Bon Secours DePaul Medical Center Inc: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- Bon Secours DePaul Medical Center Inc (EIN 54-1820093)
- Tax period
- 2010-09-01 to 2011-08-31
- Filed
- 2012-07-16
- IRS object ID
- 201241989349300834
- 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 I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-07-16T15:09:24-05:00 | 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 | 541820093 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bon Secours DePaul Medical Center Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BONS | NameControl |
| Phone | 7578895000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7007 Harbour View Blvd No 108 | AddressLine1 |
| City | Suffolk | City |
| State | VA | State |
| ZIP Code | 23435 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Michael Kerner | Name |
| Title | Sec/Treas CEO - BSHR | Title |
| Phone | 7578895000 | Phone |
| Date Signed | 2012-07-16 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Laura L Catlett | Name |
| Phone | 7032511000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Michael K Kerner | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7007 Harbour View Blvd No 108 | AddressLine1 |
| City | Suffolk | City |
| State | VA | State |
| ZIP Code | 23435 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 187402332 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.bonsecourshamptonroads.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1996 | YearFormation |
| State Legal Domicile | VA | StateLegalDomicile |
| Activity Or Mission Description | Acute Care Hospital | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 19 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1132 | TotalNbrEmployees |
| Total Nbr Volunteers | 148 | TotalNbrVolunteers |
| Total Gross UBI | 1299835 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -215679 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 160247 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 319950 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 168064618 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 166743301 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -1445812 | InvestmentIncomePriorYear |
| Investment Income Current Year | 16478035 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1502699 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2440050 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 168281752 | TotalRevenuePriorYear |
| Total Revenue Current Year | 185981336 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 663012 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 58612863 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 62958438 | 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 | 112601609 | OtherExpensePriorYear |
| Other Expenses Current Year | 120893503 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 171214472 | TotalExpensesPriorYear |
| Total Expenses Current Year | 184514953 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -2932720 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1466383 | RevenuesLessExpensesCY |
| Total Assets BOY | 79304838 | TotalAssetsBOY |
| Total Assets EOY | 105618626 | TotalAssetsEOY |
| Total Liabilities BOY | 113455426 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 138402753 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -34150588 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -32784127 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | The mission is to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a system of caregivers, we commit ourselves to help bring people and communities to health and wholeness. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 31588027 | Expense |
| Revenue | 35730306 | Revenue |
| Description | DePaul continues a strong focus on orthopedic care for residents of Norfolk and Virginia Beach. A special expertise exists in the treatment of spine disorders, with a significant cadre of spine and neurosurgeons. DePaul was also recently recognized as a Blue Distinction Center of Excellence to attest to the excellence of care. This service includes a continuum of care from pre-operative education through post-op recovery, and is supported by state-of-the-art technology and expert physicians, as well as a comprehensive rehab network. In addition, a strong focus exists on community education through seminars and classes. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 17152973 | Expense |
| Revenue | 14131941 | Revenue |
| Description | DePaul recently established a bariatric surgery program, modeled on the successful program already in place at sister facility Maryview. DePaul has long been known for its premier gynecological oncology program, treating women from a 5-state area. Specialized OR, diagnostic, therapeutic, and nursing services are available to treat this disease, alongside specialty-trained expert physicians. Finally, DePaul is working extensively with neurosurgeons in expanding this part of the surgery service. New services added in 2010 include craniotomy surgery, deep brain stimulation, advanced spinal surgeries, and other neurosurgical procedures. As with other services and part of our mission, a strong focus exists on community education through seminars and classes. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 13782456 | Expense |
| Revenue | 12256924 | Revenue |
| Description | DePaul has committed significant resources to the care of cardiac patients. The comprehensive Early Detection Center is aimed at identifying cardiac disease early and referring patients to physicians as necessary for prompt and effective treatment. DePaul also upgraded equipment and nursing services to better support the service line. In FY10, Bon Secours DePaul began operating a state-of-the art, fully digital cardiac catheterization laboratory. In addition, DePaul's CT was upgraded to a 64-slice unit, enabling "beating heart" scans. DePaul continues strong relationships with other Bon Secours hospitals for the delivery of advanced cardiac interventions, such as cardiac surgery. In addition, a strong focus also exists on community education through seminars, classes, screenings, and special events, such as Day of Dance. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 105694768 | Expense |
| Grants | 663013 | Grants |
| Revenue | 104435986 | Revenue |
| Description | Other major services offered by Bon Secours DePaul Medical Center include a Birthing Center, Sleep, Gastroenterology and Pulmonary services. In addition, Bon Secours DePaul Medical Center offers a full service 24 hour Emergency Room. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 105694768 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 663013 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 104435986 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 168218224 | 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 | 1 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 92 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1132 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 19 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | VA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | James Pirtle | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7572152709 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7007 Harbour View Blvd Suite 108 | AddressLine1 |
| City | Suffolk | City |
| State | VA | State |
| ZIP Code | 23435 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (31 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Michael D Blount | |||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||||
| J Robert Bray | |||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||||
| Bruce Britton MD | |||||||||
| Board Member (Jan-Aug) | 4.00 | X | 0 | 0 | 0 | ||||
| Arthur L Collins | |||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||||
| William H Kline | |||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||||
| Michael S LaRock | |||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||||
| Margaret U Moser | |||||||||
| Board Member (Sept-Dec) | 4.00 | X | 0 | 0 | 0 | ||||
| Mary Jane Nero | |||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||||
| Carol Ormond | |||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||||
| P Ward Robinette Jr | |||||||||
| Board Member (Jan-Aug) | 4.00 | X | 0 | 0 | 0 | ||||
| R B Seal | |||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||||
| Robert Squatrito MD | |||||||||
| Board Member (Jan-Aug) | 4.00 | X | 1320 | 0 | 0 | ||||
| Deborah K Stearns | |||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||||
| Sr Rita Thomas | |||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||||
| Sr Elaine Davia | |||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||||
| Timothy J Davis | |||||||||
| Board Member | 50.00 | X | 0 | 743478 | 132790 | ||||
| Linwood E Howard | |||||||||
| Chairman | 6.00 | X | 0 | 0 | 0 | X | |||
| Sr Patricia Heath | |||||||||
| President | 50.00 | X | 0 | 0 | 0 | X | |||
| Michael K Kerner | |||||||||
| Sec/Treas (CEO-BSHR) | 50.00 | 0 | 606241 | 145769 | X | ||||
| Daniel Duggan | |||||||||
| Executive Vice-President | 50.00 | 0 | 364633 | 38702 | X | ||||
| John Barrett | |||||||||
| CEO | 50.00 | 0 | 0 | 0 | X | ||||
| Gregory Simia | |||||||||
| CFO - BSHR (Sept-May) | 50.00 | 0 | 438573 | 55734 | X | ||||
| Ernie Padden | |||||||||
| Int. CFO - BSHR (June-Aug) | 50.00 | 0 | 0 | 0 | X | ||||
| David Setchel | |||||||||
| VP Operations | 50.00 | 214987 | 0 | 39471 | X | ||||
| Kochicheril N Moni | |||||||||
| Physician | 50.00 | 412521 | 0 | 37040 | X | ||||
| Elizabeth Z Salzberg | |||||||||
| Physician | 50.00 | 263417 | 0 | 39881 | X | ||||
| James Mosure | |||||||||
| Physician | 50.00 | 262917 | 0 | 7343 | X | ||||
| Charles E Ives | |||||||||
| Physician | 50.00 | 255862 | 0 | 21572 | X | ||||
| Gregory Adams | |||||||||
| Physician | 50.00 | 318371 | 0 | 41640 | X | ||||
| Richard Hanson | |||||||||
| Former CEO BSHR | 0.00 | 0 | 100022 | 8651 | X | ||||
| Joseph Buchheit | |||||||||
| Former CFO BSHR | 50.00 | 0 | 292884 | 41939 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1729395 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2545831 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 610532 | TotalOtherCompensation |
| Number Individuals GT100 K | 71 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Rehabcare Group Inc | |||||
| PO Box 502096 | St Louis | MO | 631502096 | Rehabilitation Services | 4332521 |
| Eastern Virginia Medical School | |||||
| 721 Fairfax Ave | Norfolk | VA | 23507 | Residence/Director Fees | 1568183 |
| Aramark CTS Inc | |||||
| 12483 Collections Ctr Dr | Chicago | IL | 60693 | Biomedical Engineering | 1084975 |
| Shiftwise | |||||
| 1800 SW 1st Avenue | Portland | OR | 97201 | Contract nursing | 1018634 |
| Alliance Healthcare Services Inc | |||||
| PO Box 96485 | Chicago | IL | 606936485 | MRI Services | 1015782 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 36 | NumberOfContractorsGT100K |
| Related Organizations | 147745 | RelatedOrganizations |
| Government Grants | 172205 | GovernmentGrants |
| Total Contributions | 319950 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Patient Service Rev. | 722320 | 166555157 | 165440261 | 1114896 |
| Nursing Asst Pgrm Tuit | 900099 | 188144 | 188144 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 166743301 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 212343 | TotalRevenueColumn |
| Exclusion | $212,343 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 627688 | Real |
| Personal | 1795 | Personal |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 545754 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 81934 | Real |
| Personal | 1795 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 83729 | TotalRevenueColumn |
| Unrelated Business Revenue | 31168 | UnrelatedBusinessRevenue |
| Exclusion | $52,561 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 512139 | Securities |
| Other | 16628795 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 875242 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 512139 | Securities |
| Other | 15753553 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 16265692 | TotalRevenueColumn |
| Exclusion | $16,265,692 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Joint venture income | 621999 | 975377 | $975,377 | |
| Cafe and Vending | 722320 | 504360 | $504,360 | |
| Physician Phone Svcs | 900099 | 153771 | 153771 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 722813 | TotalRevenueColumn |
| Exclusion | $722,813 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2356321 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 185981336 | TotalRevenueColumn |
| Related Or Exempt Function Income | 165628405 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1299835 | UnrelatedBusinessRevenue |
| Exclusion | $18,733,146 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 663012 | Total |
| Program Services | 663012 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 252338 | Total |
| Program Services | 227104 | ProgramServices |
| Management And General | 25234 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49686751 | Total |
| Program Services | 44718076 | ProgramServices |
| Management And General | 4968675 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2340353 | Total |
| Program Services | 2106318 | ProgramServices |
| Management And General | 234035 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6582304 | Total |
| Program Services | 5924074 | ProgramServices |
| Management And General | 658230 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4096692 | Total |
| Program Services | 3687023 | ProgramServices |
| Management And General | 409669 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 391766 | Total |
| Program Services | 352589 | ProgramServices |
| Management And General | 39177 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 102592 | Total |
| Program Services | 92333 | ProgramServices |
| Management And General | 10259 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22384 | Total |
| Program Services | 20146 | ProgramServices |
| Management And General | 2238 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1701063 | Total |
| Program Services | 1530956 | ProgramServices |
| Management And General | 170107 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20019917 | Total |
| Program Services | 18017925 | ProgramServices |
| Management And General | 2001992 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 87707 | Total |
| Program Services | 78936 | ProgramServices |
| Management And General | 8771 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3341872 | Total |
| Program Services | 3007685 | ProgramServices |
| Management And General | 334187 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 141739 | Total |
| Program Services | 127565 | ProgramServices |
| Management And General | 14174 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2432943 | Total |
| Program Services | 2189649 | ProgramServices |
| Management And General | 243294 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 78154 | Total |
| Program Services | 70339 | ProgramServices |
| Management And General | 7815 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 175962 | Total |
| Program Services | 158366 | ProgramServices |
| Management And General | 17596 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1856572 | Total |
| Program Services | 1856572 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6340115 | Total |
| Program Services | 5706104 | ProgramServices |
| Management And General | 634011 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1139477 | Total |
| Program Services | 1025529 | ProgramServices |
| Management And General | 113948 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Medical Expenses | 32751197 | 29476077 | 3275120 |
| Purchased Services | 24288124 | 21859312 | 2428812 |
| Bad Debt | 19028072 | 19028072 | |
| BSHSI Allocation | 3126856 | 2814170 | 312686 |
| Repairs & Maintenance | 2205201 | 1984681 | 220520 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1661790 | Total |
| Program Services | 1495611 | ProgramServices |
| Management And General | 166179 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 184514953 | Total |
| Program Services | 168218224 | ProgramServices |
| Management And General | 16296729 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4800 | BOY |
| EOY | 5373 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 28253 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20006909 | BOY |
| EOY | 20322818 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2538596 | BOY |
| EOY | 2862661 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 287132 | BOY |
| EOY | 988059 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 107001216 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 68363494 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37686268 | BOY |
| EOY | 38637722 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9487193 | BOY |
| EOY | 10692467 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 20942460 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 5263864 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9293940 | BOY |
| EOY | 5874949 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 79304838 | BOY |
| EOY | 105618626 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11732058 | BOY |
| EOY | 12177851 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 8960 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 101723368 | BOY |
| EOY | 126215942 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 113455426 | BOY |
| EOY | 138402753 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -34130581 | BOY |
| EOY | -32793348 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -20007 | BOY |
| EOY | 9221 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -34150588 | BOY |
| EOY | -32784127 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 79304838 | BOY |
| EOY | 105618626 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1466383 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -99922 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 1 | Volunteers |
| Paid Staff Or Management | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $12,521 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $9,863 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 22384 | 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 | DePaul Medical Center paid dues to the American Hospital Association (AHA), the Virginia Hospital and Healthcare Association (VHHA) and the Catholic Health Association (CHA), a portion of which is used for lobbying activities. The portion of dues allocated to lobbying activities for each of these organizations are as follows: AHA $4,844 or 24.2%, VHHA $3,756 or 9.7% and CHA $1,263 or 4.68%. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3750384 | OtherCostOrOtherBasis |
| Book Value | 3750384 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 27302183 | OtherCostOrOtherBasis |
| Depreciation | 16777495 | Depreciation |
| Book Value | 10524688 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3623067 | OtherCostOrOtherBasis |
| Depreciation | 1455874 | Depreciation |
| Book Value | 2167193 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 72325582 | OtherCostOrOtherBasis |
| Depreciation | 50130125 | Depreciation |
| Book Value | 22195457 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 38637722 | TotalOfBookValueLandBuildings |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Inv in Sentara Princess Anne Hosp | Description |
| Book Value | 20942460 | BookValue |
| Method Of Valuation | C | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 20942460 | TotalOfBookValueProgramRelated |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Inv in Bed Licenses, net of amortization | 1142699 |
| Organizational Costs | 477431 |
| Other investments and deferred finance costs | 2854118 |
| Due from affiliates | 778217 |
| Due from BSHSI | 622484 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 5874949 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Other Current Liabilities | $1,293,605 |
| Due to affiliates | $47,489,561 |
| Due to BSHSI | $70,969,061 |
| Pension Liability | $3,919,400 |
| Deferred Rent | $1,853,416 |
| FIN 47 LT Asbestos Liability | $690,899 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 126215942 | 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 | 6579195 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 6579195 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03950 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16719321 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12500487 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4218834 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02540 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 175832 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 89142 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 86690 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 23474348 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12589629 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10884719 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06540 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 8 | NumberOfActivitiesOrPrograms |
| Persons Served | 8412 | PersonsServed |
| Total Community Benefit Expense | 204347 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 204347 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 130 | PersonsServed |
| Total Community Benefit Expense | 2243601 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 800468 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1443133 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00870 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 157980 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 157980 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 613 | PersonsServed |
| Total Community Benefit Expense | 448910 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 448910 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00270 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 12 | NumberOfActivitiesOrPrograms |
| Persons Served | 9155 | PersonsServed |
| Total Community Benefit Expense | 3054838 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 800468 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2254370 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01350 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 12 | NumberOfActivitiesOrPrograms |
| Persons Served | 9155 | PersonsServed |
| Total Community Benefit Expense | 26529186 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13390097 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13139089 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07890 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 586 | PersonsServed |
| Total Community Building Expense | 8498 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 8498 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 225 | PersonsServed |
| Total Community Building Expense | 959 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 959 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 544 | PersonsServed |
| Total Community Building Expense | 6094 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 6094 | 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 | 1355 | PersonsServed |
| Total Community Building Expense | 15551 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 15551 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $4,983,696 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 40501127 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 46790972 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -6289845 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (6 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|
| 1 Radiology Svcs-Hampton Rds | ||
| Radiology Services | 0.25000 | |
| 2 Management Services LLC | ||
| Management Services | 0.20000 | |
| 3 Posit Emiss Tomography | ||
| Operate PET Scanner | 0.13750 | 0.45000 |
| 4 Peninsula Hospital Svcs | ||
| Laundry Services | 0.13500 | |
| 5 VA Health Network Inc | ||
| Insurance Networks | 0.07000 | |
| 6 VA Beach Surgery Ctr LLC | ||
| Outpatient Surgery | 0.46880 | 0.24500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DePaul Medical Center | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 Kingsley Lane | AddressLine1 |
| City | Norfolk | City |
| State | VA | State |
| ZIP Code | 23505 | 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 | Not Applicable | 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 | 14 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (14 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Bon Secours Health Center VA Beach | ||||
| 828 Healthy Way | Virginia Beach | VA | 23462 | Imaging, Rehabilitation & Physician Practice |
| DePaul InMotion Phys Ther-Norfolk | ||||
| 7300 Newport Ave Suite 300 | Norfolk | VA | 23505 | Physical, Occupational & Speech Therapy |
| Tidewater Surg Specialists DePaul | ||||
| 160 Kingsley Lane Suite 400 | Norfolk | VA | 23505 | Physician Practice |
| Bon Secours In-Motion at Hilltop | ||||
| 1817 Laskin Rd Suite 100 | Virginia Beach | VA | 23454 | Physical Therapy & Sports Rehab |
| Tidewater Surgical Spect DePaul | ||||
| 160 Kingsley Lane Suite 400 | Norfolk | VA | 23505 | Physician Practice |
| Amelia Medical Associates | ||||
| 885 Kempsville Rd Ste 300303305313 | Norfolk | VA | 23502 | Physician Practices, Physical Therapy |
| Patient Choice Oceana | ||||
| 1232 Perimeter Pkwy Suite 101 | Virginia Beach | VA | 23454 | Physician Practice |
| Hampton Roads OBGYN | ||||
| 100 Kingsley Lane Suite 100 | Norfolk | VA | 23505 | Physician Practice |
| Patient Choice Ghent | ||||
| 957 W 21st St Suite E | Norfolk | VA | 23517 | Physician Practice |
| Internal Medicine Specialists | ||||
| 142 W York St Suite 508 | Norfolk | VA | 23510 | Physician Practice |
| Bon Secours Neuroscience Ctr for Pain | ||||
| 4445 Corporation Lane Suite 120 | Virginia Beach | VA | 23562 | Physician Practice |
| DePaul Medical Associates | ||||
| 100 Kingsley Lane Suite 100 | Norfolk | VA | 23505 | Physician Practice |
| Cardiovascular Specialists | ||||
| 160 Kingsley Lane Suite 100A | Norfolk | VA | 23505 | Physician Practice |
| InMotion Phy Ther Redmill Landing | ||||
| 1253 Nimmo Parkway Suite 105 | Virginia Beach | VA | 23456 | Physical Therapy |
Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| 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 non-patient 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: $19,028,072. | ||
| Part II: DePaul Medical Center (DMC), through BSHR, offers Care-A-Van services. The Care-A-Van (CAV), initiated on the peninsula in 2009 at two sites, has expanded in the past year to seven sites, two in Norfolk, two in Portsmouth and three in Newport News. This is a mobile health unit that provides healthcare services to those most in need-the uninsured. Services provided include urgent and primary care (including examination, diagnosis, lab, pharmacy, and follow-up), immunizations for school, pregnancy tests, blood pressure measurement, health education, referrals for specialty care, opportunity to enroll eligible children in children's health insurance. The Care-A-Van also offers sports physicals, children's health insurance enrollment, and health education services. While the CAV primarily serves adults, some sites do provide care and referral services for children aged 12 and older. Community partners include free clinics, local health agencies, and numerous Faith-based community organizations which collaborate with the Care-A-Van staff. The CAV has a staff of 10 FTEs and annual expenses of approximately $700,000.DMC, through BSHR, offers Bon Secours Senior Health Program which offers a free membership program to over 75,000 individuals 65 years and older. A key component is the Successful Aging Forum, which brings national speakers to the community to discuss the latest health and wellness topics for senior citizens. The annual HealthFest provides a seniors-focused health festival with health screenings, health information and social interaction for seniors of all socio-economic backgrounds. Friday Night Dinners, held at area hospitals, serve seniors who need low cost meals and socialization. A transportation program offers transportation to medical appointments, without charge to those who are financially challenged. A quarterly publication Good Health provides information to 75,000 members in Hampton Roads.Seniors play a vital role in DMC's advocacy efforts against reductions in Medicaid payments and to support continued funding for the State Children Health Insurance Program (SCHIP). DMC supports the BSHR Faith Community Health Ministry which builds on the skills of the registered nurse through additional, structured training in holistic (body, mind and spirit) health services; the faith community nurse partners with the congregational leadership to promote good health by serving as an educator, counselor, referral agent and advocate. Specialized training has also been developed to prepare non-licensed persons to serve in congregational health ministry. Additionally, the Influenza Vaccination Administration program provided 600 vaccines for select covenanted partners to host annual vaccine clinics. BSHRHS employs a sole Director to provide education, mentoring and support to more than 130 faith communities and 232 registered nurses and lay health promoters. Partnership with Federally Qualified Health Clinic in Norfolk - DMC and Park Place Medical Center work together to provide uninsured and underinsured individuals with a medical home and receive a full range of primary care services. DMC makes financial and/or in-kind donations to Park Place that includes equipment, services and cash assistance for patient administration support, clinical staffing, case management and patient outreach. BSHRHS' Community Sponsorship Committee reviews and financially sponsors community events that support our mission and values. Some of the contributions in FY 11 that support the work of the local community in addressing unmet need include: -A monthly contribution to Park Place Clinic to help subsidize medical care for those who are uninsured or underinsured. -For Kids organization which works to break the cycle of homelessness and poverty for families and children-Help and Emergency Response to provide shelter and to engage in dedicated efforts to eliminate domestic violence-Access Partnership to support an oral health initiative for adults with no access to dental care-PIN Organization to support their work of providing food, clothing, shelter, and free medical care for people who are either homeless | ||
| 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 VI, Line 3: Patient financial assistance policy is communicated to patients verbally upon scheduling, registration, visible postings of the policy in common areas throughout the hospital, brochures and on Bon Secours website. In addition, patient statements request that patients apply for financial assistance, if needed, once any patient financial obligation is determined.Bon Secours is committed to ensuring access to health care services for all. As a health care provider, Bon Secours treats all patients, whether insured, underinsured or uninsured, with dignity, respect and compassion throughout admission, delivery of services, discharge and billing and collection processes. Bon Secours addresses the needs of the uninsured by providing free or reduced fees on hospital services, community outreach efforts to assist with enrollment in Medicaid and other medical coverage programs, including free community-based preventive and primary care services. Bon Secours proactively screens to identify individuals and their families who may qualify for federal, state or local health insurance programs or the Bon Secours Patient Financial Assistance Program ("FAP") and assist the potential eligible patients through the qualification process. Potentially eligible patients that do not qualify for a federal or state health insurance program are referred to the Financial Assistance Coordinator located in Patient Financial Services for assistance in completing the documentation required to establish FAP eligibility. Patients are responsible for providing the information necessary to complete the documentation. The FAP aids uninsured and underinsured patients who do not qualify for government-sponsored health insurance and who communicate their inability to pay for their medical care. The FAP provides 100% financial assistance to uninsured patients with annual family incomes at or below 200% of the Federal Poverty Guidelines ("FPG"), as adjusted by the Medicare geographic wage index for each community served to reflect that community's relative cost of living ("Adjusted FPG"). Adjustments to these guidelines are made in certain States, where applicable. A sliding scale assistance policy is afforded patients that exceed the income guidelines for 100% assistance. Sliding scale assistance is provided to patients and progressively declines in proportion to the patient's higher income level. Additionally, all uninsured (i.e. self pay) patients are given a reduction to the amount of the full charges for medically necessary services through a community service adjustment ("CSA"). The CSA is market adjusted and based on the payment discount received by other health care payers doing business in the community. For these patients, the FAP also sets a maximum annual family payment liability to ensure that no family suffers a catastrophic financial burden to receive necessary health care services. Based on research conducted by the Tax Foundation, a non partisan tax research group based in Washington DC, the maximum annual family liability is based on a sliding scale determined by the family income and size. The standard sliding scale is adjusted by the Medicare geographic wage index of each community served to reflect that community's relative cost of living. All patients are also eligible for a Prompt Pay Discount. In addition, a variety of other potential payment options are available. Bon Secours is dedicated to meeting the needs of non-English speaking patients by having on-site Spanish translators, and other language translation services. In addition, Bon Secours employs a telephone language service which assists in meeting any language needs that arise. The translation services are offered to non-English speaking patients from admission to discharge, including the financial process. | ||
| Part VI, Line 4: Hampton Roads is a very diverse community within an MSA of nearly 1.6 million people residing in 16 cities and counties, stretching from northeastern North Carolina to Williamsburg. The area is characterized by racial diversity, a significant military population and a growing elderly population. African Americans comprise 52.2% of the population in Portsmouth, 41.6% in Newport News, and 43.4 % of Norfolk and 19.3% of Virginia Beach, which far exceeds the national average of 31.5 %. Seniors currently account for 11.2% of the population, growing to 13% in the next five years. The population served by Bon Secours DePaul Medical Center (DMC), Norfolk, VA is estimated to change from 828,728 to 867,988, resulting in a growth of 4.7% between 2000 and the current year. Over the next five years, the population is projected to grow by 1.0%. The current year estimated population represents white (61.3%), Black or African American (28.7%), Hispanic or Latino (5.4%) and small percentages other small groups. The current year median age for this area is 34.3, while the average age is 36.0. Five years from now, the median age is projected to be 35.2.The most prevalent chronic conditions among adults include high blood pressure (26,400 or 40.1%), high cholesterol (20,900 or 33.3%), arthritis (22,000 or 33.3%), diabetes (8,700 or 12.9%), and asthma (7,000 or 10.3%). Morbidity rates per 10,000: heart disease (159.5), cerebrovascular disease (33.4), chronic obstructive pulmonary disease (29.4), diabetes (26.3), and asthma (17.5). Mortality rates (age-adjusted per 100,000) for this area are cancer (205.2), ischemic heart disease (150.5), cerebrovascular disease (66.9), and chronic obstructive pulmonary disease (43.9). | ||
| Part VI, Line 6: DePaul Medical Center (DMC) has an open medical staff with privileges available to all qualified physicians. Emergency departments at the three hospitals provide service 24 hours/day, 7 days/week to ensure access for emergency care for all individuals in need of emergency care. Hospital board members are diverse, inclusive and representative of the broader community in which the facilities are located. | ||
| VA | Reports Filed With States | Part VI, Line 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| Portsmouth Community Health Center Inc | |||||||
| 664 Lincoln St | Portsmouth | VA | 23704 | 541626757 | 501(c)(3) | 435775 | Patient Transfer Support Agreement |
| Bon Secours DePaul Health Foundation | |||||||
| 150 Kingsley Lane | Norfok | VA | 23505 | 541843876 | 501(c)(3) | 225737 | Administrative Costs |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Timothy J Davis | |||||||||||||
| 0 | 568101 | 0 | 168422 | 0 | 6955 | 0 | 111800 | 0 | 20990 | 0 | 876268 | 0 | 0 |
| Michael K Kerner | |||||||||||||
| 0 | 463467 | 0 | 138768 | 0 | 4006 | 0 | 116245 | 0 | 29524 | 0 | 752010 | 0 | 0 |
| Daniel Duggan | |||||||||||||
| 0 | 276156 | 0 | 64882 | 0 | 23595 | 0 | 17831 | 0 | 20871 | 0 | 403335 | 0 | 0 |
| Gregory Simia | |||||||||||||
| 0 | 303064 | 0 | 69986 | 0 | 65523 | 0 | 25631 | 0 | 30103 | 0 | 494307 | 0 | 0 |
| David Setchel | |||||||||||||
| 181545 | 0 | 33237 | 0 | 205 | 0 | 10683 | 0 | 28788 | 0 | 254458 | 0 | 0 | 0 |
| Kochicheril N Moni | |||||||||||||
| 407004 | 0 | 0 | 0 | 5517 | 0 | 17190 | 0 | 19850 | 0 | 449561 | 0 | 0 | 0 |
| Elizabeth Z Salzberg | |||||||||||||
| 263186 | 0 | 0 | 0 | 231 | 0 | 6346 | 0 | 33535 | 0 | 303298 | 0 | 0 | 0 |
| James Mosure | |||||||||||||
| 113753 | 0 | 122500 | 0 | 26664 | 0 | 0 | 0 | 7343 | 0 | 270260 | 0 | 69789 | 0 |
| Charles E Ives | |||||||||||||
| 239315 | 0 | 15000 | 0 | 1547 | 0 | 11817 | 0 | 9755 | 0 | 277434 | 0 | 0 | 0 |
| Gregory Adams | |||||||||||||
| 318026 | 0 | 0 | 0 | 345 | 0 | 12457 | 0 | 29183 | 0 | 360011 | 0 | 0 | 0 |
| Richard Hanson | |||||||||||||
| 0 | 91580 | 0 | 680 | 0 | 7762 | 0 | 6444 | 0 | 2207 | 0 | 108673 | 0 | 69611 |
| Joseph Buchheit | |||||||||||||
| 0 | 229525 | 0 | 41221 | 0 | 22138 | 0 | 19617 | 0 | 22322 | 0 | 334823 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Line 4b | Bon Secours DePaul Medical Center, Inc. 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 deposits are made into this plan. The following individuals received payments in 2011: Richard Hanson - $71,180 James Mosure - $112,931 | |
| Part III | Part I, Line 3: Bon Secours Health System, Inc., a related organization of Maryview Hospital, uses the following to establish the compensation of the organization's CEO/Executive Director: -Compensation Committee -Independent compensation consultant -Written employment contracts -Compensation survey or study Approval by the board/compensation committee. | Supplemental Information |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section A, line 6 | Bon Secours Health System, Inc. is the sole member of Bon Secours Hampton Roads Health System, Inc., which in turn is the sole member of Bon Secours DePaul Medical Center, Inc. | |
| Form 990, Part VI, Section A, line 7a | The Board of Directors of Bon Secours DePaul Medical Center, Inc. is appointed by Bon Secours Health System, Inc. | |
| Form 990, Part VI, Section A, line 7b | Any decision which is subject to a reserved power is subject to approval by members. | |
| Form 990, Part VI, Section B, line 11 | The process the organization uses to review the Form 990 consists of a review by the local system's audit and compliance board-committee and providing the form to the local system board of directors to allow for a thorough review by both before the filing date of July 16, 2012. The local system's audit and compliance committee and board of directors have reviewed the Form 990, scheduled time on meeting agendas, and asked questions regarding the Form 990 before the return is filed July 16, 2012. | |
| The organization regularly and consistently monitors compliance with the conflict of interest policy. On an annual basis, all persons subject to the policy, including all officers, directors and key employees are required to make certain disclosures. These include disclosures related to certain personal, financial and organizational relationships that may present a conflict, or the appearance of a conflict of interest with the organization. All disclosures go through a three-part review process: (1) disclosures are reviewed first by the corporate responsibility officer (CRO); (2) a governance team comprised of the CEO, board president, board chair, CRO, and the BSHSI CRO participate in a second review of all disclosures during which recommendations are made as to the resolution of any conflicts or potential conflicts. Depending on the facts and circumstances, resolutions may include ongoing disclosure, recusal or removal of the conflict; and (3) all disclosures and recommendations are reviewed by a board committee (audit and compliance committee reviews the disclosures of management and the governance committee reviews the disclosures of the board and board committee members). | Form 990, Part VI, Section B, line 12c | |
| The compensation committee of the board of Bon Secours Health System, Inc. (BSHSI) engages in a comprehensive process for the oversight and management of remuneration for executive employees and disqualified parties of the BSHSI. The compensation committee consists of a group of independent board members and engages independent external compensation consultant to ensure they receive appropriate analysis of market and follow the practices necessary to obtain full compliance with the IRS' rebuttable presumption of reasonableness. The committee establishes and maintains a compensation philosophy, reviews pay practices against local, regional and national healthcare organizations and approves all remunerative decisions for this group of individuals. The committee reviews and receives assurances that all levels of pay within the organization are reasonable based on performance and validates incentives are met. These decisions are documented in the BSHSI board of directors and compensation committee minutes. Form 990, Part VI, Section B , Line 15b - Compensation Process Other Officers/Key Employees: For those key employees and highest paid employees that are not reviewed by the BSHSI compensation committee, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. In the review, the positions of other officers or key employees of the organization were compared to similar position market data in comparably situated organizations taking into consideration geographic location and organization size where appropriate. During the review and approval of the compensation, documentation of the decision was recorded in human resources. | Form 990, Part VI, Section B, line 15 | |
| Bon Secours DePaul Medical Center, Inc provides any documents open to public inspection upon request. | Form 990, Part VI, Section C, line 19 | |
| Hours worked are not tracked on an entity by entity basis. All officers' and directors' hours reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors represent aggregate hours worked per week. Volunteer Board Members are not compensated for their time. Michael K. Kerner's compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation he receives is for his role as the Chief Executive Officer of Bon Secours Hampton Roads Health System which includes direct management, monitoring and oversight of Bon Secours Hampton Roads Health System and its related organizations. Gregory Simia's compensation is paid by Maryview Hospital, a related organization. The compensation he receives is for his role as the Chief Financial Officer of Bon Secours Hampton Roads Health System which includes direct financial management, monitoring and oversight of Bon Secours Hampton Roads Health System and its related organizations. Timothy J. Davis' compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation he receives is for his role as Executive Vice President and Chief Administrative Officer of Bon Secours Health System, Inc. Daniel Duggan's compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation he receives is for his role as Executive Vice President of Depaul Medical Center. Sr. Patricia Heath does not receive payroll distributions as she has taken a vow of poverty. | Form 990, Part VII: | |
| Changes in Net Assets or Fund Balances: | Net unrealized gains on investments: 480,793. Prior period adjustments: 21,549. Add'l Minimun Pension Liability 1,021,781. BSHSI - I/Co Debt Principal Payment -1,782,706. Grants and Restricted Contributions 64,152. Use of Grant Funds for Ops -34,925. Contribution to Foundation for Expenses 129,434. Total to Form 990, Part XI, Line 5: -99,922. | Form 990, Part XI, line 5: |
Schedule R IRS990ScheduleR
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 |
|---|---|---|---|---|---|---|---|---|---|---|
| Mary Immaculate Foundation | ||||||||||
| 150 Kingsley Lane | Norfolk | VA | 23505 | 311644734 | Fundraising | VA | 501(c)(3) | 11(c) | Mary Immaculate Hospital | 0 |
| Mary Immaculate Nursing Center | ||||||||||
| 4 Ridgewood Parkway | Newport News | VA | 23602 | 541516476 | Nursing Care Center | VA | 501(c)(3) | 9 | Mary Immaculate Hospital | 0 |
| Mary Immaculate Hospital Inc | ||||||||||
| 2 Bernadine Drive | Newport News | VA | 23602 | 540548200 | Healthcare | VA | 501(c)(3) | 3 | Bon Secours Hampton Roads Health System | 0 |
| Bon Secours Hampton Roads Health System Inc | ||||||||||
| 5818 Harborview Blvd | Portsmouth | VA | 23435 | 521538513 | Local System Parent Org. | VA | 501(c)(3) | 11(b) | Bon Secours Health Systems Inc | 0 |
| Bon Secours Maryview Nursing Care Center | ||||||||||
| 4775 Bridge Road | Suffolk | VA | 23435 | 521578169 | Nursing Care Center | VA | 501(c)(3) | 9 | Bon Secours Hampton Roads Health System | 0 |
| Maryview Hospital | ||||||||||
| 3636 High Street | Portsmouth | VA | 23707 | 540506463 | Healthcare | VA | 501(c)(3) | 3 | Bon Secours Hampton Roads Health System | 0 |
| Bayley Properties | ||||||||||
| 150 Kingsley Lane | Norfolk | VA | 23505 | 541424748 | Rental | VA | 501(c)(2) | N/A | Bon Secours DePaul Medical Center | 1 |
| Bon Secours Health System Inc | ||||||||||
| 1505 Marriottsville Road | Marriottsville | MD | 21104 | 521301088 | Parent Org. Management Services | MD | 501(c)(3) | 11(b) | Bon Secours Inc | 0 |
| Bon Secours DePaul Health Foundation | ||||||||||
| 150 Kingsley Lane | Norfolk | VA | 23505 | 541843876 | Fundraising | VA | 501(c)(3) | 11(c) | Bon Secours Hampton Roads Health System | 0 |
| Bon Secours Maryview Foundation | ||||||||||
| 150 Kingsley Lane | Norfolk | VA | 23505 | 521694731 | Fundraising | VA | 501(c)(3) | 11(c) | Bon Secours Hampton Roads Health System | 0 |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Province Place of Maryview LLC | |||||||||||
| One Bon Secours Way | Portsmouth | VA | 23703 | 541842697 | Assisted Livivng | VA | Professional Health Care Mgmt | Related | 0 | 0 | 0.00000 |
| Province Place of DePaul LLC | |||||||||||
| 6403 Granby Street | Norfolk | VA | 23505 | 541950880 | Assisted Livivng | VA | Professional Health Care Mgmt | Related | 0 | 0 | 0.00000 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|
| Professional Health Care Mgmt Inc | ||||||||
| 7007 Harbourview Blvd Ste 108 | Suffolk | VA | 23435 | 541241031 | Administrative | VA | Bon Secours Hampton Roads Health System Inc | |
| Tidewater Diversified Inc | ||||||||
| 7007 Harbourview Blvd Ste 108 | Suffolk | VA | 23435 | 541431826 | Pharmacy | VA | Bon Secours DePaul Medical Center Inc | 1.00000 |
| OSF Inc | ||||||||
| 7007 Harbourview Blvd Ste 108 | Suffolk | VA | 23435 | 541369919 | Rental | VA | Mary Immaculate Hospital Inc | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | 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 | 1 | 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 | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |