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Chesapeake Medical Group Inc: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
Chesapeake Medical Group Inc (EIN 54-1857174)
Tax period
2019-09-01 to 2019-12-31
Filed
2020-11-09
IRS object ID
202023149349303472
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-09T15:01:17-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2019-09-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN541857174EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Chesapeake Medical Group IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHESBusinessNameControlTxt
Phone8044358661PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 Harris RoadAddressLine1Txt
CityKilmarnockCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22482ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWilliam KusnierzPersonNm
Person TitleCFO - Richmond MarketPersonTitleTxt
Signature2020-11-09SignatureDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Final ReturnYes (X)FinalReturnInd

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Sr Anne Marie MackBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15801 BREMO ROADAddressLine1Txt
CityRICHMONDCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23226ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$374,225GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BONSECOURS.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionNOT-FOR-PROFIT PRIMARY MEDICAL CARE SERVICES.ActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee22TotalEmployeeCnt
Total Volunteers16TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$8,500PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$1,165,683PYProgramServiceRevenueAmt
CY Program Service Revenue$371,703CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$18,107PYOtherRevenueAmt
CY Other Revenue$2,522CYOtherRevenueAmt
PY Total Revenue$1,192,290PYTotalRevenueAmt
CY Total Revenue$374,225CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,074,437PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$755,908CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$859,974PYOtherExpensesAmt
CY Other Expenses$301,647CYOtherExpensesAmt
PY Total Expenses$2,934,411PYTotalExpensesAmt
CY Total Expenses$1,057,555CYTotalExpensesAmt
PY Revenues Less Expenses-$1,742,121PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$683,330CYRevenuesLessExpensesAmt
Total Assets BOY$1,985,039TotalAssetsBOYAmt
Total Assets EOY$0TotalAssetsEOYAmt
Total Liabilities BOY$13,040,884TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$11,055,845NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$0NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF CHESAPEAKE MEDICAL GROUP, INC. (CMG) IS TO PROVIDE QUALITY, COMPASSIONATE, COST EFFECTIVE PRIMARY MEDICAL CARE SERVICES TO THE COMMUNITY AS A WHOLE IN A DEFINED GEOGRAPHIC AREA OF THE NORTHERN NECK AND MIDDLE PENINSULA OF VIRGINIA. THE COMPANY WILL PURSUE ITS MISSION THROUGH THE DEVELOPMENT AND MANAGEMENT OF ONE GROUP MEDICAL PRACTICE OPERATING AT MULTIPLE LOCATIONS WHICH ARE REASONABLY EQUIPPED AND EFFICIENTLY STAFFED BY COMPETENT CLINICAL AND ADMINISTRATIVE INDIVIDUALS. THE CORPORATION IS COMMITTED TO PROVIDING MEDICAL SERVICES WITHOUT REGARD TO THE PATIENTS' RACE, COLOR, CREED, NATIONAL ORIGIN, RELIGION OR DISABILITY AND WILL PROVIDE PRIMARY MEDICAL CARE TO ANY INDIVIDUAL WITH AN ACUTE INJURY OR ILLNESS WITHOUT REGARD TO THEIR ABILITY TO PAY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$866,875ExpenseAmt
Grant$0GrantAmt
Revenue$371,703RevenueAmt
DescDuring the fiscal year, Chesapeake Medical Group employed physicians and nurse practitioners who provided either family practice, pediatric or Surgical medical care. Chesapeake Medical Group policy is to provide care to any patient regardless of their ability to pay and accepts both current and new patients regardless of available insurance coverage.Desc
Total Program Service Expenses$866,875TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsYes (true)TerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee22EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TRAVIS CRUMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5139525000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11701 MERCY HEALTH PLACEAddressLine1Txt
CityCINCINNATICityNm
State AbbreviationOHStateAbbreviationCd
ZIP45237ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Brian White
Interim CEO - Richmond (End 12/19)1.049.0Yes (X)Yes (X)$0$710,569$325,778
Faraaz Yousuf
President/CEO - Richmond (Beg 12/19)2.048.0Yes (X)Yes (X)$0$246,696$34,479
Jane Watkins
Chairman2.00.0Yes (X)Yes (X)$0$0$0
Sr Anne Marie MACK CBS
President3.546.5Yes (X)Yes (X)$0$0$0
Birdie Jamison
Board Member2.00.0Yes (X)$0$0$0
BK FULTON
Board Member (End 12/19)2.00.0Yes (X)$0$0$0
Chandrashekar Challa
Board Member2.00.0Yes (X)$0$0$0
CHRIS HAIRSTON-WHITE
Board Member2.00.0Yes (X)$0$0$0
Elizabeth CROWTHER
Board Member2.00.0Yes (X)$0$0$0
JEFFREY BROWN MD
Board Member2.00.0Yes (X)$0$0$0
John Daniel III MD
Board Member2.00.0Yes (X)$0$0$0
Joyce Lanier
Board Member2.00.0Yes (X)$0$0$0
Linda Rigsby
Board Member2.00.5Yes (X)$0$0$0
Matthew Illian
Board Member2.00.0Yes (X)$0$0$0
Pamela Royal MD
Board Member2.00.0Yes (X)$0$0$0
ROSALYN HOBSON HARGRAVES MD
Board Member2.00.0Yes (X)$0$0$0
SHANNON Sinclair
Board Member2.00.0Yes (X)$0$0$0
Sr VICTORIA SEGURA MD CBS
Board Member2.048.0Yes (X)$0$0$0
STUART BUNTING
Board Member2.00.0Yes (X)$0$0$0
Rhodes Ritenour
Secretary2.048.0Yes (X)$0$241,551$42,824
Stephan Quiriconi
Treasurer, CFO - Richmond Market0.549.5Yes (X)$0$457,872$56,100
Paul Junod
VP HR - Richmond1.049.0$0$184,373$54,309Yes (X)
Brenden Kootsey MD
Pediatrician50.00$197,951$0$34,590Yes (X)
Darlene Stibal
Surgeon50.00.0$340,249$0$25,744Yes (X)
Mahmoud Jawhar MD
General Surgeon50.00$400,154$0$30,142Yes (X)
Rebecca Wright NP
Pediatric Nurse Practitioner50.00$109,620$0$14,823Yes (X)
Ann Gumina
Former VP Patient Care Services0.00.0$0$107,646$5,640Yes (X)
James Godwin
Former SVP HR - Richmond0.050.0$0$342,880$25,629Yes (X)
Toni Ardabell
Former CEO-BSV0.050.0$0$593,293$16,800Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,047,974TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,884,880TotReportableCompRltdOrgAmt
Total Other Compensation$666,858TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CONNEMARA CORPBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line118700 Mary Ball RdAddressLine1Txt
CityWhite StoneCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22578ZIPCd
FieldValueIRS element (for citing)
ServicesConstruction ServicesServicesDesc
Compensation$367,048CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVDesc
Business621110BusinessCd
Total Revenue Column$371,703TotalRevenueColumnAmt
Related Or Exempt Func Income$371,703RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$371,703TotalProgramServiceRevenueAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescQualitative Incentive PaymentsDesc
Business900099BusinessCd
Total Revenue Column$2,522TotalRevenueColumnAmt
Exclusion$2,522ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,522OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$374,225TotalRevenueColumnAmt
Related Or Exempt Func Income$371,703RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,522ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$605,372TotalAmt
Program Services$544,835ProgramServicesAmt
Management And General$60,537ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$19,181TotalAmt
Program Services$17,263ProgramServicesAmt
Management And General$1,918ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$104,086TotalAmt
Program Services$93,677ProgramServicesAmt
Management And General$10,409ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$27,269TotalAmt
Program Services$24,542ProgramServicesAmt
Management And General$2,727ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$136,022TotalAmt
Program Services$29,264ProgramServicesAmt
Management And General$106,758ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$20,962TotalAmt
Program Services$18,866ProgramServicesAmt
Management And General$2,096ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,920TotalAmt
Program Services$1,728ProgramServicesAmt
Management And General$192ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$30,008TotalAmt
Program Services$27,007ProgramServicesAmt
Management And General$3,001ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,532TotalAmt
Program Services$1,379ProgramServicesAmt
Management And General$153ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$170TotalAmt
Program Services$153ProgramServicesAmt
Management And General$17ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$17,603TotalAmt
Program Services$17,603ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,620TotalAmt
Program Services$14,058ProgramServicesAmt
Management And General$1,562ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,810TotalAmt
Program Services$6,129ProgramServicesAmt
Management And General$681ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PHARMACY SUPPLIES$44,750$44,750
MEDICAL SUPPLIES$10,027$10,027
BAD DEBT$9,945$9,945
BANK FEES$5,942$5,348$594

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$336TotalAmt
Program Services$301ProgramServicesAmt
Management And General$35ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,057,555TotalAmt
Program Services$866,875ProgramServicesAmt
Management And General$190,680ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$450BOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$26,046BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$213,037BOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$18,394BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$16,667BOYAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$435,206BOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,275,239BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,985,039BOYAmt
EOY$0EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$62,578BOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,978,306BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,040,884BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$11,055,845BOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$11,055,845BOYAmt
EOY$0EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,985,039BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$683,330ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$11,739,175OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$53,776CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$40,324CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,812CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,500CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$115,412TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,143,839CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,902,864CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,710,175CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,165,683CurrentTaxYearMinus1YearAmt
Current Tax Year$371,703CurrentTaxYearAmt
Total$16,294,264TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,197,615CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,943,188CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,722,987CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,174,183CurrentTaxYearMinus1YearAmt
Current Tax Year$371,703CurrentTaxYearAmt
Total$16,409,676TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$16,409,676PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$105,566CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$246,148CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,337CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,107CurrentTaxYearMinus1YearAmt
Current Tax Year$2,522CurrentTaxYearAmt
Total$386,680TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,303,181CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,189,336CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,737,324CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,192,290CurrentTaxYearMinus1YearAmt
Current Tax Year$374,225CurrentTaxYearAmt
Total$16,796,356TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.9770PublicSupportCY509Pct
Public Support PY5090.7474PublicSupportPY509Pct
Investment Income CY0InvestmentIncomeCYPct
Investment Income PY0.0000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part III, Line 12 Other IncomeFormAndLineReferenceDesc
ExplanationDESCRIPTION - BILLING SERVICES TO RELATED ENTITIES, COLUMN A - 75810.0, COLUMN B - 5683.0, COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 81493.0; DESCRIPTION - FORGIVENESS OF INTERCOMPANY DEBT, COLUMN A - , COLUMN B - 207030.0, COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 207030.0; DESCRIPTION - MEDICAL DIRECTOR FEES, COLUMN A - 26496.0, COLUMN B - 24288.0, COLUMN C - 2208.0, COLUMN D - , COLUMN E - , COLUMN F - 52992.0; DESCRIPTION - PURCHSE DISCOUNTS, COLUMN A - 3260.0, COLUMN B - 6022.0, COLUMN C - 136.0, COLUMN D - 12326.0, COLUMN E - , COLUMN F - 21744.0; DESCRIPTION - OTHER REVENUE, COLUMN A - , COLUMN B - 3125.0, COLUMN C - 11993.0, COLUMN D - , COLUMN E - , COLUMN F - 15118.0; DESCRIPTION - QUALITATIVE INCENTIVE PAYMENTS, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - 5776.0, COLUMN E - 2522.0, COLUMN F - 8298.0; DESCRIPTION - CARE COORDINATION, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - 5.0, COLUMN E - , COLUMN F - 5.0;ExplanationTxt

Schedule D IRS990ScheduleD

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc
DUE TO AFFILIATES
CAPITAL LEASES
HPL/GL LIABILITY
PATIENT CREDIT BALANCES
FieldValueIRS element (for citing)
Total Liability$0TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationSchedule 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 J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp 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
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
Ann Gumina
Former VP Patient Care Services$0$98,795$0$8,323$0$528$0$5,363$0$277$0$113,286$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
Darlene Stibal
Surgeon$337,201$0$0$0$3,048$0$14,000$0$11,744$0$365,993$0$0$0
Brenden Kootsey MD
Pediatrician$180,277$0$17,122$0$552$0$4,760$0$29,830$0$232,541$0$0$0
Mahmoud Jawhar MD
General Surgeon$367,232$0$25,000$0$7,922$0$1,691$0$28,451$0$430,296$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 4b Terms and conditions of the Bon Secours Mercy Health System SERPThe 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; James Godwin, $28,001; Stephan Quiriconi, $0.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationBon Secours Mercy Health, Inc., a related organization of the filing organization, uses the following to establish the compensation of the organization's CEO/Executive Director: Compensation Committee Independent Compensation Consultant Written Employment Contract Compensation Survey or Study Approval by the Board or Compensation Committee
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planThe 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.
Schedule J, Part I, Line 7 Non-fixed paymentsThe 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

FieldValueIRS element (for citing)
Assets Distri Or Expnss PaidCHESAPEAKE MEDICAL GROUP, INC. 2019 NET ASSETSAssetsDistriOrExpnssPaidDesc
Distribution2020-01-01DistributionDt
Fair Market Value Of Asset-$11,739,175FairMarketValueOfAssetAmt
Method Of FMV DeterminationGAAPMethodOfFMVDeterminationTxt
EIN463521617EIN
PersonBSMH Medical Group LLCPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line18580 Megallan Parkway Building IVAddressLine1Txt
CityKILMARNOCKCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23227ZIPCd
FieldValueIRS element (for citing)
IRC Section501(C)(3)IRCSectionTxt
FieldValueIRS element (for citing)
Director Of SuccessorYes (true)DirectorOfSuccessorInd
Employee Of SuccessorYes (true)EmployeeOfSuccessorInd
Owner Of SuccessorfalseOwnerOfSuccessorInd
Receive CompensationfalseReceiveCompensationInd
Assets DistributedYes (true)AssetsDistributedInd
Required To Notify AGYes (true)RequiredToNotifyAGInd
Attorney General NotifiedYes (true)AttorneyGeneralNotifiedInd
Liabilities PaidYes (true)LiabilitiesPaidInd
Bonds OutstandingfalseBondsOutstandingInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 MEDICAL GROUP, INC 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 OFFICERS AND KEY EMPLOYEES OF CHESAPEAKE MEDICAL GROUP, INC REMAINED AS REPORTED AFTER CONVERTING TO AN LLC.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 4 Significant changes to organizational documentsChesapeake Medical Group, Inc. adopted a Plan of Conversion on December 9, 2019 which was filed and approved by the state to convert to a Virginia Limited Liability Company to be effective January 1, 2020. The name of the converted entity will be Chesapeake Medical Group LLC and its sole member as of January 1, 2020 is Bon Secours Mercy Health Medical Group LLC.
Form 990, Part VI, Line 6 Classes of members or stockholdersBon 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 bodyThe governing body of the filing organization is appointed by it's 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 stockholdersCertain authorities of the filing organization are reserved to its member or to Bon Secours Mercy Health, Inc.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyThe Form 990 is prepared by BSMH's tax department and reviewed by management.
Form 990, Part VI, Line 12c Conflict of interest policyBSMH 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 employeesThe 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 publicThe conflict of interest policy and financial statements are posted on the BSMH website.
Form 990, Part VII, Section A ADDITIONAL DISCLOSUREThe governing bodies of the following entities were 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 and Sr. Victoria Segura do not receive payroll distributions as they have taken vows of poverty.
Form 990, Part IX, Line 11g Other FeesMAINTENANCE AND SERVICE AGREEMENTS - Total Expense: 8760, Program Service Expense: 7884, Management and General Expenses: 876, Fundraising Expenses: ; OTHER PURCHASED SERVICES - Total Expense: 1274, Program Service Expense: 1147, Management and General Expenses: 127, Fundraising Expenses: ; BILLINGS AND COLLECTIONS - Total Expense: 22481, Program Service Expense: 20233, Management and General Expenses: 2248, Fundraising Expenses: ; BSMH Management Fees - Total Expense: 103507, Program Service Expense: , Management and General Expenses: 103507, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesTRANSFER OF ASSETS FROM RICHMOND HEALTH SYSTEM - 11739175;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (74 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndBusiness Name Line2DisregardedEntityName/BusinessNameLine2TxtBusiness Name Line2DirectControllingEntityName/BusinessNameLine2TxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
MERCY HEALTH
1701 Mercy Health PlaceCINCINNATIOH45237311161086HEALTHCARE SYSTEM PARENTOH501(c)(3)3Bon Secours Mercy Health Incfalse
BON SECOURS MERCY HEALTH FOUNDATION
1701 Mercy Health PlaceCINCINNATIOH45237201072726FUNDRAISINGOH501(c)(3)7MERCY HEALTHfalse
MERCY HEALTH RETIREMENT TRUST
1701 Mercy Health PlaceCINCINNATIOH45237316046304RETIREMENT TRUSTOH501(c)(3)7MERCY HEALTHfalse
COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS
3700 KOLBE ROADLORAINOH44053341268828MEDICAL OFFICE RENTALOH501(c)(3)10MERCY HEALTH - REGIONAL MEDICAL CENTER LLCfalse
ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING
200 WEST LORAIN STOBERLINOH44074364504991MEDICAL OFFICE RENTALOH501(c)(3)10MERCY HEALTH - ALLEN HOSPITAL LLCfalse
MERCY FRANCISCAN SENIOR HEALTH AND HOUSING SERVICES INC
7010 ROWAN HILLS DRCINCINNATIOH45227311308729RETIREMENT HOMEOH501(c)(3)10MERCY HEALTH CINCINNATI LLCfalse
MERCY FRANCISCAN SOCIAL MINISTRIES INC
1800 LOGAN STREETCINCINNATIOH45210311222942LOW INCOME HOUSINGOH501(c)(3)7MERCY HEALTH CINCINNATI LLCfalse
COMMUNITY MERCY HEALTH SYSTEM
100 Medical Center DriveSPRINGFIELDOH45504300272454MARKET PARENTOH501(c)(3)Type III-FIMERCY HEALTHfalse
COMMUNITY MERCY HEALTH PARTNERS
100 Medical Center DriveSPRINGFIELDOH45504310785684HOSPITALOH501(c)(3)3COMMUNITY MERCY HEALTH SYSTEMfalse
C H HEALTH SERVICES COMPANY
100 Medical Center DriveSPRINGFIELDOH45504311181984HOSPITALOH501(c)(3)3COMMUNITY MERCY HEALTH SYSTEMfalse
THE WALLACE S MURRAY AND FRANCES RABBITTS MURRAY MEMORIAL TRUST
100 Medical Center DriveSPRINGFIELDOH45504346827136INDIGENT MEDICAL CAREOH501(c)(3)Type INAfalse
MERCY PROPERTY HOLDINGS
2200 JEFFERSON AVENUETOLEDOOH43604300699825TITLE HOLDING COMPANYOH501(c)(2)MERCY HEALTH NORTH LLCfalse
MERCY COLLEGE OF OHIO
2221 MADISON AVENUETOLEDOOH43604341726619MEDICAL COLLEGEOH501(c)(3)2MERCY HEALTH NORTH LLCfalse
SIMON OUTREACH SERVICES
2600 NAVARRE AVENUEOREGONOH43616341383325MEDICAL OFFICE RENTALOH501(c)(3)10MERCY HEALTH - ST CHARLES HOSPITAL LLCfalse
NEW VISION MEDICAL LABORATORIES INC
750 W HIGH ST STE 400LIMAOH45801341937267MEDICAL LAB SERVICESOH501(c)(3)3ST RITA'S MEDICAL CENTER LLCfalse
THE ASSUMPTION VILLAGE
9800 N MARKET STREETNORTH LIMAOH44452341013695NURSING HOMEOH501(c)(3)10MERCY HEALTH YOUNGSTOWN LLCfalse
HOSPICE OF THE VALLEY
5190 MARKET STREETYOUNGSTOWNOH44512341288745HOSPICE SERVICESOH501(c)(3)10MERCY HEALTH YOUNGSTOWN LLCfalse
HUMILITY HOUSE
755 OHLTOWN ROADAUSTINTOWNOH44515341894783NURSING HOMEOH501(c)(3)10MERCY HEALTH YOUNGSTOWN LLCfalse
ST JOSEPH HEALTH CENTER AUXILIARY
677 EASTLAND SEWARRENOH44484346556121FUNDRAISINGOH501(c)(3)10MERCY HEALTH YOUNGSTOWN LLCfalse
LOURDES HOSPITAL AUXILIARY GIFT SHOP
1530 LONE OAK ROADPADUCAHKY42003610927805FUNDRAISINGKY501(c)(3)10MERCY HEALTH FOUNDATIONfalse
HEALTHSPAN PARTNERS
1701 Mercy Health PlaceCINCINNATIOH45237463055925MARKET PARENTOH501(c)(3)Type IIMERCY HEALTHfalse
HEALTHSPAN INTEGRATED CARE
1701 Mercy Health PlaceCIncinnatiOH45237340922268HMOOH501(c)(3)10HEALTHSPAN PARTNERSfalse
Bon Secours Mercy Health Inc
1701 Mercy Health PlaceCINCINNATIOH45237521301088HEALTHCARE SYSTEM PARENTMD501(c)(3)NAfalse
Bon Secours New York Health System Inc
2975 Independence AvenueBronxNY10463912135196Local System Parent Org.NY501(c)(3)Type IBon Secours Mercy Health Incfalse
Bon Secours Kentucky Health System Inc
St Christopher DrAshlandKY41101611356024Local System Parent Org.KY501(c)(3)Type III-FIBon Secours Mercy Health Incfalse
Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health
2000 West Baltimore StreetBaltimoreMD21223800728893Local System Parent Org.MD501(c)(3)Type III-FIBon Secours Mercy Health IncfalseS
Bon Secours St Francis Health System Inc
1 St Francis DriveGreenvilleSC29601582504528Local System Parent Org.SC501(c)(3)Type III-FIBon Secours Mercy Health Incfalse
Bon Secours Hampton Roads Health System
7007 Harbour View BlvdPortsmouthVA23435521538513Local System Parent Org.VA501(c)(3)Type III-FIBon Secours Mercy Health Incfalse
Bon Secours Richmond Health System
8580 Magellan ParkwayRichmondVA23227521988421Local System Parent Org.VA501(c)(3)Type III-FIBon Secours Mercy Health Incfalse
Bon Secours Baltimore Health System Foundation Inc
26 North Fulton AvenueBaltimoreMD21223383843816Grant Making FoundationMD501(c)(3)Type III-FIBon Secours Baltimore Health Corporation (dba Bon Secours Baltimore HealthfalseS
The Bon Secours of Maryland Foundation Inc (dba Bon Secours Community Work
26 North Fulton AvenueBaltimoreMD21223521732800Grant Making FoundationMD501(c)(3)Type III-FIBon Secours Baltimore Health Corporation (dba Bon Secours Baltimore HealthfalseS
Mary Immaculate Foundation
7007 Harbour View BlvdSuffolkVA23435311644734FundraisingVA501(c)(3)Type III-FIMary Immaculate Hospitalfalse
Bon Secours DePaul Health Foundation
7007 Harbour View BlvdSuffolkVA23435541843876FundraisingVA501(c)(3)7Bon Secours DePaul Medical Centerfalse
Bon Secours Maryview Foundation
7007 Harbour View BlvdSuffolkVA23435521694731FundraisingVA501(c)(3)7Bon Secours Hampton Roads Health Systemfalse
Our Lady of Bellefonte Hospital Inc
1000 St Christopher DrAshlandKY41101611356023Health CareKY501(c)(3)3Bon Secours Kentucky Health Systemfalse
Bon Secours Hospital Baltimore Inc
2000 West Baltimore StreetBaltimoreMD21223520591555Health CareMD501(c)(3)3Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore HealthfalseS
St Francis Hospital Inc
One St Francis DriveGreenvilleSC29601582504530Health CareSC501(c)(3)3Bon Secours St Francis Health System Incfalse
Mary Immaculate Hospital Inc
7007 Harbour View BlvdSuffolkVA23435540548200Health CareVA501(c)(3)3Bon Secours Mercy Health Incfalse
Bon Secours - DePaul Medical Center Inc
7007 Harbour View BlvdSuffolkVA23435541820093Health CareVA501(c)(3)3Bon Secours Hampton Roads Health Systemfalse
Maryview Hospital
7007 Harbour View BlvdPortsmouthVA23707540506463Health CareVA501(c)(3)3Bon Secours Hampton Roads Health Systemfalse
Bon Secours - Memorial Regional Medical Center Inc
8580 Magellan ParkwayRichmondVA23227541744931Health CareVA501(c)(3)3Bon Secours Richmond Health Systemfalse
Bon Secours - St Mary's Hospital of Richmond Inc
8580 Magellan ParkwayRichmondVA23227540793767Health CareVA501(c)(3)3Bon Secours Richmond Health Systemfalse
Bon Secours - Richmond Community Hospital
8580 Magellan ParkwayRichmondVA23227540647482Health CareVA501(c)(3)3Bon Secours Richmond Health Systemfalse
Bon Secours - St Francis Medical Center Inc
8580 Magellan ParkwayRichmondVA23227311716973Health CareVA501(c)(3)3Bon Secours Richmond Health Systemfalse
Bon Secours Kentucky Health System Foundation Inc
St Christopher DrAshlandKY41101611381952Grant Making FoundationKY501(c)(3)7Bon Secours Kentucky Health Systemfalse
Bon Secours Baltimore Development Inc
26 North Fulton AvenueBaltimoreMD21223760785344Community HousingMD501(c)(3)7Unity Properties Incfalse
Unity Properties Inc
26 North Fulton AvenueBaltimoreMD21223521857768Low Income HousingMD501(c)(3)7Bon Secours of Maryland Foundationfalse
Bon Secours - St Francis Health System Foundation Inc
One St Francis DriveGreenvilleSC29601260012031Grant Making FoundationSC501(c)(3)7St Francis Hospital Incfalse
Bon Secours Richmond Health Care Foundation
8580 Magellan ParkwayRichmondVA23227541201346Grant Making FoundationVA501(c)(3)7Bon Secours Richmond LLCfalse
Bon Secours St Petersburg Home Care Services Inc
10300 Fourth Street NorthSt PetersburgFL33716134334363Home Care ServicesFL501(c)(3)10Maria Manor Nursing Care Centerfalse
Bon Secours - Maria Manor Nursing Care Center Inc
10300 Fourth Street NorthSt PetersburgFL33716650061820Nursing HomeFL501(c)(3)10Bon Secours Mercy Health Incfalse
Bellefonte Physician Services Inc
St Christopher DrAshlandKY41101352320780Physician PracticesKY501(c)(3)10Bon Secours Kentucky Health Systemfalse
Bon Secours Housing Inc
26 North Fulton AvenueBaltimoreMD21223521442707Low Income HousingMD501(c)(3)10Bon Secours of Maryland Foundationfalse
Bon Secours Housing II Inc
26 North Fulton AvenueBaltimoreMD21223521543174Low Income HousingMD501(c)(3)10Bon Secours of Maryland Foundationfalse
St Francis Physician Services Inc
One St Francis DriveGreenvilleSC29601134290167Physician ServicesSC501(c)(3)10St Francis Health System Incfalse
Mary Immaculate Nursing Center Inc
7007 Harbour View BlvdSuffolkVA23435541516476Nursing Care CenterVA501(c)(3)10Mary Immaculate Hospitalfalse
Bon Secours - Maryview Nursing Care Center
7007 Harbour View BlvdSuffolkVA23435521578169Nursing Care CenterVA501(c)(3)10Bon Secours Hampton Roads Health Systemfalse
Bayley Properties
7007 Harbour View BlvdSuffolkVA23435541424748Title Holding CompanyVA501(c)(2)Bon Secours DePaul Medical Centerfalse
Laburnum Properties
8580 Magellan ParkwayRichmondVA23227521260700Title Holding CompanyVA501(c)(2)Bon Secours Richmond Health Systemfalse
Bon Secours Health System Foundation Inc
8990 Old Annapolis RoadColumbiaMD21045474765376FundraisingMD501(c)(3)7Bon Secours Mercy Health Incfalse
IVNA Health Services
5008 Monument AvenueRichmondVA23230541479847Home Care ServicesVA501(c)(3)10Bon Secours Home Care LLCfalse
Rappahannock General Hospital Foundation
101 Harris RoadKilmarnockVA22482541210450Supporting OrganizationVA501(c)(3)7Bon Secours Richmond Health Systemfalse
Chesapeake Medical Group
101 Harris RoadKilmarnockVA22482541857174Healthcare ServicesVA501(c)(3)10Bon Secours Richmond Health Systemfalse
Chesapeake Hospital Corporation
101 Harris RoadKilmarnockVA22482237424835Health CareVA501(c)(3)3Bon Secours Richmond Health Systemfalse
Bon Secours New Jersey Health System Inc
1505 Marriottsville RoadMarriottsvilleMD27104222754781Local System Parent Org.NJ501(c)(3)Type III-FIBon Secours Mercy Health Incfalse
St Mary Hospital Inc
308 WillowHobokenNJ07030221487324Health CareNJ501(c)(3)3Bon Secours New Jersey Health System Incfalse
Mercy Health Services
1505 Marriottsville RoadMarriottsvilleMD27104251585441Local System Parent Org.PA501(c)(3)Type III-FIBon Secours Mercy Health Incfalse
Pennsylvania Health Choice Plan
1505 Marriottsville RoadMarriottsvilleMD27104Health CarePA501(c)(3)10Mercy Health Servicesfalse
Liberty Medical Center
1505 Marriottsville RoadMarriottsvilleMD27104521466304Health CareMD501(c)(3)3Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore HealthfalseS
Bon Secours - Stuart Circle Hospital Inc
8580 Magellan ParkwayRichmondVA23227541740128Health CareVA501(c)(3)3Bon Secours Richmond Health Systemfalse
Bon Secours Ireland DAC
Local System Parent Org.501(c)(3)Type III-FIBon Secours Mercy Health IncfalseEI
Bon Secours Health System CLG
Hospital501(c)(3)3Bon Secours Ireland DACfalseEI
Our Money Place Inc
26 North Fulton AvenueBaltimoreMD21223562306119Financial services educationMD501(c)(3)10Bon Secours of Maryland Foundationfalse
Frances Schervier Home and Hospital
2975 Independence AvenueBronxNY10463131740397Long term nursing careNY501(c)(3)10Bon Secours NY Health Systemfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (33 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtAddress Line2USAddress/AddressLine2Txt
NWO Integrated Laboratories Mercy LLC
2200 Jefferson AvenueToledoOH43624341898285Laboratory servicesOHNAN/A
Tiffin Ambulatory Surgical Associates
45 St Lawrence DriveTiffinOH44833371567866Ambulatory Surgery CenterOHNAN/A
New Vision Medical Lab LLC
750 W High StreetLimaOH45801341913433Lab ServicesOHNAN/A
West Central Ohio Group Ltd
801 Medical DriveLimaOH45804341848147Orthopedic HospitalOHNAN/A
West Central Ohio Regional Healthcare Alliance Ltd
2615 Fort Amanda RoadLimaOH45805341817078Healthcare qualityOHNAN/A
Urologic Oncology of Mahoning Valley LLC
1044 Belmont AveYoungstownOH44501262989686Radiation TherapyOHNAN/A
Lourdes Ambulatory Surgery Center
225 Medical Center DrivePaducahKY42003205588350Surgery CenterKYNAN/A
Marshall County MRI LLC
615 Old Symsonia RoadBentonKY42025610601267MRI facilityKYNAN/A
PREMIUM SURGERY CENTER LLC
5217 Maryland WayBrentwoodTN37027200400753Surgery CenterTNNAN/ASUITE 200
MERCY HEALTH INNOVATIONS LLC
1701 MERCY HEALTH PLACECINCINNATIOH45237820639499BUSINESS DEVELOPMENTOHNAN/A
MERCY FRANCISCAN AT WINTON WOODS I LP
10290 Mill RoadCincinnatiOH45231311624311Rental Real EstateOHNAN/A
Bon Secours Place at St Petersburg LLP
10300 Fourth Street NorthSt PetersburgFL33716593589729Assisted Living/Senior CareFLNAN/A
Bon Secours Apartments LP
1800 West Baltimore StBaltimoreMD21223521952505Low Income HousingMDNAN/A
Bon Secours Apartments II LP
1800 West Baltimore StBaltimoreMD21223522063512Low Income HousingMDNAN/A
Liberty Senior Housing LP
1800 West Baltimore StBaltimoreMD21223522134447Low Income HousingMDNAN/A
Bon Secours Apartments III LP
1800 West Baltimore StBaltimoreMD21223522134444Low Income HousingMDNAN/A
Bon Secours Smallwood Summit LP
26 North Fulton AveBaltimoreMD21223522280175Low Income HousingMDNAN/A
Bon Secours Chesapeake Apartments LP
26 North Fulton AveBaltimoreMD21223200107034Low Income HousingMDNAN/A
Bon Secours Shiloh LP
26 North Fulton AveBaltimoreMD21223203965243Low Income HousingMDNAN/A
Bon Secours New Shiloh II Limited Partnership
26 North Fulton AveBaltimoreMD21223820655142Low Income HousingMDNAN/A
Bon Secours Wayland LP
26 North Fulton AveBaltimoreMD21223270468688Low Income HousingMDNAN/A
Bon Secours Gibbons Apartments LP
26 North Fulton AveBaltimoreMD21223472322323Low Income HousingMDNAN/A
Upstate Surgery Center LLC
One St Francis DriveGreenvilleSC29601562186977Ambulatory Surgery CenterSCNAN/A
Broad64 Imaging LLC
8580 Magellan ParkwayRichmondVA23227205886018Imaging ServicesVANAN/A
Richmond Radiation Oncology Center I LLC
8580 Magellan ParkwayRichmondVA23227208444551Radiation Oncology ServicesVANAN/A
RI LP
8580 Magellan ParkwayRichmondVA23227541708835Imaging ServicesVANAN/A
Bon Secours Benet House LP
26 North Fulton AveBaltimoreMD21223364765400Low Income HousingMDNAN/A
Bon Secours Benet House LLC
26 North Fulton AveBaltimoreMD21223463055312Low Income HousingMDNAN/A
Southeastern Health PartnersLLC
One St Francis DriveGreenvilleSC29601813264385Coordinated CareSCNAN/A
Harbour View MOB 2 LLC
5818 Harbour View Blvd Suite A1SuffolkVA23435822484997Real EstateVANAN/A
Bon Secours Diagnostic Imaging LLC
10 S Academy Street Suite 300GreenvilleSC29601Outpatient Imaging CentersSCNAN/A
Memorial Ambulatory Surgery Center LLC
8580 Magellan ParkwayRichmondVA23227593813233Ambulatory Surgery CenterVANAN/A
Community Mercy Home Care Services of Springfield LLC
1700 Edison DriveMilfordOH45150311746556Home CareOHNAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (37 entries)

EINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLegal Domicile StateLegalDomicileStateCd
MERCY HEALTH INSURANCE COMPANY (SPC) LTD
980621978SELF-INSURANCECJNAC Corporationfalse
NORTHPARKE MEDICAL COMMONS CONDO ASSN
311391230REAL PROPERTY MGMNTNAC Corporationfalse333 N LIMESTONE STSPRINGFIELDOH45503OH
NORTHSIDE CORPORATION
341318438RESIDENT RENTALSNAC Corporationfalse2200 JEFFERSON AVENUETOLEDOOH43604OH
MERCY HEALTH SYSTEM PHO INC
341778321MEDICAL SERVICESNAC Corporationfalse2200 JEFFERSON AVENUETOLEDOOH43604OH
MCAULEY MANAGEMENT SERVICES INC
341379037PROPERTY RENTALNAC Corporationfalse730 W MARKET STREETLIMAOH45801OH
LIMA MEDICAL SUPPLIES INC
340944477MEDICAL EQUIPMENTNAC Corporationfalse730 W MARKET STREETLIMAOH45801OH
COMMUNITY HEALTH PARTNERS ENTERPRISES INC
341455525HOLDING COMPANYNAC Corporationfalse3700 KOLBE ROADLORAINOH44053OH
MERCY HEALTH VENTURES INC
311185477DIVERSIFIED ACTIVITIESNAC Corporationfalse1701 Mercy Health PlaceCINCINNATIOH45237OH
MERCY FRANCISCAN AT WINTON WOODS I INC
311658668LOW-INCOME HOUSINGNAC Corporationfalse10290 MILL ROADCINCINNATIOH45231OH
RALPH EWE TRUST
346866422BENEFICIAL TRUSTNATrustfalse270 PARK AVENUENEW YORKNY10017NY
ELIZABETH HINES CATES TRUST
346515678BENEFICIAL TRUSTNATrustfalsePNC 1900 E 9TH STCLEVELANDOH44114OH
WILLIS PARK TRUST
346519904BENEFICIAL TRUSTNATrustfalsePNC 1900 E 9TH STCLEVELANDOH44114OH
ERMA GIBSON BALDWIN TRUST
346515566BENEFICIAL TRUSTNATrustfalsePNC 1900 E 9TH STCLEVELANDOH44114OH
HEALTHSPAN INC
311431434INSURANCENAC Corporationfalse225 PICTORIA DRCINCINNATIOH45246OH
HEALTHSPAN SOLUTIONS INC
300810766CONSULTINGNAC Corporationfalse1701 Mercy Health PlaceCINCINNATIOH45237OH
HEALTHCARE SERVICES AND SUPPORT
812388652HEALTHCARE SERVICESNAC Corporationfalse1701 Mercy Health PlaceCINCINNATIOH45237OH
Bon Secours Assurance Company Ltd
980152147SELF-INSURANCECJNAC Corporationfalse
Bon Secours-Florida Integrated Services Inc
650779777Holding Company/Assisted LivingNAC Corporationfalse10300 Fourth Street NorthSt PetersburgFL33716FL
Unity Housing Inc
521952507Low Income HousingNAC Corporationfalse26 North Fulton AvenueBaltimoreMD21223MD
Bon Secours Wayland LLC
270468561Low Income HousingNAC Corporationfalse26 North Fulton AvenueBaltimoreMD21223MD
Professional Health Care Management Services Inc
541241031AdministrativeNAC Corporationfalse150 Kingsley LaneNorfolkVA23505VA
OSF Inc
541369919RentalNAC Corporationfalse2 Bernadine DriveNewport NewsVA23602VA
Bon Secours Tidewater Diversified Inc
541431826PharmacyNAC Corporationfalse160 Kingsley LaneNorfolkVA23505VA
Chesterfield Community Healthcare Center Inc
541812738Ambulatory Healthcare ServicesNAC Corporationfalse8580 Magellan ParkwayRichmondVA23227VA
Ironbridge Assisted Living Retirement Community LC
541807857Ambulatory Healthcare ServicesNAC Corporationfalse5801 Bremo RoadRichmondVA23226VA
Bon Secours-Virginia Healthsource Inc
541417686Ambulatory Healthcare ServicesNAC Corporationfalse8580 Magellan ParkwayRichmondVA23227VA
RHS Management Corp
541313425Independent Living FacilityNAC Corporationfalse8580 Magellan ParkwayRichmondVA23227VA
Bon Secours New York Housing Development Fund Corporation
472224316Low Income HousingNAC Corporationfalse2975 Independence AvenueBronxNY10463NY
Richmond MRI Inc
541568452Medical ServicesNAC Corporationfalse8580 Magellan ParkwayRichmondVA23227VA
Good Help Connections LLC
472345223IT ConsultingNAC Corporationfalse8990 Old Annapolis RoadColumbiaMD21045MD
Bon Secours New Shiloh II LLC
820631206Low Income HousingNAC Corporationfalse26 North Fulton AvenueBaltimoreMD21223MD
Maryview Building Corporation
541306612AdministrativeNAC Corporationfalse3636 High StreetPortsmouthVA23707VA
Richmond Radiation Oncology Center Inc
541570244Ambulatory Healthcare ServicesNAC Corporationfalse8580 Magellan ParkwayRichmondVA23227VA
Optimum Health Network Inc
570973524Healthcare ServicesNAC CorporationfalseOne St Francis DriveGreenvilleSC29601SC
Barringtons Hospital Limited
Healthcare ServicesEINAC Corporationfalse
BMC Properties Limited
REAL PROPERTY MGMNTEINAC Corporationfalse
Post Office Plaza Owners Association Inc
REAL PROPERTY MGMNTNAC Corporationfalse1807 N BoulevardAndersonSC29621SC
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd