Chesapeake Medical Group Inc: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- Chesapeake Medical Group Inc (EIN 54-1857174)
- Tax period
- 2017-09-01 to 2018-08-31
- Filed
- 2019-07-11
- IRS object ID
- 201921929349300402
- Schema version
- 2017v2.3
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-07-11T07:53:00-05:00 | ReturnTs |
| Tax Period End | 2018-08-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-09-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 541857174 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Chesapeake Medical Group Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHES | BusinessNameControlTxt |
| Phone | 8044358661 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 Harris Road | AddressLine1Txt |
| City | Kilmarnock | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22482 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Stephan F Quiriconi | PersonNm |
| Person Title | Treasurer, BSR-VP Finance | PersonTitleTxt |
| Phone | 8042818316 | PhoneNum |
| Signature | 2019-07-11 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 168.250.63.1 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-07-11 | IPDt |
| IP Tm | 07:18:24 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 0EB4CE1ACD44DB279B6C2D9A8476B20948576B96 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | F6D944725D87E8D67D75795748B251B00643F0AC | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Stephan F Quiriconi | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5801 Bremo Road | AddressLine1Txt |
| City | Richmond | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23226 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $4,737,324 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | bonsecours.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | Not-for-Profit primary medical care services. | ActivityOrMissionDesc |
| Voting Members Governing Body | 21 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 83 | TotalEmployeeCnt |
| Total Volunteers | 19 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $40,324 | PYContributionsGrantsAmt |
| CY Contributions Grants | $12,812 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,902,864 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,710,175 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $246,148 | PYOtherRevenueAmt |
| CY Other Revenue | $14,337 | CYOtherRevenueAmt |
| PY Total Revenue | $5,189,336 | PYTotalRevenueAmt |
| CY Total Revenue | $4,737,324 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,533,610 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,520,563 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,467,189 | PYOtherExpensesAmt |
| CY Other Expenses | $3,347,046 | CYOtherExpensesAmt |
| PY Total Expenses | $8,000,799 | PYTotalExpensesAmt |
| CY Total Expenses | $8,867,609 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,811,463 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$4,130,285 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,803,934 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,173,612 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,987,373 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $13,487,336 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$5,183,439 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$9,313,724 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $8,062,096 | ExpenseAmt |
| Revenue | $4,710,175 | RevenueAmt |
| Desc | During the fiscal year, Chesapeake Medical Group employed 9 physicians and 5 nurse practitioners who provided either family practice, pediatric or Surgical medical care at 7 offices located in three counties. 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.During the year, CMG physicians and nurse practitioners provided numerous services for the community which included: a. Providing admission services and coverage to area nursing homes.b. Providing free health care to indigent patients in CMG locations and through participation with the Northern Neck Free Health Clinic.c. Providing free community education through speaking and teaching engagements on numerous topics. d. Participation in discount sports physicals for secondary school students of Lancaster, Middlesex, Northumberland, Richmond, Westmoreland and Essex Counties.e. Participation in free health screening events in service area. The health screenings included free blood glucose testing; cholesterol testing; and blood pressure testing. Additionally, preventative health care information was provided at each screening event.f. Our policy remains to provide care to any patient regardless of their ability to pay. | Desc |
| Total Program Service Expenses | $8,062,096 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 8 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 83 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 21 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Travis Crum | PersonNm |
| Phone | 5139525000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1701 Mercy Health Place | AddressLine1Txt |
| City | Cincinnati | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45237 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Toni Ardabell | |||||||||
| CEO-BSV | 1.00 | 49.00 | Yes (X) | Yes (X) | $0 | $1,550,046 | $107,752 | ||
| Jean Ann Bolling | |||||||||
| Board Member (End 12/17) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Jeffrey Brown MD | |||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Stuart Bunting | |||||||||
| Board Member (Beg 01/18) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Janice Burnett | |||||||||
| Board Member | 2.00 | 48.00 | Yes (X) | $0 | $1,343,437 | $143,169 | |||
| Chandrashekar Challa | |||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Elizabeth Crowther | |||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| John Daniel III MD | |||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Thomas Gayner | |||||||||
| Board Member (End 12/17) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Chris Hairston-White | |||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Morris Henderson D Min | |||||||||
| Board Member (Beg 01/18) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| BHB Hubbard III | |||||||||
| Board Member (End 05/18) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Birdie Jamison | |||||||||
| Board Member (Beg 01/18) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Sr Rose Marie Jasinski CBS | |||||||||
| Board Member (End 12/17) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Joyce Lanier | |||||||||
| Board Member (Beg 01/18) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Sr Anne Marie Mack CBS | |||||||||
| President | 3.50 | 46.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Linda Rigsby | |||||||||
| Board Member | 2.00 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Pamela Royal MD | |||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Joseph Schilling | |||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Sr Victoria Segura MD CBS | |||||||||
| Board Member (Beg 01/18) | 2.00 | 48.00 | Yes (X) | $0 | $0 | $0 | |||
| Shannon Sinclair | |||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Nancy Thomas | |||||||||
| Chairman | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Harry Turton Jr | |||||||||
| Board Member (End 12/17) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Deborah Ulmer PhD RN | |||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Jane Watkins | |||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| BK Fulton | |||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Allen Goolsby | |||||||||
| Secretary | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Stephan Quiriconi | |||||||||
| Treasurer, BSR-VP Finance | 1.00 | 49.00 | Yes (X) | $0 | $460,619 | $16,253 | |||
| Jim Godwin | |||||||||
| VP HR | 1.00 | 49.00 | $0 | $233,850 | $39,796 | Yes (X) | |||
| Thomas Auer | |||||||||
| CEO - BSMG (End 10/17) | 7.00 | 43.00 | $0 | $907,927 | $16,610 | Yes (X) | |||
| Herbert Cummings | |||||||||
| COO - BSMG (Beg 11/17) | 7.00 | 43.00 | $0 | $312,192 | $38,067 | Yes (X) | |||
| Darlene Stibal MD | |||||||||
| Surgeon | 50.00 | 0.00 | $344,068 | $0 | $16,929 | Yes (X) | |||
| Joseph Bessler MD | |||||||||
| Internist | 50.00 | 0.00 | $283,286 | $0 | $12,243 | Yes (X) | |||
| Salvatore Bavuso MD | |||||||||
| Primary Care Physician | 50.00 | 0.00 | $262,739 | $0 | $28,798 | Yes (X) | |||
| Bridgitte Wolf-Small MD | |||||||||
| Primary Care Physician | 50.00 | 0.00 | $224,165 | $0 | $21,141 | Yes (X) | |||
| Joel Ashworth MD | |||||||||
| Primary Care Physician | 50.00 | 0.00 | $209,095 | $0 | $20,967 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,323,353 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,808,071 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $461,725 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Kleane Kare Team Inc | |||||
| PO Box 38637 | Henrico | VA | 232311137 | Janitorial Services | $115,545 |
| Stonewall St Johns Partners | |||||
| PO Box 1093 | White Stone | VA | 22578 | Rental Property Management | $111,858 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $12,812 | GovernmentGrantsAmt |
| Total Contributions | $12,812 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient Service Rev. | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $4,710,175 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,710,175 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,710,175 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| Other Misc Revenue | 900099 | $11,993 | $11,993 |
| Medical Director Fees | 900099 | $2,208 | $2,208 |
| Purchased Discounts | 900099 | $136 | $136 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $14,337 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,737,324 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,710,175 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $14,337 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,425,964 | TotalAmt |
| Program Services | $3,983,368 | ProgramServicesAmt |
| Management And General | $442,596 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,591 | TotalAmt |
| Program Services | $107,632 | ProgramServicesAmt |
| Management And General | $11,959 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $699,520 | TotalAmt |
| Program Services | $629,568 | ProgramServicesAmt |
| Management And General | $69,952 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $275,488 | TotalAmt |
| Program Services | $247,939 | ProgramServicesAmt |
| Management And General | $27,549 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $799 | TotalAmt |
| Management And General | $799 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,420,811 | TotalAmt |
| Program Services | $1,278,730 | ProgramServicesAmt |
| Management And General | $142,081 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,629 | TotalAmt |
| Program Services | $4,166 | ProgramServicesAmt |
| Management And General | $463 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,130 | TotalAmt |
| Program Services | $69,417 | ProgramServicesAmt |
| Management And General | $7,713 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123 | TotalAmt |
| Program Services | $111 | ProgramServicesAmt |
| Management And General | $12 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $314,089 | TotalAmt |
| Program Services | $282,680 | ProgramServicesAmt |
| Management And General | $31,409 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,987 | TotalAmt |
| Program Services | $45,888 | ProgramServicesAmt |
| Management And General | $5,099 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $169,644 | TotalAmt |
| Program Services | $169,644 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $520,423 | TotalAmt |
| Program Services | $468,381 | ProgramServicesAmt |
| Management And General | $52,042 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,282 | TotalAmt |
| Program Services | $99,254 | ProgramServicesAmt |
| Management And General | $11,028 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $448,610 | $448,610 | |
| Bad Debt | $201,419 | $201,419 | |
| Dues - Misc | $12,139 | $10,925 | $1,214 |
| Physician Recruitment | $4,499 | $4,049 | $450 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,462 | TotalAmt |
| Program Services | $10,315 | ProgramServicesAmt |
| Management And General | $1,147 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,867,609 | TotalAmt |
| Program Services | $8,062,096 | ProgramServicesAmt |
| Management And General | $805,513 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,110 | BOYAmt |
| EOY | $1,050 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,286 | BOYAmt |
| EOY | $253,441 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $343,211 | BOYAmt |
| EOY | $336,176 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,568 | BOYAmt |
| EOY | $18,394 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,655 | BOYAmt |
| EOY | $21,180 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,004,423 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,498,482 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,243,696 | BOYAmt |
| EOY | $3,505,941 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,408 | BOYAmt |
| EOY | $37,430 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,803,934 | BOYAmt |
| EOY | $4,173,612 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $267,487 | BOYAmt |
| EOY | $346,066 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,719,886 | BOYAmt |
| EOY | $13,141,270 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,987,373 | BOYAmt |
| EOY | $13,487,336 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$5,183,439 | BOYAmt |
| EOY | -$9,313,724 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$5,183,439 | BOYAmt |
| EOY | -$9,313,724 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,803,934 | BOYAmt |
| EOY | $4,173,612 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$4,130,285 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $201,650 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $25,872 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $53,776 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $40,324 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,812 | CurrentTaxYearAmt |
| Total | $334,434 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,618,098 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,676,814 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,143,839 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,902,864 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,710,175 | CurrentTaxYearAmt |
| Total | $22,051,790 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,819,748 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,702,686 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,197,615 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,943,188 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,722,987 | CurrentTaxYearAmt |
| Total | $22,386,224 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $22,386,224 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,300 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | -$342 | CurrentTaxYearMinus3YearsAmt |
| Total | $10,958 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,300 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | -$342 | CurrentTaxYearMinus3YearsAmt |
| Total | $10,958 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,468,953 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,950,325 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $105,566 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $246,148 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,337 | CurrentTaxYearAmt |
| Total | $8,785,329 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,300,001 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,652,669 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,303,181 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,189,336 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,737,324 | CurrentTaxYearAmt |
| Total | $31,182,511 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.71790 | PublicSupportCY509Pct |
| Public Support PY509 | 0.73060 | PublicSupportPY509Pct |
| Investment Income CY | 0.00040 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00080 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule A, Part III, Line 12, Explanation of Other Income: | Billing Services to Related Entities - 2013 Amount: $ 73,605. 2014 Amount: $ 51,597. 2015 Amount: $ 75,810. 2016 Amount: $ 5,683. Forgiveness of Intercompany Debt - 2013 Amount: $ 2,395,348. 2014 Amount: $ 5,892,104. 2016 Amount: $ 207,030. Medical Director Fees - 2014 Amount: $ 6,624. 2015 Amount: $ 26,496. 2016 Amount: $ 24,288. 2017 Amount: $ 2,208. Purchase Discounts - 2015 Amount: $ 3,260. 2016 Amount: $ 6,022. 2017 Amount: $ 136. All Other Revenue - 2016 Amount: $ 3,125. 2017 Amount: $ 11,993. |
| Schedule A, Part III: | Column (d) 2014 represents support for the short-period of 04/01/2015-08/31/2015. |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $351,535 | OtherCostOrOtherBasisAmt |
| Book Value | $351,535 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,331,519 | OtherCostOrOtherBasisAmt |
| Depreciation | $423,245 | DepreciationAmt |
| Book Value | $1,908,274 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,204,985 | OtherCostOrOtherBasisAmt |
| Depreciation | $417,185 | DepreciationAmt |
| Book Value | $787,800 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,076,369 | OtherCostOrOtherBasisAmt |
| Depreciation | $658,052 | DepreciationAmt |
| Book Value | $418,317 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $40,015 | OtherCostOrOtherBasisAmt |
| Book Value | $40,015 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,505,941 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Affiliates | $12,351,561 |
| Capital Leases | $742,926 |
| HPL/GL Liability | $37,430 |
| Patient Credit Balances | $9,353 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $13,141,270 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | Schedule D, Part X, Line 2 requires that the organization provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under ASC 740. ASC 740 addresses the accounting for uncertainty in income taxes recognized in an entity's financial statements and prescribes a threshold of more-likely-than-not for recognition and derecognition of tax positions taken or expected to be taken in a tax return. The adoption of ASC 740 by Bon Secours Mercy Health, Inc. on September 1, 2007 did not have a material impact on BSMH's consolidated financial statements. As the organization does not conduct a separate audit of its financial statements, below is the related statement from the Bon Secours Mercy Health, Inc. consolidated audited financial statements: The 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Toni Ardabell | ||||||||||||||
| CEO-BSV | $0 | $677,035 | $0 | $130,351 | $0 | $742,660 | $0 | $105,750 | $0 | $2,002 | $0 | $1,657,798 | $0 | $196,397 |
| Janice Burnett | ||||||||||||||
| Board Member | $0 | $667,595 | $0 | $240,070 | $0 | $435,772 | $0 | $129,000 | $0 | $14,169 | $0 | $1,486,606 | $0 | $92,090 |
| Stephan Quiriconi | ||||||||||||||
| Treasurer, BSR-VP Finance | $0 | $349,584 | $0 | $69,669 | $0 | $41,366 | $0 | $5,300 | $0 | $10,953 | $0 | $476,872 | $0 | $0 |
| Jim Godwin | ||||||||||||||
| VP HR | $0 | $199,313 | $0 | $13,959 | $0 | $20,578 | $0 | $18,746 | $0 | $21,050 | $0 | $273,646 | $0 | $0 |
| Thomas Auer | ||||||||||||||
| CEO - BSMG (End 10/17) | $0 | $439,234 | $0 | $57,599 | $0 | $411,094 | $0 | $16,200 | $0 | $410 | $0 | $924,537 | $0 | $0 |
| Herbert Cummings | ||||||||||||||
| COO - BSMG (Beg 11/17) | $0 | $269,439 | $0 | $42,358 | $0 | $395 | $0 | $10,800 | $0 | $27,267 | $0 | $350,259 | $0 | $0 |
| Darlene Stibal MD | ||||||||||||||
| Surgeon | $341,020 | $0 | $0 | $0 | $3,048 | $0 | $8,100 | $0 | $8,829 | $0 | $360,997 | $0 | $0 | $0 |
| Joseph Bessler MD | ||||||||||||||
| Internist | $101,157 | $0 | $176,097 | $0 | $6,032 | $0 | $3,110 | $0 | $9,133 | $0 | $295,529 | $0 | $0 | $0 |
| Salvatore Bavuso MD | ||||||||||||||
| Primary Care Physician | $132,041 | $0 | $124,208 | $0 | $6,490 | $0 | $1,032 | $0 | $27,766 | $0 | $291,537 | $0 | $0 | $0 |
| Bridgitte Wolf-Small MD | ||||||||||||||
| Primary Care Physician | $98,917 | $0 | $117,414 | $0 | $7,834 | $0 | $2,534 | $0 | $18,607 | $0 | $245,306 | $0 | $0 | $0 |
| Joel Ashworth MD | ||||||||||||||
| Primary Care Physician | $191,463 | $0 | $15,346 | $0 | $2,286 | $0 | $0 | $0 | $20,967 | $0 | $230,062 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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, Line 4b | The filing organization participates in a BSMH 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 include: Toni Ardabell, $381,880; Janice Burnett, $106,552; James Godwin, $0; Stephan Quiriconi, $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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | Bon Secours Mercy Health, Inc. is the sole member of Bon Secours Richmond LLC. Bon Secours Richmond LLC holds the majority interest in Bon Secours - Richmond Health System, which in turn is the sole member of the filing organization. |
| Form 990, Part VI, Section A, line 7a | The 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, Section A, line 7b | Certain authorities of the filing organization are reserved to its member or to Bon Secours Mercy Health, Inc. |
| 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 the BSMH. The compensation committee consists of a group of independent board members and engages an independent external compensation consultant to ensure they receive appropriate analysis of market and follow the practices necessary to obtain full compliance with the IRS' rebuttable presumption of reasonableness. The committee establishes and maintains a compensation philosophy; reviews pay practices against local, regional and national healthcare organizations and approves all remunerative decisions for this group of individuals. The committee reviews and receives assurances that all levels of pay within the organization are reasonable based on performance and validates incentives are met. These decisions are documented in the BSMH board of directors and compensation committee minutes. Compensation Process Other Officers/ Key Employees: For those key employees and highest paid employees that are not reviewed by the BSMH compensation committee, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. In the review, the other officers or key employees of the organization were compared to other hospitals' employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in human resources. |
| 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: | The 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, Sr. Rose Marie Jasinski, and Sr. Victoria Segura do not receive payroll distributions as they have taken vows of poverty. |
| Form 990, Part IX, line 11g | Purchased Services - Intercompany: Program service expenses 108,810. Management and general expenses 12,090. Fundraising expenses 0. Total expenses 120,900. Maintenance and Service Agreements: Program service expenses 112,656. Management and general expenses 12,517. Fundraising expenses 0. Total expenses 125,173. Contracted Clerical Staff: Program service expenses 540. Management and general expenses 60. Fundraising expenses 0. Total expenses 600. Other Purchased Services: Program service expenses 813,138. Management and general expenses 90,349. Fundraising expenses 0. Total expenses 903,487. Billings and Collections: Program service expenses 243,586. Management and general expenses 27,065. Fundraising expenses 0. Total expenses 270,651. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (50 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 0 |
| 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 | 0 | |
| 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 | ||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (22 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| 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 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | N/A | C | 0 | ||||
| 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 | |||||||||||||
| 980152147 | Offshore Captive Management | N/A | C | 0 | PO Box 69 | CJ | KY1-1102 | CJ | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |