BON SECOURS RICHMOND HEALTH SYSTEM: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- BON SECOURS RICHMOND HEALTH SYSTEM (EIN 52-1988421)
- Tax period
- 2015-09-01 to 2016-08-31
- Filed
- 2017-07-10
- IRS object ID
- 201731919349300613
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-07-10T09:44:13-05:00 | ReturnTs |
| Tax Period End | 2016-08-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-09-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 521988421 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bon Secours - Richmond Health System | BusinessNameLine1Txt |
| Business Name Line2 | Inc | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BONS | BusinessNameControlTxt |
| Phone | 8042818413 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8580 Magellan Parkway Building IV | AddressLine1Txt |
| City | Richmond | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23227 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Stephan F Quiriconi | PersonNm |
| Person Title | Treasurer (BSR-VP Finance) | PersonTitleTxt |
| Phone | 8042818316 | PhoneNum |
| Signature | 2017-07-10 | SignatureDt |
| Discuss With Paid Preparer | 0 | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bon Secours Virginia | BusinessNameLine1Txt |
| Business Name Line2 | Bon Secours Virginia Health System | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Toni R Ardabell | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8580 Magellan Parkway Building IV | AddressLine1Txt |
| City | Richmond | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23227 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $22,225,733 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.bonsecours.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | Provides support services to related not-for-profit entities within the System. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 332 | TotalEmployeeCnt |
| Total Volunteers | 120 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $20,041,543 | PYContributionsGrantsAmt |
| CY Contributions Grants | $802,929 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $22,844,457 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $22,207,050 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $50,000 | CYInvestmentIncomeAmt |
| PY Other Revenue | $235,587 | PYOtherRevenueAmt |
| CY Other Revenue | -$834,246 | CYOtherRevenueAmt |
| PY Total Revenue | $43,121,587 | PYTotalRevenueAmt |
| CY Total Revenue | $22,225,733 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $10,345,313 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $16,634,022 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $18,492,998 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,393,029 | PYOtherExpensesAmt |
| CY Other Expenses | $8,952,020 | CYOtherExpensesAmt |
| PY Total Expenses | $23,027,051 | PYTotalExpensesAmt |
| CY Total Expenses | $37,790,331 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $20,094,536 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$15,564,598 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $35,301,223 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,737,551 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $13,460,555 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $15,461,481 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $21,840,668 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,276,070 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The mission is to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a system of caregivers, we commit ourselves to help bring people and communities to health and wholeness. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $10,345,313 | ExpenseAmt |
| Grant | $10,345,313 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | Supports the subsidiary members of the Bon Secours Richmond Health System in their effort to provide compassionate, quality healthcare services to those in need, including the poor and dying, for the purpose of alleviating human suffering and bringing people to wholeness in the midst of pain and loss. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $22,367,498 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $19,877,121 | RevenueAmt |
| Desc | Bon Secours Home Care, LLC: In 1824, the Sisters of Bon Secours began to care for the sick in their own homes in Paris, France. Today, compassionate care at home remains a fundamental part of the mission of Bon Secours. Bon Secours Home Care provides care to patients in the home setting and offers a comprehensive suite of services to patients, from infants to seniors, which address their physical, emotional and spiritual needs. Such services include: - Skilled Nursing (diabetic teaching, medication management, post-operative care) - Certified Wound and Ostomy Nurse - Heart Failure Disease Management Program - Home Telehealth Monitoring - Physical, Occupational and Speech Therapy - Medical Social Workers - Pediatric Services - Orthopedic Rehab Services - Home Health Aides (activities of daily living assistance in conjunction with patient's rehabilitative plan of care)Additionally, Bon Secours Home Care provides hospice services which is the continuation of medical care for end-of-life patients. It allows people to live comfortably and with dignity during their remaining days. Hospice care addresses the physical, emotional and spiritual needs and wishes of patients and their families.Bon Secours Home Care, LLC is a single-member limited liability company. As such, the activity of the entity is disregarded for tax purposes and consolidated into the Form 990 of its member Bon Secours Richmond Health System. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,552,655 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $2,329,929 | RevenueAmt |
| Desc | Bon Secours Ambulatory Services, LLC (dba Bon Secours Good Health Express) serves as an urgent care center for the community of Henrico County. Families have access to board-certified physicians and medical professionals trained in adult and pediatric life support. The organization provides quality urgent care without an emergency room visit. Bon Secours Ambulatory Services, LLC follows the same Financial Assistance Policy of its related tax exempt hospitals within Bon Secours Richmond Health System. Patients are never turned away due to their inability to pay. Services provided, but not excluded to:- Onsite diagnostic laboratory and imaging services- Treatment of broken bones- Treatment of minor injuries like the flu or sore throat | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $35,265,466 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 14 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 332 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Laura Ellison | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4433673835 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8990 Old Annapolis Road | AddressLine1Txt |
| City | Columbia | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21045 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Institutional TrusteeInstitutionalTrusteeInd | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Jeff Brown MD | |||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||||
| Janice Burnett | |||||||||||
| Board Member | 2.00 | 48.00 | Yes (X) | $0 | $994,803 | $127,505 | |||||
| Elizabeth Crowther | |||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||||
| B Keith Fulton | |||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||||
| Thomas Gayner | |||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||||
| Reginald Gordon | |||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||||
| Sr Rose Jasinski CBS | |||||||||||
| Board Member | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||||
| Jon King | |||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||||
| Mary Malone | |||||||||||
| Board Member (Sep-Dec) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||||
| Linda Rigsby | |||||||||||
| Board Member (Jan-Aug) | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| Pamela Royal MD | |||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||||
| Joe Schilling | |||||||||||
| Board Member (Jan-Aug) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||||
| Irvin Seeman MD | |||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||||
| Robert Sledd | |||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||||
| Harry Turton Jr | |||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||||
| Jane Watkins | |||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||||
| Michel Zajur | |||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||||
| Toni Ardabell | |||||||||||
| CEO-BSR/CEO-BSV | 2.50 | 47.50 | $0 | $1,046,319 | $74,999 | Yes (X) | |||||
| Sr Anne Mack CBS | |||||||||||
| President | 3.00 | 47.00 | $0 | $0 | $0 | Yes (X) | |||||
| Pamela Schutz | |||||||||||
| Chairman | 3.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||||
| Allen Goolsby III | |||||||||||
| Secretary | 2.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |||||
| Stephan Quiriconi | |||||||||||
| Treasurer | 2.00 | 48.00 | $0 | $360,869 | $16,123 | Yes (X) | |||||
| Jim Godwin | |||||||||||
| VP HR | 1.00 | 49.00 | $0 | $249,400 | $27,407 | Yes (X) | |||||
| Leigh Sewell | |||||||||||
| VP Service Line Strategy | 2.00 | 48.00 | $0 | $207,236 | $39,837 | Yes (X) | |||||
| Shailendra Kapoor MD | |||||||||||
| Family Physician | 50.00 | 0.00 | $369,626 | $0 | $29,809 | Yes (X) | |||||
| Victor Agbeibor MD | |||||||||||
| Family Physician | 50.00 | 0.00 | $313,022 | $0 | $41,508 | Yes (X) | |||||
| Tushar Shah MD | |||||||||||
| Family Physician | 50.00 | 0.00 | $251,080 | $0 | $39,352 | Yes (X) | |||||
| William Anderson | |||||||||||
| Medical Director | 50.00 | 0.00 | $206,144 | $0 | $28,415 | Yes (X) | |||||
| Ismat Asad | |||||||||||
| Family Physician | 50.00 | 0.00 | $200,296 | $0 | $22,372 | Yes (X) | |||||
| Peter Bernard | |||||||||||
| Former Officer | 0.00 | 0.00 | $0 | $2,257,034 | $121,913 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,340,168 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,115,661 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $569,240 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 20 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Loughridge & Company LLC | |||||
| 5711 Staples Mill Road Suite 100 | Richmond | VA | 23228 | Construction Services | $3,525,352 |
| Kathy Helm & Associates Inc | |||||
| 1205 E Washington St Suite 110 | Louisville | KY | 40206 | Interior Design | $407,821 |
| Action Landscape Inc | |||||
| 10638 Watterson Trail | Louisville | KY | 40299 | Landscaping | $337,833 |
| Autumn Corporation | |||||
| 3610 Winchester Drive | Portsmouth | VA | 23707 | Room/Board for Hospice Patients | $216,289 |
| NetMD Business Inc | |||||
| 38935 Ann Arbor Road | Livonia | MI | 48150 | Billing Fees | $159,817 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $802,929 | RelatedOrganizationsAmt |
| Total Contributions | $802,929 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Home Care & Hospice | 621610 | $19,877,121 | $19,877,121 |
| Urgent Care | 611600 | $2,329,929 | $2,329,929 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $22,207,050 | TotalProgramServiceRevenueAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $50,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $50,000 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $50,000 | TotalRevenueColumnAmt |
| Exclusion | $50,000 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| JV Income | 621610 | $25,491 | $25,491 |
| 3rd Party Remittance I | 900099 | $695 | $695 |
| Medical Records | 900099 | $382 | $382 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$860,814 | TotalRevenueColumnAmt |
| Exclusion | -$860,814 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$834,246 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,225,733 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,207,050 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$784,246 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,345,313 | TotalAmt |
| Program Services | $10,345,313 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,842,196 | TotalAmt |
| Program Services | $13,357,976 | ProgramServicesAmt |
| Management And General | $1,484,220 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $391,322 | TotalAmt |
| Program Services | $352,190 | ProgramServicesAmt |
| Management And General | $39,132 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,099,337 | TotalAmt |
| Program Services | $1,889,403 | ProgramServicesAmt |
| Management And General | $209,934 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,160,143 | TotalAmt |
| Program Services | $1,044,129 | ProgramServicesAmt |
| Management And General | $116,014 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,600 | TotalAmt |
| Program Services | $16,740 | ProgramServicesAmt |
| Management And General | $1,860 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $229,807 | TotalAmt |
| Program Services | $229,807 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,867 | TotalAmt |
| Program Services | $6,180 | ProgramServicesAmt |
| Management And General | $687 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $739,706 | TotalAmt |
| Program Services | $665,737 | ProgramServicesAmt |
| Management And General | $73,969 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,000 | TotalAmt |
| Program Services | $1,800 | ProgramServicesAmt |
| Management And General | $200 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $608,570 | TotalAmt |
| Program Services | $547,713 | ProgramServicesAmt |
| Management And General | $60,857 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $883,937 | TotalAmt |
| Program Services | $795,543 | ProgramServicesAmt |
| Management And General | $88,394 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,389 | TotalAmt |
| Program Services | $8,450 | ProgramServicesAmt |
| Management And General | $939 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,499 | TotalAmt |
| Program Services | $41,499 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $570,140 | TotalAmt |
| Program Services | $513,126 | ProgramServicesAmt |
| Management And General | $57,014 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,032 | TotalAmt |
| Program Services | $21,629 | ProgramServicesAmt |
| Management And General | $2,403 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Purchased Services | $3,828,126 | $3,445,313 | $382,813 |
| Medical Supplies | $1,327,047 | $1,327,047 | |
| Medical Equip. Rental | $332,518 | $332,518 | |
| Bad Debt | $265,495 | $265,495 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,287 | TotalAmt |
| Program Services | $57,858 | ProgramServicesAmt |
| Management And General | $6,429 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,790,331 | TotalAmt |
| Program Services | $35,265,466 | ProgramServicesAmt |
| Management And General | $2,524,865 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100 | BOYAmt |
| EOY | $100 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,376,678 | BOYAmt |
| EOY | $3,042,871 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,772 | BOYAmt |
| EOY | $30,401 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $18,807,731 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,838,497 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,496,229 | BOYAmt |
| EOY | $15,969,234 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,855,670 | BOYAmt |
| EOY | $524,853 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,540,774 | BOYAmt |
| EOY | $2,170,092 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,301,223 | BOYAmt |
| EOY | $21,737,551 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $827,819 | BOYAmt |
| EOY | $533,548 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $360,842 | BOYAmt |
| EOY | $266,585 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,271,894 | BOYAmt |
| EOY | $14,661,348 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,460,555 | BOYAmt |
| EOY | $15,461,481 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,840,668 | BOYAmt |
| EOY | $6,276,070 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,840,668 | BOYAmt |
| EOY | $6,276,070 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,301,223 | BOYAmt |
| EOY | $21,737,551 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$15,564,598 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,805,982 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,202,700 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,280,206 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $20,041,543 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $802,929 | CurrentTaxYearAmt |
| Total | $29,133,360 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,594,847 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,260,222 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,888,119 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,844,457 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,207,050 | CurrentTaxYearAmt |
| Total | $93,794,695 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,400,829 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,462,922 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $22,168,325 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $42,886,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,009,979 | CurrentTaxYearAmt |
| Total | $122,928,055 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $122,928,055 | PublicSupportTotal509Amt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,294 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $195,128 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $314,964 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $235,587 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $26,749 | CurrentTaxYearAmt |
| Total | $773,722 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,402,123 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,658,050 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $22,483,289 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $43,121,587 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,036,728 | CurrentTaxYearAmt |
| Total | $123,701,777 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99370 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99360 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part III, Line 12, Explanation of Other Income: | FormAndLineReferenceDesc |
| Explanation | Medical Records - 2011 Amount: $ 598. 2012 Amount: $ 514. 2013 Amount: $ 718. 2014 Amount: $ 597. 2015 Amount: $ 383. 3rd Party Remittances - 2011 Amount: $ 696. 2012 Amount: $ 502. 2013 Amount: $ 439. 2014 Amount: $ 415. 2015 Amount: $ 695. Misc JV Rev - 2012 Amount: $ 194,112. 2013 Amount: $ 313,807. 2014 Amount: $ 167,908. 2015 Amount: $ 25,491. Int Inc from Related Org - 2014 Amount: $ 66,667. All Other Revenue - 2015 Amount: $ 180. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,960,091 | OtherCostOrOtherBasisAmt |
| Book Value | $6,960,091 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,055,136 | OtherCostOrOtherBasisAmt |
| Depreciation | $259,993 | DepreciationAmt |
| Book Value | $6,795,143 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,265,757 | OtherCostOrOtherBasisAmt |
| Depreciation | $315,724 | DepreciationAmt |
| Book Value | $950,033 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,477,190 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,260,125 | DepreciationAmt |
| Book Value | $1,217,065 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $49,557 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,655 | DepreciationAmt |
| Book Value | $46,902 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $15,969,234 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Due from Affiliates | $1,735,243 |
| MedMal & Gen Liab | $418,049 |
| Misc A/R | $14,283 |
| Deferred Fin Costs & Other Assets | $2,517 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,170,092 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Affiliates | $14,211,759 |
| MedMal & Gen Liab | $418,049 |
| Patient Credit Balances | $25,522 |
| Misc A/R | $6,018 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $14,661,348 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | Schedule D, Part X, Line 2 requires that the organization provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under ASC 740. ASC 740 addresses the accounting for uncertainty in income taxes recognized in an entity's financial statements and prescribes a threshold of more-likely-than-not for recognition and derecognition of tax positions taken or expected to be taken in a tax return. The adoption of ASC 740 by BSHSI on September 1, 2007 did not have a material impact on BSHSI's consolidated financial statements. As the organization does not conduct a separate audit of its financial statements, below is the related statement from the Bon Secours Health System, Inc. consolidated audited financial statements: The System and most of its subsidiaries (including certain joint venture entities) are exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. The system accounts for uncertain tax positions in accordance with ASC Topic 740, Income Taxes. 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 I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bon Secours St Mary's Hospital Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8580 Magellan Parkway | AddressLine1Txt |
| City | Richmond | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23227 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 540793767 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $10,345,313 | CashGrantAmt |
| Purpose Of Grant | General Support | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | The organization complies with Bon Secours Health System, Inc.'s system-wide financial and accounting policies. Contributions are generally made as reimbursements for funds spent. In such cases, the donee/grantee organization must provide documentation to the filing organization before funds are approved for disbursement. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Janice Burnett | ||||||||||||||
| Board Member | $0 | $552,081 | $0 | $370,190 | $0 | $72,532 | $0 | $106,777 | $0 | $20,728 | $0 | $1,122,308 | $0 | $38,116 |
| Stephan Quiriconi | ||||||||||||||
| Treasurer | $0 | $289,751 | $0 | $50,368 | $0 | $20,750 | $0 | $5,516 | $0 | $10,607 | $0 | $376,992 | $0 | $0 |
| Jim Godwin | ||||||||||||||
| VP HR | $0 | $200,215 | $0 | $40,105 | $0 | $9,080 | $0 | $7,417 | $0 | $19,990 | $0 | $276,807 | $0 | $0 |
| Leigh Sewell | ||||||||||||||
| VP Service Line Strategy | $0 | $163,246 | $0 | $43,634 | $0 | $356 | $0 | $10,263 | $0 | $29,574 | $0 | $247,073 | $0 | $0 |
| Shailendra Kapoor MD | ||||||||||||||
| Family Physician | $200,634 | $0 | $168,776 | $0 | $216 | $0 | $11,267 | $0 | $18,542 | $0 | $399,435 | $0 | $0 | $0 |
| Victor Agbeibor MD | ||||||||||||||
| Family Physician | $256,907 | $0 | $55,655 | $0 | $460 | $0 | $13,250 | $0 | $28,258 | $0 | $354,530 | $0 | $0 | $0 |
| Tushar Shah MD | ||||||||||||||
| Family Physician | $250,810 | $0 | $0 | $0 | $270 | $0 | $11,390 | $0 | $27,962 | $0 | $290,432 | $0 | $0 | $0 |
| William Anderson | ||||||||||||||
| Medical Director | $204,872 | $0 | $0 | $0 | $1,272 | $0 | $10,419 | $0 | $17,996 | $0 | $234,559 | $0 | $0 | $0 |
| Ismat Asad | ||||||||||||||
| Family Physician | $193,796 | $0 | $6,260 | $0 | $240 | $0 | $3,956 | $0 | $18,416 | $0 | $222,668 | $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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | Bon Secours Health System, Inc., a related organization of the filing organization, uses the following to establish the compensation of the organization's CEO/Executive Director: Compensation Committee Independent Compensation Consultant Written Employment Contract Compensation Survey or Study Approval by the Board or Compensation Committee |
| Part I, Line 4b | The filing organization participates in a BSHSI sponsored executive retirement program that allows for deposits into additional retirement plans and is available only to officers and key employees. The 457F plan is a non-qualified plan and is subject to a minimum three-year service requirement before vesting on deposits made into this plan. Individuals that received a distribution include: Peter Bernard, $617,982; Toni Ardabell, $28,228; Janice Burnett, $46,841. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 4 | On December 22, 2015, the articles and bylaws of each of these entities were amended and restated in their entirety to bring the documents up to date with current templates for local system parent and hospital entities, respectively. |
| Form 990, Part VI, Section A, line 6 | Bon Secours Health System, Inc. is the sole member of Bon Secours Richmond, LLC a single member limited liability company. Bon Secours Richmond, LLC 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. |
| Form 990, Part VI, Section A, line 7a | The governing body of Bon Secours-Richmond Health System is appointed by the Class B Member, Bon Secours Richmond, LLC, subject to the approval of Bon Secours Health System, Inc. |
| Form 990, Part VI, Section A, line 7b | Certain authorities of Bon Secours-Richmond Health System are reserved to its member or to Bon Secours Health System, Inc. |
| Form 990, Part VI, Section B, line 11 | The process the organization uses to review the Form 990 consists of a review by the local system's audit and compliance board-committee and providing the form to the local system board of directors to allow for a thorough review by both before the filing date. The local system's audit and compliance committee and board of directors have reviewed the Form 990, scheduled time on meeting agendas, and asked questions regarding the Form 990 before the return is filed. |
| Form 990, Part VI, Section B, line 12c | The organization regularly and consistently monitors compliance with the conflict of interest policy. On an annual basis, all persons subject to the policy, including all officers, directors and key employees are required to make certain disclosures. These include disclosures related to certain personal, financial and organizational relationships that may present a conflict, or the appearance of a conflict of interest with the organization. All disclosures go through a three-part review process: (1) disclosures are reviewed first by the corporate responsibility officer (CRO); (2) a governance team comprised of the CEO, board president, board chair, CRO, and the BSHSI CRO participate in a second review of all disclosures during which recommendations are made as to the resolution of any conflicts or potential conflicts. Depending on the facts and circumstances, resolutions may include ongoing disclosure, recusal or removal of the conflict; and (3) all disclosures and recommendations are reviewed by a board committee (audit and compliance committee reviews the disclosures of management and the governance committee reviews the disclosures of the board and board committee members). |
| Form 990, Part VI, Section B, line 15b | The compensation committee of the board of Bon Secours Health System, Inc. (BSHSI) engages in a comprehensive process for the oversight and management of remuneration for executive employees and disqualified parties of the BSHSI. The compensation committee consists of a group of independent board members and engages 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 19 | The filing organization makes all documents available to the general public upon request. |
| Form 990, Part VII - Additional Disclosure: | Board Member positions are generally voluntary in nature. Compensated employees of the filing organization and other related organizations who also hold board positions are compensated only in relation to their employment and do not receive additional compensation for their board responsibilities. Sr. Anne Marie Mack does not receive payroll distributions as she has taken a vow of poverty. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| Bon Secours Ambulatory Services LLC | |||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 271672951 | All Other Outpatient Care Centers | VA | $2,329,929 | $1,573,937 | Bon Secours Richmond Health System Inc |
| Bon Secours Home Care LLC | |||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 271672759 | Home Health Care Services | VA | $19,877,121 | $11,160,155 | Bon Secours Richmond Health System Inc |
| Bon Secours VA Medical Group I LLC | |||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 271908136 | Offices of Physicians | VA | $0 | $0 | Bon Secours Ambulatory Services LLC |
| Richmond Good Help ACO LLC | |||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 813119802 | Accountable Care Organization | VA | $0 | $0 | Bon Secours Richmond Health System Inc |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Bon Secours Health System Inc | ||||||||||
| 1505 Marriotsville Road | Marriottsville | MD | 21104 | 521301088 | Parent Org. Management Services | MD | 501(c)(3) | Line 11c, III-FI | Bon Secours Inc | 0 |
| Bon Secours Richmond Healthcare Foundation | ||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541201346 | Grant Making Foundation | VA | 501(c)(3) | Line 7 | Bon Secours Richmond LLC | 0 |
| Bon Secours St Mary's Hospital Richmond Inc | ||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 540793767 | Health Care | VA | 501(c)(3) | Line 3 | Bon Secours Richmond Health System | Yes (1) |
| Bon Secours Memorial Regional Medical Center | ||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541744931 | Health Care | VA | 501(c)(3) | Line 3 | Bon Secours Richmond Health System | Yes (1) |
| Bon Secours Richmond Community Hospital | ||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 540647482 | Health Care | VA | 501(c)(3) | Line 3 | Bon Secours Richmond Health System | Yes (1) |
| Bon Secours St Francis Medical Center | ||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 311716973 | Health Care | VA | 501(c)(3) | Line 3 | Bon Secours Richmond Health System | Yes (1) |
| Laburnum Properties | ||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 521260700 | Title Holding Company | VA | 501(c)(2) | Bon Secours Richmond Health System | Yes (1) | |
| Rappahanock General Hospital Foundation | ||||||||||
| 101 Harris Road | Kilmarnock | VA | 22482 | 541210450 | Supporting Organization | VA | 501(c)(3) | Line 7 | Bon Secours Richmond Health System | Yes (1) |
| Chesapeake Medical Group | ||||||||||
| 101 Harris Road | Kilmarnock | VA | 22482 | 541857174 | Healthcare Services | VA | 501(c)(3) | Line 9 | Bon Secours Richmond Health System | Yes (1) |
| Chesapeake Hospital Corporation | ||||||||||
| PO Box 1449 | Kilmarnock | VA | 22482 | 237424835 | Health Care | VA | 501(c)(3) | Line 3 | Bon Secours Richmond Health System | Yes (1) |
| IVNA Health Services | ||||||||||
| 5008 Monument Avenue | Richmond | VA | 23230 | 541479847 | Healthcare Services | VA | 501(c)(3) | Line 9 | Bon Secours Home Care LLC | Yes (1) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| St Mary's MRI Center LP | |||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541568022 | Imaging Services | VA | N/A |
| RI LP | |||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541708835 | Imaging Services | VA | N/A |
| Broad64 Imaging LLC | |||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 205886018 | Imaging Services | VA | N/A |
| Richmond Radiation Oncology Center I LLC | |||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 208444551 | Radiation Oncology Services | VA | N/A |
| Chesterfield Community Healthcare Center MOB I LLC | |||||||
| 435 Southlake Blvd | Richmond | VA | 23236 | 541745670 | Rental- Medical Office Building | VA | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CCHC Inc | ||||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541812738 | Ambulatory Healthcare Services | VA | Bon Secours Richmond Health System Inc | C | $5,805 | $302,631 | 1.00000 | Yes (1) |
| RHS Management Corporation | ||||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541313425 | Independent Living Facility | VA | Bon Secours Richmond Health System Inc | C | $629,677 | $124,998 | 1.00000 | Yes (1) |
| Bon Secours - Virginia HealthSource Inc | ||||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541417686 | Ambulatory Healthcare Services | VA | Bon Secours Richmond Health System Inc | C | $28,754,127 | $37,486,703 | 1.00000 | Yes (1) |
| Richmond MRI Inc | ||||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541568452 | Imaging Services | VA | Bon Secours - Virginia HealthSource Inc | C | $1,332,243 | $55,658 | 1.00000 | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Bon Secours St Mary's Hospital | ||
| Q | $180,686 | FMV |
| Bon Secours St Mary's Hospital | ||
| R | $10,345,313 | FMV |
| Rappahannock General Hospital Foundation | ||
| A | $58,333 | FMV |
| Bon Secours Richmond Healthcare Foundation | ||
| C | $623,079 | FMV |
| St Mary's Hospital of Richmond Inc | ||
| P | $3,035,583 | FMV |
| St Mary's Hospital of Richmond Inc | ||
| C | $169,999 | FMV |
| Bon Secours Richmond Healthcare Foundation | ||
| B | $574,596 | FMV |