Bon Secours DePaul Medical Center Inc: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- Bon Secours DePaul Medical Center Inc (EIN 54-1820093)
- Tax period
- 2016-09-01 to 2017-08-31
- Filed
- 2018-07-03
- IRS object ID
- 201841849349300004
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-07-03T06:33:58-05:00 | ReturnTs |
| Tax Period End | 2017-08-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 Peachtree Street Suite 2000 | AddressLine1Txt |
| City | Atlanta | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 303031749 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-09-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 541820093 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bon Secours DePaul Medical Center Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BONS | BusinessNameControlTxt |
| Phone | 7578895000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7007 Harbour View Blvd No 108 | AddressLine1Txt |
| City | Suffolk | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23435 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Paul Gaden | PersonNm |
| Person Title | Chief Executive Officer | PersonTitleTxt |
| Phone | 7578895851 | PhoneNum |
| Signature | 2018-07-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | John W Sadoff Jr | PreparerPersonNm |
| PTIN | P00540589 | PTIN |
| Phone | 4042201500 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Paul Gaden | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7007 Harbour View Blvd No 108 | AddressLine1Txt |
| City | Suffolk | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23435 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $196,857,282 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | bonsecours.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | Acute Care Hospital | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 1503 | TotalEmployeeCnt |
| Total Volunteers | 80 | TotalVolunteersCnt |
| Total Gross UBI | $527,413 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$9,479 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $501,597 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,023,140 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $191,870,863 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $184,243,499 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$292,967 | PYInvestmentIncomeAmt |
| CY Investment Income | -$308,839 | CYInvestmentIncomeAmt |
| PY Other Revenue | $11,860,038 | PYOtherRevenueAmt |
| CY Other Revenue | $11,303,044 | CYOtherRevenueAmt |
| PY Total Revenue | $203,939,531 | PYTotalRevenueAmt |
| CY Total Revenue | $196,260,844 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $138,600 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $137,549 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $84,110,801 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $84,780,807 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $132,912,415 | PYOtherExpensesAmt |
| CY Other Expenses | $125,813,529 | CYOtherExpensesAmt |
| PY Total Expenses | $217,161,816 | PYTotalExpensesAmt |
| CY Total Expenses | $210,731,885 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$13,222,285 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$14,471,041 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $127,918,866 | TotalAssetsBOYAmt |
| Total Assets EOY | $126,249,148 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $220,327,522 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $234,444,023 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$92,408,656 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$108,194,875 | NetAssetsOrFundBalancesEOYAmt |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $195,169,429 | ExpenseAmt |
| Grant | $137,549 | GrantAmt |
| Revenue | $193,617,721 | RevenueAmt |
| Desc | DePaul Medical Center provides medical care to patients without regard to their ability to pay. Among the major services provided to the residents of Hampton Roads, three major areas of focus are orthopedics, general surgery and neurology. In addition, DePaul provides support for community services. Please see Schedule H for additional information regarding programs, community benefit programs and Charity Care. | Desc |
| Total Program Service Expenses | $195,169,429 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | 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 | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | 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 | Yes (1) | 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 | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 80 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1503 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | 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 | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | VA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | James Pirtle | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7572152709 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7007 Harbour View Blvd Suite 108 | AddressLine1Txt |
| City | Suffolk | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23435 | 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 | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| James Bento | |||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Michael Blount | |||||||||
| Board Member (Sep-Dec) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Robert Bray | |||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Bruce Britton MD | |||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Brother Arthur Caliman CFX | |||||||||
| President | 3.50 | 46.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Arthur Collins | |||||||||
| Chairman | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Sister Elaine Davia CBS | |||||||||
| Board Member | 2.00 | 48.00 | Yes (X) | $0 | $0 | $0 | |||
| Timothy Davis | |||||||||
| Board Member | 2.00 | 48.00 | Yes (X) | $0 | $953,293 | $35,876 | |||
| Charlette Fairchild PhD | |||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Gabriel Franco | |||||||||
| Board Member (Jan-Aug) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Vincent Joseph | |||||||||
| Board Member (Jan-Aug) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Michael Kerner | |||||||||
| Secretary/CEO-BSHR | 14.00 | 36.00 | Yes (X) | $0 | $842,080 | $126,937 | Yes (X) | ||
| Jeffrey Morrison | |||||||||
| Board Member (Jan-Aug) | 2.00 | 0.00 | Yes (X) | $0 | $20,750 | $0 | |||
| Shelley Mishoe | |||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Ward Robinett Jr | |||||||||
| Board Member (Sep-Dec) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Cynthia Romero MD | |||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Rodrigo Romulo MD | |||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Stephanie Short | |||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Robert Squatrito MD | |||||||||
| Board Member (Sep-Dec) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Douglas Ziegenfuss CPA | |||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Susan Anthony | |||||||||
| Board Member (Jan-Aug) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Sister David Ann Niski | |||||||||
| President - MIH/SFNC (Jan-Aug) | 3.50 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| William Pile | |||||||||
| Board Member (Jan-Aug) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| John Barrett | |||||||||
| CEO - DMC | 49.50 | 0.50 | $0 | $397,040 | $28,071 | Yes (X) | |||
| Michael Dooley | |||||||||
| Int VP Fin(Apr-Aug)/Treas (Jul-Aug) | 14.00 | 36.00 | $0 | $0 | $0 | Yes (X) | |||
| Charmaine Rochester PhD | |||||||||
| Treasurer/VP Finance (Sep-Apr) | 15.00 | 35.00 | $0 | $275,200 | $16,870 | Yes (X) | |||
| Herbert Cummings | |||||||||
| COO - BSMG | 20.00 | 30.00 | $0 | $285,521 | $37,276 | Yes (X) | |||
| Michael Bratton | |||||||||
| VP of Patient Care Services | 50.00 | 0.00 | $230,729 | $0 | $21,738 | Yes (X) | |||
| Vickie Humphries | |||||||||
| VP of Human Resources | 15.00 | 35.00 | $0 | $228,779 | $24,073 | Yes (X) | |||
| James McNamara | |||||||||
| VP of Ortho | 7.00 | 43.00 | $0 | $272,959 | $21,760 | Yes (X) | |||
| Terri Spence | |||||||||
| VP & Regional CIO | 15.00 | 35.00 | $0 | $253,014 | $32,322 | Yes (X) | |||
| John Baker MD | |||||||||
| Neurointerventionalist | 50.00 | 0.00 | $1,079,911 | $0 | $40,942 | Yes (X) | |||
| Bradley Prestidge MD | |||||||||
| Oncologist | 50.00 | 0.00 | $856,731 | $0 | $42,135 | Yes (X) | |||
| George Sarris MD | |||||||||
| Cardiologist (Sep-Jan) | 50.00 | 0.00 | $600,888 | $0 | $34,882 | Yes (X) | |||
| Saumil Patel MD | |||||||||
| Cardiologist | 50.00 | 0.00 | $586,058 | $0 | $39,942 | Yes (X) | |||
| Uosife Alfahd MD | |||||||||
| Physician | 50.00 | 0.00 | $490,858 | $0 | $34,294 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,845,175 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,528,636 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $537,118 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 112 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Aramark Cts Inc | |||||
| 12483 Collections Ctr Drive | Chicago | IL | 60693 | Biomedical Engineering | $4,444,907 |
| Shiftwise | |||||
| PO Box 70870 | St Paul | MN | 551709705 | Contract Nursing | $1,744,848 |
| Eastern VA Med School | |||||
| PO Box 1980 | Norfolk | VA | 235011980 | Residency Programs | $1,617,180 |
| Morrison Mgt Specialists | |||||
| PO Box 102289 | Atlanta | GA | 303682289 | Dietary Services | $1,587,045 |
| Tidewater Phys Multispec Group | |||||
| 860 Omni Boulevard | Newport News | VA | 23606 | Professional Medical Services | $1,216,493 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 38 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $800,120 | RelatedOrganizationsAmt |
| Government Grants | $206,898 | GovernmentGrantsAmt |
| All Other Contributions | $16,122 | AllOtherContributionsAmt |
| Total Contributions | $1,023,140 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient Service Rev. | Desc |
| Business | 621500 | BusinessCd |
| Total Revenue Column | $184,243,499 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $183,718,396 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $525,103 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $184,243,499 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$669,250 | TotalRevenueColumnAmt |
| Exclusion | -$669,250 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $692,009 | RealAmt |
| Personal | $10,263 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $589,949 | RealAmt |
| Personal | $6,489 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $102,060 | RealAmt |
| Personal | $3,774 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $105,834 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,774 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $29,394 | UnrelatedBusinessRevenueAmt |
| Exclusion | $72,666 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $360,411 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $360,411 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $360,411 | TotalRevenueColumnAmt |
| Exclusion | $360,411 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| JV Inc.- SPAH & Other | 621999 | $10,297,475 | $9,895,551 | $401,924 |
| Physical Therapy Serv. | 446199 | $232,177 | $232,177 | |
| Retail Sales Bariatric | 900099 | $214,282 | $214,282 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $453,276 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$27,084 | UnrelatedBusinessRevenueAmt |
| Exclusion | $480,360 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $11,197,210 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $196,260,844 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $193,617,721 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $527,413 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,092,570 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,549 | TotalAmt |
| Program Services | $137,549 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $211,270 | TotalAmt |
| Program Services | $190,143 | ProgramServicesAmt |
| Management And General | $21,127 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,409,732 | TotalAmt |
| Program Services | $61,568,759 | ProgramServicesAmt |
| Management And General | $6,840,973 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,800,069 | TotalAmt |
| Program Services | $2,520,062 | ProgramServicesAmt |
| Management And General | $280,007 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,077,792 | TotalAmt |
| Program Services | $7,270,013 | ProgramServicesAmt |
| Management And General | $807,779 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,281,944 | TotalAmt |
| Program Services | $4,753,750 | ProgramServicesAmt |
| Management And General | $528,194 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $424,236 | TotalAmt |
| Program Services | $381,812 | ProgramServicesAmt |
| Management And General | $42,424 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,123 | TotalAmt |
| Program Services | $28,011 | ProgramServicesAmt |
| Management And General | $3,112 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,218,426 | TotalAmt |
| Program Services | $9,218,426 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,101 | TotalAmt |
| Program Services | $58,591 | ProgramServicesAmt |
| Management And General | $6,510 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,431,746 | TotalAmt |
| Program Services | $1,288,571 | ProgramServicesAmt |
| Management And General | $143,175 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $210,723 | TotalAmt |
| Program Services | $189,651 | ProgramServicesAmt |
| Management And General | $21,072 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,913,516 | TotalAmt |
| Program Services | $8,022,164 | ProgramServicesAmt |
| Management And General | $891,352 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,693 | TotalAmt |
| Program Services | $166,224 | ProgramServicesAmt |
| Management And General | $18,469 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,577 | TotalAmt |
| Program Services | $31,119 | ProgramServicesAmt |
| Management And General | $3,458 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,232,876 | TotalAmt |
| Program Services | $2,232,876 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,093,859 | TotalAmt |
| Program Services | $10,884,473 | ProgramServicesAmt |
| Management And General | $1,209,386 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,148,304 | TotalAmt |
| Program Services | $1,033,474 | ProgramServicesAmt |
| Management And General | $114,830 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Purchased Services | $40,917,071 | $36,825,364 | $4,091,707 |
| Medical Expenses | $28,724,652 | $28,724,652 | |
| Bad Debt Expense | $14,793,816 | $14,793,816 | |
| BSHSI Mgmt Allocation | $4,331,733 | $3,898,560 | $433,173 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,057,077 | TotalAmt |
| Program Services | $951,369 | ProgramServicesAmt |
| Management And General | $105,708 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $210,731,885 | TotalAmt |
| Program Services | $195,169,429 | ProgramServicesAmt |
| Management And General | $15,562,456 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,851 | BOYAmt |
| EOY | $3,852 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $137,933 | BOYAmt |
| EOY | $345,022 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,956 | BOYAmt |
| EOY | $2,956 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,739,665 | BOYAmt |
| EOY | $18,243,446 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,666,265 | BOYAmt |
| EOY | $4,324,434 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,430,816 | BOYAmt |
| EOY | $1,357,821 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $160,196,770 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $117,466,622 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,577,197 | BOYAmt |
| EOY | $42,730,148 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,803,602 | BOYAmt |
| EOY | $16,136,749 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,315,354 | BOYAmt |
| EOY | $29,894,638 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,001,631 | BOYAmt |
| EOY | $4,810,051 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,239,596 | BOYAmt |
| EOY | $8,400,031 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $127,918,866 | BOYAmt |
| EOY | $126,249,148 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,578,646 | BOYAmt |
| EOY | $10,848,564 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,910,621 | BOYAmt |
| EOY | $1,431,191 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $203,838,255 | BOYAmt |
| EOY | $222,164,268 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $220,327,522 | BOYAmt |
| EOY | $234,444,023 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$92,401,564 | BOYAmt |
| EOY | -$108,187,783 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$7,092 | BOYAmt |
| EOY | -$7,092 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$92,408,656 | BOYAmt |
| EOY | -$108,194,875 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $127,918,866 | BOYAmt |
| EOY | $126,249,148 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$14,471,041 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $839,090 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$2,154,268 | 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 | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $16,573 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $14,550 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $31,123 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | The filing organization maintains memberships to various professional healthcare associations. Portions of their membership dues are used for lobbying activities. The lobbying portion of such dues is included on line 1i. The filing organization also conducted advocacy relating to education of legislative body regarding hospital and healthcare reform and how it impacts communities. The lobbying expense related to this activity is included on Line 1g. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,750,384 | OtherCostOrOtherBasisAmt |
| Book Value | $3,750,384 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $33,135,151 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,279,657 | DepreciationAmt |
| Book Value | $7,855,494 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,809,768 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,781,682 | DepreciationAmt |
| Book Value | $10,028,086 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $121,902 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $99,644,547 | OtherCostOrOtherBasisAmt |
| Depreciation | $80,491,769 | DepreciationAmt |
| Book Value | $19,274,680 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,735,018 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,913,514 | DepreciationAmt |
| Book Value | $1,821,504 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $42,730,148 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Inv. in Sentara Princess Anne Hosp. | $27,828,350 | C |
| Inv. in Rad Svc of Hampton Roads | $847,902 | C |
| Inv. in Surgery Center | $681,347 | C |
| Inv. in Peninsula Hospital Service | $265,423 | C |
| Inv. in MRI | $141,687 | C |
| Inv. in Bed Licenses | $74,929 | C |
| Inv in PET | $55,000 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $29,894,638 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Inv - HPL/GL | $5,373,710 |
| Due from Champus | $1,292,539 |
| Due from Affiliates | $1,115,433 |
| Organizational Costs | $363,617 |
| Due from Medicare/Medicaid | $110,479 |
| Deferred Medicare | $62,616 |
| Other Misc Assets | $81,637 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $8,400,031 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Affiliates | $211,195,458 |
| HPL/GL Liability | $5,373,710 |
| Deferred Rent | $3,982,859 |
| FIN 47 LT Asbestos Liab | $933,915 |
| Accrued Insurance Liability | $344,356 |
| Due to Medicare | $255,019 |
| Other LT Liabilities | $78,951 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $222,164,268 | 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 BSHSI on September 1, 2007 did not have a material impact on BSHSI'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 Health System, 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, 2017 or 2016. 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, 2017 and 2016, the System has no uncertain tax positions. The System's taxable subsidiaries had approximately $106,393 and $89,895 of net operating loss carryforwards as of August 31, 2017 and 2016, 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, 2017 and 2016 as the System considers it more likely than not that these amounts will not be recognized. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,740,776 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $88,861 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,651,915 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03390 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,281,206 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,510,803 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,770,403 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02950 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,021,982 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,599,664 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,422,318 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06340 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 31 | ActivitiesOrProgramsCnt |
| Persons Served | 34129 | PersonsServedCnt |
| Total Community Benefit Expns | $2,008,626 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,344 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,007,282 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01020 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 315 | PersonsServedCnt |
| Total Community Benefit Expns | $1,575,533 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $711,219 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $864,314 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00440 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 1017 | PersonsServedCnt |
| Total Community Benefit Expns | $229,182 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $229,182 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 69 | PersonsServedCnt |
| Total Community Benefit Expns | $76,133 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $76,133 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 40 | ActivitiesOrProgramsCnt |
| Persons Served | 35530 | PersonsServedCnt |
| Total Community Benefit Expns | $3,889,474 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $712,563 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,176,911 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01620 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 40 | ActivitiesOrProgramsCnt |
| Persons Served | 35530 | PersonsServedCnt |
| Total Community Benefit Expns | $30,911,456 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,312,227 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,599,229 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07960 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $782 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $782 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,041 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,041 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $211,639 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $211,639 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,345 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,345 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $225,807 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $225,807 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $14,793,816 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $37,928,556 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $50,701,112 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$12,772,556 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DePaul Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 Kingsley Lane | AddressLine1Txt |
| City | Norfolk | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23505 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | bonsecours.com | WebsiteAddressTxt |
| State License | H1829 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bon Secours DePaul Medical Center Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Section C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | 0 | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (1) | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.fa.bonsecours.com | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.fa.bonsecours.com | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.fa.bonsecours.com | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Bon Secours DePaul Medical Center, Inc. | Part V, Section B, Line 5: DePaul Medical Center (DMC) contracted with ToXcel to conduct an electronic survey of key stakeholders to determine the top healthcare needs of the community. DMC developed a list of key stakeholders who were asked to provide their viewpoints on important healthcare concerns in the community, significant gaps in the community, and ideas for addressing health concerns and service gaps. Stakeholders included individuals who have special knowledge and expertise in public health, as well as the deans of area colleges and universities with medical degree programs. In addition, DMC surveyed representatives of medically underserved, minority populations, and those with chronic conditions. In addition, DMC conducted community forums to gather additional input from residents. Upon receipt of all information, DMC convened a community advisory board made up of 36 representatives from 40 organizations focused on community health, including Sentara and Riverside health systems and the Norfolk Public Health Department to review the list of key needs and gaps identified to prioritize the needs and make recommendations to DMC leadership. |
| Bon Secours DePaul Medical Center, Inc. | Part V, Section B, Line 7d: The DMC CHNA was posted on the Bon Secours Hampton Roads website (https://bonsecours.com/hampton-roads), as well as distributed to community advisory board members. In addition, copies of the CHNA are located in the emergency departments at DMC and Administration Office. |
| Bon Secours DePaul Medical Center, Inc. | Part V, Section B, Line 11: Through development of an implementation plan from the CHNA, DePaul Medical Center identified the health priorities in the related service areas. DMC has an open medical staff with privileges available to all qualified physicians. The DMC emergency department provides service 24 hours/day, 7 days/week to ensure access for all individuals in need of emergency care. Hospital board members are diverse, inclusive and representative of the broader community in which the facilities are located. DMC offers health services via the Care-A-Van (CAV). The CAV is a free mobile medical service that provides general medical care to uninsured adults and children in Norfolk, as well as Newport News, Portsmouth, and Suffolk. Services provided include urgent and primary care (including examination, diagnosis, lab, pharmacy, and follow-up), immunizations for school, pregnancy tests, blood pressure measurement, health education, referrals for specialty care, opportunity to enroll eligible children in children's health insurance. While the CAV primarily serves adults, some sites provide care and referral services for children aged 12 and older. Community partners include free clinics, local health agencies, physicians, and numerous faith-based organizations which collaborate with CAV staff. Over 1,600 patient visits were rendered by the CAV in Norfolk and over $229,000 in lab services were provided at no cost to the patient.DMC offers support to qualified patients though the Life Coach Program. The Life Coach Program connects patients with no insurance, little resources, or no personal doctor with primary care resources to minimize their trips to the emergency room. These coaches work closely with the emergency department staff and care managers to find medical homes for patients who regularly use emergency rooms for non-emergency issues. Life Coaches help patients overcome social barriers to care, make follow up appointments, and obtain medications. DMC Life Coaches had 5,540 patient contacts, scheduled 2,469 appointments with primary care physicians, connected 1,437 patients with the Care-A-Van, assisted 35 patients with medication needs, and connected 1,599 patients with other community resources. DMC Life Coaches referred 14 patients for additional mental health and substance abuse care. Building healthier communities requires a systemic, ecological, multi-sector approach that acknowledges all of the social determinants of health such as housing, education, employment, public safety and social justice. In 2009, DMC partnered with the City of Norfolk on an initiative called Neighbors Building Neighborhoods. DMC chose to focus on the Pretty Lake area of East Ocean View (EOV), historically one of the roughest neighborhoods in Norfolk. With over 6,000 residents of which more than 25% are below the poverty level, over 20% are single parent households, and with a per-capita income of only $14,658 leaves families in extreme difficulty. In this neighborhood family violence, gangs, addictions, housing affordability, access to healthcare, and a lack of educational opportunities all affect the health of the individuals living there. Working with residents and city officials, DMC assisted in a neighborhood beautification project and the renovation and expansion of the local Storehouse Food Pantry, which feeds 80-100 families a month. Prevention and treatment of obesity with an emphasis on diabetes and nutrition was identified as one of the top health concerns in the DMC service area. The "Passport to Health" program, which encourages living a healthier lifestyle by providing healthy cooking & education classes, exercise program and fresh weekly produce bags, led 41 families (80 individuals) to improve their health over a five month period. To encourage physical activity, Passport to Health members began training and participated in the Wounded Warriors 5K and the Run for Life 5K. The EOV Community Garden, which includes 10 raised, accessible garden boxes, a solar-powered hydroponics system, flowerbeds, fruit trees and grapevines, continues to thrive and plans are in process for a second community garden. An average of 400 residents attended Festivals held each quarter at the community garden with music, dancing, exercise, games, and fresh produce provided through our partnership with Five Points Market. Outreach to the multi-cultural residents included a Back-to-School event and the Passport to Health classes. Children received backpacks and school supplies. The first teen cooking class was held at Five Points Farm Market with 12 at-risk youth participating.Over 16,000 people received nutrition education and physical activity sessions provided by Bon Secours InMotion, Medical Surgical Weight Loss, Glycemic & Nutrition, and the Heart Health Academy. Over 1300 people received nutrition education and information at thirteen employer and several community events. Bon Secours InMotion provided health screenings and presentations to approximately 1,700 people. Eight sessions of the Heart Health Academy provided nutrition and heart health education to 749 middle school students.The Oncology Nurse Navigator at DMC provided education and support services to 714 patients diagnosed with cancer. The Care-A-Van and Oncology Department screened 287 patients with 23 referred for a colonoscopy, increasing colorectal cancer screenings by 7% (from 48% to 55%), through a grant from the Virginia Department of Health. A free SPOTme Skin Cancer screening was held at EVMS (106 participants), with nearly 2/3 of participants identified as needing follow-up - 41 were referred to dermatologists and 24 biopsies were recommended. Crime and community violence were identified as a community need. Although they are not addressed in the DMC Implementation Plan, human trafficking and gun control/violence are two of the Bon Secours Health System advocacy resolutions. The MMC is very involved in the human trafficking effort. Bon Secours partners with several area organizations, including Virginia Supportive housing, Hampton Roads Housing Consortium, Southeastern Virginia Homeless Coalition, and the Hampton Roads Coalition Against Trafficking to address the housing needs of the homeless and trafficked populations within our service area. Bon Secours supports the health needs of these patients through our Care-A-Van and Life Coach programs. DMC also partners with Virginia Supportive Housing to address the needs of the homeless. Although DMC recognizes the importance of all the needs identified by the community including education, jobs with fair wages, mental health, community violence, alcohol/drugs, and dental health - resources are limited within the organization to prioritize these specific needs. There are other providers and organizations addressing these needs with specialized programs and services. BSDMC is prepared to collaborate or assist with these efforts beyond the current set of services we provide. |
| Bon Secours DePaul Medical Center, Inc. | Part V, Section B, Line 16j: Information regarding the FAP is available on our websites, brochures are available at time of registration. We have on-site Financial Counselors who assist patients. We also have eligibility vendors who work with the patients and our statements indicate we have an FAP. We also provided local clinics in each market brochures regarding our FA program. |
| Form 990, Schedule H, Part V, Section B, Line 14: | Charges for patients who are eligible for financial assistance shall be limited to no more than amounts generally billed ("AGB") for such services. These charges are based on the average allowed amounts from Medicare and commercial payers for emergency and other medically necessary care. The allowed amounts include both the amount the insurer will pay and the amount, if any, the individual is personally responsible for paying. The AGB is calculated using a look back method. Because both Maryland law and Federal tax law limit the amounts that may be charged to patients, an FAP eligible individual or an uninsured individual will not be charged more than the lesser of the AGB or the regulated charge set by the Maryland Health Services Cost Review Commission for emergency or other medically necessary care. |
| Form 990, Schedule H, Part V, Section B, Line 7a: | https://bonsecours.com/hampton-roads/community-commitment/community-health-needs-assessment |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 25 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (25 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - DePaul InMotion Phys Ther | ||||
| 7300 Newport Ave Suite 300 | Norfolk | VA | 23462 | Physical Therapy |
| 2 - InMotion Phy Ther Healthy Way | ||||
| 4677 Columbus St Ste 201 | Virginia Beach | VA | 23462 | Physical Therapy |
| 3 - Bon Secours In-Motion at Hilltop | ||||
| 1817 Laskin Rd 100 | Virginia Beach | VA | 23454 | Physical Therapy |
| 4 - InMotion Phy Ther Redmill Landing | ||||
| 1253 Nimmo Pkwy 105 | Virginia Beach | VA | 23456 | Physical Therapy |
| 5 - Bon Secours Medical Associates | ||||
| 828 Healthy Way | Virginia Beach | VA | 23462 | Physician Practices |
| 6 - In Motion Phys Ther Ghent Stat | ||||
| 930 W 21st St 105 | Norfolk | VA | 23517 | Physical Therapy |
| 7 - Bon Secours In Motion Amelia | ||||
| 885 Kempsville Rd 300 | Norfolk | VA | 23502 | Physical Therapy |
| 8 - DePaul Medical Associates | ||||
| 155 Kingsley Lane | Norfolk | VA | 23505 | Physician Practices |
| 9 - Bon Secours Surgical Specialists-Norfolk | ||||
| 155 Kingsley Lane | Norfolk | VA | 23505 | Physician Practices |
| 10 - Hampton Roads OBGYN Center | ||||
| 100 Kingsley Lane | Norfolk | VA | 23505 | Physician Practices |
| 11 - Bon Secours Ghent Station Medical Assoc | ||||
| 930 West 21st Street | Norfolk | VA | 23517 | Physician Practices |
| 12 - Amelia Medical Associates | ||||
| 885 Kempsville Road | Norfolk | VA | 23502 | Physician Practices |
| 13 - Bon Secours Cardiovascular & Thoracic Sp | ||||
| 100 Kingsley Lane Suite 400 | Norfolk | VA | 23505 | Physician Practices |
| 14 - Bon Secours Oncology Specialists | ||||
| 155 Kingsley Lane | Norfolk | VA | 23505 | Physician Practices |
| 15 - Town Center Medical Associates | ||||
| 4421 Virginia Beach Blvd | Virginia Beach | VA | 23462 | Physician Practices |
| 16 - East Beach Medical Associates | ||||
| 4039 E Little Creek Rd | Norfolk | VA | 23518 | Physician Practices |
| 17 - Patient Choice Oceana | ||||
| 1253 Nimmo Parkway | Virginia Beach | VA | 23456 | Physician Practices |
| 18 - Bon Secours Greenbrier Medical Associate | ||||
| 908 Eden Way North | Chesapeake | VA | 23320 | Physician Practices |
| 19 - Bon Secours Pulmonary Spec - Norfolk | ||||
| 100 Kingsley Lane Suite 400 | Norfolk | VA | 23505 | Physician Practices |
| 20 - Bon Secours Monarch Medical Associates | ||||
| 4211 Monarch Way Suite 100 | Norfolk | VA | 23508 | Physician Practices |
| 21 - Bon Secours Neurovascular Center | ||||
| 110 Kingsley Lane | Norfolk | VA | 23505 | Physician Practices |
| 22 - VOSS DMC | ||||
| 930 w 21st St Suite 100 | Norfolk | VA | 23517 | Physician Practices |
| 23 - VB Healthy Way Sports Performance | ||||
| 828 Healthy Way | Virginia Beach | VA | 23462 | Physician Practices |
| 24 - Bon Secours Fastcare - Great Bridge | ||||
| 309 South Battlefield Chesapeake | Chesapeake | VA | 23322 | Physician Practices |
| 25 - Bon Secours Fastcare - Great Neck | ||||
| 2110 Great Neck Shopping Center | Va Beach | VA | 23454 | Physician Practices |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a: | Annually, Bon Secours Hampton Roads Health System (BSHRHS) publishes a report for the community, explaining the various community benefit services and programs that exist. This report also includes the annual financial commitment of the local system to the community, detailing monetary contributions for government sponsored healthcare shortfall, community benefit programs and charity care at cost. This report is available to the public each year on or around January 24, commemorating Foundation Day of the Sisters of Bon Secours. This report is available online at https://bonsecours.com/hampton-roads. |
| Part I, Line 7: | Part I, line 7a: Charity Care at cost is computed by applying a cost-to-charge ratio to the aggregate charity adjustments recorded in the general ledger. Part I, line 7b: Unreimbursed Medicaid is computed by determining the cost of Medicaid services supplied less payments received for these services. To determine the cost of Medicaid services provided, a cost-to-charge ratio is applied to traditional and managed Medicaid gross charges captured in the patient accounting system and general ledger. Payments include payments for individual claims, payments from the Medicaid program paid outside the claim process (such as medical education payments) and expected or actual cost report settlements.Part I, line 7c: Unreimbursed costs from other means-tested government programs are computed by applying a cost-to-charge ratio to the total charges to patients covered under these programs. The charges are identified by the financial class assigned to the patient. 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: $14,793,816. |
| Part II, Community Building Activities: | Bon Secours DePaul Medical Center provided staff and resources in support of the Healthy Community Initiative of Bon Secours Health System, and advocated for local and state policies that would improve health across its communities. Bon Secours Hampton Roads Health System is working to engage and empower the members of the East Ocean View neighborhood to support them in improving their quality of life and holistic health. DePaul Medical Center donated staff time and resources in support of these efforts. In addition, Bon Secours Hampton Roads has partnered with Norfolk Health Collaborative to address issues affecting the health of the community. Bon Secours Hampton Roads also partnered with the Southeast Virginia United Way, Sentara Healthcare, and Virginia Department of Health to develop the Greater Hampton Roads Connect website, a community dashboard that aggregates data for use in the CHNA and CHA processes. |
| Part III, Line 2: | Bad debt expense on the general ledger includes: 1) actual write offs of discounted gross charges where it is determined an uninsured patient can pay and does not pay; and 2) the estimated write offs for uninsured patient accounts with outstanding balances after discount. Estimates are based on historical collection rates.When an uninsured patient is billed for patient care services, the charges are automatically discounted and the patient is requested to only pay the amount after discount. The discount is recorded as an adjustment to gross revenue and is not recorded in bad debt expense. If the balance after discount is not paid or not paid in full, the unpaid amount will be written off to bad debt expense. When a patient remits a payment on an account that has already been written off to bad debt expense, the payment is recorded as a recovery of bad debt, which reduces bad debt expense. |
| Part III, Line 3: | The organization does not report an estimate for the portion of bad debt expense that may have been likely to qualify for financial assistance under the hospital's charity care policy. The organization takes the position that ample opportunity and assistance is provided to the patient to qualify under the financial assistance policy. If sufficient information is not provided, the organization must assume the patient does not qualify. |
| Part III, Line 4: | Please see Footnote "(2d) Accounts Receivable, net" discussing "accounts receivable" on page 10 in the attached 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 38-39 of the attached AFS. There is not a separate "bad debt expense" footnote in the AFS. |
| Part III, Line 8: | Medicare allowable costs reflected in Part III come directly from the facility's Medicare cost report. The cost report segregates the total facility actual expenses into costs for support departments, clinical departments (routine and ancillary) and non-reimbursable departments. The cost report uses appropriate statistical bases to "step down" support costs to allowable clinical and non-reimbursable departments. The charges for clinical departments are matched to the total cost for these departments for a cost-to-charge ratio. Medicare-specific allowable costs for in- and outpatient ancillary departments are computed by applying the department-specific cost-to-charge ratio to the Medicare program charges by department. For routine departments, a per diem total cost is computed and applied to Medicare program days for the Medicare routine program cost.The organization feels the total shortfall of Medicare reimbursement compared to computed Medicare allowable costs should be treated as community benefit. The hospital improves access to patient care by providing services regardless of a patient's ability to pay or the hospital's ability to receive full cost reimbursement for services. The hospital also relieves the government of a financial burden when it provides care to publicly insured patients where reimbursement is less than cost of providing the service.In addition to the costs reported above, the organization incurred additional costs relating to Medicare support that are not includable in the Medicare Cost Report in the amount of: $479,452. |
| Part III, Line 9b: | The hospital has a written policy that describes collection practices applying to patients who qualify for financial assistance. If full assistance is approved, no collection efforts are pursued on that patient's account(s). If partial assistance is approved, the patient is responsible for the adjusted account balance and collection efforts will follow the established practices for all patients where a self-pay balance exists. Collection efforts are not pursued on any pending FAP account.Specific criteria exists for how much financial assistance, partial or total, will be provided to the patient based on the assessed need. Criteria is based on Federal Poverty Guidelines and is reviewed and updated annually. Once a patient has been deemed eligible for the Patient Financial Assistance Program (FAP), the patient is notified by letter within 60 days after receipt of the application and supporting documentation. The patient retains eligibility for a period of eight months from the date of the application. This eligibility is identified by hospital admissions, billing and collection staff by the assignment of a specific financial class with accompanying eligibility dates. At the end of the eight months, the patient is responsible for reapplying for FAP eligibility. |
| Part VI, Line 2: | In partnership with Bon Secours Virginia Health System, DePaul Medical Center uses multiple approaches to assess the health needs of the communities it serves. Health care needs of the community are assessed and updated using a variety of informational sources including Virginia Health Information for state-based performance data, and Claritas and Sg2 for market and geographic data. The Sg2 strategic planning tools are used to retrieve demographic information and trends for the primary and secondary service areas pertaining to DePaul Medical Center. National Research Corporation (NRC), and other strategic market intelligence are also utilized. |
| Part VI, Line 3: | The Patient Financial Assistance program is communicated to patients verbally upon scheduling, registration, visible postings of the program are in common areas throughout the hospital, along with brochures and the program is detailed on our Bon Secours website. In addition, patient billing statements and letters inform patients regarding our financial assistance program. Bon Secours proactively screens patients to identify individuals and their families who may qualify for federal, state or local health insurance programs or the Bon Secours Patient Financial Assistance Program ("FAP") and assist the potential eligible patients through the qualification process. Potentially eligible patients that do not qualify for a federal or state health insurance program are referred to the Financial Assistance Coordinator located in Patient Financial Services for assistance in completing the documentation required to establish FAP eligibility. Bon Secours is also dedicated to meeting the needs of non-English speaking patients by having on-site Spanish translators, and other language translation services. In addition, Bon Secours employs a telephone language service which assists in meeting any language needs that arise. The translation services are offered to non-English speaking patients from admission to discharge, including the financial assistance process. Based on market need, our financial assistance policy and application are translated into multiple languages and placed on our Bon Secours website for patients to access. |
| Part VI, Line 4: | As of 2017, Hampton Roads is a very diverse community within an MSA of over 1.7 million people residing in 16 cities and counties, stretching from northeastern North Carolina to Williamsburg. The area is characterized by racial diversity, a significant military population and a growing elderly population.The primary service area population served by DePaul Medical Center (DMC) encompasses Norfolk and Virginia Beach. The largest populations for the DMC service area are white (56.4%), Black or African American (30.6%), non-white Hispanic (8.3%), and small percentages of other groups. The median income for the DMC service area is $58,077. The City of Norfolk has the highest rate of children living in poverty (30.0%) compared to Virginia (15.0%). Virginia Beach follows with 12.0% of children living in poverty. The percentage of children living in single parent households (41.8%) is higher compared to Virginia (30%) and 42.4% of students are eligible for free lunch.The most prevalent chronic conditions among adults in the service area include high blood pressure (5.9 cases per 100,000), asthma (11%), diabetes (9%), depression (11%) and smoking (17%). The leading causes of mortality in the DMC service area per 100,000 are heart disease (177.1), cerebrovascular disease (42.3), cancer (176.4), chronic lower respiratory diseases (40.6), diabetes (21.6), kidney disease (24.3), and septicemia (17.5). The infant mortality rate (per 1,000 live births) in the DMC service area is 9.9% compared to 6.2% in Virginia. |
| Part VI, Line 5: | DePaul Medical Center (DMC) has an open medical staff with privileges available to all qualified physicians. Emergency departments at the three hospitals provide service 24 hours/day, 7days/week to ensure access for emergency care for all individuals in need of emergency care. Hospital board members are diverse, inclusive and representative of the broader community in which the facilities are located. |
| Part VI, Line 6: | Bon Secours Health System, Inc., a Maryland nonprofit, nonstock membership corporation (BSHSI), 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 BSHSI, 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 BSHSI 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 Health System, Inc. (BSHSI), 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 BSHSI Vision. BSHSI'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 BSHSI and the SQP. |
| Part VI, Line 7, Reports Filed With States | VA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Bon Secours DePaul Health Foundation | |||||||
| 7007 Harbour View Blvd Suite 108 | Suffolk | VA | 23435 | 541843876 | 501(c)(3) | $123,883 | Foundation Administrative Expense |
| Bon Secours DePaul Health Foundation | |||||||
| 7007 Harbour View Blvd Suite 108 | Suffolk | VA | 23435 | 541843876 | 501(C)(3) | $9,657 | Gift Shop Proceeds |
| Bon Secours DePaul Health Foundation | |||||||
| 7007 Harbour View Blvd Suite 108 | Suffolk | VA | 23435 | 541843876 | 501(c)(3) | $4,009 | Refund Overpaid Capital |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | The organization complies with Bon Secours Health System, Inc.'s system-wide financial and accounting policies. Contributions are generally made as reimbursements for funds spent. In such cases, the donee/grantee organization must provide documentation to the filing organization before funds are approved for disbursement. | 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 | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Timothy Davis | ||||||||||||||
| Board Member | $0 | $648,505 | $0 | $151,613 | $0 | $153,175 | $0 | $15,900 | $0 | $19,976 | $0 | $989,169 | $0 | $0 |
| Michael Kerner | ||||||||||||||
| Secretary/CEO-BSHR | $0 | $555,514 | $0 | $156,883 | $0 | $129,683 | $0 | $106,277 | $0 | $20,660 | $0 | $969,017 | $0 | $73,667 |
| John Barrett | ||||||||||||||
| CEO - DMC | $0 | $286,716 | $0 | $69,877 | $0 | $40,447 | $0 | $15,900 | $0 | $12,171 | $0 | $425,111 | $0 | $0 |
| Charmaine Rochester PhD | ||||||||||||||
| Treasurer/VP Finance (Sep-Apr) | $0 | $205,465 | $0 | $30,621 | $0 | $39,114 | $0 | $12,879 | $0 | $3,991 | $0 | $292,070 | $0 | $0 |
| Herbert Cummings | ||||||||||||||
| COO - BSMG | $0 | $250,043 | $0 | $35,100 | $0 | $378 | $0 | $10,600 | $0 | $26,676 | $0 | $322,797 | $0 | $0 |
| Michael Bratton | ||||||||||||||
| VP of Patient Care Services | $201,753 | $0 | $27,740 | $0 | $1,236 | $0 | $11,587 | $0 | $10,151 | $0 | $252,467 | $0 | $0 | $0 |
| Vickie Humphries | ||||||||||||||
| VP of Human Resources | $0 | $159,662 | $0 | $24,632 | $0 | $44,485 | $0 | $14,231 | $0 | $9,842 | $0 | $252,852 | $0 | $0 |
| James McNamara | ||||||||||||||
| VP of Ortho | $0 | $237,568 | $0 | $34,415 | $0 | $976 | $0 | $12,205 | $0 | $9,555 | $0 | $294,719 | $0 | $0 |
| Terri Spence | ||||||||||||||
| VP & Regional CIO | $0 | $221,664 | $0 | $30,442 | $0 | $908 | $0 | $22,171 | $0 | $10,151 | $0 | $285,336 | $0 | $0 |
| John Baker MD | ||||||||||||||
| Neurointerventionalist | $1,018,509 | $0 | $0 | $0 | $61,402 | $0 | $13,250 | $0 | $27,692 | $0 | $1,120,853 | $0 | $0 | $0 |
| Bradley Prestidge MD | ||||||||||||||
| Oncologist | $596,314 | $0 | $257,545 | $0 | $2,872 | $0 | $13,250 | $0 | $28,885 | $0 | $898,866 | $0 | $0 | $0 |
| George Sarris MD | ||||||||||||||
| Cardiologist (Sep-Jan) | $541,081 | $0 | $58,905 | $0 | $902 | $0 | $13,661 | $0 | $21,221 | $0 | $635,770 | $0 | $0 | $0 |
| Saumil Patel MD | ||||||||||||||
| Cardiologist | $367,012 | $0 | $218,655 | $0 | $391 | $0 | $13,250 | $0 | $26,692 | $0 | $626,000 | $0 | $0 | $0 |
| Uosife Alfahd MD | ||||||||||||||
| Physician | $490,048 | $0 | $0 | $0 | $810 | $0 | $5,385 | $0 | $28,909 | $0 | $525,152 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | Bon Secours Health System, 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 BSHSI sponsored executive retirement program that allows for deposits into additional retirement plans and is available only to 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: Michael Kerner, $82,150. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Elizabeth Barrett | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Spouse-John Barrett, CEO | RelationshipDescriptionTxt |
| Transaction | $457,114 | TransactionAmt |
| Transaction | Employment | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 4 | On January 1, 2017, the bylaws of (i) Bon Secours Hampton Roads Health System, Inc., Bon Secours-DePaul Medical Center, Inc., Maryview Hospital, and Bon Secours-Maryview Nursing Care Center (collectively the "Hampton Roads Entities"); and (ii) Mary Immaculate Hospital, Incorporated and Mary Immaculate Nursing Center, Inc. (collectively, the "Mary Immaculate Entities") were amended and restated in their entirety to implement a single mirror board structure for the Hampton Roads and Mary Immaculate Entities, as well as to otherwise bring the documents up to date with current templates. No changes in corporate or sponsorship structure occurred as a result of the bylaws revisions. |
| Form 990, Part VI, Section A, line 6 | Bon Secours Health System, Inc. is the sole member of Bon Secours Hampton Roads Health System, Inc., which in turn is the sole member of Bon Secours DePaul Medical Center, Inc. |
| Form 990, Part VI, Section A, line 7a | The Board of Directors of Bon Secours DePaul Medical Center, Inc. is appointed by Bon Secours Health System, Inc. |
| Form 990, Part VI, Section A, line 7b | Any decision which is subject to a reserved power is subject to approval by members. |
| Form 990, Part VI, Section B, line 11b | The process the organization uses to review the Form 990 consists of a review by the local system's audit and compliance board-committee and providing the form to the local system board of directors to allow for a thorough review by both before the filing date. The local system's audit and compliance committee and board of directors have reviewed the Form 990, scheduled time on meeting agendas, and asked questions regarding the Form 990 before the return is filed. |
| 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 BSHSI 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 Health System, Inc. (BSHSI) engages in a comprehensive process for the oversight and management of remuneration for executive employees and disqualified parties of BSHSI. The compensation committee consists of a group of independent board members and engages an independent external compensation consultant to ensure they receive appropriate analysis of market and follow the practices necessary to obtain full compliance with the IRS' rebuttable presumption of reasonableness. The committee establishes and maintains a compensation philosophy; reviews pay practices against local, regional and national healthcare organizations and approves all remunerative decisions for this group of individuals. The committee reviews and receives assurances that all levels of pay within the organization are reasonable based on performance and validates incentives are met. These decisions are documented in the BSHSI 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 BSHSI compensation committee, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. In the review, the other officers or key employees of the organization were compared to other hospitals' employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in human resources. |
| Form 990, Part VI, Section C, line 19 | The filing organization makes all documents available to the general public upon request. |
| Form 990, Part VII - Additional Disclosure: | Avg hours devoted to related org(s) when related comp is reported: Board Member positions are generally voluntary in nature. Compensated employees of the filing organization and other related organizations who also hold board positions are compensated only in relation to their employment and do not receive additional compensation for their board responsibilities. The governing bodies of the hospitals of Bon Secours Hampton Roads Health System, including DePaul Medical Center, Maryview Hospital, Mary Immaculate Hospital, Bon Secours Maryview Nursing Care Center, and Mary Immaculate Nursing Center are comprised of the same board members and board officers (Chairman, Secretary and Treasurer), with the exception of President. These governing bodies are referred to as the Hampton Roads Joint Board. Hours reported for these voluntary board positions represent total hours worked per week, which include responsibilities for the applicable entities. Br. Art Caliman and Sr. Elaine Davia do not receive payroll distributions as they have taken vows of poverty. |
| Form 990, Part XI, line 9: | BSHSI Principal and Swap Payments -1,962,689. Write-down of Goodwill - Sale of BSNY -191,579. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|
| Bon Secours Health Center & Hospital at Harbour View LLC | ||||||||
| 7007 Harbourview Blvd Ste 108 | Suffolk | VA | 23435 | Healthcare | VA | $0 | $0 | Bon Secours DePaul medical Center Inc |
| Bon Secours Health Center & Hospital at Norfolk LLC | ||||||||
| 7007 Harbourview Blvd Ste 108 | Suffolk | VA | 23435 | Healthcare | VA | $0 | $0 | Bon Secours DePaul medical Center Inc |
| Bon Secours Health Center & Hospital at Virginia Beach LLC | ||||||||
| 7007 Harbourview Blvd Ste 108 | Suffolk | VA | 23435 | Healthcare | VA | $0 | $0 | Bon Secours DePaul medical Center Inc |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 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 Hampton Roads Health System Inc | ||||||||||
| 7007 Harbour View Blvd | Suffolk | VA | 23435 | 521538513 | Local System Parent Org. | VA | 501(c)(3) | Line 12c, III-FI | Bon Secours Health System Inc | 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 |
| Maryview Hospital | ||||||||||
| 7007 Harbour View Blvd | Suffolk | VA | 23435 | 540506463 | Healthcare | VA | 501(c)(3) | Line 3 | Bon Secours Hampton Roads Health System | 0 |
| Bayley Properties | ||||||||||
| 7007 Harbour View Blvd | Suffolk | VA | 23435 | 541424748 | Rental | VA | 501(c)(2) | Bon Secours DePaul Medical Center | Yes (1) | |
| Bon Secours Health System Inc | ||||||||||
| 1505 Marriottsville Road | Marriottsville | MD | 21104 | 521301088 | Parent Org. Management Services | MD | 501(c)(3) | Line 12c, III-FI | Bon Secours Inc | 0 |
| Bon Secours DePaul Health Foundation | ||||||||||
| 7007 Harbour View Blvd | Suffolk | VA | 23435 | 541843876 | Fundraising | VA | 501(c)(3) | Line 7 | Bon Secours Hampton Roads Health System | Yes (1) |
| Bon Secours Maryview Foundation | ||||||||||
| 7007 Harbour View Blvd | Suffolk | VA | 23435 | 521694731 | Fundraising | VA | 501(c)(3) | Line 7 | Bon Secours Hampton Roads Health System | 0 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| Province Place of Maryview LLC | |||||||
| One Bon Secours Way | Portsmouth | VA | 23703 | 541842697 | Assisted Living | VA | N/A |
| Province Place of DePaul LLC | |||||||
| 6403 Granby Street | Norfolk | VA | 23505 | 541950880 | Assisted Living | VA | N/A |
| Harbour View MOB 2 LLC | |||||||
| 5818 Harbour View Blvd Suite A1 | Suffolk | VA | 23435 | 822484997 | Medical Office Building | VA | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Professional Health Care Mgmt Inc | |||||||||||||
| 7007 Harbourview Blvd Ste 108 | Suffolk | VA | 23435 | 541241031 | Administrative | VA | N/A | C | 0 | ||||
| Tidewater Diversified Inc | |||||||||||||
| 7007 Harbourview Blvd Ste 108 | Suffolk | VA | 23435 | 541431826 | Pharmacy | VA | C | Yes (1) | Bon Secours DePaul Medical Center Inc | $543,526 | $2,426,147 | 1.00000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | 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 |