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        <AverageHoursPerWeekRltdOrgRt>25.0</AverageHoursPerWeekRltdOrgRt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - St. Francis Hospital, Inc.. St. Francis Hospital, Inc. St. Francis Hospital, Inc. is comprised of ST. FRANCIS HOSPITAL - DOWNTOWN and ST. FRANCIS HOSPITAL - EASTSIDE. These hospitals are collectively referred to as "the hospital needs identified in its CHNA are addressed with regional strategies. Unless noted below, both St. Francis Hospital - Downtown and St. Francis Hospital - Eastside participated in the regional strategies. Housing and Homelessness Implementation Activities: Goal 1: Continue to work with Habitat for Humanity to complete our build commitment in the Sterling Community. Goal 2: Work with organizations that focus on home ownership and home preservation/protection (Rebuild, Habitat, Greenville Human Relations Commission, Sterling Land Trust, etc.) to promote and protect home ownership in target neighborhoods among target populations. 2024 Strategies and Outcomes: * The Hospital continued to work with the Habitat Homes and completed one new build during 2024. * The Hospital partnered with organizations that focus on home ownership and home preservation in target neighborhoods among target populations, primarily seniors, to increase their ability to stay in their own homes and improve their housing knowledge. During 2024, the Hospital arranged for a representative from the Greenville Human Relations Commission to speak at the Pleasant Valley Neighborhood Association on renters' rights and the impact of gentrification. Access to Care (with a health equity and cultural competency lens) Implementation Activities: Goal 1: Improve access to care in target neighborhoods by helping local churches and community centers create and/or equip health ministries. Goal 2: Increase awareness of and access to available health and Social Determinants of Health (SDoH) related resources for senior adults. Goal 3: Improve continuity of care by increasing the number of at-risk individuals with obesity and chronic conditions who have a care plan. 2024 Strategies and Outcomes: * The Hospital worked to improve access to care by helping local churches and community centers create and/or equip health ministries. During 2024 the Hospital completed 46 educational events in the community to help improve access to care. * To increase awareness of and access to available health and SDoH-related resources for seniors, the Hospital accomplished the following: - Conducted a focus group meeting with community partners to determine how and where it can best increase awareness of available resources for the community. - Shared with six partnering organizations the senior-specific virtual resource guide created in partnership with LifeWise. - Engaged with eight community partners to complete 16 events to increase awareness of resources for seniors. - Hosted an education event on caregiving, including resources available to caregivers or those who need care. * The Hospital continues to improve continuity of care by increasing the number of at-risk individuals with obesity and chronic conditions who have a care plan. The Hospital accomplished this by performing the following actions during 2024: * Collaborated with Bon Secours Medical Group partners to generate 167 referrals to Wellness Outreach services. * Convened two partner meetings to review the referral process. Behavioral and Mental Health Implementation Activities: Goal 1: Expand mental/behavioral health educational opportunities and awareness of resources for the senior population. Goal 2: Expand mental/behavioral health resources available in under-resourced communities. 2024 Strategies and Outcomes: * During 2024, the Hospital held a Walk with a Doc event that was focused on the behavioral health of senior adults. * During the year, the Hospital scheduled a therapist for a behavioral health related presentation at a LifeWise event. * Continued efforts were made to expand mental and behavioral health resources available in under resourced communities through churches, community centers, and other partner organizations. During 2024, the Hospital delivered 27 mental/behavioral health trainings in its target neighborhoods, with one of which being offered in Spanish. All prioritized health needs identified in the hospital's most recent CHNA have been addressed.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 13 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - St. Francis HOspital, Inc.. 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 13 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - St. Francis Hospital, Inc.. 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.bonsecours.com/patient-resources/financial-assistance. BON SECOURS MERCY HEALTH'S FINANCIAL ASSISTANCE POLICY REQUIRES A PATIENT TO APPLY FOR HEALTH INSURANCE COVERAGE AND/OR ENTER THE MARKETPLACE/EXCHANGE BEFORE FINANCIAL ASSISTANCE MAY BE EXTENDED. EXCEPTIONS TO THIS POLICY INCLUDE PATIENTS DISCHARGED TO A SKILLED NURSING FACILITY, PATIENTS WHO ARE DECEASED WITH NO ESTATE, AND PATIENTS WHO HAVE DOCUMENTED HOMELESSNESS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 20 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>23</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>St Francis Eastside</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>125 Commonwealth Drive Fourth Floor</AddressLine1Txt>
            <CityNm>Greenville</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29615</ZIPCd>
          </USAddress>
          <FacilityTxt>Maternity &amp; Birthing Centers</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>St Francis Cancer Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>104 Innovation Drive</AddressLine1Txt>
            <CityNm>Greenville</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29607</ZIPCd>
          </USAddress>
          <FacilityTxt>Cancer Care &amp; Oncology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>St Francis Eastside</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>125 Commonwealth Drive</AddressLine1Txt>
            <CityNm>Greenville</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29615</ZIPCd>
          </USAddress>
          <FacilityTxt>Imaging &amp; Radiology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>St Francis Downtown</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1 St Francis Drive</AddressLine1Txt>
            <CityNm>Greenville</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29601</ZIPCd>
          </USAddress>
          <FacilityTxt>Imaging &amp; Radiology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>St Francis LifeWise</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5 St Francis Drive</AddressLine1Txt>
            <CityNm>Greenville</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29601</ZIPCd>
          </USAddress>
          <FacilityTxt>Community Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Bon Secours St Francis Mobile Medical Van</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>135 Commonwealth Dr</AddressLine1Txt>
            <CityNm>Greenville</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29615</ZIPCd>
          </USAddress>
          <FacilityTxt>Community Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>St Francis Eastside Emergency Department</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>125 Commonwealth Drive</AddressLine1Txt>
            <CityNm>Greenville</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29615</ZIPCd>
          </USAddress>
          <FacilityTxt>Emergency Departments</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>St Francis Downtown Emergency Department</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1 St Francis Drive</AddressLine1Txt>
            <CityNm>Greenville</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29601</ZIPCd>
          </USAddress>
          <FacilityTxt>Emergency Departments</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Bon Secours - St Francis Emergency Center at Simpsonville</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3970 Grandview Dr</AddressLine1Txt>
            <CityNm>Simpsonville</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29680</ZIPCd>
          </USAddress>
          <FacilityTxt>Emergency Departments</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>St Francis Eastside</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>125 Commonwealth Drive</AddressLine1Txt>
            <CityNm>Greenville</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29615</ZIPCd>
          </USAddress>
          <FacilityTxt>Hospitals &amp; Medical Centers</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>St Francis Downtown</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1 St Francis Drive</AddressLine1Txt>
            <CityNm>Greenville</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29601</ZIPCd>
          </USAddress>
          <FacilityTxt>Hospitals &amp; Medical Centers</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HealThy Self</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2 Innovation Dr Suite 200</AddressLine1Txt>
            <CityNm>Greenville</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29607</ZIPCd>
          </USAddress>
          <FacilityTxt>Fitness Centers</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Harness Health Pharmacy - St Francis Cancer Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>104 Innovation Drive Suite 1050</AddressLine1Txt>
            <CityNm>Greenville</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29607</ZIPCd>
          </USAddress>
          <FacilityTxt>Pharmacy</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Bon Secours St Francis Eastside Draw Station</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>135 Commonwealth Dr Suite 150</AddressLine1Txt>
            <CityNm>Greenville</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29615</ZIPCd>
          </USAddress>
          <FacilityTxt>Laboratory Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Bon Secours St Francis Millennium Draw Station</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2 Innovation Dr</AddressLine1Txt>
            <CityNm>Greenville</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29607</ZIPCd>
          </USAddress>
          <FacilityTxt>Laboratory Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Bon Secours St Francis Cancer Center Laboratory</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>104 Innovation Dr</AddressLine1Txt>
            <CityNm>Greenville</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29607</ZIPCd>
          </USAddress>
          <FacilityTxt>Laboratory Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Bon Secours St Francis Downtown Main Laboratory</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1 St Francis Dr</AddressLine1Txt>
            <CityNm>Greenville</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29605</ZIPCd>
          </USAddress>
          <FacilityTxt>Laboratory Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Bon Secours St Francis Downtown Draw Station</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3 St Francis Dr</AddressLine1Txt>
            <CityNm>Greenville</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29605</ZIPCd>
          </USAddress>
          <FacilityTxt>Laboratory Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Bon Secours St Francis Eastside Main Laboratory</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>125 Commonwealth Dr</AddressLine1Txt>
            <CityNm>Greenville</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29615</ZIPCd>
          </USAddress>
          <FacilityTxt>Laboratory Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Bon Secours St Francis Simpsonville Draw Station</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3970 Grandview Dr Suite 1700</AddressLine1Txt>
            <CityNm>Simpsonville</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29680</ZIPCd>
          </USAddress>
          <FacilityTxt>Laboratory Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>St Francis Cancer Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>14051 St Francis Boulevard Suite 22</AddressLine1Txt>
            <AddressLine2Txt>04</AddressLine2Txt>
            <CityNm>Midlothian</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23114</ZIPCd>
          </USAddress>
          <FacilityTxt>Laboratory Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Bon Secours - St Francis Gastroenterology</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>317 St Francis Suite 330</AddressLine1Txt>
            <CityNm>Greenville</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29601</ZIPCd>
          </USAddress>
          <FacilityTxt>Digestive Health &amp; Gastroenterology</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Harness Health Pharmacy - St Francis Simpsonville</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3970 Grandview Dr</AddressLine1Txt>
            <CityNm>Simpsonville</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29680</ZIPCd>
          </USAddress>
          <FacilityTxt>Pharmacy</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 State filing of community benefit repor</FormAndLineReferenceDesc>
        <ExplanationTxt>None</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 6a Community benefit report prepared by related organization</FormAndLineReferenceDesc>
        <ExplanationTxt>Bon Secours Mercy Health, Inc. 52-1301088</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7g Subsidized Health Services</FormAndLineReferenceDesc>
        <ExplanationTxt>$3,526,827 of costs attributable to physician clinics was included as subsidized health services in 2024. These clinics provide community benefit by improving access to physician services for the poor and underserved.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation</FormAndLineReferenceDesc>
        <ExplanationTxt>60017830</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>Cost of financial assistance at cost was calculated with a cost to charge ratio using worksheet 2. The cost related to Medicaid patients was determined using Bon Secours Mercy Health's cost accounting system and included both inpatients and outpatients for traditional Medicaid and Medicaid managed care plans. For subsidized services Bon Secours Mercy Health's cost accounting system was used to determine costs 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>Bon Secours Mercy Health (BSMH) addresses various community concerns including health improvement, poverty, workforce development, and access to health care. BSMH hospitals conduct community health education and support groups, health fairs and screenings for the communities served. BSMH hospitals work with state and local leadership to address community needs and provide healthcare services to the poor and underserved. BSMH 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. BSMH addresses SDOH through its Community Health Needs Assessment (CHNA), Community, investment strategy, advocacy/public policy partnerships, and cross sector solutions. BSMH 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 BSMH's community building activities and the promotion of health of its communities can be found in its 2024 Community Health Annual Report available at https://www.bonsecours.com/about-us/community-commitment/additional-reports and https://www.mercy.com/about-us/mission/giving-back.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. NET PATIENT ACCOUNTS ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED UPON 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>BON SECOURS MERCY HEALTH'S (BSMH) FINANCIAL ASSISTANCE POLICY DOES NOT PERMIT THE COST OF PATIENTS WHO ARE UNCOOPERATIVE OR UNABLE TO BE LOCATED TO BE RECLASSIFIED FROM FINANCIAL ASSISTANCE TO BAD DEBT. BSMH's Financial Assistance Policy Requires an application and supporting documentation. BSMH 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 BSMH'S FINANCIAL ASSISTANCE POLICY. THE HOSPITAL FOLLOWS THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES POLICY DOCUMENT, COMMUNITY BENEFIT PROGRAM, A REVISED RESOURCE FOR SOCIAL ACCOUNTABILITY ("CHA GUIDELINES") FOR DETERMINING COMMUNITY BENEFIT. THE CHA GUIDELINES RECOMMEND THAT HOSPITALS NOT INCLUDE BAD DEBT EXPENSE AS COMMUNITY BENEFIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>BON SECOURS MERCY HEALTH'S (BSMH) AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. 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 &amp; 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE NOT SENT TO A COLLECTION AGENCY. THE ORGANIZATION REPEATEDLY OFFERS PATIENTS ACCESS TO FINANCIAL HELP DURING THEIR HOSPITAL STAYS AND AFTER, AS WELL AS WITH EACH BILLING NOTICE. BILLS ARE SENT TO A COLLECTION AGENCY AS A LAST RESORT AND ONLY: WHEN PATIENTS HAVE THE ABILITY TO PAY SOME PORTION OF THEIR HEALTHCARE EXPENSES BUT REFUSE TO DO SO; WHEN PATIENTS REFUSE TO WORK WITH THE ORGANIZATION TO DETERMINE IF THEY QUALIFY FOR FREE OR DISCOUNTED CARE VIA FEDERAL, STATE, LOCAL OR HOSPITAL ASSISTANCE PROGRAMS; WHEN THE ORGANIZATION IS UNABLE TO LOCATE THE PATIENT OR PERSON RESPONSIBLE FOR THE BILL. Patients that are presumed to be eligible for financial assistance based on individual life circumstances will be provided 100% financial assistance. Patients determined to have presumptive financial assistance eligibility will not be required to meet income criteria, asset eligibility criteria, or fill out a financial assistance application. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - ST. FRANCIS HOSPITAL - DOWNTOWN: Line 16a URL: https://www.bonsecours.com/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - ST. FRANCIS HOSPITAL - DOWNTOWN: Line 16b URL: https://www.bonsecours.com/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - ST. FRANCIS HOSPITAL - DOWNTOWN: Line 16c URL: https://www.bonsecours.com/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>BON SECOURS MERCY HEALTH (BSMH) HOSPITALS ASSESS AND CONTINUALLY RESPOND TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. BSMH HOSPITALS JOIN AN EXISTING COMMUNITY-BASED NEEDS ASSESSMENT EVERY THREE YEARS AND UPDATES ARE PROVIDED BETWEEN ASSESSMENTS. BSMH HOSPITALS INCORPORATE PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. BSMH HOSPITALS RECOGNIZE THE HEALTH OF THE COMMUNITY IS INFLUENCED BY SOCIAL, ECONOMIC, AND ENVIRONMENTAL FACTORS, NOT JUST BY DISEASE AND ILLNESS. OUR COMMUNITY BENEFIT INCLUDES BOTH QUALITATIVE AND QUANTITATIVE DATA; DEMOGRAPHICS INCLUDING RACE, AGE, AND ETHNICITY; SOCIOECONOMIC DATA INCLUDING INCOME, EDUCATION, AND HEALTH INSURANCE RATES; PRIMARY CARE AND CHRONIC DISEASE NEEDS OF UNINSURED PERSONS; AND DATA ON HEALTH DISPARITIES IN HEALTH OUTCOMES AMONG MINORITY GROUPS. BSMH HAS A DEDICATED STAFF TO ASSIST IN THE COMMUNITY BENEFIT EFFORT. BSMH'S COMMUNITY BENEFITS COMMITTEES MEET TO PROVIDE OVERSIGHT TO THE ORGANIZATION'S COMMUNITY BENEFITS PROGRAM. BSMH HOSPITALS WORK CLOSELY WITH HEALTH AND HUMAN SERVICE ORGANIZATIONS IN THE AREA, PARTNERING WITH SOME TO PROVIDE SERVICES TO AVOID DUPLICATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. FRANCIS HOSPITAL, INC. POSTS 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. BSMH 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. BSMH 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 BSMH 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. BSmh 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 BMH'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. 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 BSMH'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. BSMH IS PROUD TO MAKE OUR FINANCIAL ASSISTANCE INFORMATION AVAILABLE TO THE PUBLIC THROUGH ANY OF OUR WEBSITES, WHICH CAN BE FOUND AT: https://bsmhealth.org/financial-assistance/ https://www.mercy.com/patient-resources/financial-assistance https://www.bonsecours.com/patient-resources/financial-assistance</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMUNITY FOR EACH HOSPITAL IN THE BON SECOURS MERCY HEALTH (BSMH) SYSTEM IS DEFINED BOTH BY MISSION AND GEOGRAPHY. THE GEOGRAPHIC COMMUNITY IS DEFINED BY EACH HOSPITAL'S IMMEDIATELY CONTIGUOUS AREAS AS WELL AS BY THE BROADER SURROUNDING COUNTIES/REGIONS WHERE THE MAJORITY OF DISCHARGED PATIENTS RESIDE. ADDITIONALLY, THE COMMUNITY INCLUDES PATIENTS WHO REQUIRE THE EXPERTISE AND SPECIALIZED SERVICES OF A BSMH HOSPITAL. Approximately 533,000 residents reside in Greenville County. Greenville County has experienced a growth rate significantly higher than that of the United States and South Carolina and is now the largest population and population density than any other county in South Carolina. As of 2019, Greenville County is predominantly White (73.5%), with a large Black/African American population (17.7%). There is a slow, but steady increase in minority populations in Greenville County. Greenville has a similar age distribution compared to South Carolina, with slightly more children (age 19 and under) and fewer older adults (age 65 and over). The unemployment rate is lower in Greenville County than in South Carolina and the U.S. At 11.5%, Greenville has a lower percentage of people living below the poverty level than the state at 15.2% or the nation at 13.4%. Greenville county has seen a decrease in percentage since 2017 of adults aged 25 and over with less than a high school degree (12.7% in 2017 to 12.0% in 2019), and an increase in percentage since 2017 of adults aged 25 and over with a bachelor's degree (21.2% in 2017 to 22.2% in 2019). ADDITIONAL DETAIL REGARDING THE COMMUNITY FOR EACH HOSPITAL IN THE BSMH SYSTEM CAN BE FOUND IN EACH HOSPITAL'S CHNA AT THE FOLLOWING LINK: https://www.bonsecours.com/about-us/community-commitment/community-health-needs-assessment</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>BON SECOURS MERCY HEALTH (BSMH) HOSPITALS, INCLUDING ST. FRANCIS HOSPITAL, INC., OPERATE EMERGENCY ROOMS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. IN ADDITION TO PROVIDING EMERGENCY SERVICES, BSMH HOSPITALS ALSO PROVIDE MINOR EMERGENCY AND URGENT CARE SERVICES TO ALL REGARDLESS OF ABILITY TO PAY. BSMH HOSPITALS OPERATE TRAUMA SERVICES, AIR AMBULANCE SERVICES, DISEASE MANAGEMENT, WOUND CARE, SPECIALTY CLINICS, DEVELOPMENTAL THERAPY, HOSPICE, HOME CARE, CRISIS INTERVENTION, BEHAVIORAL SERVICES AND SUBSTANCE ABUSE SERVICES. BSMH HOSPITALS HAVE OPEN MEDICAL STAFFS WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. THE MAJORITY OF THE GOVERNING BODY CONSISTS OF INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITIES SERVED BY BSMH HOSPITALS. THE BSMH BOARD AND ITS MARKET GOVERNING BOARDS ARE COMPOSED OF MEMBERS OF THE COMMUNITIES SERVED WHO DIRECT AND GUIDE MANAGEMENT IN CARRYING OUT THE MISSION OF BSMH. BOARD MEMBERS ARE SELECTED ON THE BASIS OF THEIR EXPERTISE AND EXPERIENCE IN A VARIETY OF AREAS BENEFICIAL TO BSMH AND ITS AFFILIATED HOSPITALS IN FULFILLING ITS MISSION OF PROVIDING HEALTHCARE SERVICES TO THE POOR AND UNDER SERVED. BSMH HOSPITALS ENGAGE IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS. BSMH HOSPITALS PROVIDE RESIDENCY PROGRAMS AND OTHER TRAINING PROGRAMS. BSMH HOSPITALS PARTICIPATE IN MEDICAID, MEDICARE, CHAMPUS, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. BSMH HOSPITAL'S EMERGENCY DEPARTMENTS TREAT AN INCREASING NUMBER OF PATIENTS WHO USE THE FACILITY FOR PRIMARY CARE NEEDS. PATIENT DEMOGRAPHICS REFLECT THE CHANGING COMMUNITY. AS IN OTHER COMMUNITIES, SOME AREA PHYSICIANS PLACE LIMITS ON THEIR ACCEPTANCE OF MEDICAID PATIENTS. IN ADDITION, SOME PRIMARY CARE PHYSICIANS REFER PATIENTS WITH AFTER-HOURS NEEDS DIRECTLY TO AREA EMERGENCY ROOMS. COMMUNITY GROUPS AND INDIVIDUALS ARE VERY SUPPORTIVE OF BSMH. BSMH FORGES COLLABORATIVE RELATIONSHIPS WITH THE FEDERALLY QUALIFIED HEALTH CENTERS IN ITS COMMUNITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. FRANCIS HOSPITAL, INC. is a member of Bon Secours Mercy Health, Inc. (BSMH) (52-1301088), a Maryland nonprofit, nonstock membership corporation. BSMH and all of the other entities that are controlled directly or indirectly by BSMH are described collectively as the System. The System was organized in June 1983 to fulfill the healthcare mission of the United States Province of the Congregation of the Sisters of Bon Secours of Paris, a congregation of religious women of the Roman Catholic Church founded in France in 1824. The System's activities are in the states of Ohio, New York, Pennsylvania, Maryland, Virginia, Kentucky, South Carolina, and Florida, each referred to as a local system. The Ministry of BSMH aids those in need, particularly those who are sick and dying, by offering services that include but are not limited to acute inpatient, outpatient, pastoral, palliative, home health, nursing home, rehabilitative, primary and secondary care and assisted living without regard to race, religion, color, gender, age, marital status, national origin, sexual orientation, or disability. As a member of the Catholic health ministry and a member of BSMH, this organization and its related entities are called to continue the healing ministry of Jesus. We exist to benefit the people living in the communities it serves. Through all of the services offered to the community, the mission is "to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a System of caregivers, we commit ourselves to help bring people and communities to health and wholeness as part of the healing ministry of Jesus Christ and the Catholic Church." This organization and related organizations share the BSMH Vision. We at BSMH are committed to improve the health of the communities by seeing health broadly though a lens of equity. This allows the Ministry to be recognized as a national leader in addressing the root causes of health disparity through intentional engagement, comprehensive investment and impactful program delivery. To achieve this goal of improving the health of our communities, our work is guided by the BSMH Community Health Strategic Plan. This strategic plan is broken down into four pillars, each with a corresponding focus area. We believe these pillars will allow us to expand upon our already existing commitment to the communities we serve. Pillar 1: Improve Health and Well-Being - Targeted interventions on focused populations that reduced utilization, enhanced well-being, and increased access to care. Pillar 2: Expand Community Development Principles - Clarity and focus on system wide fundraising strategy for community health priorities. Pillar 3: Partner to Build Scale - Work with partners of local, regional, and national prominence and excellence in addressing root causes of health and well-being. Pillar 4: Cultivate Investment and Business Development in the Social Determinants of Health - Test and develop new ventures in the community health worker arena. Please see Schedule R for listings of the related organizations. Each of the reported entities play a role in achieving the vision of BSMH and the SQP (Strategic Quality Plan). System-wide community benefit for 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</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule I, Part II SCHEDULE I, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>Description of the Bon Secours Mercy Health Mission Fund: Bon Secours Mercy Health performs its philanthropic work through its mission department. This initiative, called the Bon Secours Health System Mission Fund ("Mission Fund"), was developed to promote the Catholic Health Ministry and the Bon Secours Mercy Health, Inc. Mission. This purpose is realized through the funding of initiatives that improve the health and well-being of communities, particularly for disenfranchised and marginalized people, served by Bon Secours Mercy Health Local Systems ("Local Systems"), Cosponsors and the Congregation of the Sisters of Bon Secours. The scope of its purpose and use of funds would be to: -promote healthy community coalition initiatives in conjunction with local system efforts, -develop local system and community excellence for a specific health condition and preventive need, and -improve access for uninsured populations and reduce health disparities among populations in the community. The Strategic Quality Plan of the health system calls for focused efforts to Build Healthier Communities. The health system understands "health" to include social and communal dimensions and has adopted the following articulation of a healthy community. The conditions of communities and individuals served by Bon Secours Mercy Health reflect the interaction of significant factors and complex behaviors at the individual, communal, and societal level. It is not likely that interventions by any one organization will result in substantial improvement or benefit to the community. Rather, increased participation by stakeholders and greater cooperation among entities with appropriate skills and resources is necessary for systemic change and improved outcomes. Mission Fund grants place emphasis on increased collaboration among community based members (Healthy Community Initiative), public health officials and other providers of services. The Mission Fund anticipates that most endeavors that seek to bring meaningful improvement require time and commitment. Consequently, local system grant recipients may expect continuity of support (several years) to establish and track outcomes. At the same time, grant applicants need to cultivate and achieve a wide array of financial resources necessary to sustain promising projects and service programs.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds</FormAndLineReferenceDesc>
        <ExplanationTxt>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 leadership team and/or Sponsorship Committee of each BSMH hospital will review all requests for sponsorship and donations on a monthly or quarterly basis. 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.</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Joshua Farris</PersonNm>
        <TitleTxt>Radiation Oncologist</TitleTxt>
        <BaseCompensationFilingOrgAmt>520232</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>848</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>887835</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Karen Schwartz</PersonNm>
        <TitleTxt>VP Operations</TitleTxt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kevin Shay</PersonNm>
        <TitleTxt>Senior Physicist</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>31992</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>275153</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Tax indemnification and gross-up payments</FormAndLineReferenceDesc>
        <ExplanationTxt>A tax indemnification benefit to cover the income tax incurred on employee recognition awards was paid to one highest compensated employee. The entire benefit was treated as taxable compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>Bon Secours Mercy Health, Inc., a related organization of the filing organization, uses the following to establish the compensation of the organization's CEO/Executive Director: Compensation Committee Independent Compensation Consultant Compensation Survey or Study Approval by the Board or Compensation Committee</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>The Bon Secours Mercy Health System SERP is a non-qualified deferred compensation plan which provides supplemental retirement benefits to persons selected by the Board of Trustees or its delegate. The plan provides for annual credits of a specified percentage of an eligible participants base salary paid in a plan year and interest credits. Plan participants vest in plan credits after completing a three year class vesting schedule or earlier for death or total disability or reaching age 60 while employed, or due to involuntary separation of employment other than for cause. 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; Marcus Blackstone, MD, $179,366; Kathleen Black, $20,928; Robert Stiekes, $28,389; Jenny Wehrs, $5,867; Bruce Swords, $0; David Cannady, $155,677; Brian Yanofchick, $89,154.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Terms and conditions of the St. Francis 457F plan</FormAndLineReferenceDesc>
        <ExplanationTxt>Bon Secours St. Francis Health System, Inc. established the Bon Secours St. Francis Health System Nonqualified Deferred Compensation Plan (the "St. Francis 457F plan") that allows for deposits of employee deferrals and employer contributions and is available only to eligible Bon Secours St. Francis physicians. The plan is no longer accepting new participants and the cessation of contributions has occurred. The St. Francis 457F plan is a non-qualified plan and is subject to a minimum deferred vesting date of at least two years after the first day of the calendar year to which the deferred compensation relates, provided the participant is employed, or upon specified events, such as death or disability. For a participant who separates employment prior to reaching the deferred vesting date, the portion of the account attributable to the deferred vesting date will become vested after the participant satisfies certain conditions during the three year post-employment period. Individuals that received a distribution or participated in the plan include: Marcus Blackstone, MD, $0; Tommy Mann, Jr, MD, $0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Terms and conditions of the Bon Secours Mercy Health Physicians SERP</FormAndLineReferenceDesc>
        <ExplanationTxt>The Bon Secours Mercy Health Physician SERP is a non-qualified deferred compensation plan which provides supplemental retirement benefits to persons selected by the Board of Trustees or its delegate. The plan provides for annual credits of a specified percentage of an eligible participants base salary paid in a plan year and interest credits. Plan participants vest in plan credits after completing a three year class vesting schedule or earlier for death or total disability or reaching age 60 while employed, or due to involuntary separation of employment other than for cause. 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: Tommy Mann, Jr, MD, $0; Jennifer Vogel, $14,124; Joshua Farris, $0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-Fixed Payments</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization provides annual incentive compensation for listed individuals. The organization's Board of Trustees establishes objective thresholds for quality, community benefit, and financial performance which must be achieved for incentives to be awarded. The Board also establishes threshold, target and maximum levels for incentive awards. Within these established parameters, the Board determines the CEO's incentive award and incentive awards for other listed individuals are determined by the listed individual's supervisor and disclosed to the Board. The Board may authorize modified incentive awards when appropriate in its judgment.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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          <BusinessName>
            <BusinessNameLine1Txt>McMillan Pazdan Smith</BusinessNameLine1Txt>
          </BusinessName>
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        <RelationshipDescriptionTxt>35% Controlled Entity of Family Member of Board Member/Officer</RelationshipDescriptionTxt>
        <TransactionAmt>6990769</TransactionAmt>
        <TransactionDesc>Independent Contractor</TransactionDesc>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020961" softwareVersionNum="2024v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>Bon Secours Mercy Health, Inc. is the sole member of Bon Secours St. Francis Health System, Inc., which in turn is the sole member of St. Francis Hospital, Inc.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing body of St. Francis Hospital, Inc. is appointed by its member Bon Secours St. Francis Health System, Inc. and subject to approval by Bon Secours Mercy Health, Inc.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>Certain matters require approval of the BSMH corporate member, BSMH governing body, or BSMH CEO. The regulations of the organization describe the level of approval required for various decisions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY BSMH'S TAX DEPARTMENT AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. A COPY OF THE FORM 990 IS THEN REVIEWED BY MANAGEMENT. ONCE THE FORM 990 IS REVIEWED BY ALL APPLICABLE PARTIES A COPY OF THE FINAL VERSION IS PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>BSMH maintains a written and board approved Conflict of Interest Policy. The policy requires board members, officers, directors and key employees to annually disclose interests that could give rise to conflicts. 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. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>The People and Culture committee of the board of Bon Secours Mercy Health, Inc. (BSMH) engages in a comprehensive process for the oversight and management of remuneration for executive employees and disqualified parties of BSMH. The People and Culture Committee consists of a group of independent board members and engages an independent external compensation consultant to ensure they receive appropriate analysis of market and follow the practices necessary to obtain full compliance with the IRS' rebuttable presumption of reasonableness. The committee establishes and maintains a compensation philosophy; reviews pay practices against local, regional, and national healthcare organizations and approves all remunerative decisions for this group of individuals. The committee reviews and receives assurances that all levels of pay within the organization are reasonable based on performance and validates incentives are met. These decisions are documented in the BSMH board of directors People and Culture Committee minutes. Compensation Process Other Officers/ Key Employees: For those key employees and highest paid employees that are not reviewed by the BSMH People and Culture committee, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. In the review, the other officers or key employees of the organization were compared to other hospitals' employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded by human resources.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing documents, conflict of interest policy and financial statements are available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A ADDITIONAL DISCLOSURE</FormAndLineReferenceDesc>
        <ExplanationTxt>Board Member positions are generally voluntary in nature. Compensated employees of the filing organization and other related organizations who also hold board positions are compensated only in relation to their employment and do not receive additional compensation for their board responsibilities. Sr. Kathryn Clauss did not receive payroll distributions as she has taken a vow of poverty.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Corporate Dues - Total Expense: XXX-XX-XXXX, Program Service Expense: 92635891, Management and General Expenses: 10292877, Fundraising Expenses: ; Medical and Professional Fees - Total Expense: 48017826, Program Service Expense: 48017826, Management and General Expenses: , Fundraising Expenses: ; Ambulance/Transport Services - Total Expense: 2748350, Program Service Expense: 2748350, Management and General Expenses: , Fundraising Expenses: ; Building Maintenance - Total Expense: 3092926, Program Service Expense: 2783633, Management and General Expenses: 309293, Fundraising Expenses: ; Equipment Maintenance - Total Expense: 2308240, Program Service Expense: 2077416, Management and General Expenses: 230824, Fundraising Expenses: ; Contract Labor &amp; Recruiting - Total Expense: 1158551, Program Service Expense: 1042696, Management and General Expenses: 115855, Fundraising Expenses: ; Diagnostic Tests &amp; Ancillary Procedures - Total Expense: 9430269, Program Service Expense: 9430269, Management and General Expenses: , Fundraising Expenses: ; Medical Equipment Repairs - Total Expense: 4191481, Program Service Expense: 4191481, Management and General Expenses: , Fundraising Expenses: ; Dietary - Total Expense: 5105821, Program Service Expense: 4595239, Management and General Expenses: 510582, Fundraising Expenses: ; Other professional services - Total Expense: 20868870, Program Service Expense: 18781983, Management and General Expenses: 2086887, Fundraising Expenses: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfers to/from Affiliates - -XXX-XX-XXXX; Entity Transfer - 101032; Total - -XXX-XX-XXXX;</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>Bon Secours Diagnostic Imaging LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>One St Francis Drive</AddressLine1Txt>
          <CityNm>Greenville</CityNm>
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          <BusinessNameLine1Txt>St Francis Hospital Inc</BusinessNameLine1Txt>
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      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Upstate Surgery Center LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>One St Francis Dr</AddressLine1Txt>
          <CityNm>Greenville</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29601</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <TotalIncomeAmt>994749</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>St Francis Hospital Inc</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bon Secours Mercy Health Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1701 Mercy Health Place</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45237</ZIPCd>
        </USAddress>
        <EIN>521301088</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE SYSTEM PARENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bon Secours Baltimore Community Works Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>26 North Fulton Avenue</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21223</ZIPCd>
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        <EIN>521732800</EIN>
        <PrimaryActivitiesTxt>Grant Making Foundation</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type III-FI</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>Bon Secours Mercy Health Inc</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bon Secours Ireland DAC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <ForeignAddress>
          <AddressLine1Txt>College Road</AddressLine1Txt>
          <CityNm>Cork</CityNm>
          <CountryCd>EI</CountryCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>Local System Parent Org.</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>EI</LegalDomicileForeignCountryCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type III-FI</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>Bon Secours Mercy Health Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BON SECOURS MERCY HEALTH FOUNDATION</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1701 Mercy Health Place</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45237</ZIPCd>
        </USAddress>
        <EIN>201072726</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>Bon Secours Mercy Health Inc</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bon Secours New Jersey Health System Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1701 Mercy Health Place</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45237</ZIPCd>
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        <EIN>222754781</EIN>
        <PrimaryActivitiesTxt>Local System Parent Org.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NJ</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type III-FI</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Mercy Health Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bon Secours New York Health System Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>2975 Independence Avenue</AddressLine1Txt>
          <CityNm>Bronx</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10463</ZIPCd>
        </USAddress>
        <EIN>912135196</EIN>
        <PrimaryActivitiesTxt>Local System Parent Org.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Mercy Health Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bon Secours Richmond Health System</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>8580 Magellan Parkway</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23227</ZIPCd>
        </USAddress>
        <EIN>521988421</EIN>
        <PrimaryActivitiesTxt>Local System Parent Org.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Richmond LLC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bon Secours St Francis Health System Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 St Francis Drive</AddressLine1Txt>
          <CityNm>Greenville</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29601</ZIPCd>
        </USAddress>
        <EIN>582504528</EIN>
        <PrimaryActivitiesTxt>Local System Parent Org.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type III-FI</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Mercy Health Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>COMMUNITY MERCY HEALTH SYSTEM</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 Medical Center Drive</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45504</ZIPCd>
        </USAddress>
        <EIN>300272454</EIN>
        <PrimaryActivitiesTxt>MARKET PARENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type III-FI</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Mercy Health Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HEALTHSPAN PARTNERS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1701 Mercy Health Place</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45237</ZIPCd>
        </USAddress>
        <EIN>463055925</EIN>
        <PrimaryActivitiesTxt>MARKET PARENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Mercy Health Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERCY HEALTH RETIREMENT TRUST</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1701 Mercy Health Place</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45237</ZIPCd>
        </USAddress>
        <EIN>316046304</EIN>
        <PrimaryActivitiesTxt>RETIREMENT TRUST</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Mercy Health Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Mercy Health Services</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1701 Mercy Health Place</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45237</ZIPCd>
        </USAddress>
        <EIN>251585441</EIN>
        <PrimaryActivitiesTxt>Local System Parent Org.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type III-FI</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Mercy Health Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>St Francis Physician Services Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>One St Francis Drive</AddressLine1Txt>
          <CityNm>Greenville</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29601</ZIPCd>
        </USAddress>
        <EIN>134290167</EIN>
        <PrimaryActivitiesTxt>Physician Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Mercy Health Medical Group LLC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bon Secours Medical Group Greenville Specialty Care LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 St Francis Drive</AddressLine1Txt>
          <CityNm>Greenville</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29601</ZIPCd>
        </USAddress>
        <EIN>850988160</EIN>
        <PrimaryActivitiesTxt>Physician Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Mercy Health Medical Group LLC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bon Secours - Stuart Circle Hospital Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>8580 Magellan Parkway</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23227</ZIPCd>
        </USAddress>
        <EIN>541740128</EIN>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Richmond Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Laburnum Properties</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>8580 Magellan Parkway</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23227</ZIPCd>
        </USAddress>
        <EIN>521260700</EIN>
        <PrimaryActivitiesTxt>Title Holding Company</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(2)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Richmond Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Rappahannock General Hospital Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>101 Harris Road</AddressLine1Txt>
          <CityNm>Kilmarnock</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22482</ZIPCd>
        </USAddress>
        <EIN>541210450</EIN>
        <PrimaryActivitiesTxt>Supporting Organization</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Richmond Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>IVNA Health Services</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5008 Monument Avenue</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23230</ZIPCd>
        </USAddress>
        <EIN>541479847</EIN>
        <PrimaryActivitiesTxt>Home Care Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Home Care LLC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bayley Properties</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>7007 Harbour View Blvd</AddressLine1Txt>
          <CityNm>Suffolk</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23435</ZIPCd>
        </USAddress>
        <EIN>541424748</EIN>
        <PrimaryActivitiesTxt>Title Holding Company</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(2)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Maryview Hospital LLC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LOURDES HOSPITAL AUXILIARY GIFT SHOP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1530 LONE OAK ROAD</AddressLine1Txt>
          <CityNm>PADUCAH</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>42003</ZIPCd>
        </USAddress>
        <EIN>610927805</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Mercy Health - Lourdes Hospital LLC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>C H HEALTH SERVICES COMPANY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 Medical Center Drive</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45504</ZIPCd>
        </USAddress>
        <EIN>311181984</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>COMMUNITY MERCY HEALTH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>COMMUNITY MERCY HEALTH PARTNERS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 Medical Center Drive</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45504</ZIPCd>
        </USAddress>
        <EIN>310785684</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>COMMUNITY MERCY HEALTH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE WALLACE S MURRAY AND FRANCES RABBITTS MURRAY MEMORIAL TRUST</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 Medical Center Drive</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45504</ZIPCd>
        </USAddress>
        <EIN>346827136</EIN>
        <PrimaryActivitiesTxt>INDIGENT MEDICAL CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SIMON OUTREACH SERVICES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2600 NAVARRE AVENUE</AddressLine1Txt>
          <CityNm>OREGON</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43616</ZIPCd>
        </USAddress>
        <EIN>341383325</EIN>
        <PrimaryActivitiesTxt>MEDICAL OFFICE RENTAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERCY HEALTH NORTH LLC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERCY PROPERTY HOLDINGS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2200 JEFFERSON AVENUE</AddressLine1Txt>
          <CityNm>TOLEDO</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43604</ZIPCd>
        </USAddress>
        <EIN>300699825</EIN>
        <PrimaryActivitiesTxt>TITLE HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(2)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERCY HEALTH NORTH LLC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERCY COLLEGE OF OHIO</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2221 MADISON AVENUE</AddressLine1Txt>
          <CityNm>TOLEDO</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43604</ZIPCd>
        </USAddress>
        <EIN>341726619</EIN>
        <PrimaryActivitiesTxt>MEDICAL COLLEGE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>2</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERCY HEALTH - ST VINCENT MEDICAL CENTER LLC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOSPICE OF THE VALLEY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5190 MARKET STREET</AddressLine1Txt>
          <CityNm>YOUNGSTOWN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44512</ZIPCd>
        </USAddress>
        <EIN>341288745</EIN>
        <PrimaryActivitiesTxt>HOSPICE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERCY HEALTH YOUNGSTOWN LLC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HUMILITY HOUSE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>755 OHLTOWN ROAD</AddressLine1Txt>
          <CityNm>AUSTINTOWN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44515</ZIPCd>
        </USAddress>
        <EIN>341894783</EIN>
        <PrimaryActivitiesTxt>NURSING HOME</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERCY HEALTH YOUNGSTOWN LLC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST JOSEPH HEALTH CENTER AUXILIARY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>677 EASTLAND SE</AddressLine1Txt>
          <CityNm>WARREN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44484</ZIPCd>
        </USAddress>
        <EIN>346556121</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERCY HEALTH YOUNGSTOWN LLC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE ASSUMPTION VILLAGE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>9800 N MARKET STREET</AddressLine1Txt>
          <CityNm>NORTH LIMA</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44452</ZIPCd>
        </USAddress>
        <EIN>341013695</EIN>
        <PrimaryActivitiesTxt>NURSING HOME</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERCY HEALTH YOUNGSTOWN LLC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NEW VISION MEDICAL LABORATORIES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>750 W HIGH ST STE 400</AddressLine1Txt>
          <CityNm>LIMA</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45801</ZIPCd>
        </USAddress>
        <EIN>341937267</EIN>
        <PrimaryActivitiesTxt>MEDICAL LAB SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERCY HEALTH - ST RITA'S MEDICAL CENTER LLC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>200 WEST LORAIN ST</AddressLine1Txt>
          <CityNm>OBERLIN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44074</ZIPCd>
        </USAddress>
        <EIN>364504991</EIN>
        <PrimaryActivitiesTxt>MEDICAL OFFICE RENTAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERCY HEALTH - ALLEN HOSPITAL LLC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3700 KOLBE ROAD</AddressLine1Txt>
          <CityNm>LORAIN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44053</ZIPCd>
        </USAddress>
        <EIN>341268828</EIN>
        <PrimaryActivitiesTxt>MEDICAL OFFICE RENTAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERCY HEALTH - REGIONAL MEDICAL CENTER LLC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>St Francis Hospital Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>One St Francis Drive</AddressLine1Txt>
          <CityNm>Greenville</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29601</ZIPCd>
        </USAddress>
        <EIN>582504530</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours St Francis Health System Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bon Secours Housing II Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>26 North Fulton Avenue</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21223</ZIPCd>
        </USAddress>
        <EIN>521543174</EIN>
        <PrimaryActivitiesTxt>Low Income Housing</PrimaryActivitiesTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Baltimore Community Works Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bon Secours Housing Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>26 North Fulton Avenue</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21223</ZIPCd>
        </USAddress>
        <EIN>521442707</EIN>
        <PrimaryActivitiesTxt>Low Income Housing</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Baltimore Community Works Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Liberty Medical Center</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1701 Mercy Health Place</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45237</ZIPCd>
        </USAddress>
        <EIN>521466304</EIN>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Baltimore Community Works Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Our Money Place Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>26 North Fulton Avenue</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21223</ZIPCd>
        </USAddress>
        <EIN>562306119</EIN>
        <PrimaryActivitiesTxt>Financial services education</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Baltimore Community Works Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Unity Properties Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>26 North Fulton Avenue</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21223</ZIPCd>
        </USAddress>
        <EIN>521857768</EIN>
        <PrimaryActivitiesTxt>Low Income Housing</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Baltimore Community Works Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bon Secours Baltimore Development Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>26 North Fulton Avenue</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21223</ZIPCd>
        </USAddress>
        <EIN>760785344</EIN>
        <PrimaryActivitiesTxt>Community Housing</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Unity Properties Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HEALTHSPAN INTEGRATED CARE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1701 Mercy Health Place</AddressLine1Txt>
          <CityNm>CIncinnati</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45237</ZIPCd>
        </USAddress>
        <EIN>340922268</EIN>
        <PrimaryActivitiesTxt>HMO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HEALTHSPAN PARTNERS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Roper St Francis Healthcare</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>8536 Palmetto Commerce Pkwy</AddressLine1Txt>
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          <CityNm>Ladson</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29456</ZIPCd>
        </USAddress>
        <EIN>570831165</EIN>
        <PrimaryActivitiesTxt>Local System Parent Org.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HEALTHSPAN PARTNERS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bon Secours - St Francis Xavier Hospital Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2095 Henry Tecklenburg Drive</AddressLine1Txt>
          <CityNm>Charleston</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29414</ZIPCd>
        </USAddress>
        <EIN>571067254</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Roper St Francis Healthcare</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Clinical Biotechnology Research Institute at RSFH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>8536 Palmetto Commerce Pkwy</AddressLine1Txt>
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          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29456</ZIPCd>
        </USAddress>
        <EIN>475407453</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>4</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Roper St Francis Healthcare</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Roper Hospital Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>316 Calhoun Street</AddressLine1Txt>
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          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29401</ZIPCd>
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        <EIN>570828733</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>Roper St Francis Healthcare</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Roper St Francis Foundation</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>8536 Palmetto Commerce Pkwy</AddressLine1Txt>
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          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29456</ZIPCd>
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        <EIN>571068509</EIN>
        <PrimaryActivitiesTxt>Fundraising</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Roper St Francis Healthcare</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Roper St Francis Hospital - Berkeley Inc</BusinessNameLine1Txt>
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          <CityNm>Summerville</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29486</ZIPCd>
        </USAddress>
        <EIN>263710229</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>Roper St Francis Healthcare</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Roper St Francis Mount Pleasant Hospital</BusinessNameLine1Txt>
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        <USAddress>
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          <CityNm>Mount Pleasant</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29466</ZIPCd>
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        <EIN>570360499</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>Roper St Francis Healthcare</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Roper St Francis Physicians Network</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>8536 Palmetto Commerce Pkwy</AddressLine1Txt>
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          <ZIPCd>29456</ZIPCd>
        </USAddress>
        <EIN>262946628</EIN>
        <PrimaryActivitiesTxt>Physician Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>Roper St Francis Ancillary Services</BusinessNameLine1Txt>
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          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29403</ZIPCd>
        </USAddress>
        <EIN>882224618</EIN>
        <PrimaryActivitiesTxt>Supporting Organization</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>BSHS Member 2 Limited</BusinessNameLine1Txt>
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          <AddressLine1Txt>College Road</AddressLine1Txt>
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          <CountryCd>EI</CountryCd>
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        <PrimaryActivitiesTxt>Holding Company</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>EI</LegalDomicileForeignCountryCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Ireland DAC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>BSHS Member 3 Limited</BusinessNameLine1Txt>
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        <ForeignAddress>
          <AddressLine1Txt>College Road</AddressLine1Txt>
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        <PrimaryActivitiesTxt>Holding Company</PrimaryActivitiesTxt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>Bon Secours Health System CLG</BusinessNameLine1Txt>
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          <AddressLine1Txt>College Road</AddressLine1Txt>
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        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>Bon Secours Ireland DAC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>Frances Schervier Home and Hospital</BusinessNameLine1Txt>
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          <CityNm>Bronx</CityNm>
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          <ZIPCd>10463</ZIPCd>
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        <EIN>131740397</EIN>
        <PrimaryActivitiesTxt>Long term nursing care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours NY Health System</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>St Mary Hospital Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>308 Willow</AddressLine1Txt>
          <CityNm>Hoboken</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>07030</ZIPCd>
        </USAddress>
        <EIN>221487324</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
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        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours New Jersey Health System Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Pennsylvania Health Choice Plan</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1701 Mercy Health Place</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
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          <ZIPCd>45237</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
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        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>Mercy Health Services</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>Bon Secours Ambulatory Services - St Francis LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1 St Francis Drive</AddressLine1Txt>
          <CityNm>Greenville</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29601</ZIPCd>
        </USAddress>
        <EIN>800520229</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bon Secours Urgent Care SC LLC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Broad64 Imaging LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>8580 Magellan Parkway</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23227</ZIPCd>
        </USAddress>
        <EIN>205886018</EIN>
        <PrimaryActivitiesTxt>Imaging Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
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          <AddressLine1Txt>8580 Magellan Parkway</AddressLine1Txt>
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          <AddressLine1Txt>8580 Magellan Parkway</AddressLine1Txt>
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          <AddressLine1Txt>8580 Magellan Parkway</AddressLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
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        <USAddress>
          <AddressLine1Txt>8580 Magellan Parkway</AddressLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
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        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
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      <IdRelatedOrgTxblPartnershipGrp>
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          <AddressLine1Txt>1700 Edison Drive</AddressLine1Txt>
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          <StateAbbreviationCd>OH</StateAbbreviationCd>
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      <IdRelatedOrgTxblPartnershipGrp>
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        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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      <IdRelatedOrgTxblPartnershipGrp>
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      <IdRelatedOrgTxblPartnershipGrp>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
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      <IdRelatedOrgTxblPartnershipGrp>
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      <IdRelatedOrgTxblPartnershipGrp>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Bon Secours Apartments Consolidated LP</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
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          <BusinessNameLine1Txt>Bon Secours Apartments II LP</BusinessNameLine1Txt>
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          <AddressLine1Txt>1800 West Baltimore St</AddressLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Bon Secours Apartments III LP</BusinessNameLine1Txt>
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          <AddressLine1Txt>1800 West Baltimore St</AddressLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
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          <BusinessNameLine1Txt>Bon Secours Apartments LP</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1800 West Baltimore St</AddressLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
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          <AddressLine1Txt>26 North Fulton Ave</AddressLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Bon Secours Chesapeake Apartments LP</BusinessNameLine1Txt>
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          <AddressLine1Txt>26 North Fulton Ave</AddressLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Bon Secours Gibbons Apartments LP</BusinessNameLine1Txt>
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          <AddressLine1Txt>26 North Fulton Ave</AddressLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
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          <BusinessNameLine1Txt>Bon Secours New Shiloh II Limited Partnership</BusinessNameLine1Txt>
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          <AddressLine1Txt>26 North Fulton Ave</AddressLine1Txt>
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          <StateAbbreviationCd>MD</StateAbbreviationCd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Bon Secours Shiloh LP</BusinessNameLine1Txt>
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          <AddressLine1Txt>26 North Fulton Ave</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Bon Secours Smallwood Summit LP</BusinessNameLine1Txt>
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          <AddressLine1Txt>26 North Fulton Ave</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
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        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Bon Secours Wayland LP</BusinessNameLine1Txt>
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          <AddressLine1Txt>26 North Fulton Ave</AddressLine1Txt>
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          <StateAbbreviationCd>MD</StateAbbreviationCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Liberty Senior Housing LP</BusinessNameLine1Txt>
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          <AddressLine1Txt>1800 West Baltimore St</AddressLine1Txt>
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          <StateAbbreviationCd>MD</StateAbbreviationCd>
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          <BusinessNameLine1Txt>Lowcountry Surgery Center LLC dba Roper St Francis Eye Center</BusinessNameLine1Txt>
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          <AddressLine2Txt>Suite 210</AddressLine2Txt>
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        <EIN>581693021</EIN>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
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          <BusinessNameLine1Txt>BON SECOURS MERCY HEALTH INNOVATIONS LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1701 MERCY HEALTH PLACE</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45237</ZIPCd>
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        <EIN>820639499</EIN>
        <PrimaryActivitiesTxt>BUSINESS DEVELOPMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
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          <BusinessNameLine1Txt>Nordic Holdings LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1701 MERCY HEALTH PLACE</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45237</ZIPCd>
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        <EIN>881682215</EIN>
        <PrimaryActivitiesTxt>Holding company</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
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      <IdRelatedOrgTxblPartnershipGrp>
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          <BusinessNameLine1Txt>Catherine JV LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1701 MERCY HEALTH PLACE</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45237</ZIPCd>
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        <PrimaryActivitiesTxt>Holding company</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BSMH-CSP Surgical Ventures LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1701 MERCY HEALTH PLACE</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45237</ZIPCd>
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        <PrimaryActivitiesTxt>Holding company</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BSMH-CSP SV DE LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1701 MERCY HEALTH PLACE</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45237</ZIPCd>
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        <EIN>923546169</EIN>
        <PrimaryActivitiesTxt>Holding company</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Strive BSMH LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1701 MERCY HEALTH PLACE</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45237</ZIPCd>
        </USAddress>
        <EIN>881628696</EIN>
        <PrimaryActivitiesTxt>Holding company</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BON SECOURS MERCY HEALTH INSURANCE COMPANY (SPC) LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>PO Box 10073</AddressLine1Txt>
          <CityNm>Grand Cayman</CityNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KY11001</ForeignPostalCd>
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        <EIN>980621978</EIN>
        <PrimaryActivitiesTxt>SELF-INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Bon Secours - Venice Healthcare Corporation</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1701 Mercy Health Place</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45237</ZIPCd>
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        <PrimaryActivitiesTxt>Inactive</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>MERCY HEALTH VENTURES INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1701 Mercy Health Place</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45237</ZIPCd>
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        <EIN>311185477</EIN>
        <PrimaryActivitiesTxt>DIVERSIFIED ACTIVITIES</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Bon Secours-Virginia Healthsource Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>8580 Magellan Parkway</AddressLine1Txt>
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          <StateAbbreviationCd>VA</StateAbbreviationCd>
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        <EIN>541417686</EIN>
        <PrimaryActivitiesTxt>Ambulatory Healthcare Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Richmond Radiation Oncology Center Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>8580 Magellan Parkway</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
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        <EIN>541570244</EIN>
        <PrimaryActivitiesTxt>Ambulatory Healthcare Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Ironbridge Assisted Living Retirement Community LC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>5801 Bremo Road</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23226</ZIPCd>
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        <EIN>541807857</EIN>
        <PrimaryActivitiesTxt>Ambulatory Healthcare Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Richmond MRI Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>8580 Magellan Parkway</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23227</ZIPCd>
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        <EIN>541568452</EIN>
        <PrimaryActivitiesTxt>Medical Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Chesterfield Community Healthcare Center Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>8580 Magellan Parkway</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23227</ZIPCd>
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        <EIN>541812738</EIN>
        <PrimaryActivitiesTxt>Ambulatory Healthcare Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>RHS Management Corp</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>8580 Magellan Parkway</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23227</ZIPCd>
        </USAddress>
        <EIN>541313425</EIN>
        <PrimaryActivitiesTxt>Independent Living Facility</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Professional Health Care Management Services Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>150 Kingsley Lane</AddressLine1Txt>
          <CityNm>Norfolk</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23505</ZIPCd>
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        <EIN>541241031</EIN>
        <PrimaryActivitiesTxt>Administrative</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Maryview Building Corporation</BusinessNameLine1Txt>
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          <AddressLine1Txt>3636 High Street</AddressLine1Txt>
          <CityNm>Portsmouth</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23707</ZIPCd>
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        <EIN>541306612</EIN>
        <PrimaryActivitiesTxt>Administrative</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Bon Secours - Tidewater Diversified Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>160 Kingsley Lane</AddressLine1Txt>
          <CityNm>Norfolk</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23505</ZIPCd>
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        <EIN>541431826</EIN>
        <PrimaryActivitiesTxt>Pharmacy</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>OSF Inc</BusinessNameLine1Txt>
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          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23602</ZIPCd>
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        <EIN>541369919</EIN>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Harbour View Station West Mixed-Use Property Owners Association Inc</BusinessNameLine1Txt>
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        <USAddress>
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          <AddressLine2Txt>Ste 200</AddressLine2Txt>
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          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23455</ZIPCd>
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        <PrimaryActivitiesTxt>REAL PROPERTY MGMNT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>NORTHPARKE MEDICAL COMMONS CONDO ASSN</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>333 N LIMESTONE ST</AddressLine1Txt>
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          <StateAbbreviationCd>OH</StateAbbreviationCd>
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        </USAddress>
        <EIN>311391230</EIN>
        <PrimaryActivitiesTxt>REAL PROPERTY MGMNT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>RALPH EWE TRUST</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>270 PARK AVENUE</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
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        <EIN>346866422</EIN>
        <PrimaryActivitiesTxt>BENEFICIAL TRUST</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ELIZABETH HINES CATES TRUST</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PNC 1900 E 9TH ST</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
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        <EIN>346515678</EIN>
        <PrimaryActivitiesTxt>BENEFICIAL TRUST</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <EntityTypeTxt>Trust</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>WILLIS PARK TRUST</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PNC 1900 E 9TH ST</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
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        <EIN>346519904</EIN>
        <PrimaryActivitiesTxt>BENEFICIAL TRUST</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <EntityTypeTxt>Trust</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ERMA GIBSON BALDWIN TRUST</BusinessNameLine1Txt>
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          <AddressLine1Txt>PNC 1900 E 9TH ST</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
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        <EIN>346515566</EIN>
        <PrimaryActivitiesTxt>BENEFICIAL TRUST</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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        <EntityTypeTxt>Trust</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MCAULEY MANAGEMENT SERVICES INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>730 W MARKET STREET</AddressLine1Txt>
          <CityNm>LIMA</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45801</ZIPCd>
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        <PrimaryActivitiesTxt>PROPERTY RENTAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>LIMA MEDICAL SUPPLIES INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>730 W MARKET STREET</AddressLine1Txt>
          <CityNm>LIMA</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
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        <EIN>340944477</EIN>
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        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>COMMUNITY HEALTH PARTNERS ENTERPRISES INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3700 KOLBE ROAD</AddressLine1Txt>
          <CityNm>LORAIN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
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          <StateAbbreviationCd>SC</StateAbbreviationCd>
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          <StateAbbreviationCd>MD</StateAbbreviationCd>
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          <StateAbbreviationCd>OH</StateAbbreviationCd>
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        <EIN>311431434</EIN>
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        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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          <AddressLine1Txt>1701 Mercy Health Place</AddressLine1Txt>
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          <StateAbbreviationCd>OH</StateAbbreviationCd>
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          <AddressLine1Txt>1701 Mercy Health Place</AddressLine1Txt>
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        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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          <AddressLine1Txt>1701 Mercy Health Place</AddressLine1Txt>
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          <StateAbbreviationCd>OH</StateAbbreviationCd>
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          <BusinessNameLine1Txt>Barringtons Hospital Limited</BusinessNameLine1Txt>
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          <AddressLine1Txt>Georges Quay</AddressLine1Txt>
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      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
