2019-07-11T15:23:04-05:00 2018-08-31 861065772 Deloitte Tax LLP 695 Town Center Drive Suite 1000 Costa Mesa CA 92626 990 2017-09-01 541820093 Bon Secours DePaul Medical Center Inc BONS 7578895000 7007 Harbour View Blvd No 108 Suffolk VA 23435 Stephan F Quiriconi Treasurer 7578895851 2019-07-11 1 John W Sadoff Jr P00540589 7144367100 168.250.63.1 2019-07-11 15:18:31 ED P CD71869BFC494223FABD92E93AB0669CE7B22062 F6D944725D87E8D67D75795748B251B00643F0AC 2017 2019-02-21 02:37:17Z Paul Gaden 7007 Harbour View Blvd No 108 Suffolk VA 23435 187732943 0 0928 X bonsecours.com X 1996 VA Acute Care Hospital 18 15 1510 80 572464 -11463 1023140 412178 184243499 174052291 -308839 927218 11303044 11723009 196260844 187114696 137549 55307 0 0 84780807 84989586 0 0 0 125813529 121043874 210731885 206088767 -14471041 -18974071 126249148 132480539 234444023 260880994 -108194875 -128400455 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. 0 0 190397433 55307 183630462 DePaul Medical Center provides medical care to patients without regard to their ability to pay. Among the major services provided to the residents of Hampton Roads, three major areas of focus are orthopedics, general surgery and neurology. In addition, DePaul provides support for community services. Please see Schedule H for additional information regarding programs, community benefit programs and Charity Care. 190397433 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 76 0 1 1510 1 1 1 0 0 0 0 0 0 0 0 0 X 18 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 1 0 VA X Travis Crum 5139525000 1701 Mercy Health Place Cincinnati OH 45237 X Susan Anthony FNP Board Member 2.00 0.00 X 0 0 0 Toni Ardabell Board Member, CEO-VA/BSHR (Beg 05/18) 2.00 48.00 X 0 1550046 107752 James Bento Board Member 2.00 0.00 X 0 0 0 Robert Bray Board Member (End 03/18) 2.00 0.00 X 0 0 0 Bruce Britton MD Board Member 2.00 0.00 X 0 0 0 Brother Arthur Caliman CFX President 3.50 46.50 X X 0 0 0 Arthur Collins Chairman 3.00 0.00 X X 0 0 0 Sister Elaine Davia CBS Board Member 2.00 48.00 X 0 0 0 Timothy Davis Board Member, Exec VP CHRAO 2.00 48.00 X 0 1359869 36690 Charlette Fairchild PhD Board Member 2.00 0.00 X 0 0 0 Gabriel Franco Board Member (End 06/18) 2.00 0.00 X 0 0 0 Vincent Joseph Board Member 2.00 0.00 X 0 0 0 Michael Kerner Secretary/CEO-BSHR (End 09/17) 2.00 48.00 X X 0 1082068 106562 Shelley Mishoe Board Member 2.00 0.00 X 0 0 0 Jeffrey Morrison Board Member 2.00 0.00 X 0 5000 0 Mark Nantz Secretary/Interim CEO-BSHR (End 05/18) 2.00 48.00 X X 0 1554618 147147 William Pile Board Member 2.00 0.00 X 0 0 0 Cynthia Romero MD Board Member 2.00 0.00 X 0 0 0 Rodrigo Romulo MD Board Member 2.00 0.00 X 0 0 0 Stephanie Short CCIM Board Member 2.00 0.00 X 0 0 0 Douglas Ziegenfuss PhD Board Member 2.00 0.00 X 0 0 0 Sr David Ann Niski Board Member 2.00 48.00 X 0 0 0 Amy Carrier Secretary, President-BSHR (Beg 05/18) 2.00 48.00 X 0 0 0 Stephan Quiriconi Treasurer, CFO-Richmond (Beg 12/17) 2.00 48.00 X 0 460619 16253 Michael Dooley Interim VP Finance (End 09/17) 2.00 48.00 X 0 0 0 John Barrett CEO - DMC (End 03/18) 49.50 0.50 X 365555 0 29653 Paul Gaden CEO - DMC (Beg 04/18) 49.50 0.50 X 0 0 0 Herbert Cummings COO - BSMG 20.00 30.00 X 0 312192 38067 Vickie Humphries VP of Human Resources 15.00 35.00 X 0 221533 23235 James McNamara VP of Ortho 7.00 43.00 X 0 278394 22630 Terri Spence VP & Regional CIO 15.00 35.00 X 0 244020 32653 John Baker MD Neurointerventionalist 50.00 0.00 X 1029206 0 41783 Saumil Patel MD Cardiologist 50.00 0.00 X 637176 0 40783 Bradley Prestidge MD Oncologist 50.00 0.00 X 754329 0 44891 Gregory Adams MD Surgeon 50.00 0.00 X 472762 0 43035 William Callaghan Physician 50.00 0.00 X 462966 0 40386 Michael Bratton Former Key VP of Patient Care Service 50.00 0.00 X 126259 0 17342 3848253 7068359 788862 107 1 1 0 Aramark Cts Inc 12483 Collections Ctr Drive Chicago IL 60693 Biomedical Engineering 3282913 WM Jordan Co Inc PO Box 1337 Newport News VA 236010337 General Contractor 2366868 Eastern VA Med School PO Box 1980 Norfolk VA 235011980 Residency Programs 1596213 Morrison Mgt Specialists PO Box 102289 Atlanta GA 303682289 Dietary Services 1561502 Tidewater Phys Multispec Group 860 Omni Boulevard Newport News VA 23606 Professional Medical Services 1507608 48 368238 43940 412178 Patient Service Rev. 621500 174052291 173489494 562797 174052291 91248 91248 849360 9064 612635 5612 236725 3452 240177 3452 236725 712334 123636 0 0 712334 123636 835970 835970 JV Inc.- SPAH & Other 621999 10572373 10137516 434857 Retail Sales Bariatric 900099 241516 241516 Physical Therapy Servi 446199 176690 176690 492253 9667 482586 11482832 187114696 183630462 572464 2499592 X 54307 54307 1000 1000 395208 355687 39521 68825776 61943198 6882578 2891381 2602243 289138 7645772 6881195 764577 5231449 4708304 523145 477041 477041 -21000 -21000 10139 9125 1014 53123914 49019984 4103930 14331 12898 1433 2219114 1997203 221911 236538 212884 23654 10763852 9687467 1076385 207206 186485 20721 34968 31471 3497 3771944 3771944 10641963 9577767 1064196 1333362 1200026 133336 Medical Supplies 27535372 27535372 Bad Debt 9596603 9596603 Medical Equipt. Repair 235954 235954 862573 776316 86257 206088767 190397433 15691334 0 3852 3849 345022 431741 2956 2956 18243446 19142299 4324434 4151707 1357821 2222722 166122003 124386592 42730148 41735411 16136749 17262362 29894638 32844862 4810051 4761727 8400031 9920903 126249148 132480539 10848564 11337871 1431191 1254801 222164268 248288322 234444023 260880994 X -108187783 -128393363 -7092 -7092 -108194875 -128400455 126249148 132480539 X -18974071 322743 -1554252 X 0 1 X 1 1 1 X 0 0 0 0 0 0 0 0 1 10139 10139 0 Part II-B, Line 1: 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 1i. The filing organization also conducted advocacy relating to education of legislative body regarding hospital and healthcare reform and how it impacts communities. The lobbying expense related to this activity is included on Line 1g. 3750384 3750384 35306897 26144470 9162427 18809768 10754733 8055035 121902 103879656 84379989 19621569 4253396 3107400 1145996 41735411 Inv. in Sentara Princess Anne Hosp. 30685166 C Inv. in Rad Svc of Hampton Roads 895923 C Inv. in Surgery Center 620934 C Inv. in Peninsula Hospital Service 265423 C Inv. in MRI 247487 C Inv. in Bed Licenses 74929 C Inv in PET 55000 C 32844862 Inv - HPL/GL 7194685 Due from Champus 1405213 Due from Affiliates 96631 Organizational Costs 344648 Due from Medicare/Medicaid 179214 Deferred Medicare 133844 Other Misc Assets 566668 9920903 Due to Affiliates 235727727 HPL/GL Liability 7194685 Deferred Rent 3968774 FIN 47 LT Asbestos Liab 898308 Due to Medicare 489926 Other LT Liabilities 8902 248288322 X Part X, Line 2: 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 System 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. The System accounts for uncertain tax positions in accordance with ASC Topic 740, Income Taxes. Their related income is exempt from federal income tax under Section 501(A). The System 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 System has determined that no material unrecognized tax benefits or liabilities exist as of August 31, 2018 or 2017. 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 System is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The System believes it is no longer subject to income tax examinations for years prior to 2013. As of August 31, 2018 and 2017, the System has no uncertain tax positions. The System's taxable subsidiaries had approximately $97,815 and $106,393 of net operating loss carryforwards as of August 31, 2018 and 2017, respectively, which expire in varying periods through 2037 and are available to offset future taxable income. The System 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 System's deferred tax assets are fully reserved at August 31, 2018 and 2017 as the System considers it more likely than not that these amounts will not be recognized. On December 22, 2017, the President signed into law H.R. 1, originally known as the Tax Cuts and Jobs Act. The Act significantly revises the U.S. corporate income tax by, lowering the statutory corporate tax rate from 35% to 21% and eliminating certain deductions. The new law also includes several provisions that result in substantial changes to the tax treatment of tax-exempt organizations and their donors. The System has reviewed these provisions and the potential impact and concluded the enactment of H.R. 1 will not have a material effect on the operations of the organization. 1 1 X 1 X 1 X 1 1 0 1 1 11945890 59382 11886508 0.06050 19168634 12135998 7032636 0.03580 31114524 12195380 18919144 0.09630 1871130 33115 1838015 0.00940 859265 735031 124234 0.00060 299892 299892 0.00150 137944 137944 0.00070 3168231 768146 2400085 0.01220 34282755 12963526 21319229 0.10850 1 24 1246 1246 0.00000 1 200 1053 1053 0.00000 3 2808 22717 22717 0.00010 0 0 0 0 0 0 5 3460 142928 142928 0.00070 0 0 0 1 4 5318 5318 0.00000 0 0 0 11 6496 173262 173262 0.00080 1 9596603 38026468 51235995 -13209527 X 1 1 1 1 DePaul Medical Center 150 Kingsley Lane Norfolk VA 23505 bonsecours.com H1829 X X X X Bon Secours DePaul Medical Center Inc 1 0 0 1 X X X X X X X X X 15 1 0 0 1 X See Section C X X 1 15 1 See Section C 0 1 X 200.000000000000 400.000000000000 1 1 X X X 1 X www.fa.bonsecours.com X www.fa.bonsecours.com X www.fa.bonsecours.com X X X X X X X 1 X 0 X X X X 1 X 0 0 Bon Secours DePaul Medical Center, Inc. Part V, Section B, Line 5: DePaul Medical Center (DMC) contracted with ToXcel to conduct an electronic survey of key stakeholders to determine the top healthcare needs of the community. DMC developed a list of key stakeholders who were asked to provide their viewpoints on important healthcare concerns in the community, significant gaps in the community, and ideas for addressing health concerns and service gaps. Stakeholders included individuals who have special knowledge and expertise in public health, as well as the deans of area colleges and universities with medical degree programs. In addition, DMC surveyed representatives of medically underserved, minority populations, and those with chronic conditions. In addition, DMC conducted community forums to gather additional input from residents. Upon receipt of all information, DMC convened a community advisory board made up of 36 representatives from 40 organizations focused on community health, including Sentara and Riverside health systems and the Norfolk Public Health Department to review the list of key needs and gaps identified to prioritize the needs and make recommendations to DMC leadership. Bon Secours DePaul Medical Center, Inc. Part V, Section B, Line 7d: The DMC CHNA was posted on the Bon Secours Hampton Roads website (https://bonsecours.com/hampton-roads/community-commitment/community-health-needs-assessment), as well as distributed to community advisory board members. In addition, copies of the CHNA are located in the emergency departments at DMC and Administration Office. Bon Secours DePaul Medical Center, Inc. Part V, Section B, Line 11: Through development of an implementation plan from the CHNA, DePaul Medical Center identified the health priorities in the related service areas. DMC has an open medical staff with privileges available to all qualified physicians. The DMC emergency department provides service 24 hours/day, 7 days/week to ensure access for all individuals in need of emergency care. Hospital board members are diverse, inclusive and representative of the broader community in which the facilities are located. DMC offers health services via the Care-A-Van (CAV). The CAV is a free mobile medical service that provides general medical care to uninsured adults and children in Norfolk, as well as Newport News, Portsmouth, and Suffolk. Services provided include urgent and primary care (including examination, diagnosis, lab, pharmacy, and follow-up), immunizations for school, pregnancy tests, blood pressure measurement, health education, referrals for specialty care, opportunity to enroll eligible children in children's' health insurance. While the CAV primarily serves adults, some sites provide care and referral services for children aged 12 and older. Community partners include free clinics, local health agencies, physicians, and numerous faith-based organizations which collaborate with CAV staff. Almost 1,300 patient visits were rendered by the CAV in Norfolk and over $146,800 in lab services were provided at no cost to the patient. DMC offers support to qualified patients though the Life Coach Program. The Life Coach Program connects patients with no insurance, little resources, or no personal doctor with primary care resources to minimize their trips to the emergency room. These coaches work closely with the emergency department staff and care managers to find medical homes for patients who regularly use emergency rooms for non-emergency issues. Life Coaches help patients overcome social barriers to care, make follow up appointments, and obtain medications. DMC Life Coaches had 3,130 patient contacts, scheduled 2,652 appointments with primary care physicians, connected 504 patients with the Care-A-Van, assisted 21 patients with medication needs, and connected 1,038 patients with other community resources. DMC Life Coaches referred 203 patients for additional mental health and substance abuse care. Building healthier communities requires a systemic, ecological, multi-sector approach that acknowledges all of the social determinants of health such as housing, education, employment, public safety and social justice. In 2009, DMC partnered with the City of Norfolk on an initiative called Neighbors Building Neighborhoods. DMC chose to focus on the Pretty Lake area of East Ocean View (EOV), historically one of the roughest neighborhoods in Norfolk. With over 6,000 residents of which more than 25% are below the poverty level, over 20% are single parent households, and with a per-capita income of only $14,658 leaves families in extreme difficulty. In this neighborhood family violence, gangs, addictions, housing affordability, access to healthcare, and a lack of educational opportunities all affect the health of the individuals living there. Working with residents and city officials, DMC assisted in a neighborhood beautification project and the renovation and expansion of the local Storehouse Food Pantry, which feeds 80-100 families a month. Prevention and treatment of obesity with an emphasis on diabetes and nutrition was identified as one of the top health concerns in the DMC service area. The "Passport to Health" program, which encourages living a healthier lifestyle by providing healthy cooking & education classes, exercise program and fresh weekly produce bags, led 41 families (80 individuals) to improve their health over a five month period. To encourage physical activity, Passport to Health members began training and participated in the the Run for Life 5K. The EOV Community Garden, which includes 10 raised, accessible garden boxes, a solar-powered hydroponics system, flowerbeds, fruit trees and grapevines, continues to thrive. An average of 350 - 400 residents attended Festivals held each quarter at the community garden with music, dancing, exercise, games, and fresh produce. Outreach to the multi-cultural residents included a Youth Survival event and the Passport to Health classes. Children received backpacks and school supplies. Over 1,800 people received nutrition education and physical activity sessions provided by Bon Secours InMotion, Medical Surgical Weight Loss, Glycemic & Nutrition, and the Heart Health Academy (an educational program targeting middle school students). Enrollees in the DMC Medical Surgical Weight Loss session had an average starting BMI of 43.4, an average ending BMI of 39.2, an average decrease of 4.2. Participants in the Heart Health Academy had a pre-test average of 71.8% and a post-test average of 88.9%, an average increase of 17.1%. Bon Secours Cancer Services provided skin cancer screenings to 68 people. The Care-A-Van and Oncology department provided FIT screenings for 106 patients - 91 patients returned, 11 had a positive result. Oncology Nurse Navigators at DMC provided education and support services to 1,034 patients diagnosed with cancer. Crime and community violence were identified as a community need. Although they are not addressed in the DMC Implementation Plan, human trafficking and gun control/violence and are two of the Bon Secours Mercy Health advocacy resolutions. The DMC is very involved in the human trafficking effort. Bon Secours partners with several area organizations, including Virginia Supportive housing, Hampton Roads Housing Consortium, Southeastern Virginia Homeless Coalition, and the Hampton Roads Coalition Against Trafficking to address the housing needs of the homeless and trafficked populations within our service area. Bon Secours supports the health needs of these patients through our Care-A-Van and Life Coach programs. DMC also partners with Virginia Supportive Housing to address the needs of the homeless. Although DMC recognizes the importance of all the needs identified by the community including education, jobs with fair wages, mental health, community violence, alcohol/drugs, and dental health - resources are limited within the organization to prioritize these specific needs. There are other providers and organizations addressing these needs with specialized programs and services. BSDMC is prepared to collaborate or assist with these efforts beyond the current set of services we provide. Bon Secours DePaul Medical Center, Inc. Part V, Section B, Line 16j: Information regarding the FAP is available on our websites, 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 FA program. Form 990, Schedule H, Part V, Section B, Line 14: 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. Because both Maryland law and Federal tax law limit the amounts that may be charged to patients, an FAP eligible individual or an uninsured individual will not be charged more than the lesser of the AGB or the regulated charge set by the Maryland Health Services Cost Review Commission for emergency or other medically necessary care. Form 990, Schedule H, Part V, Section B, Line 7a: https://bonsecours.com/hampton-roads/community-commitment/community-health-needs-assessment Form 990, Schedule H, Part V, Section B, Line 10a: https://bonsecours.com/hampton-roads/community-commitment/community-health-needs-assessment 25 1 - DePaul InMotion Phys Ther 7300 Newport Ave Suite 300 Norfolk VA 23462 Physical Therapy 2 - InMotion Phy Ther Healthy Way 4677 Columbus St Ste 201 Virginia Beach VA 23462 Physical Therapy 3 - Bon Secours In-Motion at Hilltop 1817 Laskin Rd 100 Virginia Beach VA 23454 Physical Therapy 4 - InMotion Phy Ther Redmill Landing 1253 Nimmo Pkwy 105 Virginia Beach VA 23456 Physical Therapy 5 - Bon Secours Medical Associates 828 Healthy Way Virginia Beach VA 23462 Physician Practices 6 - In Motion Phys Ther Ghent Stat 930 W 21st St 105 Norfolk VA 23517 Physical Therapy 7 - Bon Secours In Motion Amelia 885 Kempsville Rd 300 Norfolk VA 23502 Physical Therapy 8 - DePaul Medical Associates 155 Kingsley Lane Norfolk VA 23505 Physician Practices 9 - Bon Secours Surgical Specialists-Norfolk 155 Kingsley Lane Norfolk VA 23505 Physician Practices 10 - Hampton Roads OBGYN Center 100 Kingsley Lane Norfolk VA 23505 Physician Practices 11 - Bon Secours Ghent Station Medical Assoc 930 West 21st Street Norfolk VA 23517 Physician Practices 12 - Amelia Medical Associates 885 Kempsville Road Norfolk VA 23502 Physician Practices 13 - Bon Secours Cardiovascular & Thoracic Sp 100 Kingsley Lane Suite 400 Norfolk VA 23505 Physician Practices 14 - Bon Secours Oncology Specialists 155 Kingsley Lane Norfolk VA 23505 Physician Practices 15 - Town Center Medical Associates 4421 Virginia Beach Blvd Virginia Beach VA 23462 Physician Practices 16 - East Beach Medical Associates 4039 E Little Creek Rd Norfolk VA 23518 Physician Practices 17 - Patient Choice Oceana 1253 Nimmo Parkway Virginia Beach VA 23456 Physician Practices 18 - Bon Secours Greenbrier Medical Associate 908 Eden Way North Chesapeake VA 23320 Physician Practices 19 - Bon Secours Pulmonary Spec - Norfolk 100 Kingsley Lane Suite 400 Norfolk VA 23505 Physician Practices 20 - Bon Secours Monarch Medical Associates 4211 Monarch Way Suite 100 Norfolk VA 23508 Physician Practices 21 - Bon Secours Neurovascular Center 110 Kingsley Lane Norfolk VA 23505 Physician Practices 22 - VOSS DMC 930 w 21st St Suite 100 Norfolk VA 23517 Physician Practices 23 - VB Healthy Way Sports Performance 828 Healthy Way Virginia Beach VA 23462 Physician Practices 24 - Bon Secours Fastcare - Great Bridge 309 South Battlefield Chesapeake Chesapeake VA 23322 Physician Practices 25 - Bon Secours Fastcare - Great Neck 2110 Great Neck Shopping Center Va Beach VA 23454 Physician Practices Part I, Line 6a: Annually, Bon Secours Hampton Roads Health System (BSHRHS) publishes a report for the community, explaining the various community benefit services and programs that exist. This report also includes the annual financial commitment of the local system to the community, detailing monetary contributions for government sponsored healthcare shortfall, community benefit programs and charity care at cost. This report is available to the public each year on or around January 24, commemorating Foundation Day of the Sisters of Bon Secours. This report is available online at https://bonsecours.com/hampton-roads. Part I, Line 7: Part I, line 7a: Charity Care at cost is computed by applying a cost-to-charge ratio to the aggregate charity adjustments recorded in the general ledger. Part I, line 7b: Unreimbursed Medicaid is computed by determining the cost of Medicaid services supplied less payments received for these services. To determine the cost of Medicaid services provided, a cost-to-charge ratio is applied to traditional and managed Medicaid gross charges captured in the patient accounting system and general ledger. Payments include payments for individual claims, payments from the Medicaid program paid outside the claim process (such as medical education payments) and expected or actual cost report settlements.For Part I, Line 7 a-c computations: The cost-to-charge ratio is derived using the suggested computation in Worksheet 2, Ratio of Patient Care Cost-to-Charges. Operating expenses and Gross patient charges are taken from the general ledger. Expenses for nonpatient care activities recorded in operating expenses are approximated as directly equaling other operating revenue, assuming these activities do not provide profit. Part I, line 7e: Community health improvement services and community benefit operations are accumulated throughout the year and reported at actual cost in a software program that specifically addresses this purpose.Part I, line 7f: Health professions education cost is determined as the direct and indirect cost of qualifying education activities as traditionally reported in columns 21-24 on Worksheet B of the Medicare cost report as a Medical Education program, nursing school or other allied health program. Part I, Ln 7 Col(f): Bad debt expense included in Part IX; line 25 and excluded from the "percent of total expense" calculation is: $9,596,603. Part II, Community Building Activities: Bon Secours DePaul Medical Center provided staff and resources in support of the Healthy Community Initiative of Bon Secours Health System, and advocated for local and state policies that would improve health across its communities. Bon Secours Hampton Roads Health System is working to engage and empower the members of the East Ocean View neighborhood to support them in improving their quality of life and holistic health. DePaul Medical Center donated staff time and resources in support of these efforts. In addition, Bon Secours Hampton Roads has partnered with Norfolk Health Collaborative to address issues affecting the health of the community. Bon Secours Hampton Roads also partnered with the Southeast Virginia United Way, Sentara Healthcare, and Virginia Department of Health to develop the Greater Hampton Roads Connect website, a community dashboard that aggregates data for use in the CHNA and CHA processes. Part III, Line 2: Bad debt expense on the general ledger includes: 1) actual write offs of discounted gross charges where it is determined an uninsured patient can pay and does not pay; and 2) the estimated write offs for uninsured patient accounts with outstanding balances after discount. Estimates are based on historical collection rates.When an uninsured patient is billed for patient care services, the charges are automatically discounted and the patient is requested to only pay the amount after discount. The discount is recorded as an adjustment to gross revenue and is not recorded in bad debt expense. If the balance after discount is not paid or not paid in full, the unpaid amount will be written off to bad debt expense. When a patient remits a payment on an account that has already been written off to bad debt expense, the payment is recorded as a recovery of bad debt, which reduces bad debt expense. Part III, Line 3: The organization does not report an estimate for the portion of bad debt expense that may have been likely to qualify for financial assistance under the hospital's charity care policy. The organization takes the position that ample opportunity and assistance is provided to the patient to qualify under the financial assistance policy. If sufficient information is not provided, the organization must assume the patient does not qualify. Part III, Line 4: Please see Footnote "(2d) Accounts Receivable, net" discussing "accounts receivable" on page 10 in the attached BSMH consolidated audited financial statements ("AFS"). "Allowance for uncollectible accounts" is discussed in the second paragraph in Footnote "(10) Net Patient Service Revenue" on page 37-38 of the attached AFS. There is not a separate "bad debt expense" footnote in the AFS. Part III, Line 8: 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. Part III, Line 9b: 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. Part VI, Line 2: In partnership with Bon Secours Virginia Health System, DePaul Medical Center uses multiple approaches to assess the health needs of the communities it serves. Health care needs of the community are assessed and updated using a variety of informational sources including Virginia Health Information for state-based performance data, and Claritas and Sg2 for market and geographic data. The Sg2 strategic planning tools are used to retrieve demographic information and trends for the primary and secondary service areas pertaining to DePaul Medical Center. National Research Corporation (NRC), and other strategic market intelligence are also utilized. Part VI, Line 3: 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. Part VI, Line 4: As of 2018, Hampton Roads is a very diverse community within an MSA of over 1.7 million people residing in 16 cities and counties, stretching from northeastern North Carolina to Williamsburg. The area is characterized by racial diversity, a significant military population and a growing elderly population.The primary service area population served by DePaul Medical Center (DMC) encompasses Norfolk and Virginia Beach. The largest populations for the DMC service area are white (52.9%), Black or African American (30.1%), Hispanic (8.0%), and small percentages of other groups. The median income for the DMC service area is $58,200. The City of Norfolk has the highest rate of children living in poverty (31.0%) compared to Virginia (14.0%). Virginia Beach follows with 12% of children living in poverty. The percentage of children living in single parent households (42.0%) is higher compared to Virginia (30.0%) and 52.0% of students are eligible for free or reduced price lunch.The most prevalent chronic conditions among adults in the service area include high blood pressure (5.9 cases per 100,000), asthma (11%), diabetes (8.5%), depression (11%) and smoking (17.5%). The leading causes of mortality in the DMC service area per 100,000 are heart disease (177.1), cerebrovascular disease (42.3), cancer (176.4), chronic lower respiratory diseases (40.6), diabetes (21.6), kidney disease (24.3), and septicemia (17.5). The infant mortality rate (per 1,000 live births) in the DMC service area is 9% compared to 7% in Virginia. Part VI, Line 5: DePaul Medical Center (DMC) has an open medical staff with privileges available to all qualified physicians. Emergency departments at the three hospitals provide service 24 hours/day, 7days/week to ensure access for emergency care for all individuals in need of emergency care. Hospital board members are diverse, inclusive and representative of the broader community in which the facilities are located. Part VI, Line 6: 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 Bon Secours, Inc., a Maryland nonprofit, nonstock membership corporation (BSI) are described collectively as the System. BSI, which is the sole corporate member of BSMH, has no healthcare operations. 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 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 Bon Secours Mercy Health, Inc. (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 (2016-2018). - 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. Part VI, Line 7, Reports Filed With States VA 1 Bon Secours DePaul Health Foundation 7007 Harbour View Blvd Suite 108 Suffolk VA 23435 541843876 501(c)(3) 54307 Foundation Administrative Expense 1 Part I, Line 2: The organization complies with Bon Secours Mercy Health, Inc.'s system-wide financial and accounting policies. Contributions are generally made as reimbursements for funds spent. In such cases, the donee/grantee organization must provide documentation to the filing organization before funds are approved for disbursement. X 1 1 1 1 0 0 0 0 0 1 0 Toni Ardabell Board Member, CEO-VA/BSHR (Beg 05/18 0 677035 0 130351 0 742660 0 105750 0 2002 0 1657798 0 196337 Timothy Davis Board Member, Exec VP CHRAO 0 665053 0 237806 0 457010 0 16200 0 20490 0 1396559 0 0 Michael Kerner Secretary/CEO-BSHR (End 09/17) 0 397957 0 76079 0 608032 0 86072 0 20490 0 1188630 0 253989 Mark Nantz Secretary/Interim CEO-BSHR (End 05/1 0 681330 0 243372 0 629916 0 117365 0 29782 0 1701765 0 78920 Stephan Quiriconi Treasurer, CFO-Richmond (Beg 12/17) 0 349584 0 69669 0 41366 0 5300 0 10953 0 476872 0 0 John Barrett CEO - DMC (End 03/18) 290828 0 34054 0 40673 0 16200 0 13453 0 395208 0 0 0 Herbert Cummings COO - BSMG 0 269439 0 42358 0 395 0 10800 0 27267 0 350259 0 0 Vickie Humphries VP of Human Resources 0 164198 0 12062 0 45273 0 14137 0 9098 0 244768 0 0 James McNamara VP of Ortho 0 260455 0 16853 0 1086 0 12444 0 10186 0 301024 0 0 Terri Spence VP & Regional CIO 0 228027 0 15053 0 940 0 22220 0 10433 0 276673 0 0 John Baker MD Neurointerventionalist 965666 0 0 0 63540 0 13500 0 28283 0 1070989 0 0 0 Saumil Patel MD Cardiologist 366894 0 269891 0 391 0 13500 0 27283 0 677959 0 0 0 Bradley Prestidge MD Oncologist 577010 0 173015 0 4304 0 13500 0 31391 0 799220 0 0 0 Gregory Adams MD Surgeon 314694 0 157573 0 495 0 13500 0 29535 0 515797 0 0 0 William Callaghan Physician 459640 0 0 0 3326 0 10800 0 29586 0 503352 0 0 0 Michael Bratton Former Key VP of Patient Care Servic 119989 0 5408 0 862 0 6470 0 10872 0 143601 0 0 0 Part I, Line 1a A tax indemnification benefit to cover the income tax incurred on gifts was paid to one officer. The entire benefit was treated as taxable compensation. Part I, Line 3 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 Part I, Lines 4a-b Severance benefits consisting of continuation of base salary and insurance benefits were provided to listed individuals for specified periods. Salary continuation amounts provided during the reporting year to listed individuals were as follows: Michael Kerner, $170,124. Part I, Line 4b: The filing organization participates in a BSMH sponsored executive retirement program that allows for deposits into additional retirement plans available to officers and certain 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 participated or received a distribution include: Mark Nantz, $85,777; Michael Kerner, $354,644; Toni Ardabell, $381,880; Stephan Quiriconi, $0; Amy Carrier, $0. Part I, Line 7 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 these established parameters, the Board determines the CEO's incentive award and incentive awards for other listed individuals are determined by the listed individual's supervisor and disclosed to the Board. The Board may authorize modified incentive awards when appropriate in its judgment. Elizabeth Barrett Spouse-John Barrett, CEO 387342 Employment 0 Form 990, Part VI, Section A, line 6 Bon Secours Mercy Health, Inc. is the sole member of Bon Secours Hampton Roads Health System, Inc., which in turn is the sole member of Bon Secours DePaul Medical Center, Inc. Form 990, Part VI, Section A, line 7a The Board of Directors of Bon Secours DePaul Medical Center, Inc. is appointed by Bon Secours Mercy Health, Inc. Form 990, Part VI, Section A, line 7b Any decision which is subject to a reserved power is subject to approval by members. Form 990, Part VI, Section B, line 11b The Form 990 is prepared by BSMH's tax department and reviewed by management. Upon review, the Form 990 is then forwarded to the local system's independent Audit and Compliance Committee for review and approval. Once the Form 990 is reviewed by all applicable parties a copy of the final version is provided to all members of the governing body prior to filing. Form 990, Part VI, Section B, line 12c The organization regularly and consistently monitors compliance with the conflict of interest policy. On an annual basis, all persons subject to the policy, including all officers, directors and key employees are required to make certain disclosures. These include disclosures related to certain personal, financial and organizational relationships that may present a conflict, or the appearance of a conflict of interest with the organization. All disclosures go through a three-part review process: (1) disclosures are reviewed first by the corporate responsibility officer (CRO); (2) a governance team comprised of the CEO, board president, board chair, CRO, and the BSMH CRO participate in a second review of all disclosures during which recommendations are made as to the resolution of any conflicts or potential conflicts. Depending on the facts and circumstances, resolutions may include ongoing disclosure, recusal or removal of the conflict; and (3) all disclosures and recommendations are reviewed by a board committee (audit and compliance committee reviews the disclosures of management and the governance committee reviews the disclosures of the board and board committee members). Form 990, Part VI, Section B, line 15b 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 BSHSI. 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 director's and compensation committee minutes. Compensation Process Other Officers/Key Employees: For those key employees and highest paid employees that are not reviewed by the BSMH compensation committee, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. In the review, the other officers or key employees of the organization were compared to other hospitals' employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in human resources. Form 990, Part VI, Section C, line 19 The filing organization makes all documents available to the general public upon request. Form 990, Part VII - Additional Disclosure: Avg hours devoted to related org(s) when related comp is reported: Board Member positions are generally voluntary in nature. Compensated employees of the filing organization and other related organizations who also hold board positions are compensated only in relation to their employment and do not receive additional compensation for their board responsibilities. The governing bodies of the hospitals of Bon Secours Hampton Roads Health System, including DePaul Medical Center, Maryview Hospital, Mary Immaculate Hospital, Bon Secours Maryview Nursing Care Center, and Mary Immaculate Nursing Center are comprised of the same board members and board officers (Chairman, Secretary and Treasurer), with the exception of President. These governing bodies are referred to as the Hampton Roads Joint Board. Hours reported for these voluntary board positions represent total hours worked per week, which include responsibilities for the applicable entities. Br. Art Caliman, Sr. David Ann Niski, and Sr. Elaine Davia do not receive payroll distributions as they have taken vows of poverty. Form 990, Part IX, line 11g Purchased services: Program service expenses 16,957,934. Management and general expenses 1,884,215. Fundraising expenses 0. Total expenses 18,842,149. Employment costs: Program service expenses 14,127,062. Management and general expenses 1,569,674. Fundraising expenses 0. Total expenses 15,696,736. Medical professional fees: Program service expenses 9,453,774. Management and general expenses 0. Fundraising expenses 0. Total expenses 9,453,774. Maintenance and service agreements: Program service expenses 2,132,549. Management and general expenses 236,950. Fundraising expenses 0. Total expenses 2,369,499. Other purchased services: Program service expenses 1,738,751. Management and general expenses 193,195. Fundraising expenses 0. Total expenses 1,931,946. Consulting services: Program service expenses 539,009. Management and general expenses 59,890. Fundraising expenses 0. Total expenses 598,899. Security services: Program service expenses 522,674. Management and general expenses 58,075. Fundraising expenses 0. Total expenses 580,749. Billing and collections: Program service expenses 917,375. Management and general expenses 101,931. Fundraising expenses 0. Total expenses 1,019,306. Management Fees: Program service expenses 2,630,856. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,630,856. Form 990, Part XI, line 9: BSMH Principal and Swap Payments -1,505,927. Write-down of Goodwill - Sale of BSNY -48,325. Bon Secours Health Center & Hospital at Harbour View LLC 7007 Harbourview Blvd Ste 108 Suffolk VA 23435 Healthcare VA 0 0 Bon Secours DePaul Medical Center Inc Bon Secours Health Center & Hospital at Norfolk LLC 7007 Harbourview Blvd Ste 108 Suffolk VA 23435 Healthcare VA 0 0 Bon Secours DePaul Medical Center Inc Bon Secours Health Center & Hospital at Virginia Beach LLC 7007 Harbourview Blvd Ste 108 Suffolk VA 23435 Healthcare VA 0 0 Bon Secours DePaul Medical Center Inc Bon Secours Mercy Health Inc 1701 Mercy Health Place Cincinnati OH 45237 521301088 Healthcare system parent OH 501(c)(3) Line 12c, III-FI Bon Secours Inc 0 Bon Secours New York Health System Inc 2975 Independence Avenue Bronx NY 10463 912135196 Local System Parent Org. NY 501(c)(3) Line 12a, I Bon Secours Mercy Health Inc 0 Bon Secours Kentucky Health System Inc St Christopher Dr Ashland KY 41101 611356024 Local System Parent Org. KY 501(c)(3) Line 12c, III-FI Bon Secours Mercy Health Inc 0 Bon Secours Baltimore Health Corporation 2000 West Baltimore Street Baltimore MD 21223 800728893 Local System Parent Org. MD 501(c)(3) Line 12c, III-FI Bon Secours Mercy Health Inc 0 Bon Secours St Francis Health System Inc 1 St Francis Drive Greenville SC 29601 582504528 Local System Parent Org. SC 501(c)(3) Line 12c, III-FI Bon Secours Mercy Health Inc 0 Bon Secours Hampton Roads Health System 7007 Harbour View Blvd Portsmouth VA 23435 521538513 Local System Parent Org. VA 501(c)(3) Line 12c, III-FI Bon Secours Mercy Health Inc 0 Bon Secours Richmond Health System 8580 Magellan Parkway Richmond VA 23227 521988421 Local System Parent Org. VA 501(c)(3) Line 12c, III-FI Bon Secours Mercy Health Inc 0 Bon Secours Baltimore Health System Foundation Inc 26 North Fulton Avenue Baltimore MD 21223 383843816 Grant Making Foundation MD 501(c)(3) Line 12c, III-FI Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health 0 The Bon Secours of Maryland Foundation Inc 26 North Fulton Avenue Baltimore MD 21223 521732800 Grant Making Foundation MD 501(c)(3) Line 12c, III-FI Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health 0 Mary Immaculate Foundation 7007 Harbour View Blvd Suffolk VA 23435 311644734 Fundraising VA 501(c)(3) Line 12c, III-FI Mary Immaculate Hospital 0 Bon Secours DePaul Health Foundation 7007 Harbour View Blvd Suffolk VA 23435 541843876 Fundraising VA 501(c)(3) Line 7 Bon Secours DePaul Medical Center 1 Bon Secours Maryview Foundation 7007 Harbour View Blvd Suffolk VA 23435 521694731 Fundraising VA 501(c)(3) Line 7 Bon Secours Hampton Roads Health System 0 Our Lady of Bellefonte Hospital Inc 1000 St Christopher Dr Ashland KY 41101 611356023 Health Care KY 501(c)(3) Line 3 Bon Secours Kentucky Health System 0 Bon Secours Hospital Baltimore Inc 2000 West Baltimore Street Baltimore MD 21223 520591555 Health Care MD 501(c)(3) Line 3 Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health 0 St Francis Hospital Inc One St Francis Drive Greenville SC 29601 582504530 Health Care SC 501(c)(3) Line 3 Bon Secours St Francis Health System Inc 0 Mary Immaculate Hospital Inc 7007 Harbour View Blvd Suffolk VA 23435 540548200 Health Care VA 501(c)(3) Line 3 Bon Secours Mercy Health Inc 0 Bon Secours - DePaul Medical Center Inc 7007 Harbour View Blvd Suffolk VA 23435 541820093 Health Care VA 501(c)(3) Line 3 Bon Secours Hampton Roads Health System 0 Maryview Hospital 7007 Harbour View Blvd Portsmouth VA 23707 540506463 Health Care VA 501(c)(3) Line 3 Bon Secours Hampton Roads Health System 0 Bon Secours - Memorial Regional Medical Center Inc 8580 Magellan Parkway Richmond VA 23227 541744931 Health Care VA 501(c)(3) Line 3 Bon Secours Richmond Health System 0 Bon Secours - St Mary's Hospital of Richmond Inc 8580 Magellan Parkway Richmond VA 23227 540793767 Health Care VA 501(c)(3) Line 3 Bon Secours Richmond Health System 0 Bon Secours - Richmond Community Hospital 8580 Magellan Parkway Richmond VA 23227 540647482 Health Care VA 501(c)(3) Line 3 Bon Secours Richmond Health System 0 Bon Secours - St Francis Medical Center Inc 8580 Magellan Parkway Richmond VA 23227 311716973 Health Care VA 501(c)(3) Line 3 Bon Secours Richmond Health System 0 Bon Secours Kentucky Health System Foundation Inc St Christopher Dr Ashland KY 41101 611381952 Grant Making Foundation KY 501(c)(3) Line 7 Bon Secours Kentucky Health System 0 Bon Secours Baltimore Development Inc 26 North Fulton Avenue Baltimore MD 21223 760785344 Community Housing MD 501(c)(3) Line 7 Unity Properties Inc 0 Unity Properties Inc 26 North Fulton Avenue Baltimore MD 21223 521857768 Low Income Housing MD 501(c)(3) Line 7 Bon Secours of Maryland Foundation 0 Bon Secours - St Francis Health System Foundation Inc One St Francis Drive Greenville SC 29601 260012031 Grant Making Foundation SC 501(c)(3) Line 7 St Francis Hospital Inc 0 Bon Secours Richmond Health Care Foundation 8580 Magellan Parkway Richmond VA 23227 541201346 Grant Making Foundation VA 501(c)(3) Line 7 Bon Secours Richmond LLC 0 Bon Secours St Petersburg Home Care Services Inc 10300 Fourth Street North St Petersburg FL 33716 134334363 Home Care Services FL 501(c)(3) Line 10 Maria Manor Nursing Care Center 0 Bon Secours - Maria Manor Nursing Care Center Inc 10300 Fourth Street North St Petersburg FL 33716 650061820 Nursing Home FL 501(c)(3) Line 10 Bon Secours Mercy Health Inc 0 Bellefonte Physician Services Inc St Christopher Dr Ashland KY 41101 352320780 Physician Practices KY 501(c)(3) Line 10 Bon Secours Kentucky Health System 0 Bon Secours Housing Inc 26 North Fulton Avenue Baltimore MD 21223 521442707 Low Income Housing MD 501(c)(3) Line 10 Bon Secours of Maryland Foundation 0 Bon Secours Housing II Inc 26 North Fulton Avenue Baltimore MD 21223 521543174 Low Income Housing MD 501(c)(3) Line 10 Bon Secours of Maryland Foundation 0 Schervier Housing Development Fund Corporation 2975 Independence Avenue Bronx NY 10463 133098867 Housing NY 501(c)(3) Line 10 Bon Secours NY Health System 0 St Francis Physician Services Inc One St Francis Drive Greenville SC 29601 134290167 Physician Services SC 501(c)(3) Line 10 St Francis Health System Inc 0 Mary Immaculate Nursing Center Inc 7007 Harbour View Blvd Suffolk VA 23435 541516476 Nursing Care Center VA 501(c)(3) Line 10 Mary Immaculate Hospital 0 Bon Secours - Maryview Nursing Care Center 7007 Harbour View Blvd Suffolk VA 23435 521578169 Nursing Care Center VA 501(c)(3) Line 10 Bon Secours Hampton Roads Health System 0 Bayley Properties 7007 Harbour View Blvd Suffolk VA 23435 541424748 Title Holding Company VA 501(c)(2) Bon Secours DePaul Medical Center 1 Laburnum Properties 8580 Magellan Parkway Richmond VA 23227 521260700 Title Holding Company VA 501(c)(2) Bon Secours Richmond Health System 0 Bon Secours Health System Foundation Inc 8990 Old Annapolis Road Columbia MD 21045 474765376 Fundraising MD 501(c)(3) Line 7 Bon Secours Mercy Health Inc 0 IVNA Health Services 5008 Monument Avenue Richmond VA 23230 541479847 Home Care Services VA 501(c)(3) Line 10 Bon Secours Home Care LLC 0 Rappahanock General Hospital Foundation 101 Harris Road Kilmarnock VA 22482 541210450 Supporting Organization VA 501(c)(3) Line 7 Bon Secours Richmond Health System 0 Chesapeake Medical Group 101 Harris Road Kilmarnock VA 22482 541857174 Healthcare Services VA 501(c)(3) Line 10 Bon Secours Richmond Health System 0 Chesapeake Hospital Corporation 101 Harris Road Kilmarnock VA 22482 237424835 Health Care VA 501(c)(3) Line 3 Bon Secours Richmond Health System 0 Bon Secours New Jersey Health System Inc 1505 Marriottsville Road Marriottsville MD 27104 222754781 Local System Parent Org. NJ 501(c)(3) Line 12c, III-FI Bon Secours Mercy Health Inc 0 St Mary Hospital Inc 308 Willow Hoboken NJ 07030 221487324 Health Care NJ 501(c)(3) Line 3 Bon Secours New Jersey Health System Inc 0 Mercy Health Services 1505 Marriottsville Road Marriottsville MD 27104 251585441 Local System Parent Org. PA 501(c)(3) Bon Secours Mercy Health Inc 0 Pennsylvania Health Choice Plan 1505 Marriottsville Road Marriottsville MD 27104 Health Care PA 501(c)(3) Mercy Health Services 0 Liberty Medical Center 1505 Marriottsville Road Marriottsville MD 27104 521466304 Health Care MD 501(c)(3) Line 3 Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health 0 Bon Secours - Stuart Circle Hospital Inc 8580 Magellan Parkway Richmond VA 23227 541740128 Health Care VA 501(c)(3) Line 3 Bon Secours Richmond Health System 0 Post Office Plaza Owners Association Inc 1703 Laurel Street Columbia SC 29201 Health Care SC 501(c)(3) Bon Secours St Francis Health System Inc 0 Bon Secours Place at St Petersburg LLP 10300 Fourth Street North St Petersburg FL 33716 593589729 Assisted Living/Senior Care FL N/A Bon Secours Apartments LP 1800 West Baltimore St Baltimore MD 21223 521952505 Low Income Housing MD N/A Bon Secours Apartments II LP 1800 West Baltimore St Baltimore MD 21223 522063512 Low Income Housing MD N/A Liberty Senior Housing LP 1800 West Baltimore St Baltimore MD 21223 522134447 Low Income Housing MD N/A Bon Secours Apartments III LP 1800 West Baltimore St Baltimore MD 21223 522134444 Low Income Housing MD N/A Bon Secours Smallwood Summit LP 26 North Fulton Ave Baltimore MD 21223 522280175 Low Income Housing MD N/A Bon Secours Chesapeake Apartments LP 26 North Fulton Ave Baltimore MD 21223 200107034 Low Income Housing MD N/A Bon Secours Shiloh LP 26 North Fulton Ave Baltimore MD 21223 203965243 Low Income Housing MD N/A Bon Secours New Shiloh II Limited Partnership 26 North Fulton Ave Baltimore MD 21223 820655142 Low Income Housing MD N/A Bon Secours Wayland LP 26 North Fulton Ave Baltimore MD 21223 270468688 Low Income Housing MD N/A Bon Secours Gibbons Apartments LP 26 North Fulton Ave Baltimore MD 21223 472322323 Low Income Housing MD N/A Upstate Surgery Center LLC One St Francis Drive Greenville SC 29601 562186977 Ambulatory Surgery Center SC N/A Province Place of DePaul LLC 6403 Granby Street Norfolk VA 23505 541950880 Assisted Living Facilities VA N/A Province Place of Maryview LLC One Bon Secours Way Portsmouth VA 23703 541842697 Assisted Living VA N/A Broad64 Imaging LLC 8580 Magellan Parkway Richmond VA 23227 205886018 Imaging Services VA N/A Richmond Radiation Oncology Center I LLC 8580 Magellan Parkway Richmond VA 23227 208444551 Radiation Oncology Services VA N/A RI LP 8580 Magellan Parkway Richmond VA 23227 541708835 Imaging Services VA N/A Bon Secours Benet House LP 26 North Fulton Ave Baltimore MD 21223 364765400 Low Income Housing MD N/A Bon Secours Benet House LLC 26 North Fulton Ave Baltimore MD 21223 463055312 Low Income Housing MD N/A Southeastern Health PartnersLLC One St Francis Drive Greenville SC 29601 813264385 Coordinated Care SC N/A Harbour View MOB 2 LLC 5818 Harbour View Blvd Suite A1 Suffolk VA 23435 822484997 Real Estate VA N/A Memorial Ambulatory Surgery Center LLC 8580 Magellan Parkway Richmond VA 23227 593813233 Ambulatory Surgery Center VA N/A Bon Secours-Florida Integrated Services Inc 10300 Fourth Street North St Petersburg FL 33716 650779777 Holding Company/Assisted Living FL N/A C 0 Professional Health Care Management Services Inc 150 Kingsley Lane Norfolk VA 23505 541241031 Administrative VA N/A C 0 Bon Secours - Tidewater Diversified Inc 160 Kingsley Lane Norfolk VA 23505 541431826 Pharmacy VA Bon Secours DePaul Medical Center Inc C -117605 2227058 1.00000 1 OSF Inc 2 Bernadine Drive Newport News VA 23602 541369919 Rental VA N/A C 0 Unity Housing Inc 26 North Fulton Avenue Baltimore MD 21223 521952507 Low Income Housing MD N/A C 0 Bon Secours Wayland LLC 26 North Fulton Avenue Baltimore MD 21223 270468561 Low Income Housing MD N/A C 0 Bon Secours New Shiloh II LLC 26 North Fulton Avenue Baltimore MD 21223 820631206 Low Income Housing MD N/A C 0 Bon Secours New York Housing Development Fund Corporation 2975 Independence Avenue Bronx NY 10463 472224316 Low Income Housing NY N/A C 0 Maryview Building Corporation 3636 High Street Portsmouth VA 23707 541306612 Administrative VA N/A C 0 Bon Secours-Virginia Healthsource Inc 8580 Magellan Parkway Richmond VA 23227 541417686 Ambulatory Healthcare Services VA N/A C 0 Chesterfield Community Healthcare Center Inc 8580 Magellan Parkway Richmond VA 23227 541812738 Ambulatory Healthcare Services VA N/A C 0 Richmond Radiation Oncology Center Inc 8580 Magellan Parkway Richmond VA 23227 541570244 Ambulatory Healthcare Services VA N/A C 0 RHS Management Corp 8580 Magellan Parkway Richmond VA 23227 541313425 Independent Living Facility VA N/A C 0 Richmond MRI Inc 8580 Magellan Parkway Richmond VA 23227 541568452 Medical Services VA N/A C 0 Good Help Connections LLC 8990 Old Annapolis Road Columbia MD 21045 472345223 IT Consulting MD N/A C 0 Optimum Health Network Inc One St Francis Drive Greenville SC 29601 570973524 Healthcare Services SC N/A C 0 Bon Secours Assurance Company Ltd PO Box 69 CJ KY1-1102 980152147 Offshore Captive Management CJ N/A C 0 0 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 0 0 0 Bon Secours DePaul Health Foundation C 368238 FMV