2012-07-12T12:37:16-05:00 2011-08-31 DELOITTE TAX LLP 1750 TYSONS BLVD MCLEAN VA 221024219 990 2010-09-01 521988421 Bon Secours - Richmond Health System BONS 8046275400 8580 Magellan Parkway Building IV Richmond VA 23227 Melinda S Hancock 8046275400 2012-07-12 1 Laura L Catlett 7032511000 2010 2016-02-24 21:20:13Z Bon Secours Virginia Bon Secours Virginia Health System Peter J Bernard 8580 Magellan Parkway Building IV Richmond VA 23227 15247003 0 X www.bonsecours.com X 1996 VA Provides support services to Bon Secours Richmond Health System not-for-profit entities and provides home health services to those in need, especially those who are poor and dying. 17 15 176 15 0 0 0 0 0 15249157 0 0 -5338718 -2154 -5338718 15247003 0 0 0 0 0 11519803 0 0 0 0 3656598 0 15176401 -5338718 70602 1854520 3267644 79162788 1910696 -77308268 1356948 X The mission is to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a system of caregivers, we commit ourselves to help bring people and communities to health and wholeness. 1 0 2971 Supports the subsidiary members of the Bon Secours - Richmond Health System in their effort to provide compassionate, quality healthcare services to those in need, including the poor and dying, for the purpose of alleviating human suffering and bringing people to wholeness in the midst of pain and loss. 13655791 15247003 Bon Secours Home Care, LLC: In 1824, the Sisters of Bon Secours began to care for the sick in their own homes in Paris, France. Today, compassionate care at home remains a fundamental part of the mission of Bon Secours. Bon Secours Home Care provides care to patients in the home setting and offers a comprehensive suite of services to patients, from infants to seniors, which address their physical, emotional and spiritual needs. Such services include: - Skilled Nursing (diabetic teaching, medication management, post-operative care) - Certified Wound and Ostomy Nurse - Heart Failure Disease Management Program - Home Telehealth Monitoring - Physical, Occupational and Speech Therapy - Medical Social Workers - Pediatric Services - Orthopedic Rehab Services - Home Health Aides (activities of daily living assistance in conjunction with patient's rehabilitative plan of care) 13658762 1 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 0 0 176 1 0 0 0 0 0 0 0 0 0 0 X 17 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X Melinda S Hancock 8046275400 8580 Magellan Parkway Building IV Richmond VA 23227 X Katherine Arbuckle 50.00 X 0 705296 89039 William Boinest 4.00 X 0 0 0 Thomas Farrell II 4.00 X 0 0 0 Jon King 4.00 X 0 0 0 Hazle Konerding MD 4.00 X 0 0 0 Claudia McSwain 4.00 X 0 0 0 Sister Rosemary Moynihan SC 50.00 X 0 0 0 Charles Robertson MD 4.00 X 0 0 0 Pamela Royal MD 4.00 X 0 0 0 Pamela Schutz 4.00 X 0 0 0 Irvin Seeman MD 4.00 X 0 0 0 Harry Turton Jr 4.00 X 0 0 0 Michel Zajur 4.00 X 0 0 0 Charles H Foster Jr 6.00 X X 0 0 0 Robert Sledd 6.00 X X 0 0 0 Sister Anne Marie Mack CBS 50.00 X X 0 0 0 Peter J Bernard 50.00 X X 0 965548 188973 Peter F Gallagher 50.00 X 0 476340 58283 Allen Goolsby 6.00 X 0 0 0 Nancy F Capocy 50.00 X 128456 0 1324 Lydia G Frye 50.00 X 125904 0 26525 Jennifer C Howerton 50.00 X 112912 0 27686 Kimberly D Kothe 50.00 X 116843 0 27495 Margaret W Trent 50.00 X 104923 0 25613 589038 2147184 444938 5 0 1 0 0 Net Patient Serv. Rev. 621610 15249157 15249157 15249157 Medical Records 621610 716 716 3rd Party Remittance 900099 431 431 Miscellaneous JV Rev. 900099 -3301 -3301 -2154 15247003 15249157 0 -2154 9362684 8426416 936268 1485441 1336897 148544 671678 604510 67168 1929 1736 193 251587 226428 25159 37509 33758 3751 243068 218761 24307 174860 157374 17486 528794 475915 52879 75219 67697 7522 232 209 23 Medical Supplies 1089132 980219 108913 Rental (Non-Occupancy) 590939 531845 59094 Purchased Services 569062 512156 56906 Vehicle Fuel 29074 26167 2907 65193 58674 6519 15176401 13658762 1517639 0 0 1641041 0 9546 1973881 1743544 0 230337 1704520 1133046 150000 253674 1854520 3267644 678618 79162788 1232078 79162788 1910696 X -77308268 1356948 -77308268 1356948 1854520 3267644 X 70602 78594614 X 0 1 1 X 1 1 X X X X 0 0 0 St Mary's Hosp of Richmond Inc 540628017 3 1 1 1 0 Memorial Regional Medical Cntr Inc 541744931 3 1 1 1 0 Richmond Community Hospital Inc 540647482 3 1 1 1 0 St Francis Medical Cntr Inc 311716973 3 1 1 1 0 Stuart Circle Hospital Inc 541740128 3 1 1 1 0 5 0 281114 118885 162229 1692767 1624659 68108 230337 Investment in Central Virginia Health Network, Inc. 1133046 C 1133046 Due from Affiliates 150000 Due from BSHSI 103674 253674 Due to BSHSI 1232078 1232078 Description of Uncertain Tax Positions Under FIN 48: Part X: Schedule D, Part X, Line 2 requires that the organization provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48. FIN 48 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 FIN 48 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 $89,500 and $98,300 of net operating loss carryforwards as of August 31, 2011 and 2010, respectively, which expire in varying periods through 2031 and are available to offset future taxable income. The System's deferred tax assets are fully reserved at August 31, 2011 and 2010. Any changes to the valuation allowance on the deferred tax asset are reflected in the year of the change. X X X X X 0 1 0 0 0 0 0 0 0 Katherine Arbuckle 0 520303 0 156596 0 28397 0 66120 0 22919 0 794335 0 0 Peter J Bernard 0 733983 0 222954 0 8611 0 158275 0 30698 0 1154521 0 0 Peter F Gallagher 0 387134 0 86236 0 2970 0 27746 0 30537 0 534623 0 0 Lydia G Frye 125359 0 0 0 545 0 1560 0 24965 0 152429 0 0 0 Part I, Line 4b The 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 are made into this plan. Supplemental Information Part III Part I, Line 3: Bon Secours Health System, Inc., a related organization of Bon Secours - Richmond Health System, uses the following to establish the compensation of the organization's CEO/Executive Director: Compensation Committee Independent Compensation Consultant Written Empolyment Contract Compensation Survey or Study Approval by the Board or Compensation Committee New Program Services Form 990, Part III, line 2 Home Care Services: Bon Secours Home Care (BSHC) provides home health services to those in need, especially those who are poor and dying. Previously for Bon Secours Richmond Health System, these services were provided by Bon Secours Memorial Regional Medical Center for intermittent home care and by Bon Secours St. Mary's Hospital for hospice services. These services are now housed within BSHC, which is a single-member limited liability company. As such, the activity of the entity is disregarded for tax purposes and consolidated into the Form 990 of its member, Bon Secours Richmond Health System. Form 990, Part VI, Section A, line 6 Bon Secours Health System, Inc. is the sole member of Bon Secours - Richmond Health Corp, which in turn holds the majority interest in Bon Secours - Richmond Health System. Form 990, Part VI, Section A, line 7a The governing body of Bon Secours - Richmond Health System is appointed by its member, Bon Secours - Richmond Health Corp, and subject to approval by Bon Secours Health System, Inc. Form 990, Part VI, Section A, line 7b Certain authorities of Bon Secours - Richmond Health System are reserved to its member or to Bon Secours Health System, Inc. Form 990, Part VI, Section B, line 11 The process the organization uses to review the Form 990 consists of a review by 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 of July 16, 2012. 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 July 16, 2012. Form 990, Part VI, Section B, line 12c The organization regularly and consistently monitors compliance with the conflict of interest policy. On an annual basis, all persons subject to the policy, including all officers, directors and key employees are required to make certain disclosures. These include disclosures related to certain personal, financial and organizational relationships that may present a conflict, or the appearance of a conflict of interest with the organization. All disclosures go through a three-part review process: (1) disclosures are reviewed first by the corporate responsibility officer (CRO); (2) a governance team comprised of the CEO, board president, board chair, CRO, and the BSHSI CRO participate in a second review of all disclosures during which recommendations are made as to the resolution of any conflicts or potential conflicts. Depending on the facts and circumstances, resolutions may include ongoing disclosure, recusal or removal of the conflict; and (3) all disclosures and recommendations are reviewed by a board committee (audit and compliance committee reviews the disclosures of management and the governance committee reviews the disclosures of the board and board committee members). Form 990, Part VI, Section B, line 15 The compensation committee of the board of Bon Secours Health System, Inc. (BSHSI) engages in a comprehensive process for the oversight and management of remuneration for executive employees and disqualified parties of the BSHSI. The compensation committee consists of a group of independent board members and engages 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 positions of other officers or key employees of the organization were compared to similar position market data in comparably situated organizations taking into consideration geographic location and organization size where appropriate. During the review and approval of the compensation, documentation of the decision was recorded in human resources. Form 990, Part VI, Section C, line 19 Bon Secours - Richmond Health System provides any documents open to public inspection upon request. Form 990, Part VII: Hours worked are not tracked on an entity by entity basis. All officers' and directors' hours reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors represent aggregate hours worked per week. Voluntary Board Members are not compensated for their time. Peter J. Bernard's compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation he receives is for his role as the CEO of Bon Secours Virginia Health System which includes direct management, monitoring and oversight of Bon Secours Richmond Health System, Bon Secours Hampton Roads Health System and their related organizations. Peter F. Gallagher's compensation is paid by Memorial Regional Medical Center, a related organization. The compensation he receives is for his role as the CFO of Bon Secours Virginia Health System which includes direct financial management, monitoring and oversight of Bon Secours Richmond Health System, Bon Secours Hampton Roads Health System and their related organizations. Katherine Arbuckle's compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation she receives is for her role as the CFO of Bon Secours Health System, Inc. Sr. Anne Marie Mack and Sr. Rosemary Moynihan do not receive payroll distributions as they have taken vows of poverty. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Reclassify 8/31/10 Non-Controlling Interest - Richmond Memorial Health Foundation from Liability to Fund Balance per SFAS 164 79,162,788. Transfer to affiliate -568,174. Total to Form 990, Part XI, Line 5: 78,594,614. Bon Secours Ambulatory Services LLC 8580 Magellan Parkway Richmond VA 23227 271672951 All Other Outpatient Care Centers VA 0 0 Bon Secours Richmond Health System Bon Secours Home Care LLC 8580 Magellan Parkway Richmond VA 23227 271672759 Home Health Care Services VA 15249157 752519 Bon Secours Richmond Health System Bon Secours VA Medical Group I LLC 8580 Magellan Parkway Richmond VA 23227 271908136 Offices of Physicians VA 0 0 Bon Secours Ambulatory Services LLC Bon Secours VA Medical Group II LLC 8580 Magellan Parkway Richmond VA 23227 271908193 Offices of Physicians VA 0 0 Bon Secours - Virginia HealthSource Inc Bon Secours Health System Inc 1505 Marriottsville Road Marriottsville MD 21104 521301088 Parent Org. Management Services MD 501(c)(3) 11b Bon Secours Inc 0 Bon Secours Richmond Health Corporation 8580 Magellian Parkway Richmond VA 23227 541356155 Management Services VA 501(c)(3) 11b Bon Secours Health System Inc 0 Bon Secours Memorial Regional Medical Center 8580 Magellian Parkway Richmond VA 23227 541744931 Health Care VA 501(c)(3) 3 Bon Secours Richmond Health System 1 Bon Secours St Mary's Hospital Richmond Inc 8580 Magellian Parkway Richmond VA 23227 540793767 Health Care VA 501(c)(3) 3 Bon Secours Richmond Health System 1 Bon Secours Richmond Community Hospital 8580 Magellian Parkway Richmond VA 23227 540647482 Health Care VA 501(c)(3) 3 Bon Secours Richmond Health System 1 Bon Secours St Francis Medical Center 8580 Magellan Parkway Richmond VA 23227 311716973 Health Care VA 501(c)(3) 3 Bon Secours Richmond Health System 1 Laburnum Properties 8580 Magellan Parkway Richmond VA 23227 521260700 Title Holding Company VA 501(c)(2) N/A Bon Secours Richmond Health System 1 Bon Secours Stuart Circle Hospital 8580 Magellan Parkway Richmond VA 23227 541740128 Health Care VA 501(c)(3) 3 Bon Secours Richmond Health System 1 Bon Secours Richmond Healthcare Foundation 8580 Magellan Parkway Richmond VA 23227 541201346 Grant Making Foundation VA 501(c)(3) 7 Bon Secours Richmond Health Corporation 0 St Mary's MRI LP 8580 Magellan Parkway Richmond VA 23227 541568022 Imaging Services VA Bon Secours - Virginia Healthsource Inc Related 0 0 0.00000 RI LP 8580 Magellan Parkway Richmond VA 23227 541708835 Imaging Services VA Bon Secours - Virginia Healthsource Inc Related 0 0 0.00000 Broad64 Imaging LLC 8580 Magellan Parkway Richmond VA 23227 205886018 Imaging Services VA Bon Secours - Virginia Healthsource Inc Related 0 0 0.00000 Richmond Radiation Oncology Center I LLC 8580 Magellan Parkway Richmond VA 23227 208444551 Radiation Oncology Services VA Richmond Radiation Oncology Center Inc Related 0 0 0.00000 Chesterfield Community Healthcare Center MOB I LLC 435 Southlake Blvd Richmond VA 23236 541745670 Rental - Medical Office Building VA Bon Secours - Virginia Healthsource Inc Related 0 0 0.00000 Chesterfield Community Healthcare Center Inc 8580 Magellan Parkway Richmond VA 23227 541812738 Ambulatory Healthcare Services VA Bon Secours Richmond Health System C 93548 348118 1.00000 RHS Management Corporation 8580 Magellan Parkway Richmond VA 23227 541313425 Independent Living Facility VA Bon Secours Richmond Health System C 637745 114073 1.00000 Bon Secours - Virginia Healthsource Inc 8580 Magellan Parkway Richmond VA 23227 541417686 Ambulatory Healthcare Services VA Bon Secours Richmond Health System C 46472572 36540402 1.00000 Richmond MRI Inc 8580 Magellan Parkway Richmond VA 23227 541568452 Imaging Services VA Bon Secours - Virginia Healthsource Inc C 650180 401518 0.51000 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 Bon Secours St Mary's Hospital Richmond Inc O 486118 Cost Bon Secours St Mary's Hospital Richmond Inc R 164738 Cost