Our Lady of Bellefonte Hospital Inc: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: Our Lady of Bellefonte Hospital Inc (EIN 61-1356023)
Tax period: 2019-09-01 to 2019-12-31
Filed: 2020-11-12
IRS object ID: 202023179349304162
Schema version: 2019v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule N
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-12T12:02:15-06:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	134008324	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PricewaterhouseCoopers LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	600 13th Street NW Ste 1000	AddressLine1Txt
City	Washington	CityNm
State Abbreviation	DC	StateAbbreviationCd
ZIP	20005	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-09-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	611356023	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Our Lady of Bellefonte Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	OURL	BusinessNameControlTxt
Phone	5139525000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1701 Mercy Health Place	AddressLine1Txt
City	Cincinnati	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45237	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JASON ASIC	PersonNm
Person Title	CEO	PersonTitleTxt
Signature	2020-11-12	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	TRAVIS L PATTON	PreparerPersonNm
PTIN	P00369623	PTIN
Phone	2124141000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Final Return	Yes (X)	FinalReturnInd

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Tyler Walters	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1701 Mercy Health Place	AddressLine1Txt
City	Cincinnati	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45237	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$62,925,915	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.BONSECOURS.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1999	FormationYr
Legal Domicile State	KY	LegalDomicileStateCd
Activity Or Mission	ACUTE CARE HOSPITAL	ActivityOrMissionDesc
Contract Termination	Yes (X)	ContractTerminationInd
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	1183	TotalEmployeeCnt
Total Volunteers	111	TotalVolunteersCnt
Total Gross UBI	$3,077,075	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$169,582	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$171,486	PYContributionsGrantsAmt
CY Contributions Grants	$77,473	CYContributionsGrantsAmt
PY Program Service Revenue	$162,668,772	PYProgramServiceRevenueAmt
CY Program Service Revenue	$62,390,801	CYProgramServiceRevenueAmt
PY Investment Income	$943,043	PYInvestmentIncomeAmt
CY Investment Income	$136,589	CYInvestmentIncomeAmt
PY Other Revenue	$2,747,381	PYOtherRevenueAmt
CY Other Revenue	$248,609	CYOtherRevenueAmt
PY Total Revenue	$166,530,682	PYTotalRevenueAmt
CY Total Revenue	$62,853,472	CYTotalRevenueAmt
PY Grants And Similar Paid	$260,612	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$84,844	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$60,510,235	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$18,635,827	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$98,981,144	PYOtherExpensesAmt
CY Other Expenses	$31,711,386	CYOtherExpensesAmt
PY Total Expenses	$159,751,991	PYTotalExpensesAmt
CY Total Expenses	$50,432,057	CYTotalExpensesAmt
PY Revenues Less Expenses	$6,778,691	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$12,421,415	CYRevenuesLessExpensesAmt
Total Assets BOY	$156,605,802	TotalAssetsBOYAmt
Total Assets EOY	$0	TotalAssetsEOYAmt
Total Liabilities BOY	$72,718,449	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$0	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$83,887,353	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$0	NetAssetsOrFundBalancesEOYAmt
Mission	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.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$46,847,966	ExpenseAmt
Grant	$84,844	GrantAmt
Revenue	$59,482,466	RevenueAmt
Desc	Our Lady of Bellefonte Hospital extends the healing ministry of Jesus by providing medical care to patients without regard to their ability to pay. Please see schedule H for additional information regarding programs, community benefit programs and charity care.	Desc
Total Program Service Expenses	$46,847,966	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	false	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	Yes (true)	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	89	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1183	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TRAVIS CRUM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5139525000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1701 MERCY HEALTH PLACE	AddressLine1Txt
City	CINCINNATI	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45237	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Emily Watson
Chairman	3.0	3.0	Yes (X)	Yes (X)	$0	$0	$0
Jason Asic
Interim BSKY CEO/President	45.0	5.0	Yes (X)	Yes (X)	$0	$223,703	$26,581
Pamela Phillips
Board Member, Chief Mission Officer-BSKY	2.0	48.0	Yes (X)	Yes (X)	$0	$236,450	$20,474
SR CHERYL ERB RSM
Board President (Beg 09/19)	3.5	36.0	Yes (X)	Yes (X)	$0	$0	$0
Thomas Morris PHD
Board President (End 09/19); BSMH Chief Sponsorship Officer	3.5	46.5	Yes (X)	Yes (X)	$0	$802,098	$39,048
Geoffrey GRIFFITH
Board Member	2.0	4.0	Yes (X)		$0	$0	$0
Heather Shelton
Board Member	2.0	2.0	Yes (X)		$0	$0	$0
James MARTIN JR MD
Board Member	2.0	2.0	Yes (X)		$0	$0	$0
James Payne Sr PhD
Board Member	2.0	5.0	Yes (X)		$0	$0	$0
Jason MCCloud OD
Board Member	2.0	2.0	Yes (X)		$0	$0	$0
Kimberly Nall
Board Member	2.0	2.5	Yes (X)		$0	$0	$0
Laura Timberlake
Board Member	2.0	4.0	Yes (X)		$0	$0	$0
Lori COOKsey
Board Member	2.0	4.0	Yes (X)		$0	$0	$0
Nicole Pennington DNP RNC
Board Member	2.0	2.0	Yes (X)		$0	$0	$0
Stephen McGinnis JD
Board Member	2.0	2.0	Yes (X)		$0	$0	$0
William Willan PHD
Board Member (End 12/19)	2.0	2.0	Yes (X)		$0	$0	$0
Pam Hall
Board Secretary	48.0	2.0		Yes (X)	$55,490	$0	$9,606
Tyler Walters
CFO-BSKY	12.0	38.0		Yes (X)	$207,902	$0	$31,576
John Darnell MD
CMO	48.0	2.0			$295,349	$0	$22,726	Yes (X)
James Hayes MD
Physician	50.0	0			$439,747	$0	$43,470		Yes (X)
Kurt Jaenicke MD
Obstetrician	50.0	0			$539,949	$0	$26,467		Yes (X)
Michele Friday MD
Cardiologist	49.5	0.5			$759,982	$0	$35,899		Yes (X)
Phillip Lackey MD
Plastic Surgeon	40.0	10.0			$474,702	$157,456	$35,996		Yes (X)
Yogendra Prasad MD
Cardiologist	50.0	0			$751,572	$0	$33,364		Yes (X)
Christine Lay JD
Former Board President; BSMH Asst General Counsel	0.0	50.0			$0	$614,385	$19,182			Yes (X)
Joe Buchheit
Former Treasurer/CFO-BSKY	0.0	0.0			$0	$272,374	$21,193			Yes (X)
Kevin Halter FACHE
Former CEO - BSKY	0.0	0.0			$0	$511,521	$44,354			Yes (X)
Laura BUczkowski
Former Treasurer/CFO-BSKY, Atlantic Group CFO	0.0	50.0			$0	$762,900	$93,117			Yes (X)
Rodney Hieneman
Former Secretary, COO-BSKY	0.0	0			$189,120	$0	$29,791			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,713,813	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,580,887	TotReportableCompRltdOrgAmt
Total Other Compensation	$532,844	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	49	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Morrison MGT Specialists
PO Box 102289	ATLANTA	GA	303682289	FOOD SERVICES	$3,048,062
ASHLAND ANESTHESIA PSC
PO BOX 29	ASHLAND	KY	411050029	ANESTHESIA SERVICES	$2,805,276
TrimedX Inc
12483 Collections Ctr Dr	Chicago	IL	60693	Clinical Asset Management	$2,543,739
ARAMARK Services Inc
PO Box 978839	Dallas	TX	753972782	HOUSEKEEPING/LAUNDRY	$2,085,259
Universal Protection Service LP dba Allied Universal
PO Box 828854	Philadelphia	PA	191828854	SECURITY SERVICES	$1,277,318

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	50	CntrctRcvdGreaterThan100KCnt
Related Organizations	$77,473	RelatedOrganizationsAmt
Total Contributions	$77,473	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT SERVICE REVENUE	Desc
Business	622110	BusinessCd
Total Revenue Column	$62,390,801	TotalRevenueColumnAmt
Related Or Exempt Func Income	$59,382,875	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,007,926	UnrelatedBusinessRevenueAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$62,390,801	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$105,000	TotalRevenueColumnAmt
Exclusion	$105,000	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$74,256	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$74,256	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$74,256	TotalRevenueColumnAmt
Exclusion	$74,256	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$104,032	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$72,443	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$104,032	SecuritiesAmt
Other	-$72,443	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$31,589	TotalRevenueColumnAmt
Exclusion	$31,589	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
RETAIL PHARMACY REVENUE	446110	$99,935	$30,786	$69,149
HEALTH & FITNESS	713940	$53,323	$53,323
Medical Records	900099	$15,482	$15,482

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,613	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$5,613	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$174,353	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$62,853,472	TotalRevenueColumnAmt
Related Or Exempt Func Income	$59,482,466	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,077,075	UnrelatedBusinessRevenueAmt
Exclusion	$216,458	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$84,844	TotalAmt
Program Services	$84,844	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$622,649	TotalAmt
Program Services	$560,384	ProgramServicesAmt
Management And General	$62,265	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$13,639,448	TotalAmt
Program Services	$12,275,503	ProgramServicesAmt
Management And General	$1,363,945	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,207,797	TotalAmt
Program Services	$1,087,017	ProgramServicesAmt
Management And General	$120,780	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,095,676	TotalAmt
Program Services	$1,886,108	ProgramServicesAmt
Management And General	$209,568	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,070,257	TotalAmt
Program Services	$963,231	ProgramServicesAmt
Management And General	$107,026	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$122	TotalAmt
Management And General	$122	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$13,274,442	TotalAmt
Program Services	$12,201,379	ProgramServicesAmt
Management And General	$1,073,063	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,947	TotalAmt
Program Services	$1,752	ProgramServicesAmt
Management And General	$195	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$439,024	TotalAmt
Program Services	$395,122	ProgramServicesAmt
Management And General	$43,902	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$24,814	TotalAmt
Program Services	$22,333	ProgramServicesAmt
Management And General	$2,481	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,661,093	TotalAmt
Program Services	$1,494,984	ProgramServicesAmt
Management And General	$166,109	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$108,698	TotalAmt
Program Services	$97,828	ProgramServicesAmt
Management And General	$10,870	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$12,221	TotalAmt
Program Services	$10,999	ProgramServicesAmt
Management And General	$1,222	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$66,020	TotalAmt
Program Services	$66,020	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,253,459	TotalAmt
Program Services	$2,028,113	ProgramServicesAmt
Management And General	$225,346	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$535,434	TotalAmt
Program Services	$481,891	ProgramServicesAmt
Management And General	$53,543	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$4,643,091	$4,643,091
PHARMACY SUPPLIES	$4,335,770	$4,335,770
BAD DEBT	$2,918,703	$2,918,703
Institutional License	$862,901	$776,611	$86,290

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$573,647	TotalAmt
Program Services	$516,283	ProgramServicesAmt
Management And General	$57,364	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$50,432,057	TotalAmt
Program Services	$46,847,966	ProgramServicesAmt
Management And General	$3,584,091	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$824	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$65,976,495	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$12,048,614	BOYAmt
EOY	$0	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,001,116	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,417,002	BOYAmt
EOY	$0	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,187,630	BOYAmt
EOY	$0	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$0	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$0	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$46,429,712	BOYAmt
EOY	$0	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$11,484,238	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$524,893	BOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$240,611	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$13,294,667	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$156,605,802	BOYAmt
EOY	$0	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$12,301,337	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$6,029,178	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$54,387,934	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$72,718,449	BOYAmt
EOY	$0	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$83,886,793	BOYAmt
EOY	$0	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$560	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$83,887,353	BOYAmt
EOY	$0	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$156,605,802	BOYAmt
EOY	$0	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$12,421,415	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$450,288	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$96,759,056	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	Other Liabilities	Desc
Amt	$0	Amt

Field	Value	IRS element (for citing)
Total Liability	$0	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$787,292	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$787,292	NetCommunityBenefitExpnsAmt
Total Expense	0.0166	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,380,791	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,355,141	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,025,650	NetCommunityBenefitExpnsAmt
Total Expense	0.1268	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$15,168,083	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,355,141	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,812,942	NetCommunityBenefitExpnsAmt
Total Expense	0.1434	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$149,181	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$149,181	NetCommunityBenefitExpnsAmt
Total Expense	0.0031	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,990	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,990	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$793	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$793	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$157,964	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$157,964	NetCommunityBenefitExpnsAmt
Total Expense	0.0033	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$15,326,047	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,355,141	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,970,906	NetCommunityBenefitExpnsAmt
Total Expense	0.1467	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$82	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$82	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$509	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$509	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$627	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$627	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,218	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,218	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$2,918,703	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$43,987,202	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$45,405,908	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,418,706	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Our Lady of Bellefonte Hospital Inc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 St Christopher Drive	AddressLine1Txt
City	Ashland	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	41101	ZIPCd

Field	Value	IRS element (for citing)
Website Address	https://bonsecours.com/about-us	WebsiteAddressTxt
State License	100154	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Our Lady of Bellefonte Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://bonsecours.com/about-us/community-commitment/community-health-needs-assessment	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://bonsecours.com/about-us/community-commitment/community-health-needs-assessment	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	http://www.fa.bonsecours.com/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	http://www.fa.bonsecours.com/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	http://www.fa.bonsecours.com/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - Our Lady of Bellefonte Hospital, Inc.. The CHNA was a collaborative effort between OLBH, King's Daughters Medical Center (KDMC), the Healthy Choices, Healthy Communities Coalition, the CHNA Advisory Group, and local health departments, including Ashland-Boyd County, Carter County, Greenup County, and Lawrence County (Ohio). The CHNA was conducted between November 2018 and June 2019 and included both primary and secondary data analyses. The primary data included a questionnaire and focus groups with key individuals in the community, including residents, public health representatives, and those with special knowledge of medically underserved, low income, and vulnerable populations and people with chronic diseases. The questionnaire focused on multiple areas including personal health, the health of the community, community support and services, health programs, health care services, and access. The 21-question survey was administered throughout the four-county service area, with 1,511 respondents. There were 1,396 individuals who provided their county of residence. Focus groups were held in all four service area counties with a total of 56 organizations and key individuals in the community, including residents, public health representatives, and those with special knowledge of medically undeserved, low income, and vulnerable populations and people with chronic diseases to identify health priorities of the service area. Facilitation was provided to the groups by area health departments, hospitals, and non-profits. Sessions focused on learning the attendees' opinions about the strengths, weaknesses, opportunities, and threats (SWOT) to the communities' health. These health priorities were then considered against the resources presently available within the counties served and then aligned with the efforts of other local agencies. 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 - Our Lady of Bellefonte Hospital, Inc.. King's Daughters Medical Center
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - Our Lady of Bellefonte Hospital, Inc.. The Healthy Choices, Healthy Communities Coalition, the CHNA Advisory Group, Ashland-Boyd County local health department, Carter County local health department, Greenup County local health department, and Lawrence County (Ohio) local health department.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - Our Lady of Bellefonte Hospital, Inc.. The CHNA is available to the public in the following locations: Hospital and coalition web sites, printed copies were made available at the hospital in various departments including the emergency department, administration, marketing and mission departments.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Our Lady of Bellefonte Hospital, 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 - Our Lady of Bellefonte Hospital, 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.

Field	Value	IRS element (for citing)
Facility	24	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (24 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
MED PLAZA PHARMACY
700 ST CHRISTOPHER DRIVE	ASHLAND	KY	41101	PHARMACY
SAME DAY SURGERY CENTER
1101 ST CHRISTOPHER DRIVE	ASHLAND	KY	41101	SURGERY CENTER
BELLEFONTE BEHAVIORAL HEALTH
1000 ST CHRISTOPHER DRIVE	ASHLAND	KY	41101	BEHAVIORAL HEALTH
BELLEFONTE HOME HEALTH CARE AGENCY
700 ST CHRISTOPHER DRIVE	ASHLAND	KY	41101	HOME HEALTH
OLBH IRONTON IMAGING CENTER
1005 EAST RING ROAD	IRONTON	OH	45638	IMAGING CENTER
ASHLAND IMAGING
1816 CARTER AVE	ASHLAND	KY	41101	IMAGING CENTER
CORNERSTONE MEDICAL PLAZA
1816 CARTER AVE	ASHLAND	KY	41101	LAB SERVICES
BELLEFONTE CENTER
1000 ASHLAND DRIVE	ASHLAND	KY	41101	WOMEN'S HEALTH, PRE-TESTING, VARIOUS PHYSICIAN OFFICES
ASHLAND ARTHRITIS CENTER
2930 CARTER AVE STE 103	ASHLAND	KY	41101	RHEUMATOLOGY CENTER
BELLEFONTE SLEEP LAB
118 ST CHRISTOPHER DRIVE	ASHLAND	KY	41101	SLEEP LAB
VITALITY CENTER
1100 ST CHRISTOPHER DRIVE	ASHLAND	KY	41101	CARDIO/VASCULAR REHAB
OLBH RADIOLOGY
1000 ST CHRISTOPHER DRIVE	ASHLAND	KY	41101	RADIOLOGY CENTER
OLBH PATHOLOGY
1000 ST CHRISTOPHER DRIVE	ASHLAND	KY	41101	PATHOLOGY CENTER
OLBH WOMENS CENTER
1000 ASHLAND DRIVE	ASHLAND	KY	41101	WOMENS CENTER
BELLEFONTE ONCOLOGY ASSOC
300 ST CHRISTOPHER DRIVE	ASHLAND	KY	41101	ONCOLOGY CENTER
BELLEFONTE DIGESTIVE DISEASE CENTER
1101 ST CHRISTOPHER DRIVE STE 350	ASHLAND	KY	41101	DIGESTIVE SPECIALISTS
ASHLAND-BELLEFONTE CARDIOLOGY
800 ST CHRISTOPHER DRIVE STE 1	ASHLAND	KY	41101	CARDIOLOGY SPECIALISTS
BELLEFONTE HEART CARE
1180 ST CHRISTOPHER DRIVE STE 2	ASHLAND	KY	41101	HEART CARE SPECIALISTS
BELLEFONTE INFECTIOUS DISEASE ASSOC
400 ST CHRISTOPHER DR	ASHLAND	KY	41101	INFECTIOUS DISEASE SPECIALISTS
BELLEFONTE PULMONARY SPECIALISTS
1101 ST CHRISTOPHER DRIVE STE 200	ASHLAND	KY	41101	PULMONARY SPECIALISTS
TRI-STATE NEURO SOLUTIONS
2222 WINCHESTER AVE STE C	ASHLAND	KY	41101	NEURO SPECIALISTS
BELLEFONTE UROLOGICAL ASSOC
1000 ASHLAND DRIVE STE 302	ASHLAND	KY	41101	UROLOGICAL SPECIALISTS
BELLEFONTE WOMENS CARE
2001 WINCHESTER AVE	ASHLAND	KY	41101	WOMENS HEALTH & OBGYN
FIRM FITNESS
2000 ASHAND DR	ASHLAND	KY	41101	FITNESS CENTER

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section 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	2918703
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	- Our Lady of Bellefonte Hospital Inc.: Line 16a URL: http://www.fa.bonsecours.com/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- Our Lady of Bellefonte Hospital Inc.: Line 16b URL: http://www.fa.bonsecours.com/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- Our Lady of Bellefonte Hospital 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	Our Lady of Bellefonte Hospital and related entities serve a region of approximately 400,000 people in northeastern Kentucky, southern Ohio, and western West Virginia. The service areas include six counties in northern Kentucky (Greenup, Boyd, Lawrence, Carter, and Elliott) which comprises of the FIVCO Area Development District as well as Lewis County, two counties in southern Ohio (Lawrence, and Scioto) and Wayne and Cabell counties in western West Virginia. Due to our growing aging population, services for our community residents aged 55 and older are needed, particularly women's cardiopulmonary services, cancer, drug rehab and wound care. According to the 2017 County Health rankings data, the counties in OLBH primary service area rank among the highest in the state at risk for poor health outcomes and poor health factors. Consistent with the state and national trends, five chronic diseases account for most of the spending on health care: diabetes, heart disease, hypertension, asthma and depression. Prescription drug abuse and addiction is a growing problem in the area, as is illegal drug use including heroine, methamphetamine and marijuana. Access to quality preventative care and disease management education is critical in minimizing future hospitalizations. Health insurance coverage is also a factor in determining whether patients will seek preventative care or wait for symptoms to become more severe, thus requiring more extensive treatments, including hospitalization. The area's growing drug addiction problems puts these individuals more at risk for depression, suicides and kidney failure. The area's population of drug abuse by all ages is growing at a relatively fast pace and will necessitate planning of and access to health care services unique to this population. There are few exceptions to our local community versus state averages with regard to health impacts. Our service area has higher overall cancer rates in lung cancer than the state average. Other cancers that are prevalent in our primary and secondary service areas are breast, colon, bladder, prostate and lymphoma.
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.
Schedule H, Part VI, Line 7 State filing of community benefit report	KY

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Bon Secours Kentucky Health System Foundation	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 St Christopher Dr	AddressLine1Txt
City	Ashland	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	41101	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	611381952	RecipientEIN
IRC Section	501(c)(3)	IRCSectionDesc
Cash Grant	$84,844	CashGrantAmt
Purpose Of Grant	General and Administrative Support	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	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. Grant administration is maintained within the Foundation arm and received by the hospital as reimbursement for spend.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Christine Lay JD
Former Board President; BSMH Asst General Counsel	$0	$63,824	$0	$56,980	$0	$493,581	$0	$5,166	$0	$14,016	$0	$633,567	$0	$39,040
Kevin Halter FACHE
Former CEO - BSKY	$0	$122,819	$0	$26,779	$0	$361,923	$0	$15,941	$0	$28,413	$0	$555,875	$0	$51,344
Pamela Phillips
Board Member, Chief Mission Officer-BSKY	$0	$206,892	$0	$8,646	$0	$20,912	$0	$19,459	$0	$1,015	$0	$256,924	$0	$0
Jason Asic
Interim BSKY CEO/President	$0	$181,780	$0	$27,197	$0	$14,726	$0	$11,095	$0	$15,486	$0	$250,284	$0	$0
Thomas Morris PHD
Board President (End 09/19); BSMH Chief Sponsorship Officer	$0	$392,133	$0	$56,002	$0	$353,963	$0	$16,800	$0	$22,248	$0	$841,146	$0	$0
Laura BUczkowski
Former Treasurer/CFO-BSKY, Atlantic Group CFO	$0	$451,394	$0	$54,835	$0	$256,671	$0	$64,704	$0	$28,413	$0	$856,017	$0	$2,818
Rodney Hieneman
Former Secretary, COO-BSKY	$26,283	$0	$4,600	$0	$158,237	$0	$591	$0	$29,200	$0	$218,911	$0	$0	$0
Joe Buchheit
Former Treasurer/CFO-BSKY	$0	$38,690	$0	$3,435	$0	$230,249	$0	$2,901	$0	$18,292	$0	$293,567	$0	$0
Tyler Walters
CFO-BSKY	$174,409	$0	$33,255	$0	$238	$0	$4,391	$0	$27,185	$0	$239,478	$0	$0	$0
John Darnell MD
CMO	$284,459	$0	$7,232	$0	$3,658	$0	$11,012	$0	$11,714	$0	$318,075	$0	$0	$0
Michele Friday MD
Cardiologist	$731,628	$0	$25,000	$0	$3,354	$0	$5,077	$0	$30,822	$0	$795,881	$0	$0	$0
Yogendra Prasad MD
Cardiologist	$532,709	$0	$216,172	$0	$2,691	$0	$4,951	$0	$28,413	$0	$784,936	$0	$0	$0
Kurt Jaenicke MD
Obstetrician	$342,120	$0	$195,445	$0	$2,384	$0	$5,218	$0	$21,249	$0	$566,416	$0	$0	$0
Phillip Lackey MD
Plastic Surgeon	$391,311	$157,456	$82,422	$0	$969	$0	$4,939	$0	$31,057	$0	$510,698	$157,456	$0	$0
James Hayes MD
Physician	$269,238	$0	$90,903	$0	$79,606	$0	$12,600	$0	$30,870	$0	$483,217	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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: Alethea Williams-Carlson, $37,500; Laura Buczkowski, $0; Pamela Phillips, $15,563; Thomas Morris, $84,003.
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: Christine Lay $233,700; Joe Buccheit $206,123; Kevin Halter $258,650; Rodney Hieneman $148,613.
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: Kevin Halter, FACHE, $65,005; Christine Lay, $41,244; Alethea Williams-Carlson, $28,712; Laura Buczkowski, $3,564.
Schedule J, Part I, Line 7 Non-fixed payments	The organization provides annual incentive compensation for listed individuals. The organization's Board of Trustees establishes objective thresholds which must be achieved for incentives to be awarded. The Board also establishes threshold, target and maximum levels for incentive awards. Within the established parameters, the Board determines the CEO's incentive award and incentive awards for other listed individuals are determined by the listed individual's supervisor and disclosed to the Board. The Board may authorize modified incentive awards when appropriate in its judgment.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
JUDY HOUSTON
SIBLING OF BM, JAMES PAYNE	$68,314	EMPLOYMENT	false
TERESA BARRON
SIBLING OF BM, JAMES PAYNE	$51,734	EMPLOYMENT	false
David Hall
Spouse of Board Secretary Pamela Hall	$79,353	EMPLOYMENT	false

Schedule N IRS990ScheduleN

Liquidation Of Assets Table LiquidationOfAssetsTableGrp

Liquidation Of Assets Detail LiquidationOfAssetsDetail

Field	Value	IRS element (for citing)
Assets Distri Or Expnss Paid	ALL ASSETS AND LIABILITIES OF OUR LADY OF BELLEFONTE HOSPITAL INC	AssetsDistriOrExpnssPaidDesc
Distribution	2020-01-01	DistributionDt
Fair Market Value Of Asset	$91,196,174	FairMarketValueOfAssetAmt
Method Of FMV Determination	GAAP	MethodOfFMVDeterminationTxt
EIN	611356023	EIN
Person	OUR LADY OF BELLEFONTE HOSPITAL LLC	PersonNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 SAINT CHRISTOPHER DR	AddressLine1Txt
City	ASHLAND	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	411017034	ZIPCd

Field	Value	IRS element (for citing)
IRC Section	LLC	IRCSectionTxt

Field	Value	IRS element (for citing)
Director Of Successor	Yes (true)	DirectorOfSuccessorInd
Employee Of Successor	Yes (true)	EmployeeOfSuccessorInd
Owner Of Successor	false	OwnerOfSuccessorInd
Receive Compensation	false	ReceiveCompensationInd
Assets Distributed	Yes (true)	AssetsDistributedInd
Required To Notify AG	Yes (true)	RequiredToNotifyAGInd
Attorney General Notified	Yes (true)	AttorneyGeneralNotifiedInd
Liabilities Paid	Yes (true)	LiabilitiesPaidInd
Bonds Outstanding	false	BondsOutstandingInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule N, Part I, Line 2a Interested person is a director or trustee of successor org.	ALL BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES OF OUR LADY OF BELLEFONTE HOSPITAL 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 OFFICERS AND KEY EMPLOYEES OF OUR LADY OF BELLEFONTE HOSPITAL INC REMAINED AS REPORTED AFTER CONVERTING TO AN LLC.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 4 Significant changes to organizational documents	Our Lady of Bellefonte Hospital, Inc. adopted a Plan of Conversion on October 9, 2019 to convert to a Kentucky Nonprofit Limited Liability Company to be effective January 1, 2020. The name of the converted entity will be Our Lady of Bellefonte Hospital LLC and its sole member as of January 1, 2020 is Bon Secours Kentucky Health System, Inc.
Form 990, Part VI, Line 6 Classes of members or stockholders	Bon Secours Mercy Health, Inc. (BSMH) is the sole member of Bon Secours Kentucky Health System, Inc. which in turn is the sole member of Our Lady of Bellefonte Hospital, Inc.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	The governing body of Our Lady of Bellefonte Hospital, Inc. is appointed by its Member, Bon Secours Kentucky Health System, Inc. and subject to approval by BSMH.
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	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 the 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 in 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	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.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Other Rve - Total Revenue: 5613, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 5613;
Form 990, Part IX, Line 11g Other Fees	CONTRACT LABOR - Total Expense: 1997835, Program Service Expense: 1997835, Management and General Expenses: , Fundraising Expenses: ; INTERCOMPANY ASSESSMENTS - Total Expense: 6982056, Program Service Expense: 6283850, Management and General Expenses: 698206, Fundraising Expenses: ; PHYSICIAN RECRUITMENT - Total Expense: 77711, Program Service Expense: 77711, Management and General Expenses: , Fundraising Expenses: ; HOUSEKEEPING AND LAUNDRY - Total Expense: 775274, Program Service Expense: 697747, Management and General Expenses: 77527, Fundraising Expenses: ; PATIENT TESTING SERV - Total Expense: 433718, Program Service Expense: 433718, Management and General Expenses: , Fundraising Expenses: ; DIETARY - Total Expense: 849644, Program Service Expense: 764680, Management and General Expenses: 84964, Fundraising Expenses: ; BILLING/COLLECTION SERVICES - Total Expense: 34549, Program Service Expense: 34549, Management and General Expenses: , Fundraising Expenses: ; SECURITY - Total Expense: 363009, Program Service Expense: 326708, Management and General Expenses: 36301, Fundraising Expenses: ; OTHER PURCHASED SERVICES - Total Expense: 1760646, Program Service Expense: 1584581, Management and General Expenses: 176065, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	MINIMUM PENSION LIABILITY - -6009322; Transfers from Affiliates - 446440; Net Asset Transfer to LLC - -91196174;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Eastern Kentucky Quality Alliance LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 St Christopher Drive	AddressLine1Txt
City	Ashland	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	41101	ZIPCd

Field	Value	IRS element (for citing)
EIN	822832840	EIN
Primary Activities	Clinically Integrated Network	PrimaryActivitiesTxt
Legal Domicile State	KY	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Our Lady of Bellefonte Hospital Inc	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (74 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Business Name Line2DisregardedEntityName/BusinessNameLine2Txt	Business Name Line2DirectControllingEntityName/BusinessNameLine2Txt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
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
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
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	S
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	false		S
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	false		S
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	false		S
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 - 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.	NJ	501(c)(3)	Type III-FI	Bon Secours Mercy Health Inc	false
St Mary Hospital Inc
308 Willow	Hoboken	NJ	07030	221487324	Health Care	NJ	501(c)(3)	3	Bon Secours New Jersey Health System Inc	false
Mercy Health Services
1505 Marriottsville Road	Marriottsville	MD	27104	251585441	Local System Parent Org.	PA	501(c)(3)	Type III-FI	Bon Secours Mercy Health Inc	false
Pennsylvania Health Choice Plan
1505 Marriottsville Road	Marriottsville	MD	27104		Health Care	PA	501(c)(3)	10	Mercy Health Services	false
Liberty Medical Center
1505 Marriottsville Road	Marriottsville	MD	27104	521466304	Health Care	MD	501(c)(3)	3	Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health	false		S
Bon Secours - Stuart Circle Hospital Inc
8580 Magellan Parkway	Richmond	VA	23227	541740128	Health Care	VA	501(c)(3)	3	Bon Secours Richmond Health System	false
Bon Secours Ireland DAC
					Local System Parent Org.		501(c)(3)	Type III-FI	Bon Secours Mercy Health Inc	false			EI
Bon Secours Health System CLG
					Hospital		501(c)(3)	3	Bon Secours Ireland DAC	false			EI
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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (33 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Address Line2USAddress/AddressLine2Txt
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	Brentwood	TN	37027	200400753	Surgery Center	TN	NA	N/A	SUITE 200
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	Low Income Housing	MD	NA	N/A
Liberty Senior Housing LP
1800 West Baltimore St	Baltimore	MD	21223	522134447	Low Income Housing	MD	NA	N/A
Bon Secours Apartments III LP
1800 West Baltimore St	Baltimore	MD	21223	522134444	Low Income Housing	MD	NA	N/A
Bon Secours Smallwood Summit LP
26 North Fulton Ave	Baltimore	MD	21223	522280175	Low Income Housing	MD	NA	N/A
Bon Secours Chesapeake Apartments LP
26 North Fulton Ave	Baltimore	MD	21223	200107034	Low Income Housing	MD	NA	N/A
Bon Secours Shiloh LP
26 North Fulton Ave	Baltimore	MD	21223	203965243	Low Income Housing	MD	NA	N/A
Bon Secours New Shiloh II Limited Partnership
26 North Fulton Ave	Baltimore	MD	21223	820655142	Low Income Housing	MD	NA	N/A
Bon Secours Wayland LP
26 North Fulton Ave	Baltimore	MD	21223	270468688	Low Income Housing	MD	NA	N/A
Bon Secours Gibbons Apartments LP
26 North Fulton Ave	Baltimore	MD	21223	472322323	Low Income Housing	MD	NA	N/A
Upstate Surgery Center LLC
One St Francis Drive	Greenville	SC	29601	562186977	Ambulatory 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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (36 entries)

EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Legal Domicile StateLegalDomicileStateCd
MERCY HEALTH INSURANCE COMPANY (SPC) LTD
980621978	SELF-INSURANCE	CJ	NA	C Corporation	false
NORTHPARKE MEDICAL COMMONS CONDO ASSN
311391230	REAL PROPERTY MGMNT		NA	C Corporation	false	333 N LIMESTONE ST	SPRINGFIELD	OH	45503	OH
NORTHSIDE CORPORATION
341318438	RESIDENT RENTALS		NA	C Corporation	false	2200 JEFFERSON AVENUE	TOLEDO	OH	43604	OH
MERCY HEALTH SYSTEM PHO INC
341778321	MEDICAL SERVICES		NA	C Corporation	false	2200 JEFFERSON AVENUE	TOLEDO	OH	43604	OH
MCAULEY MANAGEMENT SERVICES INC
341379037	PROPERTY RENTAL		NA	C Corporation	false	730 W MARKET STREET	LIMA	OH	45801	OH
LIMA MEDICAL SUPPLIES INC
340944477	MEDICAL EQUIPMENT		NA	C Corporation	false	730 W MARKET STREET	LIMA	OH	45801	OH
COMMUNITY HEALTH PARTNERS ENTERPRISES INC
341455525	HOLDING COMPANY		NA	C Corporation	false	3700 KOLBE ROAD	LORAIN	OH	44053	OH
MERCY HEALTH VENTURES INC
311185477	DIVERSIFIED ACTIVITIES		NA	C Corporation	false	1701 Mercy Health Place	CINCINNATI	OH	45237	OH
MERCY FRANCISCAN AT WINTON WOODS I INC
311658668	LOW-INCOME HOUSING		NA	C Corporation	false	10290 MILL ROAD	CINCINNATI	OH	45231	OH
RALPH EWE TRUST
346866422	BENEFICIAL TRUST		NA	Trust	false	270 PARK AVENUE	NEW YORK	NY	10017	NY
ELIZABETH HINES CATES TRUST
346515678	BENEFICIAL TRUST		NA	Trust	false	PNC 1900 E 9TH ST	CLEVELAND	OH	44114	OH
WILLIS PARK TRUST
346519904	BENEFICIAL TRUST		NA	Trust	false	PNC 1900 E 9TH ST	CLEVELAND	OH	44114	OH
ERMA GIBSON BALDWIN TRUST
346515566	BENEFICIAL TRUST		NA	Trust	false	PNC 1900 E 9TH ST	CLEVELAND	OH	44114	OH
HEALTHSPAN INC
311431434	INSURANCE		NA	C Corporation	false	225 PICTORIA DR	CINCINNATI	OH	45246	OH
HEALTHSPAN SOLUTIONS INC
300810766	CONSULTING		NA	C Corporation	false	1701 Mercy Health Place	CINCINNATI	OH	45237	OH
HEALTHCARE SERVICES AND SUPPORT
812388652	HEALTHCARE SERVICES		NA	C Corporation	false	1701 Mercy Health Place	CINCINNATI	OH	45237	OH
Bon Secours Assurance Company Ltd
980152147	SELF-INSURANCE	CJ	NA	C Corporation	false
Bon Secours-Florida Integrated Services Inc
650779777	Holding Company/Assisted Living		NA	C Corporation	false	10300 Fourth Street North	St Petersburg	FL	33716	FL
Unity Housing Inc
521952507	Low Income Housing		NA	C Corporation	false	26 North Fulton Avenue	Baltimore	MD	21223	MD
Bon Secours Wayland LLC
270468561	Low Income Housing		NA	C Corporation	false	26 North Fulton Avenue	Baltimore	MD	21223	MD
Professional Health Care Management Services Inc
541241031	Administrative		NA	C Corporation	false	150 Kingsley Lane	Norfolk	VA	23505	VA
OSF Inc
541369919	Rental		NA	C Corporation	false	2 Bernadine Drive	Newport News	VA	23602	VA
Bon Secours Tidewater Diversified Inc
541431826	Pharmacy		NA	C Corporation	false	160 Kingsley Lane	Norfolk	VA	23505	VA
Chesterfield Community Healthcare Center Inc
541812738	Ambulatory Healthcare Services		NA	C Corporation	false	8580 Magellan Parkway	Richmond	VA	23227	VA
Ironbridge Assisted Living Retirement Community LC
541807857	Ambulatory Healthcare Services		NA	C Corporation	false	5801 Bremo Road	Richmond	VA	23226	VA
Bon Secours-Virginia Healthsource Inc
541417686	Ambulatory Healthcare Services		NA	C Corporation	false	8580 Magellan Parkway	Richmond	VA	23227	VA
RHS Management Corp
541313425	Independent Living Facility		NA	C Corporation	false	8580 Magellan Parkway	Richmond	VA	23227	VA
Bon Secours New York Housing Development Fund Corporation
472224316	Low Income Housing		NA	C Corporation	false	2975 Independence Avenue	Bronx	NY	10463	NY
Richmond MRI Inc
541568452	Medical Services		NA	C Corporation	false	8580 Magellan Parkway	Richmond	VA	23227	VA
Bon Secours New Shiloh II LLC
820631206	Low Income Housing		NA	C Corporation	false	26 North Fulton Avenue	Baltimore	MD	21223	MD
Maryview Building Corporation
541306612	Administrative		NA	C Corporation	false	3636 High Street	Portsmouth	VA	23707	VA
Richmond Radiation Oncology Center Inc
541570244	Ambulatory Healthcare Services		NA	C Corporation	false	8580 Magellan Parkway	Richmond	VA	23227	VA
Optimum Health Network Inc
570973524	Healthcare Services		NA	C Corporation	false	One St Francis Drive	Greenville	SC	29601	SC
Barringtons Hospital Limited
	Healthcare Services	EI	NA	C Corporation	false
BMC Properties Limited
	REAL PROPERTY MGMNT	EI	NA	C Corporation	false
Post Office Plaza Owners Association Inc
	REAL PROPERTY MGMNT		NA	C Corporation	false	1807 N Boulevard	Anderson	SC	29621	SC

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd