Bon Secours - St Mary's Hospital of Richmond Inc: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: Bon Secours - St Mary's Hospital of Richmond Inc (EIN 54-0793767)
Tax period: 2011-09-01 to 2012-08-31
Filed: 2013-07-14
IRS object ID: 201331959349300303
Schema version: 2011v1.5
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-07-14T02:16:44-05:00	Timestamp
Tax Period End Date	2012-08-31	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	1750 TYSONS BLVD	AddressLine1
City	MCLEAN	City
State	VA	State
ZIP Code	221024219	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-09-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	540793767	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	St Mary's Hospital of Richmond Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	STMA	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	Melinda S Hancock	Name
Title	Treasurer CFO-BSV	Title
Phone	8042818316	Phone
Date Signed	2013-07-14	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	David A Craig	Name
PTIN	P00542227	PTIN
Phone	7032511000	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	X	AddressChange

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	St Mary's Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Toni R Ardabell	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	5801 Bremo Road	AddressLine1
City	Richmond	City
State	VA	State
ZIP Code	23226	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	604715975	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.bonsecours.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1961	YearFormation
State Legal Domicile	VA	StateLegalDomicile
Activity Or Mission Description	Acute Care Hospital	ActivityOrMissionDescription
Nbr Voting Members Governing Body	19	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	4020	TotalNbrEmployees
Total Nbr Volunteers	735	TotalNbrVolunteers
Total Gross UBI	1546273	TotalGrossUBI
Net Unrelated Business Txbl Income	-114456	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3400539	ContributionsGrantsPriorYear
Contributions Grants Current Year	3914038	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	634418015	ProgramServiceRevenuePriorYear
Program Service Revenue CY	584881420	ProgramServiceRevenueCY
Investment Income Prior Year	18985311	InvestmentIncomePriorYear
Investment Income Current Year	10685788	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2993627	OtherRevenuePriorYear
Other Revenue Current Year	4487822	OtherRevenueCurrentYear
Total Revenue Prior Year	659797492	TotalRevenuePriorYear
Total Revenue Current Year	603969068	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	2064057	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	244951409	SalariesEtcPriorYear
Salaries Etc Current Year	253726390	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	369492771	OtherExpensePriorYear
Other Expenses Current Year	303028475	OtherExpensesCurrentYear
Total Expenses Prior Year	614444180	TotalExpensesPriorYear
Total Expenses Current Year	558818922	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	45353312	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	45150146	RevenuesLessExpensesCY
Total Assets BOY	711581073	TotalAssetsBOY
Total Assets EOY	764227632	TotalAssetsEOY
Total Liabilities BOY	252626501	TotalLiabilitiesBOY
Total Liabilities EOY	327812920	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	458954572	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	436414712	NetAssetsOrFundBalancesEOY
Mission Description	The mission is to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a system of caregivers, we commit ourselves to help bring people and communities to health and wholeness.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	505552720	Expense
Grants	2064057	Grants
Revenue	485448990	Revenue
Description	St. Mary's Hospital provides medical care to patients without regard to their ability to pay. As the major community not for profit hospital in Richmond, St. Mary's is the access for under-insured and financially disadvantaged who will not be treated at the for profit hospitals. In addition, St. Mary's provides support for community services. Please refer to the Community Benefit information on Schedule H.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Revenue	97582634	Revenue
Description	St. Mary's Hospital provides shared services to related organizations to assist with furthering its mission of providing help to those in need.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	640318	Expense
Revenue	189067	Revenue
Description	The Bon Secours St. Mary's Hospital School of Medical Imaging offers anaccredited 18-month radiography program designed to prepare individualsto enter the workforce as Diagnostic Radiologic Technologists. This newand innovative curriculum will allow students to enter the workforcemore quickly while maintaining high standards of education. TheRadiography program quality and depth has remained the same andcontinues to meet requirements established by the American Society ofRadiologic Technologists.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	506193038	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	0	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	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	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	1	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	238	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	4020	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
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
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	19	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	VA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Melinda S Hancock	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	8046275400	TelephoneNumber

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)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Nalia Townes Ahmed
Board Member (Jan-Aug)	4.00	X	0	0	0
Jean Ann Bolling
Board Member	4.00	X	0	0	0
John Bowman MD
Board Member	4.00	X	0	0	0
Robert J Cohen MD
Board Member (Sept-Dec)	4.00	X	0	0	0
Alexander J Corbett PhD
Board Member (Sept-Dec)	4.00	X	0	0	0
Pete Cleal
Board Member	4.00	X	0	0	0
Mark Gordon
Board Member	50.00	X	0	360340	72092
Richard Jackson MD
Board Member	4.00	X	0	0	0
Kenneth J Jones
Board Member	4.00	X	0	0	0
Sr Anne Marie Mack CBS
Board Member	50.00	X	0	0	0
Joanne Nattrass
Board Member	4.00	X	0	0	0
Michael Robinson
Board Member	50.00	X	0	438084	105755
William Shewmake
Board Member (Jan-Aug)	4.00	X	0	0	0
Nancy Thomas
Board Member	4.00	X	0	0	0
Jane Watkins
Board Member	4.00	X	0	0	0
Michael Williams
Board Member	4.00	X	0	0	0
Toni Ardabell
CEO-SMH	50.00	X	0	390990	68190	X
Sr Victoria Segura CBS MD
President	50.00	X	0	0	0	X
Thomas Winfree
Chairman	6.00	X	0	0	0	X
Peter J Bernard
CEO - BSV	50.00		0	790976	236221	X
Peter F Gallagher
Treasurer (Sep-Dec)	50.00		0	370109	61386	X
Allen Goolsby
Secretary	6.00		0	0	0	X
Melinda S Hancock
Treasurer (Jan-Aug)	50.00		292838	0	33668	X
Matthew L Brengman
Physician	50.00		748912	0	57253		X
Mark R Bladergroen
CMIO	50.00		641037	0	42269		X
Shaival Kapadia
Physician	50.00		606912	0	54009		X
Marc R Katz
Cardiologist	50.00		754961	0	56589		X
Gregory L Schroder
Physician	50.00		751448	0	53531		X
Michael Kerner
Former CEO-SMH	50.00		0	492621	187822			X
Thomas MorrisPhd
Former Board Member	50.00		0	303520	67515			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3796108	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	3146640	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1096300	TotalOtherCompensation
Number Individuals GT100 K	220	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
Free Agents Marketing
10124 West Broad Street	Glen Allen	VA	23060	Marketing/Advertising	7467491
GE Healthcare
PO Box 640944	Pittsburg	PA	152640944	Contract Maintenance	5891568
Central VA Health Network
2201 West Broad Street 202	Richmond	VA	232202022	Care Management	5584114
Aramark CTS Inc
12483 Collections Center	Chicago	IL	60693	Medical Equipment Maintenance/Rental	4727537
Taylor & Parrish Inc
710 Perry Street	Richmond	VA	23224	Architectural & Engineering	4451498

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	237	NumberOfContractorsGT100K
Related Organizations	236551	RelatedOrganizations
Government Grants	3409034	GovernmentGrants
All Other Contributions	268453	AllOtherContributions
Total Contributions	3914038	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Patient Service Rev.	622110	485448990	485448990
Shared Services	561499	99243363	97582634	1660729
Sch. of Med. Imag Tut.	611310	189067	189067

Field	Value	IRS element (for citing)
Total Program Service Revenue	584881420	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	5168033	TotalRevenueColumn
Exclusion	$5,168,033	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	319528	TotalRevenueColumn
Exclusion	$319,528	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	754609	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	746907	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	7702	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	7702	TotalRevenueColumn
Unrelated Business Revenue	-114456	UnrelatedBusinessRevenue
Exclusion	$122,158	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	5150734	Securities
Other	47493	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

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

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	5150734	Securities
Other	47493	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	5198227	TotalRevenueColumn
Exclusion	$5,198,227	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
Cafe & Vending	722210	1552840	$1,552,840
Joint Venture	900099	606868	$606,868

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2320412	TotalRevenueColumn
Exclusion	$2,320,412	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	4480120	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	603969068	TotalRevenueColumn
Related Or Exempt Function Income	583220691	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1546273	UnrelatedBusinessRevenue
Exclusion	$15,288,066	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	2064057	Total
Program Services	2064057	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	327126	Total
Program Services	294413	ProgramServices
Management And General	32713	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	196449862	Total
Program Services	176804876	ProgramServices
Management And General	19644986	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	12435511	Total
Program Services	11191960	ProgramServices
Management And General	1243551	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	31503006	Total
Program Services	28352705	ProgramServices
Management And General	3150301	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	13010885	Total
Program Services	11709797	ProgramServices
Management And General	1301088	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1865271	Total
Program Services	1678744	ProgramServices
Management And General	186527	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	699750	Total
Program Services	629775	ProgramServices
Management And General	69975	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	39516	Total
Program Services	35564	ProgramServices
Management And General	3952	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	19646435	Total
Program Services	17681791	ProgramServices
Management And General	1964644	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	7504469	Total
Program Services	6754022	ProgramServices
Management And General	750447	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	6226477	Total
Program Services	5603829	ProgramServices
Management And General	622648	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	2959657	Total
Program Services	2663691	ProgramServices
Management And General	295966	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	11362012	Total
Program Services	10225811	ProgramServices
Management And General	1136201	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1495474	Total
Program Services	1345927	ProgramServices
Management And General	149547	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	137570	Total
Program Services	123813	ProgramServices
Management And General	13757	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	6806428	Total
Program Services	6806428	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	33374518	Total
Program Services	30037067	ProgramServices
Management And General	3337451	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3089165	Total
Program Services	2780248	ProgramServices
Management And General	308917	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Medical Supplies	95011633	85510470	9501163
Purchased Services	55599574	50039617	5559957
Bad Debt	23689600	23689600
BSHSI Mgmt Allocation	13859188	12473269	1385919

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	19661738	Total
Program Services	17695564	ProgramServices
Management And General	1966174	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	558818922	Total
Program Services	506193038	ProgramServices
Management And General	52625884	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	221073232	BOY
EOY	235050792	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	3065	BOY
EOY	44120	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	53864362	BOY
EOY	50391042	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	273353	BOY
EOY	1255736	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	7669607	BOY
EOY	7741607	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3503676	BOY
EOY	4091832	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	375541979	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	233432951	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	136438431	BOY
EOY	142109028	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	277911647	BOY
EOY	301326594	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	10843700	BOY
EOY	22216881	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	711581073	BOY
EOY	764227632	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	71528267	BOY
EOY	63545906	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	10818056	BOY
EOY	11168418	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	48101258	BOY
EOY	44904634	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	122178920	BOY
EOY	208193962	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	252626501	BOY
EOY	327812920	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	458920622	BOY
EOY	436341377	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	33950	BOY
EOY	73335	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	458954572	BOY
EOY	436414712	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	711581073	BOY
EOY	764227632	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	45150146	ReconcilationRevenueExpenses
Reconcilation Other Changes	-67690006	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
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	$39,516	OtherActivitiesAmount
Total Lobbying Expenditures IIB	39516	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	St. Mary's Hospital paid dues to the Virginia Hospital & Healthcare Association (VHHA), American Hospital Association (AHA), and the Catholic Hospital Association (CHA), a portion of which is used for lobbying activities. The portion of dues allocated to lobbying activities for each of these organizations is as follows: Lobbying activity for VHHA ($25,465 or 24.37%), AHA ($10,195 or 24.6%), CHA ($3,856 or 5.15%) for a total of $39,516.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4346148	OtherCostOrOtherBasis
Book Value	4346148	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	148627912	OtherCostOrOtherBasis
Depreciation	70815415	Depreciation
Book Value	77812497	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	14769053	OtherCostOrOtherBasis
Depreciation	4096689	Depreciation
Book Value	10672364	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	165535354	OtherCostOrOtherBasis
Depreciation	132665497	Depreciation
Book Value	32869857	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	42263512	OtherCostOrOtherBasis
Depreciation	25855350	Depreciation
Book Value	16408162	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	142109028	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
Current Portion LTD	$3,196,624
Other Accrued Expenses	$6,871,255
Due to affiliates	$37,688,900
Other LTL & Deferred Credits	$160,437,183

Field	Value	IRS element (for citing)
Total Of Amounts	208193962	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Description of Uncertain Tax Positions Under FIN 48:	Identifier
Return Reference	Part X:	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 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(Formerly FIN 48). 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 $95,733 and $89,500 of net operating loss carryforwards as of August 31, 2012 and 2011, 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, 2012 and 2011. 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	0	AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12239876	TotalCommunityBenefitExpense
Net Community Benefit Expense	12239876	NetCommunityBenefitExpense
Percent Of Total Expense	0.02290	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	46263573	TotalCommunityBenefitExpense
Direct Offsetting Revenue	30992205	DirectOffsettingRevenue
Net Community Benefit Expense	15271368	NetCommunityBenefitExpense
Percent Of Total Expense	0.02850	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	58503449	TotalCommunityBenefitExpense
Direct Offsetting Revenue	30992205	DirectOffsettingRevenue
Net Community Benefit Expense	27511244	NetCommunityBenefitExpense
Percent Of Total Expense	0.05140	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10392507	TotalCommunityBenefitExpense
Net Community Benefit Expense	10392507	NetCommunityBenefitExpense
Percent Of Total Expense	0.01940	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1374789	TotalCommunityBenefitExpense
Direct Offsetting Revenue	431359	DirectOffsettingRevenue
Net Community Benefit Expense	943430	NetCommunityBenefitExpense
Percent Of Total Expense	0.00180	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	334023	TotalCommunityBenefitExpense
Direct Offsetting Revenue	63202	DirectOffsettingRevenue
Net Community Benefit Expense	270821	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2013562	TotalCommunityBenefitExpense
Net Community Benefit Expense	2013562	NetCommunityBenefitExpense
Percent Of Total Expense	0.00380	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	14114881	TotalCommunityBenefitExpense
Direct Offsetting Revenue	494561	DirectOffsettingRevenue
Net Community Benefit Expense	13620320	NetCommunityBenefitExpense
Percent Of Total Expense	0.02550	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	72618330	TotalCommunityBenefitExpense
Direct Offsetting Revenue	31486766	DirectOffsettingRevenue
Net Community Benefit Expense	41131564	NetCommunityBenefitExpense
Percent Of Total Expense	0.07690	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	51000	TotalCommunityBuildingExpense
Net Community Building Expense	51000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	25	PersonsServed
Total Community Building Expense	92325	TotalCommunityBuildingExpense
Net Community Building Expense	92325	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	29250	TotalCommunityBuildingExpense
Net Community Building Expense	29250	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	7	PersonsServed
Total Community Building Expense	7628	TotalCommunityBuildingExpense
Net Community Building Expense	7628	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	32	PersonsServed
Total Community Building Expense	180203	TotalCommunityBuildingExpense
Net Community Building Expense	180203	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$5,730,465	BadDebtExpenseAmount
Amount Reimbursed By Medicare	100018212	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	111542755	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-11524543	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 Mary's Hospital of Richmond Inc	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	5801 Bremo Road	AddressLine1
City	Richmond	City
State	VA	State
ZIP Code	23226	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
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	St Mary's Hospital of Richmond Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
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
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	30	NumberOfOtherFacilities

Other Facilities OtherFacilities (30 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType	Address Line2Address/AddressLine2
Cardiovascular Associates of VA
7001 Forest Ave Suite 200	Richmond Cardiology	VA	23230	Physician Practice
Women's Imaging Center
5875 Bremo Road MOB South Suite 105	Richmond	VA	23226	Imaging
Perinatal Center
5855 Bremo Road MOB North Suite 306	Richmond	VA	23226	Physician Practice
Dominion Surgical Associates
5855 Bremo Road MOB North Suite 406	Richmond	VA	23226	Physician Practice
Cardiac Surgery Specialists
5875 Bremo Road MOB South Suite G-5	Richmond Cardiology	VA	23226	Physician Practice
Commonwealth Gynecologic Oncology
5875 Bremo Road MOB South Suite G-7	Richmond	VA	23226	Physician Practice
Richmond Cardiology
7001 Forest Ave Suite 100	Richmond Cardiology	VA	23230	Physician Practice
PTOTSPLymphedema
5875 Bremo Road MOB South Suite 611	Richmond	VA	23226	Physical Therapy
Monument Internal Medicine
5855 Bremo Road MOB North Suite 102	Richmond	VA	23226	Physician Practice
Associated Internists
5855 Bremo Road MOB North Suite 207	Richmond Cardiology	VA	23226	Physician Practice
Diagnostic Radiology 4
2201 Grove Avenue Titus Hendrix	Richmond	VA	23220	Radiology
Pediatric Endo & Diabetes Assoc
5875 Bremo Road MOB South Suite 207	Richmond	VA	23226	Physician Practice
Liver Institute of Virginia-MIH
5855 Bremo Road MOB North Suite 509	Richmond Cardiology	VA	23226	Physician Practice
Sports Medicine
9600 Patterson Avenue	Richmond	VA	23229	Sports Medicine
Pediatric Lung Care
5875 Bremo Road MOB South Suite 104	Richmond	VA	23226	Physician Practice
Cardiac Rehab
7001 Forest Avenue Suite 101	Richmond	VA	23230	Rehab
Diabetes Treatment Center
5875 Bremo Road MOB South Suite 712	Richmond	VA	23226	Diabetes Treatment
Arthritis & Osteroporosis Center
9600 Patterson Avenue	Richmond Cardiology	VA	23229	Physician Practice
Surgical Dermatology Center
5207 Hickory Park Drive Suite A	Glen Allen	VA	23059	Physician Practice
Palliative Care Clinic
2366 Colony Crossing	Midlothian	VA	23112	Physician Practice
Pediatric Neurology Clinic
5875 Bremo Road MOB South Suite 207	Richmond	VA	23226	Physician Practice
Lactation Center (A Woman's Place)
4121 Cox Road Suite 110	Glen Allen	VA	23059	Lactation Center
Developmental Assessment Clinic
5875 Bremo Road MOB South Suite 104	Richmond	VA	23226	Physician Practice
Liver Institute of Virginia
5855 Bremo Road MOB North Suite 509	Richmond Cardiology	VA	23226	Physician Practice
OP Radiology
5855 Bremo Road MOB North Ground	Richmond	VA	23226	Radiology	Floor
Pediatric Gastroenterology
5875 Bremo Road MOB South Suite 303	Richmond	VA	23175	Physician Practice
Richmond Hope Theraphy
4900 Domion Blvd Suite B	Glen Allen	VA	23059	Physician Practice
Pediatric Infectious Disease
5875 Bremo Road MOB South Suite 303	Richmond	VA	232261934	Physician Practice
Dr Sura Edmond
5875 Bremo Road MOB South Suite 304	Richmond	VA	23226	Physician Practice
OP Wound Care
6900 Forest Avenue Suite 115	Richmond	VA	23230	Wound Care

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
Part I, Line 6a: Annually, Bon Secours Richmond Health System (BSRHS) publishes a report for the community, explaining the various community benefit services and programs that exist. This report also includes the annual 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.
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: $23,689,600
Part II: SMH's Project SEARCH is a workforce development program for students with Autism Spectrum Disorders (ASD). Students spend their entire final year of high school at the hospital rotating through three internships, each lasting 10 to 12 weeks. Internships are based on the skills and interests of each student and are held in a variety of locations including: Cardiac Care, Care Management, Pharmacy, Diabetes Treatment Center, Main Operating Room, Central Sterile, Materials Management, and Durable Medical Equipment. The goal for each student is competitive employment somewhere in the community using the skills they have acquired at Bon Secours. In fiscal year 2012, 7 students participated in Project SEARCH.Safe Harbor is a comprehensive program that provides a 24-hour hotline, shelter, counseling, court advocacy, Spanish services, support groups and community education to end the cycle of domestic violence. The population serviced is any adult who has experienced intimate partner violence and children who have witnessed intimate partner violence. This funding represents an in-kind donation of child care services to the residents of Safe Harbor.Physical Improvements/Housing - Virginia Supportive Housing (VSH) is a not-for-profit that transforms lives, transforms communities & provides permanent solutions to homelessness. Bon Secours Richmond Health System supported VSH with a $50,000 contribution. A $1,000 contribution was made to Ashland Supportive Housing. Community Support - Financial support totaling $71,000 was provided to the following organizations: Virginia Literacy to eliminate illiteracy, Sheherd's Center of Richmond to provide transportation and education for Seniors and Independence Golf Club to provide mentoring to inner city children. Twenty-five Bon Secours Health System, Inc. employees served as mentors in the City of Richmond Middle School Renaissance Program. The Middle School Renaissance Program is a multi-faceted approach to augment the educational experience of middle schoolers through enhanced learning opportunities that are fun, relevant, and supportive of the standard requirements. A pentacle of this program is an extended day curriculum for 50-60 at-risk sixth graders in each of the nine RPS middle schools which offers a stimulating environment for students to participate in interactive projects, career exploration, skill building, enrichment activities, and experiential fieldtrips along with required subject specific tutoring.Community Health Improvement/Advocacy - Funding totaling $29,250 was provided to Slow Food, an organization advocating for the reduced consumption of fast food, the Urban Land Institute for the construction of walking trails and environmental improvements and Voices for Children, advocates for foster children with mental health and other disabilities.BSRHS participates in collaborative partnerships throughout the metropolitan area to support improving the quality of life for individuals and the community. The following are illustrative examples of numerous community benefit programs impacting St. Mary's Hospital (SMH).The nationally recognized Reach Out and Read (ROR) program provides books for young children when they visit the SMH's and Richmond Community Hospital Emergency Departments and 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 548 books in FY 2012.
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 8: Part III, Line 6: Medicare allowable costs reflected in Part III come directly from the facility's Medicare cost report. The cost report segregates the total facility actual expenses into costs for support departments, clinical departments (routine and ancillary) and nonreimburseable departments. The cost report uses appropriate statistical bases to "step down" support costs to allowable clinical and nonreimburseable departments. The charges for clinical departments are matched to the total cost for these departments for a cost-to-charge ratio. Medicare-specific allowable costs for in and outpatient ancillary departments are computed by applying the department-specific cost-to-charge ratio to the Medicare program charges by department. For routine departments, a per diem total cost is computed and applied to Medicare program days for the Medicare routine program cost.Part III, Line 8: The organization feels the total shortfall of Medicare reimbursement compared to computed Medicare allowable costs should be treated as community benefit. The hospital improves access to patient care by providing services regardless of a patient's ability to pay or the hospital's ability to receive full cost reimbursement for services. The hospital also relieves the government of a financial burden when it provides care to publically insured patients where reimbursement is less than cost of providing the service.
Part III, Line 9b: The hospital has a written policy that describes collection practices applying to patients that qualify for charity care or financial assistance. If full assistance is approved, no collection efforts are pursued on that patient's account(s). If partial assistance is provided, the patient is responsible for the adjusted account balance and collection efforts will follow the established practices for all patients where a self-pay balance exists. Collection efforts are not pursued on any pending Patient 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, Line 11h: Please see the narrative for Part VI, Line 3 regarding the Financial Assistance Policy.
Part V, Line 13g: Please see the narrative for Part VI, Line 3 regarding the Financial Assistance Policy.
Part V, Line 19d: Please see the narrative for Part VI, Line 3 regarding the Financial Assistance Policy.
Part VI, Line 2: In partnership with Bon Secours Richmond Health System, SMH uses multiple approaches to assess the health needs of the communities it serves. In October 2009, the Central Virginia Health Planning Agency released an Immigrant Needs Assessment commissioned by Bon Secours Richmond Health System in collaboration with SMH. This work documented the growth of the immigrant population in the metropolitan Richmond area and made multiple recommendations including the need for interpretation and translation services, health resource information in other languages, preventive services, health screenings including vision and dental, affordable health insurance for immigrants and their families and access to behavioral health services. Bon Secours Richmond has initiated many of the recommendations.Health care needs of the community are assessed and updated using a variety of informational sources including Virginia Health Information for state-based performance data, Health Group West and Hammes Company for market and geographic data. Thomson-Reuter's Market Expert is used to retrieve demographic information and trends for the primary and secondary service areas pertaining to SMH. National Research Corporation (NRC) is also utilized.
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: SMH serves the greater Richmond, Virginia area. Projections indicate that the population will grow by 5.2% from 1,089,918 in 2012 to 1,146,394 in 2017, with 10.0% of the service area having a household income of less than $15,000 per year, compared to the national average of 13.0%. Similarly, 18.8% of the service area's populace maintains a household income less than $25,000 per year, compared to the national average of 23.8%. Demographic data shows that 59.5% of the population is white and 28.8% is black, compared to the national averages of 62.8% and 12.3% respectively. Demographics of the service area indicate that the age cohort of 64 to 75 will increase by 20.7% between 2012 and 2017.SMH is a disproportionate share hospital (DSH). In fiscal year 2012, it served 21,323 inpatients and provided outpatient services for 79,534 visits. Additionally, Bon Secours SMH provided 67,971 emergency room visits. The Emergency Department is open 24 hours a day and available to all persons regardless of ability to pay. Bon Secours SMH participates in Medicare, Medicaid, CHAMPUS, Tricare and other government sponsored health care programs such as the State/Local Hospitalization program and the SCHIP/FAMIS program for children.
Part VI, Line 5: SMH has an open medical staff with privileges available to all qualified physicians in the area. SMH, through the BSRHS is governed by a board of directors whose composition is representative of the community. SMH also engages in medical research. Inpatient and outpatient research-related activities are conducted by SMH with oversight from the BSRHS Institutional Review Board.Noah's Children, located at SMH, is Central Virginia's only pediatric hospice and palliative care program. It is a specialized program of comprehensive care serving infants, children and adolescents who have been diagnosed with a life-threatening illness. This holistic program ensures compassionate care at the most difficult time for a family by addressing their physical, emotional, social, spiritual and practical needs, so that they can focus on making sure their child's remaining time is as rich and meaningful as possible. In FY 12, 87 families were served.SMH provides lab services free of charge to eight area free clinics as well as to patients of the Bon Secours Care-A-Van and St. Joseph's Outreach Clinic. The cost of these services is $553,757.Bon Secours SMH owns twenty-five physician practices. They provided free or reduced fee services to patients in FY 12 at a cost of $785,390. SMH provides training and education of health care professionals. The Bon Secours SMH's School of Imaging, sponsored by SMH had 48 enrolled students in fiscal year 2012. The Asthma and Allergy Foundation of America (AAFA) publishes an annual Asthma Capitals report. It is a list of the 100 most challenging places to live with asthma. In 2012, Richmond, Virginia ranked number 23 in the country. 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 12 over 5,172 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. Bon Secours Richmond Health System holds clinics in three facilities in the Richmond Metro area. Additionally, Bon Secours Richmond provides case management, follow-up and patient education for these women. In FY 12, 863 screenings were provided.Bon Secours' mobile health outreach program is called Care-A-Van. Mobile vans travel throughout the metropolitan Richmond area to provide free care to the uninsured including health screenings, childhood immunizations, flu shots for adults, school physicals for children and examination and treatment of sick patients. Each van is a self-contained clinic with examining rooms, storage, bathroom, and waiting area. 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, apartments and schools, providing 9,605 patient visits in FY 12. Bon Secours Richmond Health System partners with the Daily Planet, a federally qualified health center and Saint Joseph's Villa for Children, a not-for-profit organization serving children with special needs, at risk youth, and adults with disabilities to create Saint 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 12, 5,447 patient visits were provided. Bon Secours Richmond Health System 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 Bon Secours Richmond outreach specialists enrolled or re-enrolled over 854 children in FAMIS or Medicaid in FY 12.Founded over fourteen 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 has trained and supports 207 parish/faith community nurses and lay health ministers.Richmond Hope Therapy Center (RTHC) provides innovative and traditional physical therapy options for children and young adults with cerebral palsy (CP) and other disorders or conditions. The focus is intensive physical therapy utilizing a variety of innovative tools to gain maximum strength, flexibility and balance for increased independence and greater functionality.
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 four goal areas for the current three year period (2010-2012). One of those goals was to partner with communities to co-create a more humane world, improve health and model social justice. To accomplish this, two key strategies are to: - Engage communities to identify needs and assets and building partnerships to improve health and quality of life of a specific population.- Demonstrate sustainable stewardship for healing the earth as a way to improve health and life quality.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	0	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 Healthcare Fo	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	2064057	AmountOfCashGrant
Purpose Of Grant	Subsidy to Foundation (related organization) for salaries and rent.	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: St. Mary's Hospital of Richmond, Inc. complies with Bon Secours Health System, Inc.'s system-wide financial and accounting policies.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
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 (13 entries)

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
Mark Gordon
0	338075	0	0	0	22265	0	38340	0	33752	0	432432	0	0
Michael Robinson
0	410571	0	0	0	27513	0	91606	0	14149	0	543839	0	0
Toni Ardabell
0	368180	0	0	0	22810	0	64266	0	3924	0	459180	0	0
Peter J Bernard
0	761416	0	0	0	29560	0	201853	0	34368	0	1027197	0	0
Peter F Gallagher
0	366724	0	0	0	3385	0	27022	0	34364	0	431495	0	0
Melinda S Hancock
254357	0	5017	0	33464	0	4898	0	28770	0	326506	0	0	0
Matthew L Brengman
461545	0	286773	0	594	0	19572	0	37681	0	806165	0	0	0
Mark R Bladergroen
637902	0	0	0	3135	0	19684	0	22585	0	683306	0	0	0
Shaival Kapadia
430811	0	175464	0	637	0	21696	0	32313	0	660921	0	0	0
Marc R Katz
751048	0	0	0	3913	0	19668	0	36921	0	811550	0	0	0
Gregory L Schroder
465315	0	285128	0	1005	0	19620	0	33911	0	804979	0	0	0
Michael Kerner
0	487110	0	0	0	5511	0	154116	0	33706	0	680443	0	0
Thomas MorrisPhd
0	277485	0	0	0	26035	0	49847	0	17668	0	371035	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part I, Line 1a	One executive received a country club membership for business use. A receipt was required to substantiate the amount eligible for reimbursement. The value of the country club membership was not included in compensation as St. Mary's Hospital of Richmond, Inc. considers the membership a business necessity.
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.
Part III	Part I, Line 3: Bon Secours Health System, Inc., a related organization of St. Mary's Hospital of Richmond, Inc., uses the following to establish the compensation of the organization's CEO/Executive Director: Compensation Committee Independent Compensation Consultant Written Employment Contract Compensation Survey or Study Approval by the Board or Compensation Committee	Supplemental Information

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Neurological Associates
BD. Member R. Cohen has more than 5% int. in Neurological Assoc.	156540	Independent Contractor	0
David Cleal
Child of BD. Member P. Cleal	68182	Employment	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Form 990, Part VI, Section A, line 6	Bon Secours Health System, Inc. is the sole member of Bon Secours - Richmond Health Corp, which in turn holds the majority interest in Bon Secours - Richmond Health System, which in turn is the sole member of St. Mary's Hospital of Richmond, Inc.
Form 990, Part VI, Section A, line 7a	The governing body of St. Mary's Hospital of Richmond, Inc. 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 St. Mary's Hospital of Richmond, Inc. 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	Bon Secours - St. Mary's Hospital provides any documents open to public inspection upon request.
Form 990, Part VII:	Hours worked are not tracked on an entity by entity basis. All officer's and director's hours reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors represent aggregate hours worked per week. Voluntary Board Members are not compensated for their time. Peter J. Bernard's compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation he receives is for his role as the CEO of Bon Secours Virginia Health System which includes direct management , monitoring and oversight of Bon Secours Richmond Health System, Bon Secours Hampton Roads Health System and their related organizations. Peter F. Gallagher's compensation was paid by Memorial Regional Medical Center, a related organization. The compensation he received was for his role as the CFO of Bon Secours Richmond Health System which includes direct financial management , monitoring and oversight of Bon Secours Richmond Health System and its related organizations. Toni Ardabell's compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation he receives is for his role as the Chief Executive Officer of St. Mary's Hospital of Richmond, Inc. Mark Gordon's compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation he receives is for his role as the Chief Executive Officer of St. Francis Medical Center, a related organization. Michael Robinson's compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation he receives is for his role as the Chief Executive Officer of Memorial Regional Medical Center and Richmond Community Hospital. Sr. Anne Marie Mack and Sr Victoria Segura do not receive payroll distributions as they have taken vows of poverty.
Form 990, Part XI, line 5:	Net unrealized gains on investments: 13,312,023. Transfers to Affiliates -41,556,038. Minimum Pension Liability -39,445,991. Total to Form 990, Part XI, Line 5: -67,690,006.	Changes in Net Assets or Fund Balances:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

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

Address US AddressUS

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

Field	Value	IRS element (for citing)
Primary Activities	Ambulatory Surgery Center	PrimaryActivities
Legal Domicile State	VA	LegalDomicileState
Total Income	0	TotalIncome
EOY Assets	0	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	St Mary's Hospital of Richmond	BusinessNameLine1

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 Richmond Community Hospital
8580 Magellan Parkway	Richmond	VA	23227	540647482	Health Care	VA	501(c)(3)	3	Bon Secours Richmond Health System	0
Bon Secours St Francis Medical Center
8580 Magellan Parkway	Richmond	VA	23227	311716973	Health Care	VA	501(c)(3)	3	Bon Secours Richmond Health System	0
Laburnum Properties
8580 Magellan Parkway	Richmond	VA	23227	521260700	Title Holding Company	VA	501(c)(2)		Bon Secours Richmond Health System	0
Bon Secours Stuart Circle Hospital
8580 Magellan Parkway	Richmond	VA	23227	541740128	Health Care	VA	501(c)(3)	3	Bon Secours Richmond Health System	0
Bon Secours Richmond Healthcare Foundation
8580 Magellan Parkway	Richmond	VA	23227	541201346	Grant Making Foundation	VA	501(c)(3)	7	Bon Secours Richmond Health Corporation	0

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner
St Mary's MRI LP
8580 Magellan Parkway	Richmond	VA	23227	541568022	Imaging Services	VA	Virginia Healthsource Inc	Related	0	0
RI LP
8580 Magellan Parkway	Richmond	VA	23227	541708835	Imaging Services	VA	Virginia Healthsource Inc	Related	0	0
Broad64 Imaging LLC
8580 Magellan Parkway	Richmond	VA	23227	205886018	Imaging Services	VA	Virginia Healthsource Inc	Related	0	0
Richmond Radiation Oncology Center I LLC
8580 Magellan Parkway	Richmond	VA	23227	208444551	Radiation Oncology Services	VA	Radiation Oncology Center Inc	Related	0	0
Chesterfield Community Healthcare Center MOB I LLC
435 Southlake Blvd	Richmond	VA	23236	541745670	Rental- Medical Office Building	VA	Virginia Healthsource Inc	Related	0	0

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity
Chesterfield Community Healthcare Center Inc
8580 Magellan Parkway	Richmond	VA	23227	541812738	Ambulatory Healthcare Services	VA	Richmond Health System Inc	C
RHS Management Corporation
8580 Magellan Parkway	Richmond	VA	23227	541313425	Independent Living Facility	VA	Richmond Health System Inc	C
Bon Secours - Virginia Healthsource Inc
8580 Magellan Parkway	Richmond	VA	23227	541417686	Ambulatory Healthcare Services	VA	Richmond Health System Inc	C
Richmond MRI Inc
8580 Magellan Parkway	Richmond	VA	23227	541568452	Imaging Services	VA	Virginia Healthsource Inc	C

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	1	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	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg