2019-07-10T09:33:55-05:00 2018-08-31 861065772 Deloitte Tax LLP 695 Town Center Drive Costa Mesa CA 92626 990 2017-09-01 520591555 Bon Secours Hospital Baltimore Inc BONS 4103623000 2000 West Baltimore Street Baltimore MD 212231558 Michael A Brozic CFO-BSBHS 4103624477 2019-07-10 1 John W Sadoff Jr P00540589 7144367100 168.250.63.1 2019-07-10 09:20:59 ED P CD71869BFC494223FABD92E93AB0669CE7B22062 F6D944725D87E8D67D75795748B251B00643F0AC 2017 2019-02-21 02:37:17Z BS Hospital Specialty Center New Hope BS Renal Dialysis Center Samuel L Ross MD 2000 West Baltimore Street Baltimore MD 212231558 114097721 0 0928 X www.bonsecours.com X 1920 MD Acute Care Hospital 15 13 828 30 132298 113038 3334087 1820885 110547571 110598973 445749 720919 614417 956944 114941824 114097721 394482 419246 0 0 53832125 53989313 0 0 0 63813391 60486787 118039998 114895346 -3098174 -797625 68505669 67294406 153884340 146765744 -85378671 -79471338 X 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. 0 0 105667071 419246 110466675 Bon Secours Baltimore Hospital provides both inpatient and outpatient services. Such services include:Inpatient Services - 151 bed capacity, 72 licensed beds for critical care, medical, psychiatric and surgical needs. The Hospital provides a full range of srvices & programs in response to community needs & interests including: Acute Care; Cardiology; Case Management; Wound Care; Community Health Screenings; Critical Care; Emergency Care; Diagnostic Services; Patient Education; Infectious Disease Care; Lab Services; Mammography; Neurology; Nuclear Medicine; Ophthalmology; Orthopedics; Faith Community Nurse Services; Pastoral Care; Pharmacy; Physical Therapy; Podiatry; Psychiatry; Pulmonary Services and Primary Care.Outpatient Services include: renal dialysis, HIV/AIDS services, mental health, substance abuse treatment, health education, cardiac rehabilitation and wellness programs and tele-health program for patients with congestive heart disease. The Hospital operates an emergency room that is open 24 hours per day, seven days per week, serving persons regardless of their ability to pay. See Sch H for additional information. 105667071 1 1 0 1 0 0 0 0 1 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 103 0 1 828 1 1 1 0 0 0 0 0 0 0 0 0 X 15 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 MD X Travis Crum 5139525000 1701 Mercy Health Place Cincinnati OH 45237 X Lori Edwards Board Member (Beg 01/18) 2.00 0.00 X 0 0 0 Matthew Hemelt Chairman 3.00 0.00 X X 0 0 0 Lawrence Hubbard Board Member 2.00 0.00 X 0 0 0 Kevin Hutt Board Member 2.00 0.00 X 0 0 0 Christine Lay Board Member 2.00 48.00 X 0 420690 50873 Sr Anne Lutz President 3.50 46.50 X X 0 0 0 Rick Moore Board Member (Beg 01/18) 2.00 0.00 X 0 0 0 Br Frank O'Donnell Board Member 2.00 0.00 X 0 0 0 Cynthia Pamon Burnett Board Member (Beg 01/18) 2.00 0.00 X 0 0 0 Francine Poel Stone Board Member (Beg 01/18) 2.00 0.00 X 0 0 0 Keshia Pollack Porter PhD Secretary 2.00 0.00 X X 0 0 0 Samuel Ross MD CEO 21.00 29.00 X X 0 1463856 36690 Patricia Scipio MD Treasurer 2.00 0.00 X X 0 0 0 Sr Mary Shimo CBS Board Member 2.00 0.50 X 0 0 0 Anthony Stanowski Board Member (End 12/17) 2.00 0.00 X 0 0 0 Mary Kim Ward Board Member (Beg 01/18) 2.00 0.00 X 0 0 0 Theodore Wimberly Board Member (End 12/17) 2.00 0.00 X 0 0 0 Laura Buczkowski CFO-BSBHS (End 08/18) 30.00 20.00 X 0 538913 52223 Shelly Buck CNE/COO (End 03/18) 50.00 0.00 X 363185 0 43262 Cathy Newhouse COO (Beg 03/18) 50.00 0.00 X 0 348369 27597 Arsalan Sheikh Chair of Medicine 50.00 0.00 X 329879 0 38016 Aliya Jones Chair of Psychiatry 50.00 0.00 X 329949 0 42943 Ibrahim Hanna Chair of Surgery 50.00 0.00 X 320786 0 22853 Usha Jain Chief Pathologist 50.00 0.00 X 286599 0 24297 Shin-Bey Chang Psychiatrist 50.00 0.00 X 267102 0 22307 David Hauser Psychiatrist 50.00 0.00 X 257651 0 18155 2155151 2771828 379216 66 0 1 0 University of Maryland 110 South Paca Street Baltimore MD 21201 ED Physician Services 4523885 Allied Universal PO Box 828854 Philadelphia PA 191828854 Security Services 2139117 Cardinal Health Pharmacy 21377 Network Place Chicago IL 60673 Pharmacy Services 1946911 West Baltimore Anesthesia LLC 2000 W Baltimore St Baltimore MD 21223 Anesthesia Services 1742400 Crothall Healthcare Inc 13028 Collection Center Drive Chicago IL 60693 Housekeeping Services 1675192 45 30000 374730 1416155 1820885 Patient Service Rev. 622110 110598973 110466675 132298 110598973 98951 98951 156063 279118 0 0 156063 279118 435181 435181 602398 19570 0 0 602398 19570 621968 621968 Med Student Program 900099 161700 161700 Rebates 900099 159733 159733 Parking 812930 99798 99798 100532 100532 521763 114097721 110466675 132298 1677863 X 210914 210914 208332 208332 774360 696924 77436 41729352 37556417 4172935 2275989 2048390 227599 5687561 5118805 568756 3522051 3169846 352205 140582 140582 22416 22416 4814 4333 481 36222845 33886587 2336258 56694 51025 5669 1158556 1042700 115856 427769 384992 42777 2426371 2183734 242637 179552 161597 17955 81848 73663 8185 1375903 1375903 6243918 5619526 624392 1633168 1469851 163317 Medical Supplies 6800743 6800743 Bad Debt Expense 2526875 2526875 Employee Dues 307543 307543 Unrelated Bus Inc. Tax 23444 23444 853746 768371 85375 114895346 105667071 9228275 0 1100 1101 362667 364883 439994 234711 10660343 10435983 1028483 1065788 543685 836722 111213349 84014669 27861186 27198680 13646337 14598232 13961874 12558306 68505669 67294406 13372527 14261209 4374402 4125103 70893 87145 136066518 128292287 153884340 146765744 X -85601469 -79638124 222798 166786 -85378671 -79471338 68505669 67294406 X -797625 272934 6432024 X 0 1 X 1 1 1 X 0 0 0 0 0 0 0 0 1 4814 4814 0 Part II-B, Line 1: The filing organization maintains memberships in various professional healthcare associations. Portions of their membership dues are used for lobbying activities. The lobbying portion of such dues is included on line 1i. 0 1 X 600000 600000 53086787 35639542 17447245 54136476 45961002 8175474 3390086 2414125 975961 27198680 HPL/GL Asset 9153855 Due from Affiliates 2983313 Accrued Revenue 190390 Staff Loans 99242 Resident Trust 87145 Security Deposits 22200 LT Noncash Investment 13150 Rent Receivable 4466 Other Misc Assets 4545 12558306 Due to Affiliates 96498921 Pension Liability 15201132 Liability - HPL/GL 9153306 Medicaid and Insurance Advances 4340609 Liability - FIN 47 1778371 Patient Credit Balances 841745 Capital Leases 340150 Other Misc Liabilities 138053 128292287 X Part IV, Line 2b: Bon Secours Hospital Baltimore holds, safeguards, manages and accounts for the Social Security funds of certain patients. These funds are held in an FDIC insured banking institution. With the assistance of hospital personnel, funds are generally accessed by the patient through the use of ATM cards or Visa gift cards which are purchased on their behalf. Part X, Line 2: 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 System 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. The System accounts for uncertain tax positions in accordance with ASC Topic 740, Income Taxes. Their related income is exempt from federal income tax under Section 501(A). The System 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 System has determined that no material unrecognized tax benefits or liabilities exist as of August 31, 2018 or 2017. 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 System is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The System believes it is no longer subject to income tax examinations for years prior to 2013. As of August 31, 2018 and 2017, the System has no uncertain tax positions. The System's taxable subsidiaries had approximately $97,815 and $106,393 of net operating loss carryforwards as of August 31, 2018 and 2017, respectively, which expire in varying periods through 2037 and are available to offset future taxable income. The System 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 System's deferred tax assets are fully reserved at August 31, 2018 and 2017 as the System considers it more likely than not that these amounts will not be recognized. On December 22, 2017, the President signed into law H.R. 1, originally known as the Tax Cuts and Jobs Act. The Act significantly revises the U.S. corporate income tax by, lowering the statutory corporate tax rate from 35% to 21% and eliminating certain deductions. The new law also includes several provisions that result in substantial changes to the tax treatment of tax-exempt organizations and their donors. The System has reviewed these provisions and the potential impact and concluded the enactment of H.R. 1 will not have a material effect on the operations of the organization. 1 1 X 1 X 1 X 1 1 0 1 1 278347 278347 0.00250 278347 278347 0.00250 16 41781 1590828 264367 1326461 0.01180 2 726 481375 481375 0.00430 2 17516 12684475 7623452 5061023 0.04500 2 178306 91329 86977 0.00080 22 60023 14934984 7979148 6955836 0.06190 22 60023 15213331 7979148 7234183 0.06440 2 448131 217626 230505 0.00210 2 448131 217626 230505 0.00210 1 2526875 0 38090294 20979005 17111289 X 1 1 1 1 Bon Secours Hospital Baltimore Inc 2000 W Baltimore St Baltimore MD 212231558 www.bonsecours.com 30-007 X X X X Bon Secours Hospital Baltimore Inc 1 0 0 1 X X X X X X X X X 15 1 0 0 1 X See Section C X X 1 15 1 See Section C 0 1 X 200.000000000000 400.000000000000 1 1 X X X 1 X http://www.fa.bonsecours.com/ X http://www.fa.bonsecours.com/ X http://www.fa.bonsecours.com/ X X X X X X X 1 X 0 X X X X 1 X 0 0 Bon Secours Hospital Baltimore, Inc. Part V, Section B, Line 5: In FY2016 Bon Secours Baltimore Health System (BSBHS) used a team approach to complete its Community Health Needs Assessment (CHNA). The CHNA team used a multi-pronged approach to solicit input from the West Baltimore community regarding their health needs. Data collection methodologies included surveys, stakeholder interviews, focus groups, and community conversations. We engaged with representatives of our community with a knowledge of public health (e.g., Maryland Department of Health and Mental Hygiene and the Baltimore City Health Department), the broad interests of the communities we serve, individuals with special knowledge of the medically underserved, as well as low-income and vulnerable populations and people with chronic diseases. We met with seniors, youth, re-entry residents, hospital patients, faith-based stakeholders, community leaders, health care providers, neighborhood associations, representatives from community-based organizations and other key community stakeholders with an intimate knowledge of the West Baltimore community and their health needs. Four hundred and twenty-five (425) surveys were collected (296 within the defined service area), and nine (9) stakeholder interviews, six (6) focus groups and one (1) community discussion were conducted between November 2015 through June 2016. The survey, interviews, focus groups and community discussion focused on community health needs, community assets and resources available to respond to the community health needs, barriers and challenges to accessing the community assets and resources, and ways in which Bon Secours could help address the health needs. Bon Secours Hospital Baltimore, Inc. Part V, Section B, Line 7d: Hard copies were distributed to our Healthy Community Advisory Board members and are also available upon request to Hospital Administration, Marketing or CommunityWorks. Bon Secours Hospital Baltimore, Inc. Part V, Section B, Line 11: BSBHS's CHNA Implementation Plan positions BSBHS to take on the entwined roles of convener, catalyst and contributor in partnering with the communities we serve and helps us to move towards the realization of a vision of: Healthy People, Healthy Economy & Healthy Environment.HEALTHY PEOPLE: Bon Secours Women's Resource Center serves as a day-time center addressing the needs to women who are in crisis and need immediate access to services. Bon Secours Family Support Center: serves pregnant mothers and families with children up to age three. The Center offers non-traditional Early Head Start services, teen parent services, and in-home support. Early Head Start: 66 children and 12 pregnant mothers enrolled in and received (EHS) in-center developmental care throughout the fiscal year. In addition to EHS, parents/guardians participated in a wide variety of "Nurturing Parent Workshops" held throughout the year.Teen Parent Program: 41 parenting or pregnant teens enrolled and received health, social, psychological, and academic support to encourage educational success as well as prevent subsequent pregnancies. 1 teen participated in our eight-week summer Youth Employment Entrepreneurship Program (YEEP).Home Visiting Program: 36 young mothers with children under three years of age received ongoing in-home parenting skills training and education about supporting their child's developmental milestones. Women, Infant, & Children: Although not operated by Bon Secours, the Baltimore City Women, Infants & Children (WIC) Program is located at Bon Secours Community Works, so we enabled an additional 727 clients to access to WIC benefits by providing a facility. Of those 69 clients were connected with additional services at Community Works.Bon Secours Hospital Screening Brief Intervention Referral to Treatment ("SBIRT") is designed so that all patients that enter the hospital through the Emergency Department or through a direct admission are screened by hospital nursing staff as part of the nursing assessment. Nurses and other members of the health care team refer patients at high risk to Peer Recovery Coaches (PRC) to provide brief interventions and referrals to treatment, as appropriate. For FY 2018 21,293 Emergency Department patients were screened by ED Nurses. 7,145 (33.89%) had positive screens for substance use, 1,845 were subjects of brief interventions by PRCs and 166 accessed treatment through PRC intervention.HEALTHY ECONOMY: Bon Secours Career Development works to create jobs and prepare residents for these jobs by providing job readiness programs and ongoing adult education; participating in the creation of jobs in areas which we have the most expertise and influence. Job Placement: 90 clients gained one or more paid employment opportunities using our job search and placement support obtaining 107 jobs. 9 additional clients received paid urban landscaping training and job readiness skills training through our six-month Clean and Green Neighborhood Revitalization program. Trainees improved more than 56 vacant lots. CNA/GNA Training: 90 clients enrolled in our CNA/GNA training program, with 80 clients graduating, and 73 receiving CNA/GNA certification. 66 clients have gained employment in a health-care field. Youth Employment Entrepreneurship Program (YEEP): 35 youth from low-income households participated in this eight-week summer work and career prep program, which included paid work experience throughout 16 departments in Bon Secours Baltimore and Community Works Re-entry Success Program: 154 clients enrolled in the "TYRO" life skills training program for men and women to help break the cycle of incarceration. 110 participants graduated. Hosted two expungement workshops (78 persons served; 379 charges expunged).Bon Secours Financial Services offers services to help residents become more financially aware, begin building assets, and create stronger financial futures for their families.Eviction Prevention: 726 individuals/families were screened for eviction prevention assistance and benefited from a one-on-one assessment of their financial situation. Of those, 68 individuals/families prevented imminent eviction through a one-time eviction prevention cash grant after completing our mandatory "Budget & Credit Workshop." This is intended to prevent first-time homelessness and increase clients' capacity for sustained financial stability. Total of $48,405 in eviction prevention assistance distributed. EarnBenefits Screening: 609 clients were screened through the EarnBenefits software system for eligibility for public benefits to increase economic stability. Benefits include SNAP (aka food stamps), utilities assistance, health insurance, and WIC. Of those, 472 clients were eligible for one or more public benefits.Income Tax Preparation: 341 clients received low-cost tax preparation. Total Federal Refunds generated: $533,407. Total State Refunds generated: $181,136.HEALTHY ENVIRONMENT: Community Housing develops and manages safe/affordable housing; connects residents of housing to needed services and to one another. A total of 802 units are in service; service coordination at each senior housing site; an additional 200 units are planned for development in the next 3-5 years. Housing occupancy for FY18 was 96.9% for 729 units and a new 73 unit building was opened and began leasing in July 2018. Bon Secours Hospital Baltimore, Inc. Part V, Section B, Line 16j: Information regarding the FAP is available on our websites, brochures are available at time of registration. We have on-site Financial Counselors who assist patients. We also have eligibility vendors who work with the patients and our statements indicate we have an FAP. We also provided local clinics in each market brochures regarding our FA program. Form 990, Schedule H, Part V, Section B, Line 14: The FAP provides information relating to the assistance provided to individuals that are eligible for free or discounted care. However, the Community Service Adjustment, which is available in our other markets, is not available in Maryland. Form 990, Schedule H, Part V, Section B, Line 7a: https://bonsecours.com/baltimore/community-commitment/healthy-community-initiative Form 990, Schedule H, Part V, Section B, Line 10a: https://bonsecours.com/baltimore/community-commitment/healthy-community-initiative 4 1 - Bon Secours CIBSADAPT 3101 Towanda Ave Baltimore MD 21215 Behavioral Health Services 2 - Bon Secours CIBSNew PassageNew Hope 2401 W Baltimore St Baltimore MD 21223 Behavioral Health Services 3 - Bon Secours CIBSSCMPACTNew Phases 6000 Metro Drive Baltimore MD 21215 Behavioral Health Services 4 - Family Health & Wellness 1940 W Baltimore St Baltimore MD 21223 Community Medical Center Part I, Line 6a: Annually, Bon Secours Baltimore Health System (BSBHS) publishes a report for the community, explaining the various community benefit services and programs that exist. This report also includes the annual financial commitment of the local system to the community, detailing monetary contributions for government sponsored healthcare shortfall, community benefit programs and charity care at cost. This report is available to the public each year on or around January 24, commemorating Foundation Day of the Sisters of Bon Secours. This report is available online at https://bonsecours.com/baltimore/community-commitment. Part I, Line 7: Part I, line 7a: Charity Care at cost is computed by applying a cost-to-charge ratio to the aggregate charity adjustments recorded in the general ledger. Part I, line 7b: Part I, Line 7b: Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing Uncompensated Care in each payors rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care.For Part I, Line 7 a-c computations: The cost-to-charge ratio is derived using the suggested computation in Worksheet 2, Ratio of Patient Care Cost-to-Charges. Operating expenses and Gross patient charges are taken from the general ledger. Expenses for nonpatient care activities recorded in operating expenses are approximated as directly equaling other operating revenue, assuming these activities do not provide profit. Part I, line 7e: Community health improvement services and community benefit operations are accumulated throughout the year and reported at actual cost in a software program that specifically addresses this purpose.Part I, line 7f: Health professions education cost is determined as the direct and indirect cost of qualifying education activities as traditionally reported in columns 21-24 on Worksheet B of the Medicare cost report as a Medical Education program, nursing school or other allied health program. Part I, Ln 7 Col(f): Bad debt expense included in Part IX; line 25 and excluded from the "percent of total expense" calculation is: $2,526,875. Part II, Community Building Activities: Our Healthy Economy programs refer to the financial status of individuals and the community, and emphasize the impact that income has on health. Programs to improve individual financial status focused on financial literacy and job readiness. Bon Secours Career Development works to create jobs and prepare residents for these jobs by providing job readiness programs and ongoing adult education; participating in the creation of jobs in areas which we have the most expertise and influence. By creating connections to opportunities in the growing health care field, we can help both our industry and our community and also engage returning citizens who have difficulty connecting with employment.Bon Secours Financial Services offers services to help residents become more financially aware, begin building assets, and create stronger financial futures for their families. Participants learn about financial and other resources that are available as well as learn how to become economically self-sufficient.Our Health Environment programs emphasize the effect that the built environment has on individual and family health, especially in the urban setting. Community Housing develops and manages safe/affordable housing, connects residents of housing to needed services and to one another. A total of 802 units are in service with service coordinators at each senior housing site.Open Space Management (Clean & Green) improves and maintains vacant lots and engages residents in the conversion of formerly blighted sites into community resources for recreation, urban agriculture and other sustainable uses. To date more than 750 lots have been improved totaling over a combined area of over 1.2 million square feet. Part III, Line 2: Bad debt expense on the general ledger includes: 1) actual write offs of discounted gross charges where it is determined an uninsured patient can pay and does not pay; and 2) the estimated write offs for uninsured patient accounts with outstanding balances after discount. Estimates are based on historical collection rates.When an uninsured patient is billed for patient care services, the charges are automatically discounted and the patient is requested to only pay the amount after discount. The discount is recorded as an adjustment to gross revenue and is not recorded in bad debt expense. If the balance after discount is not paid or not paid in full, the unpaid amount will be written off to bad debt expense. When a patient remits a payment on an account that has already been written off to bad debt expense, the payment is recorded as a recovery of bad debt, which reduces bad debt expense. Part III, Line 3: The organization does not report an estimate for the portion of bad debt expense that may have been likely to qualify for financial assistance under the hospital's charity care policy. The organization takes the position that ample opportunity and assistance is provided to the patient to qualify under the financial assistance policy. If sufficient information is not provided, the organization must assume the patient does not qualify. Part III, Line 4: Please see Footnote "(2d) Accounts Receivable, net" discussing "accounts receivable" on page 10 in the attached BSMH consolidated audited financial statements ("AFS"). "Allowance for uncollectible accounts" is discussed in the second paragraph in Footnote "(10) Net Patient Service Revenue" on page 37-38 of the attached AFS. There is not a separate "bad debt expense" footnote in the AFS. Part III, Line 8: Medicare allowable costs reflected in Part III come directly from the facility's Medicare cost report. The cost report segregates the total facility actual expenses into costs for support departments, clinical departments (routine and ancillary) and nonreimburseable departments. The cost report uses appropriate statistical bases to "step down" support costs to allowable clinical and nonreimburseable departments. The charges for clinical departments are matched to the total cost for these departments for a cost-to-charge ratio. Medicare-specific allowable costs for in- and outpatient ancillary departments are computed by applying the department-specific cost-to-charge ratio to the Medicare program charges by department. For routine departments, a per diem total cost is computed and applied to Medicare program days for the Medicare routine program cost. Part III, Line 9b: 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. Part VI, Line 2: As a part of Bon Secours Mercy Health System, Bon Secours Baltimore Health System conducts strategic planning on a three-year cycle. The product of this process, the "Strategic Quality Plan" serves as the driver for strategic initiatives at both the national and local system level. Fiscal year 2016 was the first year in the cycle (2016-2018) that had the following priorities: Co-Create Healthy Communities Be Person Centric Serve Those Who Are Less Vulnerable Strengthen Our Culture And CapabilitiesAll strategic initiatives, including community benefit, must address one or more of these priorities, the development of which are informed in part by local system community benefit reports, the most recent community health needs assessment and other community engagement activities.Community engagement activities include regular meetings with advisory groups (Anchor Work Group, Crime & Grime committee, CHNA Advisory Board, local Community Associations and the Southwest Partnership coalition) and events such as quarterly community forums, neighborhood cleanups, charrettes and various other single-purpose activities that inform our needs assessment and program development. Part VI, Line 3: The Patient Financial Assistance program is communicated to patients verbally upon scheduling and registration, and visible postings and brochures of the program are in common areas throughout the hospital. Program information is detailed on our Bon Secours Mercy Health website. In addition, patient billing statements and letters inform patients regarding our financial assistance program. Bon Secours Mercy Health proactively screens patients to identify individuals and their families who may qualify for federal, state or local health insurance programs or the Bon Secours Mercy Health 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 Mercy Health 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 Mercy Health 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 Mercy Health website for patients to access. Part VI, Line 4: Bon Secours's service area includes 40.5% of Baltimore City's population. Bon Secours's service area is similar to Baltimore City and Maryland in regards to age and gender, but is different in terms of race/ethnicity and income. The area has a lower household income and a larger proportion of African Americans than Baltimore City and Maryland. The area also experiences a higher rate of public insurance than Maryland. Within Bon Secours's service area seven zip codes there is wide variation. Zip codes 21217 and 21223 have a population that is younger than the other CBSA zip codes, while 21215 and 21216 have a population that is older than the other zip codes. There is also wide variation in race/ethnicity and insurance coverage within the area. Overall, the area is a majority African American, low income, and in most zip codes publicly insured. 40.5% of Baltimore City's residents are within Bon Secours's service area. Zip codes 21215, 21229, and 21217 comprise the largest segments of the area, and represent 59.6% of the total residents in the area.Household incomes are much lower in the area on average than the state of Maryland and Baltimore City. 29.9% have an income under $25,000. 55.1% of household incomes are below $50,000, whereas 50.3% of Baltimore City and 26.3% of Maryland household incomes are below $50,000. 57.3% of Maryland household incomes are $75,000 or over, while 27.6% of Bon Secours service area households have an income of $75,000 or over.The area has a higher percent of individuals that have public insurance compared to Maryland. More than 30% of their population is enrolled in public insurance. There is also a higher proportion of uninsured persons compared to Baltimore and Maryland. Four of 7 zip codes within the Bon Secours service area have 50% or more of their population enrolled in public insurance.The Bon Secours service area also has one of the highest disease burden and some of the worst indicators of social determinants of health than any other community in Maryland. These neighborhoods establish the lower extremes for health disparities in the City and the State across all major chronic illnesses. Families in the Zone experience poverty (20%) at higher rates than those in Maryland (6%) and in Baltimore City (17%). Life expectancy can be up to 12 years shorter in these zip codes than in other parts of Maryland. Part VI, Line 5: BSBHS has an open medical staff with privileges available to all qualified physicians in the area. BSBHS is governed by a board of directors whose composition is representative of the community we serve. Part VI, Line 6: 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 Bon Secours, Inc., a Maryland nonprofit, nonstock membership corporation (BSI) are described collectively as the System. BSI, which is the sole corporate member of BSMH, has no healthcare operations. 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 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 Bon Secours Mercy Health, Inc. (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 (2016-2018). - 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). Part VI, Line 7, Reports Filed With States MD 1 National Association of Health 1050 Connecticut Ave NW Washington DC 20036 621312239 501(C)(3) 5000 General Support Cal Ripken Sr Foundation Inc 1421 Clarkview Rd Suite 100 Baltimore MD 21209 522310500 501(C)(3) 70000 General Support Southwest Partnership Inc 1138 Hollins St 2nd Floor Baltimore MD 21223 474390017 501(C)(3) 10000 General Support Cristo Rey Corp Internship Program Inc 420 S Chester St Baltimore MD 21231 205300491 501(C)(3) 35500 General Support Finn Group LLC 1900 Park Ave Baltimore MD 21217 5000 General Support Johns Hopkins University 100 N Charles St 5th Fl Baltimore MD 21201 520595110 501(C)(3) 40000 General Support Operation Win in Life CDC Inc 301 N Monroe Street Baltimore MD 21223 810794203 501(C)(3) 7500 General Support United Way of Central Maryland 1800 Washington Blvd Suite 340 Baltimore MD 21230 520591543 501(C)(3) 10000 General Support 7 1 Indigent Cab/Bus Fare 461 88863 Emergency Assistance Funds for Patients, Volunteers, & Employees 77 64980 Live Near Your Work Program 4 50490 Part I, Line 2: Per Bon Secours Mercy Health's system-wide financial and accounting policies, contributions are generally made as reimbursements for funds spent. In such cases, the donee/grantee organization must provide documentation to the filing organization before funds are approved for disbursement. In other cases, grantees submit progress reports on the anniversary date on which the grant was received. The evaluation report includes: 1) progress toward the deployment of the stated goals and objectives, 2) progress towards the achievement of desired outcome as demonstrated by Project Work Plan, 3) an accurate accounting of the revenue and expenses and the amount of the mission fund award expensed, and 4) a summary past, current and future funding sources and efforts to secure sustaining sources of funding. Description of the Bon Secours Mercy Health Mission Fund: Bon Secours Mercy Health performs its philanthropic work through its mission department. This initiative, called the Bon Secours Health System Mission Fund ("Mission Fund"), was developed to promote the Catholic Health Ministry and the Bon Secours Mercy Health, Inc. Mission. This purpose is realized through the funding of initiatives that improve the health and well-being of communities, particularly for disenfranchised and marginalized people, served by Bon Secours Mercy Health Local Systems ("Local Systems"), Cosponsors and the Congregation of the Sisters of Bon Secours. The scope of its purpose and use of funds would be to: -promote healthy community coalition initiatives in conjunction with local system efforts, -develop local system and community excellence for a specific health condition and preventive need, and -improve access for uninsured populations and reduce health disparities among populations in the community. The Strategic Quality Plan of the health system calls for focused efforts to Build Healthier Communities. The health system understands "health" to include social and communal dimensions and has adopted the following articulation of a healthy community. The conditions of communities and individuals served by Bon Secours Mercy Health reflect the interaction of significant factors and complex behaviors at the individual, communal, and societal level. It is not likely that interventions by any one organization will result in substantial improvement or benefit to the community. Rather, increased participation by stakeholders and greater cooperation among entities with appropriate skills and resources is necessary for systemic change and improved outcomes. Mission Fund grants place emphasis on increased collaboration among community based members (Healthy Community Initiative), public health officials and other providers of services. The Mission Fund anticipates that most endeavors that seek to bring meaningful improvement require time and commitment. Consequently, local system grant recipients may expect continuity of support (several years) to establish and track outcomes. At the same time, grant applicants need to cultivate and achieve a wide array of financial resources necessary to sustain promising projects and service programs. 0 1 0 0 0 0 0 1 0 Christine Lay Board Member 0 288056 0 88920 0 43714 0 37920 0 12953 0 471563 0 0 Samuel Ross MD CEO 0 617192 0 198907 0 647757 0 16200 0 20490 0 1500546 0 0 Laura Buczkowski CFO-BSBHS (End 08/18) 0 363876 0 133855 0 41182 0 22390 0 29833 0 591136 0 0 Shelly Buck CNE/COO (End 03/18) 240244 0 56601 0 66340 0 10800 0 32462 0 406447 0 0 0 Cathy Newhouse COO (Beg 03/18) 0 250213 0 52324 0 45832 0 15629 0 11968 0 375966 0 0 Arsalan Sheikh Chair of Medicine 321725 0 150 0 8004 0 10800 0 27216 0 367895 0 0 0 Aliya Jones Chair of Psychiatry 315645 0 0 0 14304 0 10000 0 32943 0 372892 0 0 0 Ibrahim Hanna Chair of Surgery 320456 0 0 0 330 0 10800 0 12053 0 343639 0 0 0 Usha Jain Chief Pathologist 283062 0 150 0 3387 0 10770 0 13527 0 310896 0 0 0 Shin-Bey Chang Psychiatrist 228766 0 0 0 38336 0 10800 0 11507 0 289409 0 0 0 David Hauser Psychiatrist 227897 0 0 0 29754 0 9846 0 8309 0 275806 0 0 0 Part I, Line 3 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 Part I, Line 4b The filing organization participates in a BSMH sponsored executive retirement program that allows for deposits into additional retirement plans and available only to 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 include: Christine Lay, $0; Laura Buczkowski, $0. Part I, Line 7 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 these 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. Form 990, Part VI, Section A, line 6 Bon Secours Mercy Health, Inc. is the sole member of Bon Secours Baltimore Health Systems, Inc., which in turn is the sole member of Bon Secours Hospital Baltimore, Inc. Form 990, Part VI, Section A, line 7a The governing body of Bon Secours Hospital Baltimore, Inc. is appointed by its member Bon Secours Baltimore Health System, Inc. and subject to approval by Bon Secours Mercy Health, Inc. Form 990, Part VI, Section A, line 7b Certain authorities of Bon Secours Hospital Baltimore, Inc. are reserved to its member or to Bon Secours Mercy Health, Inc. Form 990, Part VI, Section B, line 11b The Form 990 is prepared by BSMH's tax department and reviewed by management. Upon review, the Form 990 is then forwarded to the local system's independent Audit and Compliance Committee for review and approval. Once the Form 990 is reviewed by all applicable parties a copy of the final version is provided to all members of the governing body prior to filing. Form 990, Part VI, Section B, line 12c The organization regularly and consistently monitors compliance with the conflict of interest policy. On an annual basis, all persons subject to the policy, including all officers, directors and key employees are required to make certain disclosures. These include disclosures related to certain personal, financial and organizational relationships that may present a conflict, or the appearance of a conflict of interest with the organization. All disclosures go through a three-part review process: (1) disclosures are reviewed first by the corporate responsibility officer (CRO); (2) a governance team comprised of the CEO, board president, board chair, CRO, and the BSMH CRO participate in a second review of all disclosures during which recommendations are made as to the resolution of any conflicts or potential conflicts. Depending on the facts and circumstances, resolutions may include ongoing disclosure, recusal or removal of the conflict; and (3) all disclosures and recommendations are reviewed by a board committee (audit and compliance committee reviews the disclosures of management and the governance committee reviews the disclosures of the board and board committee members). Form 990, Part VI, Section B, line 15b 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's 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, Section C, line 19 The filing organization makes all documents available to the general public upon request. Form 990, Part VII - Additional Disclosure: Board Member positions are generally voluntary in nature. Compensated employees of the filing organization and other related organizations who also hold board positions are compensated only in relation to their employment and do not receive additional compensation for their board responsibilities. Sr. Anne Lutz, Br. Frank O'Donnell, and Sr. Mary Schimo did not receive payroll distributions as they have taken a vow of poverty. Form 990, Part IX, line 11g Purchased Services - Intercompany: Program service expenses 67,973. Management and general expenses 7,552. Fundraising expenses 0. Total expenses 75,525. Physician Fees: Program service expenses 12,047,704. Management and general expenses 0. Fundraising expenses 0. Total expenses 12,047,704. Billing and Collections: Program service expenses 1,478,070. Management and general expenses 164,230. Fundraising expenses 0. Total expenses 1,642,300. Security Services: Program service expenses 1,812,347. Management and general expenses 201,372. Fundraising expenses 0. Total expenses 2,013,719. Other Purchased Services: Program service expenses 3,564,456. Management and general expenses 396,051. Fundraising expenses 0. Total expenses 3,960,507. Maintenance and Service Agreements: Program service expenses 687,980. Management and general expenses 76,442. Fundraising expenses 0. Total expenses 764,422. Consulting: Program service expenses 5,367,465. Management and general expenses 596,385. Fundraising expenses 0. Total expenses 5,963,850. BSMH Corporate Dues: Program service expenses 8,048,036. Management and general expenses 894,226. Fundraising expenses 0. Total expenses 8,942,262. Contract Nursing and Ancillary Tech Staff: Program service expenses 812,556. Management and general expenses 0. Fundraising expenses 0. Total expenses 812,556. Form 990, Part XI, line 9: Transfer to BSMH for Debt Principal, Swaps and Pension -1,006,668. Minimum Pension Liability 7,438,692. Bon Secours Mercy Health Inc 1701 Mercy Health Place Cincinnati OH 45237 521301088 Healthcare system parent OH 501(c)(3) Line 12c, III-FI Bon Secours Inc 0 Bon Secours New York Health System Inc 2975 Independence Avenue Bronx NY 10463 912135196 Local System Parent Org. NY 501(c)(3) Line 12a, I Bon Secours Mercy Health Inc 0 Bon Secours Kentucky Health System Inc St Christopher Dr Ashland KY 41101 611356024 Local System Parent Org. KY 501(c)(3) Line 12c, III-FI Bon Secours Mercy Health Inc 0 Bon Secours Baltimore Health Corporation 2000 West Baltimore Street Baltimore MD 21223 800728893 Local System Parent Org. MD 501(c)(3) Line 12c, III-FI Bon Secours Mercy Health Inc 0 Bon Secours St Francis Health System Inc 1 St Francis Drive Greenville SC 29601 582504528 Local System Parent Org. SC 501(c)(3) Line 12c, III-FI Bon Secours Mercy Health Inc 0 Bon Secours Hampton Roads Health System 7007 Harbour View Blvd Portsmouth VA 23435 521538513 Local System Parent Org. VA 501(c)(3) Line 12c, III-FI Bon Secours Mercy Health Inc 0 Bon Secours Richmond Health System 8580 Magellan Parkway Richmond VA 23227 521988421 Local System Parent Org. VA 501(c)(3) Line 12c, III-FI Bon Secours Mercy Health Inc 0 Bon Secours Baltimore Health System Foundation Inc 26 North Fulton Avenue Baltimore MD 21223 383843816 Grant Making Foundation MD 501(c)(3) Line 12c, III-FI Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health 0 The Bon Secours of Maryland Foundation Inc 26 North Fulton Avenue Baltimore MD 21223 521732800 Grant Making Foundation MD 501(c)(3) Line 12c, III-FI Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health 0 Mary Immaculate Foundation 7007 Harbour View Blvd Suffolk VA 23435 311644734 Fundraising VA 501(c)(3) Line 12c, III-FI Mary Immaculate Hospital 0 Bon Secours DePaul Health Foundation 7007 Harbour View Blvd Suffolk VA 23435 541843876 Fundraising VA 501(c)(3) Line 7 Bon Secours DePaul Medical Center 0 Bon Secours Maryview Foundation 7007 Harbour View Blvd Suffolk VA 23435 521694731 Fundraising VA 501(c)(3) Line 7 Bon Secours Hampton Roads Health System 0 Our Lady of Bellefonte Hospital Inc 1000 St Christopher Dr Ashland KY 41101 611356023 Health Care KY 501(c)(3) Line 3 Bon Secours Kentucky Health System 0 Bon Secours Hospital Baltimore Inc 2000 West Baltimore Street Baltimore MD 21223 520591555 Health Care MD 501(c)(3) Line 3 Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health 0 St Francis Hospital Inc One St Francis Drive Greenville SC 29601 582504530 Health Care SC 501(c)(3) Line 3 Bon Secours St Francis Health System Inc 0 Mary Immaculate Hospital Inc 7007 Harbour View Blvd Suffolk VA 23435 540548200 Health Care VA 501(c)(3) Line 3 Bon Secours Mercy Health Inc 0 Bon Secours - DePaul Medical Center Inc 7007 Harbour View Blvd Suffolk VA 23435 541820093 Health Care VA 501(c)(3) Line 3 Bon Secours Hampton Roads Health System 0 Maryview Hospital 7007 Harbour View Blvd Portsmouth VA 23707 540506463 Health Care VA 501(c)(3) Line 3 Bon Secours Hampton Roads Health System 0 Bon Secours - Memorial Regional Medical Center Inc 8580 Magellan Parkway Richmond VA 23227 541744931 Health Care VA 501(c)(3) Line 3 Bon Secours Richmond Health System 0 Bon Secours - St Mary's Hospital of Richmond Inc 8580 Magellan Parkway Richmond VA 23227 540793767 Health Care VA 501(c)(3) Line 3 Bon Secours Richmond Health System 0 Bon Secours - Richmond Community Hospital 8580 Magellan Parkway Richmond VA 23227 540647482 Health Care VA 501(c)(3) Line 3 Bon Secours Richmond Health System 0 Bon Secours - St Francis Medical Center Inc 8580 Magellan Parkway Richmond VA 23227 311716973 Health Care VA 501(c)(3) Line 3 Bon Secours Richmond Health System 0 Bon Secours Kentucky Health System Foundation Inc St Christopher Dr Ashland KY 41101 611381952 Grant Making Foundation KY 501(c)(3) Line 7 Bon Secours Kentucky Health System 0 Bon Secours Baltimore Development Inc 26 North Fulton Avenue Baltimore MD 21223 760785344 Community Housing MD 501(c)(3) Line 7 Unity Properties Inc 0 Unity Properties Inc 26 North Fulton Avenue Baltimore MD 21223 521857768 Low Income Housing MD 501(c)(3) Line 7 Bon Secours of Maryland Foundation 0 Bon Secours - St Francis Health System Foundation Inc One St Francis Drive Greenville SC 29601 260012031 Grant Making Foundation SC 501(c)(3) Line 7 St Francis Hospital Inc 0 Bon Secours Richmond Health Care Foundation 8580 Magellan Parkway Richmond VA 23227 541201346 Grant Making Foundation VA 501(c)(3) Line 7 Bon Secours Richmond LLC 0 Bon Secours St Petersburg Home Care Services Inc 10300 Fourth Street North St Petersburg FL 33716 134334363 Home Care Services FL 501(c)(3) Line 10 Maria Manor Nursing Care Center 0 Bon Secours - Maria Manor Nursing Care Center Inc 10300 Fourth Street North St Petersburg FL 33716 650061820 Nursing Home FL 501(c)(3) Line 10 Bon Secours Mercy Health Inc 0 Bellefonte Physician Services Inc St Christopher Dr Ashland KY 41101 352320780 Physician Practices KY 501(c)(3) Line 10 Bon Secours Kentucky Health System 0 Bon Secours Housing Inc 26 North Fulton Avenue Baltimore MD 21223 521442707 Low Income Housing MD 501(c)(3) Line 10 Bon Secours of Maryland Foundation 0 Bon Secours Housing II Inc 26 North Fulton Avenue Baltimore MD 21223 521543174 Low Income Housing MD 501(c)(3) Line 10 Bon Secours of Maryland Foundation 0 Schervier Housing Development Fund Corporation 2975 Independence Avenue Bronx NY 10463 133098867 Housing NY 501(c)(3) Line 10 Bon Secours NY Health System 0 St Francis Physician Services Inc One St Francis Drive Greenville SC 29601 134290167 Physician Services SC 501(c)(3) Line 10 St Francis Health System Inc 0 Mary Immaculate Nursing Center Inc 7007 Harbour View Blvd Suffolk VA 23435 541516476 Nursing Care Center VA 501(c)(3) Line 10 Mary Immaculate Hospital 0 Bon Secours - Maryview Nursing Care Center 7007 Harbour View Blvd Suffolk VA 23435 521578169 Nursing Care Center VA 501(c)(3) Line 10 Bon Secours Hampton Roads Health System 0 Bayley Properties 7007 Harbour View Blvd Suffolk VA 23435 541424748 Title Holding Company VA 501(c)(2) Bon Secours DePaul Medical Center 0 Laburnum Properties 8580 Magellan Parkway Richmond VA 23227 521260700 Title Holding Company VA 501(c)(2) Bon Secours Richmond Health System 0 Bon Secours Health System Foundation Inc 8990 Old Annapolis Road Columbia MD 21045 474765376 Fundraising MD 501(c)(3) Line 7 Bon Secours Mercy Health Inc 0 IVNA Health Services 5008 Monument Avenue Richmond VA 23230 541479847 Home Care Services VA 501(c)(3) Line 10 Bon Secours Home Care LLC 0 Rappahanock General Hospital Foundation 101 Harris Road Kilmarnock VA 22482 541210450 Supporting Organization VA 501(c)(3) Line 7 Bon Secours Richmond Health System 0 Chesapeake Medical Group 101 Harris Road Kilmarnock VA 22482 541857174 Healthcare Services VA 501(c)(3) Line 10 Bon Secours Richmond Health System 0 Chesapeake Hospital Corporation 101 Harris Road Kilmarnock VA 22482 237424835 Health Care VA 501(c)(3) Line 3 Bon Secours Richmond Health System 0 Bon Secours New Jersey Health System Inc 1505 Marriottsville Road Marriottsville MD 27104 222754781 Local System Parent Org. NJ 501(c)(3) Line 12c, III-FI Bon Secours Mercy Health Inc 0 St Mary Hospital Inc 308 Willow Hoboken NJ 07030 221487324 Health Care NJ 501(c)(3) Line 3 Bon Secours New Jersey Health System Inc 0 Mercy Health Services 1505 Marriottsville Road Marriottsville MD 27104 251585441 Local System Parent Org. PA 501(c)(3) Bon Secours Mercy Health Inc 0 Pennsylvania Health Choice Plan 1505 Marriottsville Road Marriottsville MD 27104 Health Care PA 501(c)(3) Mercy Health Services 0 Liberty Medical Center 1505 Marriottsville Road Marriottsville MD 27104 521466304 Health Care MD 501(c)(3) Line 3 Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health 0 Bon Secours - Stuart Circle Hospital Inc 8580 Magellan Parkway Richmond VA 23227 541740128 Health Care VA 501(c)(3) Line 3 Bon Secours Richmond Health System 0 Post Office Plaza Owners Association Inc 1703 Laurel Street Columbia SC 29201 Health Care SC 501(c)(3) Bon Secours St Francis Health System Inc 0 Bon Secours Place at St Petersburg LLP 10300 Fourth Street North St Petersburg FL 33716 593589729 Assisted Living/Senior Care FL N/A Bon Secours Apartments LP 1800 West Baltimore St Baltimore MD 21223 521952505 Low Income Housing MD N/A Bon Secours Apartments II LP 1800 West Baltimore St Baltimore MD 21223 522063512 Low Income Housing MD N/A Liberty Senior Housing LP 1800 West Baltimore St Baltimore MD 21223 522134447 Low Income Housing MD N/A Bon Secours Apartments III LP 1800 West Baltimore St Baltimore MD 21223 522134444 Low Income Housing MD N/A Bon Secours Smallwood Summit LP 26 North Fulton Ave Baltimore MD 21223 522280175 Low Income Housing MD N/A Bon Secours Chesapeake Apartments LP 26 North Fulton Ave Baltimore MD 21223 200107034 Low Income Housing MD N/A Bon Secours Shiloh LP 26 North Fulton Ave Baltimore MD 21223 203965243 Low Income Housing MD N/A Bon Secours New Shiloh II Limited Partnership 26 North Fulton Ave Baltimore MD 21223 820655142 Low Income Housing MD N/A Bon Secours Wayland LP 26 North Fulton Ave Baltimore MD 21223 270468688 Low Income Housing MD N/A Bon Secours Gibbons Apartments LP 26 North Fulton Ave Baltimore MD 21223 472322323 Low Income Housing MD N/A Upstate Surgery Center LLC One St Francis Drive Greenville SC 29601 562186977 Ambulatory Surgery Center SC N/A Province Place of DePaul LLC 6403 Granby Street Norfolk VA 23505 541950880 Assisted Living Facilities VA N/A Province Place of Maryview LLC One Bon Secours Way Portsmouth VA 23703 541842697 Assisted Living VA N/A Broad64 Imaging LLC 8580 Magellan Parkway Richmond VA 23227 205886018 Imaging Services VA N/A Richmond Radiation Oncology Center I LLC 8580 Magellan Parkway Richmond VA 23227 208444551 Radiation Oncology Services VA N/A RI LP 8580 Magellan Parkway Richmond VA 23227 541708835 Imaging Services VA N/A Bon Secours Benet House LP 26 North Fulton Ave Baltimore MD 21223 364765400 Low Income Housing MD N/A Bon Secours Benet House LLC 26 North Fulton Ave Baltimore MD 21223 463055312 Low Income Housing MD N/A Southeastern Health PartnersLLC One St Francis Drive Greenville SC 29601 813264385 Coordinated Care SC N/A Harbour View MOB 2 LLC 5818 Harbour View Blvd Suite A1 Suffolk VA 23435 822484997 Real Estate VA N/A Memorial Ambulatory Surgery Center LLC 8580 Magellan Parkway Richmond VA 23227 593813233 Ambulatory Surgery Center VA N/A Bon Secours-Florida Integrated Services Inc 10300 Fourth Street North St Petersburg FL 33716 650779777 Holding Company/Assisted Living FL N/A C 0 Professional Health Care Management Services Inc 150 Kingsley Lane Norfolk VA 23505 541241031 Administrative VA N/A C 0 Bon Secours - Tidewater Diversified Inc 160 Kingsley Lane Norfolk VA 23505 541431826 Pharmacy VA N/A C 0 OSF Inc 2 Bernadine Drive Newport News VA 23602 541369919 Rental VA N/A C 0 Unity Housing Inc 26 North Fulton Avenue Baltimore MD 21223 521952507 Low Income Housing MD N/A C 0 Bon Secours Wayland LLC 26 North Fulton Avenue Baltimore MD 21223 270468561 Low Income Housing MD N/A C 0 Bon Secours New Shiloh II LLC 26 North Fulton Avenue Baltimore MD 21223 820631206 Low Income Housing MD N/A C 0 Bon Secours New York Housing Development Fund Corporation 2975 Independence Avenue Bronx NY 10463 472224316 Low Income Housing NY N/A C 0 Maryview Building Corporation 3636 High Street Portsmouth VA 23707 541306612 Administrative VA N/A C 0 Bon Secours-Virginia Healthsource Inc 8580 Magellan Parkway Richmond VA 23227 541417686 Ambulatory Healthcare Services VA N/A C 0 Chesterfield Community Healthcare Center Inc 8580 Magellan Parkway Richmond VA 23227 541812738 Ambulatory Healthcare Services VA N/A C 0 Richmond Radiation Oncology Center Inc 8580 Magellan Parkway Richmond VA 23227 541570244 Ambulatory Healthcare Services VA N/A C 0 RHS Management Corp 8580 Magellan Parkway Richmond VA 23227 541313425 Independent Living Facility VA N/A C 0 Richmond MRI Inc 8580 Magellan Parkway Richmond VA 23227 541568452 Medical Services VA N/A C 0 Good Help Connections LLC 8990 Old Annapolis Road Columbia MD 21045 472345223 IT Consulting MD N/A C 0 Optimum Health Network Inc One St Francis Drive Greenville SC 29601 570973524 Healthcare Services SC N/A C 0 Bon Secours Assurance Company Ltd PO Box 69 CJ KY1-1102 980152147 Offshore Captive Management CJ N/A C 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0