Bellefonte Physician Services Inc: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: Bellefonte Physician Services Inc (EIN 35-2320780)
Tax period: 2019-09-01 to 2019-12-31
Filed: 2020-11-12
IRS object ID: 202033179349306408
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 J
Schedule N
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-12T14:01:57-06:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-09-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	352320780	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Bellefonte Physician Services Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	BELL	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	Interim CEO	PersonTitleTxt
Signature	2020-11-12	SignatureDt

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	Jason Asic	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	$9,013,523	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.bonsecours.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2008	FormationYr
Legal Domicile State	KY	LegalDomicileStateCd
Activity Or Mission	PRIMARY, URGENT AND SPECIALTY CARE	ActivityOrMissionDesc
Contract Termination	Yes (X)	ContractTerminationInd
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	358	TotalEmployeeCnt
Total Volunteers	4	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$202,292	PYContributionsGrantsAmt
CY Contributions Grants	$61,451	CYContributionsGrantsAmt
PY Program Service Revenue	$26,674,823	PYProgramServiceRevenueAmt
CY Program Service Revenue	$8,948,564	CYProgramServiceRevenueAmt
PY Investment Income	$33	PYInvestmentIncomeAmt
CY Investment Income	$10	CYInvestmentIncomeAmt
PY Other Revenue	$1,159,550	PYOtherRevenueAmt
CY Other Revenue	$3,498	CYOtherRevenueAmt
PY Total Revenue	$28,036,698	PYTotalRevenueAmt
CY Total Revenue	$9,013,523	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,090	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$31,811,470	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$10,848,000	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$16,376,956	PYOtherExpensesAmt
CY Other Expenses	$6,055,574	CYOtherExpensesAmt
PY Total Expenses	$48,190,516	PYTotalExpensesAmt
CY Total Expenses	$16,903,574	CYTotalExpensesAmt
PY Revenues Less Expenses	-$20,153,818	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$7,890,051	CYRevenuesLessExpensesAmt
Total Assets BOY	$8,146,049	TotalAssetsBOYAmt
Total Assets EOY	$0	TotalAssetsEOYAmt
Total Liabilities BOY	$150,209,314	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$0	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$142,063,265	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	$13,925,533	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$8,948,564	RevenueAmt
Desc	Charity & Indigent Care - Bellefonte Physician Services (BPS) utilizes an affiliate model to provide residents of the tri-state with a variety of services, from primary care to pediatric, urgent and specialty care. A member of the Bon Secours Kentucky Health System, BPS continues to expand to meet the needs of community residents, especially those in charily and indigent need. The various practices that comprise BPS are strategically located throughout the region to bring the highest quality health care close to home with convenient locations.	Desc
Total Program Service Expenses	$13,925,533	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	false	OperateHospitalInd
Grants To Organizations	false	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	false	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	false	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	40	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	358	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
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	8	GoverningBodyVotingMembersCnt
Independent Voting Member	4	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
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 (20 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	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
James Payne Sr PhD
Board President	3.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
Jason Asic
Interim BSKY CEO/President	2.0	48.0	Yes (X)	Yes (X)	$0	$223,703	$26,581
Geoffrey GRIFFITH
Board Member	2.0	4.0	Yes (X)		$0	$0	$0
John Darnell MD
Board Member, CMO	2.0	48.0	Yes (X)		$0	$295,349	$22,726
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
Melinda Elkins-Smith MD
Board Member, Medical Director	2.0	48.0	Yes (X)		$0	$317,566	$15,195
Samuel Ross MD
Board Member; BSMH Chief Community Health Officer	2.0	48.0	Yes (X)		$0	$1,004,665	$38,115
Troy Connett
Board Secretary, Director Finance	50.0	0		Yes (X)	$76,562	$0	$12,684
Tyler Walters
Treasurer, VP Physician Services	2.0	48.0		Yes (X)	$0	$207,902	$31,576
Charles RHODES MD
Cardiologist	50.0	0.0			$0	$707,653	$33,915	Yes (X)
Diane Settles MD
Internist	50.0	0			$638,876	$0	$40,230	Yes (X)
George Linsenmeyer MD
Cardiologist	50.0	0			$526,189	$0	$36,515	Yes (X)
John Brandenburg MD
Gastroenterologist	50.0	0			$568,272	$0	$42,978	Yes (X)
Thomas LOVE MD
Orthopedic Surgeon	50.0	0			$464,455	$0	$43,368	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 Chairman, 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)
Thomas Morris PHD
Former President, Chief Sponsorship/Theology Officer	0.0	50.0			$0	$802,098	$39,048		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,274,354	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,720,116	TotReportableCompRltdOrgAmt
Total Other Compensation	$560,777	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	Address Line2ContractorAddress/USAddress/AddressLine2Txt
ATHENAHEALTH INC
311 ARSENAL CT	WATERTOWN	MA	02472	MEDICAL BILLING	$1,199,834
SPIRIT REALTY CAPITAL INC
1676 N PERIMETER DR	SCOTTSDALE	AZ	85260	REAL ESTATE	$444,781
JACKSON & COKER LOCUM TENEMS
PO BOX 277638	ATLANTA	GA	303847638	MEDICAL SERVICES	$429,942
WB BELLEFONTE LLC
1000 ASHLAND DR	ASHLAND	KY	41101	MEDICAL SERVICES	$384,652
ENVERA HEALTH INC
1001 HAXALL PT	RICHMOND	VA	23219	PATIENT ENGAGEMENT SERVICES	$255,041	STE 1B

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	6	CntrctRcvdGreaterThan100KCnt
Government Grants	$61,451	GovernmentGrantsAmt
Total Contributions	$61,451	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT SERVICE REVenue	Desc
Business	621110	BusinessCd
Total Revenue Column	$8,948,564	TotalRevenueColumnAmt
Related Or Exempt Func Income	$8,948,564	RelatedOrExemptFuncIncomeAmt

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	$8,948,564	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10	TotalRevenueColumnAmt
Exclusion	$10	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	RETAIL SALES	Desc
Business	900099	BusinessCd
Total Revenue Column	$3,498	TotalRevenueColumnAmt
Exclusion	$3,498	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

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)
Other Revenue Total	$3,498	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,013,523	TotalRevenueColumnAmt
Related Or Exempt Func Income	$8,948,564	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$3,508	ExclusionAmt

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$89,246	TotalAmt
Program Services	$80,321	ProgramServicesAmt
Management And General	$8,925	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$9,014,116	TotalAmt
Program Services	$8,112,704	ProgramServicesAmt
Management And General	$901,412	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$253,636	TotalAmt
Program Services	$228,272	ProgramServicesAmt
Management And General	$25,364	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,036,683	TotalAmt
Program Services	$933,015	ProgramServicesAmt
Management And General	$103,668	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$454,319	TotalAmt
Program Services	$408,887	ProgramServicesAmt
Management And General	$45,432	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,985,281	TotalAmt
Program Services	$1,263,500	ProgramServicesAmt
Management And General	$1,721,781	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$127	TotalAmt
Program Services	$114	ProgramServicesAmt
Management And General	$13	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$98,061	TotalAmt
Program Services	$88,255	ProgramServicesAmt
Management And General	$9,806	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$63,938	TotalAmt
Program Services	$57,544	ProgramServicesAmt
Management And General	$6,394	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$928,608	TotalAmt
Program Services	$835,747	ProgramServicesAmt
Management And General	$92,861	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$41,377	TotalAmt
Program Services	$37,239	ProgramServicesAmt
Management And General	$4,138	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$39,833	TotalAmt
Program Services	$35,850	ProgramServicesAmt
Management And General	$3,983	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$51,123	TotalAmt
Program Services	$51,123	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$93,194	TotalAmt
Program Services	$83,875	ProgramServicesAmt
Management And General	$9,319	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$327,241	TotalAmt
Program Services	$294,517	ProgramServicesAmt
Management And General	$32,724	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
PHARMACY SUPPLIES	$463,005	$463,005
BAD DEBT	$452,040	$452,040
MEDICAL SUPPLIES	$267,470	$267,470
PHYSICIAN RECRUITMENT	$122,059	$122,059

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$122,217	TotalAmt
Program Services	$109,996	ProgramServicesAmt
Management And General	$12,221	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$16,903,574	TotalAmt
Program Services	$13,925,533	ProgramServicesAmt
Management And General	$2,978,041	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,120	BOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$243,640	BOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,147,827	BOYAmt

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$298,850	BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$387,568	BOYAmt

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	$1,369,700	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	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,692,344	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,146,049	BOYAmt
EOY	$0	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$963,390	BOYAmt

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	$149,245,924	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$150,209,314	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	-$142,063,265	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$142,063,265	BOYAmt
EOY	$0	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$8,146,049	BOYAmt
EOY	$0	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$7,890,051	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$149,953,316	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)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$376,500	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$430,257	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$299,914	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$202,292	CurrentTaxYearMinus1YearAmt
Current Tax Year	$61,451	CurrentTaxYearAmt
Total	$1,370,414	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$27,100,834	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$25,680,398	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$27,041,239	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$26,674,823	CurrentTaxYearMinus1YearAmt
Current Tax Year	$8,948,564	CurrentTaxYearAmt
Total	$115,445,858	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$27,477,334	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$26,110,655	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$27,341,153	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$26,877,115	CurrentTaxYearMinus1YearAmt
Current Tax Year	$9,010,015	CurrentTaxYearAmt
Total	$116,816,272	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$116,816,272	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$193	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$28	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$32	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$33	CurrentTaxYearMinus1YearAmt
Current Tax Year	$10	CurrentTaxYearAmt
Total	$296	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$193	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$28	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$32	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$33	CurrentTaxYearMinus1YearAmt
Current Tax Year	$10	CurrentTaxYearAmt
Total	$296	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$130,140	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$103,902	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$86,196	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,159,550	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,498	CurrentTaxYearAmt
Total	$1,483,286	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$27,607,667	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$26,214,585	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$27,427,381	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$28,036,698	CurrentTaxYearMinus1YearAmt
Current Tax Year	$9,013,523	CurrentTaxYearAmt
Total	$118,299,854	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.9875	PublicSupportCY509Pct
Public Support PY509	0.9876	PublicSupportPY509Pct
Investment Income CY	0.0000	InvestmentIncomeCYPct
Investment Income PY	0.0000	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule A, Part III, Line 12 Other Income	FormAndLineReferenceDesc
Explanation	DESCRIPTION - ALL OTHER REVENUE, COLUMN A - 58331.0, COLUMN B - 1356.0, COLUMN C - 52.0, COLUMN D - 1143005.0, COLUMN E - , COLUMN F - 1202744.0; DESCRIPTION - SKIN CARE PRODUCTS, COLUMN A - 71809.0, COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 71809.0; DESCRIPTION - RETAIL SALES, COLUMN A - , COLUMN B - 57478.0, COLUMN C - 71125.0, COLUMN D - 16545.0, COLUMN E - 3498.0, COLUMN F - 148646.0; DESCRIPTION - NURSING SERVICES, COLUMN A - , COLUMN B - 32320.0, COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 32320.0; DESCRIPTION - MEDICAL RECORDS, COLUMN A - , COLUMN B - 12748.0, COLUMN C - 15019.0, COLUMN D - , COLUMN E - , COLUMN F - 27767.0;	ExplanationTxt

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 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 Chairman, CEO - BSKY	$0	$122,819	$0	$26,779	$0	$361,923	$0	$15,941	$0	$28,413	$0	$555,875	$0	$51,344
Thomas Morris PHD
Former President, Chief Sponsorship/Theology Officer	$0	$392,133	$0	$56,002	$0	$353,963	$0	$16,800	$0	$22,248	$0	$841,146	$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
Samuel Ross MD
Board Member; BSMH Chief Community Health Officer	$0	$635,157	$0	$99,316	$0	$270,192	$0	$16,800	$0	$21,315	$0	$1,042,780	$0	$0
John Darnell MD
Board Member, CMO	$0	$284,459	$0	$7,232	$0	$3,658	$0	$11,012	$0	$11,714	$0	$318,075	$0	$0
Melinda Elkins-Smith MD
Board Member, Medical Director	$0	$147,383	$0	$166,063	$0	$4,120	$0	$6,479	$0	$8,716	$0	$332,761	$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
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
Treasurer, VP Physician Services	$0	$174,409	$0	$33,255	$0	$238	$0	$4,391	$0	$27,185	$0	$239,478	$0	$0
Charles RHODES MD
Cardiologist	$0	$526,660	$0	$170,277	$0	$10,716	$0	$12,600	$0	$21,315	$0	$741,568	$0	$0
Diane Settles MD
Internist	$514,425	$0	$123,881	$0	$570	$0	$9,612	$0	$30,618	$0	$679,106	$0	$0	$0
George Linsenmeyer MD
Cardiologist	$514,450	$0	$4,500	$0	$7,239	$0	$12,600	$0	$23,915	$0	$562,704	$0	$0	$0
Thomas LOVE MD
Orthopedic Surgeon	$365,840	$0	$0	$0	$98,615	$0	$12,600	$0	$30,768	$0	$507,823	$0	$0	$0
John Brandenburg MD
Gastroenterologist	$419,671	$0	$127,917	$0	$20,684	$0	$12,600	$0	$30,378	$0	$611,250	$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: Laura Buczkowski, $0; Thomas Morris, $84,003; Samuel Ross, MD, $132,421.
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 Buchheit $206,123; Kevin Halter, FACHE, $258,650.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	The filing organization participates in a BSMH sponsored executive retirement program that allows for deposits into additional retirement plans and is available only to officers and key employees. The 457F plan is a non-qualified plan and is subject to a minimum three-year service requirement before vesting on deposits made into this plan. Individuals that received a distribution or participated in the plan include: Kevin Halter, FACHE, $65,005; Christine Lay, $41,244; 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 N IRS990ScheduleN

Liquidation Of Assets Table LiquidationOfAssetsTableGrp

Liquidation Of Assets Detail LiquidationOfAssetsDetail

Field	Value	IRS element (for citing)
Assets Distri Or Expnss Paid	BELLEFONTE PHYSICIANS SERVICES 2019 NET ASSETS	AssetsDistriOrExpnssPaidDesc
Distribution	2019-12-31	DistributionDt
Fair Market Value Of Asset	-$149,855,607	FairMarketValueOfAssetAmt
Method Of FMV Determination	GAAP	MethodOfFMVDeterminationTxt
EIN	463521617	EIN
Person	BSMH MEDICAL GROUP LLC	PersonNm

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)
IRC Section	501(C)(3)	IRCSectionTxt

Field	Value	IRS element (for citing)
Director Of Successor	false	DirectorOfSuccessorInd
Employee Of Successor	false	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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 4 Significant changes to organizational documents	Bellefonte Physician Services, Inc. adopted a Plan of Conversion as filed and approved by the state on December 19, 2019 to convert to a Kentucky Limited Liability Company to be effective January 1, 2020. The name of the converted entity will be Bellefonte Physician Services LLC and its sole member as of January 1, 2020 is Bon Secours Mercy Health Medical Group LLC.
Form 990, Part VI, Line 6 Classes of members or stockholders	Bon Secours Mercy Health, Inc is the sole member of Bon Secours Kentucky Health System, which in turn is the sole member of Bellefonte Physician Services, Inc.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	The governing body of Bellefonte Physician Services, Inc. is appointed by its Member, Bon Secours Kentucky Health System, Inc. and subject to approval by Bon Secours Mercy Health, Inc.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	Certain authorities of Bellefonte Physician Services, Inc. are reserved to its member or to Bon Secours Mercy Health, Inc.
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 MANAGEMENT.
Form 990, Part VI, Line 12c Conflict of interest policy	BSMH MAINTAINS A WRITTEN AND BOARD APPROVED CONFLICT OF INTEREST POLICY. THE POLICY REQUIRES BOARD MEMBERS, OFFICERS, DIRECTORS AND KEY EMPLOYEES TO ANNUALLY DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE AUDIT AND COMPLIANCE COMMITTEE (ACC) OF THE BSMH BOARD HAS THE ULTIMATE RESPONSIBILITY FOR CONFLICT OF INTEREST, INCLUDING THE POLICY IMPLEMENTATION, COMPLIANCE MONITORING, AND ENFORCEMENT. THROUGH THE ACC, THE POLICY ESTABLISHES THE ANNUAL AND ONGOING REQUIREMENT TO MAKE DISCLOSURES. BSMH COMPLIANCE DEPARTMENT REVIEWS ALL CONFLICT OF INTEREST DISCLOSURES TO DETERMINE IF A DISCLOSED MATTER CONSTITUTES A POTENTIAL CONFLICT OF INTEREST REQUIRING MANAGEMENT INTERVENTION. THE REVIEW CONSTITUTES AN INDEPENDENT EVALUATION OF ALL AVAILABLE FACTS AND CIRCUMSTANCES BY A DISINTERESTED PARTY. POTENTIAL CONFLICTS ARE SHARED WITH THE DISCLOSING INDIVIDUAL'S BOARD CHAIR OR SUPERVISOR ("LEADER"), AND IN COLLABORATION WITH THE BSMH COMPLIANCE DEPARTMENT, THE LEADER WILL CONCLUDE IF AN ACTUAL CONFLICT EXISTS AND, IF SO, DETERMINE HOW IT WILL BE MANAGED. DEPENDING ON THE FACTS AND CIRCUMSTANCES, RESOLUTIONS MAY INCLUDE, BUT ARE NOT LIMITED TO, ONGOING DISCLOSURE, RECUSAL FROM BOARD OR COMMITTEE DELIBERATIONS AND DECISION, OR REMOVAL OF THE CONFLICT. UPON THE COMPLETION OF THE ANNUAL REVIEW PROCESS AND REVIEW WITH THE INDIVIDUAL'S LEADER, THE BSMH COMPLIANCE DEPARTMENT SUBMITS TO THE ACC A REPORT OF ALL CONFLICTS AND HOW THEY WILL BE MANAGED. THE ACC WILL REVIEW SUCH RECOMMENDATIONS AND EITHER APPROVE OR REQUEST CHANGES UNTIL APPROVAL MAY BE GRANTED.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	The compensation committee of the board of Bon Secours Mercy Health, Inc. (BSMH) engages in a comprehensive process for the oversight and management of remuneration for executive employees and disqualified parties of 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 Disclosures	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 IX, Line 11g Other Fees	Physician Fee - Total Expense: 555081, Program Service Expense: 555081, Management and General Expenses: , Fundraising Expenses: ; Purchased Services-Intercompany - Total Expense: 6829, Program Service Expense: 6146, Management and General Expenses: 683, Fundraising Expenses: ; Billing - Total Expense: 394990, Program Service Expense: 355491, Management and General Expenses: 39499, Fundraising Expenses: ; Maintenance and Service Agreements - Total Expense: 194423, Program Service Expense: 174981, Management and General Expenses: 19442, Fundraising Expenses: ; Consulting - Total Expense: 16534, Program Service Expense: 14881, Management and General Expenses: 1653, Fundraising Expenses: ; Other Purchased Services - Total Expense: 174355, Program Service Expense: 156920, Management and General Expenses: 17435, Fundraising Expenses: ; BSMH Management Fees - Total Expense: 1643069, Program Service Expense: , Management and General Expenses: 1643069, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Transfer of Assets from BSMHMG - XXX-XX-XXXX; Transfer from Affiliates - 97709;

Schedule R IRS990ScheduleR

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
BON SECOURS MERCY HEALTH FOUNDATION
1701 Mercy Health Place	CINCINNATI	OH	45237	201072726	FUNDRAISING	OH	501(c)(3)	7	MERCY HEALTH	false
MERCY HEALTH RETIREMENT TRUST
1701 Mercy Health Place	CINCINNATI	OH	45237	316046304	RETIREMENT TRUST	OH	501(c)(3)	7	MERCY HEALTH	false
COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS
3700 KOLBE ROAD	LORAIN	OH	44053	341268828	MEDICAL OFFICE RENTAL	OH	501(c)(3)	10	MERCY HEALTH - REGIONAL MEDICAL CENTER LLC	false
ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING
200 WEST LORAIN ST	OBERLIN	OH	44074	364504991	MEDICAL OFFICE RENTAL	OH	501(c)(3)	10	MERCY HEALTH - ALLEN HOSPITAL LLC	false
MERCY FRANCISCAN SENIOR HEALTH AND HOUSING SERVICES INC
7010 ROWAN HILLS DR	CINCINNATI	OH	45227	311308729	RETIREMENT HOME	OH	501(c)(3)	10	MERCY HEALTH CINCINNATI LLC	false
MERCY FRANCISCAN SOCIAL MINISTRIES INC
1800 LOGAN STREET	CINCINNATI	OH	45210	311222942	LOW INCOME HOUSING	OH	501(c)(3)	7	MERCY HEALTH CINCINNATI LLC	false
COMMUNITY MERCY HEALTH SYSTEM
100 Medical Center Drive	SPRINGFIELD	OH	45504	300272454	MARKET PARENT	OH	501(c)(3)	Type III-FI	MERCY HEALTH	false
COMMUNITY MERCY HEALTH PARTNERS
100 Medical Center Drive	SPRINGFIELD	OH	45504	310785684	HOSPITAL	OH	501(c)(3)	3	COMMUNITY MERCY HEALTH SYSTEM	false
C H HEALTH SERVICES COMPANY
100 Medical Center Drive	SPRINGFIELD	OH	45504	311181984	HOSPITAL	OH	501(c)(3)	3	COMMUNITY MERCY HEALTH SYSTEM	false
THE WALLACE S MURRAY AND FRANCES RABBITTS MURRAY MEMORIAL TRUST
100 Medical Center Drive	SPRINGFIELD	OH	45504	346827136	INDIGENT MEDICAL CARE	OH	501(c)(3)	Type I	NA	false
MERCY PROPERTY HOLDINGS
2200 JEFFERSON AVENUE	TOLEDO	OH	43604	300699825	TITLE HOLDING COMPANY	OH	501(c)(2)		MERCY HEALTH NORTH LLC	false
MERCY COLLEGE OF OHIO
2221 MADISON AVENUE	TOLEDO	OH	43604	341726619	MEDICAL COLLEGE	OH	501(c)(3)	2	MERCY HEALTH NORTH LLC	false
SIMON OUTREACH SERVICES
2600 NAVARRE AVENUE	OREGON	OH	43616	341383325	MEDICAL OFFICE RENTAL	OH	501(c)(3)	10	MERCY HEALTH - ST CHARLES HOSPITAL LLC	false
NEW VISION MEDICAL LABORATORIES INC
750 W HIGH ST STE 400	LIMA	OH	45801	341937267	MEDICAL LAB SERVICES	OH	501(c)(3)	3	ST RITA'S MEDICAL CENTER LLC	false
THE ASSUMPTION VILLAGE
9800 N MARKET STREET	NORTH LIMA	OH	44452	341013695	NURSING HOME	OH	501(c)(3)	10	MERCY HEALTH YOUNGSTOWN LLC	false
HOSPICE OF THE VALLEY
5190 MARKET STREET	YOUNGSTOWN	OH	44512	341288745	HOSPICE SERVICES	OH	501(c)(3)	10	MERCY HEALTH YOUNGSTOWN LLC	false
HUMILITY HOUSE
755 OHLTOWN ROAD	AUSTINTOWN	OH	44515	341894783	NURSING HOME	OH	501(c)(3)	10	MERCY HEALTH YOUNGSTOWN LLC	false
ST JOSEPH HEALTH CENTER AUXILIARY
677 EASTLAND SE	WARREN	OH	44484	346556121	FUNDRAISING	OH	501(c)(3)	10	MERCY HEALTH YOUNGSTOWN LLC	false
LOURDES HOSPITAL AUXILIARY GIFT SHOP
1530 LONE OAK ROAD	PADUCAH	KY	42003	610927805	FUNDRAISING	KY	501(c)(3)	10	MERCY HEALTH FOUNDATION	false
HEALTHSPAN PARTNERS
1701 Mercy Health Place	CINCINNATI	OH	45237	463055925	MARKET PARENT	OH	501(c)(3)	Type II	MERCY HEALTH	false
HEALTHSPAN INTEGRATED CARE
1701 Mercy Health Place	CIncinnati	OH	45237	340922268	HMO	OH	501(c)(3)	10	HEALTHSPAN PARTNERS	false
Bon Secours Mercy Health Inc
1701 Mercy Health Place	CINCINNATI	OH	45237	521301088	HEALTHCARE SYSTEM PARENT	MD	501(c)(3)		NA	false
Bon Secours New York Health System Inc
2975 Independence Avenue	Bronx	NY	10463	912135196	Local System Parent Org.	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 (37 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
Good Help Connections LLC
472345223	IT Consulting		NA	C Corporation	false	8990 Old Annapolis Road	Columbia	MD	21045	MD
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	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	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	Yes (true)	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	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd