2025-11-13T11:54:25+00:00 2024-12-31 991856619 GRANT THORNTON ADVISORS LLC 1000 WILSON BOULEVARD SUITE 1500 ARLINGTON VA 22209 990 2024-01-01 310785684 Community Mercy Health Partners COMM 9373287000 100 Medical Center Drive Springfield OH 455031832 Jenelle Zelinski Market CFO 5139525000 2025-11-13 true true MARY TORRETTA P00847851 7038477500 2025-11-13 2024 2025-03-06 01:10:19Z Springfield Regional Medical Center Adam Groshans President Springfield Market 100 Medical Center Drive Springfield OH 455031832 523236135 false 0928 X WWW.MERCY.com X 1983 OH THE MISSION OF COMMUNITY MERCY HEALTH PARTNERS IS TO EXTEND THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES WITH EMPHASIS ON PEOPLE WHO ARE POOR AND UNDER-SERVED. 16 10 1509 1000 109233 81740 1808285 1275380 371734081 384745313 4121329 4763495 2338113 1726124 380001808 392510312 147543 191039 0 133453949 133210139 0 0 228499608 249625960 362101100 383027138 17900708 9483174 379112709 381199471 153166329 168913022 225946380 212286449 THE MISSION OF COMMUNITY MERCY HEALTH PARTNERS IS TO CARRY OUT THE BON SECOURS MERCY HEALTH MISSION WITHIN OUR COMMUNITY BY PROVIDING SAFE, EFFECTIVE, PATIENT/RESIDENT CENTERED, TIMELY AND COST EFFICIENT CARE AND EDUCATION TO MEET THE HEALTH NEEDS OF ALL PEOPLE, ESPECIALLY THE POOR AND UNDER-SERVED. OUR COMMITMENT TO THIS HEALING MINISTRY WILL BE EVIDENCED BY EXCEPTIONAL CARE, COMPASSION, AND RESPECT FOR THE DIVERSE RELIGIOUS BELIEFS AND FAITH TRADITIONS OF THOSE WE SERVE. false false 345168236 191039 384646292 COMMUNITY MERCY HEALTH PARTNERS IS COMMITTED TO DELIVERING EXCEPTIONAL CARE AND COMPASSION AS IT SEEKS TO MEET THE HEALTH CARE NEEDS OF ALL PEOPLE, ESPECIALLY THE POOR AND UNDER-SERVED. Community Mercy Health Partners includes two hospitals: Springfield Regional Medical Center, and Urbana Hospital. Mercy Health - Springfield Regional Medical Center is a 254-bed full-service hospital which offers complete care, including 24/7 emergency services, maternity services, critical and intensive care, orthopedic, cardiovascular, neurological care and more. Mercy Health - Springfield Regional Medical Center strives to ensure all residents of Clark County and surrounding communities have access to advanced medical technology and quality care. Mercy Health - Urbana Hospital is a 25-bed, critical access hospital and is the only local hospital dedicated to serving the health care needs of residents of Urbana and Champaign County, Ohio. Since 1951, Mercy Health - Urbana Hospital, has delivered quality, comprehensive, compassionate care. Mercy Health - Urbana Hospital offers complete rural access care, including 24/7 emergency services, inpatient care, cardiovascular care, surgical services, radiology, and orthopedic care. DURING 2024 COMMUNITY MERCY HEALTH PARTNERS PROVIDED $26,065,836 IN NET COMMUNITY BENEFITS REPRESENTING 7.14% OF TOTAL OPERATING EXPENSES. 345168236 true true false true false false false false false false true true false false true true false true false false false false false false false false true true true true true false false false false false false false false false false false false false false true true false false false false true 0 0 1509 true true true false false false false false false false false false false false X 16 10 false false false false true true true true true false false false true true true true true true true true true true X TRAVIS CRUM 5139524999 4600 McAuley Place Suite 100 Blue Ash OH 45242 ADAM GROSHANS President and CEO - Springfield 47.0 3.0 X X 0 915346 213758 Marvin Narcelles MD Board Secretary, Physician 1.0 49.0 X X 0 503922 37917 Michael Greitzer Chair (Beg 01/24) 1.0 2.0 X X 0 0 0 Nina Wiley Vice Chair (Beg 01/24) 1.0 2.0 X X 0 0 0 Adeleye Annick Edon MD Board Member 1.0 2.0 X 0 950 0 Alexander Garvey PHD Board Member; Chief Sponsorship Officer - Markets 1.0 49.0 X 0 278165 56396 Denise Rodney MD Board Member (Beg 01/24), Physician 1.0 49.0 X 0 370307 27966 Jamie McGregor Board Member 1.0 2.0 X 0 0 0 Jayna Nicole Brown Board Member 1.0 2.0 X 0 0 0 JOSEPH GAGE JR JD Board Member; Chief Human Resource Officer-BSMH 1.0 54.0 X 0 1480052 298294 Lisa Cole Board Member 1.0 2.0 X 0 0 0 Maria Goeser Board Member 1.0 2.0 X 0 0 0 Marianne Potina Board Member 1.0 2.0 X 0 0 0 Rick Finkbine Board Member (End 12/24) 1.0 3.0 X 0 0 0 Truman Johnson Board Member 1.0 2.0 X 0 0 0 William H Ray Jr Board Member 1.0 3.0 X 0 0 0 JENELLE ZELINSKI CFO - Springfield, Treasurer 48.0 2.0 X 0 359404 30328 Ben Merick Market VP, Operations - Springfield 50.0 0.0 X 275976 0 62943 Joseph Morman Chief Clinical Officer - Springfield 50.0 0.0 X 556129 0 37279 Rhonda Beane Chief Nursing Officer 50.0 0.0 X 339127 0 51708 Brandon Colwell Registered Nurse 40.0 0 X 249060 0 35686 Jamie Houseman President, Urbana Hospital 50.0 0 X 226329 0 30311 Kim Sowards House Supervisor 40.0 0 X 228958 0 18935 Robbie Owens Registered Nurse 40.0 0 X 199042 0 9127 Ryan Peck Registered Nurse 40.0 0 X 280629 0 41229 Donald Kline Former President, Samaritan Group, BSMH COO 0.0 50.0 X 0 2256751 50351 MATTHEW CALDWELL Former President and CEO - Springfield 0.0 50.0 X 0 1140880 258064 WILLIAM KUSNIERZ Former CFO/Treasurer - Springfield 0.0 50.0 X 0 584849 52844 2355250 7890626 1313136 213 true true false 0 1264646 10734 1275380 NET PATIENT SERVICE REVENUE 621990 375167850 375167850 Income from Affiliates 900099 4638916 4638916 INCOME FROM JVS AND PARTNERSHIPS 531120 3334450 3235429 99021 RENTAL INCOME FROM AFFILIATES 900099 1604097 1604097 0 0 0 0 384745313 2310242 2310242 0 0 132581509 597567 130164712 561111 2416797 36456 2453253 2453253 0 110876 110876 110876 Cafeteria 722514 1002038 10212 991826 Purchase Discounts 900099 562007 562007 Vending 900099 36344 36344 14859 0 0 14859 1615248 392510312 384646292 109233 6479407 X 160305 160305 30734 30734 1323162 1124688 198474 107186858 91108829 16078029 2858618 2429825 428793 14556165 12372740 2183425 7285336 6192536 1092800 9889 9889 591 591 3177 3177 119854538 107855630 11998908 0 83467 70947 12520 441407 375196 66211 418405 355644 62761 9462445 8043078 1419367 217193 184614 32579 9867212 8387130 1480082 1615126 1372857 242269 Medical Supplies 76889398 76889398 Bad Debt 17955666 17955666 State Assessments 10191542 10191542 Non-Medical Supplies 2537225 2537225 78679 66877 11802 0 383027138 345168236 37858902 0 27145653 16059570 37709985 38662954 0 0 0 0 263248 329837 8652982 10083636 724811 1675518 398683867 214286528 182811806 184397339 120380317 128009497 0 1252752 1423907 728368 379112709 381199471 31903796 48363922 0 0 119521368 119521368 1741165 1027732 153166329 168913022 X 225435929 211775190 510451 511259 225946380 212286449 379112709 381199471 X 9483174 4313736 -27456841 X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true false false false false false false false true 3177 3177 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING ACTIVITIES PERFORMED INCLUDE BOTH THE USE OF VOLUNTEERS ENCOURAGED TO WRITE LETTERS TO PUBLIC OFFICIALS ON ISSUES THAT IMPACT THE ORGANIZATION'S ABILITY TO CONTINUE TO PROVIDE HEALTH SERVICES TO THE COMMUNITIES SERVED, AND THE USE OF PAID STAFF MEMBERS AND MANAGEMENT PERSONNEL. PAID MANAGEMENT PERSONNEL REGULARLY ISSUE MAILINGS TO LEGISLATORS ATTEMPTING TO INFLUENCE LEGISLATIVE MATTERS AND REFERENDUM, AND ORGANIZE AND HOST MEETINGS AMONG HOSPITAL EXECUTIVES AND THEIR LEGISLATORS REGARDING ISSUES THAT IMPACT THE ORGANIZATION'S ABILITY TO CONTINUE PROVIDING HEALTHCARE SERVICES TO ITS PATIENTS AND TO CONTINUE IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. PAID STAFF MEMBERS HAVE, ON LIMITED OCCASIONS, WRITTEN TO LEGISLATORS ON SUCH ISSUES. THE PRIMARY PURPOSE FOR LOBBYING ACTIVITIES IS TO ENHANCE THE ORGANIZATION'S PUBLIC POSITION ON LEGISLATIVE AND REGULATORY ISSUES THAT IMPACT PATIENT CARE THROUGHOUT OUR SYSTEM. THE ORGANIZATION FOCUSES ON PUBLIC POLICY ISSUES THAT EXTEND OUR HEALING MINISTRY TO THOSE WHO ARE POOR AND UNDERSERVED IN THE COMMUNITIES WE SERVE. TO CARRY OUT THESE EFFORTS, THE ORGANIZATION PARTNERS WITH EXPERT CONSULTANTS AND PROFESSIONAL TRADE ASSOCIATIONS TO BUILD AWARENESS AND EXECUTE SPECIFIC STRATEGIES THAT WILL YIELD A FAVORABLE OUTCOME FOR PATIENT CARE IN THE ORGANIZATION'S FACILITIES WHERE THEY ARE TREATED. GRANTS PAID TO OTHER ORGANIZATIONS OF $ 3,177 CONSTITUTE THE PORTION OF DUES DEEMED TO BE FOR LOBBYING PURPOSES. 24190639 24190639 244895919 117701144 127194775 6842078 2272383 4569695 121889831 94262240 27627591 865400 50761 814639 184397339 Closely-held equity interests Financial derivatives BSMH Investment Management Program 128009497 F 128009497 Federal Income Taxes Other Liabilities 18943 Right of Use Asset Liabilities 635379 Deferred Compensation Agreements 85867 SERP Payments Due 139192 Property Taxes 145536 Sales and Use Tax 2815 1027732 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 requires that the organization provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under ASC 740. ASC 740 addresses the accounting for uncertainty in income taxes recognized in an entity's financial statements and prescribes a threshold of more-likely-than-not for recognition and derecognition of tax positions taken or expected to be taken in a tax return. The adoption of ASC 740 by Bon Secours Mercy Health, Inc. on September 1, 2007 did not have a material impact on BSMH's consolidated financial statements. As the organization does not conduct a separate audit of its financial statements, below is the related statement from the Bon Secours Mercy Health, Inc. consolidated audited financial statements: The Company and most of its subsidiaries (including certain joint venture entities) are exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. Their related income is exempt from federal income tax under Section 501(A). Some of the subsidiaries are taxable entities, and some of the income of the tax-exempt entities is subject to taxation as unrelated business taxable income. The Company and its subsidiaries file U.S. federal income tax returns, and they also file in various state and foreign jurisdictions. The Company accounts for uncertain tax positions in accordance with ASC Topic 740, Income Taxes. The Company accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The Company has determined that no significant unrecognized tax benefits or liabilities exist for the years ended December 31, 2024 and 2023. true true X true X true X 4248292 4248292 0.01164 77198118 58041352 19156766 0.05247 0 0 0.0 0 0 81446410 58041352 23405058 0.06411 951935 32306 919629 0.00252 217942 217942 0.00060 738736 308118 430618 0.00118 0 0.0 1092589 1092589 0.00299 0 0 3001202 340424 2660778 0.00729 0 0 84447612 58381776 26065836 0.07140 0 0.0 0 0.0 8350 8350 0.00002 348 348 0.00000 0 0.0 718 718 0.00000 0 0.0 44618 44618 0.00012 0 0.0 0 0 54034 0 54034 0.00015 false 17955666 0 57428854 55374320 2054534 X true true Mercy Medical Office Condominium Association Real Property Management 0.496 0.0 0.504 Northparke Medical Commons Condo Assn Real Property Management 0.55 0.0 0.45 2 1 MERCY HEALTH - SPRINGFIELD REGIONAL MEDICAL CENTER 100 Medical Center Drive SPRINGFIELD OH 45504 www.mercy.com 1122AHR X X X A 2 MERCY HEALTH - URBANA HOSPITAL 904 SCIOTO STREET URBANA OH 43078 www.mercy.com 1121AHR X X X X A A 2 false false true X X X X X X X X X 22 true true true true X https://www.mercy.com/about-us/mission/giving-back/community-health-needs-assessment X true 23 true https://www.mercy.com/about-us/mission/giving-back/community-health-needs-assessment false true X 200.0 400.0 X X X X X X true true X X X true X https://www.mercy.com/patient-resources/financial-assistance X https://www.mercy.com/patient-resources/financial-assistance X https://www.mercy.com/patient-resources/financial-assistance X X X X X X true X false X X X true X false false Schedule H, Part V, Section B, Line 5 Facility A, 1 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 Schedule H, Part V, Section B, Line 5 Facility A, 2 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 Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - MERCY HEALTH - SPRINGFIELD REGIONAL MEDICAL CENTER. MERCY HEALTH - URBANA HOSPITAL Schedule H, Part V, Section B, Line 6a Facility A, 2 Facility A, 2 - MERCY HEALTH - URBANA HOSPITAL. MERCY HEALTH - SPRINGFIELD REGIONAL MEDICAL CENTER Schedule H, Part V, Section B, Line 6b Facility A, 1 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 Schedule H, Part V, Section B, Line 6b Facility A, 2 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 & Children's First Council, Champaign Common Pleas Ct., City of Urbana, Champaign Co. Engineers, Urbana City Schools, Madison Champaign ESC Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - Mercy Health - Springfield Regional Medical Center. Mercy Health - Springfield Regional Medical Center (SRMC) Health Risk Prevention - Social Determinants for 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. 2024 Strategies and Outcomes: * In 2024, Mercy Health - Springfield hosted 19 community health education events through the CoHatch and Senior Center Speaker Series, surpassing the previous year's total of 18. Topics included preventive care, chronic disease management, and wellness-ranging from breast cancer and colorectal health to advanced care planning and orthopedic care. Presentations were delivered by clinical leaders and community health professionals, with sessions held at multiple venues including CoHatch, United Senior Services (USS), and other community locations. * In addition to the speaker series, Mercy Health supported a range of health education efforts across Clark County, including participation in career talks, health fairs, cancer awareness walks, and wellness expos. Events such as the Minority Health Fair, EMT Community Summit, and Springfield Baby Fair expanded the reach of health messaging to the audiences. While attendance tracking tools are still in development, event delivery has been consistent and broad-based throughout the year. * In 2024, Mercy Health onboarded eight high school interns through its paid student internship program, supporting experiential learning for students from local technical and alternative schools. A job shadowing and observation program was also launched, with eight college students completing rotations and one student transitioning into a volunteer role in the Emergency Department. Additional sessions are scheduled for later in the year, and outreach continues with schools such as Global Impact STEM Academy, Springfield CTC, Cliff Park, and Hi-Point CTC. * Over the course of the year, participation in the Guild program increased across the Springfield Market, with 823 associates creating accounts and completing their profiles. Among them, 268 associates are currently using tuition assistance to pursue continued education in healthcare-related fields. Additional data continues to be collected as more associates explore educational options through the platform. * Springfield Regional Medical Center launched a sustainability council to reduce environmental impact through expanded recycling and composting programs. All eligible departments are now participating in the recycling initiative, with 2024 efforts diverting 79,625 pounds of compostable material from landfills. This builds on the previous year's total of 97,379 pounds. In addition to environmental benefits, the program generated an estimated $10,628.20 in savings, with continued monitoring and reporting by the Nutrition and Environmental Committee. * Springfield Regional Medical Center completed the full implementation of its on-site garden initiative in 2024. The garden committee, raised bed planning, planting, and harvesting were all finalized, resulting in the successful donation of 120 pounds of fresh produce to local food pantries. The garden offers a welcoming space for patients, visitors, associates, and community members, while contributing to food security and wellness in the region. * Coordination between Mercy Health and the Clark County Combined Health District (CCCHD) led to increased awareness of lead prevention resources. Information has been integrated into OB/GYN, birthing center, and nursing workflows, with continued exploration of additional opportunities to expand outreach through community health events and maternal-child health programs. * A coordinated effort among Case Management, Nursing, and Nutrition Services led to the successful implementation of a malnutrition screening initiative. By 2024, 31% of inpatients were screened, supporting earlier identification of nutritional risk during hospital stays. Of those screened, 60 patients received food bag referrals at discharge, ensuring immediate support beyond hospitalization. * In collaboration with the Community Medication Assistance Program, 247 patients were referred for additional nutrition support, including access to Ensure supplements at discharge. The program has officially launched and tracking systems have been established to monitor utilization and inform future planning, including efforts to reduce readmissions related to malnutrition. * Across both primary care and OB/GYN practices, over 24,800 patients have been screened for Social Determinants of Health (SDOH), with 89% of Annual Wellness Visit (AWV) patients receiving screenings. Data revealed key needs in food, housing, transportation, and financial assistance. In response, the Market Health Equity Committee is reviewing results and coordinating new pathways for referrals, including transportation solutions, food assistance programs, and expanded financial counseling. Subcommittees are also exploring targeted support for specific populations, including postpartum women and non-English-speaking patients. * The Health Equity Committee, in partnership with the Clark County Combined Health District, facilitated 39 meetings focused on both internal and external strategies. These sessions brought together senior leadership and cross-departmental teams to coordinate on shared community health priorities. In addition, 14,675 pounds of fresh produce were donated from local community gardens to food pantries, with contributions guided by the Clark County Local Foods Council. * At Springfield Regional Medical Center and its partner locations, the food bag program-supported by Second Harvest Food Bank-screened 325 patients for food insecurity. Sixty individuals accessed the onsite pantry, including six from the Springfield Regional Cancer Center. * The Springfield Cancer Center connects patients in need to food assistance through its psycho-social coordinators. Referral-based support remains the primary pathway for patients to access food bags and related assistance during their care. * Community Health representatives attended quarterly meetings of the Clark County Human Services Transportation Council and initiated a joint forum with Champaign County. A total of five meetings were held to review logistics, access concerns, and coordination gaps. * Transportation planning updates were routinely shared with Care and Case Management teams, incorporating insights from interdepartmental and cross-county work groups. In parallel, a communication plan was developed to assist Haitian Creole-speaking patients, with materials now accessible to staff in applicable care settings. * Community Health and Case Management representatives participated in strategic planning efforts for Clark and Champaign Counties. Meeting outcomes were documented and shared with Cancer Center leadership and other key stakeholders. Continued Below Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - Continue description: Mercy Health - Springfield Regional Medical Center. Access to care (primary care, women's health, appropriate point of care: non emergent 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. 2024 Strategies and Outcomes: * The Women's Health Specialty team in Springfield added new OB/GYN providers, including specialists in oncology and outpatient women's care. The expansion follows a phased approach to regional service development across multiple disciplines. * The initiative to implement same-day scheduling was completed following its launch in 2023. Access to real-time appointments is now embedded across multiple practice areas within the BSMH Medical Group. * Work is underway to identify and prepare locations for a new urgent care delivery model in Springfield. Efforts include an extended care option and the planned relocation of a walk-in clinic scheduled for early next year. * Remote monitoring technology has been deployed across Springfield's primary care network. Patient referrals into the program are ongoing, with enrollment continuing through Care Management channels. * Over-the-phone and video interpretation services recorded tens of thousands of sessions this year, alongside increased demand for document translation. Additional translators were brought on to support clinical areas, including OB/GYN. * The partnership with Catholic Charities supported the hiring of multiple HC navigators and translators across outpatient and inpatient spaces. New hires were added incrementally throughout the year to meet expanding needs. Additional case management resources were approved and implemented, including a new full-time case manager for the birthing center. Planning continues to align staffing with service volume and patient needs across key sites. * At Springfield Regional, a new emergency procedure was introduced to improve how quickly stroke patients receive CT scans after arriving in the Emergency Department. Dedicated stroke teams were trained and assigned specific roles, resulting in a current average door-to-CT time of 15 minutes for over 750 patients this year. Behavioral Health: Mental Health, Addiction, Trauma Implementation Activities: Goal: Increase the capacity of mental health supports Goals: Increase screenings and referrals to treatment to detect mental health, addiction, and trauma more proactively 2024 Strategies and Outcomes: * During 2024, eleven meetings were convened as part of the Community Emergency Mental Health Medical Collaborative. Springfield Regional Medical Center worked alongside Enon and Urbana emergency departments and local agencies to enhance coordinated planning within clinical crisis settings. * In 2024, Springfield representatives attended nine meetings of the merged Clark County Mental Health & Suicide Prevention Taskforces. These sessions contributed to the development of a long-term strategy aligned with the county's community health assessment framework. * Mercy REACH participated in five youth prevention and strategy meetings, delivering 38 educational presentations in schools, and supporting student-focused programs within juvenile court and alternative suspension settings throughout the Springfield area. During the same period, the team also attended four meetings of the Clark County Overdose Awareness Committee and reviewed 40 overdose-related cases in coordination with the Clark County Health District. * The clinical internship program between Mercy Health Physicians and Wright State University continued to place one intern per quarter, contributing to the behavioral health workforce across Springfield. Over the same period, 312 patients received care through the program, reflecting higher service engagement compared to the previous year's total of 219 patients. * At Springfield and Urbana sites, Mercy Health Physicians completed 987 out of 991 behavioral health telemedicine consults within six hours, achieving a 100% on-time response rate and exceeding the original benchmark of 85% for timely access to psychiatric care. * Mercy Health Physicians across Springfield achieved an 89% screening rate for depression during annual wellness visits, building on a strong baseline of 95.75%. * The Springfield Regional Medical Center Emergency Department distributed 152 doses of Narcan and 110 of Suboxone, with referrals provided to patients following administration. These efforts were supported through coordination between Mercy REACH, pharmacy teams, and emergency services. * Mercy Health Springfield hospital contributed to relaunching the Mended Hearts cardiovascular support group, which transitioned to community ownership after nine successful sessions. Simultaneously, the Springfield-based stroke support group continued to grow, with 69 attendees participating in caregiver education, therapy sessions, and speaker-led discussions throughout the year. Chronic Disease: COPD, Heart Disease/CHF, Cancer (with specific focus on Breast, Lunch/Brochus, and Skin/Melanoma) 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 2024 Strategies and Outcomes: * Mercy Health Springfield hospital completed the recruitment of an interventional neurologist and added a neurosurgeon, launching an Acute Stroke Clinic in early 2024. More than 200 interventions have been performed, and the clinic now sees post-acute stroke patients within two weeks, supporting care across the region, including Champaign County and Urbana. * In 2024, Springfield Regional Medical Center led 23 community outreach and education events focused on increasing awareness of stroke warning signs and the connection to high blood pressure. These efforts included bi-monthly sessions at senior centers, local health fairs, and specialized trainings for EMS and fire personnel throughout Clark and Champaign counties. * Springfield Regional Medical Center supported the rollout of the MSK4U hotline to expedite stroke patient referrals through the Emergency Department. * Throughout 2024, Springfield Regional Medical Center expanded its stroke intervention services by increasing thrombectomy coverage. Previously limited to daytime hours, the service moved toward full 24/7 availability with the addition of new clinical expertise and steps taken to support future certification goals. * In 2024, the Springfield Cancer Center successfully relaunched regional skin cancer screenings with a dedicated event held on May 16. This initiative marked the first occurrence since the pandemic, serving 38 patients and establishing a new baseline for future outreach efforts. * Mercy Health Physicians in the Springfield region reported steady progress toward cancer screening goals. Colorectal screenings exceeded expectations with a 68% completion rate, while breast cancer screenings reached 74% of eligible annual wellness visit patients. * Springfield Regional Cancer Center led 11 cancer-related outreach and education events across the region, surpassing its annual engagement goal. Activities included lung and skin cancer screenings, presentations at senior services centers, and participation in health fairs and community forums such as the Pink Honor Walk, Minority Health Fair, and "Fashions to a Tea" in Urbana. * In the Springfield region, establishing a formal pathway for Cardio-Oncology remains a strategic focus for Mercy Health's Cardiovascular Services and Cancer Center teams. The effort is aligned with regional goals to enhance coordination between oncology and cardiology care for patients across Clark and Champaign counties. * Clinical teams in the Springfield area implemented updated guidelines for managing COPD and CHF, building on a 2023 launch aimed at improving patient care and outcomes. The rollout reflects continued collaboration among Mercy Health's Medical Group, Population Health, and the Clinically Integrated Network. Continued Below. Schedule H, Part V, Section B, Line 11 Facility A, 3 Facility A, 3 - Continue description: Mercy Health - Springfield Regional Medical Center. Maternal Infant Health & 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 moms. 2024 Strategies and Outcomes: * In 2024, Springfield Regional Medical Center system initiated a strategic objective to increase MFM program volume by expanding its partnership with OSU. While the baseline remains at one clinic day per month serving eight patients, efforts to scale to two onsite and two virtual days are actively progressing. * Springfield Regional Medical Center is actively pursuing increased Maternal-Fetal Medicine (MFM) program volume through an expanded partnership with OSU, aiming to grow from the current baseline of one clinic day per month (serving eight patients) to two onsite and two virtual days. All market hospitals remain engaged, and leadership continues to advocate for growth while exploring alternative pathways to enhance access, despite the current partner's limited capacity for expansion. * Significant strides were made to improve communication and care for Spanish- and Haitian-speaking families through the hiring of additional full-time in-person translators in the Springfield and OBGYN offices. In parallel, a translation partner was engaged to develop discharge instructions in multiple languages, ensuring patients receive vital health information in a format they can understand. While full EPIC translation remains in progress, an effective workaround process has been implemented to meet patient needs in the interim. * In 2024, comprehensive referral workflows were developed and completed to support pregnant and post-natal women struggling with smoking, vaping, or marijuana use. This included the creation of automated EPIC-based referral systems from both OB/GYN practices and the Birthing Center to Mercy REACH for inpatient and outpatient care. * The Birthing Center exceeded its educational outreach goals by offering 48 prenatal classes, surpassing both the baseline and target, and successfully served 186 patients through its programming. These efforts reflect the center's strong commitment to providing structured, accessible support for expectant families. While services were centralized at Springfield Regional Medical Center, effective outreach to Champaign County helped extend the program's impact to a broader community. * In 2024, the Birthing Center made significant progress in expanding breastfeeding supports by establishing a new outpatient lactation consult space and strengthening community-based resources. Collaborations with local organizations such as Rocking Horse, WIC, and FYI have brought additional Certified Lactation Counselors (CLCs) and breastfeeding advocates into the network. OB/GYN teams are also preparing to offer prenatal breastfeeding support starting at 28 weeks gestation, positioning the center for broader implementation later in the year. * Two new CLCs were added to the Birthing Center's team, increasing the capacity to provide inpatient breastfeeding consultations for new mothers. Alongside three existing staff members and another employee preparing for certification, the team is focused on supporting more consistent and informed lactation care, with an emphasis on encouraging exclusive breastfeeding during the postpartum period. * Continued active participation in the Community Health Taskforce with Start Strong Clark County led to the completion of a strategic plan in 2023, with ongoing updates and implementation efforts by focused sub-groups to achieve defined objectives; while participation was specific to the Birthing Center at Springfield Regional, the initiative impacts patients across both counties and is collaboratively driven by Community Health, Birthing Center, OBGYN providers, and Start Strong Clark County. All prioritized needs in the hospital CHNA have been addressed. Schedule H, Part V, Section B, Line 11 Facility A, 4 Facility A, 4 - MERCY HEALTH - 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. 2024 Strategies and Outcomes: * In 2024, Mercy Health - Urbana Hospital screened over 24,800 patients for social determinants of health across inpatient and outpatient settings, including 89% of all Annual Wellness Visit patients-demonstrating a strong commitment to identifying and addressing non-clinical barriers to care; efforts to track, measure, and expand screenings will continue. * Hosted 72 health-focused events in 2024-exceeding the annual target of 14-including recurring monthly sessions at key community sites such as the YMCA, Senior Center, Rotary Manor, and Cherry Arbors. Topics ranged from nutrition and chronic disease management to health equity and wellness. * In 2024 Urbana Hospital, reached a total of 296 individuals through targeted education initiatives, with notable participation at locations like Legacy Apartments, Messiah Community, and the YMCA. Early efforts to measure engagement included a successful post-event survey at the Leadership Champaign County Day, gathering feedback from approximately 25 participants. * Urbana Hospital developed and maintained 8 recurring monthly health education programs across diverse community settings, building a consistent platform for ongoing wellness promotion and fostering stronger ties between healthcare providers and residents. * During 2024, Urbana Hospital coordinated two cohorts ("flights") of student interns from Ohio Hi-Point Career Center, engaging a total of 10 high school students in hands-on learning experiences at Mercy Health Urbana Hospital. * In 2024, Mercy Health Urbana Hospital exceeded its internship goal by hosting twice the planned number of student interns, reinforcing its commitment to cultivating a local talent pipeline. Building on the program launched in 2023, the hospital continued to deepen community partnerships and educational pathways in Champaign County, with ongoing plans to expand student engagement in the years ahead. * Mercy Health Urbana participated in five transportation-focused meetings so far this year, including two community sessions and three specialized meetings focused on improving coordination between Clark and Champaign Counties. * Screening for social determinants of health has reached 89% of Annual Wellness Visit (AWV) patients across both primary and specialty care settings, totaling over 24,800 individuals. Transportation continues to emerge as a common barrier. In response, Mercy Health formed a cross-county workgroup, which convened three times in early 2024 to explore practical solutions. * In partnership with TAC Industries and local stakeholders, Mercy Health is advancing a transportation plan to better serve patients in Champaign County. This includes building a comprehensive work plan to address mobility needs and increase transportation access. A formal agreement is currently under review, representing a key step in expanding regional transportation support through sustainable, community-centered approaches. 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. 2024 Strategies and Outcomes: * Mercy Health Urbana has deepened its partnerships with local organizations-including the Champaign County CORE Substance Abuse & Mental Health Coalition, Mercy REACH, and Wellspring-to support individuals in need of inpatient or outpatient mental health services. These collaborations have led to established referral pathways and regular engagement in shared behavioral health initiatives. * A new behavioral health clinical internship program was launched in collaboration with Wright State University, with four interns serving the region in 2024 and over 300 patients receiving care through this initiative so far this year. In parallel, the Mended Hearts support group was successfully reestablished to serve cardiac patients and their families, with continued education and engagement provided by Mercy Health's cardiac rehabilitation team. This community-led group now operates out of the local public library, extending its reach and accessibility. * During 2024, Mercy Health Urbana fully implemented telemedicine for psychiatry services, significantly broadening access to mental health care across both urban and rural parts of Clark and Champaign Counties. The rollout includes new technology infrastructure, clinical integration, and coordinated outreach across multiple care settings. Chronic Disease: COPD, Heart Disease/CHF, Cancer (with specific focus on Breast, Lunch/Brochus, and Skin/Melanoma) Implementation Activities: Goal: Increase community engagement and participation with prevention and education programming. Goal: Enhance screenings as well as services accessible to Champaign County community in the areas of COPD, heart disease/congestive heart failure, and cancer (with specific focus on breast, lung/brochus, and skin/melanoma). 2024 Strategies and Outcomes: * In 2024, Mercy Health Urbana organized a series of local and regional education and outreach events in Urbana and Champaign Counties focused on health equity barriers and specific health concerns. Ten recurring programs were established, including monthly sessions at senior centers, youth organizations, residential communities, and local schools. A year-to-date total of 3,456 individuals participated across 80 events, with topics ranging from nutrition and blood pressure checks to diabetes support and healthy lifestyle education. * During 2024, Mercy Health Urbana successfully re-established regional skin cancer screenings with its first event held in Clark County, open to residents from both Clark and Champaign Counties. The event drew 38 participants and marked a key milestone in expanding preventive care. Discussions are underway to explore a second screening opportunity in Champaign County. * Regional outreach around lung and breast cancer screenings has grown significantly, with 2,580 patients served so far in 2024-including 851 through mobile mammography and 1,697 through lung cancer screenings. Twelve education and awareness events were scheduled, covering a range of cancer-related topics, and offered in collaboration with local partners, senior services, and specialty providers. * Cardiovascular service line development continued with physician additions and ongoing work to integrate wound care and chronic disease management into cardiac services. This includes efforts to improve care for patients with diabetes, vascular conditions, and chronic wounds. New clinical guidelines aimed at enhancing outcomes for COPD and CHF patients were also launched, supporting evidence-based improvements in patient care delivery. * Mercy Health continues to collaborate with regional partners to strengthen cancer prevention efforts through both clinical services and public education. Events such as "Be the Match" donor drives, community speaking engagements, and health fairs have broadened community engagement, while partnerships with organizations like OSU and United Senior Services have enhanced outreach and screening visibility across Clark and Champaign Counties. Continued Below Schedule H, Part V, Section B, Line 11 Facility A, 5 Facility A, 5 - Continue description: MERCY HEALTH - URBANA HOSPITAL. Access to care (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. 2024 Strategies and Outcomes: * In 2024, five new providers were recruited to strengthen local access to care in Clark and Champaign Counties. The additions include specialists in OB/GYN, primary care, pediatrics, and gynecologic oncology. This recruitment supports long-term service sustainability while increasing non-emergent care options for residents in historically underserved areas. * A new women's health clinic is now operational in Urbana, offering OB/GYN services, surgical support, and preventive screenings. With expanded provider coverage, services are now available three days per week, creating consistent access to care for women in Champaign County. * Mercy Health Urbana implemented same-day appointment scheduling across both primary and specialty care locations, allowing patients to secure timely visits for routine and acute care needs. This scheduling model is designed to enhance flexibility, reduce wait times, and improve continuity of care within community-based practices. * Planning is in progress to develop a localized urgent care model in partnership with the BSMH Urgent Care team. Preliminary work includes evaluating existing walk-in clinic operations and exploring the integration of a Springfield site as a pilot location. Additional phases are expected to focus on operational design, staffing models, and alignment with existing care delivery structures. Maternal Infant Health & Vitality Implementation Activities: Goal: Enhance access to women's health and OB/GYN services in Champaign County. Goal: Increased engagement and awareness of pregnancy, prenatal, postnatal, and baby's first year of life needs through classes. 2024 Strategies and Outcomes: * In 2024, Mercy Health successfully recruited multiple women's health providers to serve Champaign County, increasing access to OB/GYN care in the region. New providers began practicing in Urbana, bringing additional specialty expertise to support a broader range of services. * A new OB/GYN clinic is now operating in Urbana, offering services three days per week. The facility provides both routine and surgical women's health care, significantly improving access for patients across Champaign County and surrounding communities. * In 2024, the Birthing Center delivered 48 prenatal and childbirth education classes, surpassing the previous year's total. These sessions served 186 individual patients and reached a total attendance of 673, offering education to expectant families in both Clark and Champaign Counties. * To support growing demand, two Certified Lactation Counselors (CLCs) were added to the team in 2024, enhancing breastfeeding support across both inpatient and outpatient settings. An outpatient lactation consultation area is currently in development, and additional staff training is underway to further expand lactation expertise within the birthing center. * The Birthing Center has partnered with organizations including WIC, CCCHD, and Start Strong Clark County to expand breastfeeding support through educational classes and outreach efforts. Plans are in progress to launch a community-based support group, while OB/GYN providers are preparing to offer outpatient breastfeeding guidance beginning at 28 weeks of pregnancy and are working to ensure that all mothers receive lactation consultations during their hospital stay. All prioritized needs in the hospital CHNA have been addressed. Schedule H, Part V, Section B, Line 13 Facility A, 1 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 EXCEPTION OF PATIENTS WHO QUALIFY FOR PRESUMPTIVE ELIGIBILITY. PROOF OF INCOME IS NOT REQUIRED IF A PATIENT OR FAMILY MEMBER 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. Schedule H, Part V, Section B, Line 13 Facility A, 1 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. Schedule H, Part V, Section B, Line 20 Facility A, 1 Facility A, 1 - BON SECOURS MERCY HEALTH HOSPITALS. Bon Secours Mercy Health hospitals take all reasonable efforts to notify an individual about its Financial Assistance Policy before initiating Extraordinary Collection Actions (ECAs) pursuant to IRC Section 501(r)-6(c)(4), including but not limited to, providing the individual with a written notice that indicates financial assistance is available for eligible individuals, identifies the ECAs that the hospital (or other authorized party) intends to initiate to obtain payment, and states a deadline after which such ECA may be initiated that is no earlier than 30 days after the date that the written notice is provided. During the annual internal audit of Bon Secours Mercy Health (BSMH) hospitals which was completed on October 28, 2024, the internal audit team identified an error to properly notify the patient about the extraordinary collection actions (ECAs) that the hospital intends to initiate to obtain payment and provide the patient with no less than 30 days for payment before initiating such ECAs. The error was the result of a systematic change made by a third party engaged to generate patient account statements. The change was made in January 2024 and inadvertently removed the ECA notification on the statements that contained more than one episode of care. Any statements with only one episode of care were not impacted. The statements were corrected in October 2024, and all statements after that date include the proper ECA notification language. At the time the error was identified, BSMH identified 317 accounts during the period of January 23 - October 2, 2024, that received adverse credit reporting and did not receive the proper written notification required under IRC Section 501(r)-6(c)(4). In March 2025, BSMH notified the applicable collection agencies to reverse the adverse credit reporting and put a hold on any further collection actions. BSMH will not pursue any additional collections on the open balances totaling $354,089 for the identified dates of service for those patients, and any open balances will be written-off. BSMH issued the letter notifying the patients of the corrective action taken, no additional actions are needed by the patient, and the balances for those identified episodes of care have been resolved. This letter was mailed to the respective recipients in June 2025. BSMH will continue to perform an internal audit on a regular and continuous basis at least once per year to ensure compliance. We do not believe the error to be considered "willful or egregious BSMH has performed internal research to identify how the minor oversight occurred and taken additional steps to ensure compliance going forward. 48 Mercy Health - Springfield Regional Medical Center Emergency Department 100 Medical Center Dr Springfield OH 45504 Emergency Care Mercy Health - Urbana Hospital Emergency Department 904 Scioto St Urbana OH 43078 Emergency Care Mercy Health - Springfield Infectious Disease 200 Medical Center Dr Suite 200 Springfield OH 45504 Infectious Diseases Mercy Health - Springfield Sleep Center 30 W McCreight Ave Suite 201 Springfield OH 45504 Pulmonary and Sleep Medicine Mercy Health - Urbana Hospital Sleep Center 904 Scioto St Urbana OH 43078 Pulmonary and Sleep Medicine Mercy Health - Springfield Pulmonology 30 W McCreight Ave Suite 100 Springfield OH 45504 Pulmonary and Sleep Medicine Mercy Health - Urbana Pulmonology 900 Scioto St Suite 4 Urbana OH 43078 Pulmonary and Sleep Medicine Mercy Health - Springfield Cancer Center 148 W North St Springfield OH 45504 Cancer Care and Oncology Mercy Health - Springfield Neurology 2600 N Limestone St Suite 125 Springfield OH 45503 Neurology and Neurosurgery Mercy Health - Springfield Interventional Neurology 200 Medical Center Drive Suite A Springfield OH 45504 Neurology and Neurosurgery Harness Health Pharmacy - Springfield 100 Medical Center Dr Springfield OH 45504 Pharmacy Locations Mercy Health - Urbana General and Laparoscopic Surgery 900 Scioto St Suite 1 Urbana OH 43078 General Surgery Mercy Health - Urbana General and Robotic Surgery 900 Scioto St Suite 4 Urbana OH 43078 General Surgery Mercy Health - Springfield General and Robotic Surgery 100 W McCreight Ave Suite 110 Springfield OH 45504 General Surgery Mercy Health - Springfield Heart House 100 W McCreight Ave First Floor Springfield OH 45504 Heart and Vascular Care Mercy Health - Urbana Heart House 900 East Court St Urbana OH 43078 Heart and Vascular Care Mercy Health - Cardiovascular Thoracic Surgery 30 West McCreight Avenue Suite 106 Springfield OH 45504 Heart and Vascular Care Mercy Health - Springfield Weight Management and General Surgery 100 W McCreight Ave Suite 110 Springfield OH 45504 Bariatrics and Weight Loss Mercy Health - Occupational Health Services Springfield 1343 N Fountain Blvd Suite 250 Springfield OH 45504 Occupational Health Mitchell Thomas Center 100 W McCreight Ave Springfield OH 45505 Other Locations Community Mercy Health Partners 100 Medical Center Drive Springfield OH 45504 Other Locations Mercy Health Reach Services - Springfield 30 W McCreight Ave Springfield OH 45504 Other Locations Community Mercy Foundation 100 W McCreight Ave Suite 200 Springfield OH 45504 Other Locations Community Mercy Med Assist 30 W McCreight Ave Suite 011 Springfield OH 45504 Other Locations Mercy Health - Springfield Regional Medical Center Birthing Center 100 Medical Center Dr Springfield OH 45504 Maternity and Birthing Centers Mercy Health - Springfield Plastic and Reconstructive Surgery 100 W McCreight Ave Suite 110 Springfield OH 45504 Plastic & Reconstructive Surgery Mercy Health - Springfield Wound Care Center 362 South Burnett Rd Springfield OH 45505 Wound Care Centers Mercy Health - Urbana Wound Care Center 1430 US Highway 36 East Suite B Urbana OH 43078 Wound Care Centers Mercy Health - Springfield Physical Medicine and Rehabilitation 211 Northparke Dr Springfield OH 45503 Physical Therapy and Rehabilitation Mercy Health - Springfield Pediatric Rehabilitation 1345 N Fountain Blvd Springfield OH 45504 Physical Therapy and Rehabilitation Mercy Health - Springfield Regional Medical Center Acute Rehabilitation 100 Medical Center Dr 1 East Unit Springfield OH 45504 Physical Therapy and Rehabilitation Mercy Health - Springfield Imaging and Lab Center 1343 N Fountain Blvd Springfield OH 45504 Lab Services Mercy Health - MercyCrest Gastroenterology 30 W McCreight Ave Suite 211 Springfield OH 45504 Gastroenterology, Liver and Pancreas Mercy Health - Urbana Orthopaedics 900 Scioto St Suite 1 Urbana OH 43078 Orthopedics and Sports Medicine Mercy Health - Springfield Orthopaedics 2600 N Limestone St Suite 150 Springfield OH 45503 Orthopedics and Sports Medicine Mercy Health - Springfield Sports Medicine and Rehabilitation 2600 N Limestone St Springfield OH 45503 Orthopedics and Sports Medicine Mercy Health - Urbana Sports Medicine and Rehabilitation 1450 E US Highway 36 Urbana OH 43078 Orthopedics and Sports Medicine Mercy Health - Springfield Obstetrics and Gynecology 1108 Vester Ave Springfield OH 45503 Gynecology and OB/GYN Mercy Health - Urbana Obstetrics and Gynecology 204 Patrick Ave Urbana OH 43078 Gynecology and OB/GYN Mercy Health - Family Physicians of Springfield 247 S Burnett Rd Suite 210 Springfield OH 45505 Primary Care and Family Medicine Mercy Health - Springfield Primary Care at Clark State 570 E Leffel Ln Springfield OH 45505 Primary Care and Family Medicine Mercy Health - Wittenberg University Health Center 200 W Ward St Room 003 Springfield OH 45504 Primary Care and Family Medicine Mercy Health - MercyCrest Family Medicine 30 W McCreight Ave Suite 208 Springfield OH 45503 Primary Care and Family Medicine Mercy Health - East Springfield Internal Medicine 2105 E High St Springfield OH 45505 Primary Care and Family Medicine Mercy Health - Northparke Internal and FamilyMedicine 211 Northparke Dr Springfield OH 45503 Primary Care and Family Medicine Mercy Health - South Limestone Family Medicine 2055 South Limestone St Springfield OH 45504 Primary Care and Family Medicine Springfield Regional Surgery Center (SROC) 2610 N Limestone St Springfield OH 45503 Surgery Centers Mercy Health - Springfield Cardiac Rehabilitation 200 Medical Center Dr Springfield OH 45504 Physical Therapy and Rehabilitation Schedule H, Part VI, Line 7 State filing of community benefit report None Schedule H, Part I, Line 6a Community benefit report prepared by related organization Bon Secours Mercy Health, Inc. 52-1131086 Schedule H, Part I, Line 7g Subsidized Health Services 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 $430,618. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 17955666 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance Cost of financial assistance at cost was calculated with a cost to charge ratio using worksheet 2. The cost related to Medicaid patients was determined using Bon Secours Mercy Health's cost accounting system and included both inpatients and outpatients for traditional Medicaid and Medicaid managed care plans. For subsidized services Bon Secours Mercy Health's cost accounting system used to determine cost related to the specific service excluding traditional Medicaid and Medicaid managed care patients. Costs for charity and bad debt accounts are deducted using a ratio of cost to charge specific to that subsidized service. Costs for other programs reflect the direct and indirect costs of providing those programs. Schedule H, Part II Community Building Activities 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. Additional detail regarding CMHP's community building activities and the promotion of health of its communities can be found in the 2024 Community Health Annual Report prepared by Bon Secours Mercy Health available at https://www.mercy.com/about-us/mission/giving-back. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. NET PATIENT ACCOUNTS ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED UPON BON SECOURS MERCY HEALTH'S (BSMH) 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. BSMH'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. BSMH 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, BSMH RECOGNIZES REVENUE WHEN SERVICES ARE PROVIDED. BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF BSMH'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR SERVICES PROVIDED. THUS, BSMH RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. ANY DISCOUNTS APPLIED TO SELF-PAY PATIENTS WOULD BE DEEMED EITHER CHARITY OR A CONTRACTUAL ADJUSTMENT. BAD DEBT WOULD BE BASED ON THE BALANCE AFTER THE CHARITY OR CONTRACTUAL ADJUSTMENT THAT IS DEEMED UNCOLLECTABLE FOLLOWING A REASONABLE COLLECTION EFFORT. Schedule H, Part III, Line 3 Bad Debt Expense Methodology The 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. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote BON SECOURS MERCY HEALTH'S (BSMH) AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. 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 9 & 10) 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. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs A cost to charge ratio is applied to the organization's Medicare gross charges to calculate Medicare costs, which are then compared to Medicare payments received, to determine a Medicare Gain or Loss. BON SECOURS MERCY HEALTH AND ITS MEMBERS follow the Catholic Health Association (CHA) Guidelines for determining community benefit. CHA Community Benefit reporting guidelines suggest that a Medicare shortfall (Loss) is not treated as community benefit, even though the hospital has incurred losses in providing care to Medicare patients. Therefore, none of the amount on Line 7 is treated as community benefit. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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. BSMH 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. Schedule H, Part V, Section B, Line 16a FAP website A - MERCY HEALTH - SPRINGFIELD REGIONAL MEDICAL CENTER: Line 16a URL: https://www.mercy.com/patient-resources/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website A - MERCY HEALTH - SPRINGFIELD REGIONAL MEDICAL CENTER: Line 16b URL: https://www.mercy.com/patient-resources/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - MERCY HEALTH - SPRINGFIELD REGIONAL MEDICAL CENTER: Line 16c URL: https://www.mercy.com/patient-resources/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment 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. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance 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. Schedule H, Part VI, Line 4 Community information 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 Schedule H, Part VI, Line 5 Promotion of community health 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. Schedule H, Part VI, Line 6 Affiliated health care system 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. (BSMH) (52-1301088), a Maryland nonprofit, nonstock membership corporation, 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 2024 per the audit footnote is as follows: Total 2024 Community Benefit: $524.3 Million Benefits to the Broader Community: $164.9 million Unreimbursed Care for Those Who Are Poor and Qualify for Medicaid: $217 million Cost of Care for Those Who Could Not Afford to Pay: $142.4 million true FAIRBORN AREA CHAMBER OF COMMERCE 12 N Central Ave Fairborn OH 45324 310599366 501(c)(6) 5425 Program Support GREATER SPRINGFIELD CVB 20 South Limestone Street Suite 100 Springfield OH 45502 222659512 501(c)(6) 6000 Program Support SPRINGFIELD FOUNDATION 333 N Limestone St Springfield OH 45503 316030764 501(c)(3) 6000 Program Support GALA OF HOPE FOUNDATION INC 3500 Pentagon Blvd Beavercreek OH 45431 464277044 501(c)(3) 25000 Program Support SECOND HARVEST FOOD BANK 20 N Murray St Springfield OH 45503 431268319 501(c)(3) 45000 Program Support 3 2 PRESCRIPTION ASSISTANCE 417 30734 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds Bon Secours Mercy Health (BSMH) has a long-standing history of providing philanthropic support to community-based organizations that advance our Mission and support our health care priorities. BSMH Hospital sponsorship and donations support broad-reaching, health-related charitable causes that contribute to the direct health and wellness of the citizens in our community. Preference is given to donations and sponsorships for health and wellness for the community, supporting a community service or program, supporting programs that advance the mission of BSMH, and support for organizations with good standing and positive community image. The application process and requirements vary by BSMH hospital The Sponsorship Committee and executive leaders of each BSMH hospital or region will review all requests for sponsorship and donations on a monthly or quarterly basis. Communication via letter or email is provided to the community partners and awardees regarding the use and intent of the funding. Awardees may be required to report back on how the funds were used in their subsequent application for funding. BSMH has a financial assistance program that includes charity care, which provides free or discounted medically necessary care to eligible patients who cannot afford to pay. Eligibility is typically based on factors like income and lack of insurance, with specific criteria often found on their billing or patient financial assistance website. Based on the aforementioned eligibility criteria, some services such as medical transportation, durable medical equipment and outpatient prescriptions are separate from hospital charges and may be eligible for financial assistance. X X true true false true false false false false false true false ADAM GROSHANS President and CEO - Springfield 0 441527 0 204038 0 269781 0 179318 0 34440 0 1129104 0 179826 Marvin Narcelles MD Board Secretary, Physician 0 314799 0 113863 0 75260 0 27114 0 10803 0 541839 0 17848 JOSEPH GAGE JR JD Board Member; Chief Human Resource Officer-BSMH 0 662273 0 303480 0 514299 0 257687 0 40607 0 1778346 0 270155 Alexander Garvey PHD Board Member; Chief Sponsorship Officer - Markets 0 165656 0 55812 0 56697 0 24417 0 31979 0 334561 0 0 Denise Rodney MD Board Member (Beg 01/24), Physician 0 225687 0 110742 0 33878 0 25259 0 2707 0 398273 0 0 MATTHEW CALDWELL Former President and CEO - Springfield 0 554401 0 243567 0 342912 0 215736 0 42328 0 1398944 0 233151 WILLIAM KUSNIERZ Former CFO/Treasurer - Springfield 0 370896 0 119889 0 94064 0 40598 0 12246 0 637693 0 30318 Donald Kline Former President, Samaritan Group, BSMH COO 0 989175 0 500580 0 766996 0 8400 0 41951 0 2307102 0 0 JENELLE ZELINSKI CFO - Springfield, Treasurer 0 203316 0 79196 0 76892 0 27695 0 2633 0 389732 0 17502 Ben Merick Market VP, Operations - Springfield 189035 0 56473 0 30468 0 24892 0 38051 0 338919 0 0 0 Joseph Morman Chief Clinical Officer - Springfield 319380 0 94231 0 142518 0 8400 0 28879 0 593408 0 54518 0 Rhonda Beane Chief Nursing Officer 220511 0 76256 0 42360 0 26674 0 25034 0 390835 0 16015 0 Brandon Colwell Registered Nurse 222075 0 21880 0 5105 0 2430 0 33256 0 284746 0 0 0 Jamie Houseman President, Urbana Hospital 163450 0 30547 0 32332 0 6172 0 24139 0 256640 0 0 0 Kim Sowards House Supervisor 182392 0 14046 0 32520 0 6119 0 12816 0 247893 0 0 0 Robbie Owens Registered Nurse 172223 0 2656 0 24163 0 5473 0 3654 0 208169 0 0 0 Ryan Peck Registered Nurse 244651 0 23795 0 12183 0 6692 0 34537 0 321858 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments 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. Schedule J, Part I, Line 1a Health or social club dues or initiation fees 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. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation Bon Secours Mercy Health, Inc., a related organization of the filing organization, uses the following to establish the compensation of the organization's CEO/Executive Director: Compensation Committee Independent Compensation Consultant Compensation Survey or Study Approval by the Board or Compensation Committee Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan 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. THOSE PAYMENTS THAT ARE NOT YET VESTED DUE TO SUBSTANTIAL RISK OF FORFEITURE ARE INCLUDED IN SCHEDULE J, COLUMN (C) IN ACCORDANCE WITH IRS INSTRUCTIONS. 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 IN SCHEDULE J, COLUMN (B)(III) for listed individuals due to SERP participation in the reporting year were as follows: Matthew Caldwell, $98,328; William Kusnierz, $34,256; Adam Groshans, $75,487; Jenelle Zelinski, $19,775; Rhonda Beane, $18,095; Donald Kline, $212,180; Ben Merick, $0; Joseph Morman, MD, $74,229; Joseph Gage, Jr., $138,734; Alexander Garvey, Ph.D, $0. Schedule J, Part I, Line 4b Terms and conditions of the Bon Secours Mercy Health Physicians SERP 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. THOSE PAYMENTS THAT ARE NOT YET VESTED DUE TO SUBSTANTIAL RISK OF FORFEITURE ARE INCLUDED IN SCHEDULE J, COLUMN (C) IN ACCORDANCE WITH IRS INSTRUCTIONS. 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 IN SCHEDULE J, COLUMN (B)(III) for the listed individuals due to SERP participation in the reporting year are as follows: Marvin Narcelles, MD, $20,166; Joseph Morman, MD, $30,656; Denise Rodney, MD, $0. Schedule J, Part I, Line 4b Terms and conditions of the Youngstown Market SERP 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. Schedule J, Part I, Line 4b Terms and conditions of the Mercy Health SERP 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. Schedule J, Part I, Line 7 NON-FIXED PAYMENTS The organization provides annual incentive compensation for listed individuals. The organization's Board of Trustees establishes objective thresholds 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. Form 990, Part IV, Line 12a Consolidated audited financial statements 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. Form 990, Part VI, Line 6 Classes of members or stockholders COMMUNITY MERCY HEALTH SYSTEM IS THE SOLE SHAREHOLDER OF COMMUNITY MERCY HEALTH PARTNERS. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Bon Secours Mercy Health elects all board members who have full voting rights. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Certain matters require approval of the BSMH corporate member, BSMH governing body, or BSMH CEO. The regulations of the organization describe the level of approval required for various decisions. Form 990, Part VI, Line 11b Review of form 990 by governing body The Form 990 is prepared by 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. Form 990, Part VI, Line 12c Conflict of interest policy BSMH maintains a written and board approved Conflict of Interest Policy. The policy requires board members, officers, directors and key employees to annually disclose interests that could give rise to conflicts. The 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. BSMH Board, BSMH Board committees, Bon Secours Mercy Ministries, BMSH Insurance Company, Market Boards, subsidiary Boards, ACO/CIN Boards, and Acute and Ambulatory Pharmacy committees will receive a report of conflicts identified for the respective Board or committee members that includes accountable chair or leader and a summary of the plan for managing or other action(s) taken with respect to the conflict reported. Form 990, Part VI, Line 15a Process to establish compensation of top management official 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. Form 990, Part VI, Line 15b Process to establish compensation of other employees 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. Form 990, Part VI, Line 19 Required documents available to the public The governing documents, conflict of interest policy and financial statements are available to the public upon request. Form 990, Part VII, Section A ADDITIONAL DISCLOSURE Board Member positions are generally voluntary in nature. Compensated employees of the filing organization and other related organizations who also hold board positions are compensated only in relation to their employment and do not receive additional compensation for their board responsibilities. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue All other revuene - Total Revenue: 14859, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 14859; Form 990, Part IX, Line 11g Other Fees Medical Professional Fees - Total Expense: 37379809, Program Service Expense: 37379809, Management and General Expenses: , Fundraising Expenses: ; BSMH Corporate Dues - Total Expense: 56746506, Program Service Expense: 48234530, Management and General Expenses: 8511976, Fundraising Expenses: ; Repairs and maintenance - Total Expense: 5668834, Program Service Expense: 4818509, Management and General Expenses: 850325, Fundraising Expenses: ; Physician Recruitment - Total Expense: 159153, Program Service Expense: 159153, Management and General Expenses: , Fundraising Expenses: ; Consulting - Total Expense: 3461269, Program Service Expense: 2942079, Management and General Expenses: 519190, Fundraising Expenses: ; Contracted Medical Services - Total Expense: 2322853, Program Service Expense: 2322853, Management and General Expenses: , Fundraising Expenses: ; Other Purchased Services - Total Expense: 13983589, Program Service Expense: 11886051, Management and General Expenses: 2097538, Fundraising Expenses: ; Cafeteria Management Fees - Total Expense: 132525, Program Service Expense: 112646, Management and General Expenses: 19879, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfers to Affiliates - -27441141; Grant pledge adjustment - -15700; Total - -27456841; SPRINGFIELD REGIONAL CANCER CENTER 148 W NORTH STREET SPRINGFIELD OH 45502 352216018 CANCER CENTER OH 0 0 Community Mercy Health Partners Bon Secours Mercy Health Inc 1701 Mercy Health Place CINCINNATI OH 45237 521301088 HEALTHCARE SYSTEM PARENT MD 501(c)(3) 3 NA false Bon Secours Baltimore Community Works Inc 26 North Fulton Avenue Baltimore MD 21223 521732800 Grant Making Foundation MD 501(c)(3) Type III-FI Bon Secours Mercy Health Inc false Bon Secours Ireland DAC College Road Cork EI Local System Parent Org. EI 501(c)(3) Type III-FI Bon Secours Mercy Health Inc false BON SECOURS MERCY HEALTH FOUNDATION 1701 Mercy Health Place CINCINNATI OH 45237 201072726 FUNDRAISING OH 501(c)(3) 7 Bon Secours Mercy Health Inc false Bon Secours New Jersey Health System Inc 1701 Mercy Health Place CINCINNATI OH 45237 222754781 Local System Parent Org. NJ 501(c)(3) Type III-FI Bon Secours Mercy Health Inc false Bon Secours New York Health System Inc 2975 Independence Avenue Bronx NY 10463 912135196 Local System Parent Org. NY 501(c)(3) Type I Bon Secours Mercy Health Inc false Bon Secours Richmond Health System 8580 Magellan Parkway Richmond VA 23227 521988421 Local System Parent Org. VA 501(c)(3) 3 Bon Secours Richmond LLC false Bon Secours St Francis Health System Inc 1 St Francis Drive Greenville SC 29601 582504528 Local System Parent Org. SC 501(c)(3) Type III-FI Bon Secours Mercy Health Inc false COMMUNITY MERCY HEALTH SYSTEM 100 Medical Center Drive SPRINGFIELD OH 45504 300272454 MARKET PARENT OH 501(c)(3) Type III-FI Bon Secours Mercy Health Inc false HEALTHSPAN PARTNERS 1701 Mercy Health Place CINCINNATI OH 45237 463055925 MARKET PARENT OH 501(c)(3) Type II Bon Secours Mercy Health Inc false MERCY HEALTH RETIREMENT TRUST 1701 Mercy Health Place CINCINNATI OH 45237 316046304 RETIREMENT TRUST OH 501(c)(3) 7 Bon Secours Mercy Health Inc false Mercy Health Services 1701 Mercy Health Place CINCINNATI OH 45237 251585441 Local System Parent Org. 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