FURP.ORG / PUBLIC DATA EXPLORER

Maryview Hospital: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
Maryview Hospital (EIN 54-0506463)
Tax period
2012-09-01 to 2013-08-31
Filed
2014-07-15
IRS object ID
201441969349301409
Schema version
2012v2.1
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)
Timestamp2014-07-15T14:42:23-05:00Timestamp
Tax Period End Date2013-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1191 Peachtree Street Suite 2000AddressLine1
CityAtlantaCity
StateGAState
ZIP Code303031749ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN540506463EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Maryview HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMARYNameControl
Phone7573982200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line17007 Harbour View Blvd No 108AddressLine1
CitySuffolkCity
StateVAState
ZIP Code23435ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMichael K KernerName
TitleChief Executive officer - BSHRHSTitle
Phone7576735920Phone
Date Signed2014-07-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJennifer E ErntemanName
PTINP00693666PTIN
Phone4042201500Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Bon Secours Maryview Medical CenterBusinessNameLine1
Business Name Line2Bon Secours Home OxygenBusinessNameLine2
FieldValueIRS element (for citing)
Name Of Principal Officer PersonMichael K KernerNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line17007 Harbour View Blvd No 108AddressLine1
CitySuffolkCity
StateVAState
ZIP Code23435ZIPCode
FieldValueIRS element (for citing)
Gross Receipts385713475GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.bonsecourshamptonroads.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1944YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionAcute Care HospitalActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees2760TotalNbrEmployees
Total Nbr Volunteers217TotalNbrVolunteers
Total Gross UBI1704434TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1792137ContributionsGrantsPriorYear
Contributions Grants Current Year3981894ContributionsGrantsCurrentYear
Program Service Revenue Prior Year349750492ProgramServiceRevenuePriorYear
Program Service Revenue CY366448470ProgramServiceRevenueCY
Investment Income Prior Year2613278InvestmentIncomePriorYear
Investment Income Current Year8468819InvestmentIncomeCurrentYear
Other Revenue Prior Year4873181OtherRevenuePriorYear
Other Revenue Current Year5466656OtherRevenueCurrentYear
Total Revenue Prior Year359029088TotalRevenuePriorYear
Total Revenue Current Year384365839TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year234495GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY275086GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year155494499SalariesEtcPriorYear
Salaries Etc Current Year164158878SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year197418395OtherExpensePriorYear
Other Expenses Current Year215582636OtherExpensesCurrentYear
Total Expenses Prior Year353147389TotalExpensesPriorYear
Total Expenses Current Year380016600TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5881699RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4349239RevenuesLessExpensesCY
Total Assets BOY253707979TotalAssetsBOY
Total Assets EOY262143562TotalAssetsEOY
Total Liabilities BOY124848980TotalLiabilitiesBOY
Total Liabilities EOY122001001TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY128858999NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY140142561NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionThe mission is to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a system of caregivers, we commit ourselves to help bring people and communities to health and wholeness.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense29158304Expense
Revenue28586798Revenue
DescriptionMaryview continues to commit significant resources to the care of cardiac patients. The comprehensive Early Detection Center, aimed at identifying cardiac disease early and referring patients to primary care, cardiology, vascular surgery, and cardiothoracic surgery as necessary for prompt and effective treatment - continues to serve area residents. The outreach has been expanded to area businesses and community churches as well. In addition, the introduction of the One-Call Transfer center (for cardiac and other patients) and relationships with transport services make it easier to operate Maryview as a regional referral center for advanced cardiac services. Maryview offers the broadest continuum of cardiac services - from diagnosis to treatment to surgery to inpatient/outpatient rehabilitation to wellness. Maryview continues strong relationships with other Bon Secours hospitals and serves as a regional referral center for the delivery of advanced cardiac interventions, such as cardiac surgery and electrophysiology. A 64-slice CT scanners at both Maryview and its Harbour View ambulatory campus are used to perform calcium scoring heart studies, service Bon Secours re-initiated in late 2013. In addition, a strong focus also exists on community education through seminars, classes, screenings, special events and a brand new community outreach program aimed at middle school students called The Heart Health Academy at Bon Secours. Bon Secours Maryview Medical Center has been recognized as UnitedHealth Premium cardiac specialty center for Interventional Cardiac Care. Maryview is certified as a Primary Stroke Center and is accredited as a Chest Pain Center with PCI. Maryview's ambulatory campus receievd Chest Pain Center accreditation.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense21815583Expense
Revenue26232579Revenue
DescriptionMaryview continues a strong focus on orthopaedic care for residents of Western Hampton Roads. Maryview was recently recognized as a Blue Distinction Center of Excellence to attest to the excellence of care. This service includes a continuum of care from pre-operative education through post-op recovery, and is supported by state-if-the-art technology and expert physicians, as well as a comprehensive inpatient and outpatient rehabilitation network. In addition, a strong focus exists on community education through seminars and classes. Bon Secours skilled surgeons perform minimally invasive and traditional orthopaedic and spine procedures, and are complemented by a strong physiatry network. Bon Secours respond to the needs of all orthopaedic patients - from the young athlete to the adults sports medicine patient (weekend warrior or sports enthusiast) to the patient needing significant repair and possibly replacement of joints.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense19821753Expense
Revenue18582995Revenue
DescriptionFor the seventh year in a row, Maryview was named the top hospital for bariatric surgery in Virginia by Healthgrades, and among the top 5% in the nation. A special focus on this service include a comprehensive program, expert physicians, and a commitment to patient support for the duration of their weight loss journey. Bon Secours is the only weight loss surgery program that does not charge a fee to participants. Bon Secours also offers a medically managed weight loss program as part of its Weight Loss Institute and an exercise-nutrition program for those who may choose this more traditional approach. Maryview also operates a Center of Excellence for colorectal surgery as a result of significant physician and staff expertise with colon & rectal diseases. In 2013, Maryview renovated its surgical suite, renovating some rooms with state-of-the-art technology. As a result, new general surgeons have lined the staff and are offering the community more options for minimally invasive surgery. Finally, as with other services and part of our mission, a strong focus exists on community education through seminars, classes and support groups.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense275013245Expense
Grants275086Grants
Revenue293671951Revenue
DescriptionOther major services offered by Maryview include a Birthing Center, Cancer Center, Neuroscience Center, Behavioral Medicine, Gastroenterology and Pulmonary services. In addition, Maryview offers a full service 24 hour Emergency Room, Surgical Weight Loss Center, Home Care and Hospice services.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp275013245TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt275086TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev293671951TotalOfOtherProgramServiceRev
Total Program Service Expense345808885TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096200NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2760NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledVAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1James PirtleBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7572152709TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17007 Harbour View Blvd Suite 108AddressLine1
CitySuffolkCity
StateVAState
ZIP Code23435ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Michael D Blount
HR JT BM2.000.00X000
Bruce Britton MD
HR JT BM2.000.00X000
Arthur L Collins
HR JT BM2.000.00X000
Sr Elaine Davia
HR JT BM2.000.00X000
Timothy J Davis
HR JT BM2.0048.00X01122284134895
William H Kline
HR JT BM2.000.00X000
Michael S LaRock
HR JT BM2.000.00X000
Carol Ormond
HR JT BM2.000.00X000
P Ward Robinett Jr
HR JT BM2.000.00X000
RB Seal MD
HR JT BM2.000.00X000
Stephanie Short
HR JT BM (Jan-Aug)2.000.00X000
Robert Squatrito MD
HR JT BM2.000.00X000
Deborah K Stearns
HR JT BM (Sep-Dec)2.000.00X000
Sister Rita Thomas
HR JT BM2.001.00X000
Douglas Ziegenfuss
HR JT BM (Jan-Aug)2.000.00X000
J Robert Bray
HR JT Chairman (Jan-Aug)3.000.00X000X
Sr Patricia Heath
HR JT President3.0047.00X000X
Linwood E Howard
HR JT Chairman (Sep-Dec)3.000.00X000X
Michael K Kerner
Secr/CEO-BSHRHS15.5034.50X0936925132770X
Melinda Hancock
CFO-Bon Secours VA3.0047.00034394127968X
Joseph M Oddis
CEO-Maryview Hospital49.500.50050372337475X
Charmaine Rochester
Treas/VP Finance (Mar-Aug)15.5034.50135417013585X
Barbara H Lynch
VP Ambulatory Services50.000.00164426010813X
Devin T McKeever
COO - BSMG (Sep-Mar)30.0020.00199350012010X
James B Sherwood
Chief Admin Officer25.0025.00285249038182X
Steven C Blasdell MD
Physician50.000.00931105034789X
Jun K Chung MD
Physician50.000.00614163037130X
Mark B Kerner MD
Physician49.500.501148006036611X
Ernesto Luciano-Perez MD
Physician50.000.00748395034499X
Aaron L Marlow MD
Physician50.000.00740210020484X
Joe Buchheit
Former CFO-BSHR0.0050.00032640025031X
Ernie Padden
Fomer Int. CFO - BSHR0.000.0020150003120X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5167821TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3233273TotalReportableCompFrmRltdOrgs
Total Other Compensation599362TotalOtherCompensation
Number Individuals GT100 K137NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Rehabcare Group East Incorporated
PO Box 502096St LouisMO631502096Rehabilitation Services9331432
Aramark CTS Inc
12483 Collections Ctr DrChicagoIL60693Biomedical Engineering Services2270854
Eastern VA Med School
PO Box 1980NorfolkVA235011980Residency Fees2083696
WM Jordan Co Inc
PO Box 1337Newport NewsVA236010337Construction Services1425523
SE Emergency Physicians
PO Box 634706CincinnatiOH452634760Physician Services1220632
FieldValueIRS element (for citing)
Number Of Contractors GT100 K62NumberOfContractorsGT100K
Related Organizations243436RelatedOrganizations
Government Grants3738357GovernmentGrants
All Other Contributions101AllOtherContributions
Total Contributions3981894TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Patient Service Rev.62211032597373132591158862143
Shared Services5614994047473940474739
FieldValueIRS element (for citing)
Total Program Service Revenue366448470TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1324564TotalRevenueColumn
Exclusion$1,324,564ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column39TotalRevenueColumn
Exclusion$39ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1288755Real
Personal1001Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1226402Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real62353Real
Personal1001Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column63354TotalRevenueColumn
Unrelated Business Revenue47742UnrelatedBusinessRevenue
Exclusion$15,612ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities7265450Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other121234Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities7265450Securities
Other-121234Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column7144216TotalRevenueColumn
Exclusion$7,144,216ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
CBO Billing Fees90009915407131540713
Joint Venture Income900099818022$818,022
Outpatient Pharmacy900099759968$759,968

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2284599TotalRevenueColumn
Related Or Exempt Function Income687996RelatedOrExemptFunctionIncome
Unrelated Business Revenue53836UnrelatedBusinessRevenue
Exclusion$1,542,767ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue5403302TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column384365839TotalRevenueColumn
Related Or Exempt Function Income367074323RelatedOrExemptFunctionIncome
Unrelated Business Revenue1704434UnrelatedBusinessRevenue
Exclusion$11,605,188ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total275086Total
Program Services275086ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total804912Total
Program Services724420ProgramServices
Management And General80492ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total131671430Total
Program Services118504287ProgramServices
Management And General13167143ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total6323821Total
Program Services5691439ProgramServices
Management And General632382ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total15198553Total
Program Services13678698ProgramServices
Management And General1519855ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total10160162Total
Program Services9144146ProgramServices
Management And General1016016ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total748476Total
Program Services673628ProgramServices
Management And General74848ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total90549Total
Program Services81494ProgramServices
Management And General9055ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total44784Total
Program Services40306ProgramServices
Management And General4478ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total14085981Total
Program Services12677383ProgramServices
Management And General1408598ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total4302473Total
Program Services3872226ProgramServices
Management And General430247ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total8315890Total
Program Services7484301ProgramServices
Management And General831589ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total17058839Total
Program Services15352955ProgramServices
Management And General1705884ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total13069018Total
Program Services11762116ProgramServices
Management And General1306902ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1425160Total
Program Services1282644ProgramServices
Management And General142516ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total210608Total
Program Services189547ProgramServices
Management And General21061ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2497754Total
Program Services2497754ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total14238632Total
Program Services12814769ProgramServices
Management And General1423863ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3221873Total
Program Services2899686ProgramServices
Management And General322187ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Medical Supplies47873018430857164787302
Purchase services41428358372855224142836
Bad Debt3516661335166613
BSHSI Allocation61317375518563613174

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total5672873Total
Program Services5105586ProgramServices
Management And General567287ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total380016600Total
Program Services345808885ProgramServices
Management And General34207715ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY9094BOY
EOY9745EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3212185BOY
EOY1914354EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY24000BOY
EOY25612EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY36986079BOY
EOY37903063EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY87516BOY
EOY83333EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5566202BOY
EOY7320658EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2743093BOY
EOY5511805EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis224481820LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec164225731LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY59505501BOY
EOY60256089EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY85087790BOY
EOY94164898EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY603213BOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY907012EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY2703179BOY
EOY2703179EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY57180127BOY
EOY51343814EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY253707979BOY
EOY262143562EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY32616401BOY
EOY37470658EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY3297619EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY24445548BOY
EOY23045548EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY67787031BOY
EOY58187176EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY124848980BOY
EOY122001001EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY128737701BOY
EOY140019550EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY121298BOY
EOY123011EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY128858999BOY
EOY140142561EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY253707979BOY
EOY262143562EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses4349239ReconcilationRevenueExpenses
Reconciliation Unrealized Invest472066ReconciliationUnrealizedInvest
Reconcilation Other Changes6462257ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers1Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$24,159DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$20,625OtherActivitiesAmount
Total Lobbying Expenditures IIB44784TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1:ReturnReference
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. The filing organization also conducted advocacy relating to education of legislative body regarding hospital and healthcare reform and how it impacts communities.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4636569OtherCostOrOtherBasis
Book Value4636569BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis83287370OtherCostOrOtherBasis
Depreciation55567547Depreciation
Book Value27719823BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis11533688OtherCostOrOtherBasis
Depreciation7136084Depreciation
Book Value4397604BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis82327626OtherCostOrOtherBasis
Depreciation67563539Depreciation
Book Value14764087BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis42696567OtherCostOrOtherBasis
Depreciation33958561Depreciation
Book Value8738006BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings60256089TotalOfBookValueLandBuildings

Other Assets OtherAssets (9 entries)

DescriptionDescriptionBook ValueBookValue
Due from BSHSI-LT25662564
LT Non-Cash Inv-HPL/GL12279374
Due to Affiliates5387437
Deferred Medicare Rec4180224
Non Patient AR2050609
Other Accrued Rec761507
Other LT Receivables568062
Medicare Settlement Rec264944
Other Non-acute Liabilities189093
FieldValueIRS element (for citing)
Total Book Value Other Assets51343814TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (9 entries)

DescriptionDescriptionAmountAmount
Due to BSHSI$13,720,329
Due to Affiliates$10,322,535
HPL/GL Liability$12,279,374
LT Pension Liability$11,603,325
Other Long-Term Deferred Rent$3,410,168
Fin 47 LT Asbestos Liability$3,284,606
Medicare Liability$3,275,309
Other LT Liability$282,320
Unclaimed Property$9,210
FieldValueIRS element (for citing)
Total Of Amounts58187176TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X, Line 2:ReturnReference
ExplanationSchedule 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 (Formerly FIN48). ASC 740 (Formerly FIN48) 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 (Formerly FIN48) by BSHSI on September 1, 2007 did not have a material impact on BSHSI's consolidated financial statements. As the organization does not conduct a separate audit of its financial statements, below is the related statement from the Bon Secours Health System, Inc. consolidated audited financial statements: The System and most of its subsidiaries (including certain joint venture entities) are exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. The system accounts for uncertain tax positions in accordance with ASC Topic 740. Income taxes of the System's for-profit subsidiaries are not material to the accompanying consolidated financial statements. The System's taxable subsidiaries have approximately $66,681 and $95,733 of net operating loss carryforwards as of August 31, 2013 and 2012, respectively, which expire in varying periods through 2032 and are available to offset future taxable income. The System's deferred tax assets are fully reserved at August 31, 2013 and 2012. Any changes to the valuation allowance on the deferred tax asset are reflected in the year of the change.Explanation

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense13181080TotalCommunityBenefitExpense
Direct Offsetting Revenue518088DirectOffsettingRevenue
Net Community Benefit Expense12662992NetCommunityBenefitExpense
Percent Of Total Expense0.03670PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense29438725TotalCommunityBenefitExpense
Direct Offsetting Revenue18958867DirectOffsettingRevenue
Net Community Benefit Expense10479858NetCommunityBenefitExpense
Percent Of Total Expense0.03040PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense2856416TotalCommunityBenefitExpense
Direct Offsetting Revenue1396309DirectOffsettingRevenue
Net Community Benefit Expense1460107NetCommunityBenefitExpense
Percent Of Total Expense0.00420PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense45476221TotalCommunityBenefitExpense
Direct Offsetting Revenue20873264DirectOffsettingRevenue
Net Community Benefit Expense24602957NetCommunityBenefitExpense
Percent Of Total Expense0.07130PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs19NumberOfActivitiesOrPrograms
Persons Served18271PersonsServed
Total Community Benefit Expense860793TotalCommunityBenefitExpense
Direct Offsetting Revenue3498DirectOffsettingRevenue
Net Community Benefit Expense857295NetCommunityBenefitExpense
Percent Of Total Expense0.00250PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served1082PersonsServed
Total Community Benefit Expense1933508TotalCommunityBenefitExpense
Net Community Benefit Expense1933508NetCommunityBenefitExpense
Percent Of Total Expense0.00560PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served9171PersonsServed
Total Community Benefit Expense1221690TotalCommunityBenefitExpense
Net Community Benefit Expense1221690NetCommunityBenefitExpense
Percent Of Total Expense0.00350PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs9NumberOfActivitiesOrPrograms
Persons Served17365PersonsServed
Total Community Benefit Expense573372TotalCommunityBenefitExpense
Net Community Benefit Expense573372NetCommunityBenefitExpense
Percent Of Total Expense0.00170PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs33NumberOfActivitiesOrPrograms
Persons Served45889PersonsServed
Total Community Benefit Expense4589363TotalCommunityBenefitExpense
Direct Offsetting Revenue3498DirectOffsettingRevenue
Net Community Benefit Expense4585865NetCommunityBenefitExpense
Percent Of Total Expense0.01330PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs33NumberOfActivitiesOrPrograms
Persons Served45889PersonsServed
Total Community Benefit Expense50065584TotalCommunityBenefitExpense
Direct Offsetting Revenue20876762DirectOffsettingRevenue
Net Community Benefit Expense29188822NetCommunityBenefitExpense
Percent Of Total Expense0.08460PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served186PersonsServed
Total Community Building Expense2980TotalCommunityBuildingExpense
Net Community Building Expense2980NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served1194PersonsServed
Total Community Building Expense7142TotalCommunityBuildingExpense
Net Community Building Expense7142NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served662PersonsServed
Total Community Building Expense5597TotalCommunityBuildingExpense
Net Community Building Expense5597NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense755TotalCommunityBuildingExpense
Net Community Building Expense755NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served2042PersonsServed
Total Community Building Expense16474TotalCommunityBuildingExpense
Net Community Building Expense16474NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$9,589,025BadDebtExpenseAmount
Amount Reimbursed By Medicare81916739AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare74933465CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall6983274MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line11 3 BS Surg Ctr at Harbourview LLCBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityOutpatient SurgeryDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.42640OrganizationProfitOrOwnership
Physicans Profit Or Ownership0.12060PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Maryview HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line13636 High StAddressLine1
CityPortsmouthCity
StateVAState
ZIP Code23707ZIPCode
FieldValueIRS element (for citing)
Website Addresshttp://bshr.com/WebsiteAddress
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Maryview HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities0OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs Addressed0AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent200.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Other FactorsXOtherFactors
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On Nonpayment0ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities33NumberOfOtherFacilities

Other Facilities OtherFacilities (33 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityTypeAddress Line2Address/AddressLine2
Bon Secours Health Ctr at Harbourview
5818D Harbour View BlvdSuffolkVA23435Imaging, ER, Physical Therapy & Other OP Services
BS Health Ctr at Harbourview MAB
5838 Harbourview BlvdChesapeakeVA23321OP Cardiology & Physical Therapy Services
VA Orthopedic & Spine Specialists
5838 Harbourview Blvd Suite 100PortsmouthVA23707Physician Practice
Cardiovascular Specialists
5838 Harbour View Blvd Suite 270SuffolkVA23435Physician Practice
Tidewater Surgical Specialists
5838 Harbour View Blvd Suite 240SuffolkVA23435Physician Practice
In Motion at Chesapeake Square
4300 Portsmouth Blvd Suite 200ChesapeakeVA23321Physical Therapy
The Center for Pain Management
3315 High StPortsmouthVA23707Physician Practice
Chenault-Ostroff Urology
4037 Taylor Road Suite AChesapeakeVA23321Physician Practice
In Motion PT Suffolk
2012 Meade ParkwaySuffolkVA23434Physical Therapy
Western Branch OBGYN
4057 Taylor Road Suite RChesapeakeVA23321Physician Practice
In Motion PT High Street
3300 High StreetPortsmouthVA23707Physical Therapy
In Motion PT Portsmouth Blvd
5553 Portsmouth BlvdPortsmouthVA23701Physical Therapy
Harbour View Family Practice
5818 Harbour View Blvd Suite B2SuffolkVA23435Physician Practice
In Motion PT Portsmouth YMCA
4900 High St WestPortsmouthVA23703Physical Therapy
Internists of Churchland
4041 Taylor Road Suite GChesapeakeVA23321Physician Practice
Nansemond Suffolk Family Practice
2897 Bridge RoadSuffolkVA23435Physician Practice
Western Branch Family Practice
3253 Taylor Road Suite 200ChesapeakeVA23321Physician Practice
Internists at Western Branch
4020 Raintree Road Suite BChesapeakeVA23321Physician Practice
Bon Secours Pulmonary Specialists
4053 Taylor Road Suite NChesapeakeVA23321Physician Practice
Bon Secours Neuroscience Center
3640 High St Suite 1APortsmouthVA23707Physician Practice
Eagle Harbor Medical Associates
13609 Carrollton Blvd Suite 11CarrolltonVA23314Physician Practice
In Motion PT Eagle Harbor
13609 Carrollton Blvd Suite 115CarrolltonVA23314Physical Therapy
In Motion PT Chilled Ponds
1416 Stephanie WayChesapeakeVA23320Physical Therapy
Portsmouth Medical Associates
3520 High Street Suite 100PortsmouthVA23707Physician Practice
Cardiology Associates
301 Goode Way Suite 102PortsmouthVA23704Physician Practice
Cardiology Associates
1030 Hillpoint Blvd NSuffolkVA23434Physician Practice
VA Orthopedic & Spine Specialists
3300 High Street Suite 1PortsmouthVA23707Physician Practice
VA Orthopedic & Spine Specialists
2012 Meade ParkwaySuffolkVA23434Physician Practice
The Spine Center of Hampton Roads
Mast One 1040 University Blvd SuitePortsmouthVA23703Physician Practice20
Cardiovascular & Thoracic Specialists (C
3636 High StreetPortsmouthVA23737Physician Practice
Delta Oncology Associates
104 Palmyra DriveSuffolkVA23434Physician Practice
Delta Oncology Associates
612 Kingsborough Square Suite 300ChesapeakeVA23320Physician Practice
Delta Oncology Associates
355 Crawford Street Suite 300PortsmouthVA23704Physician Practice

Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
Part I, Line 6a: Annually, Bon Secours Hampton Roads Health System (BSHRHS) publishes a report for the community, explaining the various community benefit services and programs that exist. This report also includes the annual financial commitment of the local system to the community, detailing monetary contributions for government sponsored healthcare shortfall, community benefit programs and charity care at cost. This report is available to the public each year on or around January 24, commemorating Foundation Day of the Sisters of Bon Secours. This report is available online at www.bshr.org.
Part I, Line 7: Part I, line 7a: Charity Care at cost is computed by applying a cost-to-charge ratio to the aggregate charity adjustments recorded in the general ledger. Part I, line 7b: Unreimbursed Medicaid is computed by determining the cost of Medicaid services supplied less payments received for these services. To determine the cost of Medicaid services provided, a cost-to-charge ratio is applied to traditional and managed Medicaid gross charges recorded in the general ledger. Payments include payments for individual claims, payments from the Medicaid program paid outside the claim process (such as medical education payments) and expected or actual cost report settlements.Part I, line 7c: Unreimbursed costs from other means-tested government programs are computed by applying a cost-to-charge ratio to the total charges to patients covered under these programs. The charges are identified by the financial class assigned to the patient. For Part I, Line 7 a-c computations: The cost-to-charge ratio is derived using the suggested computation in Worksheet 2, Ratio of Patient Care Cost-to-Charges. Operating expenses and Gross patient charges are taken from the general ledger. Expenses for nonpatient care activities recorded in operating expenses are approximated as directly equaling other operating revenue, assuming these activities do not provide profit. Part I, line 7e: Community health improvement services and community benefit operations are accumulated throughout the year and reported at actual cost in a software program that specifically addresses this purpose.Part I, line 7f: Health professions education cost is determined as the direct and indirect cost of qualifying education activities as traditionally reported in columns 21-24 on Worksheet B of the Medicare cost report as a Medical Education program, nursing school or other allied health program.
Part I, L7 Col(f): The bad debt expense included in Part IX; line 25 and excluded from the "percent of total expense" calculation is: $35,166,613.
Part II: Bon Secours Maryview Medical Center provided staff and resources in support of the Healthy Community Initiative of Bon Secours Health System, and advocated for local and state policies that would improve health across its communities. Bon Secours Hampton Roads Health System is working to engage and empower the members of the East Ocean View neighborhood to support them in improving their quality of life and holistic health. East Ocean View has historically been one of the roughest neighborhoods in the community. Among the 6,000 residents, more than 25% of the households are at or below the poverty level and over 20% are single parent households. Family violence, gangs, addictions, housing affordability, access to healthcare, and a lack of educational opportunities affect the health of the individuals living in the neighborhood. In addition, Maryview Medical Center reached out to the homeless community with continuing support of Oasis, a shelter for the homeless in the City of Portsmouth. Maryview Medical Center donated staff time and resources in support of these efforts.
Part III, Line 4: Part III, line 2: Bad Debt Expense at cost is computed by applying the cost-to-charge ratio computed on Worksheet 2 to the aggregate bad debt expense for patient accounts recorded in the general ledger. Bad debt expense on the general ledger includes: 1) actual write offs of discounted gross charges where it is determined an uninsured patient can pay and does not pay; and 2) the estimated write offs for uninsured patient accounts with outstanding balances after discount. Estimates are based on historical collection rates.When an uninsured patient is billed for patient care services, the charges are automatically discounted and the patient is requested to only pay the amount after discount. The discount is recorded as an adjustment to gross revenue and is not recorded in bad debt expense. If the balance after discount is not paid or not paid in full, the unpaid amount will be written off to bad debt expense. When a patient remits a payment on an account that has already been written off to bad debt expense, the payment is recorded as a recovery of bad debt, which reduces bad debt expense.Part III, line 3: The organization does not report an estimate for the portion of bad debt expense that may have been likely to qualify for financial assistance under the hospital's charity care policy. The organization takes the position that ample opportunity and assistance is provided to the patient to qualify under the financial assistance policy. If sufficient information is not provided, the organization must assume the patient does not qualify.Part III, line 4: Please see Footnote "(2d) Accounts Receivable, net"discussing "accounts receivable" on pages 10-11 in the attached BSHSIconsolidated audited financial statements ("AFS"). "Allowance for doubtfulaccounts" is discussed in the second paragraph in Footnote "(10) NetPatient Service Revenue" on page 41 of the attached AFS. There is not a separate "bad debt expense" footnote in the AFS.
Part III, Line 8: Part III, Line 6: Medicare allowable costs reflected in Part III come directly from the facility's Medicare cost report. The cost report segregates the total facility actual expenses into costs for support departments, clinical departments (routine and ancillary) and nonreimburseable departments. The cost report uses appropriate statistical bases to "step down" support costs to allowable clinical and nonreimburseable departments. The charges for clinical departments are matched to the total cost for these departments for a cost-to-charge ratio. Medicare-specific allowable costs for in- and outpatient ancillary departments are computed by applying the department-specific cost-to-charge ratio to the Medicare program charges by department. For routine departments, a per diem total cost is computed and applied to Medicare program days for the Medicare routine program cost.Part III, Section B, Line 7: While Maryview Hospital shows a Medicare surplus on this Schedule H, it is due to the unique composition of the hospital, the high percent of uncompensated care and the Medicare cost report allocation of indirect costs which is used in this tax schedule computation. Compared to other hospitals, Maryview Hospital is unique in that it has several non-provider based physician practices residing on the hospital company rather than on a separate company. Using the Medicare cost report as the basis for reporting Medicare allowable costs, the predetermined step-down statistical bases are allocating significant overhead costs to the nonallowable physician practices, artificially lowering allowable costs to the Medicare centers. Similar hospitals that do not include physician practices in the same company, these same overhead costs are included as allowable Medicare costs. Maryview also receives significant Medicare disproportionate share (DSH) payments, which are intended to partially compensate hospitals for the uncompensated care that arises from serving an usually large percentage of uninsured, low-income patients in their area. While these payments are a component of Medicare reimbursement, they do not relate to the Medicare allowable costs reported in line 6, but are more closely related to the Medicaid shortfall reported in Part I, Line 7 b, column (e).
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 Financial Assistance Program (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 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 IV, Column (E), Management Companies and Joint Ventures: Maryview Hospital participates in a joint venture with physicians in the Bon Secours Surgery Center at Harbourview, LLC. The 12.0636% reported in Column (E) represents the Physician's ownership percentage not the Physician's profit percentage.
Part V, Section B, Line 3: Maryview Medical Center (MMC) contracted with Community Health Solutions (CHS) to conduct an electronic survey of key stakeholder to determine the top healthcare needs of the community. MMC developed a list of key stakeholders who were asked to provide their viewpoints on important healthcare concerns in the community, significant gaps in the community, and ideas for addressing health concerns and service gaps. Stakeholders included individuals who have special knowledge and expertise in public health, as well as the deans of area colleges and universities with medical degree programs. In addition, MMC surveyed representatives of medically underserved, minority populations, and those with chronic conditions. MMC also met with representatives from the Portsmouth Health Department to review the key findings from the survey and seek additional input. Upon receipt of all information, MMC convened a small group to review the list of key needs and gaps identified to prioritize the needs using criteria developed against which to evaluate each need.Maryview Hospital
Part V, Section B, Line 7: Within the community, there are other providers and organizations addressing dental care/oral health and tobacco use with specialized programs and services and it would result in duplication of services if Maryview Medical Center (MMC) were to address the need. MMC currently provides comprehensive diabetes education with weekly education sessions covering understanding diabetes, nutrition, foot care, exercise, and medication. The Maryview Behavioral Medicine Center, located on the MMC campus, provides inpatient and outpatient programs for treatment of substance abuse and psychiatric medicine. MMC also has a comprehensive community-based program in place to address domestic violence through parenting education programs that offer positive learning opportunities for parents, child development, age-appropriate expectations, and health and safety issues as it relates to children from birth through the teenage years.Maryview Hospital
Part V, Section B, Line 12h: Please see the narrative for Part VI, Line 3 regarding the Financial Assistance Policy.Maryview Hospital
Part V, Section B, Line 14g: Please see the narrative for Part VI, Line 3 regarding the Financial Assistance Policy.Maryview Hospital
Part V, Section B, Line 20d: Please see the narrative for Part VI, Line 3 regarding the Financial Assistance Policy.Maryview Hospital
Part VI, Line 2: In partnership with Bon Secours Virginia Health System, Maryview Medical Center uses multiple approaches to assess the health needs of the communities it serves. Health care needs of the community are assessed and updated using a variety of informational sources including Virginia Health Information for state-based performance data, Health Group West and Hammes Company for market and geographic data. Thomson-Reuter's Market Expert is used to retrieve demographic information and trends for the primary and secondary service areas pertaining to Maryview Medical Center. National Research Corporation (NRC) is also utilized.
Part VI, Line 3: Patient financial assistance policy is communicated to patients verbally upon scheduling, registration, visible postings of the policy in common areas throughout the hospital, brochures and on Bon Secours website. In addition, patient statements request that patients apply for financial assistance, if needed, once any patient financial obligation is determined.Bon Secours is committed to ensuring access to health care services for all. As a health care provider, Bon Secours treats all patients, whether insured, underinsured or uninsured, with dignity, respect and compassion throughout admission, delivery of services, discharge and billing and collection processes. Bon Secours addresses the needs of the uninsured by providing free or reduced fees on hospital services, community outreach efforts to assist with enrollment in Medicaid and other medical coverage programs, including free community-based preventive and primary care services. Bon Secours proactively screens to identify individuals and their families who may qualify for federal, state or local health insurance programs or the Bon Secours Patient Financial Assistance Program ("FAP") and assist the potential eligible patients through the qualification process. Potentially eligible patients that do not qualify for a federal or state health insurance program are referred to the Financial Assistance Coordinator located in Patient Financial Services for assistance in completing the documentation required to establish FAP eligibility. Patients are responsible for providing the information necessary to complete the documentation. The FAP aids uninsured and underinsured patients who do not qualify for government-sponsored health insurance and who communicate their inability to pay for their medical care. The FAP provides 100% financial assistance to uninsured patients with annual family incomes at or below 200% of the Federal Poverty Guidelines ("FPG"), as adjusted by the Medicare geographic wage index for each community served to reflect that community's relative cost of living ("Adjusted FPG"). Adjustments to these guidelines are made in certain States, where applicable. A sliding scale assistance policy is afforded patients that exceed the income guidelines for 100% assistance. Sliding scale assistance is provided to patients and progressively declines in proportion to the patient's higher income level. Additionally, all uninsured (i.e. self pay) patients are given a reduction to the amount of the full charges for medically necessary services through a community service adjustment ("CSA"). The CSA is market adjusted and based on the payment discount received by other health care payers doing business in the community. For these patients, the FAP also sets a maximum annual family payment liability to ensure that no family suffers a catastrophic financial burden to receive necessary health care services. Based on research conducted by the Tax Foundation, a non partisan tax research group based in Washington DC, the maximum annual family liability is based on a sliding scale determined by the family income and size. The standard sliding scale is adjusted by the Medicare geographic wage index of each community served to reflect that community's relative cost of living. All patients are also eligible for a Prompt Pay Discount. In addition, a variety of other potential payment options are available. Bon Secours is dedicated to meeting the needs of non-English speaking patients by having on-site Spanish translators, and other language translation services. In addition, Bon Secours employs a telephone language service which assists in meeting any language needs that arise. The translation services are offered to non-English speaking patients from admission to discharge, including the financial process.
Part VI, Line 4: As of 2011, Hampton Roads is a very diverse community within an MSA of nearly 1.6 million people residing in 16 cities and counties, stretching from northeastern North Carolina to Williamsburg. The area is characterized by racial diversity, a significant military population and a growing elderly population. African Americans comprise 53% of the population in Portsmouth, 30% in Chesapeake, 43% in Suffolk, 25% in Isle of Wight, 38% in Southampton County, 43% in Norfolk, and 20% of Virginia Beach, which far exceeds the national average of 31.5 % and the state average of 19%. Seniors currently account for 13% of the populations. The population served by Bon Secours Maryview Medical Center (MMC), Portsmouth, VA is estimated to change from 793,898 to 855,730, resulting in a growth of 7.8% between 2000 and the current year. Over the next five years, the population is projected to grow by 2.2%. Currently the largest populations are white (57.4%), Black or African American (37.8%), Hispanic or Latino (2.6%) and Asian (1.75%). The current year median age for this area is 35.0, while the average age is 36.2. Five years from now, the median age is projected to be 35.8.The most prevalent chronic conditions among adults include high blood pressure (28.6%), high cholesterol (35.2%), arthritis (22.2%), diabetes (11.6%), and asthma (7.8%). Morbidity rates per 10,000: heart disease (285), cerebrovascular disease (66.3), chronic obstructive pulmonary disease (36.8), diabetes (25.6), and asthma (17.5). Mortality rates (age-adjusted per 100,000) for this area are cancer (195.9), ischemic heart disease (193.6), cerebrovascular disease (48.7), and chronic obstructive pulmonary disease (43.8).
Part VI, Line 5: Maryview Medical Center (MMC) has an open medical staff with privileges available to all qualified physicians. Emergency departments at MMC and Harbour View provide service 24 hours/day, 7 days/week to ensure access for all individuals in need of emergency care. Hospital board members are diverse, inclusive and representative of the broader community in which the facilities are located.MMC, through BSHR, offers Home Health and Hospice Care. One-on-one care is provided to help patients recover from an illness or injury or to assist with daily living activities and pain management. Services include care coordination, physical therapies, diet education, intravenous therapy, medical/surgical care, nursing instruction, skilled clinical evaluation and wound care. MMC, through BSHR, offers health services via the CARE-A-VAN. The Care-A-Van (CAV), initiated on the peninsula in 2009 at two sites, has expanded in the past year to twelves sites, three in Norfolk, three in Portsmouth, three in Suffolk, and three in Newport News. This is a mobile health unit that provides healthcare services to those most in need-the uninsured. Services provided include urgent and primary care (including examination, diagnosis, lab, pharmacy, and follow-up), immunizations for school, pregnancy tests, blood pressure measurement, health education, referrals for specialty care, opportunity to enroll eligible children in childrens' health insurance. The Care-A-Van also offers sports physicals, children's health insurance enrollment, and health education services. While the CAV primarily serves adults, some sites do provide care and referral services for children aged 12 and older. Community partners include free clinics, local health agencies, physicians, and numerous Faith-based organizations which collaborate with CAV staff. The CAV has a staff of 10 FTEs and annual expenses of approximately $700,000.MMC, through BSHR, offers the Bon Secours Senior Health Program which offers a free membership program to over 54,000 individuals 65 years and older. A key component is the Successful Aging Forum, which brings national speakers to the community to discuss the latest health and wellness topics for senior citizens. The annual HealthFest provides a seniors-focused health festival with health screenings, health information and social interaction for seniors of all socio-economic backgrounds. Friday Night Dinners, held at our hospitals, serve seniors who need low cost meals and socialization. A transportation program offers transportation to medical appointments, without charge to those who are financially challenged. A quarterly publication Good Health provides information to members. Seniors play a vital role in BSHRHS' advocacy efforts against reductions in Medicaid payments and to support continued funding for the State Children Health Insurance Program (SCHIP) through the Capital Hill Club. MMC supports the Faith Community Health Ministry which builds on the skills of registered nurses through additional, structured training in holistic (body, mind and spirit) health services; the faith community nurse partners with the congregational leadership to promote good health by serving as an educator, counselor, referral agent and advocate. Specialized training has also been developed to prepare non-licensed persons to serve in congregational health ministry. Additionally, the Influenza Vaccination Administration program provided 600 vaccines for select covenanted partners to host annual vaccine clinics. BSHRHS employs a sole Director to provide education, mentoring and support to more than 130 faith communities and 232 registered nurses and lay health promoters. The Let's Get Real (LGR) Program was created by BSHRHS in response to alarming data revealing an excessively high death rate from heart disease among African Americans in Hampton Roads. LGR is a heart health community outreach and education campaign specifically designed to bring valuable information to African-American women and their families. The goal is to raise awareness and lower risk factors for heart disease through culturally sensitive education, healthy cooking demonstrations, baseline and follow-up health screenings & risk-factor assessments and physical activity with an ethnic flair. Program components are centered on Cooking Light nutrition seminars and Tree of Life family history/genealogy research. FY 11 saw service expansion to one additional faith community on the Peninsula and an underserved housing community in Norfolk.The Maryview Foundation Healthcare Center is located adjacent to BSMMC's emergency department, the Center had 7,753 patient visits in 2013. The Center provides primary and preventive care for Portsmouth residents who are uninsured and meet the financial guidelines of 200% of the federal poverty level and below. The center provides prescription assistance, a wellness program, blood pressure checks and other services. MMC is dedicated to promoting the health and the quality of life for the women of Hampton Roads the women health service lines. MMC provides community health education seminars in cardiac, orthopedics, weight loss, acupuncture, sports performance, oncology, and stroke through the Bon Secours for Women program.MMC offers free Community Education programs open to the public throughout Hampton Roads on health topics such as heart disease, diabetes, bone and joint conditions, women's health and other chronic diseases. Several seminars on clinical ethics were also offered to professionals in the area. The MMC staff are dedicated to promoting the health and welfare of community through many including the United Way campaign, support of Oasis a homeless shelter in Portsmouth, and the FoodBank of Southeastern Virginia.
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.
VAReports Filed With StatesPart VI, Line 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Bon Secours Maryview Foundation
7007 Harbour View Blvd No 108SuffolkVA221024219521694731501(c)(3)171311Foundation Administrative Expenses
Eastern Virginia Medical School
721 Fairfax Ave Suite 512NorfolkVA235011980546055378103775Joint Academic Program Support
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: The 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Timothy J Davis
HR JT BM057634404190770126863011580001909501257179069776
Michael K Kerner
Secr/CEO-BSHRHS047571703369240124284010646702630301069695067422
Melinda Hancock
CFO-Bon Secours VA025190805336203867103924024044037190900
Joseph M Oddis
CEO-Maryview Hospital03133020148515041906011475026000054119800
Barbara H Lynch
VP Ambulatory Services143054020902047001030105120175239000
Devin T McKeever
COO - BSMG (Sep-Mar)172445025986091904277077330211360000
James B Sherwood
Chief Admin Officer2018520445610388360110020271800323431000
Steven C Blasdell MD
Physician4600130468254028380125830222060965894000
Jun K Chung MD
Physician541897070595016710119370251930651293000
Mark B Kerner MD
Physician49196706544600157901375002286101184617000
Ernesto Luciano-Perez MD
Physician3000960446840014590116980228010782894000
Aaron L Marlow MD
Physician30440904353570444011698087860760694000
Joe Buchheit
Former CFO-BSHR021560605595505483908035016996035143109225
Ernie Padden
Fomer Int. CFO - BSHR201500000003120000204620000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
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 contracts Compensation survey or study Approval by the board/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: Timothy J. Davis, $101,207; Michael K. Kerner, $80,925; Joe Buchheit, $14,445.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Doing Business AsForm 990, Part I, Item CDBA: Bon Secours Maryview Medical Center in Affiliation with Delta Oncology; Bon Secours Home Oxygen..
Form 990, Part VI, Section A, line 2Board Members P. Ward Robinett, Jr. and Deborah K. Sterns have a business relationship.
Form 990, Part VI, Section A, line 6Bon Secours Health System, Inc. is the sole member of Bon Secours Hampton Roads Health System, Inc. which in turn is the sole member of Maryview Hospital.
Form 990, Part VI, Section A, line 7aThe governing body of Maryview Hospital is appointed by its Member, Bon Secours Hampton Roads Health System, Inc. and subject to the approval by Bon Secours Health System, Inc.
Form 990, Part VI, Section A, line 7bCertain authorities of Maryview Hospital 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 15The 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 19The filing organization provides any documents open to public inspection upon request.
Avg hours devoted to related org(s) when related comp is reported:Form 990, Part VII: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. Patricia Heath does not receive payroll distributions as she has taken a vow of poverty.
Changes in Net Assets or Fund Balances:Form 990, Part XI, line 9:I/Co Debt/Principal Payments - BSHSI -1,889,004. Additional Minimum Pension Liability 8,351,272. Error Suspense -11.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Bon Secours Health System Inc
1505 Marriottsville RoadMarriottsvileMD21104521301088Parent Org. - Mgmt ServicesMD501(c)(3)11bBon Secours Inc0
Bon Secours Hampton Roads Health System Inc
7007 Harbour View Blvd Suite 108SuffolkVA23435521538513Local System Parent Org.VA501(c)(3)11bBon Secours Health System Inc0
Mary Immaculate Nursing Center
7007 Harbour View Blvd Suite 108SuffolkVA23435541516476Nursing Care CenterVA501(c)(3)9Mary Immaculate Hospital0
Mary Immaculate Foundation
7007 Harbour View Blvd Suite 108SuffolkVA23435311644734FundraisingVA501(c)(3)11bMary Immaculate Hospital0
Mary Immaculate Hospital Inc
7007 Harbour View Blvd Suite 108SuffolkVA23435540548200HealthcareVA501(c)(3)3Bon Secours Hampton Roads Health System0
Bayley Properties
150 Kingsley LaneNorfolkVA23505541424748RentalVA501(c)(2)N/ABon Secours DePaul Medical Center0
Bon Secours Maryview Foundation
7007 Harbour View Blvd Suite 108SuffolkVA23435521694731FundraisingVA501(c)(3)7Bon Secours Hampton Roads Health System0
Bon Secours Maryview Nursing Care Center
7007 Harbour View Blvd Suite 108SuffolkVA23435521578169Nursing Care CenterVA501(c)(3)9Bon Secours Hampton Roads Health System0
Bon Secours DePaul Medical Center
7007 Harbour View Blvd Suite 108SuffolkVA23435541820093HealthcareVA501(c)(3)3Bon Secours Hampton Roads Health System0
Bon Secours DePaul Health Foundation
7007 Harbour View Blvd Suite 108SuffolkVA23435541843876FundraisingVA501(c)(3)7Bon Secours Hampton Roads Health System0

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
Province Place of Maryview LLC
One Bon Secours WayPortsmouthVA23703541842697Assisted LivingVAN/A
Province Place of DePaul LLC
6403 Granby StreetNorfolkVA23505541950880Assisted LivingVAN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrg
Professional Health Care Mgmt Inc
150 Kingsley LaneNorfolkVA23505541241031AdministrativeVAN/AC0
Tidewater Diversified Inc
160 Kingsley LaneNorfolkVA23505541431826PharmacyVAN/AC0
OSF Inc
2 Bernadine DriveNewport NewsVA23602541369919RentalVAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg