Bon Secours-Richmond Community Hospital: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- Bon Secours-Richmond Community Hospital (EIN 54-0647482)
- Tax period
- 2015-09-01 to 2016-08-31
- Filed
- 2017-07-10
- IRS object ID
- 201741919349300124
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
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 |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 Peachtree St Suite 2000 | AddressLine1Txt |
| City | Atlanta | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 303031749 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-09-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 540647482 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Richmond Community Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | RICH | 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 | 8047646102 | PhoneNum |
| Signature | 2017-07-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | John W Sadoff Jr | PreparerPersonNm |
| PTIN | P00540589 | PTIN |
| Phone | 4042201500 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Mark Gordon | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8260 Atlee Road | AddressLine1Txt |
| City | Mechanicsville | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23116 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $135,911,108 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | bonsecours.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1922 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | Acute Care Hospital | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 400 | TotalEmployeeCnt |
| Total Volunteers | 25 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,121,457 | PYContributionsGrantsAmt |
| CY Contributions Grants | $808,722 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $124,868,919 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $134,461,538 | CYProgramServiceRevenueAmt |
| PY Investment Income | $9,750 | PYInvestmentIncomeAmt |
| CY Investment Income | $134,583 | CYInvestmentIncomeAmt |
| PY Other Revenue | $44,298 | PYOtherRevenueAmt |
| CY Other Revenue | $73,997 | CYOtherRevenueAmt |
| PY Total Revenue | $127,044,424 | PYTotalRevenueAmt |
| CY Total Revenue | $135,478,840 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $18,283 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $68,786 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $22,907,351 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $24,763,720 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $63,432,375 | PYOtherExpensesAmt |
| CY Other Expenses | $69,177,187 | CYOtherExpensesAmt |
| PY Total Expenses | $86,358,009 | PYTotalExpensesAmt |
| CY Total Expenses | $94,009,693 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $40,686,415 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $41,469,147 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $61,604,998 | TotalAssetsBOYAmt |
| Total Assets EOY | $101,831,543 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,297,452 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,093,593 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $53,307,546 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $94,737,950 | NetAssetsOrFundBalancesEOYAmt |
| Mission | The mission is to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a system of caregivers, we commit ourselves to help bring people and communities to health and wholeness. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $88,914,281 | ExpenseAmt |
| Grant | $68,786 | GrantAmt |
| Revenue | $134,461,538 | RevenueAmt |
| Desc | Richmond Community Hospital provides medical care to patients without regard to their ability to pay. As a community not-for-profit hospital in Richmond, Richmond Community Hospital is an access point for under insured and financially disadvantaged who will not be treated at the for profit hospitals. In addition, Richmond Community Hospital provides support for community services. Please refer to the Community Benefit Information on Schedule H. | Desc |
| Total Program Service Expenses | $88,914,281 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | 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 | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 35 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 400 | 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 |
| 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 | 18 | 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 | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | VA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 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 (36 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Toni Ardabell | ||||||||||
| BM (Sep-Dec)/CEO-BSR/CEO-BSV (Full FY) | 6.00 | 44.00 | Yes (X) | Yes (X) | $0 | $1,046,319 | $74,999 | |||
| Francine Barr | ||||||||||
| Board Member | 2.00 | 48.00 | Yes (X) | $0 | $420,578 | $13,101 | ||||
| Jean Ann Bolling | ||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| John Bowman MD | ||||||||||
| Board Member (Sep-Dec) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Chandrashekar Challa | ||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| John Daniel III MD | ||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Anup Gokli MD | ||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Mark Gordon | ||||||||||
| BM (Sep-Dec)/CEO-MRMC&RCH&RGH (Oct-Aug) | 20.00 | 30.00 | Yes (X) | Yes (X) | $0 | $706,006 | $53,578 | |||
| Pamela Hacker | ||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Chris Hairston-White | ||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| James Holmes | ||||||||||
| Board Member (Sep-Dec) | 2.00 | 48.00 | Yes (X) | $0 | $214,005 | $21,022 | ||||
| BHB Hubbard III | ||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Sr Anne Marie Mack CBS | ||||||||||
| President | 3.00 | 47.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Joanne Nattrass | ||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Paula Peaden | ||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Fr John Podsiadlo | ||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Michael Robinson | ||||||||||
| BM (Sep-Dec)/CEO-MRMC&RCH&RGH (Sep) | 20.00 | 30.00 | Yes (X) | Yes (X) | $0 | $877,717 | $26,682 | |||
| Sr Victoria Segura MD CBS | ||||||||||
| Board Member | 10.00 | 40.00 | Yes (X) | $0 | $0 | $0 | ||||
| William Shewmake | ||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Shannon Sinclair | ||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| William Stallings MD | ||||||||||
| Board Member (Sep-Dec) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Nancy Thomas | ||||||||||
| Chairman | 3.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Michael Williams | ||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Thomas Winfree | ||||||||||
| Board Member (Sep-Dec) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Allen Goolsby III | ||||||||||
| Secretary | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Stephan Quiriconi | ||||||||||
| Treasurer | 9.00 | 41.00 | Yes (X) | $0 | $360,869 | $16,123 | ||||
| Jim Godwin | ||||||||||
| VP HR | 2.00 | 48.00 | $0 | $249,400 | $27,407 | Yes (X) | ||||
| Michelle Dickerson | ||||||||||
| Nursing Admin | 50.00 | 0.00 | $189,182 | $0 | $33,800 | Yes (X) | ||||
| Jill Kennedy | ||||||||||
| VP-CNE | 25.00 | 25.00 | $0 | $304,946 | $31,344 | Yes (X) | ||||
| Leigh Sewell | ||||||||||
| VP Service Line Strategy | 12.00 | 38.00 | $0 | $207,236 | $39,837 | Yes (X) | ||||
| Sultan Lakhani | ||||||||||
| Psychiatrist | 50.00 | 0.00 | $406,338 | $0 | $32,470 | Yes (X) | ||||
| Virginia Stephens | ||||||||||
| RN - WKD CC | 50.00 | 0.00 | $166,659 | $0 | $24,121 | Yes (X) | ||||
| Soo Kim | ||||||||||
| Pharmacist | 50.00 | 0.00 | $133,340 | $0 | $27,844 | Yes (X) | ||||
| Elizabeth Kelley | ||||||||||
| Specialist | 50.00 | 0.00 | $132,147 | $0 | $5,525 | Yes (X) | ||||
| Michelle Hinds | ||||||||||
| RN | 50.00 | 0.00 | $129,126 | $0 | $17,548 | 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 | $1,156,792 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,644,110 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $567,314 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 18 | 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 |
|---|---|---|---|---|---|
| One Hampton Medical LLC | |||||
| 3475 Monument Place | Chicago | IL | 606895334 | Physician Services | $1,641,564 |
| Morrison Mgt Specialists | |||||
| PO Box 102289 | Atlanta | GA | 303682289 | Dietary Services | $1,162,187 |
| Aramark Cts Inc | |||||
| 12483 Collections Ctr Dr | Chicago | IL | 60693 | Biomedical | $722,155 |
| Eagle Hospital Physicians LLC | |||||
| 5901-C Peachtree Dunwoody Rd | Atlanta | GA | 30328 | Physician Services | $700,800 |
| Commonwealth Anesthesia Assoc | |||||
| PO Box 35808 | Richmond | VA | 23235 | Physician Services | $316,473 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 23 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $742,536 | RelatedOrganizationsAmt |
| Government Grants | $66,186 | GovernmentGrantsAmt |
| Noncash Contributions | $101,342 | NoncashContributionsAmt |
| Total Contributions | $808,722 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient Service Rev. | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $134,461,538 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $134,461,538 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $134,461,538 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $162,446 | TotalRevenueColumnAmt |
| Exclusion | $162,446 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $74,707 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $106,392 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$31,685 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$31,685 | TotalRevenueColumnAmt |
| Exclusion | -$31,685 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $298,013 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $325,876 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$27,863 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$27,863 | TotalRevenueColumnAmt |
| Exclusion | -$27,863 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| Health & Wellness | 900099 | $61,418 | $61,418 |
| Third Party Interest | 900099 | $19,034 | $19,034 |
| Vending | 900099 | $16,088 | $16,088 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,142 | TotalRevenueColumnAmt |
| Exclusion | $9,142 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $105,682 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $135,478,840 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $134,461,538 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $208,580 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,321 | TotalAmt |
| Program Services | $59,321 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,465 | TotalAmt |
| Program Services | $9,465 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $230,311 | TotalAmt |
| Program Services | $207,280 | ProgramServicesAmt |
| Management And General | $23,031 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,495,620 | TotalAmt |
| Program Services | $17,546,058 | ProgramServicesAmt |
| Management And General | $1,949,562 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $740,492 | TotalAmt |
| Program Services | $666,443 | ProgramServicesAmt |
| Management And General | $74,049 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,711,269 | TotalAmt |
| Program Services | $2,440,142 | ProgramServicesAmt |
| Management And General | $271,127 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,586,028 | TotalAmt |
| Program Services | $1,427,425 | ProgramServicesAmt |
| Management And General | $158,603 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,733 | TotalAmt |
| Program Services | $147,360 | ProgramServicesAmt |
| Management And General | $16,373 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,268 | TotalAmt |
| Program Services | $5,641 | ProgramServicesAmt |
| Management And General | $627 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,775,204 | TotalAmt |
| Program Services | $3,775,204 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,803 | TotalAmt |
| Program Services | $7,023 | ProgramServicesAmt |
| Management And General | $780 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $182,529 | TotalAmt |
| Program Services | $164,277 | ProgramServicesAmt |
| Management And General | $18,252 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,868 | TotalAmt |
| Program Services | $146,581 | ProgramServicesAmt |
| Management And General | $16,287 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,338,384 | TotalAmt |
| Program Services | $2,104,546 | ProgramServicesAmt |
| Management And General | $233,838 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,879 | TotalAmt |
| Program Services | $58,391 | ProgramServicesAmt |
| Management And General | $6,488 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,407 | TotalAmt |
| Program Services | $6,666 | ProgramServicesAmt |
| Management And General | $741 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,718,739 | TotalAmt |
| Program Services | $1,546,865 | ProgramServicesAmt |
| Management And General | $171,874 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $244,582 | TotalAmt |
| Program Services | $220,124 | ProgramServicesAmt |
| Management And General | $24,458 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $25,889,322 | $25,889,322 | |
| Purchased Services | $18,811,430 | $16,930,287 | $1,881,143 |
| Bad Debt Expense | $13,322,257 | $13,322,257 | |
| Corporate Dues Alloc. | $1,910,656 | $1,719,590 | $191,066 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $571,126 | TotalAmt |
| Program Services | $514,013 | ProgramServicesAmt |
| Management And General | $57,113 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,009,693 | TotalAmt |
| Program Services | $88,914,281 | ProgramServicesAmt |
| Management And General | $5,095,412 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $297 | BOYAmt |
| EOY | $252 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,145,274 | BOYAmt |
| EOY | $67,063,973 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,527 | BOYAmt |
| EOY | $5,045 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,738,899 | BOYAmt |
| EOY | $16,349,613 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,982,030 | BOYAmt |
| EOY | $1,756,893 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $517,506 | BOYAmt |
| EOY | $2,020,115 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $48,216,533 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $36,087,444 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,428,688 | BOYAmt |
| EOY | $12,129,089 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,775,777 | BOYAmt |
| EOY | $2,506,563 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,604,998 | BOYAmt |
| EOY | $101,831,543 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,599,480 | BOYAmt |
| EOY | $1,704,250 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $688,230 | BOYAmt |
| EOY | $680,611 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,009,742 | BOYAmt |
| EOY | $4,708,732 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,297,452 | BOYAmt |
| EOY | $7,093,593 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,307,546 | BOYAmt |
| EOY | $94,737,950 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,307,546 | BOYAmt |
| EOY | $94,737,950 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,604,998 | BOYAmt |
| EOY | $101,831,543 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $41,469,147 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$38,743 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $6,268 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $6,268 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | The filing organization maintains memberships to various professional healthcare associations. Portions of their membership dues are used for lobbying activities. The lobbying portion of such dues is included on line 1i. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,001,433 | OtherCostOrOtherBasisAmt |
| Book Value | $1,001,433 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,613,252 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,975,657 | DepreciationAmt |
| Book Value | $5,637,595 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,484,261 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,095,544 | DepreciationAmt |
| Book Value | $1,388,717 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $29,953,014 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,506,361 | DepreciationAmt |
| Book Value | $3,446,653 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,164,573 | OtherCostOrOtherBasisAmt |
| Depreciation | $509,882 | DepreciationAmt |
| Book Value | $654,691 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,129,089 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Affiliates | $2,584,429 |
| HPL/GL Liability | $1,512,584 |
| Patient Credit Balances | $455,922 |
| Deferred Lease Liability | $85,692 |
| Due to Third Party Payors | $70,105 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,708,732 | 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 H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,724,839 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $385,375 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,339,464 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02900 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,317,620 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,219,051 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,098,569 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01360 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,042,459 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,604,426 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,438,033 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04260 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 2305 | PersonsServedCnt |
| Total Community Benefit Expns | $597,408 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $597,408 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00740 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 103 | PersonsServedCnt |
| Total Community Benefit Expns | $233,591 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $233,591 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 5 | PersonsServedCnt |
| Total Community Benefit Expns | $183,247 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $183,247 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00230 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 2413 | PersonsServedCnt |
| Total Community Benefit Expns | $1,014,246 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,014,246 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01260 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 2413 | PersonsServedCnt |
| Total Community Benefit Expns | $15,056,705 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,604,426 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,452,279 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05520 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 2 | PersonsServedCnt |
| Total Community Benefit Expns | $84,500 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $84,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 1 | PersonsServedCnt |
| Total Community Benefit Expns | $400,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $400,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00500 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 3 | PersonsServedCnt |
| Total Community Benefit Expns | $509,350 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $509,350 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00630 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 1 | PersonsServedCnt |
| Total Community Benefit Expns | $10,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 7 | PersonsServedCnt |
| Total Community Benefit Expns | $1,003,850 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,003,850 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01240 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $13,322,257 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $20,583,634 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $14,655,453 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $5,928,181 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Richmond Community Hospital Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1500 N 28th Street | AddressLine1Txt |
| City | Richmond | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23223 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | bonsecours.com | WebsiteAddressTxt |
| State License | H1832 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Richmond Community Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Section C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Section C | StrategyWebsiteURLTxt |
| Strategy Attached | Yes (1) | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 0.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.fa.bonsecours.com | FAPAppAvailableOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Collection Activities | Yes (1) | CollectionActivitiesInd |
| Reporting To Credit Agency | Yes (X) | ReportingToCreditAgencyInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Richmond Community Hospital, Inc. | Part V, Section B, Line 5: 2016 CHNA: 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:- Important health concerns in the community;- Significant service gaps in the community; - 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. |
| Richmond Community Hospital, 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. |
| Richmond Community Hospital, Inc. | Part V, Section B, Line 11: 2016 CHNA: 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. |
| Richmond Community Hospital, 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. |
| Richmond Community Hospital, 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. |
| Richmond Community Hospital, 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 19 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (19 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - BREMO OPIC Pharmacy | ||||
| 5875 Bremo Road MOB South Suite G-2 | Richmond | VA | 23226 | Outpatient Drug Infusion Center Pharmacy |
| 2 - Southside OPIC Pharmacy | ||||
| 13801 St Francis Blvd Suite 1300A | Midlothian | VA | 23114 | Outpatient Drug Infusion Center Pharmacy |
| 3 - Hanover OPIC Pharmacy | ||||
| 8260 Atlee Road MOB III Suite 206 | Mechanicsville | VA | 23116 | Outpatient Drug Infusion Center Pharmacy |
| 4 - Richmond Community Hopital Infusion Cent | ||||
| 5875 Bremo Road MOB South Suite G-2 | Richmond | VA | 23226 | Outpatient Drug Infusion Center |
| 5 - RCH OPIC Pharmacy | ||||
| 1510 N 28th Street Suite 110 | Richmond | VA | 23233 | Outpatient Drug Infusion Center Pharmacy |
| 6 - Richmond Community Hopital Infusion Cent | ||||
| 13801 St Francis Blvd Suite 1300A | Midlothian | VA | 23114 | Outpatient Drug Infusion Center |
| 7 - Pediatric OPIC Pharmacy | ||||
| 5875 Bremo Road MOB South Suite G-2 | Richmond | VA | 23226 | Outpatient Drug Infusion Center Pharmacy |
| 8 - Richmond Community Hopital Infusion Cent | ||||
| 8262 Atlee Road MOB III Suite 206 | Mechanicsville | VA | 23116 | Outpatient Drug Infusion Center |
| 9 - Richmond Hope Therapy Center | ||||
| 4900 Dominion Boulevard Suite B | Glen Allen | VA | 23060 | Outpatient Physical Therapy |
| 10 - Laburnum Diagnostic Imaging | ||||
| 4630 S Laburnum Ave Suite C | Richmond | VA | 23231 | Outpatient Imaging Center |
| 11 - Outpatient Infusion Center RCH | ||||
| 1510 N 28th Street Suite 110 | Richmond | VA | 23233 | Outpatient Drug Infusion Center |
| 12 - Richmond Community Hopital Infusion Cent | ||||
| 5855 Bremo Rod MOB North Suite 605 | Richmond | VA | 23226 | Outpatient Drug Infusion Center |
| 13 - RCH-Commonwealth GYN Oncology | ||||
| 5875 Bremo Road MOB South Suite G-5 | Richmond | VA | 23226 | BSMG Physician Practice |
| 14 - RCH-Cancer Inst-Med Onc SFMC | ||||
| 14051 St Francis Blv | Midlothian | VA | 23114 | BSMG Physician Practice |
| 15 - Diabetes Center | ||||
| 1510 N 28th St - Ste 201 | Richmond | VA | 23233 | Diabetes Treatment Center |
| 16 - RCH-Liver Institute of VA-SMH | ||||
| 1510 N 28th St - Ste 305 | Richmond | VA | 23233 | BSMG Physician Practice |
| 17 - Liver Institute of VA-MIH | ||||
| 12720 McManus Blvd | Newport News | VA | 26302 | BSMG Physician Practice |
| 18 - RCH-Cancer Inst-Med Onc at SMH | ||||
| 5875 Bremo Road Suite 209 | Richmond | VA | 23226 | BSMG Physician Practice |
| 19 - RCH Cancer Inst Med OncMRMC | ||||
| 8266 Atlee Rd - Ste 219 | Mechanicsville | VA | 23116 | BSMG Physician Practice |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 nonpatient care activities recorded in operating expenses are approximated as directly equaling other operating revenue, assuming these activities do not provide profit. Part I, line 7e: Community health improvement services and community benefit operations are accumulated throughout the year and reported at actual cost in a software program that specifically addresses this purpose.Part I, line 7f: Health professions education cost is determined as the direct and indirect cost of qualifying education activities as traditionally reported in columns 21-24 on Worksheet B of the Medicare cost report as a Medical Education program, nursing school or other allied health program. |
| Part I, Ln 7 Col(f): | Bad debt expense included in Part IX; line 25 and excluded from the "percent of total expense" calculation is: $13,322,257. |
| Part II, Community Building Activities: | Funding was provided to community partners working in Richmond's East End to renovate housing, create community gardens, stimulate economic development through seed funding, enhance children's educational experiences and provide recreational opportunities to children residing in public housing. |
| 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 "accountsreceivable" on pages 12-13 in the attached BSHSI consolidated auditedfinancial statements ("AFS"). "Allowance for uncollectible accounts" isdiscussed in the second paragraph in Footnote "(10) Net Patient ServiceRevenue" on pages 42-43 of the attached AFS. There is not a separate "bad debt expense" footnote in the AFS. |
| Part III, Line 8: | Medicare allowable costs reflected in Part III come directly from the facility's Medicare cost report. The cost report segregates the total facility actual expenses into costs for support departments, clinical departments (routine and ancillary) and nonreimburseable departments. The cost report uses appropriate statistical bases to "step down" support costs to allowable clinical and nonreimburseable departments. The charges for clinical departments are matched to the total cost for these departments for a cost-to-charge ratio. Medicare-specific allowable costs for in- and outpatient ancillary departments are computed by applying the department-specific cost-to-charge ratio to the Medicare program charges by department. For routine departments, a per diem total cost is computed and applied to Medicare program days for the Medicare routine program cost.In addition to the costs reported above, the organization incurred additional costs relating to medicare support that are not includable in the Medicare Cost Report in the amount of: $1,426,063. |
| Part III, Line 9b: | The hospital has a written policy that describes collection practices applying to patients that qualify for charity care or financial assistance. If full assistance is approved, no collection efforts are pursued on that patient's account(s). If partial assistance is provided, the patient is responsible for the adjusted account balance and collection efforts will follow the established practices for all patients where a self-pay balance exists. Collection efforts are not pursued on any pending FAP account.Specific criteria exist for how much financial assistance, partial or total, will be provided to the patient based on the assessed need. Criteria is based on Federal Poverty Guidelines and is reviewed and updated annually. Once a patient has been deemed eligible for the Patient Financial Assistance Program (FAP), the patient is notified by letter within 60 days after receipt of the application and supporting documentation. The patient retains eligibility for a period of twelve months from the date of the application. This eligibility is signaled to hospital admissions, billing and collection staff by the assignment of a specific financial class with accompanying eligibility dates. At the end of those twelve months, the patient is responsible for reapplying for FAP eligibility. |
| Part VI, Line 2: | The 2016 CHNA was conducted during Fiscal Year 2016 (September 1, 2015 to August 31, 2016) by the Community Health Services team in order to prepare documents by the end of the fiscal year. It was determined that existing quantitative data, augmented by a community survey, and community conversations would be used to identify and prioritize health indicators. All identified needs were reported to the Community Advisory Board to prioritize based on need and feasibility. An executive summary and report was then presented to system leadership from Mission. Findings were then presented to the Executive Management Team for further review and comment. Finally, a presentation was made to the Bon Secours Richmond Health System Board for final approval prior to being made available to the public.Quantitative DataData was gathered and compiled via publically available data sources such as County Health Rankings, the Census Bureau, and the Virginia Department of Health. The data presented in the CHNA reflects how the area served by Bon Secours Richmond Health System compares to Virginia overall and/or the nation. Health issues and conditions were either identified by the community during qualitative community conversations or are issues which deviated from the state or national findings.Community Input Input from community members was included in assessing health care needs as described in Part V, Section B, Line 5. |
| Part VI, Line 3: | Patient financial assistance policy is communicated to patients verbally upon scheduling, registration, visible postings of the policy in common areas throughout the hospital, brochures and on Bon Secours website. In addition, patient statements request that patients apply for financial assistance, if needed, once any patient financial obligation is determined.Bon Secours is committed to ensuring access to health care services for all. As a health care provider, Bon Secours treats all patients, whether insured, underinsured or uninsured, with dignity, respect and compassion throughout admission, delivery of services, discharge and billing and collection processes. Bon Secours addresses the needs of the uninsured by providing free or reduced fees on hospital services, community outreach efforts to assist with enrollment in Medicaid and other medical coverage programs, including free community-based preventive and primary care services. Bon Secours proactively screens to identify individuals and their families who may qualify for federal, state or local health insurance programs or the Bon Secours Patient Financial Assistance Program ("FAP") and assist the potential eligible patients through the qualification process. Potentially eligible patients that do not qualify for a federal or state health insurance program are referred to the Financial Assistance Coordinator located in Patient Financial Services for assistance in completing the documentation required to establish FAP eligibility. Patients are responsible for providing the information necessary to complete the documentation. The FAP aids uninsured and underinsured patients who do not qualify for government-sponsored health insurance and who communicate their inability to pay for their medical care. The FAP provides 100% financial assistance to uninsured patients with annual family incomes at or below 200% of the Federal Poverty Guidelines ("FPG"), A sliding scale assistance policy is afforded patients that exceed the income guidelines for 100% assistance. Sliding scale assistance is provided to patients and progressively declines in proportion to the patient's higher income level. Additionally, all uninsured (i.e. self pay) patients are given a reduction to the amount of the full charges for medically necessary services through a community service adjustment ("CSA"). The CSA is market adjusted and based on the payment discount received by other health care payers doing business in the community. For these patients, the FAP also sets a maximum annual family payment liability to ensure that no family suffers a catastrophic financial burden to receive necessary health care services. Based on research conducted by the Tax Foundation, a non partisan tax research group based in Washington DC, the maximum annual family liability is based on a sliding scale determined by the family income and size. In addition, a variety of other potential payment options are available. Bon Secours is dedicated to meeting the needs of non-English speaking patients by having on-site Spanish translators, and other language translation services. In addition, Bon Secours employs a telephone language service which assists in meeting any language needs that arise. The translation services are offered to non-English speaking patients from admission to discharge, including the financial process. |
| Part VI, Line 4: | The Richmond Community Hospital service area consists of 34 zip codes that fall mostly in the counties of Chesterfield, Hanover, Henrico; and the cities of Petersburg and Richmond. The service area covers a large and diverse section of Virginia, so it is not surprising that the needs assessment bears out many state trends. The study region for Richmond Community Hospital contained 851,230 people as of 2010, of which 52% are female and 48% male--a population that is was expected to grow to 890,905 by 2015. Compared to the Commonwealth of Virginia as a whole, this region is more densely populated (583.0 people per sq. mile) and is proportionately more Black/African American (32%). It is helpful to note that the service area for Richmond Community is expansive in part because it is one of the few facilities providing acute psychological treatment, constituting 40 dedicated beds within the acute care facility. The median household income of the community is $56,631, just under the median income in Virginia of $60,034. The study region also has lower income levels (29% are Low Income Households with income less than $35,000). |
| Part VI, Line 5: | Richmond Community Hospital has an open medical staff with privileges available to all qualified physicians in the area. Richmond Community Hospital through the Bon Secours Richmond Health System is governed by a board of directors whose composition is representative of the community. Richmond Community Hospital engages in medical research. Inpatient and outpatient research-related activities are conducted by Richmond Community with oversight from the Bon Secours Richmond Health System Institutional Review Board. The Care-A-Vans are mobile health care clinics, which travel throughout the Richmond Metro area to provide free primary, urgent and preventive care to patients. Patients on these vans speak many different languages. Approximately one-third of the Care-A-Van's staff are bilingual in English and Spanish. Each van is a self-contained mobile clinic with examining rooms, storage, bathroom, and waiting area. Services include health screenings, childhood immunizations, flu shots for adults, school physicals for uninsured children and examination and treatment of sick patients who are uninsured. Patients who need health care from specialists are referred to volunteer physicians within the community including Bon Secours Medical Group physicians. The vans make regular stops six days a week at churches providing 12,594 patient visits in FY 16. Bon Secours Richmond Health System partnered with the Daily Planet, a federally qualified health center and St. Joseph's Villa for Children, a not-for-profit organization serving children with special needs, at risk youth, and adults with disabilities to create St. Joseph's Outreach Clinic. The clinic provides primary care services to both the insured and the uninsured and serves a large Hispanic population. In FY 16, 6,945 patient visits were provided. Controlling Asthma in the Richmond Metropolitan Area (CARMA) works to improve the management of pediatric asthma through collaborative partnerships with multiple health care systems, schools, American Lung Association, community physicians and schools, case management organizations, and universities. In FY 16 410 children, parents, teachers and physicians were directly served through CARMA's services. Every Women'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. To address the issue of high infant mortality in the Richmond Community Hospital service area, Healthy Beginnings was initiated. Healthy Beginnings is a resource center located on the campus of Richmond Community Hospital. The program targets teenage and young adult women who are pregnant or considering pregnancy. 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, nonstock membership corporation (BSHSI), and all of the other entities that are controlled directly or indirectly by Bon Secours, Inc., a Maryland nonprofit, nonstock membership corporation (BSI) are described collectively as the System. BSI, which is the sole corporate member of BSHSI, has no healthcare operations. The System was organized in June 1983 to fulfill the healthcare mission of the United States Province of the Congregation of the Sisters of Bon Secours of Paris, a congregation of religious women of the Roman Catholic Church founded in France in 1824. The System's activities are in the states of New York, Pennsylvania, Maryland, Virginia, Kentucky, South Carolina, and Florida, each referred to as a local system. The Ministry of BSHSI aids those in need, particularly those who are sick and dying, by offering services that include but are not limited to acute inpatient, outpatient, pastoral, palliative, home health, nursing home, rehabilitative, primary and secondary care and assisted living without regard to race, religion, color, gender, age, marital status, national origin, sexual orientation, or disability. As a member of the Catholic health ministry and a member of Bon Secours Health System, Inc. (BSHSI), this organization and its related entities are called to continue the healing ministry of Jesus. We exist to benefit the people living in the communities it serves. Through all of the services offered to the community, the mission is "to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a System of caregivers, we commit ourselves to help bring people and communities to health and wholeness as part of the healing ministry of Jesus Christ and the Catholic Church." This organization and related organizations share the BSHSI Vision. BSHSI's vision to partner with communities to create a more humane world, build social justice for all and provide exceptional value for those served is implemented through its Strategic Quality Plan which provides focus in four goal areas for the current three year period (2016-2018). - Co-Create Healthy Communities: We recognize that the factors which drive health outcomes extend well beyond the scope of traditional health care services. Thus, we commit to improve the health of communities through partnership and collaboration with a broad range of constituencies including committed community residents. - Be Person Centric: We recognize that those whom we serve are increasingly engaged in their own care and are seeking convenience, affordability and reliability. Thus, we commit to anticipate and respond to the changing expectations of health care consumers, and to ensure that we engage each person in an individualized plan for health with a focus on prevention and wellness. - Serve Those Who Are Vulnerable: We recognize, by our Catholic identity, that the struggle for a more humane world is not an option, but an integral part of spreading the gospel. Thus, we commit to serve those who are vulnerable in many ways, addressing health disparities, sustaining global ministries, healing the environment and working to end violence and oppression.- Strengthen Our Culture and Capabilities: We recognize that the health care delivery system is undergoing rapid change with increasing complexity. Thus, we commit to liberate the potential of our people by strengthening individual and collective capabilities with respect to ministry leadership, knowledge, analytics, innovation and finances. Please see Schedule R for listings of the related organizations. Each of the reported entities play a role in achieving the vision of BSHSI and the SQP (Strategic Quality Plan). |
| Part VI, Line 7, Reports Filed With States | VA |
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 Richmond Healthcare Foundation | 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 | 541201346 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $59,321 | CashGrantAmt |
| Purpose Of Grant | Capital Funding Reimbursement | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Indigent Cab Fare | GrantTypeTxt |
| Recipient | 378 | RecipientCnt |
| Cash Grant | $9,465 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 2: | The organization complies with Bon Secours Health System, Inc.'s system-wide financial and accounting policies. Contributions are generally made as reimbursements for funds spent. In such cases, the donee/grantee organization must provide documentation to the filing organization before funds are approved for disbursement. |
| Schedule I, Part III | Cab fares are estimated based on $25/fare. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||||
| Board Member | $0 | $283,823 | $0 | $76,882 | $0 | $59,873 | $0 | $6,666 | $0 | $6,435 | $0 | $433,679 | $0 | $0 |
| Mark Gordon | ||||||||||||||
| BM (Sep-Dec)/CEO-MRMC&RCH&RGH (Oct-A | $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 | ||||||||||||||
| BM (Sep-Dec)/CEO-MRMC&RCH&RGH (Sep) | $0 | $416,013 | $0 | $253,927 | $0 | $207,777 | $0 | $15,900 | $0 | $10,782 | $0 | $904,399 | $0 | $0 |
| Stephan Quiriconi | ||||||||||||||
| Treasurer | $0 | $279,576 | $0 | $50,368 | $0 | $30,925 | $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 |
| Michelle Dickerson | ||||||||||||||
| Nursing Admin | $157,472 | $0 | $31,579 | $0 | $131 | $0 | $7,893 | $0 | $25,907 | $0 | $222,982 | $0 | $0 | $0 |
| Jill Kennedy | ||||||||||||||
| VP-CNE | $0 | $240,366 | $0 | $64,033 | $0 | $547 | $0 | $4,971 | $0 | $26,373 | $0 | $336,290 | $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 |
| Sultan Lakhani | ||||||||||||||
| Psychiatrist | $213,370 | $0 | $191,234 | $0 | $1,734 | $0 | $13,250 | $0 | $19,220 | $0 | $438,808 | $0 | $0 | $0 |
| Virginia Stephens | ||||||||||||||
| RN - WKD CC | $160,975 | $0 | $5,568 | $0 | $116 | $0 | $6,796 | $0 | $17,325 | $0 | $190,780 | $0 | $0 | $0 |
| Soo Kim | ||||||||||||||
| Pharmacist | $132,881 | $0 | $300 | $0 | $159 | $0 | $7,055 | $0 | $20,789 | $0 | $161,184 | $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, Lines 4a-b | Bon Secours Health System, Inc. has system wide severance policies for various levels of executive management. Executive positions throughout the system may include, but are not limited to, CEO/President, CFO, COO, EVP, SVP, VP and Directors. Severance periods vary based on length of service, subsequent employment and violations of the severance policy. Generally, severance periods can be up to 24 months. Benefits may include, but are not limited to, base salary, certain health benefits and payment of unused vacation. The following individual(s) received severance payments during the applicable calendar year: Michael Robinson, $76,250. The filing organization participates in a BSHSI sponsored executive retirement program that allows for deposits into additional retirement plans and is available only to key employees. The 457F plan is a non-qualified plan and is subject to a minimum three-year service requirement before vesting on deposits made into this plan. Individuals that received a distribution include: Toni Ardabell, $28,288; Peter Bernard, $617,982. Mark Gordon, $17,439. |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $101,342 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Cost or selling price | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Column (b): | FormAndLineReferenceDesc |
| Explanation | The amount reported in Column (b) refers to the number of contributions. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 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 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 Richmond Community Hospital, Inc. |
| Form 990, Part VI, Section A, line 7a | The governing body of Richmond Community Hospital, Inc. is appointed by its member Bon Secours - Richmond Health System and subject to approval by Bon Secours Health System, Inc. |
| Form 990, Part VI, Section A, line 7b | Certain authorities of Richmond Community Hospital, Inc. are reserved to its member or to Bon Secours Health System, Inc. |
| Form 990, Part VI, Section B, line 11 | The process the organization uses to review the Form 990 consists of a review by the local system's audit and compliance board-committee and providing the form to the local system board of directors to allow for a thorough review by both before the filing date. The local system's audit and compliance committee and board of directors have reviewed the Form 990, scheduled time on meeting agendas, and asked questions regarding the Form 990 before the return is filed. |
| Form 990, Part VI, Section B, line 12c | The organization regularly and consistently monitors compliance with the conflict of interest policy. On an annual basis, all persons subject to the policy, including all officers, directors and key employees are required to make certain disclosures. These include disclosures related to certain personal, financial and organizational relationships that may present a conflict, or the appearance of a conflict of interest with the organization. All disclosures go through a three-part review process: (1) disclosures are reviewed first by the corporate responsibility officer (CRO); (2) a governance team comprised of the CEO, board president, board chair, CRO, and the BSHSI CRO participate in a second review of all disclosures during which recommendations are made as to the resolution of any conflicts or potential conflicts. Depending on the facts and circumstances, resolutions may include ongoing disclosure, recusal or removal of the conflict; and (3) all disclosures and recommendations are reviewed by a board committee (audit and compliance committee reviews the disclosures of management and the governance committee reviews the disclosures of the board and board committee members). |
| Form 990, Part VI, Section B, line 15b | The compensation committee of the board of Bon Secours Health System, Inc. (BSHSI) engages in a comprehensive process for the oversight and management of remuneration for executive employees and disqualified parties of BSHSI. The compensation committee consists of a group of independent board members and engages an independent external compensation consultant to ensure they receive appropriate analysis of market and follow the practices necessary to obtain full compliance with the IRS' rebuttable presumption of reasonableness. The committee establishes and maintains a compensation philosophy; reviews pay practices against local, regional and national healthcare organizations and approves all remunerative decisions for this group of individuals. The committee reviews and receives assurances that all levels of pay within the organization are reasonable based on performance and validates incentives are met. These decisions are documented in the BSHSI board of 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. The governing bodies of the hospitals of Bon Secours Richmond Health System, including Bon Secours St. Mary's Hospital, Bon Secours St. Francis Medical Center, Bon Secours Memorial Regional Medical Center, Richmond Community Hospital, Chesapeake Hospital Corporation, as well as the Chesapeake Medical Group, are comprised of the same board members and board officers (Chairman, President, Secretary and Treasurer). These governing bodies are referred to as the Richmond Joint Board. Hours reported for these voluntary board positions represent total hours worked per week, which include responsibilities for all entities mentioned above. Sr. Anne Marie Mack and Sr. Victoria Segura do not receive payroll distributions as they have taken vows of poverty. |
| Form 990, Part XI, line 9: | Pledge Write-offs -38,743. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 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 | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Bon Secours Health System Inc | |||||||||||
| 1505 Marriottsville Road | Marriottsville | MD | 21104 | 521301088 | Parent Org. Management Services | MD | 501(c)(3) | Line 11c, III-FI | Bon Secours Inc | 0 | |
| Bon Secours Richmond Health System | |||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 521988421 | Local System Parent Org. | VA | 501(c)(3) | Line 9 | Bon Secours Richmond LLC | 0 | |
| Bon Secours Memorial Regional Medical Center | |||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541744931 | Health Care | VA | 501(c)(3) | Line 3 | Bon Secours Richmond LLC | 0 | |
| Bon Secours St Mary's Hospital Inc | |||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 540793767 | Health Care | VA | 501(c)(3) | Line 3 | Bon Secours Richmond Health System | 0 | |
| Bon Secours St Francis Medical Center | |||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 311716973 | Health Care | VA | 501(c)(3) | Line 3 | Bon Secours Richmond Health System | 0 | |
| Laburnum Properties | |||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 521260700 | Title Holding Company | VA | 501(c)(2) | Bon Secours Richmond Health System | 0 | ||
| Bon Secours Richmond Healthcare Foundation | |||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541201346 | Grant Making Foundation | VA | 501(c)(3) | Line 7 | Bon Secours Richmond LLC | 0 | |
| Richmond Community Hospital Foundation | |||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541780854 | Grant Making Foundation | VA | 501(c)(3) | Line 11b, II | 0 | N/A | |
| Rappahanock General Hospital Foundation | |||||||||||
| 101 Harris Road | Kilmarnock | VA | 22482 | 541210450 | Supporting Organization | VA | 501(c)(3) | Line 7 | Bon Secours Richmond Health System | 0 | |
| Chesapeake Medical Group | |||||||||||
| 101 Harris Road | Kilmarnock | VA | 22482 | 541857174 | Healthcare Services | VA | 501(c)(3) | Line 9 | Bon Secours Richmond Health System | 0 | |
| Chesapeake Hospital Corporation | |||||||||||
| PO Box 1449 | Kilmarnock | VA | 22482 | 237424835 | Health Care | VA | 501(c)(3) | Line 3 | Bon Secours Richmond Health System | 0 | |
| IVNA Health Services | |||||||||||
| 5008 Monument Ave | Richmond | VA | 23230 | 541479847 | Healthcare Services | VA | 501(c)(3) | Line 9 | Bon Secours Home Care LLC | 0 | |
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 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 | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| CCHC Inc | |||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541812738 | Ambulatory Healthcare Services | VA | N/A | C | 0 |
| RHS Management Corporation | |||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541313425 | Independent Living Facility | VA | N/A | C | 0 |
| Bon Secours - Virginia HealthSource Inc | |||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541417686 | Ambulatory Healthcare Services | VA | N/A | C | 0 |
| Richmond MRI Inc | |||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541568452 | Imaging Services | VA | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 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 | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |