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BON SECOURS RICHMOND HEALTH SYSTEM: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
BON SECOURS RICHMOND HEALTH SYSTEM (EIN 52-1988421)
Tax period
2011-09-01 to 2012-08-31
Filed
2013-07-13
IRS object ID
201331959349300503
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-07-13T22:35:38-05:00Timestamp
Tax Period End Date2012-08-31TaxPeriodEndDate

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 Line11750 TYSONS BLVDAddressLine1
CityMCLEANCity
StateVAState
ZIP Code221024219ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-09-01TaxPeriodBeginDate

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)
NameMelinda S HancockName
TitleTreasurer CFO-BSVTitle
Phone8046275400Phone
Date Signed2013-07-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDavid A CraigName
PTINP00542227PTIN
Phone7032511000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts18314741GrossReceipts
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 Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees178TotalNbrEmployees
Total Nbr Volunteers16TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year1805982ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15249157ProgramServiceRevenuePriorYear
Program Service Revenue CY15594847ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year878618InvestmentIncomeCurrentYear
Other Revenue Prior Year-2154OtherRevenuePriorYear
Other Revenue Current Year1294OtherRevenueCurrentYear
Total Revenue Prior Year15247003TotalRevenuePriorYear
Total Revenue Current Year18280741TotalRevenueCurrentYear
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 Year11519803SalariesEtcPriorYear
Salaries Etc Current Year11412334SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3656598OtherExpensePriorYear
Other Expenses Current Year4805865OtherExpensesCurrentYear
Total Expenses Prior Year15176401TotalExpensesPriorYear
Total Expenses Current Year16218199TotalExpensesCurrentYear
Revenues Less Expenses Prior Year70602RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2062542RevenuesLessExpensesCY
Total Assets BOY3267644TotalAssetsBOY
Total Assets EOY5292742TotalAssetsEOY
Total Liabilities BOY1910696TotalLiabilitiesBOY
Total Liabilities EOY1873252TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1356948NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3419490NetAssetsOrFundBalancesEOY
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
Expense921000Expense
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)
Expense13694352Expense
Revenue15594847Revenue
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 Expense14615352TotalProgramServiceExpense
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 Employees178NumberOfEmployees
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 Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
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 Line1Melinda S HancockBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8046275400TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18580 Magellan Parkway Building IVAddressLine1
CityRichmondCity
StateVAState
ZIP Code23227ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Katherine Arbuckle
Board Member (Sep-Mar)50.00X0578621125210
Jeff Brown MD
Board Member (Jan-Aug)4.00X000
William Boinest
Board Member (Sep-Dec)4.00X000
Janice E Burnett
Board Member (Apr-Aug)50.00X030419263510
Thomas Farrell II
Board Member (Sep-Dec)4.00X000
Charles H Foster Jr
Board Member4.00X000
Sr Rose Marie Jasinski CBS
Board Member (Jan-Aug)50.00X000
Jon King
Board Member4.00X000
Hazle Konerding MD
Board Member4.00X000
Claudia McSwain
Board Member4.00X000
Sister Rosemary Moynihan SC
Board Member50.00X000
Pamela Royal MD
Board Member4.00X000
Pamela Schutz
Board Member4.00X000
Irvin Seeman MD
Board Member4.00X000
Harry Turton Jr
Board Member4.00X000
Michel Zajur
Board Member4.00X000
Peter J Bernard
Board Member (CEO-BSV)50.00X0790976236221X
Sister Anne Marie Mack CBS
President50.00X000X
Robert Sledd
Chairman6.00X000X
Peter F Gallagher
Treasurer (Sep-Dec)50.00037010961386X
Allen Goolsby
Secretary6.00000X
Melinda Hancock
Treasurer (Jan-Aug)50.00029283833668X
Lydia G Frye
RN50.00120253032441X
Michelle Hafner
RN50.00106991027559X
Jennifer C Howerton
RPT50.00135147031694X
Kimberly D Kothe
RPT50.00122916031410X
Diane Pelkey
RPT50.0010507304007X
FieldValueIRS element (for citing)
Total Reportable Comp From Org590380TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2336736TotalReportableCompFrmRltdOrgs
Total Other Compensation647106TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations1805982RelatedOrganizations
Total Contributions1805982TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet Patient Serv. Rev.Description
Business Code621610BusinessCode
Total Revenue Column15594847TotalRevenueColumn
Related Or Exempt Function Income15594847RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue15594847TotalProgramServiceRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other912618Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other34000Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other878618Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column878618TotalRevenueColumn
Exclusion$878,618ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
3rd Party Remittance900099696$696
Medical Records621610598$598
FieldValueIRS element (for citing)
Total Other Revenue1294TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column18280741TotalRevenueColumn
Related Or Exempt Function Income15594847RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$879,912ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9388257Total
Program Services8449431ProgramServices
Management And General938826ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total49850Total
Program Services44865ProgramServices
Management And General4985ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1299815Total
Program Services1169834ProgramServices
Management And General129981ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total674412Total
Program Services606971ProgramServices
Management And General67441ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total22823Total
Program Services20541ProgramServices
Management And General2282ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total83489Total
Program Services75140ProgramServices
Management And General8349ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total13941Total
Program Services12547ProgramServices
Management And General1394ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total228907Total
Program Services206016ProgramServices
Management And General22891ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total110646Total
Program Services99581ProgramServices
Management And General11065ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total445599Total
Program Services401039ProgramServices
Management And General44560ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total40Total
Program Services36ProgramServices
Management And General4ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1812Total
Program Services1812ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total850000Total
Program Services765000ProgramServices
Management And General85000ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total239971Total
Program Services215974ProgramServices
Management And General23997ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1700Total
Program Services1530ProgramServices
Management And General170ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Medical Supplies98970189073198970
Med Equip/Other Rental85395276855785395
Purchased Services63592157232963592
Bad Debt187913187913

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total139450Total
Program Services125505ProgramServices
Management And General13945ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16218199Total
Program Services14615352ProgramServices
Management And General1602847ManagementAndGeneral
Fundraising0Fundraising

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1641041BOY
EOY2139468EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY9546BOY
EOY11263EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2024863LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1810183LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY230337BOY
EOY214680EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY1133046BOY
EOY2430664EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY346667EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY253674BOY
EOY150000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3267644BOY
EOY5292742EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY678618BOY
EOY433408EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY340635EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1232078BOY
EOY1099209EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1910696BOY
EOY1873252EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1356948BOY
EOY3419490EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1356948BOY
EOY3419490EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3267644BOY
EOY5292742EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2062542ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
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
Depreciation144730Depreciation
Book Value136384BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1743749OtherCostOrOtherBasis
Depreciation1665453Depreciation
Book Value78296BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings214680TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
Investment in Central Virginia Health Network, Inc.1195664C
Investment in Rappahannock General Hospital1235000C
FieldValueIRS element (for citing)
Total Of Book Value Program Related2430664TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDue to BSHSIDescription
Amount$1,099,209Amount
FieldValueIRS element (for citing)
Total Of Amounts1099209TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X: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 (Formerly FIN48). 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 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 (8 entries)

Base 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
Katherine Arbuckle
055387100024750098459026751070383100
Janice E Burnett
03016210002571040831022679036770200
Peter J Bernard
07614160002956002018530343680102719700
Peter F Gallagher
03667240003385027022034364043149500
Melinda Hancock
02543570501703346404898028770032650600
Lydia G Frye
119935000318014880309530152694000
Jennifer C Howerton
134833000314016320300620166841000
Kimberly D Kothe
122590000326021960292140154326000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 4bThe filing organization participates in a BSHSI sponsored executive retirement program that allows for deposits into additional retirement plans and available only to key employees. The 457F plan is a non-qualified plan and is subject to a minimum three-year service requirement before vesting on deposits made into this plan.
Part IIIPart I, Line 3: Bon Secours Health System, Inc., a related organization of the Bon Secours - Richmond Health System, 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 CommitteeSupplemental Information

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanation
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's 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 19Bon Secours - Richmond Health System 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. Melinda Hancock's compensation is paid by St. Mary's Hospital of Richmond, Inc., a related organization. The compensation she receives is for her role as the CFO of Bon Secours Virginia Health System which includes direct financial management, monitoring and oversight of Bon Secours Richmond Health System, Bon Secours Hampton Roads Health System and their related organizations. Janice E. Burnett's s compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation she receives is for her role as the CFO of Bon Secours Health System, Inc., which includes financial management, monitoring and oversight of the organization and its related organizations. Katherine Arbuckle's compensation was paid by Bon Secours Health System, Inc., a related organization. The compensation she received was for her role as the CFO of Bon Secours Health System, Inc., which includes financial management, monitoring and oversight of the organization and its related organizations. Sr. Anne Marie Mack, Sr. Rose Marie Jasinski and Sr. Rosemary Moynihan do not receive payroll distributions as they have taken vows of poverty.

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 ServicesVA4522572365412Bon 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 RoadMarriottsvilleMD21104521301088Parent Org. Management ServicesMD501(c)(3)11bBon Secours Inc0
Bon Secours Richmond Health Corporation
8580 Magellan ParkwayRichmondVA23227541356155Management ServicesVA501(c)(3)11bBon Secours Health System Inc0
Bon Secours 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 StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
St Mary's MRI LP
8580 Magellan ParkwayRichmondVA23227541568022Imaging ServicesVAVirginia Healthsource IncRelated00
RI LP
8580 Magellan ParkwayRichmondVA23227541708835Imaging ServicesVAVirginia Healthsource IncRelated00
Broad64 Imaging LLC
8580 Magellan ParkwayRichmondVA23227205886018Imaging ServicesVAVirginia Healthsource IncRelated00
Radiation Oncology Center I LLC
8580 Magellan ParkwayRichmondVA23227208444551Radiation Oncology ServicesVARadiation Oncology Center IncRelated00
Chesterfield Community Healthcare Center MOB I LLC
435 Southlake BlvdRichmondVA23236541745670Rental - Medical Office BuildingVAVirginia Healthsource IncRelated00

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 OwnershipPercentageOwnership
Chesterfield Community Healthcare Center Inc
8580 Magellan ParkwayRichmondVA23227541812738Ambulatory Healthcare ServicesVARichmond Health System IncC108043299641.00000
RHS Management Corporation
8580 Magellan ParkwayRichmondVA23227541313425Independent Living FacilityVARichmond Health System IncC918856967771.00000
Bon Secours - Virginia Healthsource Inc
8580 Magellan ParkwayRichmondVA23227541417686Ambulatory Healthcare ServicesVARichmond Health System IncC33652438368612091.00000
Richmond MRI Inc
8580 Magellan ParkwayRichmondVA23227541568452Imaging ServicesVAVirginia Healthsource IncC3047182160030.51000
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
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 Orgs1RentalOfFacilitiesFrOtherOrgs
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 Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Bon Secours St Mary's Hospital Richmond Inc
J94396FMV-rent, Alloc Method-Shared Ser
Bon Secours St Mary's Hospital Richmond Inc
C1755000FMV
Bon Secours St Mary's Hospital Richmond Inc
R850000FMV
Bon Secours St Mary's Hospital Richmond Inc
O424593Actual cost