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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - MERCY HEALTH - SPRINGFIELD REGIONAL MEDICAL CENTER. Springfield Regional Medical Center participated in a regional Community Health Needs Assessment (CHNA) process through participation with the Health Collaborative and Greater Dayton Area Hospital Association as well as a local Community Health Needs Assessment (CHNA) process coordinated by the Clark County CHNA/CHIP Stakeholder Group ("Stakeholder Group "Group"). Because the regional assessment included Cincinnati, Dayton, Springfield, and Urbana, we wanted to make sure the data collected, and priorities selected had the appropriate mix of localized data and health prioritization. As part of our regional CHNA data collection process, The Health Collaborative supported in providing tools for community input. Utilizing these tools, the needs assessment used a mixed-method approach to data collection, including secondary quantitative data and primary quantitative (Regional CHNA community and provider surveys) and qualitative (focus groups and interviews) data. Secondary data collection, beginning in January of 2021, sought to understand the greatest health conditions of the region, including prevalence and impact on community members. These results informed the creation of survey items that were organized around a set of cocreated research questions. Each data collection strategy adhered to a recruitment plan to ensure a representative sample of community members, voices of marginalized populations, and providers across the health and social services sectors were captured. All results are summarized for the region, which includes the Cincinnati Metropolitan Statistical Area (MSA), Dayton-Kettering MSA (including Clark County, which is not part of the Dayton MSA but is similar in that it borders the Dayton MSA and is not a rural county), and other rural counties in the geographic service area that are predominately rural and not included in other MSAs. Overall, the scope of data collection included 8,321 community surveys available in five languages, 859 provider surveys, and 5 focus Groups. The community surveys represented 26 counties, males, females, ages 18-65+, Black/African American, Multiracial, Asian, American Indian, Alaskan Native, White, and Hispanic/Latino populations. The provider surveys represented behavioral health, education, emergency medical services, faith-based organizations, federally qualified health centers, justice/corrections, medical care (adult, geriatric, pediatric), oral health, organizations addressing health related social needs and social determinants of health, pharmaceutical, and public health departments. The focus Groups were facilitated by the Clark County Combined Health District with sessions held with Latino Coalition, Springfield Promise Neighborhood, Family youth initiatives, and Restored Life Ministries. Additional detail can be found on the Mercy Health website at https://www.mercy.com/about-us/mission/giving-back/community-health-needs-assessment</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility A, 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 2 - MERCY HEALTH - URBANA HOSPITAL. Urbana Hospital participated in a regional Community Health Needs Assessment (CHNA) process through participation with the Health Collaborative and Greater Dayton Area Hospital Association, as well as a local Community Health Needs Assessment (CHNA) process coordinated by the Champaign County CHNA/CHIP Stakeholder Group ("Stakeholder Group "Group"). Because the regional assessment included Cincinnati, Dayton, Springfield, and Urbana, we wanted to make sure the data collected, and priorities selected had the appropriate mix of localized data and health prioritization. The Champaign County Stakeholder Group included a team of community leaders, organizations, non-profits, education, and faith-based entities. As part of our regional CHNA data collection process, The Health Collaborative supported in providing tools for community input. Utilizing these tools, the needs assessment used a mixed-method approach to data collection, including secondary quantitative data and primary quantitative (Regional CHNA community and provider surveys) and qualitative (focus groups and interviews) data. Secondary data collection, beginning in January of 2021, sought to understand the greatest health conditions of the region, including prevalence and impact on community members. These results informed the creation of survey items that were organized around a set of co-created research questions. Each data collection strategy adhered to a recruitment plan to ensure a representative sample of community members, voices of marginalized populations, and providers across the health and social services sectors were captured. All results are summarized for the region, which includes the Cincinnati Metropolitan Statistical Area (MSA), Dayton-Kettering MSA (including Clark County, which is not part of the Dayton MSA but is similar in that it borders the Dayton MSA and is not a rural county), and other rural counties in the geographic service area that are predominately rural and not included in other MSAs. Overall, the scope of data collection included 8,321 community surveys available in five languages and 859 provider surveys. The community surveys represented 26 counties, males, females, ages 18-65+, Black/African American, Multiracial, Asian, American Indian, Alaskan Native, White, and Hispanic/Latino populations. The provider surveys represented behavioral health, education, emergency medical services, faith-based organizations, federally qualified health centers, justice/corrections, medical care (adult, geriatric, pediatric), oral health, organizations addressing health related social needs and social determinants of health, pharmaceutical, and public health departments. Additional detail can be found on the Mercy Health website at https://www.mercy.com/about-us/mission/giving-back/community-health-needs-assessment</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - MERCY HEALTH - SPRINGFIELD REGIONAL MEDICAL CENTER. MERCY HEALTH - URBANA HOSPITAL</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility A, 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 2 - MERCY HEALTH - URBANA HOSPITAL. MERCY HEALTH - SPRINGFIELD REGIONAL MEDICAL CENTER</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - MERCY HEALTH - SPRINGFIELD REGIONAL MEDICAL CENTER. the Health Collaborative, Greater Dayton Area Hospital Association, Clark County Combined Health District, Mental Health and Recovery Board of Clark, Greene, and Madison Counties, Rocking Horse Center, The Springfield Foundation, The Community Health Foundation, United Senior Services, Clark County ESC</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b Facility A, 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 2 - MERCY HEALTH - URBANA HOSPITAL. the Health Collaborative, Greater Dayton Area Hospital Association, Champaign County CHNA Stakeholder Group, Champaign County YMCA, Champaign County Health Department, Mental Health, Drug and Alcohol Services Board of Logan and Champaign Counties, Champaign Economic Partnership Ohio, Caring Kitchen, Champaign County Chamber, Graham Local Schools, Catholic Social Services of the Miami Valley, Memorial Health, Champaign County Suicide Prevention Coalition, Mercy REACH Services, RVSH Township, Mechanicsburg, Mary Rutan Health, Champaign Family &amp; Children's First Council, Champaign Common Pleas Ct., City of Urbana, Champaign Co. Engineers, Urbana City Schools, Madison Champaign ESC</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - Mercy Health - Springfield Regional Medical Center. Mercy Health - Springfield Regional Medical Center (SRMC) Health Risk Prevention - Social Determinants of Health Needs with Specific Focus on Education, Environmental, Food Access, and Transportation. Implementation Activities: Goal 1: Providing education to the public to improve the awareness of the top health needs and their causes where applicable. Goal 2: Seek to improve more opportunities for the community to expand their knowledge that will ultimately benefit their health, well-being, and economic stability. Goal 3: Seek to provide continuing education opportunities through all levels of employment to associates. Goal 4: Improving the environmental footprint of the hospital by investing in a sustainability council, recycling, and composting. Goal 5: Creating a community garden onsite to improve the overall environment. Goal 6: Identifying malnourishment as an important factor in the well-being of patients who are hospitalized and carry this knowledge through as an important factor of their care and identifying opportunities to help bridge gaps in food access. Goal 7: Connecting food access as an important factor to the general well-being of patients and this need should be identified through screening and referral to local partner agencies. Goal 8: Springfield Regional Cancer Center will respond by growing the utilization of its food bag program, which creates a warm handoff to second harvest food bank. Goal 9: Strategically collaborating on several community collaboratives, taskforces, and work groups that impact transportation, transportation short and long-term planning, local funding, and training and support. 2023 Strategies and Outcomes: * During 2023, SRMC hosted 18 health education events. The topics of these events focused on top health needs, wellness, and prevention while also creating awareness of community resources and programs available to the public. * In order to improve opportunities available to the community and grow learning pathways for students, SRMC implemented an on-site paid student internship program for local technical high school and alterative school students. During 2023, 10 on-site paid student interns were hosted by the program. SRMC also began work to establish a job shadowing pathway and on-site student tours which would provide a wider opportunity for more students. * SRMC began to offer low/no cost continuing medical education in medical career pathways for associates at all levels by utilizing the Guild program. During 2023, 755 associates created an account with the Guild program and completed their user profiles, and 33% of those associates are within two years of the start of their employment at SRMC. Additionally, 322 associates had active benefits in motion with tuition assistance pre-paid by the Ministry. The top five job families with the highest utilization of Guild programs include RN Clinical (213 associates), Nursing Support (96 associates), Physician Office/Medical Group (74 associates), Laboratory (53 associates), and LPN (41 associates). * In an effort to improve the environmental footprint of the hospital, SRMC created a sustainability council that was tasked with introducing and implementing recycling and composting throughout the hospital. Through the council's new initiatives, four departments have started utilizing recycling cans in their operations. In addition, SRMC redirected 97,379 pounds of waste to composting. * During the year, SRMC established a committee that meets on a monthly basis that has created an on-site raised garden at the hospital for visitors, patients, associates, and the community to enjoy. Raised beds were built and volunteers ensure the beds are maintained and watered. Any extra produce grown and harvested will be donated to local food pantries. * SRMC continues their ongoing community collaborations, feedback, and partnerships through their community health assessment taskforce groups. During 2023, in partnership with Clark County community Lead Prevention, SRMC shared lead risk and prevention information with OB/GYN, Birthing Center, and Nursing employees. * During 2023, SRMC created a partnership with Nutrition, Case Management, and the Community Medication Assistance Program (Med Assist) and launched a malnourishment patient screening pathway. Through this new partnership, 38.375% of patients at SRMC were evaluated for malnourishment. From these patients screened, SRMC connected those who screened positive for malnourishment to the food bag referral program at discharge. By connecting these patients to this program, 20 patients received food bags. The Emergency Services, Nursing, Case Management and Nutrition Services departments all have access to the food bags in case there is an urgent need. * During the year, SRMC began the planning for a supplement program named Stand Up Ensure through Med Assist. This program will ensure patients who qualify will receive supplements at discharge and be referred to the med Assist program. * SRMC implemented market wide Social determinants of health screenings at primary care and OB/GYN practices in the service area. During 2023, the Medical Group conducted 23,980 screenings and the OB/GYN conducted 1,921 screenings. From those screenings, patients identified financial help, food access, transportation access/help, and housing access/help as top health needs. * During the year, SRMC formed the Health Equity Committee, which is a strategic community collaboration with the Clark County Combined Health District. The Health Equity Committee held 12 monthly meetings in 2023 to work on relationship building and plan events focused on educational opportunities as well as a Speaker Series which covers crucial topics such as breast cancer, lung cancer, and women's health. Directors from Community Health, Sleep/Direct Medical Equipment, and Quality teams from SRMC have supported the Health Equity Committee meetings. Additionally, this collaboration with the Clark County Combined health District started the Clark County Local Foods Council. The Clark County Local Foods Council held 10 meetings to measure the growth of the local food directory, which has over 40 local food-based businesses and a website for food pantry locations. During the year, 9,760 pounds of local produce was donated to local food pantries from the directory. * During 2023, SRMC continued the food bag program, which is available to any patient who indicates they are experiencing hunger. To increase awareness and utilization of the Food Bag program by patients of the Cancer Center, the Cancer Center began tracking how many people indicated they are experiencing hunger via the completion of a questionnaire. In 2023, the Cancer Center had 5 patients who received assistance through the Food Bag program. * To continue ongoing community strategy, planning, and collaboration with the Clark County Human Services Transportation Council, SRMC attended three quarterly meetings. From these meetings, SRMC shared community transportation information updates with the Care and Case Management teams and discussed transportation access at a local level with the Cancer Center. Community Health and Mission leaders attended local strategy meetings around top health needs and implementation for community coordination. Meetings were county specific, so there was one in Clark County and one in Champaign County. * SRMC created a new communication plan to address transportation barriers within the local Haitian Creole community. SRMC attended local Haitian Taskforce meetings and worked with the Clark County Combined Health District to troubleshoot some transportation challenges for the Haitian immigrant population. SRMC leveraged support for cultural barriers regarding appointments and transportation. Additionally, an informational video was also created so Haitian immigrants can see how to leverage local public transportation. * Through participation in the Clark and Champaign County Strategic Planning, SRMC was able to share the status of planning meetings and community transportation information updates with the Care and Case Management Teams. Continued Below</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 2 - Continued Description: Mercy Health - Springfield Regional Medical Center. Access to Care: Focus on Primary Care, Women's Health, Appropriate Point of Care: Non-emergency options: Urgent, Virtual Implementation Activities: Goal: Provide more options for access to care. More proactive care and condition management for the betterment of patients and our community. 2023 Strategies and Outcomes: * During 2023, SRMC hired a new physician to serve as a specialty provider in order to expand greater regional access to OB/GYN and Women's Health Specialty care. * To allow easier access to physicians in the BSMH Medical Group care settings, SRMC launched the option for same-day appointments. * SRMC launched the ability to do remote patient monitoring, which is an expansion of virtual care, through Primary Care and Care Management groups. During 2023, the expansion served 100 patients virtually. * To better meet the needs of non-English speakers in the area, SRMC identified and translated all required documents for Haitian Creole, and Spanish speakers. * SRMC partnered with Catholic Charities to expand in-person translation services, which included additional Case Management support and the ability to hire two new Haitian Creole Navigators. Behavioral Health - Including Mental Health, Addiction (including overdose deaths) and Trauma Implementation Activities: Goal 1: Increase the capacity of mental health supports. Goal 2: Increase screenings and referrals to treatment to detect mental health, addiction, and trauma more proactively. 2023 Strategies and Outcomes: * During 2023, SRMC participated in 11 meetings with the Community Emergency Mental Health Medical Collaborative. This collaborative strategizes with community agencies who interact with SRMC in the clinical setting. * SRMC participated in 10 meetings with the Community Mental Health Taskforce, which collaborates with Mental and Behavioral Health partners in the community to develop a multi-year strategy plan. * Throughout the year, SRMC participated in six initiatives with the Community Youth Prevention Coalition, which included providing support for Youth drug prevention, community education, and cessation. * During 2023, SRMC attended 5 meetings with the Clark County Overdose Awareness Committee and supported the committee by providing 62 case evaluations. * In an effort to expand the number of Mental Health Providers entering and providing care in Clark and Champaign Counties, SRMC created the Behavioral Health/Wright State Clinical Internship Program. The internship program launched in 2023 and had 3 interns who collectively served 219 patients. * To further expand mental health services in Clark and Champaign Counties, SRMC launched Behavioral Health telemedicine for psychiatry. Additionally, SRMC increased access to pediatric mental health services through tele-health pediatric psychiatric services that were made available in the Emergency Department. During the first year, 98% of pediatric psychiatric consults were fielded by a provider within 8 hours. * During 2023, SRMC began conducting depression screenings as part of their regular primary care visits through Mercy Health Physicians. This resulted in 95.75% of all patients visiting for annual wellness checkups being screened for depression. * SRMC distributed Suboxone and Narcan to 129 patients via the Emergency department, with 57 patients who received a first dose of Suboxone via the Emergency department being referred to treatment. * During the year, SRMC supported the re-launch of Mended Hearts, a community lead regional support group for former patients and their families who have had a physical cardiovascular issue resulting in the need for physical and emotional trauma and recovery. The program came to a pause when the pandemic occurred, and in its re-launch, Mended Hearts held nine support groups and served 85 people. * SRMC assisted with the launch of a Stroke support group for the community, which had 61 attendees and served 10 patients during 2023. The support group also includes guest speakers who come to support and offer education to the group. * In an effort to increase critical incident stress management training, SRMC launched a new program which provides trainings to public responders who have experienced a trauma or loss. During 2023, there were 5 trainings and 2 debriefings held, with each training taking approximately 1-4 hours, depending on the audience and circumstances. Chronic Disease: Heart Disease, Stroke and Cancer (with specific focus on Breast, Lung &amp; Bronchus, Colon &amp; Rectum, and Melanoma/Skin Cancer) Implementation Activities: Goal: Expand services, screenings, and community education to Clark County residents experiencing chronic disease to help them live healthier lives through the management of, treatment of, or prevention of chronic health conditions. 2023 Strategies and Outcomes: * During 2023, SRMC launched a new interventional neurology practice for Clark and Champaign Counties. This practice includes two neurosurgeons who completed more than 200 interventions by the end of the year. * To promote awareness around the signs and symptoms of stroke and the connection to high blood pressure and blood pressure management, SRMC hosted 9 educational events for the community. * SRMC launched a stroke fast track "MSK4U" Hotline for fast referral through the Emergency Department. * SRMC is currently working towards a Thrombectomy Stroke Center certification while offering limited hours services with plans to move towards 24/7 coverage once the certification is completed. * Throughout the year, SRMC began work on identifying a Dermatology partner to assist with future Skin Cancer Screenings for the service area. * SRMC continued to complete cancer screenings on patients during their annual wellness visits. During 2023, 74.57% of applicable patients received Breast Cancer screenings and 67.97% of applicable patients received colorectal cancer screenings. * In an effort to increase cancer awareness, education, and screenings, SRMC hosted nine public events for the service area community. * During the year, SRMC launched revised clinical guidelines for better patient outcomes for both COPD and Congestive Heart Failure. Continued Below</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 3 - Continued Description: Mercy Health - Springfield Regional Medical Center. Maternal Infant Health and Vitality Implementation Activities: Goal: Support the health and wellbeing of women of reproductive age as they become pregnant. Assist in supporting healthy pregnancies to full term. Deliver healthy babies to healthy mothers. 2023 Strategies and Outcomes: * Due to an increase in demand, SRMC is increasing the local Maternal Fetal Medicine program. Currently, SRMC is searching for partners to collaborate with to expand services for this program. * To meet the specific needs of mothers and babies, Springfield Regional Medical Center has part-time Case Manager coverage in the Birthing Center and is in the interview process for hiring a full-time Case Manager. * In an effort to meet the communication needs for our non-English speaking patients (focusing on Spanish and Haitian Creole speaking families in the community), SRMC has updated documents throughout the hospital, added translation iPads, and in-person services. Two new positions were approved for in-person Navigators/Translators and will be leveraged in the Emergency Department, Birthing Center, and OB/GYN offices. Currently, in-person translation requests can made available on request, with plans for more support in the future. * To provide education to pregnant and post-natal women regarding smoking/vaping Marijuana, SRMC created a referral process for OB/GYN patients to the Mercy REACH program. Additionally, SRMC is continuing to improve this process with plans to implement the referral process at the birthing center. * In order to support the growth and development of the Birthing Center education and classes, SRMC offered 44 classes that served 203 patients during 2023. Additionally, classes have been refurbished to include a virtual option and an in-person option. * SRMC is working collaboratively with Start Strong Clark County to implement a breast-feeding support group in partnership with WIC, Clark County Combined Health District, Family and Youth Initiatives (FYI), and other local organizations. * During 2023, SRMC developed a list of staff who are interested in training and receiving certification to be Breast Feeding/Lactation Experts. Through this process, SRMC identified two staff who were added to support and another who is going through the certification process. Additionally, in order to begin a training program for future staff development, SRMC worked with Start Strong Clark County and Clark County Combined Health District to line up community programs to come speak with the staff regarding community-oriented resources for new mothers, babies, and their families as introductory support for the patients we serve. * During 2023, SRMC continued its participation in the Community Health Taskforce with Start Strong Clark County to create a strategic plan aimed at further collaboration and integration. All prioritized needs in the hospital CHNA have been addressed.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 4 - MERCY HEALTH - URBANA HOSPITAL. Mercy Health - Urbana Hospital (Urbana Hospital) Health Risk Prevention and Social Determinants of Health: with Specific Focus on Food Access, Education, and Transportation Implementation Activities: Goal 1: Launch of malnourishment patient screening pathway in Urbana for full regional coverage and for those patients to receive referral to local pantry and other supports they might need. Goal 2: Impact socioeconomic stability of the community through the introduction of new learning opportunities through all levels of employment of associates. Seek to provide more opportunities for the community to expand their knowledge that will benefit their health, well-being, and economic stability. Support at least one new hands-on educational opportunity for local students. Goal 3: Identify and screen for transportation in an important factor impacting the well-being of patients who live in Champaign County. Strategize to impact transportation throughout participation in community collaboratives, taskforces, and work groups for community and patient ease of access. 2023 Strategies and Outcomes: * Urbana Hospital launched social determinants of health screenings - starting with outpatient screenings beginning in July 2023 and inpatient screenings beginning in November 2023. By the end of 2023, Urbana Hospital had screened 103,733 patients for food insecurity and financial resource strain. * During 2023, Urbana Hospital participated in 14 events throughout Urbana and Champaign Counties offering continuing education around health improvement strategies. These events included Messiah Community (monthly education), YMCA kids programming (monthly nutrition), Senior Center Monthly Meal, Youth Center Monthly Meal, Legacy Apartments (monthly nutrition and blood pressure checks), Rotary Manor (monthly nutrition and blood pressure checks) Cherry Arbors (monthly blood pressure checks); and seven sessions as part of the 2023 Aging Mastery Program at the Urbana Senior Center. * In an effort to support area students with educational opportunities, Urbana Hospital successfully launched an internship program with students from Ohio Hi-Point Community Technical College. Through this program, ten students received valuable internship experience and one student was offered a full-time position. * To improve public transportation for residents and patients in the service area, Urbana Hospital participated and collaborated in four local and regional transportation meetings during 2023. * During 2023, Urbana Hospital conducted Social Determinants of Health Screenings and had 458 outpatient patients report transportation as being a challenge. Urbana Hospital used this information at local and regional transportation meetings to drive solution-oriented discussion, capacity building, troubleshooting, and began working through community partnerships to scale transportation accessibility. * In preparation of future strategic updates for local and regional transportation, Urbana Hospital has began planning the communication and rollout of transportation support. Behavioral Health (Mental Health, Addiction, Trauma) Implementation Activities: Goal: Improve mental health, addiction, and trauma access through the development of coordinated care, pathways, partnerships, and support programming in Champaign County. 2023: Strategies and Outcomes: * In an effort to meet the number of inpatient or outpatient depression screening referrals with community capacity, Urbana Hospital has collaborated with four local organizations in the behavioral health space. The collaborators included Urbana Paramedicine, the Champaign County CORE substance abuse and Mental Health Coalition, Champaign County Senior Center, and the Champaign County Youth Center. * During 2023, Urbana Hospital supported the re-launch of Mended Hearts, a community lead regional support group for former patients and their families who have had a physical cardiovascular issue resulting in the need for physical and emotional trauma and recovery. The program came to a pause when the pandemic occurred, and in its re-launch, Mended Hearts held nine support groups and served 85 people. * To help expand clinicians entering the Mental and Behavioral Health space locally, Urbana Hospital developed and launched a regional Behavioral Health Clinical Internship Program. The program had three interns for its launch year who provided mental and behavioral health care to 219 patients. * Urbana Hospital launched Behavioral Health telemedicine for psychiatry to further expand Mental Health services and support in Clark and Champaign Counties. Additionally, Urbana Hospital made pediatric psychiatry services through the telemedicine available in the Emergency Department and had 100% of consults fielded by a provider within eight hours. Chronic Disease: COPD, Heart Disease/Congestive Heart Failure, Cancer (with specific focus on Breast, Lung/Bronchus, and Skin/Melanoma) Implementation Activities: Goal 1: Increase community engagement and participation with prevention and education programming. Goal 2: Enhance screenings as well as services accessible to Champaign County communities in the areas of COPD, heart disease/congestive heart failure, and cancer (with specific focus on breast, lung/bronchus, and skin/melanoma). 2023 Strategies and Outcomes: * During 2023, Urbana Hospital participated in 91 local and regional events by providing topic-based learning outreach around health equity barriers and other health specific concerns. * Throughout the year, Urbana Hospital began work on identifying a Dermatology partner to assist with future Skin Cancer Screenings for Champaign County. * Urbana Hospital in partnership with Mercy Health Springfield, hosted nine educational and awareness events to promote access to lung cancer and breast cancer screenings. Through these events 890 mammogram screenings and 1,472 lung cancer screenings were conducted, a 25% increase in total screenings from 2022. * During 2023, Urbana Hospital expanded the cardiovascular service line to include electrophysiology, cardiac, and vascular services by adding two physicians. With the additional physicians, Urbana Hospital has expanded services available to the community by building the regional pathway for Cardio-oncology as a specialty service support. * In order to develop a cardiovascular/wound care treatment crossover for the care of patients with overlapping vascular, amputation, chronic wounds, diabetes, and connected cardiac catheterization needs, Urbana Hospital has started a best practice development study, began work on effective strategies to prevent lower limb amputation, started looking for a center of excellence, and began a new partnership with a doctor from Grandview Hospital to help give hyperbaric patients from Dayton to Springfield a place for local care. * During the year, Urbana Hospital launched revised clinical guidelines for better patient outcomes for both COPD and Congestive Heart Failure. Access to Care: Focus on primary care, women's health, appropriate point of care: (non-emergent options: urgent, virtual) Implementation Activities: Goal: Grow capacity and access points for Primary Care and Women's Health. Have more options for an appropriate point of care for non-emergency such as urgent and virtual care. 2023 Strategies and Outcomes: * During 2023, Urbana Hospital hired a new OB/GYN Oncology provider and launched a Women's Health OB/GYN office with surgical support to serve Champaign County. * Urbana Hospital recruited six new physicians to the region who started to offer non-emergent care models for greater local access to care. * To expand access and availability to receive care, Urbana Hospital developed and launched same-day appointment scheduling in the Primary and Specialty Care settings. Continued Below</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 5</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 5 - Continued Description: MERCY HEALTH - URBANA HOSPITAL. Maternal/Infant Health and Infant Vitality Implementation Activities: Goal 1: Enhance access to women's health and OB/GYN services in Champaign County. Goal 2: Increased engagement and awareness of pregnancy, prenatal, postnatal, and baby's first year of life needs through classes. 2023 Strategies and Outcomes: * During 2023, Urbana Hospital hired a new OB/GYN Oncology provider and launched a Women's Health OB/GYN office with surgical support to serve Champaign County. * To grow OB/GYN education and classes, Urbana Hospital utilized their Birthing Center to offer 44 classes in 2023. Additionally, to ensure broader access, classes were refurbished to include a virtual option as well as the in-person option. * During 2023, Urbana Hospital launched 8 additional breast-feeding support groups with 44 attendees through the Birthing Center. In addition, the Birthing Center has collaborated with Strong Clark County to launch additional classes in partnership with WIC, Clark County Combined Health District, Family and Youth Initiatives, and other local organizations. * During 2023, Urbana Hospital identified staff who were interested in training to become breastfeeding/lactation experts and earn certification. From this list, one expert with a IBCLC Certification and two experts with CLC Certifications were added to the support team. These three members are meeting with each patient. Also, one additional staff member has expressed interest in becoming a CLC. All prioritized needs in the hospital CHNA have been addressed.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 13 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - Mercy Health - Springfield Regional Medical Center, Mercy Health - Urbana Hospital. BON SECOURS MERCY HEALTH'S FINANCIAL ASSISTANCE POLICY REQUIRES A PATIENT OR FAMILY MEMBER TO COMPLETE AN APPLICATION INCLUDING GROSS INCOME FOR A MINIMUM OF 3 MONTHS (UP TO 12 MONTHS) PRIOR TO THE DATE OF APPLICATION OR DATE OF SERVICE. PROOF OF INCOME IS REQUIRED WITH THE EXCEPTIONS OF PATIENTS WHO QUALIFY FOR PRESUMPTIVE ELIGIBILITY. PROOF OF INCOME IS NOT REQUIRED IF A PATIENT OR FAMILY MEMEBER ATTESTS TO AN INCOME LEVEL THAT QUALIFIES THE APPLICANT FOR DISCOUNTED CARE UNDER OHIO'S Hospital CARE ASSURANCE PROGRAM (HCAP). THIRD PARTY INCOME SCORING MAY BE USED TO VERIFY INCOME IN SITUATIONS WHERE INCOME VERIFICATION IS UNABLE TO BE OBTAINED THROUGH OTHER METHODS. Patients are presumed to be eligible for financial assistance based on individual life circumstances including but not limited to when the Patient's income is below 200% Federal Poverty Guidelines and considered self-pay, the Patient is discharged to a SNF, the Patient is deceased with no known estate and below 200% Federal Poverty Guidelines, the patient is supported by State-funded prescription programs, the patient is Homeless or received care from a homeless clinic, the patient has Participated in Women, Infants and Children programs (WIC), the patient is eligible for Food stamps, the patient is eligible Subsidized school lunch program, the patient is eligible for other state or local assistance programs that are unfunded (e.g., Medicaid spend-down), the Patient is referred through the National Association of Free Clinics, the patient provides Low income/subsidized housing as a valid address, or Other significant barriers are present.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 13 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - Mercy Health - Springfield Regional Medical Center, Mercy Health - Urbana Hospital. There are situations where individuals may not have reported income but have significant assets available to pay for healthcare services. In these situations, BON SECOURS MERCY HEALTH may evaluate and require documented proof of any assets that are categorized as convertible to cash and unnecessary for the patient's essential daily living expenses. PATIENTS WHO LIVE IN THE COMMUNITY SERVED BY A BON SECOURS MERCY HEALTH HOSPITAL WILL BE OFFERED HEALTHCARE FINANCIAL ASSISTANCE. FOR THOSE PATIENTS LIVING OUTSIDE OF THE COMMUNITY, EXTENUATING CIRCUMSTANCES MUST BE DOCUMENTED AND APPROVED BY THE PFS MANAGER AND BE MEDICALLY NECESSARY OR EMERGENT IN NATURE. A LIST OF THE ZIP CODES OF THE COMMUNITY SERVED FOR EACH BON SECOURS MERCY HEALTH HOSPITAL IS MAINTAINED IN A SEPARATE DOCUMENT AND READILY AVAILABLE VIA THE CONTACT LIST AT THE END OF THE POLICY LOCATED AT HTTPS://WWW.MERCY.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE AND AT https://www.bonsecours.com/patient-resources/financial-assistance. BON SECOURS MERCY HEALTH'S FINANCIAL ASSISTANCE POLICY REQUIRES A PATIENT TO APPLY FOR HEALTH INSURANCE COVERAGE AND/OR ENTER THE MARKETPLACE/EXCHANGE BEFORE FINANCIAL ASSISTANCE MAY BE EXTENDED. EXCEPTIONS TO THIS POLICY INCLUDE PATIENTS DISCHARGED TO A SKILLED NURSING FACILITY, PATIENTS WHO ARE DECEASED WITH NO ESTATE, AND PATIENTS WHO HAVE DOCUMENTED HOMELESSNESS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>57</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Community Mercy Home Medical Equipment</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1702 N Limestone St</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45503</ZIPCd>
          </USAddress>
          <FacilityTxt>Home Health Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Community Mercy Home Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1111 N Plum St Suite 4</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45504</ZIPCd>
          </USAddress>
          <FacilityTxt>Home Health Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Community Mercy Med Assist</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>30 W McCreight Ave Suite 011</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45504</ZIPCd>
          </USAddress>
          <FacilityTxt>Other Locations</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Springfield Infectious Disease</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>30 W McCreight Ave Suite 106</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45504</ZIPCd>
          </USAddress>
          <FacilityTxt>Infectious Diseases</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Springfield Neurology</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2600 N Limestone St Suite 125</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45503</ZIPCd>
          </USAddress>
          <FacilityTxt>Neurology and Neurosurgery</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Urbana Pulmonology</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>900 Scioto St Suite 4</AddressLine1Txt>
            <CityNm>Urbana</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43078</ZIPCd>
          </USAddress>
          <FacilityTxt>Pulmonary and Sleep Medicine</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Springfield Pulmonology</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>30 W McCreight Ave Suite 100</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45504</ZIPCd>
          </USAddress>
          <FacilityTxt>Pulmonary and Sleep Medicine</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Springfield Regional Medical Group - Palliative Medicine</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>100 Medical Center Dr</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45504</ZIPCd>
          </USAddress>
          <FacilityTxt>Other Locations</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Springfield Wellness Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2600 North Limestone Street</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45503</ZIPCd>
          </USAddress>
          <FacilityTxt>Fitness Centers</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Harness Health Pharmacy - Springfield</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>100 Medical Center Dr</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45504</ZIPCd>
          </USAddress>
          <FacilityTxt>Pharmacy Locations</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Urbana Hospital Sleep Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>904 Scioto St</AddressLine1Txt>
            <CityNm>Urbana</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43078</ZIPCd>
          </USAddress>
          <FacilityTxt>Pulmonary and Sleep Medicine</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Springfield Cardiac Rehabilitation</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>200 Medical Center Dr</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45504</ZIPCd>
          </USAddress>
          <FacilityTxt>Heart and Vascular Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Springfield Wound Care Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>362 South Burnett Rd</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45505</ZIPCd>
          </USAddress>
          <FacilityTxt>Wound Care Centers</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Urbana Wound Care Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1430 US Highway 36 East Suite B</AddressLine1Txt>
            <CityNm>Urbana</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43078</ZIPCd>
          </USAddress>
          <FacilityTxt>Wound Care Centers</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Springfield Pediatric Rehabilitation</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1345 N Fountain Blvd</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45504</ZIPCd>
          </USAddress>
          <FacilityTxt>Physical Therapy and Rehabilitation</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Springfield Physical Medicine and Rehabilitation</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>211 Northparke Dr</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45503</ZIPCd>
          </USAddress>
          <FacilityTxt>Physical Therapy and Rehabilitation</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mitchell Thomas Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>100 W McCreight Ave</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45505</ZIPCd>
          </USAddress>
          <FacilityTxt>Other Locations</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Community Mercy Health Partners</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>100 Medical Center Drive</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45504</ZIPCd>
          </USAddress>
          <FacilityTxt>Other Locations</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Springfield Sleep Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>30 W McCreight Ave Suite 201</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45504</ZIPCd>
          </USAddress>
          <FacilityTxt>Pulmonary and Sleep Medicine</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Community Mercy Foundation</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>100 W McCreight Ave Suite 200</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45504</ZIPCd>
          </USAddress>
          <FacilityTxt>Other Locations</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health Reach Services - Springfield</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>30 W McCreight Ave</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45504</ZIPCd>
          </USAddress>
          <FacilityTxt>Other Locations</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - MercyCrest Gastroenterology</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>30 W McCreight Ave Suite 211</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45504</ZIPCd>
          </USAddress>
          <FacilityTxt>Gastroenterology, Liver and Pancreas</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Springfield Heart House</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>100 W McCreight Ave First Floor</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45504</ZIPCd>
          </USAddress>
          <FacilityTxt>Heart and Vascular Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Urbana Heart House</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>900 East Court St</AddressLine1Txt>
            <CityNm>Urbana</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43078</ZIPCd>
          </USAddress>
          <FacilityTxt>Heart and Vascular Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Dayton Springfield Emergency Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1840 Springfield Rd</AddressLine1Txt>
            <CityNm>Fairborn</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45324</ZIPCd>
          </USAddress>
          <FacilityTxt>Emergency Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health Reach Services - Urbana</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>904 Scioto Street</AddressLine1Txt>
            <CityNm>Urbana</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43078</ZIPCd>
          </USAddress>
          <FacilityTxt>Other Locations</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Springfield Regional Medical Center Acute Rehabilitation</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>100 Medical Center Dr 1 East Unit</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45504</ZIPCd>
          </USAddress>
          <FacilityTxt>Physical Therapy and Rehabilitation</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Springfield Walk-In Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>30 West McCreight Ave Suite 110</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45504</ZIPCd>
          </USAddress>
          <FacilityTxt>Walk-In Health Care Clinics</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Urbana Hospital Emergency Department</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>904 Scioto St</AddressLine1Txt>
            <CityNm>Urbana</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43078</ZIPCd>
          </USAddress>
          <FacilityTxt>Emergency Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Springfield Regional Medical Center Emergency Department</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>100 Medical Center Dr</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45504</ZIPCd>
          </USAddress>
          <FacilityTxt>Emergency Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Springfield Imaging and Lab Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1343 N Fountain Blvd</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45504</ZIPCd>
          </USAddress>
          <FacilityTxt>Lab Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Cardiovascular Thoracic Surgery</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>30 West McCreight Avenue Suite 106</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45504</ZIPCd>
          </USAddress>
          <FacilityTxt>Heart and Vascular Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Springfield Regional Medical Center Birthing Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>100 Medical Center Dr</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45504</ZIPCd>
          </USAddress>
          <FacilityTxt>Maternity and Birthing Centers</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Springfield Interventional Neurology</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>200 Medical Center Drive Suite A</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45504</ZIPCd>
          </USAddress>
          <FacilityTxt>Neurology and Neurosurgery</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Springfield Plastic and Reconstructive Surgery</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>100 W McCreight Ave Suite 110</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45504</ZIPCd>
          </USAddress>
          <FacilityTxt>Other Locations</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Springfield Cancer Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>148 W North St</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45504</ZIPCd>
          </USAddress>
          <FacilityTxt>Cancer Care and Oncology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Springfield Weight Management and General Surgery</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>100 W McCreight Ave Suite 110</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45504</ZIPCd>
          </USAddress>
          <FacilityTxt>Bariatrics and Weight Loss</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - East Springfield Internal Medicine</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2105 E High St</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45505</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care and Family Medicine</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Northparke Internal and FamilyMedicine</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>211 Northparke Dr</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45503</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care and Family Medicine</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - South Limestone Family Medicine</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2055 South Limestone St</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45504</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care and Family Medicine</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Urbana Internal Medicine</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>900 Scioto St Suite 4</AddressLine1Txt>
            <CityNm>Urbana</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43078</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care and Family Medicine</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - MercyCrest Family Medicine</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>30 W McCreight Ave Suite 208</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45503</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care and Family Medicine</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Wittenberg University Health Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>200 W Ward St Room 003</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45504</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care and Family Medicine</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Family Physicians of Springfield</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>247 S Burnett Rd Suite 210</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45505</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care and Family Medicine</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Springfield Primary Care at Clark State</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>570 E Leffel Ln</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45505</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care and Family Medicine</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Urbana Hospital Family Medicine and Pediatrics</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>204 Patrick Ave</AddressLine1Txt>
            <CityNm>Urbana</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43078</ZIPCd>
          </USAddress>
          <FacilityTxt>Primary Care and Family Medicine</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Occupational Health Services Springfield</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1343 N Fountain Blvd Suite 250</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45504</ZIPCd>
          </USAddress>
          <FacilityTxt>Occupational Health</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Springfield Obstetrics and Gynecology</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1108 Vester Ave</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45503</ZIPCd>
          </USAddress>
          <FacilityTxt>Gynecology and OB/GYN</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Urbana Obstetrics and Gynecology</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>204 Patrick Ave</AddressLine1Txt>
            <CityNm>Urbana</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43078</ZIPCd>
          </USAddress>
          <FacilityTxt>Gynecology and OB/GYN</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Springfield General and Robotic Surgery</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>100 W McCreight Ave Suite 110</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45504</ZIPCd>
          </USAddress>
          <FacilityTxt>General Surgery</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Urbana General and Robotic Surgery</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>900 Scioto St Suite 4</AddressLine1Txt>
            <CityNm>Urbana</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43078</ZIPCd>
          </USAddress>
          <FacilityTxt>General Surgery</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Urbana General and Laparoscopic Surgery</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>900 Scioto St Suite 1</AddressLine1Txt>
            <CityNm>Urbana</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43078</ZIPCd>
          </USAddress>
          <FacilityTxt>General Surgery</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Urbana Orthopaedics</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>900 Scioto St Suite 1</AddressLine1Txt>
            <CityNm>Urbana</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43078</ZIPCd>
          </USAddress>
          <FacilityTxt>Orthopedics and Sports Medicine</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Springfield Orthopaedics</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2600 N Limestone St Suite 150</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45503</ZIPCd>
          </USAddress>
          <FacilityTxt>Orthopedics and Sports Medicine</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Springfield Sports Medicine and Rehabilitation</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2600 N Limestone St</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45503</ZIPCd>
          </USAddress>
          <FacilityTxt>Orthopedics and Sports Medicine</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mercy Health - Urbana Sports Medicine and Rehabilitation</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1450 E US Highway 36</AddressLine1Txt>
            <CityNm>Urbana</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43078</ZIPCd>
          </USAddress>
          <FacilityTxt>Orthopedics and Sports Medicine</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Springfield Regional Surgery Center (SROC)</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2610 N Limestone St</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45503</ZIPCd>
          </USAddress>
          <FacilityTxt>Surgery Centers</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 6a Community benefit report prepared by related organization</FormAndLineReferenceDesc>
        <ExplanationTxt>Bon Secours Mercy Health, Inc.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7g Subsidized Health Services</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY MERCY HEALTH PARTNERS (CMHP) OPERATES THE DPM REACH PROGRAM SUBSTANCE ABUSE AND COPD CLINIC. THE AMOUNT OF SUBSIDIZED HEALTH SERVICES ATTRIBUTABLE TO THE PHYSICIAN CLINIC IS $273,195.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation</FormAndLineReferenceDesc>
        <ExplanationTxt>21607651</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>Cost of financial assistance at cost was calculated with a cost to charge ratio using worksheet 2. The cost related to Medicaid patients was determined using Bon Secours Mercy Health's cost accounting system and included both inpatients and outpatients for traditional Medicaid and Medicaid managed care plans. For subsidized services Bon Secours Mercy Health's cost accounting system used to determine cost related to the specific service excluding traditional Medicaid and Medicaid managed care patients. Costs for charity and bad debt accounts are deducted using a ration of cost to charge specific to that subsidized service. Costs for other programs reflect the direct and indirect costs of providing those programs.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>Community Mercy Health Partners (CMHP) addresses various community concerns including health improvement, poverty, workforce development, and access to health care. CMHP hospitals conduct community health education and support groups, health fairs and screenings for the communities served. CMHP hospitals work with state and local leadership to address community needs and provide healthcare services to the poor and underserved. CMHP is committed to addressing the social determinants of health (SDOH) and social needs for patients and communities throughout our footprint. With a deep understanding of both areas, the team is working systematically across the ministry and in our local communities to ensure we respond holistically and impactfully. CMHP addresses SDOH through its Community Health Needs Assessment (CHNA), Community, investment strategy, advocacy/public policy partnerships, and cross sector solutions. CMHP addresses social needs through SDOH patient assessment, health education/promotion programs, capacity building of local community resources, and closed loop referral system. CMHP hospitals provide programs to improve the physical surroundings and housing in the communities served. Inadequate housing has a negative impact on the health of residents in the area by leading to violence in the neighborhoods. A robust economy positively impacts residents covered by health insurance and improves the capacity of the community to support health services. Additional detail regarding CMHP's community building activities and the promotion of health of its communities can be found in the 2023 Community Health Annual Report prepared by Bon Secours Mercy Health available at https://www.mercy.com/about-us/mission/giving-back.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>The provision for bad debts is based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in health care coverage, and other collection indicators. Net patient accounts are reduced by an allowance for doubtful receivables based upon the hospital's historical collection experience adjusted for current environmental risks and trends for each major payor source. Significant provision is made for self-pay patient accounts in the period of service based on past collection experience. The hospital's concentration of credit risk related to net patient accounts is limited due to the diversity of patients and payors. Net patient accounts consist of amounts due from governmental programs (primarily Medicare and Medicaid), private insurance companies, managed care programs and patients themselves. Net patient service revenue for services provided to patients who have third-party payor coverage is recognized based on contractual rates for services rendered. The hospital recognizes a significant amount of patient service revenue at the time services are rendered even though it does not assess the patient's ability to pay. As a result, the provision for bad debts is presented as a deduction from patient service revenue (net of contractual provisions and discounts). Amounts recognized are subject to adjustment upon review by third-party payors. For uninsured patients that do not qualify for charity care, the hospital recognizes revenue when services are provided. Based on historical experience, a significant portion of the hospital's uninsured patients will be unable or unwilling to pay for services provided. Thus, the hospital records a significant provision for bad debts related to uninsured patients in the period the services are provided. Any discounts applied to self-pay patients would be deemed either Charity or a contractual adjustment. Bad debt would be based on the balance after the charity or contractual adjustment that is deemed uncollectable following a reasonable collection effort.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>The hospital's financial assistance policy does not permit the cost of patients who are uncooperative or unable to be located to be reclassified from bad debt to financial assistance. The hospital's financial assistance policy requires an application and supporting documentation. The hospital also utilizes available resources (e.g. technology solutions, service organizations, etc.) to obtain such information as credit score to assist in determining whether a patient is presumed eligible for financial assistance pursuant to the BSMH Financial Assistance Policy. Therefore, zero dollars are being reported on Part III, Line 3 as amounts included in bad debt that could be attributable to patients eligible under the hospital's financial assistance policy. The hospital follows the Catholic Health Association of the United States policy document, Community Benefit Program, A Revised Resource for Social Accountability ("CHA guidelines") for determining community benefit. The CHA guidelines recommend that hospitals not include bad debt expense as community benefit.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>BON SECOURS MERCY HEALTH'S (BSMH) AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. BSMH ELECTED TO EARLY ADOPT ASU 2011-07. ACCORDINGLY, BAD DEBT EXPENSE IS REFLECTED AS A DEDUCTION FROM REVENUE RATHER THAN AS AN OPERATING EXPENSE. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, 2. SIGNIFICANT ACCOUNTING POLICIES, (d) NET PATIENT ACCOUNTS AND NET PATIENT SERVICE REVENUE (PAGES 10 &amp; 11) STATES Patient receivables are recorded at net realizable value based on certain assumptions determined by payor class. For third party payors including Medicare, Medicaid, and commercial insurance, the net realizable value is based on the estimated contractual reimbursement percentage, which is based on current contract prices or historical paid claims data by payor. For self-pay receivables, which includes patients who are uninsured and the patient responsibility portion for patients with insurance, the net realizable value is determined using estimates of historical collection experience. These estimates are adjusted for estimated conversions of patient responsibility portions, expected recoveries and any anticipated changes in trends.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>The hospital follows the Catholic Health Association of the United States policy document, Community Benefit Program, A Revised Resource for Social Accountability ("CHA guidelines") for determining community benefit. The CHA guidelines recommend that hospitals not include Medicare losses as community benefit. The hospital's cost accounting system was used to determine the Medicare amounts in Part III.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>Patients known to qualify for charity care or financial assistance are not sent to a collection agency. The organization repeatedly offers patients access to financial help during their hospital stays and after, as well as with each billing notice. Bills are sent to a collection agency as a last resort and only: when patients have the ability to pay some portion of their healthcare expenses but refuse to do so; when patients refuse to work with the organization to determine if they qualify for free or discounted care via federal, state, local or hospital assistance programs; when the organization is unable to locate the patient or person responsible for the bill. Patients that are presumed to be eligible for financial assistance based on individual life circumstances will be provided 100% financial assistance. Patients determined to have presumptive financial assistance eligibility will not be required to meet income criteria, asset eligibility criteria, or fill out a financial assistance application. CMHP utilizes available resources (e.g. technology solutions, service organizations, etc.) to obtain information such as credit scores to assist in determining a patient's presumed eligibility.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - MERCY HEALTH - SPRINGFIELD REGIONAL MEDICAL CENTER: Line 16a URL: https://www.mercy.com/patient-resources/financial-assistance;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - MERCY HEALTH - SPRINGFIELD REGIONAL MEDICAL CENTER: Line 16b URL: https://www.mercy.com/patient-resources/financial-assistance;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - MERCY HEALTH - SPRINGFIELD REGIONAL MEDICAL CENTER: Line 16c URL: https://www.mercy.com/patient-resources/financial-assistance;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>BON SECOURS MERCY HEALTH (BSMH) HOSPITALS, INCLUDING COMMUNITY MERCY HEALTH PARTNERS (CMHP) HOSPITALS, ASSESS AND CONTINUALLY RESPOND TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. BSMH HOSPITALS JOIN AN EXISTING COMMUNITY-BASED NEEDS ASSESSMENT EVERY THREE YEARS AND UPDATES ARE PROVIDED BETWEEN ASSESSMENTS. BSMH HOSPITALS INCORPORATE PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. BSMH HOSPITALS RECOGNIZE THE HEALTH OF THE COMMUNITY IS INFLUENCED BY SOCIAL, ECONOMIC, AND ENVIRONMENTAL FACTORS, NOT JUST BY DISEASE AND ILLNESS. OUR COMMUNITY BENEFIT INCLUDES BOTH QUALITATIVE AND QUANTITATIVE DATA; DEMOGRAPHICS INCLUDING RACE, AGE, AND ETHNICITY; SOCIOECONOMIC DATA INCLUDING INCOME, EDUCATION, AND HEALTH INSURANCE RATES; PRIMARY CARE AND CHRONIC DISEASE NEEDS OF UNINSURED PERSONS; AND DATA ON HEALTH DISPARITIES IN HEALTH OUTCOMES AMONG MINORITY GROUPS. BSMH HAS A DEDICATED STAFF TO ASSIST IN THE COMMUNITY BENEFIT EFFORT. BSMH'S COMMUNITY BENEFITS COMMITTEES MEET TO PROVIDE OVERSIGHT TO THE ORGANIZATION'S COMMUNITY BENEFITS PROGRAM. BSMH HOSPITALS WORK CLOSELY WITH HEALTH AND HUMAN SERVICE ORGANIZATIONS IN THE AREA, PARTNERING WITH SOME TO PROVIDE SERVICES TO AVOID DUPLICATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY MERCY HEALTH PARTNERS (CMHP) HOSPITALS POST THE BON SECOURS MERCY HEALTH (BSMH) CHARITY CARE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN ADMISSIONS AREAS, EMERGENCY DEPARTMENTS AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. CMHP HOSPITALS PROVIDE A COPY OF THE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION TO PATIENTS AS PART OF THE INTAKE PROCESS AND WITH DISCHARGE MATERIALS. ADDITIONALLY, A COPY OF THE POLICY OR A SUMMARY ALONG WITH FINANCIAL ASSISTANCE CONTACT INFORMATION IS INCLUDED IN PATIENT BILLS. CMHP HOSPITALS DISCUSS WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTS THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. THE HOSPITAL ELIGIBILITY LINK PROGRAM (HELP) IS A FREE REFERRAL SERVICE PROVIDED BY CMHP HOSPITALS. THE PURPOSE OF HELP IS TO ASSIST PATIENTS IN OBTAINING MEDICAL BENEFITS THROUGH FEDERAL, STATE, AND HOSPITAL PROGRAMS. HELP REPRESENTATIVES WILL PROVIDE THE FOLLOWING SERVICES AT NO COST TO THE PATIENT: *EXPLORE ELIGIBILITY UNDER PUBLIC ASSISTANCE PROGRAMS *FILE APPLICATIONS ON PATIENT'S BEHALF *SCHEDULE AND ATTEND APPOINTMENTS *PROVIDE TRANSPORTATION WHEN NECESSARY *PROVIDE MEDICAL DOCUMENTATION TO SOCIAL SECURITY ADMINISTRATION FOR DISABILITY CLAIMS. THROUGH HELP, PATIENTS AND THEIR COUNSELORS LOOK AT WHAT OPTIONS ARE AVAILABLE. CMHP HOSPITALS UNDERSTAND THAT NOT EVERYONE CAN PAY FOR HEALTHCARE SERVICES. HELP IS HERE TO OFFER OPTIONS AND ASSISTANCE FOR THOSE WHO ARE UNINSURED OR UNDERINSURED. HELP IS AN EXTENSION OF CMHP'S MISSION TO IMPROVE THE HEALTH OF OUR COMMUNITY WITH EMPHASIS ON THE POOR AND UNDERSERVED. MEETING THE NEEDS OF THOSE WITH LIMITED RESOURCES HAS ALWAYS BEEN THE HEART OF OUR MISSION. CMHP IS PROUD TO MAKE OUR FINANCIAL ASSISTANCE INFORMATION AVAILABLE TO THE PUBLIC THROUGH OUR WEBSITE, WHICH CAN BE FOUND AT: https://www.mercy.com/patient-resources/financial-assistance OTHER PATIENT EDUCATION INFORMATION THAT IS PROVIDED FOR ELIGIBILITY OF ASSISTANCE IS AS FOLLOWS: *BILINGUAL REPRESENTATIVES ARE AVAILABLE IN OUR CUSTOMER SERVICE DEPARTMENTS. *STAFF TRAINING ON HOSPITAL CARE ASSURANCE PROGRAM (HCAP) AND HOSPITAL FINANCIAL ASSISTANCE (HFA) WAS PROVIDED. TRAINING INCLUDED A MANUAL AND IN-DEPTH INFORMATION REGARDING THE PREPARATION OF THE COST REPORT LOGS, ACCURATE COMPLETION OF THE HCAP APPLICATION AS WELL AS AN OVERVIEW OF THE FAQ'S PROVIDED BY THE OHIO HOSPITAL ASSOCIATION. *STAFF TRAINING PROVIDED BY SOCIAL SECURITY ADMINISTRATION TO ASSIST PATIENTS IN OBTAINING DISABILITY BENEFITS. *FINANCIAL ASSISTANCE COUNSELORS WORK WITH CASE MANAGERS TO EXPEDITE THE TRANSFER OF PATIENTS TO EXTENDED CARE FACILITIES. *FEDERAL POVERTY GUIDELINES ARE POSTED ON OUR WEBSITE AS WELL AS A COPY OF OUR CHARITY APPLICATION. *ALL THIRD PARTIES THAT WORK ON BEHALF OF THE ORGANIZATION TO COLLECT FEES (SUCH AS COLLECTION AGENCIES AND LAW FIRMS) ARE REQUIRED TO FOLLOW BSR'S POLICIES REGARDING PATIENT NOTIFICATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. *CONSISTENT REVIEW OF SELF PAY PATIENTS FOR RETROACTIVE MEDICAID COVERAGE. *SERVICES PROVIDED BY VENDOR TO REACH OUT TO PATIENTS IN BAD DEBT TO SCREEN FOR HCAP ELIGIBILITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMUNITY FOR EACH HOSPITAL IN THE BON SECOURS MERCY HEALTH (BSMH) SYSTEM IS DEFINED BOTH BY MISSION AND GEOGRAPHY. THE GEOGRAPHIC COMMUNITY IS DEFINED BY EACH HOSPITAL'S IMMEDIATELY CONTIGUOUS AREAS AS WELL AS BY THE BROADER SURROUNDING COUNTIES/REGIONS WHERE THE MAJORITY OF DISCHARGED PATIENTS RESIDE. ADDITIONALLY, THE COMMUNITY INCLUDES PATIENTS WHO REQUIRE THE EXPERTISE AND SPECIALIZED SERVICES OF A BSMH HOSPITAL. Community Mercy Health Partners' (CMHP) primary service area includes Clark and Champaign counties, which have a total population of approximately 175,000. The residents of the CMHP primary service area are generally older, poorer and have worse health statistics than state and national averages. Unemployment has also risen in our community during the last several years, and we serve a growing number of uninsured and underinsured patients. CMHP owns two of the three hospitals in this geographic area. The third hospital (not owned by CMHP) is a limited-service for-profit hospital that specializes in outpatient and short-stay surgery, and it does not have an emergency department. Springfield City Proper is predominantly a manufacturing community with jobs still rooted in that industry today. As a county the primary demographics are comprised of residents who are: White, Non-Hispanic (84.1%), African American (8%), Hispanic (3.4%) and Two or more races (3.6%). 47% of our residents are married while 29% have never married or are Divorced at 13.7%. 45% of our married households have families while 14% are Single, female parent families. 28.9% of our residents are individuals living alone. Clark County has higher than average health risk factors and higher averages of individuals with disabilities, sexually transmitted diseases, and chronic diseases. Additionally, babies in Clark County are more likely to be born below average birth weight and pre-term in comparison with the state averages. Nearly 20% of Clark County women who are pregnant smoke during their pregnancy and only about 66% of Clark County women receive adequate (or better) prenatal care. Champaign County is home to the City of Urbana. Access to care is an issue here as in many rural counties, with low numbers of primary care, mental health, and preventable hospital stays are higher than the Ohio average. The percentage of adults who smoke and the number of poor physical and mental health days are also higher than the U.S. and Ohio averages. Champaign County has community strengths, as well. Among these strengths are their socio-economic standing with positive high school graduation rates aligned with the state average, lower unemployment than the state average, and higher median household income than the state average. This also translates to generally lower behavioral risk factors across the board. ADDITIONAL DETAIL REGARDING THE COMMUNITY SERVED BY COMMUNITY MERCY HEALTH PARTNERS CAN BE FOUND IN EACH HOSPITAL'S CHNA AT THE FOLLOWING LINK: https://www.mercy.com/about-us/mission/giving-back/community-health-needs-assessment</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>BON SECOURS MERCY HEALTH (BSMH) HOSPITALS, INCLUDING COMMUNITY MERCY HEALTH PARTNERS (CMHP) HOSPITALS, OPERATE EMERGENCY ROOMS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. IN ADDITION TO PROVIDING EMERGENCY SERVICES, BSMH HOSPITALS ALSO PROVIDE MINOR EMERGENCY AND URGENT CARE SERVICES TO ALL REGARDLESS OF ABILITY TO PAY. BSMH HOSPITALS OPERATE TRAUMA SERVICES, AIR AMBULANCE SERVICES, DISEASE MANAGEMENT, WOUND CARE, SPECIALTY CLINICS, DEVELOPMENTAL THERAPY, HOSPICE, HOME CARE, CRISIS INTERVENTION, BEHAVIORAL SERVICES AND SUBSTANCE ABUSE SERVICES. BSMH HOSPITALS HAVE OPEN MEDICAL STAFFS WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. THE MAJORITY OF THE GOVERNING BODY CONSISTS OF INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITIES SERVED BY BSMH HOSPITALS. THE BSMH BOARD AND ITS MARKET GOVERNING BOARDS ARE COMPOSED OF MEMBERS OF THE COMMUNITIES SERVED WHO DIRECT AND GUIDE MANAGEMENT IN CARRYING OUT THE MISSION OF BSMH. BOARD MEMBERS ARE SELECTED ON THE BASIS OF THEIR EXPERTISE AND EXPERIENCE IN A VARIETY OF AREAS BENEFICIAL TO BSMH AND ITS AFFILIATED HOSPITALS IN FULFILLING ITS MISSION OF PROVIDING HEALTHCARE SERVICES TO THE POOR AND UNDER SERVED. BSMH HOSPITALS ENGAGE IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS. BSMH HOSPITALS PROVIDE RESIDENCY PROGRAMS AND OTHER TRAINING PROGRAMS. BSMH HOSPITALS PARTICIPATE IN MEDICAID, MEDICARE, CHAMPUS, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. BSMH HOSPITAL'S EMERGENCY DEPARTMENTS TREAT AN INCREASING NUMBER OF PATIENTS WHO USE THE FACILITY FOR PRIMARY CARE NEEDS. PATIENT DEMOGRAPHICS REFLECT THE CHANGING COMMUNITY. AS IN OTHER COMMUNITIES, SOME AREA PHYSICIANS PLACE LIMITS ON THEIR ACCEPTANCE OF MEDICAID PATIENTS. IN ADDITION, SOME PRIMARY CARE PHYSICIANS REFER PATIENTS WITH AFTER-HOURS NEEDS DIRECTLY TO AREA EMERGENCY ROOMS. COMMUNITY GROUPS AND INDIVIDUALS ARE VERY SUPPORTIVE OF BSMH. BSMH FORGES COLLABORATIVE RELATIONSHIPS WITH THE FEDERALLY QUALIFIED HEALTH CENTERS IN ITS COMMUNITIES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>Community Mercy Health Partners (CMHP) is a member of Community Mercy Health Systems. CMHP is sponsored by the Sisters of Mercy and has been an integral part of the community since 1950. CMHP includes an acute care hospital and a critical care access hospital with approximately 641 licensed beds combined. CMHP is a member of Bon Secours Mercy Health, Inc., a Maryland nonprofit, nonstock membership corporation (BSMH), and all of the other entities that are controlled directly or indirectly by BSMH are described collectively as the System. The System was organized in June 1983 to fulfill the healthcare mission of the United States Province of the Congregation of the Sisters of Bon Secours of Paris, a congregation of religious women of the Roman Catholic Church founded in France in 1824. The System's activities are in the states of Ohio, New York, Pennsylvania, Maryland, Virginia, Kentucky, South Carolina, and Florida, each referred to as a local system. The Ministry of BSMH aids those in need, particularly those who are sick and dying, by offering services that include but are not limited to acute inpatient, outpatient, pastoral, palliative, home health, nursing home, rehabilitative, primary and secondary care and assisted living without regard to race, religion, color, gender, age, marital status, national origin, sexual orientation, or disability. As a member of the Catholic health ministry and a member of BSMH, this organization and its related entities are called to continue the healing ministry of Jesus. We exist to benefit the people living in the communities it serves. Through all of the services offered to the community, the mission is "to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a System of caregivers, we commit ourselves to help bring people and communities to health and wholeness as part of the healing ministry of Jesus Christ and the Catholic Church." This organization and related organizations share the BSMH Vision. We at BSMH are committed to improve the health of the communities by seeing health broadly though a lens of equity. This allows the Ministry to be recognized as a national leader in addressing the root causes of health disparity through intentional engagement, comprehensive investment and impactful program delivery. To achieve this goal of improving the health of our communities, our work is guided by the BSMH Community Health Strategic Plan. This strategic plan is broken down into four pillars, each with a corresponding focus area. We believe these pillars will allow us to expand upon our already existing commitment to the communities we serve. Pillar 1: Improve Health and Well-Being - Targeted interventions on focused populations that reduced utilization, enhanced well-being, and increased access to care. Pillar 2: Expand Community Development Principles - Clarity and focus on system wide fundraising strategy for community health priorities. Pillar 3: Partner to Build Scale - Work with partners of local, regional, and national prominence and excellence in addressing root causes of health and well-being. Pillar 4: Cultivate Investment and Business Development in the Social Determinants of Health - Test and develop new ventures in the community health worker arena. Please see Schedule R for listings of the related organizations. Each of the reported entities play a role in achieving the vision of BSMH and the SQP (Strategic Quality Plan). System-wide community benefit for 2023 per the audit footnote is as follows: Total 2023 Community Benefit: $606.9 Million Benefits to the Broader Community: $178 million Unreimbursed Care for Those Who Are Poor and Qualify for Medicaid: $318.6 million Cost of Care for Those Who Could Not Afford to Pay: $110.3 million Community Benefit as Percent of Total Expense: 4.9 percent.</ExplanationTxt>
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        <ExplanationTxt>Special initiatives funded by Bon Secours Mercy Health are required to report back to Bon Secours Mercy Health on an annual basis. There is no formal requirement for monitoring the use of the funds for all other grants paid.</ExplanationTxt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>24370</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7807</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22243</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>237895</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Brandon Colwell RN</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Registered Nurse</TitleTxt>
        <BaseCompensationFilingOrgAmt>200884</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1537</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2564</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>28584</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>233569</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Ryan Peck RN</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Registered Nurse</TitleTxt>
        <BaseCompensationFilingOrgAmt>233232</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>7307</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2730</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26925</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>270194</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Brenda Sabwami RN</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Registered Nurse</TitleTxt>
        <BaseCompensationFilingOrgAmt>189766</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>15000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>8238</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>1468</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>45</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>214517</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Edna Sabina LAzarte RN</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Registered Nurse</TitleTxt>
        <BaseCompensationFilingOrgAmt>189481</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>30808</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2631</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>29481</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>252401</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Tax indemnification and gross-up payments</FormAndLineReferenceDesc>
        <ExplanationTxt>A tax indemnification benefit to cover the income tax incurred on Employee Recognition Awards was paid to three key employees and three highest compensated employees. The entire benefit was treated as taxable compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Health or social club dues or initiation fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Employer paid social club fees on behalf of one officer for business events or meetings held at the club. The social club fees paid for business expenses were not treated as taxable compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>The Bon SEcours Mercy Health System SERP is a non-qualified deferred compensation plan which provides supplemental retirement benefits to persons selected by the Board of Trustees or its delegate. The plan provides for annual credits of a specified percentage of an eligible participants base salary paid in a plan year and interest credits. Plan participants vest in plan credits after completing a three year class vesting schedule or earlier for death or total disability or reaching age 60 while employed, or due to involuntary separation of employment other than for cause. Payments during employment are made for required tax withholding and reduce the participants account balance. Distribution of the vested account balance in a lump sum occurs after termination of employment. Amounts includible as taxable compensation for listed individuals due to SERP participation in the reporting year were as follows: Matthew Caldwell, $94,942; William Kusnierz, $30,837; Adam Groshans, $61,582; Jenelle Zelinski, $19,376; Rhonda Beane, $17,785; Donald Kline, $206,000; Ben Merick, $0; Joseph Morman, MD, $0; Joseph Gage, Jr., $128,457; Alexander Garvey, Ph.D, $0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Terms and conditions of the Bon Secours Mercy Health Physicians SERP</FormAndLineReferenceDesc>
        <ExplanationTxt>The Bon Secours Mercy Health Physician SERP is a non-qualified deferred compensation plan which provides supplemental retirement benefits to persons selected by the Board of Trustees or its delegate. The plan provides for annual credits of a specified percentage of an eligible participants base salary paid in a plan year and interest credits. Plan participants vest in plan credits after completing a three year class vesting schedule or earlier for death or total disability or reaching age 60 while employed, or due to involuntary separation of employment other than for cause. Payments during employment are made for required tax withholding and reduce the participants account balance. Distribution of the vested account balance in a lump sum occurs after termination of employment. The amounts includible as taxable compensation for the listed individuals due to SERP participation in the reporting year are as follows: Marvin Narcelles, MD, $25,561; Joseph Morman, MD, $14,175.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Terms and conditions of the Youngstown Market SERP</FormAndLineReferenceDesc>
        <ExplanationTxt>The Youngstown Market SERP Plan is a deferred compensation plan which provides supplemental retirement benefits to persons selected by the Mercy Health Youngstown LLC Board of trustees or its delegate. The plan is no longer accepting new participants and cessation of contributions has occurred. Participants vest 100% in their accounts after three years of service, except for participants who had attained at least ten years of service at plan inception, who had immediate vesting. Vesting occurs earlier upon death or total disability. Payments are made during employment for required tax withholding. The vested account balance is paid as a lump sum after termination of employment. Amount includible in taxable compensation for listed participating individual in the reporting year is as follow: Donald Kline $0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Terms and conditions of the Mercy Health SERP</FormAndLineReferenceDesc>
        <ExplanationTxt>The Mercy Health SERP plan is a deferred compensation plan which provides supplemental retirement benefits to persons selected by the Board of Trustees or its delegate. It provides annual credits of a specified percentage of compensation and annual interest credits. Participants vest 50%, 75%, and 100% in their accounts after 5, 6, and 7 years of service, respectively. Vesting occurs earlier for death or total disability or reaching age 60 while employed, or involuntary termination of employment within 24 months after a change in control of the organization or due to position elimination. Payments during employment are made for required tax withholding. Payment of the vested account balance in a lump sum occurs after termination of employment. Amounts includable as taxable compensation for listed individuals due to SERP participation in the reporting year were as follows: Joseph Gage, Jr. $0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Terms and Conditions of the Springfield Market SERP</FormAndLineReferenceDesc>
        <ExplanationTxt>The Community Mercy Health Partners SERP plan is a deferred compensation plan which provides supplemental retirement benefits to persons selected by the CMHP Committee. The plan is no longer accepting new participants and cessation of contributions has occurred. Participants vest the later of five years of active service or the second anniversary of his or her separation from service with the employer. Vesting occurs earlier for death or total disability. Payments during employment are made for required tax withholding. Payment of the vested account balance in a lump sum occurs after termination of employment. The amount includible as taxable compensation for the listed individuals due to SERP participation in the reporting year are as follows: Marianne Potina, $22,770.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 NON-FIXED PAYMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization provides annual incentive compensation for listed individuals. The organization's Board of Trustees establishes objective thresholds for quality, community benefit, and financial performance 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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="23017437" softwareVersionNum="2023v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IV, Line 14a Consolidated audited financial statements</FormAndLineReferenceDesc>
        <ExplanationTxt>The filing organization does not have separate, independent audited financial statements. The organization is included in Bon Secours Mercy Health's consolidated audited financial statements, which are prepared in accordance with Generally Accepted Accounting Principles. Bon Secours Mercy Health's Integrity and Stewardship Committee has responsibility for oversight of the audit and the selection of an independent accountant.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY MERCY HEALTH SYSTEM IS THE SOLE SHAREHOLDER OF COMMUNITY MERCY HEALTH PARTNERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>Bon Secours Mercy Health elects all board members who have full voting rights.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>Certain matters require approval of the BSMH corporate member, BSMH governing body, or BSMH CEO. The regulations of the organization describe the level of approval required for various decisions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is prepared by Bon Secours Mercy Health's Tax Department and reviewed by an independent accounting firm. A copy of the Form 990 is then reviewed by management. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>BSMH maintains a written and board approved Conflict of Interest Policy. The policy requires board members, officers, directors and key employees to annually disclose interests that could give rise to conflicts. The Integrity and Stewardship Committee (ISC) of the BSMH Board has the ultimate responsibility for Conflict of Interest, including the Policy implementation, compliance monitoring, and enforcement. Through the ISC, the Policy establishes the annual and ongoing requirement to make disclosures. BSMH Compliance Department reviews all Conflict of Interest disclosures to determine if a disclosed matter constitutes a potential Conflict of Interest requiring management intervention. The review constitutes an independent evaluation of all available facts and circumstances by a disinterested party. Potential Conflicts are shared with the disclosing individual's board chair or supervisor ("Leader"), and in collaboration with the BSMH Compliance Department, the Leader will conclude if an actual conflict exists and, if so, determine how it will be managed. Depending on the facts and circumstances, resolutions may include, but are not limited to, ongoing disclosure, recusal from board or committee deliberations and decision, or removal of the conflict. Upon the completion of the annual review process and review with the individual's Leader, the BSMH Compliance Department reviews all potential and actual conflicts and how they will be managed with the ISC Chair for input prior to submission to the ISC. The ISC will review such recommendations and either approve or request changes until approval may be granted.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FORMAL PROCESS FOR DETERMINING TOTAL COMPENSATION FOR THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES FOLLOWS A BOARD-APPROVED COMPENSATION PHILOSOPHY THAT IS INTENDED TO PROVIDE REASONABLE COMPENSATION FOR ACCOMPLISHING THE ORGANIZATION'S MISSION, TO RECOGNIZE PERFORMANCE, AND TO OPERATE IN KEEPING WITH THE ORGANIZATION'S OBLIGATIONS AS A TAX-EXEMPT CHARITABLE ORGANIZATION. COMPENSATION DECISIONS ARE MADE BY INDEPENDENT PERSONS, ARE BASED ON APPROPRIATE COMPARABILITY DATA, AND ARE CONCURRENTLY DOCUMENTED. THE PEOPLE AND CULTURE COMMITTEE, COMPRISED OF INDEPENDENT MEMBERS OF THE ORGANIZATION'S BOARD OF TRUSTEES, CONDUCTS AN ANNUAL REVIEW OF THE COMPENSATION OF THE CEO AND OTHER EXECUTIVE OFFICERS AND KEY EMPLOYEES WHO CONSTITUTE DISQUALIFIED PERSONS. IN DOING SO, THE COMMITTEE RETAINS A QUALIFIED INDEPENDENT COMPENSATION CONSULTANT TO CONDUCT COMPETITIVE MARKET ANALYSIS OF MARKET RANGES OF BASE, INCENTIVE, TOTAL CASH COMPENSATION, AND TOTAL REMUNERATION. THE COMPENSATION CONSULTANT PROVIDES AN OPINION CONCERNING THE REASONABLENESS OF THE COMPENSATION OF THE CEO AND THE OFFICERS AND KEY EMPLOYEES REVIEWED BY THE COMMITTEE. THE COMMITTEE UTILIZES THAT ANALYSIS AND OTHER APPROPRIATE INFORMATION IN CONNECTION WITH ITS ANNUAL REVIEW AND RECOMMENDATION OF THE CEO'S COMPENSATION AND ITS DETERMINATION OF COMPENSATION RANGES FOR OTHER REVIEWED OFFICERS AND KEY EMPLOYEES. THE COMMITTEE DETERMINES THAT THE CEO'S COMPENSATION AND THE COMPENSATION OF REVIEWED OFFICERS AND KEY EMPLOYEES WITHIN THESE RANGES IS REASONABLE AND WITHIN THE COMPENSATION PHILOSOPHY. INFORMATION WHICH THE COMMITTEE MAY CONSIDER CAN INCLUDE BUT IS NOT LIMITED TO THE PERFORMANCE OF AN INDIVIDUAL, BEHAVIORAL FEEDBACK, THE PERFORMANCE OF THE ORGANIZATION, AN INDIVIDUAL'S LENGTH OF SERVICE, CREDENTIALS AND EXPERIENCE, THE IMPORTANCE OF RETAINING THE INDIVIDUAL, THE ELEMENTS OF TOTAL COMPENSATION AND SALARY HISTORY, THE ORGANIZATION'S COMPENSATION TARGETS, AND COMPARABILITY DATA, INCLUDING THE DATA PREPARED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE COMMITTEE. THE COMMITTEE INCORPORATES A FORMAL PERFORMANCE APPRAISAL PROCESS IN THE CEO'S COMPENSATION REVIEW. IT UTILIZES A MULTI-PERSPECTIVE APPROACH AND PERFORMANCE MEASURES WHICH ARE LINKED TO THE ORGANIZATION'S LONG-TERM STRATEGIC PLAN, ACHIEVEMENT OF ANNUAL SYSTEM OBJECTIVES, AND PERSONAL OBJECTIVES. THE CEO IS NOT PRESENT WHEN THE COMMITTEE DISCUSSES AND ESTABLISHES HIS COMPENSATION. IN ADDITION, THE COMMITTEE DETERMINES IF THE THRESHOLD REQUIREMENTS FOR INCENTIVE AWARDS ARE MET, CONSISTING OF THE ORGANIZATION'S PERFORMANCE RESULTS FOR COMMUNITY BENEFIT, QUALITY, AND FINANCIAL PERFORMANCE, THE COMMITTEE RECOMMENDS TO THE FULL BOARD THE CEO'S SALARY ADJUSTMENT AND INCENTIVE AWARD AS WELL AS THE INCENTIVE AWARD LEVELS FOR WHICH OTHER LISTED INDIVIDUALS MAY BE ELIGIBLE. THE COMMITTEE'S REPORT CONCERNING SALARY RANGE ADJUSTMENTS, INCENTIVE AWARDS AND THE BASIS FOR THE COMMITTEE'S DECISIONS GOES TO THE FULL BOARD FOR CONSIDERATION IN EXECUTIVE SESSION WHICH DOES NOT INCLUDE THE CEO OR OTHER OFFICERS OR KEY EMPLOYEES. THE FULL BOARD REVIEWS THE CEO'S PERFORMANCE AND DETERMINES THE SALARY ADJUSTMENTS AND INCENTIVE AWARDS TO BE MADE FOR THE CEO. FOR THE COO, EVP, SVP AND MARKET CEO POSITIONS, SALARY ADJUSTMENTS AND INCENTIVE AWARDS ARE APPROVED BY THE ORGANIZATION'S CEO WITHIN SUCH BOARD AND COMMITTEE-APPROVED PARAMETERS AND DISCLOSED TO THE COMMITTEE. SALARY ADJUSTMENTS AND INCENTIVE AWARDS FOR OTHER POSITIONS REVIEWED BY THE COMMITTEE ARE APPROVED BY THE INDEPENDENT SUPERVISING EXECUTIVE WITHIN SUCH PARAMETERS, WITH MARKET BOARD REVIEW WHEN APPROPRIATE, AND DISCLOSED TO THE COMMITTEE. AS WITH THE CEO, ALL LISTED INDIVIDUALS UNDERGO A FORMAL PERFORMANCE APPRAISAL UTILIZING A MULTI-PERSPECTIVE APPROACH AND PERFORMANCE MEASURES WHICH ARE LINKED TO THE ORGANIZATION'S LONG-TERM STRATEGIC PLAN, ACHIEVEMENT OF ANNUAL SYSTEM OBJECTIVES, AND PERSONAL OBJECTIVES. INCENTIVE AWARDS ARE SUBJECT TO REPAYMENT IF THE ORGANIZATION MUST RESTATE FINANCIAL REPORTS DUE TO MATERIAL NONCOMPLIANCE WITH THE ORGANIZATION'S CODE OF RESPONSIBILITY AND STANDARDS OF REASONABLE CONDUCT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>PLEASE REFER TO LINE 15A RESPONSE DIRECTLY ABOVE WHICH DESCRIBES THE PROCESS USED FOR BOTH THE TOP MANAGEMENT OFFICIAL AND FOR THE OTHER OFFICERS AND KEY EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing documents, conflict of interest policy and financial statements are available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER REVENUE - Total Revenue: 209500, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 209500;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Medical Professional Fees - Total Expense: 22595851, Program Service Expense: 22595851, Management and General Expenses: , Fundraising Expenses: ; BSMH Corporate Dues - Total Expense: 58497828, Program Service Expense: 49723154, Management and General Expenses: 8774674, Fundraising Expenses: ; Repairs and maintenance - Total Expense: 6022596, Program Service Expense: 5119207, Management and General Expenses: 903389, Fundraising Expenses: ; Physician Recruitment - Total Expense: 71222, Program Service Expense: 71222, Management and General Expenses: , Fundraising Expenses: ; Non-Physician Recruitment - Total Expense: 62117, Program Service Expense: , Management and General Expenses: 62117, Fundraising Expenses: ; Consulting - Total Expense: 3095802, Program Service Expense: 2631432, Management and General Expenses: 464370, Fundraising Expenses: ; Contracted Medical Services - Total Expense: 2642998, Program Service Expense: 2642998, Management and General Expenses: , Fundraising Expenses: ; Other Purchased Services - Total Expense: 8992914, Program Service Expense: 7643977, Management and General Expenses: 1348937, Fundraising Expenses: ; Cafeteria Management Fees - Total Expense: 552079, Program Service Expense: 469267, Management and General Expenses: 82812, Fundraising Expenses: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfers to Affiliates - -20051120;</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdDisregardedEntitiesGrp>
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          <BusinessNameLine1Txt>SPRINGFIELD REGIONAL CANCER CENTER</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>148 W NORTH STREET</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45502</ZIPCd>
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        <PrimaryActivitiesTxt>CANCER CENTER</PrimaryActivitiesTxt>
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        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
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          <BusinessNameLine1Txt>Community Mercy Health Partners</BusinessNameLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bon Secours Mercy Health Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>1701 Mercy Health Place</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45237</ZIPCd>
        </USAddress>
        <EIN>521301088</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE SYSTEM PARENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bon Secours Baltimore Community Works Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>26 North Fulton Avenue</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21223</ZIPCd>
        </USAddress>
        <EIN>521732800</EIN>
        <PrimaryActivitiesTxt>Grant Making Foundation</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type III-FI</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Mercy Health Inc</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bon Secours Ireland DAC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <PrimaryActivitiesTxt>Local System Parent Org.</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>EI</LegalDomicileForeignCountryCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type III-FI</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Mercy Health Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BON SECOURS MERCY HEALTH FOUNDATION</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1701 Mercy Health Place</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45237</ZIPCd>
        </USAddress>
        <EIN>201072726</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Mercy Health Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bon Secours New Jersey Health System Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1701 Mercy Health Place</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45237</ZIPCd>
        </USAddress>
        <EIN>222754781</EIN>
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        <LegalDomicileStateCd>NJ</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type III-FI</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Mercy Health Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bon Secours New York Health System Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2975 Independence Avenue</AddressLine1Txt>
          <CityNm>Bronx</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10463</ZIPCd>
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        <EIN>912135196</EIN>
        <PrimaryActivitiesTxt>Local System Parent Org.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Mercy Health Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bon Secours Richmond Health System</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>8580 Magellan Parkway</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23227</ZIPCd>
        </USAddress>
        <EIN>521988421</EIN>
        <PrimaryActivitiesTxt>Local System Parent Org.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Richmond LLC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bon Secours St Francis Health System Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 St Francis Drive</AddressLine1Txt>
          <CityNm>Greenville</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29601</ZIPCd>
        </USAddress>
        <EIN>582504528</EIN>
        <PrimaryActivitiesTxt>Local System Parent Org.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type III-FI</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Mercy Health Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>COMMUNITY MERCY HEALTH SYSTEM</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 Medical Center Drive</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45504</ZIPCd>
        </USAddress>
        <EIN>300272454</EIN>
        <PrimaryActivitiesTxt>MARKET PARENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type III-FI</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Mercy Health Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HEALTHSPAN PARTNERS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1701 Mercy Health Place</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45237</ZIPCd>
        </USAddress>
        <EIN>463055925</EIN>
        <PrimaryActivitiesTxt>MARKET PARENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Mercy Health Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERCY HEALTH RETIREMENT TRUST</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1701 Mercy Health Place</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45237</ZIPCd>
        </USAddress>
        <EIN>316046304</EIN>
        <PrimaryActivitiesTxt>RETIREMENT TRUST</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Mercy Health Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Mercy Health Services</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1701 Mercy Health Place</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45237</ZIPCd>
        </USAddress>
        <EIN>251585441</EIN>
        <PrimaryActivitiesTxt>Local System Parent Org.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Mercy Health Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>St Francis Physician Services Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>One St Francis Drive</AddressLine1Txt>
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          <ZIPCd>29601</ZIPCd>
        </USAddress>
        <EIN>134290167</EIN>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>Bon Secours Mercy Health Medical Group LLC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bon Secours Medical Group Greenville Specialty Care LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1 St Francis Drive</AddressLine1Txt>
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          <ZIPCd>29601</ZIPCd>
        </USAddress>
        <EIN>850988160</EIN>
        <PrimaryActivitiesTxt>Physician Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Mercy Health Medical Group LLC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bon Secours - Stuart Circle Hospital Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>8580 Magellan Parkway</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23227</ZIPCd>
        </USAddress>
        <EIN>541740128</EIN>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>Bon Secours Richmond Health System</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Laburnum Properties</BusinessNameLine1Txt>
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          <AddressLine1Txt>8580 Magellan Parkway</AddressLine1Txt>
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          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23227</ZIPCd>
        </USAddress>
        <EIN>521260700</EIN>
        <PrimaryActivitiesTxt>Title Holding Company</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(c)(2)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Richmond Health System</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Rappahannock General Hospital Foundation</BusinessNameLine1Txt>
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          <AddressLine1Txt>101 Harris Road</AddressLine1Txt>
          <CityNm>Kilmarnock</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22482</ZIPCd>
        </USAddress>
        <EIN>541210450</EIN>
        <PrimaryActivitiesTxt>Supporting Organization</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>Bon Secours Richmond Health System</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>IVNA Health Services</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>5008 Monument Avenue</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
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          <ZIPCd>23230</ZIPCd>
        </USAddress>
        <EIN>541479847</EIN>
        <PrimaryActivitiesTxt>Home Care Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bayley Properties</BusinessNameLine1Txt>
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          <AddressLine1Txt>7007 Harbour View Blvd</AddressLine1Txt>
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          <ZIPCd>23435</ZIPCd>
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        <EIN>541424748</EIN>
        <PrimaryActivitiesTxt>Title Holding Company</PrimaryActivitiesTxt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LOURDES HOSPITAL AUXILIARY GIFT SHOP</BusinessNameLine1Txt>
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          <AddressLine1Txt>1530 LONE OAK ROAD</AddressLine1Txt>
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          <ZIPCd>42003</ZIPCd>
        </USAddress>
        <EIN>610927805</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>Mercy Health - Lourdes Hospital LLC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>C H HEALTH SERVICES COMPANY</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>100 Medical Center Drive</AddressLine1Txt>
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          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45504</ZIPCd>
        </USAddress>
        <EIN>311181984</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>COMMUNITY MERCY HEALTH SYSTEM</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>COMMUNITY MERCY HEALTH PARTNERS</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>100 Medical Center Drive</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45504</ZIPCd>
        </USAddress>
        <EIN>310785684</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>COMMUNITY MERCY HEALTH SYSTEM</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE WALLACE S MURRAY AND FRANCES RABBITTS MURRAY MEMORIAL TRUST</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>100 Medical Center Drive</AddressLine1Txt>
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          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45504</ZIPCd>
        </USAddress>
        <EIN>346827136</EIN>
        <PrimaryActivitiesTxt>INDIGENT MEDICAL CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SIMON OUTREACH SERVICES</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>2600 NAVARRE AVENUE</AddressLine1Txt>
          <CityNm>OREGON</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43616</ZIPCd>
        </USAddress>
        <EIN>341383325</EIN>
        <PrimaryActivitiesTxt>MEDICAL OFFICE RENTAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERCY HEALTH NORTH LLC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERCY PROPERTY HOLDINGS</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>2200 JEFFERSON AVENUE</AddressLine1Txt>
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          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43604</ZIPCd>
        </USAddress>
        <EIN>300699825</EIN>
        <PrimaryActivitiesTxt>TITLE HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(2)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERCY HEALTH NORTH LLC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERCY COLLEGE OF OHIO</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2221 MADISON AVENUE</AddressLine1Txt>
          <CityNm>TOLEDO</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43604</ZIPCd>
        </USAddress>
        <EIN>341726619</EIN>
        <PrimaryActivitiesTxt>MEDICAL COLLEGE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>2</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERCY HEALTH - ST VINCENT MEDICAL CENTER LLC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOSPICE OF THE VALLEY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5190 MARKET STREET</AddressLine1Txt>
          <CityNm>YOUNGSTOWN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44512</ZIPCd>
        </USAddress>
        <EIN>341288745</EIN>
        <PrimaryActivitiesTxt>HOSPICE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERCY HEALTH YOUNGSTOWN LLC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HUMILITY HOUSE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>755 OHLTOWN ROAD</AddressLine1Txt>
          <CityNm>AUSTINTOWN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44515</ZIPCd>
        </USAddress>
        <EIN>341894783</EIN>
        <PrimaryActivitiesTxt>NURSING HOME</PrimaryActivitiesTxt>
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          <AddressLine1Txt>677 EASTLAND SE</AddressLine1Txt>
          <CityNm>WARREN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44484</ZIPCd>
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        <EIN>346556121</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE ASSUMPTION VILLAGE</BusinessNameLine1Txt>
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          <AddressLine1Txt>9800 N MARKET STREET</AddressLine1Txt>
          <CityNm>NORTH LIMA</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44452</ZIPCd>
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        <EIN>341013695</EIN>
        <PrimaryActivitiesTxt>NURSING HOME</PrimaryActivitiesTxt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>NEW VISION MEDICAL LABORATORIES INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>750 W HIGH ST STE 400</AddressLine1Txt>
          <CityNm>LIMA</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45801</ZIPCd>
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        <PrimaryActivitiesTxt>MEDICAL LAB SERVICES</PrimaryActivitiesTxt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>200 WEST LORAIN ST</AddressLine1Txt>
          <CityNm>OBERLIN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44074</ZIPCd>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS</BusinessNameLine1Txt>
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          <AddressLine1Txt>3700 KOLBE ROAD</AddressLine1Txt>
          <CityNm>LORAIN</CityNm>
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          <ZIPCd>44053</ZIPCd>
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        <EIN>341268828</EIN>
        <PrimaryActivitiesTxt>MEDICAL OFFICE RENTAL</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>MERCY HEALTH - REGIONAL MEDICAL CENTER LLC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>St Francis Hospital Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>One St Francis Drive</AddressLine1Txt>
          <CityNm>Greenville</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29601</ZIPCd>
        </USAddress>
        <EIN>582504530</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>Bon Secours St Francis Health System Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bon Secours Housing II Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>26 North Fulton Avenue</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21223</ZIPCd>
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        <EIN>521543174</EIN>
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          <BusinessNameLine1Txt>Bon Secours Baltimore Community Works Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bon Secours Housing Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>26 North Fulton Avenue</AddressLine1Txt>
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          <BusinessNameLine1Txt>Bon Secours Baltimore Community Works Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Liberty Medical Center</BusinessNameLine1Txt>
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          <AddressLine1Txt>1701 Mercy Health Place</AddressLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Our Money Place Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>26 North Fulton Avenue</AddressLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Unity Properties Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>26 North Fulton Avenue</AddressLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bon Secours Baltimore Development Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>26 North Fulton Avenue</AddressLine1Txt>
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        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HEALTHSPAN INTEGRATED CARE</BusinessNameLine1Txt>
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          <AddressLine1Txt>1701 Mercy Health Place</AddressLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>Roper St Francis Ancillary Services</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>BSHS Member 2 Limited</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Bon Secours Ireland DAC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>Bon Secours Ireland DAC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bon Secours Health System CLG</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Bon Secours Ireland DAC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Frances Schervier Home and Hospital</BusinessNameLine1Txt>
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          <AddressLine1Txt>2975 Independence Avenue</AddressLine1Txt>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10463</ZIPCd>
        </USAddress>
        <EIN>131740397</EIN>
        <PrimaryActivitiesTxt>Long term nursing care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Bon Secours Shiloh LP</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>26 North Fulton Ave</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21223</ZIPCd>
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        <EIN>203965243</EIN>
        <PrimaryActivitiesTxt>Low Income Housing</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Bon Secours Smallwood Summit LP</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>26 North Fulton Ave</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21223</ZIPCd>
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        <EIN>522280175</EIN>
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        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Bon Secours Wayland LP</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>26 North Fulton Ave</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21223</ZIPCd>
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        <EIN>270468688</EIN>
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        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Liberty Senior Housing LP</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1800 West Baltimore St</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21223</ZIPCd>
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        <PrimaryActivitiesTxt>Low Income Housing</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Lowcountry Surgery Center LLC dba Roper St Francis Eye Center</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>8536 Palmetto Commerce Pkwy</AddressLine1Txt>
          <AddressLine2Txt>Suite 210</AddressLine2Txt>
          <CityNm>Ladson</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29456</ZIPCd>
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        <EIN>581693021</EIN>
        <PrimaryActivitiesTxt>Ambulatory Surgery Center</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BON SECOURS MERCY HEALTH INNOVATIONS LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1701 MERCY HEALTH PLACE</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45237</ZIPCd>
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        <EIN>820639499</EIN>
        <PrimaryActivitiesTxt>BUSINESS DEVELOPMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Nordic Holdings LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1701 MERCY HEALTH PLACE</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45237</ZIPCd>
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        <EIN>881682215</EIN>
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        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Catherine JV LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1701 MERCY HEALTH PLACE</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45237</ZIPCd>
        </USAddress>
        <EIN>922006580</EIN>
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        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BSMH-CSP Surgical Ventures LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1701 MERCY HEALTH PLACE</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45237</ZIPCd>
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        <EIN>874579472</EIN>
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        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BSMH-CSP SV DE LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1701 MERCY HEALTH PLACE</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
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          <ZIPCd>45237</ZIPCd>
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        <EIN>923546169</EIN>
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        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Strive BSMH LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1701 MERCY HEALTH PLACE</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
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          <ZIPCd>45237</ZIPCd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BON SECOURS MERCY HEALTH INSURANCE COMPANY (SPC) LTD</BusinessNameLine1Txt>
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        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Bon Secours - Venice Healthcare Corporation</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1701 Mercy Health Place</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MERCY HEALTH VENTURES INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1701 Mercy Health Place</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45237</ZIPCd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Bon Secours-Virginia Healthsource Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>8580 Magellan Parkway</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23227</ZIPCd>
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        <EIN>541417686</EIN>
        <PrimaryActivitiesTxt>Ambulatory Healthcare Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Richmond Radiation Oncology Center Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>8580 Magellan Parkway</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
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        <EIN>541570244</EIN>
        <PrimaryActivitiesTxt>Ambulatory Healthcare Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Ironbridge Assisted Living Retirement Community LC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>5801 Bremo Road</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
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        <EIN>541807857</EIN>
        <PrimaryActivitiesTxt>Ambulatory Healthcare Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Richmond MRI Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>8580 Magellan Parkway</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23227</ZIPCd>
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        <EIN>541568452</EIN>
        <PrimaryActivitiesTxt>Medical Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Chesterfield Community Healthcare Center Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>8580 Magellan Parkway</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>Ambulatory Healthcare Services</PrimaryActivitiesTxt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>RHS Management Corp</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>8580 Magellan Parkway</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23227</ZIPCd>
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        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Professional Health Care Management Services Inc</BusinessNameLine1Txt>
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          <StateAbbreviationCd>VA</StateAbbreviationCd>
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        <EIN>541241031</EIN>
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          <BusinessNameLine1Txt>Maryview Building Corporation</BusinessNameLine1Txt>
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          <StateAbbreviationCd>VA</StateAbbreviationCd>
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        <EIN>541306612</EIN>
        <PrimaryActivitiesTxt>Administrative</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Bon Secours - Tidewater Diversified Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>160 Kingsley Lane</AddressLine1Txt>
          <CityNm>Norfolk</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23505</ZIPCd>
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          <StateAbbreviationCd>VA</StateAbbreviationCd>
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        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Harbour View Station West Mixed-Use Property Owners Association Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1128 Independence Blvd</AddressLine1Txt>
          <AddressLine2Txt>Ste 200</AddressLine2Txt>
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        <PrimaryActivitiesTxt>REAL PROPERTY MGMNT</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>NORTHPARKE MEDICAL COMMONS CONDO ASSN</BusinessNameLine1Txt>
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        <PrimaryActivitiesTxt>REAL PROPERTY MGMNT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>Community Mercy Health Partners</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>RALPH EWE TRUST</BusinessNameLine1Txt>
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          <AddressLine1Txt>270 PARK AVENUE</AddressLine1Txt>
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          <BusinessNameLine1Txt>ELIZABETH HINES CATES TRUST</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Bon Secours-Florida Integrated Services Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>10300 Fourth Street North</AddressLine1Txt>
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        <PrimaryActivitiesTxt>Holding Company/Assisted Living</PrimaryActivitiesTxt>
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        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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          <AddressLine1Txt>1701 Mercy Health Place</AddressLine1Txt>
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        <PrimaryActivitiesTxt>REAL PROPERTY MGMNT</PrimaryActivitiesTxt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Nordic Philippines Technology Solutions Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <PrimaryActivitiesTxt>Healthcare Consulting</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>RP</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>