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Memorial Regional Medical Center Inc: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
Memorial Regional Medical Center Inc (EIN 54-1744931)
Tax period
2009-09-01 to 2010-08-31
Filed
2011-07-11
IRS object ID
201131929349300303
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-07-11T07:47:35-05:00Timestamp
Tax Period End Date2010-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11750 TYSONS BLVDAddressLine1
CityMCLEANCity
StateVAState
ZIP Code221024219ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN541744931EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Memorial Regional Medical Center IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMEMONameControl
Phone8046275400Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line18580 Magellan Parkway Building IVAddressLine1
CityRichmondCity
StateVAState
ZIP Code23227ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePeter F GallagherName
TitleTreasurer BSR CFOTitle
Phone8046275400Phone
Date Signed2011-07-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone7032511000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMichael RobinsonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line18580 Magellan Parkway Building IVAddressLine1
CityRichmondCity
StateVAState
ZIP Code23227ZIPCode
FieldValueIRS element (for citing)
Gross Receipts296808615GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitehttp://www.bonsecours.com/hospitals/memorial/WebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionAcute Care HospitalActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees2040TotalNbrEmployees
Total Nbr Volunteers300TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year689661ContributionsGrantsPriorYear
Contributions Grants Current Year43814ContributionsGrantsCurrentYear
Program Service Revenue Prior Year275480065ProgramServiceRevenuePriorYear
Program Service Revenue CY294014422ProgramServiceRevenueCY
Investment Income Prior Year1790030InvestmentIncomePriorYear
Investment Income Current Year406851InvestmentIncomeCurrentYear
Other Revenue Prior Year1628241OtherRevenuePriorYear
Other Revenue Current Year1860645OtherRevenueCurrentYear
Total Revenue Prior Year279587997TotalRevenuePriorYear
Total Revenue Current Year296325732TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year20000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year100998687SalariesEtcPriorYear
Salaries Etc Current Year109978831SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year159156073OtherExpensePriorYear
Other Expenses Current Year177546267OtherExpensesCurrentYear
Total Expenses Prior Year260174760TotalExpensesPriorYear
Total Expenses Current Year287525098TotalExpensesCurrentYear
Revenues Less Expenses Prior Year19413237RevenuesLessExpensesPriorYear
Revenues Less Expenses CY8800634RevenuesLessExpensesCY
Total Assets BOY278254160TotalAssetsBOY
Total Assets EOY285002238TotalAssetsEOY
Total Liabilities BOY127168406TotalLiabilitiesBOY
Total Liabilities EOY133832809TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY151085754NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY151169429NetAssetsOrFundBalancesEOY
Mission DescriptionThe mission is to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a system of caregivers, we commit ourselves to help bring people and communities to health and wholeness.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense255789572Expense
Revenue292732564Revenue
DescriptionProvide health and wellness for the surrounding community through a holistic approach. Services are provided to all regardless of their socio-economic status in various healthcare settings including a hospital, medical office, and at home. Please refer to the Community Benefit information on Schedule H.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense5184490Expense
Revenue1281858Revenue
DescriptionAt Bon Secours Memorial College of Nursing, our students, faculty, staff and alumni are part of a nearly 200-year-old mission of providing compassionate care to those in need. Our College extends this mission by educating nurses in a spirit of academic and clinical excellence to serve our community with genuine compassion and the highest clinical standards. We are deeply committed to meeting the needs of our patients and adapting to the growing, changing needs of the world in which we serve.Description
FieldValueIRS element (for citing)
Total Program Service Expense260974062TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096121NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2040NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledVAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Peter F GallagherBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8046275400TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18580 Magellan Parkway Building IVAddressLine1
CityRichmondCity
StateVAState
ZIP Code23227ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
William T Patrick Jr
Board Member4.00X000
John Bowman MD
Board Member4.00X000
Robert J Cohen MD
Board Member4.00X000
Alexander J Corbett PhD
Board Member4.00X000
Richard Jackson MD
Board Member4.00X000
Kenneth J Jones
Board Member4.00X000
Sr Anne Marie Mack CBS
Board Member50.00X000
John Muldowney
Board Member4.00X000
Joanne Nattrass
Board Member4.00X000
Michael Williams
Board Member4.00X000
Jean Ann Bolling
Board Member4.00X000
Mark Gordon
Board Member50.00X068171859405
Toni Ardabell
Board Member50.00X039698417938
Thom Morris PhD
Board Member (Sept-Dec)50.00X041765937383
Tom Winfree
Board Member4.00X000
Nancy Thomas
Board Member4.00X000
Jane Watkins
Board Member4.00X000
Peter B Cleal
Chairman6.00X000X
Sr Victoria V Segura MD CBS
President50.00X000X
Michael Robinson
CEO50.00X060395571609X
Allen Goolsby
Secretary6.00000X
Peter F Gallagher
Treasurer (BSR CFO)50.00047998672617X
Peter J Bernard
Bon Secours Richmond CEO50.0001248815174770X
Charles F Malloy
COO50.00217668011546X
Michael Spine
BSR SVP Bus Dev50.00040028443214X
Bonnie M Shelor
BSR SVP HR50.00033240044799X
Jill Kennedy
Vice President CNE50.00220242031915X
Charles Lockhart
Physician50.00518918018935X
Brian J Foster
Physician50.00221537023744X
Jason Lee
Physician50.00220683036268X
Sandra Boisseau
Physician50.00197971017385X
Mark Rosenberg
Physician50.0019101903238X
Teresa Edwards
Former Board Member0.000253570X
Michael Kerner
Former Board Member0.000940681126469X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1788038TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5527839TotalReportableCompFrmRltdOrgs
Total Other Compensation791235TotalOtherCompensation
Number Individuals GT100 K88NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CenVaNet LLC
2201 W Broad St Ste 202RichmondVA232202202Billing & Collections2499506
AthenaHealth Inc
311 Arsenal StWatertownMA024722785Billing & Collections1793316
Hanover Anesthesia Group Inc
5855 Bremo Rd Ste 100 NorthRichmondVA232261926Physicians1499022
Sheltering Arms Hospital
8254 Atlee RdMechanicsvilleVA23116Rehabilitation Clinicians1411714
Commonwealth Neonatology Inc
412 Libbie Ave Ste 4RichmondVA232262658Physicians1208701
FieldValueIRS element (for citing)
Number Of Contractors GT100 K134NumberOfContractorsGT100K
Related Organizations1000RelatedOrganizations
Government Grants42814GovernmentGrants
Total Contributions43814TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Service Rev.622110292732564292732564
Nursing Tuition Rev.61160012818581281858
FieldValueIRS element (for citing)
Total Program Service Revenue294014422TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column482610TotalRevenueColumn
Exclusion$482,610ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real436834Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real407124Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real29710Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column29710TotalRevenueColumn
Exclusion$29,710ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities75759Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-75759Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-75759TotalRevenueColumn
Exclusion-$75,759ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Physician Billing Rev.5412001071727$1,071,727
Cafe and Vending Rev.722210994630$994,630
MASC Joint Venture621400-500676-$500,676

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column265254TotalRevenueColumn
Exclusion$265,254ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1830935TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column296325732TotalRevenueColumn
Related Or Exempt Function Income294014422RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,267,496ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total481574Total
Program Services433417ProgramServices
Management And General48157ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total85284641Total
Program Services76756177ProgramServices
Management And General8528464ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4234587Total
Program Services3811128ProgramServices
Management And General423459ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total14116087Total
Program Services12704478ProgramServices
Management And General1411609ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5861942Total
Program Services5275748ProgramServices
Management And General586194ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total304698Total
Program Services274228ProgramServices
Management And General30470ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total26662Total
Program Services23996ProgramServices
Management And General2666ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total22481Total
Program Services20233ProgramServices
Management And General2248ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total85014176Total
Program Services76512758ProgramServices
Management And General8501418ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total162858Total
Program Services146572ProgramServices
Management And General16286ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1346581Total
Program Services1211923ProgramServices
Management And General134658ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4695126Total
Program Services4225613ProgramServices
Management And General469513ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total617697Total
Program Services555927ProgramServices
Management And General61770ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total6360527Total
Program Services6360527ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9028336Total
Program Services8125502ProgramServices
Management And General902834ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2822266Total
Program Services2540039ProgramServices
Management And General282227ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Other Supplies43937686395439174393769
Bad Debt1565421215654212
Equipment rental27033572433021270336
Repairs and maintenance18104341629393181041

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3039170Total
Program Services2735253ProgramServices
Management And General303917ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total287525098Total
Program Services260974062ProgramServices
Management And General26551036ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY134607253BOY
EOY141457612EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY29902705BOY
EOY36384975EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1731616BOY
EOY272830EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4443324BOY
EOY4255054EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1491385BOY
EOY1981943EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis165496272LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec78328961LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY92606491BOY
EOY87167311EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY10702850BOY
EOY11262029EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY145879BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2622657BOY
EOY2220484EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY278254160BOY
EOY285002238EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY13359617BOY
EOY14271616EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY473688BOY
EOY494109EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY31255000BOY
EOY28580000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY216234BOY
EOY197363EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY81863867BOY
EOY90289721EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY127168406BOY
EOY133832809EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY150939875BOY
EOY151046704EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY28647BOY
EOY2725EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY117232BOY
EOY120000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY151085754BOY
EOY151169429EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY278254160BOY
EOY285002238EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$22,481OtherActivitiesAmount
Total Lobbying Expenditures IIB22481TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1i:Identifier
Return ReferenceExplanation of Other Lobbying Activities:ReturnReference
ExplanationMemorial Regional Medical Center, Inc. paid dues to the Virginia Hospital and Healthcare Association (VHHA), the American Hospital Association (AHA), 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: Dues paid to the VHHA, AHA, and CHA. These organizations disclosed that 23.07% ($13,835), 23.76%,($6,768), 4.68% ($1,878) respectively, of their dues were used for lobbying purposes.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance117232BeginningOfYearBalance
Contributions2768Contributions
End Of Year Balance120000EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Contributions101825Contributions
Investment Earnings Or Losses15407InvestmentEarningsOrLosses
End Of Year Balance117232EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5223901OtherCostOrOtherBasis
Book Value5223901BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis89637048OtherCostOrOtherBasis
Depreciation28737306Depreciation
Book Value60899742BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2738667OtherCostOrOtherBasis
Depreciation1121548Depreciation
Book Value1617119BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis59006783OtherCostOrOtherBasis
Depreciation43495844Depreciation
Book Value15510939BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8889873OtherCostOrOtherBasis
Depreciation4974263Depreciation
Book Value3915610BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings87167311TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescriptionAmountAmount
Patient AR Credit Balances and Unclaimed$1,790,388
Medicare Settlement$559,401
Scholarship Liabilities$114,813
School of Nursing Student Deposits$31,547
Pension Liability$44,679,793
Asbestos Liability$1,045
Loan Guarantee - MASC JV$917,766
Due to Affiliates$42,194,968
FieldValueIRS element (for citing)
Total Of Amounts90289721TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part V, Line 4:Description of Intended Use of Endowment Funds:The permanent endowments provide income to be used for operating purposes only.
Part X:Description of Uncertain Tax Positions Under FIN 48: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. As the organization does not conduct a separate audit of its financial statement, 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 $98,300 and $117,200 of net operating loss carryforwards as of August 31, 2010 and 2009, respectively, which expire in varying periods through 2030 and are available to offset future taxable income. The System's deferred tax assets are fully reserved at August 31, 2010 and 2009. Any changes to the valuation allowance on the deferred tax asset are reflected in the year of the change.

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense8260713TotalCommunityBenefitExpense
Net Community Benefit Expense8260713NetCommunityBenefitExpense
Percent Of Total Expense0.03040PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense23787848TotalCommunityBenefitExpense
Direct Offsetting Revenue14387313DirectOffsettingRevenue
Net Community Benefit Expense9400535NetCommunityBenefitExpense
Percent Of Total Expense0.03460PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense32048561TotalCommunityBenefitExpense
Direct Offsetting Revenue14387313DirectOffsettingRevenue
Net Community Benefit Expense17661248NetCommunityBenefitExpense
Percent Of Total Expense0.06500PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served640PersonsServed
Total Community Benefit Expense48577TotalCommunityBenefitExpense
Net Community Benefit Expense48577NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense6761870TotalCommunityBenefitExpense
Direct Offsetting Revenue3129227DirectOffsettingRevenue
Net Community Benefit Expense3632643NetCommunityBenefitExpense
Percent Of Total Expense0.01050PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served640PersonsServed
Total Community Benefit Expense6810447TotalCommunityBenefitExpense
Direct Offsetting Revenue3129227DirectOffsettingRevenue
Net Community Benefit Expense3681220NetCommunityBenefitExpense
Percent Of Total Expense0.01070PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served640PersonsServed
Total Community Benefit Expense38859008TotalCommunityBenefitExpense
Direct Offsetting Revenue17516540DirectOffsettingRevenue
Net Community Benefit Expense21342468NetCommunityBenefitExpense
Percent Of Total Expense0.07570PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense24465TotalCommunityBuildingExpense
Net Community Building Expense24465NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense24465TotalCommunityBuildingExpense
Net Community Building Expense24465NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$4,015,346BadDebtExpenseAmount
Amount Reimbursed By Medicare80458289AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare106760642CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-26302353MedicareSurplusOrShortfall
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
Memorial Ambulatory Surgery Center LLC
Outpatient surgery center.0.292600.31700
Richmond ASC Leasing Company
Equipment leasing to Memorial ASC0.50000

Form990 Schedule H Part V Form990ScheduleHPartV (10 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursOtherOtherAddress Line2Address/AddressLine2
Memorial Regional Medical Center
8260 Atlee RdMechanicsvilleVA231161844XXX
Memorial Medical Center - Internal Med
8220 Meadowbridge RoadMechanicsvilleVA23116Physicians office
Crossridge Internal Medicine and Pediatr
10150 Staples Mill RoadGlen AllenVA23060Physicians office
Diabetes Treatment Center
8201 Atlee Road Suite AMechanicsvilleVA23116Outpatient diabetes clinic
Thoracic Surgery Associates
8220 Meadowbridge Road Suite 306MechanicsvilleVA23116Physician practice
Richmond Diabetes & Endocrinology
8221 Meadowbridge Road Suite 308MechanicsvilleVA23117Physician practice
Theresa Thomas Medical Center
635 N Washington HighwayAshlandVA23005Physician practice
Laburnum Medical Center
4620 S Laburnum AveRichmondVA23231Physician practice
Aylett Medical Center
7864 Richmond-Tappahanock HwyAylettVA23009Physician practice
Lee Davis Pediatrics
6372 Mechanicsville Turnpike SuiteMechanicsvilleVA23111Physician practice103

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Annual Community Benefit ExplnPart I, Line 6a: Bon Secours Richmond Health System (BSRHS) annually develops a report to 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 reported is published to the public each year on or around January 24, commemorating Foundation Day of the Sisters of Bon Secours.AnnualCommunityBenefitExpln
Costing Method UsedPart 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.CostingMethodUsed
Percent Of Total Expense ExplnPart I, Line 7f: Current year bad debt expense not included in the calculation for line 7f: $15,654,212PercentOfTotalExpenseExpln
Bad Debt FootnotePart 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 hospitals 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.BadDebtFootnote
Shortfall As Community BenefitPart 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 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 hospitals ability to receive full cost reimbursement for services. The hospital also relieves the government of a financial burden when it provides care to publically insured patients where reimbursement is less than cost of providing the service.ShortfallAsCommunityBenefit
Debt Collection PolicyPart 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 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 approval. 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.DebtCollectionPolicy
Needs AssessmentPart VI, Line 2: In October 2009, the Central Virginia Health Planning Agency released an Immigrant Needs Assessment commissioned by Bon Secours Richmond Health System in collaboration with Memorial Regional Medical Center. 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.Community need assessments are updated using a variety of informational sources including Virginia Health Information for state-based performance data, Health Group West and Hammes Company for market and geographic data. Thomson-Reuters Market Expert is used to retrieve demographic information and trends for the primary and secondary service areas pertaining to Memorial Regional Medical Center.NeedsAssessment
Patient Education AssistancePart VI, Line 3: Memorial Regional Medical Center is committed to ensuring access to health care services for all. As a health care provider, Memorial Regional treats all patients, whether insured, underinsured or uninsured, with dignity, respect and compassion throughout scheduling, admission, delivery of services, discharge, billing and collection processes. Memorial Regional addresses the needs of the uninsured by providing free or reduced fees on hospital services, community outreach efforts to assist with Medicaid and State Child Health Insurance Program (SCHIP) enrollment, and free community-based preventive and primary care services. Memorial Regional Medical Center proactively screens and assists in enrollment activities for individuals and their families who may qualify for federal, state or local health insurance programs or the Bon Secours Patient Financial Assistance Program (FAP). Potentially eligible patients are referred to the Patient Financial Assistance Department for assistance in completing the documentation required to establish eligibility in, and apply for, government insurance programs or the FAP. Patients who qualify for the Bon Secours Financial Assistance Program receive a CareCard which allows them to seek healthcare services with ease and dignity. The CareCard is good for one year.The public receives education on the financial assistance program at the point of registration, from brochures, in patient letters, on the Bon Secours Richmond website, via Free Clinics in the Richmond Metropolitan area and through community presentations. Information is available in English and Spanish. Collection practices incorporate opportunities for eligible patients to apply for financial assistance. Any collection attorneys or agencies used by Memorial Regional Medical Center commit to follow Bon Secours Richmond Health Systems value-based procedures, including, without limitation, the Bon Secours Health System Inc./Bon Secours Richmond Health System Code of Conduct, in pursuit of estates, garnishments and judgments for non-payment.PatientEducationAssistance
Community InformationPart VI, Line 4: Bon Secours Memorial Regional Medical Center serves the greater Richmond and Mechanicsville areas. Projections indicate that the population will grow by 5.5% from 689,980 in 2009 to 727,285 in 2014, with 10.9% of the service area having a household income of less than $15,000 per year, compared to the national average of 12.4%. Similarly, 20.3% of the service areas populace maintains a household income less than $25,000 per year, compared to the national average of 22.8%. Demographic data shows that 57.1% of the population is white and 33.8% is black, compared to the national averages of 65.0% and 12.2% respectively. Demographics of the service area indicate that the age cohort of 64 to 75 will increase by 25% between 2009 and 2014. In fiscal year 2010, Memorial Regional Medical Center served 13,964 inpatients and provided outpatient services for 67,275 visits. Additionally, Memorial Regional provided 70,493 emergency room visits. The Emergency Department is open 24 hours a day and available to all persons regardless of ability to pay. Memorial Regional 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 childrenCommunityInformation
Community Building ActivitiesPart VI, Line 5: In 2010, Bon Secours Memorial Regional Medical Center hired a Liaison of Healthy Communities to direct the Building Healthy Communities initiative in Hanover County. The purpose of the program is to improve community health in targeted neighborhoods by engaging stakeholders and residents to identify and prioritize community needs. Programs to reach out to rural communities and the creation of community gardens are in development.CommunityBuildingActivities
Other InformationPart VI, Line 6: Memorial Regional Medical Center has an open medical staff with privileges available to all qualified physicians in the area. Memorial Regional through the Bon Secours Richmond Health System is governed by a board of directors whose composition is representative of the community with 75% comprised of independent members of the community. Memorial Regional Medical Center provides training and education of health care professionals. The Bon Secours Memorial College of Nursing, sponsored by Memorial Regional Medical Center had 258 enrolled students in fiscal year 2010. Memorial Regional Medical Center engages in medical research. Inpatient and outpatient research-related activities are conducted by Memorial Regional with oversight from the Bon Secours Richmond Health System Institutional Review Board. Bon Secours Richmond Health Systems (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 Bon Secours Richmond nurture the growth of individual and community capacities and create opportunities for each individual to assume a meaningful role in defining and pursuing holistic well being, peace, and hope. Bon Secours Richmond is a prophetic voice for just and equitable public policies that ensure access to basic human goods for all people. Bon Secours Richmond 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 at Bon Secours Richmond Health System. The Care-A-Vans are mobile health care clinics, which travel throughout the Richmond Metro area to provide free primary, urgent and preventive care to patients. Patients on these vans speak many different languages. Approximately one-third of the Care-A-Vans staff are bilingual in English and Spanish. Each van is a self-contained mobile clinic with examining rooms, storage, bathroom, and waiting area. Services include health screenings, childhood immunizations, flu shots for adults, school physicals for uninsured children and examination and treatment of sick patients who are uninsured. 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 9,340 patient visits in FY 10 of which approximately 1,638 were in the Memorial Regional Medical Center primary service area. Bon Secours Richmond Health System partnered with the Daily Planet, a federally qualified health center and St. Josephs Villa for Children, a not-for-profit organization serving children with special needs, at risk youth, and adults with disabilities to create St. Josephs Outreach Clinic. The clinic provides primary care services to both the insured and the uninsured and serves a large Hispanic population. In FY 10, 5,099 patient visits were provided. St. Josephs Outreach Clinic resides in the primary service area of Memorial Regional Medical Center. Bon Secours Memorial Regional Medical Center owns eight physician practices. They provided free or reduced fee services to 640 patients in FY 10. The cost of those services was $ 48,577. The Asthma & Allergy Foundation of America designated Richmond, Virginia as the 2010 Asthma Capital of the United States. 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 10 over 2,332 children, parents, teachers and physicians were directly served through CARMAs services. Every Womens 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. BSRHS holds clinics in three facilities in the Richmond Metro area. Additionally, BSRHS provides case management, follow-up and patient education for these women. In FY 10, 704 screenings were provided of which 13 were provided at Memorial Regional Medical Center.BSRHS 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 BSRHS outreach specialists enrolled or re-enrolled over 455 children in FAMIS or Medicaid in FY 10.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 209 congregational promoters, faith community nurses and other health ministers.OtherInformation
Affiliated Health Care SystemPart VI, Line 7: 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. The community benefit contribution of BSRHS, which is comprised of Bon Secours Memorial Regional Medical Center, Bon Secours St. Francis Medical Center, Bon Secours St. Marys Hospital, and Bon Secours Richmond Community Hospital, includes programs and partnerships working to improve access to health care, the quality of life and holistic health of the BSRHS communities. The mission of BSRHS is to provide compassionate quality healthcare services to those in need including the poor and dying for the purpose of alleviating human suffering and bringing people to wholeness in the midst of pain and loss. This ambition is embraced not only by the doctors and nurses providing exceptional quality care in the acute care facilities, but also by all of the employees working to improve the access to care and quality of life for those in need who live in the BSRHS community.BSRHS is comprised of four acute care hospitals with a total of 850 licensed beds. Bon Secours St. Marys Hospital is a 391 licensed bed facility West End. Bon Secours Memorial Regional Medical Center is a 225 licensed bed facility located north of the city and is the only acute care facility in Hanover County. Bon Secours Richmond Community Hospital is a 104 bed acute care facility located in the East End, a medically underserved area. Both Bon Secours Richmond Community Hospital and Bon Secours St. Marys Hospital are disproportionate share hospitals. Bon Secours St. Francis Medical Center, a 130 bed facility, is BSRHS only hospital south of the James River. Transforming the delivery of healthcare through the development of an innovative delivery system and through partnerships with community resources, physicians and payers, BSRHS seeks to improve community health and access to care for those in need. BSRHS mission and vision are implemented through the daily work of thousands of employees, physicians, and volunteers. BSRHS has numerous staff dedicated specifically to assist in the community benefit effort. As of August 31, 2010, BSRHS employed over 15 full time employees specifically dedicated to community benefit programs and community building activities. Bon Secours Richmond Health System is a prophetic voice for just and equitable public policies that ensure access to basic human goods for all people. St. Marys has a proud history of advocacy. With the opening of the hospital in 1966, St. Marys Hospital became the first racially integrated hospital in the region. In designing the hospital, the Sisters refused to listen to architects suggestions that the room, bathrooms and other spaces should be segregated. The hospital continues to lead the fight for a fair/living wage by insisting that the lowest paid workers be paid at $8.50 an hour instead of the minimum wage of $7.25 an hour.AffiliatedHealthCareSystem
Reports Filed With StatesVAReportsFiledWithStates

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Mark Gordon
033504302357100110965033893025512074112300
Toni Ardabell
026250104200009248301650001438041492200
Thom Morris PhD
0225765015734503454903533802045045504200
Michael Robinson
03691980207071027686047385024224067556400
Peter F Gallagher
0350924012750201560047344025273055260300
Peter J Bernard
069607705470340570401467060280640142358500
Charles F Malloy
173756043580033203060084860229214000
Michael Spine
0296808090338013138017351025863044349800
Bonnie M Shelor
02463210843340174503714107658037719900
Jill Kennedy
1729790469090354092040227110252157000
Charles Lockhart
518109000809000189350537853000
Brian J Foster
10794001133660231000237440245281000
Jason Lee
106971011345702550108890253790256951000
Sandra Boisseau
9692509968701359000173850215356000
Mark Rosenberg
942660953940135900032380194257000
Teresa Edwards
0002535700000002535700
Michael Kerner
0467646029094701820880994350270340106715000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

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

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Neurological AssociatesBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipBoard member Robert Cohen has more than 5% ptnrship in Neurological Assoc.Relationship
Amount Of Transaction168448AmountOfTransaction
Description Of TransactionIndependent ContractorDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 6Bon Secours Health System, Inc. is the sole member of Bon Secours - Richmond Health Corp, which in turn holds the majority interest in Bon Secours - Richmond Health System, which in turn is the sole member of Memorial Regional Medical Center, Inc.
Form 990, Part VI, Section A, line 7aThe governing body of Memorial Regional Medical Center is appointed by its member, Bon Secours Richmond Health System, and subject to approval by Bon Secours Health System, Inc.
Form 990, Part VI, Section A, line 7bCertain authorities of Memorial Regional Medical Center are reserved to its member or to Bon Secours Health System, Inc.
Form 990, Part VI, Section B, line 11The process the organization uses to review the Form 990 consists of a review by Bon Secours Richmond Health System's audit and compliance board committee and providing the form to the Memorial Regional Medical Center's board of directors to allow for a thorough review by both before the filing date of July 15, 2011. Bon Secours Richmond Health System's audit and compliance board committee and Memorial Regional Medical Center's board of directors will review the Form 990 and ask any additional questions regarding the Form 990 before the return is filed July 15, 2011.
Form 990, Part VI, Section B, line 12cMemorial Regional Medical Center, Inc. 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 Memorial Regional Medical Center, Inc. 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 participates in a second review of all disclosures during which recommendations are made as to the resolution of any conflicts or potential conflicts. Depending on the facts and circumstances, resolutions may include ongoing disclosure, recusal or removal of the conflict; and (3) all disclosures and recommendations are reviewed by a board committee (audit and compliance committee reviews the disclosures of management and the governance committee reviews the disclosures of the board and board committee members).
Form 990, Part VI, Section B, line 15The compensation committee of the board of Bon Secours Health System, Inc. engages in a comprehensive process for the oversight and management of remuneration for executive employees and disqualified parties of Memorial Regional Medical Center, as well as other officers, key employees and highest paid employees. The compensation committee consists of a group of independent board members and engages an independent external compensation consultant to ensure the reasonableness of compensation paid to executives and disqualified parties. The committee maintains a Board-approved 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 reported to the BSHSI Board of Directors and documented in the BSHSI compensation committee minutes. Form 990, Part VI, Section b , Line 15b - Compensation Process Other Officers/ Key Employees: The process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. In the review, the other officers or key employees of Memorial Regional Medical Center were compared to other hospitals' employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in human resources.
Form 990, Part VI, Section C, line 19Memorial Regional Medical Center provides any documents open to public inspection upon request.
Form 990, Part VII:Hours worked are not tracked on an entity by entity basis. All officer's and director's hours reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors represent aggregate hours worked per week. 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 of Richmond Health System and related organizations and includes the monitoring and oversight of all of Bon Secours Virginia Health System in total. Peter F. Gallagher's compensation is paid by St. Mary's Hospital of Richmond, Inc., a related organization. The compensation he receives is for his role as CFO of Bon Secours Virginia Health System. Toni Arabell's compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation she receives is for her role as the CEO of St. Mary's Hospital of Richmond, Inc. Thom Morris, Phd's compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation he receives is for his role as the Director, Mission and Sponsorship of Bon Secours Health System, 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 CEO of Bon Secours - St. Francis Medical Center. 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 CEO of Richmond Community Hospital, Inc. and Memorial Regional Medical Center, Inc. Michael Spine's compensation is paid by St. Mary's Hospital of Richmond, Inc., a related organization. The compensation he receives is for his role as the Bon Secours Richmond Health System Senior Vice President Business Development. Bonnie Shelor's compensation is paid by St. Mary's Hospital of Richmond, Inc., a related organization. The compensation she receives is for her role as the Bon Secours Virginia Health System Senior Vice President Human Resources. Sr. Victoria V. Segura and Sr. Anne Marie Mack do not receive payroll distributions as they have taken vows of poverty.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
Bon Secours Health System Inc
1505 Marriotsville RoadMarriotsvilleMD21104521301088Parent Org. Management ServicesMD501(c)(3)Line 11, Type II: 50N/A
Bon Secours Richmond Health Corporation
8580 Magellan ParkwayRichmondVA23227541356155Management ServicesVA501(c)(3)Line 11, Type II: 50N/A
Bon Secours Richmond Health System
8580 Magellan ParkwayRichmondVA23227521988421Local System Parent Org.VA501(c)(3)Line 11, Type II: 50N/A
Bon Secours St Mary's Hospital
8580 Magellan ParkwayRichmondVA23227540793767Health CareVA501(c)(3)Line 3: 170(b)(1)(a)N/A
Bon Secours Richmond Community Hospital
8580 Magellan ParkwayRichmondVA23227540647482Health CareVA501(c)(3)Line 3: 170(b)(1)(a)N/A
Bon Secours St Francis Medical Center
8580 Magellan ParkwayRichmondVA23227311716973Health CareVA501(c)(3)Line 3: 170(b)(1)(a)N/A
Laburnum Properties
8580 Magellan ParkwayRichmondVA23227521260700Title Holding CompanyVA501(c)(2)N/AN/A
Bon Secours Stuart Circle Hospital
8580 Magellan ParkwayRichmondVA23227541740128Health CareVA501(c)(3)Line 3: 170(b)(1)(a)N/A
Bon Secours Richmond Healthcare Foundation
8580 Magellan ParkwayRichmondVA23227541201346Grant Making FoundationVA501(c)(3)Line 7: 170(b)(1)(a)N/A
Community Health Alliance
2201 West Broad Street No 202RichmondVA23220113671164Providing for the health care needs of the underserved.VA501(c)(3)Line 7: 170(b)(1)(a)N/A
Richmond Community Hospital Foundation
5875 Bremo RoadRichmondVA23226541780854Grant Making FoundationVA501(c)(3)Line 11, Type III: 5N/A

Form990 Schedule R Part III Form990ScheduleRPartIII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
St Mary's MRI LP
8580 Magellan ParkwayRichmondVA23227541568022Imaging ServicesVAN/ARelated00
RI LP
8580 Magellan ParkwayRichmondVA23227541708835Imaging ServicesVAN/ARelated00
Broad64 Imaging LLC
8580 Magellan ParkwayRichmondVA23227205886018Imaging ServicesVAN/ARelated00
Richmond Radiation Oncology Center I LLC
8580 Magellan ParkwayRichmondVA23227208444551Radiation Oncology ServicesVAN/ARelated00
Chesterfield Community Healthcare Center MOB I LLC
435 Southlake BlvdRichmondVA23226541745670Rental- Medical Office BuildingVAN/ARelated00
Mental HealthSource LLC
8580 Magellan ParkwayRichmondVA23227541785409Behavioral Health ServicesVAN/ARelated01
CCHC Ironbridge Realty LLC
8580 Magellan ParkwayRichmondVA23227300181909Rental - LandVAN/ARelated01
Richmond Community Hospital MOB I LLC
435 Southlake BlvdRichmondVA23236541848514Rental - LandVAN/ARelated00

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
Chesterfield Community Healthcare Center Inc
8580 Magellan ParkwayRichmondVA23227541812738Ambulatory Healthcare ServicesVAN/AC
RHS Management Corporation
8580 Magellan ParkwayRichmondVA23227541313425Independent Living FacilityVAN/AC
Bon Secours -Virginia HealthSource Inc
8580 Magellan ParkwayRichmondVA23227541417686Ambulatory Healthcare ServicesVAN/AC
Ironbridge Assisted Living Retirement Community
8580 Magellan ParkwayRichmondVA23227541807857Assisted Living FacilityVAN/AC
Richmond Radiation Oncology Center Inc
8580 Magellan ParkwayRichmondVA23227541570244Oncology ServicesVAN/AC
Richmond MRI Inc
8580 Magellan ParkwayRichmondVA23227541568452Imaging ServicesVAN/AC
Central Virginia Health Network Inc
2201 West Broad StreetRichmondVA23220541806281Healthcare Support ServicesVAN/AC
Bon Secours at Wellesley Owners Assocation Inc
8580 Magellan ParkwayRichmondVA23227541938077Real EstateVAN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg