Bon Secours - St Mary's Hospital of Richmond Inc: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- Bon Secours - St Mary's Hospital of Richmond Inc (EIN 54-0793767)
- Tax period
- 2009-09-01 to 2010-08-31
- Filed
- 2011-07-11
- IRS object ID
- 201131929349300503
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-07-11T07:47:35-05:00 | Timestamp |
| Tax Period End Date | 2010-08-31 | 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 | 2009-09-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 540793767 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's Hospital of Richmond Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STMA | NameControl |
| Phone | 8046275400 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8580 Magellan Parkway Building IV | AddressLine1 |
| City | Richmond | City |
| State | VA | State |
| ZIP Code | 23227 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Peter F Gallagher | Name |
| Title | Treasurer BSR CFO | Title |
| Phone | 8042818316 | Phone |
| Date Signed | 2011-07-08 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7032511000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Toni R Ardabell | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5801 Bremo Road | AddressLine1 |
| City | Richmond | City |
| State | VA | State |
| ZIP Code | 23226 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 612371964 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.bonsecours.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1961 | YearFormation |
| State Legal Domicile | VA | StateLegalDomicile |
| Activity Or Mission Description | Acure Care Hospital | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 20 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 4259 | TotalNbrEmployees |
| Total Nbr Volunteers | 700 | TotalNbrVolunteers |
| Total Gross UBI | 8586668 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -141317 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 480547 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 264325 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 507091332 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 603624335 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -19301332 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2741987 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2730843 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2116387 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 491001390 | TotalRevenuePriorYear |
| Total Revenue Current Year | 608747034 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 224712078 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 237986855 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 252709710 | OtherExpensePriorYear |
| Other Expenses Current Year | 338284793 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 477421788 | TotalExpensesPriorYear |
| Total Expenses Current Year | 576271648 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 13579602 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 32475386 | RevenuesLessExpensesCY |
| Total Assets BOY | 589265496 | TotalAssetsBOY |
| Total Assets EOY | 647150444 | TotalAssetsEOY |
| Total Liabilities BOY | 226509925 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 253275729 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 362755571 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 393874715 | NetAssetsOrFundBalancesEOY |
| Mission Description | The mission is to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a system of caregivers, we commit ourselves to help bring people and communities to health and wholeness. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 363530325 | Expense |
| Revenue | 445973209 | Revenue |
| Description | St. Mary's Hospital provides medical care to patients without regard to their ability to pay. As the major community not for profit hospital in Richmond, St. Mary's is the access for under-insured and financially disadvantaged who will not be treated at the for profit hospitals. In addition, St. Mary's provides support for community services. Please refer to the Community Benefit information on Schedule H. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 157651126 | Expense |
| Revenue | 157651126 | Revenue |
| Description | St. Mary's Hospital provides shared services to related organizations to assist with furthering its mission of providing help to those in need. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 521181451 | 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 |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| 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 |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | 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 |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 304 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 4259 | 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 |
| Nbr Voting Governing Body Members | 20 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | VA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Peter F Gallagher | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8046275400 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8580 Magellan Parkway Building IV | AddressLine1 |
| City | Richmond | City |
| State | VA | State |
| ZIP Code | 23227 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (34 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 |
|---|---|---|---|---|---|---|---|---|---|
| William T Patrick Jr | |||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||||
| John Bowman MD | |||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||||
| Robert J Cohen MD | |||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||||
| Alexander J Corbett PhD | |||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||||
| Richard Jackson MD | |||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||||
| Kenneth J Jones | |||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||||
| Sr Anne Marie Mack CBS | |||||||||
| Board Member | 50.00 | X | 0 | 0 | 0 | ||||
| John Muldowney | |||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||||
| Joanne Nattrass | |||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||||
| Michael Williams | |||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||||
| Jean Ann Bolling | |||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||||
| Mark Gordon | |||||||||
| Board Member | 50.00 | X | 0 | 681718 | 59405 | ||||
| Michael Robinson | |||||||||
| Board Member | 50.00 | X | 0 | 603955 | 71609 | ||||
| Thom Morris PhD | |||||||||
| Board Member | 50.00 | X | 0 | 417659 | 45481 | ||||
| Nancy Thomas | |||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||||
| Jane Watkins | |||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||||
| Tom Winfree | |||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||||
| Peter B Cleal | |||||||||
| Chairman | 6.00 | X | 0 | 0 | 0 | X | |||
| Sr Victoria V Segura MD CBS | |||||||||
| President | 50.00 | X | 0 | 0 | 0 | X | |||
| Toni Ardabell | |||||||||
| CEO | 50.00 | X | 0 | 396984 | 17938 | X | |||
| Allen Goolsby | |||||||||
| Secretary | 6.00 | 0 | 0 | 0 | X | ||||
| Peter F Gallagher | |||||||||
| Treasurer (BSR CFO) | 50.00 | 479986 | 0 | 72617 | X | ||||
| Peter J Bernard | |||||||||
| Bon Secours Richmond CEO | 50.00 | 0 | 1248815 | 174770 | X | ||||
| Thomas L Koenig | |||||||||
| COO | 50.00 | 330941 | 0 | 17297 | X | ||||
| Michael Spine | |||||||||
| BSR SVP Bus Dev | 50.00 | 400284 | 0 | 43214 | X | ||||
| Bonnie M Shelor | |||||||||
| BSR SVP HR | 50.00 | 332400 | 0 | 44799 | X | ||||
| Francine Barr | |||||||||
| Vice President CNE | 50.00 | 254261 | 0 | 7056 | X | ||||
| Mark Katz | |||||||||
| Physician | 50.00 | 767334 | 0 | 48753 | X | ||||
| Mark R Bladergroen | |||||||||
| Physician | 50.00 | 649098 | 0 | 36062 | X | ||||
| Matthew Ngo | |||||||||
| Physician | 50.00 | 612883 | 0 | 44081 | X | ||||
| Rober Sisson III | |||||||||
| Physician | 50.00 | 595691 | 0 | 24469 | X | ||||
| Anthony Caruso | |||||||||
| Physician | 50.00 | 594569 | 0 | 26820 | X | ||||
| Teresa Edwards | |||||||||
| Former Board Member | 0.00 | 0 | 25357 | 0 | X | ||||
| Michael Kerner | |||||||||
| Former CEO | 0.00 | 0 | 940681 | 126469 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5017447 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 4315169 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 860840 | TotalOtherCompensation |
| Number Individuals GT100 K | 168 | 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 |
|---|---|---|---|---|---|
| Free Agents Marketing | |||||
| 10124 W Broad Street | Glen Allen | VA | 23060 | Advertising | 6429115 |
| Central VA Health Network | |||||
| 2201 West Broad St Ste 202 | Richmond | VA | 23220 | Management services | 4978723 |
| Aramark CTS Inc | |||||
| 12483 Collections Center Drive | Chicago | IL | 60693 | Clinical technology services | 4257046 |
| Taylor & Parrish Inc | |||||
| 710 Perry Street | Richmond | VA | 23224 | Building contractor | 3130535 |
| Sheltering Arms | |||||
| 8254 Atlee Road | Mechanicsville | VA | 23116 | Physical Therapists | 2398429 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 89 | NumberOfContractorsGT100K |
| Related Organizations | 200231 | RelatedOrganizations |
| Government Grants | 64094 | GovernmentGrants |
| Total Contributions | 264325 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Patient Service Revenu | 621300 | 445973209 | 445973209 | |
| Shared Services | 561499 | 157651126 | 148923141 | 8727985 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 603624335 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5242790 | TotalRevenueColumn |
| Exclusion | $5,242,790 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 376237 | TotalRevenueColumn |
| Exclusion | $376,237 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 812712 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 747890 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 64822 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 64822 | TotalRevenueColumn |
| Unrelated Business Revenue | -141317 | UnrelatedBusinessRevenue |
| Exclusion | $206,139 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2877040 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -2877040 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -2877040 | TotalRevenueColumn |
| Exclusion | -$2,877,040 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| Cafe & Vending | 722210 | 1526958 | $1,526,958 |
| School Tuition | 900099 | 216682 | $216,682 |
| Joint Venture | 900099 | 103526 | $103,526 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 204399 | TotalRevenueColumn |
| Exclusion | $204,399 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2051565 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 608747034 | TotalRevenueColumn |
| Related Or Exempt Function Income | 594896350 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 8586668 | UnrelatedBusinessRevenue |
| Exclusion | $4,999,691 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1921688 | Total |
| Program Services | 1729519 | ProgramServices |
| Management And General | 192169 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 180818093 | Total |
| Program Services | 162736284 | ProgramServices |
| Management And General | 18081809 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11558062 | Total |
| Program Services | 10402255 | ProgramServices |
| Management And General | 1155807 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31443402 | Total |
| Program Services | 28299061 | ProgramServices |
| Management And General | 3144341 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12245610 | Total |
| Program Services | 11021049 | ProgramServices |
| Management And General | 1224561 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1343486 | Total |
| Program Services | 1209137 | ProgramServices |
| Management And General | 134349 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 431646 | Total |
| Program Services | 388481 | ProgramServices |
| Management And General | 43165 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34903 | Total |
| Program Services | 31413 | ProgramServices |
| Management And General | 3490 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7411953 | Total |
| Program Services | 6670758 | ProgramServices |
| Management And General | 741195 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9167039 | Total |
| Program Services | 8250335 | ProgramServices |
| Management And General | 916704 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5725513 | Total |
| Program Services | 5152962 | ProgramServices |
| Management And General | 572551 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8684503 | Total |
| Program Services | 7816053 | ProgramServices |
| Management And General | 868450 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1578008 | Total |
| Program Services | 1420207 | ProgramServices |
| Management And General | 157801 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 240244 | Total |
| Program Services | 216220 | ProgramServices |
| Management And General | 24024 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7659783 | Total |
| Program Services | 7659783 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19485451 | Total |
| Program Services | 17536906 | ProgramServices |
| Management And General | 1948545 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4629529 | Total |
| Program Services | 4166576 | ProgramServices |
| Management And General | 462953 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Purchased Services | 141074349 | 126966914 | 14107435 |
| Medical Supplies | 90915404 | 81823864 | 9091540 |
| Bad Debt | 17709890 | 17709890 | |
| Medical Equip Rental | 6055339 | 5449805 | 605534 |
| Repairs & Maintenance | 4210559 | 3789503 | 421056 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11927194 | Total |
| Program Services | 10734476 | ProgramServices |
| Management And General | 1192718 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 576271648 | Total |
| Program Services | 521181451 | ProgramServices |
| Management And General | 55090197 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 152131297 | BOY |
| EOY | 200116573 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48027202 | BOY |
| EOY | 51824049 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5026537 | BOY |
| EOY | 7358970 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3901358 | BOY |
| EOY | 3007626 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 336619290 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 207976299 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 137891466 | BOY |
| EOY | 128642991 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 233977999 | BOY |
| EOY | 251271530 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 78651 | BOY |
| EOY | 127572 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8230986 | BOY |
| EOY | 4801133 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 589265496 | BOY |
| EOY | 647150444 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56540187 | BOY |
| EOY | 68620358 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50816130 | BOY |
| EOY | 49227882 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 119153608 | BOY |
| EOY | 135427489 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 226509925 | BOY |
| EOY | 253275729 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 362732111 | BOY |
| EOY | 393802335 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23460 | BOY |
| EOY | 72380 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 362755571 | BOY |
| EOY | 393874715 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 589265496 | BOY |
| EOY | 647150444 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $34,903 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 34903 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i: | Identifier |
| Return Reference | Explanation of Other Lobbying Activities: | ReturnReference |
| Explanation | St. Mary's Hospital of Richmond paid dues to the American Hospital Association (AHA), the Virginia Hospital and Healthcare Association (VHHA) and the Catholic Hospital Association (CHA), a portion of which is used for lobbying activities. The portion of dues allocated to lobbying activities for each of these organizations is as follows: Lobbying activity for AHA ($10,038 or 23.76%), VHHA ($21,832 or 23.07%), and CHA ($3,033 or 4.68%) for a total of $34,903. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4346148 | OtherCostOrOtherBasis |
| Book Value | 4346148 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 133317208 | OtherCostOrOtherBasis |
| Depreciation | 64420169 | Depreciation |
| Book Value | 68897039 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11362220 | OtherCostOrOtherBasis |
| Depreciation | 1428730 | Depreciation |
| Book Value | 9933490 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 142979946 | OtherCostOrOtherBasis |
| Depreciation | 116787650 | Depreciation |
| Book Value | 26192296 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 44613768 | OtherCostOrOtherBasis |
| Depreciation | 25339750 | Depreciation |
| Book Value | 19274018 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 128642991 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Other Liabilities | $119,682,785 |
| Current installment of LT Debt | $1,866,624 |
| Due to affiliates | $13,878,080 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 135427489 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part X: | Identifier |
| Return Reference | Description of Uncertain Tax Positions Under FIN 48: | 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. 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. | 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 | 9749961 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 9749961 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01750 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 42531084 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 25789384 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16741700 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 52281045 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 25789384 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 26491661 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04750 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 16 | NumberOfActivitiesOrPrograms |
| Persons Served | 34059 | PersonsServed |
| Total Community Benefit Expense | 9173361 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 9173361 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01640 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1039384 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 387825 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 651559 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1054488 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1054488 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00190 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 16 | NumberOfActivitiesOrPrograms |
| Persons Served | 34059 | PersonsServed |
| Total Community Benefit Expense | 11267233 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 387825 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10879408 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01960 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 16 | NumberOfActivitiesOrPrograms |
| Persons Served | 34059 | PersonsServed |
| Total Community Benefit Expense | 63548278 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 26177209 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 37371069 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06710 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 200 | PersonsServed |
| Total Community Building Expense | 509396 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 509396 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 200 | PersonsServed |
| Total Community Building Expense | 509396 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 509396 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $4,742,980 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 88717697 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 102670823 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -13953126 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's Ambulatory Surgery Center LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | Outpatient surgery center. | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.28400 | OrganizationProfitOrOwnership |
| Physicans Profit Or Ownership | 0.57900 | PhysicansProfitOrOwnership |
Form990 Schedule H Part V Form990ScheduleHPartV (12 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|
| St Mary's Hospital of Richmond Inc | |||||||
| 5801 Bremo Road | Richmond | VA | 23226 | X | X | X | |
| Commonwealth Gynecologic Oncology | |||||||
| 5875 Bremo Road MOB South Suite G-7 | Richmond | VA | 23226 | Physician practice | |||
| Richmond Cardiology Associates | |||||||
| 7001 Forest Ave Suite 100 | Richmond | VA | 23230 | Physician practice | |||
| Cardiac Surgery Specialists | |||||||
| 5875 Bremo Road MOB South Suite G-5 | Richmond | VA | 23226 | Physician practice | |||
| Pediatric Endocrinology & Diabetes Asso | |||||||
| 5876 Bremo Road MOB South Suite 207 | Richmond | VA | 23226 | Physician practice | |||
| Cardiovascular Associates of Virginia | |||||||
| 7001 Forest Ave Suite 200 | Richmond | VA | 23230 | Physician practice | |||
| Dominion Surgical Associates | |||||||
| 5855 Bremo Road suite 406 | Richmond | VA | 23226 | Physician practice | |||
| Pediatric Pulmonary | |||||||
| 5876 Bremo Road MOB South Suite 104 | Richmond | VA | 23226 | Physician practice | |||
| Pediatric Neurology Clinic | |||||||
| 5876 Bremo Road MOB South Suite 207 | Richmond | VA | 23226 | Physician practice | |||
| Arthritis & Osteoporosis Center | |||||||
| 9600 Patterson Ave | Richmond | VA | 23229 | Physician practice | |||
| Monument Internal Medicine | |||||||
| 5855 Bremo Road MOB North Suite 102 | Richmond | VA | 23226 | Physician practice | |||
| St Mary's Women's Imaging Center | |||||||
| 5875 Bremo Road MOB South | Richmond | VA | 23226 | Physician practice | |||
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Annual Community Benefit Expln | Part 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 Used | Part I, Line 7: Part I, line 7a: Charity Care at cost is computed by applying a cost-to-charge ratio to the aggregate charity adjustments recorded in the general ledger. Part I, line 7b: Unreimbursed Medicaid is computed by determining the cost of Medicaid services supplied less payments received for these services. To determine the cost of Medicaid services provided, a cost-to-charge ratio is applied to traditional and managed Medicaid gross charges recorded in the general ledger. Payments include payments for individual claims, payments from the Medicaid program paid outside the claim process (such as medical education payments) and expected or actual cost report settlements.Part I, line 7c: Unreimbursed costs from other means-tested government programs are computed by applying a cost-to-charge ratio to the total charges to patients covered under these programs. The charges are identified by the financial class assigned to the patient. For Part I, Line 7 a-c computations: The cost-to-charge ratio is derived using the suggested computation in Worksheet 2, Ratio of Patient Care Cost-to-Charges. Operating expenses and Gross patient charges are taken from the general ledger. Expenses for nonpatient care activities recorded in operating expenses are approximated as directly equaling other operating revenue, assuming these activities do not provide profit. Part I, line 7e: Community health improvement services and community benefit operations are accumulated throughout the year and reported at actual cost in a software program that specifically addresses this purpose.Part I, line 7f: Health professions education cost is determined as the direct and indirect cost of qualifying education activities as traditionally reported in columns 21-24 on Worksheet B of the Medicare cost report as a Medical Education program, nursing school or other allied health program. | CostingMethodUsed |
| Percent Of Total Expense Expln | Part I, Line 7f: Current year bad debt expense not included in the calculation for line 7, column f: $17,709,890 | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | 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 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 Benefit | 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 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 patients 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 publicly insured patients where reimbursement is less than cost of providing the service. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: The hospital has a written policy that describes collection practices applying to patients that qualify for charity care or financial assistance. If full assistance is approved, no collection efforts are pursued on that patients 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 Assessment | Part VI, Line 2: In partnership with Bon Secours Richmond Health System, St. Mary's Hospital uses multiple approaches to assess the health needs of the communities it serves. In October 2009, the Central Virginia Health Planning Agency released an Immigrant Needs Assessment commissioned by Bon Secours Richmond Health System in collaboration with St. Mary's Hospital. 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 St. Mary's Hospital. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: St. Mary's Hospital is committed to ensuring access to health care services for all. As a health care provider, St. Mary's treats all patients, whether insured, underinsured or uninsured, with dignity, respect and compassion throughout scheduling, admission, delivery of services, discharge, billing and collection processes. St. Mary's 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. St. Mary's 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 St. Marys Hospital 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 Information | Part VI, Line 4: Bon Secours St. Mary's Hospital serves the greater Richmond Virginia area. Projections indicate that the population will grow by 6.6% from 1,296,225 in 2009 to 1,381,160 in 2014, with 9.4% of the service area having a household income of less than $15,000 per year, compared to the national average of 12.4%. Similarly, 17.7% 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 62.4% of the population is white and 28.8% 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 31% between 2009 and 2014. St. Mary's Hospital is a disproportionate share hospital. In fiscal year 2010, it served 22,153 inpatients and provided outpatient services for 79,690 visits. Additionally, St. Mary's provided 65,515 emergency room visits. The Emergency Department is open 24 hours a day and available to all persons regardless of ability to pay. St. Mary's participates in Medicare, Medicaid, CHAMPUS, Tricare and other government sponsored health care programs such as the State/Local Hospitalization program and the SCHIP/FAMIS program for children. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: Advancing the Bon Secours mission to bring people and communities to health and wholeness, the Bon Secours Richmond Health System and St. Mary's Hospital leadership in collaboration with Dunany Plater Zyberk & Company (DPZ) a leading proponent of traditional town planning and New Urbanism sponsored a weeklong charrette November 6-14, 2009. The purpose of the charrette was to engage hospital staff, administration and supporters along with neighbors, municipal officials and a team of design consultants to develop a vision for the next 40 years. The resulting Master Plan acknowledges that there is a need to plan for an expected expansion that by 2050 will roughly triple the existing facility. Goals that emerged from the process which provide guidelines for the future plan included the aspirations to:Identify a growth strategy that accommodates anticipated program expansion needs of the hospital while contributing to a welcoming and walkable environment to neighbors, visitors, and patients.Develop St. Mary's streetscape and landscape to express its history as a venerable neighborhood institution and regional destinationCoordinate circulation into and within the campus for both vehicular and pedestrian trafficIdentify and reinforce opportunities to provide wellness services and complementary uses that serve the campus, neighborhood and region. | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: St. Mary's Hospital has an open medical staff with privileges available to all qualified physicians in the area. St. Mary's Hospital, 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. St. Mary's Hospital engages in medical research. Inpatient and outpatient research-related activities are conducted by St. Mary's with oversight from the Bon Secours Richmond Health System Institutional Review Board. St. Mary's Hospital provides training and education of health care professionals. The Bon Secours St. Mary's School of Imaging, sponsored by St. Mary's Hospital had 30 enrolled students in fiscal year 2010. BSRHS commitment to the poor and disadvantaged is more than providing free or discounted services to those who come to the health care facilities in crisis without financial means to pay. The call to live a healing ministry requires that BSRHS nurture the growth of individual and community capacities and create opportunities for each individual to assume a meaningful role in defining and pursuing holistic well being, peace, and hope. BSRHS is a prophetic voice for just and equitable public policies that ensure access to basic human goods for all people. BSRHS participates in collaborative partnerships throughout the metropolitan area to support improving the quality of life for individuals and the community. The following are illustrative examples of numerous community benefit programs at BSRHS.Noahs Children, located at St. Mary's Hospital, is Central Virginia's only pediatric hospice and palliative care program. It is a specialized program of comprehensive care serving infants, children and adolescents who have been diagnosed with a life-threatening illness, and their families. This holistic program ensures compassionate care at the most difficult time for a family by addressing their physical, emotional, social, spiritual and practical needs, so that they can focus on making sure their childs remaining time is as rich and meaningful as possible. In FY'10, 40 families were served. 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 5,982 were in the St. Marys Hospital 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. Joseph's Outreach Clinic. The clinic provides primary care services to both the insured and the uninsured and serves a large Hispanic population. In FY'10, 5,099 patient visits were provided. St. Joseph's Outreach Clinic resides in the primary service area of St. Mary's Hospital. Bon Secours St. Mary's Hospital owns ten physician practices. They provided free or reduced fee services to 324 patients in FY'10. The cost of those services was $124,197. 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. Bon Secours Richmond Health System holds clinics in three facilities in the Richmond Metro area. Additionally, Bon Secours Richmond provides case management, follow-up and patient education for these women. In FY'10, 704 screenings were provided of which 26 were provided at St. Mary's Hospital.Bon Secours Richmond Health System assists low to moderate-income families whose children may qualify for state-sponsored insurance programs (Medicaid and FAMIS). Partnerships have developed with other agencies that have enrollers to identify and refer uninsured children, avoid duplication of effort, and to share responsibilities for case managing to complete the enrollment process. Three Bon Secours Richmond outreach specialists enrolled or re-enrolled over 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.The nationally recognized Reach Out and Read (ROR) program provides books for young children when they visit the St. Mary's Hospital Emergency Department. Volunteers transform the sites into literary rich areas for children and parents while helping families learn the joys and techniques of reading aloud. Volunteers distributed 876 books in FY'10 to children at St. Mary's Hospital Emergency Department. | OtherInformation |
| Affiliated Health Care System | Part 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. Mary's 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 Mary's 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. Mary's 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. The hospital system 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 States | VA | ReportsFiledWithStates |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mark Gordon | |||||||||||||
| 0 | 335043 | 0 | 235710 | 0 | 110965 | 0 | 33893 | 0 | 25512 | 0 | 741123 | 0 | 0 |
| Michael Robinson | |||||||||||||
| 0 | 369198 | 0 | 207071 | 0 | 27686 | 0 | 47385 | 0 | 24224 | 0 | 675564 | 0 | 0 |
| Thom Morris PhD | |||||||||||||
| 0 | 225765 | 0 | 157345 | 0 | 34549 | 0 | 35338 | 0 | 10143 | 0 | 463140 | 0 | 0 |
| Toni Ardabell | |||||||||||||
| 0 | 262501 | 0 | 42000 | 0 | 92483 | 0 | 16500 | 0 | 1438 | 0 | 414922 | 0 | 0 |
| Peter F Gallagher | |||||||||||||
| 350924 | 0 | 127502 | 0 | 1560 | 0 | 47344 | 0 | 25273 | 0 | 552603 | 0 | 0 | 0 |
| Peter J Bernard | |||||||||||||
| 0 | 696077 | 0 | 547034 | 0 | 5704 | 0 | 146706 | 0 | 28064 | 0 | 1423585 | 0 | 0 |
| Thomas L Koenig | |||||||||||||
| 214881 | 0 | 67622 | 0 | 48438 | 0 | 3319 | 0 | 13978 | 0 | 348238 | 0 | 0 | 0 |
| Michael Spine | |||||||||||||
| 296808 | 0 | 90338 | 0 | 13138 | 0 | 17351 | 0 | 25863 | 0 | 443498 | 0 | 0 | 0 |
| Bonnie M Shelor | |||||||||||||
| 246321 | 0 | 84334 | 0 | 1745 | 0 | 37141 | 0 | 7658 | 0 | 377199 | 0 | 0 | 0 |
| Francine Barr | |||||||||||||
| 204378 | 0 | 48524 | 0 | 1359 | 0 | 5544 | 0 | 1512 | 0 | 261317 | 0 | 0 | 0 |
| Mark Katz | |||||||||||||
| 764135 | 0 | 0 | 0 | 3199 | 0 | 16490 | 0 | 32263 | 0 | 816087 | 0 | 0 | 0 |
| Mark R Bladergroen | |||||||||||||
| 644015 | 0 | 0 | 0 | 5083 | 0 | 16500 | 0 | 19562 | 0 | 685160 | 0 | 0 | 0 |
| Matthew Ngo | |||||||||||||
| 478981 | 0 | 133333 | 0 | 569 | 0 | 16500 | 0 | 27581 | 0 | 656964 | 0 | 0 | 0 |
| Rober Sisson III | |||||||||||||
| 461672 | 0 | 133333 | 0 | 686 | 0 | 0 | 0 | 24469 | 0 | 620160 | 0 | 0 | 0 |
| Anthony Caruso | |||||||||||||
| 460064 | 0 | 133333 | 0 | 1172 | 0 | 0 | 0 | 26820 | 0 | 621389 | 0 | 0 | 0 |
| Teresa Edwards | |||||||||||||
| 0 | 0 | 0 | 25357 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 25357 | 0 | 0 |
| Michael Kerner | |||||||||||||
| 0 | 467646 | 0 | 290947 | 0 | 182088 | 0 | 99435 | 0 | 27034 | 0 | 1067150 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Line 1a | Select executives receive country club memberships primarily for business use and certain business related expenses are reimbursed. Receipts are required to substantiate the amounts eligible for reimbursement. | |
| Part I, Lines 4a-b: | Tom Koenig received severance payments of $42,754. Part I, Line 4b: St. Mary's Hospital of Richmond, Inc. participates in a BSHSI sponsored executive retirement program that allows for deposits into additional retirement plans and is available only to key employees. The 457F plan is a non-qualified plan and is subject to a minimum three-year service requirement before vesting on deposits are made into this plan. | |
| Part III | Part I, Line 3: Bon Secours Health System, Inc., a related organization of St. Mary's Hospital of Richmond, Inc., uses the following to establish the compensation of the organization's CEO/Executive Director: Compensation Committee Independent Compensation Consultant Written Employment Contract Compensation Survey or Study Approval by the Board or Compensation Committee | Supplemental Information |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Christopher Robinson | |||
| Son of Board Member Michael Robinson | 46345 | Employment | 0 |
| Neurological Associates | |||
| Board Member Robert J. Cohen has a more than 5% int in Neurological Assoc. | 158415 | Independent Contractor | 0 |
| David Cleal | |||
| Son of Board Member Peter Cleal | 22747 | Employment | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 6 | Bon Secours Health System, Inc. is the sole member of Bon Secours - Richmond Health Corp, which in turn holds the majority interest in Bon Secours- Richmond Health System, which in turn is the sole member of St. Mary's Hospital of Richmond, Inc. |
| Form 990, Part VI, Section A, line 7a | The governing body of St. Mary's Hospital of Richmond, Inc. is appointed by its member Bon Secours - Richmond Health System and subject to approval by Bon Secours Health System, Inc. |
| Form 990, Part VI, Section A, line 7b | Certain authorities of St. Mary's Hospital of Richmond, Inc. are reserved to its member or to Bon Secours Health System, Inc. |
| Form 990, Part VI, Section B, line 11 | The process the organization uses to review the Form 990 consists of a review by Bon Secours Richmond Health System's audit and compliance board committee and providing the form to the Bon Secours - St. Mary's Hospital'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 Bon Secours - St. Mary's Hospital'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 12c | Bon Secours - St. Mary's Hospital 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 Bon Secours - St. Mary's Hospital. 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 15 | For those officers, key employees, and highest paid employees that are not reviewed by the BSHSI compensation committee, the 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 Bon Secours - St. Mary's Hospital, 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 Bon Secours - St. Mary's Hospital, 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 19 | Bon Secours - St. Mary's Hospital provides any documents open to public inspection upon request. |
| Form 990, Part VII: | Hours worked are not tracked on an entity by entity basis. All officer's and director's hours reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors represent aggregate hours worked per week. 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. 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. 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 I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Community Ambulatory Surgery Center LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8580 Magellan Parkway | AddressLine1 |
| City | Richmond | City |
| State | VA | State |
| ZIP Code | 23227 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | Ambulatory Surgery Center | PrimaryActivities |
| Legal Domicile State | VA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|
| Bon Secours Health System Inc | |||||||||
| 1505 Marriotsville Road | Marriotsville | MD | 21104 | 521301088 | Parent Org. Management Services | MD | 501(c)(3) | Line 11, Type II: 50 | N/A |
| Bon Secours Richmond Health Corporation | |||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541356155 | Management Services | VA | 501(c)(3) | Line 11, Type II: 50 | N/A |
| Bon Secours Richmond Health System | |||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 521988421 | Local System Parent Org. | VA | 501(c)(3) | Line 11, Type II: 50 | N/A |
| Bon Secours Memorial Regional Medical Center | |||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541744931 | Health Care | VA | 501(c)(3) | Line 3: 170(b)(1)(a) | N/A |
| Bon Secours Richmond Community Hospital | |||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 540647482 | Health Care | VA | 501(c)(3) | Line 3: 170(b)(1)(a) | N/A |
| Bon Secours St Francis Medical Center | |||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 311716973 | Health Care | VA | 501(c)(3) | Line 3: 170(b)(1)(a) | N/A |
| Laburnum Properties | |||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 521260700 | Title Holding Company | VA | 501(c)(2) | N/A | N/A |
| Bon Secours Stuart Circle Hospital | |||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541740128 | Health Care | VA | 501(c)(3) | Line 3: 170(b)(1)(a) | N/A |
| Bon Secours Richmond Healthcare Foundation | |||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541201346 | Grant Making Foundation | VA | 501(c)(3) | Line 7: 170(b)(1)(a) | N/A |
| Community Health Alliance | |||||||||
| 2201 West Broad Street No 202 | Richmond | VA | 23220 | 113671164 | Providing for the health care needs of the underserved. | VA | 501(c)(3) | Line 7: 170(b)(1)(a) | N/A |
| Richmond Community Hospital Foundation | |||||||||
| 5875 Bremo Road | Richmond | VA | 23226 | 541780854 | Grant Making Foundation | VA | 501(c)(3) | Line 11, Type III: 5 | N/A |
Form990 Schedule R Part III Form990ScheduleRPartIII (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|
| St Mary's MRI LP | ||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541568022 | Imaging Services | VA | N/A | Related | 0 | 0 |
| RI LP | ||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541708835 | Imaging Services | VA | N/A | Related | 0 | 0 |
| Broad64 Imaging LLC | ||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 205886018 | Imaging Services | VA | N/A | Related | 0 | 0 |
| Richmond Radiation Oncology Center I LLC | ||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 208444551 | Radiation Oncology Services | VA | N/A | Related | 0 | 0 |
| Chesterfield Community Healthcare Center MOB I LLC | ||||||||||
| 435 Southlake Blvd | Richmond | VA | 23236 | 541745670 | Rental- Medical Office Building | VA | N/A | Related | 0 | 0 |
| Mental HealthSource LLC | ||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541785409 | Behavioral Health Services | VA | N/A | Related | 0 | 0 |
| CCHC Ironbridge Realty LLC | ||||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 300181909 | Rental - Land | VA | N/A | Related | 0 | 1 |
| Richmond Community Hospital MOB I LLC | ||||||||||
| 435 Southlake Blvd | Richmond | VA | 23236 | 541848514 | Rental - Land | VA | N/A | Related | 0 | 0 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| Chesterfield Community Healthcare Center Inc | ||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541812738 | Ambulatory Healthcare Services | VA | N/A | C |
| RHS Management Corporation | ||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541313425 | Independent Living Facility | VA | N/A | C |
| Bon Secours -Virginia HealthSource Inc | ||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541417686 | Ambulatory Healthcare Services | VA | N/A | C |
| Ironbridge Assisted Living Retirement Community | ||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541807857 | Assisted Living Facility | VA | N/A | C |
| Richmond Radiation Oncology Center Inc | ||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541570244 | Oncology Services | VA | N/A | C |
| Richmond MRI Inc | ||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541568452 | Imaging Services | VA | N/A | C |
| Central Virginia Health Network Inc | ||||||||
| 2201 West Broad Street | Richmond | VA | 23220 | 541806281 | Healthcare Support Services | VA | N/A | C |
| Bon Secours at Wellesley Owners Assocation Inc | ||||||||
| 8580 Magellan Parkway | Richmond | VA | 23227 | 541938077 | Real Estate | VA | N/A | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | 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 |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | None | BusinessNameLine1 |