Mary Immaculate Hospital: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: Mary Immaculate Hospital (EIN 54-0548200)
Tax period: 2010-09-01 to 2011-08-31
Filed: 2012-07-16
IRS object ID: 201211989349301151
Schema version: 2010v3.4
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-07-16T14:40:11-05:00	Timestamp
Tax Period End Date	2011-08-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DELOITTE TAX LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1750 TYSONS BLVD	AddressLine1
City	MCLEAN	City
State	VA	State
ZIP Code	221024219	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-09-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	540548200	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Mary Immaculate Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MARY	NameControl
Phone	7576866000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	7007 Harbour View Blvd No 108	AddressLine1
City	Suffolk	City
State	VA	State
ZIP Code	23435	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Gregory Simia	Name
Title	CEO - BSHR	Title
Phone	7578895000	Phone
Date Signed	2012-07-16	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Laura L Catlett	Name
Phone	7032511000	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Michael K Kerner	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	7007 Harbour View Blvd No 108	AddressLine1
City	Suffolk	City
State	VA	State
ZIP Code	23435	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	181912818	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	www.bonsecourshamptonroads.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1956	YearFormation
State Legal Domicile	VA	StateLegalDomicile
Activity Or Mission Description	Acute Care Hospital	ActivityOrMissionDescription
Nbr Voting Members Governing Body	17	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	1032	TotalNbrEmployees
Total Nbr Volunteers	140	TotalNbrVolunteers
Total Gross UBI	189791	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	121054	ContributionsGrantsPriorYear
Contributions Grants Current Year	314579	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	156084321	ProgramServiceRevenuePriorYear
Program Service Revenue CY	177100093	ProgramServiceRevenueCY
Investment Income Prior Year	422867	InvestmentIncomePriorYear
Investment Income Current Year	2206357	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2619937	OtherRevenuePriorYear
Other Revenue Current Year	2279877	OtherRevenueCurrentYear
Total Revenue Prior Year	159248179	TotalRevenuePriorYear
Total Revenue Current Year	181900906	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	11928	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	41767384	SalariesEtcPriorYear
Salaries Etc Current Year	49881851	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	101253767	OtherExpensePriorYear
Other Expenses Current Year	113839736	OtherExpensesCurrentYear
Total Expenses Prior Year	143021151	TotalExpensesPriorYear
Total Expenses Current Year	163733515	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	16227028	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	18167391	RevenuesLessExpensesCY
Total Assets BOY	135665655	TotalAssetsBOY
Total Assets EOY	154385895	TotalAssetsEOY
Total Liabilities BOY	31440939	TotalLiabilitiesBOY
Total Liabilities EOY	30951982	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	104224716	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	123433913	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	The mission is to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a system of caregivers, we commit ourselves to help bring people and communities to health and wholeness.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	55369026	Expense
Revenue	64608558	Revenue
Description	Orthopedics is center of choice for orthopedic care in the Virginia Peninsula and beyond. It includes a continuum of care from pre-operative education through post-op recovery, and is supported by state-of-the-art technology and expert physicians, as well as a comprehensive rehab network.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	18651981	Expense
Revenue	15345258	Revenue
Description	Women and children services provided added capacity and resources so that the needs of the community for OB care would continue to be met. Mary Immaculate also offers advanced nursery services, caring for "specialty" neonates. Bon Secours also offers the largest curriculum of family and parenting classes through its Love & Learn program.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	14869001	Expense
Revenue	14081999	Revenue
Description	Cardiovascular services - a comprehensive Early Detection Center, aimed at identifying cardiac disease early and referring patients to physicians as necessary for prompt and effective treatment, strong relationships with other Bon Secours hospitals for the delivery of advanced cardiac interventions, such as cardiac surgery.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	60213502	Expense
Grants	11928	Grants
Revenue	82896547	Revenue
Description	Other major services offered by Mary Immaculate include the Hernia Center which is a comprehensive program dedicated to treating hernias. The program specializes in developing treatments based on each patient's individual needs. The program uses the latest innovations and performs many of its procedures using state-of-the-art, minimally invasive techniques. In addition, Mary Immaculate offers Neuroscience, Gastroenterology and Pulmonary services as well a full service 24 hour Emergency Room.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	60213502	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	11928	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	82896547	TotalOfOtherProgramServiceRev
Total Program Service Expense	149103510	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	88	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1032	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	17	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	0	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	VA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	James Pirtle	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	7572152709	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	7007 Harbour View Blvd Suite 108	AddressLine1
City	Suffolk	City
State	VA	State
ZIP Code	23435	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Susan B Anthony FNP
Board Member	4.00	X	0	0	0
John H Garrett
Board Member	4.00	X	0	0	0
Pastor Ivan T Harris
Board Member (Jan-Aug)	4.00	X	0	0	0
Steven B Hopson MD
Board Member	4.00	X	5438	0	0
Matthew James
Board Member	4.00	X	0	0	0
Sr Lynn Rachelle Pascoe
Board Member	4.00	X	0	0	0
William F Pile
Board Member (Jan-Aug)	4.00	X	0	0	0
Robert M Yacobi
Board Member	4.00	X	0	0	0
Sr Elaine Davia
Board Member	4.00	X	0	0	0
Timothy J Davis
Board Member	50.00	X	0	743518	132790
Sr Patricia Heath
Board Member	50.00	X	0	0	0
Sr M Margaret Jackson
Board Member	4.00	X	0	0	0
Jon A Nystrom
Chairman	6.00	X	0	0	0	X
Kasia Grzelkowski
Secretary (Sept-Dec)	6.00	X	0	0	0	X
Paul W Garman
Secretary (Jan-Aug)	6.00	X	0	0	0	X
Sr David Ann Niski
President	6.00	X	0	0	0	X
Michael K Kerner
CEO-BSHR	50.00	X	0	606241	145769	X
Patricia Robertson
CEO-MIH & Extended Care	50.00		0	376824	28833	X
Gregory Simia
Treas. (CFO BSHR) (Sept-May)	50.00		0	438573	55734	X
Ernie Padden
Treas. (Int. CFO BSHR) (June-Aug)	50.00		0	0	0	X
Darlene Stephenson
VP Operations	50.00		169506	0	28806		X
Jane Ritter
VP Patient Care Services	50.00		163102	0	14210		X
Allen B Nichols
Physican	50.00		397746	0	21500			X
James H Sammons
VP Medical Affairs	50.00		314745	0	16876			X
Thomas J Hoffmier
Physican	50.00		259139	0	23354			X
Nauman Naseer
Physican	50.00		245905	0	18667			X
Krishna R Padiyar
Physican	50.00		176838	0	30674			X
Joseph Buchheit
Former CFO - BSHR	50.00		0	292884	41939				X
Richard Hanson
Former CEO - BSHR	0.00		0	100022	8651				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1732419	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2558062	TotalReportableCompFrmRltdOrgs
Total Other Compensation	567803	TotalOtherCompensation
Number Individuals GT100 K	22	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Rehabcare Group Inc
PO Box 502096	St Louis	MO	631502096	Rehabilitation Services	2577488
Tidewater Physicians Multispecialty Grou
860 Omni Blvd	Newport News	VA	23606	Physician Services	1798393
Anesthesia Associates of Hampton
110 Three Point Ct	Yorktown	VA	23692	Physician Services	1500000
Shiftwise
1800 SW 1st Avenue	Portland	OR	97201	Contract Nursing	1191276
Aramark CTS Inc
12483 Collections Ctr Dr	Chicago	IL	60693	Biomedical Engineering	880743

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	20	NumberOfContractorsGT100K
Fundraising Events	3600	FundraisingEvents
Related Organizations	22495	RelatedOrganizations
Government Grants	89850	GovernmentGrants
All Other Contributions	198634	AllOtherContributions
Total Contributions	314579	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	Patient Service Rev.	Description
Business Code	621500	BusinessCode
Total Revenue Column	177100093	TotalRevenueColumn
Related Or Exempt Function Income	176932362	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	167731	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	177100093	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	549998	TotalRevenueColumn
Exclusion	$549,998	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	9743	TotalRevenueColumn
Exclusion	$9,743	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	57737	Real
Personal	5380	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	57737	Real
Personal	5380	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	63117	TotalRevenueColumn
Unrelated Business Revenue	22060	UnrelatedBusinessRevenue
Exclusion	$41,057	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	1122001	Securities
Other	532621	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	8006	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1122001	Securities
Other	524615	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1646616	TotalRevenueColumn
Exclusion	$1,646,616	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	18975	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	3600	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	3906	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	15069	TotalRevenueColumn
Exclusion	$15,069	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
Joint venture income	900099	1398363	$1,398,363
Cafe/Vending/Dietary	900099	271215	$271,215
Managed Care/Rehab Svc	900099	193399	$193,399

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	338714	TotalRevenueColumn
Exclusion	$338,714	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	2201691	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	181900906	TotalRevenueColumn
Related Or Exempt Function Income	176932362	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	189791	UnrelatedBusinessRevenue
Exclusion	$4,464,174	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	11928	Total
Program Services	11928	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	435377	Total
Program Services	391839	ProgramServices
Management And General	43538	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	39799643	Total
Program Services	35819679	ProgramServices
Management And General	3979964	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1626802	Total
Program Services	1464122	ProgramServices
Management And General	162680	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	5135211	Total
Program Services	4621690	ProgramServices
Management And General	513521	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2884818	Total
Program Services	2596336	ProgramServices
Management And General	288482	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	145880	Total
Program Services	131292	ProgramServices
Management And General	14588	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	97149	Total
Program Services	87434	ProgramServices
Management And General	9715	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	18135	Total
Program Services	16322	ProgramServices
Management And General	1813	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	16494319	Total
Program Services	14844887	ProgramServices
Management And General	1649432	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	147557	Total
Program Services	132801	ProgramServices
Management And General	14756	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1216416	Total
Program Services	1094774	ProgramServices
Management And General	121642	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	255506	Total
Program Services	229955	ProgramServices
Management And General	25551	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1661699	Total
Program Services	1495529	ProgramServices
Management And General	166170	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	109840	Total
Program Services	98856	ProgramServices
Management And General	10984	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1931355	Total
Program Services	1931355	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	2867340	Total
Program Services	2580606	ProgramServices
Management And General	286734	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	948462	Total
Program Services	853616	ProgramServices
Management And General	94846	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Supplies	49173717	44256345	4917372
Purchased Services	16908018	15217216	1690802
Bad Debt	15490195	15490195	0
Repairs & Maintenance	2554708	2299237	255471
BSHSI Allocation	2284751	2056276	228475

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1534689	Total
Program Services	1381220	ProgramServices
Management And General	153469	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	163733515	Total
Program Services	149103510	ProgramServices
Management And General	14630005	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
EOY	2855	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	59109545	BOY
EOY	70436974	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	17454271	BOY
EOY	20081011	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3208655	BOY
EOY	3481390	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	292831	BOY
EOY	279916	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	78387560	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	48995908	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	28382787	BOY
EOY	29391652	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	23553227	BOY
EOY	26248865	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	3664339	BOY
EOY	4463232	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	135665655	BOY
EOY	154385895	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	9037136	BOY
EOY	11181409	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	1311029	BOY
EOY	1479106	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	13130000	BOY
EOY	12213380	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	7962774	BOY
EOY	6078087	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	31440939	BOY
EOY	30951982	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	103768348	BOY
EOY	122861414	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	406019	BOY
EOY	524352	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	50349	BOY
EOY	48147	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	104224716	BOY
EOY	123433913	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	135665655	BOY
EOY	154385895	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	18167391	ReconcilationRevenueExpenses
Reconcilation Other Changes	1041806	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	1	Volunteers
Paid Staff Or Management	1	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$9,450	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$8,685	OtherActivitiesAmount
Total Lobbying Expenditures IIB	18135	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Explanation of Other Lobbying Activities:	Identifier
Return Reference	Part II-B, Line 1i:	ReturnReference
Explanation	Mary Immaculate 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 $4,301 or 24.2%, VHHA $3,431 or 9.7% and CHA $953 or 4.68%.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	50349	BeginningOfYearBalance
Other Expenditures	2202	OtherExpenditures
End Of Year Balance	48147	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	28574	BeginningOfYearBalance
Investment Earnings Or Losses	22025	InvestmentEarningsOrLosses
Other Expenditures	250	OtherExpenditures
End Of Year Balance	50349	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	112350	BeginningOfYearBalance
Investment Earnings Or Losses	-83276	InvestmentEarningsOrLosses
Grants Or Scholarships	500	GrantsOrScholarships
End Of Year Balance	28574	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3352921	OtherCostOrOtherBasis
Book Value	3352921	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	33415157	OtherCostOrOtherBasis
Depreciation	16260063	Depreciation
Book Value	17155094	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	243211	OtherCostOrOtherBasis
Depreciation	96271	Depreciation
Book Value	146940	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	39010416	OtherCostOrOtherBasis
Depreciation	31738140	Depreciation
Book Value	7272276	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2365855	OtherCostOrOtherBasis
Depreciation	901434	Depreciation
Book Value	1464421	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	29391652	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
LT Liab-Pension Liability	$3,919,401
Fin 47 LT Asbestos Liab	$1,666,953
Other Gen 3rd Party Rsvs LT	$395,596
Due to Affiliates	$76,273
Due to BSHSI	$19,864

Field	Value	IRS element (for citing)
Total Of Amounts	6078087	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Description of Intended Use of Endowment Funds:	Part V, Line 4:	Earnings are to used to assist the needy.
Description of Uncertain Tax Positions Under FIN 48:	Part X:	Schedule D, Part X, Line 2 requires that the organization provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48. 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 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. 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 $89,500 and $98,300 of net operating loss carryforwards as of August 31, 2011 and 2010, respectively, which expire in varying periods through 2031 and are available to offset future taxable income. The System's deferred tax assets are fully reserved at August 31, 2011 and 2010. Any changes to the valuation allowance on the deferred tax asset are reflected in the year of the change.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Golf Tournament	NameOfEvent1
Gross Receipts Event1	22575	GrossReceiptsEvent1
Charitable Contributions Event1	3600	CharitableContributionsEvent1
Gross Revenue Event1	18975	GrossRevenueEvent1
Other Direct Expenses Event1	3906	OtherDirectExpensesEvent1
Gross Receipts Total	22575	GrossReceiptsTotal
Charitable Contributions Total	3600	CharitableContributionsTotal
Gross Revenue Total Events	18975	GrossRevenueTotalEvents
Other Direct Expenses Total Events	3906	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	3906	DirectExpenseSummaryEvents
Net Income Summary	15069	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent200 D	X	Pcent200D
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1095558	TotalCommunityBenefitExpense
Net Community Benefit Expense	1095558	NetCommunityBenefitExpense
Percent Of Total Expense	0.00740	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13920294	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10662719	DirectOffsettingRevenue
Net Community Benefit Expense	3257575	NetCommunityBenefitExpense
Percent Of Total Expense	0.02210	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	130840	TotalCommunityBenefitExpense
Direct Offsetting Revenue	67909	DirectOffsettingRevenue
Net Community Benefit Expense	62931	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15146692	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10730628	DirectOffsettingRevenue
Net Community Benefit Expense	4416064	NetCommunityBenefitExpense
Percent Of Total Expense	0.02990	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	13	NumberOfActivitiesOrPrograms
Persons Served	9225	PersonsServed
Total Community Benefit Expense	369022	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3625	DirectOffsettingRevenue
Net Community Benefit Expense	365397	NetCommunityBenefitExpense
Percent Of Total Expense	0.00250	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	59494	TotalCommunityBenefitExpense
Net Community Benefit Expense	59494	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	7056	PersonsServed
Total Community Benefit Expense	146670	TotalCommunityBenefitExpense
Net Community Benefit Expense	146670	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	16	NumberOfActivitiesOrPrograms
Persons Served	16281	PersonsServed
Total Community Benefit Expense	575186	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3625	DirectOffsettingRevenue
Net Community Benefit Expense	571561	NetCommunityBenefitExpense
Percent Of Total Expense	0.00390	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	16	NumberOfActivitiesOrPrograms
Persons Served	16281	PersonsServed
Total Community Benefit Expense	15721878	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10734253	DirectOffsettingRevenue
Net Community Benefit Expense	4987625	NetCommunityBenefitExpense
Percent Of Total Expense	0.03380	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	171	PersonsServed
Total Community Building Expense	7698	TotalCommunityBuildingExpense
Net Community Building Expense	7698	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	240	TotalCommunityBuildingExpense
Net Community Building Expense	240	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	171	PersonsServed
Total Community Building Expense	7938	TotalCommunityBuildingExpense
Net Community Building Expense	7938	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$3,525,620	BadDebtExpenseAmount
Amount Reimbursed By Medicare	46553744	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	50474600	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-3920856	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 Mary Immaculate ASC LLC	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	Outpatient Surgery	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.34140	OrganizationProfitOrOwnership
Physicans Profit Or Ownership	0.49340	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Mary Immaculate Hospital	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	2 Bernardine Dr	AddressLine1
City	Newport News	City
State	VA	State
ZIP Code	23602	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Critical Access Hospital	X	CriticalAccessHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

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

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	7	NumberOfOtherFacilities

Other Facilities OtherFacilities (7 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Mary Immaculate Phys Therapy Denbigh
14703 Warwick Blvd Suite B	Newport News	VA	23608	Physical Therapy
In-Motion Boo Williams Sportsplex
5 Armistead Pointe Parkway	Hampton	VA	23666	Physical Therapy
Mary Immaculate Phys Therapy Victory
101-A Long Green Blvd	Yorktown	VA	23693	Physical Therapy
Cardiovascular Specialists
12720 McManus Blvd Ste 201	Newport News	VA	23602	Physician Practice
Tidewater Surgical Specialists
12720 McManus Blvd Ste 311	Newport News	VA	23602	Physician Practice
Bon Secours Pulmonary Specialists
12720 McManus Blvd Ste 303	Newport News	VA	23602	Physician Practice
Bon Secours Occumed
14703 Warwick Blvd Suite A	Newport News	VA	23608	Occupational Medicine

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanation	IdentifierIdentifier	Return 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 is available to the public each year on or around January 24, commemorating Foundation Day of the Sisters of Bon Secours.
Part I, Line 7: Part I, line 7a: Charity Care at cost is computed by applying a cost-to-charge ratio to the aggregate charity adjustments recorded in the general ledger. Part I, line 7b: Unreimbursed Medicaid is computed by determining the cost of Medicaid services supplied less payments received for these services. To determine the cost of Medicaid services provided, a cost-to-charge ratio is applied to traditional and managed Medicaid gross charges recorded in the general ledger. Payments include payments for individual claims, payments from the Medicaid program paid outside the claim process (such as medical education payments) and expected or actual cost report settlements.Part I, line 7c: Unreimbursed costs from other means-tested government programs are computed by applying a cost-to-charge ratio to the total charges to patients covered under these programs. The charges are identified by the financial class assigned to the patient. For Part I, Line 7 a-c computations: The cost-to-charge ratio is derived using the suggested computation in Worksheet 2, Ratio of Patient Care Cost-to-Charges. Operating expenses and Gross patient charges are taken from the general ledger. Expenses for nonpatient care activities recorded in operating expenses are approximated as directly equaling other operating revenue, assuming these activities do not provide profit. Part I, line 7e: Community health improvement services and community benefit operations are accumulated throughout the year and reported at actual cost in a software program that specifically addresses this purpose.Part I, line 7f: Health professions education cost is determined as the direct and indirect cost of qualifying education activities as traditionally reported in columns 21-24 on Worksheet B of the Medicare cost report as a Medical Education program, nursing school or other allied health program.
Part I, L7 Col(f): The bad debt expense included in Part IX; line 25 and excluded from the "percent of total expense" calculation is: $15,496,189
Part II: Mary Immaculate Hospital provided facility space, dietary contributions and staff support to local community boards, coalitions, and civic groups to discuss and address health and social concerns across the community. These meetings enabled various community groups to plan programs and activities to improve the health of community residents across different health and social conditions.
Part III, Line 4: Part III, line 2: Bad Debt Expense at cost is computed by applying the cost-to-charge ratio computed on Worksheet 2 to the aggregate bad debt expense for patient accounts recorded in the general ledger. Bad debt expense on the general ledger includes: 1) actual write offs of discounted gross charges where it is determined an uninsured patient can pay and does not pay; and 2) the estimated write-offs for uninsured patient accounts with outstanding balances after discount. Estimates are based on historical collection rates.When an uninsured patient is billed for patient care services, the charges are automatically discounted and the patient is requested to only pay the amount after discount. The discount is recorded as an adjustment to gross revenue and is not recorded in bad debt expense. If the balance after discount is not paid or not paid in full, the unpaid amount will be written off to bad debt expense. When a patient remits a payment on an account that has already been written off to bad debt expense, the payment is recorded as a recovery of bad debt, which reduces bad debt expense.Part III, line 3: The organization does not report an estimate for the portion of bad debt expense that may have been likely to qualify for financial assistance under the hospital's charity care policy. The organization takes the position that ample opportunity and assistance is provided to the patient to qualify under the financial assistance policy. If sufficient information is not provided, the organization must assume the patient does not qualify.
Part III, Line 8: Part III, Line 6: Medicare allowable costs reflected in Part III come directly from the facility's Medicare cost report. The cost report segregates the total facility actual expenses into costs for support departments, clinical departments (routine and ancillary) and nonreimburseable departments. The cost report uses appropriate statistical bases to "step down" support costs to allowable clinical and nonreimburseable departments. The charges for clinical departments are matched to the total cost for these departments for a cost-to-charge ratio. Medicare-specific allowable costs for in and outpatient ancillary departments are computed by applying the department-specific cost-to-charge ratio to the Medicare program charges by department. For routine departments, a per diem total cost is computed and applied to Medicare program days for the Medicare routine program cost.Part III, Line 8: The organization feels the total shortfall of Medicare reimbursement compared to computed Medicare allowable costs should be treated as community benefit. The hospital improves access to patient care by providing services regardless of a patient's ability to pay or the hospital's ability to receive full cost reimbursement for services. The hospital also relieves the government of a financial burden when it provides care to publicly insured patients where reimbursement is less than cost of providing the service.
Part III, Line 9b: 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 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 Financial Assistance Program (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 VI, Line 2: In partnership with Bon Secours Virginia Health System, Mary Immaculate Hospital 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-Reuters Market Expert is used to retrieve demographic information and trends for the primary and secondary service areas pertaining to Mary Immaculate Hospital. 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: 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 Mary Immaculate Hospital (MIH), Newport News, VA is estimated to change from 463,658 to 503,313, resulting in a growth of 8.6% between 2000 and the current year. Over the next five years, the population is projected to grow by 2.4%. Of this area's current year estimated population, 59.2% are White, 33.3% are Black or African American, and 4.5% are Hispanic or Latino and small percentages of other ethnicities. The current year median age for this area is 37.1, while the average age is 37.8. Five years from now, the median age is projected to be 38.0.The most prevalent chronic conditions among adults include high cholesterol (71,100 or 33.2%), high blood pressure (67,000 or 26.9%), arthritis (61,000 or 23.4%), asthma (29,800 or 11.9%), and diabetes (16,000 or 6.3%). Morbidity rates per 10,000: heart disease (92.0), cerebrovascular disease (25.3), chronic obstructive pulmonary disease (10.1), diabetes (12.0) and asthma (10.0). Mortality rates (age-adjusted per 100,000) for this area are cancer (166.4), ischemic heart disease (110.6), cerebrovascular disease (41.8) and chronic obstructive pulmonary disease (33.2).
Part VI, Line 6: MIH has an open medical staff with privileges available to all qualified physicians. Emergency departments at the three hospitals provide service 24 hours/day, 7 days/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. MIH, through BSHR, offers Care-A-Van services to the community. 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 childrens' 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.MIH, 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).MIH supports and provides staffing for the BSHRHS 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. MIH Family Focus is a child abuse prevention program of MIH, which targets at-risk families for child abuse and helps teach positive parenting skills. MIH employs the director for the program and provides operating funds for two locations. Family Focus, founded by BSHSI and the Bernardine Sisters of the Third Order of St. Francis, is a broad coalition of private and public organizations that provide a continuum of education, prevention and support programming for over 500 families to encourage healthy child development and nurturing environments in the home and community. In FY 2011, the program was expanded to include services for Spanish-speaking families.BSHRHS Community Sponsorship Committee reviews and financially sponsors community events that support our mission and values. Some of the contributions in FY 11 that support the work of MIH in addressing unmet needs include: -H.E.L.P. Free Dental Clinic to partially subsidize the cost of dental supplies to provide services to uninsured adults-The Arc of the Virginia Peninsula to continue serving individuals with developmental and other disabilities and their families-American Heart Association heart healthy initiatives-American Cancer Society Relay for LifeMIH is dedicated to promoting the health and the quality of life for the women of Hampton Roads the women health service lines. We provide community health education seminars in cardiac, orthopedics, weight loss, acupuncture, sports performance, oncology, and stroke through the Bon Secours for Women program.MIH 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 7: 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 is 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), Bon Secours Hampton Roads Health System (BSHRHS) is called to continue the healing ministry of Jesus. BSHRHS exists 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." BSHRHS shares 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 within BSHRHS.
VA	Reports Filed With States	Part VI, Line 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	United Way of the Virginia Peninsula	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	739 Thimble Shoals Blvd Suite 302	AddressLine1
City	Newport News	City
State	VA	State
ZIP Code	23606	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	540535602	EINOfRecipient
IRC Section	501(c)(3)	IRCSection
Amount Of Cash Grant	8000	AmountOfCashGrant
Purpose Of Grant	General Sponsorship	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Timothy J Davis
0	568101	0	168422	0	6995	0	111800	0	20990	0	876308	0	0
Michael K Kerner
0	463467	0	138768	0	4006	0	116245	0	29524	0	752010	0	0
Patricia Robertson
0	282666	0	67407	0	26751	0	17150	0	11683	0	405657	0	0
Gregory Simia
0	303064	0	69986	0	65523	0	25631	0	30103	0	494307	0	0
Darlene Stephenson
143243	0	25981	0	282	0	2584	0	26222	0	198312	0	0	0
Jane Ritter
118289	0	20810	0	24003	0	979	0	13231	0	177312	0	0	0
Allen B Nichols
343332	0	50000	0	4414	0	7962	0	13538	0	419246	0	0	0
James H Sammons
241535	0	72311	0	899	0	4574	0	12302	0	331621	0	0	0
Thomas J Hoffmier
207841	0	50000	0	1298	0	7962	0	15392	0	282493	0	0	0
Nauman Naseer
245687	0	0	0	218	0	3738	0	14929	0	264572	0	0	0
Krishna R Padiyar
168700	0	8000	0	138	0	2527	0	28147	0	207512	0	0	0
Joseph Buchheit
0	229525	0	41221	0	22138	0	19617	0	22322	0	334823	0	0
Richard Hanson
0	91580	0	680	0	7762	0	6444	0	2207	0	108673	0	69611

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part I, Line 4b	The filing organization participates in a BSHSI sponsored executive retirement program that allows for deposits into additional retirement plans and is available only to officers and key employees. The 457F plan is a non-qualified plan and is subject to a minimum three-year service requirement before vesting deposits are made into this plan. The following individuals received payments in 2011: Richard Hanson - $71,180.
Part III	Part 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 Information

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Form 990, Part VI, Section A, line 6	The General Minister and General Council of the Bernardine Sisters of the Third order of St. Francis and Bon Secours Health System, Inc. are the members of Mary Immaculate Hospital.
Form 990, Part VI, Section A, line 7a	The governing body of Mary Immaculate Hospital is appointed by both members, with Bon Secours Health System, Inc. having the majority vote.
Form 990, Part VI, Section A, line 7b	Certain authorities of Mary Immaculate Hospital are reserved to its members.
Form 990, Part VI, Section B, line 11	The process the organization uses to review the Form 990 consists of a review by the local system's audit and compliance board-committee and providing the form to the local system board of directors to allow for a thorough review by both before the filing date of July 16, 2012. 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 July 16, 2012.
	The organization regularly and consistently monitors compliance with the conflict of interest policy. On an annual basis, all persons subject to the policy, including all officers, directors and key employees are required to make certain disclosures. These include disclosures related to certain personal, financial and organizational relationships that may present a conflict, or the appearance of a conflict of interest with the organization. All disclosures go through a three-part review process: (1) disclosures are reviewed first by the corporate responsibility officer (CRO); (2) a governance team comprised of the CEO, board president, board chair, CRO, and the BSHSI CRO participate in a second review of all disclosures during which recommendations are made as to the resolution of any conflicts or potential conflicts. Depending on the facts and circumstances, resolutions may include ongoing disclosure, recusal or removal of the conflict; and (3) all disclosures and recommendations are reviewed by a board committee (audit and compliance committee reviews the disclosures of management and the governance committee reviews the disclosures of the board and board committee members).	Form 990, Part VI, Section B, line 12c
	The compensation committee of the board of Bon Secours Health System, Inc. (BSHSI) engages in a comprehensive process for the oversight and management of remuneration for executive employees and disqualified parties of the BSHSI. The compensation committee consists of a group of independent board members and engages 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' 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 positions of other officers or key employees of the organization were compared to similar position market data in comparably situated organizations taking into consideration geographic location and organization size where appropriate. During the review and approval of the compensation, documentation of the decision was recorded in human resources.	Form 990, Part VI, Section B, line 15
	Mary Immaculate Hospital provides any documents open to public inspection upon request.	Form 990, Part VI, Section C, line 19
	Hours worked are not tracked on an entity by entity basis. All officers' and directors' 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. Gregory Simia's compensation is paid by Maryview Hospital, a related organization. The compensation he receives is for his role as the Chief Financial Officer of Bon Secours Hampton Roads Health System which includes direct financial management, monitoring and oversight of Bon Secours Hampton Roads Health System and its 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. Patricia Robertson's compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation she receives is for her role as the Executive Vice President of Mary Immaculate Hospital and both nursing care facilities in the Hampton Roads Health System. Sr. Patricia Heath does not receive payroll distributions as she has taken a vow of poverty.	Form 990, Part VII:
Changes in Net Assets or Fund Balances:	Net unrealized gains on investments: 1,114,333. Donated services and use of facilities: -21,360. BSHSI - Debt/Principal Payment: -1,162,133. Add'l Minimun Pension Liability: 1,021,780. Other: 5,021. Assets released from restrictions: 84,165. Total to Form 990, Part XI, Line 5: 1,041,806.	Form 990, Part XI, line 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Mary Immaculate Hospital Auxiliary
2 Bernadine Drive	Newport News	VA	23602	546040266	Auxiliary	VA	501(c)(3)	11c-FI	N/A	0
Mary Immaculate Foundation
7007 Harbour View Blvd Suite 108	Suffolk	VA	23435	311644734	Fundraising	VA	501(c)(3)	11c-FI		1	Mary Immaculate Hospital
Mary Immaculate Nursing Center
7007 Harbour View Blvd Suite 108	Suffolk	VA	23435	541516476	Nursing Care Center	VA	501(c)(3)	9		1	Mary Immaculate Hospital
Bon Secours Hampton Roads Health System Inc
7007 Harbour View Blvd Suite 108	Suffolk	VA	23435	521538513	Local System Parent Org	VA	501(c)(3)	11b		0	Bon Secours Health System Inc
Bon Secours Maryview Nursing Care Center
7007 Harbour View Blvd Suite 108	Suffolk	VA	23435	521578169	Nursing Care Center	VA	501(c)(3)	9		0	Bon Secours Hampton Roads Health System
Bayley Properties
7007 Harbour View Blvd Suite 108	Suffolk	VA	23435	541424748	Rental	VA	501(c)(2)	N/A		0	Bon Secours De Paul Medical Center
Bon Secours Health System Inc
1505 Marriottsville Road	Marriottsville	MD	21104	521301088	Parent Org. Management Services	MD	501(c)(3)	11b		0	Bon Secours Inc
Bon Secours DePaul Health Foundation
7007 Harbour View Blvd Suite 108	Suffolk	VA	23435	541843876	Fundraising	VA	501(c)(3)	11c-FI		0	Bon Secours Hampton Roads Health System
Bon Secours Maryview Foundation
7007 Harbour View Blvd Suite 108	Suffolk	VA	23435	521694731	Fundraising	VA	501(c)(3)	11c-FI		0	Bon Secours Hampton Roads Health System
Bon Secours DePaul Medical Center Inc
7007 Harbour View Blvd Suite 108	Suffolk	VA	23435	541820093	Healthcare	VA	501(c)(3)	3		0	Bon Secours Hampton Roads Health System
Maryview Hospital
7007 Harbour View Blvd Suite 108	Suffolk	VA	23707	540506463	Healthcare	VA	501(c)(3)	3		0	Bon Secours Hampton Roads Health System

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
Province Place of Maryview LLC
One Bon Secours Way	Portsmouth	VA	23703	541842697	Assisted Living	VA	Professional Health Care Mgmt	Related	0	0	0.00000
Province Place of DePaul LLC
6403 Granby Street	Norfolk	VA	23505	541950880	Assisted Living	VA	Professional Health Care Mgmt	Related	0	0	0.00000

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
Professional Health Care Mgmt Inc
7007 Harbourview Blvd Suite 108	Suffolk	VA	23435	541241031	Administrative	VA	Bon Secours Hampton Roads Health System Inc	C
Tidewater Diversified Inc
7007 Harbourview Blvd Suite 108	Suffolk	VA	23435	541431826	Pharmacy	VA	Bon Secours DePaul Medical Center Inc	C
OSF Inc
7007 Harbourview Blvd Suite 108	Suffolk	VA	23435	541369919	Rental	VA	Mary Immaculate Hospital Inc	C	124321	1355814	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg