2017-07-10T09:44:13-05:00 2016-08-31 861065772 Deloitte Tax LLP 191 Peachtree St Suite 2000 Atlanta GA 303031749 990 2015-09-01 521301088 Bon Secours Health System Inc BONS 4104425511 8990 Old Annapolis Road Columbia MD 21045 Janice E Burnett Chief Financial Officer 4433672218 2017-07-10 1 John W Sadoff Jr P00540589 4042201500 2015 2021-01-29 14:40:06Z Richard Statuto 8990 Old Annapolis Road Columbia MD 21045 315188749 0 0928 X bonsecours.com X 1983 MD Provide admin/mgmt services to hospitals, nursing homes & other related healthcare orgs. 18 16 1098 19 595046 496807 3663 0 229681336 278260659 15125550 2573196 48435200 31855094 293245749 312688949 16727350 5405139 0 0 143438041 168270913 0 0 0 232070856 161290590 392236247 334966642 -98990498 -22277693 1299722360 1288224190 1293179357 1316856033 6543003 -28631843 X 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. 0 0 297335765 5405139 288629948 The Bon Secours Health System provides a wide range of corporate support services to the facilities it owns or has affiliations. The system's mission services ensure that all Bon Secours facilities support the ministry of the Sisters of Bon Secours and the Catholic Church, and are driven by the system's mission and values. The system's financial, operational and business development services provide essential centralized support to improve operations, financial performance, and the delivery of patient care. With expertise in all areas of acute, long-term care and assisted living facility and home care management and operations, the corporate staff also serves as an invaluable corporate consulting resource. See Schedule O.Mission Services:-Direction, support and consultation for the local and corporate staff and boards of directors-Policy development in areas such as sponsorship, business relationships, moral investments, bioethics, organizational ethics, social justice and community commitment services-Education to promote the Bon Secours mission, philosophy and values to key staff-Coordination of teams charged with addressing health care issues and ethical concernsFinancial & Treasury Services:-Negotiation of access to capital-Oversight, coordination and control of external audits-Coordination of and assistance in maximizing third-party reimbursement and filing related appeals-Monitoring of federal health care policy-Monitoring of System's master pension trust encompassing the pooled investment of all defined benefit pension plan assets of System members, including the selection of master pension trust investment advisor and managers and evaluation of their performance-Management of System members' trustee-held funds and System-wide investment program encompassing the vast majority of System members' investments, including funded depreciation accounts and centralized cash management program, in accordance with uniform System investment guidelines-Management of centralized cash management program-Maintenance of System-wide common financial data base providing status of key financial indicators and operating statistics-Long range capital and financial planning and annual operating and capital budgeting support-Preparation of monthly and year-end consolidating System-wide financial statements, including budget variation reporting and statistical analysis-Development, implementation and monitoring of standardized accounting policies and educates senior leaders on financial literacy and contemporary financial practices.-Development of external financial disclosures to investors and the public at large-Primary contact with rating agencies, bond insurers and for investors questions Oversight of System consulting in the areas of tax returns, cost reporting, A-133 filings, CDM compliance and third party appeals-Organization of meetings of Chief Financial Officers to better coordinate implementation of System-wide goals, strategies, tactics and objectives and to monitor facility operations and corporate complianceOperational Services:-Actuarial, accounting and investment functions for self insurance funding of System members' general and professional liability and workers compensation claims and for a System-wide self-funded plan for employee health benefits-Coordination of functions for a System-wide standard hospital information system and other systems for use throughout the System and support functions for implementing and maintaining the information system-Standardized purchasing function, material management, Lawson ERP system, and other standard IS-Knowledge Transfer of best practices and successes on revenue enhancement and cost reduction initiatives.Strategic Planning, Marketing, and Business Development Services:-Coordination of System strategic planning including coordination of development of the System's vision, goals, and 3-year strategic plan and annual planning processes.-Market assessment and strategy development for improved local market positioning-Strategic planning support for acute, long-term and home care operations-New product/service research and development-Emerging technology research & assessment; knowledge transfer of technology and implications for system-Coordination and consultative assistance in service line planning & profitability analyses-Implementation of strategic growth initiatives in new and existing communities-Coordination of Planning & Business Development leaders, Customer Satisfaction, and Marketing & Communications leaders networksOther Corporate Services:-Corporate Communications and Public Relations-Internal auditing-Corporate Responsibility-Risk management-Governance-Coordination and control of System-wide benefit testing-Administration of System-wide health benefit plans-Placement and renewal of various System-wide welfare benefit plans-Coordination and management of legal services provided to System members-Regulatory compliance and insurance functions-System-wide employee, patient, resident and physician satisfaction Program 5202741 288113 Bon Secours Good Helpcare, LLC d.b.a Good Help ACO, is an Accountable Care Organization (ACO) that received approval from the Centers for Medicare and Medicaid Services (CMS) to participate in the Medicare Shared Savings Program (MSSP), effective January 1, 2013. Part of the Affordable Care Act of 2010, the MSSP is intended to facilitate cooperation among health care providers for the coordination of care for Medicare Fee-for-Service beneficiaries. The goal of coordinated care is to ensure the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors. Good Help ACO is designed to allow participating providers to provide appropriate coordinated care at a time when it is needed and in a setting that is both convenient and appropriate. 302538506 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 1 0 0 1 1 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 317 0 1 1098 1 1 1 1 CJ 0 0 0 0 0 0 0 0 X 18 16 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X Laura Ellison 4433673835 8990 Old Annapolis Road Columbia MD 21045 X Chris Allen Board Member (Sep-Dec) 4.00 0.00 X 400 0 0 Richard Blair Board Member 4.00 0.00 X 400 0 0 Denise Brooks-Williams Board Member (Jan-Aug) 3.00 0.00 X 0 0 0 Charles Brown III Chairman 13.00 2.00 X X 50400 0 0 Sr Elaine Davia Board Member 46.00 4.00 X 400 0 0 Marcia Dush Board Member 3.00 0.00 X 400 0 0 Stephanie Ferguson PhD Board Member 3.00 0.00 X 400 0 0 David Jimenez Board Member 4.00 0.00 X 400 0 0 Clarion Johnson MD Board Member (Jan-Aug) 3.00 0.00 X 0 0 0 Gerard Kells Board Member 3.00 0.00 X 400 0 0 Robert Kuramoto MD Board Member 4.00 0.00 X 400 0 0 Peter Maddox Board Member 3.00 0.00 X 400 0 0 Jennifer O'Brien Board Member 4.00 0.00 X 0 0 0 Dina Richard Board Member (Jan-Aug) 3.00 0.00 X 0 0 0 Susan Sandlund PhD Board Member 5.00 0.00 X 400 0 0 Donald Seitz MD Board Member (Sep-Dec) 3.00 0.00 X 400 0 0 Sr Mary Shimo Board Member 3.00 3.00 X 400 0 0 Richard Statuto President/CEO 50.00 0.00 X X 2652445 0 544556 Sr Alice Talone Board Member 3.00 0.50 X 400 0 0 Carol Taylor PhD Board Member 3.00 0.00 X 3333 0 0 Janice Burnett Treasurer / CFO 48.00 2.00 X 994803 0 127505 Martha Riva JD Secretary / SVP Governance 47.50 2.50 X 730674 0 85632 Timothy Davis EVP, CHRAO 46.00 4.00 X 1652431 0 96308 Marlon Priest MD EVP, CMO 50.00 0.00 X 1484428 0 37981 Laishy Williams-Carlson SVP, CIO 50.00 0.00 X 545883 0 70119 Mark Nantz EVP, Strategy & Growth 50.00 0.00 X 1292681 0 127721 Matthew Toddy EVP, Legal Affairs 50.00 0.00 X 1161344 0 162958 Samuel Ross MD EVP, CEO - BHS 12.50 37.50 X 1153509 0 95732 Michael Kerner CEO - HRHS 0.10 49.90 X 1121910 0 124973 Toni Ardabell CEO - VA 0.10 49.90 X 1046319 0 74999 Lawrence Hubbard Former Key Employee 0.00 5.00 X 697288 0 32216 Peter Bernard Former Highest Paid Employee 0.00 0.00 X 2257034 0 121913 16849682 0 1702613 356 1 1 0 Shiftwise PO Box 70870 St Paul MN 55170 Staffing Support 14378124 Infor PO Box 1450 Minneapolis MN 55485 Consulting Services 2394459 Sunquest Information Sys Inc PO Box 75214 Charlotte NC 28275 IT Maintenance Services 2375354 American Well Corporation 75 State Street 26th Floor Boston MA 02109 TeleHealth Services 2125750 Deloitte Consulting LLP 200 Berkeley Street Boston MA 02116 Consulting Services 2105135 179 Corp Mgmt & IS Fees 900099 255696090 255696090 Charity Service Fees 900099 22276456 22276456 Acc. Care Org - Reimb. 900099 288113 288113 278260659 3647259 3647259 11286432 1425737 9860695 9860695 -122367 9983062 1074063 -1074063 -1074063 -1074063 Rebates & Billings 900099 12507453 12507453 Premier & Other Pships 900099 10941571 10657402 284169 Interest from Bonds 900099 1841910 1841910 -3296535 433244 -3729779 21994399 312688949 288918061 595046 23175842 5405139 5405139 8269244 7442319 826925 129469267 116522340 12946927 3672026 3304823 367203 19345062 17410556 1934506 7515314 6763783 751531 653680 588312 65368 1729929 1556936 172993 624540 562086 62454 4323749 3891374 432375 44949178 40454260 4494918 8500906 7650815 850091 4216876 3795188 421688 2487224 2238502 248722 6293922 6293922 6218662 5596796 621866 43331318 38998186 4333132 197358 177622 19736 Purchased Services 35977328 32379595 3597733 Recruitment 1004526 904073 100453 Professional Dues 587440 528696 58744 Federal Income Tax 112640 112640 81314 73183 8131 334966642 302538506 32428136 0 1448457 67909390 45613262 14035760 5952709 51700 14437 20277519 11583178 466899071 279450894 193652045 187448177 161508160 194242973 231760761 214147912 609078568 629221542 1299722360 1288224190 111575016 119697018 74822407 86173294 822224366 794173742 15564069 13678319 268993499 303133660 1293179357 1316856033 X 6543003 -28631843 6543003 -28631843 1299722360 1288224190 X -22277693 2621292 -15518445 X 0 1 X 1 1 1 X X 32 Bon Secours Hospital Baltimore Inc 521909599 3 1 11773263 0 Bon Secours Housing Inc 521442707 9 1 0 0 Bon Secours Housing II Inc 521543174 9 1 0 0 Bon Secours of Maryland Foundation Inc 521732800 7 1 632668 0 Unity Properties Inc 521857768 7 1 0 0 Bon Secours DePaul Health Foundation 541843876 7 1 190350 0 Bon Secours DePaul Medical Center Inc 541820093 3 1 14312610 0 Bon Secours Maryview Foundation 521694731 7 1 51000 0 Bon Secours Maryview Nursing Care Center 521578169 9 1 99993 0 Maryview Hospital 540506463 3 1 56103751 0 Mary Immaculate Hospital Incorporated 540548200 3 1 5209081 0 Mary Immaculate Nursing Center Inc 541516476 9 1 92207 0 Bellefonte Physician Services Inc 352320780 9 1 16954264 0 Bon Secours Kentucky Health System Foundation Inc 611381952 7 1 155250 0 Our Lady of Bellefonte Hospital Inc 611356023 3 1 16873521 0 Frances Schervier Home and Hospital 131740397 9 1 5795017 0 Schervier Housing Development Fund Corporation 133098867 9 1 0 0 Bon Secours Memorial Regional Medical Center Inc 541744931 3 1 12165710 0 Bon Secours Richmond Community Hospital Incorporated 540647482 3 1 2011998 0 Bon Secours Richmond Health Care Foundation 541201346 7 1 1395613 0 Bon Secours St Francis Medical Center Inc 311716973 3 1 8397883 0 Bon Secours St Marys Hospital of Richmond Inc 540793767 3 1 95292463 0 Chesapeake Hospital Corporation 237424835 3 1 18836110 0 Bon Secours St Francis Health System Foundation Inc 260012031 7 1 0 0 St Francis Hospital Inc 582504530 3 1 40000 0 Bon Secours Maria Manor Nursing Care Center Inc 650061820 9 1 346417066 0 Bon Secours St Petersburg Home Care Services Inc 134334363 9 1 1709798 0 Bon Secours Health System Foundation Inc 474765376 7 1 0 0 Congregation of Bon Secours of Paris Incorporated 453662533 1 1 0 0 Sisters of Bon Secours of the US Incorporated 520715234 1 1 10000 0 Chesapeake Medical Group 541857174 9 1 84680 0 Rappahannock General Hospital Foundation Inc 541210450 7 1 4052803 0 32 618657099 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 X X 1 1 1 1 Part IV, Section A, Line 5a: The following organizations were added to the listing of supported organizations for the reasons provided below. All actions were accomplished through the applicable Board of Directors' approvals. Added: Bon Secours Health System Foundation, Inc. 47-4765376; Newly created organization. Chesapeake Medical Group 54-1857174; This organization was previously classified as a 509(a)(3) organization. The classification was updated to a 509(a)(2) during the fiscal year. The entity meets all other criteria to be reported as a supported organization. Subtracted: The following organizations were substrated from the listing of supported organizations because an unrelated nonprofit entity acquired a majority membership interest in Bon Secours Charity Health System, a nonprofit corporation which is the parent that controls the selection of directors of these organizations. Good Samaritan Hospital of Suffern, NY 13-1740104 Bon Secours Charity Health System Medical Group, PC 22-3636986 Bon Secours Community Hospital 14-1347717 Good Samaritan Foundation For Better Health, Inc. 13-3400353 St. Anthony Community Hospital, Warwick, New York 14-1340100 St. Francis Center at the Knolls, Inc. 06-1370576 The Bon Secours Warwick Health Foundation 14-1972807 Villa Frances at the Knolls, Inc. 06-1381994 Part IV, Section A, Line 6: The filing organization did provide support in the form of grants and other assistance to organizations other than their supported organizations. The organization regularly provides financial support to charitable and religious organizations with similar tax exempt purposes. Part IV, Section D, Line 3: The filing organization maintains a close and continuous working relationship with the Sisters of Bon Secours in the United States because members of the order serve on its board and because the Congregation is the founding and participating entity in the filing organization's canonical sponsor. The filing organization maintains a close and continuous working relationship with its other supported organizations through the Governance Steering Committee, which is comprised of the BSHSI Board Chair, BSHSI President/CEO, and the Board Chairs, Board Presidents, and CEOs of each local system. The committee meets quarterly to bring together governance leadership throughout the system for education, sharing and working toward governance best practices. The local board chairs and presidents also meet with the BSHSI Board Chair in executive session at each meeting. The supported organizations have a significant voice in the use of the filing organization's income and assets. Representatives of the supported organizations have clear channels of communication to relay to the filing organization's staff and leadership the resources they want and need in order to carry out their operations in furtherance of their shared health care mission. Supported organizations communicate their needs through the annual budget approval process and through ad hoc requests as needs arise. The filing organization's staff and leadership take account of the information they receive from the supported organizations in developing budgets and proposed allocations of resources to be presented to the filing organization's Board for debate and approval. Part IV, Section E, Line 2a: Substantially all of the filing organization's activities directly furthered the exempt purposes of the Sisters of Bon Secours in the United States and the other supported organizations because the activities were all carrying out the shared health care mission of the Bon Secours Health System. The filing organization developed system-wide policies, provided services such as electronic health records system maintenance, procurement, accounting, and legal to support the delivery of health care to the communities served and to enable the Sisters of Bon Secours to carry out their faith-based health care mission consistently and effectively across the system. Part IV, Section E, Line 2b: The filing organization's supported organizations would have engaged in the filing organization's activities but for the filing organization's involvement because the functions and services performed by the filing organization are all important to sound operations that deliver quality health care that is compliant with legal and regulatory requirements and the faith-based mission of the Bon Secours Health System. Part IV, Section E, Line 3a: The filing organization had the power to appoint or elect a majority of the officers and directors of its supported organizations, other than the Sisters of Bon Secours of the United States, which has the authority, through its relationship with the filing organization's sole member, to appoint the board of the filing organization. The filing organization exercises this power through its control over the parent entities of the local health systems which in turn have control over the supported organizations. Part IV, Section E, Line 3b: The supported organizations are subject to the general supervision or control of filing organization. Per the governing documents of each of the supported organizations, the filing organization has the power to approve strategic plans, capital budgets, operating budgets, as well as change the philosophy, objectives or purposes of the organizations. 11241726 11241726 62225916 7584778 54641138 2101535 1420496 681039 371949252 270045620 101903632 19380642 400000 18980642 187448177 Inv in Roper St. Francis 96073830 C Inv in Charity Health System 52163663 C Community Programs Loans 23862762 C Inv in Premier 9963261 C Inv in Innovation Institute 10169403 C Inv in Memorial Regional Med Center 9238222 C Inv in Mary Immaculate Hospital JV 9202344 C Inv in Shannon Premiums Amort 1974427 C Inv in Envera 1500000 C 214147912 Due from Affiliates 527896865 HPL/GL Asset 47282197 Ground Lease & Amortization 18616619 Actuarial Value of Excess Recoverables 14861831 Rebates Receivable 7220316 BSHSI Cyber A/R 6500000 Capital Accumulation 4963649 Rent Receivable 346041 Other Miscellaneous Assets 1534024 629221542 Pension Liability 138504806 Worker's Comp Liability 62099668 Due to Affiliates 49743960 HPL/GL Liability 47282197 Charity WMC Deposit 3700000 Capital Lease 915336 Unclaimed Property 750000 MOB Deferred Costs & Other 137693 303133660 X Part X, Line 2: 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 ASC 740. ASC 740 addresses the accounting for uncertainty in income taxes recognized in an entity's financial statements and prescribes a threshold of more-likely-than-not for recognition and derecognition of tax positions taken or expected to be taken in a tax return. The adoption of ASC 740 by BSHSI on September 1, 2007 did not have a material impact on BSHSI's consolidated financial statements. As the organization does not conduct a separate audit of its financial statements, below is the related statement from the Bon Secours Health System, Inc. consolidated audited financial statements: The System and most of its subsidiaries (including certain joint venture entities) are exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. The system accounts for uncertain tax positions in accordance with ASC Topic 740, Income Taxes. The System's taxable subsidiaries had approximately $89,895 and $84,748 of net operating loss carryforwards as of August 31, 2016 and 2015, respectively, which expire in varying periods through 2036 and are available to offset future taxable income. The System accounts for income taxes under the asset and liability method. Under this method, deferred tax assets and liabilities are recognized for the estimated future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases. Deferred tax assets and liabilities are measured using enacted tax rates expected to be in effect during the year in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. Income tax liabilities are recorded for the impact of positions taken on income tax returns, which management believes are not more likely than not to be sustained on tax audit. Interest and penalties related to income taxes are accounted for as income tax expense. The System's deferred tax assets are fully reserved at August 31, 2016 and 2015 as the System considers it more likely than not that these amounts will not be recognized. 1 Central America & the Caribbean 1 0 Program Services Off-Shore Captive Management 8045534 Central America & the Caribbean 0 0 Program Services Support of Medical Clinic 325933 1 0 0 0 1 0 8371467 0 8371467 Central America and the Caribbean Madre De Crisco in Trujillo Peru Clinic 325933 Wire Transfer 1 0 1 0 1 0 0 0 Part I, Line 2: Grantees submit progress reports on the anniversary date on which the grant was received. The evaluation report includes: 1) progress toward the deployment of the stated goals and objectives, 2) progress towards the achievement of desired outcome as demonstrated by Project Work Plan, 3) an accurate accounting of the revenue and expenses and the amount of the mission fund award expensed, and 4) a summary past, current and future funding sources and efforts to secure sustaining sources of funding. 1 The Bon Secours of Maryland Foundation Inc (dba Bon Secours Community Wor 26 North Fulton Avenue Baltimore MD 21223 521732800 501(C)(3) 45000 Community Works Youth Programming Strategic Plan The Bon Secours of Maryland Foundation Inc (dba Bon Secours Community Wor 26 North Fulton Avenue Baltimore MD 21223 521732800 501(C)(3) 100000 Working Families Initiative Bon Secours Hospital Baltimore Inc 2000 West Baltimore Street Baltimore MD 21223 520591555 501(C)(3) 245050 Lease Buyouts Bon Secours DePaul Health Foundation 7007 Harbour View Blvd Suffolk VA 23435 541843876 501(C)(3) 40000 Community Passport to Healthy Teen Engagement Bon Secours DePaul Health Foundation 7007 Harbour View Blvd Suffolk VA 23435 541843876 501(C)(3) 15350 Community Store House Pantry Mary Immaculate Hospital 7007 Harbour View Blvd Suffolk VA 23435 540548200 501(C)(3) 33650 Health, Education and Literacy (HEAL) Bon Secours Maryview Foundation 7007 Harbour View Blvd Suffolk VA 23435 521694731 501(C)(3) 51000 Psychiatric Nurse Pracitioner and Foundation Clinic Bon Secours Richmond Health Care Foundation 8580 Magellan Parkway Richmond VA 23227 541201346 501(C)(3) 65000 Bridging the Digital Divide Bon Secours Richmond Health Care Foundation 8580 Magellan Parkway Richmond VA 23227 541201346 501(C)(3) 75000 Employee Assistance Program Bon Secours Richmond Health Care Foundation 8580 Magellan Parkway Richmond VA 23227 541201346 501(C)(3) 100000 Urban Agricultural Certification Memorial Regional Medical Center Inc 8580 Magellan Pkwy Richmond VA 23227 541744931 501(C)(3) 95627 Book Value Medical Equipment Medical Equipment/Pyxis Bon Secours - Maria Manor Nursing Care Center Inc 10300 Fourth Street North St Petersburg FL 33716 650061820 501(C)(3) 43000 Diabetes Access Monitoring Program Bon Secours - Maria Manor Nursing Care Center Inc 10300 Fourth Street North St Petersburg FL 33716 650061820 501(C)(3) 10000 FAB Families Bon Secours - Maria Manor Nursing Care Center Inc 10300 Fourth Street North St Petersburg FL 33716 650061820 501(C)(3) 20000 Healthy Bucs Bon Secours - Maria Manor Nursing Care Center Inc 10300 Fourth Street North St Petersburg FL 33716 650061820 501(C)(3) 7000 Healthy Food Options for Expectant Mothers Bon Secours - Maria Manor Nursing Care Center Inc 10300 Fourth Street North St Petersburg FL 33716 650061820 501(C)(3) 20000 Maintaining Independent Living for Vulnerable Seniors Bon Secours - Maria Manor Nursing Care Center Inc 10300 Fourth Street North St Petersburg FL 33716 650061820 501(C)(3) 11000 St. Petersburg and Pinellas County Housing Need Assessment Bon Secours - Maria Manor Nursing Care Center Inc 10300 Fourth Street North St Petersburg FL 33716 650061820 501(C)(3) 10000 The Fruit and Vegetable Prescription Program Bon Secours - Maria Manor Nursing Care Center Inc 10300 Fourth Street North St Petersburg FL 33716 650061820 501(C)(3) 10000 The Healing Gardens at CASA Good Samaritan Hospital of Suffern NY 255 Lafayette Avenue Suffern NY 10901 131740104 501(C)(3) 100000 Garden Ministry Frances Schervier Home and Hospital 2975 Independence Avenue Bronx NY 10463 131740397 501(C)(3) 41600 Community Garden Program Frances Schervier Home and Hospital 2975 Independence Avenue Bronx NY 10463 131740397 501(C)(3) 39995 Continuing Health Community Initiative Frances Schervier Home and Hospital 2975 Independence Avenue Bronx NY 10463 131740397 501(C)(3) 40000 Garden and Nutrition Program Kingsbridge Heights Community Center Frances Schervier Home and Hospital 2975 Independence Avenue Bronx NY 10463 131740397 501(C)(3) 33400 Increase Access to Fresh Produce Frances Schervier Home and Hospital 2975 Independence Avenue Bronx NY 10463 131740397 501(C)(3) 25000 Mental Health Outreach Worker Bon Secours Kentucky Health System Foundation Inc 1000 Ashland Drive Ashland KY 41101 611381952 501(C)(3) 30000 Bellefonte Women's Center Rural Health Initiative Bon Secours Kentucky Health System Foundation Inc 1000 Ashland Drive Ashland KY 41101 611381952 501(C)(3) 37250 Community Partners Dental Program Bon Secours Kentucky Health System Foundation Inc 1000 Ashland Drive Ashland KY 41101 611381952 501(C)(3) 50000 FIT Families: Facing It Together Bon Secours Kentucky Health System Foundation Inc 1000 Ashland Drive Ashland KY 41101 611381952 501(C)(3) 7000 Human Traffic Resource Coalition Bon Secours Kentucky Health System Foundation Inc 1000 Ashland Drive Ashland KY 41101 611381952 501(C)(3) 21000 Ironton OH Community Bon Secours Kentucky Health System Foundation Inc 1000 Ashland Drive Ashland KY 41101 611381952 501(C)(3) 10000 Lawrence County OH ~ Healthy Weight Program St Francis Hospital Inc One St Francis Drive Greenville SC 29601 582504530 501(C)(3) 72705 Healthy Communities Navigator Bon Secours St Francis Health System Foundation One St Francis Drive Greenville SC 29601 260012031 501(C)(3) 10000 Young Life Transportation Initiative St Francis Hospital Inc One St Francis Drive Greenville SC 29601 582504530 501(C)(3) 209130 Book Value Medical Equipment Medical Equipment/Pyxis St Francis Hospital Inc One St Francis Drive Greenville SC 29601 582504530 501(C)(3) 731400 Lease Buyouts Roper St Francis Health System 315 Calhoun St Charleston SC 29601 571068509 501(C)(3) 100000 Access Tri County Health Network Roper St Francis Health System 315 Calhoun St Charleston SC 29601 571068509 501(C)(3) 50000 Continuing Access to Breast Screening American Hospital Assocation PO Box 75315 Chicago IL 60675 360726140 501(C)(3) 25000 Assn for Community Health Improvement Conference Sponsorship Catholic Medical Mission Board 1129 20th Street NW Washington DC 20036 135602319 501(C)(3) 570000 1st 1000 Days Program in Peru Sisters of Bon Secours USA Inc 1505 Marriottsville Road Marriottsville MD 21104 520715237 501(C)(3) 72818 FY16 Volunteer Ministry Program Mercy Housing 1999 Broadway Denver CO 80202 470646706 501(C)(3) 25000 Strategic Healthcare Partnership Initiave Crossover Healthcare Ministries 8600 Quioccasin Rd Ste 102 Richmond VA 23229 541371067 501(C)(3) 5000 Board Member Donations Outgoing Members Allen Seitz Midwives for Haiti 7130 Glen Forest Drive Richmond VA 23226 272368581 501(C)(3) 100000 Midwives for Haiti Work Sisters of Bon Secours USA Inc 1505 Marriottsville Road Marriottsville MD 21104 520715237 501(C)(3) 11862 Peru Construction Roper St Francis Health System 315 Calhoun St Charleston SC 29601 571068509 501(C)(3) 50000 SC Flood Releif Bon Secours - Maria Manor Nursing Care Center Inc 10300 Fourth Street North St Petersburg FL 33716 650061820 501(C)(3) 7500 Gala Celebrate the Graceful Ar of Senior Care Sisters of Charity Incarnation Word 4503 Broadway San Antonio TX 78209 741676917 501(C)(3) 50000 Chimbote Peru Work Sisters Academy of Baltimore 139 First Avenue Baltimore MD 21227 341975939 501(C)(3) 25000 Academic Support 2015-2016 School Year Roper St Francis Health System 315 Calhoun St Charleston SC 29601 571068509 501(C)(3) 62567 SC Donation Red Cross Roper St Francis Health System 315 Calhoun St Charleston SC 29601 571068509 501(C)(3) 1667 SC Relief Global Smile Foundation 28 Martingale Lane Westwood MA 02090 262668127 501(C)(3) 25000 Global Smile Donation Crossover Healthcare Ministries 8600 Quioccasin Rd Ste 102 Richmond VA 23229 541371067 501(C)(3) 5000 Board Member Donations Outgoing Members Allen Seitz North Rosedale Park Civic Association 18445 Scarsdale Detroit MI 48223 380882424 501(C)(3) 2500 Board Member Donations Outgoing Members Allen Seitz Cooalition on Temporary Shelter 26 Peterboro Detroit MI 48201 382420565 501(C)(3) 2500 Board Member Donations Outgoing Members Allen Seitz Sisters Academy of Baltimore 139 First Avenue Baltimore MD 21227 341975939 501(C)(3) 5600 Block Party at the Park Catholic Charities USA 2050 Ballenger Ave Alexandria VA 22314 530196620 501(C)(3) 50000 Midwest & Southern Emergency Sisters of Charity of St Elizabeth PO Box 476 Convent Station NJ 079610476 221487343 501(C)(3) 3000 Journal Ad Harvest Festival American Red Cross 420 East Cary Street Richmond VA 23218 530196605 501(C)(3) 25000 VA Tornado Relief United Way of South Hampton Roads PO Box 41069 Norfolk VA 23541 540506322 501(C)(3) 25000 Community Data Portal Partnership Our Lady of Bellefonte Hospital Inc 100 St Christopher Dr Ashland KY 41101 611356023 501(C)(3) 5000 Golf Tournament Sponsorship Our Lady of Bellefonte Hospital Inc 100 St Christopher Dr Ashland KY 41101 611356023 501(C)(3) 37598 Book Value Medical Equipment Medical Equipment/Pyxis Immaculate Heart of Mary 610 West Elm Ave Monroe MI 48162 381359581 501(C)(3) 50000 Solidarity South Sudan Americares Foundation Inc 88 Hamilton Ave Stamford CT 06902 061008595 501(C)(3) 50000 Ecuador Disaster Relief Americares Foundation Inc 88 Hamilton Ave Stamford CT 06902 061008595 501(C)(3) 20000 West Virginia Disaster Relief Christ Child Society 4033 W Good Hope Road Milwalkee WI 53209 396084257 501(C)(3) 500 Memorial Donation Donna Marie Heon LCWR 2016 Assembly Sponsorship 8808 Cameron St Silver Spring MD 20910 436033728 501(C)(3) 10000 LCWR 2016 Assembly American Red Cross 420 East Cary Street Richmond VA 23218 530196605 501(C)(3) 5000 Ellicott City MD Relief Roper St Francis Health System 315 Calhoun St Charleston SC 29601 571068509 501(C)(3) 5000 SC Flood Releif Westchester Medical Foundation 100 Woods Road Ste 3 Valhalla NY 10595 134095845 501(C)(3) 15000 Westchester Medical Center Gala Congregation of Bon Secours of Paris Incorporated 1527 Marriottsville Road Marriottsville MD 21104 453662533 501(C)(3) 7500 Holy Redeemer Congregation of Bon Secours of Paris Incorporated 1527 Marriottsville Road Marriottsville MD 21104 453662533 501(C)(3) 2500 Pax Christi Bon Secours DePaul Health Foundation 7007 Harbour View Blvd Suffolk VA 23435 541843876 501(C)(3) 135000 Wellness Grant: DMC Tranquility Rooms Bon Secours - Maria Manor Nursing Care Center Inc 10300 Fourth Street North St Petersburg FL 33716 650061820 501(C)(3) 30000 Employee Hardship Assistance Frances Schervier Home and Hospital 2975 Independence Avenue Bronx NY 10463 131740397 501(C)(3) 25000 Employee Hardship Assistance Frances Schervier Home and Hospital 2975 Independence Avenue Bronx NY 10463 131740397 501(C)(3) 30000 Employee Hardship Assistance Frances Schervier Home and Hospital 2975 Independence Avenue Bronx NY 10463 131740397 501(C)(3) 40000 Employee Hardship Assistance Bon Secours St Francis Health System Foundation One St Francis Drive Greenville SC 29601 260012031 501(C)(3) 30000 Employee Hardship Assistance St Mary's Hospital of Richmond Inc 8580 Magellan Pkwy Building IV Richmond VA 23227 540793767 501(C)(3) 34977 Book Value Medical Equipment Medical Equipment/Pyxis Richmond Community Hospital Inc 8580 Magellan Pkwy Building IV Richmond VA 23227 540647482 501(C)(3) 101342 Book Value Medical Equipment Medical Equipment/Pyxis Bon Secours - St Francis Medical Center Inc 8580 Magellan Pkwy Building IV Richmond VA 23227 311716973 501(C)(3) 33758 Book Value Medical Equipment Medical Equipment/Pyxis Bon Secours - St Francis Medical Center Inc 8580 Magellan Pkwy Building IV Richmond VA 23227 311716973 501(C)(3) 595860 Lease Buyouts Bon Secours Inc 1505 Marriottsville Road Marriottsville MD 21104 521301091 501(C)(3) 60000 General Support 39 0 Part I, Line 2: Per Bon Secours Health System, Inc.'s system-wide financial and accounting policies, contributions are generally made as reimbursements for funds spent. In such cases, the donee/grantee organization must provide documentation to the filing organization before funds are approved for disbursement. In other cases, grantees submit progress reports on the anniversary date on which the grant was received. The evaluation report includes: 1) progress toward the deployment of the stated goals and objectives, 2) progress towards the achievement of desired outcome as demonstrated by Project Work Plan, 3) an accurate accounting of the revenue and expenses and the amount of the mission fund award expensed, and 4) a summary past, current and future funding sources and efforts to secure sustaining sources of funding. Description of the Bon Secours Health System Mission Fund: Bon Secours Health System, Inc. performs its philanthropic work through its mission department. This initiative, called the Bon Secours Health System Mission Fund ("Mission Fund"), was developed to promote the Catholic Health Ministry and the BSHSI Mission. This purpose is realized through the funding of initiatives that improve the health and well being of communities, particularly for disenfranchised and marginalized people, served by BSHSI Local Systems ("Local Systems"), Cosponsors and the Congregation of the Sisters of Bon Secours. The scope of its purpose and use of funds would be to: -promote healthy community coalition initiatives in conjunction with local system efforts, -develop local system and community excellence for a specific health condition and preventive need, and -improve access for uninsured populations and reduce health disparities among populations in the community. The Strategic Quality Plan of the health system calls for focused efforts to Build Healthier Communities. The health system understands "health" to include social and communal dimensions and has adopted the following articulation of a healthy community. The conditions of communities and individuals served by BSHSI reflect the interaction of significant factors and complex behaviors at the individual, communal, and societal level. It is not likely that interventions by any one organization will result in substantial improvement or benefit to the community. Rather, increased participation by stakeholders and greater cooperation among entities with appropriate skills and resources is necessary for systemic change and improved outcomes. Mission Fund grants place emphasis on increased collaboration among community based members (Healthy Community Initiative), public health officials and other providers of services. The Mission Fund anticipates that most endeavors that seek to bring meaningful improvement require time and commitment. Consequently, local system grant recipients may expect continuity of support (several years) to establish and track outcomes. At the same time, grant applicants need to cultivate and achieve a wide array of financial resources necessary to sustain promising projects and service programs. X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 Richard Statuto President/CEO 1236158 0 1174240 0 242047 0 512201 0 32355 0 3197001 0 187778 0 Janice Burnett Treasurer / CFO 552081 0 370190 0 72532 0 106777 0 20728 0 1122308 0 38116 0 Martha Riva JD Secretary / SVP Governance 359450 0 283433 0 87791 0 53340 0 32292 0 816306 0 34277 0 Timothy Davis EVP, CHRAO 658643 0 496834 0 496954 0 75673 0 20635 0 1748739 0 329759 0 Marlon Priest MD EVP, CMO 772417 0 541976 0 170035 0 15900 0 22081 0 1522409 0 0 0 Laishy Williams-Carlson SVP, CIO 316623 0 186975 0 42285 0 48639 0 21480 0 616002 0 0 0 Mark Nantz EVP, Strategy & Growth 675419 0 523457 0 93805 0 97873 0 29848 0 1420402 0 46960 0 Matthew Toddy EVP, Legal Affairs 589412 0 448163 0 123769 0 134961 0 27997 0 1324302 0 75844 0 Samuel Ross MD EVP, CEO - BHS 611251 0 423522 0 118736 0 75234 0 20498 0 1249241 0 47512 0 Michael Kerner CEO - HRHS 559739 0 403723 0 158448 0 93156 0 31817 0 1246883 0 91467 0 Toni Ardabell CEO - VA 621858 0 367952 0 56509 0 74999 0 0 0 1121318 0 21827 0 Lawrence Hubbard Former Key Employee 285123 0 319403 0 92762 0 15900 0 16316 0 729504 0 0 0 Peter Bernard Former Highest Paid Employee 594915 0 907922 0 754197 0 97765 0 24148 0 2378947 0 460681 0 Part I, Line 1a During the applicable fiscal year, certain officers, key employees and highest paid employees received $400 gift cards which were grossed up to offset any income tax effect (10). Part I, Line 4b The filing organization participates in a BSHSI sponsored executive retirement program that allows for deposits into additional retirement plans available to officers and certain key employees. The 457F plan is a non-qualified plan and is subject to a minimum three-year service requirement before vesting on deposits made into this plan. Individuals that received a distribution include: Richard Statuto, $186,683; Janice Burnett, $46,841; Martha Riva, $42,772; Timothy Davis, $406,381; Mark Nantz, $49,665; Matthew Toddy, $97,976; Samuel Ross, MD, $68,934; Michael Kerner, $112,117; Toni Ardabell, $28,228; Peter Bernard, $617,982. A City of Russell Kentucky 782563AT7 2008-02-28 15950000 Refund bonds issued 12-30-02 (2002B Russell) 0 0 0 B City of Venice Florida 596000443 92268PAS7 2008-02-28 4250000 Refund bonds issued 12-30-02 (2002B Venice) 0 0 0 C South Carolina Jobs-Economic Development Authority 576000286 837031QH9 2008-01-15 69925000 Construct and equip facility 0 0 0 D Economic Development Authority of Henrico County Virginia 541197472 42605PBV6 2010-10-19 80412256 Refund bonds issued 01-15-08 (2008B Henrico) 0 0 0 A 5500000 15950000 1350761 15950000 1 0 1 1 B 4250000 437989 4250000 1 0 1 1 C 69973023 729108 1694518 67549397 2008 0 0 1 1 D 80412256 80412256 1 0 1 1 C 0 1 1 1 1 1 0.00530 0.00000 0.00530 0 0 1 D 0 1 1 1 1 1 0.00010 0.00000 0.00010 0 0 1 A 0 0 0 1 1 1 Merrill Lynch Capital Services 20.000000000000 0 0 0 0 1 B 0 0 0 1 1 1 Merrill Lynch Capital Services 20.000000000000 0 0 0 0 1 C 0 0 0 1 1 1 PNC Bank 33.000000000000 0 0 0 0 1 D 0 0 0 1 1 0 0 0 1 A 1 B 1 C 1 D 1 Part I, Column (b): City of Russell, Kentucky Issuer EIN (Part I, b) is 61-601905. Part I, Column (f): 2008D Hanover Bonds - D1 refund bonds issued on 12-30-02 (2002B Econ. Dev. Auth. Hanover Co, VA) and D2 refund bonds issued on 9-28-05 (2005 Econ. Dev. Auth. Hanover Co, VA). 2013 South Carolina Bonds - construct & equip facility and refund bonds issued on 12-30-02 (2002A South Carolina JEDA). 2013 Norfolk Bonds - construct & equip facility and refund bonds issued on 08-14-97 (1997 Peninsula Ports Auth. of VA). 2013 Henrico Bonds - construct & equip facility and refund bonds issued on 12-30-02 (2002A Econ. Dev. Auth. of Henrico Co., VA). 2013 Russell Bonds - construct & equip facility and refund bonds issued on 12-30-02 (2002A City of Russell, KY). Part II, Line 3: The difference in Issue Price listed in Part I, section E is different from Total Proceeds of Issue listed in Part II, row 3 for Column A - 2008A South Carolina bonds because of investment earnings on the Project Fund. Part III: Part III has not been completed with respect to bonds that refinance projects where the original debt was issued prior to 2003. Part IV, Line 2c: Issuer Name: City of Russell, KY (2002B Russell) Date the Rebate Computation was Performed: 08/04/2016. Issuer Name: City of Venice, FL (2002B Venice) Date the Rebate Computation was Performed: 08/04/2016. Issuer Name: South Carolina Jobs-Economic Development Authority (2008A SC) Date the Rebate Computation was Performed: 04/08/2013. Issuer Name: Economic Development Authority of Henrico County, Virginia (2008B Henrico) Date the Rebate Computation was Performed: 04/08/2013. Issuer Name: Economic Development Authority of the County of Chesterfield (2008C Chesterfield) Date the Rebate Computation was Performed: 04/08/2013. Issuer Name: South Carolina Jobs-Economic Development Authority (2008D SC) Date the Rebate Computation was Performed: 06/17/2014. Issuer Name: Economic Development Authority of Hanover County, Virginia (2008D Hanover) Date the Rebate Computation was Performed: 06/17/2014. A Economic Development Authority of the County of Chesterfield 521279622 16639EAY0 2010-10-19 93627897 Refund bonds issued 01-15-08 (2008C Ches.) 0 0 0 B South Carolina Jobs-Economic Development Authority 570960018 837031RA3 2008-10-17 30365000 Refund bonds issued 12-30-02 (2002B SC) 0 0 0 C Economic Development Authority of Hanover County 541228097 41077RAC6 2008-10-17 124715000 Refund bonds* 0 0 0 D South Carolina Jobs-Economic Development Authority 570960018 837031SL8 2013-01-11 200846700 Construct/Equip facility and refund bonds* 0 0 0 A 93627897 967897 92660000 1 0 1 1 B 11385000 30365000 255675 7500 30101825 1 0 1 1 C 26110000 124715000 1131056 157532 123426412 1 0 1 1 D 4700000 200846700 8266938 192579763 2013 1 0 1 1 A 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 D 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 0 0 1 1 0 0 0 1 C 0 0 0 1 1 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 A Economic Dev Auth of the City of Norfolk 521375010 65588QAM7 2013-01-11 21635500 Construct/Equip facility and refund bonds* 0 0 0 B Economic Development Authority of Henrico County Virginia 541197472 42605PDJ1 2013-01-11 62929133 Construct/Equip facility and refund bonds* 0 0 0 C City of Russell Kentucky 782563AY6 2013-01-11 42941199 Construct/Equip facility and refund bonds* 0 0 0 D Economic Development Authority of Henrico County Virginia 541197472 000000000 2013-07-11 26505000 Refund bonds issued 10-17-08 (2008D Henrico) 0 0 0 A 21635500 11767093 9868407 2013 1 0 1 1 B 62929133 20730675 42198458 2013 1 0 1 1 C 3500000 42941199 4094261 38846938 2013 1 0 1 1 D 10285000 26505000 26505000 1 0 1 1 A 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 B 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 D 1 A Virginia Small Business Financing Authority 541300845 000000000 2013-07-11 40740000 Refund bonds issued 10-19-10 (2010 VSBFA) 0 0 0 B Economic Development Authority of the City of Norfolk 521375010 000000000 2014-10-31 58260000 Refund bonds issued 12-08-11 (2011 Norfolk) 0 0 0 A 40740000 40740000 1 0 1 1 B 2630000 58260000 58260000 1 0 1 1 A 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 1 1 Merrill Lynch Capital Services 11.000000000000 0 0 0 0 1 A 1 B 1 Form 990, Part VI, Section A, line 4 On August 11, 2016, the articles were amended to update Exhibit A (list of supported organizations). Form 990, Part VI, Section A, line 6 Bon Secours, Inc. is the sole member of Bon Secours Health System, Inc. Form 990, Part VI, Section A, line 7a The governing body of Bon Secours Health System, Inc. is appointed by its member Bon Secours, Inc. Form 990, Part VI, Section A, line 7b Certain authorities of Bon Secours Health System, Inc. are reserved to its Member, Bon Secours, Inc. Form 990, Part VI, Section B, line 11 The process the organization uses to review the Form 990 consists of a review by the organization's Audit and Compliance Committee and providing the form to the Board of Directors to allow for a thorough review by both prior to the filing date. The organization's Audit and Compliance Committee and Board of Directors have reviewed the Form 990, scheduled time on meeting agendas, and asked questions regarding the Form 990 before the return was filed. Form 990, Part VI, Section B, line 12c The organization regularly and consistently monitors compliance with the conflict of interest policy. On an annual basis, all persons subject to the policy, including all officers, directors and key employees are required to make certain disclosures. These include disclosures related to certain personal, financial and organizational relationships that may present a conflict, or the appearance of a conflict of interest with the organization. All disclosures go through a three-part review process: (1) disclosures are reviewed first by the corporate responsibility officer (CRO); (2) a governance team comprised of the CEO, board president, board chair, CRO, and the BSHSI CRO participate in a second review of all disclosures during which recommendations are made as to the resolution of any conflicts or potential conflicts. Depending on the facts and circumstances, resolutions may include ongoing disclosure, recusal or removal of the conflict; and (3) all disclosures and recommendations are reviewed by a board committee (audit and compliance committee reviews the disclosures of management and the governance committee reviews the disclosures of the board and board committee members). Form 990, Part VI, Section B, line 15 The compensation committee of the board of Bon Secours Health System, Inc. (BSHSI) engages in a comprehensive process for the oversight and management of remuneration for executive employees and disqualified parties of the BSHSI. The compensation committee consists of a group of independent board members and engages an independent external compensation consultant to ensure they receive appropriate analysis of market and follow the practices necessary to obtain full compliance with the IRS' rebuttable presumption of reasonableness. The committee establishes and maintains a compensation philosophy; reviews pay practices against local, regional and national healthcare organizations and approves all remunerative decisions for this group of individuals. The committee reviews and receives assurances that all levels of pay within the organization are reasonable based on performance and validates incentives are met. These decisions are documented in the BSHSI board of directors and compensation committee minutes. Form 990, Part VI, Section B, Line 15b - Compensation Process Other Officers/ Key Employees: For those key employees and highest paid employees that are not reviewed by the BSHSI compensation committee, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. In the review, the other officers or key employees of the organization 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 BSHSI provides any documents open to public inspection upon request. Form 990, Part VII, Additional Disclosure: As the parent organization of nine local systems, Bon Secours Health System, Inc.'s officers, directors, key employees and highly compensated employees have duties and responsibilities which encompass the activities of many of the related organizations within those local systems. Sr. Elaine Davia does not receive payroll distributions as she has taken a vow of poverty. Part VII, Section B: Five Highest Paid Independent Contractors Providing Services: Independent contractors and vendors paid/invoiced to Bon Secours Health System, Inc. are generally for services covering a majority of the related organizations, if not all. Form 990, Part XI, line 9: Transfers from Affiliates for Principle & Swaps 26,780,248. Add'l Minimum Pension Liability -43,059,031. Changes in Minority Interest JVs 1,193,582. Income from Controlled Subsidiary -433,244. Bon Secours Associates Services LLC 1505 Marriottsville Road Marriottsville MD 21104 522321591 Healthcare MD 0 3020557 Bon Secours Health System Inc Townley IV Farm LLC 1402 Stapleton Road Gladstone VA 245533138 541833386 Farm VA 0 7444563 Bon Secours Health System Inc Bon Secours Good Helpcare LLC 1505 Marriottsville Road Marriottsville MD 21104 460889532 Accountable Care Organization MD 288113 3232299 Bon Secours Health System Inc Bon Secours Richmond LLC 8580 Magellan Parkway Richmond VA 23227 541570244 Richmond Health System Parent Org VA 24418 7382408 Bon Secours Health System Inc EA-BSD 1 LLC 1505 Marriottsville Road Marriottsville MD 21104 Holding Company DE 0 0 Bon Secours Grosse Pointe III LLC Bon Secours Grosse Pointe III LLC 1505 Marriottsville Road Marriottsville MD 21104 Holding Company MI 0 0 Bon Secours Health System Inc Shannon HealthMOB 3 Richland Medical Park Suite 120 Columbia SC 29203 571127828 Rental Activity SC 2426855 23981797 Bon Secours Health System Inc Bon Secours New York Health System 2975 Independence Avenue Bronx NY 10463 912135196 Local System Parent Org. NY 501(c)(3) Line 11a, I Bon Secours Health System Inc 1 Bon Secours Kentucky Health System Inc St Christopher Dr Ashland KY 41101 611356024 Local System Parent Org. KY 501(c)(3) Line 11c, III-FI Bon Secours Health System Inc 1 Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health 2000 West Baltimore Street Baltimore MD 21223 800728893 Local System Parent Org. MD 501(c)(3) Line 11c, III-FI Bon Secours Health System Inc 1 Bon Secours St Francis Health System Inc 1 St Francis Drive Greenville SC 29601 582504528 Local System Parent Org. SC 501(c)(3) Line 11c, III-FI Bon Secours Health System Inc 1 Bon Secours Hampton Roads Health System 7007 Harbour View Blvd Portsmouth VA 23435 521538513 Local System Parent Org. VA 501(c)(3) Line 11c, III-FI Bon Secours Health System Inc 1 Bon Secours Richmond Health System Inc 8580 Magellan Parkway Richmond VA 23227 521988421 Local System Parent Org. VA 501(c)(3) Line 11c, III-FI Bon Secours Health System Inc 1 Bon Secours Baltimore Health System Foundation Inc 26 North Fulton Avenue Baltimore MD 21223 383843816 Grant Making Foundation MD 501(c)(3) Line 11c, III-FI Bon Secours Baltimore Health System 1 The Bon Secours of Maryland Foundation Inc (dba Bon Secours Community Work 26 North Fulton Avenue Baltimore MD 21223 521732800 Grant Making Foundation MD 501(c)(3) Line 11c, III-FI Bon Secours Baltimore Health System 1 Mary Immaculate Foundation 7007 Harbour View Blvd Suffolk VA 23435 311644734 Fundraising VA 501(c)(3) Line 11c, III-FI Mary Immaculate Hospital 1 Bon Secours DePaul Health Foundation 7007 Harbour View Blvd Suffolk VA 23435 541843876 Fundraising VA 501(c)(3) Line 7 Bon Secours DePaul Medical Center 1 Bon Secours Maryview Foundation 7007 Harbour View Blvd Suffolk VA 23435 521694731 Fundraising VA 501(c)(3) Line 7 Bon Secours Hampton Roads Health System 1 Our Lady of Bellefonte Hospital Inc 1000 St Christopher Dr Ashland KY 41101 611356023 Health Care KY 501(c)(3) Line 3 Bon Secours Kentucky Health System 1 Bon Secours Baltimore Hospital 2000 West Baltimore Street Baltimore MD 21223 521909599 Health Care MD 501(c)(3) Line 3 Bon Secours Baltimore Health System 1 Frances Schervier Home and Hospital 2975 Independence Avenue Bronx NY 10463 131740397 Long term nursing care NY 501(c)(3) Line 9 Bon Secours NY Health System 1 St Francis Hospital Inc One St Francis Drive Greenville SC 29601 582504530 Health Care SC 501(c)(3) Line 3 Bon Secours St Francis Health System Inc 1 Mary Immaculate Hospital Inc 7007 Harbour View Blvd Suffolk VA 23435 540548200 Health Care VA 501(c)(3) Line 3 Bon Secours Health System Inc 1 Bon Secours DePaul Medical Center Inc 7007 Harbour View Blvd Suffolk VA 23435 541820093 Health Care VA 501(c)(3) Line 3 Bon Secours Hampton Roads Health System 1 Maryview Hospital 7007 Harbour View Blvd Portsmouth VA 23707 540506463 Health Care VA 501(c)(3) Line 3 Bon Secours Hampton Roads Health System 1 Bon Secours Memorial Regional Medical Center Inc 8580 Magellan Parkway Richmond VA 23227 541744931 Health Care VA 501(c)(3) Line 3 Bon Secours Richmond Health System 1 Bon Secours St Mary's Hospital 8580 Magellan Parkway Richmond VA 23227 540793767 Health Care VA 501(c)(3) Line 3 Bon Secours Richmond Health System 1 Bon Secours Richmond Community Hospital 8580 Magellan Parkway Richmond VA 23227 540647482 Health Care VA 501(c)(3) Line 3 Bon Secours Richmond Health System 1 Bon Secours St Francis Medical Center 8580 Magellan Parkway Richmond VA 23227 311716973 Health Care VA 501(c)(3) Line 3 Bon Secours Richmond Health System 1 Our Lady of Bellefonte Hospital Foundation St Christopher Dr Ashland KY 41101 611381952 Grant Making Foundation KY 501(c)(3) Line 7 Bon Secours Kentucky Health System 1 Bon Secours Baltimore Development 26 North Fulton Avenue Baltimore MD 21223 760785344 Community Housing MD 501(c)(3) Line 7 Unity Properties Inc 1 Unity Properties Inc 26 North Fulton Avenue Baltimore MD 21223 521857768 Low Income Housing MD 501(c)(3) Line 7 Bon Secours of Maryland Foundation 1 Bon Secours St Francis Health System Foundation One St Francis Drive Greenville SC 29601 260012031 Grant Making Foundation SC 501(c)(3) Line 7 St Francis Hospital Inc 1 Bon Secours Richmond Health Care Foundation 8580 Magellan Parkway Richmond VA 23227 541201346 Grant Making Foundation VA 501(c)(3) Line 7 Bon Secours Richmond LLC 1 Bon Secours St Petersburg Home Care Services Inc 10300 Fourth Street North St Petersburg FL 33716 134334363 Home Care Services FL 501(c)(3) Line 9 Maria Manor Nursing Care Center 1 Bon Secours Maria Manor Nursing Care Center 10300 Fourth Street North St Petersburg FL 33716 134334363 Nursing Home FL 501(c)(3) Line 9 Bon Secours Health System Inc 1 Bellefonte Physician Services Inc St Christopher Dr Ashland KY 41101 352320780 Physician Practices KY 501(c)(3) Line 9 Bon Secours Kentucky Health System 1 Bon Secours Housing 26 North Fulton Avenue Baltimore MD 21223 521442707 Low Income Housing MD 501(c)(3) Line 9 Bon Secours of Maryland Foundation 1 Bon Secours Housing II 26 North Fulton Avenue Baltimore MD 21223 521543174 Low Income Housing MD 501(c)(3) Line 9 Bon Secours of Maryland Foundation 1 Schervier Housing Development Fund Corporation 2975 Independence Avenue Bronx NY 10463 133098867 Housing NY 501(c)(3) Line 9 Bon Secours NY Health System 1 St Francis Physician Services Inc One St Francis Drive Greenville SC 29601 134290167 Physician Services SC 501(c)(3) Line 9 St Francis Health System Inc 1 Mary Immaculate Nursing Center Inc 7007 Harbour View Blvd Suffolk VA 23435 541516476 Nursing Care Center VA 501(c)(3) Line 9 Mary Immaculate Hospital 1 Bon Secours - Maryview Nursing Care Center 7007 Harbour View Blvd Suffolk VA 23435 521578169 Nursing Care Center VA 501(c)(3) Line 9 Bon Secours Hampton Roads Health System 1 Bayley Properties 7007 Harbour View Blvd Suffolk VA 23435 541424748 Title Holding Company VA 501(c)(2) Bon Secours DePaul Medical Center 1 Laburnum Properties 8580 Magellan Parkway Richmond VA 23227 521260700 Title Holding Company VA 501(c)(2) Bon Secours Richmond Health System 1 Bon Secours Health System Foundation Inc 8990 Old Annapolis Road Columbia MD 21045 474765376 Fundraising MD 501(c)(3) Line 7 Bon Secours Health System Inc 1 IVNA Health Services 5008 Monument Avenue Richmond VA 23230 541479847 Home Care Services VA 501(c)(3) Line 9 Bon Secours Home Care LLC 1 Rappahanock General Hospital Foundation 101 Harris Road Kilmarnock VA 22482 541210450 Supporting Organization VA 501(c)(3) Line 7 Bon Secours Richmond Health System 1 Chesapeake Medical Group 101 Harris Road Kilmarnock VA 22482 541857174 Healthcare Services VA 501(c)(3) Line 9 Bon Secours Richmond Health System 1 Chesapeake Hospital Corporation 101 Harris Road Kilmarnock VA 22482 237424835 Health Care VA 501(c)(3) Line 3 Bon Secours Richmond Health System 1 Schervier Apartments LLC 2975 Independence Avenue Bronx NY 10463 471364217 Low Income Housing NY C Line 9 Bon Secours NY Health System 1 Bon Secours Place at St Petersburg LLP 10300 Fourth Street North St Petersburg FL 33716 593589729 Assisted Living/Senior Care FL N/A Bon Secours Apartments LP 1800 West Baltimore St Baltimore MD 21223 521952505 Low Income Housing MD N/A Bon Secours Apartments II LP 1800 West Baltimore St Baltimore MD 21223 522063512 Low Income Housing MD N/A Liberty Senior Housing LP 1800 West Baltimore St Baltimore MD 21223 522134447 Low Income Housing MD N/A Bon Secours Apartments III LP 1800 West Baltimore St Baltimore MD 21223 522134444 Low Income Housing MD N/A Bon Secours Smallwood Summit LP 26 North Fulton Ave Baltimore MD 21223 522280175 Low Income Housing MD N/A Bon Secours Chesapeake Apartments LP 26 North Fulton Ave Baltimore MD 21223 200107034 Low Income Housing MD N/A Bon Secours Shiloh LP 26 North Fulton Ave Baltimore MD 21223 203965243 Low Income Housing MD N/A Bon Secours Wayland LP 26 North Fulton Ave Baltimore MD 21223 270468688 Low Income Housing MD N/A Bon Secours Gibbons Apartments LP 26 North Fulton Ave Baltimore MD 21223 472322323 Low Income Housing MD N/A Upstate Surgery Center LLC One St Francis Drive Greenville SC 29601 562186977 Ambulatory Surgery Center SC N/A Province Place of DePaul LLC 6403 Granby Street Norfolk VA 23505 541950880 Assisted Living Facilities VA N/A Province Place of Maryview LLC One Bon Secours Way Portsmouth VA 23703 541842697 Assisted Living VA N/A Broad64 Imaging LLC 8580 Magellan Parkway Richmond VA 23227 205886018 Imaging Services VA N/A Richmond Radiation Oncology Center I LLC 8580 Magellan Parkway Richmond VA 23227 208444551 Radiation Oncology Services VA N/A RI LP 8580 Magellan Parkway Richmond VA 23227 541708835 Imaging Services VA N/A Bon Secours Benet House LP 26 North Fulton Ave Baltimore MD 21223 364765400 Low Income Housing MD N/A Bon Secours Benet House LLC 26 North Fulton Ave Baltimore MD 21223 463055312 Low Income Housing MD N/A Southeastern Health PartnersLLC One St Francis Drive Greenville SC 29601 813264385 Coordinated Care SC N/A Bon Secours Assurance Company Ltd PO Box 69 CJ KY1-1102 980152147 Offshore Captive Management CJ Bon Secours Health System Inc C 8045534 98110673 1.00000 0 Bon Secours-Florida Integrated Health Services Inc 10300 Fourth Street North St Petersburg FL 33716 650779777 Holding Company/Assisted Living FL Bon Secours Maria Manor Nursing Care C 1873600 1.00000 0 Unity Housing Inc 26 North Fulton Avenue Baltimore MD 21223 521952507 Low Income Housing MD Unity Properties Inc C 5 350100 1.00000 0 Bon Secours Wayland LLC 26 North Fulton Avenue Baltimore MD 21223 270468561 Low Income Housing MD Unity Properties Inc C 1.00000 0 Professional Health Care Management Inc & Subs 150 Kingsley Lane Norfolk VA 23505 541241031 Administrative VA Bon Secours Hampton Roads Health System Inc C -902694 5929593 1.00000 0 OSF Inc 2 Bernadine Drive Newport News VA 23602 541369919 Rental VA Mary Immaculate Hospital Inc C 818343 1076390 1.00000 0 Bon Secours Tidewater Diversified Inc 160 Kingsley Lane Norfolk VA 23505 541431826 Pharmacy VA Bon Secours DePaul Medical Center Inc C 684081 2420239 1.00000 0 Chesterfield Community Healthcare Center Inc 8580 Magellan Parkway Richmond VA 23227 541812738 Ambulatory Healthcare Services VA Bon Secours Richmond Health System Inc C 4818 251184 0.83000 0 Bon Secours-Virginia Healthsource Inc & Subs 8580 Magellan Parkway Richmond VA 23227 541417686 Ambulatory Healthcare Services VA Bon Secours Richmond Health System Inc C 23865925 31113963 0.83000 0 RHS Management Corp 8580 Magellan Parkway Richmond VA 23227 541313425 Independent Living Facility VA Bon Secours Richmond Health System Inc C 536384 59330 0.83000 0 Bon Secours New York Housing Development Corporation 2975 Independence Avenue Bronx NY 10463 472224316 Low Income Housing NY Bon Secours New York Health System C 1.00000 0 Richmond MRI Inc 8580 Magellan Parkway Richmond VA 23227 541568452 Medical Services VA Bon Secours Richmond Health System Inc C 1105762 46196 0.83000 0 Good Help Connections 8990 Old Annapolis Road Columbia MD 21045 472345223 IT Consulting MD Bon Secours Health System Inc C 20024308 12311579 1.00000 0 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 Bon Secours Maria Manor Nursing Care Center Inc B 168500 Cost The Bon Secours of Maryland Foundation Inc B 145000 Cost Bon Secours Hospital Baltimore Inc B 245050 Cost Memorial Regional Medical Center Inc B 95627 Cost Our Lady of Bellefonte Hospital Inc B 37598 Cost Bon Secours Kentucky Health System Foundation Inc B 155250 Cost Bon Secours Richmond Healthcare Foundation B 240000 Cost Bon Secours St Francis Medical Center Inc B 629618 Cost St Mary's Hospital of Richmond Inc B 34977 Cost Frances Schervier Home and Hospital B 274995 Cost Richmond Community Hospital Inc B 101342 Cost Bon Secours DePaul Health Foundation B 190350 Cost St Francis Hospital Inc B 1013236 Cost Bon Secours St Francis Health System Foundation B 40000 Cost Bon Secours Maryview Foundation B 51000 Cost Mary Immaculate Hospital B 33650 Cost Bellefonte Physician Services Inc D 15782059 Cost Bon Secours Baltimore Health System Foundation Inc D 388292 Cost The Bon Secours of Maryland Foundation Inc D 487668 Cost St Francis Hospital Inc D 300664539 Cost Maryview Hospital D 10368327 Cost Province Place of Maryview LLC D 266600 Cost Professional Health Care Management Services Inc & Subs D 1210839 Cost Bon Secours DePaul Medical Center Inc D 7321297 Cost Bon Secours Richmond Healthcare Foundation D 1155613 Cost St Mary's Hospital of Richmond Inc D 3487005 Cost CCHC Inc D 48083 Cost Laburnum Properties D 161652 Cost RHS Management Corporation D 224970 Cost Chesapeake Medical Group Inc D 3882804 Cost Chesapeake Hospital Corporation D 18836110 Cost Rappahannock General Hospital Foundation Inc D 592281 Cost Bon Secours Richmond Health System D 2302362 Cost Bon Secours Virginia Healthsource Inc and Subs D 16412436 Cost Bon Secours New York Health System D 2835972 Cost Schervier Apartments LLC D 1762882 Cost Bon Secours Place at St Petersburg LLP D 326488 Cost Bon Secours New York Health System L 2684049 Cost Maryview Hospital L 45735424 Cost Bon Secours Maryview Nursing Care Center L 99993 Cost Mary Immaculate Hospital L 5175430 Cost Mary Immaculate Nursing Center Inc L 92207 Cost Bon Secours DePaul Medical Center Inc L 6991313 Cost St Francis Hospital Inc L 44739291 Cost St Francis Physician Services Inc L 2956357 Cost Our Lady of Bellefonte Hospital Inc L 16835923 Cost Bellefonte Physician Services Inc L 1172205 Cost Bon Secours Hospital Baltimore Inc L 11528213 Cost Bon Secours Maria Manor Nursing Care Center Inc L 1541298 Cost Memorial Regional Medical Center Inc L 12070083 Cost St Mary's Hospital of Richmond Inc L 91770481 Cost Richmond Community Hospital Inc L 1910656 Cost Bon Secours St Francis Medical Center Inc L 7768266 Cost Bon Secours Virginia Healthsource Inc and Subs L 2454902 Cost Chesapeake Medical Group Inc L 169999 Cost Bon Secours Richmond Health System L 1917539 Cost Bon Secours New York Health System Q 50109 Cost Schervier Apartments LLC Q 1262999 Cost Maryview Hospital Q 20564195 Cost Bon Secours Maria Manor Nursing Care Center Inc Q 970999 Cost Province Place of Maryview LLC Q 308286 Cost Province Place of DePaul LLC Q 286283 Cost Professional Health Care Management Services Inc & Subs Q 53391 Cost Mary Immaculate Hospital Q 8027646 Cost Mary Immaculate Nursing Center Inc Q 661325 Cost Bon Secours DePaul Medical Center Inc Q 10270248 Cost Tidewater Diversified Inc Q 33428 Cost St Francis Hospital Inc Q 35782586 Cost Upstate Surgery Center LLC Q 131057 Cost St Francis Physician Services Inc Q 10451377 Cost Bon Secours St Francis Health System Q 132164 Cost Our Lady of Bellefonte Hospital Inc Q 11756437 Cost Bellefonte Physician Services Inc Q 2512887 Cost Bon Secours Hospital Baltimore Inc Q 7158278 Cost The Bon Secours of Maryland Foundation Inc Q 173498 Cost Unity Properties Inc Q 11848 Cost Bon Secours Maria Manor Nursing Care Center Inc Q 2529626 Cost Bon Secours St Petersburg Home Care Services Q 177628 Cost Memorial Regional Medical Center Inc Q 19539202 Cost St Mary's Hospital of Richmond Inc Q 39195806 Cost Richmond Community Hospital Inc Q 2274677 Cost Bon Secours St Francis Medical Center Inc Q 18505046 Cost Bon Secours Richmond Health System Q 82175 Cost Bon Secours Virginia Healthsource Inc and Subs Q 3092220 Cost RI LP Q 234046 Cost Bon Secours Richmond Healthcare Foundation Q 1317 Cost Chesapeake Hospital Corporation Q 456044 Cost Chesapeake Medical Group Inc Q 42132 Cost Broad 64 Imaging LLC Q 143021 Cost Richmond Radiation Oncology Center I LLC Q 192919 Cost Bon Secours Richmond Health System Q 1917539 Cost Bon Secours Place at St Petersburg LLP Q 400445 Cost Maryview Hospital A 3196838 Cost