STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

Bon Secours - St Mary's Hospital of Richmond Inc: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
Bon Secours - St Mary's Hospital of Richmond Inc (EIN 54-0793767)
Tax period
2015-09-01 to 2016-08-31
Filed
2017-07-10
IRS object ID
201701919349300705
Schema version
2015v3.0
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)
Return2017-07-10T09:44:13-05:00ReturnTs
Tax Period End2016-08-31TaxPeriodEndDt

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 Begin2015-09-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN540793767EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St Mary's Hospital of Richmond IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTMABusinessNameControlTxt
Phone8042818413PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18580 Magellan Parkway Building IVAddressLine1Txt
CityRichmondCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23227ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonStephan F QuiriconiPersonNm
Person TitleTreasurer (BSR-VP Finance)PersonTitleTxt
Phone8042818316PhoneNum
Signature2017-07-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJohn W Sadoff JrPreparerPersonNm
PTINP00540589PTIN
Phone4042201500PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1St Mary's HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerToni R ArdabellPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15801 Bremo RoadAddressLine1Txt
CityRichmondCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23226ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$727,016,323GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.bonsecours.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1961FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionAcute Care HospitalActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee5134TotalEmployeeCnt
Total Volunteers770TotalVolunteersCnt
Total Gross UBI$3,190,904TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$1,005NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,031,944PYContributionsGrantsAmt
CY Contributions Grants$13,254,325CYContributionsGrantsAmt
PY Program Service Revenue$676,068,247PYProgramServiceRevenueAmt
CY Program Service Revenue$701,577,573CYProgramServiceRevenueAmt
PY Investment Income$8,991,403PYInvestmentIncomeAmt
CY Investment Income$5,265,129CYInvestmentIncomeAmt
PY Other Revenue$4,172,721PYOtherRevenueAmt
CY Other Revenue$5,246,025CYOtherRevenueAmt
PY Total Revenue$694,264,315PYTotalRevenueAmt
CY Total Revenue$725,343,052CYTotalRevenueAmt
PY Grants And Similar Paid$24,563,738PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$9,266,336CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$303,839,926PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$299,411,871CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$346,988,951PYOtherExpensesAmt
CY Other Expenses$367,130,041CYOtherExpensesAmt
PY Total Expenses$675,392,615PYTotalExpensesAmt
CY Total Expenses$675,808,248CYTotalExpensesAmt
PY Revenues Less Expenses$18,871,700PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$49,534,804CYRevenuesLessExpensesAmt
Total Assets BOY$920,062,513TotalAssetsBOYAmt
Total Assets EOY$965,437,268TotalAssetsEOYAmt
Total Liabilities BOY$333,473,607TotalLiabilitiesBOYAmt
Total Liabilities EOY$377,666,525TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$586,588,906NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$587,770,743NetAssetsOrFundBalancesEOYAmt
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$623,094,766ExpenseAmt
Grant$9,266,336GrantAmt
Revenue$569,148,036RevenueAmt
DescSt. Mary's Hospital provides medical care to patients without regard to their ability to pay. As the major community not for profit hospital in Richmond, St. Mary's is the access for under-insured and financially disadvantaged who will not be treated at the for profit hospitals. In addition, St. Mary's provides support for community services. Please refer to the Community Benefit information on Schedule H.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$0ExpenseAmt
Grant$0GrantAmt
Revenue$132,701,389RevenueAmt
DescSt. Mary's Hospital provides shared services to related organizations to assist with furthering its mission of providing help to those in need.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$824,133ExpenseAmt
Grant$0GrantAmt
Revenue$137,218RevenueAmt
DescThe Bon Secours St. Mary's Hospital School of Medical Imaging offers an accredited 18-month radiography program designed to prepare individuals to enter the workforce as Diagnostic Radiologic Technologists. This new and innovative curriculum will allow students to enter the workforce more quickly while maintaining high standards of education. The Radiography program quality and depth has remained the same and continues to meet requirements established by the American Society of Radiologic Technologists.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$623,918,899TotalProgramServiceExpensesAmt
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 Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
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 Individuals0GrantsToIndividualsInd
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 MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
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 Document285IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee5134EmployeeCnt
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 Members18GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
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 VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldVAStatesWhereCopyOfReturnIsFldCd
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 (36 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Toni Ardabell
BM (Sep-Dec)/CEO-BSR/CEO-BSV (Full FY)20.0030.00Yes (X)Yes (X)$0$1,046,319$74,999
Francine Barr
CEO - SMH (Oct-Aug) / BM (Jan-Aug)48.002.00Yes (X)Yes (X)$420,578$0$13,101
Jean Bolling
Board Member2.000.00Yes (X)$0$0$0
John Bowman MD
Board Member (Sep-Dec)2.000.00Yes (X)$0$0$0
Chandrashekar Challa
Board Member2.000.00Yes (X)$0$0$0
John Daniel III MD
Board Member2.000.00Yes (X)$0$0$0
Anup Gokli MD
Board Member2.000.00Yes (X)$0$0$0
Mark Gordon
Board Member (Sep-Dec)2.0048.00Yes (X)$0$706,006$53,578
Pamela Hacker
Board Member2.000.00Yes (X)$0$0$0
Chris Hairston-White
Board Member2.000.00Yes (X)$0$0$0
James Holmes
Board Member (Sep-Dec)2.0048.00Yes (X)$0$214,005$21,022
BHB Hubbard III
Board Member2.000.00Yes (X)$0$0$0
Sr Anne Mack CBS
President3.0047.00Yes (X)Yes (X)$0$0$0
Joanne Nattrass
Board Member2.000.00Yes (X)$0$0$0
Paula Peaden
Board Member (Jan-Aug)2.000.00Yes (X)$0$0$0
Fr John Podsiadlo
Board Member2.000.00Yes (X)$0$0$0
Michael Robinson
Board Member (Sep-Oct)2.0048.00Yes (X)$0$877,717$26,682
Sr Victoria Segura CBS
Board Member10.0040.00Yes (X)$0$0$0
William Shewmake
Board Member2.000.00Yes (X)$0$0$0
Shannon Sinclair
Board Member2.000.00Yes (X)$0$0$0
William Stallings MD
Board Member2.000.00Yes (X)$0$0$0
Nancy Thomas
Chairman3.000.00Yes (X)Yes (X)$0$0$0
Michael Williams
Board Member2.000.00Yes (X)$0$0$0
Thomas Winfree
Board Member (Sep-Dec)2.000.00Yes (X)$0$0$0
Allen Goolsby III
Secretary2.002.00Yes (X)$0$0$0
Stephan Quiriconi
Treasurer9.0041.00Yes (X)$360,869$0$16,123
Jim Godwin
VP HR20.5029.50$249,400$0$27,407Yes (X)
John Turner
VP Orthopedics (Sep-Jun)16.5033.50$300,303$0$24,623Yes (X)
Eleanor League
VP CNE50.000.00$230,370$0$30,924Yes (X)
Leigh Sewell
VP Service Line Strategy12.0038.00$207,236$0$39,837Yes (X)
Marc Katz MD
Cardiologist50.000.00$925,885$0$35,020Yes (X)
Julia Padgett MD
Dermatologist50.000.00$724,013$0$13,250Yes (X)
Mark Bladergroen MD
CMIO50.000.00$688,926$0$22,331Yes (X)
Christine Browning MD
Cardiologist50.000.00$671,722$0$49,358Yes (X)
Dr Matthew Ngo
Cardiologist50.000.00$631,359$0$33,651Yes (X)
Peter Bernard
Former Officer0.000.00$0$2,257,034$121,913Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,410,661TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,101,081TotReportableCompRltdOrgAmt
Total Other Compensation$603,819TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K311IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
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
Free Agents Marketing
4800 Cox Rd - Ste 100Glen AllenVA23060Marketing/Advertising$7,712,239
Aramark CTS Inc
12483 Collections Ctr DrChicagoIL60693Medical Equipment Maintenance$7,579,345
Morrison Mgt Specialists
P O Box 102289AtlantaGA303682289Dietary Management$6,187,173
Central VA Health Network
2201 W Broad St 202RichmondVA232202022Care Management$6,148,981
Deloitte Consulting LLP
200 Berkeley StreetBostonMA02116Consulting$4,470,800
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K146CntrctRcvdGreaterThan100KCnt
Related Organizations$12,999,262RelatedOrganizationsAmt
Government Grants$255,063GovernmentGrantsAmt
Noncash Contributions$34,977NoncashContributionsAmt
Total Contributions$13,254,325TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Service Rev.621300$568,738,966$568,738,966
Shared Services561499$132,701,389$129,509,480$3,191,909
Sch. of Imag. Tuition611310$137,218$137,218
FieldValueIRS element (for citing)
Total Program Service Revenue$701,577,573TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,035,502TotalRevenueColumnAmt
Exclusion$4,035,502ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$762,646RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$759,309RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$3,337RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,337TotalRevenueColumnAmt
Unrelated Business Revenue-$1,005UnrelatedBusinessRevenueAmt
Exclusion$4,342ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,007,589SecuritiesAmt
Other$136,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$913,962OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,007,589SecuritiesAmt
Other-$777,962OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,229,627TotalRevenueColumnAmt
Exclusion$1,229,627ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Clinical Drug Trials900099$2,074,026$2,074,026
Care Coordination900099$1,526,953$1,526,953
Joint Venture900099$464,965$464,965

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,176,744TotalRevenueColumnAmt
Exclusion$1,176,744ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$5,242,688OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$725,343,052TotalRevenueColumnAmt
Related Or Exempt Func Income$701,986,643RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,190,904UnrelatedBusinessRevenueAmt
Exclusion$6,911,180ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$9,266,336TotalAmt
Program Services$9,266,336ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,015,339TotalAmt
Program Services$1,813,805ProgramServicesAmt
Management And General$201,534ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$233,504,109TotalAmt
Program Services$210,153,698ProgramServicesAmt
Management And General$23,350,411ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$14,653,927TotalAmt
Program Services$13,188,534ProgramServicesAmt
Management And General$1,465,393ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$31,139,524TotalAmt
Program Services$28,025,572ProgramServicesAmt
Management And General$3,113,952ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$18,098,972TotalAmt
Program Services$16,289,075ProgramServicesAmt
Management And General$1,809,897ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,137,670TotalAmt
Program Services$1,023,903ProgramServicesAmt
Management And General$113,767ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$37,129TotalAmt
Program Services$33,416ProgramServicesAmt
Management And General$3,713ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$35,037TotalAmt
Program Services$31,533ProgramServicesAmt
Management And General$3,504ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$11,775,923TotalAmt
Program Services$11,775,923ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$7,737,248TotalAmt
Program Services$6,963,523ProgramServicesAmt
Management And General$773,725ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,110,749TotalAmt
Program Services$7,299,674ProgramServicesAmt
Management And General$811,075ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,650,269TotalAmt
Program Services$4,185,242ProgramServicesAmt
Management And General$465,027ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$20,265,992TotalAmt
Program Services$18,239,393ProgramServicesAmt
Management And General$2,026,599ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,519,814TotalAmt
Program Services$1,367,833ProgramServicesAmt
Management And General$151,981ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,271,456TotalAmt
Program Services$1,144,310ProgramServicesAmt
Management And General$127,146ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,774,332TotalAmt
Program Services$7,774,332ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$33,007,262TotalAmt
Program Services$29,706,536ProgramServicesAmt
Management And General$3,300,726ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,722,136TotalAmt
Program Services$1,549,922ProgramServicesAmt
Management And General$172,214ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Purchased Services$130,895,676$117,806,108$13,089,568
Medical Supplies$101,962,488$101,962,488
Bad Debt Expense$26,135,686$26,135,686
Repairs & Maintenance$3,520,373$3,168,336$352,037

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,570,801TotalAmt
Program Services$5,013,721ProgramServicesAmt
Management And General$557,080ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$675,808,248TotalAmt
Program Services$623,918,899ProgramServicesAmt
Management And General$51,889,349ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,530BOYAmt
EOY$2,727EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$302,115,638BOYAmt
EOY$343,972,113EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$15,459EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$69,113,258BOYAmt
EOY$67,798,553EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,411,562BOYAmt
EOY$490,840EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$10,011,895BOYAmt
EOY$9,310,028EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,177,362BOYAmt
EOY$3,981,162EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$428,733,756LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$296,289,704LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$137,333,869BOYAmt
EOY$132,444,052EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$373,125,817BOYAmt
EOY$383,920,199EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$50,000BOYAmt
EOY$50,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$22,721,582BOYAmt
EOY$23,452,135EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$920,062,513BOYAmt
EOY$965,437,268EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$84,675,556BOYAmt
EOY$80,884,006EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$13,213,197BOYAmt
EOY$10,581,819EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$39,901,221BOYAmt
EOY$36,498,619EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$195,683,633BOYAmt
EOY$249,702,081EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$333,473,607BOYAmt
EOY$377,666,525EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$586,585,249BOYAmt
EOY$587,770,743EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,657BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$586,588,906BOYAmt
EOY$587,770,743EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$920,062,513BOYAmt
EOY$965,437,268EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$49,534,804ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$5,945,418NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$54,298,385OtherChangesInNetAssetsAmt
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$35,037OtherActivitiesAmt
Total Lobbying Expenditures$35,037TotalLobbyingExpendituresAmt
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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,926,706OtherCostOrOtherBasisAmt
Book Value$4,926,706BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$169,426,373OtherCostOrOtherBasisAmt
Depreciation$86,071,119DepreciationAmt
Book Value$83,355,254BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,753,578OtherCostOrOtherBasisAmt
Depreciation$11,710,284DepreciationAmt
Book Value$9,043,294BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$227,111,159OtherCostOrOtherBasisAmt
Depreciation$195,632,517DepreciationAmt
Book Value$31,478,642BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,515,940OtherCostOrOtherBasisAmt
Depreciation$2,875,784DepreciationAmt
Book Value$3,640,156BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$132,444,052TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
LT Pension Liability$166,882,194
Due to BSHSI$41,595,916
Other Liabilities (MOB Reynolds lease from 2008)$23,072,922
HPL/GL Liability$13,826,718
Other LTL & Deferred Credits$2,088,438
Patient Credit Balances$2,001,428
Medicare/Medicaid Settlement$234,465
FieldValueIRS element (for citing)
Total Liability$249,702,081TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationSchedule 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.ExplanationTxt

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 Care0FPGReferenceDiscountedCareInd
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$11,754,424TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$229,081DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,525,343NetCommunityBenefitExpnsAmt
Total Expense0.01770TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$54,740,363TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$38,888,532DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,851,831NetCommunityBenefitExpnsAmt
Total Expense0.02440TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$66,494,787TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$39,117,613DirectOffsettingRevenueAmt
Net Community Benefit Expns$27,377,174NetCommunityBenefitExpnsAmt
Total Expense0.04210TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs14ActivitiesOrProgramsCnt
Persons Served27212PersonsServedCnt
Total Community Benefit Expns$6,332,211TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,332,211NetCommunityBenefitExpnsAmt
Total Expense0.00970TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served26PersonsServedCnt
Total Community Benefit Expns$3,509,743TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,182,081DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,327,662NetCommunityBenefitExpnsAmt
Total Expense0.00360TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$1,597TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,597NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served29PersonsServedCnt
Total Community Benefit Expns$1,145,579TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,145,579NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs18ActivitiesOrProgramsCnt
Persons Served27267PersonsServedCnt
Total Community Benefit Expns$10,989,130TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,182,081DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,807,049NetCommunityBenefitExpnsAmt
Total Expense0.01510TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs18ActivitiesOrProgramsCnt
Persons Served27267PersonsServedCnt
Total Community Benefit Expns$77,483,917TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$40,299,694DirectOffsettingRevenueAmt
Net Community Benefit Expns$37,184,223NetCommunityBenefitExpnsAmt
Total Expense0.05720TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$26,135,686BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$115,695,085ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$125,009,099CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$9,314,014MedicareSurplusOrShortfallAmt

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 Line1St Mary's Hospital of Richmond IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15801 Bremo RoadAddressLine1Txt
CityRichmondCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23226ZIPCd
FieldValueIRS element (for citing)
Website Addressbonsecours.comWebsiteAddressTxt
State LicenseH1833StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1St Mary's Hospital of Richmond 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
Information GapsYes (X)InformationGapsInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
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
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSee Section CStrategyWebsiteURLTxt
Strategy AttachedYes (1)StrategyAttachedInd
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 Care0.000000000000FPGFamilyIncmLmtDscntCarePct
Other CriteriaYes (X)OtherCriteriaInd
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 App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.fa.bonsecours.comFAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit Report To Credit AgencyYes (X)PermitReportToCreditAgencyInd
Collection ActivitiesYes (1)CollectionActivitiesInd
Reporting To Credit AgencyYes (X)ReportingToCreditAgencyInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
St. Mary's Hospital of Richmond, Inc.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.
St. Mary's Hospital of Richmond, Inc.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.
St. Mary's Hospital of Richmond, Inc.Part V, Section B, Line 11: The Implementation Plan focuses on 4 broad areas including Access to Care for the Uninsured with Chronic Disease, Mental Health, Transportation, and Education. Goals and objectives were created for each area and were based on Healthy People 2020 objectives, Virginia's Plan for Well-Being 2016-2020 goals, and other evidence-based sources.The overarching goal for Access to Care for the Uninsured with Chronic Disease is to improve access to high quality health care services. This 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.
St. Mary's Hospital of Richmond, Inc.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.
St. Mary's Hospital of Richmond, Inc.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.
St. Mary's Hospital of Richmond, Inc.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
FieldValueIRS element (for citing)
Facility43FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (43 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Cardiovascular Associates of VA
7001 Forest Avenue Suite 200RichmondVA232301727Physician Practice
2 - Women's Imaging Center
5875 Bremo Road MOB South Suite 105RichmondVA23226Imaging
3 - PTOTSPLymphedema
5875 Bremo Road MOB South Suite 611RichmondVA23226Physicial Therapy, Outpatient Care, Etc.
4 - Patterson Avenue Family Practice
9600 Patterson AvenueRichmondVA23229Physician Practice
5 - Sleep Lab (located at St Mary's)
5875 Bremo Rd Suite 709RichmondVA23226Sleep Lab
6 - Cardiac Surgery Specialists
5875 Bremo Road MOB South Suite G-5RichmondVA231226234Physician Practice
7 - West End Internal Medicine
7001 Forest Avenue Suite 2500RichmondVA23230Physician Practice
8 - Surgical Dermatology Center
5207 Hickory Park Drive Suite AGlen AllenVA230592624Physician Practice
9 - Perinatal Center
5855 Bremo Road MOB North Suite 306RichmondVA232261926Physician Practice
10 - Bon Sec Sports Med and Fam Pra
2401 W Leigh StreetRichmondVA23226Physician Practice
11 - Sports Medicine
9600 Patterson AvenueRichmondVA232296053Sports Medicine Rehab
12 - Senior Care Services
7001 Forest Avenue Suite 100RichmondVA23230Physician Practice
13 - Associated Internists
5855 Bremo Road MOB North Suite 207RichmondVA232261930Physician Practice
14 - Sleep Center - Chesterfield
13520 Hull StMidlothianVA23112Sleep Lab
15 - Monument Internal Medicine
5855 Bremo Road MOB North Suite 102RichmondVA23226Physician Practice
16 - Commonwealth Internal Medicine
9220 Forest Avenue Suite 1-ARichmondVA23235Physician Practice
17 - Commonwealth Gynecologic Oncology (GYN O
5875 Bremo Road MOB South Suite G-7RichmondVA232261934Physician Practice
18 - OP Wound Care
6900 Forest Avenue Suite 115RichmondVA23230OP Wound Care
19 - Neurology Clinic at St Mary's
5801 Bremo RoadRichmondVA23226Physician Practice
20 - Redskins Sports Performance
2401 W Leigh StreetRichmondVA23226Sports Medicine Rehab
21 - Pediatric Gastreonterology
5875 Bremo Road MOB South Suite 303RichmondVA23175Physician Practice
22 - Arthritis & Osteroporosis Center
9600 Patterson AvenueRichmondVA232296053Physician Practice
23 - Liver Institute of Virginia
5855 Bremo Road MOB North Suite 509RichmondVA232261926Physician Practice
24 - Oncology Associates
5875 Bremo RoadRichmondVA23226Physician Practice
25 - Glen Allen Internal Medicine
5207 Hickory Park Drive Suite AGlen AllenVA23059Physician Practice
26 - Pediatric Endo & Diabetes Assoc
5875 Bremo Road MOB South Suite 207RichmondVA232261926Physician Practice
27 - Liver Institute of Virginia-MIH
5855 Bremo Road MOB North Suite 509RichmondVA232261926Physician Practice
28 - Pediatric Lung Care
5875 Bremo Road MOB South Suite 104RichmondVA232261930Physician Practice
29 - Cure and Care
5875 Bremo Road MOB South Suite 110RichmondVA232261926Physician Practice
30 - Palliative Care Clinic
2366 Colony CrossingMidlothianVA231124280Physician Practice
31 - Pediatric Dental
6900 Forest Avenue Suite 110RichmondVA23141Physician Practice
32 - Cardiac Rehab
7001 Forest Avenue Suite 101RichmondVA23230Cardiac Rehabilitation
33 - BS Canal Crossing Internal Med
5801 Bremo RoadRichmondVA23226Physician Practice
34 - Parham Road Internal Medicine
2600 E Parham RoadRichmondVA23228Physician Practice
35 - BS Developme & Special Needs Peds
5875 Bremo Road MOB South Suite 104RichmondVA232261934Physician Practice
36 - Neurointerventional Surg Serv
5875 Bremo Road MOB South Suite 208RichmondVA232261926Physician Practice
37 - BS Infectious Disease Specialists
5855 Bremo Road MOB North Suite 102RichmondVA23225Physician Practice
38 - Diabetes Treatment Center
5875 Bremo Road MOB South Suite 712RichmondVA23226Diabetes Treatment
39 - Advan Heart Fail Cntr-LVAD program
7001 Forest Avenue Suite 103RichmondVA23230Cardiac Rehabilitation
40 - Good Health Clinic
5875 Bremo Road MOB South Suite 204RichmondVA232261926Physician Practice
41 - BS Pediatric Hematology-Oncology
5875 Bremo Road MOB South Suite 303RichmondVA23226Physician Practice
42 - Lactation Center (A Woman's Place)
4121 Cox Road Suite 110Glen AllenVA23059Physician Practice
43 - Pediatric Neurology Clinic
5875 Bremo Road MOB South Suite 207RichmondVA232261926Physician Practice

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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: $26,135,686.
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 page 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.
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 InputInput 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. Mary's Hospital service area consists of sixty-one zip codes that fall primarily within the counties of Chesterfield, Goochland, Hanover, Henrico and Louisa; and the cities of Petersburg and Richmond. The community of the St. Mary's Hospital primary service area contained 1,230,852 people as of 2010, of which 52% are female and 48% male-a population that is expected to grow to 1,293,100 by 2015. Compared to the Commonwealth of Virginia as a whole, this region is more densely populated (329.6 people per sq. mile) and is proportionately more Black/African American (29%). The median income of the community is $58,538, just under the median household income in Virginia of $60,034. The study region also has higher rates of low-income households (28% are Low Income Households with income less than $35,000) and slightly more adults age 25+ with a high school education.
Part VI, Line 5:St. Mary's Hospital has an open medical staff with privileges available to all qualified physicians in the area. St. Mary's Hospital through the Bon Secours Richmond Health System is governed by a board of directors whose composition is representative of the community. St. Mary's Hospital engages in medical research. Inpatient and outpatient research-related activities are conducted by St. Mary's with oversight from the Bon Secours Richmond Health System Institutional Review Board. St. Mary's Hospital provides training and education of health care professionals. The Bon Secours St. Mary's School of Imaging, sponsored by St. Mary's Hospital had 26 enrolled students in fiscal year 2016. Noah's Children, located at St. Mary's Hospital, is Central Virginia's only pediatric hospice and palliative care program. It is a specialized program of comprehensive care serving infants, children and adolescents who have been diagnosed with a life-threatening illness, and their families. This holistic program ensures compassionate care at the most difficult time for a family by addressing their physical, emotional, social, spiritual and practical needs, so that they can focus on making sure their child's remaining time is as rich and meaningful as possible. In FY 16, 389 individuals were served.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, 660 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 StatesVA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (86 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Bon Secours Richmond Healthcare Foundation
7229 Forest Avenue Suite 200RichmondVA23226541201346501(C)(3)$4,311,343General Support
Bon Secours Richmond Health System
8580 Magellan ParkwayRichmondVA23227521988421501(C)(3)$1,276,391IVNA Mortgage
Bon Secours Richmond Health System
8580 Magellan ParkwayRichmondVA23227521988421501(C)(3)$169,999CMG incidental/maintenance
Access Now
2821 Emerywood ParkwayRichmondVA23294261695468501(C)(3)$75,000Access Now Program Coordination of Specialty Care for qualified uninsured patients
Area Congregations Together in Service
1 N 5th StreetRichmondVA23219453020788501(C)(3)$7,500East End Homeless Prevention
Benedictine High School
12829 River RdRichmondVA23238453960058501(C)(3)$100,000Dining Hall and Kitchen rennovations
Benedictine Society of VA
12829 River RdRichmondVA23238453960058501(C)(3)$47,500Internship Program
Better Housing Coalition
23 West Broad Street Suite 100RichmondVA23219541479059501(C)(3)$75,000Senior Health & Wellness Program
Big Brothers Big Sisters
1707 Summitt AveRichmondVA23230540702502501(C)(3)$7,500Site-Based Mentoring: City of Richmond
Carole and Marcus Weinstein Jewish Community Center
5403 Monument AvenueRichmondVA23226540535104501(C)(3)$25,000Partnership Support
Catholic Diocese of Richmond
7800 Carousel LaneRichmondVA23226540505947501(C)(3)$100,000Cristo Rey Feasibility Study
Challenge Discovery Projects
1503 Santa Rosa Road Suite 211RichmondVA23229510250681501(C)(3)$10,000Virginia Health Center Satellite Counseling Locations
ChildSavers
200 North 22nd StreetRichmondVA23223540505927501(C)(3)$50,000Mental Health Services (MHS)
Comfort Zone Camp
7201 Glen Forest DriveRichmondVA23226541916517501(C)(3)$20,000Virginia Program Support & Grief Relief Gala
Commonwealth of Virginia
400 E Cary StRichmondVA23219546001775501(C)(3)$40,000East End Resource Center Admin Assistance
Commonwealth Catholic Charities
1601 Rolling Hills DriveRichmondVA23229540505877501(C)(3)$75,000Financial counseling and housing support to promote self-sufficiency and reduce poverty
CrossOver Healthcare Ministry
8600 Quioccasin RoadRichmondVA23229541371067501(C)(3)$150,000CrossOver Healthcare Ministry West End Clinic Operations
Daily Planet
517 West Grace StRichmondVA23220540900368501(C)(3)$98,000Medical Respite Beds
East District Family Resource Center
2405 Jefferson AveRichmondVA23223311769142501(C)(3)$50,000Capacity Grant for Community Meeting Space
EnRichmond Foundation - Friends of Jefferson Park
801 North 24th StreetRichmondVA23223541610700501(C)(3)$51,591Norwell Fitness Equipment for Jefferson Park
Faison School for Autism
1701 Byrd AveRichmondVA23220030387451501(C)(3)$20,000Compassionate Community Campaign
FC Richmond
PO Box 2624MidlothianVA23113521245172501(C)(3)$22,500FC Richmond/Bon Secours Soccer and Healthy Lifestyles Outreach Program
First Things First of Greater Richmond
2101 Maywill StreetRichmondVA23230593766981501(C)(3)$5,000Richmond City Fatherhood Program
Free Clinic of Powhatan
3908 Old Buckingham RoadPowhatanVA23139261275136501(C)(3)$50,920Providing Health Services to Patients
FRIENDS Association for Children
Saint John StreetRichmondVA23220540505899501(C)(3)$25,000Early Childhood Education Programs
Full Circle Grief Center
10611 Patterson AvenueRichmondVA23238263324192501(C)(3)$80,000Community Outreach: Groups and Education
Girls For A Change
2710 Swineford RoadNorth ChesterfieldVA23237260035835501(C)(3)$12,500DIVA PreNeurship Expansion
Goochland Free Clinic and Family Services
PO Box 116GoochlandVA23103541967650501(C)(3)$60,000Provider position for medical program and electronic medical record system
Great Aspirations Scholarship Program Inc
4551 Cox RoadGlen AllenVA23060521277427501(C)(3)$5,500In-School Financial Aid Advising at Armstrong High School Richmond, VA
Greater Richmond Chamber Foundation
PO Box 1598RichmondVA23218510252958501(C)(3)$5,000Smart Beginnnings Kindergarten registration
Greater Richmond Fit4Kids
2500 W Broad StreetRichmondVA23220272817718501(C)(3)$37,500Fit4Kids East End Wellness Integration
Greater Richmond SCAN
103 East Grace StreetRichmondVA23219541584969501(C)(3)$50,000Child Advocacy Center
Henrico Court Appointed Special Advocates Inc
3001 Hungary Spring RoadHenricoVA23228541710746501(C)(3)$7,500Court Advocacy for Abused and Neglected Children
Henrico Police Athletic League
8655 Staples Mill RdHenricoVA23228753243082501(C)(3)$5,000Swimming Lessons
Higher Achievement
4009 Fitzhugh AvenueRichmondVA23230521383374501(C)(3)$20,000Closing the Middle School Opportunity Gap 2016
Homeward
1125 Commerce RoadRichmondVA23224050606153501(C)(3)$10,000Collective impact to end homelessness
Honoring Choices Virginia (an initiative of the RAM Trust)
2821 Emerywood ParkwayRichmondVA23294510160045501(C)(3)$80,000Honoring Choices Virginia
Housing Families First
3900 Nine Mile RoadRichmondVA23223541995917501(C)(3)$50,000Building Neighbors Rapid Re-Housing Program
Housing Opportunities Made Equal of Virginia Inc
626 East Broad StreetRichmondVA23219237303018501(C)(3)$152,500Home ownership education
Initiatives of Change
2201 W Broad StreetRichmondVA23220381606320501(C)(3)$10,000Community Trustbuilding Fellowship
Leadership Metro Richmond
9211 Forest Hill AvenueRichmondVA23235542041993501(C)(3)$10,000Community Support for Leadership Metro Richmond
LINC (Legal Information Network for Cancer)
1423 Johnston Willis DrRichmondVA23235541817025501(C)(3)$10,000Support for Core Services
Madeline's House
PO Box 487BlackstoneVA23824541920837501(C)(3)$15,000Madeline's House Shelter Operations
March of Dimes
4191 Innslake DriveGlen AllenVA23060131846366501(C)(3)$10,000March of Dimes
MCV Foundation
PO Box 980234RichmondVA23298546053660501(C)(3)$20,000Health Exchange Financial Assistance (HXFA)
Northstar Academy
8055 Shrader RoadRichmondVA23294541816370501(C)(3)$5,000Technology Program - 3D Makerbot Printer & Portable ActivPanel Promethean Board
Positive Vibe Foundation
2825 Hathaway RdRichmondVA23225800016181501(C)(3)$25,000Training People with Disabilities for Careers in Foodservice.
Ramsey Memorial United Methodist Church
5900 Hull Street RdRichmondVA23224540697088501(C)(3)$20,000Hispanic Ministry and Outreach
Reach Out and Read Virginia
12929 Church RoadRichmondVA23233043481253501(C)(3)$5,000Programs on Care-A-Vans, St. Mary's Emergency Dept. and East End pediatrics
Rebuilding Together of Richmond
406 W Franklin St Suite BRichmondVA23220541652359501(C)(3)$5,000Rebuilding Together Safe at Home
Reel Recovery
10813 North Bank RoadRichmondVA23238912193394501(C)(3)$5,000Reel Recovery Fly Fishing Retreat for Men with Cancer
Richmond Academy of Medicine Alliance Foundation Inc
PO BOX 70933RichmondVA23255521328370501(C)(3)$10,000Physicians Got Fashion
Richmond Community ToolBank
1407 Cummings DriveRichmondVA23220462383695501(C)(3)$5,000Tool Lending Program
Richmond Cycling Corps
1717 Summit AvenueRichmondVA23230582508155501(C)(3)$60,000Richmond Cycling Corps
Richmond Hill Inc
2209 E Grace StRichmondVA23223541360535501(C)(3)$18,300National Night Out 2016
Richmond Hill Inc
2209 East Grace StreetRichmondVA23223541360535501(C)(3)$25,000Armstrong Leadership Program
Richmond Metropolitan Habitat for Humanity (RMHFH)
2281 Dabney RoadRichmondVA23230541385198501(C)(3)$150,000Neighborhood Revitalization
Richmond Public Schools Education Foundation Inc
301 N 9th StreetRichmondVA23219542025186501(C)(3)$75,000RVA East End Festival 2015: Giving the Gift of Music
Robinson Theater Community Arts Center
2903 Q StreetRichmondVA23223264176813501(C)(3)$28,000Robinson Theater 2016 Programs and Community Engagement
Rx Partnership
2924 Emerywood ParkwayRichmondVA23294571186937501(C)(3)$20,000Rx Partnership-Medication Access for the Uninsured
Sacred Heart Center
1400 Perry StreetRichmondVA23224541590419501(C)(3)$30,000Pathways to Success (Year 2)
Safe Harbor
PO Box 17996RichmondVA23226541950038501(C)(3)$50,000Safe Harbor Community Counseling Program
Senior Center of Greater Richmond
P O Box 6521RichmondVA23230800778128501(C)(3)$40,000Senior Center of Greater Richmond Program
Senior Connections The Capital Area Agency on Aging
24 East Cary StreetRichmondVA23219540950714501(C)(3)$50,000Age Wave Curriculum Develop.: Aging for Life, Care Transitions, Faith to Fate
Shalom Farms
1010 W Laburnum AveRichmondVA23227237136747501(C)(3)$25,000Prescription Produce Plan (PPP) and Youth-Run Farm Stand (YRFS)
Special Olympics Virginia
3212 Skipwith Rd Suite 100RichmondVA23294541013637501(C)(3)$5,000Healthy Athletes & MedFest Programs
Sportable
1365 Overbrook Road Room 2RichmondVA23220208924701501(C)(3)$25,000I Am An Athlete Youth Program
St Bridget Church (CHWC) Catholic Heart Workcamp
6006 Three Chopt RoadRichmondVA23226540506478501(C)(3)$13,270Catholic Heart Workcamp (CHWC) - Richmond
St Gertrudes Catholic School
3215 Stuart AveRichmondVA23212540551903501(C)(3)$50,000Health programs
St Joseph's Villa
8000 Brook RoadRichmondVA23227540505950501(C)(3)$10,000Flagler Housing and Homeless Services
Substance Abuse Free Environment Inc (SAFE)
Post Office Box 35413North ChesterfieldVA23235541936878501(C)(3)$25,000Support of SAFE's coalition task forces
The Faces of HOPE of Virginia Inc
8014 Midlothian TurnpikeRichmondVA23235562616080501(C)(3)$15,000Support Faces of Hope's expanded childhood obesity program
The Leukemia & Lymphoma Society
5540 Falmouth StreetRichmondVA23230135644916501(C)(3)$10,000Travel Assistance Program
The Saint Thomas More Society
2711 Buford Road 204RichmondVA23235464108435501(C)(3)$5,000Red Mass, Guardianship Program, Fellowship Masses, CLEs
The Shepherd's Center of Chesterfield
PO Drawer 170ChesterfieldVA23832542056732501(C)(3)$10,022Free, Accompanied Door through Door Medical Transportation Program
The Steward School
11600 Gayton RoadRichmondVA23238540914765501(C)(3)$5,000Latino Education Advancement Program (LEAP) at The Steward School
The Valentine
1015 E Clay StreetRichmondVA23219540505967501(C)(3)$20,000Valentine Walking and Bus Tours of Richmond's Neighborhoods and History - Marketing
Tricycle Gardens
2314 Jefferson AvenueRichmondVA23223753253795501(C)(3)$220,000Cultivating Urban Agriculture in RVA
Virginia Community Development Fund
1840 West Broad StreetRichmondVA23220541914519501(C)(3)$350,000Richmond East End Grocery Equipment
Virginia Hemophilia Foundation
410 N Ridge Road Suite 215RichmondVA23229541183181501(C)(3)$5,000Summer Camp and Teen Retreat
Virginia LISC
413 Stuart Circle Suite 300RichmondVA23220133030229501(C)(3)$190,0002015 Church Hill Corridor Program SEED & Metro Edge Market Assesment
Virginia Repertory Theatre
114 W Broad StreetRichmondVA23220510159357501(C)(3)$5,000Childhood Obesity Prevention - "Pup 'n Adam"
Virginia Supportive Housing
PO Box 8585RichmondVA23226541444564501(C)(3)$50,000Reducing Hospital Costs by Housing the Homeless
Voices for Virginia's Children
701 E Franklin StreetRichmondVA23219541726265501(C)(3)$10,000The Campaign for Children's Mental Health
YMCA of Greater Richmond
2 West Franklin StreetRichmondVA23220540505986501(C)(3)$75,000Year Round Out of School Time Programming at Woodville and Oak Grove Elementary
Youth Life Foundation of Richmond
PO Box 15202RichmondVA23227810569287501(C)(3)$3,000Elementary Summer Program
FieldValueIRS element (for citing)
Total501c3 Org86Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

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)
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance PaymentYes (1)SeverancePaymentInd
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 (16 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
Toni Ardabell
BM (Sep-Dec)/CEO-BSR/CEO-BSV (Full F$0$621,858$0$367,952$0$56,509$0$74,999$0$0$0$1,121,318$0$21,827
Francine Barr
CEO - SMH (Oct-Aug) / BM (Jan-Aug)$283,823$0$76,882$0$59,873$0$6,666$0$6,435$0$433,679$0$0$0
Mark Gordon
Board Member (Sep-Dec)$0$369,765$0$277,814$0$58,427$0$25,590$0$27,988$0$759,584$0$13,121
James Holmes
Board Member (Sep-Dec)$0$214,005$0$0$0$0$0$13,000$0$8,022$0$235,027$0$0
Michael Robinson
Board Member (Sep-Oct)$0$416,013$0$253,927$0$207,777$0$15,900$0$10,782$0$904,399$0$0
Stephan Quiriconi
Treasurer$289,751$0$50,368$0$20,750$0$5,516$0$10,607$0$376,992$0$0$0
Jim Godwin
VP HR$200,215$0$40,105$0$9,080$0$7,417$0$19,990$0$276,807$0$0$0
John Turner
VP Orthopedics (Sep-Jun)$230,352$0$68,984$0$967$0$4,059$0$20,564$0$324,926$0$0$0
Eleanor League
VP CNE$202,093$0$27,571$0$706$0$9,684$0$21,240$0$261,294$0$0$0
Leigh Sewell
VP Service Line Strategy$163,246$0$43,634$0$356$0$10,263$0$29,574$0$247,073$0$0$0
Marc Katz MD
Cardiologist$919,541$0$0$0$6,344$0$3,770$0$31,250$0$960,905$0$0$0
Julia Padgett MD
Dermatologist$573,379$0$150,394$0$240$0$13,250$0$0$0$737,263$0$0$0
Mark Bladergroen MD
CMIO$684,095$0$0$0$4,831$0$3,815$0$18,516$0$711,257$0$0$0
Christine Browning MD
Cardiologist$407,991$0$263,515$0$216$0$13,250$0$36,108$0$721,080$0$0$0
Dr Matthew Ngo
Cardiologist$425,399$0$205,720$0$240$0$0$0$33,651$0$665,010$0$0$0
Peter Bernard
Former Officer$0$594,915$0$907,922$0$754,197$0$97,765$0$24,148$0$2,378,947$0$460,681

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, Lines 4a-bBon 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: Peter Bernard, $617,982; Toni Ardabell, $28,228; Mark Gordon, $17,439.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonMartha E MerchentPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionMarried to Officer Stephan QuiriconiRelationshipDescriptionTxt
Transaction$181,468TransactionAmt
TransactionEmploymentTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$34,977NoncashContributionsRptF990Amt
Method Of Determining RevenuesCost or selling priceMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Column (b):FormAndLineReferenceDesc
ExplanationThe amount reported in Column (b) refers to the number of contributions.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 4On 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 6Bon 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 St. Mary's Hospital of Richmond, Inc.
Form 990, Part VI, Section A, line 7aThe governing body of St. Mary's Hospital of Richmond, Inc. is appointed by it's member Bon Secours - Richmond Health System and subject to approval by Bon Secours Health System, Inc.
Form 990, Part VI, Section A, line 7bCertain authorities of St. Mary's Hospital of Richmond, Inc. are reserved to its member or to Bon Secours Health System, Inc.
Form 990, Part VI, Section B, line 11The 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. 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 and 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 - HSO Bond related -5,438,320. Minimun Pension Liability -48,856,409. Net Assets released from restrictions used for operations -3,656.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 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 11c, III-FIBon Secours Inc0
Bon Secours Richmond Healthcare Foundation
8580 Magellan ParkwayRichmondVA23227541201346Grant Making FoundationVA501(c)(3)Line 7Bon Secours Richmond LLC0
Bon Secours Richmond Health System
8580 Magellan ParkwayRichmondVA23227521988421Local System Parent Org.VA501(c)(3)Line 9Bon Secours Richmond LLC0
Bon Secours Memorial Regional Medical Center
8580 Magellan ParkwayRichmondVA23227541744931Health CareVA501(c)(3)Line 3Bon Secours Richmond Health System0
Bon Secours Richmond Community Hospital
8580 Magellan ParkwayRichmondVA23227540647482Health CareVA501(c)(3)Line 3Bon Secours Richmond Health System0
Bon Secours St Francis Medical Center
8580 Magellan ParkwayRichmondVA23227311716973Health CareVA501(c)(3)Line 3Bon Secours Richmond Health System0
Laburnum Properties
8580 Magellan ParkwayRichmondVA23227521260700Title Holding CompanyVA501(c)(2)Bon Secours Richmond Health System0
Rappahanock General Hospital Foundation
101 Harris RoadKilmarnockVA22482541210450Supporting OrganizationVA501(c)(3)Line 7Bon Secours Richmond Health System0
Chesapeake Medical Group
101 Harris RoadKilmarnockVA22482541857174Healthcare ServicesVA501(c)(3)Line 9Bon Secours Richmond Health System0
Chesapeake Hospital Corporation
PO Box 1449KilmarnockVA22482237424835Health CareVA501(c)(3)Line 3Bon Secours Richmond Health System0
IVNA Health Services
5008 Monument AveRichmondVA23230541479847Healthcare ServicesVA501(c)(3)Line 9Bon Secours Home Care LLC0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
St Mary's MRI LP
8580 Magellan ParkwayRichmondVA23227541568022Imaging ServicesVAN/A
RI LP
8580 Magellan ParkwayRichmondVA23227541708835Imaging ServicesVAN/A
Broad64 Imaging LLC
8580 Magellan ParkwayRichmondVA23227205886018Imaging ServicesVAN/A
Richmond Radiation Oncology Center I LLC
8580 Magellan ParkwayRichmondVA23227208444551Radiation Oncology ServicesVAN/A
Chesterfield Community Healthcare Center MOB I LLC
435 Southlake BlvdRichmondVA23236541745670Rental - Medical Office BuildingVAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
CCHC Inc
8580 Magellan ParkwayRichmondVA23227541812738Ambulatory Healthcare ServicesVAN/AC0
RHS Management Corporation
8580 Magellan ParkwayRichmondVA23227541313425Independent Living FacilityVAN/AC0
Bon Secours - Virginia HealthSource Inc
8580 Magellan ParkwayRichmondVA23227541417686Ambulatory Healthcare ServicesVAN/AC0
Richmond MRI Inc
8580 Magellan ParkwayRichmondVA23227541568452Imaging ServicesVAN/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 OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd