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Maryview Hospital: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
Maryview Hospital (EIN 54-0506463)
Tax period
2014-09-01 to 2015-08-31
Filed
2016-07-12
IRS object ID
201641949349300964
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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-07-12T13:24:51-05:00ReturnTs
Tax Period End2015-08-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1Deloitte Tax LLP 191 Peachtree StAddressLine1Txt
CityAtlantaCityNm
State AbbreviationGAStateAbbreviationCd
ZIP303031749ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-09-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN540506463EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Maryview HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMARYBusinessNameControlTxt
Phone7573982200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17007 Harbour View Blvd No 108AddressLine1Txt
CitySuffolkCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23435ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMichael K KernerPersonNm
Person TitleCEO - BSHRHSPersonTitleTxt
Phone7576735920PhoneNum
Signature2016-07-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJohn W Sadoff JrPreparerPersonNm
PTINP00540589PTIN
Phone4042201500PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Bon Secours Maryview Medical CenterBusinessNameLine1Txt
Business Name Line2with Delta OncologyBusinessNameLine2Txt
FieldValueIRS element (for citing)
Principal OfficerMichael K KernerPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line17007 Harbour View Blvd No 108AddressLine1Txt
CitySuffolkCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23435ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$404,159,401GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttp://bshr.com/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1944FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionAcute Care HospitalActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee3039TotalEmployeeCnt
Total Volunteers160TotalVolunteersCnt
Total Gross UBI$220,944TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,295,437PYContributionsGrantsAmt
CY Contributions Grants$2,321,000CYContributionsGrantsAmt
PY Program Service Revenue$382,955,554PYProgramServiceRevenueAmt
CY Program Service Revenue$394,391,798CYProgramServiceRevenueAmt
PY Investment Income$3,856,874PYInvestmentIncomeAmt
CY Investment Income$2,464,718CYInvestmentIncomeAmt
PY Other Revenue$4,262,503PYOtherRevenueAmt
CY Other Revenue$3,778,344CYOtherRevenueAmt
PY Total Revenue$393,370,368PYTotalRevenueAmt
CY Total Revenue$402,955,860CYTotalRevenueAmt
PY Grants And Similar Paid$73,606PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$175,678CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$178,211,227PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$182,136,062CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$205,571,162PYOtherExpensesAmt
CY Other Expenses$217,973,290CYOtherExpensesAmt
PY Total Expenses$383,855,995PYTotalExpensesAmt
CY Total Expenses$400,285,030CYTotalExpensesAmt
PY Revenues Less Expenses$9,514,373PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,670,830CYRevenuesLessExpensesAmt
Total Assets BOY$275,550,114TotalAssetsBOYAmt
Total Assets EOY$276,976,822TotalAssetsEOYAmt
Total Liabilities BOY$111,658,035TotalLiabilitiesBOYAmt
Total Liabilities EOY$120,377,204TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$163,892,079NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$156,599,618NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe mission is to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a system of caregivers, we commit ourselves to help bring people and communities to health and wholeness.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$326,268,830ExpenseAmt
Grant$175,678GrantAmt
Revenue$350,380,183RevenueAmt
DescMaryview Hospital provides medical care to patients without regard to their ability to pay. Among the major services provided to the residents of Hampton Roads, three major areas of focus are orthopedics, cardiology and general surgery.Orthopedics- Maryview continues a strong focus on orthopaedic care for residents of Western Hampton Roads. Maryview was recognized as a Blue Distinction Center of Excellence to attest to the excellence of care. Bon Secours responds to the needs of all orthopaedic patients from the young athlete to the adult sports medicine patient (weekend warrior or sports enthusiast) to the patient needing significant repair and possibly replacement of joints. Bon Secours skilled surgeons perform minimally invasive and traditional orthopaedic and spine procedures, and are complemented by a strong physiatry network. The orthopaedic service includes a continuum of care from pre-operative education through post-op recovery, and is supported by state-of-the-art technology and expert physicians, as well as a comprehensive inpatient and outpatient rehabilitation network. Community education is available through seminars and classes, as well as innovative electronic risk assessments SpineAware and JointAware.Cardiology -Maryview commits significant resources to the care of cardiac patients. In fact, the Bon Secours Heart & Vascular Institute has a special focus on prevention and early detection. The outreach has been expanded to area businesses and community churches as well. In addition, the introduction of the One-Call Transfer center and relationships with transport services make it easier to operate Maryview as a regional referral center for advanced cardiac services. Maryview offers the broadest continuum of cardiac services. Maryview continues strong relationships with other Bon Secours hospitals and serves as a regional referral center for the delivery of advanced cardiac interventions, such as cardiac surgery and electrophysiology. This was recently enhanced with the addition of two robotic systems deployed at other facilities, which facilitate communications between Maryview cardiac specialists and referring physicians and their patients at other Bon Secours facilities. 64-slice CT scanners located both at Maryview and its Harbour View ambulatory campus are used to perform calcium scoring heart studies, service Bon Secours re-initiated in late 2013. Community education is available through seminars, classes, screenings, special events and a brand new community outreach program aimed at middle school students called The Heart Health Academy at Bon Secours. Bon Secours Maryview Medical Center has been recognized as UnitedHealth Premium cardiac specialty center for Interventional Cardiac Care. Maryview is certified as a Primary Stroke Center and is accredited as a Chest Pain Center with PCI. Maryview's ambulatory campus Harbour View - received Chest Pain Center accreditation.General Surgery - Maryview continues to be a top hospital for bariatric surgery in Virginia by Healthgrades, and among the top 5% in the nation. Bon Secours is the only weight loss surgery program that does not charge a fee to participants in this region. Bon Secours also offers a medically-managed weight loss program as part of its Weight Loss Institute and an exercise-nutrition program for those who may choose this more traditional approach. Maryview also operates a Center of Excellence for colorectal surgery as a result of significant physician and staff expertise with colon & rectal diseases. In 2013, Maryview renovated its surgical suite, renovating some rooms with state-of-the-art technology, including a daVinci surgical robotic system. In 2014, Maryview and three of its GYN surgeons earned COEMIG designation (Center of Excellence in Minimally Invasive Gynecology). Community education is available through seminars, classes, support groups, and innovative electronic risk assessment tools for breast and colorectal cancers (BreastAware and ColonAware).Please see Schedule H for additional information regarding programs, community benefit programs and Charity Care.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$43,980,126ExpenseAmt
Grant$0GrantAmt
Revenue$43,980,126RevenueAmt
DescMaryview Hospital provides shared services to related organizations to assist with furthering its mission of providing help to those in need.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$370,248,956TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document188IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3039EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldVAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1James PirtleBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7572152709PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17007 Harbour View Blvd Suite 108AddressLine1Txt
CitySuffolkCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23435ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
James Bento
Board Member2.000.50Yes (X)$0$0$0
Michael Blount
Board Member2.000.00Yes (X)$0$0$0
Robert Bray
Board Member2.000.00Yes (X)$0$0$0
Bruce Britton MD
Board Member2.000.00Yes (X)$0$0$0
Brother Arthur Caliman CFX
President3.0047.00Yes (X)$0$0$0Yes (X)
Arthur Collins
Board Chair3.000.00Yes (X)$0$0$0Yes (X)
Sister Elaine Davia CBS
Board Member2.005.00Yes (X)$0$0$0
Timothy Davis
Board Member2.0048.00Yes (X)$0$1,019,679$151,683
Barbara Hamm Lee
Board Member (Sep-May)2.000.00Yes (X)$0$0$0
Michael Kerner
Secretary/CEO-BSHR15.0035.00Yes (X)$0$958,311$131,925Yes (X)
Michael LaRock
Board Member2.000.00Yes (X)$0$0$0
Shelley Mishoe
Board Member2.000.00Yes (X)$0$0$0
Carol Ormond
Board Member2.000.00Yes (X)$0$0$0
Ward Robinett Jr
Board Member2.000.00Yes (X)$0$0$0
Stephanie Short
Board Member2.000.00Yes (X)$0$0$0
Robert Sqautrito MD
Board Member2.000.00Yes (X)$0$0$0
Sister Rita Thomas
Board Member (Sep-Dec)2.001.00Yes (X)$0$0$0
Douglas Ziegenfuss
Board Member2.000.00Yes (X)$0$0$0
Joseph Oddis
CEO - MVH49.500.50$0$483,553$40,433Yes (X)
Charmaine Rochester
Treasurer/VP Finance15.0035.00$243,142$0$16,388Yes (X)
Herbert Cummings
COO - BSMG30.0020.00$0$213,251$35,277Yes (X)
Barbara Lynch
VP - Ambulatory Services (Sep-Dec)50.000.00$183,949$0$1,731Yes (X)
Leana Fox
VP - Patient Care Services50.000.00$216,820$0$10,181Yes (X)
Mark Kerner MD
Orthopedic Surgeon49.001.00$1,008,510$0$40,846Yes (X)
Steven Blasdell MD
Orthopedic Surgeon50.000.00$826,295$0$38,185Yes (X)
Ernesto Luciano-Perez MD
Orthopedic Surgeon50.000.00$763,731$0$39,670Yes (X)
Aaron Marlow MD
Orthopedic Surgeon50.000.00$759,096$0$22,616Yes (X)
Apurva Patel MD
Cardiologist50.000.00$739,234$0$13,000Yes (X)
James Sherwood
Former Key Employee0.000.00$102,699$0$11,743Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,843,476TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,674,794TotReportableCompRltdOrgAmt
Total Other Compensation$553,678TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K181IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Aramark CTS Inc
12483 Collections CtrChicagoIL60693Biomedical Engineering$5,620,219
Free Agents Marketing
4800 Cox Rd Ste 100Glen AllenVA23060Marketing Services$3,647,137
AthenaHealth Inc
311 Arsenal CtWatertownMA02472Physician Billing$3,050,428
Morrison Mgt Specialists
PO Box 102289AtlantaGA303682289Dietary Services$2,946,902
Eastern VA Med School
PO Box 1980NorfolkVA235011980Residency Fees$2,039,062
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K72CntrctRcvdGreaterThan100KCnt
Related Organizations$1,103,161RelatedOrganizationsAmt
Government Grants$1,160,109GovernmentGrantsAmt
All Other Contributions$57,730AllOtherContributionsAmt
Total Contributions$2,321,000TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Service Rev.561000$350,411,672$350,380,183$31,489
Shared Services561499$43,980,126$43,980,126
FieldValueIRS element (for citing)
Total Program Service Revenue$394,391,798TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$887,088TotalRevenueColumnAmt
Exclusion$887,088ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,270,029RealAmt
Personal$3,963PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,203,541RealAmt
Personal$0PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$66,488RealAmt
Personal$3,963PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$70,451TotalRevenueColumnAmt
Unrelated Business Revenue$51,302UnrelatedBusinessRevenueAmt
Exclusion$19,149ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,577,630SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,577,630SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,577,630TotalRevenueColumnAmt
Exclusion$1,577,630ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Outpatient Pharmacy900099$1,166,647$1,166,647
Joint Venture Income900099$637,027$637,027
Employee Assis. Prog.900099$428,344$428,344

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,475,875TotalRevenueColumnAmt
Unrelated Business Revenue$138,153UnrelatedBusinessRevenueAmt
Exclusion$1,337,722ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,707,893OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$402,955,860TotalRevenueColumnAmt
Related Or Exempt Func Income$394,360,309RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$220,944UnrelatedBusinessRevenueAmt
Exclusion$6,053,607ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$175,678TotalAmt
Program Services$175,678ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$697,978TotalAmt
Program Services$628,180ProgramServicesAmt
Management And General$69,798ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$146,843,274TotalAmt
Program Services$132,158,947ProgramServicesAmt
Management And General$14,684,327ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$6,419,934TotalAmt
Program Services$5,777,941ProgramServicesAmt
Management And General$641,993ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$17,157,558TotalAmt
Program Services$15,441,802ProgramServicesAmt
Management And General$1,715,756ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$11,017,318TotalAmt
Program Services$9,915,586ProgramServicesAmt
Management And General$1,101,732ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,254,418TotalAmt
Program Services$1,128,976ProgramServicesAmt
Management And General$125,442ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$64,758TotalAmt
Program Services$58,282ProgramServicesAmt
Management And General$6,476ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$54,632TotalAmt
Program Services$49,169ProgramServicesAmt
Management And General$5,463ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$13,927,684TotalAmt
Program Services$13,927,684ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,788,590TotalAmt
Program Services$3,409,731ProgramServicesAmt
Management And General$378,859ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,371,299TotalAmt
Program Services$6,634,169ProgramServicesAmt
Management And General$737,130ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$19,503,423TotalAmt
Program Services$17,553,081ProgramServicesAmt
Management And General$1,950,342ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$16,849,106TotalAmt
Program Services$15,164,195ProgramServicesAmt
Management And General$1,684,911ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,576,669TotalAmt
Program Services$1,419,002ProgramServicesAmt
Management And General$157,667ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$161,839TotalAmt
Program Services$145,655ProgramServicesAmt
Management And General$16,184ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,641,530TotalAmt
Program Services$2,641,530ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,584,496TotalAmt
Program Services$14,026,046ProgramServicesAmt
Management And General$1,558,450ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,850,374TotalAmt
Program Services$2,565,337ProgramServicesAmt
Management And General$285,037ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$58,726,665$58,726,665
Purchased Services$35,322,214$31,789,993$3,532,221
Bad Debt$24,452,732$24,452,732
BSHSI Allocation$10,703,329$9,632,996$1,070,333

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,139,532TotalAmt
Program Services$2,825,579ProgramServicesAmt
Management And General$313,953ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$400,285,030TotalAmt
Program Services$370,248,956ProgramServicesAmt
Management And General$30,036,074ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,960BOYAmt
EOY$5,961EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,712,470BOYAmt
EOY$10,093,053EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$21,758BOYAmt
EOY$21,758EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$40,598,059BOYAmt
EOY$39,434,554EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$33,333BOYAmt
EOY$463,333EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,424,381BOYAmt
EOY$6,330,801EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,844,853BOYAmt
EOY$2,693,734EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$235,262,399LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$181,996,991LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$57,698,229BOYAmt
EOY$53,265,408EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$105,890,480BOYAmt
EOY$105,851,499EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,110,457BOYAmt
EOY$1,406,631EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$2,703,179BOYAmt
EOY$2,568,513EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$52,506,955BOYAmt
EOY$54,841,577EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$275,550,114BOYAmt
EOY$276,976,822EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$33,621,834BOYAmt
EOY$34,570,016EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$3,535,702BOYAmt
EOY$3,276,682EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$23,045,548BOYAmt
EOY$21,345,548EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$51,454,951BOYAmt
EOY$61,184,958EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$111,658,035BOYAmt
EOY$120,377,204EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$163,748,612BOYAmt
EOY$156,456,151EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$143,467BOYAmt
EOY$143,467EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$163,892,079BOYAmt
EOY$156,599,618EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$275,550,114BOYAmt
EOY$276,976,822EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,670,830ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,829,589NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$8,133,702OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$31,272DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$23,361OtherActivitiesAmt
Total Lobbying Expenditures$54,633TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationThe filing organization maintains memberships to various professional healthcare associations. Portions of their membership dues are used for lobbying activities. The lobbying portion of such dues is included on line 1i. The filing organization also conducted advocacy relating to education of legislative body regarding hospital and healthcare reform and how it impacts communities. The lobbying expense related to this activity is included on Line 1g.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,636,569OtherCostOrOtherBasisAmt
Book Value$4,636,569BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$84,428,054OtherCostOrOtherBasisAmt
Depreciation$59,172,032DepreciationAmt
Book Value$25,256,022BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,121,504OtherCostOrOtherBasisAmt
Depreciation$9,330,913DepreciationAmt
Book Value$4,790,591BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$126,965,680OtherCostOrOtherBasisAmt
Depreciation$109,521,076DepreciationAmt
Book Value$17,444,604BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,110,592OtherCostOrOtherBasisAmt
Depreciation$3,972,970DepreciationAmt
Book Value$1,137,622BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$53,265,408TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDescBook ValueBookValueAmt
Due from BSHSI$25,365,385
LT Non-Cash Inv - HPL/GL$14,024,676
Due from Affiliates$9,133,619
Deferred Medicare Rec$3,979,713
Other Accrued Rec$979,533
Other LT Receivables$554,719
Medicare Settlement Rec$520,395
Non-Patient A/R$142,882
Other Misc. Assets$140,655
FieldValueIRS element (for citing)
Total Book Value Other Assets$54,841,577TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDescAmtAmt
HPL/GL Liab$14,024,676
Due to BSHSI$13,424,552
Pension Liability$13,382,238
Due to Affiliates$12,630,740
FIN 47 Liab$3,575,622
Deferred Rent$3,114,707
Deposits$400,031
Other LT Liab$282,320
Other Misc. Liabilities$350,072
FieldValueIRS element (for citing)
Total Liability$61,184,958TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationSchedule D, Part X, Line 2 requires that the organization provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under ASC 740. ASC 740 addresses the accounting for uncertainty in income taxes recognized in an entity's financial statements and prescribes a threshold of more-likely-than-not for recognition and derecognition of tax positions taken or expected to be taken in a tax return. The adoption of ASC 740 by BSHSI on September 1, 2007 did not have a material impact on BSHSI's consolidated financial statements. As the organization does not conduct a separate audit of its financial statements, below is the related statement from the Bon Secours Health System, Inc. consolidated audited financial statements: The System and most of its subsidiaries (including certain joint venture entities) are exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. The system accounts for uncertain tax positions in accordance with ASC Topic 740. The System's taxable subsidiaries have approximately $84,748 and $61,513 of net operating loss carryforwards as of August 31, 2015 and 2014, respectively, which expire in varying periods through 2035 and are available to offset future taxable income. The System's deferred tax assets are fully reserved at August 31, 2015 and 2014 as the System considers it more likely than not that these amounts will not be recognized. Any changes to the valuation allowance on the deferred tax asset are reflected in the year of the change.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$9,801,694TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$992,528DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,809,166NetCommunityBenefitExpnsAmt
Total Expense0.02340TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$34,112,647TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$26,280,250DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,832,397NetCommunityBenefitExpnsAmt
Total Expense0.02080TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$43,914,341TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$27,272,778DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,641,563NetCommunityBenefitExpnsAmt
Total Expense0.04420TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs18ActivitiesOrProgramsCnt
Persons Served10412PersonsServedCnt
Total Community Benefit Expns$1,088,142TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,742DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,085,400NetCommunityBenefitExpnsAmt
Total Expense0.00290TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served871PersonsServedCnt
Total Community Benefit Expns$2,851,417TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,124,158DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,727,259NetCommunityBenefitExpnsAmt
Total Expense0.00460TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served13473PersonsServedCnt
Total Community Benefit Expns$1,959,572TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,959,572NetCommunityBenefitExpnsAmt
Total Expense0.00520TotalExpensePct

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs9ActivitiesOrProgramsCnt
Persons Served11606PersonsServedCnt
Total Community Benefit Expns$606,130TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$606,130NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs34ActivitiesOrProgramsCnt
Persons Served36362PersonsServedCnt
Total Community Benefit Expns$6,505,261TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,126,900DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,378,361NetCommunityBenefitExpnsAmt
Total Expense0.01430TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs34ActivitiesOrProgramsCnt
Persons Served36362PersonsServedCnt
Total Community Benefit Expns$50,419,602TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,399,678DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,019,924NetCommunityBenefitExpnsAmt
Total Expense0.05850TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served700PersonsServedCnt
Total Community Benefit Expns$2,551TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,551NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served100PersonsServedCnt
Total Community Benefit Expns$156TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$156NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served214PersonsServedCnt
Total Community Benefit Expns$9,132TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,132NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served139PersonsServedCnt
Total Community Benefit Expns$89,936TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$89,936NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served1153PersonsServedCnt
Total Community Benefit Expns$101,775TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$101,775NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$24,452,732BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$96,562,951ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$167,484,732CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$70,921,781MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Maryview HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13636 High StreetAddressLine1Txt
CityPortsmouthCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23707ZIPCd
FieldValueIRS element (for citing)
Website Addresshttp://bshr.comWebsiteAddressTxt
State LicenseH1830StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Maryview HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://bshr.comOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt12ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttp://bshr.comFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttp://bshr.comFAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit Report To Credit AgencyYes (X)PermitReportToCreditAgencyInd
Collection ActivitiesYes (1)CollectionActivitiesInd
Reporting To Credit AgencyYes (X)ReportingToCreditAgencyInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Maryview HospitalPart V, Section B, Line 5: Maryview Medical Center (MMC) contracted with Community Health Solutions (CHS) to conduct an electronic survey of key stakeholder to determine the top healthcare needs of the community. MMC developed a list of key stakeholders who were asked to provide their viewpoints on important healthcare concerns in the community, significant gaps in the community, and ideas for addressing health concerns and service gaps. Stakeholders included individuals who have special knowledge and expertise in public health, as well as the deans of area colleges and universities with medical degree programs. In addition, MMC surveyed representatives of medically underserved, minority populations, and those with chronic conditions. MMC also met with representatives from the Portsmouth Health Department to review the key findings from the survey and seek additional input. Upon receipt of all information, MMC convened a small group to review the list of key needs and gaps identified to prioritize the needs using criteria developed against which to evaluate each need.
Maryview HospitalPart V, Section B, Line 11: Through development of an implementation plan from the CHNA, MMC identified the health priorities in the related service areas. Maryview Medical Center (MMC) has an open medical staff with privileges available to all qualified physicians. Emergency departments at MMC and Harbour View provide service 24 hours/day, 7 days/week to ensure access for all individuals in need of emergency care. Hospital board members are diverse, inclusive and representative of the broader community in which the facilities are located.MMC offers Home Health and Hospice Care. One-on-one care through the H2H (Hospital-to-Home) is provided to help patients recover from an illness or injury or to assist with daily living activities and pain management. Services include care coordination, physical therapies, diet education, intravenous therapy, medical/surgical care, nursing instruction, skilled clinical evaluation and wound care. MMC offers health services via the Care-A-Van (CAV). The CAV is a free mobile medical service that provides general medical care to uninsured adults and children in Portsmouth and Suffolk, as well as Norfolk and Newport News. Services provided include urgent and primary care (including examination, diagnosis, lab, pharmacy, and follow-up), immunizations for school, pregnancy tests, blood pressure measurement, health education, referrals for specialty care, and opportunity to enroll eligible children in childrens' health insurance. The Care-A-Van also offers sports physicals and health education services. While the CAV primarily serves adults, some sites provide care and referral services for children aged 12 and older. Community partners include free clinics, local health agencies, physicians, and numerous faith-based organizations which collaborate with CAV staff. Medicaid/FAMIS eligibility questionnaires were provided to 684 patients. CAV staff had 1,441 patient contacts in Portsmouth and Suffolk with over $12,231 in lab services provided at no cost to the patient. The CAV has a staff of 11 FTEs and annual expenses of approximately $245,000.MMC offers support to qualified patients though the Life Coach Program. The Life Coach Program connects patients with no insurance, little resources, or no personal doctor with primary care resources to minimize their trips to the emergency room. These coaches work closely with the emergency department staff to find medical homes for patients who regularly use emergency rooms for non-emergency issues. Life Coaches help patients overcome social barriers to care, make follow up appointments, and obtain medications. If any patient meets the criteria for life coach services -- low-income, lack of insurance and no regular source of primary care -- life coaches call that person to provide information and offer assistance. They help set up ongoing care at Maryview Foundation Health Care Center, a free clinic located on the Maryview hospital grounds, or with the Care-A-Van, a mobile clinic operated by BSHRHS for the Portsmouth area. MMC Life Coaches had 1,672 patient contacts, scheduled 1,372 appointments with primary care physicians, assisted 74 patients with medication needs, and connected 223 patients with other community resources. Oncology nurse navigators guide patients from a cancer diagnosis through treatment and follow-up care. Nurse navigators educate patients on what to expect about treatment and side effects, make calls to insurance companies, schedule and track medical appointments. Nurse navigators at MMC and Harbour View worked with 1,845 patients.Within the community, there are other providers and organizations addressing dental care/oral health and tobacco use with specialized programs and services and it would result in duplication of services if Maryview Medical Center (MMC) were to address the need. MMC currently provides comprehensive diabetes education with weekly education sessions covering understanding diabetes, nutrition, foot care, exercise, and medication. The Maryview Behavioral Medicine Center, located on the MMC campus, provides inpatient and outpatient programs for treatment of substance abuse and psychiatric medicine. MMC also has a comprehensive community-based program in place to address domestic violence through parenting education programs that offer positive learning opportunities for parents, child development, age-appropriate expectations, and health and safety issues as it relates to children from birth through the teenage years.
Maryview HospitalPart V, Section B, Line 13b: The facility approved free care for patients at or below 200% of the FPL. For patients above 200% of the FPL we utilize a sliding scale with no cap.
Maryview HospitalPart V, Section B, Line 16i: Information regarding the FAP is available on our websites and brochures are available at the time of registration. We have on site Counselors who can assist the patients. We have eligibility vendors who work with the patients and our statements indicate we have an FAP.
Maryview HospitalPart V, Section B, Line 22d: Bon Secours offers 75% discounts to all self pay patients in the following markets: Virginia, South Carolina and Kentucky. We also offer an 80% discount to our patients in out New York Market.
Form 990, Schedule H, Part V, Section B, Line 14:The Community Service Adjustment was based on the average amounts paidby our insurance companies.
Part V, Section B, Line 16Financial Assistance Policy Website Availability
Maryview Hospital Part V, Section B, line 16a website:http://bshr.com
Maryview Hospital Part V, Section B, line 16b website:http://bshr.com
FieldValueIRS element (for citing)
Facility40FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (40 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Bon Secours Health Ctr at Harbourview
5818D Harbourview BlvdSuffolkVA23435Imaging, ER, Physical Therapy & Other OP Services
BS Health Ctr at Harbourview MAB
5838 Harbourview BlvdChesapeakeVA23321OP Cardiology & Physical Therapy Services
VA Orthopedic & Spine Specialists
5838 Harbourview Blvd Suite 100PortsmouthVA23707Physician Practice
Cardiovascular Specialists
5838 Harbourview Blvd Suite 270SuffolkVA23435Physician Practice
Bon Secours Surgical Specialists
5838 Harbourview Blvd Suite 240SuffolkVA23435Physician Practice
In Motion at Chesapeake Square
4300 Portsmouth Blvd Suite 200ChesapeakeVA23321Physical Therapy
The Center for Pain Management
3315 High StPortsmouthVA23707Physician Practice
Chenault-Ostroff Urology
4037 Taylor Rd Suite AChesapeakeVA23321Physician Practice
In Motion PT Suffolk
2012 Meade ParkwaySuffolkVA23434Physical Therapy
Western Branch OBGYN
4057 Taylor Rd Suite RChesapeakeVA23321Physician Practice
In Motion PT High Street
3300 High StreetPortsmouthVA23707Physical Therapy
In Motion PT Portsmouth Blvd
5553 Portsmouth BlvdPortsmouthVA23701Physical Therapy
Harbour View Family Practice
5818 Harbourview Blvd Suite B2SuffolkVA23435Physician Practice
In Motion PT Portsmouth YMCA
4900 High St WestPortsmouthVA23703Physical Therapy
Internists of Churchland
4041 Taylor Rd Suite GChesapeakeVA23321Physician Practice
Nansemond Suffolk Family Practice
2897 Bridge RdSuffolkVA23435Physician Practice
Western Branch Family Practice
3253 Taylor Rd Suite 200ChesapeakeVA23321Physician Practice
Internists at Western Branch
4020 Raintree Rd Suite BChesapeakeVA23321Physician Practice
Bon Secours Pulmonary Specialists
4053 Taylor Rd Suite NChesapeakeVA23321Physician Practice
Bon Secours Neuroscience Center
3640 High St Suite 1APortsmouthVA23707Physician Practice
Eagle Harbor Medical Associates
13609 Carrollton Blvd Suite 11CarrolltonVA23314Physician Practice
In Motion PT Eagle Harbor
13609 Carrollton Blvd Suite 115CarrolltonVA23314Physical Therapy
In Motion PT Chilled Ponds
1416 Stephanie WayChesapeakeVA23320Physical Therapy
Portsmouth Medical Associates
3520 High Street Suite 100PortsmouthVA23707Physician Practice
Cardiology Associates
301 Goode Way Suite 102PortsmouthVA23704Physician Practice
Cardiology Associates
1030 Hillpoint Blvd NSuffolkVA23434Physician Practice
VA Orthopedic & Spine Specialists
3300 High Street Suite 1PortsmouthVA23707Physician Practice
VA Orthopedic & Spine Specialists
2012 Meade ParkwaySuffolkVA23434Physician Practice
The Spine Center of Hampton Roads
Mast One 1040 University BlvdPortsmouthVA23703Physician Practice
Cardiovascular & Thoracic Specialists
3636 High StreetPortsmouthVA23737Physician Practice
Delta Oncology Associates
104 Palmyra DriveSuffolkVA23434Physician Practice
Delta Oncology Associates
612 Kingsborough Square Suite 300ChesapeakeVA23320Physician Practice
Delta Oncology Associates
355 Crawford Street Suite 300PortsmouthVA23704Physician Practice
Bon Secours Oncology Specialists
3640 High St Suite 1EPortsmouthVA23707Physician Practice
Airline Boulevard Medical Associates
3537 Airline Boulevard Suite 1PortsmouthVA23701Physician Practice
In Motion at Harbor View
5838 Harbourview BlvdSuffolkVA23435Physical Therapy
Bon Secours In-Motion
1417 N Main StSuffolkVA23434Physical Therapy
Bon Secours Grassfield Medical Assoc
648 Grassfield Parkway Suite 1ChesapeakeVA23322Physician Practice
Bon Secours Surgical Specialist
3640 High Street Suite 2EPortsmouthVA23707Physician Practice
Internist of Portsmouth
3300 High StreetPortsmouthVA23707Physician Practice

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:For patients with income above 200% of the FPG, the organization utilizes a sliding scale with no cap.
Part I, Line 6a:Annually, Bon Secours Hampton Roads Health System (BSHRHS) publishes a report for the community, explaining the various community benefit services and programs that exist. This report also includes the annual financial commitment of the local system to the community, detailing monetary contributions for government sponsored healthcare shortfall, community benefit programs and charity care at cost. This report is available to the public each year on or around January 24, commemorating Foundation Day of the Sisters of Bon Secours. This report is available online at www.bshr.org.
Part I, Line 7:Part I, line 7a: Charity Care at cost is computed by applying a cost-to-charge ratio to the aggregate charity adjustments recorded in the general ledger. Part I, line 7b: Unreimbursed Medicaid is computed by determining the cost of Medicaid services supplied less payments received for these services. To determine the cost of Medicaid services provided, a cost-to-charge ratio is applied to traditional and managed Medicaid gross charges captured in the patient accounting system and general ledger. Payments include payments for individual claims, payments from the Medicaid program paid outside the claim process (such as medical education payments) and expected or actual cost report settlements.Part I, line 7c: Unreimbursed costs from other means-tested government programs are computed by applying a cost-to-charge ratio to the total charges to patients covered under these programs. The charges are identified by the financial class assigned to the patient. For Part I, Line 7 a-c computations: The cost-to-charge ratio is derived using the suggested computation in Worksheet 2, Ratio of Patient Care Cost-to-Charges. Operating expenses and Gross patient charges are taken from the general ledger. Expenses for nonpatient care activities recorded in operating expenses are approximated as directly equaling other operating revenue, assuming these activities do not provide profit. Part I, line 7e: Community health improvement services and community benefit operations are accumulated throughout the year and reported at actual cost in a software program that specifically addresses this purpose.Part I, line 7f: Health professions education cost is determined as the direct and indirect cost of qualifying education activities as traditionally reported in columns 21-24 on Worksheet B of the Medicare cost report as a Medical Education program, nursing school or other allied health program.
Part I, Ln 7 Col(f):The bad debt expense included in Part IX; line 25 and excluded from the "percent of total expense" calculation is: $24,452,732.
Part II, Community Building Activities:Bon Secours Maryview Medical Center provided staff and resources in support of the Healthy Community Initiative of Bon Secours Health System, and advocated for local and state policies that would improve health across its communities. Bon Secours Hampton Roads Health System is working to engage and empower the members of the East Ocean View neighborhood to support them in improving their quality of life and holistic health. Maryview Medical Center also reached out to the homeless community with continuing support of Oasis, a shelter for the homeless in the City of Portsmouth. Maryview Medical Center donated staff time and resources in support of these efforts.
Part III, Line 2:Bad debt expense on the general ledger includes: 1) actual write offs of discounted gross charges where it is determined an uninsured patient can pay and does not pay; and 2) the estimated write offs for uninsured patient accounts with outstanding balances after discount. Estimates are based on historical collection rates.When an uninsured patient is billed for patient care services, the charges are automatically discounted and the patient is requested to only pay the amount after discount. The discount is recorded as an adjustment to gross revenue and is not recorded in bad debt expense. If the balance after discount is not paid or not paid in full, the unpaid amount will be written off to bad debt expense. When a patient remits a payment on an account that has already been written off to bad debt expense, the payment is recorded as a recovery of bad debt, which reduces bad debt expense.
Part III, Line 3:The organization does not report an estimate for the portion of bad debt expense that may have been likely to qualify for financial assistance under the hospital's charity care policy. The organization takes the position that ample opportunity and assistance is provided to the patient to qualify under the financial assistance policy. If sufficient information is not provided, the organization must assume the patient does not qualify.
Part III, Line 4:Please see Footnote "(2d) Accounts Receivable, net" discussing "accounts receivable" on pages 11-12 in the attached BSHSI consolidated audited financial statements ("AFS"). "Allowance for uncollectible accounts" is discussed in the second paragraph in Footnote "(10) Net Patient Service Revenue" on page 45 of the attached AFS. There is not a separate "bad debt expense" footnote in the AFS.
Part III, Line 8:Medicare allowable costs reflected in Part III come directly from the facility's Medicare cost report. The cost report segregates the total facility actual expenses into costs for support departments, clinical departments (routine and ancillary) and nonreimburseable departments. The cost report uses appropriate statistical bases to "step down" support costs to allowable clinical and nonreimburseable departments. The charges for clinical departments are matched to the total cost for these departments for a cost-to-charge ratio. Medicare-specific allowable costs for in- and outpatient ancillary departments are computed by applying the department-specific cost-to-charge ratio to the Medicare program charges by department. For routine departments, a per diem total cost is computed and applied to Medicare program days for the Medicare routine program cost.The organization feels the total shortfall of Medicare reimbursement compared to computed Medicare allowable costs should be treated as community benefit. The hospital improves access to patient care by providing services regardless of a patient's ability to pay or the hospital's ability to receive full cost reimbursement for services. The hospital also relieves the government of a financial burden when it provides care to publically insured patients where reimbursement is less than cost of providing the service.In addition to the costs reported above, the organization incurred additional costs relating to medicare support that are not includable in the Medicare Cost Report in the amount of: $995,766.
Part III, Line 9b:The hospital has a written policy that describes collection practices applying to patients that qualify for charity care or financial assistance. If full assistance is approved, no collection efforts are pursued on that patient's account(s). If partial assistance is provided, the patient is responsible for the adjusted account balance and collection efforts will follow the established practices for all patients where a self-pay balance exists. Collection efforts are not pursued on any pending FAP account.Specific criteria exist for how much financial assistance, partial or total, will be provided to the patient based on the assessed need. Criteria is based on Federal Poverty Guidelines and is reviewed and updated annually. Once a patient has been deemed eligible for the Patient Financial Assistance Program (FAP), the patient is notified by letter within 60 days after receipt of the application and supporting documentation. The patient retains eligibility for a period of twelve months from the date of the application. This eligibility is signaled to hospital admissions, billing and collection staff by the assignment of a specific financial class with accompanying eligibility dates. At the end of those twelve months, the patient is responsible for reapplying for FAP eligibility.
Part VI, Line 2:In partnership with Bon Secours Virginia Health System, Maryview Medical Center uses multiple approaches to assess the health needs of the communities it serves.Health care needs of the community are assessed and updated using a variety of informational sources including Virginia Health Information for state-based performance data, Health Group West and Hammes Company for market and geographic data. Thomson-Reuter's Market Expert is used to retrieve demographic information and trends for the primary and secondary service areas pertaining to Maryview Medical Center. National Research Corporation (NRC), Sg2 Analytics, and strategic market intelligence are also utilized.
Part VI, Line 3:Patient financial assistance policy is communicated to patients verbally upon scheduling, registration, visible postings of the policy in common areas throughout the hospital, brochures and on Bon Secours website. In addition, patient statements request that patients apply for financial assistance, if needed, once any patient financial obligation is determined.Bon Secours is committed to ensuring access to health care services for all. As a health care provider, Bon Secours treats all patients, whether insured, underinsured or uninsured, with dignity, respect and compassion throughout admission, delivery of services, discharge and billing and collection processes. Bon Secours addresses the needs of the uninsured by providing free or reduced fees on hospital services, community outreach efforts to assist with enrollment in Medicaid and other medical coverage programs, including free community-based preventive and primary care services. Bon Secours proactively screens to identify individuals and their families who may qualify for federal, state or local health insurance programs or the Bon Secours Patient Financial Assistance Program ("FAP") and assist the potential eligible patients through the qualification process. Potentially eligible patients that do not qualify for a federal or state health insurance program are referred to the Financial Assistance Coordinator located in Patient Financial Services for assistance in completing the documentation required to establish FAP eligibility. Patients are responsible for providing the information necessary to complete the documentation. The FAP aids uninsured and underinsured patients who do not qualify for government-sponsored health insurance and who communicate their inability to pay for their medical care. The FAP provides 100% financial assistance to uninsured patients with annual family incomes at or below 200% of the Federal Poverty Guidelines ("FPG"), A sliding scale assistance policy is afforded patients that exceed the income guidelines for 100% assistance. Sliding scale assistance is provided to patients and progressively declines in proportion to the patient's higher income level. Additionally, all uninsured (i.e. self pay) patients are given a reduction to the amount of the full charges for medically necessary services through a community service adjustment ("CSA"). The CSA is market adjusted and based on the payment discount received by other health care payers doing business in the community. For these patients, the FAP also sets a maximum annual family payment liability to ensure that no family suffers a catastrophic financial burden to receive necessary health care services. Based on research conducted by the Tax Foundation, a non partisan tax research group based in Washington DC, the maximum annual family liability is based on a sliding scale determined by the family income and size. In addition, a variety of other potential payment options are available. Bon Secours is dedicated to meeting the needs of non-English speaking patients by having on-site Spanish translators, and other language translation services. In addition, Bon Secours employs a telephone language service which assists in meeting any language needs that arise. The translation services are offered to non-English speaking patients from admission to discharge, including the financial process.
Part VI, Line 4:As of 2014, Hampton Roads is a very diverse community within an MSA of over 1.7 million people residing in 16 cities and counties, stretching from northeastern North Carolina to Williamsburg. The area is characterized by racial diversity, a significant military population and a growing elderly population. African Americans comprise 51% of the population in Portsmouth, 42% in Suffolk, 30% in Chesapeake, and 24% in Isle of Wight County. Seniors currently in Bon Secours Maryview Medical Center's (Maryview) service area account for 18.2% of the population, increasing by 19.7% within the next five years. The primary service area population served by Maryview, Portsmouth, VA, is estimated to change from 198,699 to 208,191, with a projected growth of 4.8% over the next five years. Currently the largest populations are white (48%), Black or African American (42%), Hispanic or Latino (4%), Asian (2%), and small percentages of other groups. The current year median age for this area is 36.7. The most prevalent chronic conditions among adults in the Maryview service area include high blood pressure (42.7%), high cholesterol (29.8%), smokers (26.1%), arthritis (23.7%), depression/anxiety disorder (21.2%), and obesity/weight problems (20.2%). Morbidity rates per 10,000: heart disease (159.5), cerebrovascular disease (33.4), chronic obstructive pulmonary disease (29.4), diabetes (26.3), and asthma (17.5). Mortality rates (age-adjusted per 100,000) for the state of Virginia are cancer (169.5), ischemic heart disease (161.3), cerebrovascular disease (41.4) and chronic obstructive pulmonary disease (38.4).
Part VI, Line 5:Maryview Medical Center (MMC) has an open medical staff with privileges available to all qualified physicians. Emergency departments at MMC and Harbour View provide service 24 hours/day, 7 days/week to ensure access for all individuals in need of emergency care. Hospital board members are diverse, inclusive and representative of the broader community in which the facilities are located.
Part VI, Line 6:Bon Secours Health System, Inc., a Maryland nonprofit, nonstock membership corporation (BSHSI), and all of the other entities that are controlled directly or indirectly by Bon Secours, Inc, a Maryland nonprofit, nonstock membership corporation (BSI) are described collectively as the System. BSI, which is the sole corporate member of BSHSI, has no healthcare operations. The System was organized in June 1983 to fulfill the healthcare mission of the United States Province of the Congregation of the Sisters of Bon Secours of Paris, a congregation of religious women of the Roman Catholic Church founded in France in 1824. The System's activities are in the states of New York, Pennsylvania, Maryland, Virginia, Kentucky, South Carolina, and Florida, each referred to as a local system. The Ministry of BSHSI aids those in need, particularly those who are sick and dying, by offering services that include but are not limited to acute inpatient, outpatient, pastoral, palliative, home health, nursing home, rehabilitative, primary and secondary care and assisted living without regard to race, religion, color, gender, age, marital status, national origin, sexual orientation, or disability. 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." Please see Schedule R for listings of the related organizations.
Part VI, Line 7, Reports Filed With StatesVA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Old Dominion University Educational Foundation
4417 Monarch Way 4th FloorNorfolkVA23529546052014501(C)(3)$30,000Endowed Scholarship
Operation Blessing Relief and Development Corporation
977 Centerville TurnpikeVirginia BeachVA23463541382657501(C)(3)$5,000Disaster Relief
Bon Secours Maryview Foundation
100 Kingsley Lane Suite 204NorfolkVA23505521694731501(C)(3)$139,678Foundation Administrative Expenses
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe organization complies with Bon Secours Health System, Inc.'s system-wide financial and accounting policies. Contributions are generally made as reimbursements for funds spent. In such cases, the donee/grantee organization must provide documentation to the filing organization before funds are approved for disbursement.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Timothy Davis
Board Member$0$617,514$0$191,208$0$210,957$0$132,084$0$19,599$0$1,171,362$0$135,985
Michael Kerner
Secretary/CEO-BSHR$0$527,082$0$221,442$0$209,787$0$101,956$0$29,969$0$1,090,236$0$125,798
Joseph Oddis
CEO - MVH$0$327,823$0$113,194$0$42,536$0$11,947$0$28,486$0$523,986$0$0
Charmaine Rochester
Treasurer/VP Finance$195,153$0$47,816$0$173$0$12,271$0$4,117$0$259,530$0$0$0
Herbert Cummings
COO - BSMG$0$170,417$0$42,266$0$568$0$8,878$0$26,399$0$248,528$0$0
Barbara Lynch
VP - Ambulatory Services (Sep-Dec)$148,708$0$34,489$0$752$0$1,731$0$0$0$185,680$0$0$0
Leana Fox
VP - Patient Care Services$174,735$0$41,446$0$639$0$10,181$0$0$0$227,001$0$0$0
Mark Kerner MD
Orthopedic Surgeon$489,226$0$517,834$0$1,450$0$13,000$0$27,846$0$1,049,356$0$0$0
Steven Blasdell MD
Orthopedic Surgeon$463,976$0$359,627$0$2,692$0$13,617$0$24,568$0$864,480$0$0$0
Ernesto Luciano-Perez MD
Orthopedic Surgeon$308,028$0$454,390$0$1,313$0$12,917$0$26,753$0$803,401$0$0$0
Aaron Marlow MD
Orthopedic Surgeon$295,740$0$462,906$0$450$0$12,917$0$9,699$0$781,712$0$0$0
Apurva Patel MD
Cardiologist$515,129$0$222,863$0$1,242$0$13,000$0$0$0$752,234$0$0$0
James Sherwood
Former Key Employee$60,330$0$0$0$42,369$0$1,485$0$10,258$0$114,442$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3Bon Secours Health System, Inc., a related organization of the filing organization, uses the following to establish the compensation of the organization's CEO/Executive Director: Compensation Committee Independent Compensation Consultant Written Employment Contract Compensation Survey or Study Approval by the Board or Compensation Committee
Part I, Line 4bThe filing organization participates in a BSHSI sponsored executive retirement program that allows for deposits into additional retirement plans and available only to key employees. The 457F plan is a non-qualified plan and is subject to a minimum three-year service requirement before vesting on deposits made into this plan. Individuals that received a distribution include: Timothy Davis, $181,617; Michael Kerner, $164,862.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part I, Item CDBA: Bon Secours Maryview Medical Center in Affiliation with Delta Oncology. DBA: Bon Secours Home Oxygen
Form 990, Part VI, Section A, line 6Bon Secours Health System, Inc. is the sole member of Bon Secours Hampton Roads Health System, Inc. which in turn is the sole member of Maryview Hospital.
Form 990, Part VI, Section A, line 7aThe governing body of Maryview Hospital is appointed by its Member, Bon Secours Hampton Roads Health System, Inc. and subject to the approval by Bon Secours Health System, Inc.
Form 990, Part VI, Section A, line 7bCertain authorities of Maryview Hospital are reserved to its member or to Bon Secours Health System, Inc.
Form 990, Part VI, Section B, line 11The process the organization uses to review the Form 990 consists of a review by the local system's audit and compliance board-committee and providing the form to the local system board of directors to allow for a thorough review by both before the filing date. The local system's audit and compliance committee and board of directors have reviewed the Form 990, scheduled time on meeting agendas, and asked questions regarding the Form 990 before the return is filed.
Form 990, Part VI, Section B, line 12cThe organization regularly and consistently monitors compliance with the conflict of interest policy. On an annual basis, all persons subject to the policy, including all officers, directors and key employees are required to make certain disclosures. These include disclosures related to certain personal, financial and organizational relationships that may present a conflict, or the appearance of a conflict of interest with the organization. All disclosures go through a three-part review process: (1) disclosures are reviewed first by the corporate responsibility officer (CRO); (2) a governance team comprised of the CEO, board president, board chair, CRO, and the BSHSI CRO participate in a second review of all disclosures during which recommendations are made as to the resolution of any conflicts or potential conflicts. Depending on the facts and circumstances, resolutions may include ongoing disclosure, recusal or removal of the conflict; and (3) all disclosures and recommendations are reviewed by a board committee (audit and compliance committee reviews the disclosures of management and the governance committee reviews the disclosures of the board and board committee members).
Form 990, Part VI, Section B, line 15bThe compensation committee of the board of Bon Secours Health System, Inc. (BSHSI) engages in a comprehensive process for the oversight and management of remuneration for executive employees and disqualified parties of the 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 19The filing organization makes all documents available to the general public upon request.
Form 990, Part VII - Additional Disclosure:Avg hours devoted to related org(s) when related comp is reported: 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 Hampton Roads Health System, including DePaul Medical Center, Maryview Hospital, and Bon Secours Maryview Nursing Care Center, are comprised of the same board members and board officers (Chairman, President, Secretary and Treasurer). These governing bodies are referred to as the Hampton Roads Joint Board. Hours reported for these voluntary board positions represent total hours worked per week, which include responsibilities for the applicable entities). Br. Art Caliman does not receive payroll distributions as he has taken a vow of poverty.
Form 990, Part XI, line 9:Minimum Pension Plan Liability -6,162,603. BSHSI Principal & Swap Payments -1,612,261. Goodwill Impairment Transfer -134,666. Pension Defined Benefit Transaction -225,126. Miscellaneous Changes to Net Assets 954.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Bon Secours Health System Inc
1505 Marriottsville RoadMarriottsvilleMD21104521301088Parent Org. - Mgmt. ServicesMD501(c)(3)Line 11c, III-FIBon Secours Inc0
Bon Secours Hampton Roads Health System Inc
7007 Harbour View Blvd Suite 108SuffolkVA23435521538513Local System Parent Org.VA501(c)(3)Line 11c, III-FIBon Secours Health System Inc0
Mary Immaculate Nursing Center
7007 Harbour View Blvd Suite 108SuffolkVA23435541516476Nursing Care CenterVA501(c)(3)Line 9Mary Immaculate Hospital0
Mary Immaculate Foundation
7007 Harbour View Blvd Suite 108SuffolkVA23435311644734FundraisingVA501(c)(3)Line 11c, III-FIMary Immaculate Hospital0
Mary Immaculate Hospital Inc
7007 Harbour View Blvd Suite 108SuffolkVA23435540548200HealthcareVA501(c)(3)Line 3Bon Secours Hampton Roads Health System0
Bayley Properties
150 Kingsley LaneNorfolkVA23505541424748RentalVA501(c)(2)Bon Secours DePaul Medical Center0
Bon Secours Maryview Foundation
7007 Harbour View Blvd Suite 108SuffolkVA23435521694731FundraisingVA501(c)(3)Line 7Bon Secours Hampton Roads Health System0
Bon Secours Maryview Nursing Care Center
7007 Harbour View Blvd Suite 108SuffolkVA23435521578169Nursing Care CenterVA501(c)(3)Line 9Bon Secours Hampton Roads Health System0
Bon Secours DePaul Medical Center
7007 Harbour View Blvd Suite 108SuffolkVA23435541820093HealthcareVA501(c)(3)Line 3Bon Secours Hampton Roads Health System0
Bon Secours DePaul Health Foundation
7007 Harbour View Blvd Suite 108SuffolkVA23435541843876FundraisingVA501(c)(3)Line 7Bon Secours Hampton Roads Health System0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
Province Place of Maryview LLC
One Bon Secours WayPortsmouthVA23703541842697Assisted LivingVAN/A
Province Place of DePaul LLC
6403 Granby StreetNorfolkVA23505541950880Assisted LivingVAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Professional Health Care Mgmt Inc
150 Kingsley LaneNorfolkVA23505541241031AdministrativeVAN/AC0
Tidewater Diversified Inc
160 Kingsley LaneNorfolkVA23505541431826PharmacyVAN/AC0
OSF Inc
2 Bernadine DriveNewport NewsVA23602541369919RentalVAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd