2021-11-12T10:04:34-06:00 2020-12-31 134008324 PRICEWATERHOUSECOOPERS LLP 655 New York Avenue NW Suite 1100 WASHINGTON DC 20001 990 2020-01-01 582504530 St Francis Hospital Inc STFR 8642551000 One St Francis Drive Greenville SC 29601 ROBERT STIEKES CFO - BSSFHS 2021-11-12 true ROBERT STIEKES 999009999 TRAVIS L PATTON P00369623 2124141000 2020 2022-09-23 18:48:47Z MATTHEW CALDWELL One St Francis Drive Greenville SC 29601 643007367 false 0928 X WWW.BONSECOURS.COM X 1932 SC PROVIDES ACUTE CARE HOSPITAL SERVICES 9 6 1206 279 441107 0 6223153 18514864 218981458 618462388 699831 1117825 1277112 4912290 227181554 643007367 1120288 7500 0 63314779 171367626 0 0 123645819 403399901 188080886 574775027 39100668 68232340 673615770 856387757 326047322 393920504 347568448 462467253 THE MISSION IS TO BRING COMPASSION TO HEALTH CARE AND TO BE GOOD HELP TO THOSE IN NEED, ESPECIALLY THOSE WHO ARE POOR AND DYING. AS A SYSTEM OF CAREGIVERS, WE COMMIT OURSELVES TO HELP BRING PEOPLE AND COMMUNITIES TO HEALTH AND WHOLENESS. false false 453790362 7500 621655375 BON SECOURS ST. FRANCIS HEALTH SYSTEM (BSSFHS) PRIMARILY SERVES GREENVILLE COUNTY, WHICH IS COMPRISED OF GREATER THAN 514,000 RESIDENTS AND HAS EXPERIENCED A GROWTH RATE DOUBLE THAT OF THE UNITED STATES AND SIGNIFICANTLY HIGHER THAN THAT OF SOUTH CAROLINA. ST. FRANCIS HOSPITAL PROVIDES MEDICAL CARE TO PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. ST. FRANCIS HOSPITAL PROVIDES SUPPORT FOR THE COMMUNITY SERVICES. DURING 2020 ST. FRANCIS HOSPITAL PROVIDED $42,884,781 IN NET COMMUNITY BENEFITS REPRESENTING 8.02% OF TOTAL OPERATING EXPENSES. 453790362 true true false true false false false false false true false false false true true false true false false false false false false false false true true true false true false false false false false false true true false false false false true true true false false false true 0 0 1206 true true true false false false false false false false false false false false X 9 6 false false false false true true true true true false false true true true true true true false true true false SC X TRAVIS CRUM 5139525000 1701 MERCY HEALTH PLACE CINCINNATI OH 45237 HENRY GALLIVAN BOARD CHAIR 3.5 3.0 X X 0 0 0 John Pazdan VICE CHAIR 3.5 3.0 X X 0 0 0 MATTHEW CALDWELL Market President BSSFHS 2.0 48.0 X X 0 973652 225583 Angela WEBB BOARD MEMBER (END 12/20) 2.0 2.0 X 0 0 0 BRIAN SMITH BOARD MEMBER, INTERIM GROUP PRESIDENT (BEG 05/20- END 10/20) 2.0 48.0 X 0 2327969 600248 Brian White BOARD MEMBER, ATLANTIC GROUP PRESIDENT (END 05/20) 2.0 52.0 X 0 1968502 37978 Brian YANofchick BOARD MEMBER, CHIEF SPONSORSHIP - SAMARITAN GROUP (END 12/20) 3.5 50.5 X 0 575471 22269 Carlos Quintero Board Member 2.0 2.0 X 0 0 0 DONALD KLINE BOARD MEMBER, GROUP PRESIDENT - SAMARITAN GROUP (BEG 11/20) 2.0 48.0 X 0 1409138 39715 Elizabeth Nuckolls BOARD MEMBER (END 12/20) 2.0 2.0 X 0 0 0 Joanie MARTIN BOARD MEMBER (END 12/20) 2.0 2.0 X 0 0 0 Joseph Sullivan BOARD MEMBER (END 12/20) 2.0 2.0 X 0 0 0 Kenneth Baca Board Member 2.0 2.0 X 0 0 0 Morris Williams JR MD BOARD MEMBER (END 12/20) 2.0 2.0 X 0 0 0 Raymond LATtimore Board Member 2.0 2.0 X 0 0 0 SR KATHRYN CLAUSS Board Member 2.0 2.0 X 0 0 0 Wendy WALDEN Board Member 2.0 2.0 X 0 0 0 IRENE HOLCOMBE Secretary 48.0 2.0 X 99312 0 14980 LISA LANDRETH INTERIM CFO - BSSFHS (BEG 09/20) 2.0 48.0 X 0 206141 16940 WILLIAM KUSNIERZ CFO - BSSFHS (END 09/20) 2.0 48.0 X 0 550826 46436 Kathleen Black CHIEF NURSING OFFICER 50.0 0 X 279154 0 33671 Marcus Blackstone MD Chief Clinical Officer 41.5 8.5 X 0 474801 46657 ALBERT ATTIA MD RADIATION ONCOLOGIST 50.0 0 X 375200 0 23914 JACOB GERSH SENIOR PHYSICIST 50.0 0 X 210295 0 17261 MICHAEL BORRON DIRECTOR, PHARMACY 50.0 0 X 211844 0 18854 ROSEANN BECHER DIRECTOR, PHARMACY 50.0 0 X 220478 0 29164 THOMAS NICHOLSON DIRECTOR, PHARMACY 50.0 0 X 215105 0 12731 Craig MCCoy Former CEO/Market President BSSFHS 0.0 0.0 X 0 305907 2314 Daniel Duggan Former COO 0.0 0.0 X 0 180505 4628 DENISE CAMPBELL Former Key - Interim CNO 50.0 0 X 208128 0 18505 RONNIE HYATT Former Treasurer/CFO - BSSFHS 0.0 0.0 X 0 471584 21021 Teresa Ficicchy Former EVP-CNO 0.0 0.0 X 0 346842 9390 Thomas Cummins Former Chief Medical Officer 0.0 0 X 110180 0 863 Thomas Morris PHD Former Board President; BSMH Chief Sponsorship Officer 0.0 50.0 X 0 877936 30648 1929696 10669274 1273770 129 true true false 0 2913956 15324270 276638 18514864 PATIENT SERVICE REV. 622110 618462388 618021281 441107 0 0 0 0 618462388 324756 324756 1278196 1278196 0 1278196 1278196 793069 793069 0 793069 793069 Clinical Drug Research 541700 989941 989941 Cafeteria 722514 145426 145426 Gift Shops 453220 124964 124964 2373763 2373763 0 0 3634094 643007367 621655375 441107 2396021 X 7500 7500 427117 384405 42712 131223791 118101412 13122379 4359371 3923434 435937 25652208 23086987 2565221 9705139 8734625 970514 12997 12997 12219 12219 161665682 62434819 99230863 0 835010 751509 83501 792242 713018 79224 2030329 1827296 203033 10609958 9548962 1060996 586307 527676 58631 43735 43735 16956064 15260458 1695606 3721278 3349150 372128 MEDICAL SUPPLIES 160281587 160281587 BAD DEBT 24511467 24511467 SALES AND USE TAX 5429153 4886238 542915 Medicaid Assessment 10954003 10954003 4957870 4462081 495789 0 574775027 453790362 120984665 0 11263 5508 272135144 436281669 79952772 90497868 0 0 0 0 19137721 18091741 1420535 1319686 402928744 223317590 170135741 179611154 28136043 31238231 5186837 5204372 0 75662208 75662208 21837506 18475320 673615770 856387757 40506636 118155950 200722 59117 0 0 285339964 275705437 326047322 393920504 X 347568448 462467253 347568448 462467253 673615770 856387757 X 68232340 2040488 44625977 X X false true X true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true false false false false true 12219 false false false 12219 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 THE ORGANIZATION'S ABILITY TO CONTINUE TO PROVIDE HEALTH SERVICES TO THE COMMUNITIES SERVED, AND THE USE OF PAID STAFF MEMBERS AND MANAGEMENT PERSONNEL. PAID MANAGEMENT PERSONNEL REGULARLY ISSUE MAILINGS TO LEGISLATORS ATTEMPTING TO INFLUENCE LEGISLATIVE MATTERS AND REFERENDUM, AND ORGANIZE AND HOST MEETINGS AMONG HOSPITAL EXECUTIVES AND THEIR LEGISLATORS REGARDING ISSUES THAT IMPACT THE ORGANIZATION'S ABILITY TO CONTINUE PROVIDING HEALTHCARE SERVICES TO ITS PATIENTS AND TO CONTINUE IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. PAID STAFF MEMBERS HAVE, ON LIMITED OCCASIONS, WRITTEN TO LEGISLATORS ON SUCH ISSUES. THE PRIMARY PURPOSE FOR LOBBYING ACTIVITIES IS TO ENHANCE THE ORGANIZATION'S PUBLIC POSITION ON LEGISLATIVE AND REGULATORY ISSUES THAT IMPACT PATIENT CARE THROUGHOUT OUR SYSTEM. THE ORGANIZATION FOCUSES ON PUBLIC POLICY ISSUES THAT EXTEND OUR HEALING MINISTRY TO THOSE WHO ARE POOR AND UNDERSERVED IN THE COMMUNITIES WE SERVE. TO CARRY OUT THESE EFFORTS, THE ORGANIZATION 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 ORGANIZATION'S FACILITIES WHERE THEY ARE TREATED. 13363668 13363668 177718731 84318877 93399854 1827454 1719900 107554 169748009 133225004 36523005 40270882 4053809 36217073 179611154 DUE TO AFFILIATES 259300000 MEDICARE/MEDICAID SETTLEMENTS HPL/GL LIABILITY PATIENT CREDIT BALANCES FIN 47 LIABILITY 1015332 Lease Liability Unclaimed Property Right of Use Liability 15390105 275705437 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, 2020 and 2019. 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, 2020 and 2019, the Company has no uncertain tax positions. The Company's taxable subsidiaries had $199,705 and $205,170 net operating loss carryforwards as of December 31, 2020 and 2019, 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, 2020 and 2019 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 false 22570479 22570479 0.0410 52504323 36204154 16300169 0.0296 0 0.0 0 0 75074802 36204154 38870648 0.0706 3773812 71471 3702341 0.0067 91354 91354 0.0002 0 0.0 0 0.0 220438 220438 0.0004 0 0 4085604 71471 4014133 0.0073 0 0 79160406 36275625 42884781 0.0779 0 0.0 0 0.0 278615 278615 0.0005 0 0.0 0 0.0 0 0.0 0 0.0 115195 115195 0.0002 0 0.0 0 0 393810 0 393810 0.0007 true 24544467 0 143799061 159573065 -15774004 X true true UPSTATE SURGERY CENTER AMBULATORY SURGERY CENTER 0.6677 0.0 0.3323 2 1 ST FRANCIS HOSPITAL - DOWNTOWN ONE ST FRANCIS DRIVE GREENVILLE SC 296013955 WWW.BONSECOURS.COM HTL-0794 X X X X X A 2 ST FRANCIS HOSPITAL - EASTSIDE 125 COMMONWEALTH DRIVE GREENVILLE SC 296154812 WWW.BONSECOURS.COM HTL-0793 X X X X A A false false true X X X X X X X X X 19 true false false true X https://www.bonsecours.com/about-us/community-commitment/community-health-needs-assessment 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 - St. Francis Hospital, Inc.. A community-based approach was taken to complete the Community Health Needs Assessment. Data was collected as outlined below from primary and secondary sources during the time period of April 2019 - July 2019. National, state, and county-specific data was collected from a broad set of reliable data sources. Additional attention was placed on assessing Healthy People 2020 Leading Indicators, review of the previous CHNA data, and gathering information from community residents, providers of health and human services, and other stakeholders and representatives of Greenville County. Efforts were made to ensure that the research was conducted in a manner that was representative of the communities within Bon Secours Mercy Health's service area. Collection of statistical (secondary, quantitative) data at national, state, regional and local levels - key data sources included Census Bureau American Fact Finder, Healthy People 2020, Robert Wood Johnson County Health Rankings, Centers for Disease Control, and South Carolina DHEC biostatistics, vital records, county health profiles and hospital discharge data. Collection and analysis of qualitative data was completed through a community survey, a town hall meeting and a stakeholder focus group. The community survey was completed by 1,014 individuals from January - March 2019. A Town Hall meeting was held in April 2019 to allow discussion among leaders of social service agencies, senior health groups, free medical clinics and others in tune with the needs of at-risk populations in Greenville County. Community Focus Group consisted of neighborhood leaders, organizers and advocates. This group represented the interests of urban and suburban residents, mostly from less affluent communities that are home to lower-income families, minority families and the elderly. Lastly, a Stakeholder Focus Group was held for small group discussion with additional health and social service providers. The meetings with stakeholders were facilitated to review the assessment findings and identify priorities and potential actions. The assessment was completed in partnership and with local public health professionals, health and human service agencies, the South Carolina Hospital Association and Bon Secours St. Francis Health System leaders and board. Additional detail can be found on the Bon Secours website at https://www.bonsecours.com/about-us/community-commitment/community-health-needs-assessment Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - St. Francis Hospital, Inc.. St. Francis Hospital, Inc. Affordable Housing Implementation Activities: Goal: Advocate for a comprehensive affordable housing strategy to address housing inequities in Greenville County and its municipalities; Partner with organizations to address the housing affordability gap in Greenville; Expand housing for women affected by domestic violence. 2020 Strategies and Outcomes: * The hospital entered into a partnership with Habitat for Humanity Homes in the Sterling community to build a total of 10 homes. Six homes have been completed, with four remaining homes to be built and occupied by 2023. Timing of the build was delayed by one year due to the COVID-19 pandemic but plans to complete the new home builds. * The hospital entered into an agreement with Mercy Housing SE to build 46 affordable 1-, 2- and 3-bedroom apartments in Mauldin, SC. In 2020, Mercy Housing closed on property designated for 46 units. Due to COVID-19 the ground breaking and building of the apartments were delayed until 2021. * In 2020, the hospital granted $100,000 for house repairs on a house occupied by Jasmine Road participants in its commitment to support women impacted by domestic violence. This second home will allow more women access to counseling, healthcare and workforce development. Initial repair work began in 2020. The hospital also provides a nurse practitioner on site. Behavioral Health Implementation Activities: Goal: Actively address behavioral health issues in the Upstate through community and partnership-based collaborative approaches; Increase education, early detection and easy access to behavioral health interventions through Bon Secours St. Francis Health System (BSSFHS) access points; Expand community addiction service resources. 2020 Strategies and Outcomes: * In 2020, the hospital completed a Resource Guide as part of its partnership with Greenville County Behavioral Health Coalition. The Resource Guide was initially completed in English with plans to complete in Spanish by 2022. * In 2020, the hospital became a Nalox/Narcan community distribution site. Findlocaltreatment.com was embedded in the electronic medical records which helps patients and patients identify treatment services. * The hospital engaged FAVOR (Faces and Voices of Recovery) in 2020 to provide evidenced based assertive engagement strategies to work with patients who show up to the hospital with an indication of drug use. FAVOR staff follow the patient upon release from the hospital through coaching and recovery at no individual cost to patients. A total of 123 people were served in 2020. * The hospital continues to seek opportunities to expand pathways to behavioral health education and training for providers to increase the behavioral health workforce. In June 2020, one behavioral health provider was hired in June 2020 within the St. Francis Primary Care Downtown location. * The hospital provides behavioral health and early detection education and awareness to faith-based organizations. In 2020, education services were provided at Jasmine Road, and Well-Being Partnership of Greenville County. * In 2020, the hospital successfully implemented Screening, Brief Intervention, and Referral to Treatment (SBIRT) screening initiative, which is an evidence-based approach to early intervention treatment services for those with substance abuse disorders. A total of 658 SBIRT screenings were completed at the two hospital locations, and depression screenings were initiated, and screening tools provided to health care providers to enhance the delivery of care. Obesity and Chronic Conditions Implementation Activities: Goal: Reduce one or more modifiable risk factors associated with chronic disease in two identified adult populations; Increase knowledge and awareness of the prevention of childhood obesity. 2020 Strategies and Outcomes: * Due to the COVID-19 pandemic, the programming planned by the hospital to provide education, programming and activities addressing nutrition, physical activity and behavioral health to underserved populations through partnership with a Free Clinic were put on hold. Staff of the Greenville Free Medical Clinic and the hospital are considering revised objectives to provide education for nutrition and demos via Zoom for those patients who keep appointments at the clinic. Education topics included safety of physical activity, duration, specific exercises, etc. * Build Trust Build Health program was funded in Nov. 2020. The purpose of the grant is to find data driven information about why children up to the age of 12 living in the White Horse Corridor have higher obesity as well as diabetes rates, than the national average. The Build Trust committee includes local partners like Bon Secours St. Francis Health System, Greenville Health Department, Unity Health on Main and Prisma Health. Although the programs had to be suspended in 2020 due to the COVID-19 pandemic, the following activities have and continue to occur: - The Build Trust committee is working on planning the next steps to promote healthy eating and Healthy living. Healthier food access is one of the first things to be implemented. - Planning health fairs and information specifically to this area will help build trust within this community in order to bring resources to residents living in this area. - At the next committee meeting a strategic plan will be discussed on how to start implementing education and support for residents living in this area. The hospital actively participates on the planning committee. * A $450,000 grant funded by the Duke Endowment Fund was re-funded for years 2020-2023 to support the Healthy Carolinas, Healthy People initiative focused on obesity. * The hospital continues to partner with community organizations, such as Live Well, Hispanic Alliance, Mill Village and the pastoral leaders in churches. The hospital is focused on partnering with a Hispanic faith-based organization to implement family-based prevention strategies aimed at reversing the increasing trend of overweight Hispanic children. Participatory research was conducted in early 2020 to obtain feedback from Latino children and their parents. The research is being used to develop strategies. Additionally, the following programs were held in early 2020 prior to the COVID-19 pandemic: - "Take Care of Your Heart- lifestyle strategies for improved blood pressure" educational session and fresh produce box distribution. 20 participants. - "Colorectal Awareness and Prevention" educational session and fresh produce box distribution; 21 participants. - Monthly Spanish Diabetes Self-management education group at San Sebastian. 267 San Sebastian community members established a permanent medical home. All prioritized health needs identified in the hospital's most recent CHNA have been addressed. Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - St. Francis HOspital, Inc.. BON SECOURS MERCY HEALTH'S FINANCIAL ASSISTANCE POLICY REQUIRES A PATIENT OR FAMILY MEMBER TO COMPLETE AN APPLICATION INCLUDING GROSS INCOME FOR A MINIMUM OF 3 MONTHS (UP TO 12 MONTHS) PRIOR TO THE DATE OF APPLICATION OR DATE OF SERVICE. PROOF OF INCOME IS REQUIRED WITH THE EXCEPTIONS OF PATIENTS WHO QUALIFY FOR PRESUMPTIVE ELIGIBILITY. PROOF OF INCOME IS NOT REQUIRED IF A PATIENT OR FAMILY MEMEBER ATTESTS TO AN INCOME LEVEL THAT QUALIFIES THE APPLICANT FOR DISCOUNTED CARE UNDER OHIO'S HEALTHCARE ASSURANCE PROGRAM (HCAP). THIRD PARTY INCOME SCORING MAY BE USED TO VERIFY INCOME IN SITUATIONS WHERE INCOME VERIFICATION IS UNABLE TO BE OBTAINED THROUGH OTHER METHODS. Patients are presumed to be eligible for financial assistance based on individual life circumstances including but not limited to when the Patient's income is below 200% Federal Poverty Guidelines and considered self-pay, the Patient is discharged to a SNF, the Patient is deceased with no known estate and below 200% Federal Poverty Guidelines, the patient is supported by State-funded prescription programs, the patient is Homeless or received care from a homeless clinic, the patient has Participated in Women, Infants and Children programs (WIC), the patient is eligible for Food stamps, the patient is eligible Subsidized school lunch program, the patient is eligible for other state or local assistance programs that are unfunded (e.g., Medicaid spend-down), the Patient is referred through the National Association of Free Clinics, the patient provides Low income/subsidized housing as a valid address, or Other significant barriers are present. Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - St. Francis Hospital, Inc.. There are situations where individuals may not have reported income but have significant assets available to pay for healthcare services. In these situations, BON SECOURS MERCY HEALTH may evaluate and require documented proof of any assets that are categorized as convertible to cash and unnecessary for the patient's essential daily living expenses. PATIENTS WHO LIVE IN THE COMMUNITY SERVED BY A BON SECOURS MERCY HEALTH HOSPITAL WILL BE OFFERED HEALTHCARE FINANCIAL ASSISTANCE. FOR THOSE PATIENTS LIVING OUTSIDE OF THE COMMUNITY, EXTENUATING CIRCUMSTANCES MUST BE DOCUMENTED AND APPROVED BY THE PFS MANAGER AND BE MEDICALLY NECESSARY OR EMERGENT IN NATURE. A LIST OF THE ZIP CODES OF THE COMMUNITY SERVED FOR EACH BON SECOURS MERCY HEALTH HOSPITAL IS MAINTAINED IN A SEPARATE DOCUMENT AND READILY AVAILABLE VIA THE CONTACT LIST AT THE END OF THE POLICY LOCATED AT HTTPS://WWW.MERCY.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE AND AT https://www.bonsecours.com/patient-resources/financial-assistance. BON SECOURS MERCY HEALTH'S FINANCIAL ASSISTANCE POLICY REQUIRES A PATIENT TO APPLY FOR HEALTH INSURANCE COVERAGE AND/OR ENTER THE MARKETPLACE/EXCHANGE BEFORE FINANCIAL ASSISTANCE MAY BE EXTENDED. EXCEPTIONS TO THIS POLICY INCLUDE PATIENTS DISCHARGED TO A SKILLED NURSING FACILITY, PATIENTS WHO ARE DECEASED WITH NO ESTATE, AND PATIENTS WHO HAVE DOCUMENTED HOMELESSNESS. 97 St Francis Eastside Emergency Department 125 Commonwealth Drive Greenville SC 29615 Emergency Departments St Francis Downtown Emergency Department 1 St Francis Drive Greenville SC 29601 Emergency Departments St Francis Eastside 125 Commonwealth Drive Greenville SC 29615 Imaging & Radiology St Francis Downtown 1 St Francis Drive Greenville SC 29601 Imaging & Radiology Bon Secours Covenant Primary Care 135 Commonwealth Dr Greenville SC 29615 Primary Care & Family Medicine Premier Family Medicine 304 Ashby Park Lane Greenville SC 29607 Primary Care & Family Medicine Bon Secours Primary Care - Mauldin 309 West Butler Road Mauldin SC 29662 Primary Care & Family Medicine Center for Adult and Family Medicine 305 Tanner Road Greenville SC 29607 Primary Care & Family Medicine Stoneview Internal Medicine 408 SE Main St Simpsonville SC 29681 Primary Care & Family Medicine St Francis Primary Care Downtown 317 St Francis Drive Suite 220 Greenville SC 29601 Primary Care & Family Medicine Doctors Family Medicine 3115-D Brushy Creek Road Greer SC 29650 Primary Care & Family Medicine Travelers Rest Internal Medicine 6 South Poinsett Highway Travelers Rest SC 29690 Primary Care & Family Medicine Internal Medicine and Diagnostics 2 Innovation Drive Suite 140 Greenville SC 29607 Primary Care & Family Medicine Woodward Medical Center 5 South Lewis Drive Greenville SC 29605 Primary Care & Family Medicine McCraw Family Medicine 404 SE Main St Simpsonville SC 29681 Primary Care & Family Medicine Millennium Internal Medicine 2 Innovation Drive Suite 300A Greenville SC 29607 Primary Care & Family Medicine Eastside Medical Group 4501 Old Spartanburg Road Suite 14 Taylors SC 29687 Primary Care & Family Medicine Foothills Internal Medicine 1648 Gentry Memorial Highway Easley SC 29640 Primary Care & Family Medicine Fairview Family Practice 103 Fairview Pointe Drive Simpsonville SC 29681 Primary Care & Family Medicine Gateway Family Medicine 406 North Poinsett Highway Travelers Rest SC 29690 Primary Care & Family Medicine Holly Tree Family Practice 1338 Highway 14 Simpsonville SC 29681 Primary Care & Family Medicine Paris View Family Practice 1028 North Church Street Greenville SC 29601 Primary Care & Family Medicine Bon Secours Primary Care - Hwy 14 3904 S Highway 14 Greenville SC 29615 Primary Care & Family Medicine Poinsett Family Practice 2 Innovation Drive Suite 120 Greenville SC 29607 Primary Care & Family Medicine Carolina ENT 115 Halton Village Circle Greenville SC 29607 Ear, Nose and Throat (ENT) Family Practice Associates of Easley 700 Brushy Creek Road Easley SC 29642 Primary Care & Family Medicine Powdersville Family Practice 10701 Anderson Road Easley SC 29642 Primary Care & Family Medicine Powdersville Primary Care 290 Enterprise Drive Easley SC 29642 Primary Care & Family Medicine AFC Urgent Care Bon Secours - Augusta Rd 1800 Augusta Road Suite B Greenville SC 29605 Walk-In & Urgent Care AFC Urgent Care Bon Secours Woodruff Road 1467 Woodruff Road Suite C Greenville SC 29607 Walk-In & Urgent Care AFC Urgent Care Bon Secours - Wade Hampton 2310 Wade Hampton Blvd Greenville SC 29615 Walk-In & Urgent Care AFC Urgent Care Bon Secours - Haywood Road 649-A Haywood Rd Greenville SC 29607 Walk-In & Urgent Care Bon Secours Express Care 75 East McBee Avenue Greenville SC 29601 Walk-In & Urgent Care AFC Urgent Care Bon Secours - Simpsonville 3930 Grandview Drive Simpsonville SC 29680 Walk-In & Urgent Care AFC Urgent Care Bon Secours - Cherrydale 3213 N Pleasantburg Dr Suite E-2 Greenville SC 29609 Walk-In & Urgent Care AFC Urgent Care Bon Secours Pelham Road 2709 Pelham Road Suite B Greenville SC 29615 Walk-In & Urgent Care AFC Urgent Care Bon Secours - Greer 1494 West Wade Hampton Blvd Greenville SC 29650 Walk-In & Urgent Care Upstate Cardiology Greenville 2 Innovation Drive Suite 400 Greenville SC 29607 Cardiology & Heart Institutes Palmetto Greenville Urology - Mauldin 309 W Butler Rd Mauldin SC 29662 Urology Palmetto Greenville Urology - Downtown Greenville 200 Andrews St Suite 100 Greenville SC 29601 Urology Upstate OB-GYN Group 124 Verdae Boulevard Suite 204 Greenville SC 29607 Gynecology & OB/GYN St Francis LifeWise 131 Commonwealth Dr Suite 390 Greenville SC 29615 Community Services Harness Health Pharmacy - St Francis Cancer Center 104 Innovation Drive Suite 1050 Greenville SC 29607 Pharmacy Bon Secours St Francis Mobile Medical Van 135 Commonwealth Dr Greenville SC 29615 Primary Care & Family Medicine HealThy Self 2 Innovation Dr Suite 200 Greenville SC 29607 Fitness Centers Carolina ENT 306 South Highway 14 Simpsonville SC 29681 Ear, Nose and Throat (ENT) Bon Secours Vascular Surgery 317 St Francis Drive Suite 340 Greenville SC 29601 Cardiology & Heart Institutes Pearlie Harris Center for Breast Health 131 Commonwealth Drive Suite 220 Greenville SC 29615 Breast Health Centers Bon Secours Hematology & Oncology 104 Innovation Drive Suite 2000 Greenville SC 29607 Cancer Care & Oncology St Francis Cancer Center 104 Innovation Drive Greenville SC 29607 Cancer Care & Oncology Bon Secours Endocrinology 2 Innovation Drive Suite 300B Greenville SC 29607 Endocrinology & Diabetes Carolina Surgical Associates 135 Commonwealth Drive Suite 210 Greenville SC 29615 General Surgery Carolina Surgical Associates 3 St Francis Drive Suite 360 Greenville SC 29601 General Surgery Pre-Surgery Center 131 Commonwealth Dr Medical Plaza 1 Greenville SC 29615 General Surgery St Francis Cardiovascular & Thoracic Associates 317 St Francis Drive Suite 120 Greenville SC 29601 Cardiology & Heart Institutes Upstate Cardiology Clemson 212 Frontage Road Clemson SC 29631 Cardiology & Heart Institutes Upstate Cardiology Easley 702 North A Street Easley SC 29642 Cardiology & Heart Institutes Upstate Cardiology Simpsonville 408 SE Main Street Simpsonville SC 29681 Cardiology & Heart Institutes Bon Secours St Francis Homecare 10 Patewood Drive Building 6 Suite 300 Greenville SC 29615 Home Care St Camillus Palliative Care 317 St Francis Dr Suite 125 Greenville SC 29601 Hospice & Palliative Care Open Arms Hospice 1836 W Georgia Rd Simpsonville SC 29680 Hospice & Palliative Care Palmetto Pulmonary and Critical Care 3 St Francis Drive Suite 300 Greenville SC 29601 Pulmonology Upstate Maternal-Fetal Medicine 373 Halton Road Greenville SC 29607 Maternity & Birthing Centers St Francis Eastside 125 Commonwealth Drive Fourth Floor Greenville SC 29615 Maternity & Birthing Centers Neonatal Care Unit (NCU) at St Francis Eastside Hospital 125 Commonwealth Dr Greenville SC 29615 Maternity & Birthing Centers Bon Secours Neuroendovascular 3 St Francis Drive Suite 490 Greenville SC 29601 Neurology & Neurosurgery Bon Secours Neurology - Eastside 131 Commonwealth Dr Suite 240 Greenville SC 29615 Neurology & Neurosurgery Piedmont Spine and Neurosurgical Group 3 St Francis Drive Suite 490 Greenville SC 29601 Spine Care Bon Secours Neurology - Downtown 3 St Francis Drive Suite 330 Greenville SC 29601 Neurology & Neurosurgery St Francis Outpatient Nutrition Counseling 2 Innovation Drive Millennium Medic al Office Building Greenville SC 29607 Nutrition WorkWell Occupational Medicine 135 Commonwealth Dr Suite 120 Greenville SC 29615 Occupational Health Carolina Orthopaedic Center 209 Patewood Drive Suite 200 Greenville SC 29615 Orthopedics & Sports Medicine Piedmont Orthopaedic Associates 1050 Grove Road Greenville SC 29605 Orthopedics & Sports Medicine Piedmont Orthopaedic Associates 35 International Drive Greenville SC 29615 Orthopedics & Sports Medicine St Francis Therapy Center St Francis Eastside 131 Commonwealth Drive Suite 200 Greenville SC 29615 Physical Therapy & Rehabilitation Bon Secours Physical Medicine and Rehabilitation 317 St Francis Drive Suite 340 Greenville SC 29601 Physical Therapy & Rehabilitation St Francis Therapy Center SportsClub Congaree 712 Congaree Road Greenville SC 29607 Physical Therapy & Rehabilitation St Francis Therapy Center and Smith Therapy 9 Maple Tree Court Suite A Greenville SC 29615 Physical Therapy & Rehabilitation St Francis Therapy Center at Five Forks 317 Scuffletown Road Suite B Simpsonville SC 29681 Physical Therapy & Rehabilitation St Francis Therapy Center Patewood 209 Patewood Drive Suite 100 Greenville SC 29615 Physical Therapy & Rehabilitation St Francis Therapy Center Simpsonville 38 Ray Talley Court Simpsonville SC 29680 Physical Therapy & Rehabilitation St Francis Therapy Center Powdersville 100 Powers Boulevard Suite A Piedmont SC 29673 Physical Therapy & Rehabilitation St Francis Therapy Center at St Francis Downtown 317 St Francis Drive Suite 270 Greenville SC 29601 Physical Therapy & Rehabilitation St Francis Therapy Center at St Francis Millennium 2 Innovation Drive Suite 250 Greenville SC 29607 Physical Therapy & Rehabilitation St Francis Therapy Center at Furman Sportsmedicine 3300 Poinsett Hwy Greenville SC 29613 Physical Therapy & Rehabilitation Bon Secours Rheumatology 801 Roper Creek Dr Greenville SC 29615 Rheumatology St Francis Downtown Sleep Lab 3 Saint Francis Dr Suite 340 Greenville SC 29601 Sleep Medicine St Francis Millennium Sleep Lab 2 Innovation Dr Suite 340 Greenville SC 29607 Sleep Medicine Commonwealth Women's Care 135 Commonwealth Drive Suite 230 Greenville SC 29615 Gynecology & OB/GYN Carolina Women's Health - Greenville 213 Halton Road Greenville SC 29607 Gynecology & OB/GYN Bon Secours Urogynecology 2 Innovation Dr Suite 180 Greenville SC 29607 Gynecology & OB/GYN Carolina Women's Health - Simpsonville 210 Ladean Court Simpsonville SC 29680 Gynecology & OB/GYN Upstate OB-GYN 1011 Tiger Boulevard Suite 100 Clemson SC 29631 Gynecology & OB/GYN Bon Secours OB-GYN 2 Maple Tree Court Suite B Greenville SC 29615 Gynecology & OB/GYN Bon Secours St Francis Eastside Wound Healing Center 131 Commonwealth Dr Suite 100 Greenville SC 29615 Wound Care Center Bon Secours Orthopaedic 317 St Francis Dr Suite 310 Greenville SC 29601 Orthopedics & Sports Medicine Bon Secours St Francis Surgical Weight Loss 135 Commonwealth Drive Suite 210 Greenville SC 29615 Bariatrics & Weight Loss Solutions Schedule H, Part I, Line 7e Community Health Improvement Services Bon Secours Mercy Health hospitals incurred significant additional costs in responding to the COVID-19 pandemic in 2020. 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 7 Bad Debt Expense excluded from financial assistance calculation 24511467 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 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. Social support services such as HELP (Hospital Eligibility Link Program) are also important to support the ability of residents to gain and retain employment and therefore access to health insurance and improved access to health services. 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 HOSPITAL FOLLOWS THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES POLICY DOCUMENT, COMMUNITY BENEFIT PROGRAM, A REVISED RESOURCE FOR SOCIAL ACCOUNTABILITY ("CHA GUIDELINES") FOR DETERMINING COMMUNITY BENEFIT. THE CHA GUIDELINES RECOMMEND THAT HOSPITALS NOT INCLUDE BAD DEBT EXPENSE AS COMMUNITY BENEFIT. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote BON SECOURS MERCY HEALTH'S (BSMH) AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. BSMH ELECTED TO EARLY ADOPT ASU 2011-07. ACCORDINGLY, BAD DEBT EXPENSE IS REFLECTED AS A DEDUCTION FROM REVENUE RATHER THAN AS AN OPERATING EXPENSE. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, 2. SIGNIFICANT ACCOUNTING POLICIES, (d) NET PATIENT ACCOUNTS AND NET PATIENT SERVICE REVENUE (PAGE 17) 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. Schedule H, Part V, Section B, Line 16a FAP website A - ST. FRANCIS HOSPITAL - DOWNTOWN: Line 16a URL: https://www.bonsecours.com/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE; Schedule H, Part V, Section B, Line 16b FAP Application website A - ST. FRANCIS HOSPITAL - DOWNTOWN: Line 16b URL: https://www.bonsecours.com/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - ST. FRANCIS HOSPITAL - DOWNTOWN: Line 16c URL: https://www.bonsecours.com/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE; Schedule H, Part VI, Line 2 Needs assessment BON SECOURS MERCY HEALTH (BSMH) HOSPITALS ASSESS AND CONTINUALLY RESPOND TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. BSMH HOSPITALS JOIN AN EXISTING COMMUNITY-BASED NEEDS ASSESSMENT EVERY THREE YEARS AND UPDATES ARE PROVIDED BETWEEN ASSESSMENTS. BSMH HOSPITALS INCORPORATE PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. BSMH HOSPITALS RECOGNIZE THE HEALTH OF THE COMMUNITY IS INFLUENCED BY SOCIAL, ECONOMIC, AND ENVIRONMENTAL FACTORS, NOT JUST BY DISEASE AND ILLNESS. OUR COMMUNITY BENEFIT INCLUDES BOTH QUALITATIVE AND QUANTITATIVE DATA; DEMOGRAPHICS INCLUDING RACE, AGE, AND ETHNICITY; SOCIOECONOMIC DATA INCLUDING INCOME, EDUCATION, AND HEALTH INSURANCE RATES; PRIMARY CARE AND CHRONIC DISEASE NEEDS OF UNINSURED PERSONS; AND DATA ON HEALTH DISPARITIES IN HEALTH OUTCOMES AMONG MINORITY GROUPS. BSMH HAS A DEDICATED STAFF TO ASSIST IN THE COMMUNITY BENEFIT EFFORT. BSMH'S COMMUNITY BENEFITS COMMITTEES MEET TO PROVIDE OVERSIGHT TO THE ORGANIZATION'S COMMUNITY BENEFITS PROGRAM. BSMH HOSPITALS WORK CLOSELY WITH HEALTH AND HUMAN SERVICE ORGANIZATIONS IN THE AREA, PARTNERING WITH SOME TO PROVIDE SERVICES TO AVOID DUPLICATION. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance ST. FRANCIS HOSPITAL, INC. POSTS THE BON SECOURS MERCY HEALTH (BSMH) CHARITY CARE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN ADMISSIONS AREAS, EMERGENCY DEPARTMENTS AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. 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 MERCY HEALTH (BSMH) SYSTEM IS DEFINED BOTH BY MISSION AND GEOGRAPHY. THE GEOGRAPHIC COMMUNITY IS DEFINED BY EACH HOSPITAL'S IMMEDIATELY CONTIGUOUS AREAS AS WELL AS BY THE BROADER SURROUNDING COUNTIES/REGIONS WHERE THE MAJORITY OF DISCHARGED PATIENTS RESIDE. ADDITIONALLY, THE COMMUNITY INCLUDES PATIENTS WHO REQUIRE THE EXPERTISE AND SPECIALIZED SERVICES OF A BSMH HOSPITAL. Approximately 514,000 residents reside in Greenville County. Greenville County has experienced a growth rate double that of the United States and significantly higher than the growth rate of South Carolina. As of 2017, Greenville County is predominantly White (75.3%), with a large Black/African American population (18.2%). Compared to South Carolina, Greenville has a larger percentage of Hispanics/Latinos. There is a slow, but steady increase in minority populations in Greenville County. Greenville has a similar age distribution compared to South Carolina, with slightly more children (age <18) and fewer older adults (age >65). The unemployment rate is lower in Greenville County than in South Carolina and the U.S. Greenville has a higher median income and per capita income than South Carolina, but less than the nation. At 13.5%, Greenville has a lower percentage of people living below the poverty level than the state (16.6%); however, there are differences by race/ethnic group. Hispanic/Latinos, Black/African Americans, and those who identify as Other have twice the Greenville percentage. Similar to South Carolina and the U.S., 33.2% of Greenville County residents aged 25 or over have a Bachelor's degree or higher. ADDITIONAL DETAIL REGARDING THE COMMUNITY FOR EACH HOSPITAL IN THE BSMH SYSTEM CAN BE FOUND IN EACH HOSPITAL'S CHNA AT THE FOLLOWING LINKS: HTTPS://WWW.MERCY.COM/ABOUT-US/MISSION/GIVING-BACK/COMMUNITY-HEALTH-NEEDS-ASSESSMENT https://www.bonsecours.com/about-us/community-commitment/community-health-needs-assessment Schedule H, Part VI, Line 5 Promotion of community health BON SECOURS MERCY HEALTH (BSMH) HOSPITALS, INCLUDING ST. FRANCIS HOSPITAL, INC., OPERATE EMERGENCY ROOMS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. IN ADDITION TO PROVIDING EMERGENCY SERVICES, BSMH HOSPITALS ALSO PROVIDE MINOR EMERGENCY AND URGENT CARE SERVICES TO ALL REGARDLESS OF ABILITY TO PAY. BSMH HOSPITALS OPERATE TRAUMA SERVICES, AIR AMBULANCE SERVICES, DISEASE MANAGEMENT, WOUND CARE, SPECIALTY CLINICS, DEVELOPMENTAL THERAPY, HOSPICE, HOME CARE, CRISIS INTERVENTION, BEHAVIORAL SERVICES AND SUBSTANCE ABUSE SERVICES. BSMH HOSPITALS HAVE OPEN MEDICAL STAFFS WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. THE MAJORITY OF THE GOVERNING BODY CONSISTS OF INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITIES SERVED BY BSMH HOSPITALS. THE BSMH BOARD AND ITS MARKET GOVERNING BOARDS ARE COMPOSED OF MEMBERS OF THE COMMUNITIES SERVED WHO DIRECT AND GUIDE MANAGEMENT IN CARRYING OUT THE MISSION OF BSMH. BOARD MEMBERS ARE SELECTED ON THE BASIS OF THEIR EXPERTISE AND EXPERIENCE IN A VARIETY OF AREAS BENEFICIAL TO BSMH AND ITS AFFILIATED HOSPITALS IN FULFILLING ITS MISSION OF PROVIDING HEALTHCARE SERVICES TO THE POOR AND UNDER SERVED. BSMH HOSPITALS ENGAGE IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS. BSMH HOSPITALS PROVIDE RESIDENCY PROGRAMS AND OTHER TRAINING PROGRAMS. BSMH HOSPITALS PARTICIPATE IN MEDICAID, MEDICARE, CHAMPUS, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. BSMH HOSPITAL'S EMERGENCY DEPARTMENTS TREAT AN INCREASING NUMBER OF PATIENTS WHO USE THE FACILITY FOR PRIMARY CARE NEEDS. PATIENT DEMOGRAPHICS REFLECT THE CHANGING COMMUNITY. AS IN OTHER COMMUNITIES, SOME AREA PHYSICIANS PLACE LIMITS ON THEIR ACCEPTANCE OF MEDICAID PATIENTS. IN ADDITION, SOME PRIMARY CARE PHYSICIANS REFER PATIENTS WITH AFTER-HOURS NEEDS DIRECTLY TO AREA EMERGENCY ROOMS. COMMUNITY GROUPS AND INDIVIDUALS ARE VERY SUPPORTIVE OF BSMH. BSMH FORGES COLLABORATIVE RELATIONSHIPS WITH THE FEDERALLY QUALIFIED HEALTH CENTERS IN ITS COMMUNITIES. Schedule H, Part VI, Line 6 Affiliated health care system BON SECOURS ST. FRANCIS HEALTH SYSTEM, INC. AND ST. FRANCIS HOSPITAL, INC. ARE MEMBERS 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. 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 2020 per the audit footnote is as follows: Total 2020 Community Benefit: $687.5 Million Benefits to the Broader Community: $117.1 million Unreimbursed Care for Those Who Are Poor and Qualify for Medicaid: $447 million Cost of Care for Those Who Could Not Afford to Pay: $123.4 million Community Benefit as Percent of Total Expense: 7.1 percent. true BON SECOURS MERCY HEALTH FOUNDATION 1701 MERCY HEALTH PLACE CINCINNATI OH 45237 201072726 501(C)(3) 7500 MISSION SUPPORT 1 0 Schedule I, Part II SCHEDULE I, PART II Description of the Bon Secours Mercy Health Mission Fund: Bon Secours Mercy Health performs its philanthropic work through its mission department. This initiative, called the Bon Secours Health System Mission Fund ("Mission Fund"), was developed to promote the Catholic Health Ministry and the Bon Secours Mercy Health, Inc. Mission. This purpose is realized through the funding of initiatives that improve the health and well-being of communities, particularly for disenfranchised and marginalized people, served by Bon Secours Mercy Health Local Systems ("Local Systems"), Cosponsors and the Congregation of the Sisters of Bon Secours. The scope of its purpose and use of funds would be to: -promote healthy community coalition initiatives in conjunction with local system efforts, -develop local system and community excellence for a specific health condition and preventive need, and -improve access for uninsured populations and reduce health disparities among populations in the community. The Strategic Quality Plan of the health system calls for focused efforts to Build Healthier Communities. The health system understands "health" to include social and communal dimensions and has adopted the following articulation of a healthy community. The conditions of communities and individuals served by Bon Secours Mercy Health reflect the interaction of significant factors and complex behaviors at the individual, communal, and societal level. It is not likely that interventions by any one organization will result in substantial improvement or benefit to the community. Rather, increased participation by stakeholders and greater cooperation among entities with appropriate skills and resources is necessary for systemic change and improved outcomes. Mission Fund grants place emphasis on increased collaboration among community based members (Healthy Community Initiative), public health officials and other providers of services. The Mission Fund anticipates that most endeavors that seek to bring meaningful improvement require time and commitment. Consequently, local system grant recipients may expect continuity of support (several years) to establish and track outcomes. At the same time, grant applicants need to cultivate and achieve a wide array of financial resources necessary to sustain promising projects and service programs. Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. The organization complies with Bon Secours Mercy Health, Inc.'s system-wide financial and accounting policies. Contributions are generally made as reimbursements for funds spent. In such cases, the donee/grantee organization must provide documentation to the filing organization before funds are approved for disbursement. In other cases, grantees submit progress reports on the anniversary date on which the grant was received. The evaluation report includes: 1) progress toward the deployment of the stated goals and objectives, 2) progress towards the achievement of desired outcome as demonstrated by Project Work Plan, 3) an accurate accounting of the revenue and expenses and the amount of the mission fund award expensed, and 4) a summary past, current and future funding sources and efforts to secure sustaining sources of funding. X true true true true false false false false false true false Craig MCCoy Former CEO/Market President BSSFHS 0 -766 0 62613 0 244060 0 0 0 2314 0 308221 0 0 MATTHEW CALDWELL Market President BSSFHS 0 505999 0 217190 0 250463 0 193089 0 32494 0 1199235 0 160583 DONALD KLINE BOARD MEMBER, GROUP PRESIDENT - SAMARITAN GROUP (BEG 11/20) 0 705423 0 279536 0 424179 0 11150 0 28565 0 1448853 0 0 BRIAN SMITH BOARD MEMBER, INTERIM GROUP PRESIDENT (BEG 05/20- END 10/20) 0 967060 0 583567 0 777342 0 566704 0 33544 0 2928217 0 366251 Brian White BOARD MEMBER, ATLANTIC GROUP PRESIDENT (END 05/20) 0 412506 0 375003 0 1180993 0 5700 0 32278 0 2006480 0 303270 Brian YANofchick BOARD MEMBER, CHIEF SPONSORSHIP - SAMARITAN GROUP (END 12/20) 0 289533 0 137869 0 148069 0 7200 0 15069 0 597740 0 0 Thomas Morris PHD Former Board President; BSMH Chief Sponsorship Officer 0 365365 0 214207 0 298364 0 7200 0 23448 0 908584 0 0 Daniel Duggan Former COO 0 -1292 0 0 0 181797 0 0 0 4628 0 185133 0 0 RONNIE HYATT Former Treasurer/CFO - BSSFHS 0 -9465 0 86647 0 394402 0 0 0 21021 0 492605 0 0 WILLIAM KUSNIERZ CFO - BSSFHS (END 09/20) 0 314697 0 101751 0 134378 0 34509 0 11927 0 597262 0 14167 LISA LANDRETH INTERIM CFO - BSSFHS (BEG 09/20) 0 143080 0 18853 0 44208 0 5666 0 11274 0 223081 0 0 DENISE CAMPBELL Former Key - Interim CNO 150227 0 10414 0 47487 0 5727 0 12778 0 226633 0 0 0 Teresa Ficicchy Former EVP-CNO 0 -2801 0 61781 0 287862 0 0 0 9390 0 356232 0 0 Kathleen Black CHIEF NURSING OFFICER 182939 0 18053 0 78162 0 23499 0 10172 0 312825 0 0 0 Marcus Blackstone MD Chief Clinical Officer 0 341949 0 99755 0 33097 0 35223 0 11434 0 521458 0 0 Thomas Cummins Former Chief Medical Officer -464 0 40944 0 69700 0 0 0 863 0 111043 0 0 0 ALBERT ATTIA MD RADIATION ONCOLOGIST 270240 0 75262 0 29698 0 11559 0 12355 0 399114 0 0 0 ROSEANN BECHER DIRECTOR, PHARMACY 159788 0 12677 0 48013 0 6034 0 23130 0 249642 0 0 0 THOMAS NICHOLSON DIRECTOR, PHARMACY 176241 0 11796 0 27068 0 3247 0 9484 0 227836 0 0 0 MICHAEL BORRON DIRECTOR, PHARMACY 168408 0 12344 0 31092 0 5786 0 13068 0 230698 0 0 0 JACOB GERSH SENIOR PHYSICIST 179090 0 400 0 30805 0 0 0 17261 0 227556 0 0 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: Matthew Caldwell $101,124; William Kusnierz $15,918; Marcus Blackstone, MD, $0; Thomas MOrris, PH.D, $84,003; Albert Attia, MD, $0; Brian Smith, $260,099; Brian White, $367,344; Brian Yanofchick, $34,000; Donald Kline, $152,139. Schedule J, Part I, Line 4b Terms and conditions of the St. Francis 457F plan Bon Secours St. Francis Health System, Inc. established the Bon Secours St. Francis Health System Nonqualified Deferred Compensation Plan (the "St. Francis 457F plan") that allows for deposits of employee deferrals and employer contributions and is available only to eligible Bon Secours St. Francis physicians. The St. Francis 457F plan is a non-qualified plan and is subject to a minimum deferred vesting date of at least two years after the first day of the calendar year to which the deferred compensation relates, provided the participant is employed, or upon specified events, such as death or disability. For a participant who separates employment prior to reaching the deferred vesting date, the portion of the account attributable to the deferred vesting date will become vested after the participant satisfies certain conditions during the three year post-employment period. Individuals that received a distribution or participated in the plan include: Marcus Blackstone, MD, $0. 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, $0. 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 is as follow: Brian Smith $0. Schedule J, Part I, Line 4b Terms and conditions of the Youngstown Market SERP The Youngstown Market SERP Plan is a deferred compensation plan which provides supplemental retirement benefits to persons selected by the Mercy Health Youngstown LLC Board of trustees or its delegate. The Plan provides annual credits of a specified percentage of compensation and annual interest credits. Participants vest 100% in their accounts after three years of service, except for participants who had attained at least ten years of service at plan inception, who had immediate vesting. Vesting occurs earlier upon death or total disability. Payments are made during employment for required tax withholding. The vested account balance is paid as a lump sum after termination of employment. Amounts includible as taxable compensation for listed individuals due to SERP participation in the reporting year are as follows: Donald Kline $0. Schedule J, Part I, Line 1a Housing allowance or residence for personal use Employer provided temporary housing related to employee relocation was provided for one highest compensated employee and one key employee. The entire benefit was treated as taxable compensation. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation Bon Secours Mercy Health, Inc., a related organization of the filing organization, uses the following to establish the compensation of the organization's CEO/Executive Director: Compensation Committee Independent Compensation Consultant Written Employment Contract Compensation Survey or Study Approval by the Board or Compensation Committee Schedule J, Part I, Line 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. Salary continuation amounts provided during the reporting year to listed individuals were as follows: Thomas Cummins, $69,700; Craig McCoy, $204,616; Daniel Duggan, $180,355; Ronnie Hyatt, $387,483; Teresa Ficicchy, $285,563; Brian White, $423,080. 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: Thomas Cummins, $0. Schedule J, Part I, Line 7 Non-fixed payments The organization provides annual incentive compensation for listed individuals. The organization's Board of Trustees establishes objective thresholds for quality, community benefit, and financial performance which must be achieved for incentives to be awarded. The Board also establishes threshold, target and maximum levels for incentive awards. Within these established parameters, the Board determines the CEO's incentive award and incentive awards for other listed individuals are determined by the listed individual's supervisor and disclosed to the Board. The Board may authorize modified incentive awards when appropriate in its judgment. KRISTA COBEN DAUGHTER OF FORMER COO, DANIEL DUGGAN 45322 EMPLOYMENT false JASON COBEN SON-IN-LAW OF FORMER COO, DANIEL DUGGAN 291262 EMPLOYMENT false MEAGAN DUGGAN DAUGHTER-IN-LAW OF FORMER COO, DANIEL DUGGAN 60072 EMPLOYMENT false McMillan Pazdan Smith 35% Controlled Entity of Family Member of Vice Chair, John Pazdan 1831042 Independent Contractor false Form 990, Part VI, Line 6 Classes of members or stockholders Bon Secours Mercy Health, Inc. is the sole member of Bon Secours St. Francis Health System, Inc., which in turn is the sole member of St. Francis Hospital, Inc. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body The governing body of St. Francis Hospital, Inc. is appointed by its member Bon Secours St. Francis Health System, Inc. and subject to approval by Bon Secours Mercy Health, Inc. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Certain matters require approval of the BSMH corporate member, BSMH governing body, or BSMH CEO. The regulations of the organization describe the level of approval required for various decisions. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED BY BSMH'S TAX DEPARTMENT AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. A COPY OF THE FORM 990 IS THEN REVIEWED BY MANAGEMENT. ONCE THE FORM 990 IS REVIEWED BY ALL APPLICABLE PARTIES A COPY OF THE FINAL VERSION IS PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY PRIOR TO FILING. Form 990, Part VI, Line 12c Conflict of interest policy BSMH maintains a written and board approved Conflict of Interest Policy. The policy requires board members, officers, directors and key employees to annually disclose interests that could give rise to conflicts. The Audit and Compliance Committee (ACC) of the BSMH Board has the ultimate responsibility for Conflict of Interest, including the Policy implementation, compliance monitoring, and enforcement. Through the ACC, 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 submits to the ACC a report of all conflicts and how they will be managed. The ACC 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. Kathryn Clauss did not receive payroll distributions as she has taken a vow of poverty. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Health and Fitness - Total Revenue: 77651, Related or Exempt Function Revenue: 77651, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Intercompany purchased services - Total Revenue: 13074, Related or Exempt Function Revenue: 13074, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Purchase Discounts - Total Revenue: 11361, Related or Exempt Function Revenue: 11361, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Revenue - Total Revenue: 2271677, Related or Exempt Function Revenue: 2271677, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Corporate Dues - Total Expense: 97085541, Program Service Expense: , Management and General Expenses: 97085541, Fundraising Expenses: ; Medical and Professional Fees - Total Expense: 30845439, Program Service Expense: 30845439, Management and General Expenses: , Fundraising Expenses: ; Physician Fees - Total Expense: 562738, Program Service Expense: 562738, Management and General Expenses: , Fundraising Expenses: ; Ambulance/Transport Services - Total Expense: 527019, Program Service Expense: 527019, Management and General Expenses: , Fundraising Expenses: ; Building Maintenance - Total Expense: 2908667, Program Service Expense: 2617800, Management and General Expenses: 290867, Fundraising Expenses: ; Equipment Maintenance - Total Expense: 2161314, Program Service Expense: 1945183, Management and General Expenses: 216131, Fundraising Expenses: ; Security Services - Total Expense: 1383173, Program Service Expense: 1244856, Management and General Expenses: 138317, Fundraising Expenses: ; Contract Labor & Recruiting - Total Expense: 3700430, Program Service Expense: 3330387, Management and General Expenses: 370043, Fundraising Expenses: ; Diagnostic Tests & Ancillary Procedures - Total Expense: 6085412, Program Service Expense: 6085412, Management and General Expenses: , Fundraising Expenses: ; Medical Equipment Repairs - Total Expense: 5106305, Program Service Expense: 5106305, Management and General Expenses: , Fundraising Expenses: ; Dietary - Total Expense: 5537631, Program Service Expense: 4983868, Management and General Expenses: 553763, Fundraising Expenses: ; Other professional services - Total Expense: 5762013, Program Service Expense: 5185812, Management and General Expenses: 576201, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfers to Affiliates - 44939735; Transfer inventory to Retail Pharmacy - -313758; Form 990, Part XII, Line 3b Reason organization did not undergo required audit During the year ended December 31, 2020, the organization received Provider Relief Funds (PRF) and state grants through the CARES Act in response to the COVID-19 pandemic. PRF and state grant payments are accounted for as government grants. Bon Secours Mercy Health, Inc. and its subsidiaries, will undergo an audit as set forth in the Single Audit Act and OMB Circular A-133. Due to the unusual circumstances associated with the COVID-19 pandemic and the PRF and other state grants, the OMB extended the filing deadline for the audit. The audit is in process and will be completed by the extended filing deadline. Physicians' Surgery Center at Saint Francis LLC One St Francis Drive Greenville SC 29601 No Activity SC 0 0 St Francis Hospital Inc Health Partners of Bon Secours St Francis LLC One St Francis Drive Greenville SC 29601 814408628 Health Care SC 103629 186 St Francis Hospital Inc Bon Secours Mercy Health Inc 1701 Mercy Health Place CINCINNATI OH 45237 521301088 HEALTHCARE SYSTEM PARENT MD 501(c)(3) 3 NA false Bon Secours Baltimore Community Works Inc 26 North Fulton Avenue Baltimore MD 21223 521732800 Grant Making Foundation MD 501(c)(3) Type III-FI Bon Secours Mercy Health Inc false Bon Secours Ireland DAC Local System Parent Org. EI 501(c)(3) Type III-FI Bon Secours Mercy Health Inc false BON SECOURS MERCY HEALTH FOUNDATION 1701 Mercy Health Place CINCINNATI OH 45237 201072726 FUNDRAISING OH 501(c)(3) 7 Bon Secours Mercy Health Inc false Bon Secours New Jersey Health System Inc 1505 Marriottsville Road Marriottsville MD 27104 222754781 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 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