2020-11-10T06:30:25-06:00 2019-12-31 134008324 PricewaterhouseCoopers LLP 600 13th Street NW Ste 1000 Washington DC 20005 990 2019-09-01 540793767 Bon Secours - St Mary's Hospital of Richmond Inc BONS 8042818413 8580 Magellan Parkway Building IV Richmond VA 23227 WILLIAM KUSNIERZ CFO, RICHMOND MARKET 2020-11-10 true TRAVIS L PATTON P00369623 2124141000 2019 2021-01-29 14:40:06Z X St Mary's Hospital Faraaz Yousuf 5801 BREMO ROAD RICHMOND VA 23226 250339539 false X www.bonsecours.com X 1961 VA ACUTE CARE HOSPITAL X 17 16 5629 715 12538 0 2616541 642622 706090737 236606328 34407123 6663834 6771893 5528683 749886294 249441467 7535102 1296372 0 286471560 89389060 0 0 387891175 136826288 681897837 227511720 67988457 21929747 1101513527 0 308558731 0 792954796 0 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 182037631 1296372 236593790 St. Mary's Hospital provides medical care to patients without regard to their ability to pay. As the major community not for profit hospital in Richmond, St. Mary's is the access for under-insured and financially disadvantaged who will not be treated at the for profit hospitals. In addition, St. Mary's provides support for community services, shared services to related organizations to assist with furthering its mission of providing help to those in need, and an accredited 18-month radiography program through the Bon Secours St. Mary's Hospital School of Medical Imaging designed to prepare individuals to enter the workforce as Diagnostic Radiologic Technologists. 182037631 true true false true false false false false false false false false false false true false true false false false false false false false false true true true true true false false false false false false false false false false true false true true false false false true 197 0 true 5629 true true true false false false false false false false false false false false X 17 16 false false true false true true true true true false false false true true true true true false true true true VA X TRAVIS CRUM 5139525000 1701 MERCY HEALTH PLACE CINCINNATI OH 45237 Brian White Interim CEO - Richmond (End 12/19) 20.0 30.0 X X 0 710569 325778 Faraaz Yousuf President/CEO - Richmond (Beg 12/19) 2.0 48.0 X X 0 246696 34479 Jane Watkins Chairman 2.0 0.0 X X 0 0 0 Sr Anne Marie MACK CBS President 3.5 46.5 X X 0 0 0 Birdie Jamison Board Member 2.0 0.0 X 0 0 0 BK FULTON Board Member (End 12/19) 2.0 0.0 X 0 0 0 Chandrashekar Challa Board Member 2.0 0.0 X 0 0 0 CHRIS HAIRSTON-WHITE Board Member 2.0 0.0 X 0 0 0 Elizabeth CROWTHER Board Member 2.0 0.0 X 0 0 0 JEFFREY BROWN MD Board Member 2.0 0.0 X 0 0 0 John Daniel III MD Board Member 2.0 0.0 X 0 0 0 Joyce Lanier Board Member 2.0 0.0 X 0 0 0 Linda Rigsby Board Member 2.0 0.5 X 0 0 0 Matthew Illian Board Member 2.0 0.0 X 0 0 0 Pamela Royal MD Board Member 2.0 0.0 X 0 0 0 ROSALYN HOBSON HARGRAVES MD Board Member 2.0 0.0 X 0 0 0 SHANNON Sinclair Board Member 2.0 0.0 X 0 0 0 Sr VICTORIA SEGURA MD CBS Board Member 2.0 48.0 X 0 0 0 STUART BUNTING Board Member 2.0 0.0 X 0 0 0 FRANCINE BARR CEO-SMH (End 12/19) 50.0 0.0 X 434009 0 36119 Rhodes Ritenour Secretary 37.5 12.5 X 241551 0 42824 Stephan Quiriconi Treasurer, CFO - Richmond Market 8.0 42.0 X 457872 0 56100 Eleanor LEAgue VP CNE 50.0 0.0 X 269563 0 35141 Kevin Sheppard VP - Integration 48.5 1.5 X 274270 0 32561 Paul Junod VP HR - Richmond 8.0 42.0 X 0 184373 54309 Khalid Karim MD Physician 50.0 0 X 827693 0 208 Mark Bladergroen MD Cardiologist 50.0 0.0 X 1065471 0 23933 Matthew Ngo MD Cardiologist 50.0 0.0 X 1134264 0 39169 SHAKIL KHAN MD Cardiologist 50.0 0 X 780669 0 34594 STEVEN FISER MD Cardiac Surgeon 50.0 0.0 X 1637830 0 15196 James Godwin Former SVP HR - Richmond 0.0 50.0 X 342880 0 25629 James McNamara Former VP Orthopedics 0.0 0.0 X 0 208176 1506 Leigh Sewell Former Key - VP Strategy; CEO - MRMC & RCH 0.0 50.0 X 0 377868 91401 Toni Ardabell Former CEO-BSV 0.0 50.0 X 0 593293 16800 7466072 2320975 865747 390 true true false TRIMEDX INC 12483 COLLECTIONS CTR DR CHICAGO IL 60693 ASSET MANAGEMENT 9924834 MORRISON MGT SPECIALISTS PO BOX 102289 ATLANTA GA 303682289 DIETARY MANAGEMENT 6469461 SOUND PHYSICIANS OF VA III PO BOX 742936 LOS ANGELES CA 900742936 PHYSICIAN ADVISORY 6079843 US BANK CORPORATE TRUST (SHIFTWISE) PO BOX 70870 ST PAUL MN 551709705 Contract Nursing 4108603 ENVERA HEALTH INC 1001 HAXALL PT STE 1B RICHMOND VA 23219 HEALTHCARE CONSULTING 3765753 201 642622 642622 PATIENT SERVICE REV. 621300 218964175 218951637 12538 SHARED SERVICES 561499 17331010 17331010 Joint Venture Income 621999 245853 245853 SCH. OF IMAG. TUITION 611310 65290 65290 0 0 0 0 236606328 3404115 3404115 246507 74670 171837 0 171837 171837 4083121 823402 4083121 -823402 3259719 3259719 CHILD CARE 900099 5262420 5262420 SCHOOL REGISTRATION FEES 900099 52230 52230 GUEST HOUSE 900099 41197 41197 999 0 0 999 5356846 249441467 236593790 12538 12192517 X 1288569 1288569 7803 7803 1880010 1692009 188001 68995180 62095662 6899518 4059467 3653520 405947 9088266 8179439 908827 5366137 4829523 536614 8606 7745 861 57125973 22609014 34516959 0 455566 410009 45557 374272 336845 37427 858262 772436 85826 6545506 5890955 654551 364341 327907 36434 61503 55353 6150 -18211 -18211 5426116 4883504 542612 941372 847235 94137 MEDICAL SUPPLIES 36632275 36632275 BAD DEBT EXPENSE 10544585 10544585 PHARMACY SUPPLIES 5722039 5722039 INDIGENT ASSESSMENTS 6637402 6637402 5146681 4632013 514668 0 227511720 182037631 45474089 0 3029 0 380011204 0 78389558 0 0 0 0 0 11519795 0 2824338 0 0 0 130096112 0 450743221 0 0 364383 317855 0 47244032 0 1101513527 0 87169566 0 9995220 0 0 0 211393945 0 308558731 0 X 792954796 0 792954796 0 1101513527 0 X 21929747 17673276 -832557819 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 8606 false false false 8606 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 1f. 0 OTHER MISC LIABILITIES 0 0 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, 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. An Internal Revenue Service audit of Mercy for 2016 and 2017 tax periods was completed in July 2019. There are no current audits in progress. The Company believes it is no longer subject to income tax examinations for years prior to 2014. As of December 31, 2019, the Company has no uncertain tax positions. The Company's taxable subsidiaries had $205,170 and $169,666 of net operating loss carryforwards as of December 31, 2019 and 2018, 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's deferred tax assets are fully reserved as of December 31, 2019 and 2018 as the Company considers it more likely than not that these amounts will not be recognized. true true X true X true X true true false false 3541373 3541373 0.0163 26525097 17148488 9376609 0.0432 0 0.0 0 0 30066470 17148488 12917982 0.0595 1074198 1074198 0.0050 1971596 784197 1187399 0.0055 0 0.0 0 0.0 185558 185558 0.0009 0 0 3231352 784197 2447155 0.0113 0 0 33297822 17932685 15365137 0.0708 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 10544585 0 127302312 133239552 -5937240 X true true 1 1 ST MARY'S HOSPITAL OF RICHMOND INC 5801 BREMO ROAD RICHMOND VA 23226 www.bonsecours.com H1833 X X X X X ST MARY'S HOSPITAL OF RICHMOND INC 1 false false true X X X X X X X X X 19 true true false true X https://www.bonsecours.com/about-us/community-commitment/community-health-needs-assessment X www.behealthyrva.org X true 19 true https://www.bonsecours.com/about-us/community-commitment/community-health-needs-assessment false true X 200.0 400.0 true true X X X true X http://www.fa.bonsecours.com/ X http://www.fa.bonsecours.com/ X http://www.fa.bonsecours.com/ 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 - ST. MARY'S HOSPITAL OF RICHMOND, INC. In order to obtain input from the community, three initiatives were advanced: a Community Health Needs Assessment Steering Committee was convened, a community engagement survey was conducted, and several community conversations were held. The purpose of the CHNA Steering Committee is to support the CHNA process by engaging community members and providing feedback on the findings. All organizations involved with the CHNA Steering Committee have special knowledge of public health and underserved populations in the service area. Organizations involved in the Steering Committee are identified as having either a) conducted a previous Community Health Needs Assessment/Community Health Assessment due to IRS or accreditation requirements or b) already engaged in regional population health assessment. From January 2018 to April 2019 Steering Committee members served as key informants representing medically underserved, low- income or minority populations. The committee met bi-monthly to identify regional indicators and to inform the community engagement strategy for the creation of this document. Additionally, a survey to assess community health needs was conducted as part of the CHNA process during a six-week period between January and February 2019. One thousand one hundred (1100) individuals responded listing their top five health concerns. Seven Community Conversations occurred in March of 2019 as part of the CHNA process in which 60 individuals participated from all of the core jurisdictions. The purpose of the conversation was to elicit feedback from community members about publically available health data describing health conditions in the service areas and to review the survey results to further explore the findings. The top 10 health issues as identified from the survey results were presented to the attendees and they were asked to 1) rank the health issues according to which issues impacted them and the people close to them the most and 2) from a community perspective, rank the issues that should be addressed to improve the overall health of the region. Additional detail can be found on the Bon Secours website at https://bonsecours.com/about-us/community-commitment/community-health-needs-assessment. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - ST. MARY'S HOSPITAL OF RICHMOND, INC. Memorial Regional Medical Center St. Francis Medical Center Richmond Community Hospital Rappahannock General Hospital Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - St. Mary's Hospital of Richmond, Inc. The hospital completed its prior CHNA for tax year ending August 31, 2019, and its implementation strategy was approved by the Board by January 15, 2020 as required by the IRS. In order to align all hospital year-ends within the Bon Secours Mercy Health, Inc. system, a short period CHNA for tax year September 1, 2019 to December 31, 2019 was prepared. The identified significant and prioritized health needs remain consistent from the prior CHNA. As of December 31, 2019, the hospital has not taken any actions towards the CHNA completed as of August 31, 2019 as its implementation strategy was still in development and not yet approved by the Board. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - St. Mary's Hospital of Richmond, Inc. Information regarding the Financial Assistance Policy (FAP) is available on our websites, 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. 39 Cardiovascular Associates of VA 7001 Forest Avenue Suite 200 Richmond VA 232301727 Physician Practice Women's Imaging Center 5875 Bremo Road MOB South Suite 105 Richmond VA 23226 Imaging Cardiac Surgery Specialists 5875 Bremo Road MOB South Suite G-5 Richmond VA 231226234 Physician Practice Patterson Avenue Family Practice 9600 Patterson Avenue Richmond VA 23229 Physician Practice Sleep Lab (located at St Mary's) 5875 Bremo Rd Suite 709 Richmond VA 23226 Sleep Lab PTOTSPLymphedema 5875 Bremo Road MOB South Suite 611 Richmond VA 23226 Physicial Therapy, Outpatient Care, Etc. West End Internal Medicine 7001 Forest Avenue Suite 2500 Richmond VA 23230 Physician Practice Surgical Dermatology Center 5207 Hickory Park Drive Suite A Glen Allen VA 230592624 Physician Practice Bon Sec Sports Med and Fam Pra 2401 W Leigh Street Richmond VA 23226 Physician Practice Senior Care Services 7001 Forest Avenue Suite 100 Richmond VA 23230 Physician Practice Perinatal Center 5855 Bremo Road MOB North Suite 306 Richmond VA 232261926 Physician Practice Sports Medicine 9600 Patterson Avenue Richmond VA 232296053 Sports Medicine Rehab OP Wound Care 6900 Forest Avenue Suite 115 Richmond VA 23230 OP Wound Care Neurology Clinic at St Mary's 5801 Bremo Road Richmond VA 23226 Physician Practice Sleep Center - Chesterfield 13520 Hull St Midlothian VA 23112 Sleep Lab Richmond OBGYN at SMH 7001 Forest Avenue Suite 103 Richmond VA 23230 Physician Practice Monument Internal Medicine 5855 Bremo Road MOB North Suite 102 Richmond VA 23226 Physician Practice Redskins Sports Performance 2401 W Leigh Street Richmond VA 23226 Sports Medicine Rehab Associated Internists 5855 Bremo Road MOB North Suite 207 Richmond VA 232261930 Physician Practice Pediatric Gastroenterology 5875 Bremo Road MOB South Suite 303 Richmond VA 23175 Physician Practice Commonwealth Internal Medicine 9220 Forest Avenue Suite 1-A Richmond VA 23235 Physician Practice Pediatric Endo & Diabetes Assoc 5875 Bremo Road MOB South Suite 207 Richmond VA 232261926 Physician Practice Arthritis & Osteoporosis Center 9600 Patterson Avenue Richmond VA 232296053 Physician Practice Glen Allen Internal Medicine 5207 Hickory Park Drive Suite A Glen Allen VA 23059 Physician Practice Advan Heart Fail Cntr-LVAD program 7001 Forest Avenue Suite 103 Richmond VA 23230 Cardiac Rehabilitation Cardiac Rehab 7001 Forest Avenue Suite 101 Richmond VA 23230 Cardiac Rehabilitation Pediatric Lung Care 5875 Bremo Road MOB South Suite 104 Richmond VA 232261930 Physician Practice Pediatric Dental 6900 Forest Avenue Suite 110 Richmond VA 23141 Physician Practice Palliative Care Clinic 2366 Colony Crossing Midlothian VA 231124280 Physician Practice BS Canal Crossing Internal Med 5801 Bremo Road Richmond VA 23226 Physician Practice Parham Road Internal Medicine 2600 E Parham Road Richmond VA 23228 Physician Practice Thoracic Surgery at St Mary's 5875 Bremo Road MOB South Suite 110 Richmond VA 23226 Physician Practice Neurointerventional Surg Serv 5875 Bremo Road MOB South Suite 208 Richmond VA 232261926 Physician Practice BS Infectious Disease Specialists 5855 Bremo Road MOB North Suite 102 Richmond VA 23225 Physician Practice Pediatric Neurology Clinic 5875 Bremo Road MOB South Suite 207 Richmond VA 232261926 Physician Practice Good Health Clinic 5875 Bremo Road MOB South Suite 204 Richmond VA 232261926 Physician Practice Diabetes Treatment Center 5875 Bremo Road MOB South Suite 712 Richmond VA 23226 Diabetes Treatment BS Dev & Special Needs Peds 5875 Bremo Road MOB South Suite 104 Richmond VA 232261934 Physician Practice Home Based PC and SS 5855 Bremo Road MOB North Suite 403 Richmond VA 23226 Physician Practice Schedule H, Part V, Section B, Line 14 SCHEDULE H, PART V, 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 V, Section B Line 16g Bon Secours Mercy Health hospitals implemented new policies and procedures to meet the notification requirements outlined under the final IRC Section 501(r) regulations. Training materials were revised, new scripting was developed, and training sessions were held for applicable Revenue Cycle employees which required competency sign-off for those who completed the training. Procedures initially implemented included offering a copy of the plain language summary (PLS) to patients as part of the intake process. Individuals were notified about the Financial Assistance Policy (FAP) by receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or other measures reasonably calculated to attract patients' attention. As a result of an annual internal review, it was determined that the PLS of Bon Secours Mercy Health's Healthcare FAP was not being offered to all patients at intake during 2019. Immediately upon recognition of the minor oversight, Bon Secours Mercy Health began taking steps to offer a copy of the PLS to all patients who visit the hospital facilities by adding scripting to notify patients of the availability of financial assistance and offering a copy of the PLS to the patient intake process. In addition, Bon Secours Mercy Health added new language to the Consent for Treatment, Payment, and Health Care Operations (Consent) form required to be signed by all patients, including a copy of the PLS attached as an addendum to the Consent to certify that the patient is aware of Bon Secours Mercy Health's FAP and a copy of the PLS was offered. Additional training has also been provided to all applicable staff. Bon Secours Mercy Health widely publicized its FAP, the FAP Application, and the PLS on the organization's website, includes a conspicuous written notice about the FAP on patients' billing statements, posts conspicuous public displays in the Emergency Department and Registration areas of the hospitals, and notifies members of the community about availability of the FAP. Bon Secours Mercy Health will continue to perform an internal audit on a regular and continuous basis at least once per year to ensure compliance. We do not believe the minor oversight to be considered "willful or egregious" and Bon Secours Mercy Health has performed internal research to identify how the minor oversight occurred and taken additional steps to ensure compliance going forward. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 10544585 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 ratio 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 nonreimburseable departments. The cost report uses appropriate statistical bases to "step down" support costs to allowable clinical and nonreimburseable 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 - ST. MARY'S HOSPITAL OF RICHMOND, INC: Line 16a URL: http://www.fa.bonsecours.com/; Schedule H, Part V, Section B, Line 16b FAP Application website - ST. MARY'S HOSPITAL OF RICHMOND, INC: Line 16b URL: http://www.fa.bonsecours.com/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - ST. MARY'S HOSPITAL OF RICHMOND, INC: Line 16c URL: http://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 St Mary's Hospital opened in 1966 with a unique vision for the time, allowing patients of all colors and religions to receive treatment there. Fifty years later, St. Mary's has grown into an acute care facility licensed for 391 beds. St. Mary's has over 3,000 full and part-time employees and more than 1,000 associated physicians. The St. Mary's Hospital serves residents primarily from the counties of Chesterfield, Goochland, Hanover, Henrico, and Richmond City. While its core is based in the Richmond metropolitan area, its services reach into the surrounding rural counties. Bon Secours Richmond Health System serves the larger Richmond, Virginia metropolitan area and includes four hospital facilities whose service areas largely overlap. While the hospitals serve patients from many cities and counties, the majority of patients fall within the counties of Chesterfield, Henrico, Hanover and the City of Richmond totaling over 1 million residents. For the purpose of this CHNA, we refer to these as the "Richmond Core Service Area." The Richmond Core Service Area is primarily Caucasian and African American. When the demographics of the City of Richmond are viewed alone, we find a much lower percentage of Caucasians and a much higher percentage of African Americans than the community overall. The population age distribution for the Richmond Core Service Area is similar to Virginia overall with the exception of the City of Richmond, which has a higher percentage of 19-64 year olds (69%) and lower percentages of children (18%) and older adults (13%). Median household incomes in the United States are less than those found in Virginia overall. The Richmond Core Service Area counties of Henrico, Hanover and Chesterfield all have higher median household incomes than the U.S. overall. In contrast, the City of Richmond has a much lower median household income as compared to the U.S. and Virginia overall. Compared to Virginia, the percentage of uninsured adults is highest in the City of Richmond and lowest in Hanover County. The percentages of uninsured children show a much lower degree of variance. 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 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 2019 per the audit footnote is as follows: Total 2019 Community Benefit: $724.6 Million Benefits to the Broader Community: $128.4 million Unreimbursed Care for Those Who Are Poor and Qualify for Medicaid: $497.9 million Cost of Care for Those Who Could Not Afford to Pay: $98.3 million Community Benefit as Percent of Total Expense: 8.6 percent. true J Sargeant Reynolds Community College Educational Foundation Inc PO Box 26924 Richmond VA 23261 541130296 501(C)(3) 33333 MISSION SUPPORT Richmond Academy of Medicine 2821 emerywood pkwy ste 200 Richmond VA 23294 540356395 501(C)(3) 30000 MISSION SUPPORT CrossOver Healthcare Ministry 8600 Quioccasin Road Suite 102 Richmond VA 23229 541371067 501(C)(3) 40000 MISSION SUPPORT SAARA of Virginia 2000 MECKLENBURG ST Richmond VA 23223 542056367 501(C)(3) 49805 MISSION SUPPORT Daily Planet HEALTH SERVICES 517 W GRACE ST Richmond VA 23220 540900368 501(C)(3) 98000 MISSION SUPPORT St Augustine Catholic Church 4400 Beulah Road N Chesterfield VA 23237 540940236 501(C)(3) 5000 MISSION SUPPORT Ramsey Memorial United Methodoist 5900 Hull Street Rd Richmond VA 23224 540697088 501(C)(3) 8200 MISSION SUPPORT ProjectHomes 88 Carnation Street Richmond VA 23225 541595851 501(C)(3) 100000 MISSION SUPPORT VA Community Development Fund 1840 W Broad Street Ste 200 Richmond VA 23220 541914519 501(C)(3) 150000 MISSION SUPPORT Bon Secours Richmond Healthcare Foundation 7229 Forest Avenue Suite 200 Richmond VA 23226 541201346 501(c)(3) 765897 MISSION SUPPORT 10 0 INDIGENT CAB FARE 312 7803 Schedule I, Part III SCHEDULE I, PART III Cab fares are estimated at $25/round-trip Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Per Bon Secours Mercy Health'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. 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. true true false false false false false true false Toni Ardabell Former CEO-BSV 0 381375 0 78970 0 132948 0 16800 0 0 0 610093 0 0 Faraaz Yousuf President/CEO - Richmond (Beg 12/19) 0 186561 0 50000 0 10135 0 23810 0 10669 0 281175 0 0 Brian White Interim CEO - Richmond (End 12/19) 0 509862 0 200000 0 707 0 307886 0 17892 0 1036347 0 0 Stephan Quiriconi Treasurer, CFO - Richmond Market 381710 0 37460 0 38702 0 34785 0 21315 0 513972 0 0 0 Rhodes Ritenour Secretary 228211 0 13113 0 227 0 12576 0 30248 0 284375 0 0 0 FRANCINE BARR CEO-SMH (End 12/19) 371794 0 34644 0 27571 0 16800 0 19319 0 470128 0 0 0 James McNamara Former VP Orthopedics 0 -394 0 1658 0 206912 0 66 0 1440 0 209682 0 0 James Godwin Former SVP HR - Richmond 253061 0 25668 0 64151 0 4314 0 21315 0 368509 0 10102 0 Leigh Sewell Former Key - VP Strategy; CEO - MRMC & RCH 0 307032 0 31561 0 39275 0 53031 0 38370 0 469269 0 0 Paul Junod VP HR - Richmond 0 174294 0 9200 0 879 0 24840 0 29469 0 238682 0 0 Kevin Sheppard VP - Integration 258457 0 14688 0 1125 0 4170 0 28391 0 306831 0 0 0 Eleanor LEAgue VP CNE 253359 0 14509 0 1695 0 11326 0 23815 0 304704 0 0 0 Matthew Ngo MD Cardiologist 745109 0 388691 0 464 0 3801 0 35368 0 1173433 0 0 0 Mark Bladergroen MD Cardiologist 598177 0 447468 0 19826 0 4291 0 19642 0 1089404 0 0 0 STEVEN FISER MD Cardiac Surgeon 590597 0 1046143 0 1090 0 3907 0 11289 0 1653026 0 0 0 SHAKIL KHAN MD Cardiologist 538298 0 241907 0 464 0 3772 0 30822 0 815263 0 0 0 Khalid Karim MD Physician 521796 0 305179 0 718 0 0 0 208 0 827901 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: Brian White, $0; Faraaz Yousuf, $0; Paul Junod, $0; Stephan Quiriconi, $0; James Godwin, $28,001. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation Bon Secours Mercy Health, Inc., a related organization of the filing organization, uses the following to establish the compensation of the organization's CEO/Executive Director: Compensation Committee Independent Compensation Consultant Written Employment Contract Compensation Survey or Study Approval by the Board or Compensation Committee Schedule J, Part I, Line 4a Severance or change-of-control payment Severance Benefits consisting of continuation of base salary and insurance benefits were provided to listed individuals for specified periods. The listed individuals executed releases and waivers of claims in exchange for the severance benefits. Salary continuation amounts provided during the reporting year to listed individuals were as follows: James McNamara, $204,751. 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: Stephan Quiriconi, $0; James Godwin, $13,036; Leigh Sewell, $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. Bon Secours - St. Mary's Hospital of Richmond 2019 Net Assets 2019-12-31 797630247 GAAP 521988421 BS - Richmond Health System Inc 8580 Megallan Parkway Building IV Richmond VA 23227 501(c)(3) true true false false true true true true false Schedule N, Part I, Line 2a Interested person is a director or trustee of successor org. ALL BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES OF Bon Secours St. Mary's Hospital of Richmond, INC REMAINED AS REPORTED AFTER CONVERTING TO AN LLC. Schedule N, Part I, Line 2b Interested person is an employee or ind. contractor of successor org. ALL BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES OF Bon Secours St. Mary's Hospital of Richmond, INC REMAINED AS REPORTED AFTER CONVERTING TO AN LLC. Form 990, Part VI, Line 4 Significant changes to organizational documents Bon Secours - St. Mary's Hospital, Inc. adopted a Plan of Conversion as filed and approved by the state on December 18, 2019 to convert to a Virginia Limited Liability Company to be effective January 1, 2020. The name of the converted entity will be Bon Secours - St. Mary's Hospital of Richmond LLC and its sole member as of January 1, 2020 is Bon Secours Richmond Health System. Form 990, Part VI, Line 6 Classes of members or stockholders Bon Secours Mercy Health, Inc. is the sole member of Bon Secours Richmond LLC which was formerly Bon Secours Richmond Health Corp, a nonprofit tax exempt organization prior to conversion. Bon Secours Richmond LLC holds the majority interest in Bon Secours - Richmond Health System, which in turn is the sole member of St. Mary's Hospital of Richmond, Inc. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body The governing body of St. Mary's Hospital of Richmond, Inc. is appointed by its member Bon Secours - Richmond Health System 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. 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 conflict of interest policy and financial statements are posted on the BSMH website. Form 990, Part VII, Section A ADDITIONAL DISCLOSURE The governing bodies of the following entities are comprised of the same board members and board officers (Chairman, President, Secretary and Treasurer): - Bon Secours St. Mary's Hospital - Bon Secours St. Francis Medical Center - Bon Secours Memorial Regional Medical Center - Richmond Community Hospital - Chesapeake Hospital Corporation - Chesapeake Medical Group The entities listed above and the parent organization to these entities, Bon Secours Richmond Health System, Inc. (RHS), established a mirror board. The action aligned the board members and board officers of RHS and the listed entities. Hours reported on Form 990, Part VII represents total hours worked per week. These hours may include time spent as an employee of the organization and any hours spent serving as a volunteer board member. Any compensation paid to these individuals is payment for their employment with the filing organization or related organization. Volunteers are not paid for their time. Sr. Anne Marie Mack, CBS and Sr. Victoria Segura, MD, CBS do not receive payroll distributions as they have taken vows of poverty. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue OTHER REVENUE - Total Revenue: 999, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 999; Form 990, Part IX, Line 11g Other Fees PURCHASED SERVICES - INTERCOMPANY - Total Expense: 1187426, Program Service Expense: 1068683, Management and General Expenses: 118743, Fundraising Expenses: ; PHYSICIAN FEES - Total Expense: 8547516, Program Service Expense: 8547516, Management and General Expenses: , Fundraising Expenses: ; BILLING AND COLLECTIONS - Total Expense: 1012626, Program Service Expense: 911363, Management and General Expenses: 101263, Fundraising Expenses: ; SECURITY SERVICES - Total Expense: 226, Program Service Expense: 203, Management and General Expenses: 23, Fundraising Expenses: ; OTHER PURCHASED SERVICES - Total Expense: 9504115, Program Service Expense: 8553704, Management and General Expenses: 950411, Fundraising Expenses: ; MAINTENANCE AND SERVICE AGREEMENTS - Total Expense: 1758380, Program Service Expense: 1582542, Management and General Expenses: 175838, Fundraising Expenses: ; CONSULTING - Total Expense: 746129, Program Service Expense: 671516, Management and General Expenses: 74613, Fundraising Expenses: ; CONTRACTED NURSING AND ANCILLARY TECH STAFF - Total Expense: 1273487, Program Service Expense: 1273487, Management and General Expenses: , Fundraising Expenses: ; BSMH MANAGEMENT ALLOCATIONS - Total Expense: 33096068, Program Service Expense: , Management and General Expenses: 33096068, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFERS TO AFFILIATES - 3880627; MINIMUM PENSION LIABILITY - -60641247; PENSION ADJUSTMENT - 21833048; TRANSFER OF ASSETS TO RICHMOND HEALTH SYSTEM - -XXX-XX-XXXX; Richmond CIN LLC 5875 Bremo Road Ste 710 Richmond VA 23226 814161677 Care Coordination VA 0 0 Bon Secours - St Mary's Hospital of Richmond Inc Community ASC LLC 8580 Magellan Parkway Richmond VA 23227 Inactive VA 0 0 Bon Secours - St Mary's Hospital of Richmond Inc MERCY HEALTH 1701 Mercy Health Place CINCINNATI OH 45237 311161086 HEALTHCARE SYSTEM PARENT OH 501(c)(3) 3 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 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 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. 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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 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 - 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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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Surgery Center SC NA N/A Broad64 Imaging LLC 8580 Magellan Parkway Richmond VA 23227 205886018 Imaging Services VA NA N/A Richmond Radiation Oncology Center I LLC 8580 Magellan Parkway Richmond VA 23227 208444551 Radiation Oncology Services VA NA N/A RI LP 8580 Magellan Parkway Richmond VA 23227 541708835 Imaging Services VA NA N/A Bon Secours Benet House LP 26 North Fulton Ave Baltimore MD 21223 364765400 Low Income Housing MD NA N/A Bon Secours Benet House LLC 26 North Fulton Ave Baltimore MD 21223 463055312 Low Income Housing MD NA N/A Southeastern Health PartnersLLC One St Francis Drive Greenville SC 29601 813264385 Coordinated Care SC NA N/A Harbour View MOB 2 LLC 5818 Harbour View Blvd Suite A1 Suffolk VA 23435 822484997 Real Estate VA NA N/A Bon Secours Diagnostic Imaging LLC 10 S Academy Street Suite 300 Greenville SC 29601 Outpatient Imaging Centers SC NA N/A Memorial Ambulatory Surgery Center LLC 8580 Magellan Parkway Richmond VA 23227 593813233 Ambulatory Surgery Center VA NA N/A Community Mercy Home Care Services of Springfield LLC 1700 Edison Drive Milford OH 45150 311746556 Home Care OH NA N/A MERCY HEALTH INSURANCE COMPANY (SPC) LTD 980621978 SELF-INSURANCE CJ NA C Corporation false NORTHPARKE MEDICAL COMMONS CONDO ASSN 333 N LIMESTONE ST SPRINGFIELD OH 45503 311391230 REAL PROPERTY MGMNT OH NA C Corporation false NORTHSIDE CORPORATION 2200 JEFFERSON AVENUE TOLEDO OH 43604 341318438 RESIDENT RENTALS OH NA C Corporation false MERCY HEALTH SYSTEM PHO INC 2200 JEFFERSON AVENUE TOLEDO OH 43604 341778321 MEDICAL SERVICES OH NA C Corporation false MCAULEY MANAGEMENT SERVICES INC 730 W MARKET STREET LIMA OH 45801 341379037 PROPERTY RENTAL OH NA C Corporation false LIMA MEDICAL SUPPLIES INC 730 W MARKET STREET LIMA OH 45801 340944477 MEDICAL EQUIPMENT OH NA C Corporation false COMMUNITY HEALTH PARTNERS ENTERPRISES INC 3700 KOLBE ROAD LORAIN OH 44053 341455525 HOLDING COMPANY OH NA C Corporation false MERCY HEALTH VENTURES INC 1701 Mercy Health Place 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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 C Corporation false Richmond 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