Chesapeake Hospital Corporation: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- Chesapeake Hospital Corporation (EIN 23-7424835)
- Tax period
- 2014-04-01 to 2015-03-31
- Filed
- 2016-02-29
- IRS object ID
- 201600609349300625
- Schema version
- 2014v6.0
- 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 D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-02-29T11:34:45-06:00 | ReturnTs |
| Tax Period End | 2015-03-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237424835 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Chesapeake Hospital Corporation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHES | BusinessNameControlTxt |
| Phone | 8044358582 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 Harris Drive | AddressLine1Txt |
| City | Kilmarnock | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22482 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Steve Quiriconi | PersonNm |
| Person Title | Treasurer | PersonTitleTxt |
| Phone | 8044358582 | PhoneNum |
| Signature | 2016-02-29 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rappahannock General Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Toni Ardabell | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 Harris Drive | AddressLine1Txt |
| City | Kilmarnock | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22482 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $35,076,433 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | richmond.bonsecours.com/find-a-facility.html | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1977 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | Not-for-profit Acute Care Hospital | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 418 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $4,464 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,243,998 | PYContributionsGrantsAmt |
| CY Contributions Grants | $160,921 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $29,718,519 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,536 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,081 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$15,592 | PYOtherRevenueAmt |
| CY Other Revenue | $5,052,777 | CYOtherRevenueAmt |
| PY Total Revenue | $1,229,942 | PYTotalRevenueAmt |
| CY Total Revenue | $34,934,298 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $660,515 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $18,007,247 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $75,000 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $87,461 | PYOtherExpensesAmt |
| CY Other Expenses | $24,677,669 | CYOtherExpensesAmt |
| PY Total Expenses | $822,976 | PYTotalExpensesAmt |
| CY Total Expenses | $42,684,916 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $406,966 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$7,750,618 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $25,590,188 | TotalAssetsBOYAmt |
| Total Assets EOY | $27,353,670 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,036,899 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $17,804,303 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $16,553,289 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $9,549,367 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The organization operates an acute care general hospital. The hospital has a community based board of directors, has an open medical staff, operates an emergency room providing care to all regardless of ability to pay, and provides non-emergency services to any with the ability to pay including Medicare and Medicaid covered individuals. The organization is dedicated to the provision of quality, compassionate care to all patients in the most cost effective manner. This will be accomplished through the most effective use of available resources and will reflect ethical decisions, including the effective management of pain, made jointly by the patients, the family, and health care professionals involved in its care. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $40,381,573 | ExpenseAmt |
| Revenue | $30,124,271 | RevenueAmt |
| Desc | Rappahannock General Hospital is the only provider of inpatient and outpatient acute care services within a five county area. The hospital is licensed to operate 76 beds, including 47 medical/surgical beds, 7 intensive/critical care beds, 12 telemetry care beds and 10 psych beds. The hospital also offers our community major diagnostic and treatment capabilities; clinical and blood bank laboratory services; radiology services including diagnostic x-ray, digital mammography, digital fluoroscopy, bone densitometry, arteriography, angiography with digital subtraction, noninvasive vascular laboratory, ultrasonography, nuclear medicine, MRI, CT scanning, oncology, inpatient and same day surgery; respiratory therapy; physical therapy; lithotripsy; and radiation therapy. Chesapeake Hospital Corporation provided numerous services for the community which included health fairs for different civic groups in the five county areas. The services offered by the hospital range from cholesterol, blood pressure, glucose, literature and cancer information and/or screenings. Community benefits are provided through many reduced price services and free programs offered throughout the year based on activities and services which the hospital believes will serve a bona fide community health need. This includes the cancer treatment and education center support groups and education for patients and their families. The emergency department offers CPR, heart saver courses, and pediatric basis life support. We also sponsor a diabetic education course for people with diabetes and their families. The organization also volunteers staff and facilities for an annual senior conference to address various issues relevant to the senior population, such as Alzheimer, strokes, home care, etc. The organization was involved in 26 programs and served 1,767 individuals. Please see Sch H for additional information. | Desc |
| Total Program Service Expenses | $40,381,573 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | 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 | 14 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 418 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 | 20 | 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 | 0 | 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 | Yes (1) | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | John Headley | PersonNm |
| Phone | 8044358000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 Harris Road | AddressLine1Txt |
| City | Kilmarnock | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22482 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (42 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 |
|---|---|---|---|---|---|---|---|---|---|
| BH Hubbard III | |||||||||
| Chairman (Apr-Dec)/BM (Jan-Mar) | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| James Carter Jr | |||||||||
| Board Member (Apr-Dec) | 10.00 | 30.00 | Yes (X) | $0 | $0 | $0 | |||
| David Charlton Dr | |||||||||
| Board Member (Apr-Dec) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| James Chase Jr | |||||||||
| Secretary (Apr-Dec) | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Frederick Cole | |||||||||
| Board Member (Apr-Dec) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Elizabeth Crowther Dr | |||||||||
| Board Member (Apr-Dec) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| June Daffeh | |||||||||
| Board Member (Apr-Dec) | 40.00 | 0.00 | Yes (X) | Yes (X) | $229,000 | $0 | $0 | ||
| Edward Harrow Jr | |||||||||
| Board Member (Apr-Dec) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| James Holmes Jr | |||||||||
| President/Treasurer (Apr-Dec)/BD (Jan-Mar) | 23.00 | 17.00 | Yes (X) | $0 | $233,879 | $0 | |||
| Garfield Parker | |||||||||
| Board Member (Apr-Dec) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| C Penick | |||||||||
| Vice Chairman (Apr-Dec) | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Stephen Whiteway | |||||||||
| Board Member (Apr-Dec) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Jean Bolling | |||||||||
| Board Member (Jan-Mar) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| John Bowman MD | |||||||||
| Board Member (Jan-Mar) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Barry Case | |||||||||
| Board Member (Jan-Mar) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Chandrashekar Challa | |||||||||
| Board Member (Jan-Mar) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| John Daniel III MD | |||||||||
| Board Member (Jan-Mar) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Anup Gokli MD | |||||||||
| Board Member (Jan-Mar) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Allen Goolsby III | |||||||||
| Secretary (Jan-Mar) | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Mark Gordon | |||||||||
| Board Member (Jan-Mar) | 2.00 | 48.00 | Yes (X) | $0 | $546,935 | $49,326 | |||
| Pamela Hacker | |||||||||
| Board Member (Jan-Mar) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Sr Anne Mack CBS | |||||||||
| President (Jan-Mar) | 3.00 | 48.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Joanne Nattrass | |||||||||
| Board Member (Jan-Mar) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Fr Jack Podsiadlo | |||||||||
| Board Member (Jan-Mar) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Michael Robinson | |||||||||
| Board Member (Jan-Mar) | 2.00 | 48.00 | Yes (X) | $0 | $730,851 | $25,808 | |||
| Sr Victoria Segura CBS | |||||||||
| Board Member (Jan-Mar) | 2.00 | 48.00 | Yes (X) | $0 | $0 | $0 | |||
| William Shewmake | |||||||||
| Board Member (Jan-Mar) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Shannon Sinclair | |||||||||
| Board Member (Jan-Mar) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| William Stallings MD | |||||||||
| Board Member (Jan-Mar) | 38.00 | 2.00 | Yes (X) | Yes (X) | $224,680 | $0 | $16,206 | ||
| Nancy Thomas | |||||||||
| Chair (Jan-Mar) | 3.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Michael Williams | |||||||||
| Board Member (Jan-Mar) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Thomas Winfree | |||||||||
| Board Member (Jan-Mar) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| John Headley | |||||||||
| Treasurer (Apr-Dec) | 30.00 | 10.00 | Yes (X) | $0 | $155,680 | $0 | |||
| Toni Ardabell | |||||||||
| CEO-Richmond(Jan-Mar) | 1.00 | 49.00 | Yes (X) | $0 | $734,625 | $39,627 | |||
| Peter Bernard | |||||||||
| CEO - Virginia (Jan-Mar) | 1.00 | 49.00 | Yes (X) | $0 | $1,489,553 | $197,160 | |||
| Stephan Quiriconi | |||||||||
| Treasurer (Jan-Mar) | 2.00 | 48.00 | Yes (X) | $0 | $307,530 | $13,955 | |||
| Jim Godwin | |||||||||
| VP HR | 2.00 | 48.00 | $0 | $254,827 | $28,849 | Yes (X) | |||
| Paul Sutherland MD | |||||||||
| Physician | 40.00 | 0.00 | $348,017 | $0 | $12,969 | Yes (X) | |||
| Virginia Gale MD | |||||||||
| Physician | 40.00 | 0.00 | $311,189 | $0 | $20,160 | Yes (X) | |||
| Stephen Perkins MD | |||||||||
| Physician | 40.00 | 0.00 | $301,320 | $0 | $20,160 | Yes (X) | |||
| Saheed Ojo Oniyun MD | |||||||||
| Physician | 40.00 | 0.00 | $196,786 | $0 | $16,704 | Yes (X) | |||
| James Bryant MD | |||||||||
| Physician | 40.00 | 0.00 | $212,602 | $0 | $12,942 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,823,594 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,453,880 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $453,866 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | 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 |
|---|---|---|---|---|---|
| Virginia Anesthesia | |||||
| 760 McQuire Place | Newport News | VA | 23601 | Physician Services | $700,003 |
| Linde Healthcare | |||||
| PO Box 915241 | Dallas | TX | 75391 | Physician Services | $195,756 |
| Kaufman & Canoles | |||||
| PO Box 3037 | Norfolk | VA | 23514 | Legal Services | $188,694 |
| Carter Financial Corp | |||||
| PO Box 13750 | Irvington | VA | 22480 | Consulting | $150,000 |
| Richard Carpenter MD | |||||
| PO Box 3391 | Martinsville | VA | 24115 | Physician Services | $144,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $147,909 | RelatedOrganizationsAmt |
| Government Grants | $7,686 | GovernmentGrantsAmt |
| All Other Contributions | $5,326 | AllOtherContributionsAmt |
| Total Contributions | $160,921 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Net Patient Service Re | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $29,718,519 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $29,714,055 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $4,464 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $29,718,519 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,081 | TotalRevenueColumnAmt |
| Exclusion | $2,081 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $132,465 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $142,135 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$9,670 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$9,670 | TotalRevenueColumnAmt |
| Exclusion | -$9,670 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Gain from Revaluation, | 900099 | $4,392,840 | $4,392,840 | |
| ER & CMG & HH - Physic | 623000 | $389,122 | $389,122 | |
| Cafeteria and Vending | 900099 | $226,251 | $226,251 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $54,234 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,094 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $33,140 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,062,447 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $34,934,298 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $30,124,271 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $4,464 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,644,642 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $241,934 | TotalAmt |
| Program Services | $217,741 | ProgramServicesAmt |
| Management And General | $24,193 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,107,104 | TotalAmt |
| Program Services | $13,596,394 | ProgramServicesAmt |
| Management And General | $1,510,710 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $258,011 | TotalAmt |
| Program Services | $232,210 | ProgramServicesAmt |
| Management And General | $25,801 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,146,121 | TotalAmt |
| Program Services | $1,031,509 | ProgramServicesAmt |
| Management And General | $114,612 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,254,077 | TotalAmt |
| Program Services | $1,128,669 | ProgramServicesAmt |
| Management And General | $125,408 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $264,414 | TotalAmt |
| Program Services | $237,973 | ProgramServicesAmt |
| Management And General | $26,441 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,278 | TotalAmt |
| Program Services | $13,750 | ProgramServicesAmt |
| Management And General | $1,528 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,136,747 | TotalAmt |
| Program Services | $2,136,747 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,594 | TotalAmt |
| Program Services | $9,535 | ProgramServicesAmt |
| Management And General | $1,059 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $462,871 | TotalAmt |
| Program Services | $416,584 | ProgramServicesAmt |
| Management And General | $46,287 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,399 | TotalAmt |
| Program Services | $72,359 | ProgramServicesAmt |
| Management And General | $8,040 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $394,774 | TotalAmt |
| Program Services | $355,297 | ProgramServicesAmt |
| Management And General | $39,477 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,008 | TotalAmt |
| Program Services | $38,707 | ProgramServicesAmt |
| Management And General | $4,301 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $327,797 | TotalAmt |
| Program Services | $327,797 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $927,662 | TotalAmt |
| Program Services | $834,896 | ProgramServicesAmt |
| Management And General | $92,766 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $697,551 | TotalAmt |
| Program Services | $627,796 | ProgramServicesAmt |
| Management And General | $69,755 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Bad Debt Expense | $11,978,364 | $11,978,364 | |
| Medical Supplies | $5,208,573 | $5,208,573 | |
| Repairs, Maint., Rental | $1,132,817 | $1,019,535 | $113,282 |
| Corp Mgmt Dues - CHS | $682,848 | $614,563 | $68,285 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $313,972 | TotalAmt |
| Program Services | $282,574 | ProgramServicesAmt |
| Management And General | $31,398 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,684,916 | TotalAmt |
| Program Services | $40,381,573 | ProgramServicesAmt |
| Management And General | $2,303,343 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,330 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,797 | BOYAmt |
| EOY | $368,522 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,366,945 | BOYAmt |
| EOY | $2,749,963 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,109 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $818,842 | BOYAmt |
| EOY | $846,805 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $717,195 | BOYAmt |
| EOY | $460,980 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $15,833,577 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $296,856 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,746,063 | BOYAmt |
| EOY | $15,536,721 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $163,216 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,669 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,567 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,739,671 | BOYAmt |
| EOY | $7,227,463 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,590,188 | BOYAmt |
| EOY | $27,353,670 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,074,695 | BOYAmt |
| EOY | $3,581,840 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $835,497 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,126,707 | BOYAmt |
| EOY | $14,222,463 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,036,899 | BOYAmt |
| EOY | $17,804,303 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,422,611 | BOYAmt |
| EOY | $9,410,605 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,678 | BOYAmt |
| EOY | $138,762 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,553,289 | BOYAmt |
| EOY | $9,549,367 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,590,188 | BOYAmt |
| EOY | $27,353,670 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$7,750,618 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $746,696 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| 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 D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,045,796 | OtherCostOrOtherBasisAmt |
| Book Value | $1,045,796 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,476,656 | OtherCostOrOtherBasisAmt |
| Depreciation | $98,990 | DepreciationAmt |
| Book Value | $5,377,666 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $115,110 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,846 | DepreciationAmt |
| Book Value | $105,264 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,196,015 | OtherCostOrOtherBasisAmt |
| Depreciation | $188,020 | DepreciationAmt |
| Book Value | $9,007,995 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $15,536,721 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Due from Affiliates | $6,072,400 |
| Due from Medicare | $840,466 |
| Other Misc Receivables | $314,597 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $7,227,463 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to BSHSI | $10,523,719 |
| Due to St. Mary's Hospital | $1,500,000 |
| Due to RGH Foundation | $983,680 |
| LT Deferred Rent | $639,462 |
| Third Party Reserves | $482,738 |
| Other Misc Liabilities | $92,864 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $14,222,463 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| 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 | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| 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 | $924,037 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $924,037 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03010 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,165,767 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,741,225 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $424,542 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01380 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,597 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,361 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $236 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,094,401 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,745,586 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,348,815 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04390 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 26 | ActivitiesOrProgramsCnt |
| Persons Served | 1767 | PersonsServedCnt |
| Total Community Benefit Expns | $20,416 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,416 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 26 | ActivitiesOrProgramsCnt |
| Persons Served | 1767 | PersonsServedCnt |
| Total Community Benefit Expns | $20,416 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $20,416 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 26 | ActivitiesOrProgramsCnt |
| Persons Served | 1767 | PersonsServedCnt |
| Total Community Benefit Expns | $3,114,817 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,745,586 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,369,231 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04460 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $11,978,364 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $130,615,621 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $15,581,422 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $115,034,199 | 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 | Chespeake Hospital Corporation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 Harris Drive | AddressLine1Txt |
| City | Kilmarnock | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22482 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | http://richmond.bonsecours.com/find-a- | WebsiteAddressTxt |
| State License | H1885 | 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 | Chesapeake Hospital Corp | 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 | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | 0 | CHNAReportWidelyAvailableInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | http://www.bonsecours.com/about-us-community-health-needs-assessment.html | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | 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 | 20000.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Lowest Negotiated Rates | Yes (X) | LowestNegotiatedRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Chesapeake Hospital Corp | Part V, Section B, Line 5: Community Survey:The marketing and public relations department of Rappahannock General Hospital went to various locations in the community in January and February of 2013 to survey community members regarding the health needs of their community as part of the Community Health Needs Assessment. The survey was completed by 84 residents of Lancaster County, 32 residents of Northumberland County, and 22 residents of Middlesex County.The survey was administered with the method of convenience sampling where survey responses are based on the convenience of getting the surveys completed. The sampling population was people ages 18 and older and represents the demographic profile of the three counties. The survey was divided into four general sections designed to gather a comprehensive picture of community health. The first section focused on factors that improve the quality of life in the community, the second focused on the problems which have the greatest impact on overall community health, the third section focused on the behaviors that have the greatest impact on overall community health, and the fourth section gathered general demographic data on the survey respondents.Additionally, the hospital conducted interviews during February 2013 with five healthcare professionals with special knowledge and expertise in public health who provided valuable input about the health needs in the community. Priority Needs:The survey results gathered by each county were counted and compiled to make a list of the health needs that the community believed were the most important. Based on the number of responses, eleven health needs were identified as being most significant to the community. Secondary statistical data gathered from Virginia Department of Health, County Health Rankings, Health Indicators Warehouse, State Cancer Profiles, and national benchmarks and targets from Healthy People 2020 supported the identification of these eleven health needs. Once a list was compiled, data from all primary and secondary sources was assessed in preparation for prioritization of the needs. |
| Chesapeake Hospital Corp | Part V, Section B, Line 11: The Implementation Plan focuses on six identified needs to include: Cancer, Heart Disease and Stroke, Mental Health, Access to Healthcare, Aging Problems, and Diabetes and Obesity. In an effort to address the high percentage of cancer deaths within the RGH service area, RGH is working to expand its delivery of Oncology Services, increase awareness both internally with employees and externally with community members, and reduce the prevalence of smoking by providing a smoke free campus and smoking cessation programs.Provider recruitment is a focus area for RGH to aid in expanding the access of its Cardiac Care and Stroke Services and reestablishing its cardiac rehabilitation program in an effort to address Heart Disease and Stroke. Increased provider partnerships and the expansion of mental health services will begin to address the need for additional mental health support. Physician recruitment will also provide additional access to healthcare services including dermatology, ENT, family practice, orthopedics, and maternity care.Expansions of the Senior University Event and the Home Health department will help to address the aging problems identified in the CHNA.Diabetes and Obesity will be addressed through increased community awareness through health fairs, screenings, nutrition services, and community program sponsorships. Additional health promotion programs and activities will be implemented to specifically address childhood obesity.RGH will not be addressing the following community health concerns: Teen Pregnancy, Sexually Transmitted Diseases, Alcohol Abuse, Tobacco Use, and Drug Use. The Chesapeake Medical Group discusses STDs and Pregnancy Prevention with all at risk patients. All three schools in the area work closely with the Three Rivers Health District to address all five of these issues identified on a group and individual basis. Alcoholics Anonymous (AA) host 10 meetings weekly in the areas we serve as well as 3 Narcotics Anonymous (NA) meetings locally. The CSB provides assessment and evaluation, information and referrals, motivational enhancement therapy, family and group therapy, and intensive group therapy to those individuals and families dealing with drug and alcohol abuse. RGH became a smoke free campus in April 2011 and offers smoking cessation resources to all employees and patients. |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | Costing method is the overall cost to charge ratio from the medicare cost reports. Bad debt is excluded in the calculation. |
| 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: $11,978,364 |
| Part III, Line 4: | 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.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 8: | Any shortfall of medicare payments received directly benefits the community citizens. |
| Part III, Line 9b: | All candidates for financial assistance are evaluated for medicaid eligibility and any other available form of financial assistance prior to any collection activity. No collection activity is performed on patients that qualify for financial assistance. |
| Part VI, Line 2: | The assessment process consisted mainly of gathering data at the county level from primary sources within the community and secondary online resources. Each county utilized a survey to obtain direct input from their residents. Interviews were conducted with medical professionals from the community and discussions were held with public health representatives including leaders from the county health department and the free health clinic. The secondary online data included statistics for the county, community, state, and national level. All data was compiled and assessed at an individual county level and also at a community level, pointing to the overall health needs for all three of the counties. |
| Part VI, Line 3: | Any patient that arrives with no insurance is referred to an onsite third party that attempts to qualify them for charity, Medicaid, and any other assistance available. They are also referred to the internet healthcare exchange website. Patients are offered discounted care on an individual basis. RGH works closely with the Northern Neck Free Clinic (NNFC) by providing them mainly with lab and radiology services including MRI's and CT's. |
| Part VI, Line 4: | Rappahannock General Hospital is an independent community based hospital that serves a population of approximately 35,000 people in Eastern Virginia in the Northern Neck and Middle Peninsula Area contiguous to the Chesapeake Bay. RGH's service area is mostly a rural coastal community and includes Lancaster, Northumberland, and Middlesex counties. Approximately 88% of RGH's patient population is residents of Lancaster, Northumberland, and Middlesex counties. For the purposes of the CHNA, RGH defined these three counties as the community. The population is approximately 73% White, 24% African American, 2% Hispanic, 5% Hispanic, and 5% American Indian and Alaskan Native. 16% of the population is under the age of 18, 54% between ages 18-65, and 30% above age 65. When compared to the state and national averages, the most notable difference is that the age group above age 65 is 17% higher than the state average and 16% above the national average. Rappahannock General Hospital service area mean household income is $50,499 which is $12,803 lower than the state average and $2,263 below the national average. |
| Part VI, Line 5: | Chesapeake Hospital Corporation provides numerous services for the community including health fairs for multiple civic groups in the six surrounding counties. The services offered by the hospital range from cholesterol, blood pressure, glucose literature, and cancer information and/or screenings. Community benefits are provided through many reduced price services which the hospital believes serves a Bona Fide community health need. This includes the cancer treatment and education center support groups and education for patients and their families. The emergency department offers CPR, heart saver courses, and pediatric basic life support. We also sponsor a diabetes education course for people with diabetes and their families. The organization also volunteers staff and facilities for free sport physicals for secondary students in the area. The organization supports the loss incurred by its sister company Chesapeake Medical Group (CMG). CMG represents several groups of physicians including family practice, pediatrics, GYN, surgery and others that are not able to survive without the assistance from RGH. CMG has the only pediatric services in the area. CMG provides physician care regardless of the insurance while other physicians in the area no longer accept new Medicaid patients. CMG also provides coverage for those patients with no insurance. |
| 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, 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. BSHSI's vision to bring about the holistic health of the communities it serves is implemented through its Strategic Quality Plan which provides focus in five goal areas for the current three year period (2013-2015). One of those goals was to bring our communities to wholeness. To accomplish this, two key strategies are to: - Improve Health Locally and Globally- Build Partnerships for Population Health As a member of the Catholic health ministry and a member of Bon Secours Health System, Inc. (BSHSI), this organization and it's 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. "Inspired by the healing ministry of Jesus Christ and the charism of Bon Secours, Bon Secours Health System will be recognized for its leadership in justice, transforming the communities in which we serve and work into places of health and hope, and being a prophetic voice for systemic US health reform and a more humane world." |
| Part VI, Line 7, Reports Filed With States | VA |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| June Daffeh | ||||||||||||||
| Board Member (Apr-Dec) | $229,000 | $0 | $0 | $0 | $0 | $0 | $5,850 | $0 | $7,084 | $0 | $241,934 | $0 | $0 | $0 |
| James Holmes Jr | ||||||||||||||
| President/Treasurer (Apr-Dec)/BD (Ja | $0 | $233,879 | $0 | $0 | $0 | $0 | $0 | $7,939 | $0 | $21,070 | $0 | $262,888 | $0 | $0 |
| Mark Gordon | ||||||||||||||
| Board Member (Jan-Mar) | $0 | $336,416 | $0 | $144,733 | $0 | $65,786 | $0 | $21,206 | $0 | $28,120 | $0 | $596,261 | $0 | $17,280 |
| Michael Robinson | ||||||||||||||
| Board Member (Jan-Mar) | $0 | $464,732 | $0 | $154,883 | $0 | $111,236 | $0 | $15,600 | $0 | $10,208 | $0 | $756,659 | $0 | $0 |
| William Stallings MD | ||||||||||||||
| Board Member (Jan-Mar) | $224,680 | $0 | $0 | $0 | $0 | $0 | $5,850 | $0 | $10,356 | $0 | $240,886 | $0 | $0 | $0 |
| John Headley | ||||||||||||||
| Treasurer (Apr-Dec) | $0 | $155,680 | $0 | $0 | $0 | $0 | $0 | $3,750 | $0 | $14,151 | $0 | $173,581 | $0 | $0 |
| Toni Ardabell | ||||||||||||||
| CEO-Richmond(Jan-Mar) | $0 | $493,876 | $0 | $159,372 | $0 | $81,377 | $0 | $37,127 | $0 | $2,500 | $0 | $774,252 | $0 | $25,794 |
| Peter Bernard | ||||||||||||||
| CEO - Virginia (Jan-Mar) | $0 | $789,743 | $0 | $326,469 | $0 | $373,341 | $0 | $166,398 | $0 | $30,762 | $0 | $1,686,713 | $0 | $186,126 |
| Stephan Quiriconi | ||||||||||||||
| Treasurer (Jan-Mar) | $0 | $248,452 | $0 | $57,920 | $0 | $1,158 | $0 | $3,672 | $0 | $10,283 | $0 | $321,485 | $0 | $0 |
| Jim Godwin | ||||||||||||||
| VP HR | $0 | $206,334 | $0 | $47,086 | $0 | $1,407 | $0 | $6,792 | $0 | $22,057 | $0 | $283,676 | $0 | $0 |
| Paul Sutherland MD | ||||||||||||||
| Physician | $348,017 | $0 | $0 | $0 | $0 | $0 | $7,800 | $0 | $5,169 | $0 | $360,986 | $0 | $0 | $0 |
| Virginia Gale MD | ||||||||||||||
| Physician | $311,189 | $0 | $0 | $0 | $0 | $0 | $7,800 | $0 | $12,360 | $0 | $331,349 | $0 | $0 | $0 |
| Stephen Perkins MD | ||||||||||||||
| Physician | $301,320 | $0 | $0 | $0 | $0 | $0 | $7,800 | $0 | $12,360 | $0 | $321,480 | $0 | $0 | $0 |
| Saheed Ojo Oniyun MD | ||||||||||||||
| Physician | $196,786 | $0 | $0 | $0 | $0 | $0 | $5,077 | $0 | $11,627 | $0 | $213,490 | $0 | $0 | $0 |
| James Bryant MD | ||||||||||||||
| Physician | $212,602 | $0 | $0 | $0 | $0 | $0 | $5,850 | $0 | $7,092 | $0 | $225,544 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 4b | FormAndLineReferenceDesc |
| Explanation | The filing organization participates in a BSHSI sponsored executive retirement program that allows for deposits into additional retirement plans and is available only to officers and key employees. The 457F plan is a non-qualified plan and is subject to a minimum three-year service requirement before vesting on deposits made into this plan. Individuals that received a distribution include: Peter Bernard, 241,741; Toni Ardabell, 37,602; Mark Gordon, 25,011. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Carter Financial Corp | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | BM, James Carter, Jr is the sole owner of this entity | RelationshipDescriptionTxt |
| Transaction | $162,500 | TransactionAmt |
| Transaction | Consultant | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part IV: | FormAndLineReferenceDesc |
| Explanation | Prior to the membership change of the organization, James Carter, Jr was the Executive Director of the Rappahannock General Hospital Foundation. During and after this transition period, Mr. Carter provided consulting services to the filing entity. Mr. Carter is the 100% owner of Carter Financial Corp which provides development, fundraising and other consulting type services. | 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 31, 2014, the articles and bylaws were amended and restated in their entirety to reflect that as a result of the Rappahannock transaction, Bon Secours-Richmond Health System has increased its interest in this entity and is now its sole member. |
| Form 990, Part VI, Section A, line 6 | Bon Secours Health System, Inc. is the sole member of Bon Secours Richmond LLC. Bon Secours Richmond LLC holds the majority interest in Bon Secours - Richmond Health System, which in turn is the sole member of the filing organization. |
| Form 990, Part VI, Section A, line 7a | The governing body of the filing organization is appointed by it's member Bon Secours - Richmond Health System and subject to approval by Bon Secours Health System, Inc. |
| Form 990, Part VI, Section A, line 7b | Certain authorities of the filing organization are reserved to its member or to Bon Secours Health System, Inc. |
| Form 990, Part VI, Section B, line 11 | The Form 990 for the filing organization will be provided to the Board after filing. Any material changes to the return will be reflected in an amended return, as necessary. |
| 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 15 | 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. Form 990, Part VI, Section b, Line 15b - 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 XI, line 9: | Other misc changes in net assets 746,696. |
| Form 990, Part VII: | Board Member positions are generally voluntary in nature. Compensated employees of the filing organization and other related organizations who also hold board positions are compensated only in relation to their employment and do not receive additional compensation for their board responsibilities. The governing bodies of the hospitals of Bon Secours Richmond Health System, including Bon Secours St. Mary's Hospital, Bon Secours St. Francis Medical Center, Bon Secours Memorial Regional Medical Center and Richmond Community Hospital, Chespeake Hospital Corporation, as well as the Chespeake 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 four hospitals). Sr. Anne Marie Mack and Sr. Victoria Segura do not receive payroll distributions as they have taken vows of poverty. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Chesapeake Health Services | |||||||||||
| 101 Harris Road | Kilmarnock | VA | 22482 | 541513371 | Parent | VA | 501(c)(3) | Line 11a, I | N/A | 0 | |
| Rappahannock General Hospital Foundation | |||||||||||
| 101 Harris Road | Kilmarnock | VA | 22482 | 541210450 | Supporting Organization | VA | 501(c)(3) | Line 7 | 0 | Bon Secours Richmond Health System | |
| Chesapeake Medical Group | |||||||||||
| 101 Harris Road | Kilmarnock | VA | 22482 | 541857174 | Healthcare Services | VA | 501(c)(3) | Line 9 | 0 | Bon Secours Richmond Health System | |
| Bon Secours Health System Inc | |||||||||||
| 1505 Marriottsville Road | Marriottsville | MD | 21104 | 521301088 | Parent Org. Management Services | MD | 501(c)(3) | Line 11c, III-FI | 0 | Bon Secours Inc | |
| Bon Secours Richmond Healthcare Foundation | |||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541201346 | Grant Making Foundation | VA | 501(c)(3) | Line 7 | 0 | Bon Secours Richmond LLC | |
| Bon Secours Richmond Health System | |||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 521988421 | Local System Parent Org. | VA | 501(c)(3) | Line 11c, III-FI | 0 | Bon Secours Richmond LLC | |
| Bon Secours Memorial Regional Medical Center | |||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541744931 | Health Care | VA | 501(c)(3) | Line 3 | 0 | Bon Secours Richmond Health System | |
| Bon Secours Richmond Community Hospital | |||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 540647482 | Health Care | VA | 501(c)(3) | Line 3 | 0 | Bon Secours Richmond Health System | |
| Bon Secours St Francis Medical Center | |||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 311716973 | Health Care | VA | 501(c)(3) | Line 3 | 0 | Bon Secours Richmond Health System | |
| St Mary's Hospital of Richmond Inc | |||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 540793767 | Health Care | VA | 501(c)(3) | Line 3 | 0 | Bon Secours Richmond Health System | |
| Laburnum Properties | |||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 521260700 | Title Holding Company | VA | 501(c)(2) | 0 | Bon Secours Richmond Health System | ||
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 |
|---|---|---|---|---|---|---|---|---|---|
| Chesterfield Community Healthcare Center 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 | Yes (1) | 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 | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |