond VA 23226 273664115 501(C)(3) 10000 MISSION SUPPORT Midlothian Rotary Foundation Inc PO Box 306 Midlothian VA 23113 201657725 501(C)(3) 10000 MISSION SUPPORT Petersburg Library Foundation Inc PO Box 3435 Petersburg VA 23805 743090885 501(C)(3) 10000 MISSION SUPPORT Virginia Center for Inclusive Communities 5511 Staples Mill Rd Ste 202 Richmond VA 23228 203188273 501(C)(3) 10000 MISSION SUPPORT Retail Merchants Association 5101 Monument Ave Richmond VA 23230 540354670 501(C)(3) 7000 MISSION SUPPORT Lancaster by the Bay Chamber 16-A Town Centre Dr PO Box 1868 Kilmarnock VA 22482 541791206 501(C)(3) 5350 MISSION SUPPORT 59 0 Col of Nursing Student EAP 92 10367 Medical Transportation 69 2103 Vaccine Drive 1574 38700 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. SPECIAL INITIATIVES FUNDED BY BON SECOURS-RICHMOND HEALTH SYSTEM ARE REQUIRED TO REPORT BACK TO BON SECOURS-RICHMOND HEALTH SYSTEM ON AN ANNUAL BASIS. THERE IS NO FORMAL REQUIREMENT FOR MONITORING THE USE OF THE FUNDS FOR ALL OTHER GRANTS PAID. X true true true true false false false false false true false Faraaz Yousuf PRESIDENT/CEO - RICHMOND 0 590175 0 0 0 227557 0 272971 0 34158 0 1124861 0 15461 Brian White FORMER PRESIDENT, ATLANTIC GROUP 0 0 0 0 0 770590 0 0 0 28179 0 798769 0 0 Brian YANofchick CHIEF SPONSORSHIP OFFICER - PROVIDENCE GROUP 0 289976 0 0 0 149275 0 13100 0 12318 0 464669 0 0 Paul Smith PRESIDENT, PROVIDENCE GROUP 0 782085 0 0 0 347187 0 458408 0 40801 0 1628481 0 27346 WILLIAM KUSNIERZ TREASURER/CFO - RICHMOND 0 354238 0 72970 0 223237 0 43418 0 13215 0 707078 0 14861 Rhodes Ritenour Secretary, VP External & Regulatory Affairs 0 216356 0 0 0 34757 0 11940 0 28454 0 291507 0 0 James Godwin Former SVP HR - Richmond 0 65968 0 0 0 274624 0 -31261 0 20725 0 330056 0 0 Paul Junod FORMER VP HR - RICHMOND 0 186819 0 0 0 71367 0 24927 0 28321 0 311434 0 0 John MCCurley MD FORMER CMO - RICHMOND MARKET 0 0 0 0 288575 0 0 0 11889 0 300464 0 0 0 Jill KENNEDY FORMER CHIEF NURSING EXECUTIVE - RICHMOND 0 296060 0 8000 0 124013 0 -34656 0 18778 0 412195 0 0 Kevin Sheppard Former Key, VP - Integration 0 0 0 0 164553 0 -36335 0 7562 0 135780 0 0 0 Christopher Accashian CHIEF OPERATING OFFICER - RICHMOND 426448 0 0 0 164203 0 59825 0 35433 0 685909 0 3338 0 RYAN STUHLREYER VP SERVICE LINE STRATEGY - RICHMOND 151733 0 0 0 32776 0 7979 0 27366 0 219854 0 0 0 BRENDA WOODCOCK CHIEF NURSING OFFICER - RICHMOND 0 233285 0 3500 0 86476 0 32900 0 18347 0 374508 0 0 MARK TOWNSEND Chief Clinical Officer - Richmond (End 6/21) 383921 0 0 0 98063 0 54072 0 25816 0 561872 0 0 0 Leigh Sewell CEO - MRMC and RCH 299514 0 0 0 128767 0 32483 0 38676 0 499440 0 0 0 JOSEPH KARCH MD GENERAL SURGEON 386367 0 0 0 29426 0 3896 0 31796 0 451485 0 0 0 MARK WOOD MD GENERAL SURGEON 374135 0 0 0 50342 0 13100 0 29491 0 467068 0 0 0 Joseph Wilkins Hospital President - SFMC 341301 0 75000 0 103189 0 31550 0 26535 0 577575 0 0 0 Bryan Lee Hospital President - SMH 398538 0 0 0 140962 0 451010 0 25134 0 1015644 0 0 0 Schedule J, Part I, Line 1a Housing allowance or residence for personal use Employer provided temporary housing related to employee relocation was provided for two highest compensated employees. 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 4a Severance or change-of-control payment Severance Benefits consisting of continuation of base salary and insurance benefits were provided to listed individuals for specified periods. The listed individuals executed releases and waivers of claims in exchange for the severance benefits. Salary continuation amounts provided during the reporting year to listed individuals were as follows: Brian White, $775,008; John McCurley, MD, $289,587; Kevin Sheppard, $165,734; James Godwin, $192,029. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan The filing organization participates in a Bon Secours sponsored executive retirement program that allows for deposits into additional retirement plans and is available only to officers and key employees. The 457F plan is a non-qualified plan and is subject to a minimum three-year service requirement before vesting on deposits made into this plan. Individuals that received a distribution or participated in the plan include: Christopher Accashian, $5,083; Leigh Sewell, $0. Schedule J, Part I, Line 4b Terms and conditions of the Bon Secours Mercy Health System SERP The Bon Secours Mercy Health System SERP is a non-qualified deferred compensation plan which provides supplemental retirement benefits to persons selected by the Board of Trustees or its delegate. The plan provides for annual credits of a specified percentage of an eligible participants base salary paid in a plan year and interest credits. Plan participants vest in plan credits after completing a three year class vesting schedule or earlier for death or total disability or reaching age 60 while employed, or due to involuntary separation of employment other than for cause. Payments during employment are made for required tax withholding and reduce the participants account balance. Distribution of the vested account balance in a lump sum occurs after termination of employment. Amounts includible as taxable compensation for listed individuals due to SERP participation in the reporting year were as follows: Faraaz Yousuf, $0; Paul Junod, $0; James Godwin, $12,852; Christopher Accashian, $0; Jill Kennedy, $0; William Kusnierz, $16,700; Brian Smith, $286,106; Brian Yanofchick, $34,000; Paul Smith, $0; Bryan Lee, $0; Leigh Sewell, $0; Mark Townsend, $0; Joseph Wilkins, $0; Brenda Woodcock, $0. Schedule J, Part I, Line 4b Terms and conditions of the Lima Market SERP THE LIMA MARKET 457(F) PLAN PROVIDES A FLEXIBLE BENEFIT ALLOWANCE TO PERSONS SELECTED BY THE BOARD OF TRUSTEES OR ITS DELEGATE. THIS ALLOWANCE MAY BE ALLOCATED AMONG VARIOUS INSURANCE AND DEFERRED COMPENSATION BENEFIT OPTIONS. THE PLAN IS NO LONGER ACCEPTING NEW PARTICIPANTS AND THE CESSATION OF CONTRIBUTIONS HAS OCCURRED. AMOUNTS INCLUDIBLE IN TAXABLE COMPENSATION FOR LISTED PARTICIPATING INDIVIDUALS IN THE REPORTING YEAR WERE AS FOLLOWS: BRIAN SMITH, $45,739. Schedule J, Part I, Line 4b Terms and conditions of the Mercy Health SERP The Mercy Health SERP plan is a deferred compensation plan which provides supplemental retirement benefits to persons selected by the Board of Trustees or its delegate. It provides annual credits of a specified percentage of compensation and annual interest credits. Participants vest 50%, 75%, and 100% in their accounts after 5, 6, and 7 years of service, respectively. Vesting occurs earlier for death or total disability or reaching age 60 while employed, or involuntary termination of employment within 24 months after a change in control of the organization or due to position elimination. Payments during employment are made for required tax withholding. Payment of the vested account balance in a lump sum occurs after termination of employment. Amounts includable as taxable compensation for listed individuals due to SERP participation in the reporting year were as follows: Brian Smith,$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 which must be achieved for incentives to be awarded. The Board also establishes threshold, target and maximum levels for incentive awards. Within the 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. Schedule J, Part II, Column (C) REPORTING NEGATIVE DEFERRED COMPENSATION ANNUAL ACTUARIALLY-DETERMINED CONTRIBUTIONS TO DEFINED BENEFIT PLANS, WHICH ARE BASED ON PRIOR PLAN CONTRIBUTIONS, CHANGES IN INTEREST RATES, THE PRESENT VALUE OF ACCRUED BENEFITS, AND OTHER DATA AND ASSUMPTIONS ABOUT THE FUTURE, MAY, FOR SOME PLAN PARTICIPANTS AND FOR SOME PLAN YEARS, RESULT IN NEGATIVE CONTRIBUTION AMOUNTS. Form 990, Part VI, Line 6 Classes of members or stockholders Bon Secours Mercy Health, Inc. is the sole member of Bon Secours Richmond, LLC a single member limited liability company. Bon Secours Richmond, LLC was formerly Bon Secours Richmond Health Corp, a nonprofit tax exempt organization prior to conversion. Bon Secours Richmond LLC holds the majority interest in Bon Secours-Richmond Health System. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body The governing body of Bon Secours-Richmond Health System is appointed by the Class B Member, Bon Secours Richmond, LLC, subject to the approval of Bon Secours Mercy Health, Inc. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Certain authorities of Bon Secours-Richmond Health System are reserved to its member or to Bon Secours Mercy Health, Inc. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED BY BON SECOURS MERCY HEALTH'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 compensation 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 compensation 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' and compensation committee minutes. Compensation Process Other Officers/ Key Employees: For those key employees and highest paid employees that are not reviewed by the BSMH compensation 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. Anne Marie Mack and Sr. Victoria Segura do not receive payroll distributions as they have taken a vow of poverty. Form 990, Part VIII, Line 2f Other Program Service Revenue OTHER - Total Revenue: 2969853, Related or Exempt Function Revenue: 2969853, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue OTHER REVENUE - Total Revenue: 1614586, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 1614586; Form 990, Part IX, Line 11g Other Fees MEDICAL PROFESSIONAL FEES - Total Expense: 56888421, Program Service Expense: 56888421, Management and General Expenses: , Fundraising Expenses: ; CORPORATE DUES - Total Expense: XXX-XX-XXXX, Program Service Expense: , Management and General Expenses: XXX-XX-XXXX, Fundraising Expenses: ; Medicaid Assessments - Total Expense: 61658554, Program Service Expense: 61658554, Management and General Expenses: , Fundraising Expenses: ; CONSULTING SERVICES - Total Expense: 3523512, Program Service Expense: 3171161, Management and General Expenses: 352351, Fundraising Expenses: ; REPAIR AND MAINTENANCE SERVICES - Total Expense: 12570292, Program Service Expense: 11313263, Management and General Expenses: 1257029, Fundraising Expenses: ; DIETARY SERVICES - Total Expense: 14701141, Program Service Expense: 13231027, Management and General Expenses: 1470114, Fundraising Expenses: ; CLEANING AND HOUSEKEEPING SERVICES - Total Expense: 3806506, Program Service Expense: 3425855, Management and General Expenses: 380651, Fundraising Expenses: ; PHYSICIAN SERVICES - Total Expense: 32070726, Program Service Expense: 32070726, Management and General Expenses: , Fundraising Expenses: ; BIOHAZARD COLLECTION - Total Expense: 2080440, Program Service Expense: 2080440, Management and General Expenses: , Fundraising Expenses: ; OTHER PURCHASED SERVICES - Total Expense: 31239121, Program Service Expense: 28176182, Management and General Expenses: 3062939, Fundraising Expenses: ; INTERCOMPANY ALLOCATIONS - Total Expense: 93930933, Program Service Expense: 84537840, Management and General Expenses: 9393093, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFERS TO AFFILIATES - -54105555; ADDITIONAL MINIMUM PENSION LIABILITY - 71162844; Bon Secours - Memorial Regional Medical Center LLC 8580 Magellan Parkway Richmond VA 23227 541744931 Hospital VA 413787944 113845214 Bon Secours Richmond Health System Bon Secours - Richmond Community Hospital LLC 8580 Magellan Parkway Richmond VA 23227 540647482 Hospital VA 264511799 38609858 Bon Secours Richmond Health System Bon Secours - St Francis Medical Center LLC 8580 Magellan Parkway Richmond VA 23227 311716973 Hospital VA 289226380 190529979 Bon Secours Richmond Health System Bon Secours - St Mary's Hospital of Richmond LLC 8580 Magellan Parkway Richmond VA 23227 540793767 Hospital VA 639928539 870338953 Bon Secours Richmond Health System Bon Secours Ambulatory Services LLC 8580 Magellan Parkway Richmond VA 23227 271672951 Ambulatory Healthcare Services VA 1166769 2393664 Bon Secours Richmond Health System Bon Secours Home Care LLC 8580 Magellan Parkway Richmond VA 23227 271672759 Home Care Services VA 20667408 9905941 Bon Secours Richmond Health System Chesapeake Hospital LLC 101 Harris Road Kilmarnock VA 22482 237424835 Hospital VA 41221243 26345270 Bon Secours Richmond Health System Richmond Good Help ACO LLC 8580 Magellan Parkway Richmond VA 23227 813119802 Accountable Care Organization VA 3139218 7076718 Bon Secours Richmond Health System Community ASC LLC 8580 Magellan Parkway Richmond VA 23227 Inactive VA 0 0 Bon Secours - St Mary's Hospital of Richmond LLC Richmond CIN LLC 5875 Bremo Road Suite 710B Richmond VA 23226 814161677 Care Coordination VA 196626 0 Bon Secours - St Mary's Hospital of Richmond LLC Bon Secours Virginia Medical Group I LLC 8580 Magellan Parkway Richmond VA 23227 271908136 Physician Practice VA 0 0 Bon Secours Ambulatory Services LLC 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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SC 501(c)(3) Type III-FI Bon Secours Mercy Health Inc false COMMUNITY MERCY HEALTH SYSTEM 100 Medical Center Drive SPRINGFIELD OH 45504 300272454 MARKET PARENT OH 501(c)(3) Type III-FI Bon Secours Mercy Health Inc false HEALTHSPAN PARTNERS 1701 Mercy Health Place CINCINNATI OH 45237 463055925 MARKET PARENT OH 501(c)(3) Type II Bon Secours Mercy Health Inc false MERCY HEALTH RETIREMENT TRUST 1701 Mercy Health Place CINCINNATI OH 45237 316046304 RETIREMENT TRUST OH 501(c)(3) 7 Bon Secours Mercy Health Inc false Mercy Health Services 1505 Marriottsville Road Marriottsville MD 27104 251585441 Local System Parent Org. 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SC 501(c)(3) 3 HEALTHSPAN PARTNERS false Bon Secours - St Francis Xavier Hospital Inc 8536 Palmetto Commerce Pkwy Suite 201 Ladson SC 29456 571067254 Hospital SC 501(c)(3) 3 Roper St Francis Healthcare false Clinical Biotechnology Research Institute at RSFH 8536 Palmetto Commerce Pkwy Suite 201 Ladson SC 29456 475407453 Healthcare SC 501(c)(3) 4 Roper St Francis Healthcare false Roper Hospital Inc 8536 Palmetto Commerce Pkwy Suite 201 Ladson SC 29456 570828733 Hospital SC 501(c)(3) 3 Roper St Francis Healthcare false Roper St Francis Foundation 8536 Palmetto Commerce Pkwy Suite 201 Ladson SC 29456 571068509 Fundraising SC 501(c)(3) Type I Roper St Francis Healthcare false Roper St Francis Hospital - Berkeley Inc 8536 Palmetto Commerce Pkwy Suite 201 Ladson SC 29456 263710229 Hospital SC 501(c)(3) 3 Roper St Francis Healthcare false Roper St Francis Mount Pleasant Hospital 8536 Palmetto Commerce Pkwy Suite 201 Ladson SC 29456 570360499 Hospital SC 501(c)(3) 3 Roper St Francis Healthcare false Roper St Francis Physicians Network 8536 Palmetto Commerce Pkwy Suite 201 Ladson SC 29456 262946628 Physician Services SC 501(c)(3) 10 Roper St Francis Healthcare false BSHS Member 2 Limited Holding Company EI 501(c)(3) Bon Secours Ireland DAC false BSHS Member 3 Limited Holding Company EI 501(c)(3) Bon Secours Ireland DAC false Bon Secours Health System CLG Hospital EI 501(c)(3) 3 Bon Secours Ireland DAC false Frances Schervier Home and Hospital 2975 Independence Avenue Bronx NY 10463 131740397 Long term nursing care NY 501(c)(3) 10 Bon Secours NY Health System false Schervier Apartments LLC 2975 Independence Avenue Bronx NY 10463 471364217 Long term nursing care NY 501(c)(3) 10 Bon Secours NY Health System false St Mary Hospital Inc 308 Willow Hoboken NJ 07030 221487324 Hospital NJ 501(c)(3) 3 Bon Secours New Jersey Health System Inc false Pennsylvania Health Choice Plan 1505 Marriottsville Road Marriottsville MD 27104 Health Care PA 501(c)(3) 10 Mercy Health Services false MERCY FRANCISCAN AT WINTON WOODS I LP 10290 Mill Road Cincinnati OH 45231 311624311 Rental Real Estate OH NA N/A Broad64 Imaging LLC 8580 Magellan Parkway Richmond VA 23227 205886018 Imaging Services VA NA N/A Memorial Ambulatory Surgery Center LLC 8580 Magellan Parkway Richmond VA 23227 593813233 Ambulatory Surgery Center VA NA N/A Richmond Radiation Oncology Center I LLC 8580 Magellan Parkway Richmond VA 23227 208444551 Radiation Oncology Services VA NA N/A RI LP 8580 Magellan Parkway Richmond VA 23227 541708835 Imaging Services VA NA N/A Bon Secours Surgery Center at Harbour View LLC 1401 Dallas Parkway Dalla TX 75254 208302537 Surgery Center VA NA N/A Harbour View MOB 2 LLC 5818 Harbour View Blvd Suite A1 Suffolk VA 23435 822484997 Real Estate VA NA N/A Lourdes Ambulatory Surgery Center 225 Medical Center Drive Paducah KY 42003 205588350 Surgery Center KY NA N/A Community Mercy Home Care Services of Springfield LLC 1700 Edison Drive Milford OH 45150 311746556 Home Care OH NA N/A NWO Integrated Laboratories Mercy LLC 2200 Jefferson Avenue Toledo OH 43624 341898285 Laboratory services OH NA N/A Tiffin Ambulatory Surgical Associates 45 St Lawrence Drive Tiffin OH 44833 371567866 Ambulatory Surgery Center OH NA N/A Urologic Oncology of Mahoning Valley LLC 1044 Belmont Ave Youngstown OH 44501 262989686 Radiation Therapy OH NA N/A New Vision Medical Lab LLC 750 W High Street Lima OH 45801 341913433 Lab Services OH NA N/A West Central Ohio Group Ltd 801 Medical Drive Lima OH 45804 341848147 Orthopedic Hospital OH NA N/A Upstate Surgery Center LLC One St Francis Drive Greenville SC 29601 562186977 Ambulatory Surgery Center SC NA N/A Bon Secours Diagnostic Imaging LLC 10 S Academy Street Suite 300 Greenville SC 29601 832087782 Outpatient Imaging Centers SC NA N/A Bon Secours Place at St Petersburg LLP 10300 Fourth Street North St Petersburg FL 33716 593589729 Assisted Living/Senior Care FL NA N/A Bon Secours Apartments Consolidated GP LLC 1800 West Baltimore St Baltimore MD 21223 850795104 Low Income Housing MD NA N/A Bon Secours Apartments Consolidated LP 1800 West Baltimore St Baltimore MD 21223 850766183 Low Income Housing MD NA N/A Bon Secours Apartments II LP 1800 West Baltimore St Baltimore MD 21223 522063512 Low Income Housing MD NA N/A Bon Secours Apartments III LP 1800 West Baltimore St Baltimore MD 21223 522134444 Low Income Housing MD NA N/A Bon Secours Apartments LP 1800 West Baltimore St Baltimore MD 21223 521952502 Low Income Housing MD NA N/A Bon Secours Benet House LLC 26 North Fulton Ave Baltimore MD 21223 463055312 Low Income Housing MD NA N/A Bon Secours Benet House LP 26 North Fulton Ave Baltimore MD 21223 364765400 Low Income Housing MD NA N/A Bon Secours Chesapeake Apartments LP 26 North Fulton Ave Baltimore MD 21223 200107034 Low Income Housing MD NA N/A Bon Secours Gibbons Apartments LP 26 North Fulton Ave Baltimore MD 21223 472322323 Low Income Housing MD NA N/A Bon Secours New Shiloh II Limited Partnership 26 North 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Magellan Parkway Richmond VA 23227 541812738 Ambulatory Healthcare Services VA NA C Corporation false RHS Management Corp 8580 Magellan Parkway Richmond VA 23227 541313425 Independent Living Facility VA NA C Corporation false Professional Health Care Management Services Inc 150 Kingsley Lane Norfolk VA 23505 541241031 Administrative VA NA C Corporation false Maryview Building Corporation 3636 High Street Portsmouth VA 23707 541306612 Administrative VA NA C Corporation false Bon Secours - Tidewater Diversified Inc 160 Kingsley Lane Norfolk VA 23505 541431826 Pharmacy VA NA C Corporation false OSF Inc 2 Bernadine Drive Newport News VA 23602 541369919 Rental VA NA C Corporation false Harbour View Station West Mixed-Use Property Owners Association Inc 1128 Independence Blvd Ste 200 Virginina Beach VA 23455 REAL PROPERTY MGMNT VA NA C Corporation false NORTHPARKE MEDICAL COMMONS CONDO ASSN 333 N LIMESTONE ST SPRINGFIELD OH 45503 311391230 REAL PROPERTY MGMNT OH NA C Corporation false NORTHSIDE CORPORATION 2200 JEFFERSON AVENUE TOLEDO OH 43604 341318438 RESIDENT RENTALS OH NA C Corporation false RALPH EWE TRUST 270 PARK AVENUE NEW YORK NY 10017 346866422 BENEFICIAL TRUST NY NA Trust false ELIZABETH HINES CATES TRUST PNC 1900 E 9TH ST CLEVELAND OH 44114 346515678 BENEFICIAL TRUST OH NA Trust false WILLIS PARK TRUST PNC 1900 E 9TH ST CLEVELAND OH 44114 346519904 BENEFICIAL TRUST OH NA Trust false ERMA GIBSON BALDWIN TRUST PNC 1900 E 9TH ST CLEVELAND OH 44114 346515566 BENEFICIAL TRUST OH NA Trust false MCAULEY MANAGEMENT SERVICES INC 730 W MARKET STREET LIMA OH 45801 341379037 PROPERTY RENTAL OH NA C Corporation false LIMA MEDICAL SUPPLIES INC 730 W MARKET STREET LIMA OH 45801 340944477 MEDICAL EQUIPMENT OH NA C Corporation false COMMUNITY HEALTH PARTNERS ENTERPRISES INC 3700 KOLBE ROAD LORAIN OH 44053 341455525 HOLDING COMPANY OH NA C Corporation false Optimum Health Network Inc One St Francis Drive Greenville SC 29601 570973524 Healthcare Services SC NA C Corporation false Post Office Plaza Owners Association Inc 1807 N Boulevard Anderson SC 29621 REAL PROPERTY MGMNT SC NA C Corporation false Bon Secours-Florida Integrated Services Inc 10300 Fourth Street North St Petersburg FL 33716 650779777 Holding Company/Assisted Living FL NA C Corporation false Unity Housing Inc 26 North Fulton Avenue Baltimore MD 21223 521952507 Low Income Housing MD NA C Corporation false Bon Secours Wayland LLC 26 North Fulton Avenue Baltimore MD 21223 270468561 Low Income Housing MD NA C Corporation false Bon Secours New Shiloh II LLC 26 North Fulton Avenue Baltimore MD 21223 820631206 Low Income Housing MD NA C Corporation false HEALTHSPAN INC 225 PICTORIA DR CINCINNATI OH 45246 311431434 INSURANCE OH NA C Corporation false HEALTHSPAN SOLUTIONS INC 1701 Mercy Health Place CINCINNATI OH 45237 300810766 CONSULTING OH NA C Corporation false HEALTHCARE SERVICES AND SUPPORT 1701 Mercy Health Place CINCINNATI OH 45237 812388652 HEALTHCARE SERVICES OH NA C Corporation false Barringtons Hospital Limited Hospital EI NA C Corporation false BMC Properties Limited REAL PROPERTY MGMNT EI NA C Corporation false Bon Secours New York Housing Development Fund Corporation 2975 Independence Avenue Bronx NY 10463 472224316 Low Income Housing NY NA C Corporation false CareAlliance Medical Services Corporation 8536 Palmetto Commerce Pkwy Suite 210 Ladson SC 29456 571012837 Inactive SC NA C Corporation false false true true true true false false false false false false false true true true true true true true CHESTERFIELD COMMUNITY HEALTH CENTER INC D 150000 COST BON SECOURS - VIRGINIA HEALTHSOURCE INC M 3941548 COST RI LP M 2495256 COST BON SECOURS MERCY HEALTH INC E 162153433 COST BON SECOURS - VIRGINIA HEALTHSOURCE INC L 385033 COST