2017-07-10T09:44:13-05:00 2016-08-31 861065772 Deloitte Tax LLP 191 Peachtree St Suite 2000 Atlanta GA 303031749 990 2015-09-01 311716973 Bon Secours - St Francis Medical Center Inc BONS 8042818413 8580 Magellan Parkway Building IV Richmond VA 23227 Stephan F Quiriconi Treasurer (BSR-VP Finance) 8045947400 2017-07-10 1 John W Sadoff Jr P00540589 4042201500 2015 2021-01-29 14:40:06Z John McCurley 8580 Magellan Parkway Building IV Richmond VA 23227 280939245 0 X bonsecours.com X 1999 VA Acute Care Hospital 18 17 1670 330 0 0 2659767 1331447 279144482 276730977 14644 105343 1960976 2518116 283779869 280685883 38000 62000 0 0 97562924 100854425 0 0 0 167692192 164478509 265293116 265394934 18486753 15290949 166725009 174317586 106808645 103149927 59916364 71167659 X The mission is to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a system of caregivers, we commit ourselves to help bring people and communities to health and wholeness. 0 0 241891828 62000 277980301 Patient Service in order to bring compassion to healthcare and to be good help to those in need by providing healthcare services. Please refer to the Community Benefit information on Schedule H. 3759602 676819 Bon Secours St. Francis Family Medicine Residency Program: The Virginia Commonwealth University (VCU) affiliated Bon Secours St. Francis Family Medicine Residency Program opened its doors in August 2005 and is fully accredited by the Accreditation Council for Graduate Medical Education. Bon Secours has built a program that creates family physicians and serves western Chesterfield county and surrounding areas in suburban Richmond, Virginia. The faculty includes a mixture of rural and suburban-based academicians and clinicians. Subspecialty preceptors are drawn from a premier network of Bon Secours affiliated physicians. The residency program is housed in a building designed specifically for the needs of resident education and efficient clinical care. In addition to rotating through Bon Secours St. Francis Medical Center, residents use many of the award-winning systems through our practice, the four hospitals of Bon Secours Richmond Health System, and our community outreach including Care-A-Van, our free mobile health clinic. 245651430 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 81 0 1 1670 1 0 0 0 0 0 0 0 0 0 0 X 18 17 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 VA X Laura Ellison 4433673835 8990 Old Annapolis Road Columbia MD 21045 X Toni Ardabell BM (Sep-Dec)/CEO-BSR/CEO-BSV (Full FY) 6.00 44.00 X X 0 1046319 74999 Francine Barr Board Member (Jan-Aug) 2.00 48.00 X 0 420578 13101 Jean Ann Bolling Board Member 2.00 0.00 X 0 0 0 John Bowman MD Board Member (Sep-Dec) 2.00 0.00 X 0 0 0 Chandrashekar Challa Board Member 2.00 0.00 X 0 0 0 John Daniel III MD Board Member 2.00 0.00 X 0 0 0 Anup Gokli MD Board Member 2.00 0.00 X 0 0 0 Mark Gordon BM(Sep-Dec)/CEO-SFMC(Sep) 2.00 48.00 X X 0 706006 53578 Pamela Hacker Board Member 2.00 0.00 X 0 0 0 Chris Hairston-White Board Member (Jan-Aug) 2.00 0.00 X 0 0 0 James Holmes Board Member (Sep-Dec) 2.00 48.00 X 0 214005 21022 BHB Hubbard III Board Member 2.00 0.00 X 0 0 0 Sr Anne Marie Mack CBS President 3.00 47.00 X X 0 0 0 Joanne Nattrass Board Member 2.00 0.00 X 0 0 0 Paula Peaden Board Member (Jan-Aug) 2.00 0.00 X 0 0 0 Fr John Podsiadlo Board Member 2.00 0.00 X 0 0 0 Michael Robinson Board Member (Sep-Oct) 2.00 48.00 X 0 877717 26682 Sr Victoria Segura CBS Board Member 10.00 40.00 X 0 0 0 William Shewmake Board Member 2.00 0.00 X 0 0 0 Shannon Sinclair Board Member 2.00 0.00 X 0 0 0 William Stallings MD Board Member (Sep-Dec) 2.00 0.00 X 0 0 0 Nancy Thomas Chairman 3.00 0.00 X X 0 0 0 Michael Williams Board Member 2.00 0.00 X 0 0 0 Thomas Winfree Board Member (Sep-Dec) 2.00 0.00 X 0 0 0 Allen Goolsby III Secretary 2.00 2.00 X 0 0 0 Christopher Accashian CEO-SFMC (Apr-Aug) 50.00 0.00 X 0 0 0 John McCurley Co-CEO - SFMC (Oct-Apr) 50.00 0.00 X 386973 0 39326 Stephan Quiriconi Treasurer 9.00 41.00 X 0 360869 16123 Kevin Sheppard Co-CEO - SFMC (Oct-Apr) 50.00 0.00 X 0 262575 26479 Jim Godwin VP HR 8.00 42.00 X 0 249400 27407 John Turner VP Orthopedics 16.50 33.50 X 0 300303 24623 Barbara Gesme VP - Patient Care 50.00 0.00 X 159198 0 33301 Leigh Sewell VP Service Line Strategy 12.00 38.00 X 0 207236 39837 William Irvin MD Oncologist 50.00 0.00 X 788806 0 42064 Ryan Raddin MD Oncologist 50.00 0.00 X 658328 0 40993 Tracy Hicks MD Obstetrician 50.00 0.00 X 483565 0 28555 James Pellicane MD General Surgeon 50.00 0.00 X 483278 0 35057 Tamara Pringle MD Obstetrician 50.00 0.00 X 479720 0 12334 Peter Bernard Former Officer 0.00 0.00 X 0 2257034 121913 Shelly Buck Turner Former Key Employee 0.00 50.00 X 0 240342 40438 3439868 7142384 717832 94 1 1 0 Morrison Management Specialists Inc PO Box 102289 Atlanta GA 303682289 Dietary Management 3476999 Aramark Cts Inc 12483 Collections Ctr Dr Chicago IL 60693 Medical Equipment Maintenance/Rental 3339600 Richmond Emergency Physicians 5855 Bremo Road - Suite 210 Richmond VA 23226 Emergency Physicians 2434454 Sheltering Arms Hosp 8254 Atlee Rd Mechanicsville VA 23116 Rehab Services 1495796 OBHG Virginia LLC 10 Centimeters Dr Mauldin SC 29662 OB Services 1348545 65 1169621 161826 33758 1331447 Patient Service Rev. 622110 276054158 276054158 Residency Program 622110 676819 676819 276730977 99343 99343 205878 253362 -47484 -47484 -47484 6000 0 6000 6000 6000 Sheltering Arms Rev. 900099 1105083 1105083 Care Coordination Fees 900099 821060 821060 Cafe/Vending/Gift Shop 900099 254314 254314 385143 385143 2565600 280685883 278657120 0 697316 62000 62000 662040 595836 66204 80563717 72507345 8056372 3419961 3077965 341996 9991191 8992072 999119 6217516 5595764 621752 188947 170052 18895 16947 15252 1695 8158261 8158261 190890 171801 19089 2144283 1929858 214425 282667 254400 28267 9608706 8647835 960871 320459 288413 32046 98067 88260 9807 5946193 5946193 7438186 6694367 743819 764866 688379 76487 Purchased Services 65908117 59317305 6590812 Medical Supplies 36082771 36082771 Bad Debt 17710667 17710667 BSHSI Mgmt Allocations 6933856 6240471 693385 2684626 2416163 268463 265394934 245651430 19743504 0 249 1152 17015106 32309473 32123556 28676251 263343 30632 2972151 2902604 945188 1259007 193971511 96950170 101141906 97021341 12263510 12117126 166725009 174317586 12906837 9452901 5070108 3473673 88831700 90223353 106808645 103149927 X 59916364 71167659 59916364 71167659 166725009 174317586 X 15290949 -4039654 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 16947 16947 0 Part II-B, Line 1: The filing organization maintains memberships to various professional healthcare associations. Portions of their membership dues are used for lobbying activities. The lobbying portion of such dues is included on line 1i. 21097936 21097936 75217917 21943182 53274735 16280147 9964313 6315834 71082520 58519649 12562871 10292991 6523026 3769965 97021341 LT Non Cash Inv - HPL/GL 6959665 Other Patient & 3rd Party Payors 3127078 Due from BSHSI 1019406 Due from Affiliates 613284 Sheltering Arms Receivable 293528 Ground Lease Rent Receivable 90842 Miscellaneous A/R 13323 12117126 Due to BSHSI 80000000 HPL/GL Liability 6959665 Other LTL & Deferred Credits 1578249 Patient Credit Balances 1275326 Medicare Settlements Payable 300104 Campus Improvement Reserve 108105 Rent Deposit Payable 1720 Unclaimed Property 184 90223353 X Part X, Line 2: Schedule D, Part X, Line 2 requires that the organization provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under ASC 740. ASC 740 addresses the accounting for uncertainty in income taxes recognized in an entity's financial statements and prescribes a threshold of more-likely-than-not for recognition and derecognition of tax positions taken or expected to be taken in a tax return. The adoption of ASC 740 by 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. The System's taxable subsidiaries had approximately $89,895 and $84,748 of net operating loss carryforwards as of August 31, 2016 and 2015, respectively, which expire in varying periods through 2036 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. Income tax liabilities are recorded for the impact of positions taken on income tax returns, which management believes are not more likely than not to be sustained on tax audit. 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, 2016 and 2015 as the System considers it more likely than not that these amounts will not be recognized. 1 1 X 1 X 0 1 1 1 0 1 1 7897360 20008 7877352 0.03180 17701657 12515000 5186657 0.02090 0 0 25599017 12535008 13064009 0.05270 5 6643 2399224 0 2399224 0.00970 0 0 4309524 1251087 3058437 0.01230 0 0 0 0 0 0 0 0 1 14 533581 0 533581 0.00220 6 6657 7242329 1251087 5991242 0.02420 6 6657 32841346 13786095 19055251 0.07690 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 25000 0 25000 0.00010 0 0 0 0 1 25000 25000 0.00010 1 17710667 0 53530618 68716106 -15185488 X 1 1 1 1 Bon Secours - St Francis Medical Center Inc 13710 St Francis Blvd Midlothian VA 23114 bonsecours.com H1924 X X X X X Bon Secours - St Francis Medical Center 1 0 0 1 X X X X X X X X X 15 1 1 0 1 X See Section C X 1 15 1 See Section C 1 0 1 X 200.000000000000 0.000000000000 X 1 1 X X X 1 X www.fa.bonsecours.com X X X X X 1 X 1 X X X X X 1 X 0 0 Bon Secours - St. Francis Medical Center Part V, Section B, Line 5: Community SurveyAn electronic survey using Survey Monkey was developed and administered to 759 community members and partners. The survey was offered in Spanish and English. 65 individuals completed the survey in Spanish and 694 completed the survey in English. Individuals were invited to participate based on their ability to represent: underserved, low-income and minority population needs; needs of chronically ill patients; and awareness of healthcare needs in their respective communities. Participants were asked to share their viewpoints on:o Important health concerns in the community;o Significant service gaps in the community; o Ideas for addressing concerns and service gaps.To gauge the importance of various health concerns, respondents were asked to "Choose the top 5 priorities you think should be addressed in your community" from a list of 34 health concerns. Respondents were then asked to rate their overall health, the health of the community, and the quality of life of the community. Other questions included reviewing lists of services typically important to addressing health concerns and how strong the community was in providing those services. Respondents were then asked to indicate services that needed to be strengthened in terms of availability, access, and quality. Open-ended response items were provided for participants to indicate additional service gaps in the community and ideas for addressing concerns and service gaps. Community ConversationsFive Community Conversations were held as part of the CHNA process in which 78 individuals participated from all of the core jurisdictions of Hanover, Henrico, Chesterfield, and Richmond City. Overall, the racial and geographical diversity of the participants represented a healthy mix of the region's residents. The purpose of the conversation was to elicit feedback from community members about publically available health data describing health conditions in the services area, and to review the online survey results to further explore findings. Attendees were asked to 1) rank the health issues identified in the Community Survey according to which impacts them and the people close to them the most and 2) rank the issues according to a community view, which issues should be addressed to improve the overall health of the region.Priority Needs Bon Secours Richmond convened a CHNA Advisory Board to support the process by engaging community members and providing feedback on the findings. The CHNA Advisory Board included individuals with special knowledge of public health and underserved populations and included the following: Directors from the Richmond City Health Department and the Chickahominy Health District, an Executive Director of a Free Clinic, a Vice President from VCU Health, Vice Presidents from the Better Housing Coalition and United Methodist Family Services, and the Executive Director of the Richmond Academy of Medicine. A Strategy Grid was facilitated by Becky Clay Christensen and included a review of all qualitative and quantitative data gathered from the Community Survey, Community Conversations, and publically available secondary health data. Advisory Board members were asked to categorize issues as high or low need in the community. They were also asked to determine the feasibility of the community's ability to make an impact on the issues. Bon Secours - St. Francis Medical Center Part V, Section B, Line 6a: Bon Secours Richmond Health System, Inc. conducted the 2015 Tax Year CHNA with its 4 hospital facilities: St. Mary's Hospital, Memorial Regional Medical Center, Richmond Community Hospital, and St. Francis Medical Center. Bon Secours - St. Francis Medical Center Part V, Section B, Line 11: The Implementation Plan focuses on 4 broad areas including Access to Care for the Uninsured with Chronic Disease, Mental Health, Transportation, and Education. Goals and objectives were created for each area and were based on Healthy People 2020 objectives, Virginia's Plan for Well-Being 2016-2020 goals, and other evidence-based sources.The overarching goal for Access to Care for the Uninsured with Chronic Disease is to improve access to high quality health care services. This will be achieved in part by supporting the many community partners who work with the uninsured population to include: the Free Clinic Network, the Capital Region Collaborative, and the two other hospital systems in the region. Additionally, Bon Secours will provide services to the uninsured through the Care-A-Van, St. Joseph's Outreach Clinic, and the Community Nutrition program. Partnerships to achieve this objective include Churches, nutrition and healthy food providers, St. Joseph's Villa and The Daily Planet (FQHC).The goal in addressing Mental Health is to improve mental health status by ensuring access to appropriate, quality mental health services. We aim to achieve this by increasing the proportion of people who receive appropriate treatment for mental health disorders. Increasing the use of depression screenings and integrating behavioral health with primary care are two strategies to impact this goal. Partners in this work include The Daily Planet, the National Alliance on Mental Health, United Methodist Family Services, Childsavers, Stop Child Abuse Now, and the Bon Secours Bereavement Center. Additionally, Henrico Area Mental Health and Development Services, Chesterfield Department of Mental Health Support Services, the City of Richmond Department of Health, and the two other health systems in the region will be influential partners to impact Mental Health.Transportation will be addressed by increasing safe, healthy, and reliable transportation options for residents in the Richmond service area. Bon Secours will promote active transportation through advocacy for and provision of place making in the neighborhoods we serve. Additionally, we will be an advocate for the expansion of public transportation options to increase access for those in underserved areas and improve ridership through a community-based design. Place making activities include opening the Sarah Garland Jones Center for Health Communities and a local market with fresh produce in the East End of Richmond. Additionally, advocacy efforts will include the expansion of safe walking and biking opportunities and the redesign of the public bus system to ensure timely access for all those we serve. Bon Secours will also provide transportation to and from Richmond Community Hospital.The goal for Education is to promote student success in schools to improve health and quality of life for the Richmond community and future generations. Our efforts will focus on kindergarten readiness, 3rd grade SOL reading test scores, and high school graduation rates. The Care-A-Van will provide no cost vaccines and school physicals to children to ensure school readiness as well as enroll eligible children in FAMIS Medicaid. Partners to support this work include, Commonwealth Parenting, Excel VCU, Faison School for Autism, Friends Association, Richmond Cycling Corps, First Things First, Reach Out and Read, Sacred Heart Center, Virginia Literacy Foundation, YMCA, YWCA, Peter Paul Development Center, Armstrong Priorities Freshman Academy, Anna Julie Cooper School, Church Hill Activities and Tutoring, Great Aspirations Scholarship Program, United Way, Higher Achievement, Salvation Army Boys and Girls Club, and many others providing direct education and workforce readiness training.Needs Not AddressedAccess to care for Medicaid and Medicare beneficiaries, adult and childhood obesity, jobs with fair wages, families living in poverty and seniors were identified as high needs in the community. The CHNA Advisory Board also identified these needs as having high feasibility meaning there was sufficient community support to make an impact.During the Community Conversations, older adults with Medicare shared they had challenges finding community physicians who accepted Medicare patients. This is being addressed by Bon Secours Richmond Health System that includes Bon Secours Medical Group and VCU Health in that they accept Medicaid and Medicare patients.Adult and childhood obesity are being addressed in the community by multiple organizations including Active RVA, City of Richmond's Corner Store initiative, Faces of Hope, Fit 4 Kids, the Seventh District Health and Wellness Initiative, Shalom Farms, Sports Backers/Richmond Strikers, Tricycle Gardens, Virginia Recreation and Parks and the YMCA.Jobs with Fair Wages is being addressed by the City of Richmond Community Wealth Building, Goodwill, Richmond Technical Center, Chesterfield Career and Technical Center, The Hanover Center for Trades and Technology, Henrico County Public Schools Career and Technical Education, United Way of Greater Richmond & Petersburg.A family living in poverty is a multi-factorial issue which may be impacted through enhanced education and transportation, both areas of focus for the 2016 CHNA. Organizations presently engaged in breaking the cycle of poverty include Area Congregations Together in Service, Better Housing Coalition, Capital Region Collaboration, City of Richmond Community Wealth Building, Commonwealth Catholic Charities, Local Initiative Support Corporation (LISC), Peter Paul Development Center, Richmond Cycling Corps, Richmond Hill, Richmond Redevelopment and Housing Authority, Salvation Army Boys and Girls Club.The needs of the older adult population in the greater metro Richmond area or seniors are being addressed by Circle Center Adult Day Services, Old Dominion Partnership, Peter Paul Development Center, Rebuilding Together Richmond, Senior Connections, Senior Navigator and Shepherd's Center of Chesterfield. Bon Secours - St. Francis Medical Center Part V, Section B, Line 13h: The facility approved free care for patients at or below 200% of the FPL. For patients above 200% of the FPL we utilize a sliding scale with no cap. Bon Secours - St. Francis Medical Center Part V, Section B, Line 16i: Information regarding the FAP is available on our websites and brochures are available at the time of registration. We have on site Counselors who can assist the patients. We have eligibility vendors who work with the patients and our statements indicate we have an FAP. Bon Secours - St. Francis Medical Center Part V, Section B, Line 22d: Bon Secours offers 75% discounts to all self-pay patients in the following markets: Virginia, South Carolina and Kentucky. We also offer an 80% discount to our patients in our New York Market. Form 990, Schedule H, Part V, Section B, Line 14: The Community Service Adjustment was based on the average amounts paid by our insurance companies. Form 990, Schedule H, Part V, Section B, Line 7a: https://bonsecours.com/richmond/community-commitment/community-health-needs-assessment Form 990, Schedule H, Part V, Section B, Line 10a: https://bonsecours.com/richmond/community-commitment/community-health-needs-assessment 19 1 - Bon Secours Richmond OBGYN 13700 St Francis Blvd Suite 305 Midlothian VA 23114 Physician Practice 2 - St Francis Family Medical Practice 13540 Hull Street Road Midlothian VA 23112 Physician Practice 3 - Internal Medicine of Chesterfield 611 Watkins Centre Parkway Ste 250 Midlothian VA 23114 Physician Practice 4 - Ironbridge Family Practice 11601 Ironbridge Road Suite 117 Chester VA 23831 Physician Practice 5 - Neurology Clinic Bon Secours Med Group 11601 Ironbridge Road Suite 207 Chester VA 23831 Physician Practice 6 - PT OT SP Lymphedema 13700 St Francis Blvd Midlothian VA 23114 Physical Therapy, Outpatient Care, Etc. 7 - Virginia Breast Center 610 Watkins Centre Parkway Midlothian VA 23114 Physician Practice 8 - OP Wound Care 13700 St Francis Blvd Midlothian VA 23114 OP Wound Care 9 - Powhatan Medical Associates 3452 Anderson Highway Suite D Powhatan VA 23139 Physician Practice 10 - CARE Diabetes & Endocrinology 3660 Boulevard Suite G Colonial Heights VA 23834 Physician Practice 11 - Bon Secours Oncology Assoc at SFMC 14051 St Francis Blvd Suite 2210 Midlothian VA 23114 Physician Practice 12 - St Francis Medical Women's Center 13700 St Francis Blvd Suite 510 Midlothian VA 23114 Physician Practice 13 - Charter Colony Family Practice 13700 St Francis Blvd Suite 302 Midlothian VA 23114 Physician Practice 14 - St Joseph Outreach Clinic 8000 Brook Road Richmond VA 23227 Physician Practice 15 - BS-Bermuda Crossroads Prm Care 12340 Bermuda Crossroads Lane Chester VA 23831 Physician Practice 16 - Diabetes Treatment Center 2372 Colony Crossing Midlothian VA 23114 Outpatient Diabetic Clinic 17 - Bon Sec Freedom Healthcr Assoc 32 West Washington Street Suite B Petersburg VA 23803 Physician Practice 18 - Bon Secours FastCare 200 Charter Colony Parkway Midlothian VA 23114 Physician Practice 19 - Bon Secours FastCare-Hull Strt Hull Street Midlothian VA 23114 Physician Practice Part I, Line 3c: For patients with income above 200% of the FPG, the organization utilizes a sliding scale with no cap. Part I, Line 6a: Annually, Bon Secours Richmond Health System (BSRHS) publishes a report for the community on the community benefit services and programs that exist. This report also includes the annual financial commitment of the local system to the community, detailing monetary contributions for government sponsored healthcare shortfall, community benefit programs and charity care at cost. This report is available to the public each year on or around January 24, commemorating Founding Day of the Sisters of Bon Secours. This report is available online at https://bonsecours.com/richmond/about-us/newsroom. 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 non-patient 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: $17,710,667. Part II, Community Building Activities: St. Francis Medical Center works with community partners to improve community health in targeted neighborhoods by identifying and prioritizing community needs. 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 pages 12-13 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 pages 42-43 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 publically 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: $476,096. Part III, Line 9b: The hospital has a written policy that describes collection practices applying to patients that qualify for charity care or financial assistance. If full assistance is approved, no collection efforts are pursued on that patient's account(s). If partial assistance is provided, 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 exist 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 twelve months from the date of the application. This eligibility is signaled to hospital admissions, billing and collection staff by the assignment of a specific financial class with accompanying eligibility dates. At the end of those twelve months, the patient is responsible for reapplying for FAP eligibility. Part VI, Line 2: The 2016 CHNA was conducted during Fiscal Year 2016 (September 1, 2015 to August 31, 2016) by the Community Health Services team in order to prepare documents by the end of the fiscal year. It was determined that existing quantitative data, augmented by a community survey, and community conversations would be used to identify and prioritize health indicators. All identified needs were reported to the Community Advisory Board to prioritize based on need and feasibility. An executive summary and report was then presented to system leadership from Mission. Findings were then presented to the Executive Management Team for further review and comment. Finally, a presentation was made to the Bon Secours Richmond Health System Board for final approval prior to being made available to the public.Quantitative DataData was gathered and compiled via publically available data sources such as County Health Rankings, the Census Bureau, and the Virginia Department of Health. The data presented in the CHNA reflects how the area served by Bon Secours Richmond Health System compares to Virginia overall and/or the nation. Health issues and conditions were either identified by the community during qualitative community conversations or are issues which deviated from the state or national findings.Community Input Input from community members was included in assessing health care needs as described in Part V, Section B, Line 5. Part VI, Line 3: Patient financial assistance policy is communicated to patients verbally upon scheduling, registration, visible postings of the policy in common areas throughout the hospital, brochures and on Bon Secours website. In addition, patient statements request that patients apply for financial assistance, if needed, once any patient financial obligation is determined.Bon Secours is committed to ensuring access to health care services for all. As a health care provider, Bon Secours treats all patients, whether insured, underinsured or uninsured, with dignity, respect and compassion throughout admission, delivery of services, discharge and billing and collection processes. Bon Secours addresses the needs of the uninsured by providing free or reduced fees on hospital services, community outreach efforts to assist with enrollment in Medicaid and other medical coverage programs, including free community-based preventive and primary care services. Bon Secours proactively screens 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. Patients are responsible for providing the information necessary to complete the documentation. The FAP aids uninsured and underinsured patients who do not qualify for government-sponsored health insurance and who communicate their inability to pay for their medical care. The FAP provides 100% financial assistance to uninsured patients with annual family incomes at or below 200% of the Federal Poverty Guidelines ("FPG"), a sliding scale assistance policy is afforded patients that exceed the income guidelines for 100% assistance. Sliding scale assistance is provided to patients and progressively declines in proportion to the patient's higher income level. Additionally, all uninsured (i.e. self-pay) patients are given a reduction to the amount of the full charges for medically necessary services through a community service adjustment ("CSA"). The CSA is market adjusted and based on the payment discount received by other health care payers doing business in the community. For these patients, the FAP also sets a maximum annual family payment liability to ensure that no family suffers a catastrophic financial burden to receive necessary health care services. Based on research conducted by the Tax Foundation, a non-partisan tax research group based in Washington DC, the maximum annual family liability is based on a sliding scale determined by the family income and size. In addition, a variety of other potential payment options are available. Bon Secours is 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 process. Part VI, Line 4: The St. Francis Medical Center service area consists of 41 zip codes that fall mostly in the counties of Amelia, Chesterfield, Hanover, Henrico, Nottoway, Powhatan and Prince George counties; and the cities of Colonial Heights, Hopewell, Petersburg and Richmond. The St. Francis Medical Center study area contained 893,861 people as of 2010, of which 52% are female and 48% male-a population that is expected to grow to 941,278 by 2015. Compared to the Commonwealth of Virginia as a whole, this region is more densely populated (332.7 people per sq. mile) and is proportionately more Black/African American (31%). The median household income of the community is $57,621, just under the median income in Virginia of $60,034. The study region also has higher levels of low-income households (28% are Low Income Households with income less than $35,000), and proportionately more adults age 25+ without a high school education. Part VI, Line 5: St. Francis Medical Center has an open medical staff with privileges available to all qualified physicians in the area. St. Francis Medical Center through the Bon Secours Richmond Health System is governed by a board of directors whose composition is representative of the community.St. Francis Medical Center engages in medical research. Inpatient and outpatient research-related activities are conducted by St. Francis Medical Center with oversight from the Bon Secours Richmond Health System Institutional Review Board. The Care-A-Vans are mobile health care clinics, which travel throughout the Richmond Metro area to provide free primary, urgent and preventive care to patients. Patients on these vans speak many different languages. Approximately one-third of the Care-A-Van's staff are bilingual in English and Spanish. Each van is a self-contained mobile clinic with examining rooms, storage, bathroom, and waiting area. Services include health screenings, childhood immunizations, flu shots for adults, school physicals for uninsured children and examination and treatment of sick patients who are uninsured. Patients who need health care from specialists are referred to volunteer physicians within the community including Bon Secours Medical Group physicians. The vans make regular stops six days a week at churches providing 12,594 patient visits in FY 16. Bon Secours Richmond Health System partnered with the Daily Planet, a federally qualified health center and St. Joseph's Villa for Children, a not-for-profit organization serving children with special needs, at risk youth, and adults with disabilities to create St. Joseph's Outreach Clinic. The clinic provides primary care services to both the insured and the uninsured and serves a large Hispanic population. In FY 16, 6,945 patient visits were provided. Controlling Asthma in the Richmond Metropolitan Area (CARMA) works to improve the management of pediatric asthma through collaborative partnerships with multiple health care systems, schools, American Lung Association, community physicians and schools, case management organizations, and universities. In FY 16 over 410 children, parents, teachers and physicians were directly served through CARMA's services. Every Woman's Life (EWL), Virginia Breast and Cervical Cancer Early Detection Program is a partnership with the Virginia Department of Health, with funding through the Centers for Disease Control and Prevention. This program provides breast and cervical cancer screenings and diagnostic testing if needed for low income, uninsured women who are 40 to 64 years old. If cancer is found, women are enrolled in Medicaid for treatment. BSRHS holds clinics in seven facilities in the Richmond Metro area. Additionally, BSRHS provides case management, follow-up and patient education for these women. In FY 16, 610 screenings were provided. BSRHS assists low to moderate-income families whose children may qualify for state-sponsored insurance programs (Medicaid and FAMIS). Partnerships have developed with other agencies that have enrollers to identify and refer uninsured children, avoid duplication of effort, and to share responsibilities for case managing to complete the enrollment process. Two BSRHS outreach specialists enrolled or re-enrolled over 127 children in FAMIS or Medicaid in FY 16.The nationally recognized Reach Out and Read (ROR) program provides books for young children when they visit the Care-A-Van. Volunteers transform the sites into literary rich areas for children and parents while helping families learn the joys and techniques of reading aloud. Volunteers distributed 482 books in FY 2016 to children at Care-A-Van sites. Part VI, Line 6: Bon Secours Health System, Inc., a Maryland nonprofit, non-stock membership corporation (BSHSI), and all of the other entities that are controlled directly or indirectly by Bon Secours, Inc., a Maryland nonprofit, non-stock 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 States VA 1 Bon Secours Richmond Healthcare Foundation 8580 Magellan Parkway Building IV Richmond VA 23227 541201346 501(c)(3) 62000 General Support 1 0 Part I, Line 2: 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. 1 1 0 0 0 0 0 0 0 Toni Ardabell BM (Sep-Dec)/CEO-BSR/CEO-BSV (Full F 0 621858 0 367952 0 56509 0 74999 0 0 0 1121318 0 21827 Francine Barr Board Member (Jan-Aug) 0 283823 0 76882 0 59873 0 6666 0 6435 0 433679 0 0 Mark Gordon BM(Sep-Dec)/CEO-SFMC(Sep) 0 369765 0 277814 0 58427 0 25590 0 27988 0 759584 0 13121 James Holmes Board Member (Sep-Dec) 0 214005 0 0 0 0 0 13000 0 8022 0 235027 0 0 Michael Robinson Board Member (Sep-Oct) 0 416013 0 253927 0 207777 0 15900 0 10782 0 904399 0 0 John McCurley Co-CEO - SFMC (Oct-Apr) 321709 0 64490 0 774 0 11778 0 27548 0 426299 0 0 0 Stephan Quiriconi Treasurer 0 279576 0 50368 0 30925 0 5516 0 10607 0 376992 0 0 Kevin Sheppard Co-CEO - SFMC (Oct-Apr) 0 218185 0 43906 0 484 0 0 0 26479 0 289054 0 0 Jim Godwin VP HR 0 200215 0 40105 0 9080 0 7417 0 19990 0 276807 0 0 John Turner VP Orthopedics 0 230352 0 68984 0 967 0 4059 0 20564 0 324926 0 0 Barbara Gesme VP - Patient Care 147854 0 10805 0 539 0 8261 0 25040 0 192499 0 0 0 Leigh Sewell VP Service Line Strategy 0 163246 0 43634 0 356 0 10263 0 29574 0 247073 0 0 William Irvin MD Oncologist 320968 0 467622 0 216 0 13250 0 28814 0 830870 0 0 0 Ryan Raddin MD Oncologist 279902 0 378210 0 216 0 13250 0 27743 0 699321 0 0 0 Tracy Hicks MD Obstetrician 228448 0 240173 0 14944 0 13250 0 15305 0 512120 0 0 0 James Pellicane MD General Surgeon 462806 0 19920 0 552 0 3568 0 31489 0 518335 0 0 0 Tamara Pringle MD Obstetrician 195775 0 269313 0 14632 0 12140 0 194 0 492054 0 0 0 Peter Bernard Former Officer 0 594915 0 907922 0 754197 0 97765 0 24148 0 2378947 0 460681 Shelly Buck Turner Former Key Employee 0 195128 0 40358 0 4856 0 9931 0 30507 0 280780 0 0 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, Lines 4a-b Bon Secours Health System, Inc. has system wide severance policies for various levels of executive management. Executive positions throughout the system may include, but are not limited to, CEO/President, CFO, COO, EVP, SVP, VP and Directors. Severance periods vary based on length of service, subsequent employment and violations of the severance policy. Generally, severance periods can be up to 24 months. Benefits may include, but are not limited to, base salary, certain health benefits and payment of unused vacation. The following individual(s) received severance payments during the applicable calendar year: Michael Robinson, $76,250. 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: Toni Ardabell, $28,228; Peter Bernard, $617,982. Mark Gordon, $17,439. X 1 33758 Cost or selling price 0 1 0 Part I, Column (b): The amount reported in Column (b) refers to the number of contributions. Form 990, Part VI, Section A, line 4 On December 22, 2015, the articles and bylaws of each of these entities were amended and restated in their entirety to bring the documents up to date with current templates for local system parent and hospital entities, respectively. Form 990, Part VI, Section A, line 6 Bon Secours Health System, Inc. is the sole member of Bon Secours Richmond LLC which was formerly Bon Secours Richmond Health Corp, a nonprofit tax exempt organization prior to conversion. Bon Secours Richmond LLC holds the majority interest in Bon Secours - Richmond Health System, which in turn is the sole member of Bon Secours - St. Francis Medical Center. Form 990, Part VI, Section A, line 7a The governing body of Bon Secours - St. Francis Medical Center is appointed by its member Bon Secours - Richmond Health System and subject to approval by Bon Secours Health System, Inc. Form 990, Part VI, Section A, line 7b Certain authorities of Bon Secours - St. Francis Medical Center are reserved to its member or to Bon Secours Health System, Inc. Form 990, Part VI, Section B, line 11 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: 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 Richmond Health System, including Bon Secours St. Mary's Hospital, Bon Secours St. Francis Medical Center, Bon Secours Memorial Regional Medical Center, Richmond Community Hospital, Chesapeake Hospital Corporation, as well as the Chesapeake Medical Group, are comprised of the same board members and board officers (Chairman, President, Secretary and Treasurer). These governing bodies are referred to as the Richmond Joint Board. Hours reported for these voluntary board positions represent total hours worked per week, which include responsibilities for all entities mentioned above. Sr. Anne Marie Mack and Sr. Victoria Segura do not receive payroll distributions as they have taken vows of poverty. Form 990, Part XI, line 9: Transfers to Affiliates -4,039,654. Bon Secours Health System Inc 1505 Marriotsville Road Marriotsville MD 21104 521301088 Parent Org. Management Services MD 501(c)(3) Line 11c, III-FI Bon Secours Inc 0 Bon Secours Richmond Health System 8580 Magellan Parkway Richmond VA 23227 521988421 Local System Parent Org. VA 501(c)(3) Line 9 Bon Secours Richmond LLC 0 Bon Secours Memorial Regional Medical Center 8580 Magellan Parkway Richmond VA 23227 541744931 Health Care VA 501(c)(3) Line 3 Bon Secours Richmond Health System 0 Bon Secours St Mary's Hospital Inc 8580 Magellan Parkway Richmond VA 23227 540793767 Health Care VA 501(c)(3) Line 3 Bon Secours Richmond Health System 0 Bon Secours Richmond Community Hospital Inc 8580 Magellan Parkway Richmond VA 23227 540647482 Health Care VA 501(c)(3) Line 3 Bon Secours Richmond Health System 0 Laburnum Properties 8580 Magellan Parkway Richmond VA 23227 521260700 Title Holding Company VA 501(c)(2) Bon Secours Richmond Health System 0 Bon Secours Richmond Healthcare Foundation 8580 Magellan Parkway Richmond VA 23227 541201346 Grant Making Foundation VA 501(c)(3) Line 7 Bon Secours Richmond LLC 0 Rappahanock General Hospital Foundation 101 Harris Road Kilmarnock VA 22482 541210450 Supporting Organization VA 501(c)(3) Line 7 Bon Secours Richmond Health System 0 Chesapeake Medical Group 101 Harris Road Kilmarnock VA 22482 541857174 Healthcare Services VA 501(c)(3) Line 9 Bon Secours Richmond Health System 0 IVNA Health Services 5008 Monument Ave Richmond VA 23230 541479847 Healthcare Services VA 501(c)(3) Line 9 Bon Secours Home Care LLC 0 Chesapeake Hospital Corporation PO Box 1449 Kilmarnock VA 22482 237424835 Health Care VA 501(c)(3) Line 3 Bon Secours Richmond Health System 0 St Mary's MRI LP 8580 Magellan Parkway Richmond VA 23227 541568022 Imaging Services VA N/A RI LP 8580 Magellan Parkway Richmond VA 23227 541708835 Imaging Services VA N/A Broad64 Imaging LLC 8580 Magellan Parkway Richmond VA 23227 205886018 Imaging Services VA N/A Richmond Radiation Oncology Center I LLC 8580 Magellan Parkway Richmond VA 23227 208444551 Radiation Oncology Services VA N/A Chesterfield Community Healthcare Center MOB I LLC 435 Southlake Blvd Richmond VA 23236 541745670 Rental - Medical Office Building VA N/A CCHC Inc 8580 Magellan Parkway Richmond VA 23227 541812738 Ambulatory Healthcare Services VA N/A C 0 RHS Management Corporation 8580 Magellan Parkway Richmond VA 23227 541313425 Independent Living Facility VA N/A C 0 Bon Secours - Virginia Healthsource Inc 8580 Magellan Parkway Richmond VA 23227 541417686 Ambulatory Healthcare Services VA N/A C 0 Richmond MRI Inc 8580 Magellan Parkway Richmond VA 23227 541568452 Imaging Services VA N/A C 0 0 1 1 1 1 0 0 0 0 0 0 1 1 0 1 1 0 0 0