FURP.ORG / PUBLIC DATA EXPLORER

GRACE MEDICAL CENTER INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
GRACE MEDICAL CENTER INC (EIN 52-0591555)
Tax period
2014-09-01 to 2015-08-31
Filed
2016-07-15
IRS object ID
201611979349300226
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-07-15T09:46:27-05:00ReturnTs
Tax Period End2015-08-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1191 Peachtree St Suite 2000AddressLine1Txt
CityAtlantaCityNm
State AbbreviationGAStateAbbreviationCd
ZIP303031749ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-09-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN520591555EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Bon Secours Hospital Baltimore IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBONSBusinessNameControlTxt
Phone4103623000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 West Baltimore StreetAddressLine1Txt
CityBaltimoreCityNm
State AbbreviationMDStateAbbreviationCd
ZIP212231558ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLaura EllisonPersonNm
Person TitleCFO-BSBHSPersonTitleTxt
Phone4103624477PhoneNum
Signature2016-07-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJohn W Sadoff JrPreparerPersonNm
PTINP00540589PTIN
Phone4042201500PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1BS Hospital Specialty Center New Hope BS Renal Dialysis CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerSamuel L Ross MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 West Baltimore StreetAddressLine1Txt
CityBaltimoreCityNm
State AbbreviationMDStateAbbreviationCd
ZIP212231558ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$128,524,648GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.bonsecoursbaltimore.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1920FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionAcute Care HospitalActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee1017TotalEmployeeCnt
Total Volunteers100TotalVolunteersCnt
Total Gross UBI$37,870TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$30,699NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,874,116PYContributionsGrantsAmt
CY Contributions Grants$4,765,721CYContributionsGrantsAmt
PY Program Service Revenue$123,313,094PYProgramServiceRevenueAmt
CY Program Service Revenue$121,625,518CYProgramServiceRevenueAmt
PY Investment Income$804,198PYInvestmentIncomeAmt
CY Investment Income$1,443,074CYInvestmentIncomeAmt
PY Other Revenue$590,358PYOtherRevenueAmt
CY Other Revenue$592,270CYOtherRevenueAmt
PY Total Revenue$130,581,766PYTotalRevenueAmt
CY Total Revenue$128,426,583CYTotalRevenueAmt
PY Grants And Similar Paid$252,706PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$271,472CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$60,034,081PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$58,567,273CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$67,338,603PYOtherExpensesAmt
CY Other Expenses$59,668,755CYOtherExpensesAmt
PY Total Expenses$127,625,390PYTotalExpensesAmt
CY Total Expenses$118,507,500CYTotalExpensesAmt
PY Revenues Less Expenses$2,956,376PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$9,919,083CYRevenuesLessExpensesAmt
Total Assets BOY$75,014,730TotalAssetsBOYAmt
Total Assets EOY$70,127,016TotalAssetsEOYAmt
Total Liabilities BOY$157,282,734TotalLiabilitiesBOYAmt
Total Liabilities EOY$147,743,944TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$82,268,004NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$77,616,928NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$109,316,529ExpenseAmt
Grant$271,472GrantAmt
Revenue$121,625,518RevenueAmt
DescBon Secours Baltimore Hospital provides both inpatient and outpatient services. Such services include:Inpatient Services - 151 licensed beds for critical care, medical, psychiatric and surgical needs. The Hospital provides a full range of srvices & programs in response to community needs & interests including: Acute Care; Cardiology; Case Management; Wound Care; Community Health Screenings; Critical Care; Emergency Care; Diagnostic Services; Employment Services; Family Support Center; Financial Education; Infectious Disease Care; Lab Services; Mammography; Neurology; Nuclear Medicine; Ophthalmology; Orthopedics; Faith Community Nurse Services; Pastoral Care; Pharmacy; Physical Therapy; Podiatry; Psychiatry; Pulmonary Services and Primary Care.Outpatient Services include: renal dialysis, HIV/AIDS services, mental health, substance abuse treatment, health education, cardiac rehabilitation and wellness programs and tele-health program for patients with congestive heart disease. The Hospital operates an emergency room that is open 24 hours per day, seven days per week, serving persons regardless of their ability to pay. See Sch H for additional information.Desc
Total Program Service Expenses$109,316,529TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document117IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1017EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Laura EllisonBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4433673835PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18990 Old Annapolis RoadAddressLine1Txt
CityColumbiaCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21045ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Ackneil Muldrow Esq
Chairman3.000.00Yes (X)Yes (X)$0$0$0
Samuel Ross MD
CEO21.0029.00Yes (X)Yes (X)$0$832,778$87,464
Sr Anne Lutz CBS
President3.0047.00Yes (X)Yes (X)$0$0$0
Martha Riva Esq
Board Member2.0048.00Yes (X)$0$544,786$81,951
Mary Beachley
Board Member2.000.00Yes (X)$0$0$0
Patricia Scipio
BM (Sep-Apr)/Treasurer (May-Aug)2.000.50Yes (X)Yes (X)$0$0$0
Sr Mary Shimo CBS
Board Member2.004.00Yes (X)$0$0$0
Matthew Hemelt
Board Member2.000.00Yes (X)$0$0$0
Jeffrey Richardson
Board Member2.000.00Yes (X)$0$0$0
Anthony Stanowski
Board Member2.000.00Yes (X)$0$0$0
Keshia Pollack
Board Member2.000.00Yes (X)$0$0$0
Theodore Wimberly
Board Member2.000.00Yes (X)$0$0$0
Richard Jones
Treasurer/CFO - BSBHS (Sep-Jul)30.0020.00Yes (X)$0$473,500$24,575
Laura Ellison
CFO-BSBHS (Jul-Aug)/BSHSI Sys VP Fin30.0020.00Yes (X)$0$371,037$42,931
Matthew Ansel
Interim CNE (Sep-Mar)50.000.00$193,088$0$26,826Yes (X)
Shelly Buck
CNE/COO (Mar-Aug)50.000.00$0$212,781$38,974Yes (X)
Arsalan Sheikh MD
Chair of Medicine50.000.00$293,234$0$33,806Yes (X)
Ibrahim Hanna MD
Chair of Surgery50.000.00$321,688$0$17,029Yes (X)
Usha Jain MD
Chief Pathologist49.500.50$292,839$0$22,803Yes (X)
Aliya Jones MD
Chair of Psychiatry50.000.00$258,022$0$38,046Yes (X)
Rhonda Allen MD
Medical Director50.000.00$252,411$0$8,495Yes (X)
Yasmeen Ahmed MD
Primary Care Physician50.000.00$218,842$0$34,176Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,830,124TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,434,882TotReportableCompRltdOrgAmt
Total Other Compensation$457,076TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K72IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
University of Maryland
110 South Paca StBaltimoreMD21201ED Physician Services$5,720,856
Johnson Controls Inc
PO Box 423MilwaukeeWI53201Maintenance Services$2,735,878
West Baltimore Anesthesia LLC
2000 W Baltimore StBaltimoreMD21223Anesthesiologists$2,468,640
MDICS Management LLC
6934 Aviation Blvd Suite BGlen BurnieMD21061Physician Services$2,406,250
Aramark CTS Inc
12483 Collections Ctr DrChicagoIL60693Medical Equip Maint$1,257,483
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K86CntrctRcvdGreaterThan100KCnt
Related Organizations$362,765RelatedOrganizationsAmt
Government Grants$3,956,890GovernmentGrantsAmt
All Other Contributions$446,066AllOtherContributionsAmt
Total Contributions$4,765,721TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPatient Service Reve.Desc
Business622110BusinessCd
Total Revenue Column$121,625,518TotalRevenueColumnAmt
Related Or Exempt Func Income$121,625,518RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$121,625,518TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$145,667TotalRevenueColumnAmt
Exclusion$145,667ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$212,793RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$212,793RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$212,793TotalRevenueColumnAmt
Exclusion$212,793ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$181,433SecuritiesAmt
Other$1,214,039OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$98,065OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$181,433SecuritiesAmt
Other$1,115,974OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,297,407TotalRevenueColumnAmt
Exclusion$1,297,407ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Rebates & Discounts900099$138,543$138,543
Parking812930$128,538$128,538
Reference Lab621500$37,870$37,870

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$74,526TotalRevenueColumnAmt
Exclusion$74,526ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$379,477OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$128,426,583TotalRevenueColumnAmt
Related Or Exempt Func Income$121,625,518RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$37,870UnrelatedBusinessRevenueAmt
Exclusion$1,997,474ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$137,227TotalAmt
Program Services$137,227ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$134,245TotalAmt
Program Services$134,245ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$555,279TotalAmt
Program Services$499,751ProgramServicesAmt
Management And General$55,528ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$46,300,488TotalAmt
Program Services$41,670,439ProgramServicesAmt
Management And General$4,630,049ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,539,198TotalAmt
Program Services$2,285,278ProgramServicesAmt
Management And General$253,920ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,201,559TotalAmt
Program Services$4,681,403ProgramServicesAmt
Management And General$520,156ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,970,749TotalAmt
Program Services$3,573,674ProgramServicesAmt
Management And General$397,075ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$477,892TotalAmt
Program Services$430,103ProgramServicesAmt
Management And General$47,789ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$169,107TotalAmt
Program Services$152,196ProgramServicesAmt
Management And General$16,911ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$9,250TotalAmt
Program Services$8,325ProgramServicesAmt
Management And General$925ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$11,100,140TotalAmt
Program Services$11,100,140ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$14,406TotalAmt
Program Services$12,965ProgramServicesAmt
Management And General$1,441ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$441,097TotalAmt
Program Services$396,987ProgramServicesAmt
Management And General$44,110ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,174,896TotalAmt
Program Services$3,757,406ProgramServicesAmt
Management And General$417,490ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,884,199TotalAmt
Program Services$1,695,779ProgramServicesAmt
Management And General$188,420ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$218,350TotalAmt
Program Services$196,515ProgramServicesAmt
Management And General$21,835ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,376,165TotalAmt
Program Services$1,376,165ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,855,748TotalAmt
Program Services$5,270,173ProgramServicesAmt
Management And General$585,575ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,349,144TotalAmt
Program Services$1,214,230ProgramServicesAmt
Management And General$134,914ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Purchased Services$13,883,986$12,495,587$1,388,399
Medical Supplies$7,138,998$7,138,998
Bad Debt Expense$6,798,359$6,798,359
Federal Taxes for UBI$9,705$9,705

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,767,313TotalAmt
Program Services$4,290,584ProgramServicesAmt
Management And General$476,729ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$118,507,500TotalAmt
Program Services$109,316,529ProgramServicesAmt
Management And General$9,190,971ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,163BOYAmt
EOY$1,553EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$360,056BOYAmt
EOY$360,923EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$895,663BOYAmt
EOY$689,657EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$19,616,127BOYAmt
EOY$16,076,580EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,314,763BOYAmt
EOY$1,092,964EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,271,530BOYAmt
EOY$541,052EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$101,157,918LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$71,358,455LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$30,777,108BOYAmt
EOY$29,799,463EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$12,085,794BOYAmt
EOY$12,159,372EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$4,106EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,691,526BOYAmt
EOY$9,401,346EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$75,014,730BOYAmt
EOY$70,127,016EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$16,555,558BOYAmt
EOY$11,261,295EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$5,629,432EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$36,852BOYAmt
EOY$42,530EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$140,690,324BOYAmt
EOY$130,810,687EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$157,282,734BOYAmt
EOY$147,743,944EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$82,588,778BOYAmt
EOY-$77,888,486EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$320,774BOYAmt
EOY$271,558EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$82,268,004BOYAmt
EOY-$77,616,928EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$75,014,730BOYAmt
EOY$70,127,016EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$9,919,083ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$210,410NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$5,057,597OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$9,250OtherActivitiesAmt
Total Lobbying Expenditures$9,250TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationThe filing organization maintains memberships to various professional healthcare associations. Portions of their membership dues are used for lobbying activities. The lobbying portion of such dues is included on line 1i.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$600,000OtherCostOrOtherBasisAmt
Book Value$600,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$49,986,535OtherCostOrOtherBasisAmt
Depreciation$32,125,398DepreciationAmt
Book Value$17,861,137BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$47,649,696OtherCostOrOtherBasisAmt
Depreciation$36,968,063DepreciationAmt
Book Value$10,681,633BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,921,687OtherCostOrOtherBasisAmt
Depreciation$2,264,994DepreciationAmt
Book Value$656,693BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$29,799,463TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDescBook ValueBookValueAmt
HPL/GL Asset$6,557,498
Due from Affiliates$1,835,356
Accrued Revenue$450,000
Due from BSHSI$371,395
Staff Loans$81,698
Resident Trust$42,530
LT Noncash Investment$13,150
Miscellaneous A/R$10,611
Other Misc Assets$39,108
FieldValueIRS element (for citing)
Total Book Value Other Assets$9,401,346TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDescAmtAmt
Due to BSHSI$90,864,644
Pension Liability$24,407,546
Liability - HPL/GL$6,557,498
Medicaid and Insurance Advances$3,083,408
Capital Leases$1,913,644
Liability - FIN 47$1,548,097
Patient Credit Balances$1,417,496
Medicare Reserve$486,097
Other Misc Liabilities$532,257
FieldValueIRS element (for citing)
Total Liability$130,810,687TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IV, Line 2b:Bon Secours Hospital Baltimore holds, safeguards, manages and accounts for the Social Security funds of certain patients. These funds are held in an FDIC insured banking institution. With the assistance of hospital personnel, funds are generally accessed by the patient through the use of ATM cards or Visa gift cards which are purchased on their behalf.
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. The System's taxable subsidiaries have approximately $84,748 and $61,513 of net operating loss carryforwards as of August 31, 2015 and 2014, respectively, which expire in varying periods through 2035 and are available to offset future taxable income. The System's deferred tax assets are fully reserved at August 31, 2015 and 2014 as the System considers it more likely than not that these amounts will not be recognized. Any changes to the valuation allowance on the deferred tax asset are reflected in the year of the change.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other200.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically Available0ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,375,350TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,375,350NetCommunityBenefitExpnsAmt
Total Expense0.01230TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,375,350TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,375,350NetCommunityBenefitExpnsAmt
Total Expense0.01230TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs16ActivitiesOrProgramsCnt
Persons Served25102PersonsServedCnt
Total Community Benefit Expns$7,639,214TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$45,677DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,593,537NetCommunityBenefitExpnsAmt
Total Expense0.06800TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served391PersonsServedCnt
Total Community Benefit Expns$248,975TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$248,975NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served17417PersonsServedCnt
Total Community Benefit Expns$11,247,641TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,656,892DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,590,749NetCommunityBenefitExpnsAmt
Total Expense0.05000TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$125,177TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$125,177NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs21ActivitiesOrProgramsCnt
Persons Served42910PersonsServedCnt
Total Community Benefit Expns$19,261,007TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,702,569DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,558,438NetCommunityBenefitExpnsAmt
Total Expense0.12130TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs21ActivitiesOrProgramsCnt
Persons Served42910PersonsServedCnt
Total Community Benefit Expns$20,636,357TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,702,569DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,933,788NetCommunityBenefitExpnsAmt
Total Expense0.13360TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served1686PersonsServedCnt
Total Community Benefit Expns$3,770,346TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,094,996DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,675,350NetCommunityBenefitExpnsAmt
Total Expense0.01500TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served1686PersonsServedCnt
Total Community Benefit Expns$3,770,346TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,094,996DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,675,350NetCommunityBenefitExpnsAmt
Total Expense0.01500TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$6,798,359BadDebtExpenseAmt
Reimbursed By Medicare$28,507,383ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$24,620,320CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$3,887,063MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Bon Secours Hospital Baltimore IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 W Baltimore StAddressLine1Txt
CityBaltimoreCityNm
State AbbreviationMDStateAbbreviationCd
ZIP212231558ZIPCd
FieldValueIRS element (for citing)
Website Addresshttp://bonsecoursbaltimore.com/WebsiteAddressTxt
State License30-007StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Bon Secours Hospital Baltimore IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://baltimore.bonsecours.comOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt12ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLhttp://bonsecoursbaltimore.comStrategyWebsiteURLTxt
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttp://www.bonsecoursbaltimore.comFAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit Report To Credit AgencyYes (X)PermitReportToCreditAgencyInd
Collection ActivitiesYes (1)CollectionActivitiesInd
Reporting To Credit AgencyYes (X)ReportingToCreditAgencyInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Bon Secours Hospital Baltimore, Inc.Part V, Section B, Line 5: The organization utilized several methods for gathering input including a series of community meetings where issues were identified and prioritized; review and analysis of previous community engagement activities; convening a health care summit to launch a primary care access study; one on one interviews and a community needs/desires survey.The organization consulted with the following third parties for their input and expertise while completing the CHNA:- University of Maryland Social Work Community Outreach Service: Community Organizing/Academic Organization- Joyce Smith: Community Activitist/Organic Master Gardener/Health & Wellness Expert- John Snow, Inc: Public Health Research and Consulting Firm-Michelle Gourdine & Associations: Community Health Expert/PractionerAdditional information can be found in the CHNA.
Bon Secours Hospital Baltimore, Inc.Part V, Section B, Line 11: Over the period of 2009-2012 Bon Secours Baltimore Health System (BSBHS) conducted a Community Health Needs Assessment that included meetings, interviews, community summits, literature studies and the engagement of those representatives of our community with a knowledge of public health, the broad interests of the communities we serve, special knowledge of the medically underserved, low-income and vulnerable populations and people with chronic diseases.The assessment resulted in the identification of the most important and pressing issues affecting the community served by BSBHS as well as recommendations of initiatives for Bon Secours to undertake to address those issues. After compiling and reviewing the key findings and recommendations regarding these issues, we prioritized the results based upon the following criteria:- Supported by Data- Identified by more than one constituency- Bon Secours' ability to respond effectively; including with partners- Consistency with Baltimore City Health Department and other regional/city-wide goals.This implementation plan positioned BSBHS to take on the entwined roles of convener, catalyst and contributor in partnering with the communities we serve and helps us to move towards the realization of a vision of: Healthy People, Healthy Economy, Healthy Environment.Healthy People Priority Need:Southwest Baltimore residents have evolving needs for comprehensive and integrated health services, including behavioral health. Bon Secours has expanded its service line over the last several years to become one of the most extensive in the City of Baltimore as it relates to behavioral health services and is an invaluable asset to the Southwest Baltimore community. The Department of Behavioral Health provides the following outpatient mental health and substance abuse programs:- Assertive Community Treatment (ACT)- Specialized Case Management (SCMP)- Homeless Outreach- Adult Day Psychiatric Rehabilitation Program (PRP)- Residential (RRP)- Outpatient Mental Health (OMHC)- Partial Hospitalization Programs for Adults and Children (PHEP)- A.D.A.P.T Cares (Anti-Drug Abuse Program With Therapy) - New Hope Treatment Center counseling- Next Passage Substance Abuse Treatment Center- Psychiatric Rehabilitation Services (New Phases)The combined West Baltimore zip codes of 21216, 21217, 21223, and 21229 have the highest disease burden and worst indicators of social determinants of health than most any other community in Maryland. These neighborhoods establish the lower extremes for health disparities in the City and the State across all major chronic illnesses. Families in the Zone experience poverty (20%) at higher rates than those in Maryland (6%) and in Baltimore City (17%). Life expectancy can be up to 12 years shorter in these zip codes than in other parts of Maryland.Our Community Health Needs Assessment identified expansion of Primary Care and capacity along with expanded access to case/care management services as priorities in order to:- Improve and expand access to primary care and preventive services.- Improve the health of the community by increasing the number of people connected to a primary care medical home and increasing annual primary care visits.The Health Enterprise Zone (HEZ) takes a two-part approach: 1) increased care coordination through the patient-centered medical home for patients with cardiovascular disease at high risk of hospitalization and emergency department (ED) use; and 2) community-based risk factor reduction for patients at risk of developing cardiovascular disease. These strategies are designed to be mutually reinforcing to improve cardiovascular outcomes. There are an estimated 86,000 West Baltimore residents who have or are at risk for cardiovascular disease (CVD) in zip codes of 21216, 21217, 21223, and 21229. Through FY 2015, 112,358 West Baltimore residents had participated in HEZ activities by the following mechanisms: 1) health fairs 2) care coordination 3) primary care services and 4) community based activities ( i.e. fitness, cooking and nutrition classes). Community Health Workers (CHWs) are also deployed across the HEZ and are embedded in the community. CHWs are responsible for care coordination, staffing health fairs, and registering Passport to Health participants during events (including fitness and nutrition classes). The Passport to Health program incentivizes activities that reduce CVD risk. Participants receive a registration card that is scanned at each staffed activity. Attendance is tracked using an online system developed by the Delmarva Foundation and points are assigned for attendance. At the end of a session, points are tallied and healthy incentives are distributed.CHW Community Outreach Outcomes October 2014 August 2015:- 352 community members partnered with CHWs- 8,018 total encounters - 53 Health Education events with 1,348 participants (2,160 encounters)- 11 regular fitness classes with 348 regular participants- Held 34 nutrition and cooking classesFor additional information, please see the attached Implementation Plan and Update.
Bon Secours Hospital Baltimore, Inc.Part V, Section B, Line 13h: The facility approved free care for patients at or below 200% of the FPL. For patients above 200% of the FPL we utilize a sliding scale with no cap.
Bon Secours Hospital Baltimore, Inc.Part V, Section B, Line 16i: Information regarding the FAP is available on our websites and brochures are available at the time of registration. We have on site Counselors who can assist the patients. We have eligibility vendors who work with the patients and our statements indicate we have an FAP.
Bon Secours Hospital Baltimore, Inc.Part V, Section B, Line 22d: Please see the narrative for Part VI, Line 3 regarding the Financial Assistance Policy.
Form 990, Schedule H, Part V, Section B, Line 14:The FAP provides information relating to the assistance provided to individuals that are eligible for free or discounted care. However, the Community Service Adjustment, which is available in our other markets, is not available in Maryland.
Part V, Section B, Line 16Financial Assistance Policy Website Availability
Bon Secours Hospital Baltimore, Inc. Part V, Section B, line 16b website:http://www.bonsecoursbaltimore.com
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Bon Secours CIBSNew Passage
3101 Towanda AveBaltimoreMD21215Behavioral Health Servies
New Hope
2401 W Baltimore StBaltimoreMD21223Behavioral Health Servies
Bon Secours Washington Village
700 Washington BlvdBaltimoreMD21230Community Medical Center

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:For patients with income above 200% of the FPG, the organization utilizes a sliding scale with no cap.
Part I, Line 7:Part I, Line 7b: Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing Uncompensated Care in each payors rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care.Part I, line 7c: Unreimbursed costs from other means-tested government programs are computed by applying a cost-to-charge ratio to the total charges to patients covered under these programs. The charges are identified by the financial class assigned to the patient.For Part I, Line 7 a-c computations: The cost-to-charge ratio is derived using the suggested computation in Worksheet 2, Ratio of Patient Care Cost-to-Charges. Operating expenses and Gross patient charges are taken from the general ledger. Expenses for nonpatient care activities recorded in operating expenses are approximated as directly equaling other operating revenue, assuming these activities do not provide profit.Part I, line 7e: Community health improvement services and community benefit operations are accumulated throughout the year and reported at actual cost in a software program that specifically addresses this purpose.Part I, line 7f: Health professions education cost is determined as the direct and indirect cost of qualifying education activities as traditionally reported in columns 21-24 on Worksheet B of the Medicare cost report as a Medical Education program, nursing school or other allied health program.
Part I, Ln 7 Col(f):Bad debt expense included in Part IX; line 25 and excluded from the "percent of total expense" calculation is: $6,798,359.
Part II, Community Building Activities:Bon Secours Baltimore Health System works closely with the community it serves to create projects, programs and services that are leading to the realization of a vision towards making southwest Baltimore a healthier community of choice for current and new residents.Bon Secours offered the following Community Building programs and services in FY 2015:The Financial Services Program (formerly Working Families Initiative) offers group and individual financial education, debt remediation, free and low-cost tax preparation and retirement planning to help residents reduce non-asset building debt and increase personal wealth. Residents can also be screened for and access public and private benefits through EarnBenefits. Eviction prevention counseling and funding is also provided. In FY 15, 440 participants received tax preparation services and 237 participants avoided homelessness through eviction prevention. 406 persons were screened for EarnBenefits.Youth Employment and Entrepreneurship Program (YEEP) helps high school age youth learn job readiness, financial literacy and leadership skills and then access part time and summer jobs. YEEP also helps youth develop career plans and get into post-secondary education. The program follows alumni who attend college. 35 area youth participated in YEEP activities in FY 15.Clean & Green turns vacant lots into attractive green spaces and consistently maintains them at a community-wide scale. Also provides paid internships in landscaping and other job skills. The program improved 52 lots in FY 15. In addition six individuals completed a six month training program.Career Development Program offers job readiness, placement and retention services. A total of 70 individuals were assisted in job searches and 18participants obtained employment. Family Support Center helps young parents obtain a GED and/or secure employment while providing developmental childcare and parenting classes. Children (birth to age 4) receive developmental childcare while their parents are in class or in training. In addition, the Family Support Center staff provides In-Home-Intervention services. During FY 15 4,447 center based and home visits were made by families. 57 families made center visits; 12 participants received their GED, 15 babies were born full term and 13 babies were born with normal birth weight.Women's Resource Center is a drop-in center that provides crisis intervention, hospitality services and domestic violence counseling for homeless women or women at risk for becoming homeless. In FY 15, 147 women visited the Center; 61 received health screenings, 40 were screened for Earn Benefits, and 83 developed individual "My Journey Through Life" plans.Housing: BSBHS also renovates row houses and constructs apartment buildings where low-income families and seniors can find safe and affordable housing. Over 119 families and 530 seniors were housed in FY 15 at seven locations. Resident services were provided at each senior living facility through grants and direct subsidy. An additional 115 individuals attended homeownership training classes and 15 persons purchased homes for the first time.
Part III, Line 2:Bad debt expense on the general ledger includes: 1) actual write offs of discounted gross charges where it is determined an uninsured patient can pay and does not pay; and 2) the estimated write offs for uninsured patient accounts with outstanding balances after discount. Estimates are based on historical collection rates.When an uninsured patient is billed for patient care services, the charges are automatically discounted and the patient is requested to only pay the amount after discount. The discount is recorded as an adjustment to gross revenue and is not recorded in bad debt expense. If the balance after discount is not paid or not paid in full, the unpaid amount will be written off to bad debt expense. When a patient remits a payment on an account that has already been written off to bad debt expense, the payment is recorded as a recovery of bad debt, which reduces bad debt expense.
Part III, Line 3:The organization does not report an estimate for the portion of bad debt expense that may have been likely to qualify for financial assistance under the hospital's charity care policy. The organization takes the position that ample opportunity and assistance is provided to the patient to qualify under the financial assistance policy. If sufficient information is not provided, the organization must assume the patient does not qualify.
Part III, Line 4:Please see Footnote "(2d) Accounts Receivable, net" discussing "accounts receivable" on pages 11-12 in the attached BSHSI consolidated audited financial statements ("AFS"). "Allowance for uncollectible accounts" is discussed in the second paragraph in Footnote "(10) Net Patient Service Revenue" on page 45 of the attached AFS. There is not a separate "bad debt expense" footnote in the AFS.
Part III, Line 8: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 9b:The hospital has a written policy that describes collection practices applying to patients that qualify for charity care or financial assistance. If full assistance is approved, no collection efforts are pursued on that patient's account(s). If partial assistance is provided, the patient is responsible for the adjusted account balance and collection efforts will follow the established practices for all patients where a self-pay balance exists. Collection efforts are not pursued on any pending FAP account.Specific criteria exist for how much financial assistance, partial or total, will be provided to the patient based on the assessed need. Criteria is based on Federal Poverty Guidelines and is reviewed and updated annually. Once a patient has been deemed eligible for the Patient Financial Assistance Program (FAP), the patient is notified by letter within 60 days after receipt of the application and supporting documentation. The patient retains eligibility for a period of twelve months from the date of the application. This eligibility is signaled to hospital admissions, billing and collection staff by the assignment of a specific financial class with accompanying eligibility dates. At the end of those twelve months, the patient is responsible for reapplying for FAP eligibility.
Part VI, Line 2:We utilize several methods for gathering input including community association meetings where issues are identified and prioritized by residents; review and analysis of previous community engagement activities; quarterly community forums convened by Bon Secours and one on one interviews.
Part VI, Line 3:Patient financial assistance policy is communicated to patients verbally upon scheduling, registration, visible postings of the policy in common areas throughout the hospital, brochures and on Bon Secours website. In addition, patient statements request that patients apply for financial assistance, if needed, once any patient financial obligation is determined.Bon Secours is committed to ensuring access to health care services for all. As a health care provider, Bon Secours treats all patients, whether insured, underinsured or uninsured, with dignity, respect and compassion throughout admission, delivery of services, discharge and billing and collection processes. Bon Secours addresses the needs of the uninsured by providing free or reduced fees on hospital services, community outreach efforts to assist with enrollment in Medicaid and other medical coverage programs, including free community-based preventive and primary care services. Bon Secours proactively screens to identify individuals and their families who may qualify for federal, state or local health insurance programs or the Bon Secours Patient Financial Assistance Program ("FAP") and assist the potential eligible patients through the qualification process. Potentially eligible patients that do not qualify for a federal or state health insurance program are referred to the Financial Assistance Coordinator located in Patient Financial Services for assistance in completing the documentation required to establish FAP eligibility. Patients are responsible for providing the information necessary to complete the documentation. The FAP aids uninsured and underinsured patients who do not qualify for government-sponsored health insurance and who communicate their inability to pay for their medical care. The FAP provides 100% financial assistance to uninsured patients with annual family incomes at or below 200% of the Federal Poverty Guidelines ("FPG"), A sliding scale assistance policy is afforded patients that exceed the income guidelines for 100% assistance. Sliding scale assistance is provided to patients and progressively declines in proportion to the patient's higher income level. Additionally, all uninsured (i.e. self pay) patients are given a reduction to the amount of the full charges for medically necessary services through a community service adjustment ("CSA"). The CSA is market adjusted and based on the payment discount received by other health care payers doing business in the community. For these patients, the FAP also sets a maximum annual family payment liability to ensure that no family suffers a catastrophic financial burden to receive necessary health care services. Based on research conducted by the Tax Foundation, a non partisan tax research group based in Washington DC, the maximum annual family liability is based on a sliding scale determined by the family income and size. In addition, a variety of other potential payment options are available. Bon Secours is dedicated to meeting the needs of non-English speaking patients by having on-site Spanish translators, and other language translation services. In addition, Bon Secours employs a telephone language service which assists in meeting any language needs that arise. The translation services are offered to non-English speaking patients from admission to discharge, including the financial process.
Part VI, Line 4:Bon Secours Baltimore Health System primarily serves four zip codes in West Baltimore: 21223, 21229, 21216 & 21217. Bon Secours Baltimore Health System's Community Health Needs Assessment has taken into account challenges and conditions in its primary service area as described above with a special emphasis on the surrounding BSB, known as "Old Southwest Baltimore." Bon Secours has maintained a constant presence in this part of Baltimore for over 130 years and it is the community where most of BSBHS's services are located. The conditions and social determinants of health in the direct area serviced by BSBHS also are of concern in the broader service area and the health and socioeconomic status of the direct area mirrors that of the broader service area. Old Southwest Baltimore has a population of more than 17,885 (2010 Census) people, many of whom are medically and economically underserved. The socioeconomic status, ethnic diversity and health status of residents, according to the Baltimore City Health Department, indicates that 27% of the population is between 0-17 years; 76% are African American; 31% do not have a high school diploma or equivalent; 43% of those ages 16-64 are not employed; 44% of households make less than $25,000; and the leading causes of health-related deaths are heart disease, HIV/AIDS, substance abuse and diabetes. In fact, in the neighborhoods served by BSB, residents die from heart disease at a rate that is 35% higher than the city as a whole. Deaths from diabetes and HIV/AIDS are also substantially higher than in the entire city. Residents of certain areas along the West Baltimore Street corridor have a life expectancy of 64.2 years, compared to almost 71 years for the entire city. Health problems in the community are exacerbated by inadequate insurance coverage. Approximately 11% of neighborhood residents are covered by Medicare, and 31% receive Medicaid. Seventeen percent are without any form of health insurance.Designated as a federal medically-underserved community, Southwest Baltimore also suffers from a high rate of foreclosures as many residents do not have the financial capacity to maintain their homes. Many of the streets are lined with neglected and vacant houses, many boarded up and hazardous to the health and safety of children and adults.
Part VI, Line 5:BS Baltimore has an open medical staff with privileges available to all qualified physicians in the area. BS Baltimore is governed by a board of directors whose composition is representative of the community it serves.
Part VI, Line 6:Bon Secours Health System, Inc., a Maryland nonprofit, nonstock membership corporation (BSHSI), and all of the other entities that are controlled directly or indirectly by Bon Secours, Inc, a Maryland nonprofit, nonstock membership corporation (BSI) are described collectively as the System. BSI, which is the sole corporate member of BSHSI, has no healthcare operations. The System was organized in June 1983 to fulfill the healthcare mission of the United States Province of the Congregation of the Sisters of Bon Secours of Paris, a congregation of religious women of the Roman Catholic Church founded in France in 1824. The System's activities are in the states of New York, Pennsylvania, Maryland, Virginia, Kentucky, South Carolina, and Florida, each referred to as a local system. The Ministry of BSHSI aids those in need, particularly those who are sick and dying, by offering services that include but are not limited to acute inpatient, outpatient, pastoral, palliative, home health, nursing home, rehabilitative, primary and secondary care and assisted living without regard to race, religion, color, gender, age, marital status, national origin, sexual orientation, or disability. BSHSI's vision to bring about the holistic health of the communities it serves is implemented through its Strategic Quality Plan which provides focus in five goal areas for the current three year period (2013-2015). One of those goals was to bring our communities to wholeness. To accomplish this, two key strategies are to: - Improve Health Locally and Globally- Build Partnerships for Population Health As a member of the Catholic health ministry and a member of Bon Secours Health System, Inc. (BSHSI), this organization and its related entities are called to continue the healing ministry of Jesus. We exist to benefit the people living in the communities it serves. Through all of the services offered to the community, the mission is "to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a System of caregivers, we commit ourselves to help bring people and communities to health and wholeness as part of the healing ministry of Jesus Christ and the Catholic Church." This organization and related organizations share the BSHSI Vision. "Inspired by the healing ministry of Jesus Christ and the charism of Bon Secours, Bon Secours Health System will be recognized for its leadership in justice, transforming the communities in which we serve and work into places of health and hope, and being a prophetic voice for systemic US health reform and a more humane world." Please see Schedule R for listings of the related organizations.
Part VI, Line 7, Reports Filed With StatesMD

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
American Heart Association
216 E Redwood StBaltimoreMD21202135613797501(C)(3)$20,000Patient Centered Medical Home Grant
Coppin State University
2500 West North AveBaltimoreMD21216526002033Other$14,000General Support
Chase Brexton Health Care
1111 North Charles StBaltimoreMD21201521638592501(C)(3)$10,000General Support
American Diabetes Association
1701 North Beauregard StAlexandriaVA22311131623888501(C)(3)$10,000General Support
Healthcare Access Maryland Inc
201 East Baltimore Street SuiteBaltimoreMD21202522017098501(C)(3)$12,430General Support1200
United Way of Central Maryland
100 South Charles St 5th FloorBaltimoreMD21201520591543501(C)(3)$21,300General Support
Gamma Boule
2 Hamill Rd West Quadrangle 241BaltimoreMD21210272876914501(C)(3)$5,000General Support
FieldValueIRS element (for citing)
Total501c3 Org6Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
Indigent Cab/Bus Fare440$112,277
Emergency Assistance Funds for Patients, Volunteers, & Employees30$21,968

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe organization complies with 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Samuel Ross MD
CEO$0$559,362$0$191,202$0$82,214$0$68,261$0$19,203$0$920,242$0$21,657
Martha Riva Esq
Board Member$0$327,426$0$106,341$0$111,019$0$51,427$0$30,524$0$626,737$0$61,584
Richard Jones
Treasurer/CFO - BSBHS (Sep-Jul)$0$295,094$0$139,230$0$39,176$0$11,700$0$12,875$0$498,075$0$0
Laura Ellison
CFO-BSBHS (Jul-Aug)/BSHSI Sys VP Fin$0$262,108$0$68,925$0$40,004$0$15,600$0$27,331$0$413,968$0$0
Matthew Ansel
Interim CNE (Sep-Mar)$170,035$0$22,282$0$771$0$4,141$0$22,685$0$219,914$0$0$0
Shelly Buck
CNE/COO (Mar-Aug)$0$173,026$0$39,332$0$423$0$10,966$0$28,008$0$251,755$0$0
Arsalan Sheikh MD
Chair of Medicine$291,365$0$0$0$1,869$0$8,485$0$25,321$0$327,040$0$0$0
Ibrahim Hanna MD
Chair of Surgery$318,235$0$0$0$3,453$0$5,600$0$11,429$0$338,717$0$0$0
Usha Jain MD
Chief Pathologist$287,150$0$0$0$5,689$0$10,400$0$12,403$0$315,642$0$0$0
Aliya Jones MD
Chair of Psychiatry$245,295$0$12,500$0$227$0$7,197$0$30,849$0$296,068$0$0$0
Rhonda Allen MD
Medical Director$251,306$0$0$0$1,105$0$537$0$7,958$0$260,906$0$0$0
Yasmeen Ahmed MD
Primary Care Physician$217,352$0$0$0$1,490$0$7,226$0$26,950$0$253,018$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3Bon Secours Health System, Inc., a related organization of the filing organization, 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
Part I, Line 4bThe filing organization participates in a BSHSI sponsored executive retirement program that allows for deposits into additional retirement plans and available only to key employees. The 457F plan is a non-qualified plan and is subject to a minimum three-year service requirement before vesting on deposits made into this plan. Individuals that received a distribution include: Samuel Ross, MD., $34,046; Martha Riva, Esq., $67,623.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6Bon Secours Health System, Inc. is the sole member of Bon Secours Baltimore Health Systems, Inc., which in turn is the sole member of Bon Secours Hospital Baltimore, Inc.
Form 990, Part VI, Section A, line 7aThe governing body of Bon Secours Hospital Baltimore, Inc. is appointed by its member Bon Secours Baltimore Health System, Inc. and subject to approval by Bon Secours Health System, Inc.
Form 990, Part VI, Section A, line 7bCertain authorities of Bon Secours Hospital Baltimore, Inc. are reserved to its member or to Bon Secours Health System, Inc.
Form 990, Part VI, Section B, line 11The process the organization uses to review the Form 990 consists of a review by the local system's audit and compliance board-committee and providing the form to the local system board of directors to allow for a thorough review by both before the filing date. The local system's audit and compliance committee and board of directors have reviewed the Form 990, scheduled time on meeting agendas, and asked questions regarding the Form 990 before the return is filed.
Form 990, Part VI, Section B, line 12cThe 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 15bThe 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 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. 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 19The filing organization makes all documents available to the general public upon request.
Form 990, Part VII - Additional Disclosure:Board Member positions are generally voluntary in nature. Compensated employees of the filing organization and other related organizations who also hold board positions are compensated only in relation to their employment and do not receive additional compensation for their board responsibilities. Sr. Anne Lutz does not receive payroll distributions as she has taken a vow of poverty.
Form 990, Part XI, line 9:Minimum Pension Liability -4,245,975. Transfers to BSHSI for Debt Principal, Swaps and Pension -811,622.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Bon Secours Health System Inc
1505 Marriottsville RoadMarriottsvilleMD21104521301088Parent Org. Management ServicesMD501(c)(3)Line 11c, III-FIBon Secours Inc0
The Bon Secours of Maryland Foundation Inc dba Community Works
26 N Fulton AvenueBaltimoreMD21223521732800Community FoundationMD501(c)(3)Line 7Bon Secours Baltimore Health System Inc0
Unity Properties Inc
26 N Fulton AvenueBaltimoreMD21223521857768Low Income HousingMD501(c)(3)Line 7Bon Secours of Maryland Foundation0
Bon Secours Baltimore Development Inc
26 N Fulton AvenueBaltimoreMD21223760785344Low Income HousingMD501(c)(3)Line 7Unity Properties Inc0
Bon Secours Baltimore Health System Foundation Inc
2000 W Baltimore StreetBaltimoreMD21223383843816Grant Making FoundationMD501(c)(3)Line 7Bon Secours Baltimore Health System Inc0
Bon Secours Housing
26 N Fulton AvenueBaltimoreMD21223521442707Low Income HousingMD501(c)(3)Line 9Bon Secours of Maryland Foundation0
Bon Secours Housing II
26 N Fulton AvenueBaltimoreMD21223521543174Low Income HousingMD501(c)(3)Line 9Bon Secours of Maryland Foundation0
Bon Secours Baltimore Health Corp(dba Bon Secours Baltimore Health System)
2000 W Baltimore StreetBaltimoreMD21223800728893Local System Parent OrgMD501(c)(3)Line 11c, III-FIBon Secours Health System Inc0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
Bon Secours Apartments LP
1800 W Baltimore StBaltimoreMD21223521952505Low Income HousingMDN/A
Bon Secours Apartments II LP
1800 W Baltimore StBaltimoreMD21223522063512Low Income HousingMDN/A
Liberty Senior Housing LP
1800 W Baltimore StBaltimoreMD21223522134447Low Income HousingMDN/A
Bon Secours Apartments III LP
1800 W Baltimore StBaltimoreMD21223522134444Low Income HousingMDN/A
Bon Secours Smallwood Summit
26 N Fulton AvenueBaltimoreMD21223522280175Low Income HousingMDN/A
Bon Secours Chesapeake Apartments LP
26 N Fulton AvenueBaltimoreMD21223200107034Low Income HousingMDN/A
Bon Secours Shiloh LP
26 N Fulton AvenueBaltimoreMD21223203965243Low Income HousingMDN/A
Bon Secours Wayland LP
26 N Fulton AvenueBaltimoreMD21223270468688Low Income HousingMDN/A
Bon Secours Benet House LP
26 N Fulton AvenueBaltimoreMD21223364765400Low Income HousingMDN/A
Bon Secours Benet House LLC
26 N Fulton AvenueBaltimoreMD21223463055312Low Income HousingMDN/A
Bon Secours Gibbons Apartments LP
26 N Fulton AvenueBaltimoreMD21223472322323Low Income HousingMDN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Unity Housing Inc
26 N Fulton AvenueBaltimoreMD212231624521952507Low Income HousingMDN/AC0
Bon Secours Wayland LLC
26 N Fulton AvenueBaltimoreMD212231624270468561Low Income HousingMDN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd