Bon Secours - St Mary's Hospital of Richmond Inc: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- Bon Secours - St Mary's Hospital of Richmond Inc (EIN 54-0793767)
- Tax period
- 2013-09-01 to 2014-08-31
- Filed
- 2015-07-13
- IRS object ID
- 201501949349300915
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-07-13T13:53:54-05:00 | ReturnTs |
| Tax Period End | 2014-08-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 Peachtree St Suite 2000 | AddressLine1 |
| City | Atlanta | City |
| State | GA | State |
| ZIP Code | 303031749 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-09-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 540793767 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's Hospital of Richmond Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STMA | BusinessNameControlTxt |
| Phone | 8042818413 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8580 Magellan Parkway Building IV | AddressLine1 |
| City | Richmond | City |
| State | VA | State |
| ZIP Code | 23227 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Stephan F Quiriconi | PersonNm |
| Person Title | Treasurer BSR - VP Finance | PersonTitleTxt |
| Phone | 8042818316 | PhoneNum |
| Signature | 2015-07-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | David A Craig | PreparerPersonNm |
| PTIN | P00542227 | PTIN |
| Phone | 4042201500 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Toni R Ardabell | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5801 Bremo Road | AddressLine1 |
| City | Richmond | City |
| State | VA | State |
| ZIP Code | 23226 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $686,468,208 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.bonsecours.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1961 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | Acute Care Hospital | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 4668 | TotalEmployeeCnt |
| Total Volunteers | 827 | TotalVolunteersCnt |
| Total Gross UBI | $1,603,411 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,185,652 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,237,171 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $628,957,004 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $665,247,391 | CYProgramServiceRevenueAmt |
| PY Investment Income | $29,998,138 | PYInvestmentIncomeAmt |
| CY Investment Income | $14,195,720 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,011,463 | PYOtherRevenueAmt |
| CY Other Revenue | $3,168,783 | CYOtherRevenueAmt |
| PY Total Revenue | $665,152,257 | PYTotalRevenueAmt |
| CY Total Revenue | $685,849,065 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $5,606,327 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $5,491,932 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $285,190,413 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $296,365,567 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $316,295,160 | PYOtherExpensesAmt |
| CY Other Expenses | $338,867,317 | CYOtherExpensesAmt |
| PY Total Expenses | $607,091,900 | PYTotalExpensesAmt |
| CY Total Expenses | $640,724,816 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $58,060,357 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $45,124,249 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $839,161,866 | TotalAssetsBOYAmt |
| Total Assets EOY | $905,515,684 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $294,443,709 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $309,937,386 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $544,718,157 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $595,578,298 | NetAssetsOrFundBalancesEOYAmt |
| Mission | The mission is to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a system of caregivers, we commit ourselves to help bring people and communities to health and wholeness. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $476,365,080 | ExpenseAmt |
| Grant | $5,491,932 | GrantAmt |
| Revenue | $550,367,743 | RevenueAmt |
| Desc | St. Mary's Hospital provides medical care to patients without regard to their ability to pay. As the major community not for profit hospital in Richmond, St. Mary's is the access for under-insured and financially disadvantaged who will not be treated at the for profit hospitals. In addition, St. Mary's provides support for community services. Please refer to the Community Benefit information on Schedule H. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $114,541,507 | ExpenseAmt |
| Revenue | $114,541,507 | RevenueAmt |
| Desc | St. Mary's Hospital provides shared services to related organizations to assist with furthering its mission of providing help to those in need. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $855,758 | ExpenseAmt |
| Revenue | $181,645 | RevenueAmt |
| Desc | The Bon Secours St. Mary's Hospital School of Medical Imaging offers an accredited 18-month radiography program designed to prepare individuals to enter the workforce as Diagnostic Radiologic Technologists. This new and innovative curriculum will allow students to enter the workforce more quickly while maintaining high standards of education. The Radiography program quality and depth has remained the same and continues to meet requirements established by the American Society of Radiologic Technologists. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $591,762,345 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 251 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 4668 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | VA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Laura Ellison | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4433673835 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8990 Old Annapolis Road | AddressLine1 |
| City | Columbia | City |
| State | MD | State |
| ZIP Code | 21045 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Toni Ardabell | |||||||||
| CEO St Mary's Hospital | 47.50 | 2.50 | Yes (X) | Yes (X) | $0 | $579,547 | $39,346 | ||
| Jean Bolling | |||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| John Bowman MD | |||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Barry Case | |||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Pete Cleal | |||||||||
| Board Member (Sep-Dec) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| John Daniel III MD | |||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Anup Gokli MD | |||||||||
| Board Member (Jan-Aug) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Mark Gordon | |||||||||
| Board Member | 2.00 | 48.00 | Yes (X) | $0 | $472,866 | $48,521 | |||
| Pamela Hacker | |||||||||
| Board Member (Jan-Aug) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Richard Jackson MD | |||||||||
| Board Member (Sep-Dec) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Sr Anne Marie Mack CBS | |||||||||
| BM (Sep-Dec)/President (Jan-Aug) | 2.00 | 48.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Joanne Nattrass | |||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Michael Robinson | |||||||||
| Board Member | 2.00 | 48.00 | Yes (X) | $0 | $629,563 | $34,785 | |||
| Sr Victoria Segura CBS | |||||||||
| President (Sep-Dec)/BM (Jan-Aug) | 10.00 | 40.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| William Shewmake | |||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Shannon Sinclair | |||||||||
| Board Member (Jan-Aug) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| William Stallings MD | |||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Nancy Thomas | |||||||||
| BM (Sep-Dec)/Chair (Jan-Aug) | 3.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Nalia Townes Ahmed | |||||||||
| Board Member (Sep-Dec) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Jane Watkins | |||||||||
| Board Member (Sep-Dec) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Michael Williams | |||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Thomas Winfree | |||||||||
| Chair (Sept-Dec)/BM (Jan-Aug) | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Peter Bernard | |||||||||
| CEO Bon Secours Virginia | 8.00 | 42.00 | Yes (X) | $0 | $1,217,905 | $194,176 | |||
| Allen Goolsby III | |||||||||
| Secretary | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Melinda Hancock | |||||||||
| Treas/CFO (Sep-Dec) | 8.00 | 42.00 | Yes (X) | $365,950 | $0 | $30,891 | |||
| Stephan Quiriconi | |||||||||
| Treas/VP Fin (Jan-Aug) | 10.00 | 40.00 | Yes (X) | $209,652 | $0 | $12,819 | |||
| Jim Godwin | |||||||||
| VP Human Resources | 24.00 | 26.00 | $218,134 | $0 | $33,654 | Yes (X) | |||
| Kathleen Santini | |||||||||
| VP - Surgical Services | 12.50 | 37.50 | $267,152 | $0 | $26,479 | Yes (X) | |||
| Francine Barr | |||||||||
| VP COO | 50.00 | 0.00 | $280,273 | $0 | $8,675 | Yes (X) | |||
| Marc Katz | |||||||||
| Cardiologist | 50.00 | 0.00 | $883,033 | $0 | $32,921 | Yes (X) | |||
| Mark Bladergroen | |||||||||
| CMIO | 50.00 | 0.00 | $685,909 | $0 | $21,335 | Yes (X) | |||
| Julia Padgett | |||||||||
| Dermatologist | 50.00 | 0.00 | $658,362 | $0 | $12,971 | Yes (X) | |||
| Shaival Kapadia | |||||||||
| Cardiologist | 50.00 | 0.00 | $654,322 | $0 | $31,240 | Yes (X) | |||
| Mark Warner | |||||||||
| Cardiologist | 50.00 | 0.00 | $647,370 | $0 | $30,126 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,870,157 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,899,881 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $557,939 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 288 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Free Agents Marketing | |||||
| 4800 Cox Road Suite 100 | Glen Allen | VA | 23060 | Marketing/Advertising | $6,676,978 |
| Morrison Mgt Specialists | |||||
| PO Box 102289 | Atlanta | GA | 303682289 | Dietary Management | $5,955,637 |
| Central VA Health Network | |||||
| 2201 W Broad St Ste 202 | Richmond | VA | 232202022 | Care Management | $5,512,664 |
| Aramark CTS Inc | |||||
| 12483 Collections Ctr Dr | Chicago | IL | 60693 | Medical Equipment Maintenance/Rental | $5,210,045 |
| Lab Corp of Amer Holdings | |||||
| PO Box 12140 | Burlington | NC | 272162190 | Patient Testing | $3,856,298 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 220 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $2,126,224 | RelatedOrganizationsAmt |
| Government Grants | $1,110,947 | GovernmentGrantsAmt |
| Total Contributions | $3,237,171 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Patient Service Rev. | 621300 | $548,921,946 | $548,921,946 | |
| Shared Services | 561499 | $116,143,800 | $114,541,507 | $1,602,293 |
| Sch. of Med. Imag Tut. | 611310 | $181,645 | $181,645 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $665,247,391 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,671,897 | TotalRevenueColumnAmt |
| Exclusion | $3,671,897 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $726,688 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $619,143 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $107,545 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $107,545 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $1,118 | UnrelatedBusinessRevenueAmt |
| Exclusion | $106,427 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $10,501,487 | SecuritiesAmt |
| Other | $22,336 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $10,501,487 | SecuritiesAmt |
| Other | $22,336 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,523,823 | TotalRevenueColumnAmt |
| Exclusion | $10,523,823 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Clinical Drug Trials | 900099 | $1,445,797 | $1,445,797 | |
| Joint Venture Revenue | 900099 | $607,150 | $607,150 | |
| Health/Fitness/Vending | 900099 | $277,106 | $277,106 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $731,185 | TotalRevenueColumnAmt |
| Exclusion | $731,185 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,061,238 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $685,849,065 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $665,090,895 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,603,411 | UnrelatedBusinessRevenueAmt |
| Exclusion | $15,917,588 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,491,932 | TotalAmt |
| Program Services | $5,491,932 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,336,644 | TotalAmt |
| Program Services | $1,202,979 | ProgramServicesAmt |
| Management And General | $133,665 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $230,939,432 | TotalAmt |
| Program Services | $207,845,489 | ProgramServicesAmt |
| Management And General | $23,093,943 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,993,219 | TotalAmt |
| Program Services | $12,593,897 | ProgramServicesAmt |
| Management And General | $1,399,322 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,287,026 | TotalAmt |
| Program Services | $29,058,323 | ProgramServicesAmt |
| Management And General | $3,228,703 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,809,246 | TotalAmt |
| Program Services | $16,028,321 | ProgramServicesAmt |
| Management And General | $1,780,925 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,587,520 | TotalAmt |
| Program Services | $2,328,768 | ProgramServicesAmt |
| Management And General | $258,752 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $656,147 | TotalAmt |
| Program Services | $590,532 | ProgramServicesAmt |
| Management And General | $65,615 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,993 | TotalAmt |
| Program Services | $32,394 | ProgramServicesAmt |
| Management And General | $3,599 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,943,352 | TotalAmt |
| Program Services | $14,943,352 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,002,842 | TotalAmt |
| Program Services | $8,102,558 | ProgramServicesAmt |
| Management And General | $900,284 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,984,418 | TotalAmt |
| Program Services | $7,185,976 | ProgramServicesAmt |
| Management And General | $798,442 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,582,449 | TotalAmt |
| Program Services | $25,724,204 | ProgramServicesAmt |
| Management And General | $2,858,245 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,578,551 | TotalAmt |
| Program Services | $16,720,696 | ProgramServicesAmt |
| Management And General | $1,857,855 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,131,482 | TotalAmt |
| Program Services | $1,918,334 | ProgramServicesAmt |
| Management And General | $213,148 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,418,376 | TotalAmt |
| Program Services | $3,076,538 | ProgramServicesAmt |
| Management And General | $341,838 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,022,230 | TotalAmt |
| Program Services | $5,022,230 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,137,946 | TotalAmt |
| Program Services | $26,224,151 | ProgramServicesAmt |
| Management And General | $2,913,795 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,121,470 | TotalAmt |
| Program Services | $1,909,323 | ProgramServicesAmt |
| Management And General | $212,147 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $95,515,390 | $95,515,390 | |
| Purchased Services | $59,800,070 | $53,820,065 | $5,980,005 |
| Bad Debt Expense | $30,127,389 | $30,127,389 | |
| UBI Tax | $21 | $21 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,221,671 | TotalAmt |
| Program Services | $26,299,504 | ProgramServicesAmt |
| Management And General | $2,922,167 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $640,724,816 | TotalAmt |
| Program Services | $591,762,345 | ProgramServicesAmt |
| Management And General | $48,962,471 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,324 | BOYAmt |
| EOY | $2,081 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $267,942,820 | BOYAmt |
| EOY | $299,135,203 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,450 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,417,779 | BOYAmt |
| EOY | $63,367,492 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $895,305 | BOYAmt |
| EOY | $20,518 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,504,754 | BOYAmt |
| EOY | $8,048,879 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,617,620 | BOYAmt |
| EOY | $4,030,187 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $400,032,130 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $264,451,880 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,906,867 | BOYAmt |
| EOY | $135,580,250 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $332,370,168 | BOYAmt |
| EOY | $371,892,583 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,000 | BOYAmt |
| EOY | $50,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,411,779 | BOYAmt |
| EOY | $23,388,491 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $839,161,866 | BOYAmt |
| EOY | $905,515,684 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,738,281 | BOYAmt |
| EOY | $80,418,371 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,428,078 | BOYAmt |
| EOY | $14,157,062 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,883,010 | BOYAmt |
| EOY | $43,637,927 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $161,394,340 | BOYAmt |
| EOY | $171,724,026 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $294,443,709 | BOYAmt |
| EOY | $309,937,386 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $544,644,822 | BOYAmt |
| EOY | $595,547,413 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,335 | BOYAmt |
| EOY | $30,885 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $544,718,157 | BOYAmt |
| EOY | $595,578,298 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $839,161,866 | BOYAmt |
| EOY | $905,515,684 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $45,124,249 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $24,560,609 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$18,824,717 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $35,993 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $35,993 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | The filing organization maintains memberships to various professional healthcare associations. Portions of their membership dues are used for lobbying activities. The lobbying portion of such dues is included on line 1i. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,926,706 | OtherCostOrOtherBasisAmt |
| Book Value | $4,926,706 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $165,685,444 | OtherCostOrOtherBasisAmt |
| Depreciation | $78,218,827 | DepreciationAmt |
| Book Value | $87,466,617 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,876,630 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,327,344 | DepreciationAmt |
| Book Value | $9,549,286 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $203,583,714 | OtherCostOrOtherBasisAmt |
| Depreciation | $176,237,626 | DepreciationAmt |
| Book Value | $27,346,088 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,959,636 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,668,083 | DepreciationAmt |
| Book Value | $6,291,553 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $135,580,250 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| LT Pension Liability | $93,170,653 |
| HPL/GL Liability | $16,026,561 |
| Due to BSHSI | $37,688,901 |
| Other Liabilities (MOB Reynolds lease from 2008) | $23,010,735 |
| Medicare/Medicaid Settlement | $1,287,217 |
| Other LTL & Deferred Credits | $394,204 |
| Due to Affiliates | $144,051 |
| Unclaimed Property | $1,704 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $171,724,026 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | Schedule D, Part X, Line 2 requires that the organization provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under ASC 740. ASC 740 addresses the accounting for uncertainty in income taxes recognized in an entity's financial statements and prescribes a threshold of more-likely-than-not for recognition and derecognition of tax positions taken or expected to be taken in a tax return. The adoption of ASC 740 by BSHSI on September 1, 2007 did not have a material impact on BSHSI's consolidated financial statements. As the organization does not conduct a separate audit of its financial statements, below is the related statement from the Bon Secours Health System, Inc. consolidated audited financial statements: The System and most of its subsidiaries (including certain joint venture entities) are exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. The system accounts for uncertain tax positions in accordance with ASC Topic 740. Income taxes of the System's for-profit subsidiaries are not material to the accompanying consolidated financial statements. The System's taxable subsidiaries have approximately $61,513 and $66,681 of net operating loss carryforwards as of August 31, 2014 and 2013, respectively, which expire in varying periods through 2034 and are available to offset future taxable income. The System's deferred tax assets are fully reserved at August 31, 2014 and 2013. Any changes to the valuation allowance on the deferred tax asset are reflected in the year of the change. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,450,345 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $15,450,345 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02530 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $52,683,575 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $34,660,652 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,022,923 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02950 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $68,133,920 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $34,660,652 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $33,473,268 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05480 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 10 | ActivitiesOrProgramsCnt |
| Persons Served | 16115 | PersonsServedCnt |
| Total Community Benefit Expns | $5,922,984 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $184,200 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,738,784 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00940 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 46 | PersonsServedCnt |
| Total Community Benefit Expns | $2,041,791 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $669,209 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,372,582 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $975,632 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $975,632 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 12 | ActivitiesOrProgramsCnt |
| Persons Served | 16161 | PersonsServedCnt |
| Total Community Benefit Expns | $8,940,407 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $853,409 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,086,998 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01320 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 12 | ActivitiesOrProgramsCnt |
| Persons Served | 16161 | PersonsServedCnt |
| Total Community Benefit Expns | $77,074,327 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $35,514,061 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $41,560,266 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06800 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $30,127,389 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $110,125,133 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $124,480,861 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$14,355,728 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's Hospital of Richmond Inc | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5801 Bremo Road | AddressLine1 |
| City | Richmond | City |
| State | VA | State |
| ZIP Code | 23226 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | http://richmond.bonsecours.com | WebsiteAddressTxt |
| State License | H1833 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Research Facility | Yes (X) | ResearchFacilityInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's Hospital of Richmond Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | http://richmond.bonsecours.com | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Other Factors | Yes (X) | OtherFactorsInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | 0 | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| St. Mary's Hospital of Richmond, Inc. | Part V, Section B, Line 3: Community Survey:An electronic survey using Survey Monkey was developed and administered to 488 community members and partners by Community Health Solutions. Individuals were invited to participate based on their ability to represent: underserved, low-income and minority population needs; needs of chronically ill patients; and awareness of healthcare needs in their respective communities. A total of 152 (31%) responded, though not all participants completed each question. Participants represented over 60 agencies from across the primary service area, including concerned citizens, faith community leaders, free clinics, physicians, elected officials and governmental servants. Participants were asked to share their viewpoints on:-Important health concerns in the community;-Significant service gaps in the community; -Ideas for addressing concerns and service gaps.To gauge the importance of various health concerns, respondents were asked to identify issues of community concern from a list modified from topics in Healthy People 2010. Respondents were able to enter additional concerns in an open-ended response item. Participants were also asked to review a list of services typically important to addressing health concerns. Respondents were then asked to indicate services that needed to be strengthened in terms of availability, access, or quality. Open-ended response items were provided for participants to indicate additional service gaps in the community and ideas for addressing concerns and service gaps. Priority Needs: The Bon Secours Richmond CHNA Community Review session covered all four hospitals, and was facilitated by Becky Clay Christensen. This review included: Medical Directors and Associate Medical Directors covering Health Departments for four jurisdictions; Health Department Registered Nurses from two jurisdictions; Chief Operating Officer of a Free Clinic; Executive Director of a Federally Qualified Health Center; Executive Director for Community Health Services; Director of Richmond Promise Neighborhoods. In addition to these community health leaders, the following internal leaders also participated: Senior Vice President of Sponsorship for Bon Secours Richmond; Administrative Director for Community Health Services; Administrative Director for Advocacy; Manager for Evaluation and Sustainability; Manager for Community Nutrition; Two Healthy Community Liaisons. After hearing a presentation on initial findings, which included secondary and survey data, this group discussed and made "dot choices" to help prioritize issues by distributing dots on issues from the report and raised by the group. |
| St. Mary's Hospital of Richmond, Inc. | Part V, Section B, Line 7: Dental Care/Oral Health:Dental Care was identified in the CHNA community survey as a gap. Oral health is important because it can impact general health. Multiple community organizations are engaged in providing dental care services to the uninsured. They include Virginia Commonwealth University's School of Dentistry, Daily Planet, FQHC, Vernon J. Harris FQHC Dental Clinic, CrossOver Ministry and Goochland Free Clinic and Family Services. As such Bon Secours will not be addressing dental needs at this time.Transportation: Other community organizations are better positioned to provide transportation. The Greater Richmond Transit Authority (GRTC) serves the City of Richmond and Henrico County. They have 186 buses and 40 routes. Each bus is equipped with a wheel chair lift. GRTC serves the Richmond Community Hospital campus.GRTC CARE service provides curb-to-curb public transportation to disabled individuals who may not be reasonably able to use the GRTC fixed route bus. It is also available for persons aged 80 or older. Of the four Bon Secours Richmond hospitals (St. Mary's Hospital, St. Francsis Medical Center, Richmond Community Hospital and Memorial Regional Medical Center), Richmond Community Hospital provides limited patient transportation. Patients who reside within a 10-mile radius of the hospital may utilize the patient transport van to reach the hospital campus. This service includes behavioral health patients. Lack of adequate transportation can be a barrier to accessing health care services. The Bon Secours Care-A-Van is a mobile health outreach program providing primary care services in local neighborhoods in the Richmond Community Hospital service area. The Care-A-Van contributes to the elimination of transportation as a barrier to care for uninsured patients. |
| St. Mary's Hospital of Richmond, Inc. | Part V, Section B, Line 12i: Please see the narrative for Part VI, Line 3 regarding the Financial Assistance Policy. |
| St. Mary's Hospital of Richmond, Inc. | Part V, Section B, Line 14g: Please see the narrative for Part VI, Line 3 regarding the Financial Assistance Policy. |
| St. Mary's Hospital of Richmond, Inc. | Part V, Section B, Line 20d: Please see the narrative for Part VI, Line 3 regarding the Financial Assistance Policy. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 43 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (43 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| Cardiovascular Associates of VA | ||||
| 7001 Forest Avenue Suite 200 | Richmond | VA | 232301727 | Physician Practice |
| Women's Imaging Center | ||||
| 5875 Bremo Road MOB South Suite 105 | Richmond | VA | 23226 | Imaging |
| Patterson Avenue Family Practice | ||||
| 9600 Patterson Avenue | Richmond | VA | 23229 | Physician Practice |
| PTOTSPLymphedema | ||||
| 5875 Bremo Road MOB South Suite 611 | Richmond | VA | 23226 | Physicial Therapy, Outpatient Care, Etc. |
| Perinatal Center | ||||
| 5855 Bremo Road MOB North Suite 306 | Richmond | VA | 232261926 | Physician Practice |
| Cardiac Surgery Specialists | ||||
| 5875 Bremo Road MOB South Suite G-5 | Richmond | VA | 231226234 | Physician Practice |
| West End Internal Medicine | ||||
| 7001 Forest Avenue Suite 2500 | Richmond | VA | 23230 | Physician Practice |
| Commonwealth Gynecologic Oncology | ||||
| 5875 Bremo Road MOB South Suite G-7 | Richmond | VA | 232261934 | Physician Practice |
| Associated Internists | ||||
| 5855 Bremo Road MOB North Suite 207 | Richmond | VA | 232261930 | Physician Practice |
| Surgical Dermatology Center | ||||
| 5207 Hickory Park Drive Suite A | Glen Allen | VA | 230592624 | Physician Practice |
| Sports Medicine | ||||
| 9600 Patterson Avenue | Richmond | VA | 232296053 | Sports Medicine Rehab |
| Commonwealth Internal Medicine | ||||
| 9220 Forest Avenue Suite 1-A | Richmond | VA | 23235 | Physician Practice |
| Monument Internal Medicine | ||||
| 5855 Bremo Road MOB North Suite 102 | Richmond | VA | 23226 | Physician Practice |
| Pediatric Gastreonterology | ||||
| 5875 Bremo Road MOB South Suite 303 | Richmond | VA | 23175 | Physician Practice |
| Senior Care Services | ||||
| 7001 Forest Avenue Suite 100 | Richmond | VA | 23230 | Physician Practice |
| Parham Road Internal Medicine | ||||
| 2600 E Parham Road | Richmond | VA | 23228 | Physician Practice |
| Oncology Associates | ||||
| 5875 Bremo Road | Richmond | VA | 23226 | Physician Practice |
| Arthritis & Osteroporosis Center | ||||
| 9600 Patterson Avenue | Richmond | VA | 232296053 | Physician Practice |
| Liver Institute of Virginia-MIH | ||||
| 5855 Bremo Road MOB North Suite 509 | Richmond | VA | 232261926 | Physician Practice |
| Neurology Clinic at St Mary's | ||||
| 5801 Bremo Road | Richmond | VA | 23226 | Physician Practice |
| Pediatric Lung Care | ||||
| 5875 Bremo Road MOB South Suite 104 | Richmond | VA | 232261930 | Physician Practice |
| Pediatric Endo & Diabetes Assoc | ||||
| 5875 Bremo Road MOB South Suite 207 | Richmond | VA | 232261926 | Physician Practice |
| Palliative Care Clinic | ||||
| 2366 Colony Crossing | Midlothian | VA | 231124280 | Physician Practice |
| OP Wound Care | ||||
| 6900 Forest Avenue Suite 115 | Richmond | VA | 23230 | OP Wound Care |
| Diabetes Treatment Center | ||||
| 5875 Bremo Road MOB South Suite 712 | Richmond | VA | 23226 | Diabetes Treatment |
| Cardiac Rehab | ||||
| 7001 Forest Avenue Suite 101 | Richmond | VA | 23230 | Cardiac Rehabilitation |
| Glen Allen Internal Medicine | ||||
| 5207 Hickory Park Drive Suite A | Glen Allen | VA | 23059 | Physician Practice |
| Cure and Care | ||||
| 5875 Bremo Road MOB South Suite 110 | Richmond | VA | 232261926 | Physician Practice |
| Good Health Clinic | ||||
| 5875 Bremo Road MOB South Suite 204 | Richmond | VA | 232261926 | Physician Practice |
| Advan Heart Fail Cntr-LVAD program | ||||
| 7001 Forest Avenue Suite 103 | Richmond | VA | 23230 | Cardiac Rehabilitation |
| Liver Institute of Virginia | ||||
| 5855 Bremo Road MOB North Suite 509 | Richmond | VA | 232261926 | Physician Practice |
| BS Behavioral Hth Group at SMH | ||||
| 5855 Bremo Road MOB North Suite 104 | Richmond | VA | 23226 | Physician Practice |
| BS Infectious Disease Specialists | ||||
| 5855 Bremo Road MOB North Suite 102 | Richmond | VA | 23225 | Physician Practice |
| Pediatric Neurology Clinic | ||||
| 5875 Bremo Road MOB South Suite 207 | Richmond | VA | 232261926 | Physician Practice |
| Pediatric Dental | ||||
| 6900 Forest Avenue Suite 110 | Richmond | VA | 23141 | Physician Practice |
| Lactation Center (A Woman's Place) | ||||
| 4121 Cox Road Suite 110 | Glen Allen | VA | 23059 | Physician Practice |
| Bon Sec Sports Med and Fam Pra | ||||
| 2401 W Leigh Street | Richmond | VA | 23226 | Physician Practice |
| Surgical Oncology | ||||
| 5855 Bremo Rd MOB N Ste 406 506 | Richmond | VA | 23226 | Physician Practice |
| BS Developme & Special Needs Peds | ||||
| 5875 Bremo Road MOB South Suite 104 | Richmond | VA | 232261934 | Physician Practice |
| Pediatric Infectious Disease | ||||
| 5875 Bremo Road MOB South Suite 303 | Richmond | VA | 232261934 | Physician Practice |
| BS Pediatric Hematology-Oncology | ||||
| 5875 Bremo Road MOB South Suite 303 | Richmond | VA | 23226 | Physician Practice |
| Redskins Sports Performance | ||||
| 2401 W Leigh Street | Richmond | VA | 23226 | Sports Medicine Rehab |
| St Mary's Athletic Trainers | ||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | Athletic Trainers |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a: | Bon Secours Richmond Health System (BSRHS) publishes an annual report for the community, explaining the various community benefit services and programs that exist. This report also includes the 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.bonsecours.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): | Bad debt expense included in Part IX; line 25 and excluded from the "percent of total expense" calculation is: $30,127,389. |
| 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 page 10 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 40 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. |
| 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: | BSRHS contracted with Community Health Solutions (CHS), a local Healthcare Consultant who was recommended by the Virginia Hospital and Healthcare Association (VHHA) to assist with data collection and analysis. Becky Clay Christenson, of The Clay Christensen Group, facilitated conversation to prioritize and vet findings from the initial data collection. Jason W. Smith, PhD, consulted on the CHNA and implementation strategy process, documenting method, analyzing data, and synthesizing components into a public document. The CHNA was conducted during Fiscal Year 2013 (September 1, 2012 to August 31, 2013.) in order to prepare documents by the end of the fiscal year. It was determined that existing secondary data, augmented by a key informant survey, would be used to identify and prioritize health indicators. An executive summary and report was then presented to system leadership from Mission and Business Development. Findings were then presented to the St. Mary's Hospital Senior Operations Team for further review and comment. Finally, a presentation was made to the Bon Secours Richmond Health System Board for final approval prior to being made available to the public.Secondary Data:The core of the secondary data analysis was conducted by CHS in order to develop a Community Health Indicator Profile. The analysis intentionally did not include every possible indicator, but instead focused on key metrics that provide a broad insight into community health. Availability of data sources was also considered in selection of content. In many cases, results can be considered in comparison to Virginia averages. Foundational source of data include: Alteryx, Inc.; Virginia Department of Health; hospital discharge data from Virginia Health Information, Inc.; Health Resources and Administration data. In other cases, data was only readily available at the state or national levels and synthetic estimates were created by CHS in order to further develop the community profile. CHS developed statistical models to produce estimates where local data was not available. This analysis was based on the CDC's Behavioral Risk Factor Surveillance Survey; the Virginia Foundation for Youth's Market Decisions' 2010 Obesity Survey; a report produced for Virginia Healthcare Foundation by Urban Institute; and local demographic characteristics obtained by Alteryx, Inc. Because the data is extrapolated, meaningful comparisons to state and national averages cannot be made. Community Input: Input from community members was included in assessing health care needs as previously described in Part V, Section B, Line 3. |
| Part VI, Line 3: | Patient financial assistance policy is communicated to patients verbally upon scheduling, registration, visible postings of the policy in common areas throughout the hospital, brochures and on Bon Secours website. In addition, patient statements request that patients apply for financial assistance, if needed, once any patient financial obligation is determined.Bon Secours is committed to ensuring access to health care services for all. As a health care provider, Bon Secours treats all patients, whether insured, underinsured or uninsured, with dignity, respect and compassion throughout admission, delivery of services, discharge and billing and collection processes. Bon Secours addresses the needs of the uninsured by providing free or reduced fees on hospital services, community outreach efforts to assist with enrollment in Medicaid and other medical coverage programs, including free community-based preventive and primary care services. Bon Secours proactively screens to identify individuals and their families who may qualify for federal, state or local health insurance programs or the Bon Secours Patient Financial Assistance Program ("FAP") and assist the potential eligible patients through the qualification process. Potentially eligible patients that do not qualify for a federal or state health insurance program are referred to the Financial Assistance Coordinator located in Patient Financial Services for assistance in completing the documentation required to establish FAP eligibility. Patients are responsible for providing the information necessary to complete the documentation. The FAP aids uninsured and underinsured patients who do not qualify for government-sponsored health insurance and who communicate their inability to pay for their medical care. The FAP provides 100% financial assistance to uninsured patients with annual family incomes at or below 200% of the Federal Poverty Guidelines ("FPG"), A sliding scale assistance policy is afforded patients that exceed the income guidelines for 100% assistance. Sliding scale assistance is provided to patients and progressively declines in proportion to the patient's higher income level. Additionally, all uninsured (i.e. self pay) patients are given a reduction to the amount of the full charges for medically necessary services through a community service adjustment ("CSA"). The CSA is market adjusted and based on the payment discount received by other health care payers doing business in the community. For these patients, the FAP also sets a maximum annual family payment liability to ensure that no family suffers a catastrophic financial burden to receive necessary health care services. Based on research conducted by the Tax Foundation, a non partisan tax research group based in Washington DC, the maximum annual family liability is based on a sliding scale determined by the family income and size. In addition, a variety of other potential payment options are available. Bon Secours is dedicated to meeting the needs of non-English speaking patients by having on-site Spanish translators, and other language translation services. In addition, Bon Secours employs a telephone language service which assists in meeting any language needs that arise. The translation services are offered to non-English speaking patients from admission to discharge, including the financial process. |
| Part VI, Line 4: | The St. Mary's Hospital service area consists of sixty-one zip codes that fall primarily within the counties of Chesterfield, Goochland, Hanover, Henrico and Louisa; and the cities of Petersburg and Richmond. The community of the St. Mary's Hospital primary service area contained 1,230,852 people as of 2010, of which 52% are female and 48% male - a population that is expected to grow to 1,293,100 by 2015. Compared to the Commonwealth of Virginia as a whole, this region is more densely populated (329.6 people per sq. mile) and is proportionately more Black/African American (29%). The median income of the community is $58,538, just under the median household income in Virginia of $60,034. The study region also has higher rates of low-income households (28% are Low Income Households with income less than $35,000) and slightly more adults age 25+ with a high school education. |
| Part VI, Line 5: | St. Mary's Hospital has an open medical staff with privileges available to all qualified physicians in the area. St. Mary's Hospital through the Bon Secours Richmond Health System is governed by a board of directors whose composition is representative of the community with a majority being comprised of independent members of the community. St. Mary's Hospital engages in medical research. Inpatient and outpatient research-related activities are conducted by St. Mary's with oversight from the Bon Secours Richmond Health System Institutional Review Board. St. Mary's Hospital provides training and education of health care professionals. The Bon Secours St. Mary's School of Imaging, sponsored by St. Mary's Hospital had 46 enrolled students in fiscal year 2014. Noah's Children, located at St. Mary's Hospital, is Central Virginia's only pediatric hospice and palliative care program. It is a specialized program of comprehensive care serving infants, children and adolescents who have been diagnosed with a life-threatening illness, and their families. This holistic program ensures compassionate care at the most difficult time for a family by addressing their physical, emotional, social, spiritual and practical needs, so that they can focus on making sure their child's remaining time is as rich and meaningful as possible. In FY 14, 55 families were served.The Care-A-Vans are mobile health care clinics, which travel throughout the Richmond Metro area to provide free primary, urgent and preventive care to patients. Patients on these vans speak many different languages. Approximately one-third of the Care-A-Van's staff are bilingual in English and Spanish. Each van is a self-contained mobile clinic with examining rooms, storage, bathroom, and waiting area. Services include health screenings, childhood immunizations, flu shots for adults, school physicals for uninsured children and examination and treatment of sick patients who are uninsured. Patients who need health care from specialists are referred to volunteer physicians within the community including Bon Secours Medical Group physicians. The vans make regular stops six days a week at churches providing 11,607 patient visits in FY 14. Bon Secours Richmond Health System partnered with the Daily Planet, a federally qualified health center and St. Joseph's Villa for Children, a not-for-profit organization serving children with special needs, at risk youth, and adults with disabilities to create St. Joseph's Outreach Clinic. The clinic provides primary care services to both the insured and the uninsured and serves a large Hispanic population. In FY 14, 6,151 patient visits were provided. Controlling Asthma in the Richmond Metropolitan Area (CARMA) works to improve the management of pediatric asthma through collaborative partnerships with multiple health care systems, schools, American Lung Association, community physicians and schools, case management organizations, and universities. In FY 14 over 4,723 children, parents, teachers and physicians were directly served through CARMA's services. Every Women's Life (EWL), Virginia Breast and Cervical Cancer Early Detection Program is a partnership with the Virginia Department of Health, with funding through the Centers for Disease Control and Prevention. This program provides breast and cervical cancer screenings and diagnostic testing if needed for low income, uninsured women who are 40 to 64 years old. If cancer is found, women are enrolled in Medicaid for treatment. BSRHS holds clinics in six facilities in the Richmond Metro area. Additionally, BSRHS provides case management, follow-up and patient education for these women. In FY14, 861 screenings were provided. The nationally recognized Reach Out and Read (ROR) program provides books for young children when they visit the Care-A-Van. Volunteers transform the sites into literary rich areas for children and parents while helping families learn the joys and techniques of reading aloud. Volunteers distributed 449 books in FY 2014 to children at Care-A-Van sites.The Bon Secours Class-A-Roll was introduced in FY2014 with a goal of reducing obesity and the prevalence of chronic disease. The Class-A-Roll is a mobile learning kitchen that provides healthy cooking demonstrations in community settings such as schools and community centers. During this reporting period, the Class-A-Roll participated in 41 community events and 16 community programs and initiatives. |
| 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." Please see Schedule R for listings of the related organizations. |
| Part VI, Line 7, Reports Filed With States | VA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (8 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Bon Secours Richmond Healthcare Foundation | |||||||
| 7229 Forest Avenue Suite 200 | Richmond | VA | 23226 | 541201346 | 501(C)(3) | $2,529,894 | General Support |
| Bon Secours Richmond Health System | |||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 521988421 | 501(C)(3) | $2,427,251 | General Support for Rappahannock |
| Families of the Wounded Fund | |||||||
| P O Box 330 | Midlothian | VA | 23113 | 320157288 | 501(C)(3) | $10,000 | General Support |
| City of Richmond | |||||||
| 900 East Broad Street | Richmond | VA | 23219 | 546001556 | City of Richmond | $66,667 | 2014 Annual Support |
| Meg Menzie Memorial Fund | |||||||
| P O Box 235 | Hanover | VA | 23069 | 467236030 | $5,000 | General Support | |
| Bon Secours Richmond Healthcare Foundation | |||||||
| 7229 Forest Avenue Suite 200 | Richmond | VA | 23226 | 541201346 | 501(C)(3) | $100,000 | Nursing for Good Matching |
| Bon Secours Richmond Healthcare Foundation | |||||||
| 7229 Forest Avenue Suite 200 | Richmond | VA | 23226 | 541201346 | 501(C)(3) | $91,620 | Mom's in Motion |
| Bon Secours Richmond Health System | |||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 521988421 | 501(C)(3) | $260,000 | Funding of Short Pump Land |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | St. Mary's Hospital of Richmond, Inc. complies with Bon Secours Health System, Inc.'s system-wide financial and accounting policies. Contributions are generally made as reimbursements for funds spent. In such cases, the donee/grantee organization must provide documentation to the filing organization before funds are approved for disbursement. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Toni Ardabell | ||||||||||||||
| CEO St Mary's Hospital | $0 | $425,825 | $0 | $87,664 | $0 | $66,058 | $0 | $35,773 | $0 | $3,573 | $0 | $618,893 | $0 | $15,225 |
| Mark Gordon | ||||||||||||||
| Board Member | $0 | $329,814 | $0 | $89,234 | $0 | $53,818 | $0 | $20,906 | $0 | $27,615 | $0 | $521,387 | $0 | $13,077 |
| Michael Robinson | ||||||||||||||
| Board Member | $0 | $452,515 | $0 | $95,276 | $0 | $81,772 | $0 | $15,300 | $0 | $19,485 | $0 | $664,348 | $0 | $0 |
| Peter Bernard | ||||||||||||||
| CEO Bon Secours Virginia | $0 | $785,237 | $0 | $199,179 | $0 | $233,489 | $0 | $166,098 | $0 | $28,078 | $0 | $1,412,081 | $0 | $145,125 |
| Melinda Hancock | ||||||||||||||
| Treas/CFO (Sep-Dec) | $270,243 | $0 | $56,597 | $0 | $39,110 | $0 | $5,235 | $0 | $25,656 | $0 | $396,841 | $0 | $0 | $0 |
| Stephan Quiriconi | ||||||||||||||
| Treas/VP Fin (Jan-Aug) | $181,069 | $0 | $27,384 | $0 | $1,199 | $0 | $3,672 | $0 | $9,147 | $0 | $222,471 | $0 | $0 | $0 |
| Jim Godwin | ||||||||||||||
| VP Human Resources | $187,388 | $0 | $29,001 | $0 | $1,745 | $0 | $6,792 | $0 | $26,862 | $0 | $251,788 | $0 | $0 | $0 |
| Kathleen Santini | ||||||||||||||
| VP - Surgical Services | $229,147 | $0 | $35,103 | $0 | $2,902 | $0 | $6,744 | $0 | $19,735 | $0 | $293,631 | $0 | $0 | $0 |
| Francine Barr | ||||||||||||||
| VP COO | $241,495 | $0 | $37,800 | $0 | $978 | $0 | $8,196 | $0 | $479 | $0 | $288,948 | $0 | $0 | $0 |
| Marc Katz | ||||||||||||||
| Cardiologist | $878,254 | $0 | $0 | $0 | $4,779 | $0 | $3,624 | $0 | $29,297 | $0 | $915,954 | $0 | $0 | $0 |
| Mark Bladergroen | ||||||||||||||
| CMIO | $680,252 | $0 | $300 | $0 | $5,357 | $0 | $3,672 | $0 | $17,663 | $0 | $707,244 | $0 | $0 | $0 |
| Julia Padgett | ||||||||||||||
| Dermatologist | $405,915 | $0 | $252,276 | $0 | $171 | $0 | $12,750 | $0 | $221 | $0 | $671,333 | $0 | $0 | $0 |
| Shaival Kapadia | ||||||||||||||
| Cardiologist | $429,831 | $0 | $223,300 | $0 | $1,191 | $0 | $3,180 | $0 | $28,060 | $0 | $685,562 | $0 | $0 | $0 |
| Mark Warner | ||||||||||||||
| Cardiologist | $441,358 | $0 | $203,597 | $0 | $2,415 | $0 | $3,360 | $0 | $26,766 | $0 | $677,496 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | Select executives receive country club memberships primarily for business use and certain business related expenses are reimbursed. Receipts are required to substantiate the amounts eligible for reimbursement. |
| Part I, Line 3 | Bon Secours Health System, Inc., a related organization of the filing organization, uses the following to establish the compensation of the organization's CEO/Executive Director: Compensation Committee Independent Compensation Consultant Written Employment Contract Compensation Survey or Study Approval by the Board or Compensation Committee |
| Part I, Line 4b | The filing organization participates in a BSHSI sponsored executive retirement program that allows for deposits into additional retirement plans and 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: Mark Gordon, $13,244; Peter Bernard, $183,101; Toni Ardabell, $23,453. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| David Cleal | |||
| Child of Board Member Pete Cleal | $72,838 | Employment | 0 |
| Martha E Merchant | |||
| Married to Key Employee Stephan Quiriconi | $146,624 | Employment | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | Bon Secours Health System, Inc. is the sole member of Bon Secours Richmond LLC which was formerly Bon Secours Richmond Health Corp, a nonprofit tax exempt organization prior to conversion. Bon Secours Richmond LLC holds the majority interest in Bon Secours - Richmond Health System, which in turn is the sole member of St. Mary's Hospital of Richmond, Inc. |
| Form 990, Part VI, Section A, line 7a | The governing body of St. Mary's Hospital of Richmond, Inc. 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 St. Mary's Hospital of Richmond, Inc. are reserved to its member or to Bon Secours Health System, Inc. |
| Form 990, Part VI, Section B, line 11 | The process the organization uses to review the Form 990 consists of a review by the local system's audit and compliance board-committee and providing the form to the local system board of directors to allow for a thorough review by both before the filing date. The local system's audit and compliance committee and board of directors have reviewed the Form 990, scheduled time on meeting agendas, and asked questions regarding the Form 990 before the return is filed. |
| Form 990, Part VI, Section B, line 12c | The organization regularly and consistently monitors compliance with the conflict of interest policy. On an annual basis, all persons subject to the policy, including all officers, directors and key employees are required to make certain disclosures. These include disclosures related to certain personal, financial and organizational relationships that may present a conflict, or the appearance of a conflict of interest with the organization. All disclosures go through a three-part review process: (1) disclosures are reviewed first by the corporate responsibility officer (CRO); (2) a governance team comprised of the CEO, board president, board chair, CRO, and the BSHSI CRO participate in a second review of all disclosures during which recommendations are made as to the resolution of any conflicts or potential conflicts. Depending on the facts and circumstances, resolutions may include ongoing disclosure, recusal or removal of the conflict; and (3) all disclosures and recommendations are reviewed by a board committee (audit and compliance committee reviews the disclosures of management and the governance committee reviews the disclosures of the board and board committee members). |
| Form 990, Part VI, Section B, line 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 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 19 | The filing organization makes all documents available to the general public upon request. |
| Form 990, Part VII - Additional Disclosure: | Board Member positions are generally voluntary in nature. Compensated employees of the filing organization and other related organizations who also hold board positions are compensated only in relation to their employment and do not receive additional compensation for their board responsibilities. The governing bodies of the hospitals of Bon Secours Richmond Health System, including Bon Secours St. Mary's Hospital, Bon Secours St. Francis Medical Center, Bon Secours Memorial Regional Medical Center and Richmond Community Hospital, 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. |
| Form 990, Part XI, line 9: | Transfers to BSHSI for Debt & Swaps -4,566,073. Minimum Pension Liability -14,258,644. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 Health System | 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 |
| Laburnum Properties | ||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 521260700 | Title Holding Company | VA | 501(c)(2) | Bon Secours Richmond Health System | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| St Mary's MRI LP | |||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541568022 | Imaging Services | VA | N/A |
| RI LP | |||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541708835 | Imaging Services | VA | N/A |
| Broad64 Imaging LLC | |||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 205886018 | Imaging Services | VA | N/A |
| Richmond Radiation Oncology Center I LLC | |||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 208444551 | Radiation Oncology Services | VA | N/A |
| Chesterfield Community Healthcare Center MOB I LLC | |||||||
| 435 Southlake Blvd | Richmond | VA | 23236 | 541745670 | Rental - Medical Office Building | VA | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| CCHC Inc | |||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541812738 | Ambulatory Healthcare Services | VA | N/A | C | 0 |
| RHS Management Corporation | |||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541313425 | Independent Living Facility | VA | N/A | C | 0 |
| Bon Secours - Virginia HealthSource Inc | |||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541417686 | Ambulatory Healthcare Services | VA | N/A | C | 0 |
| Richmond MRI Inc | |||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541568452 | Imaging Services | VA | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |