2016-02-29T11:34:45-06:00 2015-03-31 990 2014-04-01 237424835 Chesapeake Hospital Corporation CHES 8044358582 101 Harris Drive Kilmarnock VA 22482 Steve Quiriconi Treasurer 8044358582 2016-02-29 2014 2016-08-17 19:52:53Z Rappahannock General Hospital Toni Ardabell 101 Harris Drive Kilmarnock VA 22482 35076433 0 X richmond.bonsecours.com/find-a-facility.html X 1977 VA Not-for-profit Acute Care Hospital 20 17 418 0 4464 0 1243998 160921 0 29718519 1536 2081 -15592 5052777 1229942 34934298 660515 0 0 0 0 18007247 75000 0 0 87461 24677669 822976 42684916 406966 -7750618 25590188 27353670 9036899 17804303 16553289 9549367 X 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. 0 0 40381573 30124271 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. 40381573 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 14 0 1 418 1 1 1 0 0 0 0 0 0 0 0 0 X 20 17 0 0 1 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 VA X John Headley 8044358000 101 Harris Road Kilmarnock VA 22482 BH Hubbard III Chairman (Apr-Dec)/BM (Jan-Mar) 2.00 0.00 X X 0 0 0 James Carter Jr Board Member (Apr-Dec) 10.00 30.00 X 0 0 0 David Charlton Dr Board Member (Apr-Dec) 1.00 0.00 X 0 0 0 James Chase Jr Secretary (Apr-Dec) 1.00 0.00 X X 0 0 0 Frederick Cole Board Member (Apr-Dec) 1.00 0.00 X 0 0 0 Elizabeth Crowther Dr Board Member (Apr-Dec) 1.00 0.00 X 0 0 0 June Daffeh Board Member (Apr-Dec) 40.00 0.00 X X 229000 0 0 Edward Harrow Jr Board Member (Apr-Dec) 1.00 1.00 X 0 0 0 James Holmes Jr President/Treasurer (Apr-Dec)/BD (Jan-Mar) 23.00 17.00 X 0 233879 0 Garfield Parker Board Member (Apr-Dec) 1.00 0.00 X 0 0 0 C Penick Vice Chairman (Apr-Dec) 1.00 0.00 X X 0 0 0 Stephen Whiteway Board Member (Apr-Dec) 1.00 0.00 X 0 0 0 Jean Bolling Board Member (Jan-Mar) 2.00 0.00 X 0 0 0 John Bowman MD Board Member (Jan-Mar) 2.00 0.00 X 0 0 0 Barry Case Board Member (Jan-Mar) 2.00 0.00 X 0 0 0 Chandrashekar Challa Board Member (Jan-Mar) 2.00 0.00 X 0 0 0 John Daniel III MD Board Member (Jan-Mar) 2.00 0.00 X 0 0 0 Anup Gokli MD Board Member (Jan-Mar) 2.00 0.00 X 0 0 0 Allen Goolsby III Secretary (Jan-Mar) 2.00 2.00 X X 0 0 0 Mark Gordon Board Member (Jan-Mar) 2.00 48.00 X 0 546935 49326 Pamela Hacker Board Member (Jan-Mar) 2.00 0.00 X 0 0 0 Sr Anne Mack CBS President (Jan-Mar) 3.00 48.00 X X 0 0 0 Joanne Nattrass Board Member (Jan-Mar) 2.00 0.00 X 0 0 0 Fr Jack Podsiadlo Board Member (Jan-Mar) 2.00 0.00 X 0 0 0 Michael Robinson Board Member (Jan-Mar) 2.00 48.00 X 0 730851 25808 Sr Victoria Segura CBS Board Member (Jan-Mar) 2.00 48.00 X 0 0 0 William Shewmake Board Member (Jan-Mar) 2.00 0.00 X 0 0 0 Shannon Sinclair Board Member (Jan-Mar) 2.00 0.00 X 0 0 0 William Stallings MD Board Member (Jan-Mar) 38.00 2.00 X X 224680 0 16206 Nancy Thomas Chair (Jan-Mar) 3.00 0.00 X X 0 0 0 Michael Williams Board Member (Jan-Mar) 2.00 0.00 X 0 0 0 Thomas Winfree Board Member (Jan-Mar) 2.00 0.00 X 0 0 0 John Headley Treasurer (Apr-Dec) 30.00 10.00 X 0 155680 0 Toni Ardabell CEO-Richmond(Jan-Mar) 1.00 49.00 X 0 734625 39627 Peter Bernard CEO - Virginia (Jan-Mar) 1.00 49.00 X 0 1489553 197160 Stephan Quiriconi Treasurer (Jan-Mar) 2.00 48.00 X 0 307530 13955 Jim Godwin VP HR 2.00 48.00 X 0 254827 28849 Paul Sutherland MD Physician 40.00 0.00 X 348017 0 12969 Virginia Gale MD Physician 40.00 0.00 X 311189 0 20160 Stephen Perkins MD Physician 40.00 0.00 X 301320 0 20160 Saheed Ojo Oniyun MD Physician 40.00 0.00 X 196786 0 16704 James Bryant MD Physician 40.00 0.00 X 212602 0 12942 1823594 4453880 453866 6 0 1 0 Virginia Anesthesia 760 McQuire Place Newport News VA 23601 Physician Services 700003 Linde Healthcare PO Box 915241 Dallas TX 75391 Physician Services 195756 Kaufman & Canoles PO Box 3037 Norfolk VA 23514 Legal Services 188694 Carter Financial Corp PO Box 13750 Irvington VA 22480 Consulting 150000 Richard Carpenter MD PO Box 3391 Martinsville VA 24115 Physician Services 144000 6 147909 7686 5326 160921 Net Patient Service Re 623000 29718519 29714055 4464 29718519 2081 2081 132465 142135 -9670 -9670 -9670 Gain from Revaluation, 900099 4392840 4392840 ER & CMG & HH - Physic 623000 389122 389122 Cafeteria and Vending 900099 226251 226251 54234 21094 33140 5062447 34934298 30124271 4464 4644642 241934 217741 24193 15107104 13596394 1510710 258011 232210 25801 1146121 1031509 114612 1254077 1128669 125408 264414 237973 26441 15278 13750 1528 2136747 2136747 10594 9535 1059 462871 416584 46287 80399 72359 8040 394774 355297 39477 43008 38707 4301 327797 327797 927662 834896 92766 697551 627796 69755 Bad Debt Expense 11978364 11978364 Medical Supplies 5208573 5208573 Repairs, Maint., Rental 1132817 1019535 113282 Corp Mgmt Dues - CHS 682848 614563 68285 313972 282574 31398 42684916 40381573 2303343 0 1330 0 49797 368522 0 11366945 2749963 54109 818842 846805 717195 460980 15833577 296856 6746063 15536721 163216 49669 46567 5739671 7227463 25590188 27353670 4074695 3581840 835497 4126707 14222463 9036899 17804303 X 16422611 9410605 130678 138762 16553289 9549367 25590188 27353670 X -7750618 746696 X 0 0 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1045796 1045796 5476656 98990 5377666 115110 9846 105264 9196015 188020 9007995 15536721 Due from Affiliates 6072400 Due from Medicare 840466 Other Misc Receivables 314597 7227463 Due to BSHSI 10523719 Due to St. Mary's Hospital 1500000 Due to RGH Foundation 983680 LT Deferred Rent 639462 Third Party Reserves 482738 Other Misc Liabilities 92864 14222463 1 1 1 X 0 1 1 1 0 1 1 924037 0 924037 0.03010 2165767 1741225 424542 0.01380 4597 4361 236 0.00000 3094401 1745586 1348815 0.04390 26 1767 20416 0 20416 0.00070 26 1767 20416 20416 0.00070 26 1767 3114817 1745586 1369231 0.04460 1 11978364 0 130615621 15581422 115034199 X 1 1 1 1 Chespeake Hospital Corporation 101 Harris Drive Kilmarnock VA 22482 http://richmond.bonsecours.com/find-a- H1885 X X X Chesapeake Hospital Corp 1 0 0 1 X X X X X X X X X 12 1 0 0 0 1 12 1 http://www.bonsecours.com/about-us-community-health-needs-assessment.html 0 0 1 X 20000.000000000000 X X X X 1 1 X X 1 X X X 1 X 0 X X X 1 X 0 0 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. 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 X X X X X 0 1 0 0 0 0 0 0 0 June Daffeh Board Member (Apr-Dec) 229000 0 0 0 0 0 5850 0 7084 0 241934 0 0 0 James Holmes Jr President/Treasurer (Apr-Dec)/BD (Ja 0 233879 0 0 0 0 0 7939 0 21070 0 262888 0 0 Mark Gordon Board Member (Jan-Mar) 0 336416 0 144733 0 65786 0 21206 0 28120 0 596261 0 17280 Michael Robinson Board Member (Jan-Mar) 0 464732 0 154883 0 111236 0 15600 0 10208 0 756659 0 0 William Stallings MD Board Member (Jan-Mar) 224680 0 0 0 0 0 5850 0 10356 0 240886 0 0 0 John Headley Treasurer (Apr-Dec) 0 155680 0 0 0 0 0 3750 0 14151 0 173581 0 0 Toni Ardabell CEO-Richmond(Jan-Mar) 0 493876 0 159372 0 81377 0 37127 0 2500 0 774252 0 25794 Peter Bernard CEO - Virginia (Jan-Mar) 0 789743 0 326469 0 373341 0 166398 0 30762 0 1686713 0 186126 Stephan Quiriconi Treasurer (Jan-Mar) 0 248452 0 57920 0 1158 0 3672 0 10283 0 321485 0 0 Jim Godwin VP HR 0 206334 0 47086 0 1407 0 6792 0 22057 0 283676 0 0 Paul Sutherland MD Physician 348017 0 0 0 0 0 7800 0 5169 0 360986 0 0 0 Virginia Gale MD Physician 311189 0 0 0 0 0 7800 0 12360 0 331349 0 0 0 Stephen Perkins MD Physician 301320 0 0 0 0 0 7800 0 12360 0 321480 0 0 0 Saheed Ojo Oniyun MD Physician 196786 0 0 0 0 0 5077 0 11627 0 213490 0 0 0 James Bryant MD Physician 212602 0 0 0 0 0 5850 0 7092 0 225544 0 0 0 Part I, Line 4b The filing organization participates in a BSHSI sponsored executive retirement program that allows for deposits into additional retirement plans and is available only to officers and key employees. The 457F plan is a non-qualified plan and is subject to a minimum three-year service requirement before vesting on deposits made into this plan. Individuals that received a distribution include: Peter Bernard, 241,741; Toni Ardabell, 37,602; Mark Gordon, 25,011. Carter Financial Corp BM, James Carter, Jr is the sole owner of this entity 162500 Consultant 0 Part IV: 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. 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. 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 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 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 Healthcare Foundation 8580 Magellan Parkway Richmond VA 23227 541201346 Grant Making Foundation VA 501(c)(3) Line 7 Bon Secours Richmond LLC 0 Bon Secours Richmond Health System 8580 Magellan Parkway Richmond VA 23227 521988421 Local System Parent Org. VA 501(c)(3) Line 11c, III-FI Bon Secours Richmond LLC 0 Bon Secours Memorial Regional Medical Center 8580 Magellan Parkway Richmond VA 23227 541744931 Health Care VA 501(c)(3) Line 3 Bon Secours Richmond Health System 0 Bon Secours Richmond Community Hospital 8580 Magellan Parkway Richmond VA 23227 540647482 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 St Mary's Hospital of Richmond Inc 8580 Magellan Parkway Richmond VA 23227 540793767 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 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 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 0 1 1 1 1 0 0 0 0 0 0 1 1 0 1 0 0 1 0