Bon Secours - St Mary's Hospital of Richmond Inc: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- Bon Secours - St Mary's Hospital of Richmond Inc (EIN 54-0793767)
- Tax period
- 2010-09-01 to 2011-08-31
- Filed
- 2012-07-12
- IRS object ID
- 201221949349300132
- 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 H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-07-12T12:42:02-05:00 | 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 | 540793767 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's Hospital of Richmond Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STMA | NameControl |
| Phone | 8046275400 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8580 Magellan Parkway Building IV | AddressLine1 |
| City | Richmond | City |
| State | VA | State |
| ZIP Code | 23227 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Peter F Gallagher | Name |
| Title | Treasurer CFO-BSV | Title |
| Phone | 8042818316 | Phone |
| Date Signed | 2012-07-12 | 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
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Toni R Ardabell | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5801 Bremo Road | AddressLine1 |
| City | Richmond | City |
| State | VA | State |
| ZIP Code | 23226 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 660513631 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.bonsecours.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1961 | YearFormation |
| State Legal Domicile | VA | StateLegalDomicile |
| Activity Or Mission Description | Acute Care Hospital | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 4122 | TotalNbrEmployees |
| Total Nbr Volunteers | 700 | TotalNbrVolunteers |
| Total Gross UBI | 2657717 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -86898 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 264325 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3400539 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 603624335 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 634418015 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2741987 | InvestmentIncomePriorYear |
| Investment Income Current Year | 18985311 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2116387 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2993627 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 608747034 | TotalRevenuePriorYear |
| Total Revenue Current Year | 659797492 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 237986855 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 244951409 | 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 | 338284793 | OtherExpensePriorYear |
| Other Expenses Current Year | 369492771 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 576271648 | TotalExpensesPriorYear |
| Total Expenses Current Year | 614444180 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 32475386 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 45353312 | RevenuesLessExpensesCY |
| Total Assets BOY | 647150444 | TotalAssetsBOY |
| Total Assets EOY | 711581073 | TotalAssetsEOY |
| Total Liabilities BOY | 253275729 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 252626501 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 393874715 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 458954572 | NetAssetsOrFundBalancesEOY |
| Mission Description | The mission is to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a system of caregivers, we commit ourselves to help bring people and communities to health and wholeness. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 396173167 | Expense |
| Revenue | 457096292 | Revenue |
| Description | St. Mary's Hospital provides medical care to patients without regard to their ability to pay. As the major community not for profit hospital in Richmond, St. Mary's is the access for under-insured and financially disadvantaged who will not be treated at the for profit hospitals. In addition, St. Mary's provides support for community services. Please refer to the Community Benefit information on Schedule H. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 159432798 | Expense |
| Revenue | 174395511 | Revenue |
| Description | St. Mary's Hospital provides shared services to related organizations to assist with furthering its mission of providing help to those in need. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 14360 | Expense |
| Revenue | 181608 | Revenue |
| Description | The Bon Secours St. Mary's Hospital School of Medical Imaging offers an accredited 18-month radiography program designed to prepare individuals to enter the workforce as Diagnostic Radiologic Technologists. This new and innovative curriculum will allow students to enter the workforce more quickly while maintaining high standards of education. The Radiography program quality and depth has remained the same and continues to meet requirements established by the American Society of Radiologic Technologists. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 555620325 | 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 | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | 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 | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | 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 | 286 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 4122 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | VA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Melinda S Hancock | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8046275400 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8580 Magellan Parkway Building IV | AddressLine1 |
| City | Richmond | City |
| State | VA | State |
| ZIP Code | 23227 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| Jean Ann Bolling | ||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | |||
| John Bowman MD | ||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | |||
| Robert J Cohen MD | ||||||||
| President | 4.00 | X | 0 | 0 | 0 | |||
| Alexander J Corbett PhD | ||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | |||
| Mark Gordon | ||||||||
| Board Member | 50.00 | X | 0 | 459644 | 57923 | |||
| Richard Jackson MD | ||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | |||
| Kenneth J Jones | ||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | |||
| Sr Anne Marie Mack CBS | ||||||||
| Board Member | 50.00 | X | 0 | 0 | 0 | |||
| Joanne Nattrass | ||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | |||
| Michael Robinson | ||||||||
| Board Member | 50.00 | X | 0 | 520898 | 78018 | |||
| Nancy Thomas | ||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | |||
| Jane Watkins | ||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | |||
| Michael Williams | ||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | |||
| Peter B Cleal | ||||||||
| Chairman (Sept-Dec) | 6.00 | X | 0 | 0 | 0 | X | ||
| Thomas Winfree | ||||||||
| Chairman (Feb-Aug) | 6.00 | X | 0 | 0 | 0 | X | ||
| Sr Victoria V Segura MD CBS | ||||||||
| President | 50.00 | X | 0 | 0 | 0 | X | ||
| Toni Ardabell | ||||||||
| CEO-SMH | 50.00 | X | 0 | 473594 | 35077 | X | ||
| Allen Goolsby | ||||||||
| Secretary | 6.00 | 0 | 0 | 0 | X | |||
| Peter J Bernard | ||||||||
| CEO-BSV | 50.00 | 0 | 965548 | 188973 | X | |||
| Peter F Gallagher | ||||||||
| Treasurer (CFO-BSV) | 50.00 | 0 | 476340 | 58283 | X | |||
| Marc R Katz | ||||||||
| Cardiologist | 50.00 | 743640 | 0 | 35727 | X | |||
| Matthew L Brengman | ||||||||
| Physician | 50.00 | 731162 | 0 | 35502 | X | |||
| Gregory L Schroder | ||||||||
| Physician | 50.00 | 715809 | 0 | 32893 | X | |||
| Mark R Bladergroen | ||||||||
| CMIO | 50.00 | 630347 | 0 | 22419 | X | |||
| Mark F Warner | ||||||||
| Cardiologist | 50.00 | 598476 | 0 | 27738 | X | |||
| Michael Kerner | ||||||||
| Former Board Member | 50.00 | 0 | 606241 | 145769 | X | |||
| Thomas Morris PhD | ||||||||
| Former Board Member | 50.00 | 0 | 351566 | 40989 | X | |||
| Thomas Koenig | ||||||||
| Former COO-SMH | 0.00 | 204267 | 0 | 0 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3623701 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3853831 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 759311 | TotalOtherCompensation |
| Number Individuals GT100 K | 193 | 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 |
|---|---|---|---|---|---|
| Amerisource Bergen | |||||
| PO Box 5195 | New York | NY | 100875195 | Pharmaceutical Services | 8737426 |
| Free Agents Marketing | |||||
| 10124 West Broad Street Suite N | Glen Allen | VA | 23060 | Marketing Services | 7331058 |
| Central VA Health Network | |||||
| 2201 West Broad Street 202 | Richmond | VA | 232202022 | Care Management | 4889052 |
| Synthes USA | |||||
| PO Box 8538-662 | Philadelphia | PA | 191710662 | Medical Devices Supplier | 4854845 |
| Depuy Orthopaedics Inc | |||||
| 5972 Collections Ctr Dr | Chicago | IL | 60693 | Medical Devices Supplier | 4507868 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 287 | NumberOfContractorsGT100K |
| Related Organizations | 114244 | RelatedOrganizations |
| Government Grants | 2968828 | GovernmentGrants |
| All Other Contributions | 317467 | AllOtherContributions |
| Total Contributions | 3400539 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Patient Service Rev. | 621300 | 457096292 | 457096292 | |
| Shared Services | 561499 | 177140115 | 174395511 | 2744604 |
| Sch. of Med. Imag Tut. | 611310 | 181608 | 181608 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 634418015 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5518194 | TotalRevenueColumn |
| Exclusion | $5,518,194 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 259429 | TotalRevenueColumn |
| Exclusion | $259,429 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 910026 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 707931 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 202095 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 202095 | TotalRevenueColumn |
| Unrelated Business Revenue | -86887 | UnrelatedBusinessRevenue |
| Exclusion | $288,982 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 13215896 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 8208 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 13215896 | Securities |
| Other | -8208 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13207688 | TotalRevenueColumn |
| Exclusion | $13,207,688 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 272607 | GrossSalesOfInventory |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 272607 | TotalRevenueColumn |
| Exclusion | $272,607 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| Cafe & Vending | 722210 | 1539667 | $1,539,667 | |
| Joint Venture | 900099 | 414893 | $414,893 | |
| Clinical Trials | 900099 | 265287 | 265287 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 299078 | TotalRevenueColumn |
| Exclusion | $299,078 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2518925 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 659797492 | TotalRevenueColumn |
| Related Or Exempt Function Income | 631938698 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 2657717 | UnrelatedBusinessRevenue |
| Exclusion | $21,800,538 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 186641834 | Total |
| Program Services | 167977651 | ProgramServices |
| Management And General | 18664183 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14714473 | Total |
| Program Services | 13243026 | ProgramServices |
| Management And General | 1471447 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31104472 | Total |
| Program Services | 27994025 | ProgramServices |
| Management And General | 3110447 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12490630 | Total |
| Program Services | 11241567 | ProgramServices |
| Management And General | 1249063 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1381460 | Total |
| Program Services | 1243314 | ProgramServices |
| Management And General | 138146 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 702453 | Total |
| Program Services | 632208 | ProgramServices |
| Management And General | 70245 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19330 | Total |
| Program Services | 17397 | ProgramServices |
| Management And General | 1933 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72732868 | Total |
| Program Services | 65459581 | ProgramServices |
| Management And General | 7273287 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9083920 | Total |
| Program Services | 8175528 | ProgramServices |
| Management And General | 908392 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5783539 | Total |
| Program Services | 5205185 | ProgramServices |
| Management And General | 578354 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3040852 | Total |
| Program Services | 2736767 | ProgramServices |
| Management And General | 304085 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10471787 | Total |
| Program Services | 9424608 | ProgramServices |
| Management And General | 1047179 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1698081 | Total |
| Program Services | 1528273 | ProgramServices |
| Management And General | 169808 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 193686 | Total |
| Program Services | 174317 | ProgramServices |
| Management And General | 19369 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6839231 | Total |
| Program Services | 6839231 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26914886 | Total |
| Program Services | 24223397 | ProgramServices |
| Management And General | 2691489 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3113841 | Total |
| Program Services | 2802457 | ProgramServices |
| Management And General | 311384 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Medical Supplies | 92626085 | 83363477 | 9262608 |
| Purchased Services | 89038283 | 80134455 | 8903828 |
| Bad Debt | 19366384 | 19366384 | |
| BSHSI Mgt Allocation | 6798112 | 6118301 | 679811 |
| Medical Equip Rental | 5381344 | 4843210 | 538134 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14306629 | Total |
| Program Services | 12875966 | ProgramServices |
| Management And General | 1430663 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 614444180 | Total |
| Program Services | 555620325 | ProgramServices |
| Management And General | 58823855 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 200116573 | BOY |
| EOY | 221073232 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 3065 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51824049 | BOY |
| EOY | 53864362 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 273353 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7358970 | BOY |
| EOY | 7669607 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3007626 | BOY |
| EOY | 3503676 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 355601337 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 219162906 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 128642991 | BOY |
| EOY | 136438431 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 251271530 | BOY |
| EOY | 277911647 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 127572 | BOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4801133 | BOY |
| EOY | 10843700 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 647150444 | BOY |
| EOY | 711581073 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 68620358 | BOY |
| EOY | 71528267 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 10818056 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49227882 | BOY |
| EOY | 48101258 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 135427489 | BOY |
| EOY | 122178920 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 253275729 | BOY |
| EOY | 252626501 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 393802335 | BOY |
| EOY | 458920622 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 72380 | BOY |
| EOY | 33950 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 393874715 | BOY |
| EOY | 458954572 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 647150444 | BOY |
| EOY | 711581073 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 45353312 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 19726545 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $19,330 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 19330 | 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 | St. Mary's Hospital paid dues to the American Hospital Association (AHA), the Virginia Hospital Healthcare Association (VHHA) and the Catholic Hospital Association (CHA), a portion of which is used for lobbying activities. The portion of dues allocated to lobbying activities for each of these organizations is as follows: Lobbying activity for AHA ($10,041 or 24.2%), VHHA ($8,904 or 9.7%), CHA ($385 or 4.68%) for a total of $19,330. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4346148 | OtherCostOrOtherBasis |
| Book Value | 4346148 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 136320183 | OtherCostOrOtherBasis |
| Depreciation | 67452382 | Depreciation |
| Book Value | 68867801 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11829989 | OtherCostOrOtherBasis |
| Depreciation | 2356193 | Depreciation |
| Book Value | 9473796 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 156280159 | OtherCostOrOtherBasis |
| Depreciation | 123698566 | Depreciation |
| Book Value | 32581593 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 46824858 | OtherCostOrOtherBasis |
| Depreciation | 25655765 | Depreciation |
| Book Value | 21169093 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 136438431 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Other Liabilities | $107,315,294 |
| Current installment of LT Debt | $1,126,624 |
| Due to affiliates | $11,247,491 |
| Due to BSHSI | $2,489,511 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 122178920 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Uncertain Tax Positions Under FIN 48: | Identifier |
| Return Reference | Part X: | ReturnReference |
| Explanation | Schedule D, Part X, Line 2 requires that the organization provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under 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. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 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 | 12685515 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 12685515 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03080 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 46017637 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 31751267 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14266370 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03470 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 58703152 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 31751267 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 26951885 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06550 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 20 | NumberOfActivitiesOrPrograms |
| Persons Served | 37598 | PersonsServed |
| Total Community Benefit Expense | 10584021 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10584021 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02570 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 48 | PersonsServed |
| Total Community Benefit Expense | 1509598 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 410634 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1098964 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00270 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Persons Served | 1260 | PersonsServed |
| Total Community Benefit Expense | 156938 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 156938 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 27 | NumberOfActivitiesOrPrograms |
| Persons Served | 38906 | PersonsServed |
| Total Community Benefit Expense | 12250557 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 410634 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11839923 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02880 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 27 | NumberOfActivitiesOrPrograms |
| Persons Served | 38906 | PersonsServed |
| Total Community Benefit Expense | 70953709 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 32161901 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 38791808 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09430 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 886 | PersonsServed |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 5000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 5000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 8 | PersonsServed |
| Total Community Building Expense | 4110 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4110 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 894 | PersonsServed |
| Total Community Building Expense | 9110 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 9110 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $4,702,950 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 95034265 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 115231198 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -20196933 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's Hospital of Richmond Inc | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5801 Bremo Road | AddressLine1 |
| City | Richmond | City |
| State | VA | State |
| ZIP Code | 23226 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 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 | 25 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (25 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType | Address Line2Address/AddressLine2 |
|---|---|---|---|---|---|
| Cardiovascular Associates of VA | |||||
| 7001 Forest Ave Suite 200 | Richmond Cardiology | VA | 23230 | Physician Practice | |
| Women's Imaging Center | |||||
| 5875 Bremo Road MOB South Suite 105 | Richmond | VA | 23226 | Imaging | |
| Perinatal Center | |||||
| 5855 Bremo Road MOB North Suite 306 | Richmond | VA | 23226 | Physician Practice | |
| Dominion Surgical Associates | |||||
| 5855 Bremo Road MOB North Suite 406 | Richmond | VA | 23226 | Physician Practice | |
| Cardiac Surgery Specialists | |||||
| 5875 Bremo Road MOB South Suite G-5 | Richmond Cardiology | VA | 23226 | Physician Practice | |
| Commonwealth Gynecologic Oncology | |||||
| 5875 Bremo Road MOB South Suite G-7 | Richmond | VA | 23226 | Physician Practice | |
| Richmond Cardiology | |||||
| 7001 Forest Ave Suite 100 | Richmond Cardiology | VA | 23230 | Physician Practice | |
| PTOTSPLymphedema | |||||
| 5875 Bremo Road MOB South Suite 611 | Richmond | VA | 23226 | Physical Therapy | |
| Monument Internal Medicine | |||||
| 5855 Bremo Road MOB North Suite 102 | Richmond | VA | 23226 | Physician Practice | |
| Associated Internists | |||||
| 5855 Bremo Road MOB North Suite 207 | Richmond Cardiology | VA | 23226 | Physician Practice | |
| Diagnostic Radiology 4 | |||||
| 2201 Grove Avenue Titus Hendrix | Richmond | VA | 23220 | Radiology | |
| Pediatric Endo & Diabetes Assoc | |||||
| 5875 Bremo Road MOB South Suite 207 | Richmond | VA | 23226 | Physician Practice | |
| Liver Institute of Virginia-MIH | |||||
| 5855 Bremo Road MOB North Suite 509 | Richmond Cardiology | VA | 23226 | Physician Practice | |
| Sports Medicine | |||||
| 9600 Patterson Avenue | Richmond | VA | 23229 | Sports Medicine | |
| Pediatric Lung Care | |||||
| 5875 Bremo Road MOB South Suite 104 | Richmond | VA | 23226 | Physician Practice | |
| Cardiac Rehab | |||||
| 7001 Forest Avenue Suite 101 | Richmond | VA | 23230 | Rehab | |
| Diabetes Treatment Center | |||||
| 5875 Bremo Road MOB South Suite 712 | Richmond | VA | 23226 | Diabetes Treatment | |
| Arthritis & Osteroporosis Center | |||||
| 9600 Patterson Avenue | Richmond Cardiology | VA | 23229 | Physician Practice | |
| Surgical Dermatology Center | |||||
| 5207 Hickory Park Drive Suite A | Glen Allen | VA | 23059 | Physician Practice | |
| Palliative Care Clinic | |||||
| 2366 Colony Crossing | Midlothian | VA | 23112 | Physician Practice | |
| Pediatric Neurology Clinic | |||||
| 5875 Bremo Road MOB South Suite 207 | Richmond | VA | 23226 | Physician Practice | |
| Lactation Center (A Woman's Place) | |||||
| 4121 Cox Road Suite 110 | Glen Allen | VA | 23059 | Lactation Center | |
| Developmental Assessment Clinic | |||||
| 5875 Bremo Road MOB South Suite 104 | Richmond | VA | 23226 | Physician Practice | |
| Liver Institute of Virginia | |||||
| 5855 Bremo Road MOB North Suite 509 | Richmond Cardiology | VA | 23226 | Physician Practice | |
| OP Radiology | |||||
| 5855 Bremo Rd MOB North Ground | Richmond | VA | 23226 | Radiology | Floor |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| Part I, Line 6a: Annually, Bon Secours Richmond Health System (BSRHS) publishes a report for the community, explaining the various community benefit services and programs that exist. This report also includes the annual financial commitment of the local system to the community, detailing monetary contributions for government sponsored healthcare shortfall, community benefit programs and charity care at cost. This report is available to the public each year on or around January 24, commemorating Foundation Day of the Sisters of Bon Secours. | ||
| Part I, Line 7: Part I, line 7a: Charity Care at cost is computed by applying a cost-to-charge ratio to the aggregate charity adjustments recorded in the general ledger. Part I, line 7b: Unreimbursed Medicaid is computed by determining the cost of Medicaid services supplied less payments received for these services. To determine the cost of Medicaid services provided, a cost-to-charge ratio is applied to traditional and managed Medicaid gross charges recorded in the general ledger. Payments include payments for individual claims, payments from the Medicaid program paid outside the claim process (such as medical education payments) and expected or actual cost report settlements.Part I, line 7c: Unreimbursed costs from other means-tested government programs are computed by applying a cost-to-charge ratio to the total charges to patients covered under these programs. The charges are identified by the financial class assigned to the patient. For Part I, Line 7 a-c computations: The cost-to-charge ratio is derived using the suggested computation in Worksheet 2, Ratio of Patient Care Cost-to-Charges. Operating expenses and Gross patient charges are taken from the general ledger. Expenses for nonpatient care activities recorded in operating expenses are approximated as directly equaling other operating revenue, assuming these activities do not provide profit. Part I, line 7e: Community health improvement services and community benefit operations are accumulated throughout the year and reported at actual cost in a software program that specifically addresses this purpose.Part I, line 7f: Health professions education cost is determined as the direct and indirect cost of qualifying education activities as traditionally reported in columns 21-24 on Worksheet B of the Medicare cost report as a Medical Education program, nursing school or other allied health program. | ||
| Part I, L7 Col(f): The bad debt expense included in Part IX; line 25 and excluded from the "percent of total expense" calculation is: $19,380,876 | ||
| Part II: SMH's Project SEARCH is a workforce development program for students with Autism Spectrum Disorders (ASD). Students spend their entire final year of high school at the hospital rotating through three internships, each lasting 10 to 12 weeks. Internships are based on the skills and interests of each student and are held in a variety of locations including: Cardiac Care, Care Management, Pharmacy, Diabetes Treatment Center, Main Operating Room, Central Sterile, Materials Management, and Durable Medical Equipment. The goal for each student is competitive employment somewhere in the community using the skills they have acquired at Bon Secours. In fiscal year 2011, 8 students participated in Project SEARCH.Advancing the Bon Secours mission "to bring people and communities to health and wholeness," the Bon Secours Richmond Health System and SMH leadership in collaboration with Dunany Plater Zyberk & Company (DPZ) a leading proponent of traditional town planning and New Urbanism sponsored a weeklong charrette in fiscal year 2010. The purpose of the charrette was to engage hospital staff, administration and supporters along with neighbors, municipal officials and a team of design consultants to develop a vision for the next 40 years. Completion of the final charrette report occurred in fiscal year 2011. | ||
| 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 Richmond Health System, SMH uses multiple approaches to assess the health needs of the communities it serves. In October 2009, the Central Virginia Health Planning Agency released an Immigrant Needs Assessment commissioned by Bon Secours Richmond Health System in collaboration with SMH. This work documented the growth of the immigrant population in the metropolitan Richmond area and made multiple recommendations including the need for interpretation and translation services, health resource information in other languages, preventive services, health screenings including vision and dental, affordable health insurance for immigrants and their families and access to behavioral health services. Bon Secours Richmond has initiated many of the recommendations.Health care needs of the community are assessed and updated using a variety of informational sources including Virginia Health Information for state-based performance data, Health Group West and Hammes Company for market and geographic data. Thomson-Reuter's Market Expert is used to retrieve demographic information and trends for the primary and secondary service areas pertaining to SMH. National Research Corporation (NRC) is also utilized. | ||
| Part VI, Line 3: Patient financial assistance policy is communicated to patients verbally upon scheduling, registration, visible postings of the policy in common areas throughout the hospital, brochures and on Bon Secours website. In addition, patient statements request that patients apply for financial assistance, if needed, once any patient financial obligation is determined.Bon Secours is committed to ensuring access to health care services for all. As a health care provider, Bon Secours treats all patients, whether insured, underinsured or uninsured, with dignity, respect and compassion throughout admission, delivery of services, discharge and billing and collection processes. Bon Secours addresses the needs of the uninsured by providing free or reduced fees on hospital services, community outreach efforts to assist with enrollment in Medicaid and other medical coverage programs, including free community-based preventive and primary care services. Bon Secours proactively screens to identify individuals and their families who may qualify for federal, state or local health insurance programs or the Bon Secours Patient Financial Assistance Program ("FAP") and assist the potential eligible patients through the qualification process. Potentially eligible patients that do not qualify for a federal or state health insurance program are referred to the Financial Assistance Coordinator located in Patient Financial Services for assistance in completing the documentation required to establish FAP eligibility. Patients are responsible for providing the information necessary to complete the documentation. The FAP aids uninsured and underinsured patients who do not qualify for government-sponsored health insurance and who communicate their inability to pay for their medical care. The FAP provides 100% financial assistance to uninsured patients with annual family incomes at or below 200% of the Federal Poverty Guidelines ("FPG"), as adjusted by the Medicare geographic wage index for each community served to reflect that community's relative cost of living ("Adjusted FPG"). Adjustments to these guidelines are made in certain States, where applicable. A sliding scale assistance policy is afforded patients that exceed the income guidelines for 100% assistance. Sliding scale assistance is provided to patients and progressively declines in proportion to the patient's higher income level. Additionally, all uninsured (i.e. self pay) patients are given a reduction to the amount of the full charges for medically necessary services through a community service adjustment ("CSA"). The CSA is market adjusted and based on the payment discount received by other health care payers doing business in the community. For these patients, the FAP also sets a maximum annual family payment liability to ensure that no family suffers a catastrophic financial burden to receive necessary health care services. Based on research conducted by the Tax Foundation, a non partisan tax research group based in Washington DC, the maximum annual family liability is based on a sliding scale determined by the family income and size. The standard sliding scale is adjusted by the Medicare geographic wage index of each community served to reflect that community's relative cost of living. All patients are also eligible for a Prompt Pay Discount. In addition, a variety of other potential payment options are available. Bon Secours is dedicated to meeting the needs of non-English speaking patients by having on-site Spanish translators, and other language translation services. In addition, Bon Secours employs a telephone language service which assists in meeting any language needs that arise. The translation services are offered to non-English speaking patients from admission to discharge, including the financial process. | ||
| Part VI, Line 4: SMH serves the greater Richmond, Virginia area. Projections indicate that the population will grow by 5.0% from 1,242,918 in 2010 to 1,304,689 in 2015, with 9.2% of the service area having a household income of less than $15,000 per year, compared to the national average of 12.1%. Similarly, 17.3% of the service area's populace maintains a household income less than $25,000 per year, compared to the national average of 22.3%. Demographic data shows that 61.6% of the population is white and 29.4% is black, compared to the national averages of 64.7% and 12.1% respectively. Demographics of the service area indicate that the age cohort of 64 to 75 will increase by 29.5% between 2010 and 2015. SMH is a disproportionate share hospital (DSH). In fiscal year 2011, it served 21,583 inpatients and provided outpatient services for 81,607 visits. Additionally, Bon Secours SMH provided 65,757 emergency room visits. The Emergency Department is open 24 hours a day and available to all persons regardless of ability to pay. Bon Secours SMH participates in Medicare, Medicaid, CHAMPUS, Tricare and other government sponsored health care programs such as the State/Local Hospitalization program and the SCHIP/FAMIS program for children. | ||
| Part VI, Line 6: SMH has an open medical staff with privileges available to all qualified physicians in the area. SMH, through the BSRHS is governed by a board of directors whose composition is representative of the community. SMH also engages in medical research. Inpatient and outpatient research-related activities are conducted by SMH with oversight from the BSRHS Institutional Review Board. BSRHS' commitment to the poor and disadvantaged is more than providing free or discounted services to those who come to the health care facilities in crisis without financial means to pay. The call to live a healing ministry requires that BSRHS nurture the growth of individual and community capacities and create opportunities for each individual to assume a meaningful role in defining and pursuing holistic wellbeing, peace, and hope. BSRHS is a prophetic voice for just and equitable public policies that ensure access to basic human goods for all people. BSRHS participates in collaborative partnerships throughout the metropolitan area to support improving the quality of life for individuals and the community. The following are illustrative examples of numerous community benefit programs impacting St Mary's Hospital (SMH).Noah's Children, located at SMH, is Central Virginia's only pediatric hospice and palliative care program. It is a specialized program of comprehensive care serving infants, children and adolescents who have been diagnosed with a life-threatening illness. This holistic program ensures compassionate care at the most difficult time for a family by addressing their physical, emotional, social, spiritual and practical needs, so that they can focus on making sure their child's remaining time is as rich and meaningful as possible. In FY 11, 68 families were served.SMH provides lab services free of charge to eight area free clinics as well as to patients of the Bon Secours Care-A-Van and St. Joseph's Outreach Clinic. The cost of these services is $368,914.Bon Secours SMH owns twelve physician practices. They provided free or reduced fee services to patients in FY 11 at a cost of $426,514.SMH provides training and education of health care professionals. The Bon Secours SMH's School of Imaging, sponsored by SMH had 48 enrolled students in fiscal year 2011. For the second year in a row, Richmond, VA, has been named the "Asthma Capital" in the research and ranking by the Asthma and Allergy Foundation of America (AAFA). The annual Asthma Capitals report is a list of the 100 most challenging places to live with asthma. Controlling Asthma in the Richmond Metropolitan Area (CARMA) works to improve the management of pediatric asthma through collaborative partnerships with multiple health care systems, schools, American Lung Association, community physicians and schools, case management organizations, and universities. In FY 11 over 2,888 children, parents, teachers and physicians were directly served through CARMA's services. Every Women's Life (EWL), Virginia Breast and Cervical Cancer Early Detection Program is a partnership with the Virginia Department of Health, with funding through the Centers for Disease Control and Prevention. This program provides breast and cervical cancer screenings and diagnostic testing if needed for low income, uninsured women who are 40 to 64 years old. If cancer is found, women are enrolled in Medicaid for treatment. Bon Secours Richmond Health System holds clinics in three facilities in the Richmond Metro area. Additionally, Bon Secours Richmond provides case management, follow-up and patient education for these women. In FY 11, 742 screenings were provided.Bon Secours' mobile health outreach program is called Care-A-Van. Mobile vans travel throughout the metropolitan Richmond area to provide free care to the uninsured including health screenings, childhood immunizations, flu shots for adults, school physicals for children and examination and treatment of sick patients. Each van is a self-contained clinic with examining rooms, storage, bathroom, and waiting area. Patients who need health care from specialists are referred to volunteer physicians within the community including Bon Secours Medical Group physicians. The vans make regular stops six days a week at churches, apartments and schools, providing 9,492 patient visits in FY 11. Bon Secours Richmond Health System partners with the Daily Planet, a federally qualified health center and Saint Joseph's Villa for Children, a not-for-profit organization serving children with special needs, at risk youth, and adults with disabilities to create Saint Joseph's Outreach Clinic. The clinic provides primary care services to both the insured and the uninsured and serves a large Hispanic population. In FY 11, 5,955 patient visits were provided. Bon Secours Richmond Health System assists low to moderate-income families whose children may qualify for state-sponsored insurance programs (Medicaid and FAMIS). Partnerships have developed with other agencies that have enrollers to identify and refer uninsured children, avoid duplication of effort, and to share responsibilities for case managing to complete the enrollment process. Three Bon Secours Richmond outreach specialists enrolled or re-enrolled over 921 children in FAMIS or Medicaid in FY 11.Founded over ten years ago, the Faith Community Health Ministry Network partners with churches to recruit and train volunteer nurses and other health ministers who in turn work to promote physical, social, emotional and spiritual growth within the congregation. BSRHS trains and supports 196 congregational promoters, faith community nurses and other health ministers.The nationally recognized Reach Out and Read (ROR) program provides books for young children when they visit the SMH's and Richmond Community Hospital Emergency Departments and the Care-A-Van. Volunteers transform the sites into literary rich areas for children and parents while helping families learn the joys and techniques of reading aloud. Volunteers distributed 2,105 books in FY 2011. | ||
| 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 Richmond Health System (BSRHS) is called to continue the healing ministry of Jesus. BSRHS 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." BSRHS 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 BSRHS. | ||
| VA | Reports Filed With States | Part VI, Line 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| 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 | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mark Gordon | |||||||||||||
| 0 | 334541 | 0 | 101237 | 0 | 23866 | 0 | 30227 | 0 | 27696 | 0 | 517567 | 0 | 0 |
| Michael Robinson | |||||||||||||
| 0 | 395596 | 0 | 94735 | 0 | 30567 | 0 | 58409 | 0 | 19609 | 0 | 598916 | 0 | 0 |
| Toni Ardabell | |||||||||||||
| 0 | 355805 | 0 | 84183 | 0 | 33606 | 0 | 32375 | 0 | 2702 | 0 | 508671 | 0 | 0 |
| Peter J Bernard | |||||||||||||
| 0 | 733983 | 0 | 222954 | 0 | 8611 | 0 | 158275 | 0 | 30698 | 0 | 1154521 | 0 | 0 |
| Peter F Gallagher | |||||||||||||
| 0 | 387134 | 0 | 86236 | 0 | 2970 | 0 | 27746 | 0 | 30537 | 0 | 534623 | 0 | 0 |
| Marc R Katz | |||||||||||||
| 740013 | 0 | 0 | 0 | 3627 | 0 | 3180 | 0 | 32547 | 0 | 779367 | 0 | 0 | 0 |
| Matthew L Brengman | |||||||||||||
| 464451 | 0 | 266185 | 0 | 526 | 0 | 3072 | 0 | 32430 | 0 | 766664 | 0 | 0 | 0 |
| Gregory L Schroder | |||||||||||||
| 432725 | 0 | 281990 | 0 | 1094 | 0 | 3132 | 0 | 29761 | 0 | 748702 | 0 | 0 | 0 |
| Mark R Bladergroen | |||||||||||||
| 627484 | 0 | 0 | 0 | 2863 | 0 | 3216 | 0 | 19203 | 0 | 652766 | 0 | 0 | 0 |
| Mark F Warner | |||||||||||||
| 496392 | 0 | 100000 | 0 | 2084 | 0 | 3228 | 0 | 24510 | 0 | 626214 | 0 | 0 | 0 |
| Michael Kerner | |||||||||||||
| 0 | 463467 | 0 | 138768 | 0 | 4006 | 0 | 116245 | 0 | 29524 | 0 | 752010 | 0 | 0 |
| Thomas Morris PhD | |||||||||||||
| 0 | 258451 | 0 | 70978 | 0 | 22137 | 0 | 28541 | 0 | 12448 | 0 | 392555 | 0 | 0 |
| Thomas Koenig | |||||||||||||
| 0 | 0 | 0 | 0 | 204267 | 0 | 0 | 0 | 0 | 0 | 204267 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Line 1a | One executive received a country club membership for business use. A receipt was required to substantiate the amount eligible for reimbursement. The value of the country club membership was not included in compensation as St. Mary's Hospital of Richmond, Inc. considers the membership a business necessity. | |
| Part I, Lines 4a-b | Part 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: Thomas Koenig, $204,267. 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 are made into this plan. | |
| Part III | Part I, Line 3: Bon Secours Health System, Inc., a related organization of St. Mary's Hospital of Richmond, Inc., uses the following to establish the compensation of the organization's CEO/Executive Director: Compensation Committee Independent Compensation Consultant Written Employment Contract Compensation Survey or Study Approval by the Board or Compensation Committee | Supplemental Information |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Neurological Associates | |||
| BD. Member R. Cohen has more than 5% int. in Neurological Assoc. | 155490 | Independent Contractor | 0 |
| David Cleal | |||
| Child of BD. Member P. Cleal | 64744 | Employment | 0 |
| Whitney Robinson | |||
| Child of BD. Member M. Robinson | 17455 | Employment | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section A, line 6 | Bon Secours Health System, Inc. is the sole member of Bon Secours - Richmond Health Corp, which in turn holds the majority interest in Bon Secours - Richmond Health System, which in turn is the sole member of St. Mary's Hospital of Richmond, Inc. | |
| Form 990, Part VI, Section A, line 7a | The governing body of St. Mary's Hospital of Richmond, Inc. is appointed by it's member Bon Secours - Richmond Health System and subject to approval by Bon Secours Health System, Inc. | |
| Form 990, Part VI, Section A, line 7b | Certain authorities of St. Mary's Hospital of Richmond, Inc. are reserved to its member or to Bon Secours Health System, Inc. | |
| Form 990, Part VI, Section B, line 11 | The process the organization uses to review the Form 990 consists of a review by the local system's audit and compliance board-committee and providing the form to the local system board of directors to allow for a thorough review by both before the filing date 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 independent external compensation consultant to ensure they receive appropriate analysis of market and follow the practices necessary to obtain full compliance with the IRS' rebuttable presumption of reasonableness. The committee establishes and maintains a compensation philosophy, reviews pay practices against local, regional and national healthcare organizations and approves all remunerative decisions for this group of individuals. The committee reviews and receives assurances that all levels of pay within the organization are reasonable based on performance and validates incentives are met. These decisions are documented in the BSHSI board of director's and compensation committee minutes. Form 990, Part VI, Section B, Line 15b - Compensation Process Other Officers/Key Employees: For those key employees and highest paid employees that are not reviewed by the BSHSI compensation committee, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. In the review, the 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 | |
| Bon Secours - St. Mary's 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. Voluntary Board Members are not compensated for their time. Peter J. Bernard's compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation he receives is for his role as the CEO of Bon Secours Virginia Health System which includes direct management, monitoring and oversight of Bon Secours Richmond Health System, Bon Secours Hampton Roads Health System and their related organizations. Peter F. Gallagher's compensation is paid by Memorial Regional Medical Center, a related organization. The compensation he receives is for his 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. Toni Ardabell's compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation she receives is for her role as the Chief Executive Officer of St. Mary's Hospital of Richmond, Inc. Mark Gordon's compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation he receives is for his role as the Chief Executive Officer of St. Francis Medical Center, a related organization. Michael Robinson's compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation he receives is for his role as the Chief Executive Officer of Memorial Regional Medical Center and Richmond Community Hospital. Sr. Anne Marie Mack and Sr. Victoria Segura do not receive payroll distributions as they have taken vows of poverty. | Form 990, Part VII: | |
| Changes in Net Assets or Fund Balances: | Net unrealized gains on investments: 12,404,914. Grants & Contributions 81,638. Transfers - PPE -75,941. Transfers to Affiliates -5,528,291. Net assets released from restrictions used for operations -44,127. Minimum Pension Liability 12,888,352. Total to Form 990, Part XI, Line 5: 19,726,545. | Form 990, Part XI, line 5: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Community Ambulatory Surgery Center LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8580 Magellan Parkway | AddressLine1 |
| City | Richmond | City |
| State | VA | State |
| ZIP Code | 23227 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | Ambulatory Surgery Center | PrimaryActivities |
| Legal Domicile State | VA | LegalDomicileState |
| Total Income | 0 | TotalIncome |
| EOY Assets | 0 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's Hospital of Richmond | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Bon Secours Health System Inc | |||||||||||
| 1505 Marriotsville Road | Marriotsville | MD | 21104 | 521301088 | Parent Org. Management Services | MD | 501(c)(3) | 11b | Bon Secours Inc | 0 | |
| Bon Secours Richmond Health Corporation | |||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541356155 | Management Services | VA | 501(c)(3) | 11b | Bon Secours Health Sysytem Inc | 0 | |
| Bon Secours Richmond Health System | |||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 521988421 | Local System Parent Org. | VA | 501(c)(3) | 11b | Bon Secours Richmond Health Corporation | 0 | |
| Bon Secours Memorial Regional Medical Center | |||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541744931 | Health Care | VA | 501(c)(3) | 3 | Bon Secours Richmond Health System | 0 | |
| Bon Secours Richmond Community Hospital | |||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 540647482 | Health Care | VA | 501(c)(3) | 3 | Bon Secours Richmond Health System | 0 | |
| Bon Secours St Francis Medical Center | |||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 311716973 | Health Care | VA | 501(c)(3) | 3 | Bon Secours Richmond Health System | 0 | |
| Laburnum Properties | |||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 521260700 | Title Holding Company | VA | 501(c)(2) | Bon Secours Richmond Health System | 0 | ||
| Bon Secours Stuart Circle Hospital | |||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541740128 | Health Care | VA | 501(c)(3) | 3 | Bon Secours Richmond Health System | 0 | |
| Bon Secours Richmond Healthcare Foundation | |||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541201346 | Grant Making Foundation | VA | 501(c)(3) | 7 | Bon Secours Richmond Health Corporation | 0 | |
| St Mary's Hospital Auxiliary of Richmond | |||||||||||
| 5801 Bremo Road | Richmond | VA | 23226 | 540742852 | Health Care | VA | 501(c)(3) | 11b | 0 | N/A | |
Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| St Mary's MRI LP | |||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541568022 | Imaging Services | VA | Bon Secours Virginia Healthsource Inc | Related | 0 | 0 | 0.00000 |
| RI LP | |||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541708835 | Imaging Services | VA | Bon Secours Virginia Healthsource Inc | Related | 0 | 0 | 0.00000 |
| Broad64 Imaging LLC | |||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 205886018 | Imaging Services | VA | Bon Secours Virginia Healthsource Inc | Related | 0 | 0 | 0.00000 |
| Richmond Radiation Oncology Center I LLC | |||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 208444551 | Radiation Oncology Services | VA | Richmond Radiation Oncology Center Inc | Related | 0 | 0 | 0.00000 |
| Chesterfield Community Healthcare Center MOB I LLC | |||||||||||
| 435 Southlake Blvd | Richmond | VA | 23236 | 541745670 | Rental- Medical Office Building | VA | Bon Secours Virginia Healthsource Inc | Related | 0 | 0 | 0.00000 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| Chesterfield Community Healthcare Center Inc | ||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541812738 | Ambulatory Healthcare Services | VA | Bon Secours Richmond Health System | C |
| RHS Management Corporation | ||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541313425 | Independent Living Facility | VA | Bon Secours Richmond Health System | C |
| Bon Secours -Virginia HealthSource Inc | ||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541417686 | Ambulatory Healthcare Services | VA | Bon Secours Richmond Health System | C |
| Richmond MRI Inc | ||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541568452 | Imaging Services | VA | Bon Secours Virginia Healthsource Inc | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | 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 | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |