2019-07-11T07:53:00-05:00 2018-08-31 861065772 Deloitte Tax LLP 695 Town Center Drive Costa Mesa CA 92626 990 2017-09-01 541744931 Memorial Regional Medical Center Inc MEMO 8042818413 8580 Magellan Parkway Building IV Richmond VA 23227 Stephan Quiriconi Treasurer, BSR-VP Finance 8047646102 2019-07-11 1 John W Sadoff Jr P00540589 7144367100 168.250.63.1 2019-07-11 06:56:20 ED P 0EB4CE1ACD44DB279B6C2D9A8476B20948576B96 F6D944725D87E8D67D75795748B251B00643F0AC 2017 2019-02-21 02:37:17Z Stephan Quiriconi 8580 Magellan Parkway Building IV Richmond VA 23227 399881398 0 X bonsecours.com X 1994 VA Acute Care Hospital 21 19 2272 408 89604 39307 866708 988730 385551010 392714973 1488363 2739937 3007267 2841118 390913348 399284758 103306 100145 0 0 144238451 148512580 0 0 0 240519306 239577695 384861063 388190420 6052285 11094338 341362735 347780453 150852921 130735289 190509814 217045164 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 340523379 100145 390697995 Provide health and wellness for the surrounding community through a holistic approach. Services are provided to all regardless of their socio-economic status in various healthcare settings including a hospital, medical office, and at home. Please refer to the Community Benefit information on Schedule H. 8986357 4272638 At Bon Secours Memorial College of Nursing, our students, faculty, staff and alumni are part of a nearly 200-year-old mission of providing compassionate care to those in need. Our College extends this mission by educating nurses in a spirit of academic and clinical excellence to serve our community with genuine compassion and the highest clinical standards. We are deeply committed to meeting the needs of our patients and adapting to the growing, changing needs of the world in which we serve. 349509736 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 119 0 1 2272 1 1 1 0 0 0 0 0 0 0 0 0 X 21 19 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 Toni Ardabell CEO-BSV 5.00 45.00 X X 0 1550046 107752 Jean Ann Bolling Board Member (End 12/17) 2.00 0.00 X 0 0 0 Jeffrey Brown MD Board Member 2.00 0.00 X 0 0 0 Stuart Bunting Board Member (Beg 01/18) 2.00 0.00 X 0 0 0 Janice Burnett Board Member 2.00 48.00 X 0 1343437 143169 Chandrashekar Challa Board Member 2.00 0.00 X 0 0 0 Elizabeth Crowther Board Member 2.00 0.00 X 0 0 0 John Daniel III MD Board Member 2.00 0.00 X 0 0 0 Thomas Gayner Board Member (End 12/17) 2.00 0.00 X 0 0 0 Chris Hairston-White Board Member 2.00 0.00 X 0 0 0 Morris Henderson D Min Board Member (Beg 01/18) 2.00 0.00 X 0 0 0 BHB Hubbard III Board Member (End 05/18) 2.00 0.00 X 0 0 0 Birdie Jamison Board Member (Beg 01/18) 2.00 0.00 X 0 0 0 Sr Rose Marie Jasinski CBS Board Member (End 12/17) 2.00 0.00 X 0 0 0 Joyce Lanier Board Member (Beg 01/18) 2.00 0.00 X 0 0 0 Sr Anne Marie Mack CBS President 5.00 45.00 X X 0 0 0 Linda Rigsby Board Member 2.00 0.50 X 0 0 0 Pamela Royal MD Board Member 2.00 0.00 X 0 0 0 Joseph Schilling Board Member 2.00 0.00 X 0 0 0 Sr Victoria Segura MD CBS Board Member (Beg 01/18) 10.00 40.00 X 0 0 0 Shannon Sinclair Board Member 2.00 0.00 X 0 0 0 Nancy Thomas Chairman 2.00 0.00 X X 0 0 0 Harry Turton Jr Board Member (End 12/17) 2.00 0.00 X 0 0 0 Deborah Ulmer PhD RN Board Member 2.00 0.00 X 0 0 0 Jane Watkins Board Member 2.00 0.00 X 0 0 0 BK Fulton Board Member 2.00 0.00 X 0 0 0 Allen Goolsby III Secretary 2.00 0.00 X 0 0 0 Stephan Quiriconi Treasurer, BSR-VP Finance 5.00 45.00 X 0 460619 16253 Mark Gordon CEO-MRMC&RCH 20.00 30.00 X 0 499936 59024 James Godwin VP HR 2.00 48.00 X 0 233850 39796 Leigh Sewell VP Service Line Strategy 12.00 38.00 X 0 245646 49370 Robin Johnson VP - Patient Care Services 30.00 20.00 X 201978 0 30111 Thomas Auer CEO - BSMG (End 10/18) 7.00 43.00 X 0 907927 16610 Herbert Cummings COO - BSMG (Beg 11/18) 7.00 43.00 X 0 312192 38067 James McNamara VP Orthopedics 10.00 40.00 X 0 278394 22630 Harpreet Grewal MD Cardiologist 50.00 0.00 X 1267771 0 40732 Mohammad Chaudhry MD Cardiologist 50.00 0.00 X 1061347 0 43086 Pindipapanahall Ravindra MD Cardiologist 50.00 0.00 X 843171 0 13694 Michael Wittkamp MD Cardiologist 50.00 0.00 X 795653 0 40636 Brian Kaminsky MD Cardiologist 50.00 0.00 X 732951 0 24453 Jill Kennedy Former VP-CNE 0.00 50.00 X 268740 0 31756 5171611 5832047 717139 173 1 1 0 Morrison Mgt Specialists PO Box 102289 Atlanta GA 303682289 Dietary Services 5199546 Athenahealth Inc 311 Arsenal Ct Watertown MA 02472 Physician Billing Service 5030771 Aramark Cts Inc 12483 Collections Ctr Dr Chicago IL 60693 Biomedical Equipment Maintenance 4521052 Shiftwise CM 9705 St Paul MN 551709705 Contract Labor 3583288 American Anesthesiology of VA P O Box 281034 Atlanta GA 303841034 Anesthesiology 2722500 81 920730 68000 988730 Patient Service Rev. 622110 388431172 388386242 44930 Col of Nursing Tuition 611310 4272638 4272638 Other Rev-Misc JV Inc. 621999 11163 11163 392714973 2078948 2078948 337530 478358 -140828 -140828 -140828 484037 295234 0 118282 484037 176952 660989 660989 Sheltering Arms 900099 2255660 2255660 Gift Shop/Vending Rev. 453220 449842 449842 Health and Fitness Rev 900099 84889 84889 191555 44674 146881 2981946 399284758 394925703 89604 3280721 X 63174 63174 36971 36971 232088 208879 23209 115080176 103572158 11508018 8740000 7866000 874000 15766863 14190177 1576686 8693453 7824108 869345 171150 171150 46587 46587 21237 19113 2124 126060198 105484825 20575373 40046 36041 4005 2601243 2341119 260124 935133 841620 93513 10421619 9379457 1042162 313738 282364 31374 108894 98005 10889 3948821 3948821 9272386 8345147 927239 2890152 2601137 289015 Medical Supplies 61765680 61765680 0 Bad Debt 16628038 16628038 0 Misc Rental Exp 1284756 1156280 128476 Repairs Med Equip 594065 594065 0 2473952 2226557 247395 388190420 349509736 38680684 0 2278 2776 191741139 188732788 70047 26490 35248861 41063551 20001 2858 5345883 5517074 2112862 1811681 219469635 133984301 78965893 85485334 15874797 11881784 1 1 11980973 13256116 341362735 347780453 16087862 19383080 3953905 3870421 4312251 126498903 107481788 150852921 130735289 X 190389814 216925164 120000 120000 190509814 217045164 341362735 347780453 X 11094338 220479 15220533 X 0 1 X 1 1 1 X 0 0 0 0 0 0 0 0 1 21237 21237 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. 120000 120000 120000 120000 120000 120000 120000 120000 120000 120000 0.00000 1.00000 0.00000 1 0 5203211 5203211 95066245 44871086 50195159 13794629 8650955 5143674 100711089 78002452 22708637 4694461 2459808 2234653 85485334 Pension Liability 48074685 Due to Affiliates 41926213 HPL/GL Liability 11890461 Patient Credit Balance 1492247 Deferred Rent 1886204 Medicare/Medicaid Settlements 1658850 Rental Tenant Improv. Allow. 462664 Other Misc Liabilities 57799 Stafford Loan Fund 32665 107481788 X Part V, Line 4: The Frank E. Brown Trust is administered by Wells Fargo and was never booked on the MRMC ledger until fiscal year 2009. The trust has been in existence for benefit of MRMC since August 6, 1962 and provides for income to be used for operating purposes. 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 1 0 1 1 16794593 16794593 0.04520 23611220 15805877 7805343 0.02100 40405813 15805877 24599936 0.06620 7 8581 3576797 3576797 0.00960 1 488 14038570 3986326 10052244 0.02710 1 9 782987 782987 0.00210 9 9078 18398354 3986326 14412028 0.03880 9 9078 58804167 19792203 39011964 0.10500 1 42 9983 9983 0.00000 1 33 171860 171860 0.00050 1 26 14937 14937 0.00000 3 101 196780 196780 0.00050 1 16628038 0 96913682 105777682 -8864000 X 1 1 1 1 Memorial Regional Medical Center 8260 Atlee Road Mechanicsville VA 23116 www.bonsecours.com H1831 X X X X X Memorial Regional Medical Center Inc 1 0 0 1 X X X X X X X X X 15 1 1 0 1 X See Section C X www.behealthyrva.org X 1 15 1 See Section C 0 1 X 200.000000000000 400.000000000000 1 1 X X X 1 X http://www.fa.bonsecours.com/ X http://www.fa.bonsecours.com/ X http://www.fa.bonsecours.com/ X X X X X X X 1 X 0 X X X X 1 X 0 0 Memorial Regional Medical Center, Inc. Part V, Section B, Line 5: 2015 CHNA: Community SurveyAn electronic survey using Survey Monkey was developed and administered to 759 community members and partners. The survey was offered in Spanish and English. 65 individuals completed the survey in Spanish and 694 completed the survey in English. Individuals were invited to participate based on their ability to represent: underserved, low-income and minority population needs; needs of chronically ill patients; and awareness of healthcare needs in their respective communities. Participants were asked to share their viewpoints on: Important health concerns in the community; Significant service gaps in the community; Ideas for addressing concerns and service gaps.To gauge the importance of various health concerns, respondents were asked to "Choose the top 5 priorities you think should be addressed in your community" from a list of 34 health concerns. Respondents were then asked to rate their overall health, the health of the community, and the quality of life of the community. Other questions included reviewing lists of services typically important to addressing health concerns and how strong the community was in providing those services. Respondents were then asked to indicate services that needed to be strengthened in terms of availability, access, and quality. Open-ended response items were provided for participants to indicate additional service gaps in the community and ideas for addressing concerns and service gaps. Community ConversationsFive Community Conversations were held as part of the CHNA process in which 78 individuals participated from all of the core jurisdictions of Hanover, Henrico, Chesterfield, and Richmond City. Overall, the racial and geographical diversity of the participants represented a healthy mix of the region's residents. The purpose of the conversation was to elicit feedback from community members about publicly available health data describing health conditions in the services area, and to review the online survey results to further explore findings. Attendees were asked to 1) rank the health issues identified in the Community Survey according to the issues that impact them and the people close to them the most and 2) rank the issues needing to be addressed to improve the overall health of the region from a community view.Priority Needs Bon Secours Richmond convened a CHNA Advisory Board to support the process by engaging community members and providing feedback on the findings. The CHNA Advisory Board included individuals with special knowledge of public health and underserved populations and included the following: Directors from the Richmond City Health Department and the Chickahominy Health District, an Executive Director of a Free Clinic, a Vice President from VCU Health, Vice Presidents from the Better Housing Coalition and United Methodist Family Services, and the Executive Director of the Richmond Academy of Medicine. A group conversation was facilitated by Becky Clay Christensen and included a review of all qualitative and quantitative data gathered from the Community Survey, Community Conversations, and publicly available secondary health data. Advisory Board members were asked to categorize issues as high or low need in the community using a Strategy Grid. They were also asked to determine the feasibility of the community's ability to make an impact on the issues. Memorial Regional Medical Center, Inc. Part V, Section B, Line 6a: St. Mary's Hospital, Memorial Regional Medical Center, St. Francis Medical Center, Richmond Community Hospital Memorial Regional Medical Center, Inc. Part V, Section B, Line 11: The Implementation Plan focuses on 4 broad areas including Access to Care for the Uninsured with Chronic Disease, Mental Health, Transportation, and Education. Goals and objectives were created for each area and were based on Healthy People 2020 objectives, Virginia's Plan for Well-Being 2016-2020 goals, and other evidence-based sources.The overarching goal for Access to Care for the Uninsured with Chronic Disease is to improve access to high quality health care services. This has been achieved in part by supporting the many community partners who work with the uninsured population to include: the Free Clinic Network, the Capital Region Collaborative, and the two other hospital systems in the region. Additionally, Bon Secours Mercy Health provides services to the uninsured through the Care-A-Van, St. Joseph's Outreach Clinic, and the Community Nutrition program. Partnerships to achieve this objective include Churches, nutrition and healthy food providers, St. Joseph's Villa and The Daily Planet (FQHC).The goal in addressing Mental Health is to improve mental health status by ensuring access to appropriate, quality mental health services. We aim to achieve this by increasing the proportion of people who receive appropriate treatment for mental health disorders. Increasing the use of depression screenings and integrating behavioral health with primary care are two strategies that have been implemented to impact this goal. Partners in this work include The Daily Planet, the National Alliance on Mental Health, United Methodist Family Services, Childsavers, Stop Child Abuse Now, and the Bon Secours Bereavement Center. Additionally, Henrico Area Mental Health and Development Services, Chesterfield Department of Mental Health Support Services, the City of Richmond Department of Health, and the two other health systems in the region will be influential partners to impact Mental Health.Transportation is being addressed by increasing safe, healthy, and reliable transportation options for residents in the Richmond service area. Bon Secours Mercy Health promotes active transportation through advocacy for and provision of place making in the neighborhoods we serve. Additionally, we are an advocate for the expansion of public transportation options to increase access for those in underserved areas and improve ridership through a community-based design. One place making activity included the opening of the Sarah Garland Jones Center for Health Communities. Additionally, advocacy efforts include the expansion of safe walking and biking opportunities and the redesign of the public bus system to ensure timely access for all those we serve. Bon Secours Mercy Health also provides transportation to and from Richmond Community Hospital.The goal for Education is to promote student success in schools to improve health and quality of life for the Richmond community and future generations. Our efforts have focused on kindergarten readiness, 3rd grade Standards of Learning (SOL)reading test scores, and high school graduation rates. The Care-A-Van provides no cost vaccines and school physicals to children to ensure school readiness as well as enrolls eligible children in FAMIS Medicaid. Partners to support this work include, Commonwealth Parenting, Excel VCU, Faison School for Autism, Friends Association, Richmond Cycling Corps, First Things First, Reach Out and Read, Sacred Heart Center, Virginia Literacy Foundation, YMCA, YWCA, Peter Paul Development Center, Armstrong Priorities Freshman Academy, Anna Julie Cooper School, Church Hill Activities and Tutoring, Great Aspirations Scholarship Program, United Way, Higher Achievement, Salvation Army Boys and Girls Club, and many others providing direct education and workforce readiness training.Needs Not AddressedAccess to care for Medicaid and Medicare beneficiaries, adult and childhood obesity, jobs with fair wages, families living in poverty and seniors were identified as high needs in the community. The CHNA Advisory Board also identified these needs as having high feasibility meaning there was sufficient community support to make an impact.During the Community Conversations, older adults with Medicare shared they had challenges finding community physicians who accepted Medicare patients. This is being addressed by Bon Secours Richmond Health System that includes Bon Secours Medical Group and VCU Health in that they accept Medicaid and Medicare patients.Adult and childhood obesity are being addressed in the community by multiple organizations including Active RVA, City of Richmond's Corner Store initiative, Faces of Hope, Fit 4 Kids, the Seventh District Health and Wellness Initiative, Shalom Farms, Sports Backers/Richmond Strikers, Tricycle Gardens, Virginia Recreation and Parks and the YMCA.Jobs with Fair Wages is being addressed by the City of Richmond Community Wealth Building, Goodwill, Richmond Technical Center, Chesterfield Career and Technical Center, The Hanover Center for Trades and Technology, Henrico County Public Schools Career and Technical Education, United Way of Greater Richmond & Petersburg and the Virginia Interfaith Center.A family living in poverty is a multi-factorial issue which may be impacted through enhanced education and transportation, both areas of focus for the 2016 CHNA. Organizations presently engaged in breaking the cycle of poverty include Area Congregations Together in Service, Better Housing Coalition, Capital Region Collaboration, City of Richmond Community Wealth Building, Commonwealth Catholic Charities, Local Initiative Support Corporation (LISC), Peter Paul Development Center, Richmond Cycling Corps, Richmond Hill, Richmond Redevelopment and Housing Authority, Salvation Army Boys and Girls Club.The needs of the older adult population in the greater metro Richmond area or seniors are being addressed by Circle Center Adult Day Services, Old Dominion Partnership, Peter Paul Development Center, Rebuilding Together Richmond, Senior Connections, Senior Navigator and Shepherd's Center of Chesterfield. Memorial Regional 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. Form 990, Schedule H, Part V, Section B, Line 7a: https://bonsecours.com/richmond/community-commitment/community-health-needs-assessment Form 990, Schedule H, Part V, Section B, Line 10a: https://bonsecours.com/richmond/community-commitment/community-health-needs-assessment 30 1 - Memorial Regional Medical Center 8262 Atlee Road MOB III Ste 100 Mechanicsville VA 23116 Ambulatory Surgery Center 2 - Richmond Cardiology Associates 8243 Meadowbridge Road Mechanicsville VA 23116 Physician Practices 3 - Richmond Cardiology Associates 1850 Pocahontas Trail Suite 202 Quinton VA 23141 Physician Practices 4 - Richmond Cardiology Associates 430 Clairmont Court Suite 211 Colonial Heights VA 23525 Physician Practices 5 - Laburnum Medical Center 4620 S Laburnum Ave Richmond VA 23231 Physician Practices 6 - Memorial Medical Center 8220 Meadowbridge Road Ste 203 Mechanicsville VA 23116 Physician Practices 7 - Surgical Specialists of Richmond 8262 Atlee Road MOB III Ste 205 Mechanicsville VA 23116 Physician Practices 8 - Surgical Specialists of Richmond 1850 Pocahontas Trail Quinton VA 23141 Physician Practices 9 - Surgical Specialists of Richmond 1396-B Tappahannock Blvd Tappahannock VA 22560 Physician Practices 10 - Bon Secours Wound Care Clinic 8237 Meadowbridge Road Mechanicsville VA 23116 Wound Care Clinic 11 - Neurology Clinic at MRMC 8262 Atlee Road MOB III Ste 201 Mechanicsville VA 23116 Physician Practices 12 - Lee Davis Pediatrics 6372 Mechanicsville Turnpike Mechanicsville VA 23111 Physician Practices 13 - Crossridge Internal Med & Pediatrics 10150 Staples Mill Road Glen Allen VA 23060 Physician Practices 14 - Sleep Center - Hanover 8266 Atlee Road 229 Mechanicsville VA 23116 Sleep Study Lab 15 - Bon Secours Behavioral Health Services 1510 North 28th St Hospital 3rd Floor Richmond VA 23223 Physician Practices 16 - Richmond Diabetes and Endocrinology 8220 Meadowbridge Road Suite 308 Mechanicsville VA 23116 Physician Practices 17 - Aylett Medical Center 7864 Richmond - Tappahannock Highway Aylett VA 23009 Physician Practices 18 - Sports Medicine 8200 Meadowbridge Road 102 Mechanicsville VA 23116 Physician Practices 19 - Theresa Thomas Medical Center 635 N Washington Highway Ashland VA 23005 Physician Practices 20 - BS Lee Davis Medical Associates 7041 Lee Park Road Mechanicsville VA 23111 Physician Practices 21 - Hanover Pediatrics 9113 Dickey Drive Mechanicsville VA 23116 Physician Practices 22 - Hanover Good Health Clinic 8200 Meadowbridge Road 301 Mechanicsville VA 23116 Physician Practices 23 - MRMC - Inpatient Surgical Specialists 8262 Atlee Road MOB III Ste 205 Mechanicsville VA 23116 Physician Practices 24 - Capitol OBGYN 1510 North 28th Ste 305 Richmond VA 23223 Physician Practices 25 - Diabetes Treatment Center 8220 Meadowbridge Road Ste 305 Mechanicsville VA 23116 Outpatient Diabetes Clinic 26 - Hanover Clinic 8200 Meadowbridge Road Mechanicsville VA 23116 Rehab Clinic 27 - Thoracic Surgery Associates 8220 Meadowbridge Road Suite 306 Mechanicsville VA 23116 Physician Practices 28 - Thoracic Surgery Associates 14051 St Francis Blvd Suite 2205 Midlothian VA 23114 Physician Practices 29 - Urbana Medical Center 390 Old Virginia Street Suite A Urbana VA 23175 Physician Practices 30 - Bon Secours Oncology Associates 8266 Atlee Road MOB II Ste 225 Mechanicsville VA 23116 Physician Practices Part I, Line 6a: Annually, Bon Secours Richmond Health System (BSRHS) publishes a report for the community on the 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 Founding Day of the Sisters of Bon Secours. This report is available online at https://bonsecours.com/richmond/about-us. 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: $ 16,628,038. 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 BSHSI 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 nonreimburseable departments. The cost report uses appropriate statistical bases to "step down" support costs to allowable clinical and nonreimburseable 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: The 2016 CHNA was conducted during Fiscal Year 2016 (September 1, 2015 to August 31, 2016) by the Community Health Services team in order to prepare documents by the end of the fiscal year. It was determined that existing quantitative data, augmented by a community survey, and community conversations would be used to identify and prioritize health indicators. All identified needs were reported to the Community Advisory Board to prioritize based on need and feasibility. An executive summary and report was then presented to system leadership from Mission. Findings were then presented to the Executive Management Team for further review and comment. Finally, a presentation was made to the Bon Secours Richmond Health System Board for final approval prior to being made available to the public.Quantitative DataData was gathered and compiled via publicly available data sources such as County Health Rankings, the Census Bureau, and the Virginia Department of Health. The data presented in the CHNA reflects how the area served by Bon Secours Richmond Health System compares to Virginia overall and/or the nation. Health issues and conditions were either identified by the community during qualitative community conversations or are issues which deviated from the state or national findings.Community InputInput from community members was included in assessing health care needs as described in Part V, Line 5. 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 Mercy Health proactively screens patients to identify individuals and their families who may qualify for federal, state or local health insurance programs or the Bon Secours Mercy Health 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 Mercy Health 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 Mercy Health 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 was translated into multiple languages and placed on our Bon Secours Mercy Health website for patients to access. Part VI, Line 4: Richmond Memorial Hospital (RMH) was chartered in 1947 in the Ginter Park Community to accommodate the shortage of hospital facilities after World War II. Since 1998, Memorial Regional Medical Center has provided a continuation of RMH's commitment and preserved its monumental importance. Memorial Regional Medical Center is an acute care facility licensed for 225 beds, serving residents primarily from the counties of Hanover, Henrico, King and Queen, King William and New Kent and Richmond City.Bon Secours Richmond Health System serves the larger Richmond, Virginia metropolitan area and includes four hospital facilities whose service areas largely overlap. While the hospitals serve patients from many cities and counties, the majority of patients fall within the counties of Chesterfield, Henrico, Hanover and the City of Richmond totaling approximately 1,067,000 residents. For the purpose of this CHNA, we refer to these as the "Richmond Core Service Area."The Richmond Core Service Area is 53% Caucasian and 30.7% African American. When the demographics of the City of Richmond are viewed alone, we find a much lower percentage of Caucasians (40%) and a much higher percentage of African Americans (49%) than the community overall.The population age distribution for the Richmond Core Service Area is similar to Virginia overall with the exception of the City of Richmond, which has a higher percentage of 19-64 year olds (70%) and lower percentages of children (18%) and older adults (12%).Median household incomes in the United States are less than those found in Virginia overall. The Richmond Core Service Area counties of Henrico, Hanover and Chesterfield all have higher median household incomes than the U.S. overall. In contrast, the City of Richmond has a much lower median household income ($39,249) as compared to the U.S. ($53,046) and Virginia overall ($63,907).Compared to Virginia, the percentage of uninsured adults is highest in the City of Richmond (20%) and lowest in Hanover County (10%). The percentages of uninsured children show a much lower degree of variance. Part VI, Line 5: Memorial Regional Medical Center has an open medical staff with privileges available to all qualified physicians in the area. Memorial Regional Medical Center through the Bon Secours Richmond Health System is governed by a board of directors whose composition is representative of the community.Memorial Regional Medical Center provides training and education of health care professionals. The Bon Secours Memorial College of Nursing, sponsored by Memorial Regional Medical Center had 488 enrolled students in fiscal year 2018. Memorial Regional Medical Center engages in medical research. Inpatient and outpatient research-related activities are conducted by Memorial Regional with oversight from the Bon Secours Richmond Health System Institutional Review Board. Community ProgramsThe Care-A-Vans are mobile health care clinics, which travel throughout the Richmond Metro area to provide free primary, urgent and preventive care to patients. Patients on these vans speak many different languages. Approximately 40% of the Care-A-Van's staff are bilingual in English and Spanish. Each van is a self-contained mobile clinic with examining rooms, storage, bathroom, and waiting area. Services include health screenings, childhood immunizations, flu shots for adults, school physicals for uninsured children and examination and treatment of sick patients who are uninsured. Patients who need health care from specialists are referred to volunteer physicians within the community including Bon Secours Medical Group physicians. The vans make regular stops six days a week at churches providing 12,440 patient visits in the year ended August 31, 2018.Bon Secours Richmond Health System partnered with the Daily Planet, a federally qualified health center and St. Joseph's Villa for Children, a not-for-profit organization serving children with special needs, at risk youth, and adults with disabilities to create St. Joseph's Outreach Clinic. The clinic provides primary care services to both the insured and the uninsured and serves a large Hispanic population. In the year ended August 31, 2018, 5,318 patient visits were provided. Every Women's Life (EWL), Virginia Breast and Cervical Cancer Early Detection Program is a partnership with the Virginia Department of Health, with funding through the Centers for Disease Control and Prevention. This program provides breast and cervical cancer screenings and diagnostic testing if needed for low income, uninsured women who are 40 to 64 years old. If cancer is found, women are enrolled in Medicaid for treatment. BSRHS holds clinics seven days per month in Bon Secours facilities in the Richmond Metro area. Additionally, BSRHS provides case management, follow-up and patient education for these women. In the year ended August 31, 2018, 937 screenings were provided.BSRHS assists low to moderate-income families whose children may qualify for state-sponsored insurance programs (Medicaid and FAMIS). Partnerships have developed with other agencies that have enrollers to identify and refer uninsured children, avoid duplication of effort, and to share responsibilities for case managing to complete the enrollment process. Two BSRHS outreach specialists enrolled or re-enrolled over 25 children in FAMIS or Medicaid in the year ended August 31, 2018.The nationally recognized Reach Out and Read (ROR) program provides books for young children when they visit the Care-A-Van. Volunteers transform the sites into literary rich areas for children and parents while helping families learn the joys and techniques of reading aloud. Volunteers distributed 544 books in the year ended August 31, 2018 to children at Care-A-Van sites. 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 (Strategic Quality Plan). Part VI, Line 7, Reports Filed With States VA 1 Bon Secours Richmond Healthcare Foundation 8580 Magellan Parkway Richmond VA 23227 541201346 501(c)(3) 63174 From the MRMC Auxiliary to Foundation for equipment 1 Indigent Cab Fare 1126 28146 Laura Murphy - CON Student EAP 1 2750 Federal Supplemental Educational Opportunity Grant 1 5075 Christopher Newport University 1 1000 Part I, Line 2: Per Bon Secours Mercy Health'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. In other cases, grantees submit progress reports on the anniversary date on which the grant was received. The evaluation report includes: 1) progress toward the deployment of the stated goals and objectives, 2) progress towards the achievement of desired outcome as demonstrated by Project Work Plan, 3) an accurate accounting of the revenue and expenses and the amount of the mission fund award expensed, and 4) a summary past, current and future funding sources and efforts to secure sustaining sources of funding. Description of the Bon Secours Mercy Health Mission Fund: Bon Secours Mercy Health performs its philanthropic work through its mission department. This initiative, called the Bon Secours Health System Mission Fund ("Mission Fund"), was developed to promote the Catholic Health Ministry and the Bon Secours Mercy Health, Inc. Mission. This purpose is realized through the funding of initiatives that improve the health and well-being of communities, particularly for disenfranchised and marginalized people, served by Bon Secours Mercy Health Local Systems ("Local Systems"), Cosponsors and the Congregation of the Sisters of Bon Secours. The scope of its purpose and use of funds would be to: -promote healthy community coalition initiatives in conjunction with local system efforts, -develop local system and community excellence for a specific health condition and preventive need, and -improve access for uninsured populations and reduce health disparities among populations in the community. The Strategic Quality Plan of the health system calls for focused efforts to Build Healthier Communities. The health system understands "health" to include social and communal dimensions and has adopted the following articulation of a healthy community. The conditions of communities and individuals served by Bon Secours Mercy Health reflect the interaction of significant factors and complex behaviors at the individual, communal, and societal level. It is not likely that interventions by any one organization will result in substantial improvement or benefit to the community. Rather, increased participation by stakeholders and greater cooperation among entities with appropriate skills and resources is necessary for systemic change and improved outcomes. Mission Fund grants place emphasis on increased collaboration among community based members (Healthy Community Initiative), public health officials and other providers of services. The Mission Fund anticipates that most endeavors that seek to bring meaningful improvement require time and commitment. Consequently, local system grant recipients may expect continuity of support (several years) to establish and track outcomes. At the same time, grant applicants need to cultivate and achieve a wide array of financial resources necessary to sustain promising projects and service programs. Form 990, Schedule I, Part III: Cab fares are estimated based on $25/fare. X 1 1 0 1 0 0 0 0 0 1 0 Toni Ardabell CEO-BSV 0 677035 0 130351 0 742660 0 105750 0 2002 0 1657798 0 196397 Janice Burnett Board Member 0 667595 0 240070 0 435772 0 129000 0 14169 0 1486606 0 92090 Stephan Quiriconi Treasurer, BSR-VP Finance 0 349584 0 69669 0 41366 0 5300 0 10953 0 476872 0 0 Mark Gordon CEO-MRMC&RCH 0 400916 0 46079 0 52941 0 32182 0 26842 0 558960 0 9636 James Godwin VP HR 0 199313 0 13959 0 20578 0 18746 0 21050 0 273646 0 0 Leigh Sewell VP Service Line Strategy 0 223604 0 15153 0 6889 0 12704 0 36666 0 295016 0 0 Robin Johnson VP - Patient Care Services 188256 0 12973 0 749 0 10404 0 19707 0 232089 0 0 0 Thomas Auer CEO - BSMG (End 10/18) 0 439234 0 57599 0 411094 0 16200 0 410 0 924537 0 0 Herbert Cummings COO - BSMG (Beg 11/18) 0 269439 0 42358 0 395 0 10800 0 27267 0 350259 0 0 James McNamara VP Orthopedics 0 260455 0 16853 0 1086 0 12444 0 10186 0 301024 0 0 Harpreet Grewal MD Cardiologist 541710 0 710166 0 15895 0 13500 0 27232 0 1308503 0 0 0 Mohammad Chaudhry MD Cardiologist 339645 0 626262 0 95440 0 13500 0 29586 0 1104433 0 0 0 Pindipapanahall Ravindra MD Cardiologist 550249 0 276420 0 16502 0 13500 0 194 0 856865 0 0 0 Michael Wittkamp MD Cardiologist 416819 0 378274 0 560 0 13500 0 27136 0 836289 0 0 0 Brian Kaminsky MD Cardiologist 545450 0 185917 0 1584 0 13500 0 10953 0 757404 0 0 0 Jill Kennedy Former VP-CNE 251020 0 16433 0 1287 0 4728 0 27028 0 300496 0 0 0 Part I, Line 1a A tax indemnification benefit to cover the income tax incurred on physician insurance was paid to two highest compensated employees. The entire benefit was treated as taxable compensation. Part I, Line 3 Bon Secours Mercy Health., 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 or participated in the plan include: Toni Ardabell, $381,880; Janice Burnett, $106,552; James Godwin, $0; Mark Gordon, $11,367; 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. Form 990, Part VI, Section A, line 6 Bon Secours Mercy Health, Inc is the sole member of Bon Secours Richmond LLC which was formerly Bon Secours Richmond Health Corp, a nonprofit tax exempt organization prior to conversion. Bon Secours Richmond LLC holds the majority interest in Bon Secours - Richmond Health System, which in turn is the sole member of Memorial Regional Medical Center, Inc. Form 990, Part VI, Section A, line 7a The governing body of Memorial Regional Medical Center is appointed by its 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 Memorial Regional Medical Center 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 (BSMH) engages in a comprehensive process for the oversight and management of remuneration for executive employees and disqualified parties of BSMH. The compensation committee consists of a group of independent board members and engages independent external compensation consultants to ensure they receive appropriate analysis of market and follow the practices necessary to obtain full compliance with the IRS's 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: The entities listed below 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. - 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 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 37,576,198. Management and general expenses 4,175,133. Fundraising expenses 0. Total expenses 41,751,331. Physician Fees: Program service expenses 11,300,033. Management and general expenses 0. Fundraising expenses 0. Total expenses 11,300,033. Billing and Collections: Program service expenses 8,216,739. Management and general expenses 912,971. Fundraising expenses 0. Total expenses 9,129,710. Security Services: Program service expenses 5,687. Management and general expenses 632. Fundraising expenses 0. Total expenses 6,319. Other Purchased Services: Program service expenses 39,607,508. Management and general expenses 4,400,834. Fundraising expenses 0. Total expenses 44,008,342. Maintenance and Service Agreements: Program service expenses 2,302,604. Management and general expenses 255,845. Fundraising expenses 0. Total expenses 2,558,449. Consulting: Program service expenses 568,654. Management and general expenses 63,184. Fundraising expenses 0. Total expenses 631,838. Contracted Nursing and Clerical Staff: Program service expenses 5,907,402. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,907,402. BSMH Mgmt Dues: Program service expenses 0. Management and general expenses 10,766,774. Fundraising expenses 0. Total expenses 10,766,774. Form 990, Part XI, line 9: Transfers to Affiliates - Bond Related -2,907,277. Addl Minimum Pension Liability 18,127,810. 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 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 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 PO Box 69 CJ KY1-1102 980152147 Offshore Captive Management CJ N/A C 0 0 1 1 1 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0