2020-07-10T16:01:31-05:00 2019-08-31 134008324 PricewaterhouseCoopers LLP 600 13th Street NW Ste 1000 Washington DC 20005 990 2018-09-01 540506463 Maryview Hospital MARY 7573982200 7007 Harbour View Blvd 108 Suffolk VA 23435 LAURA ELLISON ATLANTIC GROUP CFO 2020-07-10 true TRAVIS L PATTON P00369623 2124141000 2018 2021-01-29 14:40:06Z Bon Secours Maryview Medical Center PAUL GADEN 7007 Harbour View Blvd 108 Suffolk VA 23435 372240556 false 0928 X WWW.BONSECOURS.COM X 1944 VA ACUTE CARE HOSPITAL 14 13 3321 124 71949 0 772287 532676 397978110 360429865 5910697 7778603 2689072 3458612 407350166 372199756 808010 39826 0 188131608 154501457 0 0 241423789 230088931 430363407 384630214 -23013241 -12430458 305916668 322409728 176490801 219865152 129425867 102544576 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 355449317 39826 362063488 Maryview Hospital provides medical care to patients without regard to their ability to pay. Among the major services provided to the residents of Hampton Roads, three major areas of focus are orthopedics, cardiology and general surgery. Maryview provides support for community services. Please see Schedule H for additional information regarding programs, community benefit programs and Charity Care. Bon Secours Province Place of Maryview and DePaul provide assisted living facilities in the Portsmouth and Norfolk communities. In addition to assisted living, the facilities offer Memory Care and Respite Care. 355449317 true true false true false false false false false true false false true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false true true false false false true 180 0 true 3321 true true true false false false false false true false false false false false X 14 13 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 Toni Ardabell CEO - VA/President - BSHR (End 09/18) 2.0 48.0 X X 0 1835830 16500 Br Arthur Caliman CFX President - BSHR/DMC/MMC/MNCC 3.0 47.0 X X 0 0 0 Amy Carrier Secretary, Market President - BSHR (Beg 10/18) 2.0 48.0 X X 0 467815 13526 Arthur Collins Chairman (End 12/18) 3.0 0.0 X X 0 0 0 Sr David Ann Niski President - MIH/SFNC 2.0 48.0 X X 0 0 0 William Pile Board Member (End 12/18); Chairman (Beg 01/19) 3.0 0.0 X X 0 0 0 Timothy Davis Board Member (End 12/18), EVP, CHRAO 2.0 48.0 X 0 2298499 37281 Susan Anthony FNP Board Member (End 12/18) 2.0 0.0 X 0 0 0 James Bento Board Member 2.0 0.0 X 0 0 0 Bruce Britton MD Board Member 2.0 0.0 X 0 0 0 Sr Elaine Davia CBS Board Member (End 12/18) 2.0 48.0 X 0 0 0 Charlette Fairchild PhD Board Member 2.0 0.0 X 0 0 0 Vincent Joseph DC Board Member 2.0 0.0 X 0 0 0 Shelley Mishoe Board Member 2.0 0.0 X 0 0 0 Jeffrey Morrison DO Board Member 2.0 0.0 X 0 5000 0 Cynthia Romero MD Board Member 2.0 0.0 X 0 0 0 Rodrigo Romulo MD Board Member 2.0 0.0 X 0 0 0 Stephanie Short CCIM Board Member 2.0 0.0 X 0 0 0 Douglas Ziegenfuss PhD Board Member 2.0 0.0 X 0 0 0 Michael Brozic Interim Market CFO - BSHR (01/19 - 05/19) 2.0 48.0 X 0 291780 40950 Stephan Quiriconi Treasurer (End 01/19), CFO - Richmond Market 2.0 48.0 X 0 657986 25196 Dan Macksood Interim Market CFO - BSHR (Beg 04/19) 2.0 48.0 X 0 0 0 Paul Gaden CEO - DMC/MVH 25.0 26.0 X 0 451286 24465 Vickie Humphries VP of Human Resources - BSHR 10.0 38.0 X 260829 0 28728 James McNamara VP of Ortho (End 09/18) 10.0 40.0 X 325111 0 21923 Anhtai Nguyen MD Chief Medical Officer 15.0 35.0 X 535903 0 43219 Helena Walo Chief Nursing Officer 50.0 0.0 X 199484 0 23666 Steven Blasdell MD Orthopedic Surgeon 50.0 0.0 X 906508 0 42188 Ryan Seutter MD Cardiologist 50.0 0.0 X 868154 0 44772 Ernesto Luciano-Perez MD Orthopedic Surgeon 50.0 0.0 X 804930 0 42706 JAYARAMAN VENKATESAN MD Cardiologist 50.0 0.0 X 801365 0 43772 APURVA M Patel MD Cardiologist 49.5 0.5 X 785067 0 13750 Terri Spence VP & Regional CIO (Key End 08/18) 10.0 40.0 X 278605 0 34584 Mark Nantz Former Secretary/Interim CEO-BSHR 0.0 50.0 X 0 2460450 137158 Michael Kerner Former Secretary/CEO-BSHR 0.0 0.0 X 0 598951 20781 Daniel Duggan Former Interim CEO - Maryview Hospital 0.0 50.0 X 0 695640 28561 5765956 9763237 683726 239 true true false US BANK CORPORATE TRUST (SHIFTWISE) PO BOX 70870 ST PAUL MN 551709705 CONTRACT NURSING 5990427 TRIMEDX INC 12483 COLLECTIONS CTR CHICAGO IL 60693 BIOMEDICAL ENGINEERING 5291085 WEATHERBY LOCUMS INC 6451 N FEDERAL HWY STE 800 FORT LAUDERDALE FL 33308 PHYSICIAN SERVICE 4130395 MORRISON MGT SPECIALISTS PO BOX 102289 ATLANTA GA 303682289 DIETARY SERVICES 2692006 EASTERN VA MED SCHOOL PO BOX 1980 NORFOLK VA 235011980 MEDICAL SERVICES 2663869 60 X 507676 25000 532676 PATIENT SERVICE REV. 561000 351982611 351961301 21310 ASSISTED LIVING 623000 5400880 5400880 JOINT VENTURE INC 623990 376403 376403 Outpatient Pharmacy 900099 2669971 2669971 0 0 0 0 360429865 161059 161059 145627 40800 104827 0 104827 104827 7623175 -5631 7623175 -5631 7617544 7617544 RETAIL SALES 900099 291968 291968 CARE COORDINATION 900099 1051171 1051171 CLINICAL TRIALS - DRUG 900099 603762 603762 1406884 0 50639 1356245 3353785 372199756 362063488 71949 9531643 X 39826 39826 1438863 1294977 143886 125199828 112679845 12519983 4619451 4157506 461945 13983388 12585049 1398339 9259927 8333934 925993 73287 73287 68621 68621 39876 35888 3988 107000234 98094983 8905251 0 30248 27223 3025 3285170 2956653 328517 305509 274958 30551 15909384 14318446 1590938 937331 843598 93733 48619 43757 4862 952596 952596 11320620 10188558 1132062 2406217 2165595 240622 MEDICAL SUPPLIES 57011320 57011320 BAD DEBT 18146958 18146958 INDIGENT ASSESSMENT 8932768 8039491 893277 FEDERAL INCOME TAX 2769 2492 277 3617404 3255664 361740 0 384630214 355449317 29180897 0 12857 8661 1290365 1545194 21758 21758 34658839 35388154 0 0 0 7370468 7305585 6205650 4143944 296632988 226304985 78425254 70328003 126944286 128442302 0 5108272 1085262 851781 2445314 2445314 47456615 66820760 305916668 322409728 40555187 30362775 2534131 582226 18245548 0 115155935 188920151 176490801 219865152 X 129282300 102405530 143567 139046 129425867 102544576 305916668 322409728 X -12430458 -7304756 -7146077 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 20088 false true 19788 39876 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY The filing organization maintains memberships to various professional healthcare associations. Portions of their membership dues are used for lobbying activities. The lobbying portion of such dues is included on line 1i. The filing organization also conducted advocacy relating to education of legislative body regarding hospital and healthcare reform and how it impacts communities. The lobbying expense related to this activity is included on Line 1g. 5423134 5423134 104917880 74411122 30506758 22277960 14957416 7320544 156496625 132735557 23761068 7517389 4200890 3316499 70328003 DUE FROM AFFILIATES 34046962 LT NON-CASH INV - HPL/GL 12697092 NON-PATIENT A/R 199894 DUE FROM CHAMPUS 829409 DEFERRED MEDICARE REC 0 MEDICARE SETTLEMENT REC 4911194 LT - PENSION ASSET 0 LEASE 23260 RIGHT OF USE ASSET 14112949 66820760 DUE TO AFFILIATES 139143909 HPL/GL LIAB 12697092 FIN 47 LIAB 4136486 DEFERRED RENT 0 MEDICARE SETTLEMENT/RESERVE 2001853 OTHER MISC. LIABILITIES 0 Pension Liability 12111528 Unclaimed Property (Net) 90786 Patient Credit Balance 3048856 Lease Liability 15689641 188920151 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. The Company accounts for uncertain tax positions in accordance with ASC Topic 740, Income Taxes. Their related income is exempt from federal income tax under Section 501(A). 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, 2018. 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; with currently the IRS audit of Mercy for 2016 tax period in progress. The Company believes it is no longer subject to income tax examinations for years prior to 2013. As of December 31, 2018, the Company has no uncertain tax positions. The Company's taxable subsidiaries had $169,666 of gross net operating loss carryforwards as of December 31, 2018, 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's deferred tax assets are fully reserved at December 31, 2018 as the Company considers it more likely than not that these amounts will not be recognized. On December 22, 2017, the President signed into law H.R. 1, originally known as the Tax Cuts and Jobs Act. The Act significantly revises the U.S. corporate income tax by, lowering the statutory corporate tax rate from 35% to 21% and eliminating certain deductions. The new law also includes several provisions that result in substantial changes to the tax treatment of tax-exempt organizations and their donors. The Company has reviewed these provisions and the potential impact and concluded the enactment of H.R. 1 will not have a material effect on the operations of the organization. true true X true X true X true true false false 14514362 14514362 0.0396 60173689 33229459 26944230 0.0735 0 0.0 0 0 74688051 33229459 41458592 0.1131 836376 8426 827950 0.0023 3176585 3176585 0.0087 1001953 1001953 0.0027 0 0.0 662120 22836 639284 0.0017 0 0 5677034 31262 5645772 0.0154 0 0 80365085 33260721 47104364 0.1285 0 0.0 1099 1099 0.0000 460 460 0.0000 0 0.0 0 0.0 253 253 0.0000 99185 99185 0.0003 26160 26160 0.0001 0 0.0 0 0 127157 0 127157 0.0003 true 18146958 84855427 84562401 293026 X true true 1 1 MARYVIEW HOSPITAL 3636 HIGH STREET PORTSMOUTH VA 23707 WWW.BONSECOURS.COM H1830 X X X X MARYVIEW HOSPITAL 1 false false true X X X X X X X X X 18 true true true true X https://bonsecours.com/about-us/community-commitment/community-health-needs-assessment X X true 18 true https://bonsecours.com/about-us/community-commitment/community-health-needs-assessment false true X 200.0 400.0 true true X X X true X WWW.FA.BONSECOURS.COM X WWW.FA.BONSECOURS.COM X WWW.FA.BONSECOURS.COM X 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 , 1 Facility , 1 - MARYVIEW HOSPITAL. A collaborative team from Maryview Medical Center, Children's Hospital of The King's Daughters, Sentara Healthcare, Riverside Health System and the Virginia Department of Health - Portsmouth (Collaborative) began meeting in May 2018 to begin the work on the 2020 - 2022 Community Health Needs Assessment. In order to obtain input from the community, an online and hard-copy survey was disseminated in English and Spanish. The survey was distributed widely via Bon Secours networks, as well as meetings, clinics and programs supported by Maryview Hospital, such as the Care-A-Van, a mobile medical unit that provides care to the uninsured population; the Maryview Foundation Health Center (free clinic); Bon Secours Maryview Hospital Senior Health members; and an LGBTQ community resource site. The survey was taken by 271 residents and key stakeholders who indicated Chesapeake, Portsmouth or Suffolk as their primary service area. Individuals were asked to choose the top five health issues and services they thought should be addressed in their community. Overall, survey participants represent a blend of perspectives across age, race and income. Epidemiological data was provided by the Virginia Department of Health - Portsmouth. A total of 11 focus group meetings called Community Dialogues were held in the Hampton Roads region in which 283 individuals participated. The purpose of the meetings was to elicit feedback from community members about publically available health data describing health conditions in the service area and to review the online survey results to further explore the findings. The meetings began with community members participating in a matrix exercise in which they selected the three most important of the top ten health concerns identified in the Survey. Following the matrix exercise, a presentation explaining the CHNA process was shown. For sessions with larger numbers in attendance, participants were then divided into groups to discuss the top concerns identified in the matrix exercise. Smaller sessions were discussed as a single group. Breakout session facilitators lead the discussions with the following questions: Why are these issues? What is causing the issues? What can be done to address the issues? Comments were written down by a staff member or volunteer. Maryview Medical Center's senior leadership team met to review primary and secondary data gathered through the CHNA process (community meetings, community and key stakeholder surveys, and meetings with regional health systems and health departments). The team evaluated each of the top ten health concerns and services that need strengthening identified, the hospitals strategic goals, services currently provided, available hospital resources, and the current CHNA Implementation Plan's progress. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Maryview Hospital. Children's Hospital of The King's Daughters Sentara Healthcare Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Maryview Hospital. Virginia Department of Health - Portsmouth Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - MARYVIEW HOSPITAL. The MMC CHNA was posted on the Bon Secours website (https://bonsecours.com/about-us/community-commitment/community-health-needs-assessment), as well as distributed to community advisory board members. In addition, copies of the CHNA are located in the emergency departments at MMC and Harbour View. Copies are also located in the MMC Administrative Office and the BSHR Corporate Office at Harbour View. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - MARYVIEW HOSPITAL. Through development of an implementation plan from the CHNA, MMC identified the health priorities in the related service areas. Maryview Medical Center (MMC) has an open medical staff with privileges available to all qualified physicians. Emergency departments at MMC and Harbour View provide service 24 hours/day, 7 days/week to ensure access for all individuals in need of emergency care. Hospital board members are diverse, inclusive and representative of the broader community in which the facilities are located. Mental Health Goal: Improve access to behavioral health services to improve the mental health of the community by reducing barriers to accessing behavioral services and be reducing incidence of depression and suicide in adolescents and young adults through education and support. * MMC strives to reduce barriers to accessing behavioral health services to improve the mental health of the community. * Approximately 2,900 people participated in Alcoholics Anonymous support groups; 285 people attended Gamblers Anonymous support groups, and over 3,200 people participated in Narcotics Anonymous support groups held at MMC throughout the year. * The Behavioral Medicine Center (BMS), located on the MMC campus, provides inpatient and outpatient programs for treatment of substance abuse and psychiatric medicine. The Maryview Behavioral Medicine Center also partners with the Portsmouth judicial system to conduct court sessions for inpatients brought to MMC by the police department. BMS provided crisis intervention and court proceedings for over 4,149 people. * MMC offers health services via the Care-A-Van (CAV). The CAV is a free mobile medical service that provides general medical care to uninsured adults and children in Portsmouth and Suffolk, as well as Norfolk and Newport News. Services provided include urgent and primary care (including examination, diagnosis, lab, pharmacy, and follow-up), immunizations for school, pregnancy tests, blood pressure measurement, health education, referrals for specialty care, opportunity to enroll eligible children in children's health insurance. While the CAV primarily serves adults, some sites provide care and referral services for children. Community partners include free clinics, local health agencies, CSBs, physicians, and numerous faith-based organizations which collaborate with CAV staff. CAV staff had 949 patient contacts in Portsmouth and Suffolk and provided $1,068 in lab services. * MMC offers support to qualified patients though the Life Coach Program. The Life Coach Program connects patients with no insurance, little resources, or no personal doctor with primary care resources to minimize their trips to the emergency room (ED). These coaches work closely with the emergency department staff and care managers to find medical homes for patients who regularly use emergency rooms for non-emergency issues. Life Coaches help patients overcome social barriers to care, make follow up appointments, and obtain medications. MMC Life Coaches had 1,194 patient contacts, of which 11 patients were referred for additional mental health and substance abuse care. Twenty-six people participated in grief support groups. Obesity Goal: Provide education, prevention, and treatment of obesity with an emphasis on diabetes and nutrition. Reduce incidences of obesity through programming that will provide nutrition information and support to members of the BSMMC community. * Prevention and treatment of obesity with an emphasis on diabetes and nutrition was identified as one of the top three health concerns in the MMC service area. * As a result of the CHNA CAB process, MMC is an active participant in Healthy Portsmouth, an initiative under the Portsmouth Department of Health. Healthy Portsmouth is focusing, in part, on Healthy Nutrition and Active Lifestyles. * Enrollees in Bon Secours Hampton Roads MMC Medical Weight Loss program had an average starting BMI of 48.3; ending average BMI is 38.4, an average reduction of 9.9. * Approximately 380 people attended MMC comprehensive weekly diabetes education sessions covering understanding diabetes, nutrition, foot care, exercise, and medication. Sexually Transmitted Infections Goal: Reduce incidences of sexually transmitted infections in the BSMMC service area through partnerships with community organizations. * Sexually Transmitted Infections (STI) was identified a one of the top health issues in the MMC service area. Patients in the ED and MFHC who are diagnosed with an STI are referred to community resources for treatment. Referral data is not collected in either location. Community Health Needs Not Addressed in Implementation Plan: Crime and community violence were identified as a community need. Although they are not addressed in the MMC Implementation Plan, human trafficking and gun control/violence and are two of the Bon Secours Health System advocacy resolutions. MMC is very involved in the human trafficking effort. MMC and the MFHC are the main providers of emergency and primary care for human trafficking victims. The number of firearm fatalities in the MMC service area is significantly higher than that of Virginia. In response, Bon Secours Hampton Roads collaborated with Be Smart, a program focused on education around gun safety and reducing suicides and unintentional shootings that occur when children pick up an unsecured firearm. MMC also partners with Virginia Supportive Housing to address the needs of the homeless. Within the community, there are other providers and organizations addressing employment, education, crime, alcohol/drug abuse, community violence, transportation, child abuse, people with disabilities, and places to play with specialized programs and services and it would result in duplication of services if Maryview Medical Center (MMC) were to address the need. Although MMC recognizes the importance of all the needs identified by the community including education, community violence, transportation services, people with disabilities, and places to play resources are limited within the organization to prioritize these specific needs. There are other providers and organizations addressing these needs with specialized programs and services. MMC is prepared to collaborate or assist with these efforts beyond the current set of services we provide. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - MARYVIEW HOSPITAL. Information regarding the Financial Assistance Program (FAP) is available on our websites and brochures are available at time of registration. We have on-site Financial Counselors who assist patients. We also have eligibility vendors who work with the patients and our statements indicate we have an FAP. We also provided local clinics in each market brochures regarding our FAP. 38 IN MOTION AT HARBOR VIEW 5838 HARBOUR VIEW BLVD SUFFOLK VA 23435 PHYSICAL THERAPY IN MOTION PT PORTSMOUTH BLVD 5553 PORTSMOUTH BLVD PORTSMOUTH VA 23701 PHYSICAL THERAPY VIRGINIA ORTHOPAEDIC & SPINE SPECIAL 5838 HARBOUR VIEW BLVD SUFFOLK VA 23435 PHYSICIAN PRACTICE IN MOTION PT SUFFOLK 1417 N MAIN ST SUFFOLK VA 23434 PHYSICAL THERAPY IN MOTION AT CHESAPEAKE SQUARE 2613 TAYLOR RD CHESAPEAKE VA 23321 PHYSICAL THERAPY IN MOTION AT HANBURY CROSSING 235 HANBURY RD CHESAPEAKE VA 23320 PHYSICAL THERAPY IN MOTION PT CHILLED PONDS 1416 STEPHANIE WAY CHESAPEAKE VA 23320 PHYSICAL THERAPY IN MOTION PT HIGH STREET 3300 HIGH STREET PORTSMOUTH VA 23707 PHYSICAL THERAPY IN MOTION PT PORTSMOUTH YMCA 4900A HIGH ST W PORTSMOUTH VA 23703 PHYSICAL THERAPY BON SECOURS NEUROSCIENCE CTR FOR PAIN 3315 HIGH ST PORTSMOUTH VA 23707 PHYSICIAN PRACTICE VIRGINIA ORTHOPAEDIC & SPINE SPECIAL 1040 UNIVERSITY BLVD PORTSMOUTH VA 23703 PHYSICIAN PRACTICE CARDIOVASCULAR SPECIALISTS - HARBOURV 5838 HARBOUR VIEW BLVD SUFFOLK VA 23435 PHYSICIAN PRACTICE CARDIOLOGY ASSOCIATES 3640 HIGH ST PORTSMOUTH VA 23707 PHYSICIAN PRACTICE INTERNISTS OF CHURCHLAND 2185 HARBOUR TOWNE PARKWAY SUFFOLK VA 23435 PHYSICIAN PRACTICE BON SECOURS PULMONARY SPECIALISTS - P 4053 TAYLOR ROAD CHESAPEAKE VA 23321 PHYSICIAN PRACTICE BON SECOURS VEIN & VASCULAR SPECIALISTS 1030 HILLPOINT BLVD NORTH SUFFOLK VA 23434 PHYSICIAN PRACTICE NANSEMOND SUFFOLK FAMILY PRACTICE 2897 BRIDGE ROAD SUFFOLK VA 23435 PHYSICIAN PRACTICE WESTERN BRANCH FAMILY PRACTICE 3253 TAYLOR ROAD CHESAPEAKE VA 23321 PHYSICIAN PRACTICE BON SECOURS SURGICAL SPECIALISTS - HA 5838 HARBOUR VIEW BLVD SUFFOLK VA 23435 PHYSICIAN PRACTICE PHYSICAL THERAPY EAGLE HARBOR OP 13609 CARROLLTON BLVD CARROLLTON VA 23314 PHYSICAL THERAPY CHENAULT-OSTROFF UROLOGICAL ASSOCIATE 4037 TAYLOR ROAD CHESAPEAKE VA 23321 PHYSICIAN PRACTICE HARBOUR VIEW FAMILY PRACTICE 5818-D HARBOUR VIEW BLVD SUFFOLK VA 23435 PHYSICIAN PRACTICE WESTERN BRACH OBGYN 1040 UNIVERSITY BLVD PORTSMOUTH VA 23703 PHYSICIAN PRACTICE INTERNISTS AT WESTERN BRANCH 4020 RAINTREE ROAD CHESAPEAKE VA 23321 PHYSICIAN PRACTICE BON SECOURS INTERNAL MEDICINE OF PORT 4041 TAYLOR ROAD CHESAPEAKE VA 23321 PHYSICIAN PRACTICE BON SECOURS NEUROSCIENCE CENTER 3640 HIGH ST PORTSMOUTH VA 23707 PHYSICIAN PRACTICE BON SECOURS GYNECOLOGIC ONCOLOGY SPEC 12720 MCMANUS BLVD NEWPORT NEWS VA 23602 PHYSICIAN PRACTICE PORTSMOUTH MEDICAL ASSOCIATES 3300 HIGH STREET SUITE 6 PORTSMOUTH VA 23707 PHYSICIAN PRACTICE EAGLE HARBOR MEDICAL ASSOCIATES 13609 CARROLLTON BLVD CARROLLTON VA 23314 PHYSICIAN PRACTICE AIRLINE BOULEVARD MEDICAL ASSOCIATES 155 KINGSLEY LANE NORFOLK VA 23505 PHYSICIAN PRACTICE BON SECOURS CARDIOVASCULAR & THORACIC 3636 HIGH STREET PORTSMOUTH VA 23707 PHYSICIAN PRACTICE BON SECOURS GRASSFIELD MEDICAL ASSOC 648 GRASSFIELD PARKWAY CHESAPEAKE VA 23322 PHYSICIAN PRACTICE BON SECOURS SUFFOLK PRIMARY CARE 148 BURNETTS WAY SUFFOLK VA 23434 PHYSICIAN PRACTICE BON SECOURS ONCOLOGY SPECIALISTS 3537 AIRLINE BOULEVARD SUITE 1 PORTSMOUTH VA 23701 PHYSICIAN PRACTICE BON SECOURS MEDICAL ONCOLOGY 155 KINGSLEY LANE NORFOLK VA 23505 PHYSICIAN PRACTICE CHILLED PONDS SPORTS PERFORMANCE 1416 STEPHANIE WAY CHESAPEAKE VA 23320 PHYSICAL THERAPY TRI-CITIES MEDICAL ASSOCIATES 3520 HIGH ST PORTSMOUTH VA 23707 PHYSICIAN PRACTICE LIVER INSTITUTE MMC 12720 MCMANUS BLVD SUITE 313 NEWPORT NEWS VA 23602 PHYSICIAN PRACTICE Schedule H, Part V, Section B, Line 14 SCH H, PART V, SEC B, LINE 14 Charges for patients who are eligible for financial assistance shall be limited to no more than amounts generally billed ("AGB") for such services. These charges are based on the average allowed amounts from Medicare and commercial payers for emergency and other medically necessary care. The allowed amounts include both the amount the insurer will pay and the amount, if any, the individual is personally responsible for paying. The AGB is calculated using a look back method. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 18146958 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 addresses various community concerns including health improvement, poverty, workforce development, and access to health care. Bon Secours Mercy Health hospitals conduct community health education and support groups, health fairs and screenings for the communities served. Bon Secours Mercy Health hospitals work with state and local leadership to address community needs and provide healthcare services to the poor and underserved. Bon Secours Mercy Health 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 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. BON SECOURS MERCY HEALTH'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. BON SECOURS MERCY HEALTH 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, BON SECOURS MERCY HEALTH RECOGNIZES REVENUE WHEN SERVICES ARE PROVIDED. BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF BON SECOURS MERCY HEALTH'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR SERVICES PROVIDED. THUS, BON SECOURS MERCY HEALTH 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 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. BON SECOURS MERCY HEALTH'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 BON SECOURS MERCY HEALTH'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 AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. BON SECOURS MERCY HEALTH 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, B. SIGNIFICANT ACCOUNTING POLICIES, NET PATIENT ACCOUNTS AND NET PATIENT SERVICE REVENUE (PAGE 10) STATES NET PATIENT ACCOUNTS ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED UPON THE HISTORICAL COLLECTION EXPERIENCE OF EACH REGIONAL AFFILIATE 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 UPON PAST COLLECTION EXPERIENCE. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs Medicare allowable costs reflected in Part III come directly from the facility's Medicare cost report. The cost report segregates the total facility actual expenses into costs for support departments, clinical departments (routine and ancillary) and non reimbursable departments. The cost report uses appropriate statistical bases to "step down" support costs to allowable clinical and non-reimbursable departments. The charges for clinical departments are matched to the total cost for these departments for a cost-to-charge ratio. Medicare-specific allowable costs for in- and outpatient ancillary departments are computed by applying the department-specific cost-to-charge ratio to the Medicare program charges by department. For routine departments, a per diem total cost is computed and applied to Medicare program days for the Medicare routine program cost. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance The hospital has a written policy that describes collection practices applying to patients who qualify for financial assistance. If full assistance is approved, no collection efforts are pursued on that patient's account(s). If partial assistance is approved, the patient is responsible for the adjusted account balance and collection efforts will follow the established practices for all patients where a self-pay balance exists. Collection efforts are not pursued on any pending FAP account. Specific criteria exists for how much financial assistance, partial or total, will be provided to the patient based on the assessed need. Criteria is based on Federal Poverty Guidelines and is reviewed and updated annually. Once a patient has been deemed eligible for the Patient Financial Assistance Program (FAP), the patient is notified by letter within 60 days after receipt of the application and supporting documentation. The patient retains eligibility for a period of eight months from the date of the application. This eligibility is identified by hospital admissions, billing and collection staff by the assignment of a specific financial class with accompanying eligibility dates. At the end of the eight months, the patient is responsible for reapplying for FAP eligibility. Schedule H, Part V, Section B, Line 16a FAP website - MARYVIEW HOSPITAL: Line 16a URL: WWW.FA.BONSECOURS.COM; Schedule H, Part V, Section B, Line 16b FAP Application website - MARYVIEW HOSPITAL: Line 16b URL: WWW.FA.BONSECOURS.COM; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - MARYVIEW HOSPITAL: Line 16c URL: WWW.FA.BONSECOURS.COM; Schedule H, Part VI, Line 2 Needs assessment BON SECOURS HOSPITALS ASSESS AND CONTINUALLY RESPOND TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. BON SECOURS HOSPITALS JOIN AN EXISTING COMMUNITY-BASED NEEDS ASSESSMENT EVERY THREE YEARS AND UPDATES ARE PROVIDED BETWEEN ASSESSMENTS. BON SECOURS HOSPITALS INCORPORATE PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. BON SECOURS 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. BON SECOURS HAS A DEDICATED STAFF TO ASSIST IN THE COMMUNITY BENEFIT EFFORT. BON SECOURS'S COMMUNITY BENEFITS COMMITTEES MEET TO PROVIDE OVERSIGHT TO THE ORGANIZATION'S COMMUNITY BENEFITS PROGRAM. BON SECOURS 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 The Patient Financial Assistance program is communicated to patients verbally upon scheduling, registration, visible postings of the program are in common areas throughout the hospital, along with brochures and the program is detailed on our Bon Secours website. In addition, patient billing statements and letters inform patients regarding our financial assistance program. Bon Secours proactively screens patients to identify individuals and their families who may qualify for federal, state or local health insurance programs or the Bon Secours Patient Financial Assistance Program ("FAP") and assist the potential eligible patients through the qualification process. Potentially eligible patients that do not qualify for a federal or state health insurance program are referred to the Financial Assistance Coordinator located in Patient Financial Services for assistance in completing the documentation required to establish FAP eligibility. Bon Secours is also dedicated to meeting the needs of non-English speaking patients by having on-site Spanish translators, and other language translation services. In addition, Bon Secours employs a telephone language service which assists in meeting any language needs that arise. The translation services are offered to non-English speaking patients from admission to discharge, including the financial assistance process. Based on market need, our financial assistance policy and application are translated into multiple languages and placed on our Bon Secours website for patients to access. Schedule H, Part VI, Line 4 Community information Hampton Roads is a very diverse community within an Metropolitan Service Area (MSA) of over 1.7 million people residing in 16 cities and counties, stretching from northeastern North Carolina to Williamsburg, Virginia. The area is characterized by racial diversity, a significant military population and a growing elderly population. The primary service area population served by Maryview, Portsmouth, VA, encompasses Portsmouth, Chesapeake, and Suffolk, VA. * The Maryview community is predominantly White with a large African American population. Compared with Virginia as a whole, the Maryview community has a lower percentage of White population and a greater percentage of Africans Americans compared to Virginia. The Maryview community age population is comprised of slightly younger adults (age 17 and younger) than the rest of Virginia while having a slightly older population (age 65 and older) than the rest of Virginia. The Weldon Cooper Center for Public Service estimates that the community's older population will steadily increase through 2040 to over 76,000 people, while the population growth rate of <19 and 20-64 year olds will decrease below that of the older population. The Maryview community overall experiences higher levels of unemployment than Virginia, with Portsmouth having the highest unemployment in the community. Suffolk and Portsmouth median incomes are below the state average, with Portsmouth being significantly lower. The median household income for Chesapeake is slightly higher than the state. With Portsmouth having a higher unemployment rate and considerably lower annual median income, there is a direct correlation with Portsmouth having a significantly higher rate of children on free or reduced lunch within the Maryview community and the state. Chesapeake has a marginally higher annual median income over state average resulting in a lower percentage for children eligible for free or reduced lunch compared to the rest of Virginia. The percentage of children eligible for free lunch in Suffolk is higher than Virginia. The leading causes of mortality in the Maryview service area per 100,000 are cancer, heart disease, cerebrovascular disease, diabetes, unintentional injury, septicemia, chronic lower respiratory diseases, nephritis and nephrosis, Alzheimer's disease, chronic liver disease, influenza and pneumonia, and suicide. Schedule H, Part VI, Line 5 Promotion of community health BON SECOURS HOSPITALS OPERATE EMERGENCY ROOMS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. IN ADDITION TO PROVIDING EMERGENCY SERVICES, BON SECOURS HOSPITALS ALSO PROVIDE MINOR EMERGENCY AND URGENT CARE SERVICES TO ALL REGARDLESS OF ABILITY TO PAY. BON SECOURS 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. BON SECOURS 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 BON SECOURS 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. BON SECOURS HOSPITALS ENGAGE IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS. BON SECOURS HOSPITALS PROVIDE RESIDENCY PROGRAMS AND OTHER TRAINING PROGRAMS. BON SECOURS HOSPITALS PARTICIPATE IN MEDICAID, MEDICARE, CHAMPUS, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. BON SECOURS 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 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 New York, Pennsylvania, Maryland, Ohio, 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 (2016-2018). - 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). true Bon Secours Maryview Foundation 7007 Harbour View Blvd Suite 108 Suffolk VA 23435 521694731 501(C)(3) 39826 General Support 1 0 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. true true false false false false false true false Toni Ardabell CEO - VA/President - BSHR (End 09/18) 0 699411 0 215374 0 921045 0 16500 0 0 0 1852330 0 0 Amy Carrier Secretary, Market President - BSHR (Beg 10/18) 0 340665 0 52085 0 75065 0 409 0 13117 0 481341 0 0 Timothy Davis Board Member (End 12/18), EVP, CHRAO 0 685074 0 213420 0 1400005 0 16500 0 20781 0 2335780 0 0 Mark Nantz Former Secretary/Interim CEO-BSHR 0 723711 0 219430 0 1517309 0 109945 0 27213 0 2597608 0 81973 Michael Kerner Former Secretary/CEO-BSHR 0 0 0 0 0 598951 0 0 0 20781 0 619732 0 0 Daniel Duggan Former Interim CEO - Maryview Hospital 0 342522 0 145311 0 207807 0 16500 0 12061 0 724201 0 0 Michael Brozic Interim Market CFO - BSHR (01/19 - 05/19) 0 214345 0 33225 0 44210 0 13090 0 27860 0 332730 0 0 Stephan Quiriconi Treasurer (End 01/19), CFO - Richmond Market 0 422940 0 102164 0 132882 0 6617 0 18579 0 683182 0 0 Paul Gaden CEO - DMC/MVH 0 309559 0 45312 0 96415 0 3227 0 21238 0 475751 0 0 Terri Spence VP & Regional CIO (Key End 08/18) 241655 0 35970 0 980 0 24005 0 10579 0 313189 0 0 0 Vickie Humphries VP of Human Resources - BSHR 184037 0 28754 0 48038 0 19449 0 9279 0 289557 0 0 0 James McNamara VP of Ortho (End 09/18) 181608 0 39780 0 103723 0 11604 0 10319 0 347034 0 0 0 Anhtai Nguyen MD Chief Medical Officer 423178 0 72101 0 40624 0 13141 0 30078 0 579122 0 0 0 Helena Walo Chief Nursing Officer 173517 0 25038 0 929 0 10163 0 13503 0 223150 0 0 0 Steven Blasdell MD Orthopedic Surgeon 466048 0 437284 0 3176 0 18615 0 23573 0 948696 0 0 0 Ryan Seutter MD Cardiologist 571511 0 291840 0 4803 0 13750 0 31022 0 912926 0 0 0 Ernesto Luciano-Perez MD Orthopedic Surgeon 288117 0 515523 0 1290 0 15024 0 27682 0 847636 0 0 0 JAYARAMAN VENKATESAN MD Cardiologist 558399 0 229152 0 13814 0 13750 0 30022 0 845137 0 0 0 APURVA M Patel MD Cardiologist 554897 0 210074 0 20096 0 13750 0 0 0 798817 0 0 0 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: Michael Kerner, $589,763; James McNamara, $78,540; Daniel Duggan, $15,030. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan The filing organization participates in a BSMH 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: Mark Nantz, $85,799; Stephan Quiriconi, $0; Amy Carrier, $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. Form 990, Part VI, Line 6 Classes of members or stockholders Bon Secours Mercy Health, Inc. is the sole member of Bon Secours Hampton Roads Health System, Inc., which in turn is the sole member of Maryview Hospital. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body The governing body of Maryview Hospital is appointed by its Member, Bon Secours Hampton Roads Health System, Inc, and subject to the 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. Upon review, a copy of the final version of the Form 990 is provided to all members of the governing body prior to filing. Form 990, Part VI, Line 12c Conflict of interest policy The organization regularly and consistently monitors compliance with the conflict of interest policy. On an annual basis, all persons subject to the policy, including all officers, directors and key employees are required to make certain disclosures. These include disclosures related to certain personal, financial and organizational relationships that may present a conflict, or the appearance of a conflict of interest with the organization. All disclosures go through a three part review process: (1) disclosures are reviewed first by the corporate responsibility officer (CRO); (2) a governance team comprised of the CEO, board president, board chair, CRO, and the BSMH CRO participate in a second review of all disclosures during which recommendations are made as to the resolution of any conflicts or potential conflicts. Depending on the facts and circumstances, resolutions may include ongoing disclosure, recusal or removal of the conflict; and (3) all disclosures and recommendations are reviewed by a board committee (audit and compliance committee reviews the disclosures of management and the governance committee reviews the disclosures of the board and board committee members). 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 conflict of interest policy and financial statements are posted on the BSMH website. Form 990, Part VII, Section A Addisional Disclosure Avg hours devoted to related org(s) when related comp is reported: 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. The governing bodies of the hospitals of Bon Secours Hampton Roads Health System, including DePaul Medical Center, Maryview Hospital, Mary Immaculate Hospital, Bon Secours Maryview Nursing Care Center, and Mary Immaculate Nursing Center are comprised of the same board members and board officers (Chairman, Secretary and Treasurer), with the exception of President. These governing bodies are referred to as the Hampton Roads Joint Board. Hours reported for these voluntary board positions represent total hours worked per week, which include responsibilities for the applicable entities. Br. Art Caliman, Sr. David Ann Niski, and Sr. Elaine Davia do not receive payroll distributions as they have taken a vow of poverty. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue OTHER REV - Total Revenue: 1406884, Related or Exempt Function Revenue: , Unrelated Business Revenue: 50639, Revenue Excluded from Tax Under Sections 512, 513, or 514: 1356245; Form 990, Part IX, Line 11g Other Fees Medical Professional Fees - Total Expense: 17947719, Program Service Expense: 17947719, Management and General Expenses: , Fundraising Expenses: ; Consulting services - Total Expense: 238380, Program Service Expense: 214542, Management and General Expenses: 23838, Fundraising Expenses: ; Maintenance and Service Agreements - Total Expense: 3558832, Program Service Expense: 3202949, Management and General Expenses: 355883, Fundraising Expenses: ; Billing and collections - Total Expense: 381742, Program Service Expense: 343568, Management and General Expenses: 38174, Fundraising Expenses: ; Inter-company purchased services - Total Expense: 20786942, Program Service Expense: 18708248, Management and General Expenses: 2078694, Fundraising Expenses: ; BSMH Management Fee - Total Expense: 40551197, Program Service Expense: 36496077, Management and General Expenses: 4055120, Fundraising Expenses: ; Security Services - Total Expense: 824326, Program Service Expense: 741893, Management and General Expenses: 82433, Fundraising Expenses: ; Other purchased services - Total Expense: 4213943, Program Service Expense: 3792549, Management and General Expenses: 421394, Fundraising Expenses: ; Employment Costs - Total Expense: 18497153, Program Service Expense: 16647438, Management and General Expenses: 1849715, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances BSMH PRINCIPAL & SWAP PAYMENTS - -774940; MINIMUM PENSION LIABILITY & YE PENSION ADJUSTMENT - -12086754; 92BC BONDS - -108; TRANSFERS FROM AFFILIATES - 302231; ACCOUNTING ADJUSTMENT - 5413494; Province Place of DePaul LLC 7007 Harbourview Blvd Suite 108 Suffolk VA 23435 541950880 Assisted Living Facility VA 3302451 3507445 Maryview Hospital Province Place of Maryview LLC 7007 Harbourview Blvd Suite 108 Suffolk VA 23435 541842697 Assisted Living Facility VA 2345597 2127553 Maryview Hospital MERCY HEALTH 1701 Mercy Health Place CINCINNATI OH 45237 311161086 HEALTHCARE SYSTEM PARENT OH 501(c)(3) 3 Bon Secours Mercy Health Inc false MERCY HEALTH FOUNDATION 1701 Mercy Health Place CINCINNATI OH 45237 201072726 FUNDRAISING OH 501(c)(3) 7 MERCY HEALTH false MERCY HEALTH RETIREMENT TRUST 1701 Mercy Health Place CINCINNATI OH 45237 316046304 RETIREMENT TRUST OH 501(c)(3) 7 MERCY HEALTH false COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS 3700 KOLBE ROAD LORAIN OH 44053 341268828 MEDICAL OFFICE RENTAL OH 501(c)(3) 10 MERCY HEALTH - REGIONAL MEDICAL CENTER LLC false ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING 200 WEST LORAIN ST OBERLIN OH 44074 364504991 MEDICAL OFFICE RENTAL OH 501(c)(3) 10 MERCY HEALTH - ALLEN HOSPITAL LLC false MERCY FRANCISCAN SENIOR HEALTH AND HOUSING SERVICES INC 7010 ROWAN HILLS DR CINCINNATI OH 45227 311308729 RETIREMENT HOME OH 501(c)(3) 10 MERCY HEALTH CINCINNATI LLC false MERCY FRANCISCAN SOCIAL MINISTRIES INC 1800 LOGAN STREET CINCINNATI OH 45210 311222942 LOW INCOME HOUSING OH 501(c)(3) 7 MERCY HEALTH CINCINNATI LLC false COMMUNITY MERCY HEALTH SYSTEM 100 Medical Center Drive SPRINGFIELD OH 45504 300272454 MARKET PARENT OH 501(c)(3) Type III-FI MERCY HEALTH false COMMUNITY MERCY HEALTH PARTNERS 100 Medical Center Drive SPRINGFIELD OH 45504 310785684 HOSPITAL OH 501(c)(3) 3 COMMUNITY MERCY HEALTH SYSTEM false C H HEALTH SERVICES COMPANY 100 Medical Center Drive SPRINGFIELD OH 45504 311181984 HOSPITAL OH 501(c)(3) 3 COMMUNITY MERCY HEALTH SYSTEM false THE WALLACE S MURRAY AND FRANCES RABBITTS MURRAY MEMORIAL TRUST 100 Medical Center Drive SPRINGFIELD OH 45504 346827136 INDIGENT MEDICAL CARE OH 501(c)(3) Type I NA false MERCY PROPERTY HOLDINGS 2200 JEFFERSON AVENUE TOLEDO OH 43604 300699825 TITLE HOLDING COMPANY OH 501(c)(2) MERCY HEALTH NORTH LLC false MERCY COLLEGE OF OHIO 2221 MADISON AVENUE TOLEDO OH 43604 341726619 MEDICAL COLLEGE OH 501(c)(3) 2 MERCY HEALTH NORTH LLC false MERCY COLLEGE OF NORTHWEST OHIO FOUNDATION INC 2221 MADISON AVENUE TOLEDO OH 43604 141963204 FOUNDATION OH 501(c)(3) 7 MERCY COLLEGE OF OHIO false LIFESTAR AMBULANCE INC 2200 JEFFERSON AVENUE TOLEDO OH 43604 341354653 MEDICAL TRANSPORTATION OH 501(c)(3) 10 MERCY HEALTH NORTH LLC false SIMON OUTREACH SERVICES 2600 NAVARRE AVENUE OREGON OH 43616 341383325 MEDICAL OFFICE RENTAL OH 501(c)(3) 10 MERCY HEALTH - ST CHARLES HOSPITAL LLC false NEW VISION MEDICAL LABORATORIES INC 750 W HIGH ST STE 400 LIMA OH 45801 341937267 MEDICAL LAB SERVICES OH 501(c)(3) 3 ST RITA'S MEDICAL CENTER LLC false THE ASSUMPTION VILLAGE 9800 N MARKET STREET NORTH LIMA OH 44452 341013695 NURSING HOME OH 501(c)(3) 10 MERCY HEALTH YOUNGSTOWN LLC false HOSPICE OF THE VALLEY 5190 MARKET STREET YOUNGSTOWN OH 44512 341288745 HOSPICE SERVICES OH 501(c)(3) 10 MERCY HEALTH YOUNGSTOWN LLC false HUMILITY HOUSE 755 OHLTOWN ROAD AUSTINTOWN OH 44515 341894783 NURSING HOME OH 501(c)(3) 10 MERCY HEALTH YOUNGSTOWN LLC false ST JOSEPH HEALTH CENTER AUXILIARY 677 EASTLAND SE WARREN OH 44484 346556121 FUNDRAISING OH 501(c)(3) 10 MERCY HEALTH YOUNGSTOWN LLC false LOURDES HOSPITAL AUXILIARY GIFT SHOP 1530 LONE OAK ROAD PADUCAH KY 42003 610927805 FUNDRAISING KY 501(c)(3) 10 MERCY HEALTH FOUNDATION false HEALTHSPAN PARTNERS 1701 Mercy Health Place CINCINNATI OH 45237 463055925 MARKET PARENT OH 501(c)(3) Type II MERCY HEALTH false HEALTHSPAN INTEGRATED CARE 1701 Mercy Health Place CIncinnati OH 45237 340922268 HMO OH 501(c)(3) 10 HEALTHSPAN PARTNERS false Bon Secours Mercy Health Inc 1701 Mercy Health Place CINCINNATI OH 45237 521301088 HEALTHCARE SYSTEM PARENT MD 501(c)(3) NA false Bon Secours New York Health System Inc 2975 Independence Avenue Bronx NY 10463 912135196 Local System Parent Org. NY 501(c)(3) Type I Bon Secours Mercy Health Inc false Bon Secours Kentucky Health System Inc St Christopher Dr Ashland KY 41101 611356024 Local System Parent Org. KY 501(c)(3) Type III-FI Bon Secours Mercy Health Inc false Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health S 2000 West Baltimore Street Baltimore MD 21223 800728893 Local System Parent Org. MD 501(c)(3) Type III-FI Bon Secours Mercy Health Inc false Bon Secours St Francis Health System Inc 1 St Francis Drive Greenville SC 29601 582504528 Local System Parent Org. SC 501(c)(3) Type III-FI Bon Secours Mercy Health Inc false Bon Secours Hampton Roads Health System 7007 Harbour View Blvd Portsmouth VA 23435 521538513 Local System Parent Org. VA 501(c)(3) Type III-FI Bon Secours Mercy Health Inc false Bon Secours Richmond Health System 8580 Magellan Parkway Richmond VA 23227 521988421 Local System Parent Org. VA 501(c)(3) Type III-FI Bon Secours Mercy Health Inc false Bon Secours Baltimore Health System Foundation Inc 26 North Fulton Avenue Baltimore MD 21223 383843816 Grant Making Foundation MD 501(c)(3) Type III-FI Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health S false The Bon Secours of Maryland Foundation Inc (dba Bon Secours Community Work 26 North Fulton Avenue Baltimore MD 21223 521732800 Grant Making Foundation MD 501(c)(3) Type III-FI Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health S false Mary Immaculate Foundation 7007 Harbour View Blvd Suffolk VA 23435 311644734 Fundraising VA 501(c)(3) Type III-FI Mary Immaculate Hospital false Bon Secours DePaul Health Foundation 7007 Harbour View Blvd Suffolk VA 23435 541843876 Fundraising VA 501(c)(3) 7 Bon Secours DePaul Medical Center false Bon Secours Maryview Foundation 7007 Harbour View Blvd Suffolk VA 23435 521694731 Fundraising VA 501(c)(3) 7 Bon Secours Hampton Roads Health System false Our Lady of Bellefonte Hospital Inc 1000 St Christopher Dr Ashland KY 41101 611356023 Health Care KY 501(c)(3) 3 Bon Secours Kentucky Health System false Bon Secours Hospital Baltimore Inc 2000 West Baltimore Street Baltimore MD 21223 520591555 Health Care MD 501(c)(3) 3 Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health S false St Francis Hospital Inc One St Francis Drive Greenville SC 29601 582504530 Health Care SC 501(c)(3) 3 Bon Secours St Francis Health System Inc false Mary Immaculate Hospital Inc 7007 Harbour View Blvd Suffolk VA 23435 540548200 Health Care VA 501(c)(3) 3 Bon Secours Mercy Health Inc false Bon Secours - DePaul Medical Center Inc 7007 Harbour View Blvd Suffolk VA 23435 541820093 Health Care VA 501(c)(3) 3 Bon Secours Hampton Roads Health System false Maryview Hospital 7007 Harbour View Blvd Portsmouth VA 23707 540506463 Health Care VA 501(c)(3) 3 Bon Secours Hampton Roads Health System false Bon Secours - Memorial Regional Medical Center Inc 8580 Magellan Parkway Richmond VA 23227 541744931 Health Care VA 501(c)(3) 3 Bon Secours Richmond Health System false Bon Secours - St Mary's Hospital of Richmond Inc 8580 Magellan Parkway Richmond VA 23227 540793767 Health Care VA 501(c)(3) 3 Bon Secours Richmond Health System false Bon Secours - Richmond Community Hospital 8580 Magellan Parkway Richmond VA 23227 540647482 Health Care VA 501(c)(3) 3 Bon Secours Richmond Health System false Bon Secours - St Francis Medical Center Inc 8580 Magellan Parkway Richmond VA 23227 311716973 Health Care VA 501(c)(3) 3 Bon Secours Richmond Health System false Bon Secours Kentucky Health System Foundation Inc St Christopher Dr Ashland KY 41101 611381952 Grant Making Foundation KY 501(c)(3) 7 Bon Secours Kentucky Health System false Bon Secours Baltimore Development Inc 26 North Fulton Avenue Baltimore MD 21223 760785344 Community Housing MD 501(c)(3) 7 Unity Properties Inc false Unity Properties Inc 26 North Fulton Avenue Baltimore MD 21223 521857768 Low Income Housing MD 501(c)(3) 7 Bon Secours of Maryland Foundation false Bon Secours - St Francis Health System Foundation Inc One St Francis Drive Greenville SC 29601 260012031 Grant Making Foundation SC 501(c)(3) 7 St Francis Hospital Inc false Bon Secours Richmond Health Care Foundation 8580 Magellan Parkway Richmond VA 23227 541201346 Grant Making Foundation VA 501(c)(3) 7 Bon Secours Richmond LLC false Bon Secours St Petersburg Home Care Services Inc 10300 Fourth Street North St Petersburg FL 33716 134334363 Home Care Services FL 501(c)(3) 10 Maria Manor Nursing Care Center false Bon Secours - Maria Manor Nursing Care Center Inc 10300 Fourth Street North St Petersburg FL 33716 650061820 Nursing Home FL 501(c)(3) 10 Bon Secours Mercy Health Inc false Bellefonte Physician Services Inc St Christopher Dr Ashland KY 41101 352320780 Physician Practices KY 501(c)(3) 10 Bon Secours Kentucky Health System false Bon Secours Housing Inc 26 North Fulton Avenue Baltimore MD 21223 521442707 Low Income Housing MD 501(c)(3) 10 Bon Secours of Maryland Foundation false Bon Secours Housing II Inc 26 North Fulton Avenue Baltimore MD 21223 521543174 Low Income Housing MD 501(c)(3) 10 Bon Secours of Maryland Foundation false Schervier Housing Development Fund Corporation 2975 Independence Avenue Bronx NY 10463 133098867 Housing NY 501(c)(3) 10 Bon Secours NY Health System false St Francis Physician Services Inc One St Francis Drive Greenville SC 29601 134290167 Physician Services SC 501(c)(3) 10 St Francis Health System Inc false Mary Immaculate Nursing Center Inc 7007 Harbour View Blvd Suffolk VA 23435 541516476 Nursing Care Center VA 501(c)(3) 10 Mary Immaculate Hospital false Bon Secours - Maryview Nursing Care Center 7007 Harbour View Blvd Suffolk VA 23435 521578169 Nursing Care Center VA 501(c)(3) 10 Bon Secours Hampton Roads Health System false Bayley Properties 7007 Harbour View Blvd Suffolk VA 23435 541424748 Title Holding Company VA 501(c)(2) Bon Secours DePaul Medical Center false Laburnum Properties 8580 Magellan Parkway Richmond VA 23227 521260700 Title Holding Company VA 501(c)(2) Bon Secours Richmond Health System false Bon Secours Health System Foundation Inc 8990 Old Annapolis Road Columbia MD 21045 474765376 Fundraising MD 501(c)(3) 7 Bon Secours Mercy Health Inc false IVNA Health Services 5008 Monument Avenue Richmond VA 23230 541479847 Home Care Services VA 501(c)(3) 10 Bon Secours Home Care LLC false Rappahannock General Hospital Foundation 101 Harris Road Kilmarnock VA 22482 541210450 Supporting Organization VA 501(c)(3) 7 Bon Secours Richmond Health System false Chesapeake Medical Group 101 Harris Road Kilmarnock VA 22482 541857174 Healthcare Services VA 501(c)(3) 10 Bon Secours Richmond Health System false Chesapeake Hospital Corporation 101 Harris Road Kilmarnock VA 22482 237424835 Health Care VA 501(c)(3) 3 Bon Secours Richmond Health System false Bon Secours New Jersey Health System Inc 1505 Marriottsville Road Marriottsville MD 27104 222754781 Local System Parent Org. 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EI 501(c)(3) Type III-FI Bon Secours Mercy Health Inc false Bon Secours Health System CLG Hospital EI 501(c)(3) 3 Bon Secours Ireland DAC false Our Money Place Inc 26 North Fulton Avenue Baltimore MD 21223 562306119 Financial services education MD 501(c)(3) 10 Bon Secours of Maryland Foundation 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 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 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 West Central Ohio Regional Healthcare Alliance Ltd 2615 Fort Amanda Road Lima OH 45805 341817078 Healthcare quality OH NA N/A Urologic Oncology of Mahoning Valley LLC 1044 Belmont Ave Youngstown OH 44501 262989686 Radiation Therapy OH NA N/A Lourdes Ambulatory Surgery Center 225 Medical Center Drive Paducah KY 42003 205588350 Surgery Center KY NA N/A Marshall County MRI LLC 615 Old Symsonia Road Benton KY 42025 610601267 MRI facility KY NA N/A PREMIUM SURGERY CENTER LLC 5217 Maryland Way SUITE 200 Brentwood TN 37027 200400753 Surgery Center TN NA N/A MERCY HEALTH INNOVATIONS LLC 1701 MERCY HEALTH PLACE CINCINNATI OH 45237 820639499 BUSINESS DEVELOPMENT OH NA N/A MERCY FRANCISCAN AT WINTON WOODS I LP 10290 Mill Road Cincinnati OH 45231 311624311 Rental Real Estate OH 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 LP 1800 West Baltimore St Baltimore MD 21223 521952505 Low Income Housing MD NA N/A Bon Secours Apartments II LP 1800 West Baltimore St Baltimore MD 21223 522063512 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Health Place CINCINNATI OH 45237 311185477 DIVERSIFIED ACTIVITIES OH NA C Corporation false MERCY FRANCISCAN AT WINTON WOODS I INC 10290 MILL ROAD CINCINNATI OH 45231 311658668 LOW-INCOME HOUSING 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 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 Bon Secours Assurance Company Ltd 980152147 SELF-INSURANCE CJ 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 Professional Health Care Management Services Inc 150 Kingsley Lane Norfolk VA 23505 541241031 Administrative VA NA C Corporation false OSF Inc 2 Bernadine Drive Newport News VA 23602 541369919 Rental VA NA C Corporation false Bon Secours Tidewater Diversified Inc 160 Kingsley Lane Norfolk VA 23505 541431826 Pharmacy VA NA C Corporation false Chesterfield Community Healthcare Center Inc 8580 Magellan Parkway Richmond VA 23227 541812738 Ambulatory Healthcare Services VA NA C Corporation false Ironbridge Assisted Living Retirement Community LC 5801 Bremo Road Richmond VA 23226 541807857 Ambulatory Healthcare Services VA NA C Corporation false Bon Secours-Virginia Healthsource Inc 8580 Magellan Parkway Richmond VA 23227 541417686 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 Bon Secours New York Housing Development Fund Corporation 2975 Independence Avenue Bronx NY 10463 472224316 Low Income Housing NY NA C Corporation false Richmond MRI Inc 8580 Magellan Parkway Richmond VA 23227 541568452 Medical Services VA NA C Corporation false Good Help Connections LLC 8990 Old Annapolis Road Columbia MD 21045 472345223 IT Consulting 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 Maryview Building Corporation 3636 High Street Portsmouth VA 23707 541306612 Administrative VA NA 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