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BON SECOURS RICHMOND HEALTH SYSTEM: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BON SECOURS RICHMOND HEALTH SYSTEM (EIN 52-1988421)
Tax period
2012-09-01 to 2013-08-31
Filed
2014-07-15
IRS object ID
201441969349300824
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-07-15T11:42:03-05:00Timestamp
Tax Period End Date2013-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

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

Filer Filer

FieldValueIRS element (for citing)
EIN521988421EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Bon Secours - Richmond Health System IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBONSNameControl
Phone8046275400Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameStephan F QuiriconiName
TitleTreasurer BSR - VP FinanceTitle
Phone8046275400Phone
Date Signed2014-07-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJennifer E ErntemanName
PTINP00693666PTIN
Phone4042201500Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Bon Secours VirginiaBusinessNameLine1
Business Name Line2Bon Secours Virginia Health SystemBusinessNameLine2
FieldValueIRS element (for citing)
Name Of Principal Officer PersonPeter J BernardNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line18580 Magellan Parkway Building IVAddressLine1
CityRichmondCity
StateVAState
ZIP Code23227ZIPCode
FieldValueIRS element (for citing)
Gross Receipts17658050GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.bonsecours.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionProvides support services to Bon Secours Richmond Health System not-for-profit entities and provides home health services to those in need, especially those who are poor and dying.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees179TotalNbrEmployees
Total Nbr Volunteers102TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1805982ContributionsGrantsPriorYear
Contributions Grants Current Year3202700ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15594847ProgramServiceRevenuePriorYear
Program Service Revenue CY14260222ProgramServiceRevenueCY
Investment Income Prior Year878618InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year1294OtherRevenuePriorYear
Other Revenue Current Year195128OtherRevenueCurrentYear
Total Revenue Prior Year18280741TotalRevenuePriorYear
Total Revenue Current Year17658050TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11412334SalariesEtcPriorYear
Salaries Etc Current Year11701267SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4805865OtherExpensePriorYear
Other Expenses Current Year3925797OtherExpensesCurrentYear
Total Expenses Prior Year16218199TotalExpensesPriorYear
Total Expenses Current Year15627064TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2062542RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2030986RevenuesLessExpensesCY
Total Assets BOY5292742TotalAssetsBOY
Total Assets EOY8849497TotalAssetsEOY
Total Liabilities BOY1873252TotalLiabilitiesBOY
Total Liabilities EOY3399021TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3419490NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5450476NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionThe mission is to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a system of caregivers, we commit ourselves to help bring people and communities to health and wholeness.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense234000Expense
DescriptionSupports the subsidiary members of the Bon Secours - Richmond Health System in their effort to provide compassionate, quality healthcare services to those in need, including the poor and dying, for the purpose of alleviating human suffering and bringing people to wholeness in the midst of pain and loss.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense13873496Expense
Revenue14260222Revenue
DescriptionBon Secours Home Care, LLC: In 1824, the Sisters of Bon Secours began to care for the sick in their own homes in Paris, France. Today, compassionate care at home remains a fundamental part of the mission of Bon Secours. Bon Secours Home Care provides care to patients in the home setting and offers a comprehensive suite of services to patients, from infants to seniors, which address their physical, emotional and spiritual needs. Such services include:- Skilled Nursing (diabetic teaching, medication management, post-operative care) - Certified Wound and Ostomy Nurse - Heart Failure Disease Management Program - Home Telehealth Monitoring - Physical, Occupational and Speech Therapy - Medical Social Workers - Pediatric Services - Orthopedic Rehab Services - Home Health Aides (activities of daily living assistance in conjunction with patient's rehabilitative plan of care)Bon Secours Home Care, LLC is a single-member limited liability company. As such, the activity of the entity is disregarded for tax purposes and consolidated into the Form 990 of its member Bon Secours Richmond Health System.Description
FieldValueIRS element (for citing)
Total Program Service Expense14107496TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest1ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109611NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees179NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Jeff Brown MD
Board Member2.000.00X000
Janice E Burnett
Board Member2.0048.00X055919172090
Charles H Foster Jr
Board Member (Sep-Dec)2.000.00X000
Sr Rose Marie Jasinski CBS
Board Member2.0048.00X000
Jon King
Board Member2.000.00X000
Hazle Konerding MD
Board Member (Sep-Dec)2.000.00X000
Claudia McSwain
Board Member2.000.00X000
Pamela Royal MD
Board Member2.000.00X000
Pamela Schutz
Board Member2.000.00X000
Irvin Seeman MD
Board Member2.000.00X000
Harry Turton Jr
Board Member2.000.00X000
Michel Zajur
Board Member2.000.00X000
Peter J Bernard
CEO - Bon Secours Virginia2.0048.00X01438081192966X
Sr Anne Marie Mack CBS
President3.0047.00X000X
Robert Sledd
Chairman3.000.00X000X
Allen Goolsby
Secretary2.002.00000X
Melinda Hancock
RICH JT Treas - CFO2.0048.00034394127968X
Bonnie M Shelor
SVP Human Resources1.0049.00037406831278X
Lydia G Frye
RN50.000.00120995025521X
Michelle Hafner
RN50.000.00118729015322X
Jennifer C Howerton
RPT50.000.00162303025104X
Kimberly D Kothe
RPT50.000.00148521025333X
Maggie E Lamb
PT50.000.00111489016228X
Peter F Gallagher
Former CFO - BSR0.000.50025023611760X
FieldValueIRS element (for citing)
Total Reportable Comp From Org662037TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2965517TotalReportableCompFrmRltdOrgs
Total Other Compensation443570TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Pharmacy Data ManagementBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 5300AddressLine1
CityPolandCity
StateOHState
ZIP Code44514ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesPharmacy ManagementDescriptionOfServices
Compensation276278Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Related Organizations3202700RelatedOrganizations
Total Contributions3202700TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient Rev- Home CareDescription
Business Code621610BusinessCode
Total Revenue Column14260222TotalRevenueColumn
Related Or Exempt Function Income14260222RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue14260222TotalProgramServiceRevenue

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
JV Income from CVHN621610194112$194,112
Medical Records621610514$514
3rd Party Remittance622110502$502
FieldValueIRS element (for citing)
Total Other Revenue195128TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column17658050TotalRevenueColumn
Related Or Exempt Function Income14260222RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$195,128ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9473291Total
Program Services8525962ProgramServices
Management And General947329ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total129759Total
Program Services116783ProgramServices
Management And General12976ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1279086Total
Program Services1151177ProgramServices
Management And General127909ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total819131Total
Program Services737218ProgramServices
Management And General81913ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total6949Total
Program Services6254ProgramServices
Management And General695ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total63195Total
Program Services56876ProgramServices
Management And General6319ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total18168Total
Program Services16351ProgramServices
Management And General1817ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total787225Total
Program Services708503ProgramServices
Management And General78722ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4937Total
Program Services4443ProgramServices
Management And General494ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total415089Total
Program Services373580ProgramServices
Management And General41509ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total403247Total
Program Services362922ProgramServices
Management And General40325ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total9004Total
Program Services8104ProgramServices
Management And General900ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1606Total
Program Services1606ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total323607Total
Program Services291246ProgramServices
Management And General32361ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total48279Total
Program Services43451ProgramServices
Management And General4828ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Medical Supplies83278774950883279
Purchased Services54772449295254772
Bad Debt429777429777
Personal Property Taxes1055294971055

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total23651Total
Program Services21286ProgramServices
Management And General2365ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total15627064Total
Program Services14107496ProgramServices
Management And General1519568ManagementAndGeneral
Fundraising0Fundraising

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2139468BOY
EOY1792877EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY11263BOY
EOY6886EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2171899LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1873789LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY214680BOY
EOY298110EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY2430664BOY
EOY6440968EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY346667BOY
EOY86667EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY150000BOY
EOY223989EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5292742BOY
EOY8849497EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY433408BOY
EOY708902EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY340635BOY
EOY417918EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1099209BOY
EOY2272201EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1873252BOY
EOY3399021EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3419490BOY
EOY5450476EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3419490BOY
EOY5450476EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5292742BOY
EOY8849497EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2030986ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Written IRS DeterminationXWrittenIRSDetermination
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (5 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
St Mary's Hosp of Richmond Inc
5406280173111$0
Memorial Regional Medical Cntr Inc
5417449313111$0
Richmond Community Hospital Inc
5406474823111$0
St Francis Medical Cntr Inc
3117169733111$0
Stuart Circle Hospital Inc
5417401283111$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs5TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis281114OtherCostOrOtherBasis
Depreciation170525Depreciation
Book Value110589BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1890785OtherCostOrOtherBasis
Depreciation1703264Depreciation
Book Value187521BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings298110TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
Investment in Rappahannock General Hospital5051192C
Investment in Central Virginia Health Network, Inc.1389776F
FieldValueIRS element (for citing)
Total Of Book Value Program Related6440968TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Due to BSHSI$1,834,528
RGH EHR Liability$412,488
HPL/GL Liability$25,185
FieldValueIRS element (for citing)
Total Of Amounts2272201TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X, Line 2:ReturnReference
ExplanationSchedule D, Part X, Line 2 requires that the organization provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under ASC 740 (Formerly FIN48). ASC 740 (Formerly FIN48) addresses the accounting for uncertainty in income taxes recognized in an entity's financial statements and prescribes a threshold of more-likely-than-not for recognition and derecognition 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 J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Janice E Burnett
Board Member035531201414120624670531160189740631281014812
Peter J Bernard
CEO - Bon Secours Virginia0748358050789801818250166098026868016310470108845
Melinda Hancock
RICH JT Treas - CFO025190805336203867103924024044037190900
Bonnie M Shelor
SVP Human Resources02020530551120116903022625086530405346047451
Jennifer C Howerton
RPT161492000811019920231120187407000
Kimberly D Kothe
RPT147701000820023400229930173854000
Peter F Gallagher
Former CFO - BSR01145200023878400011760026199600

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 3Bon Secours Health System, Inc., a related organization of the filing organization, uses the following to establish the compensation of the organization's CEO/Executive Director: Compensation Committee Independent Compensation Consultant Written Employment Contract Compensation Survey or Study Approval by the Board or Compensation Committee
Part I, Line 4bThe filing organization participates in a BSHSI sponsored executive retirement program that allows for deposits into additional retirement plans and is available only to key employees. The 457F plan is a non-qualified plan and is subject to a minimum three-year service requirement before vesting on deposits made into this plan. Individuals that received a distribution include: Peter J. Bernard, $134,024; Janice E. Burnett, $16,030; Bonnie M. Shelor, $71,620.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

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

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Bon Secours Ambulatory Services LLC
8580 Magellan ParkwayRichmondVA23227271672951All Other Outpatient Care CentersVA00Bon Secours Richmond Health System
Bon Secours Home Care LLC
8580 Magellan ParkwayRichmondVA23227271672759Home Health Care ServicesVA-9428532171862Bon Secours Richmond Health System
Bon Secours VA Medical Group I LLC
8580 Magellan ParkwayRichmondVA23227271908136Offices of PhysiciansVA00Bon Secours Ambulatory Services LLC
Bon Secours VA Medical Group II LLC
8580 Magellan ParkwayRichmondVA23227271908193Offices of PhysiciansVA00Bon Secours - Virginia HealthSource Inc

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Bon Secours Health System Inc
1505 Marriottsville RoadMarriotsvilleMD21104521301088Parent Org. Management ServicesMD501(c)(3)11bBon Secours Inc0
Bon Secours Richmond Health Corporation
8580 Magellan ParkwayRichmondVA23227541356155Local Sys. Parent Org. Mgmt. Serv.VA501(c)(3)11bBon Secours Health System Inc0
Bon Secours St Mary's Hospital Richmond Inc
8580 Magellan ParkwayRichmondVA23227540793767Health CareVA501(c)(3)3Bon Secours Richmond Health System1
Bon Secours Memorial Regional Medical Center
8580 Magellan ParkwayRichmondVA23227541744931Health CareVA501(c)(3)3Bon Secours Richmond Health System1
Bon Secours Richmond Community Hospital
8580 Magellan ParkwayRichmondVA23227540647482Health CareVA501(c)(3)3Bon Secours Richmond Health System1
Bon Secours St Francis Medical Center
8580 Magellan ParkwayRichmondVA23227311716973Health CareVA501(c)(3)3Bon Secours Richmond Health System1
Laburnum Properties
8580 Magellan ParkwayRichmondVA23227521260700Title Holding CompanyVA501(c)(2)N/ABon Secours Richmond Health System1
Bon Secours Stuart Circle Hospital
8580 Magellan ParkwayRichmondVA23227541740128Health CareVA501(c)(3)3Bon Secours Richmond Health System1
Bon Secours Richmond Healthcare Foundation
8580 Magellan ParkwayRichmondVA23227541201346Grant Making FoundationVA501(c)(3)7Bon Secours Richmond Health Corporation0

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
St Mary's MRI Center LP
8580 Magellan ParkwayRichmondVA23227541568022Imaging ServicesVAN/A
RI LP
8580 Magellan ParkwayRichmondVA23227541708835Imaging ServicesVAN/A
Broad64 Imaging LLC
8580 Magellan ParkwayRichmondVA23227205886018Imaging ServicesVAN/A
Radiation Oncology Center I LLC
8580 Magellan ParkwayRichmondVA23227208444551Radiation Oncology ServicesVAN/A
Chesterfield Community Healthcare Center MOB I LLC
435 Southlake BlvdRichmondVA23236541745670Rental - Medical Office BuildingVAN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrg
Chesterfield Community Healthcare Center Inc
8580 Magellan ParkwayRichmondVA23227541812738Ambulatory Healthcare ServicesVARichmond Health System IncC61373214631.000001
RHS Management Corporation
8580 Magellan ParkwayRichmondVA23227541313425Independent Living FacilityVARichmond Health System IncC627520863631.000001
Bon Secours - Virginia HealthSource Inc
8580 Magellan ParkwayRichmondVA23227541417686Ambulatory Healthcare ServicesVARichmond Health System IncC31990954352833021.000001
Richmond MRI Inc
8580 Magellan ParkwayRichmondVA23227541568452Imaging ServicesVAVirginia HealthSource IncC8163644235361.000001
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Bon Secours St Mary's Hospital of Richmond Inc
P453167FMV
Bon Secours St Mary's Hospital of Richmond Inc
S3039727FMV
Bon Secours Richmond Healthcare Foundation
C162973FMV