2019-07-11T14:55:02-05:00 2018-08-31 861065772 Deloitte Tax LLP 695 Town Center Drive Suite 1000 Costa Mesa CA 92626 990 2017-09-01 611356023 Our Lady of Bellefonte Hospital Inc OURL 6068333333 100 St Christopher Drive Ashland KY 41101 Jason Asic Interim Chief Executive Officer 6068333600 2019-07-11 1 John W Sadoff Jr P00540589 7144367100 168.250.63.1 2019-07-11 14:53:46 ED P 0EB4CE1ACD44DB279B6C2D9A8476B20948576B96 F6D944725D87E8D67D75795748B251B00643F0AC 2017 2019-02-21 02:37:17Z Jason Asic 100 St Christopher Drive Ashland KY 41101 169341971 0 0928 X bonsecours.com X 1999 KY Acute Care Hospital 17 12 1298 111 8835280 252246 382574 956209 169298843 163775486 483753 882312 3869665 3727964 174034835 169341971 582381 300981 0 0 70958001 72187753 0 0 0 103988754 98192212 175529136 170680946 -1494301 -1338975 153618023 149355861 87483269 60869461 66134754 88486400 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 158181073 300981 157879299 To bring compassion to healthcare and to be good help to those in need by providing healthcare services. Please see community benefit disclosures in Sch H. 158181073 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 111 0 1 1298 1 1 1 0 0 0 0 0 0 0 0 0 X 17 12 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 KY X Travis Crum 5139525000 1701 Mercy Health Place Cincinnati OH 45237 X Carol Allen Board Member (End 12/17) 2.00 0.00 X 0 0 0 Gregory Bausch PharmD Board Member (End 12/17) 2.00 0.00 X 0 0 0 Lori Cooksey Board Member 2.00 0.00 X 0 0 0 Mary Flath PhD Board Member (End 12/17) 2.00 0.50 X 0 0 0 Geoff Griffith Board Member 2.00 0.00 X 0 0 0 Kevin Halter FACHE CEO - BSKY 37.00 13.00 X X 0 475910 61857 Kevin Howard DO Board Member (End 07/18) 50.00 0.00 X 277250 0 23573 Daniel Huffman Board Member (End 12/17) 2.00 0.00 X 0 0 0 Gregory Jackson Chairman 3.00 0.00 X X 0 0 0 Christine Lay JD President (Beg 01/18) 3.50 46.50 X X 0 420690 50873 James Martin Jr MD Board Member 2.00 0.00 X 0 0 0 Andrea Mazzoccoli PhD Board Member (End 12/17), SVP/CNO 2.00 48.00 X 0 969302 88874 Jason McCloud OD Board Member 2.00 0.00 X 0 0 0 Stephen McGinnis JD Board Member 2.00 0.00 X 0 0 0 Thomas Morris PhD President (End 12/17), CSO 3.50 46.50 X X 0 583363 68707 Kim Nall Board Member (Beg 01/18) 2.00 0.50 X 0 0 0 James Payne PhD Board Member 2.00 0.00 X 0 0 0 Nicole Pennington Board Member (Beg 01/18) 2.00 0.00 X 0 0 0 Pam Phillips Board Member, Mission Officer 2.00 48.00 X 0 213327 12825 Heather Shelton Board Member (Beg 01/18) 2.00 0.00 X 0 0 0 Laura Timberlake Board Member 2.00 0.00 X 0 0 0 Emily Watson Board Member 2.00 0.00 X 0 0 0 William Willan PhD Board Member 2.00 0.00 X 0 0 0 Laishy Williams-Carlson Board Member (Beg 01/18), SVP/CIO 2.00 48.00 X 0 581790 84249 Joe Buchheit Treasurer/CFO-BSKY (End 12/17) 37.00 13.00 X 327398 0 18891 Laura Buczkowski Treasurer/CFO-BSKY (Beg 01/18) 15.00 35.00 X 0 538913 52223 Rodney Hieneman Secretary, COO-BSKY 48.00 2.00 X 176584 0 32768 John Darnell CMO 50.00 0.00 X 301303 0 22262 Michele Friday MD Cardiologist 49.50 0.50 X 810453 0 34332 Kurt Jaenicke MD Obstetrician 50.00 0.00 X 685593 0 25335 Yogendra Prasad MD Cardiologist 50.00 0.00 X 659060 0 34461 James Hayes MD Hospitalist 50.00 0.00 X 436709 0 32436 Emilio Punzal MD Cardiologist 50.00 0.00 X 443320 0 33325 John Wallenhorst PhD Former Board President 0.00 50.00 X 0 487050 27128 4117670 4270345 704119 52 1 1 0 Morrison MGT Specialists PO Box 102289 Atlanta GA 303682289 Food Services 3255466 Ashland Anesthesia PSC PO Box 29 Ashland KY 411050029 Anesthesia Services 2565824 Aramark CTS Inc 12483 Collections CTR Dr Chicago IL 60693 Equipment Maintenance 2113120 Aramark 25271 NETWORK PLACE Chicago IL 606731252 Housekeeping/Laundry 1721518 Jackson & Coker Locum Tenens PO BOX 277638 Atlanta GA 303847638 Jobs Services 1650852 50 266003 690206 956209 Patient Service Rev. 622110 163775486 156681358 7094128 163775486 286438 286438 456377 0 456377 456377 456377 468347 127527 0 0 468347 127527 595874 595874 Retail Pharmacy Rev. 446110 2630381 896409 1733972 Health & Fitness 713940 301532 301532 Medical Records 900099 92581 92581 247093 7180 239913 3271587 169341971 157879299 8835280 1671183 X 295981 295981 5000 5000 879206 791285 87921 52154244 46938820 5215424 6782526 6104273 678253 8227874 7405087 822787 4143903 3729513 414390 237647 237647 25410 25410 12616 11354 1262 35074262 32463893 2610369 467598 420838 46760 2141203 1927083 214120 496748 447073 49675 6625344 5962810 662534 459758 413782 45976 30042 27038 3004 2375180 2375180 9525564 8573008 952556 1599653 1439688 159965 Medical supplies 26547138 26547138 0 Bad Debt 8947591 8947591 0 Dues and Fees 2907516 2616764 290752 Unrel. Bus Inc. Tax Ref -100919 -100919 819861 737874 81987 170680946 158181073 12499873 0 824 824 59570773 52987349 0 19909181 17537942 1644278 1198043 4150922 4120179 1645273 1383843 151861972 101393322 47865202 50468650 10609579 11349649 436396 467893 243053 240611 7542542 9600878 153618023 149355861 16216566 15170350 4499531 3947383 66767172 41751728 87483269 60869461 X 66134194 88485840 560 560 66134754 88486400 153618023 149355861 X -1338975 -212197 23902818 X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 12616 12616 0 Part II-B, Line 1: 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 1i. 4509318 4509318 60925713 34630991 26294722 2563271 2554126 9145 79781023 61316136 18464887 4082647 2892069 1190578 50468650 HPL/GL 8615588 Dues from Affiliates 290235 Deposit General 244800 Medicare/Medicaid Settlements 173420 Miscellaneous A/R 147597 Other Pat and 3rd Party Payers 113746 Accrued Interest Receivable 15492 9600878 LT Liab - Pension Liability 31664770 HPL/GL Liability 8615588 Medicare/Medicaid Settlements 964321 Due to Affiliates 229444 Reserves from Medicare 249494 Unclaimed Prop Accrual 28111 41751728 X 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 1 0 1 1 1657177 1657177 0.01020 37335962 22448220 14887742 0.09210 38993139 22448220 16544919 0.10230 21 12384 319207 319207 0.00200 147898 147898 1 690361 690361 0.00430 9 6301 10680 10680 0.00010 31 18685 1168146 147898 1020248 0.00640 31 18685 40161285 22596118 17565167 0.10870 4 5259 3224 3224 0.00000 1 217 1112 1112 0.00000 2 96 3831 3831 0.00000 2 1750 7691 7691 0.00000 13 3954 47976 47976 0.00030 7 6920 127154 127154 0.00080 1 178 2674 2674 0.00000 30 18374 193662 193662 0.00110 1 8947591 0 44274745 46674747 -2400002 X 1 1 1 1 Our Lady of Bellefonte Hospital Inc St Christopher Drive Ashland KY 41101 https://bonsecours.com/kentucky 100154 X X X X Our Lady of Bellefonte Hospital Inc 1 0 0 1 X X X X X X X X X 15 1 1 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 Our Lady of Bellefonte Hospital, Inc. Part V, Section B, Line 5: In preparing the OLBH CHNA, the hospital collaborated with community service organizations to provide feedback on the questions we included in the survey. Local health dept's, police and fire dept's, school districts, community based service organizations, local businesses, representatives from faith communities along with residents and organizations. Interviews were conducted with individuals with special knowledge and expertise in public health, along with representatives of individuals that are medically underserved and battling chronic diseases. Interviews were conducted with the following individuals: Chris Crum, Director of Greenup Co. Health Dept., Maria Hardy, Director Boyd Co. Health Dept., Laura Brown, Director Ironton OH Health Dept. , Debbie Fisher Director Lawrence Co. Ohio Health Dept., Kelli Prater, Director Boyd Co. Head Start, Mary Crowley, NEKCC Free clinic, Debbie Sivis, Director at Shelter of Hope, Alfreda Moore, Director Ashland Community Kitchen, Debbie Blevins, Director of Helping Hands of Greenup KY, Ann Perkins, Director of Safe Harbor, Trish Hall Director of CARES, Eve Greene Nurse at Greenup Co. Health Dept. Our Lady of Bellefonte Hospital, Inc. Part V, Section B, Line 6a: King's Daughters Medical Center Our Lady of Bellefonte Hospital, Inc. Part V, Section B, Line 7d: The CHNA is available to the public in the following locations: Hospital and coalition Web sites, printed copies were made available at the hospital in various departments including the emergency department, administration, marketing and mission departments. Our Lady of Bellefonte Hospital, Inc. Part V, Section B, Line 11: OLBH community implementation plan focuses on four most pressing identified health needs from 2016 CHNA: obesity, poverty, substance use disorder, and transportation challenges. OLBH has been working proactively to address these needs through helping to serve as a convener and one of the anchors of the Health Choices, Health Communities Coalition. Coalition support groups have tried to address issues in the following ways: 1) Obesity- Festival of Fitness: A community event aimed to bring awareness to opportunities in the local area to increase individual and family fitness in daily lives. Several coalition agencies have funded walking tracks and trails in several local communities. This initiative aims to provide facilities in remote and rural areas. BSKY has increased financial support for school and community gardens, and funded two community bicycle safety programs, and assists with funding for three local farmers' markets, support for safe routes to schools and continue work on policy changes through schools to support active recess and healthy eating in child care centers. Initiatives are in place to support completion of streets in several communities. 2) Poverty/Socioeconomic challenges: OLBH has funded 5 individuals to become certified Bridges Out of Poverty trainers, with goal of providing community trainings and increase ability of community nonprofits, businesses, and helping agencies to serve and support those in poverty. An initial training educated over 50 area leaders on Bridges framework with goal to continue to expand trainings and exposure. Another goal of group has been to identify and support financial literacy programs and initiatives within community, including "Bank On" program. This workgroup worked with United Way to implement a 2-1-1 system for referrals to social service agencies. 3) Substance use disorder: OLBH in collaboration with substance use disorder workgroup hosted "Bridges Out of Addiction" conference which provided education and resources to over 300 community members on strategies for collaborating and supporting efforts to address SUD crisis. Ongoing work includes working to organize faith community leader conference and a film screening and discussion for schools and community members related to SUD. Additionally OLBH assists with a program in local schools called "2 good for drugs program" which is currently in 4 local school systems in collaboration with Pathways. OLBH is also working on 24-7 smoke free policy in schools, and supports a program in the schools called "truth or consequences" in collaboration with UK extension office and law enforcement. OLBH collaborates with Impact prevention in Lawrence Co., Ohio and is actively caring for people, start with Hello in 8 school systems in Lawrence Co., Ohio. 4) Transportation (Access to Care): In 2018 we received a grant to study transportation needs, gaps and opportunities for the 4-county area. A survey including online and paper versions was distributed and a total of ten (10) focus groups were held across the 4-county area and over 700 surveys were received. Ongoing advocacy work includes raising public awareness about the transportation needs of our most vulnerable and to work with local area transportation providers and agencies to incorporate changes and recommendations from the results of the study. OLBH also supports a van ministry program to transport patients to physician appointments and treatments, as well as a "meals on wheels" program that provides meals to over 45 area residents during the week M-F. OLBH sponsors community events to bring awareness to colon cancer through an event at the mall in collaboration with the American Cancer Society. We provide free screenings in the community for Blood Pressure, Blood sugar, A1C, Hemoglobin and Cholesterol. OLBH provides uninsured and underinsured women gas cards to assist with transportation to mammogram appointments. Our Lady of Bellefonte Hospital, 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: 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. Form 990, Schedule H, Part V, Section B, Line 7a: https://bonsecours.com/kentucky/community-commitment/community-health-needs-assessment Form 990, Schedule H, Part V, Section B, Line 10a: https://bonsecours.com/kentucky/community-commitment/community-health-needs-assessment 14 1 - Med Plaza Pharmacy 700 St Christopher Drive Ashland KY 41101 Pharmacy 2 - Same Day Surgery Center 1101 St Christopher Drive Ashland KY 41101 Surgery Center 3 - Bellefonte Behavioral Health 1000 St Christopher Drive Ashland KY 41101 Behavioral Health 4 - Bellefonte Home Health Care Agency 700 St Christopher Drive Suite 105 Ashland KY 41101 Home Health 5 - Ironton MRI 1015 East Ring Road Ironton OH 45638 Imaging Center 6 - Ashland Imaging 1816 Carter Ave Ashland KY 41101 Imaging Center 7 - Ashland Lab 1816 Carter Ave Ashland KY 41101 Lab Services 8 - Bellefonte Center 1000 Ashland Drive Ashland KY 41101 Women's Health, Pre-testing, Various physician offices 9 - Ashland Infusion Center 2930 Carter Ave Ashland KY 41101 Infusion Therapy 10 - Wheelersburg PT 8985 Ohio River Road Wheelersburg OH 45638 Physical Therapy 11 - OLBH Pediatric Rehabilitation Clinic 1100 St Christopher Drive Ashland KY 41101 Pediatric Rehab 12 - Bellefonte Sleep Lab 118 St Christopher Drive Ashland KY 41101 Sleep Lab 13 - Vitality Center 1100 St Christopher Drive Ashland KY 41101 Cardio/Vascular Rehab 14 - Bellefonte Home Health Care Agency - Ohi 109 N 3rd St Ironton OH 45638 Home Health Part I, Line 6a: Annually, Bon Secours Kentucky Health System, through its Foundation, 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 March 15.This report is available online at http://kentucky.bonsecours.com/about-us-foundation .html 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: Unreimbursed Medicaid is computed by determining the cost of Medicaid services supplied less payments received for these services. To determine the cost of Medicaid services provided, a cost-to-charge ratio is applied to traditional and managed Medicaid gross charges captured in the patient accounting system and general ledger. Payments include payments for individual claims, payments from the Medicaid program paid outside the claim process (such as medical education payments) and expected or actual cost report settlements.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: $8,947,591. Part II, Community Building Activities: The service area addressed in the recent CHNA covered 4 counties in 2 states; Boyd, Greenup, Carter in KY and Lawrence Co in Ohio. located in 2 states, KY and OH. Our community building activites include School and community gardens, walking trails, farmers markets, after school and summer camps for low income students living in public housing in the Ironton Ohio community. The trails and gardens located in the Greenup county community of Argillite KY continue to be utilized and provide opportunities for education on how to grow fresh vegetables and provides a venue for the community and the school students and personal to walk in a safe atmosphere in a rural community. This project is aimed to to help fight obesity. BSKY continues to use First Book market place to purchase books to distribute free to students in the low income communities of Ashland, Greenup, Argillite, KY and Ironton, OH. Support of 94 student backpacks and weekend snack sack programs provides supplies and food to students most at risk of going hungry during the weekend and without needed school supplies when school resumes form the summer break. These programs are essential and continue to assist the high risk students in our service area. Healthy Community Services conducted 94 health fairs, providing approximately 7,650 health screenings in 2017 for chronic conditions such as heart disease, diabetes, osteoporosis, anemia, glaucoma, and peripheral vascular disease. All participants in our health fairs received personal health counseling and the 1,719 participants with abnormal results received educational materials and the offer of assistance in finding a medical home or care provider if they had none. Additionally Healthy Community services conducted 8 community CPR classes in 2017 resulting in 46 individuals being certified in adult, infant and child CPR. We offered 2 safe sitter classes and certified 13 young people as safe sitters. We offered bicycle safety camp with 75 children and their families in attendance. We currently have faith ministry or faith community nurse partnerships with 58 local churches. We have 4 churches offering exercise classes with 50 participants. We provided Flu shots at 16 locations providing 205 immunizations. . Our Healthy Community Services Van Ministry provided free non-emergency medical transportation for outpatient services on the OLBH campus and to patients who had appointments with campus or BPS-affiliated physicians. We operate four vans --two of which are equipped with a wheelchair lift. We provided 358 wheelchair transports. In an area which has very limited public transportation, our van ministry provides an option for our patients who need treatment but have no means of affordable non-emergency medical transportation. Our van ministry provided over 3,907 round trips and traveled over 94,192 miles. We served over 493 individuals in transporting most of these individuals multiple times. Our Meals on Wheels programs serve 200 home-bound seniors in 10 communities for an average of 3,600 meals delivered each month. We provide approximately $32,000 in free or reduced price meals each year. 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: Our Lady of Bellefonte Hospital (OLBH) uses multiple approaches to assess the health needs of the communities it serves. We have a community based Board of Directors that provides the hospital with guidance and input on services needed in the local community through contacts with local business and government leaders. Community health screening data is gathered through the year and analyzed for use in planning. Community need assessments are updated using a variety of informational sources including Kentucky Health Information for state-based performance data, Kentucky Hospital Association information for market and geographic data bases, third party data bases, US Census Bureau data and Thomson-Reuter's Market Expert is used to retrieve demographic information and trends for the primary and secondary service areas pertaining to Our Lady of Bellefonte Hospital. We have also developed regional alignment plans using this data and tying it to our underserved areas to plan for future growth in the communities we serve by providing more access points for patients in our service areas. The CHNA survey was open to the public through a web based survey and available in hard copies. We worked with local health departments, participated in health needs assessments, had conversations with local residents, health professionals, public forums, community meetings and coalitions. All these groups contributed to the assessment of the community's health care needs. Part VI, Line 3: 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 Mercy Health 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 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: Our Lady of Bellefonte Hospital and related entities serve a region of approximately 400,000 people in northeastern Kentucky, southern Ohio, and western West Virginia. The service areas include six counties in northern Kentucky (Greenup, Boyd, Lawrence, Carter, and Elliott) which comprises of the FIVCO Area Development District as well as Lewis County, two counties in southern Ohio (Lawrence, and Scioto) and Wayne and Cabell counties in western West Virginia. Due to our growing aging population, services for our community residents aged 55 and older are needed, particularly women's health, orthopedics, diabetes, cardiopulmonary services, cancer, drug rehab and wound care. According to the 2017 County Health rankings data, the counties in OLBH primary service area rank among the highest in the state at risk for poor health outcomes and poor health factors. Consistent with the state and national trends, five chronic diseases account for most of the spending on health care: diabetes, heart disease, hypertension, asthma and depression. Prescription drug abuse and addiction is a growing problem in the area, as is illegal drug use including heroine, methamphetamine and marijuana. Access to quality preventative care and disease management education is critical in minimizing future hospitalizations. Health insurance coverage is also a factor in determining whether patients will seek preventative care or wait for symptoms to become more severe, thus requiring more extensive treatments, including hospitalization. The area's growing drug addiction problems puts these individuals more at risk for depression, suicides and kidney failure. The area's population of drug abuse by all ages is growing at a relatively fast pace and will necessitate planning of and access to health care services unique to this population. There are few exceptions to our local community versus state averages with regard to health impacts. Our service area has higher overall cancer rates in lung cancer than the state average. Other cancers that are prevalent in our primary and secondary service areas are breast, colon, bladder, prostate and lymphoma. Part VI, Line 5: The organization has an open medical staff with privileges available to all qualified physicians in the area. Bon Secours Kentucky Health System is governed by a board of directors whose composition is representative of the community it serves. OLBH has been instrumental in developing and collaborating with other local agencies on programs to meet the needs of uninsured and low income families. OLBH also supports van ministry that provides free non-emergency medical transportation for outpatient services at our campus, primary care centers and other service areas. Our staff organizes and chairs the Greenup County Interagency Council. We have partnerships with 54 churches to conduct health ministry and/or faith community nursing programs.Healthy Choices Healthy Communities coalition: This coalition is tackling obesity, substance abuse, poverty, and access to care issues in our communities. OLBH Green Team: The OLBH Green Team has implemented recycling programs (plastic, aluminum, electronics, printer cartridges and toners, cardboard, batteries, etc.) that offer the opportunity for our community residents to be better stewards of our earth and live in a healthier environment. In 2016, the team took on the project of adding rain barrels to a walking trail on our campus that provides an opportunity for employees and community residents to walk, garden (adopt-a-flower-bed program) or just enjoy nature. The team also operates a clothing closet, has regular clean-up days for our campus and participates in Cell Phones for Soldiers by donating old cell phones to provide talk time for American military personnel around the world. We also have an E-recycling drop off site for the community and recycling for Christmas lights. 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 KY 1 Bon Secours Kentucky Health System Foundation Inc 100 St Christopher Drive Ashland KY 41101 611381952 501(c)(3) 295981 General and Administrative Support 1 Part I, Line 2: The organization complies with Bon Secours Mercy Health, Inc.'s system-wide financial and accounting policies. Contributions are generally made as reimbursements for funds spent. In such cases, the donee/grantee organization must provide documentation to the filing organization before funds are approved for disbursement. Grant administration is maintained within the Foundation arm and received by the hospital as reimbursement for spend. X 1 1 0 1 0 0 0 0 0 1 0 Kevin Halter FACHE CEO - BSKY 0 360758 0 61261 0 53891 0 34574 0 27283 0 537767 0 9261 Kevin Howard DO Board Member (End 07/18) 221179 0 26452 0 29619 0 5659 0 17914 0 300823 0 0 0 Christine Lay JD President (Beg 01/18) 0 288056 0 88920 0 43714 0 37920 0 12953 0 471563 0 0 Andrea Mazzoccoli PhD Board Member (End 12/17), SVP/CNO 0 418765 0 167274 0 383263 0 68384 0 20490 0 1058176 0 38727 Thomas Morris PhD President (End 12/17), CSO 0 359135 0 151630 0 72598 0 47280 0 21427 0 652070 0 24192 Pam Phillips Board Member, Mission Officer 0 162449 0 18876 0 32002 0 2414 0 10411 0 226152 0 0 Laishy Williams-Carlson Board Member (Beg 01/18), SVP/CIO 0 396922 0 161886 0 22982 0 65358 0 18891 0 666039 0 0 Joe Buchheit Treasurer/CFO-BSKY (End 12/17) 242699 0 42251 0 42448 0 0 0 18891 0 346289 0 0 0 Laura Buczkowski Treasurer/CFO-BSKY (Beg 01/18) 0 363876 0 133855 0 41182 0 22390 0 29833 0 591136 0 0 Rodney Hieneman Secretary, COO-BSKY 158776 0 15996 0 1812 0 4162 0 28606 0 209352 0 0 0 John Darnell CMO 273093 0 26406 0 1804 0 10969 0 11293 0 323565 0 0 0 Michele Friday MD Cardiologist 764142 0 38517 0 7794 0 4746 0 29586 0 844785 0 0 0 Kurt Jaenicke MD Obstetrician 342394 0 324245 0 18954 0 4908 0 20427 0 710928 0 0 0 Yogendra Prasad MD Cardiologist 453549 0 188416 0 17095 0 4628 0 29833 0 693521 0 0 0 James Hayes MD Hospitalist 268862 0 114693 0 53154 0 1995 0 30441 0 469145 0 0 0 Emilio Punzal MD Cardiologist 294858 0 82244 0 66218 0 4802 0 28523 0 476645 0 0 0 John Wallenhorst PhD Former Board President 0 320924 0 99389 0 66737 0 16200 0 10928 0 514178 0 0 Part I, Line 1a A tax indemnification benefit to cover the income tax incurred on scholarship assistance was paid to one officer. The entire benefit was treated as taxable compensation. 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 or participate in the program include: Kevin Halter, FACHE, $10,792; Andrea Mazzoccoli, $39,087; Thomas Morris, PhD, $27,851; Christine Lay, $0; Laishy Williams-Carlson, $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. Judy Houston Sibling of BM, James Payne 65537 Employment 0 Teresa Barron Sibling of BM, James Payne 34481 Employment 0 Form 990, Part VI, Section A, line 4 On February 20, 2018 and May 8, 2018, the bylaws and the articles, respectively, for Bon Secours Kentucky Health System, Inc. and Our Lady of Bellefonte Hospital, Inc. were amended and restated in their entirety to bring the documents up to date with current templates for local system parent and hospital entities. Form 990, Part VI, Section A, line 6 Bon Secours Mercy Health, Inc. is the sole member of Bon Secours Kentucky Health System, Inc. which in turn is the sole member of Our Lady of Bellefonte Hospital, Inc. Form 990, Part VI, Section A, line 7a The governing body of Our Lady of Bellefonte Hospital, Inc. is appointed by its Member, Bon Secours Kentucky Health System, Inc. and subject to approval by Bon Secours Mercy Health, Inc. Form 990, Part VI, Section A, line 7b Certain authorities of Our Lady of Bellefonte Hospital, 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 Our Lady of Bellefonte Hospital, Inc. provides any documents open to public inspection 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. Form 990, Part IX, line 11g Contract Labor: Program service expenses 6,093,022. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,093,022. Intercompany assessments: Program service expenses 11,837,335. Management and general expenses 1,315,259. Fundraising expenses 0. Total expenses 13,152,594. Physician Recruitment: Program service expenses 433,272. Management and general expenses 0. Fundraising expenses 0. Total expenses 433,272. Housekeeping and laundry: Program service expenses 1,971,150. Management and general expenses 219,017. Fundraising expenses 0. Total expenses 2,190,167. Patient testing serv.: Program service expenses 1,607,676. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,607,676. Dietary: Program service expenses 2,299,012. Management and general expenses 255,446. Fundraising expenses 0. Total expenses 2,554,458. Billing/collection services: Program service expenses 836,604. Management and general expenses 0. Fundraising expenses 0. Total expenses 836,604. Security: Program service expenses 999,771. Management and general expenses 111,086. Fundraising expenses 0. Total expenses 1,110,857. Other purchased services: Program service expenses 6,386,051. Management and general expenses 709,561. Fundraising expenses 0. Total expenses 7,095,612. Form 990, Part XI, line 9: Minimum Pension Liability 24,965,236. Other changes in Net Assets 424,394. Transfer to BSMH for Swaps & Debt -1,486,812. Eastern Kentucky Quality Alliance LLC 1 St Christopher Drive Ashland KY 41101 822832840 Clinically Integrated Network KY 0 0 Our Lady of Bellefonte Hospital Inc 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 0 1 0 0 0 0 0 0 0 1 0 0 1 1 1 0