2020-11-13T10:03:37-06:00 2019-12-31 134008324 PricewaterhouseCoopers LLP 600 13th Street NW Ste 1000 Washington DC 20005 990 2019-09-01 540506463 Maryview Hospital MARY 7573982200 7007 Harbour View Blvd 108 Suffolk VA 23435 ROBERT STIEKES CFO - HAMPTON ROADS Market 2020-11-13 true TRAVIS L PATTON P00369623 2124141000 2019 2021-01-29 14:40:06Z X Bon Secours Maryview Medical Center BR ARTHUR CALIMAN 7007 Harbour View Blvd 108 Suffolk VA 23435 126400130 false 0928 X WWW.BONSECOURS.COM X 1944 VA ACUTE CARE HOSPITAL X 14 13 3229 124 285641 0 532676 57009 360429865 122951025 7778603 1756117 3458612 1628458 372199756 126392609 39826 74875 0 154501457 47610802 0 0 230088931 75799267 384630214 123484944 -12430458 2907665 322409728 0 219865152 0 102544576 0 THE MISSION IS TO BRING COMPASSION TO HEALTH CARE AND TO BE GOOD HELP TO THOSE IN NEED, ESPECIALLY THOSE WHO ARE POOR AND DYING. AS A SYSTEM OF CAREGIVERS, WE COMMIT OURSELVES TO HELP BRING PEOPLE AND COMMUNITIES TO HEALTH AND WHOLENESS. false false 97530261 74875 123697269 Maryview Hospital provides medical care to patients without regard to their ability to pay. Among the major services provided to the residents of Hampton Roads, three major areas of focus are orthopedics, cardiology and general surgery. Maryview provides support for community services. Please see Schedule H for additional information regarding programs, community benefit programs and Charity Care. Bon Secours Province Place of Maryview and DePaul provide assisted living facilities in the Portsmouth and Norfolk communities. In addition to assisted living, the facilities offer Memory Care and Respite Care. 97530261 true true false true false false false false false false false false false false true false true false false false false false false false false true true true false true false false false false false false false false false false true false true true false false false true 142 0 true 3229 true true true false false false false false false false false false false false X 14 13 false true true false true true true true true false false false true true true true true false true true false VA X TRAVIS CRUM 5139525000 1701 MERCY HEALTH PLACE CINCINNATI OH 45237 Amy Carrier Secretary, Market President - BSHR 2.0 48.0 X X 0 622910 117849 Br Arthur Caliman CFX President - BSHR/DMC/MMC/MNCC 3.0 49.0 X X 0 0 0 Sr David Ann Niski President - MIH/SFNC 2.0 48.0 X X 0 0 0 William Pile Chairman 3.0 0.0 X X 0 0 0 Bruce Britton MD Board Member 2.0 0.0 X 0 0 0 Charlette Fairchild PhD Board Member 2.0 0.0 X 0 0 0 Cynthia Romero MD Board Member 2.0 0.0 X 0 0 0 Douglas Ziegenfuss PhD Board Member 2.0 0.0 X 0 0 0 James Bento Board Member 2.0 0.0 X 0 0 0 Jeffrey Morrison DO Board Member 2.0 0.0 X 0 0 0 Rodrigo Romulo MD Board Member 2.0 0.0 X 0 0 0 Shelley Mishoe Board Member 2.0 0.0 X 0 0 0 Stephanie Short CCIM Board Member 2.0 0.0 X 0 0 0 Vincent Joseph DC Board Member 2.0 0.0 X 0 0 0 Dan Macksood Interim Market CFO - BSHR 2.0 48.0 X 0 0 0 Paul Gaden CEO - DMC/MVH 24.5 25.5 X 0 373072 35594 Stephan Quiriconi CFO - Richmond Market 2.0 48.0 X 0 457872 56100 Anhtai Nguyen MD Chief Medical Officer 15.0 35.0 X 432537 0 44048 Helena Walo Chief Nursing Officer 50.0 0.0 X 144027 0 24609 Vickie Humphries VP of Human Resources - BSHR 10.0 40.0 X 221108 0 28558 APURVA M Patel MD Cardiologist 50.0 0 X 781345 0 14000 Ernesto Luciano-Perez MD Orthopedic Surgeon 50.0 0.0 X 791903 0 44746 JAYARAMAN VENKATESAN MD Cardiologist 50.0 0.0 X 840286 0 44822 Mark Kerner MD Orthopedic Surgeon 49.5 0.5 X 1031329 0 44822 Ryan Seutter MD Cardiologist 50.0 0.0 X 885620 0 47422 Daniel Duggan Former Interim CEO - Maryview Hospital 0.0 50.0 X 0 647873 11366 James McNamara Former VP of Ortho 0.0 0.0 X 208176 0 1506 Mark Nantz Former Secretary/Interim CEO-BSHR 0.0 50.0 X 0 1827744 38142 Michael Brozic Former Interim Market CFO - BSHR 0.0 50.0 X 0 329153 60992 Michael Kerner Former Secretary/CEO-BSHR 0.0 0.0 X 0 425556 14772 Terri Spence Former Key, VP & Regional CIO 10.0 40.0 X 256473 0 15244 Toni Ardabell Former CEO - VA and President - BSHR 0.0 50.0 X 0 593293 16800 5592804 5277473 661392 243 true true false TRIMEDX INC 5451 LAKEVIEW PKWY S DR INDIANAPOLIS IN 46268 CLINICAL ASSET MANAGEMENT 5351811 US BANK CORPORATE TRUST (SHIFTWISE) 800 NICOLLET MALL MINNEAPOLIS MN 55402 CONTRACT NURSING 3354085 WEATHERBY LOCUMS INC 15300 WESTON PKWY STE 105 CARY NC 27513 PHYSICIAN SERVICES 3100061 MORRISON MGMT SPECIALISTS 400 NORTHRIDGE RD 600 ATLANTA GA 30350 DIETARY SERVICES 2883380 EASTERN VA MED SCHOOL 825 FAIRFAX AVE NORFOLK VA 23507 MEDICAL SERVICES 2235210 122 57009 57009 PATIENT SERVICE REVENUE 561000 119937951 119652310 285641 ASSISTED LIVING 623000 1686847 1686847 JOINT VENTURE INCOME 623990 1247213 1247213 Outpatient Pharmacy 900099 79014 79014 0 0 0 0 122951025 632869 632869 54037 7521 46516 0 46516 46516 1163513 -40265 1163513 -40265 1123248 1123248 PURCHASE DISCOUNTS 900099 306375 306375 CARE COORDINATION 900099 385613 385613 QUALIFIED INCENTIVE PAYMENTS 900099 646272 646272 243682 0 0 243682 1581942 126392609 123697269 285641 2352690 X 74875 74875 894887 805398 89489 41828296 37645466 4182830 -2438591 -2194732 -243859 4415089 3973580 441509 2911121 2620009 291112 6925 6925 10255 9230 1025 35979297 15825167 20154130 0 3120 2808 312 -1406357 -1265721 -140636 98399 88559 9840 5790084 5211076 579008 332858 299572 33286 32999 29699 3300 3186848 2868163 318685 607691 546922 60769 MEDICAL SUPPLIES 19503581 19503581 BAD DEBT 5788824 5788824 INDIGENT ASSESSMENT 3410334 3410334 MEDICAL EQUIPMENT RENTAL 784831 784831 0 1669578 1502620 166958 0 123484944 97530261 25954683 0 8661 0 1545194 0 21758 0 35388154 0 0 0 0 0 7305585 0 4143944 0 0 0 70328003 0 128442302 0 5108272 851781 2445314 0 66820760 0 322409728 0 30362775 0 582226 0 0 0 188920151 0 219865152 0 X 102405530 0 139046 0 102544576 0 322409728 0 X 2907665 5036118 -110488359 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 3559 true 6696 false false 10255 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY The filing organization maintains memberships to various professional healthcare associations. Portions of their membership dues are used for lobbying activities. The lobbying portion of such dues is included on line 1f. The filing organization also conducted advocacy relating to education of legislative body regarding hospital and healthcare reform and how it impacts communities. The lobbying expense related to this activity is included on Line 1g. 0 OTHER LIABILITIES 0 0 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 requires that the organization provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under ASC 740. ASC 740 addresses the accounting for uncertainty in income taxes recognized in an entity's financial statements and prescribes a threshold of more-likely-than-not for recognition and derecognition of tax positions taken or expected to be taken in a tax return. The adoption of ASC 740 by Bon Secours Mercy Health, Inc. on September 1, 2007 did not have a material impact on BSMH's consolidated financial statements. As the organization does not conduct a separate audit of its financial statements, below is the related statement from the Bon Secours Mercy Health, Inc. consolidated audited financial statements: The Company and most of its subsidiaries (including certain joint venture entities) are exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. Their related income is exempt from federal income tax under Section 501(A). Some of the subsidiaries are taxable entities, and some of the income of the tax-exempt entities is subject to taxation as unrelated business taxable income. The Company and its subsidiaries file U.S. federal income tax returns, and they also file in various state and foreign jurisdictions. The Company accounts for uncertain tax positions in accordance with ASC Topic 740, Income Taxes. The Company accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The Company has determined that no significant unrecognized tax benefits or liabilities exist as of December 31, 2019. Accounting for uncertainty in income taxes, ASC Topic 740 10 prescribes a comprehensive model for how an organization should measure, recognize, present and disclose in its financial statements uncertain tax positions that an organization has taken or expects to take on a tax return. The Company is subject to routine audits by taxing jurisdictions. An Internal Revenue Service audit of Mercy for 2016 and 2017 tax periods was completed in July 2019. There are no current audits in progress. The Company believes it is no longer subject to income tax examinations for years prior to 2014. As of December 31, 2019, the Company has no uncertain tax positions. The Company's taxable subsidiaries had $205,170 and $169,666 of net operating loss carryforwards as of December 31, 2019 and 2018, respectively, which expire in varying periods through 2037 and are available to offset future taxable income. The Company accounts for income taxes under the asset and liability method. Under this method, deferred tax assets and liabilities are recognized for the estimated future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases. Deferred tax assets and liabilities are measured using enacted tax rates expected to be in effect during the year in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. Interest and penalties related to income taxes are accounted for as income tax expense. The Company's deferred tax assets are fully reserved as of December 31, 2019 and 2018 as the Company considers it more likely than not that these amounts will not be recognized. true true X true X true X true true false false 1156261 1156261 0.0098 24158479 14864161 9294318 0.0790 0 0.0 0 0 25314740 14864161 10450579 0.0888 378961 123 378838 0.0032 823612 823612 0.0070 284466 284466 0.0024 0 0.0 76219 76219 0.0006 0 0 1563258 123 1563135 0.0133 0 0 26877998 14864284 12013714 0.1021 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 29388 29388 0.0002 21457 21457 0.0002 0 0.0 0 0 50845 0 50845 0.0004 true 5778824 0 84855427 84562401 293026 X true true 1 1 MARYVIEW HOSPITAL 3636 HIGH STREET PORTSMOUTH VA 23707 WWW.BONSECOURS.COM H1830 X X X X MARYVIEW HOSPITAL 1 false false true X X X X X X X X X 19 true true true true X https://bonsecours.com/about-us/community-commitment/community-health-needs-assessment X X true 19 true https://bonsecours.com/about-us/community-commitment/community-health-needs-assessment false true X 200.0 400.0 true true X X X true X WWW.FA.BONSECOURS.COM X WWW.FA.BONSECOURS.COM X WWW.FA.BONSECOURS.COM X X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - MARYVIEW HOSPITAL. A collaborative team from Maryview Medical Center, Children's Hospital of The King's Daughters, Sentara Healthcare, Riverside Health System and the Virginia Department of Health - Portsmouth (Collaborative) began meeting in May 2018 to begin the work on the 2020 - 2022 Community Health Needs Assessment. In order to obtain input from the community, an online and hard-copy survey was disseminated in English and Spanish. The survey was distributed widely via Bon Secours networks, as well as meetings, clinics and programs supported by Maryview Hospital, such as the Care-A-Van, a mobile medical unit that provides care to the uninsured population; the Maryview Foundation Health Center (free clinic); Bon Secours Maryview Hospital Senior Health members; and an LGBTQ community resource site. The survey was taken by 271 residents and key stakeholders who indicated Chesapeake, Portsmouth or Suffolk as their primary service area. Individuals were asked to choose the top five health issues and services they thought should be addressed in their community. Overall, survey participants represent a blend of perspectives across age, race and income. Epidemiological data was provided by the Virginia Department of Health - Portsmouth. A total of 11 focus group meetings called Community Dialogues were held in the Hampton Roads region in which 283 individuals participated. The purpose of the meetings was to elicit feedback from community members about publically available health data describing health conditions in the service area and to review the online survey results to further explore the findings. The meetings began with community members participating in a matrix exercise in which they selected the three most important of the top ten health concerns identified in the Survey. Following the matrix exercise, a presentation explaining the CHNA process was shown. For sessions with larger numbers in attendance, participants were then divided into groups to discuss the top concerns identified in the matrix exercise. Smaller sessions were discussed as a single group. Breakout session facilitators lead the discussions with the following questions: Why are these issues? What is causing the issues? What can be done to address the issues? Comments were written down by a staff member or volunteer. Maryview Medical Center's senior leadership team met to review primary and secondary data gathered through the CHNA process (community meetings, community and key stakeholder surveys, and meetings with regional health systems and health departments). The team evaluated each of the top ten health concerns and services that need strengthening identified, the hospitals strategic goals, services currently provided, available hospital resources, and the current CHNA Implementation Plan's progress. 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 - Maryview Hospital. Children's Hospital of The King's Daughters Sentara Healthcare Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Maryview Hospital. Virginia Department of Health - Portsmouth Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - MARYVIEW HOSPITAL. The MMC CHNA was posted on the Bon Secours website (https://bonsecours.com/about-us/community-commitment/community-health-needs-assessment), as well as distributed to community advisory board members. In addition, copies of the CHNA are located in the emergency departments at MMC and Harbour View. Copies are also located in the MMC Administrative Office and the BSHR Corporate Office at Harbour View. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - MARYVIEW HOSPITAL. 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 - MARYVIEW HOSPITAL. Information regarding the Financial Assistance Program (FAP) is available on our websites and brochures are available at time of registration. We have on-site Financial Counselors who assist patients. We also have eligibility vendors who work with the patients and our statements indicate we have an FAP. We also provided local clinics in each market brochures regarding our FAP. 38 IN MOTION AT HARBOR VIEW 5838 HARBOUR VIEW BLVD SUFFOLK VA 23435 PHYSICAL THERAPY IN MOTION PT PORTSMOUTH BLVD 5553 PORTSMOUTH BLVD PORTSMOUTH VA 23701 PHYSICAL THERAPY VIRGINIA ORTHOPAEDIC & SPINE SPECIAL 5838 HARBOUR VIEW BLVD SUFFOLK VA 23435 PHYSICIAN PRACTICE IN MOTION PT SUFFOLK 1417 N MAIN ST SUFFOLK VA 23434 PHYSICAL THERAPY IN MOTION AT CHESAPEAKE SQUARE 2613 TAYLOR RD CHESAPEAKE VA 23321 PHYSICAL THERAPY IN MOTION AT HANBURY CROSSING 235 HANBURY RD CHESAPEAKE VA 23320 PHYSICAL THERAPY IN MOTION PT CHILLED PONDS 1416 STEPHANIE WAY CHESAPEAKE VA 23320 PHYSICAL THERAPY IN MOTION PT HIGH STREET 3300 HIGH STREET PORTSMOUTH VA 23707 PHYSICAL THERAPY IN MOTION PT PORTSMOUTH YMCA 4900A HIGH ST W PORTSMOUTH VA 23703 PHYSICAL THERAPY BON SECOURS NEUROSCIENCE CTR FOR PAIN 3315 HIGH ST PORTSMOUTH VA 23707 PHYSICIAN PRACTICE VIRGINIA ORTHOPAEDIC & SPINE SPECIAL 1040 UNIVERSITY BLVD PORTSMOUTH VA 23703 PHYSICIAN PRACTICE CARDIOVASCULAR SPECIALISTS - HARBOURV 5838 HARBOUR VIEW BLVD SUFFOLK VA 23435 PHYSICIAN PRACTICE CARDIOLOGY ASSOCIATES 3640 HIGH ST PORTSMOUTH VA 23707 PHYSICIAN PRACTICE INTERNISTS OF CHURCHLAND 2185 HARBOUR TOWNE PARKWAY SUFFOLK VA 23435 PHYSICIAN PRACTICE BON SECOURS PULMONARY SPECIALISTS - P 4053 TAYLOR ROAD CHESAPEAKE VA 23321 PHYSICIAN PRACTICE BON SECOURS VEIN & VASCULAR SPECIALISTS 1030 HILLPOINT BLVD NORTH SUFFOLK VA 23434 PHYSICIAN PRACTICE NANSEMOND SUFFOLK FAMILY PRACTICE 2897 BRIDGE ROAD SUFFOLK VA 23435 PHYSICIAN PRACTICE WESTERN BRANCH FAMILY PRACTICE 3253 TAYLOR ROAD CHESAPEAKE VA 23321 PHYSICIAN PRACTICE BON SECOURS SURGICAL SPECIALISTS - HA 5838 HARBOUR VIEW BLVD SUFFOLK VA 23435 PHYSICIAN PRACTICE PHYSICAL THERAPY EAGLE HARBOR OP 13609 CARROLLTON BLVD CARROLLTON VA 23314 PHYSICAL THERAPY CHENAULT-OSTROFF UROLOGICAL ASSOCIATE 4037 TAYLOR ROAD CHESAPEAKE VA 23321 PHYSICIAN PRACTICE HARBOUR VIEW FAMILY PRACTICE 5818-D HARBOUR VIEW BLVD SUFFOLK VA 23435 PHYSICIAN PRACTICE WESTERN BRACH OBGYN 1040 UNIVERSITY BLVD PORTSMOUTH VA 23703 PHYSICIAN PRACTICE INTERNISTS AT WESTERN BRANCH 4020 RAINTREE ROAD CHESAPEAKE VA 23321 PHYSICIAN PRACTICE BON SECOURS INTERNAL MEDICINE OF PORT 4041 TAYLOR ROAD CHESAPEAKE VA 23321 PHYSICIAN PRACTICE BON SECOURS NEUROSCIENCE CENTER 3640 HIGH ST PORTSMOUTH VA 23707 PHYSICIAN PRACTICE BON SECOURS GYNECOLOGIC ONCOLOGY SPEC 12720 MCMANUS BLVD NEWPORT NEWS VA 23602 PHYSICIAN PRACTICE PORTSMOUTH MEDICAL ASSOCIATES 3300 HIGH STREET SUITE 6 PORTSMOUTH VA 23707 PHYSICIAN PRACTICE EAGLE HARBOR MEDICAL ASSOCIATES 13609 CARROLLTON BLVD CARROLLTON VA 23314 PHYSICIAN PRACTICE AIRLINE BOULEVARD MEDICAL ASSOCIATES 155 KINGSLEY LANE NORFOLK VA 23505 PHYSICIAN PRACTICE BON SECOURS CARDIOVASCULAR & THORACIC 3636 HIGH STREET PORTSMOUTH VA 23707 PHYSICIAN PRACTICE BON SECOURS GRASSFIELD MEDICAL ASSOC 648 GRASSFIELD PARKWAY CHESAPEAKE VA 23322 PHYSICIAN PRACTICE BON SECOURS SUFFOLK PRIMARY CARE 148 BURNETTS WAY SUFFOLK VA 23434 PHYSICIAN PRACTICE BON SECOURS ONCOLOGY SPECIALISTS 3537 AIRLINE BOULEVARD SUITE 1 PORTSMOUTH VA 23701 PHYSICIAN PRACTICE BON SECOURS MEDICAL ONCOLOGY 155 KINGSLEY LANE NORFOLK VA 23505 PHYSICIAN PRACTICE CHILLED PONDS SPORTS PERFORMANCE 1416 STEPHANIE WAY CHESAPEAKE VA 23320 PHYSICAL THERAPY TRI-CITIES MEDICAL ASSOCIATES 3520 HIGH ST PORTSMOUTH VA 23707 PHYSICIAN PRACTICE LIVER INSTITUTE MMC 12720 MCMANUS BLVD SUITE 313 NEWPORT NEWS VA 23602 PHYSICIAN PRACTICE Schedule H, Part V, Section B, Line 14 SCH H, PART V, SEC B, LINE 14 Charges for patients who are eligible for financial assistance shall be limited to no more than amounts generally billed ("AGB") for such services. These charges are based on the average allowed amounts from Medicare and commercial payers for emergency and other medically necessary care. The allowed amounts include both the amount the insurer will pay and the amount, if any, the individual is personally responsible for paying. The AGB is calculated using a look back method. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 5778824 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 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 4 Bad debt expense - financial statement footnote BON SECOURS MERCY HEALTH'S AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. BON SECOURS MERCY HEALTH ELECTED TO EARLY ADOPT ASU 2011-07. ACCORDINGLY, BAD DEBT EXPENSE IS REFLECTED AS A DEDUCTION FROM REVENUE RATHER THAN AS AN OPERATING EXPENSE. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, B. SIGNIFICANT ACCOUNTING POLICIES, NET PATIENT ACCOUNTS AND NET PATIENT SERVICE REVENUE (PAGE 10) STATES NET PATIENT ACCOUNTS ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED UPON THE HISTORICAL COLLECTION EXPERIENCE OF EACH REGIONAL AFFILIATE ADJUSTED FOR CURRENT ENVIRONMENTAL RISKS AND TRENDS FOR EACH MAJOR PAYOR SOURCE. SIGNIFICANT PROVISION IS MADE FOR SELF-PAY PATIENT ACCOUNTS IN THE PERIOD OF SERVICE BASED UPON PAST COLLECTION EXPERIENCE. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs Medicare allowable costs reflected in Part III come directly from the facility's Medicare cost report. The cost report segregates the total facility actual expenses into costs for support departments, clinical departments (routine and ancillary) and non reimbursable departments. The cost report uses appropriate statistical bases to "step down" support costs to allowable clinical and non-reimbursable departments. The charges for clinical departments are matched to the total cost for these departments for a cost-to-charge ratio. Medicare-specific allowable costs for in- and outpatient ancillary departments are computed by applying the department-specific cost-to-charge ratio to the Medicare program charges by department. For routine departments, a per diem total cost is computed and applied to Medicare program days for the Medicare routine program cost. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance The hospital has a written policy that describes collection practices applying to patients who qualify for financial assistance. If full assistance is approved, no collection efforts are pursued on that patient's account(s). If partial assistance is approved, the patient is responsible for the adjusted account balance and collection efforts will follow the established practices for all patients where a self-pay balance exists. Collection efforts are not pursued on any pending FAP account. Specific criteria exists for how much financial assistance, partial or total, will be provided to the patient based on the assessed need. Criteria is based on Federal Poverty Guidelines and is reviewed and updated annually. Once a patient has been deemed eligible for the Patient Financial Assistance Program (FAP), the patient is notified by letter within 60 days after receipt of the application and supporting documentation. The patient retains eligibility for a period of eight months from the date of the application. This eligibility is identified by hospital admissions, billing and collection staff by the assignment of a specific financial class with accompanying eligibility dates. At the end of the eight months, the patient is responsible for reapplying for FAP eligibility. Schedule H, Part V, Section B, Line 16a FAP website - MARYVIEW HOSPITAL: Line 16a URL: WWW.FA.BONSECOURS.COM; Schedule H, Part V, Section B, Line 16b FAP Application website - MARYVIEW HOSPITAL: Line 16b URL: WWW.FA.BONSECOURS.COM; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - MARYVIEW HOSPITAL: Line 16c URL: WWW.FA.BONSECOURS.COM; Schedule H, Part VI, Line 2 Needs assessment BON SECOURS HOSPITALS ASSESS AND CONTINUALLY RESPOND TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. BON SECOURS HOSPITALS JOIN AN EXISTING COMMUNITY-BASED NEEDS ASSESSMENT EVERY THREE YEARS AND UPDATES ARE PROVIDED BETWEEN ASSESSMENTS. BON SECOURS HOSPITALS INCORPORATE PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. BON SECOURS HOSPITALS RECOGNIZE THE HEALTH OF THE COMMUNITY IS INFLUENCED BY SOCIAL, ECONOMIC, AND ENVIRONMENTAL FACTORS, NOT JUST BY DISEASE AND ILLNESS. OUR COMMUNITY BENEFIT INCLUDES BOTH QUALITATIVE AND QUANTITATIVE DATA; DEMOGRAPHICS INCLUDING RACE, AGE, AND ETHNICITY; SOCIOECONOMIC DATA INCLUDING INCOME, EDUCATION, AND HEALTH INSURANCE RATES; PRIMARY CARE AND CHRONIC DISEASE NEEDS OF UNINSURED PERSONS; AND DATA ON HEALTH DISPARITIES IN HEALTH OUTCOMES AMONG MINORITY GROUPS. BON SECOURS HAS A DEDICATED STAFF TO ASSIST IN THE COMMUNITY BENEFIT EFFORT. BON SECOURS'S COMMUNITY BENEFITS COMMITTEES MEET TO PROVIDE OVERSIGHT TO THE ORGANIZATION'S COMMUNITY BENEFITS PROGRAM. BON SECOURS HOSPITALS WORK CLOSELY WITH HEALTH AND HUMAN SERVICE ORGANIZATIONS IN THE AREA, PARTNERING WITH SOME TO PROVIDE SERVICES TO AVOID DUPLICATION. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance The Patient Financial Assistance program is communicated to patients verbally upon scheduling, registration, visible postings of the program are in common areas throughout the hospital, along with brochures and the program is detailed on our Bon Secours website. In addition, patient billing statements and letters inform patients regarding our financial assistance program. Bon Secours proactively screens patients to identify individuals and their families who may qualify for federal, state or local health insurance programs or the Bon Secours Patient Financial Assistance Program ("FAP") and assist the potential eligible patients through the qualification process. Potentially eligible patients that do not qualify for a federal or state health insurance program are referred to the Financial Assistance Coordinator located in Patient Financial Services for assistance in completing the documentation required to establish FAP eligibility. Bon Secours is also dedicated to meeting the needs of non-English speaking patients by having on-site Spanish translators, and other language translation services. In addition, Bon Secours employs a telephone language service which assists in meeting any language needs that arise. The translation services are offered to non-English speaking patients from admission to discharge, including the financial assistance process. Based on market need, our financial assistance policy and application are translated into multiple languages and placed on our Bon Secours website for patients to access. Schedule H, Part VI, Line 4 Community information Hampton Roads is a very diverse community within an Metropolitan Service Area (MSA) of over 1.7 million people residing in 16 cities and counties, stretching from northeastern North Carolina to Williamsburg, Virginia. The area is characterized by racial diversity, a significant military population and a growing elderly population. The primary service area population served by Maryview, Portsmouth, VA, encompasses Portsmouth, Chesapeake, and Suffolk, VA. * The Maryview community is predominantly White with a large African American population. Compared with Virginia as a whole, the Maryview community has a lower percentage of White population and a greater percentage of Africans Americans compared to Virginia. The Maryview community age population is comprised of slightly younger adults (age 17 and younger) than the rest of Virginia while having a slightly older population (age 65 and older) than the rest of Virginia. The Weldon Cooper Center for Public Service estimates that the community's older population will steadily increase through 2040 to over 76,000 people, while the population growth rate of <19 and 20-64 year olds will decrease below that of the older population. The Maryview community overall experiences higher levels of unemployment than Virginia, with Portsmouth having the highest unemployment in the community. Suffolk and Portsmouth median incomes are below the state average, with Portsmouth being significantly lower. The median household income for Chesapeake is slightly higher than the state. With Portsmouth having a higher unemployment rate and considerably lower annual median income, there is a direct correlation with Portsmouth having a significantly higher rate of children on free or reduced lunch within the Maryview community and the state. Chesapeake has a marginally higher annual median income over state average resulting in a lower percentage for children eligible for free or reduced lunch compared to the rest of Virginia. The percentage of children eligible for free lunch in Suffolk is higher than Virginia. The leading causes of mortality in the Maryview service area per 100,000 are cancer, heart disease, cerebrovascular disease, diabetes, unintentional injury, septicemia, chronic lower respiratory diseases, nephritis and nephrosis, Alzheimer's disease, chronic liver disease, influenza and pneumonia, and suicide. Schedule H, Part VI, Line 5 Promotion of community health BON SECOURS HOSPITALS OPERATE EMERGENCY ROOMS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. IN ADDITION TO PROVIDING EMERGENCY SERVICES, BON SECOURS HOSPITALS ALSO PROVIDE MINOR EMERGENCY AND URGENT CARE SERVICES TO ALL REGARDLESS OF ABILITY TO PAY. BON SECOURS HOSPITALS OPERATE TRAUMA SERVICES, AIR AMBULANCE SERVICES, DISEASE MANAGEMENT, WOUND CARE, SPECIALTY CLINICS, DEVELOPMENTAL THERAPY, HOSPICE, HOME CARE, CRISIS INTERVENTION, BEHAVIORAL SERVICES AND SUBSTANCE ABUSE SERVICES. BON SECOURS HOSPITALS HAVE OPEN MEDICAL STAFFS WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. THE MAJORITY OF THE GOVERNING BODY CONSISTS OF INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITIES SERVED BY BON SECOURS HOSPITALS. THE BON SECOURS MERCY HEALTH BOARD AND ITS MARKET GOVERNING BOARDS ARE COMPOSED OF MEMBERS OF THE COMMUNITIES SERVED WHO DIRECT AND GUIDE MANAGEMENT IN CARRYING OUT THE MISSION OF BON SECOURS MERCY HEALTH. BOARD MEMBERS ARE SELECTED ON THE BASIS OF THEIR EXPERTISE AND EXPERIENCE IN A VARIETY OF AREAS BENEFICIAL TO BON SECOURS MERCY HEALTH AND ITS AFFILIATED HOSPITALS IN FULFILLING ITS MISSION OF PROVIDING HEALTHCARE SERVICES TO THE POOR AND UNDER SERVED. BON SECOURS HOSPITALS ENGAGE IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS. BON SECOURS HOSPITALS PROVIDE RESIDENCY PROGRAMS AND OTHER TRAINING PROGRAMS. BON SECOURS HOSPITALS PARTICIPATE IN MEDICAID, MEDICARE, CHAMPUS, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. BON SECOURS HOSPITAL'S EMERGENCY DEPARTMENTS TREAT AN INCREASING NUMBER OF PATIENTS WHO USE THE FACILITY FOR PRIMARY CARE NEEDS. PATIENT DEMOGRAPHICS REFLECT THE CHANGING COMMUNITY. AS IN OTHER COMMUNITIES, SOME AREA PHYSICIANS PLACE LIMITS ON THEIR ACCEPTANCE OF MEDICAID PATIENTS. IN ADDITION, SOME PRIMARY CARE PHYSICIANS REFER PATIENTS WITH AFTER-HOURS NEEDS DIRECTLY TO AREA EMERGENCY ROOMS. COMMUNITY GROUPS AND INDIVIDUALS ARE VERY SUPPORTIVE OF BON SECOURS MERCY HEALTH. BON SECOURS MERCY HEALTH FORGES COLLABORATIVE RELATIONSHIPS WITH THE FEDERALLY QUALIFIED HEALTH CENTERS IN ITS COMMUNITIES. Schedule H, Part VI, Line 6 Affiliated health care system Bon Secours Mercy Health, Inc., a Maryland nonprofit, nonstock membership corporation (BSMH), and all of the other entities that are controlled directly or indirectly by BSMH are described collectively as the System. The System was organized in June 1983 to fulfill the healthcare mission of the United States Province of the Congregation of the Sisters of Bon Secours of Paris, a congregation of religious women of the Roman Catholic Church founded in France in 1824. The System's activities are in the states of Ohio, New York, Pennsylvania, Maryland, Virginia, Kentucky, South Carolina, and Florida, each referred to as a local system. The Ministry of BSMH aids those in need, particularly those who are sick and dying, by offering services that include but are not limited to acute inpatient, outpatient, pastoral, palliative, home health, nursing home, rehabilitative, primary and secondary care and assisted living without regard to race, religion, color, gender, age, marital status, national origin, sexual orientation, or disability. As a member of the Catholic health ministry and a member of BSMH, this organization and its related entities are called to continue the healing ministry of Jesus. We exist to benefit the people living in the communities it serves. Through all of the services offered to the community, the mission is "to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a System of caregivers, we commit ourselves to help bring people and communities to health and wholeness as part of the healing ministry of Jesus Christ and the Catholic Church." This organization and related organizations share the BSMH Vision. BSMH's vision to partner with communities to create a more humane world, build social justice for all and provide exceptional value for those served is implemented through its Strategic Quality Plan which provides focus in four goal areas for the current three year period (2019-2021). - Co-Create Healthy Communities: We recognize that the factors which drive health outcomes extend well beyond the scope of traditional health care services. Thus, we commit to improve the health of communities through partnership and collaboration with a broad range of constituencies including committed community residents - Be Person Centric: We recognize that those whom we serve are increasingly engaged in their own care and are seeking convenience, affordability and reliability. Thus, we commit to anticipate and respond to the changing expectations of health care consumers, and to ensure that we engage each person in an individualized plan for health with a focus on prevention and wellness. - Serve Those Who Are Vulnerable: We recognize, by our Catholic identity, that the struggle for a more humane world is not an option, but an integral part of spreading the gospel. Thus, we commit to serve those who are vulnerable in many ways, addressing health disparities, sustaining global ministries, healing the environment and working to end violence and oppression. - Strengthen Our Culture and Capabilities: We recognize that the health care delivery system is undergoing rapid change with increasing complexity. Thus, we commit to liberate the potential of our people by strengthening individual and collective capabilities with respect to ministry leadership, knowledge, analytics, innovation and finances. Please see Schedule R for listings of the related organizations. Each of the reported entities play a role in achieving the vision of BSMH and the SQP (Strategic Quality Plan). System-wide community benefit for 2019 per the audit footnote is as follows: Total 2019 Community Benefit: $724.6 Million Benefits to the Broader Community: $128.4 million Unreimbursed Care for Those Who Are Poor and Qualify for Medicaid: $497.9 million Cost of Care for Those Who Could Not Afford to Pay: $98.3 million Community Benefit as Percent of Total Expense: 8.6 percent. true Bon Secours Maryview Foundation 7007 Harbour View Blvd Suite 108 Suffolk VA 23435 521694731 501(C)(3) 74875 Mission Support 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. The organization complies with Bon Secours Mercy Health, Inc.'s system-wide financial and accounting policies. Contributions are generally made as reimbursements for funds spent. In such cases, the donee/grantee organization must provide documentation to the filing organization before funds are approved for disbursement. true true false false false false false true false Toni Ardabell Former CEO - VA and President - BSHR 0 381375 0 78970 0 132948 0 16800 0 0 0 610093 0 0 Michael Kerner Former Secretary/CEO-BSHR 0 -5534 0 0 0 431090 0 0 0 14772 0 440328 0 0 Amy Carrier Secretary, Market President - BSHR 0 505120 0 44333 0 73457 0 96600 0 21249 0 740759 0 0 Mark Nantz Former Secretary/Interim CEO-BSHR 0 526687 0 145001 0 1156056 0 16800 0 21342 0 1865886 0 282375 Michael Brozic Former Interim Market CFO - BSHR 0 228589 0 100339 0 225 0 30963 0 30029 0 390145 0 0 Daniel Duggan Former Interim CEO - Maryview Hospital 0 -4682 0 32564 0 619991 0 0 0 11366 0 659239 0 0 Stephan Quiriconi CFO - Richmond Market 0 381710 0 37460 0 38702 0 34785 0 21315 0 513972 0 0 Paul Gaden CEO - DMC/MVH 0 286720 0 18578 0 67774 0 12421 0 23173 0 408666 0 0 James McNamara Former VP of Ortho -394 0 1658 0 206912 0 66 0 1440 0 209682 0 0 0 Terri Spence Former Key, VP & Regional CIO 14285 0 15995 0 226193 0 4398 0 10846 0 271717 0 0 0 Vickie Humphries VP of Human Resources - BSHR 191159 0 19602 0 10347 0 18255 0 10303 0 249666 0 0 0 Anhtai Nguyen MD Chief Medical Officer 401235 0 30300 0 1002 0 13178 0 30870 0 476585 0 0 0 Helena Walo Chief Nursing Officer 138931 0 4278 0 818 0 7453 0 17156 0 168636 0 0 0 Ryan Seutter MD Cardiologist 599390 0 281790 0 4440 0 14000 0 33422 0 933042 0 0 0 Ernesto Luciano-Perez MD Orthopedic Surgeon 300330 0 490179 0 1394 0 15833 0 28913 0 836649 0 0 0 JAYARAMAN VENKATESAN MD Cardiologist 572787 0 266691 0 808 0 14000 0 30822 0 885108 0 0 0 APURVA M Patel MD Cardiologist 519953 0 238782 0 22610 0 14000 0 0 0 795345 0 0 0 Mark Kerner MD Orthopedic Surgeon 489670 0 529171 0 12488 0 14000 0 30822 0 1076151 0 0 0 Schedule J, Part I, Line 4b Terms and conditions of the Bon Secours Mercy Health System SERP The Bon Secours Mercy Health System SERP is a non-qualified deferred compensation plan which provides supplemental retirement benefits to persons selected by the Board of Trustees or its delegate. The plan provides for annual credits of a specified percentage of an eligible participants base salary paid in a plan year and interest credits. Plan participants vest in plan credits after completing a three year class vesting schedule or earlier for death or total disability or reaching age 60 while employed, or due to involuntary separation of employment other than for cause. Payments during employment are made for required tax withholding and reduce the participants account balance. Distribution of the vested account balance in a lump sum occurs after termination of employment. Amounts includible as taxable compensation for listed individuals due to SERP participation in the reporting year were as follows: Amy Carrier, $0; Michael Brozic, $0; Stephan Quiriconi, $0; Vickie Humphries, $0. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation Bon Secours Mercy Health, Inc., a related organization of the filing organization, uses the following to establish the compensation of the organization's CEO/Executive Director: Compensation Committee Independent Compensation Consultant Written Employment Contract Compensation Survey or Study Approval by the Board or Compensation Committee Schedule J, Part I, Line 4a Severance or change-of-control payment Severance benefits consisting of continuation of base salary and insurance benefits were provided to listed individuals for specified periods. Salary continuation amounts provided during the reporting year to listed individuals were as follows: Mark Nantz, $246,157; Michael Kerner, $419,639; James McNamara, $204,751; Terri Spence, $221,357; Daniel Duggan, $390,770. 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: Mark Nantz, $397,539; Stephan Quiriconi, $0; Amy Carrier, $0. Schedule J, Part I, Line 7 Non-fixed payments The organization provides annual incentive compensation for listed individuals. The organization's Board of Trustees establishes objective thresholds which must be achieved for incentives to be awarded. The Board also establishes threshold, target and maximum levels for incentive awards. Within the established parameters, the Board determines the CEO's incentive award and incentive awards for other listed individuals are determined by the listed individual's supervisor and disclosed to the Board. The Board may authorize modified incentive awards when appropriate in its judgment. MARYVIEW HOSPITAL 2019 NET ASSETS 2019-12-31 115642755 GAAP 521538513 BS HAMPTON ROADS HEALTH SYSTEM 7007 HABOUR VIEW BLVD STE 108 SUFFOLK VA 23435 501(C)(3) true true false false true true true true false Schedule N, Part I, Line 2a Interested person is a director or trustee of successor org. ALL BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES OF MARYVIEW HOSPITAL REMAINED AS REPORTED AFTER CONVERTING TO AN LLC. Schedule N, Part I, Line 2b Interested person is an employee or ind. contractor of successor org. ALL BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES OF MARYVIEW HOSPITAL REMAINED AS REPORTED AFTER CONVERTING TO AN LLC. Form 990, Part VI, Line 3 Delegation of management duties The role of Interim CFO of the Hampton Roads market was delegated to Summit Talent Group, a management company. Summit Talent Group employed Dan Macksood to perform these management services. For the 2019 tax year, the organization paid Summit Talent Group $342,917 for these management services. Form 990, Part VI, Line 4 Significant changes to organizational documents Maryview Hospital adopted a Plan of Conversion as filed and approved by the state on December 18, 2019 to convert to a Virginia Limited Liability Company to be effective January 1, 2020. The name of the converted entity will be Maryview Hospital LLC and its sole member as of January 1, 2020 is Bon Secours Richmond Hampton Roads Health System. Form 990, Part VI, Line 6 Classes of members or stockholders Bon Secours Mercy Health, Inc. is the sole member of Bon Secours Hampton Roads Health System, Inc., which in turn is the sole member of Maryview Hospital. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body The governing body of Maryview Hospital is appointed by its Member, Bon Secours Hampton Roads Health System, Inc, and subject to the approval by Bon Secours Mercy Health, Inc. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Certain matters require approval of the BSMH corporate member, BSMH governing body, or BSMH CEO. The regulations of the organization describe the level of approval required for various decisions. Form 990, Part VI, Line 11b Review of form 990 by governing body The Form 990 is prepared by BSMH's tax department and reviewed by an independent accounting firm. A copy of the Form 990 is then reviewed by management. Form 990, Part VI, Line 12c Conflict of interest policy BON SECOURS MERCY HEALTH, INC. (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 DISINTERESTEDPARTY. POTENTIAL CONFLICTS ARE SHARED WITH THE DISCLOSING INDIVIDUAL'S BOARD CHAIR OR SUPERVISOR ("LEADER"), AND IN COLLABORATION WITH THE BSMH COMPLIANCE DEPARTMENT, THE LEADER WILL CONCLUDE IF AN ACTUAL CONFLICT EXISTS AND, IF SO, DETERMINE HOW IT WILL BE MANAGED. DEPENDING ON THE FACTS AND CIRCUMSTANCES, RESOLUTIONS MAY INCLUDE, BUT ARE NOT LIMITED TO, ONGOING DISCLOSURE, RECUSAL FROM BOARD OR COMMITTEE DELIBERATIONS AND DECISION, OR REMOVAL OF THE CONFLICT. UPON THE COMPLETION OF THE ANNUAL REVIEW PROCESS AND REVIEW WITH THE INDIVIDUAL'S LEADER, THE BSMH COMPLIANCE DEPARTMENT SUBMITS TO THE ACC A REPORT OF ALL CONFLICTS AND HOW THEY WILL BE MANAGED. THE ACC WILL REVIEW SUCH RECOMMENDATIONS AND EITHER APPROVE OR REQUEST CHANGES UNTIL APPROVAL MAY BE GRANTED. Form 990, Part VI, Line 15b Process to establish compensation of other employees The compensation committee of the board of Bon Secours Mercy Health, Inc. (BSMH) engages in a comprehensive process for the oversight and management of remuneration for executive employees and disqualified parties of BSMH. The compensation committee consists of a group of independent board members and engages an independent external compensation consultant to ensure they receive appropriate analysis of market and follow the practices necessary to obtain full compliance with the IRS' rebuttable presumption of reasonableness. The committee establishes and maintains a compensation philosophy; reviews pay practices against local, regional and national healthcare organizations and approves all remunerative decisions for this group of individuals. The committee reviews and receives assurances that all levels of pay within the organization are reasonable based on performance and validates incentives are met. These decisions are documented in the BSMH board of directors' and compensation committee minutes. Compensation Process Other Officers/ Key Employees: For those key employees and highest paid employees that are not reviewed by the BSMH compensation committee, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. In the review, the other officers or key employees of the organization were compared to other hospitals' employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded by human resources. Form 990, Part VI, Line 19 Required documents available to the public The conflict of interest policy and financial statements are posted on the BSMH website. Form 990, Part VII, Section A Additional Disclosure Avg hours devoted to related org(s) when related comp is reported: Board Member positions are generally voluntary in nature. Compensated employees of the filing organization and other related organizations who also hold board positions are compensated only in relation to their employment and do not receive additional compensation for their board responsibilities. The governing bodies of the hospitals of Bon Secours Hampton Roads Health System, including DePaul Medical Center, Maryview Hospital, Mary Immaculate Hospital, Bon Secours Maryview Nursing Care Center, and Mary Immaculate Nursing Center are comprised of the same board members and board officers (Chairman, Secretary and Treasurer), with the exception of President. These governing bodies are referred to as the Hampton Roads Joint Board. Hours reported for these voluntary board positions represent total hours worked per week, which include responsibilities for the applicable entities. Br. Arthur Caliman, CFX and Sr. David Ann Niski do not receive payroll distributions as they have taken a vow of poverty. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue OTHER REVENUE - Total Revenue: 243682, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 243682; Form 990, Part IX, Line 11g Other Fees Medical Professional Fees - Total Expense: 4615823, Program Service Expense: 4615823, Management and General Expenses: , Fundraising Expenses: ; Consulting services - Total Expense: 165506, Program Service Expense: 148955, Management and General Expenses: 16551, Fundraising Expenses: ; Maintenance and Service Agreements - Total Expense: 1174256, Program Service Expense: 1056830, Management and General Expenses: 117426, Fundraising Expenses: ; Inter-company purchased services - Total Expense: 5563410, Program Service Expense: 5007069, Management and General Expenses: 556341, Fundraising Expenses: ; BSMH Management Fee - Total Expense: 18908647, Program Service Expense: , Management and General Expenses: 18908647, Fundraising Expenses: ; Security Services - Total Expense: 294914, Program Service Expense: 265423, Management and General Expenses: 29491, Fundraising Expenses: ; Other purchased services - Total Expense: 1543912, Program Service Expense: 1389521, Management and General Expenses: 154391, Fundraising Expenses: ; Employment Costs - Total Expense: 3712829, Program Service Expense: 3341546, Management and General Expenses: 371283, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances MINIMUM PENSION LIABILITY & YE PENSION ADJUSTMENT - 5115817; TRANSFERS FROM AFFILIATES - 38579; Transfer assets to Hampton Roads Health System - -XXX-XX-XXXX; Province Place of DePaul LLC 7007 Harbourview Blvd Suite 108 Suffolk VA 23435 541950880 Assisted Living Facility VA 1160741 3242812 Maryview Hospital Province Place of Maryview LLC 7007 Harbourview Blvd Suite 108 Suffolk VA 23435 541842697 Assisted Living Facility VA 536655 1985513 Maryview Hospital MERCY HEALTH 1701 Mercy Health Place CINCINNATI OH 45237 311161086 HEALTHCARE SYSTEM PARENT OH 501(c)(3) 3 Bon Secours Mercy Health Inc false 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 S 2000 West Baltimore Street Baltimore MD 21223 800728893 Local System Parent Org. MD 501(c)(3) Type III-FI Bon Secours Mercy Health Inc false Bon Secours St Francis Health System Inc 1 St Francis Drive Greenville SC 29601 582504528 Local System Parent Org. SC 501(c)(3) Type III-FI Bon Secours Mercy Health Inc false Bon Secours Hampton Roads Health System 7007 Harbour View Blvd Portsmouth VA 23435 521538513 Local System Parent Org. VA 501(c)(3) Type III-FI Bon Secours Mercy Health Inc false Bon Secours Richmond Health System 8580 Magellan Parkway Richmond VA 23227 521988421 Local System Parent Org. VA 501(c)(3) Type III-FI Bon Secours Mercy Health Inc false Bon Secours Baltimore Health System Foundation Inc 26 North Fulton Avenue Baltimore MD 21223 383843816 Grant Making Foundation MD 501(c)(3) Type III-FI Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health S false The Bon Secours of Maryland Foundation Inc (dba Bon Secours Community Work 26 North Fulton Avenue Baltimore MD 21223 521732800 Grant Making Foundation MD 501(c)(3) Type III-FI Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health S false Mary Immaculate Foundation 7007 Harbour View Blvd Suffolk VA 23435 311644734 Fundraising VA 501(c)(3) Type III-FI Mary Immaculate Hospital false Bon Secours DePaul Health Foundation 7007 Harbour View Blvd Suffolk VA 23435 541843876 Fundraising VA 501(c)(3) 7 Bon Secours DePaul Medical Center false Bon Secours Maryview Foundation 7007 Harbour View Blvd Suffolk VA 23435 521694731 Fundraising VA 501(c)(3) 7 Bon Secours Hampton Roads Health System false Our Lady of Bellefonte Hospital Inc 1000 St Christopher Dr Ashland KY 41101 611356023 Health Care KY 501(c)(3) 3 Bon Secours Kentucky Health System false Bon Secours Hospital Baltimore Inc 2000 West Baltimore Street Baltimore MD 21223 520591555 Health Care MD 501(c)(3) 3 Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health S false St Francis Hospital Inc One St Francis Drive Greenville SC 29601 582504530 Health Care SC 501(c)(3) 3 Bon Secours St Francis Health System Inc false Mary Immaculate Hospital Inc 7007 Harbour View Blvd Suffolk VA 23435 540548200 Health Care VA 501(c)(3) 3 Bon Secours Mercy Health Inc false Bon Secours - DePaul Medical Center Inc 7007 Harbour View Blvd Suffolk VA 23435 541820093 Health Care VA 501(c)(3) 3 Bon Secours Hampton Roads Health System false Maryview Hospital 7007 Harbour View Blvd Portsmouth VA 23707 540506463 Health Care VA 501(c)(3) 3 Bon Secours Hampton Roads Health System false Bon Secours - Memorial Regional Medical Center Inc 8580 Magellan Parkway Richmond VA 23227 541744931 Health Care VA 501(c)(3) 3 Bon Secours Richmond Health System false Bon Secours - St Mary's Hospital of Richmond Inc 8580 Magellan Parkway Richmond VA 23227 540793767 Health Care VA 501(c)(3) 3 Bon Secours Richmond Health System false Bon Secours - Richmond Community Hospital 8580 Magellan Parkway Richmond VA 23227 540647482 Health Care VA 501(c)(3) 3 Bon Secours Richmond Health System false Bon Secours - St Francis Medical Center Inc 8580 Magellan Parkway Richmond VA 23227 311716973 Health Care VA 501(c)(3) 3 Bon Secours Richmond Health System false Bon Secours Kentucky Health System Foundation Inc St Christopher Dr Ashland KY 41101 611381952 Grant Making Foundation KY 501(c)(3) 7 Bon Secours Kentucky Health System false Bon Secours Baltimore Development Inc 26 North Fulton Avenue Baltimore MD 21223 760785344 Community Housing MD 501(c)(3) 7 Unity Properties Inc false Unity Properties Inc 26 North Fulton Avenue Baltimore MD 21223 521857768 Low Income Housing MD 501(c)(3) 7 Bon Secours of Maryland Foundation false Bon Secours - St Francis Health System Foundation Inc One St Francis Drive Greenville SC 29601 260012031 Grant Making Foundation SC 501(c)(3) 7 St Francis Hospital Inc false Bon Secours Richmond Health Care Foundation 8580 Magellan Parkway Richmond VA 23227 541201346 Grant Making Foundation VA 501(c)(3) 7 Bon Secours Richmond LLC false Bon Secours St Petersburg Home Care Services Inc 10300 Fourth Street North St Petersburg FL 33716 134334363 Home Care Services FL 501(c)(3) 10 Maria Manor Nursing Care Center false Bon Secours - Maria Manor Nursing Care Center Inc 10300 Fourth Street North St Petersburg FL 33716 650061820 Nursing Home FL 501(c)(3) 10 Bon Secours Mercy Health Inc false Bellefonte Physician Services Inc St Christopher Dr Ashland KY 41101 352320780 Physician Practices KY 501(c)(3) 10 Bon Secours Kentucky Health System false Bon Secours Housing Inc 26 North Fulton Avenue Baltimore MD 21223 521442707 Low Income Housing MD 501(c)(3) 10 Bon Secours of Maryland Foundation false Bon Secours Housing II Inc 26 North Fulton Avenue Baltimore MD 21223 521543174 Low Income Housing MD 501(c)(3) 10 Bon Secours of Maryland Foundation false 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 S false 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. EI 501(c)(3) Type III-FI Bon Secours Mercy Health Inc false Bon Secours Health System CLG Hospital EI 501(c)(3) 3 Bon Secours Ireland DAC false Our Money Place Inc 26 North Fulton Avenue Baltimore MD 21223 562306119 Financial services education MD 501(c)(3) 10 Bon Secours of Maryland Foundation false Frances Schervier Home and Hospital 2975 Independence Avenue Bronx NY 10463 131740397 Long term nursing care NY 501(c)(3) 10 Bon Secours NY Health System false NWO Integrated Laboratories Mercy LLC 2200 Jefferson Avenue Toledo OH 43624 341898285 Laboratory services OH NA N/A Tiffin Ambulatory Surgical Associates 45 St Lawrence Drive Tiffin OH 44833 371567866 Ambulatory Surgery Center OH NA N/A New Vision Medical Lab LLC 750 W High Street Lima OH 45801 341913433 Lab Services OH NA N/A West Central Ohio Group Ltd 801 Medical Drive Lima OH 45804 341848147 Orthopedic Hospital OH NA N/A West Central Ohio Regional Healthcare Alliance Ltd 2615 Fort Amanda Road Lima OH 45805 341817078 Healthcare quality OH NA N/A Urologic Oncology of Mahoning Valley LLC 1044 Belmont Ave Youngstown OH 44501 262989686 Radiation Therapy OH NA N/A Lourdes Ambulatory Surgery Center 225 Medical Center Drive Paducah KY 42003 205588350 Surgery Center KY NA N/A Marshall County MRI LLC 615 Old Symsonia Road Benton KY 42025 610601267 MRI facility KY NA N/A PREMIUM SURGERY CENTER LLC 5217 Maryland Way SUITE 200 Brentwood TN 37027 200400753 Surgery Center TN NA N/A MERCY HEALTH INNOVATIONS LLC 1701 MERCY HEALTH PLACE CINCINNATI OH 45237 820639499 BUSINESS DEVELOPMENT OH NA N/A MERCY FRANCISCAN AT WINTON WOODS I LP 10290 Mill Road Cincinnati OH 45231 311624311 Rental Real Estate OH NA N/A Bon Secours Place at St Petersburg LLP 10300 Fourth Street North St Petersburg FL 33716 593589729 Assisted Living/Senior Care FL NA N/A Bon Secours Apartments LP 1800 West Baltimore St Baltimore MD 21223 521952505 Low Income Housing MD NA N/A Bon Secours Apartments II LP 1800 West Baltimore St Baltimore MD 21223 522063512 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Surgery Center SC NA N/A Broad64 Imaging LLC 8580 Magellan Parkway Richmond VA 23227 205886018 Imaging Services VA NA N/A Richmond Radiation Oncology Center I LLC 8580 Magellan Parkway Richmond VA 23227 208444551 Radiation Oncology Services VA NA N/A RI LP 8580 Magellan Parkway Richmond VA 23227 541708835 Imaging Services VA NA N/A Bon Secours Benet House LP 26 North Fulton Ave Baltimore MD 21223 364765400 Low Income Housing MD NA N/A Bon Secours Benet House LLC 26 North Fulton Ave Baltimore MD 21223 463055312 Low Income Housing MD NA N/A Southeastern Health PartnersLLC One St Francis Drive Greenville SC 29601 813264385 Coordinated Care SC NA N/A Harbour View MOB 2 LLC 5818 Harbour View Blvd Suite A1 Suffolk VA 23435 822484997 Real Estate VA NA N/A 287461 10228086 Bon Secours Diagnostic Imaging LLC 10 S Academy Street Suite 300 Greenville SC 29601 Outpatient Imaging Centers SC NA N/A Memorial Ambulatory Surgery Center LLC 8580 Magellan Parkway Richmond VA 23227 593813233 Ambulatory Surgery Center VA NA N/A Community Mercy Home Care Services of Springfield LLC 1700 Edison Drive Milford OH 45150 311746556 Home Care OH NA N/A MERCY HEALTH INSURANCE COMPANY (SPC) LTD 980621978 SELF-INSURANCE CJ NA C Corporation false NORTHPARKE MEDICAL COMMONS CONDO ASSN 333 N LIMESTONE ST SPRINGFIELD OH 45503 311391230 REAL PROPERTY MGMNT OH NA C Corporation false NORTHSIDE CORPORATION 2200 JEFFERSON AVENUE TOLEDO OH 43604 341318438 RESIDENT RENTALS OH NA C Corporation false MERCY HEALTH SYSTEM PHO INC 2200 JEFFERSON AVENUE TOLEDO OH 43604 341778321 MEDICAL SERVICES OH NA C Corporation false MCAULEY MANAGEMENT SERVICES INC 730 W MARKET STREET LIMA OH 45801 341379037 PROPERTY RENTAL OH NA C Corporation false LIMA MEDICAL SUPPLIES INC 730 W MARKET STREET LIMA OH 45801 340944477 MEDICAL EQUIPMENT OH NA C Corporation false COMMUNITY HEALTH PARTNERS ENTERPRISES INC 3700 KOLBE ROAD LORAIN OH 44053 341455525 HOLDING COMPANY OH NA C Corporation false MERCY HEALTH VENTURES INC 1701 Mercy Health Place CINCINNATI OH 45237 311185477 DIVERSIFIED ACTIVITIES OH NA C Corporation false MERCY FRANCISCAN AT WINTON WOODS I INC 10290 MILL ROAD CINCINNATI OH 45231 311658668 LOW-INCOME HOUSING OH NA C Corporation false RALPH EWE TRUST 270 PARK AVENUE NEW YORK NY 10017 346866422 BENEFICIAL TRUST NY NA Trust false ELIZABETH HINES CATES TRUST PNC 1900 E 9TH ST CLEVELAND OH 44114 346515678 BENEFICIAL TRUST OH NA Trust false WILLIS PARK TRUST PNC 1900 E 9TH ST CLEVELAND OH 44114 346519904 BENEFICIAL TRUST OH NA Trust false ERMA GIBSON BALDWIN TRUST PNC 1900 E 9TH ST CLEVELAND OH 44114 346515566 BENEFICIAL TRUST OH NA Trust false HEALTHSPAN INC 225 PICTORIA DR CINCINNATI OH 45246 311431434 INSURANCE OH NA C Corporation false HEALTHSPAN SOLUTIONS INC 1701 Mercy Health Place CINCINNATI OH 45237 300810766 CONSULTING OH NA C Corporation false HEALTHCARE SERVICES AND SUPPORT 1701 Mercy Health Place CINCINNATI OH 45237 812388652 HEALTHCARE SERVICES OH NA C Corporation false Bon Secours Assurance Company Ltd 980152147 SELF-INSURANCE CJ NA C Corporation false Bon Secours-Florida Integrated Services Inc 10300 Fourth Street North St Petersburg FL 33716 650779777 Holding Company/Assisted Living FL NA C Corporation false Unity Housing Inc 26 North Fulton Avenue Baltimore MD 21223 521952507 Low Income Housing MD NA C Corporation false Bon Secours Wayland LLC 26 North Fulton Avenue Baltimore MD 21223 270468561 Low Income Housing MD NA C Corporation false Professional Health Care Management Services Inc 150 Kingsley Lane Norfolk VA 23505 541241031 Administrative VA NA C Corporation false OSF Inc 2 Bernadine Drive Newport News VA 23602 541369919 Rental VA NA C Corporation false Bon Secours Tidewater Diversified Inc 160 Kingsley Lane Norfolk VA 23505 541431826 Pharmacy VA NA C Corporation false Chesterfield Community Healthcare Center Inc 8580 Magellan Parkway Richmond VA 23227 541812738 Ambulatory Healthcare Services VA NA C Corporation false Ironbridge Assisted Living Retirement Community LC 5801 Bremo Road Richmond VA 23226 541807857 Ambulatory Healthcare Services VA NA C Corporation false Bon Secours-Virginia Healthsource Inc 8580 Magellan Parkway Richmond VA 23227 541417686 Ambulatory Healthcare Services VA NA C Corporation false RHS Management Corp 8580 Magellan Parkway Richmond VA 23227 541313425 Independent Living Facility VA NA C Corporation false Bon Secours New York Housing Development Fund Corporation 2975 Independence Avenue Bronx NY 10463 472224316 Low Income Housing NY NA C Corporation false Richmond MRI Inc 8580 Magellan Parkway Richmond VA 23227 541568452 Medical Services VA NA C Corporation false Good Help Connections LLC 8990 Old Annapolis Road Columbia MD 21045 472345223 IT Consulting MD NA C Corporation false Bon Secours New Shiloh II LLC 26 North Fulton Avenue Baltimore MD 21223 820631206 Low Income Housing MD NA C Corporation false Maryview Building Corporation 3636 High Street Portsmouth VA 23707 541306612 Administrative VA NA 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