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Maryview Hospital: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
Maryview Hospital (EIN 54-0506463)
Tax period
2011-09-01 to 2012-08-31
Filed
2013-07-15
IRS object ID
201331969349301478
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)
Timestamp2013-07-15T18:17:33-05:00Timestamp
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)
EIN540506463EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Maryview HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMARYNameControl
Phone7578895000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line17007 Harbour View Blvd No 108AddressLine1
CitySuffolkCity
StateVAState
ZIP Code23435ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSr Patricia HeathName
TitlePresidentTitle
Phone7576735920Phone
Date Signed2013-07-15DateSigned
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 Line1Maryview Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonMichael K KernerNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line17007 Harbour View Blvd No 108AddressLine1
CitySuffolkCity
StateVAState
ZIP Code23435ZIPCode
FieldValueIRS element (for citing)
Gross Receipts360500385GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.bonsecourshamptonroads.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1944YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionAcute Care HospitalActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees2171TotalNbrEmployees
Total Nbr Volunteers165TotalNbrVolunteers
Total Gross UBI1309962TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year937247ContributionsGrantsPriorYear
Contributions Grants Current Year1792137ContributionsGrantsCurrentYear
Program Service Revenue Prior Year310769214ProgramServiceRevenuePriorYear
Program Service Revenue CY349750492ProgramServiceRevenueCY
Investment Income Prior Year12258808InvestmentIncomePriorYear
Investment Income Current Year2613278InvestmentIncomeCurrentYear
Other Revenue Prior Year4480057OtherRevenuePriorYear
Other Revenue Current Year4873181OtherRevenueCurrentYear
Total Revenue Prior Year328445326TotalRevenuePriorYear
Total Revenue Current Year359029088TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year270655GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY234495GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year117143948SalariesEtcPriorYear
Salaries Etc Current Year155494499SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year200888115OtherExpensePriorYear
Other Expenses Current Year197418395OtherExpensesCurrentYear
Total Expenses Prior Year318302718TotalExpensesPriorYear
Total Expenses Current Year353147389TotalExpensesCurrentYear
Revenues Less Expenses Prior Year10142608RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5881699RevenuesLessExpensesCY
Total Assets BOY238577278TotalAssetsBOY
Total Assets EOY253707979TotalAssetsEOY
Total Liabilities BOY115419109TotalLiabilitiesBOY
Total Liabilities EOY124848980TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY123158169NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY128858999NetAssetsOrFundBalancesEOY
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
Expense32166870Expense
Revenue37757342Revenue
DescriptionMaryview continues a strong focus on orthopaedic care for residents of Western Hampton Roads. Maryview was recently recognized as a Blue Distinction Center of Excellence to attest to the excellence of care. This service includes a continuum of care from pre-operative education through post-op recovery, and is supported by state-if-the-art technology and expert physicians, as well as a comprehensive outpatient rehab network. Maryview also offers Bon Secours' only inpatient acute rehab services for those who need that extra level of care before being discharged gome. In addition, a strong focus exists on community education through seminars and classes.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense33510843Expense
Revenue34765815Revenue
DescriptionMaryview continues to commit significant resources to the care of cardiac patients. The comprehensive Early Detection Center, aimed at identifying cardiac disease early and referring patients to physicians as necessary for prompt and effective treatment, continues to serve area residents. In addition, the introduction of the One-Call Transfer center (for cardiac and other patients) and relationships with transport services make it easier to operate Maryview as a regional referral center for advanced cardiac services. Maryview offers the broadest continuum of cardiac services - from diagnosis to treatment to surgery (including open heart) to rehab to wellness. Maryview continues strong relationships with other Bon Secours hospitals and serves as a regional referral center for the delivery of advanced cardiac interventions, such as cardiac surgery. Maryview is the only Bon Secours facility with a dedicated electrophysiology laboratory. A 64-slice CT at Maryview's ambulatory campus rounds up cardiac services. In addition, a strong focus also exists on community education through seminars, classes, screenings, and special events. Bon Secours Maryview Medical Center has been reconized as UnitedHealth Premium cardiac specialty center for Interventional Cardiac Care and has received a three out of three star rating. This past year, Maryview was re-certified as a Primary Stroke Center and also earned Chest Pain Center with PCI deisgnation. Maryview's ambulatory campus receievd Chest Pain Center accreditation.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense21872387Expense
Revenue20246810Revenue
DescriptionFor the sixth year in a row, Maryview was named the top hospital for bariatric surgery in Virginia by Healthgrades, and among the top 5% in the nation. Maryview also operates a Center of Excellence for colorectal surgery as a result of significant physician and staff expertise with colon & rectal diseases. Maryview also uses the daVinci surgical robot to perform minimally invasive surgical procedures in several specialties including urology, gynecology, gynecology oncology and general surgery.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense233435424Expense
Grants234495Grants
Revenue256827599Revenue
DescriptionOther major services offered by Maryview include a Birthing Center, Cancer Center, Neuroscience Center, Behavioral Medicine, Gastroenterology and Pulmonary services. In addition, Maryview offers a full service 24 hour Emergency Room, Surgical Weight Loss Center, Home Care and Hospice services.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp233435424TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt234495TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev256827599TotalOfOtherProgramServiceRev
Total Program Service Expense320985524TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
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 Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
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
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
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 Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096240NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2171NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
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 Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledVAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1James PirtleBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7572152709TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17007 Harbour View Blvd Suite 108AddressLine1
CitySuffolkCity
StateVAState
ZIP Code23435ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Michael D Blount
Board Member4.00X000
J Robert Bray
Board Member4.00X000
Bruce Britton MD
Board Member4.00X000
Arthur L Collins
Board Member4.00X000
Sr Elaine Davia
Board Member4.00X000
Timothy J Davis
Board Member50.00X0600441184863
William H Kline
Board Member4.00X000
Michael S LaRock
Board Member4.00X000
Mary Jane Nero
Board Member4.00X000
Carol Ormond
Board Member4.00X000
P Ward Robinette Jr
Board Member4.00X000
R B Seal MD
Board Member4.00X000
Robert Squatrito MD
Board Member4.00X000
Deborah K Stearns
Board Member4.00X000
Sr Rita Thomas
Board Member4.00X000
Sr Patricia Heath
President50.00X000X
Linwood E Howard
Chairman6.00X000X
Michael K Kerner
Sec/Treas (CEO-BSHR)50.00X0492621187822X
Melinda Hancock
CFO-BSV (Aug)50.00029283833668X
Joseph M Oddis
CEO-MMC50.00037895052515X
Ernie Padden
Int. CFO - BSHR (Sept-July)50.0019500000X
Steven C Blasdell
Physician50.00673068042480X
Jun K Chung MD
Physician50.00689979047870X
Mark B Kerner MD
Physician50.001260594042557X
Ernesto Luciano-Perez
Physician50.00798743048595X
Aaron L Marlow MD
Physician50.00870676028257X
Joseph Buccheit
Former CFO BSHR50.00026835040227X
Susan MacLeod
Former EVP0.00012753411231X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4488060TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2160734TotalReportableCompFrmRltdOrgs
Total Other Compensation720085TotalOtherCompensation
Number Individuals GT100 K137NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Rehabcare Group East Incorprated
PO Box 502096St LouisMO631502096Rehabilitation Services9748212
Free Agents Marketing
10124 West Broad St Ste NGlen AllenVA23060Advertising Services3898784
Aramark CTS Inc
12483 Collections Ctr DrChicagoIL60693Biomedical Engineering Services2375910
Origin Inc dba Shiftwise
PO Box 70870St PaulMN551709705Contract Nursing Services1919091
Virginia Anesthesia & Perioperative Care
760 Pilot House DrNewport NewsVA23606Cardiac Anesthesia Coverage1349752
FieldValueIRS element (for citing)
Number Of Contractors GT100 K52NumberOfContractorsGT100K
Related Organizations209023RelatedOrganizations
Government Grants1583114GovernmentGrants
Total Contributions1792137TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient Service Rev.Description
Business Code622110BusinessCode
Total Revenue Column349750492TotalRevenueColumn
Related Or Exempt Function Income349597566RelatedOrExemptFunctionIncome
Unrelated Business Revenue152926UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue349750492TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1472019TotalRevenueColumn
Exclusion$1,472,019ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column45TotalRevenueColumn
Exclusion$45ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1437869Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1375297Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real62572Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column62572TotalRevenueColumn
Unrelated Business Revenue45903UnrelatedBusinessRevenue
Exclusion$16,669ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1199105Securities
Other38109Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other96000Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1199105Securities
Other-57891Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1141214TotalRevenueColumn
Exclusion$1,141,214ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
CBO Billing Fees90009910572971057297
Misc JV Income9000991020411$1,020,411
O/P Pharmacy900099759055$759,055

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1973846TotalRevenueColumn
Unrelated Business Revenue53836UnrelatedBusinessRevenue
Exclusion$1,920,010ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue4810609TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column359029088TotalRevenueColumn
Related Or Exempt Function Income349597566RelatedOrExemptFunctionIncome
Unrelated Business Revenue1309962UnrelatedBusinessRevenue
Exclusion$6,329,423ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total234495Total
Program Services234495ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total314964Total
Program Services283468ProgramServices
Management And General31496ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total125324908Total
Program Services112792417ProgramServices
Management And General12532491ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5703608Total
Program Services5133247ProgramServices
Management And General570361ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total14786111Total
Program Services13307500ProgramServices
Management And General1478611ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total9364908Total
Program Services8428417ProgramServices
Management And General936491ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1056746Total
Program Services951071ProgramServices
Management And General105675ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total150517Total
Program Services135465ProgramServices
Management And General15052ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total53424Total
Program Services48082ProgramServices
Management And General5342ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total25148758Total
Program Services22633882ProgramServices
Management And General2514876ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total3432528Total
Program Services3089275ProgramServices
Management And General343253ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4316522Total
Program Services3884870ProgramServices
Management And General431652ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total16332161Total
Program Services14698945ProgramServices
Management And General1633216ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total9464810Total
Program Services8518329ProgramServices
Management And General946481ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total970707Total
Program Services873636ProgramServices
Management And General97071ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total362921Total
Program Services326629ProgramServices
Management And General36292ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2811308Total
Program Services2811308ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total10264603Total
Program Services9238143ProgramServices
Management And General1026460ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3380113Total
Program Services3042102ProgramServices
Management And General338011ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Supplies47854221430687994785422
Bad debt2848293928482939
Purchase Services27634407248709662763441
Equipment Rental37134763342128371348

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total11988234Total
Program Services10789411ProgramServices
Management And General1198823ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total353147389Total
Program Services320985524ProgramServices
Management And General32161865ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY9094EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY21277267BOY
EOY3212185EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY24000EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY34490077BOY
EOY36986079EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY276242BOY
EOY87516EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4630984BOY
EOY5566202EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2381524BOY
EOY2743093EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis214787669LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec155282168LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY51518196BOY
EOY59505501EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY78625973BOY
EOY85087790EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY92172BOY
EOY603213EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY2703179BOY
EOY2703179EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY42581664BOY
EOY57180127EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY238577278BOY
EOY253707979EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY40358720BOY
EOY32616401EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY23845548BOY
EOY24445548EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY51214841BOY
EOY67787031EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY115419109BOY
EOY124848980EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY123072707BOY
EOY128737701EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY85462BOY
EOY121298EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY123158169BOY
EOY128858999EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY238577278BOY
EOY253707979EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses5881699ReconcilationRevenueExpenses
Reconcilation Other Changes-180869ReconcilationOtherChanges
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)
Hospital170b1 AiiiXHospital170b1Aiii

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers1Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$27,577DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$25,847OtherActivitiesAmount
Total Lobbying Expenditures IIB53424TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1:ReturnReference
ExplanationMaryview Hospital paid dues to the American Hospital Association (AHA), the Virginia Hospital and Healthcare Association (VHHA) and the Catholic Health 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: AHA $7,480 or 24.6%, VHHA $15,592 or 24.37%, CHA $2,038 or 4.68%, National Association for Home Care & Hospice (NAHC), $343 or 10% and Virginia Association for Home Care & Hospice (VAHC) $394 or 9.2%. The filing organization also conducted advocacy relating to education of legislative body regarding hospital and healthcare reform and how it impacts communities.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Beginning Balance0BeginningBalance
Ending Balance0EndingBalance

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4636569OtherCostOrOtherBasis
Book Value4636569BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis81991641OtherCostOrOtherBasis
Depreciation53741406Depreciation
Book Value28250235BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis10618486OtherCostOrOtherBasis
Depreciation6067656Depreciation
Book Value4550830BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis78281040OtherCostOrOtherBasis
Depreciation63187782Depreciation
Book Value15093258BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis39259933OtherCostOrOtherBasis
Depreciation32285324Depreciation
Book Value6974609BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings59505501TotalOfBookValueLandBuildings

Other Assets OtherAssets (10 entries)

DescriptionDescriptionBook ValueBookValue
Due from BSHSI-LT25358440
Due from BSHSI-ST9363
Due from Affiliates ST15078346
Fin/Issue Costs223211
Inv in VHN647832
LT Non-Cash Inv-HP/GL11214177
Misc AR Clearing Account818014
Accrued Revenue1152918
Due from Third Party2559179
Other Current Assets118647
FieldValueIRS element (for citing)
Total Book Value Other Assets57180127TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescriptionAmountAmount
Due to Affiliates$12,167,140
Due to BSHSI$13,425,566
Other Accrued Expense$4,577,514
LT Pension Liability$20,290,521
Other Long-Term Deferred Rent$2,719,316
Fin 47 LT Asbestos Liability$3,110,478
HPL/GL Liability$11,214,177
Other Liabilities$282,319
FieldValueIRS element (for citing)
Total Of Amounts67787031TotalOfAmounts

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 to FIN 48). ASC 740 (formerly to FIN 48) 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 to FIN 48) 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 to 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

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense12283778TotalCommunityBenefitExpense
Direct Offsetting Revenue504960DirectOffsettingRevenue
Net Community Benefit Expense11778818NetCommunityBenefitExpense
Percent Of Total Expense0.03630PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense27887945TotalCommunityBenefitExpense
Direct Offsetting Revenue18996125DirectOffsettingRevenue
Net Community Benefit Expense8891820NetCommunityBenefitExpense
Percent Of Total Expense0.02740PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense658649TotalCommunityBenefitExpense
Direct Offsetting Revenue420708DirectOffsettingRevenue
Net Community Benefit Expense237941NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense40830372TotalCommunityBenefitExpense
Direct Offsetting Revenue19921793DirectOffsettingRevenue
Net Community Benefit Expense20908579NetCommunityBenefitExpense
Percent Of Total Expense0.06440PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs21NumberOfActivitiesOrPrograms
Persons Served17435PersonsServed
Total Community Benefit Expense1350091TotalCommunityBenefitExpense
Direct Offsetting Revenue1295DirectOffsettingRevenue
Net Community Benefit Expense1348796NetCommunityBenefitExpense
Percent Of Total Expense0.00420PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served584PersonsServed
Total Community Benefit Expense2328901TotalCommunityBenefitExpense
Direct Offsetting Revenue892923DirectOffsettingRevenue
Net Community Benefit Expense1435978NetCommunityBenefitExpense
Percent Of Total Expense0.00440PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served10177PersonsServed
Total Community Benefit Expense954355TotalCommunityBenefitExpense
Net Community Benefit Expense954355NetCommunityBenefitExpense
Percent Of Total Expense0.00290PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs14NumberOfActivitiesOrPrograms
Persons Served6368PersonsServed
Total Community Benefit Expense456571TotalCommunityBenefitExpense
Net Community Benefit Expense456571NetCommunityBenefitExpense
Percent Of Total Expense0.00140PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs40NumberOfActivitiesOrPrograms
Persons Served34564PersonsServed
Total Community Benefit Expense5089918TotalCommunityBenefitExpense
Direct Offsetting Revenue894218DirectOffsettingRevenue
Net Community Benefit Expense4195700NetCommunityBenefitExpense
Percent Of Total Expense0.01290PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs40NumberOfActivitiesOrPrograms
Persons Served34564PersonsServed
Total Community Benefit Expense45920290TotalCommunityBenefitExpense
Direct Offsetting Revenue20816011DirectOffsettingRevenue
Net Community Benefit Expense25104279NetCommunityBenefitExpense
Percent Of Total Expense0.07730PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense3220TotalCommunityBuildingExpense
Net Community Building Expense3220NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served478PersonsServed
Total Community Building Expense6555TotalCommunityBuildingExpense
Net Community Building Expense6555NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served2275PersonsServed
Total Community Building Expense142082TotalCommunityBuildingExpense
Net Community Building Expense142082NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served37PersonsServed
Total Community Building Expense567TotalCommunityBuildingExpense
Net Community Building Expense567NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served10PersonsServed
Total Community Building Expense2704TotalCommunityBuildingExpense
Net Community Building Expense2704NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served2800PersonsServed
Total Community Building Expense155128TotalCommunityBuildingExpense
Net Community Building Expense155128NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$7,741,451BadDebtExpenseAmount
Amount Reimbursed By Medicare81580758AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare78128773CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall3451985MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line13 BS Surg Ctr at Harbourview LLCBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityOutpatient SurgeryDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.41830OrganizationProfitOrOwnership
Physicans Profit Or Ownership0.37100PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Maryview HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line13636 High StAddressLine1
CityPortsmouthCity
StateVAState
ZIP Code23707ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Maryview HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained0EligibilityCriteriaExplained
Uses FPG Free0UsesFPGFree
Uses FPG Discounted0UsesFPGDiscounted
Explains Basis0ExplainsBasis
Explains Application Method0ExplainsApplicationMethod
Includes Publicity Measures0IncludesPublicityMeasures
Actions On Nonpayment0ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy0NondiscrimEmergencyCarePolicy
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities33NumberOfOtherFacilities

Other Facilities OtherFacilities (33 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityTypeAddress Line2Address/AddressLine2
Bon Secours Health Ctr at Harbourview
5818D Harbour View BlvdSuffolkVA23435Imaging, ER, Physical Therapy & Other OP Services
BS Health Ctr at Harbourview MAB
5838 Harbourview BlvdChesapeakeVA23321OP Cardiology & Physical Therapy Services
VA Orthopedic & Spine Specialists
5838 Harbourview Blvd Suite 100PortsmouthVA23707Physician Practice
Cardiovascular Specialists
5838 Harbour View Blvd Suite 270SuffolkVA23435Physician Practice
Tidewater Surgical Specialists
5838 Harbour View Blvd Suite 240SuffolkVA23435Physician Practice
In Motion at Chesapeake Square
4300 Portsmouth Blvd Suite 200ChesapeakeVA23321Physical Therapy
The Center for Pain Management
3315 High StPortsmouthVA23707Physician Practice
Chenault-Ostroff Urology
4037 Taylor Road Suite AChesapeakeVA23321Physician Practice
In Motion PT Suffolk
2012 Meade ParkwaySuffolkVA23434Physical Therapy
Western Branch OBGYN
4057 Taylor Road Suite RChesapeakeVA23321Physician Practice
In Motion PT High Street
3300 High StreetPortsmouthVA23707Physical Therapy
In Motion PT Portsmouth Blvd
5553 Portsmouth BlvdPortsmouthVA23701Physical Therapy
Harbour View Family Practice
5818 Harbour View Blvd Suite B2SuffolkVA23435Physician Practice
In Motion PT Portsmouth YMCA
4900 High St WestPortsmouthVA23703Physical Therapy
Internists of Churchland
4041 Taylor Road Suite GChesapeakeVA23321Physician Practice
Nansemond Suffolk Family Practice
2897 Bridge RoadSuffolkVA23435Physician Practice
Western Branch Family Practice
3253 Taylor Road Suite 200ChesapeakeVA23321Physician Practice
Internists at Western Branch
4020 Raintree Road Suite BChesapeakeVA23321Physician Practice
Bon Secours Pulmonary Specialists
4053 Taylor Road Suite NChesapeakeVA23321Physician Practice
Bon Secours Neuroscience Center
3640 High St Suite 1APortsmouthVA23707Physician Practice
Eagle Harbor Medical Associates
13609 Carrollton Blvd Suite 11CarrolltonVA23314Physician Practice
In Motion PT Eagle Harbor
13609 Carrollton Blvd Suite 115CarrolltonVA23314Physical Therapy
In Motion PT Chilled Ponds
1416 Stephanie WayChesapeakeVA23320Physical Therapy
Portsmouth Medical Associates
3520 High Street Suite 100PortsmouthVA23707Physician Practice
Cardiology Associates
301 Goode Way Suite 102PortsmouthVA23704Physician Practice
Cardiology Associates
1030 Hillpoint Blvd NSuffolkVA23434Physician Practice
Virginia Orthopedic & Spine Specialists
3300 High Street Suite 1PortsmouthVA23707Physician Practice
Virginia Orthopedic & Spine Specialists
2012 Meade ParkwaySuffolkVA23434Physician Practice
The Spine Center of Hampton Roads
Mast One 1040 University Blvd SuitePortsmouthVA23703Physician Practice20
Cardiovascular & Thoracic Specialists
3636 High StreetPortsmouthVA23737Physician Practice
Delta Oncology Associates
104 Palmyra DriveSuffolkVA23434Physician Practice
Delta Oncology Associates
612 Kingsborough Square Suite 300ChesapeakeVA23320Physician Practice
Delta Oncology Associates
355 Crawford Street Suite 300PortsmouthVA23704Physician Practice

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
Part I, Line 6a: Annually, Bon Secours Hampton Roads Health System (BSHRHS) 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 will available to the public each year at www.bshr.com on or about February 15, 2013.
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): The bad debt expense included in Part IX; line 25 and excluded from the "percent of total expense" calculation is: $28,482,939.
Part II: Bon Secours Maryview Medical Center provided staff and resources in support of the Healthy Community Initiative of Bon Secours Health System, and advocated for local and state policies that would improve health across its communities. Bon Secours Hampton Roads Health System is working to engage and empower the members of the East Ocean View neighborhood to support them in improving their quality of life and holistic health. East Ocean View has historically been one of the roughest neighborhoods in the community. Among the 6,000 residents, more than 25% of the households are at or below the poverty level and over 20% are single parent households. Family violence, gangs, addictions, housing affordability, access to healthcare, and a lack of educational opportunities affect the health of the individuals living in the neighborhood. Maryview Medical Center donated staff time and resources in support of these efforts.
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, Section B, Line 7: While Maryview Hospital shows a Medicaresurplus on this Schedule H, it is due to the unique composition of thehospital, the high percent of uncompensated care and the Medicare costreport allocation of indirect costs which is used in this tax schedulecomputation. Compared to other hospitals, Maryview Hospital is unique inthat it has several non-provider based physician practices residing on thehospital company rather than on a separate company. Using the Medicarecost report as the basis for reporting Medicare allowable costs, thepredetermined step-down statistical bases are allocating significantoverhead costs to the nonallowable physician practices, artificiallylowering allowable costs to the Medicare centers. Similar hospitals thatdo not include physician practices in the same company, these sameoverhead costs are included as allowable Medicare costs. Maryview alsoreceives significant Medicare disproportionate share (DSH) payments, whichare intended to partially compensate hospitals for the uncompensated carethat arises from serving an usually large percentage of uninsured,low-income patients in their area. While these payments are a componentof Medicare reimbursement, they do not relate to the Medicare allowablecosts reported in line 6, but are more closely related to the Medicaidshortfall reported in Part I, Line 7 b, column (e).
Part III, Line 9b: The hospital has a written policy that describes collection practices applying to patients that qualify for charity care or financial assistance. If full assistance is approved, no collection efforts are pursued on that patient's account(s). If partial assistance is provided, the patient is responsible for the adjusted account balance and collection efforts will follow the established practices for all patients where a self-pay balance exists. Collection efforts are not pursued on any pending Financial Assistance Program (FAP) account.Specific criteria exist for how much financial assistance, partial or total, will be provided to the patient based on the assessed need. Criteria is based on Federal Poverty Guidelines and is reviewed and updated annually. Once a patient has been deemed eligible for the Patient FAP, the patient is notified by letter within 60 days after receipt of the application and supporting documentation. The patient retains eligibility for a period of twelve months from the date of the application. This eligibility is signaled to hospital admissions, billing and collection staff by the assignment of a specific financial class with accompanying eligibility dates. At the end of those twelve months, the patient is responsible for reapplying for FAP eligibility.Part V, Section B, Line 11h: Please see the narrative for Part VI, Line 3regarding the Financial Assistance Policy.Part V, Section B, Line 11h: Please see the narrative for Part VI, Line 3regarding the Financial Assistance Policy.Part V, Section B, Line 19d: Please see the narrative for Part VI, Line 3regarding the Financial Assistance Policy.
Part VI, Line 2: In partnership with Bon Secours Virginia Health System, Maryview Medical Center uses multiple approaches to assess the health needs of the communities it serves.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 Maryview Medical Center. 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: As of 2010, Hampton Roads is a very diverse community within an MSA of nearly 1.6 million people residing in 16 cities and counties, stretching from northeastern North Carolina to Williamsburg. The area is characterized by racial diversity, a significant military population and a growing elderly population. African Americans comprise 52.2% of the population in Portsmouth, 41.6% in Newport News, and 43.4 % of Norfolk and 19.3% of Virginia Beach, which far exceeds the national average of 31.5 %. Seniors currently account for 11.2% of the population, growing to 13% in the next five years. The population served by Bon Secours Maryview Medical Center (MMC), Portsmouth, VA is estimated to change from 793,898 to 855,730, resulting in a growth of 7.8% between 2000 and the current year. Over the next five years, the population is projected to grow by 2.2%. Currently the largest populations are white (58.8%), Black or African American (32.6%), Hispanic or Latino (4.7%) and Asian (3.5%). The current year median age for this area is 35.0, while the average age is 36.2. Five years from now, the median age is projected to be 35.8.The most prevalent chronic conditions among adults include high blood pressure (26,400 or 40.1%), high cholesterol (20,900 or 33.3%), arthritis (22,000 or 33.3%), diabetes (8,700 or 12.9%), and asthma (7,000 or 10.3%). Morbidity rates per 10,000: heart disease (159.5), cerebrovascular disease (33.4), chronic obstructive pulmonary disease (29.4), diabetes (26.3), and asthma (17.5). Mortality rates (age-adjusted per 100,000) for this area are cancer (205.2), ischemic heart disease (150.5), cerebrovascular disease (66.9), and chronic obstructive pulmonary disease (43.9).
Part VI, Line 5: Maryview Medical Center (MMC) has an open medical staff with privileges available to all qualified physicians. Emergency departments at the three hospitals provide service 24 hours/ day, 7days/week to ensure access for emergency care for all individuals in need of emergency care. Hospital board members are diverse, inclusive and representative of the broader community in which the facilities are located.MMC, through BSHR, offers Home Health and Hospice Care. One-on-one care is provided to help patients recover from an illness or injury or to assist with daily living activities and pain management. Services include care coordination, physical therapies, diet education, intravenous therapy, medical/surgical care, nursing instruction, skilled clinical evaluation and wound care. MMC, through BSHR, offers health services via the CARE-A-VAN. The Care-A-Van (CAV), initiated on the peninsula in 2009 at two sites, has expanded in the past year to seven sites, two in Norfolk, two in Portsmouth and three in Newport News. This is a mobile health unit that provides healthcare services to those most in need--the uninsured. Services provided include urgent and primary care (including examination, diagnosis, lab, pharmacy, and follow-up), immunizations for school, pregnancy tests, blood pressure measurement, health education, referrals for specialty care, opportunity to enroll eligible children in children's' health insurance. The Care-A-Van also offers sports physicals, children's health insurance enrollment, and health education services. While the CAV primarily serves adults, some sites do provide care and referral services for children aged 12 and older. Community partners include free clinics, local health agencies, and numerous Faith-based community organizations which collaborate with the Care-A-Van staff. The CAV has a staff of 10 FTEs and annual expenses of approximately $700,000.MMC, through BSHR, offers Bon Secours Senior Health Program which offers a free membership program to over 75,000 individuals 65 years and older. A key component is the Successful Aging Forum, which brings national speakers to the community to discuss the latest health and wellness topics for senior citizens. The annual HealthFest provides a seniors-focused health festival with health screenings, health information and social interaction for seniors of all socio-economic backgrounds. Friday Night Dinners, held at area hospitals, serve seniors who need low cost meals and socialization. A transportation program offers transportation to medical appointments, without charge to those who are financially challenged. A quarterly publication Good Health provides information to 75,000 members in Hampton Roads. Seniors play a vital role in BSHRHS' advocacy efforts against reductions in Medicaid payments and to support continued funding for the State Children Health Insurance Program (SCHIP). MMC supports the Faith Community Health Ministry which builds on the skills of the registered nurse through additional, structured training in holistic (body, mind and spirit) health services; the faith community nurse partners with the congregational leadership to promote good health by serving as an educator, counselor, referral agent and advocate. Specialized training has also been developed to prepare non-licensed persons to serve in congregational health ministry. Additionally, the Influenza Vaccination Administration program provided 600 vaccines for select covenanted partners to host annual vaccine clinics. BSHRHS employs a sole Director to provide education, mentoring and support to more than 130 faith communities and 232 registered nurses and lay health promoters. The Let's Get Real (LGR) Program was created by BSHRHS in response to alarming data revealing an excessively high death rate from heart disease among African Americans in Hampton Roads. LGR is a heart health community outreach and education campaign specifically designed to bring valuable information to African-American women and their families. The goal is to raise awareness and lower risk factors for heart disease through culturally sensitive education, healthy cooking demonstrations, baseline and follow-up health screenings & risk-factor assessments and physical activity with an ethnic flair. Program components are centered on Cooking Light nutrition seminars and Tree of Life family history/genealogy research. The Maryview Foundation Healthcare Center is located adjacent to BSMMC's emergency department. The Center provides primary and preventive care for Portsmouth residents who are uninsured and meet the financial guidelines of 200% of the federal poverty level and below. The center provides prescription assistance; a wellness program, blood pressure checks and other services. MMC is dedicated to promoting the health and the quality of life for the women of Hampton Roads the women health service lines. MMC provides community health education seminars in cardiac, orthopedics, weight loss, acupuncture, sports performance, oncology, and stroke through the Bon Secours for Women program.MMC offers free Community Education programs open to the public throughout Hampton Roads on health topics such as heart disease, diabetes, bone and joint conditions, women's health and other chronic diseases. Several seminars on clinical ethics were also offered to professionals in the area.
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.
VAReports Filed With StatesPart VI, Line 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1Bon Secours Maryview FoundationBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17007 Harbour View Blvd No 108AddressLine1
CitySuffolkCity
StateVAState
ZIP Code221024219ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient521694731EINOfRecipient
IRC Section501(c)(3)IRCSection
Amount Of Cash Grant234495AmountOfCashGrant
Purpose Of GrantFoundation Administrative expense paid by the HospitalPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: Contributions are generally made as reimbursements for funds spent. In such cases, the donee/grantee organization must provide documentation to the filing organization before funds are approved for disbursement.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment1SeverancePayment
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 (12 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
Timothy J Davis
059285400075870160480024383078530400
Michael K Kerner
048711000055110154116033706068044300
Melinda Hancock
02543570501703346404898028770032650600
Joseph M Oddis
032407000054880016223036292043146500
Ernie Padden
195000000000000195000000
Steven C Blasdell
4440380226684023460147550277250715548000
Jun K Chung MD
5423110146520011480155610323090737849000
Mark B Kerner MD
49017607693310108701153503102201303151000
Ernesto Luciano-Perez
300432049734409670167370318580847338000
Aaron L Marlow MD
300762056961403000160610121960898933000
Joseph Buccheit
0232474013123022753018475021752030857700
Susan MacLeod
0000012753400011231013876500

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Supplemental InformationPart IIIPart I, Line 3: Bon Secours Health System, Inc., a related organization of Maryview Hospital, uses the following to establish the compensation of the organization's CEO/Executive Director: Compensation Committee Independent compensation consultant Written employment contracts Compensation survey or study Approval by the board/compensation committee
Supplemental InformationPart IIIPart I, Line 4a: Bon Secours Health System, Inc. has system wide severance policies for various levels of executive management. Executive positions throughout the system may include, but are not limited to, CEO/President, CFO, COO, EVP, SVP, VP and Directors. Severance periods vary based on length of service, subsequent employment and violations of the severance policy. Generally, severance periods can be up to 24 months. Benefits may include, but are not limited to, base salary, certain health benefits and payment of unused vacation. The following individual(s) received severance payments during the applicable calendar year: Susan MacLeod, $127,534 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.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Doing Business AsForm 990, Part I, Item CDBA: Bon Secours Oxygen
Form 990, Part VI, Section A, line 2Board Members P. Ward Robinett, Jr. and Deborah K. Sterns have a business relationship.
Form 990, Part VI, Section A, line 6Bon Secours Health System, Inc. is the sole member of Bon Secours Hampton Roads Health System, Inc. which in turn is the sole member of Maryview Hospital.
Form 990, Part VI, Section A, line 7aThe governing body of Maryview Hospital is appointed by its Member, Bon Secours Hampton Roads Health System, Inc. and subject to the approval by Bon Secours Health System, Inc.
Form 990, Part VI, Section A, line 7bCertain authorities of Maryview Hospital 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 an 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 19Maryview 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. Volunteer Board Members are not compensated for their time. Michael K. Kerner'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 Bon Secours Hampton Roads Health System which includes direct management, monitoring and oversight of Bon Secours Hampton Roads Health System and its related organizations. Melinda Hancock's compensation is paid by St. Mary's Hospital of Richmond, Inc., a related organization of Bon Secours Health System, Inc. 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. Timothy J. Davis' compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation he receives is for his role as Executive Vice President and Chief Administrative Officer of Bon Secours Health System, Inc. Joseph Oddis' compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation he receives is for his role as CEO of Maryview Hospital. Sr. Patricia Heath does not receive payroll distributions as she has taken a vow of poverty.
Changes in Net Assets or Fund Balances:Form 990, Part XI, line 5:Net unrealized gains on investments: 3,792,593. I/Co Debt/Principal Payments - BSHSI -1,940,009. Additional Minimum Pension Liability -2,033,464. Error Suspense 11. Total to Form 990, Part XI, Line 5: -180,869.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 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 RoadMarriottsvileMD21104521301088Parent Org. - Mgmt ServicesMD501(c)(3)11bBon Secours Inc0
Bon Secours Hampton Roads Health System Inc
7007 Harbour View Blvd Suite 108SuffolkVA23435521538513Local System Parent Org.VA501(c)(3)11bBon Secours Health System Inc0
Mary Immaculate Nursing Center
7007 Harbour View Blvd Suite 108SuffolkVA23435541516476Nursing Care CenterVA501(c)(3)9Mary Immaculate Hospital0
Mary Immaculate Foundation
7007 Harbour View Blvd Suite 108SuffolkVA23435311644734FundraisingVA501(c)(3)11bMary Immaculate Hospital0
Mary Immaculate Hospital Inc
7007 Harbour View Blvd Suite 108SuffolkVA23435540548200HealthcareVA501(c)(3)3Bon Secours Hampton Roads Health System0
Bon Secours Maryview Foundation
7007 Harbour View Blvd Suite 108SuffolkVA23435521694731FundraisingVA501(c)(3)11cBon Secours Hampton Roads Health System0
Bon Secours Maryview Nursing Care Center
7007 Harbour View Blvd Suite 108SuffolkVA23435521578169Nursing Care CenterVA501(c)(3)9Bon Secours Hampton Roads Health System0
Bon Secours DePaul Medical Center
7007 Harbour View Blvd Suite 108SuffolkVA23435541820093HealthcareVA501(c)(3)3Bon Secours Hampton Roads Health System0
Bon Secours DePaul Health Foundation
7007 Harbour View Blvd Suite 108SuffolkVA23435541843876FundraisingVA501(c)(3)11cBon Secours Hampton Roads Health System0
Bayley Properties
150 Kingsley LaneNorfolkVA23505541424748RentalVA501(c)(2)N/ABon Secours Depaul Medical Center0

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
Province Place of Maryview LLC
One Bon Secours WayPortsmouthVA23703541842697Assisted LivingVAProfessional Health Care MgmtRelated00
Province Place of DePaul LLC
6403 Granby StreetNorfolkVA23505541950880Assisted LivingVAProfessional Health Care MgmtRelated00

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
Professional Health Care Mgmt Inc
150 Kingsley LaneNorfolkVA23505541241031AdministrativeVAHampton Roads Health System IncC
Tidewater Diversified Inc
160 Kingsley LaneNorfolkVA23505541431826PharmacyVABon Secours DePaul Medical Center IncC
OSF Inc
2 Bernadine DriveNewport NewsVA23602541369919RentalVAMary Immaculate Hospital IncC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg