Memorial Regional Medical Center Inc: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: Memorial Regional Medical Center Inc (EIN 54-1744931)
Tax period: 2012-09-01 to 2013-08-31
Filed: 2014-07-15
IRS object ID: 201421969349301147
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-07-15T14:42:23-05:00	Timestamp
Tax Period End Date	2013-08-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	861065772	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Deloitte Tax LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	191 Peachtree Street Suite 2000	AddressLine1
City	Atlanta	City
State	GA	State
ZIP Code	303031749	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-09-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	541744931	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Memorial Regional Medical Center Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MEMO	NameControl
Phone	8046275400	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8580 Magellan Parkway Building IV	AddressLine1
City	Richmond	City
State	VA	State
ZIP Code	23227	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Stephan F Quiriconi	Name
Title	Treasurer BSR - VP Finance	Title
Phone	8047646102	Phone
Date Signed	2014-07-15	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Jennifer E Ernteman	Name
PTIN	P00693666	PTIN
Phone	4042201500	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Michael Robinson	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	8260 Atlee Rd	AddressLine1
City	Mechanicsville	City
State	VA	State
ZIP Code	23116	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	364662617	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	http://www.bonsecours.com/hospitals/	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1994	YearFormation
State Legal Domicile	VA	StateLegalDomicile
Activity Or Mission Description	Acute Care Hospital	ActivityOrMissionDescription
Nbr Voting Members Governing Body	20	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	17	NbrIndependentVotingMembers
Total Nbr Employees	1994	TotalNbrEmployees
Total Nbr Volunteers	401	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3199769	ContributionsGrantsPriorYear
Contributions Grants Current Year	2680268	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	345165869	ProgramServiceRevenuePriorYear
Program Service Revenue CY	356792995	ProgramServiceRevenueCY
Investment Income Prior Year	547537	InvestmentIncomePriorYear
Investment Income Current Year	1153207	InvestmentIncomeCurrentYear
Other Revenue Prior Year	4197403	OtherRevenuePriorYear
Other Revenue Current Year	3275851	OtherRevenueCurrentYear
Total Revenue Prior Year	353110578	TotalRevenuePriorYear
Total Revenue Current Year	363902321	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	79750	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	62019	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	121303880	SalariesEtcPriorYear
Salaries Etc Current Year	134254688	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	213094285	OtherExpensePriorYear
Other Expenses Current Year	219354882	OtherExpensesCurrentYear
Total Expenses Prior Year	334477915	TotalExpensesPriorYear
Total Expenses Current Year	353671589	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	18632663	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	10230732	RevenuesLessExpensesCY
Total Assets BOY	315887899	TotalAssetsBOY
Total Assets EOY	328548730	TotalAssetsEOY
Total Liabilities BOY	159557496	TotalLiabilitiesBOY
Total Liabilities EOY	142054689	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	156330403	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	186494041	NetAssetsOrFundBalancesEOY
Mission Description	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.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	314887953	Expense
Grants	62019	Grants
Revenue	356659229	Revenue
Description	Provide health and wellness for the surrounding community through a holistic approach. Services are provided to all regardless of their socio-economic status in various healthcare settings including a hospital, medical office, and at home. Please refer to the Community Benefit information on Schedule H.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	6182304	Expense
Revenue	2206585	Revenue
Description	At Bon Secours Memorial College of Nursing, our students, faculty, staff and alumni are part of a nearly 200-year-old mission of providing compassionate care to those in need. Our College extends this mission by educating nurses in a spirit of academic and clinical excellence to serve our community with genuine compassion and the highest clinical standards. We are deeply committed to meeting the needs of our patients and adapting to the growing, changing needs of the world in which we serve.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	321070257	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	94	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1994	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	20	NbrVotingGoverningBodyMembers
Number Independent Voting Members	17	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	VA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	David Larkin	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	4433672204	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	8990 Old Annapolis Road	AddressLine1
City	Columbia	City
State	MD	State
ZIP Code	21045	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Nalia Townes Ahmed
RICH JT BM	2.00	0.00	X	0	0	0
Toni Ardabell
RICH JT BM/CEO SMH	2.00	48.00	X	0	596709	39743
Jean Ann Bolling
RICH JT BM	2.00	0.00	X	0	0	0
John Bowman MD
RICH JT BM	2.00	0.00	X	0	0	0
Barry Case
RICH JT BM (Jan-Aug)	2.00	0.50	X	0	0	0
Peter B Cleal
RICH JT BM	2.00	0.00	X	0	0	0
John Daniel III MD
RICH JT BM (Jan-Aug)	2.00	0.00	X	0	0	0
Mark Gordon
RICH JT BM/CEO SFMC	2.00	48.00	X	0	609630	56092
Richard Jackson MD
RICH JT BM	2.00	0.00	X	0	0	0
Kenneth J Jones
RICH JT BM (Sep-Dec)	2.00	0.00	X	0	0	0
Sr Anne Marie Mack CBS
RICH JT BM	2.00	48.00	X	0	0	0
Joanne Nattrass
RICH JT BM	2.00	0.00	X	0	0	0
William Shewmake
RICH JT BM	2.00	0.00	X	0	0	0
William Stallings MD
RICH JT BM (Jan-Aug)	2.00	0.00	X	0	0	0
Nancy Thomas
RICH JT BM	2.00	0.00	X	0	0	0
Jane Watkins
RICH JT BM	2.00	0.00	X	0	0	0
Michael Williams
RICH JT BM	2.00	0.00	X	0	0	0
Michael Robinson
RICH JT BM/CEO-MRMC & RCH	24.00	26.00	X	0	827818	32855	X
Sr Victoria Segura CBS MD
RICH JT - President	9.90	40.10	X	0	0	0	X
Thomas Winfree
RICH JT - Chairman	3.00	0.00	X	0	0	0	X
Peter J Bernard
CEO - Bon Secours VA	8.00	42.00		0	1438081	192966	X
Allen Goolsby
RICH JT - Secretary	2.00	2.00		0	0	0	X
Melinda S Hancock
RICH JT - Treas/CFO BSV	8.00	42.00		0	343941	27968	X
Jill Kennedy
VP CNE - MRMC & RCH	25.00	25.00		233676	0	29189		X
Kathleen Santini
Vice President	12.50	37.50		0	252661	23724		X
Bonnie M Shelor
SVP Human Resources	11.00	39.00		0	374068	31278		X
Harpreet S Grewal MD
Physician	50.00	0.00		598780	0	39276			X
John W Hawkins MD
Physician	50.00	0.00		592858	0	30805			X
Brian L Kaminsky MD
Physician	50.00	0.00		590574	0	36231			X
C Gregory Lockhart MD
Physician	50.00	0.00		606583	0	28486			X
Pindipapanahall Ravindra MD
Physician	50.00	0.00		577704	0	34520			X
Peter F Gallagher
Former CFO - BSR	0.00	0.50		250236	0	11760				X
Michael Kerner
Former BM/CEO - SMH	0.00	50.00		0	936925	132770				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3450411	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	5379833	TotalReportableCompFrmRltdOrgs
Total Other Compensation	747663	TotalOtherCompensation
Number Individuals GT100 K	112	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
AthenaHealth Inc
311 Arsenal Ct Att Finance Dept	Watertown	MA	02472	Billing Services	3824414
Aramark CTS Inc
12483 Collections Center Drive	Chicago	IL	60693	Biomedical Equipment R&M	2704110
Hanover Anesthesia Group Inc
5855 Bremo Rd Ste 100 North	Richmond	VA	23226	Anesthesiology	2631701
Sheltering Arms Hospital
8254 Atlee Road	Mechanicsville	VA	23116	Rehabilitation Services	2227944
PrimeDoc of Richmond PC
PO Box 7568	Ashville	NC	28802	Hospitalists	1668550

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	62	NumberOfContractorsGT100K
Related Organizations	77495	RelatedOrganizations
Government Grants	2601473	GovernmentGrants
All Other Contributions	1300	AllOtherContributions
Total Contributions	2680268	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Service Rev.	622110	354586410	354586410
Col of Nursing Tuition	611600	2206585	2206585

Field	Value	IRS element (for citing)
Total Program Service Revenue	356792995	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	457033	TotalRevenueColumn
Exclusion	$457,033	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	19305	TotalRevenueColumn
Exclusion	$19,305	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	780748	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	760296	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	20452	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	20452	TotalRevenueColumn
Exclusion	$20,452	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	671381	Securities
Other	5488	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	671381	Securities
Other	5488	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	676869	TotalRevenueColumn
Exclusion	$676,869	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
Sheltering Arms	622110	2072819	2072819
Cafe & Vending Revenue	722210	485869		$485,869
MASC LLC Joint Venture	621493	252400		$252,400

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	444311	TotalRevenueColumn
Exclusion	$444,311	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	3255399	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	363902321	TotalRevenueColumn
Related Or Exempt Function Income	358865814	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$2,356,239	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	60000	Total
Program Services	60000	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	2019	Total
Program Services	2019	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	280395	Total
Program Services	252355	ProgramServices
Management And General	28040	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	101246917	Total
Program Services	91122225	ProgramServices
Management And General	10124692	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	11323896	Total
Program Services	10191507	ProgramServices
Management And General	1132389	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	13616178	Total
Program Services	12254560	ProgramServices
Management And General	1361618	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	7787302	Total
Program Services	7008572	ProgramServices
Management And General	778730	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	574918	Total
Program Services	517426	ProgramServices
Management And General	57492	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	52572	Total
Program Services	47315	ProgramServices
Management And General	5257	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	22489	Total
Program Services	20240	ProgramServices
Management And General	2249	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	10847098	Total
Program Services	9762388	ProgramServices
Management And General	1084710	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	321917	Total
Program Services	289725	ProgramServices
Management And General	32192	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2662739	Total
Program Services	2396465	ProgramServices
Management And General	266274	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	472716	Total
Program Services	425444	ProgramServices
Management And General	47272	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	9322568	Total
Program Services	8390311	ProgramServices
Management And General	932257	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	530949	Total
Program Services	477854	ProgramServices
Management And General	53095	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	132766	Total
Program Services	119489	ProgramServices
Management And General	13277	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	5379598	Total
Program Services	5379598	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	8473629	Total
Program Services	7626266	ProgramServices
Management And General	847363	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2132596	Total
Program Services	1919336	ProgramServices
Management And General	213260	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Purchased Services	89739204	80765284	8973920
Medical Supplies	51469319	46322387	5146932
Bad Debt	22216648	22216648
BSHSI Corp Mgmt. Alloc.	8645874	7781287	864587

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	6357282	Total
Program Services	5721556	ProgramServices
Management And General	635726	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	353671589	Total
Program Services	321070257	ProgramServices
Management And General	32601332	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	5837	BOY
EOY	1109	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	162293119	BOY
EOY	165473769	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	130668	BOY
EOY	42429	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	33328966	BOY
EOY	37430169	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	123214	BOY
EOY	91072	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5313529	BOY
EOY	5681486	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2440788	BOY
EOY	1267523	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	185907363	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	100250895	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	84805322	BOY
EOY	85656468	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	4819742	BOY
EOY	13503183	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	7862737	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	50251	BOY
EOY	50001	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	14713726	BOY
EOY	19351521	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	315887899	BOY
EOY	328548730	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	14613448	BOY
EOY	15343216	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	3116946	BOY
EOY	4984392	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	22700000	BOY
EOY	19480000	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	2600	BOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	119124502	BOY
EOY	102247081	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	159557496	BOY
EOY	142054689	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	156116341	BOY
EOY	186363647	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	94062	BOY
EOY	10394	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	120000	BOY
EOY	120000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	156330403	BOY
EOY	186494041	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	315887899	BOY
EOY	328548730	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	10230732	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	15541	ReconciliationUnrealizedInvest
Reconcilation Other Changes	19917365	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$22,489	OtherActivitiesAmount
Total Lobbying Expenditures IIB	22489	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

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

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtc
Included On FS	0	IncludedOnFS

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	120000	BeginningOfYearBalance
End Of Year Balance	120000	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	120000	BeginningOfYearBalance
End Of Year Balance	120000	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	120000	BeginningOfYearBalance
End Of Year Balance	120000	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	117232	BeginningOfYearBalance
Contributions	2768	Contributions
End Of Year Balance	120000	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Contributions	101825	Contributions
Investment Earnings Or Losses	15407	InvestmentEarningsOrLosses
End Of Year Balance	117232	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	1	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5377333	OtherCostOrOtherBasis
Book Value	5377333	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	91863554	OtherCostOrOtherBasis
Depreciation	35274196	Depreciation
Book Value	56589358	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6468464	OtherCostOrOtherBasis
Depreciation	2450621	Depreciation
Book Value	4017843	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	73413345	OtherCostOrOtherBasis
Depreciation	55963133	Depreciation
Book Value	17450212	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	8784667	OtherCostOrOtherBasis
Depreciation	6562945	Depreciation
Book Value	2221722	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	85656468	TotalOfBookValueLandBuildings

Other Assets OtherAssets (8 entries)

DescriptionDescription	Book ValueBookValue
LT Non-Cash Inv - HPL/GL	9658428
Due from Third Party Payors	7584408
Accrued Revenue	1788092
Deposits - General	130200
Rent Receivable	105929
MISC - Physician Practice A/R	72108
Vending Commissions	12000
Due from Gift Shop	356

Field	Value	IRS element (for citing)
Total Book Value Other Assets	19351521	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (10 entries)

DescriptionDescription	AmountAmount
Due to Affiliates, LT	$41,880,103
LT Liab - Pension Liability	$44,235,321
HPL/GL Liability	$9,658,428
Due to Third Party Payors	$6,009,542
LT Loan Guarantees	$175,688
Deposits - Student Vouchers	$120,214
Scholarship Liabilities	$35,529
College of Nursing SGO	$12,673
BSMCON Mission Fund	$18,007
All other liabilities	$101,576

Field	Value	IRS element (for citing)
Total Of Amounts	102247081	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Description of Intended Use of Endowment Funds:	Part V, Line 4:	The Frank E. Brown trust is administered by Wachovia/Wells Fargo and was never booked on the MRMC ledger until fiscal year 2009. The trust has been in existence FBO MRMC since August 6, 1962 and provides for income to be used for operating purposes.
Description of Uncertain Tax Positions Under FIN 48:	Part X, Line 2:	Schedule D, Part X, Line 2 requires that the organization provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under ASC 740 (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.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent200 D	X	Pcent200D
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15152165	TotalCommunityBenefitExpense
Net Community Benefit Expense	15152165	NetCommunityBenefitExpense
Percent Of Total Expense	0.04570	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	25419014	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16842441	DirectOffsettingRevenue
Net Community Benefit Expense	8576573	NetCommunityBenefitExpense
Percent Of Total Expense	0.02590	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1451084	TotalCommunityBenefitExpense
Direct Offsetting Revenue	810142	DirectOffsettingRevenue
Net Community Benefit Expense	640942	NetCommunityBenefitExpense
Percent Of Total Expense	0.00190	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	42022263	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17652583	DirectOffsettingRevenue
Net Community Benefit Expense	24369680	NetCommunityBenefitExpense
Percent Of Total Expense	0.07350	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	3649811	TotalCommunityBenefitExpense
Net Community Benefit Expense	3649811	NetCommunityBenefitExpense
Percent Of Total Expense	0.01100	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	412	PersonsServed
Total Community Benefit Expense	7926056	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4197981	DirectOffsettingRevenue
Net Community Benefit Expense	3728075	NetCommunityBenefitExpense
Percent Of Total Expense	0.01120	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	812720	TotalCommunityBenefitExpense
Net Community Benefit Expense	812720	NetCommunityBenefitExpense
Percent Of Total Expense	0.00250	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	10	NumberOfActivitiesOrPrograms
Persons Served	412	PersonsServed
Total Community Benefit Expense	12388587	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4197981	DirectOffsettingRevenue
Net Community Benefit Expense	8190606	NetCommunityBenefitExpense
Percent Of Total Expense	0.02470	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	10	NumberOfActivitiesOrPrograms
Persons Served	412	PersonsServed
Total Community Benefit Expense	54410850	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21850564	DirectOffsettingRevenue
Net Community Benefit Expense	32560286	NetCommunityBenefitExpense
Percent Of Total Expense	0.09820	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	17500	TotalCommunityBuildingExpense
Net Community Building Expense	17500	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	77038	TotalCommunityBuildingExpense
Net Community Building Expense	77038	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	3500	TotalCommunityBuildingExpense
Net Community Building Expense	3500	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	98038	TotalCommunityBuildingExpense
Net Community Building Expense	98038	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$5,016,859	BadDebtExpenseAmount
Amount Reimbursed By Medicare	88229788	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	97211775	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-8981987	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 Memorial Ambulatory Surgery Center LLC	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	Ambulatory Surgery	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.45800	OrganizationProfitOrOwnership
Physicans Profit Or Ownership	0.04000	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Memorial Regional Medical Center	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	8260 Atlee Rd	AddressLine1
City	Mechanicsville	City
State	VA	State
ZIP Code	23116	ZIPCode

Field	Value	IRS element (for citing)
Website Address	http://richmond.bonsecours.com/	WebsiteAddress
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Research Facility	X	ResearchFacility
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Memorial Regional Medical Center Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	0	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	0	AllNeedsAddressed
Organization Incur Excise Tax	0	OrganizationIncurExciseTax
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	200.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Other Factors	X	OtherFactors
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	0	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	29	NumberOfOtherFacilities

Other Facilities OtherFacilities (29 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType	Address Line2Address/AddressLine2
Memorial Regional Medical Center
8262 Atlee Road MOB III Ste 100	Mechanicsville	VA	23116	Ambulatory Surgery Center
Richmond Cardiology Associates
8243 Meadowbridge Road	Mechanicsville	VA	23116	Physician Practices
Richmond Cardiology Associates
1850 Pocahontas Trail Suite 202	Quinton	VA	23141	Physician Practices
Richmond Cardiology Associates
430 Clairmont Court Suite 211	Colonial Heights	VA	23525	Physician Practices
Laburnum Medical Center
4620 S Laburnum Ave	Richmond	VA	23231	Physician Practices
Surgical Specialists of Richmond
8262 Atlee Road MOB III Ste 205	Mechanicsville	VA	23116	Physician Practices
Surgical Specialists of Richmond
1850 Pocahontas Trail	Quinton	VA	23141	Physician Practices
Surgical Specialists of Richmond
1396 - B Tappahannock Blvd	Tappahannock	VA	22560	Physician Practices
Memorial Medical Center
8220 Meadowbridge Road Ste 203	Mechanicsville	VA	23116	Physician Practices
Lee Davis Pediatrics
6372 Mechanicsville Turnpike	Mechanicsville	VA	23111	Physician Practices
Neurology Clinic at MRMC
8262 Atlee Road MOB III Ste 201	Mechanicsville	VA	23116	Physician Practices
Bon Secours Wound Care Clinic
8237 Meadowbridge Road	Mechanicsville	VA	23116	Wound Care Clinic
Theresa Thomas Medical Center
635 N Washington Highway	Ashland	VA	23005	Physician Practices
Aylett Medical Center
7864 Richmond - Tappahannock	Aylett	VA	23009	Physician Practices	Highway
Hanover Pediatrics
9113 Dickey Drive	Mechanicsville	VA	23116	Physician Practices
Crossridge Internal Med and Pediatri
10150 Staples Mill Road	Glen Allen	VA	23060	Physician Practices
Bon Secours Behavioral Health Services
1510 North 28th Ste Hosp 3rd FL	Richmond	VA	23223	Physician Practices
Richmond Diabetes and Endocrinology
8220 Meadowbridge Road Suite 308	Mechanicsville	VA	23116	Physician Practices
Thoracic Surgery Associates
8220 Meadowbridge Road Suite 306	Mechanicsville	VA	23116	Physician Practices
Thoracic Surgery Associates
14051 St Francis Blvd Suite 2205	Midlothian	VA	23114	Physician Practices
Bon Secours Behavioral Health Group
1510 North 28th St MOB Suite 101	Richmond	VA	232235332	Physician Practices
MRMC - Inpatient Surgical Specialists
8262 Atlee Road MOB III Ste 205	Mechanicsville	VA	23116	Physician Practices
Women's Specialty Ctr - Female Pelvic Me
8266 Atlee Road MOB II Ste 219	Mechanicsville	VA	23116	Physician Practices
Women's Specialty Ctr - Female Pelvic Me
13700 St Francis Blvd	Midlothian	VA	23114	Physician Practices
Capitol OBGYN
1510 North 28th Ste 305	Richmond	VA	232235332	Physician Practices
Diabetes Treatment Center
8220 Meadowbridge Road Ste 305	Mechanicsville	VA	23116	Outpatient Diabetes Clinic
Bon Secours Oncology Associates
8266 Atlee Road MOB II Ste 225	Mechanicsville	VA	23116	Physician Practices
Arleeta M Diggs MD
304 East Leigh Street	Richmond	VA	23219	Physician Practices
Caryn Malkman MD
8239 Meadowbridge Road Ste A	Mechanicsville	VA	23116	Physician Practices

Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)

ExplanationExplanation	IdentifierIdentifier	Return 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: 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): Bad debt expense included in Part IX; line 25 and excluded from the "percent of total expense" calculation is: $22,216,648.
Part II: A healthy community liaison (HCL) was employed by Memorial Regional Medical Center during FY 2013. The purpose of the HCL is to improve community health in targeted neighborhoods by engaging stakeholders and residents to identify and prioritize community needs.
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 by CHS to 495 community members and partners. 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 139 (28%) 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. One of the meetings warrants additional descriptions because of its 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 an 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; the 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; a Manager for Evaluation and Sustainability; a 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" by distributing dots on issues from the report and raised by the group.	Memorial Regional Medical Center, Inc.
Part V, Section B, Line 7: Dental Care/Oral Health:Dental Care was identified in the CHNA community survey as a gap. Oral health is important because it can impact general health. Multiple community organizations are engaged in providing dental care services to the uninsured. They include Virginia Commonwealth University's School of Dentistry, Daily Planet, FQHC, Vernon J. Harris FQHC Dental Clinic, CrossOver Ministry and Goochland Free Clinic and Family Services. As such Bon Secours will not be addressing dental needs at this time.Transportation: Other community organizations are better positioned to provide transportation. The Greater Richmond Transit Authority (GRTC) serves the City of Richmond and Henrico County. They have 186 buses and 40 routes. Each bus is equipped with a wheel chair lift. GRTC serves the Richmond Community Hospital campus.GRTC CARE service provides curb-to-curb public transportation to disabled individuals who may not be reasonably able to use the GRTC fixed route bus. It is also available for persons aged 80 or older. Of the four Bon Secours Richmond hospitals (St. Mary's Hospital, St. Francis Medical Center, Richmond Community Hospital and Memorial Regional Medical Center), Richmond Community Hospital provides limited patient transportation. Patients who reside within a 10-mile radius of the hospital may utilize the patient transport van to reach the hospital campus. This service includes behavioral health patients. Lack of adequate transportation can be a barrier to accessing health care services. The Bon Secours Care-A-Van is a mobile health outreach program providing primary care services in local neighborhoods in the Richmond Community Hospital service area. The Care-A-Van contributes to the elimination of transportation as a barrier to care for uninsured patients.	Memorial Regional Medical Center, Inc.
Part V, Section B, Line 12h: Please see the narrative for Part VI, Line 3 regarding the Financial Assistance Policy.	Memorial Regional Medical Center, Inc.
Part V, Section B, Line 14g: Please see the narrative for Part VI, Line 3 regarding the Financial Assistance Policy.	Memorial Regional Medical Center, Inc.
Part V, Section B, Line 20d: Please see the narrative for Part VI, Line 3 regarding the Financial Assistance Policy.	Memorial Regional Medical Center, 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 the 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 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 Urb'an 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 the 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 potentially 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 Memorial Regional Medical Center service area consists of 43 zip codes that fall mostly in the counties of Caroline, Essex, Hanover, Henrico, King and Queen, King William and New Kent; and the city of Richmond. The community of the MRMC primary service area contained 685,457 people as of 2010, of which 52% are female and 48% male population that is expected to grow to 718,952 by 2015. Compared to the Commonwealth of Virginia as a whole, this region is more densely populated (277.4 people per sq. mile) and is proportionately more Black/African American (33%). The median household income of the community is $54,400, just under the median household income in Virginia of $60,034. The study region also has higher rates of low-income levels (32% are Low Income Households with income less than $35,000), but proportionately more adults age 25+ with a high school education.
Part VI, Line 5: Memorial Regional Medical Center has an open medical staff with privileges available to all qualified physicians in the area. MRMC through the BSRHS 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. Memorial Regional Medical Center provides training and education of health care professionals. The Bon Secours Memorial College of Nursing, sponsored by Memorial Regional Medical Center had 412 enrolled students in fiscal year 2013. Memorial Regional Medical Center engages in medical research. Inpatient and outpatient research-related activities are conducted by Memorial Regional 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. 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.
VA	Reports Filed With States	Part VI, Line 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Bon Secours Richmond Healthcare Foundation	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	8580 Magellan Parkway	AddressLine1
City	Richmond	City
State	VA	State
ZIP Code	23227	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	541201346	EINOfRecipient
IRC Section	501(c)(3)	IRCSection
Amount Of Cash Grant	60000	AmountOfCashGrant
Purpose Of Grant	General Support	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	Student Education Assistance	TypeOfGrant
Number Of Recipients	23	NumberOfRecipients
Amount Of Cash Grant	2019	AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedure for Monitoring Grants in the U.S.:	Identifier
Return Reference	Part I, Line 2:	ReturnReference
Explanation	Schedule I, Part I, Line 2: The organization complies with Bon Secours Health System, Inc.'s system-wide financial and accounting policies. Contributions are generally made as reimbursements for funds spent. In such cases, the donee/grantee organization must provide documentation to the filing organization before funds are approved for disbursement.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Toni Ardabell
RICH JT BM/CEO SMH	0	355659	0	182851	0	58199	0	35226	0	4517	0	636452	0	16500
Mark Gordon
RICH JT BM/CEO SFMC	0	322518	0	244532	0	42580	0	28121	0	27971	0	665722	0	2450
Michael Robinson
RICH JT BM/CEO-MRMC & RCH	0	403284	0	197269	0	227265	0	15000	0	17855	0	860673	0	112599
Peter J Bernard
CEO - Bon Secours VA	0	748358	0	507898	0	181825	0	166098	0	26868	0	1631047	0	108845
Melinda S Hancock
RICH JT - Treas/CFO BSV	0	251908	0	53362	0	38671	0	3924	0	24044	0	371909	0	0
Jill Kennedy
VP CNE - MRMC & RCH	202649	0	29983	0	1044	0	6264	0	22925	0	262865	0	0	0
Kathleen Santini
Vice President	0	217270	0	32785	0	2606	0	5532	0	18192	0	276385	0	0
Bonnie M Shelor
SVP Human Resources	0	202053	0	55112	0	116903	0	22625	0	8653	0	405346	0	47451
Harpreet S Grewal MD
Physician	543154	0	54286	0	1340	0	12500	0	26776	0	638056	0	0	0
John W Hawkins MD
Physician	543623	0	45901	0	3334	0	12500	0	18305	0	623663	0	0	0
Brian L Kaminsky MD
Physician	541872	0	45322	0	3380	0	10000	0	26231	0	626805	0	0	0
C Gregory Lockhart MD
Physician	450576	0	153900	0	2107	0	3612	0	24874	0	635069	0	0	0
Pindipapanahall Ravindra MD
Physician	543224	0	32828	0	1652	0	12500	0	22020	0	612224	0	0	0
Peter F Gallagher
Former CFO - BSR	11452	0	0	0	238784	0	0	0	11760	0	261996	0	0	0
Michael Kerner
Former BM/CEO - SMH	0	475717	0	336924	0	124284	0	106467	0	26303	0	1069695	0	67422

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

Part I, Line 3

Bon Secours Health System, Inc., a related organization of Memorial Regional Medical Center, 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 4b

The filing organization participates in a BSHSI sponsored executive retirement program that allows for deposits into additional retirement plans and is available only to 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 (9 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Form 990, Part VI, Section A, line 6	Bon 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 Memorial Regional Medical Center, Inc.
Form 990, Part VI, Section A, line 7a	The governing body of Memorial Regional Medical Center 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 7b	Certain authorities of Memorial Regional Medical Center are reserved to its member or to Bon Secours Health System, Inc.
Form 990, Part VI, Section B, line 11	The process the organization uses to review the Form 990 consists of a review by the local system's audit and compliance board-committee and providing the form to the local system board of directors to allow for a thorough review by both before the filing date. The local system's audit and compliance committee and board of directors have reviewed the Form 990, scheduled time on meeting agendas, and asked questions regarding the Form 990 before the return is filed.
Form 990, Part VI, Section B, line 12c	The organization regularly and consistently monitors compliance with the conflict of interest policy. On an annual basis, all persons subject to the policy, including all officers, directors and key employees are required to make certain disclosures. These include disclosures related to certain personal, financial and organizational relationships that may present a conflict, or the appearance of a conflict of interest with the organization. All disclosures go through a three-part review process: (1) disclosures are reviewed first by the corporate responsibility officer (CRO); (2) a governance team comprised of the CEO, board president, board chair, CRO, and the BSHSI CRO participate in a second review of all disclosures during which recommendations are made as to the resolution of any conflicts or potential conflicts. Depending on the facts and circumstances, resolutions may include ongoing disclosure, recusal or removal of the conflict; and (3) all disclosures and recommendations are reviewed by a board committee (audit and compliance committee reviews the disclosures of management and the governance committee reviews the disclosures of the board and board committee members).
Form 990, Part VI, Section B, line 15	The compensation committee of the board of Bon Secours Health System, Inc. (BSHSI) engages in a comprehensive process for the oversight and management of remuneration for executive employees and disqualified parties of the BSHSI. The compensation committee consists of a group of independent board members and engages independent external compensation consultants 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 19	The 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.	Avg hours devoted to related org(s) when related comp is reported:
Form 990, Part XI, line 9:	Assets released from restriction - recognized as rev in prior years -82,513. Transfers to BSHSI for Swaps and Principle -4,013,717. Addl Minimum Pension Liability 24,013,595.	Changes in Net Assets or Fund Balances:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
Bon Secours Health System Inc
1505 Marriotsville Road	Marriotsville	MD	21104	521301088	Parent Org. Management Services	MD	501(c)(3)	11b	Bon Secours Inc	0
Bon Secours Richmond Health Corporation
8580 Magellan Parkway	Richmond	VA	23227	541356155	Management Services	VA	501(c)(3)	11b	Bon Secours Health System Inc	0
Bon Secours Richmond Health System
8580 Magellan Parkway	Richmond	VA	23227	521988421	Local System Parent Org.	VA	501(c)(3)	11b	Bon Secours Richmond Health Corporation	0
St Mary's Hospital of Richmond Inc
8580 Magellan Parkway	Richmond	VA	23227	540793767	Health Care	VA	501(c)(3)	3	Bon Secours Richmond Health System	0
Bon Secours Richmond Community Hospital
8580 Magellan Parkway	Richmond	VA	23227	540647482	Health Care	VA	501(c)(3)	3	Bon Secours Richmond Health System	0
Bon Secours St Francis Medical Center
8580 Magellan Parkway	Richmond	VA	23227	311716973	Health Care	VA	501(c)(3)	3	Bon Secours Richmond Health System	0
Laburnum Properties
8580 Magellan Parkway	Richmond	VA	23227	521260700	Title Holding Company	VA	501(c)(2)		Bon Secours Richmond Health System	0
Bon Secours Stuart Circle Hospital
8580 Magellan Parkway	Richmond	VA	23227	541740128	Health Care	VA	501(c)(3)	3	Bon Secours Richmond Health System	0
Bon Secours Richmond Healthcare Foundation
8580 Magellan Parkway	Richmond	VA	23227	541201346	Grant Making Foundation	VA	501(c)(3)	7	Bon Secours Richmond Health Corporation	0

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA
St Mary's MRI LP
8580 Magellan Parkway	Richmond	VA	23227	541568022	Imaging Services	VA	N/A
RI LP
8580 Magellan Parkway	Richmond	VA	23227	541708835	Imaging Services	VA	N/A
Broad64 Imaging LLC
8580 Magellan Parkway	Richmond	VA	23227	205886018	Imaging Services	VA	N/A
Richmond Radiation Oncology Center I LLC
8580 Magellan Parkway	Richmond	VA	23227	208444551	Radiation Oncology Services	VA	N/A
Chesterfield Community Healthcare Center MOB I LLC
435 Southlake Blvd	Richmond	VA	23236	541745670	Rental - Medical Office Building	VA	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg
Chesterfield Community Healthcare Center Inc
8580 Magellan Parkway	Richmond	VA	23227	541812738	Ambulatory Healthcare Services	VA	N/A	C	0
RHS Management Corporation
8580 Magellan Parkway	Richmond	VA	23227	541313425	Independent Living Facility	VA	N/A	C	0
Bon Secours - Virginia Healthsource Inc
8580 Magellan Parkway	Richmond	VA	23227	541417686	Ambulatory Healthcare Services	VA	N/A	C	0
Richmond MRI Inc
8580 Magellan Parkway	Richmond	VA	23227	541568452	Imaging Services	VA	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg