Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $3,283,850

• 1e · Government grants (contributions)

  $9,379,360

• 1f · All other contributions, gifts and grants

  $608

• 2a · Program service revenue: PATIENT SERVICE REV.

  total $705,608,705 · related or exempt $705,046,305 · unrelated business $562,400

• 2b · Program service revenue: ACO Revenue

  total $181,534 · related or exempt $181,534

• 2c · Program service revenue: Joint Venture Income

  total $154,053 · related or exempt $154,053

• 2f · All other program service revenue

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 3 · Investment income

  total $347,039 · excluded $347,039

• 6a · Gross rents

  real property $1,948,791

• 6c · Rental income or loss

  real property $1,948,791 · personal property $0

• 6d · Net rental income or loss

  total $1,948,791 · excluded $1,948,791

• 7a · Gross sales of assets other than inventory

  securities $321,504 · other assets $24,518

• 7c · Gain or loss

  securities $321,504 · other assets $24,518

• 7d · Net gain or loss

  total $346,022 · excluded $346,022

• 11a · Other revenue: Cafeteria

  total $1,728,059 · excluded $1,728,059

• 11b · Other revenue: Ancillary Services

  total $1,483,037 · excluded $1,483,037

• 11c · Other revenue: Clinical Drug Research

  total $1,013,504 · related or exempt $1,013,504

• 11d · All other revenue

  total $281,831 · related or exempt $0 · unrelated business $0 · excluded $281,831

• 11e · Other revenue, total

  $4,506,431

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $734,493 · program services $734,493

• 2 · Grants to domestic individuals

  total $12,103 · program services $12,103

• 5 · Compensation of officers, directors and key employees

  total $1,282,318 · program services $1,154,086 · management and general $128,232

• 7 · Other salaries and wages

  total $161,286,104 · program services $145,157,494 · management and general $16,128,610

• 8 · Pension plan contributions

  total $6,885,620 · program services $6,197,058 · management and general $688,562

• 9 · Other employee benefits

  total $25,255,122 · program services $22,729,610 · management and general $2,525,512

• 10 · Payroll taxes

  total $11,584,279 · program services $10,425,851 · management and general $1,158,428

• 11b · Fees: legal

  total $88,149 · management and general $88,149

• 11c · Fees: accounting

  total $28,304 · management and general $28,304

• 11d · Fees: lobbying

  total $25,296 · management and general $25,296

• 11g · Fees: other

  total $192,865,630 · program services $178,883,416 · management and general $13,982,214 · fundraising $0

• 12 · Advertising and promotion

  total $440,829 · program services $396,746 · management and general $44,083

• 13 · Office expenses

  total $2,087,600 · program services $1,878,840 · management and general $208,760

• 14 · Information technology

  total $2,062,472 · program services $1,856,225 · management and general $206,247

• 16 · Occupancy

  total $8,795,799 · program services $7,916,219 · management and general $879,580

• 17 · Travel

  total $671,786 · program services $604,607 · management and general $67,179

• 20 · Interest

  total $510,525 · program services $510,525

• 22 · Depreciation, depletion and amortization

  total $25,109,889 · program services $22,598,900 · management and general $2,510,989

• 23 · Insurance

  total $3,498,024 · program services $3,148,222 · management and general $349,802

• 24a · Other expenses: MEDICAL SUPPLIES

  total $163,045,200 · program services $163,045,200

• 24b · Other expenses: BAD DEBT

  total $71,889,559 · program services $71,889,559

• 24c · Other expenses: MEDICAID ASSESSMENT

  total $10,809,840 · program services $10,809,840

• 24d · Other expenses: Federal Income Tax Expense

  total $4,986 · program services $4,487 · management and general $499

• 24e · All other expenses

  total $11,042,532 · program services $9,938,279 · management and general $1,104,253 · fundraising $0

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $5,508 · end of year $0

• 2 · Savings and temporary cash investments

  beginning of year $290,325,415 · end of year $157,654,416

• 4 · Accounts receivable

  beginning of year $94,407,204 · end of year $99,709,652

• 5 · Loans and receivables from officers and key people

  beginning of year $0 · end of year $0

• 6 · Loans and receivables from disqualified persons

  beginning of year $0 · end of year $0

• 7 · Other notes and loans receivable

  end of year $18,686

• 8 · Inventories for sale or use

  beginning of year $19,392,628 · end of year $20,182,915

• 9 · Prepaid expenses and deferred charges

  beginning of year $1,423,247 · end of year $1,162,356

• 10a · Land, buildings and equipment: cost or other basis

  $536,809,367

• 10b · Land, buildings and equipment: accumulated depreciation

  $248,546,438

• 10c · Land, buildings and equipment, net

  beginning of year $223,504,965 · end of year $288,262,929

• 11 · Investments: publicly traded securities

  beginning of year $36,294,316 · end of year $31,829,544

• 12 · Investments: other securities

  beginning of year $5,654,217 · end of year $1,136,336

• 13 · Investments: program-related

  beginning of year $0

• 14 · Intangible assets

  beginning of year $75,662,208 · end of year $75,662,208

• 15 · Other assets

  beginning of year $31,547,526 · end of year $31,172,226

• 17 · Accounts payable and accrued expenses

  beginning of year $82,035,845 · end of year $72,143,187

• 19 · Deferred revenue

  beginning of year $85,058 · end of year $154,984

• 22 · Loans and payables to officers and key people

  beginning of year $0 · end of year $0

• 25 · Other liabilities

  beginning of year $289,951,289 · end of year $290,112,797

• 27 · Net assets without donor restrictions

  beginning of year $406,145,042 · end of year $344,380,300

The filer's explanations (Part III)

Schedule J, Part I, Line 1a Tax indemnification and gross-up payments

A tax indemnification benefit to cover the income tax incurred on gifts was paid to one former key employee and one highest compensated employee. The entire benefit was treated as taxable compensation.

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation

Bon Secours Mercy Health, Inc., a related organization of the filing organization, uses the following to establish the compensation of the organization's CEO/Executive Director: Compensation Committee Independent Compensation Consultant Written Employment Contract Compensation Survey or Study Approval by the Board or Compensation Committee

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

The Bon Secours Mercy Health System SERP is a non-qualified deferred compensation plan which provides supplemental retirement benefits to persons selected by the Board of Trustees or its delegate. The plan provides for annual credits of a specified percentage of an eligible participants base salary paid in a plan year and interest credits. Plan participants vest in plan credits after completing a three year class vesting schedule or earlier for death or total disability or reaching age 60 while employed, or due to involuntary separation of employment other than for cause. Payments during employment are made for required tax withholding and reduce the participants account balance. Distribution of the vested account balance in a lump sum occurs after termination of employment. Amounts includible as taxable compensation for listed individuals due to SERP participation in the reporting year were as follows: Matthew Caldwell $89,724; William Kusnierz $27,913; Marcus Blackstone, MD, $21,575; Thomas MOrris, PH.D, $56,298; Donald Kline, $184,492; Kathleen Black, $19,106; Robert Stiekes, $0; Jenny Wehrs, $0; Bruce Swords, $0; Paul Smith, $309,220.

Schedule J, Part I, Line 4b Terms and conditions of the St. Francis 457F plan

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 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, $4,155.

Schedule J, Part I, Line 4b Terms and conditions of the Youngstown Market SERP

The Youngstown Market SERP Plan is a deferred compensation plan which provides supplemental retirement benefits to persons selected by the Mercy Health Youngstown LLC Board of trustees or its delegate. The Plan provides annual credits of a specified percentage of compensation and annual interest credits. Participants vest 100% in their accounts after three years of service, except for participants who had attained at least ten years of service at plan inception, who had immediate vesting. Vesting occurs earlier upon death or total disability. Payments are made during employment for required tax withholding. The vested account balance is paid as a lump sum after termination of employment. Amounts includible as taxable compensation for listed individuals due to SERP participation in the reporting year are as follows: Donald Kline $0.

Schedule J, Part I, Line 4b Terms and conditions of the Bon Secours Mercy Health Physicians SERP

The Bon Secours Mercy Health Physician SERP is a non-qualified deferred compensation plan which provides supplemental retirement benefits to persons selected by the Board of Trustees or its delegate. The plan provides for annual credits of a specified percentage of an eligible participants base salary paid in a plan year and interest credits. Plan participants vest in plan credits after completing a three year class vesting schedule or earlier for death or total disability or reaching age 60 while employed, or due to involuntary separation of employment other than for cause. Payments during employment are made for required tax withholding and reduce the participants account balance. Distribution of the vested account balance in a lump sum occurs after termination of employment. Amounts includible as taxable compensation for listed individuals due to SERP participation in the reporting year were as follows: Tommy Mann, Jr, MD, $12,500; Jennifer Vogel, $0.

Schedule J, Part I, Line 7 Non-Fixed Payments

The organization provides annual incentive compensation for listed individuals. The organization's Board of Trustees establishes objective thresholds for quality, community benefit, and financial performance which must be achieved for incentives to be awarded. The Board also establishes threshold, target and maximum levels for incentive awards. Within these established parameters, the Board determines the CEO's incentive award and incentive awards for other listed individuals are determined by the listed individual's supervisor and disclosed to the Board. The Board may authorize modified incentive awards when appropriate in its judgment.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• Bon Secours Diagnostic Imaging LLC

  Health Care · SC · income $2,262,279 · assets $10,884,609

  Directly controlled by St Francis Hospital Inc

• Health Partners of Bon Secours St Francis LLC

  Health Care · SC · income $181,534 · assets $0

  Directly controlled by St Francis Hospital Inc

• Upstate Surgery Center LLC

  Health Care · SC · income $357,309 · assets $2,354,080

  Directly controlled by St Francis Hospital Inc

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• MERCY FRANCISCAN AT WINTON WOODS I LP

  N/A · Rental Real Estate · OH

  Directly controlled by NA

• Broad64 Imaging LLC

  N/A · Imaging Services · VA

  Directly controlled by NA

• Memorial Ambulatory Surgery Center LLC

  N/A · Ambulatory Surgery Center · VA

  Directly controlled by NA

• Richmond Radiation Oncology Center I LLC

  N/A · Radiation Oncology Services · VA

  Directly controlled by NA

• RI LP

  N/A · Imaging Services · VA

  Directly controlled by NA

• Chesterfield Community Healthcare MOB I LLC

  N/A · Real Estate · VA

  Directly controlled by NA

• St Mary's MRI Center LP

  N/A · Imaging Services · VA

  Directly controlled by NA

• Bon Secours Surgery Center at Harbour View LLC

  N/A · Surgery Center · VA

  Directly controlled by NA

• Harbour View MOB 2 LLC

  N/A · Real Estate · VA

  Directly controlled by NA

• Lourdes Ambulatory Surgery Center

  N/A · Surgery Center · KY

  Directly controlled by NA

• Community Mercy Home Care Services of Springfield LLC

  N/A · Home Care · OH

  Directly controlled by NA

• NWO Integrated Laboratories Mercy LLC

  N/A · Laboratory services · OH

  Directly controlled by NA

• Tiffin Ambulatory Surgical Associates

  N/A · Ambulatory Surgery Center · OH

  Directly controlled by NA

• Urologic Oncology of Mahoning Valley LLC

  N/A · Radiation Therapy · OH

  Directly controlled by NA

• Mercy Health Rehabilitation Hospital LLC

  N/A · Rehabilitation Services · OH

  Directly controlled by NA

• New Vision Medical Lab LLC

  N/A · Lab Services · OH

  Directly controlled by NA

• West Central Ohio Group Ltd

  N/A · Orthopedic Hospital · OH

  Directly controlled by NA

• Upstate Surgery Center LLC

  Related · Ambulatory Surgery Center · SC · 100% owned · share of income $357,309 · share of assets $2,354,082

  Directly controlled by St Francis Hospital Inc

• Bon Secours Diagnostic Imaging LLC

  N/A · Outpatient Imaging Centers · SC

  Directly controlled by NA

• Bon Secours Place at St Petersburg LLP

  N/A · Assisted Living/Senior Care · FL

  Directly controlled by NA

• Bon Secours Apartments Consolidated GP LLC

  N/A · Low Income Housing · MD

  Directly controlled by NA

• Bon Secours Apartments Consolidated LP

  N/A · Low Income Housing · MD

  Directly controlled by NA

• Bon Secours Apartments II LP

  N/A · Low Income Housing · MD

  Directly controlled by NA

• Bon Secours Apartments III LP

  N/A · Low Income Housing · MD

  Directly controlled by NA

• Bon Secours Apartments LP

  N/A · Low Income Housing · MD

  Directly controlled by NA

• Bon Secours Benet House LLC

  N/A · Low Income Housing · MD

  Directly controlled by NA

• Bon Secours Benet House LP

  N/A · Low Income Housing · MD

  Directly controlled by NA

• Bon Secours Chesapeake Apartments LP

  N/A · Low Income Housing · MD

  Directly controlled by NA

• Bon Secours Gibbons Apartments LP

  N/A · Low Income Housing · MD

  Directly controlled by NA

• Bon Secours New Shiloh II Limited Partnership

  N/A · Low Income Housing · MD

  Directly controlled by NA

• Bon Secours Shiloh LP

  N/A · Low Income Housing · MD

  Directly controlled by NA

• Bon Secours Smallwood Summit LP

  N/A · Low Income Housing · MD

  Directly controlled by NA

• Bon Secours Wayland LP

  N/A · Low Income Housing · MD

  Directly controlled by NA

• Liberty Senior Housing LP

  N/A · Low Income Housing · MD

  Directly controlled by NA

• Lowcountry Surgery Center LLC dba Roper St Francis Eye Center

  N/A · Ambulatory Surgery Center · SC

  Directly controlled by NA

• BON SECOURS MERCY HEALTH INNOVATIONS LLC

  N/A · BUSINESS DEVELOPMENT · OH

  Directly controlled by NA

• Nordic Holdings LLC

  N/A · Holding company · DE

  Directly controlled by NA

• BSMH-CSP Surgical Ventures LLC

  N/A · Holding company · SC

  Directly controlled by NA

• Strive BSMH LLC

  N/A · Holding company · SC

  Directly controlled by NA

• BSB HealthMOB Limited Partnership No 2

  N/A · Rental Real Estate · DE

  Directly controlled by NA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• BON SECOURS MERCY HEALTH INSURANCE COMPANY (SPC) LTD

  C Corporation · SELF-INSURANCE · CJ

  Directly controlled by NA

• Bon Secours - Venice Healthcare Corporation

  C Corporation · Inactive · FL

  Directly controlled by NA

• MERCY FRANCISCAN AT WINTON WOODS I INC

  C Corporation · LOW-INCOME HOUSING · OH

  Directly controlled by NA

• MERCY HEALTH VENTURES INC

  C Corporation · DIVERSIFIED ACTIVITIES · OH

  Directly controlled by NA

• Bon Secours-Virginia Healthsource Inc

  C Corporation · Ambulatory Healthcare Services · VA

  Directly controlled by NA

• Richmond Radiation Oncology Center Inc

  C Corporation · Ambulatory Healthcare Services · VA

  Directly controlled by NA

• Ironbridge Assisted Living Retirement Community LC

  C Corporation · Ambulatory Healthcare Services · VA

  Directly controlled by NA

• Richmond MRI Inc

  C Corporation · Medical Services · VA

  Directly controlled by NA

• Chesterfield Community Healthcare Center Inc

  C Corporation · Ambulatory Healthcare Services · VA

  Directly controlled by NA

• RHS Management Corp

  C Corporation · Independent Living Facility · VA

  Directly controlled by NA

• Professional Health Care Management Services Inc

  C Corporation · Administrative · VA

  Directly controlled by NA

• Maryview Building Corporation

  C Corporation · Administrative · VA

  Directly controlled by NA

• Bon Secours - Tidewater Diversified Inc

  C Corporation · Pharmacy · VA

  Directly controlled by NA

• OSF Inc

  C Corporation · Rental · VA

  Directly controlled by NA

• Harbour View Station West Mixed-Use Property Owners Association Inc

  C Corporation · REAL PROPERTY MGMNT · VA

  Directly controlled by NA

• NORTHPARKE MEDICAL COMMONS CONDO ASSN

  C Corporation · REAL PROPERTY MGMNT · OH

  Directly controlled by NA

• NORTHSIDE CORPORATION

  C Corporation · RESIDENT RENTALS · OH

  Directly controlled by NA

• RALPH EWE TRUST

  Trust · BENEFICIAL TRUST · NY

  Directly controlled by NA

• ELIZABETH HINES CATES TRUST

  Trust · BENEFICIAL TRUST · OH

  Directly controlled by NA

• WILLIS PARK TRUST

  Trust · BENEFICIAL TRUST · OH

  Directly controlled by NA

• ERMA GIBSON BALDWIN TRUST

  Trust · BENEFICIAL TRUST · OH

  Directly controlled by NA

• MCAULEY MANAGEMENT SERVICES INC

  C Corporation · PROPERTY RENTAL · OH

  Directly controlled by NA

• LIMA MEDICAL SUPPLIES INC

  C Corporation · MEDICAL EQUIPMENT · OH

  Directly controlled by NA

• COMMUNITY HEALTH PARTNERS ENTERPRISES INC

  C Corporation · HOLDING COMPANY · OH

  Directly controlled by NA

• Optimum Health Network Inc

  C Corporation · Healthcare Services · SC

  Directly controlled by NA

• Bon Secours-Florida Integrated Services Inc

  C Corporation · Holding Company/Assisted Living · FL

  Directly controlled by NA

• Unity Housing Inc

  C Corporation · Low Income Housing · MD

  Directly controlled by NA

• Bon Secours Wayland LLC

  C Corporation · Low Income Housing · MD

  Directly controlled by NA

• Bon Secours New Shiloh II LLC

  C Corporation · Low Income Housing · MD

  Directly controlled by NA

• HEALTHSPAN INC

  C Corporation · INSURANCE · OH

  Directly controlled by NA

• HEALTHSPAN SOLUTIONS INC

  C Corporation · CONSULTING · OH

  Directly controlled by NA

• HEALTHCARE SERVICES AND SUPPORT

  C Corporation · HEALTHCARE SERVICES · OH

  Directly controlled by NA

• HealthSpan Partners Innovations Inc

  C Corporation · HEALTHCARE SERVICES · OH

  Directly controlled by NA

• Barringtons Hospital Limited

  C Corporation · Hospital · EI

  Directly controlled by NA

• Bon Secours Hospital Limerick Dev Co Limited

  C Corporation · REAL PROPERTY MGMNT · EI

  Directly controlled by NA

• Bon Secours New York Housing Development Fund Corporation

  C Corporation · Low Income Housing · NY

  Directly controlled by NA

• CareAlliance Medical Services Corporation

  C Corporation · Inactive · SC

  Directly controlled by NA

• Bon Secours Mercy Health Innovations Inc

  C Corporation · Holding Company · OH

  Directly controlled by NA

• Nordic Consulting Group Incorporated

  C Corporation · Holding Company · DE

  Directly controlled by NA

• Nordic Consulting Partners Inc

  C Corporation · Healthcare Consulting · WI

  Directly controlled by NA

• S & P Consultants Inc

  C Corporation · Healthcare Consulting · MA

  Directly controlled by NA

• Healthtech Inc

  C Corporation · Healthcare Consulting · CA

  Directly controlled by NA

• Tasman Global Holdings BV

  C Corporation · Healthcare Consulting · NL

  Directly controlled by NA

• Tasman Global Healthcare Ireland Limited

  C Corporation · Healthcare Consulting · EI

  Directly controlled by NA

• Tasman Global Singapore Pte Ltd

  C Corporation · Healthcare Consulting · SN

  Directly controlled by NA

• Tasman Group Limited

  C Corporation · Healthcare Consulting

  Directly controlled by NA

• Tasman Global Switzerland GmbH

  C Corporation · Healthcare Consulting · SZ

  Directly controlled by NA

• Tasman Global Norway AS

  C Corporation · Healthcare Consulting · NO

  Directly controlled by NA