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GRACE MEDICAL CENTER INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
GRACE MEDICAL CENTER INC (EIN 52-0591555)
Tax period
2016-09-01 to 2017-08-31
Filed
2018-07-10
IRS object ID
201841919349300204
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-07-10T06:49:37-05:00ReturnTs
Tax Period End2017-08-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1191 Peachtree St Suite 2000AddressLine1Txt
CityAtlantaCityNm
State AbbreviationGAStateAbbreviationCd
ZIP303031749ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-09-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN520591555EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Bon Secours Hospital Baltimore IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBONSBusinessNameControlTxt
Phone4103623000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 West Baltimore StreetAddressLine1Txt
CityBaltimoreCityNm
State AbbreviationMDStateAbbreviationCd
ZIP212231558ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLaura EllisonPersonNm
Person TitleCFO-BSBHSPersonTitleTxt
Phone4103624477PhoneNum
Signature2018-07-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJohn W Sadoff JrPreparerPersonNm
PTINP00540589PTIN
Phone4042201500PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1BS Hospital Specialty Center New Hope BS Renal Dialysis CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerSamuel L Ross MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 West Baltimore StreetAddressLine1Txt
CityBaltimoreCityNm
State AbbreviationMDStateAbbreviationCd
ZIP212231558ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$114,941,824GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.bonsecours.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1920FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionAcute Care HospitalActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee965TotalEmployeeCnt
Total Volunteers30TotalVolunteersCnt
Total Gross UBI$89,683TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$73,840NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,959,054PYContributionsGrantsAmt
CY Contributions Grants$3,334,087CYContributionsGrantsAmt
PY Program Service Revenue$114,827,825PYProgramServiceRevenueAmt
CY Program Service Revenue$110,547,571CYProgramServiceRevenueAmt
PY Investment Income$209,653PYInvestmentIncomeAmt
CY Investment Income$445,749CYInvestmentIncomeAmt
PY Other Revenue$661,748PYOtherRevenueAmt
CY Other Revenue$614,417CYOtherRevenueAmt
PY Total Revenue$120,658,280PYTotalRevenueAmt
CY Total Revenue$114,941,824CYTotalRevenueAmt
PY Grants And Similar Paid$393,933PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$394,482CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$54,983,397PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$53,832,125CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$66,310,424PYOtherExpensesAmt
CY Other Expenses$63,813,391CYOtherExpensesAmt
PY Total Expenses$121,687,754PYTotalExpensesAmt
CY Total Expenses$118,039,998CYTotalExpensesAmt
PY Revenues Less Expenses-$1,029,474PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$3,098,174CYRevenuesLessExpensesAmt
Total Assets BOY$65,899,696TotalAssetsBOYAmt
Total Assets EOY$68,505,669TotalAssetsEOYAmt
Total Liabilities BOY$153,506,599TotalLiabilitiesBOYAmt
Total Liabilities EOY$153,884,340TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$87,606,903NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$85,378,671NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$108,779,726ExpenseAmt
Grant$394,482GrantAmt
Revenue$110,547,571RevenueAmt
DescBon Secours Baltimore Hospital provides both inpatient and outpatient services. Such services include:Inpatient Services - 151 bed capacity, 72 licensed beds for critical care, medical, psychiatric and surgical needs. The Hospital provides a full range of srvices & programs in response to community needs & interests including: Acute Care; Cardiology; Case Management; Wound Care; Community Health Screenings; Critical Care; Emergency Care; Diagnostic Services; Patient Education; Infectious Disease Care; Lab Services; Mammography; Neurology; Nuclear Medicine; Ophthalmology; Orthopedics; Faith Community Nurse Services; Pastoral Care; Pharmacy; Physical Therapy; Podiatry; Psychiatry; Pulmonary Services and Primary Care.Outpatient Services include: renal dialysis, HIV/AIDS services, mental health, substance abuse treatment, health education, cardiac rehabilitation and wellness programs and tele-health program for patients with congestive heart disease. The Hospital operates an emergency room that is open 24 hours per day, seven days per week, serving persons regardless of their ability to pay. See Sch H for additional information.Desc
Total Program Service Expenses$108,779,726TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document121IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee965EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Laura EllisonBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4433673835PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18990 Old Annapolis RoadAddressLine1Txt
CityColumbiaCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21045ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Samuel Ross MD
CEO21.0029.00Yes (X)Yes (X)$0$1,000,544$54,934
Sr Anne Lutz CBS
President3.5046.50Yes (X)Yes (X)$0$0$0
Matthew Hemelt
Chairman3.000.00Yes (X)Yes (X)$0$0$0
Keshia Pollack
Secretary2.000.00Yes (X)Yes (X)$0$0$0
Patricia Scipio
Treasurer2.000.50Yes (X)Yes (X)$0$0$0
Sonja Hines
Board Member (Sep-Mar)2.000.00Yes (X)$0$0$0
Lawrence Hubbard
Board Member2.000.00Yes (X)$0$0$0
Kevin Hutt
Board Member2.000.00Yes (X)$0$0$0
Br Frank O'Donnell
Board Member2.000.00Yes (X)$0$0$0
Martha Riva Esq
Board Member (Sep-Dec)2.0048.00Yes (X)$0$800,176$44,996
Sr Mary Shimo CBS
Board Member2.003.50Yes (X)$0$0$0
Anthony Stanowski
Board Member2.000.00Yes (X)$0$0$0
Theodore Wimberly
Board Member2.000.00Yes (X)$0$0$0
Cecelia Wright Brown
Board Member (Sep-Jul)2.000.00Yes (X)$0$0$0
Christine Lay
Board Member (Jan-Aug)2.0048.00Yes (X)$0$355,490$28,071
Laura Ellison
CFO-BSBHS/BSHSI Sys VP Fin30.0020.00Yes (X)$0$450,849$45,410
Shelly Buck
CNE/COO50.000.00$265,776$0$41,375Yes (X)
Arsalan Sheikh MD
Chair of Medicine50.000.00$351,871$0$37,292Yes (X)
Ibrahim Hanna MD
Chair of Surgery50.000.00$320,981$0$22,353Yes (X)
Usha Jain MD
Chief Pathologist49.500.50$295,471$0$23,827Yes (X)
Aliya Jones MD
Chair of Psychiatry50.000.00$291,826$0$41,515Yes (X)
Shanta Powell
Psychiatrist50.000.00$232,389$0$26,426Yes (X)
Joseph Griffin
Psychiatrist50.000.00$231,648$0$15,063Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,989,962TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,607,059TotReportableCompRltdOrgAmt
Total Other Compensation$381,262TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K65IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
University of Maryland
110 South Paca StreetBaltimoreMD21201ED Physician Services$4,406,035
Johnson Controls Inc
PO Box 423MilwaukeeWI53201Maintenance Services$2,051,890
Allied Universal
PO Box 828854PhiladelphiaPA191828854Security Services$1,946,911
Crothall Healthcare Inc
13028 Collection Center DriveChicagoIL60693Housekeeping Services$1,917,804
Cardinal Health Pharmacy
21377 Network PlaceChicagoIL60673Pharmacy Services$1,817,864
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K54CntrctRcvdGreaterThan100KCnt
Related Organizations$130,748RelatedOrganizationsAmt
Government Grants$1,869,294GovernmentGrantsAmt
All Other Contributions$1,334,045AllOtherContributionsAmt
Total Contributions$3,334,087TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPatient Service Reve.Desc
Business622110BusinessCd
Total Revenue Column$110,547,571TotalRevenueColumnAmt
Related Or Exempt Func Income$110,547,571RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$110,547,571TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$138,807TotalRevenueColumnAmt
Exclusion$138,807ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$202,570RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$202,570RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$202,570TotalRevenueColumnAmt
Exclusion$202,570ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$304,788SecuritiesAmt
Other$2,154OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

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

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$304,788SecuritiesAmt
Other$2,154OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$306,942TotalRevenueColumnAmt
Exclusion$306,942ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Parking812930$108,211$108,211
Rebates900099$106,019$106,019
Med Student Program900099$105,900$105,900

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$91,717TotalRevenueColumnAmt
Unrelated Business Revenue$89,683UnrelatedBusinessRevenueAmt
Exclusion$2,034ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$411,847OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$114,941,824TotalRevenueColumnAmt
Related Or Exempt Func Income$110,547,571RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$89,683UnrelatedBusinessRevenueAmt
Exclusion$970,483ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$147,725TotalAmt
Program Services$147,725ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$246,757TotalAmt
Program Services$246,757ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$699,739TotalAmt
Program Services$629,765ProgramServicesAmt
Management And General$69,974ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$40,847,523TotalAmt
Program Services$36,762,771ProgramServicesAmt
Management And General$4,084,752ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,133,017TotalAmt
Program Services$2,819,715ProgramServicesAmt
Management And General$313,302ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,609,637TotalAmt
Program Services$5,048,673ProgramServicesAmt
Management And General$560,964ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,542,209TotalAmt
Program Services$3,187,988ProgramServicesAmt
Management And General$354,221ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$164,940TotalAmt
Program Services$148,446ProgramServicesAmt
Management And General$16,494ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$42,243TotalAmt
Program Services$38,019ProgramServicesAmt
Management And General$4,224ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$10,247TotalAmt
Program Services$9,222ProgramServicesAmt
Management And General$1,025ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$12,871,785TotalAmt
Program Services$12,871,785ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$142,128TotalAmt
Program Services$127,915ProgramServicesAmt
Management And General$14,213ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,038,469TotalAmt
Program Services$934,622ProgramServicesAmt
Management And General$103,847ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,217,531TotalAmt
Program Services$2,895,778ProgramServicesAmt
Management And General$321,753ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,622,796TotalAmt
Program Services$2,360,516ProgramServicesAmt
Management And General$262,280ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$160,700TotalAmt
Program Services$144,630ProgramServicesAmt
Management And General$16,070ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$111,836TotalAmt
Program Services$100,652ProgramServicesAmt
Management And General$11,184ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,457,159TotalAmt
Program Services$1,457,159ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,327,131TotalAmt
Program Services$5,694,418ProgramServicesAmt
Management And General$632,713ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,669,614TotalAmt
Program Services$1,502,653ProgramServicesAmt
Management And General$166,961ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Purchased Services$18,070,679$16,263,611$1,807,068
Medical Supplies$7,992,469$7,992,469
Bad Debt Expense$3,359,401$3,359,401
Unrelated Bus Inc. Tax$70,890$70,890

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,483,373TotalAmt
Program Services$4,035,036ProgramServicesAmt
Management And General$448,337ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$118,039,998TotalAmt
Program Services$108,779,726ProgramServicesAmt
Management And General$9,260,272ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,834BOYAmt
EOY$1,100EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$361,790BOYAmt
EOY$362,667EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$919,803BOYAmt
EOY$439,994EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$10,587,497BOYAmt
EOY$10,660,343EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,026,842BOYAmt
EOY$1,028,483EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$607,316BOYAmt
EOY$543,685EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$107,679,827LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$79,818,641LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$28,457,901BOYAmt
EOY$27,861,186EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$12,518,938BOYAmt
EOY$13,646,337EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$11,417,775BOYAmt
EOY$13,961,874EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$65,899,696BOYAmt
EOY$68,505,669EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$10,818,483BOYAmt
EOY$13,372,527EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$3,310,146BOYAmt
EOY$4,374,402EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$55,352BOYAmt
EOY$70,893EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$139,322,618BOYAmt
EOY$136,066,518EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$153,506,599BOYAmt
EOY$153,884,340EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$87,826,694BOYAmt
EOY-$85,601,469EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$219,791BOYAmt
EOY$222,798EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$87,606,903BOYAmt
EOY-$85,378,671EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$65,899,696BOYAmt
EOY$68,505,669EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$3,098,174ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$709,592NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$4,616,814OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$10,247OtherActivitiesAmt
Total Lobbying Expenditures$10,247TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationThe 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.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$600,000OtherCostOrOtherBasisAmt
Book Value$600,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$52,230,886OtherCostOrOtherBasisAmt
Depreciation$34,383,949DepreciationAmt
Book Value$17,846,937BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$51,623,357OtherCostOrOtherBasisAmt
Depreciation$43,072,667DepreciationAmt
Book Value$8,550,690BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,225,584OtherCostOrOtherBasisAmt
Depreciation$2,362,025DepreciationAmt
Book Value$863,559BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$27,861,186TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDescBook ValueBookValueAmt
HPL/GL Asset$9,322,963
Due from Affiliates$4,118,737
Accrued Revenue$298,949
Staff Loans$110,877
Resident Trust$70,893
Security Deposits$22,200
LT Noncash Investment$13,150
Rent Receivable$1,010
Other Misc Assets$3,095
FieldValueIRS element (for citing)
Total Book Value Other Assets$13,961,874TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
Due to Affiliates$94,381,402
Pension Liability$24,116,676
Liability - HPL/GL$9,322,414
Medicaid and Insurance Advances$4,406,651
Liability - FIN 47$1,707,117
Patient Credit Balances$1,113,516
Capital Leases$896,334
Other Misc Liabilities$122,408
FieldValueIRS element (for citing)
Total Liability$136,066,518TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IV, Line 2b:Bon Secours Hospital Baltimore holds, safeguards, manages and accounts for the Social Security funds of certain patients. These funds are held in an FDIC insured banking institution. With the assistance of hospital personnel, funds are generally accessed by the patient through the use of ATM cards or Visa gift cards which are purchased on their behalf.
Part X, Line 2:Schedule D, Part X, Line 2 requires that the organization provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under ASC 740. ASC 740 addresses the accounting for uncertainty in income taxes recognized in an entity's financial statements and prescribes a threshold of more-likely-than-not for recognition and derecognition of tax positions taken or expected to be taken in a tax return. The adoption of ASC 740 by 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.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$385,851TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$385,851NetCommunityBenefitExpnsAmt
Total Expense0.00340TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$385,851TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$385,851NetCommunityBenefitExpnsAmt
Total Expense0.00340TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs8ActivitiesOrProgramsCnt
Persons Served37483PersonsServedCnt
Total Community Benefit Expns$2,631,022TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$887,144DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,743,878NetCommunityBenefitExpnsAmt
Total Expense0.01520TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served776PersonsServedCnt
Total Community Benefit Expns$484,296TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$484,296NetCommunityBenefitExpnsAmt
Total Expense0.00420TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served18560PersonsServedCnt
Total Community Benefit Expns$12,206,742TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,663,053DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,543,689NetCommunityBenefitExpnsAmt
Total Expense0.03960TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Total Community Benefit Expns$199,089TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$102,094DirectOffsettingRevenueAmt
Net Community Benefit Expns$96,995NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$344,565TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$344,565NetCommunityBenefitExpnsAmt
Total Expense0.00300TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs14ActivitiesOrProgramsCnt
Persons Served56819PersonsServedCnt
Total Community Benefit Expns$15,865,714TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,652,291DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,213,423NetCommunityBenefitExpnsAmt
Total Expense0.06280TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs14ActivitiesOrProgramsCnt
Persons Served56819PersonsServedCnt
Total Community Benefit Expns$16,251,565TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,652,291DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,599,274NetCommunityBenefitExpnsAmt
Total Expense0.06620TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$3,359,401BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$36,292,822ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$21,321,182CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$14,971,640MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Bon Secours Hospital Baltimore IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 W Baltimore StAddressLine1Txt
CityBaltimoreCityNm
State AbbreviationMDStateAbbreviationCd
ZIP212231558ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.bonsecours.comWebsiteAddressTxt
State License30-007StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Bon Secours Hospital Baltimore IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Section COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSee Section CStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttp://www.fa.bonsecours.com/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttp://www.fa.bonsecours.com/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttp://www.fa.bonsecours.com/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Bon Secours Hospital Baltimore, Inc.Part V, Section B, Line 5: In FY2016 Bon Secours Baltimore Health System (BSBHS) used a team approach to complete its Community Health Needs Assessment (CHNA). The CHNA team used a multi-pronged approach to solicit input from the West Baltimore community regarding their health needs. Data collection methodologies included surveys, stakeholder interviews, focus groups, and community conversations. We engaged with representatives of our community with a knowledge of public health (e.g., Maryland Department of Health and Mental Hygiene and the Baltimore City Health Department), the broad interests of the communities we serve, individuals with special knowledge of the medically underserved, as well as low-income and vulnerable populations and people with chronic diseases. We met with seniors, youth, re-entry residents, hospital patients, faith-based stakeholders, community leaders, health care providers, neighborhood associations, representatives from community-based organizations and other key community stakeholders with an intimate knowledge of the West Baltimore community and their health needs. Four hundred and twenty-five (425) surveys were collected (296 within the defined service area), and nine (9) stakeholder interviews, six (6) focus groups and one (1) community discussion were conducted between November 2015 through June 2016. The survey, interviews, focus groups and community discussion focused on community health needs, community assets and resources available to respond to the community health needs, barriers and challenges to accessing the community assets and resources, and ways in which Bon Secours could help address the health needs.
Bon Secours Hospital Baltimore, Inc.Part V, Section B, Line 7d: Hard copies were distributed to our Healthy Community Advisory Board members and are also available upon request to Hospital Administration, Marketing or CommunityWorks.
Bon Secours Hospital Baltimore, Inc.Part V, Section B, Line 11: BSBHS's CHNA Implementation Plan positions BSBHS to take on the entwined roles of convener, catalyst and contributor in partnering with the communities we serve and helps us to move towards the realization of a vision of: Healthy People, Healthy Economy & Healthy Environment.Healthy People:Bon Secours Women's Resource Center (WRC) serves as a day-time center addressing the needs to women who are in crisis and need immediate access to services. Bon Secours Family Support Center serves pregnant mothers and families with children up to age three. The Center offers non-traditional Early Head Start services, teen parent services, and in-home support. Early Head Start (EHS) -121 children and 12 pregnant mothers enrolled in and received EHS in-center developmental care throughout the fiscal year. -In addition to EHS, parents/guardians participated in a wide variety of "Nurturing Parent Workshops" held throughout the year.Teen Parent Program-24 parenting or pregnant teens enrolled and received health, social, psychological, and academic support to encourage educational success as well as prevent subsequent pregnancies. -1 teen participated in our eight-week summer Youth Employment Entrepreneurship Program (YEEP).Home Visiting Program -41 young mothers with children under three years of age received ongoing in-home parenting skills training and education about supporting their child's developmental milestones. Women, Infant, & Children Although not operated by Bon Secours, the Baltimore City Women, Infants & Children (WIC) Program is located at Bon Secours Community Works, so we enabled an additional 917 clients to access to WIC benefits by providing a facility. Of those 86 clients were connected with additional services at Community Works.Health Enterprise Zone (HEZ) works to improve and expand access to primary care and preventive services, improve the health of the community by increasing the number of people connected to a primary care medical home and increasing annual primary care visits. 37,087 West Baltimore residents have participated in HEZ activities throughout the program by the following mechanisms: 1) health fairs, 2) care coordination, 3) primary care services, and 4) community based activities (i.e. fitness, cooking and nutrition classes).The Community Health Workers Encounters :SEPTEMBER 2016 - MARCH 2017-Total Encounters: 5,722 -Home visits: 399 -Educational: 2,628-Phone visits: 2,686-Clinic visits: 9We held 220 fitness classes (about 11 free fitness classes per week) with an average of 116 participants per month. We held 2 nutrition and cooking classes with 23 participants.Awarded 25 scholarships to West Baltimore residents who are pursuing degrees/certificates in health careers. To date, $80,476 in scholarships has been committed to these 25 HEZ scholars.SEPTEMBER 2016 - MARCH 2017Total # of unduplicated patients seen in reporting period: 17,754 Total # of patient visits in reporting period: 28,042 Bon Secours Hospital Screening Brief Intervention Referral to Treatment ("SBIRT") is designed so that all patients that enter the hospital through the Emergency Department or through a direct admission are screened by hospital nursing staff as part of the nursing assessment. Nurses and other members of the health care team refer patients at high risk to Peer Recovery Coaches (PRC) to provide brief interventions and referrals to treatment, as appropriate.For the July 1, 2016 through June 30, 2017 period: -97.6% of Emergency Department patients were screened by ED Nurse-34% of patient screened were positive-32.1% with positive screen receive brief intervention-14.07% referred to treatment from brief intervention-44.06% confirmed attendance at treatmentThe Department of Behavioral Health provides the following outpatient mental health and substance abuse programs:Assertive Community Treatment (ACT) Mobile Treatment Services served 96 different clients, average # enroll 94 clients for FY17. Specialized Case Management Program (SCMP): served 255 clients during FY17.Vocational Services (SEP): Averages 28 clients continuously employed. 60 referrals received during FY17.Psychiatric Day Program (PRP): 1,260 client visits 152 different clients enrolled. Outpatient Mental Health (OMHC): -The OMHC Walk-in Program was initiated during FY 17 in an effort to meet a community need for on-demand treatment services. -Number of people signed in for walk-in: 415-Number of People Screened: 415-Number of Admissions to OMHC: 282Partial Hospitalization Programs for Adults and Children (PHEP): Average Daily Census 7.00Opioid Maintenance Treatment with Methadone (OTP): -New Hope- (189 Admissions; 315 Census)-Adapt Cares- (107 Admissions; 255 Census)Opioid Maintenance Treatment with Methadone with Suboxone (OTP): (123 Admissions; 35 daily Census) Crisis Stabilization: 2141 Crisis AssessmentsCommunity Disease Management Nurse Ministry addresses a critical need for patients to have access to services and education to assist in management as well as improve outcomes in their physical and mental health and well-beingTELE-HEART PROGRAM - SEPTEMBER 2016 THROUGH AUGUST 2017-Total Occurrence- 10,140-Total Encounters- 9,909PARISH NURSE MINISTRY - SEPTEMBER 2016 THROUGH AUGUST 2017-Total Occurrence - 2,142-Encounters - 2,873Healthy Economy:Bon Secours Career Development works to create jobs and prepare residents for these jobs by providing job readiness programs and ongoing adult education; participating in the creation of jobs in areas which we have the most expertise and influence. Job Placement167 clients gained one or more paid employment opportunities using our job search and placement support obtaining 204 jobs averaging $13.17. 8 additional clients received paid urban landscaping training and job readiness skills training through our six-month Clean and Green Neighborhood Revitalization program. Trainees improved more than 50 vacant lots. CNA/GNA Training 105 clients enrolled in our CNA/GNA training program, with 88 clients graduating, and 87 receiving CNA/GNA certification. 83 clients have gained employment in a health-care field and of those 3 clients were placed at Bon Secours Hospital. Youth Employment Entrepreneurship Program (YEEP) 30 youth from low-income households participated in this eight-week summer work and career prep program, which included paid work experience throughout 16 departments in Bon Secours Baltimore and Community Works Re-entry Success Program296 clients enrolled in the "TYRO" life skills training program for men and women to help break the cycle of incarceration. 96 participants graduated over 8 cohorts. Some clients enrolled in the program and were unable to complete for the following reasons 1) behind the walls and moved to new jail; 2) obtain job which conflict with TYRO class times; 3) or did not complete all 12 classes to graduate. -Hosted two expungement workshops (89 persons served; 471 charges expunged).Bon Secours Financial Services offers services to help residents become more financially aware, begin building assets, and create stronger financial futures for their families.Eviction Prevention -643 individuals/families were screened for eviction prevention assistance and benefited from a one-on-one assessment of their financial situation. -Of those, 205 individuals/families prevented imminent eviction through a one-time eviction prevention cash grant after completing our mandatory "Budget & Credit Workshop." This is intended to prevent first-time homelessness and increase clients' capacity for sustained financial stability.Total of $184,818 in eviction prevention assistance distributed. EarnBenefits Screening (i.e. public benefits) -647 clients were screened through the EarnBenefits software system for eligibility for public benefits to increase economic stability. Benefits include SNAP (aka food stamps), utilities assistance, health insurance, and WIC. Of those, 433 clients were eligible for one or more public benefits.Income Tax Preparation -395 clients received low-cost tax preparation. -Total Federal Refunds generated: $666,268.-Total State Refunds generated: $180,802.Healthy Environment:Community Housing develops and manages safe/affordable housing; connects residents of housing to needed services - and to one another. A total of 729 units are in service; service coordination at each senior housing site; construction on an additional 73 unit family apartment building begun June 2016. Housing occupancy for FY17 was 97.9% for 729 units.
Bon Secours Hospital Baltimore, 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:The FAP provides information relating to the assistance provided to individuals that are eligible for free or discounted care. However, the Community Service Adjustment, which is available in our other markets, is not available in Maryland.
Form 990, Schedule H, Part V, Section B, Line 7a:https://bonsecours.com/baltimore/community-commitment/healthy-community-initiative
Form 990, Schedule H, Part V, Section B, Line 10a:https://bonsecours.com/baltimore/community-commitment/healthy-community-initiative
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Bon Secours CIBSADAPT
3101 Towanda AveBaltimoreMD21215Behavioral Health Services
2 - Bon Secours CIBSNew PassageNew Hope
2401 W Baltimore StBaltimoreMD21223Behavioral Health Services
3 - Bon Secours CIBSSCMPACTNew Phases
6000 Metro DriveBaltimoreMD21215Behavioral Health Services
4 - Family Health & Wellness
1940 W Baltimore StBaltimoreMD21223Community Medical Center

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 6a:Annually, Bon Secours Baltimore Health System (BSBHS) 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/baltimore/community-commitment.
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: Part I, Line 7b: Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing Uncompensated Care in each payors rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care.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: $3,359,401.
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 nonreimburseable departments. The cost report uses appropriate statistical bases to "step down" support costs to allowable clinical and nonreimburseable departments. The charges for clinical departments are matched to the total cost for these departments for a cost-to-charge ratio. Medicare-specific allowable costs for in- and outpatient ancillary departments are computed by applying the department-specific cost-to-charge ratio to the Medicare program charges by department. For routine departments, a per diem total cost is computed and applied to Medicare program days for the Medicare routine program cost.
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:As a part of Bon Secours Health System, Bon Secours Baltimore Health System conducts strategic planning on a three-year cycle. The product of this process, the "Strategic Quality Plan" serves as the driver for strategic initiatives at both the national and local system level. Fiscal year 2016 was the first year in the cycle (2016-2018) that had the following priorities: Co-Create Healthy Communities Be Person Centric Serve Those Who Are Less Vulnerable Strengthen Our Culture And CapabilitiesAll strategic initiatives, including community benefit, must address one or more of these priorities, the development of which are informed in part by local system community benefit reports, the most recent community health needs assessment and other community engagement activities.Community engagement activities include regular meetings with advisory groups (Anchor Work Group, Crime & Grime committee, CHNA Advisory Board, local Community Associations and the Southwest Partnership coalition) and events such as quarterly community forums, neighborhood cleanups, charrettes and various other single-purpose activities that inform our needs assessment and program development.
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:Bon Secours' service area includes 40.5% of Baltimore City's population. Bon Secours' service area is similar to Baltimore City and Maryland in regards to age and gender, but is different in terms of race/ethnicity and income. The area has a lower household income and a larger proportion of African Americans than Baltimore City and Maryland. The area also experiences a higher rate of public insurance than Maryland. Within Bon Secours' service area seven zip codes there is wide variation. Zip codes 21217 and 21223 have a population that is younger than the other CBSA zip codes, while 21215 and 21216 have a population that is older than the other zip codes. There is also wide variation in race/ethnicity and insurance coverage within the area. Overall, the area is a majority African American, low income, and in most zip codes publicly insured. 40.5% of Baltimore City's residents are within Bon Secours' service area. Zip codes 21215, 21229, and 21217 comprise the largest segments of the area, and represent 59.6% of the total residents in the area.Household incomes are much lower in the area on average than the state of Maryland and Baltimore City. 29.9% have an income under $25,000. 55.1% of household incomes are below $50,000, whereas 50.3% of Baltimore City and 26.3% of Maryland household incomes are below $50,000. 57.3% of Maryland household incomes are $75,000 or over, while 27.6% of Bon Secours service area households have an income of $75,000 or over.The area has a higher percent of individuals that have public insurance compared to Maryland. More than 30% of their population is enrolled in public insurance. There is also a higher proportion of uninsured persons compared to Baltimore and Maryland. Four of 7 zip codes within the Bon Secours service area have 50% or more of their population enrolled in public insurance.The Bon Secours service area also has one of the highest disease burden and some of the worst indicators of social determinants of health than any other community in Maryland. These neighborhoods establish the lower extremes for health disparities in the City and the State across all major chronic illnesses. Families in the Zone experience poverty (20%) at higher rates than those in Maryland (6%) and in Baltimore City (17%). Life expectancy can be up to 12 years shorter in these zip codes than in other parts of Maryland.
Part VI, Line 5:BSBHS has an open medical staff with privileges available to all qualified physicians in the area. BSBHS is governed by a board of directors whose composition is representative of the community it serves.
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 (Strategic Quality Plan).
Part VI, Line 7, Reports Filed With StatesMD

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Coppin State University
2500 West North AvenueBaltimoreMD21216526002033501(C)(3)$10,000General Support
NAACP Baltimore City Branch
8 W 26th StreetBaltimoreMD21218520576923501(C)(4)$5,000General Support
National Association of Health Service Executives
1050 Connecticut Ave NWWashingtonDC20036621312239501(C)(3)$5,000General Support
American Diabetes Association
2002 Clipper Park Rd 110BaltimoreMD21211131623888501(C)(3)$5,000General Support
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (5 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
Indigent Cab/Bus Fare396$80,560
Emergency Assistance Funds for Patients, Volunteers, & Employees44$37,765
Community Scholarships (HEZ Grant)42$77,432
"Live Near Your Work" Program4$50,000
Next Generation Scholarship1$1,000

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe 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

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Samuel Ross MD
CEO$0$601,809$0$90,308$0$308,427$0$34,958$0$19,976$0$1,055,478$0$171,858
Martha Riva Esq
Board Member (Sep-Dec)$0$386,142$0$89,482$0$324,552$0$15,900$0$29,096$0$845,172$0$106,744
Christine Lay
Board Member (Jan-Aug)$0$259,003$0$51,734$0$44,753$0$15,900$0$12,171$0$383,561$0$0
Laura Ellison
CFO-BSBHS/BSHSI Sys VP Fin$0$341,191$0$68,847$0$40,811$0$18,718$0$26,692$0$496,259$0$0
Shelly Buck
CNE/COO$230,005$0$33,538$0$2,233$0$9,911$0$31,464$0$307,151$0$0$0
Arsalan Sheikh MD
Chair of Medicine$321,539$0$30,000$0$332$0$10,600$0$26,692$0$389,163$0$0$0
Ibrahim Hanna MD
Chair of Surgery$320,651$0$0$0$330$0$10,600$0$11,753$0$343,334$0$0$0
Usha Jain MD
Chief Pathologist$292,084$0$0$0$3,387$0$10,600$0$13,227$0$319,298$0$0$0
Aliya Jones MD
Chair of Psychiatry$279,543$0$12,000$0$283$0$7,950$0$33,565$0$333,341$0$0$0
Shanta Powell
Psychiatrist$185,695$0$46,551$0$143$0$0$0$26,426$0$258,815$0$0$0
Joseph Griffin
Psychiatrist$230,234$0$0$0$1,414$0$3,404$0$11,659$0$246,711$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3Bon 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 4bThe filing organization participates in a BSHSI sponsored executive retirement program that allows for deposits into additional retirement plans and 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: Martha Riva, $ 297,476; Samuel Ross MD, $201,434.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6Bon Secours Health System, Inc. is the sole member of Bon Secours Baltimore Health Systems, Inc., which in turn is the sole member of Bon Secours Hospital Baltimore, Inc.
Form 990, Part VI, Section A, line 7aThe governing body of Bon Secours Hospital Baltimore, Inc. is appointed by its member Bon Secours Baltimore Health System, Inc. and subject to approval by Bon Secours Health System, Inc.
Form 990, Part VI, Section A, line 7bCertain authorities of Bon Secours Hospital Baltimore, Inc. are reserved to its member or to Bon Secours Health System, Inc.
Form 990, Part VI, Section B, line 11bThe 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 12cThe 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 15bThe 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 directors and compensation committee minutes. Compensation Process Other Officers/ Key Employees: For those key employees and highest paid employees that are not reviewed by the 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 19The filing organization makes all documents available to the general public upon request.
Form 990, Part VII - Additional Disclosure: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. Sr. Anne Lutz does not receive payroll distributions as she has taken a vow of poverty.
Form 990, Part IX, line 11gPhysician Fees: Program service expenses 11,975,979. Management and general expenses 0. Fundraising expenses 0. Total expenses 11,975,979. Contracted Labor: Program service expenses 895,806. Management and general expenses 0. Fundraising expenses 0. Total expenses 895,806.
Form 990, Part XI, line 9:Transfer to BSHSI for Debt Principal, Swaps and Pension -929,504. Minimum Pension Liability 5,546,318.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Bon Secours Health System Inc
1505 Marriottsville RoadMarriottsvilleMD21104521301088Parent Org. Management ServicesMD501(c)(3)Line 12c, III-FIBon Secours Inc0
The Bon Secours of Maryland Foundation Inc dba Community Works
26 N Fulton AvenueBaltimoreMD21223521732800Community FoundationMD501(c)(3)Line 7Bon Secours Baltimore Health System Inc0
Unity Properties Inc
26 N Fulton AvenueBaltimoreMD21223521857768Low Income HousingMD501(c)(3)Line 7Bon Secours of Maryland Foundation0
Bon Secours Baltimore Development Inc
26 N Fulton AvenueBaltimoreMD21223760785344Low Income HousingMD501(c)(3)Line 7Unity Properties Inc0
Bon Secours Baltimore Health System Foundation Inc
2000 W Baltimore StreetBaltimoreMD21223383843816Grant Making FoundationMD501(c)(3)Line 7Bon Secours Baltimore Health System Inc0
Bon Secours Housing
26 N Fulton AvenueBaltimoreMD21223521442707Low Income HousingMD501(c)(3)Line 10Bon Secours of Maryland Foundation0
Bon Secours Housing II
26 N Fulton AvenueBaltimoreMD21223521543174Low Income HousingMD501(c)(3)Line 10Bon Secours of Maryland Foundation0
Bon Secours Baltimore Health Corp(dba Bon Secours Baltimore Health System)
2000 W Baltimore StreetBaltimoreMD21223800728893Local System Parent OrgMD501(c)(3)Line 12c, III-FIBon Secours Health System Inc0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
Bon Secours Apartments LP
1800 W Baltimore StBaltimoreMD21223521952505Low Income HousingMDN/A
Bon Secours Apartments II LP
1800 W Baltimore StBaltimoreMD21223522063512Low Income HousingMDN/A
Liberty Senior Housing LP
1800 W Baltimore StBaltimoreMD21223522134447Low Income HousingMDN/A
Bon Secours Apartments III LP
1800 W Baltimore StBaltimoreMD21223522134444Low Income HousingMDN/A
Bon Secours Smallwood Summit
26 N Fulton AvenueBaltimoreMD21223522280175Low Income HousingMDN/A
Bon Secours Chesapeake Apartments LP
26 N Fulton AvenueBaltimoreMD21223200107034Low Income HousingMDN/A
Bon Secours Shiloh LP
26 N Fulton AvenueBaltimoreMD21223203965243Low Income HousingMDN/A
Bon Secours Wayland LP
26 N Fulton AvenueBaltimoreMD21223270468688Low Income HousingMDN/A
Bon Secours Benet House LP
26 N Fulton AvenueBaltimoreMD21223364765400Low Income HousingMDN/A
Bon Secours Benet House LLC
26 N Fulton AvenueBaltimoreMD21223463055312Low Income HousingMDN/A
Bon Secours Gibbons Apartments LP
26 N Fulton AvenueBaltimoreMD21223472322323Low Income HousingMDN/A
Bon Secours New Shiloh II LP
26 N Fulton AvenueBaltimoreMD21223820655142Low Income HousingMDN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Unity Housing Inc
26 N Fulton AvenueBaltimoreMD212231624521952507Low Income HousingMDN/AC0
Bon Secours Wayland LLC
26 N Fulton AvenueBaltimoreMD212231624270468561Low Income HousingMDN/AC0
Bon Secours New Shiloh II LLC
26 N Fulton AvenueBaltimoreMD21223820631206Low Income HousingMDN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd