2020-06-15T15:30:29-05:00 2019-08-31 990EZ 2018-09-01 611356024 Bon Secours Kentucky Health System Inc BONS 6068333333 1701 Mercy Health Drive Cincinnati OH 45237 Jason Asic INTERIM CHIEF Executive OFFICER 2020-06-15 2018 2020-11-19 02:30:22Z X 0928 X X WWW.BONSECOURS.COM X X 0 X 0 0 0 0 0 0 90695 90695 -90695 -363106 0 -453801 X 0 0 0 0 363106 453801 -363106 -453801 SUPPORT OUR LADY OF BELLEFONTE HOSPITAL, INC. AND RELATED ENTITIES SUPPORT OUR LADY OF BELLEFONTE HOSPITAL INC. AND RELATED ENTITIES 90695 90695 Christine Lay JD Board President (End 12/18) 3.500 0 0 0 Kevin Halter FACHE CEO - BSKY (End 04/19) 2.000 0 0 0 Jason Asic Interim BSKY CEO/President (Beg 06/19) 2.000 0 0 0 Thomas Morris PHD Board President (Beg 01/19), Chief Sponsorship/Theology Officer 3.500 0 0 0 Gregory JACkson Chairman (End 02/19) 3.000 0 0 0 Emily Watson Board Member (End 02/19); Chairman (Beg 02/19) 3.000 0 0 0 Laishy Williams-Carlson Board Member, SVP/CIO 2.000 0 0 0 Pamela Phillips Board Member, Chief Mission Officer-BSKY 2.000 0 0 0 Lori COOKsey Board Member 2.000 0 0 0 Geoffrey GRIFFITH Board Member 2.000 0 0 0 James MARTIN JR MD Board Member 2.000 0 0 0 Jason MCCloud OD Board Member 2.000 0 0 0 Stephen McGinnis JD Board Member 2.000 0 0 0 Kimberly Nall Board Member 2.000 0 0 0 James Payne Sr PhD Board Member 2.000 0 0 0 Nicole Pennington DNP RNC Board Member 2.000 0 0 0 Heather Shelton Board Member 2.000 0 0 0 Laura Timberlake Board Member 2.000 0 0 0 William Willan PHD Board Member 2.000 0 0 0 Rodney Hieneman Secretary, COO-BSKY (End 03/19) 2.000 0 0 0 Pam Hall Board Secretary (Beg 02/19) 2.000 0 0 0 Tyler Walters CFO-BSKY (Beg 09/18) 2.000 0 0 0 Laura BUczkowski Former Treasurer/CFO-BSKY (End 08/18) 0 0 0 0 Joe Buchheit Former Treasurer/CFO-BSKY (2018-2022) 2.000 0 0 0 John Wallenhorst PhD Former Board President 0.000 0 0 0 false false false false false false false 0 0 0 false false TRAVIS CRUM 1701 MERCY HEALTH PLACE CINCINNATI OH 45237 5139525000 false false false false false true false false false false false true X X 3 BELLEFONTE PHYSICIAN SERVICES 352320780 9 false 0 0 BON SECOURS KENTUCKY HEALTH SYSTEM 611381952 7 false 0 0 OUR LADY OF BELLEFONTE HOSPITAL 611356023 3 false 0 0 3 0 0 false false false false false false false false false false false false false false false true true false X true true Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name THE ORGANIZATION'S ARTICLES OF INCORPORATION SPECIFY THAT IT IS ORGANIZED AND OPERATED TO BENEFIT THE SISTERS OF BON SECOURS IN THE UNITED STATES AND ALL OTHER PUBLICLY SUPPORTED SECTION 509(A)(1) OR 509(A)(2) ORGANIZATIONS IN, OR OPERATING FOR THE BENEFIT OF, THE BON SECOURS MERCY HEALTH SYSTEM IN THE UNITED STATES. ALL OF THESE ORGANIZATIONS ARE CLOSELY RELATED IN PURPOSE AND FUNCTION IN THAT THEY CARRY OUT THE HEALTH CARE MISSION OF THE SISTERS OF BON SECOURS IN THE UNITED STATES. Schedule A, Part IV, Section E, Line 3a Power To Appoint/Elect Majority of Officer/Director/Trustee THE SUPPORTED ORGANIZATIONS ARE SUBJECT TO THE GENERAL SUPERVISION OR CONTROL OF THE FILING ORGANIZATION. PER THE GOVERNING DOCUMENTS OF EACH OF THE SUPPORTED ORGANIZATIONS, THE FILING ORGANIZATION AS THE SOLE CORPORATE MEMBER, HAS THE POWER TO REMOVE OR REPLACE ANY MEMBER OF THE BOARD OF DIRECTORS WITH OR WITHOUT CAUSE. Schedule A, Part IV, Section E, Line 3b Substantial Direction Over Policies/Programs/Activities THE SUPPORTED ORGANIZATIONS ARE SUBJECT TO THE GENERAL SUPERVISION OR CONTROL OF THE FILING ORGANIZATION. PER THE GOVERNING DOCUMENTS OF EACH OF THE SUPPORTED ORGANIZATIONS, THE FILING ORGANIZATION AS THE SOLE CORPORATE MEMBER, HAS THE POWER TO APPROVE STRATEGIC PLANS, CAPITAL BUDGETS, OPERATING BUDGETS, AS WELL AS CHANGE THE PHILOSOPHY, OBJECTIVES OR PURPOSES OF THE SUPPORTED ORGANIZATIONS. Form 990-EZ, Part I, Line 16 Other Expenses CORPORATE DUES - 83949; INTEREST - 5933; OFFICE EXPENSES - 813; Form 990-EZ, Part II, Line 26 Total Liabilities DUE TO AFFILIATES - BOY:363106,EOY:453801;