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Bon Secours-Richmond Community Hospital: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
Bon Secours-Richmond Community Hospital (EIN 54-0647482)
Tax period
2012-09-01 to 2013-08-31
Filed
2014-07-15
IRS object ID
201411969349301281
Schema version
2012v2.1
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)
Timestamp2014-07-15T14:42:23-05:00Timestamp
Tax Period End Date2013-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1191 Peachtree Street Suite 2000AddressLine1
CityAtlantaCity
StateGAState
ZIP Code303031749ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN540647482EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Richmond Community Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlRICHNameControl
Phone8046275400Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameStephan F QuiriconiName
TitleTreasurer BSR - VP FinanceTitle
Phone8047646102Phone
Date Signed2014-07-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJennifer E ErntemanName
PTINP00693666PTIN
Phone4042201500Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMichael RobinsonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line18260 Atlee RoadAddressLine1
CityMechanicsvilleCity
StateVAState
ZIP Code23116ZIPCode
FieldValueIRS element (for citing)
Gross Receipts74926901GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitehttp://www.bonsecours.com/hospitals/WebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1922YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionAcute Care HospitalActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees372TotalNbrEmployees
Total Nbr Volunteers103TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2523395ContributionsGrantsPriorYear
Contributions Grants Current Year1481778ContributionsGrantsCurrentYear
Program Service Revenue Prior Year63871135ProgramServiceRevenuePriorYear
Program Service Revenue CY73119306ProgramServiceRevenueCY
Investment Income Prior Year731984InvestmentIncomePriorYear
Investment Income Current Year11832InvestmentIncomeCurrentYear
Other Revenue Prior Year532845OtherRevenuePriorYear
Other Revenue Current Year-61193OtherRevenueCurrentYear
Total Revenue Prior Year67659359TotalRevenuePriorYear
Total Revenue Current Year74551723TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year19204569SalariesEtcPriorYear
Salaries Etc Current Year20842034SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year44000082OtherExpensePriorYear
Other Expenses Current Year42696429OtherExpensesCurrentYear
Total Expenses Prior Year63204651TotalExpensesPriorYear
Total Expenses Current Year63538463TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4454708RevenuesLessExpensesPriorYear
Revenues Less Expenses CY11013260RevenuesLessExpensesCY
Total Assets BOY25710554TotalAssetsBOY
Total Assets EOY24674051TotalAssetsEOY
Total Liabilities BOY47185988TotalLiabilitiesBOY
Total Liabilities EOY35139885TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-21475434NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-10465834NetAssetsOrFundBalancesEOY
Mission DescriptionThe 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense57906789Expense
Revenue73119306Revenue
DescriptionRichmond Community Hospital provides medical care to patients without regard to their ability to pay. As a community not-for-profit hospital in Richmond, Richmond Community Hospital is an access point for under insured and financially disadvantaged who will not be treated at the for profit hospitals. In addition, Richmond Community Hospital provides support for community services. Please refer to the Community Benefit Information on Schedule H.Description
Total Program Service Expense57906789TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109629NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees372NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledVAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1David LarkinBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4433672204TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Nalia Towners Ahmed
RICH JT BM2.000.00X000
Toni Ardabell
RICH JT BM/CEO-SMH2.0048.00X059670939743
Jean Ann Bolling
RICH JT BM2.000.00X000
John Bowman MD
RICH JT BM2.000.00X000
Barry Case
RICH JT BM (Jan-Aug)2.000.50X000
Pete Cleal
RICH JT BM2.000.00X000
John Daniel III MD
RICH JT BM (Jan-Aug)2.000.00X000
Mark Gordon
RICH JT BM/CEO-SFMC2.0048.00X060963056092
Richard Jackson MD
RICH JT BM2.000.00X000
Kenneth J Jones
RCH JT BM (Sep-Dec)2.000.00X000
Sr Anne Marie Mack CBS
RICH JT BM2.0048.00X000
Joanne Nattrass
RICH JT BM2.000.00X000
William Shewmake
RICH JT BM2.000.00X000
William Stallings MD
RICH JT BM (Jan-Aug)2.000.00X000
Nancy Thomas
RICH JT BM2.000.00X000
Jane Watkins
RICH JT BM2.000.00X000
Michael Williams
RICH JT BM2.000.00X000
Michael Robinson
CEO-MRMC & RCH24.0026.00X082781832855X
Sr Victoria Segura MD CBS
RCH JT-President9.9040.10X000X
Thomas Winfree
RCH JT-Chairman3.000.00X000X
Peter J Bernard
CEO-Bon Secours VA8.0042.0001438081192966X
Allen Goolsby
RICH JT-Secretary2.002.00000X
Melinda Hancock
RICH JT-Treas/CFO BSV8.0042.00034394127968X
Jill Kennedy
VP CNE-MRMC & RCH25.0025.00023367629189X
Kathleen Santini
Vice President12.5037.50025266123724X
Bonnie M Shelor
SVP Human Resources2.0048.00037406831278X
Betty Edloe-Drummond
Medical Director50.000.00145538021182X
Mariah D Gonzalez
Divisional Consultant50.000.00143032030586X
Sultan Ali Lakhani
Physician50.000.00253992025383X
Virginia J Stephens
RN Weekend CC50.000.00171021027796X
Charles E Welander
Medical Director50.000.00266631028729X
Peter F Gallagher
Former CFO-BSR0.000.50025023611760X
Michael Kerner
Former BM/CEO-SMH0.0050.000936925132770X
FieldValueIRS element (for citing)
Total Reportable Comp From Org980214TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5863745TotalReportableCompFrmRltdOrgs
Total Other Compensation712021TotalOtherCompensation
Number Individuals GT100 K17NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Professional Emergency Care Inc
38935 Ann Arbor RoadLinoviaMI48150ER Physicians1641564
Primedoc of Richmond PC
PO Box 7568AshvilleNC28802Hospital Physicians686200
Origin Inc DBA Shiftwise
PO Box 70870St PaulMN551709705Nurses595973
Aramark CTS Inc
12483 Collection Center DriveChicagoIL60693Equipment Maintenance593858
Sheltering Arms Hospital
8254 Atlee RoadMechanicsvilleVA23116Rehab Therapists431039
FieldValueIRS element (for citing)
Number Of Contractors GT100 K19NumberOfContractorsGT100K
Related Organizations262413RelatedOrganizations
Government Grants1219365GovernmentGrants
Total Contributions1481778TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient Service Rev.Description
Business Code622110BusinessCode
Total Revenue Column73119306TotalRevenueColumn
Related Or Exempt Function Income73119306RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue73119306TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column10732TotalRevenueColumn
Exclusion$10,732ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real200713Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real352078Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-151365Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-151365TotalRevenueColumn
Exclusion-$151,365ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other24200Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other23100Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other1100Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1100TotalRevenueColumn
Exclusion$1,100ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Cafe & Vending72221279192$79,192
Purchased Discounts90009910912$10,912
Fees for Med. Records56143968$68
FieldValueIRS element (for citing)
Total Other Revenue90172TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column74551723TotalRevenueColumn
Related Or Exempt Function Income73119306RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$49,361ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total16924646Total
Program Services15232181ProgramServices
Management And General1692465ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total607111Total
Program Services546400ProgramServices
Management And General60711ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1959738Total
Program Services1763765ProgramServices
Management And General195973ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1350539Total
Program Services1215485ProgramServices
Management And General135054ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total238745Total
Program Services214870ProgramServices
Management And General23875ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total5691Total
Program Services5122ProgramServices
Management And General569ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total8392775Total
Program Services7553497ProgramServices
Management And General839278ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total36572Total
Program Services32915ProgramServices
Management And General3657ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total203262Total
Program Services182936ProgramServices
Management And General20326ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total120447Total
Program Services108402ProgramServices
Management And General12045ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1035877Total
Program Services932289ProgramServices
Management And General103588ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total39084Total
Program Services35176ProgramServices
Management And General3908ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total30923Total
Program Services27831ProgramServices
Management And General3092ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total61661Total
Program Services61661ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1684936Total
Program Services1516443ProgramServices
Management And General168493ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total297055Total
Program Services267350ProgramServices
Management And General29705ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Medical Supplies12035707108321361203571
Purchased Services82745037447053827450
Bad Debt71600597160059
BSHSI Management Alloc.16395361475582163954

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1439596Total
Program Services1295636ProgramServices
Management And General143960ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total63538463Total
Program Services57906789ProgramServices
Management And General5631674ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY801BOY
EOY299EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY1883EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY7896573BOY
EOY8179076EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1038261BOY
EOY1295478EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY734323BOY
EOY261704EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis41985534LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec30925317LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY12122975BOY
EOY11060217EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1883BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3915738BOY
EOY3875394EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY25710554BOY
EOY24674051EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1923551BOY
EOY2044794EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY711086BOY
EOY1081427EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY44551351BOY
EOY32013664EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY47185988BOY
EOY35139885EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-21477317BOY
EOY-10467717EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1883BOY
EOY1883EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-21475434BOY
EOY-10465834EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY25710554BOY
EOY24674051EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses11013260ReconcilationRevenueExpenses
Reconcilation Other Changes-3660ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$5,691OtherActivitiesAmount
Total Lobbying Expenditures IIB5691TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1:ReturnReference
ExplanationThe filing organization maintains memberships to various professional healthcare associations. Portions of their membership dues are used for lobbying activities. The lobbying portion of such dues is included on line 1i.Explanation

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis13210319OtherCostOrOtherBasis
Depreciation6835829Depreciation
Book Value6374490BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis710733OtherCostOrOtherBasis
Depreciation153687Depreciation
Book Value557046BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis22395409OtherCostOrOtherBasis
Depreciation19482123Depreciation
Book Value2913286BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5669073OtherCostOrOtherBasis
Depreciation4453678Depreciation
Book Value1215395BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings11060217TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
Reserves for future HPL/GL claims2050443
Accrued Revenue1150414
Third party payor settlements638836
Security Deposits34639
Rent receivable1062
FieldValueIRS element (for citing)
Total Book Value Other Assets3875394TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
Due to BSHSI$26,737,951
Due to Affiliates$2,584,429
Liability for future HPL/GL claims$2,050,443
Third party payor settlements$590,246
Deferred Rent Liability$50,382
Unclaimed Property$213
FieldValueIRS element (for citing)
Total Of Amounts32013664TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X, Line 2:ReturnReference
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 (Formerly FIN48). ASC 740 (Formerly FIN48) 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 de-recognition of tax positions taken or expected to be taken in a tax return. The adoption of ASC 740 (Formerly FIN48) 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 $66,681 and $95,733 of net operating loss carryforwards as of August 31, 2013 and 2012, respectively, which expire in varying periods through 2032 and are available to offset future taxable income. The System's deferred tax assets are fully reserved at August 31, 2013 and 2012. Any changes to the valuation allowance on the deferred tax asset are reflected in the year of the change.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense3664091TotalCommunityBenefitExpense
Direct Offsetting Revenue117420DirectOffsettingRevenue
Net Community Benefit Expense3546671NetCommunityBenefitExpense
Percent Of Total Expense0.06280PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense12281888TotalCommunityBenefitExpense
Direct Offsetting Revenue8844818DirectOffsettingRevenue
Net Community Benefit Expense3437070NetCommunityBenefitExpense
Percent Of Total Expense0.06100PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense299703TotalCommunityBenefitExpense
Direct Offsetting Revenue200193DirectOffsettingRevenue
Net Community Benefit Expense99510NetCommunityBenefitExpense
Percent Of Total Expense0.00180PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense16245682TotalCommunityBenefitExpense
Direct Offsetting Revenue9162431DirectOffsettingRevenue
Net Community Benefit Expense7083251NetCommunityBenefitExpense
Percent Of Total Expense0.12560PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served1375PersonsServed
Total Community Benefit Expense365270TotalCommunityBenefitExpense
Net Community Benefit Expense365270NetCommunityBenefitExpense
Percent Of Total Expense0.00650PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense71155TotalCommunityBenefitExpense
Net Community Benefit Expense71155NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense86740TotalCommunityBenefitExpense
Net Community Benefit Expense86740NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served1375PersonsServed
Total Community Benefit Expense523165TotalCommunityBenefitExpense
Net Community Benefit Expense523165NetCommunityBenefitExpense
Percent Of Total Expense0.00930PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served1375PersonsServed
Total Community Benefit Expense16768847TotalCommunityBenefitExpense
Direct Offsetting Revenue9162431DirectOffsettingRevenue
Net Community Benefit Expense7606416NetCommunityBenefitExpense
Percent Of Total Expense0.13490PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense235974TotalCommunityBuildingExpense
Net Community Building Expense235974NetCommunityBuildingExpense
Percent Of Total Expense0.00420PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense160000TotalCommunityBuildingExpense
Net Community Building Expense160000NetCommunityBuildingExpense
Percent Of Total Expense0.00280PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense164450TotalCommunityBuildingExpense
Net Community Building Expense164450NetCommunityBuildingExpense
Percent Of Total Expense0.00290PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense400TotalCommunityBuildingExpense
Net Community Building Expense400NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Total Community Building Expense560824TotalCommunityBuildingExpense
Net Community Building Expense560824NetCommunityBuildingExpense
Percent Of Total Expense0.00990PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$1,363,765BadDebtExpenseAmount
Amount Reimbursed By Medicare11737932AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare14315455CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-2577523MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Richmond Community Hospital IncBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line18580 Magellan Parkway Building IVAddressLine1
CityRichmondCity
StateVAState
ZIP Code23227ZIPCode
FieldValueIRS element (for citing)
Website Addresshttp://richmond.bonsecours.com/WebsiteAddress
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Richmond Community Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities0OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs Addressed0AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent200.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Other FactorsXOtherFactors
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On Nonpayment0ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities4NumberOfOtherFacilities

Other Facilities OtherFacilities (4 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Infusion Center - Bremo
5875 Bremo Road MOB South Suite G-2RichmondVA23226Outpatient Drug Infusion Center
Infusion Center - Hanover
8260 Atlee Road MOB III Suite 206MechanicsvilleVA23116Outpatient Drug Infusion Center
Infusion Center - Chesterfield
13801 St Francis Blvd Ste 1300AMidlothianVA23114Outpatient Drug Infusion Center
Laburnum Diagnostic Imaging
4630 S Laburnum Avenue Suite CRichmondVA23231Radiology Services

Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
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 recorded in the 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, L7 Col(f): The bad debt expense included in Part IX; line 25 and excluded from the "percent of total expense" calculation is: $7,160,059.
Part II: Funding was provided to community partners working in Richmond's East End to renovate housing, create community gardens, stimulate economic development through seed funding, enhance children's educational experiences and provide recreational opportunities to children residing in public housing.
Part III, Line 4: Part III, line 2: Bad Debt Expense at cost is computed by applying the cost-to-charge ratio computed on Worksheet 2 to the aggregate bad debt expense for patient accounts recorded in the general ledger. Bad debt expense on the general ledger includes: 1) actual write offs of discounted gross charges where it is determined an uninsured patient can pay and does not pay; and 2) the estimated write offs for uninsured patient accounts with outstanding balances after discount. Estimates are based on historical collection rates.When an uninsured patient is billed for patient care services, the charges are automatically discounted and the patient is requested to only pay the amount after discount. The discount is recorded as an adjustment to gross revenue and is not recorded in bad debt expense. If the balance after discount is not paid or not paid in full, the unpaid amount will be written off to bad debt expense. When a patient remits a payment on an account that has already been written off to bad debt expense, the payment is recorded as a recovery of bad debt, which reduces bad debt expense.Part III, line 3: The organization does not report an estimate for the portion of bad debt expense that may have been likely to qualify for financial assistance under the hospital's charity care policy. The organization takes the position that ample opportunity and assistance is provided to the patient to qualify under the financial assistance policy. If sufficient information is not provided, the organization must assume the patient does not qualify.Part III, line 4: Please see Footnote "(2d) Accounts Receivable, net" discussing "accounts receivable" on pages 10-11 in the attached BSHSI consolidated audited financial statements ("AFS"). "Allowance for doubtful accounts" is discussed in the second paragraph in Footnote "(10) Net Patient Service Revenue" on page 41 of the attached AFS. There is not a separate "bad debt expense" footnote in the AFS.
Part III, Line 8: Part III, Line 6: 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.Part III, Line 8: 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 Financial Assistance Program (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 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 V, Section B, Line 3: Community Survey:An essential part of the Community Health Needs Assessment was hearing from citizens and community leaders who served as key informants. An electronic survey using Survey Monkey was developed and administered to 412 community members and partners by CHS. 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 141 (34%) 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 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:Multiple meetings were conducted with various constituents to assist in prioritizing needs and receiving feedback on the Community Health Needs Assessment. Two of the meetings warrant additional description because of their unique contribution to the process. The Bon Secours CHNA Community review session facilitated by Becky Clay Christensen of the Clay Christensen Group, separately covered each of the four hospitals within Bon Secours Richmond Health System. This review included: Medical Directors and Associate Medical Director covering Health Departments for four jurisdictions; Health Department Registered Nurses from two jurisdictions; a Chief Operating Officer of a Free Clinic; an Executive Director of a Federally Qualified Health Center; an Executive Director for Community Health Services; a Director of Richmond Promise Neighborhoods. In addition to these community health leaders, the following internal leaders also participated: the Senior Vice President of Sponsorship for Bon Secours Richmond; the Administrative Director for Community Health Services; the 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.The Health Reform East End group is also important to note. In keeping with Catholic social teaching and the mission of the hospital system, Richmond Community Hospital sought to insure that analysis of community-level indicators did not eclipse issues experienced in neighborhoods experiencing economic challenges. This group reviewed the information with particular interest in a neighborhood that has been identified a focal area for health outreach because of its disproportionate vulnerable based on several criteria. Participants included the Bon Secours Health System, Inc. Director for Community Commitment & Social Investment, a community Ob-Gyn physician, the Chief Medical Officer at Richmond Community Hospital, Physician Ethicist for Bon Secours Richmond, Administrative Director for Faith Community Services, Administrative Director for Quality Management, Administrative Director for Community Health Advocacy and Administrative Director for Community Health Services. Becky Clay Christensen of the Clay Christensen Group was the facilitator.Richmond Community Hospital, 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. 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.Richmond Community Hospital, Inc.
Part V, Section B, Line 12h: Please see the narrative for Part VI, Line 3regarding the Financial Assistance Policy.Richmond Community Hospital, Inc.
Part V, Section B, Line 14g: Please see the narrative for Part VI, Line 3regarding the Financial Assistance Policy.Richmond Community Hospital, Inc.
Part V, Section B, Line 20d: Please see the narrative for Part VI, Line 3regarding the Financial Assistance Policy.Richmond Community Hospital, Inc.
Part VI, Line 2: BSR 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 Memorial Regional/Richmond Community 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 described in Part V, Line 3 below.
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"), as adjusted by the Medicare geographic wage index for each community served to reflect that community's relative cost of living ("Adjusted FPG"). Adjustments to these guidelines are made in certain States, where applicable. 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. The standard sliding scale is adjusted by the Medicare geographic wage index of each community served to reflect that community's relative cost of living. All patients are also eligible for a Prompt Pay Discount. 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 Richmond Community Hospital service area consists of 34 zip codes that fall mostly in the counties of Chesterfield, Hanover, Henrico; and the cities of Petersburg and Richmond. The service area covers a large and diverse section of Virginia, so it is not surprising that the needs assessment bears out many state trends. The study region for Richmond Community Hospital contained 851,230 people as of 2010, of which 52% are female and 48% male-a population that is expected to grow to 890,905 by 2015. Compared to the Commonwealth of Virginia as a whole, this region is more densely populated (583.0 people per sq. mile) and is proportionately more Black/African American (32%). It is helpful to note that the service area for Richmond Community is expansive in part because it is one of the few facilities providing acute psychological treatment, constituting 40 dedicated beds within the acute care facility. The median household income of the community is $56,631, just under the median income in Virginia of $60,034. The study region also has lower income levels (29% are Low Income Households with income less than $35,000).
Part VI, Line 5: Richmond Community Hospital has an open medical staff with privileges available to all qualified physicians in the area. Richmond Community 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. Richmond Community Hospital engages in medical research. Inpatient and outpatient research-related activities are conducted by Richmond Community with oversight from the Bon Secours Richmond Health System Institutional Review Board. 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 9,578 patient visits in FY 13.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 13, 5,469 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 13 over 3,911 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 FY13, 1,007 screenings were provided. To address the issue of high infant mortality in the Richmond Community Hospital service area, Healthy Beginnings was initiated. Healthy Beginnings is a resource center located on the campus of Richmond Community Hospital. The program targets teenage and young adult women who are pregnant or considering pregnancy. BSRHS assists low to moderate-income families whose children may qualify for state-sponsored insurance programs (Medicaid and FAMIS). Partnerships have developed with other agencies that have enrollers to identify and refer uninsured children, avoid duplication of effort, and to share responsibilities for case managing to complete the enrollment process. Three BSRHS outreach specialists enrolled or re-enrolled over 816 children in FAMIS or Medicaid in FY 13. Founded over ten years ago, the Faith Community Health Ministry Network partners with churches to recruit and train volunteer nurses and other health ministers who in turn work to promote physical, social, emotional and spiritual growth within the congregation. BSRHS trains and supports 153 congregational promoters, faith community nurses and other health ministers. 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 453 books in FY 2013 to children at Care-A-Van sites.
Part VI, Line 6: Bon Secours Health System, Inc., a Maryland nonprofit, nonstock membership corporation (BSHSI), and all of the other entities that are controlled directly or indirectly by Bon Secours, Inc., a Maryland nonprofit, nonstock membership corporation (BSI) are described collectively as the System. BSI, which is the sole corporate member of BSHSI, has no healthcare operations. The System was organized in June 1983 to fulfill the healthcare mission of the United States Province of the Congregation of the Sisters of Bon Secours of Paris, a congregation of religious women of the Roman Catholic Church founded in France in 1824. The System's activities are in the states of New York, Pennsylvania, Maryland, Virginia, Kentucky, South Carolina, and Florida, each referred to as a local system. The Ministry of BSHSI aids those in need, particularly those who are sick and dying, by offering services that include but are not limited to acute inpatient, outpatient, pastoral, palliative, home health, nursing home, rehabilitative, primary and secondary care and assisted living without regard to race, religion, color, gender, age, marital status, national origin, sexual orientation, or disability. BSHSI's vision to bring about the holistic health of the communities it serves is implemented through its Strategic Quality Plan which provides focus in five goal areas for the current three year period (2013-2015). One of those goals was to bring our communities to wholeness. To accomplish this, two key strategies are to: - Improve Health Locally and Globally- Build Partnerships for Population Health As a member of the Catholic health ministry and a member of Bon Secours Health System, Inc. (BSHSI), this organization and its 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 charisma 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.
VAReports Filed With StatesPart VI, Line 7

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Toni Ardabell
RICH JT BM/CEO-SMH03556590182851058199035226045170636452016500
Mark Gordon
RICH JT BM/CEO-SFMC03225180244532042580028121027971066572202450
Michael Robinson
CEO-MRMC & RCH04032840197269022726501500001785508606730112599
Peter J Bernard
CEO-Bon Secours VA0748358050789801818250166098026868016310470108845
Melinda Hancock
RICH JT-Treas/CFO BSV025190805336203867103924024044037190900
Jill Kennedy
VP CNE-MRMC & RCH02026490299830104406264022925026286500
Kathleen Santini
Vice President02172700327850260605532018192027638500
Bonnie M Shelor
SVP Human Resources02020530551120116903022625086530405346047451
Betty Edloe-Drummond
Medical Director1433190002219073750138070166720000
Mariah D Gonzalez
Divisional Consultant1230260191510855072120233740173618000
Sultan Ali Lakhani
Physician22847502388701630094560159270279375000
Virginia J Stephens
RN Weekend CC163791064160814069600208360198817000
Charles E Welander
Medical Director26268300039480125000162290295360000
Peter F Gallagher
Former CFO-BSR01145200023878400011760026199600
Michael Kerner
Former BM/CEO-SMH047571703369240124284010646702630301069695067422

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 3Bon Secours Health System, Inc., a related organization of Richmond Community Hospital,Inc., uses the following to establish the compensation of the organization's CEO/Executive Director: Compensation Committee Independent Compensation Consultant Written Employment Contract Compensation Survey or Study Approval by the Board or Compensation Committee
Part I, Line 4bThe filing organization participates in a BSHSI sponsored executive retirement program that allows for deposits into additional retirement plans and available only to key employees. The 457F plan is a non-qualified plan and is subject to a minimum three-year service requirement before vesting on deposits made into this plan. Individuals that received a distribution include: Peter J. Bernard, $134,024; Michael Robinson, $134,840; Melinda Hancock, $3,432; Toni Ardabell, $16,673; Mark Gordon, $2,655; Michael Kerner, $80,925; Bonnie M. Shelor, $71,620.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 6Bon Secours Health System, Inc. is the sole member of Bon Secours - Richmond Health Corp, which in turn holds the majority interest in Bon Secours - Richmond Health System, which in turn is the sole member of Richmond Community Hospital, Inc.
Form 990, Part VI, Section A, line 7aThe governing body of Richmond Community Hospital, Inc. is appointed by its member Bon Secours - Richmond Health System and subject to approval by Bon Secours Health System, Inc.
Form 990, Part VI, Section A, line 7bCertain authorities of Richmond Community Hospital, Inc. 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 director's 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 provides any documents open to public inspection upon request.
Form 990, Part VII:Board Member positions are generally voluntary in nature. Compensated employees of the filing organization and other related organizations who also hold board positions are compensated only in relation to their employment and do not receive additional compensation for their board responsibilities. The governing bodies of the hospitals of Bon Secours Richmond Health System, including Bon Secours St. Mary's Hospital, Bon Secours St. Francis Medical Center, Bon Secours Memorial Regional Medical Center and Richmond Community Hospital 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 IX, line 11gShared Services Dues: Program service expenses 4,074,686. Management and general expenses 452,743. Fundraising expenses 0. Total expenses 4,527,429. Physician Fees: Program service expenses 2,763,859. Management and general expenses 307,095. Fundraising expenses 0. Total expenses 3,070,954. Contract Labor: Program service expenses 714,952. Management and general expenses 79,440. Fundraising expenses 0. Total expenses 794,392.Other Fees
Form 990, Part XI, line 9:Transfers in for PP&E Additions -3,660.Changes in Net Assets or Fund Balances:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
Bon Secours Health System Inc
1505 Marriottsville RoadMarriottsvilleMD21104521301088Parent Org. Management ServicesMD501(c)(3)11bBon Secours Inc0
Bon Secours Richmond Health Corporation
8580 Magellan ParkwayRichmondVA23227541356155Management ServicesVA501(c)(3)11bBon Secours Health System Inc0
Bon Secours Richmond Health System
8580 Magellan ParkwayRichmondVA23227521988421Local System Parent Org.VA501(c)(3)11bBon Secours Richmond Health Corporation0
Bon Secours Memorial Regional Medical Center
8580 Magellan ParkwayRichmondVA23227541744931Health CareVA501(c)(3)3Bon Secours Richmond Health System0
Bon Secours St Mary's Hospital Inc
8580 Magellan ParkwayRichmondVA23227540793767Health CareVA501(c)(3)3Bon Secours Richmond Health System0
Bon Secours St Francis Medical Center
8580 Magellan ParkwayRichmondVA23227311716973Health CareVA501(c)(3)3Bon Secours Richmond Health System0
Laburnum Properties
8580 Magellan ParkwayRichmondVA23227521260700Title Holding CompanyVA501(c)(2)Bon Secours Richmond Health System0
Bon Secours Stuart Circle Hospital
8580 Magellan ParkwayRichmondVA23227541740128Health CareVA501(c)(3)3Bon Secours Richmond Health System0
Bon Secours Richmond Healthcare Foundation
8580 Magellan ParkwayRichmondVA23227541201346Grant Making FoundationVA501(c)(3)7Bon Secours Richmond Health Corporation0
Richmond Community Hospital Foundation
8580 Magellan ParkwayRichmondVA23227541780854Grant Making FoundationVA501(c)(3)11b0N/A

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
St Mary's MRI 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

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrg
Chesterfield Community Healthcare Center Inc
8580 Magellan ParkwayRichmondVA23227541812738Ambulatory Healthcare ServicesVARichmond Health System IncC61373214631.000000
RHS Management Corporation
8580 Magellan ParkwayRichmondVA23227541313425Independent Living FacilityVARichmond Health System IncC627520863631.000000
Bon Secours - Virginia HealthSource Inc
8580 Magellan ParkwayRichmondVA23227541417686Ambulatory Healthcare ServicesVARichmond Health System IncC31990954352833021.000000
Richmond MRI Inc
8580 Magellan ParkwayRichmondVA23227541568452Imaging ServicesVAVirginia HealthSource IncC8163644235361.000000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg