Bon Secours - St Francis Medical Center Inc: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: Bon Secours - St Francis Medical Center Inc (EIN 31-1716973)
Tax period: 2012-09-01 to 2013-08-31
Filed: 2014-07-15
IRS object ID: 201421969349301522
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	2014-07-15T16:54:08-05:00	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	311716973	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Bon Secours - St Francis Medical Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	BONS	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	8045947400	Phone
Date Signed	2014-07-15	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	David A Craig	Name
PTIN	P00542227	PTIN
Phone	4042201500	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Mark Gordon	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	259057941	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.bonsecours.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1999	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	1378	TotalNbrEmployees
Total Nbr Volunteers	320	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2208673	ContributionsGrantsPriorYear
Contributions Grants Current Year	2085293	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	232931716	ProgramServiceRevenuePriorYear
Program Service Revenue CY	254892273	ProgramServiceRevenueCY
Investment Income Prior Year	1415	InvestmentIncomePriorYear
Investment Income Current Year	26532	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2452344	OtherRevenuePriorYear
Other Revenue Current Year	1686413	OtherRevenueCurrentYear
Total Revenue Prior Year	237594148	TotalRevenuePriorYear
Total Revenue Current Year	258690511	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	73250	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	76915	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	75947053	SalariesEtcPriorYear
Salaries Etc Current Year	84883559	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	146002578	OtherExpensePriorYear
Other Expenses Current Year	155124913	OtherExpensesCurrentYear
Total Expenses Prior Year	222022881	TotalExpensesPriorYear
Total Expenses Current Year	240085387	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	15571267	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	18605124	RevenuesLessExpensesCY
Total Assets BOY	152599457	TotalAssetsBOY
Total Assets EOY	152189948	TotalAssetsEOY
Total Liabilities BOY	131941039	TotalLiabilitiesBOY
Total Liabilities EOY	116704652	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	20658418	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	35485296	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
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	215058677	Expense
Grants	76915	Grants
Revenue	255405977	Revenue
Description	Patient Service in order to bring compassion to healthcare and to be good help to those in need by providing healthcare services. Please refer to the Community Benefit information on Schedule H.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	2843674	Expense
Revenue	637275	Revenue
Description	Bon Secours St. Francis Family Medicine Residency Program: The VirginiaCommonwealth University (VCU) affiliated Bon Secours St. Francis FamilyMedicine Residency Program opened its doors in August 2005 and is fullyaccredited by the Accreditation Council for Graduate Medical Education.Bon Secours has built a program that creates family physicians andserves western Chesterfield county and surrounding areas in suburbanRichmond, Virginia. The faculty includes a mixture of rural andsuburban-based academicians and clinicians. Subspecialty preceptors aredrawn from a premier network of Bon Secours affiliated physicians.The residency program is housed in a building designed specifically for the needs of resident education and efficient clinical care. Inaddition to rotating through Bon Secours St. Francis Medical Center,residents use many of the award-winning systems through our practice,the four hospitals of Bon Secours Richmond Health System, and ourcommunity outreach including Care-A-Van, our free mobile health clinic.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	217902351	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	0	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	0	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	65	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1378	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	0	InvestmentInJointVenture
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
Pete 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
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
Michael Robinson
RICH JT BM/CEO - MRMC & RCH	2.00	48.00	X	0	827818	32855
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
Mark Gordon
RICH JT BM/CEO SFMC	48.00	2.00	X	0	609630	56092	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 Hancock
RICH JT - Treas/CFO BSV	8.00	42.00		0	343941	27968	X
Shelly A Buck-Turner
VP CNE - SFMC	50.00	0.00		176210	0	28411		X
Kathleen Santini
Vice President	12.50	37.50		0	252661	23724		X
Bonnie M Shelor
SVP Human Resources	8.00	42.00		0	374068	31278		X
Stacey L Epps MD
Physician	50.00	0.00		375955	0	38157			X
James Pellicane MD
Physician	50.00	0.00		495072	0	33449			X
Polly Stephens MD
Physician	50.00	0.00		397462	0	27927			X
Chi-Kin Ng MD
Physician	50.00	0.00		348184	0	31771			X
Rashmi P Vaidya MD
Physician	50.00	0.00		429208	0	24085			X
Peter F Gallagher
Former CFO - BSR	0.00	0.50		0	250236	11760				X
Michael K Kerner
Former BM/CEO - SMH	0.00	50.00		0	936925	132770				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2222091	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	5630069	TotalReportableCompFrmRltdOrgs
Total Other Compensation	732956	TotalOtherCompensation
Number Individuals GT100 K	57	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
Richmond Emergency Physicians
5801 Bremo Rd	Richmond	VA	23226	Emergency Physicians	2329845
Woolfolk Construction
435 Southlake Blvd	Richmond	VA	23236	Construction	2000414
Commonwealth Anesthesia Assoc
PO Box 35808	Richmond	VA	23235	Anesthesia Physicians	1706701
Sheltering Arms Hospital
8254 Atlee Road	Mechanicsville	VA	23116	Physical Therapy	1665857
Aramark CTS Inc
12483 Collections Center Drive	Chicago	IL	60693	Clinical Services	1512781

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	88	NumberOfContractorsGT100K
Related Organizations	218385	RelatedOrganizations
Government Grants	1866908	GovernmentGrants
Total Contributions	2085293	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net Patient Serv. Rev.	622110	254254998	254254998
Fmly Prac Res Prg Tuit	622110	637275	637275

Field	Value	IRS element (for citing)
Total Program Service Revenue	254892273	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	22582	TotalRevenueColumn
Exclusion	$22,582	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	269634	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	367430	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-97796	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-97796	TotalRevenueColumn
Exclusion	-$97,796	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	3950	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	3950	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	3950	TotalRevenueColumn
Exclusion	$3,950	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
Sheltering Arms Rev.	900099	1150979	1150979
Cafe/Vending/Gift Shop	722212	260012		$260,012
Physician Mgt. Fees	900099	207264		$207,264

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	165954	TotalRevenueColumn
Exclusion	$165,954	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	1784209	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	258690511	TotalRevenueColumn
Related Or Exempt Function Income	256043252	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$561,966	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	76915	Total
Program Services	76915	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	216273	Total
Program Services	194646	ProgramServices
Management And General	21627	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	66860596	Total
Program Services	60174536	ProgramServices
Management And General	6686060	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3582450	Total
Program Services	3224205	ProgramServices
Management And General	358245	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	8837193	Total
Program Services	7953474	ProgramServices
Management And General	883719	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5387047	Total
Program Services	4848342	ProgramServices
Management And General	538705	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	459983	Total
Program Services	413985	ProgramServices
Management And General	45998	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	15754	Total
Program Services	14179	ProgramServices
Management And General	1575	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	9084010	Total
Program Services	8175609	ProgramServices
Management And General	908401	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	641471	Total
Program Services	577324	ProgramServices
Management And General	64147	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1059043	Total
Program Services	953139	ProgramServices
Management And General	105904	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	147641	Total
Program Services	132877	ProgramServices
Management And General	14764	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	7603116	Total
Program Services	6842805	ProgramServices
Management And General	760311	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	337413	Total
Program Services	303672	ProgramServices
Management And General	33741	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	209761	Total
Program Services	188785	ProgramServices
Management And General	20976	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	4965045	Total
Program Services	4965045	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	8458081	Total
Program Services	7612273	ProgramServices
Management And General	845808	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1321162	Total
Program Services	1189046	ProgramServices
Management And General	132116	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Purchased Services	56214512	50593061	5621451
Medical Supplies	40926696	36834026	4092670
Bad Debt	13213061	13213061
BSHSI Mgmt. allocations	5633816	5070434	563382

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	4834348	Total
Program Services	4350912	ProgramServices
Management And General	483436	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	240085387	Total
Program Services	217902351	ProgramServices
Management And General	22183036	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	128029	BOY
EOY	137054	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	39200	BOY
EOY	6510	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	23871622	BOY
EOY	25455397	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3921335	BOY
EOY	3798913	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1336242	BOY
EOY	964679	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	183579475	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	74988893	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	111168032	BOY
EOY	108590582	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	12134997	BOY
EOY	13236813	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	152599457	BOY
EOY	152189948	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	10686074	BOY
EOY	10075055	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	3725458	BOY
EOY	3900650	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	117529507	BOY
EOY	102728947	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	131941039	BOY
EOY	116704652	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	20615735	BOY
EOY	35485296	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	42683	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	20658418	BOY
EOY	35485296	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	152599457	BOY
EOY	152189948	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	18605124	ReconcilationRevenueExpenses
Reconcilation Other Changes	-3778246	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	$15,754	OtherActivitiesAmount
Total Lobbying Expenditures IIB	15754	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

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	21097936	OtherCostOrOtherBasis
Book Value	21097936	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	75217916	OtherCostOrOtherBasis
Depreciation	16685875	Depreciation
Book Value	58532041	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	13147840	OtherCostOrOtherBasis
Depreciation	4773619	Depreciation
Book Value	8374221	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	62708222	OtherCostOrOtherBasis
Depreciation	48416177	Depreciation
Book Value	14292045	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	11407561	OtherCostOrOtherBasis
Depreciation	5113222	Depreciation
Book Value	6294339	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	108590582	TotalOfBookValueLandBuildings

Other Assets OtherAssets (9 entries)

DescriptionDescription	Book ValueBookValue
LT Non Cash Inv - HPL/GL	6928482
Cost Report Settlements Receivable	3933087
Accrued Revenue	1332146
Developer Receivable	363165
Sheltering Arms Receivable	274214
Physician Loan Receivable	174616
Ground Lease Rent Receivable	125209
Deposits - Morrisons	100894
Dietary Rebate Receivable	5000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	13236813	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescription	AmountAmount
Due to BSHSI	$12,233,789
Due to Affiliates	$80,000,000
HP/GL Liability	$6,928,482
Medicare Settlement Receivable	$1,886,117
LT Deferred Rent	$1,629,345
Campus Improvement Reserve	$48,935
Rent Deposit Payable	$1,720
Unclaimed Property Tax Accrual	$559

Field	Value	IRS element (for citing)
Total Of Amounts	102728947	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	Description of Uncertain Tax Positions Under FIN 48:	Identifier
Return Reference	Part X, Line 2:	ReturnReference
Explanation	Schedule D, Part X, Line 2 requires that the organization provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under ASC 740 (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

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	0	ExpensesExceededBudget
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	9068638	TotalCommunityBenefitExpense
Net Community Benefit Expense	9068638	NetCommunityBenefitExpense
Percent Of Total Expense	0.04000	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15839814	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10888570	DirectOffsettingRevenue
Net Community Benefit Expense	4951244	NetCommunityBenefitExpense
Percent Of Total Expense	0.02180	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1627073	TotalCommunityBenefitExpense
Direct Offsetting Revenue	893347	DirectOffsettingRevenue
Net Community Benefit Expense	733726	NetCommunityBenefitExpense
Percent Of Total Expense	0.00320	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	26535525	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11781917	DirectOffsettingRevenue
Net Community Benefit Expense	14753608	NetCommunityBenefitExpense
Percent Of Total Expense	0.06500	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	6877	PersonsServed
Total Community Benefit Expense	2820671	TotalCommunityBenefitExpense
Net Community Benefit Expense	2820671	NetCommunityBenefitExpense
Percent Of Total Expense	0.01240	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4051917	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1058829	DirectOffsettingRevenue
Net Community Benefit Expense	2993088	NetCommunityBenefitExpense
Percent Of Total Expense	0.01320	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	505918	TotalCommunityBenefitExpense
Net Community Benefit Expense	505918	NetCommunityBenefitExpense
Percent Of Total Expense	0.00220	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	8	NumberOfActivitiesOrPrograms
Persons Served	6877	PersonsServed
Total Community Benefit Expense	7378506	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1058829	DirectOffsettingRevenue
Net Community Benefit Expense	6319677	NetCommunityBenefitExpense
Percent Of Total Expense	0.02780	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	8	NumberOfActivitiesOrPrograms
Persons Served	6877	PersonsServed
Total Community Benefit Expense	33914031	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12840746	DirectOffsettingRevenue
Net Community Benefit Expense	21073285	NetCommunityBenefitExpense
Percent Of Total Expense	0.09280	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	10000	TotalCommunityBuildingExpense
Net Community Building Expense	10000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	5000	TotalCommunityBuildingExpense
Net Community Building Expense	5000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	2000	TotalCommunityBuildingExpense
Net Community Building Expense	2000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	17000	TotalCommunityBuildingExpense
Net Community Building Expense	17000	NetCommunityBuildingExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$3,132,563	BadDebtExpenseAmount
Amount Reimbursed By Medicare	51249808	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	78222806	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-26972998	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
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	St Francis Medical Center	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	13710 St Francis Blvd	AddressLine1
City	Midlothian	City
State	VA	State
ZIP Code	23114	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	Bon Secours - St Francis Medical Center	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	15	NumberOfOtherFacilities

Other Facilities OtherFacilities (15 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
St Francis Family Medical Practice
13540 Hull Street Road	Midlothian	VA	23112	Physician Practice
Neurology Clinic Bon Secours Med Group
11601 Ironbridge Road Suite 207	Chester	VA	23831	Physician Practice
Virginia Breast Center
610 Watkins Centre Parkway	Midlothian	VA	23114	Physician Practice
Internal Medicine of Chesterfield
611 Watkins Centre Parkway Ste 250	Midlothian	VA	23114	Physician Practice
Ironbridge Family Practice
11601 Ironbridge Road Suite 117	Chester	VA	23831	Physician Practice
St Francis Medical Women's Center
13700 St Francis Blvd Suite 510	Midlothian	VA	23114	Physician Practice
Powhatan Medical Associates
3452 Anderson Highway Suite D	Powhatan	VA	231395845	Physician Practice
Charter Colony Family Practice
13700 St Francis Blvd Suite 302	Midlothian	VA	23114	Physician Practice
St Joseph Outreach Clinic
8000 Brook Road	Richmond	VA	23227	Physician Practice
Diabetes Treatment Center
2372 Colony Crossing	Midlothian	VA	23114	Outpatient Diabetic Clinic
CARE Diabetes & Endocrinology
3660 Boulevard Suite G	Colonial Heights	VA	23834	Physician Practice
Commonwealth Fertility & Women's Care
13700 St Francis Blvd Suite 502	Midlothian	VA	23114	Physician Practice
Bon Secours Oncology Assoc at SFMC
14051 St Francis Blvd Suite 2210	Midlothian	VA	23114	Physician Practice
Bon Secours Caryn Malkan MD
8239 Meadowbridge Rd	Mechanicsville	VA	23116	Physician Practice
Bon Secours Richmond OBGYN
13700 St Francis Blvd Suite 305	Midlothian	VA	23114	Physician Practice

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: 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): Bad debt expense included in Part IX: line 25 and excluded from the "percent of total expense" calculation is: $13,213,061
Part II: St. Francis Medical Center works with community partners to improve community health in targeted neighborhoods by identifying and prioritizing 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 patients 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 electronic survey using Survey Monkey was developed and administered to 424 community members and partners by Community Health Solutions (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 (33%) 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 description because of its unique contribution to the process. The Bon Secours CHNA Community review session facilitated by Becky Clay Christensen Group 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; the Chief Operating Officer of a Free Clinic; the Executive Director of a Federally Qualified Health Center; the 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" to help prioritize issues by distributing dots on issues from the report and raised by the group.	Bon Secours - St. Francis Medical Center
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.	Bon Secours - St. Francis Medical Center
Part V, Section B, Line 12h: Please see the narrative for Part VI, Line 3 regarding the Financial Assistance Policy.	Bon Secours - St. Francis Medical Center
Part V, Section B, Line 14g: Please see the narrative for Part VI, Line 3 regarding the Financial Assistance Policy.	Bon Secours - St. Francis Medical Center
Part V, Section B, Line 20d: Please see the narrative for Part VI, Line 3 regarding the Financial Assistance Policy.	Bon Secours - St. Francis Medical Center
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 St. Francis Medical Center 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.Community Input: Input from community members was included in assessing health care needs as described in Part V, Section B, above.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.
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 St. Francis Medical Center service area consists of 41 zip codes that fall mostly in the counties of Amelia, Chesterfield, Hanover, Henrico, Nottoway, Powhatan and Prince George counties; and the cities of Colonial Heights, Hopewell, Petersburg and Richmond. The St. Francis Medical Center study area contained 893,861 people as of 2010, of which 52% are female and 48% male population that is expected to grow to 941,278 by 2015. Compared to the Commonwealth of Virginia as a whole, this region is more densely populated (332.7 people per sq. mile) and is proportionately more Black/African American (31%). The median household income of the community is $57,621, just under the median income in Virginia of $60,034. The study region also has higher levels of low-income households (28% are Low Income Households with income less than $35,000), and proportionately more adults age 25+ without a high school education.
Part VI, Line 5: SFMC has an open medical staff with privileges available to all qualified physicians in the area. SFMC through the BSRHS is governed by a board of directors whose composition is representative of the community and mostly comprised of independent members of the community. SFMC engages in medical research. Inpatient and outpatient research-related activities are conducted by SFMC with oversight from the BSRHS 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 it's related entities are called to continue the healing ministry of Jesus. We exist to benefit the people living in the communities it serves. Through all of the services offered to the community, the mission is "to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a System of caregivers, we commit ourselves to help bring people and communities to health and wholeness as part of the healing ministry of Jesus Christ and the Catholic Church." This organization and related organizations share the BSHSI Vision. "Inspired by the healing ministry of Jesus Christ and the charism of Bon Secours, Bon Secours Health System will be recognized for its leadership in justice, transforming the communities in which we serve and work into places of health and hope, and being a prophetic voice for systemic US health reform and a more humane world." Please see Schedule R for listings of the related organizations.
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 Building IV	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	66000	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 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
Michael Robinson
RICH JT BM/CEO - MRMC & RCH	0	403284	0	197269	0	227265	0	15000	0	17855	0	860673	0	112599
Mark Gordon
RICH JT BM/CEO SFMC	0	322518	0	244532	0	42580	0	28121	0	27971	0	665722	0	2450
Peter J Bernard
CEO - Bon Secours VA	0	748358	0	507898	0	181825	0	166098	0	26868	0	1631047	0	108845
Melinda Hancock
RICH JT - Treas/CFO BSV	0	251908	0	53362	0	38671	0	3924	0	24044	0	371909	0	0
Shelly A Buck-Turner
VP CNE - SFMC	152667	0	22591	0	952	0	4511	0	23900	0	204621	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
Stacey L Epps MD
Physician	271278	0	103472	0	1205	0	11455	0	26702	0	414112	0	0	0
James Pellicane MD
Physician	471333	0	22425	0	1314	0	3156	0	30293	0	528521	0	0	0
Polly Stephens MD
Physician	367318	0	29015	0	1129	0	3120	0	24807	0	425389	0	0	0
Chi-Kin Ng MD
Physician	342014	0	898	0	5272	0	12500	0	19271	0	379955	0	0	0
Rashmi P Vaidya MD
Physician	428177	0	0	0	1031	0	5177	0	18908	0	453293	0	0	0
Peter F Gallagher
Former CFO - BSR	0	11452	0	0	0	238784	0	0	0	11760	0	261996	0	0
Michael K 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)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Supplemental Information	Part III	Part I, Line 3: Bon Secours Health System, Inc., a related organization of Bon Secours - St. Francis Medical Center, 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
Supplemental Information	Part III	Part I, Line 4b: The filing organization participates in a BSHSI sponsored executive retirement program that allows for deposits into additional retirement plans and available only to key employees. The 457F plan is a non-qualified plan and is subject to a minimum three-year service requirement before vesting on deposits made into this plan. Individuals that received a distribution include: Peter J. Bernard, $134,024; Toni Ardabell, $16,673; Mark Gordon, $2,655; Michael Robinson, $134,840; 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, LLC, which in turn holds the majority interest in Bon Secours- Richmond Health System, which in turn is the sole member of Bon Secours - St. Francis Medical Center.
Form 990, Part VI, Section A, line 7a	The governing body of Bon Secours - St. Francis Medical Center is appointed by it's member Bon Secours - Richmond Health System and subject to approval by Bon Secours Health System, Inc.
Form 990, Part VI, Section A, line 7b	Certain authorities of Bon Secours - St. Francis 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 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 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:	Transfer to Affiliate: -3,778,246.	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
Bon Secours Memorial Regional Medical Center
8580 Magellan Parkway	Richmond	VA	23227	541744931	Health Care	VA	501(c)(3)	3	Bon Secours Richmond Health System	0
Bon Secours St Mary's Hospital 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 Inc
8580 Magellan Parkway	Richmond	VA	23227	540647482	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	1	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	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg