Bellefonte Physician Services Inc

“Bon Secours Mercy Health, Inc is the sole member of Bon Secours Kentucky Health System, which in turn is the sole member of Bellefonte Physician Services, Inc.”

“The governing body of Bellefonte Physician Services, Inc. is appointed by its Member, Bon Secours Kentucky Health System, Inc. and subject to approval by Bon Secours Mercy Health, Inc.”

“Certain authorities of Bellefonte Physician Services, Inc. are reserved to its member or to Bon Secours Mercy Health, Inc.”

“The Form 990 is prepared by BSMH's tax department and reviewed by management.”

“The organization regularly and consistently monitors compliance with the conflict of interest policy. On an annual basis, all persons subject to the policy, including all officers, directors and key employees are required to make certain disclosures. These include disclosures related to certain personal, financial and organizational relationships that may present a conflict, or the appearance of a conflict of interest with the organization. All disclosures go through a three-part review process: (1) disclosures are reviewed first by the corporate responsibility officer (CRO); (2) a governance team comprised of the CEO, board president, board chair, CRO, and the BSMH CRO participate in a second review of all disclosures during which recommendations are made as to the resolution of any conflicts or potential conflicts. Depending on the facts and circumstances, resolutions may include ongoing disclosure, recusal or removal of the conflict; and (3) all disclosures and recommendations are reviewed by a board committee (audit and compliance committee reviews the disclosures of management and the governance committee reviews the disclosures of the board and board committee members).”

“The compensation committee of the board of Bon Secours Mercy Health, Inc. (BSMH) engages in a comprehensive process for the oversight and management of remuneration for executive employees and disqualified parties of the BSMH. The compensation committee consists of a group of independent board members and engages an independent external compensation consultant to ensure they receive appropriate analysis of market and follow the practices necessary to obtain full compliance with the IRS' rebuttable presumption of reasonableness. The committee establishes and maintains a compensation philosophy; reviews pay practices against local, regional and national healthcare organizations and approves all remunerative decisions for this group of individuals. The committee reviews and receives assurances that all levels of pay within the organization are reasonable based on performance and validates incentives are met. These decisions are documented in the BSMH board of directors' and compensation committee minutes. Compensation Process Other Officers/ Key Employees: For those key employees and highest paid employees that are not reviewed by the BSMH compensation committee, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. In the review, the other officers or key employees of the organization were compared to other hospitals' employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in human resources.”

“The conflict of interest policy and financial statements are posted on the BSMH website.”

“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.”

“Physician Fee - Total Expense: 1481364, Program Service Expense: 1481364, Management and General Expenses: , Fundraising Expenses: ; Purchased Services-Intercompany - Total Expense: 3510499, Program Service Expense: 3159449, Management and General Expenses: 351050, Fundraising Expenses: ; Billing - Total Expense: 1207621, Program Service Expense: 1086859, Management and General Expenses: 120762, Fundraising Expenses: ; Security Services - Total Expense: 1130, Program Service Expense: 1017, Management and General Expenses: 113, Fundraising Expenses: ; Maintenance and Service Agreements - Total Expense: 481606, Program Service Expense: 433445, Management and General Expenses: 48161, Fundraising Expenses: ; Consulting - Total Expense: 69178, Program Service Expense: 62260, Management and General Expenses: 6918, Fundraising Expenses: ; Contract Nursing and Admin Staff - Total Expense: 189, Program Service Expense: 189, Management and General Expenses: , Fundraising Expenses: ; Other Purchased Services - Total Expense: 425773, Program Service Expense: 383196, Management and General Expenses: 42577, Fundraising Expenses: ;”