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BON SECOURS RICHMOND HEALTH SYSTEM: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
BON SECOURS RICHMOND HEALTH SYSTEM (EIN 52-1988421)
Tax period
2013-09-01 to 2014-08-31
Filed
2015-07-13
IRS object ID
201521949349300127
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-07-13T10:57:01-05:00ReturnTs
Tax Period End2014-08-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2013-09-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN521988421EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Bon Secours - Richmond Health System IncBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlBONSBusinessNameControlTxt
Phone8042818413PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18580 Magellan Parkway Building IVAddressLine1
CityRichmondCity
StateVAState
ZIP Code23227ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonStephan F QuiriconiPersonNm
Person TitleTreasurer BSR - VP FinancePersonTitleTxt
Phone8046275400PhoneNum
Signature2015-07-13SignatureDt
Discuss With Paid Preparer0DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Bon Secours VirginiaBusinessNameLine1
Business Name Line2Bon Secours Virginia Health SystemBusinessNameLine2
FieldValueIRS element (for citing)
Principal OfficerPeter J BernardPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line18580 Magellan Parkway Building IVAddressLine1
CityRichmondCity
StateVAState
ZIP Code23227ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$22,483,289GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.bonsecours.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionProvides support services to related not-for-profit entities within the System.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee189TotalEmployeeCnt
Total Volunteers120TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,202,700PYContributionsGrantsAmt
CY Contributions Grants$3,280,206CYContributionsGrantsAmt
PY Program Service Revenue$14,260,222PYProgramServiceRevenueAmt
CY Program Service Revenue$18,888,119CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$195,128PYOtherRevenueAmt
CY Other Revenue$314,964CYOtherRevenueAmt
PY Total Revenue$17,658,050PYTotalRevenueAmt
CY Total Revenue$22,483,289CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$11,701,267PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$13,729,673CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,925,797PYOtherExpensesAmt
CY Other Expenses$5,419,989CYOtherExpensesAmt
PY Total Expenses$15,627,064PYTotalExpensesAmt
CY Total Expenses$19,149,662CYTotalExpensesAmt
PY Revenues Less Expenses$2,030,986PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,333,627CYRevenuesLessExpensesAmt
Total Assets BOY$8,849,497TotalAssetsBOYAmt
Total Assets EOY$17,284,316TotalAssetsEOYAmt
Total Liabilities BOY$3,399,021TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,500,213TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,450,476NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,784,103NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe mission is to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a system of caregivers, we commit ourselves to help bring people and communities to health and wholeness.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$78,000ExpenseAmt
DescSupports the subsidiary members of the Bon Secours - Richmond Health System in their effort to provide compassionate, quality healthcare services to those in need, including the poor and dying, for the purpose of alleviating human suffering and bringing people to wholeness in the midst of pain and loss.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$15,955,468ExpenseAmt
Revenue$18,150,463RevenueAmt
DescBon Secours Home Care, LLC: In 1824, the Sisters of Bon Secours began to care for the sick in their own homes in Paris, France. Today, compassionate care at home remains a fundamental part of the mission of Bon Secours. Bon Secours Home Care provides care to patients in the home setting and offers a comprehensive suite of services to patients, from infants to seniors, which address their physical, emotional and spiritual needs. Such services include:- Skilled Nursing (diabetic teaching, medication management, post-operative care) - Certified Wound and Ostomy Nurse - Heart Failure Disease Management Program - Home Telehealth Monitoring - Physical, Occupational and Speech Therapy - Medical Social Workers - Pediatric Services - Orthopedic Rehab Services - Home Health Aides (activities of daily living assistance in conjunction with patient's rehabilitative plan of care)Bon Secours Home Care, LLC is a single-member limited liability company. As such, the activity of the entity is disregarded for tax purposes and consolidated into the Form 990 of its member Bon Secours Richmond Health System.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,422,011ExpenseAmt
Revenue$737,656RevenueAmt
DescBon Secours Ambulatory Services, LLC (dba Bon Secours Good Health Express) serves as an urgent care center for the community of Henrico County. Families have access to board-certified physicians and medical professionals trained in adult and pediatric life support. The organization provides qualify urgent care without an emergency room visit. Bon Secours Ambulatory Services, LLC follows the same Financial Assistance Policy of its related tax exempt hospitals within Bon Secours Richmond Health System (St. Mary's Hospital, Memorial Regional Medical Center, Richmond Community Hospital, and St. Francis Medical Center). Patients are never turned away due to their inability to pay. Services provided, but not excluded to:- Onsite diagnostic laboratory and imaging services- Treatment of broken bones- Treatment of minor injuries like the flu or sore throatDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$17,455,479TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document19IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee189EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Laura EllisonBusinessNameLine1
FieldValueIRS element (for citing)
Phone4433673835PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18990 Old Annapolis RoadAddressLine1
CityColumbiaCity
StateMDState
ZIP Code21045ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Peter Bernard
CEO - Bon Secours Virginia2.0048.00Yes (X)Yes (X)$0$1,217,905$194,176
Jeff Brown MD
Board Member2.000.00Yes (X)$0$0$0
Janice Burnett
Board Member2.0048.00Yes (X)$0$647,765$111,554
B Keith Fulton
Board Member (Jan-Aug)2.000.00Yes (X)$0$0$0
Reginald Gordon
Board Member (Jan-Aug)2.000.00Yes (X)$0$0$0
Sr Rose Marie Jasinski CBS
Board Member2.000.30Yes (X)$0$0$0
Jon King
Board Member2.000.00Yes (X)$0$0$0
Sr Anne Marie Mack CBS
President3.0047.00Yes (X)Yes (X)$0$0$0
Claudia MacSwain
Board Member (Sep-Dec)2.000.00Yes (X)$0$0$0
Mary Malone
Board Member (Jan-Aug)2.000.00Yes (X)$0$0$0
Stephan Quiriconi
Treasurer/VP Finance (Jan-Aug)2.0048.00Yes (X)Yes (X)$0$209,652$12,819
Pamela Royal MD
Board Member2.000.00Yes (X)$0$0$0
Pamela Schutz
Board Member2.000.00Yes (X)$0$0$0
Irvin Seeman MD
Board Member2.000.00Yes (X)$0$0$0
Robert Sledd
Chair3.000.00Yes (X)Yes (X)$0$0$0
Harry Turton Jr
Board Member2.000.00Yes (X)$0$0$0
Jane Watkins
Board Member (Jan-Aug)2.000.00Yes (X)$0$0$0
Michel Zajur
Board Member2.000.00Yes (X)$0$0$0
Allen Goolsby III
Secretary2.002.00Yes (X)$0$0$0
Melinda Hancock
Treasurer/CFO (Sep-Dec)2.0048.00Yes (X)$0$365,950$30,891
Jim Godwin
VP - Human Resources1.0049.00$0$218,134$33,654Yes (X)
Kimberly Kothe
RPT50.000.00$159,850$0$26,827Yes (X)
Jennifer Howerton
RPT50.000.00$151,540$0$26,440Yes (X)
Lydia Frye
RN50.000.00$134,248$0$29,539Yes (X)
Margaret Trent
Physical Therapist50.000.00$125,673$0$26,922Yes (X)
Michelle Hafner
RN50.000.00$124,525$0$13,965Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$695,836TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,659,406TotReportableCompRltdOrgAmt
Total Other Compensation$506,787TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Balzer and Associates IncBusinessNameLine1

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line11208 Corporate CircleAddressLine1
CityRoanokeCity
StateVAState
ZIP Code24018ZIPCode
FieldValueIRS element (for citing)
ServicesEngineering/architectural servicesServicesDesc
Compensation$152,426CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Related Organizations$3,280,206RelatedOrganizationsAmt
Total Contributions$3,280,206TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Home Care & Hospice621610$18,150,462$18,150,462
Bon Secours Ambulatory621990$737,657$737,657
FieldValueIRS element (for citing)
Total Program Service Revenue$18,888,119TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
JV Income from CVHN621610$313,807$313,807
Medical Records621610$718$718
3rd Party Remittance622110$439$439
FieldValueIRS element (for citing)
Other Revenue Total$314,964OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,483,289TotalRevenueColumnAmt
Related Or Exempt Func Income$18,888,119RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$314,964ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$11,186,092TotalAmt
Program Services$10,067,483ProgramServicesAmt
Management And General$1,118,609ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$208,647TotalAmt
Program Services$187,782ProgramServicesAmt
Management And General$20,865ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,445,506TotalAmt
Program Services$1,300,955ProgramServicesAmt
Management And General$144,551ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$889,428TotalAmt
Program Services$800,485ProgramServicesAmt
Management And General$88,943ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$38,744TotalAmt
Program Services$34,870ProgramServicesAmt
Management And General$3,874ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$517,733TotalAmt
Program Services$517,733ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$30,774TotalAmt
Program Services$27,697ProgramServicesAmt
Management And General$3,077ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$142,336TotalAmt
Program Services$128,103ProgramServicesAmt
Management And General$14,233ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,340TotalAmt
Program Services$1,206ProgramServicesAmt
Management And General$134ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$460,041TotalAmt
Program Services$414,037ProgramServicesAmt
Management And General$46,004ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$636,214TotalAmt
Program Services$572,593ProgramServicesAmt
Management And General$63,621ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$10,590TotalAmt
Program Services$9,531ProgramServicesAmt
Management And General$1,059ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,506TotalAmt
Program Services$3,506ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$244,311TotalAmt
Program Services$219,880ProgramServicesAmt
Management And General$24,431ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$30,222TotalAmt
Program Services$27,200ProgramServicesAmt
Management And General$3,022ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$1,056,148$1,056,148
Purchased Services$1,022,589$920,330$102,259
Bad Debt$318,801$318,801
Medical Equip Rental$311,643$311,643

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$594,997TotalAmt
Program Services$535,496ProgramServicesAmt
Management And General$59,501ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$19,149,662TotalAmt
Program Services$17,455,479ProgramServicesAmt
Management And General$1,694,183ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$100EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,792,877BOYAmt
EOY$4,230,069EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,886BOYAmt
EOY$335,251EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,456,514LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,031,433LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$298,110BOYAmt
EOY$3,425,081EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$6,440,968BOYAmt
EOY$8,754,775EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$86,667BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$223,989BOYAmt
EOY$539,040EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,849,497BOYAmt
EOY$17,284,316EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$708,902BOYAmt
EOY$1,427,937EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$417,918BOYAmt
EOY$430,050EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,272,201BOYAmt
EOY$6,642,226EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,399,021BOYAmt
EOY$8,500,213EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,450,476BOYAmt
EOY$8,784,103EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,450,476BOYAmt
EOY$8,784,103EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,849,497BOYAmt
EOY$17,284,316EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$3,333,627ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Supported Org Information SupportedOrgInformationGrp (4 entries)

EINEINOrganization TypeOrganizationTypeDescGoverning Document ListedGoverningDocumentListedIndSupported Org NotifiedSupportedOrgNotifiedIndUS OrganizedUSOrganizedIndSupportSupportAmt
St Mary's Hosp of Richmond Inc
5406280173Yes (1)Yes (1)Yes (1)$0
Memorial Regional Medical Cntr Inc
5417449313Yes (1)Yes (1)Yes (1)$0
Richmond Community Hospital Inc
5406474823Yes (1)Yes (1)Yes (1)$0
St Francis Medical Cntr Inc
3117169733Yes (1)Yes (1)Yes (1)$0
FieldValueIRS element (for citing)
Supported Organizations Total4SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,258,671OtherCostOrOtherBasisAmt
Depreciation$58,667DepreciationAmt
Book Value$1,200,004BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,564,235OtherCostOrOtherBasisAmt
Depreciation$1,972,766DepreciationAmt
Book Value$591,469BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,633,608OtherCostOrOtherBasisAmt
Book Value$1,633,608BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,425,081TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Investment in Rappahannock General Hospital$7,056,184C
Investment in Central Virginia Health Network, Inc.$1,698,591F
FieldValueIRS element (for citing)
Total Book Value Program Rltd$8,754,775TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Due to BSHSI$5,976,875
HPL/GL Liability$378,070
RGH EHR Liability$287,281
FieldValueIRS element (for citing)
Total Liability$6,642,226TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationSchedule D, Part X, Line 2 requires that the organization provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under ASC 740. ASC 740 addresses the accounting for uncertainty in income taxes recognized in an entity's financial statements and prescribes a threshold of more-likely-than-not for recognition and derecognition of tax positions taken or expected to be taken in a tax return. The adoption of ASC 740 by BSHSI on September 1, 2007 did not have a material impact on BSHSI's consolidated financial statements. As the organization does not conduct a separate audit of its financial statements, below is the related statement from the Bon Secours Health System, Inc. consolidated audited financial statements: The System and most of its subsidiaries (including certain joint venture entities) are exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. The system accounts for uncertain tax positions in accordance with ASC Topic 740. 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 J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
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
Janice Burnett
Board Member$0$475,901$0$124,998$0$46,866$0$91,690$0$19,864$0$759,319$0$18,660
Stephan Quiriconi
Treasurer/VP Finance (Jan-Aug)$0$181,069$0$27,384$0$1,199$0$3,672$0$9,147$0$222,471$0$0
Melinda Hancock
Treasurer/CFO (Sep-Dec)$0$270,243$0$56,597$0$39,110$0$5,235$0$25,656$0$396,841$0$0
Jim Godwin
VP - Human Resources$0$187,388$0$29,001$0$1,745$0$6,792$0$26,862$0$251,788$0$0
Kimberly Kothe
RPT$158,365$0$600$0$885$0$2,184$0$24,643$0$186,677$0$0$0
Jennifer Howerton
RPT$150,157$0$600$0$783$0$1,668$0$24,772$0$177,980$0$0$0
Lydia Frye
RN$133,253$0$300$0$695$0$2,388$0$27,151$0$163,787$0$0$0
Margaret Trent
Physical Therapist$123,879$0$600$0$1,194$0$2,892$0$24,030$0$152,595$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3Bon Secours Health System, Inc., a related organization of the filing organization, uses the following to establish the compensation of the organization's CEO/Executive Director: Compensation Committee Independent Compensation Consultant Written Employment Contract Compensation Survey or Study Approval by the Board or Compensation Committee
Part I, Line 4bThe filing organization participates in a BSHSI sponsored executive retirement program that allows for deposits into additional retirement plans and is available only to key employees. The 457F plan is a non-qualified plan and is subject to a minimum three-year service requirement before vesting on deposits made into this plan. Individuals that received a distribution include: Janice Burnett, $22,770; Peter Bernard, $183,101.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6Bon Secours Health System, Inc. is the sole member of Bon Secours Richmond, LLC a single member limited liability company. Bon Secours Richmond, LLC 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.
Form 990, Part VI, Section A, line 7aThe governing body of Bon Secours-Richmond Health System is appointed by the Class B Member, Bon Secours Richmond, LLC, subject to the approval of Bon Secours Health System, Inc.
Form 990, Part VI, Section A, line 7bCertain authorities of Bon Secours-Richmond Health System are reserved to its member or to Bon Secours Health System, Inc.
Form 990, Part VI, Section B, line 11The process the organization uses to review the Form 990 consists of a review by the local system's audit and compliance board-committee and providing the form to the local system board of directors to allow for a thorough review by both before the filing date. The local system's audit and compliance committee and board of directors have reviewed the Form 990, scheduled time on meeting agendas, and asked questions regarding the Form 990 before the return is filed.
Form 990, Part VI, Section B, line 12cThe organization regularly and consistently monitors compliance with the conflict of interest policy. On an annual basis, all persons subject to the policy, including all officers, directors and key employees are required to make certain disclosures. These include disclosures related to certain personal, financial and organizational relationships that may present a conflict, or the appearance of a conflict of interest with the organization. All disclosures go through a three-part review process: (1) disclosures are reviewed first by the corporate responsibility officer (CRO); (2) a governance team comprised of the CEO, board president, board chair, CRO, and the BSHSI CRO participate in a second review of all disclosures during which recommendations are made as to the resolution of any conflicts or potential conflicts. Depending on the facts and circumstances, resolutions may include ongoing disclosure, recusal or removal of the conflict; and (3) all disclosures and recommendations are reviewed by a board committee (audit and compliance committee reviews the disclosures of management and the governance committee reviews the disclosures of the board and board committee members).
Form 990, Part VI, Section B, line 15The 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 independent external compensation consultant to ensure they receive appropriate analysis of market and follow the practices necessary to obtain full compliance with the IRS' rebuttable presumption of reasonableness. The committee establishes and maintains a compensation philosophy; reviews pay practices against local, regional and national healthcare organizations and approves all remunerative decisions for this group of individuals. The committee reviews and receives assurances that all levels of pay within the organization are reasonable based on performance and validates incentives are met. These decisions are documented in the BSHSI board of directors' and compensation committee minutes. Form 990, Part VI, Section B, Line 15b - Compensation Process Other Officers/ Key Employees: For those key employees and highest paid employees that are not reviewed by the BSHSI compensation committee, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. In the review, the other officers or key employees of the organization were compared to other hospitals' employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in human resources.
Form 990, Part VI, Section C, line 19The filing organization makes all documents available to the general public upon request.
Form 990, Part VII - Additional DisclosureBoard 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. Sr. Rose Marie Jasinski and Sr. Anne Marie Mack do not receive payroll distributions as they have each taken a vow of poverty.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Bon Secours Ambulatory Services LLC
8580 Magellan ParkwayRichmondVA23227271672951All Other Outpatient Care CentersVA$0$0Bon Secours Richmond Health System Inc
Bon Secours Home Care LLC
8580 Magellan ParkwayRichmondVA23227271672759Home Health Care ServicesVA$3,333,627$1,249,269Bon Secours Richmond Health System Inc
Bon Secours VA Medical Group I LLC
8580 Magellan ParkwayRichmondVA23227271908136Offices of Physicians (Except Mental Health Specialists)VA$0$0Bon Secours Ambulatory Services LLC
Bon Secours VA Medical Group II LLC
8580 Magellan ParkwayRichmondVA23227271908193Offices of Physicians (Except Mental Health Specialists)VA$0$0Bon Secours - Virginia HealthSource Inc

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
Bon Secours Health System Inc
1505 Marriotsville RoadMarriottsvilleMD21104521301088Parent Org. Management ServicesMD501(c)(3)Line 11b, IIBon Secours Inc0
Bon Secours Richmond Healthcare Foundation
8580 Magellan ParkwayRichmondVA23227541201346Grant Making FoundationVA501(c)(3)Line 7Bon Secours Richmond LLC0
Bon Secours St Mary's Hospital Richmond Inc
8580 Magellan ParkwayRichmondVA23227540793767Health CareVA501(c)(3)Line 3Bon Secours Richmond Health SystemYes (1)
Bon Secours Memorial Regional Medical Center
8580 Magellan ParkwayRichmondVA23227541744931Health CareVA501(c)(3)Line 3Bon Secours Richmond Health SystemYes (1)
Bon Secours Richmond Community Hospital
8580 Magellan ParkwayRichmondVA23227540647482Health CareVA501(c)(3)Line 3Bon Secours Richmond Health SystemYes (1)
Bon Secours St Francis Medical Center
8580 Magellan ParkwayRichmondVA23227311716973Health CareVA501(c)(3)Line 3Bon Secours Richmond Health SystemYes (1)
Laburnum Properties
8580 Magellan ParkwayRichmondVA23227521260700Title Holding CompanyVA501(c)(2)Bon Secours Richmond Health SystemYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
St Mary's MRI Center LP
8580 Magellan ParkwayRichmondVA23227541568022Imaging ServicesVAN/A
RI LP
8580 Magellan ParkwayRichmondVA23227541708835Imaging ServicesVAN/A
Broad64 Imaging LLC
8580 Magellan ParkwayRichmondVA23227205886018Imaging ServicesVAN/A
Richmond Radiation Oncology Center I LLC
8580 Magellan ParkwayRichmondVA23227208444551Radiation Oncology ServicesVAN/A
Chesterfield Community Healthcare Center MOB I LLC
435 Southlake BlvdRichmondVA23236541745670Rental- Medical Office BuildingVAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
CCHC Inc
8580 Magellan ParkwayRichmondVA23227541812738Ambulatory Healthcare ServicesVABon Secours Richmond Health System IncC$7,763$312,8771.00000Yes (1)
RHS Management Corporation
8580 Magellan ParkwayRichmondVA23227541313425Independent Living FacilityVABon Secours Richmond Health System IncC$642,891$75,8481.00000Yes (1)
Bon Secours - Virginia HealthSource Inc
8580 Magellan ParkwayRichmondVA23227541417686Ambulatory Healthcare ServicesVABon Secours Richmond Health System IncC$30,111,495$35,258,9111.00000Yes (1)
Richmond MRI Inc
8580 Magellan ParkwayRichmondVA23227541568452Imaging ServicesVABon Secours - Virginia HealthSource IncC$1,231,066$294,8111.00000Yes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Bon Secours Richmond Healthcare Foundation
P$565,319FMV
St Mary's Hospital of Richmond Inc
S$330,011FMV
St Mary's Hospital of Richmond Inc
C$2,687,251FMV