Chesapeake Hospital Corporation: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- Chesapeake Hospital Corporation (EIN 23-7424835)
- Tax period
- 2019-09-01 to 2019-12-31
- Filed
- 2020-11-10
- IRS object ID
- 202023159349300307
- Schema version
- 2019v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-10T06:30:51-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 134008324 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PricewaterhouseCoopers LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 13th Street NW Ste 1000 | AddressLine1Txt |
| City | Washington | CityNm |
| State Abbreviation | DC | StateAbbreviationCd |
| ZIP | 20005 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-09-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237424835 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Chesapeake Hospital Corporation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHES | BusinessNameControlTxt |
| Phone | 8044358582 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 Harris Road | AddressLine1Txt |
| City | Kilmarnock | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22482 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM KUSNIERZ | PersonNm |
| Person Title | CFO, RICHMOND MARKET | PersonTitleTxt |
| Signature | 2020-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TRAVIS L PATTON | PreparerPersonNm |
| PTIN | P00369623 | PTIN |
| Phone | 2124141000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Final Return | Yes (X) | FinalReturnInd |
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rappahannock General Hospital | BusinessNameLine1Txt |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FARAAZ YOUSUF | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 Harris Road | AddressLine1Txt |
| City | Kilmarnock | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22482 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $13,682,871 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.bonsecours.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1977 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | NOT-FOR-PROFIT ACUTE CARE HOSPITAL | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 410 | TotalEmployeeCnt |
| Total Volunteers | 110 | TotalVolunteersCnt |
| Total Gross UBI | $371 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $199,561 | PYContributionsGrantsAmt |
| CY Contributions Grants | $430,399 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $36,486,988 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $13,095,706 | CYProgramServiceRevenueAmt |
| PY Investment Income | $30,196 | PYInvestmentIncomeAmt |
| CY Investment Income | $903 | CYInvestmentIncomeAmt |
| PY Other Revenue | $451,549 | PYOtherRevenueAmt |
| CY Other Revenue | $155,863 | CYOtherRevenueAmt |
| PY Total Revenue | $37,168,294 | PYTotalRevenueAmt |
| CY Total Revenue | $13,682,871 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $138,563 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $21,101,612 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,634,430 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $23,217,121 | PYOtherExpensesAmt |
| CY Other Expenses | $8,124,612 | CYOtherExpensesAmt |
| PY Total Expenses | $44,457,296 | PYTotalExpensesAmt |
| CY Total Expenses | $14,759,042 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$7,289,002 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,076,171 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $25,251,162 | TotalAssetsBOYAmt |
| Total Assets EOY | $0 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $37,435,852 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$12,184,690 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $0 | NetAssetsOrFundBalancesEOYAmt |
| Mission | The organization operates an acute care general hospital. The hospital has a community based Board of Directors, has an open medical staff, operates an emergency room providing care to all regardless of ability to pay, and provides non-emergency services to any with the ability to pay including Medicare and Medicaid covered individuals. The organization is dedicated to the provision of quality, compassionate care to all patients in the most cost effective manner. This will be accomplished through the most effective use of available resources and will reflect ethical decisions, including the effective management of pain, made jointly by the patients, the family, and health care professionals involved in its care. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $11,733,024 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $13,170,618 | RevenueAmt |
| Desc | Rappahannock General Hospital, which is the only provider of inpatient and outpatient acute care services within a five county area, provides medical care to patients without regard to their ability to pay. Please refer to the Community Benefit information on Schedule H. | Desc |
| Total Program Service Expenses | $11,733,024 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | Yes (true) | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 22 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 410 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | VA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRAVIS CRUM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5139525000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1701 MERCY HEALTH PLACE | AddressLine1Txt |
| City | CINCINNATI | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45237 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Brian White | ||||||||||
| Interim CEO - Richmond (End 12/19) | 6.0 | 44.0 | Yes (X) | Yes (X) | $0 | $710,569 | $325,778 | |||
| Faraaz Yousuf | ||||||||||
| President/CEO - Richmond (Beg 12/19) | 2.0 | 48.0 | Yes (X) | Yes (X) | $0 | $246,696 | $34,479 | |||
| Jane Watkins | ||||||||||
| Chairman | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Sr Anne Marie MACK CBS | ||||||||||
| President | 3.5 | 46.5 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Birdie Jamison | ||||||||||
| Board Member | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| BK FULTON | ||||||||||
| Board Member (End 12/19) | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Chandrashekar Challa | ||||||||||
| Board Member | 2.0 | 12.0 | Yes (X) | $0 | $0 | $0 | ||||
| CHRIS HAIRSTON-WHITE | ||||||||||
| Board Member | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Elizabeth CROWTHER | ||||||||||
| Board Member | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| JEFFREY BROWN MD | ||||||||||
| Board Member | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| John Daniel III MD | ||||||||||
| Board Member | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Joyce Lanier | ||||||||||
| Board Member | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Linda Rigsby | ||||||||||
| Board Member | 2.0 | 0.5 | Yes (X) | $0 | $0 | $0 | ||||
| Matthew Illian | ||||||||||
| Board Member | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Pamela Royal MD | ||||||||||
| Board Member | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| ROSALYN HOBSON HARGRAVES MD | ||||||||||
| Board Member | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| SHANNON Sinclair | ||||||||||
| Board Member | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Sr VICTORIA SEGURA MD CBS | ||||||||||
| Board Member | 2.0 | 48.0 | Yes (X) | $0 | $0 | $0 | ||||
| STUART BUNTING | ||||||||||
| Board Member | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Christopher Accashian | ||||||||||
| CEO - SFMC & CHC | 25.0 | 25.0 | Yes (X) | $0 | $494,801 | $50,348 | ||||
| Rhodes Ritenour | ||||||||||
| Secretary | 2.0 | 48.0 | Yes (X) | $0 | $241,551 | $42,824 | ||||
| Stephan Quiriconi | ||||||||||
| Treasurer, CFO - Richmond Market | 8.0 | 42.0 | Yes (X) | $0 | $457,872 | $56,100 | ||||
| Lisa Heishman | ||||||||||
| VP, Hospital Administrator | 50.0 | 0.0 | $175,404 | $0 | $17,444 | Yes (X) | ||||
| Paul Junod | ||||||||||
| VP HR - Richmond | 8.0 | 42.0 | $0 | $184,373 | $54,309 | Yes (X) | ||||
| Joseph Bessler MD | ||||||||||
| Internist | 50.0 | 0 | $267,371 | $0 | $23,867 | Yes (X) | ||||
| Meredith Good MD | ||||||||||
| Physician | 50.0 | 0 | $263,452 | $0 | $26,091 | Yes (X) | ||||
| Randall Scott MD | ||||||||||
| Psychiatrist | 50.0 | 0 | $264,855 | $0 | $34,221 | Yes (X) | ||||
| SALVATORE BAVUSO MD | ||||||||||
| Primary Care Physician | 50.0 | 0 | $262,856 | $0 | $42,577 | Yes (X) | ||||
| William Stallings MD | ||||||||||
| Primary Care Physician | 50.0 | 0.0 | $295,243 | $0 | $41,460 | Yes (X) | ||||
| Ann Gumina | ||||||||||
| Former VP Patient Care Services | 0.0 | 0.0 | $107,646 | $0 | $5,640 | Yes (X) | ||||
| James Godwin | ||||||||||
| Former SVP HR - Richmond | 0.0 | 50.0 | $0 | $342,880 | $25,629 | Yes (X) | ||||
| Mark Gordon | ||||||||||
| Former CEO - RGH | 0.0 | 50.0 | $0 | $449,681 | $27,969 | Yes (X) | ||||
| Toni Ardabell | ||||||||||
| Former CEO-BSV | 0.0 | 50.0 | $0 | $593,293 | $16,800 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,636,827 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,721,716 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $825,536 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 25 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| US BANK CORPORATE TRUST (SHIFTWISE) | |||||
| 1021 E CARY ST | RICHMOND | VA | 23219 | CONTRACT NURSING | $981,142 |
| VA ANESTHESIA & PERIOPERATIVE | |||||
| 760 MCGUIRE PL | NEWPORT NEWS | VA | 23601 | Anesthesia & Perioperative | $733,337 |
| TRIMEDX INC | |||||
| 12483 COLLECTIONS CTR DR | CHICAGO | IL | 60693 | ASSET MANAGEMENT | $492,331 |
| LOCUM LEADERS INC | |||||
| 26745 NETWORK PL | CHICAGO | IL | 606731267 | EMPLOYMENT SERVICES | $362,539 |
| PURE LINE PLUMBING LLC | |||||
| 4611 HILLSBOROUGH RD BLDG 20 | DURHAM | NC | 27705 | PLUMBING | $292,457 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 18 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $387,504 | RelatedOrganizationsAmt |
| Government Grants | $42,895 | GovernmentGrantsAmt |
| Total Contributions | $430,399 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REV | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $13,095,706 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,095,335 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $371 | UnrelatedBusinessRevenueAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $13,095,706 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $903 | TotalRevenueColumnAmt |
| Exclusion | $903 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $37,042 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $37,042 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,042 | TotalRevenueColumnAmt |
| Exclusion | $37,042 | ExclusionAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Dietary | 900099 | $75,283 | $75,283 | |
| Qualitative Incentive Payments | 900099 | $27,407 | $27,407 | |
| Gift Shop | 900099 | $6,463 | $6,463 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,668 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $9,668 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $118,821 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,682,871 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,170,618 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $371 | UnrelatedBusinessRevenueAmt |
| Exclusion | $81,483 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $192,848 | TotalAmt |
| Program Services | $173,563 | ProgramServicesAmt |
| Management And General | $19,285 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,149,068 | TotalAmt |
| Program Services | $4,634,161 | ProgramServicesAmt |
| Management And General | $514,907 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $228,147 | TotalAmt |
| Program Services | $205,332 | ProgramServicesAmt |
| Management And General | $22,815 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $673,820 | TotalAmt |
| Program Services | $606,438 | ProgramServicesAmt |
| Management And General | $67,382 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $390,547 | TotalAmt |
| Program Services | $351,492 | ProgramServicesAmt |
| Management And General | $39,055 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $761 | TotalAmt |
| Management And General | $761 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $556 | TotalAmt |
| Program Services | $500 | ProgramServicesAmt |
| Management And General | $56 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,842,507 | TotalAmt |
| Program Services | $1,598,247 | ProgramServicesAmt |
| Management And General | $2,244,260 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226 | TotalAmt |
| Program Services | $203 | ProgramServicesAmt |
| Management And General | $23 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,044 | TotalAmt |
| Program Services | $101,740 | ProgramServicesAmt |
| Management And General | $11,304 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,954 | TotalAmt |
| Program Services | $12,559 | ProgramServicesAmt |
| Management And General | $1,395 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $255,507 | TotalAmt |
| Program Services | $229,956 | ProgramServicesAmt |
| Management And General | $25,551 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,017 | TotalAmt |
| Program Services | $33,315 | ProgramServicesAmt |
| Management And General | $3,702 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,574 | TotalAmt |
| Program Services | $5,017 | ProgramServicesAmt |
| Management And General | $557 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,455 | TotalAmt |
| Program Services | $70,455 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $589,904 | TotalAmt |
| Program Services | $530,914 | ProgramServicesAmt |
| Management And General | $58,990 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,370 | TotalAmt |
| Program Services | $54,333 | ProgramServicesAmt |
| Management And General | $6,037 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MEDICAL SUPPLIES | $2,307,133 | $2,307,133 |
| BAD DEBT EXPENSE | $599,845 | $599,845 |
| Dietary Supplies | $111,963 | $111,963 |
| MEDICAL EQUIP. REPAIRS | $16,420 | $16,420 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,376 | TotalAmt |
| Program Services | $89,438 | ProgramServicesAmt |
| Management And General | $9,938 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,759,042 | TotalAmt |
| Program Services | $11,733,024 | ProgramServicesAmt |
| Management And General | $3,026,018 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,659 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $709,979 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,770,924 | BOYAmt |
| EOY | $0 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $931,534 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $559,806 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,119,790 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $157,470 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,251,162 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,100,361 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,335,491 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,435,852 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$12,184,690 | BOYAmt |
| EOY | $0 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$12,184,690 | BOYAmt |
| EOY | $0 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,251,162 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,076,171 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $13,260,861 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $556 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $556 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | The filing organization maintains memberships to various professional healthcare associations. Portions of their membership dues are used for lobbying activities. The lobbying portion of such dues is included on line 1f. | ExplanationTxt |
Schedule D IRS990ScheduleD
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Other Liabilities | Desc |
| Amt | $0 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $0 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | Schedule D, Part X, Line 2 requires that the organization provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under ASC 740. ASC 740 addresses the accounting for uncertainty in income taxes recognized in an entity's financial statements and prescribes a threshold of more-likely-than-not for recognition and derecognition of tax positions taken or expected to be taken in a tax return. The adoption of ASC 740 by Bon Secours Mercy Health, Inc. on September 1, 2007 did not have a material impact on BSMH's consolidated financial statements. As the organization does not conduct a separate audit of its financial statements, below is the related statement from the Bon Secours Mercy Health, Inc. consolidated audited financial statements: The Company and most of its subsidiaries (including certain joint venture entities) are exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended.Their related income is exempt from federal income tax under Section 501(A). Some of the subsidiaries are taxable entities, and some of the income of the tax-exempt entities is subject to taxation as unrelated business taxable income. The Company and its subsidiaries file U.S. federal income tax returns, and they also file in various state and foreign jurisdictions. The Company accounts for uncertain tax positions in accordance with ASC Topic 740, Income Taxes.The Company accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The Company has determined that no significant unrecognized tax benefits or liabilities exist as of December 31, 2019. Accounting for uncertainty in income taxes, ASC Topic 740-10 prescribes a comprehensive model for how an organization should measure, recognize, present and disclose in its financial statements uncertain tax positions that an organization has taken or expects to take on a tax return. The Company is subject to routine audits by taxing jurisdictions. An Internal Revenue Service audit of Mercy for 2016 and 2017 tax periods was completed in July 2019. There are no current audits in progress. The Company believes it is no longer subject to income tax examinations for years prior to 2014. As of December 31, 2019, the Company has no uncertain tax positions. The Company's taxable subsidiaries had $205,170 and $169,666 of net operating loss carryforwards as of December 31, 2019 and 2018, respectively, which expire in varying periods through 2037 and are available to offset future taxable income. The Company accounts for income taxes under the asset and liability method. Under this method, deferred tax assets and liabilities are recognized for the estimated future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases. Deferred tax assets and liabilities are measured using enacted tax rates expected to be in effect during the year in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. Interest and penalties related to income taxes are accounted for as income tax expense. The Company's deferred tax assets are fully reserved as of December 31, 2019 and 2018 as the Company considers it more likely than not that these amounts will not be recognized. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $64,959 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $64,959 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0046 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,092,490 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,601,792 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $490,698 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0347 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $2,157,449 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,601,792 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $555,657 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0392 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,742 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $32,742 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0023 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $32,742 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $32,742 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0023 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $2,190,191 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,601,792 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $588,399 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0416 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $599,845 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $18,734,294 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $18,640,931 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $93,363 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHESAPEAKE HOSPITAL CORPORATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HARRIS DRIVE | AddressLine1Txt |
| City | KILMARNOCK | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22482 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.bonsecours.com | WebsiteAddressTxt |
| State License | H1885 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHESAPEAKE HOSPITAL CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://www.bonsecours.com/about-us/community-commitment/community-health-needs-assessment | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | www.behealthyrva.org | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.bonsecours.com/about-us/community-commitment/community-health-needs-assessment | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | http://www.fa.bonsecours.com/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | http://www.fa.bonsecours.com/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | http://www.fa.bonsecours.com/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - CHESAPEAKE HOSPITAL CORP. In order to obtain input from the community, three initiatives were advanced: a Community Health Needs Assessment Steering Committee was convened, a community engagement survey was conducted, and several community conversations were held. The purpose of the CHNA Steering Committee is to support the CHNA process by engaging community members and providing feedback on the findings. All organizations involved with the CHNA Steering Committee have special knowledge of public health and underserved populations in the service area. Organizations involved in the Steering Committee are identified as having either a) conducted a previous Community Health Needs Assessment/Community Health Assessment due to IRS or accreditation requirements or b) already engaged in regional population health assessment. From January 2018 to April 2019 Steering Committee members served as key informants representing medically underserved, low- income or minority populations. The committee met bi-monthly to identify regional indicators and to inform the community engagement strategy for the creation of this document. Additionally, a survey to assess community health needs was conducted as part of the CHNA process during a six-week period between January and February 2019. One thousand one hundred (1100) individuals responded listing their top five health concerns. Seven Community Conversations occurred in March of 2019 as part of the CHNA process in which 60 individuals participated from all of the core jurisdictions. The purpose of the conversation was to elicit feedback from community members about publically available health data describing health conditions in the service areas and to review the survey results to further explore the findings. The top 10 health issues as identified from the survey results were presented to the attendees and they were asked to 1) rank the health issues according to which issues impacted them and the people close to them the most and 2) from a community perspective, rank the issues that should be addressed to improve the overall health of the region. Additional detail can be found on the Bon Secours website at https://bonsecours.com/about-us/community-commitment/community-health-needs-assessment. |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - CHESAPEAKE HOSPITAL CORPORATION. Memorial Regional Medical Center St. Francis Medical Center Richmond Community Hospital St. Mary's Hospital of Richmond |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - CHESAPEAKE HOSPITAL CORP. The hospital completed its prior CHNA for tax year ending August 31, 2019, and its implementation strategy was approved by the Board by January 15, 2020 as required by the IRS. In order to align all hospital year-ends within the Bon Secours Mercy Health, Inc. system, a short period CHNA for tax year September 1, 2019 to December 31, 2019 was prepared. The identified significant and prioritized health needs remain consistent from the prior CHNA. As of December 31, 2019, the hospital has not taken any actions towards the CHNA completed as of August 31, 2019 as its implementation strategy was still in development and not yet approved by the Board. |
| Schedule H, Part V, Section B, Line 16 Facility , 1 | Facility , 1 - CHESAPEAKE HOSPITAL CORP. Information regarding the Financial Assistance Policy (FAP) is available on our websites and brochures are available at time of registration. We have on-site Financial Counselors who assist patients. We also have eligibility vendors who work with the patients and our statements indicate we have an FAP. We also provided local clinics in each market brochures regarding our FAP. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RGH BRIDGES OUTPATIENT | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 113 DMV DRIVE | AddressLine1Txt |
| City | KILMARNOCK | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22482 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | PHYSICIAN PRACTICE | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 14 AGB | Charges for patients who are eligible for financial assistance shall be limited to no more than amounts generally billed ("AGB") for such services. These charges are based on the average allowed amounts from Medicare and commercial payers for emergency and other medically necessary care. The allowed amounts include both the amount the insurer will pay and the amount, if any, the individual is personally responsible for paying. The AGB is calculated using a look back method. |
| Schedule H, Part V, Section B Line 16g | Bon Secours Mercy Health hospitals implemented new policies and procedures to meet the notification requirements outlined under the final IRC Section 501(r) regulations. Training materials were revised, new scripting was developed, and training sessions were held for applicable Revenue Cycle employees which required competency sign-off for those who completed the training. Procedures initially implemented included offering a copy of the plain language summary (PLS) to patients as part of the intake process. Individuals were notified about the Financial Assistance Policy (FAP) by receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or other measures reasonably calculated to attract patients' attention. As a result of an annual internal review, it was determined that the PLS of Bon Secours Mercy Health's Healthcare FAP was not being offered to all patients at intake during 2018. Immediately upon recognition of the minor oversight, Bon Secours Mercy Health began taking steps to offer a copy of the PLS to all patients who visit the hospital facilities by adding scripting to notify patients of the availability of financial assistance and offering a copy of the PLS to the patient intake process. In addition, Bon Secours Mercy Health added new language to the Consent for Treatment, Payment, and Health Care Operations (Consent) form required to be signed by all patients, including a copy of the PLS attached as an addendum to the Consent to certify that the patient is aware of Bon Secours Mercy Health's FAP and a copy of the PLS was offered. Additional training has also been provided to all applicable staff. Bon Secours Mercy Health widely publicized its FAP, the FAP Application, and the PLS on the organization's website, includes a conspicuous written notice about the FAP on patients' billing statements, posts conspicuous public displays in the Emergency Department and Registration areas of the hospitals, and notifies members of the community about availability of the FAP. Bon Secours Mercy Health 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 minor oversight to be considered "willful or egregious" and Bon Secours Mercy Health has performed internal research to identify how the minor oversight occurred and taken additional steps to ensure compliance going forward. |
| Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation | 599845 |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | Cost of financial assistance at cost was calculated with a cost to charge ratio using worksheet 2. The cost related to Medicaid patients was determined using Bon Secours Mercy Health's cost accounting system and included both inpatients and outpatients for traditional Medicaid and Medicaid managed care plans. For subsidized services Bon Secours Mercy Health's cost accounting system used to determine cost related to the specific service excluding traditional Medicaid and Medicaid managed care patients. Costs for charity and bad debt accounts are deducted using a ratio of cost to charge specific to that subsidized service. Costs for other programs reflect the direct and indirect costs of providing those programs. |
| Schedule H, Part II Community Building Activities | Bon Secours Mercy Health addresses various community concerns including health improvement, poverty, workforce development, and access to health care. Bon Secours Mercy Health hospitals conduct community health education and support groups, health fairs and screenings for the communities served. Bon Secours Mercy Health hospitals work with state and local leadership to address community needs and provide healthcare services to the poor and underserved. Bon Secours Mercy Health hospitals provide programs to improve the physical surroundings and housing in the communities served. Inadequate housing has a negative impact on the health of residents in the area by leading to violence in the neighborhoods. A robust economy positively impacts residents covered by health insurance and improves the capacity of the community to support health services. Social support services such as HELP (Hospital Eligibility Link Program) are also important to support the ability of residents to gain and retain employment and therefore access to health insurance and improved access to health services. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. NET PATIENT ACCOUNTS ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED UPON BON SECOURS MERCY HEALTH'S 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. BON SECOURS MERCY HEALTH'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. BON SECOURS MERCY HEALTH 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, BON SECOURS MERCY HEALTH RECOGNIZES REVENUE WHEN SERVICES ARE PROVIDED. BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF BON SECOURS MERCY HEALTH'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR SERVICES PROVIDED. THUS, BON SECOURS MERCY HEALTH RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. ANY DISCOUNTS APPLIED TO SELF-PAY PATIENTS WOULD BE DEEMED EITHER CHARITY OR A CONTRACTUAL ADJUSTMENT. BAD DEBT WOULD BE BASED ON THE BALANCE AFTER THE CHARITY OR CONTRACTUAL ADJUSTMENT THAT IS DEEMED UNCOLLECTABLE FOLLOWING A REASONABLE COLLECTION EFFORT. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | BON SECOURS MERCY HEALTH'S 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. BON SECOURS MERCY HEALTH'S FINANCIAL ASSISTANCE POLICY REQUIRES AN APPLICATION AND SUPPORTING DOCUMENTATION. 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 BON SECOURS MERCY HEALTH'S FINANCIAL ASSISTANCE POLICY. THE HOSPITAL FOLLOWS THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES POLICY DOCUMENT, COMMUNITY BENEFIT PROGRAM, A REVISED RESOURCE FOR SOCIAL ACCOUNTABILITY ("CHA GUIDELINES") FOR DETERMINING COMMUNITY BENEFIT. THE CHA GUIDELINES RECOMMEND THAT HOSPITALS NOT INCLUDE BAD DEBT EXPENSE AS COMMUNITY BENEFIT. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | BON SECOURS MERCY HEALTH'S AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. BON SECOURS MERCY HEALTH ELECTED TO EARLY ADOPT ASU 2011-07. ACCORDINGLY, BAD DEBT EXPENSE IS REFLECTED AS A DEDUCTION FROM REVENUE RATHER THAN AS AN OPERATING EXPENSE. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, B. SIGNIFICANT ACCOUNTING POLICIES, NET PATIENT ACCOUNTS AND NET PATIENT SERVICE REVENUE (PAGE 10) STATES NET PATIENT ACCOUNTS ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED UPON THE HISTORICAL COLLECTION EXPERIENCE OF EACH REGIONAL AFFILIATE 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 UPON PAST COLLECTION EXPERIENCE. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | Medicare allowable costs reflected in Part III come directly from the facility's Medicare cost report. The cost report segregates the total facility actual expenses into costs for support departments, clinical departments (routine and ancillary) and non reimbursable departments. The cost report uses appropriate statistical bases to "step down" support costs to allowable clinical and non-reimbursable departments. The charges for clinical departments are matched to the total cost for these departments for a cost-to-charge ratio. Medicare-specific allowable costs for in- and outpatient ancillary departments are computed by applying the department-specific cost-to-charge ratio to the Medicare program charges by department. For routine departments, a per diem total cost is computed and applied to Medicare program days for the Medicare routine program cost. The organization feels the total shortfall of Medicare reimbursement compared to computed Medicare allowable costs should be treated as community benefit. The hospital improves access to patient care by providing services regardless of a patient's ability to pay or the hospital's ability to receive full cost reimbursement for services. The hospital also relieves the government of a financial burden when it provides care to publicly insured patients where reimbursement is less than cost of providing the service. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | The hospital has a written policy that describes collection practices applying to patients who qualify for financial assistance. If full assistance is approved, no collection efforts are pursued on that patient's account(s). If partial assistance is approved, the patient is responsible for the adjusted account balance and collection efforts will follow the established practices for all patients where a self-pay balance exists. Collection efforts are not pursued on any pending FAP account. Specific criteria exists for how much financial assistance, partial or total, will be provided to the patient based on the assessed need. Criteria is based on Federal Poverty Guidelines and is reviewed and updated annually. Once a patient has been deemed eligible for the Patient Financial Assistance Program (FAP), the patient is notified by letter within 60 days after receipt of the application and supporting documentation. The patient retains eligibility for a period of eight months from the date of the application. This eligibility is identified by hospital admissions, billing and collection staff by the assignment of a specific financial class with accompanying eligibility dates. At the end of the eight months, the patient is responsible for reapplying for FAP eligibility. |
| Schedule H, Part V, Section B, Line 16a FAP website | - CHESAPEAKE HOSPITAL CORPORATION: Line 16a URL: http://www.fa.bonsecours.com/; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - CHESAPEAKE HOSPITAL CORPORATION: Line 16b URL: http://www.fa.bonsecours.com/; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - CHESAPEAKE HOSPITAL CORPORATION: Line 16c URL: http://www.fa.bonsecours.com/; |
| Schedule H, Part VI, Line 2 Needs assessment | BON SECOURS HOSPITALS ASSESS AND CONTINUALLY RESPOND TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. BON SECOURS HOSPITALS JOIN AN EXISTING COMMUNITY-BASED NEEDS ASSESSMENT EVERY THREE YEARS AND UPDATES ARE PROVIDED BETWEEN ASSESSMENTS. BON SECOURS HOSPITALS INCORPORATE PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. BON SECOURS 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. BON SECOURS HAS A DEDICATED STAFF TO ASSIST IN THE COMMUNITY BENEFIT EFFORT. BON SECOURS'S COMMUNITY BENEFITS COMMITTEES MEET TO PROVIDE OVERSIGHT TO THE ORGANIZATION'S COMMUNITY BENEFITS PROGRAM. BON SECOURS HOSPITALS WORK CLOSELY WITH HEALTH AND HUMAN SERVICE ORGANIZATIONS IN THE AREA, PARTNERING WITH SOME TO PROVIDE SERVICES TO AVOID DUPLICATION. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | The Patient Financial Assistance program is communicated to patients verbally upon scheduling, registration, visible postings of the program are in common areas throughout the hospital, along with brochures and the program is detailed on our Bon Secours website. In addition, patient billing statements and letters inform patients regarding our financial assistance program. Bon Secours proactively screens patients to identify individuals and their families who may qualify for federal, state or local health insurance programs or the Bon Secours Patient Financial Assistance Program ("FAP") and assist the potential eligible patients through the qualification process. Potentially eligible patients that do not qualify for a federal or state health insurance program are referred to the Financial Assistance Coordinator located in Patient Financial Services for assistance in completing the documentation required to establish FAP eligibility. Bon Secours is also dedicated to meeting the needs of non-English speaking patients by having on-site Spanish translators, and other language translation services. In addition, Bon Secours employs a telephone language service which assists in meeting any language needs that arise. The translation services are offered to non-English speaking patients from admission to discharge, including the financial assistance process. Based on market need, our financial assistance policy and application are translated into multiple languages and placed on our Bon Secours website for patients to access. |
| Schedule H, Part VI, Line 4 Community information | Rappahannock General Hospital was founded in 1977. The hospital is located in the eastern central section of Lancaster County. The Bon Secours Mercy Health system, a faith based, not-for-profit healthcare system acquired Rappahannock General Hospital in 2014. For purposes of the CHNA, RGH defines the three counties of Lancaster, Middlesex and Northumberland as the community it serves as many secondary data sources are county specific and enable comparison to data for the state of Virginia and the United States. The counties of Lancaster, Middlesex, and Northumberland are collectively referred to as the "Northern Neck Core Service Area" for purposes of the CHNA. Approximately 35,000 residents reside in the Northern Neck Core Service Areas. The population is relatively evenly distributed among the three counties. The actual population served by the hospital is closer to 40,000. The RGH community is predominantly White (over 70%), with a large African American population. Compared to Virginia as a whole, RGH has a larger percentage of African Americans but has less ethnic diversity, due to a lower percentage of Hispanics, Asians, and Native Americans. The RGH community is comprised of approximately 20% more older adults (65+) than Virginia and the nation, and a comparatively lower percentage of children (age <18). Middlesex has a greater percentage of adults (19-64) residing in the community and fewer older adults (65+) compared to Lancaster and Northumberland. The median household incomes for Lancaster, Middlesex and Northumberland are lower than the Virginia state average of $68,766 and the national average of $57,652. While Middlesex has lower rates of unemployment than Virginia, the median household income is lower than Virginia and consistent with Lancaster and Northumberland. Compared to Virginia, the percentage of uninsured adults is higher in Lancaster, Middlesex, and Northumberland. The leading causes of death in the Northern Neck Service Area are cancer and diseases of the heart. |
| Schedule H, Part VI, Line 5 Promotion of community health | BON SECOURS HOSPITALS OPERATE EMERGENCY ROOMS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. IN ADDITION TO PROVIDING EMERGENCY SERVICES, BON SECOURS HOSPITALS ALSO PROVIDE MINOR EMERGENCY AND URGENT CARE SERVICES TO ALL REGARDLESS OF ABILITY TO PAY. BON SECOURS 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. BON SECOURS 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 BON SECOURS HOSPITALS. THE BON SECOURS MERCY HEALTH 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 BON SECOURS MERCY HEALTH. BOARD MEMBERS ARE SELECTED ON THE BASIS OF THEIR EXPERTISE AND EXPERIENCE IN A VARIETY OF AREAS BENEFICIAL TO BON SECOURS MERCY HEALTH AND ITS AFFILIATED HOSPITALS IN FULFILLING ITS MISSION OF PROVIDING HEALTHCARE SERVICES TO THE POOR AND UNDER SERVED. BON SECOURS HOSPITALS ENGAGE IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS. BON SECOURS HOSPITALS PROVIDE RESIDENCY PROGRAMS AND OTHER TRAINING PROGRAMS. BON SECOURS HOSPITALS PARTICIPATE IN MEDICAID, MEDICARE, CHAMPUS, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. BON SECOURS 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 BON SECOURS MERCY HEALTH. BON SECOURS MERCY HEALTH FORGES COLLABORATIVE RELATIONSHIPS WITH THE FEDERALLY QUALIFIED HEALTH CENTERS IN ITS COMMUNITIES. |
| Schedule H, Part VI, Line 6 Affiliated health care system | Bon Secours Mercy Health, Inc., a Maryland nonprofit, nonstock membership corporation (BSMH), and all of the other entities that are controlled directly or indirectly by BSMH are described collectively as the System. The System was organized in June 1983 to fulfill the healthcare mission of the United States Province of the Congregation of the Sisters of Bon Secours of Paris, a congregation of religious women of the Roman Catholic Church founded in France in 1824. The System's activities are in the states of Ohio, New York, Pennsylvania, Maryland, Virginia, Kentucky, South Carolina, and Florida, each referred to as a local system. The Ministry of BSMH aids those in need, particularly those who are sick and dying, by offering services that include but are not limited to acute inpatient, outpatient, pastoral, palliative, home health, nursing home, rehabilitative, primary and secondary care and assisted living without regard to race, religion, color, gender, age, marital status, national origin, sexual orientation, or disability. As a member of the Catholic health ministry and a member of BSMH, this organization and its related entities are called to continue the healing ministry of Jesus. We exist to benefit the people living in the communities it serves. Through all of the services offered to the community, the mission is "to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a System of caregivers, we commit ourselves to help bring people and communities to health and wholeness as part of the healing ministry of Jesus Christ and the Catholic Church." This organization and related organizations share the BSMH Vision. BSMH's vision to partner with communities to create a more humane world, build social justice for all and provide exceptional value for those served is implemented through its Strategic Quality Plan which provides focus in four goal areas for the current three year period (2019-2021). - Co-Create Healthy Communities: We recognize that the factors which drive health outcomes extend well beyond the scope of traditional health care services. Thus, we commit to improve the health of communities through partnership and collaboration with a broad range of constituencies including committed community residents - Be Person Centric: We recognize that those whom we serve are increasingly engaged in their own care and are seeking convenience, affordability and reliability. Thus, we commit to anticipate and respond to the changing expectations of health care consumers, and to ensure that we engage each person in an individualized plan for health with a focus on prevention and wellness. - Serve Those Who Are Vulnerable: We recognize, by our Catholic identity, that the struggle for a more humane world is not an option, but an integral part of spreading the gospel. Thus, we commit to serve those who are vulnerable in many ways, addressing health disparities, sustaining global ministries, healing the environment and working to end violence and oppression. - Strengthen Our Culture and Capabilities: We recognize that the health care delivery system is undergoing rapid change with increasing complexity. Thus, we commit to liberate the potential of our people by strengthening individual and collective capabilities with respect to ministry leadership, knowledge, analytics, innovation and finances. 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 2019 per the audit footnote is as follows: Total 2019 Community Benefit: $724.6 Million Benefits to the Broader Community: $128.4 million Unreimbursed Care for Those Who Are Poor and Qualify for Medicaid: $497.9 million Cost of Care for Those Who Could Not Afford to Pay: $98.3 million Community Benefit as Percent of Total Expense: 8.6 percent. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Toni Ardabell | ||||||||||||||
| Former CEO-BSV | $0 | $381,375 | $0 | $78,970 | $0 | $132,948 | $0 | $16,800 | $0 | $0 | $0 | $610,093 | $0 | $0 |
| Faraaz Yousuf | ||||||||||||||
| President/CEO - Richmond (Beg 12/19) | $0 | $186,561 | $0 | $50,000 | $0 | $10,135 | $0 | $23,810 | $0 | $10,669 | $0 | $281,175 | $0 | $0 |
| Brian White | ||||||||||||||
| Interim CEO - Richmond (End 12/19) | $0 | $509,862 | $0 | $200,000 | $0 | $707 | $0 | $307,886 | $0 | $17,892 | $0 | $1,036,347 | $0 | $0 |
| Stephan Quiriconi | ||||||||||||||
| Treasurer, CFO - Richmond Market | $0 | $381,710 | $0 | $37,460 | $0 | $38,702 | $0 | $34,785 | $0 | $21,315 | $0 | $513,972 | $0 | $0 |
| Rhodes Ritenour | ||||||||||||||
| Secretary | $0 | $228,211 | $0 | $13,113 | $0 | $227 | $0 | $12,576 | $0 | $30,248 | $0 | $284,375 | $0 | $0 |
| Christopher Accashian | ||||||||||||||
| CEO - SFMC & CHC | $0 | $375,674 | $0 | $37,104 | $0 | $82,023 | $0 | $20,489 | $0 | $29,859 | $0 | $545,149 | $0 | $0 |
| James Godwin | ||||||||||||||
| Former SVP HR - Richmond | $0 | $253,061 | $0 | $25,668 | $0 | $64,151 | $0 | $4,314 | $0 | $21,315 | $0 | $368,509 | $0 | $10,102 |
| Mark Gordon | ||||||||||||||
| Former CEO - RGH | $0 | -$8,203 | $0 | $9,995 | $0 | $447,889 | $0 | $0 | $0 | $27,969 | $0 | $477,650 | $0 | $0 |
| Ann Gumina | ||||||||||||||
| Former VP Patient Care Services | $98,795 | $0 | $8,323 | $0 | $528 | $0 | $5,363 | $0 | $277 | $0 | $113,286 | $0 | $0 | $0 |
| Paul Junod | ||||||||||||||
| VP HR - Richmond | $0 | $174,294 | $0 | $9,200 | $0 | $879 | $0 | $24,840 | $0 | $29,469 | $0 | $238,682 | $0 | $0 |
| Lisa Heishman | ||||||||||||||
| VP, Hospital Administrator | $165,483 | $0 | $9,302 | $0 | $619 | $0 | $7,118 | $0 | $10,326 | $0 | $192,848 | $0 | $0 | $0 |
| Randall Scott MD | ||||||||||||||
| Psychiatrist | $243,838 | $0 | $19,985 | $0 | $1,032 | $0 | $13,352 | $0 | $20,869 | $0 | $299,076 | $0 | $0 | $0 |
| William Stallings MD | ||||||||||||||
| Primary Care Physician | $258,163 | $0 | $33,899 | $0 | $3,181 | $0 | $13,494 | $0 | $27,966 | $0 | $336,703 | $0 | $0 | $0 |
| SALVATORE BAVUSO MD | ||||||||||||||
| Primary Care Physician | $188,631 | $0 | $73,699 | $0 | $526 | $0 | $12,795 | $0 | $29,782 | $0 | $305,433 | $0 | $0 | $0 |
| Joseph Bessler MD | ||||||||||||||
| Internist | $163,923 | $0 | $102,250 | $0 | $1,198 | $0 | $13,501 | $0 | $10,366 | $0 | $291,238 | $0 | $0 | $0 |
| Meredith Good MD | ||||||||||||||
| Physician | $230,073 | $0 | $23,139 | $0 | $10,240 | $0 | $5,362 | $0 | $20,729 | $0 | $289,543 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 4b Terms and conditions of the Bon Secours Mercy Health System SERP | 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: Brian White, $0; Faraaz Yousuf, $0; Paul Junod, $0; Stephan Quiriconi, $0; James Godwin, $28,001. |
| 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 4a Severance or change-of-control payment | Severance Benefits consisting of continuation of base salary and insurance benefits were provided to listed individuals for specified periods. The listed individuals executed releases and waivers of claims in exchange for the severance benefits. Salary continuation amounts provided during the reporting year to listed individuals were as follows: Mark Gordon, $436,155. |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | The filing organization participates in a Bon Secours sponsored executive retirement program that allows for deposits into additional retirement plans and is available only to officers and key employees. The 457F plan is a non-qualified plan and is subject to a minimum three-year service requirement before vesting on deposits made into this plan. Individuals that received a distribution or participated in the plan include: James Godwin, $13,036; Stephan Quiriconi, $0; Christopher Accashian, $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 which must be achieved for incentives to be awarded. The Board also establishes threshold, target and maximum levels for incentive awards. Within the 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. |
Schedule N IRS990ScheduleN
Liquidation Of Assets Table LiquidationOfAssetsTableGrp
Liquidation Of Assets Detail LiquidationOfAssetsDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Distri Or Expnss Paid | CHESAPEAKE HOSPITAL CORPORATION 2019 NET ASSETS | AssetsDistriOrExpnssPaidDesc |
| Distribution | 2019-12-31 | DistributionDt |
| Fair Market Value Of Asset | -$13,260,861 | FairMarketValueOfAssetAmt |
| Method Of FMV Determination | GAAP | MethodOfFMVDeterminationTxt |
| EIN | 521988421 | EIN |
| Person | BS RICHMOND HEALTH SYSTEM | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8580 Megallan Parkway Building IV | AddressLine1Txt |
| City | RICHMOND | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23227 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | 501(C)(3) | IRCSectionTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor | Yes (true) | DirectorOfSuccessorInd |
| Employee Of Successor | Yes (true) | EmployeeOfSuccessorInd |
| Owner Of Successor | false | OwnerOfSuccessorInd |
| Receive Compensation | false | ReceiveCompensationInd |
| Assets Distributed | Yes (true) | AssetsDistributedInd |
| Required To Notify AG | Yes (true) | RequiredToNotifyAGInd |
| Attorney General Notified | Yes (true) | AttorneyGeneralNotifiedInd |
| Liabilities Paid | Yes (true) | LiabilitiesPaidInd |
| Bonds Outstanding | false | BondsOutstandingInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule N, Part I, Line 2a Interested person is a director or trustee of successor org. | ALL BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES OF CHESAPEAKE HOSPITAL CORPORATION REMAINED AS REPORTED AFTER CONVERTING TO AN LLC. |
| Schedule N, Part I, Line 2b Interested person is an employee or ind. contractor of successor org. | ALL BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES OF CHESAPEAKE HOSPITAL CORPORATION REMAINED AS REPORTED AFTER CONVERTING TO AN LLC. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 4 Significant changes to organizational documents | Chesapeake Hospital Corporation adopted a Plan of Conversion as filed and approved by the state on December 8, 2019 to convert to a Virginia Limited Liability Company to be effective January 1, 2020. The name of the converted entity will be Chesapeake Hospital LLC and its sole member as of January 1, 2020 is Bon Secours Richmond Health System. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | Bon Secours Mercy Health, Inc. is the sole member of Bon Secours Richmond LLC. Bon Secours Richmond LLC holds the majority interest in Bon Secours -Richmond Health System, which in turn is the sole member of the filing organization. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | The governing body of the filing organization is appointed by its member Bon Secours - Richmond Health System and subject to approval by Bon Secours Mercy Health, Inc. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | Certain matters require approval of the BSMH corporate member, BSMH governing body, or BSMH CEO. The regulations of the organization describe the level of approval required for various decisions. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | The Form 990 is prepared by BSMH's tax department and reviewed by an independent accounting firm and management. |
| Form 990, Part VI, Line 12c Conflict of interest policy | BSMH maintains a written and board approved Conflict of Interest Policy. The policy requires board members, officers, directors and key employees to annually disclose interests that could give rise to conflicts. The Audit and Compliance Committee (ACC) of the BSMH Board has the ultimate responsibility for Conflict of Interest, including the Policy implementation, compliance monitoring, and enforcement. Through the ACC, 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 submits to the ACC a report of all conflicts and how they will be managed. The ACC will review such recommendations and either approve or request changes until approval may be granted. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | 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 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 by human resources. |
| Form 990, Part VI, Line 19 Required documents available to the public | The conflict of interest policy and financial statements are posted on the BSMH website. |
| Form 990, Part VII, Section A ADDITIONAL DISCLOSURE | The governing bodies of the following entities are comprised of the same board members and board officers (Chairman, President, Secretary and Treasurer): - Bon Secours St. Mary's Hospital - Bon Secours St. Francis Medical Center - Bon Secours Memorial Regional Medical Center - Richmond Community Hospital - Chesapeake Hospital Corporation - Chesapeake Medical Group The entities listed above and the parent organization to these entities, Bon Secours Richmond Health System, Inc. (RHS), established a mirror board. The action aligned the board members and board officers of RHS and the listed entities. Hours reported on Form 990, Part VII represents total hours worked per week. These hours may include time spent as an employee of the organization and any hours spent serving as a volunteer board member. Any compensation paid to these individuals is payment for their employment with the filing organization or related organization. Volunteers are not paid for their time. Sr. Anne Marie Mack, CBS and Sr. Victoria Segura, MD, CBS do not receive payroll distributions as they have taken vows of poverty. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | Other Revenue - Total Revenue: 9668, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 9668; |
| Form 990, Part IX, Line 11g Other Fees | PHYSICIAN FEES - Total Expense: 742777, Program Service Expense: 742777, Management and General Expenses: , Fundraising Expenses: ; BILLING AND COLLECTIONS - Total Expense: 110693, Program Service Expense: 99624, Management and General Expenses: 11069, Fundraising Expenses: ; OTHER PURCHASED SERVICES - Total Expense: 269354, Program Service Expense: 242418, Management and General Expenses: 26936, Fundraising Expenses: ; MAINTENANCE AND SERVICE AGREEMENTS - Total Expense: 123030, Program Service Expense: 110727, Management and General Expenses: 12303, Fundraising Expenses: ; CONSULTING - Total Expense: 7043, Program Service Expense: 6339, Management and General Expenses: 704, Fundraising Expenses: ; CONTRACTED NURSING AND ANCILLARY TECH STAFF - Total Expense: 396362, Program Service Expense: 396362, Management and General Expenses: , Fundraising Expenses: ; BSMH Corporate Dues - Total Expense: 2193248, Program Service Expense: , Management and General Expenses: 2193248, Fundraising Expenses: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | TRANSFERS FROM RICHMOND HEALTH SYSTEM - 13260861; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (74 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Business Name Line2DisregardedEntityName/BusinessNameLine2Txt | Business Name Line2DirectControllingEntityName/BusinessNameLine2Txt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MERCY HEALTH | |||||||||||||
| 1701 Mercy Health Place | CINCINNATI | OH | 45237 | 311161086 | HEALTHCARE SYSTEM PARENT | OH | 501(c)(3) | 3 | Bon Secours Mercy Health Inc | false | |||
| BON SECOURS MERCY HEALTH FOUNDATION | |||||||||||||
| 1701 Mercy Health Place | CINCINNATI | OH | 45237 | 201072726 | FUNDRAISING | OH | 501(c)(3) | 7 | MERCY HEALTH | false | |||
| MERCY HEALTH RETIREMENT TRUST | |||||||||||||
| 1701 Mercy Health Place | CINCINNATI | OH | 45237 | 316046304 | RETIREMENT TRUST | OH | 501(c)(3) | 7 | MERCY HEALTH | false | |||
| COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS | |||||||||||||
| 3700 KOLBE ROAD | LORAIN | OH | 44053 | 341268828 | MEDICAL OFFICE RENTAL | OH | 501(c)(3) | 10 | MERCY HEALTH - REGIONAL MEDICAL CENTER LLC | false | |||
| ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING | |||||||||||||
| 200 WEST LORAIN ST | OBERLIN | OH | 44074 | 364504991 | MEDICAL OFFICE RENTAL | OH | 501(c)(3) | 10 | MERCY HEALTH - ALLEN HOSPITAL LLC | false | |||
| MERCY FRANCISCAN SENIOR HEALTH AND HOUSING SERVICES INC | |||||||||||||
| 7010 ROWAN HILLS DR | CINCINNATI | OH | 45227 | 311308729 | RETIREMENT HOME | OH | 501(c)(3) | 10 | MERCY HEALTH CINCINNATI LLC | false | |||
| MERCY FRANCISCAN SOCIAL MINISTRIES INC | |||||||||||||
| 1800 LOGAN STREET | CINCINNATI | OH | 45210 | 311222942 | LOW INCOME HOUSING | OH | 501(c)(3) | 7 | MERCY HEALTH CINCINNATI LLC | false | |||
| COMMUNITY MERCY HEALTH SYSTEM | |||||||||||||
| 100 Medical Center Drive | SPRINGFIELD | OH | 45504 | 300272454 | MARKET PARENT | OH | 501(c)(3) | Type III-FI | MERCY HEALTH | false | |||
| COMMUNITY MERCY HEALTH PARTNERS | |||||||||||||
| 100 Medical Center Drive | SPRINGFIELD | OH | 45504 | 310785684 | HOSPITAL | OH | 501(c)(3) | 3 | COMMUNITY MERCY HEALTH SYSTEM | false | |||
| C H HEALTH SERVICES COMPANY | |||||||||||||
| 100 Medical Center Drive | SPRINGFIELD | OH | 45504 | 311181984 | HOSPITAL | OH | 501(c)(3) | 3 | COMMUNITY MERCY HEALTH SYSTEM | false | |||
| THE WALLACE S MURRAY AND FRANCES RABBITTS MURRAY MEMORIAL TRUST | |||||||||||||
| 100 Medical Center Drive | SPRINGFIELD | OH | 45504 | 346827136 | INDIGENT MEDICAL CARE | OH | 501(c)(3) | Type I | NA | false | |||
| MERCY PROPERTY HOLDINGS | |||||||||||||
| 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | 300699825 | TITLE HOLDING COMPANY | OH | 501(c)(2) | MERCY HEALTH NORTH LLC | false | ||||
| MERCY COLLEGE OF OHIO | |||||||||||||
| 2221 MADISON AVENUE | TOLEDO | OH | 43604 | 341726619 | MEDICAL COLLEGE | OH | 501(c)(3) | 2 | MERCY HEALTH NORTH LLC | false | |||
| SIMON OUTREACH SERVICES | |||||||||||||
| 2600 NAVARRE AVENUE | OREGON | OH | 43616 | 341383325 | MEDICAL OFFICE RENTAL | OH | 501(c)(3) | 10 | MERCY HEALTH - ST CHARLES HOSPITAL LLC | false | |||
| NEW VISION MEDICAL LABORATORIES INC | |||||||||||||
| 750 W HIGH ST STE 400 | LIMA | OH | 45801 | 341937267 | MEDICAL LAB SERVICES | OH | 501(c)(3) | 3 | ST RITA'S MEDICAL CENTER LLC | false | |||
| THE ASSUMPTION VILLAGE | |||||||||||||
| 9800 N MARKET STREET | NORTH LIMA | OH | 44452 | 341013695 | NURSING HOME | OH | 501(c)(3) | 10 | MERCY HEALTH YOUNGSTOWN LLC | false | |||
| HOSPICE OF THE VALLEY | |||||||||||||
| 5190 MARKET STREET | YOUNGSTOWN | OH | 44512 | 341288745 | HOSPICE SERVICES | OH | 501(c)(3) | 10 | MERCY HEALTH YOUNGSTOWN LLC | false | |||
| HUMILITY HOUSE | |||||||||||||
| 755 OHLTOWN ROAD | AUSTINTOWN | OH | 44515 | 341894783 | NURSING HOME | OH | 501(c)(3) | 10 | MERCY HEALTH YOUNGSTOWN LLC | false | |||
| ST JOSEPH HEALTH CENTER AUXILIARY | |||||||||||||
| 677 EASTLAND SE | WARREN | OH | 44484 | 346556121 | FUNDRAISING | OH | 501(c)(3) | 10 | MERCY HEALTH YOUNGSTOWN LLC | false | |||
| LOURDES HOSPITAL AUXILIARY GIFT SHOP | |||||||||||||
| 1530 LONE OAK ROAD | PADUCAH | KY | 42003 | 610927805 | FUNDRAISING | KY | 501(c)(3) | 10 | MERCY HEALTH FOUNDATION | false | |||
| HEALTHSPAN PARTNERS | |||||||||||||
| 1701 Mercy Health Place | CINCINNATI | OH | 45237 | 463055925 | MARKET PARENT | OH | 501(c)(3) | Type II | MERCY HEALTH | false | |||
| HEALTHSPAN INTEGRATED CARE | |||||||||||||
| 1701 Mercy Health Place | CIncinnati | OH | 45237 | 340922268 | HMO | OH | 501(c)(3) | 10 | HEALTHSPAN PARTNERS | false | |||
| Bon Secours Mercy Health Inc | |||||||||||||
| 1701 Mercy Health Place | CINCINNATI | OH | 45237 | 521301088 | HEALTHCARE SYSTEM PARENT | MD | 501(c)(3) | NA | false | ||||
| Bon Secours New York Health System Inc | |||||||||||||
| 2975 Independence Avenue | Bronx | NY | 10463 | 912135196 | Local System Parent Org. | NY | 501(c)(3) | Type I | Bon Secours Mercy Health Inc | false | |||
| Bon Secours Kentucky Health System Inc | |||||||||||||
| St Christopher Dr | Ashland | KY | 41101 | 611356024 | Local System Parent Org. | KY | 501(c)(3) | Type III-FI | Bon Secours Mercy Health Inc | false | |||
| Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health | |||||||||||||
| 2000 West Baltimore Street | Baltimore | MD | 21223 | 800728893 | Local System Parent Org. | MD | 501(c)(3) | Type III-FI | Bon Secours Mercy Health Inc | false | S | ||
| Bon Secours St Francis Health System Inc | |||||||||||||
| 1 St Francis Drive | Greenville | SC | 29601 | 582504528 | Local System Parent Org. | SC | 501(c)(3) | Type III-FI | Bon Secours Mercy Health Inc | false | |||
| Bon Secours Hampton Roads Health System | |||||||||||||
| 7007 Harbour View Blvd | Portsmouth | VA | 23435 | 521538513 | Local System Parent Org. | VA | 501(c)(3) | Type III-FI | Bon Secours Mercy Health Inc | false | |||
| Bon Secours Richmond Health System | |||||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 521988421 | Local System Parent Org. | VA | 501(c)(3) | Type III-FI | Bon Secours Mercy Health Inc | false | |||
| Bon Secours Baltimore Health System Foundation Inc | |||||||||||||
| 26 North Fulton Avenue | Baltimore | MD | 21223 | 383843816 | Grant Making Foundation | MD | 501(c)(3) | Type III-FI | Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health | false | S | ||
| The Bon Secours of Maryland Foundation Inc (dba Bon Secours Community Work | |||||||||||||
| 26 North Fulton Avenue | Baltimore | MD | 21223 | 521732800 | Grant Making Foundation | MD | 501(c)(3) | Type III-FI | Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health | false | S | ||
| Mary Immaculate Foundation | |||||||||||||
| 7007 Harbour View Blvd | Suffolk | VA | 23435 | 311644734 | Fundraising | VA | 501(c)(3) | Type III-FI | Mary Immaculate Hospital | false | |||
| Bon Secours DePaul Health Foundation | |||||||||||||
| 7007 Harbour View Blvd | Suffolk | VA | 23435 | 541843876 | Fundraising | VA | 501(c)(3) | 7 | Bon Secours DePaul Medical Center | false | |||
| Bon Secours Maryview Foundation | |||||||||||||
| 7007 Harbour View Blvd | Suffolk | VA | 23435 | 521694731 | Fundraising | VA | 501(c)(3) | 7 | Bon Secours Hampton Roads Health System | false | |||
| Our Lady of Bellefonte Hospital Inc | |||||||||||||
| 1000 St Christopher Dr | Ashland | KY | 41101 | 611356023 | Health Care | KY | 501(c)(3) | 3 | Bon Secours Kentucky Health System | false | |||
| Bon Secours Hospital Baltimore Inc | |||||||||||||
| 2000 West Baltimore Street | Baltimore | MD | 21223 | 520591555 | Health Care | MD | 501(c)(3) | 3 | Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health | false | S | ||
| St Francis Hospital Inc | |||||||||||||
| One St Francis Drive | Greenville | SC | 29601 | 582504530 | Health Care | SC | 501(c)(3) | 3 | Bon Secours St Francis Health System Inc | false | |||
| Mary Immaculate Hospital Inc | |||||||||||||
| 7007 Harbour View Blvd | Suffolk | VA | 23435 | 540548200 | Health Care | VA | 501(c)(3) | 3 | Bon Secours Mercy Health Inc | false | |||
| Bon Secours - DePaul Medical Center Inc | |||||||||||||
| 7007 Harbour View Blvd | Suffolk | VA | 23435 | 541820093 | Health Care | VA | 501(c)(3) | 3 | Bon Secours Hampton Roads Health System | false | |||
| Maryview Hospital | |||||||||||||
| 7007 Harbour View Blvd | Portsmouth | VA | 23707 | 540506463 | Health Care | VA | 501(c)(3) | 3 | Bon Secours Hampton Roads Health System | false | |||
| Bon Secours - Memorial Regional Medical Center Inc | |||||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541744931 | Health Care | VA | 501(c)(3) | 3 | Bon Secours Richmond Health System | false | |||
| Bon Secours - St Mary's Hospital of Richmond Inc | |||||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 540793767 | Health Care | VA | 501(c)(3) | 3 | Bon Secours Richmond Health System | false | |||
| Bon Secours - Richmond Community Hospital | |||||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 540647482 | Health Care | VA | 501(c)(3) | 3 | Bon Secours Richmond Health System | false | |||
| Bon Secours - St Francis Medical Center Inc | |||||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 311716973 | Health Care | VA | 501(c)(3) | 3 | Bon Secours Richmond Health System | false | |||
| Bon Secours Kentucky Health System Foundation Inc | |||||||||||||
| St Christopher Dr | Ashland | KY | 41101 | 611381952 | Grant Making Foundation | KY | 501(c)(3) | 7 | Bon Secours Kentucky Health System | false | |||
| Bon Secours Baltimore Development Inc | |||||||||||||
| 26 North Fulton Avenue | Baltimore | MD | 21223 | 760785344 | Community Housing | MD | 501(c)(3) | 7 | Unity Properties Inc | false | |||
| Unity Properties Inc | |||||||||||||
| 26 North Fulton Avenue | Baltimore | MD | 21223 | 521857768 | Low Income Housing | MD | 501(c)(3) | 7 | Bon Secours of Maryland Foundation | false | |||
| Bon Secours - St Francis Health System Foundation Inc | |||||||||||||
| One St Francis Drive | Greenville | SC | 29601 | 260012031 | Grant Making Foundation | SC | 501(c)(3) | 7 | St Francis Hospital Inc | false | |||
| Bon Secours Richmond Health Care Foundation | |||||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541201346 | Grant Making Foundation | VA | 501(c)(3) | 7 | Bon Secours Richmond LLC | false | |||
| Bon Secours St Petersburg Home Care Services Inc | |||||||||||||
| 10300 Fourth Street North | St Petersburg | FL | 33716 | 134334363 | Home Care Services | FL | 501(c)(3) | 10 | Maria Manor Nursing Care Center | false | |||
| Bon Secours - Maria Manor Nursing Care Center Inc | |||||||||||||
| 10300 Fourth Street North | St Petersburg | FL | 33716 | 650061820 | Nursing Home | FL | 501(c)(3) | 10 | Bon Secours Mercy Health Inc | false | |||
| Bellefonte Physician Services Inc | |||||||||||||
| St Christopher Dr | Ashland | KY | 41101 | 352320780 | Physician Practices | KY | 501(c)(3) | 10 | Bon Secours Kentucky Health System | false | |||
| Bon Secours Housing Inc | |||||||||||||
| 26 North Fulton Avenue | Baltimore | MD | 21223 | 521442707 | Low Income Housing | MD | 501(c)(3) | 10 | Bon Secours of Maryland Foundation | false | |||
| Bon Secours Housing II Inc | |||||||||||||
| 26 North Fulton Avenue | Baltimore | MD | 21223 | 521543174 | Low Income Housing | MD | 501(c)(3) | 10 | Bon Secours of Maryland Foundation | false | |||
| St Francis Physician Services Inc | |||||||||||||
| One St Francis Drive | Greenville | SC | 29601 | 134290167 | Physician Services | SC | 501(c)(3) | 10 | St Francis Health System Inc | false | |||
| Mary Immaculate Nursing Center Inc | |||||||||||||
| 7007 Harbour View Blvd | Suffolk | VA | 23435 | 541516476 | Nursing Care Center | VA | 501(c)(3) | 10 | Mary Immaculate Hospital | false | |||
| Bon Secours - Maryview Nursing Care Center | |||||||||||||
| 7007 Harbour View Blvd | Suffolk | VA | 23435 | 521578169 | Nursing Care Center | VA | 501(c)(3) | 10 | Bon Secours Hampton Roads Health System | false | |||
| Bayley Properties | |||||||||||||
| 7007 Harbour View Blvd | Suffolk | VA | 23435 | 541424748 | Title Holding Company | VA | 501(c)(2) | Bon Secours DePaul Medical Center | false | ||||
| Laburnum Properties | |||||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 521260700 | Title Holding Company | VA | 501(c)(2) | Bon Secours Richmond Health System | false | ||||
| Bon Secours Health System Foundation Inc | |||||||||||||
| 8990 Old Annapolis Road | Columbia | MD | 21045 | 474765376 | Fundraising | MD | 501(c)(3) | 7 | Bon Secours Mercy Health Inc | false | |||
| IVNA Health Services | |||||||||||||
| 5008 Monument Avenue | Richmond | VA | 23230 | 541479847 | Home Care Services | VA | 501(c)(3) | 10 | Bon Secours Home Care LLC | false | |||
| Rappahannock General Hospital Foundation | |||||||||||||
| 101 Harris Road | Kilmarnock | VA | 22482 | 541210450 | Supporting Organization | VA | 501(c)(3) | 7 | Bon Secours Richmond Health System | false | |||
| Chesapeake Medical Group | |||||||||||||
| 101 Harris Road | Kilmarnock | VA | 22482 | 541857174 | Healthcare Services | VA | 501(c)(3) | 10 | Bon Secours Richmond Health System | false | |||
| Chesapeake Hospital Corporation | |||||||||||||
| 101 Harris Road | Kilmarnock | VA | 22482 | 237424835 | Health Care | VA | 501(c)(3) | 3 | Bon Secours Richmond Health System | false | |||
| Bon Secours New Jersey Health System Inc | |||||||||||||
| 1505 Marriottsville Road | Marriottsville | MD | 27104 | 222754781 | Local System Parent Org. | NJ | 501(c)(3) | Type III-FI | Bon Secours Mercy Health Inc | false | |||
| St Mary Hospital Inc | |||||||||||||
| 308 Willow | Hoboken | NJ | 07030 | 221487324 | Health Care | NJ | 501(c)(3) | 3 | Bon Secours New Jersey Health System Inc | false | |||
| Mercy Health Services | |||||||||||||
| 1505 Marriottsville Road | Marriottsville | MD | 27104 | 251585441 | Local System Parent Org. | PA | 501(c)(3) | Type III-FI | Bon Secours Mercy Health Inc | false | |||
| Pennsylvania Health Choice Plan | |||||||||||||
| 1505 Marriottsville Road | Marriottsville | MD | 27104 | Health Care | PA | 501(c)(3) | 10 | Mercy Health Services | false | ||||
| Liberty Medical Center | |||||||||||||
| 1505 Marriottsville Road | Marriottsville | MD | 27104 | 521466304 | Health Care | MD | 501(c)(3) | 3 | Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health | false | S | ||
| Bon Secours - Stuart Circle Hospital Inc | |||||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541740128 | Health Care | VA | 501(c)(3) | 3 | Bon Secours Richmond Health System | false | |||
| Bon Secours Ireland DAC | |||||||||||||
| Local System Parent Org. | 501(c)(3) | Type III-FI | Bon Secours Mercy Health Inc | false | EI | ||||||||
| Bon Secours Health System CLG | |||||||||||||
| Hospital | 501(c)(3) | 3 | Bon Secours Ireland DAC | false | EI | ||||||||
| Our Money Place Inc | |||||||||||||
| 26 North Fulton Avenue | Baltimore | MD | 21223 | 562306119 | Financial services education | MD | 501(c)(3) | 10 | Bon Secours of Maryland Foundation | false | |||
| Frances Schervier Home and Hospital | |||||||||||||
| 2975 Independence Avenue | Bronx | NY | 10463 | 131740397 | Long term nursing care | NY | 501(c)(3) | 10 | Bon Secours NY Health System | false | |||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (33 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|
| NWO Integrated Laboratories Mercy LLC | |||||||||
| 2200 Jefferson Avenue | Toledo | OH | 43624 | 341898285 | Laboratory services | OH | NA | N/A | |
| Tiffin Ambulatory Surgical Associates | |||||||||
| 45 St Lawrence Drive | Tiffin | OH | 44833 | 371567866 | Ambulatory Surgery Center | OH | NA | N/A | |
| New Vision Medical Lab LLC | |||||||||
| 750 W High Street | Lima | OH | 45801 | 341913433 | Lab Services | OH | NA | N/A | |
| West Central Ohio Group Ltd | |||||||||
| 801 Medical Drive | Lima | OH | 45804 | 341848147 | Orthopedic Hospital | OH | NA | N/A | |
| West Central Ohio Regional Healthcare Alliance Ltd | |||||||||
| 2615 Fort Amanda Road | Lima | OH | 45805 | 341817078 | Healthcare quality | OH | NA | N/A | |
| Urologic Oncology of Mahoning Valley LLC | |||||||||
| 1044 Belmont Ave | Youngstown | OH | 44501 | 262989686 | Radiation Therapy | OH | NA | N/A | |
| Lourdes Ambulatory Surgery Center | |||||||||
| 225 Medical Center Drive | Paducah | KY | 42003 | 205588350 | Surgery Center | KY | NA | N/A | |
| Marshall County MRI LLC | |||||||||
| 615 Old Symsonia Road | Benton | KY | 42025 | 610601267 | MRI facility | KY | NA | N/A | |
| PREMIUM SURGERY CENTER LLC | |||||||||
| 5217 Maryland Way | Brentwood | TN | 37027 | 200400753 | Surgery Center | TN | NA | N/A | SUITE 200 |
| MERCY HEALTH INNOVATIONS LLC | |||||||||
| 1701 MERCY HEALTH PLACE | CINCINNATI | OH | 45237 | 820639499 | BUSINESS DEVELOPMENT | OH | NA | N/A | |
| MERCY FRANCISCAN AT WINTON WOODS I LP | |||||||||
| 10290 Mill Road | Cincinnati | OH | 45231 | 311624311 | Rental Real Estate | OH | NA | N/A | |
| Bon Secours Place at St Petersburg LLP | |||||||||
| 10300 Fourth Street North | St Petersburg | FL | 33716 | 593589729 | Assisted Living/Senior Care | FL | NA | N/A | |
| Bon Secours Apartments LP | |||||||||
| 1800 West Baltimore St | Baltimore | MD | 21223 | 521952505 | Low Income Housing | MD | NA | N/A | |
| Bon Secours Apartments II LP | |||||||||
| 1800 West Baltimore St | Baltimore | MD | 21223 | 522063512 | Low Income Housing | MD | NA | N/A | |
| Liberty Senior Housing LP | |||||||||
| 1800 West Baltimore St | Baltimore | MD | 21223 | 522134447 | Low Income Housing | MD | NA | N/A | |
| Bon Secours Apartments III LP | |||||||||
| 1800 West Baltimore St | Baltimore | MD | 21223 | 522134444 | Low Income Housing | MD | NA | N/A | |
| Bon Secours Smallwood Summit LP | |||||||||
| 26 North Fulton Ave | Baltimore | MD | 21223 | 522280175 | Low Income Housing | MD | NA | N/A | |
| Bon Secours Chesapeake Apartments LP | |||||||||
| 26 North Fulton Ave | Baltimore | MD | 21223 | 200107034 | Low Income Housing | MD | NA | N/A | |
| Bon Secours Shiloh LP | |||||||||
| 26 North Fulton Ave | Baltimore | MD | 21223 | 203965243 | Low Income Housing | MD | NA | N/A | |
| Bon Secours New Shiloh II Limited Partnership | |||||||||
| 26 North Fulton Ave | Baltimore | MD | 21223 | 820655142 | Low Income Housing | MD | NA | N/A | |
| Bon Secours Wayland LP | |||||||||
| 26 North Fulton Ave | Baltimore | MD | 21223 | 270468688 | Low Income Housing | MD | NA | N/A | |
| Bon Secours Gibbons Apartments LP | |||||||||
| 26 North Fulton Ave | Baltimore | MD | 21223 | 472322323 | Low Income Housing | MD | NA | N/A | |
| Upstate Surgery Center LLC | |||||||||
| One St Francis Drive | Greenville | SC | 29601 | 562186977 | Ambulatory Surgery Center | SC | NA | N/A | |
| Broad64 Imaging LLC | |||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 205886018 | Imaging Services | VA | NA | N/A | |
| Richmond Radiation Oncology Center I LLC | |||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 208444551 | Radiation Oncology Services | VA | NA | N/A | |
| RI LP | |||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541708835 | Imaging Services | VA | NA | N/A | |
| Bon Secours Benet House LP | |||||||||
| 26 North Fulton Ave | Baltimore | MD | 21223 | 364765400 | Low Income Housing | MD | NA | N/A | |
| Bon Secours Benet House LLC | |||||||||
| 26 North Fulton Ave | Baltimore | MD | 21223 | 463055312 | Low Income Housing | MD | NA | N/A | |
| Southeastern Health PartnersLLC | |||||||||
| One St Francis Drive | Greenville | SC | 29601 | 813264385 | Coordinated Care | SC | NA | N/A | |
| Harbour View MOB 2 LLC | |||||||||
| 5818 Harbour View Blvd Suite A1 | Suffolk | VA | 23435 | 822484997 | Real Estate | VA | NA | N/A | |
| Bon Secours Diagnostic Imaging LLC | |||||||||
| 10 S Academy Street Suite 300 | Greenville | SC | 29601 | Outpatient Imaging Centers | SC | NA | N/A | ||
| Memorial Ambulatory Surgery Center LLC | |||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 593813233 | Ambulatory Surgery Center | VA | NA | N/A | |
| Community Mercy Home Care Services of Springfield LLC | |||||||||
| 1700 Edison Drive | Milford | OH | 45150 | 311746556 | Home Care | OH | NA | N/A | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (37 entries)
| EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|
| MERCY HEALTH INSURANCE COMPANY (SPC) LTD | ||||||||||
| 980621978 | SELF-INSURANCE | CJ | NA | C Corporation | false | |||||
| NORTHPARKE MEDICAL COMMONS CONDO ASSN | ||||||||||
| 311391230 | REAL PROPERTY MGMNT | NA | C Corporation | false | 333 N LIMESTONE ST | SPRINGFIELD | OH | 45503 | OH | |
| NORTHSIDE CORPORATION | ||||||||||
| 341318438 | RESIDENT RENTALS | NA | C Corporation | false | 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | OH | |
| MERCY HEALTH SYSTEM PHO INC | ||||||||||
| 341778321 | MEDICAL SERVICES | NA | C Corporation | false | 2200 JEFFERSON AVENUE | TOLEDO | OH | 43604 | OH | |
| MCAULEY MANAGEMENT SERVICES INC | ||||||||||
| 341379037 | PROPERTY RENTAL | NA | C Corporation | false | 730 W MARKET STREET | LIMA | OH | 45801 | OH | |
| LIMA MEDICAL SUPPLIES INC | ||||||||||
| 340944477 | MEDICAL EQUIPMENT | NA | C Corporation | false | 730 W MARKET STREET | LIMA | OH | 45801 | OH | |
| COMMUNITY HEALTH PARTNERS ENTERPRISES INC | ||||||||||
| 341455525 | HOLDING COMPANY | NA | C Corporation | false | 3700 KOLBE ROAD | LORAIN | OH | 44053 | OH | |
| MERCY HEALTH VENTURES INC | ||||||||||
| 311185477 | DIVERSIFIED ACTIVITIES | NA | C Corporation | false | 1701 Mercy Health Place | CINCINNATI | OH | 45237 | OH | |
| MERCY FRANCISCAN AT WINTON WOODS I INC | ||||||||||
| 311658668 | LOW-INCOME HOUSING | NA | C Corporation | false | 10290 MILL ROAD | CINCINNATI | OH | 45231 | OH | |
| RALPH EWE TRUST | ||||||||||
| 346866422 | BENEFICIAL TRUST | NA | Trust | false | 270 PARK AVENUE | NEW YORK | NY | 10017 | NY | |
| ELIZABETH HINES CATES TRUST | ||||||||||
| 346515678 | BENEFICIAL TRUST | NA | Trust | false | PNC 1900 E 9TH ST | CLEVELAND | OH | 44114 | OH | |
| WILLIS PARK TRUST | ||||||||||
| 346519904 | BENEFICIAL TRUST | NA | Trust | false | PNC 1900 E 9TH ST | CLEVELAND | OH | 44114 | OH | |
| ERMA GIBSON BALDWIN TRUST | ||||||||||
| 346515566 | BENEFICIAL TRUST | NA | Trust | false | PNC 1900 E 9TH ST | CLEVELAND | OH | 44114 | OH | |
| HEALTHSPAN INC | ||||||||||
| 311431434 | INSURANCE | NA | C Corporation | false | 225 PICTORIA DR | CINCINNATI | OH | 45246 | OH | |
| HEALTHSPAN SOLUTIONS INC | ||||||||||
| 300810766 | CONSULTING | NA | C Corporation | false | 1701 Mercy Health Place | CINCINNATI | OH | 45237 | OH | |
| HEALTHCARE SERVICES AND SUPPORT | ||||||||||
| 812388652 | HEALTHCARE SERVICES | NA | C Corporation | false | 1701 Mercy Health Place | CINCINNATI | OH | 45237 | OH | |
| Bon Secours Assurance Company Ltd | ||||||||||
| 980152147 | SELF-INSURANCE | CJ | NA | C Corporation | false | |||||
| Bon Secours-Florida Integrated Services Inc | ||||||||||
| 650779777 | Holding Company/Assisted Living | NA | C Corporation | false | 10300 Fourth Street North | St Petersburg | FL | 33716 | FL | |
| Unity Housing Inc | ||||||||||
| 521952507 | Low Income Housing | NA | C Corporation | false | 26 North Fulton Avenue | Baltimore | MD | 21223 | MD | |
| Bon Secours Wayland LLC | ||||||||||
| 270468561 | Low Income Housing | NA | C Corporation | false | 26 North Fulton Avenue | Baltimore | MD | 21223 | MD | |
| Professional Health Care Management Services Inc | ||||||||||
| 541241031 | Administrative | NA | C Corporation | false | 150 Kingsley Lane | Norfolk | VA | 23505 | VA | |
| OSF Inc | ||||||||||
| 541369919 | Rental | NA | C Corporation | false | 2 Bernadine Drive | Newport News | VA | 23602 | VA | |
| Bon Secours Tidewater Diversified Inc | ||||||||||
| 541431826 | Pharmacy | NA | C Corporation | false | 160 Kingsley Lane | Norfolk | VA | 23505 | VA | |
| Chesterfield Community Healthcare Center Inc | ||||||||||
| 541812738 | Ambulatory Healthcare Services | NA | C Corporation | false | 8580 Magellan Parkway | Richmond | VA | 23227 | VA | |
| Ironbridge Assisted Living Retirement Community LC | ||||||||||
| 541807857 | Ambulatory Healthcare Services | NA | C Corporation | false | 5801 Bremo Road | Richmond | VA | 23226 | VA | |
| Bon Secours-Virginia Healthsource Inc | ||||||||||
| 541417686 | Ambulatory Healthcare Services | NA | C Corporation | false | 8580 Magellan Parkway | Richmond | VA | 23227 | VA | |
| RHS Management Corp | ||||||||||
| 541313425 | Independent Living Facility | NA | C Corporation | false | 8580 Magellan Parkway | Richmond | VA | 23227 | VA | |
| Bon Secours New York Housing Development Fund Corporation | ||||||||||
| 472224316 | Low Income Housing | NA | C Corporation | false | 2975 Independence Avenue | Bronx | NY | 10463 | NY | |
| Richmond MRI Inc | ||||||||||
| 541568452 | Medical Services | NA | C Corporation | false | 8580 Magellan Parkway | Richmond | VA | 23227 | VA | |
| Good Help Connections LLC | ||||||||||
| 472345223 | IT Consulting | NA | C Corporation | false | 8990 Old Annapolis Road | Columbia | MD | 21045 | MD | |
| Bon Secours New Shiloh II LLC | ||||||||||
| 820631206 | Low Income Housing | NA | C Corporation | false | 26 North Fulton Avenue | Baltimore | MD | 21223 | MD | |
| Maryview Building Corporation | ||||||||||
| 541306612 | Administrative | NA | C Corporation | false | 3636 High Street | Portsmouth | VA | 23707 | VA | |
| Richmond Radiation Oncology Center Inc | ||||||||||
| 541570244 | Ambulatory Healthcare Services | NA | C Corporation | false | 8580 Magellan Parkway | Richmond | VA | 23227 | VA | |
| Optimum Health Network Inc | ||||||||||
| 570973524 | Healthcare Services | NA | C Corporation | false | One St Francis Drive | Greenville | SC | 29601 | SC | |
| Barringtons Hospital Limited | ||||||||||
| Healthcare Services | EI | NA | C Corporation | false | ||||||
| BMC Properties Limited | ||||||||||
| REAL PROPERTY MGMNT | EI | NA | C Corporation | false | ||||||
| Post Office Plaza Owners Association Inc | ||||||||||
| REAL PROPERTY MGMNT | NA | C Corporation | false | 1807 N Boulevard | Anderson | SC | 29621 | SC | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |