Mary Immaculate Nursing Center Inc: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- Mary Immaculate Nursing Center Inc (EIN 54-1516476)
- Tax period
- 2010-09-01 to 2011-08-31
- Filed
- 2012-07-16
- IRS object ID
- 201241989349300649
- Schema version
- 2010v3.4
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-07-16T14:55:02-05:00 | Timestamp |
| Tax Period End Date | 2011-08-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1750 TYSONS BLVD | AddressLine1 |
| City | MCLEAN | City |
| State | VA | State |
| ZIP Code | 221024219 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-09-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 541516476 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mary Immaculate Nursing Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MARY | NameControl |
| Phone | 7576865000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7007 Harbour View Blvd No 108 | AddressLine1 |
| City | Suffolk | City |
| State | VA | State |
| ZIP Code | 23435 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Patricia Robertson | Name |
| Title | CEO - BSHR | Title |
| Phone | 7576865000 | Phone |
| Date Signed | 2012-07-16 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Laura L Catlett | Name |
| Phone | 7032511000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Francis Nursing Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Michael K Kerner | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7007 Harbour View Blvd No 108 | AddressLine1 |
| City | Suffolk | City |
| State | VA | State |
| ZIP Code | 23435 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 8301980 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.bonsecourshamptonroads.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1989 | YearFormation |
| State Legal Domicile | VA | StateLegalDomicile |
| Activity Or Mission Description | Skilled Nursing Facility | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 107 | TotalNbrEmployees |
| Total Nbr Volunteers | 25 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 7180653 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 8264815 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 16693 | InvestmentIncomePriorYear |
| Investment Income Current Year | 10637 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 38888 | OtherRevenuePriorYear |
| Other Revenue Current Year | 26528 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 7236234 | TotalRevenuePriorYear |
| Total Revenue Current Year | 8301980 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3562816 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 4035479 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3415959 | OtherExpensePriorYear |
| Other Expenses Current Year | 3766097 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 6978775 | TotalExpensesPriorYear |
| Total Expenses Current Year | 7801576 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 257459 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 500404 | RevenuesLessExpensesCY |
| Total Assets BOY | 9214491 | TotalAssetsBOY |
| Total Assets EOY | 9612449 | TotalAssetsEOY |
| Total Liabilities BOY | 4151891 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 4229662 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 5062600 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 5382787 | NetAssetsOrFundBalancesEOY |
| Mission Description | The mission is to bring compassion to skilled nursing care and to be good help to those in need, especially those who are elderly, poor and dying. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 6035377 | Expense |
| Revenue | 5997481 | Revenue |
| Description | Skilled Nursing Care provided to patients to include assessment of cognitive and physical status, personal hygiene care, nutrition and maintenance of a clean and comfortable environment. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 282869 | Expense |
| Revenue | 605195 | Revenue |
| Description | Medication & Diagnostic Treatments to include the administration of medication, ongoing assessment of potential interactions and negative side effects, wound care and facilitation of diagnostic testing as needed. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 734430 | Expense |
| Revenue | 1662139 | Revenue |
| Description | Rehabilitation Therapies to include physical therapy, respiratory therapy and occupational therapy so as to maintain each patient's optimal quality of life. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 7052676 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 1 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 12 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 107 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | James Pirtle | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7572152709 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7007 Harbour View Blvd Suite 108 | AddressLine1 |
| City | Suffolk | City |
| State | VA | State |
| ZIP Code | 23435 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Susan B Anthony FNP | |||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||||
| John H Garrett | |||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||||
| Pastor Ivan T Harris | |||||||||
| Board Member (Jan-Aug) | 4.00 | X | 0 | 0 | 0 | ||||
| Steven B Hopson | |||||||||
| Board Member | 4.00 | X | 0 | 5438 | 0 | ||||
| Matthew James | |||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||||
| Sr Lynn Rachelle Pascoe | |||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||||
| William F Pile | |||||||||
| Board Member (Jan-Aug) | 4.00 | X | 0 | 0 | 0 | ||||
| Robert M Yacobi | |||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||||
| Sr Elaine Davia | |||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||||
| Timothy J Davis | |||||||||
| Board Member | 50.00 | X | 0 | 743518 | 132790 | ||||
| Sr Patricia Heath | |||||||||
| Board Member | 50.00 | X | 0 | 0 | 0 | ||||
| Sr M Margaret Jackson | |||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||||
| Jon A Nystrom | |||||||||
| Chairman | 6.00 | X | 0 | 0 | 0 | X | |||
| Kasia Grzelkowski | |||||||||
| Secretary (Sept-Dec) | 6.00 | X | 0 | 0 | 0 | X | |||
| Paul W Garman | |||||||||
| Secretary (Jan-Aug) | 6.00 | X | 0 | 0 | 0 | X | |||
| Sr David Ann Niski | |||||||||
| President | 6.00 | X | 0 | 0 | 0 | X | |||
| Michael K Kerner | |||||||||
| CEO-BSHR | 50.00 | X | 0 | 606241 | 145769 | X | |||
| Patricia Robertson | |||||||||
| CEO-MIH & Extended Care | 50.00 | 0 | 376824 | 28833 | X | ||||
| Gregory Simia | |||||||||
| Treas.(CFO BSHR)(Sept-May) | 50.00 | 0 | 438573 | 55734 | X | ||||
| Ernie Padden | |||||||||
| Treas.(Int. CFO BSHR)(June-Aug) | 50.00 | 0 | 0 | 0 | X | ||||
| Diana Jarrett | |||||||||
| Exec Dir, Extended Care | 50.00 | 0 | 162553 | 13852 | X | ||||
| Joyce S Williams | |||||||||
| Director of Nursing | 50.00 | 101841 | 0 | 12420 | X | ||||
| Timothy Short | |||||||||
| Former Administrator | 0.00 | 0 | 117460 | 32188 | X | ||||
| Richard Hanson | |||||||||
| Former CEO BSHR | 0.00 | 0 | 100022 | 8651 | X | ||||
| Joseph Buchheit | |||||||||
| Former CFO BSHR | 50.00 | 0 | 292884 | 41939 | X | ||||
| Eileen Malo | |||||||||
| Former EVP Cont. Care | 50.00 | 0 | 222341 | 7777 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 101841 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3065854 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 479953 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Rehabcare Group Inc | |||||
| PO Box 502096 | St Louis | MO | 631502096 | Rehabilitation Services | 576342 |
| ShiftWise Corporate | |||||
| 1800 SW 1st Avenue | Portland | OR | 97201 | Contract Nursing | 240197 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Patient Service Rev. | Description |
| Business Code | 623110 | BusinessCode |
| Total Revenue Column | 8264815 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8264815 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 8264815 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10637 | TotalRevenueColumn |
| Exclusion | $10,637 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| Laundry Svcs & Other | 900099 | 13429 | $13,429 |
| Beauty & Barber Shop | 812900 | 13099 | $13,099 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 26528 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8301980 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8264815 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $37,165 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3051369 | Total |
| Program Services | 2746232 | ProgramServices |
| Management And General | 305137 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63424 | Total |
| Program Services | 57082 | ProgramServices |
| Management And General | 6342 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 699884 | Total |
| Program Services | 629896 | ProgramServices |
| Management And General | 69988 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 220802 | Total |
| Program Services | 198722 | ProgramServices |
| Management And General | 22080 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 788 | Total |
| Program Services | 709 | ProgramServices |
| Management And General | 79 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1024716 | Total |
| Program Services | 922244 | ProgramServices |
| Management And General | 102472 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 901 | Total |
| Program Services | 811 | ProgramServices |
| Management And General | 90 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48193 | Total |
| Program Services | 43374 | ProgramServices |
| Management And General | 4819 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16321 | Total |
| Program Services | 14689 | ProgramServices |
| Management And General | 1632 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 150836 | Total |
| Program Services | 135753 | ProgramServices |
| Management And General | 15083 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3985 | Total |
| Program Services | 3587 | ProgramServices |
| Management And General | 398 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 424 | Total |
| Program Services | 382 | ProgramServices |
| Management And General | 42 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 191635 | Total |
| Program Services | 191635 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 245164 | Total |
| Program Services | 220648 | ProgramServices |
| Management And General | 24516 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44421 | Total |
| Program Services | 39979 | ProgramServices |
| Management And General | 4442 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Medical Expenses | 873221 | 785899 | 87322 |
| Purchased Services | 605436 | 544892 | 60544 |
| Repairs | 301077 | 270969 | 30108 |
| Bad Debt | 120915 | 120915 | |
| BSHSI allocation | 68832 | 61949 | 6883 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 69232 | Total |
| Program Services | 62309 | ProgramServices |
| Management And General | 6923 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7801576 | Total |
| Program Services | 7052676 | ProgramServices |
| Management And General | 748900 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 850 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6668593 | BOY |
| EOY | 7142683 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 782992 | BOY |
| EOY | 876057 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2243 | BOY |
| EOY | 38459 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 4234557 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2759079 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1713611 | BOY |
| EOY | 1475478 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47052 | BOY |
| EOY | 78922 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9214491 | BOY |
| EOY | 9612449 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 573318 | BOY |
| EOY | 696236 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 13226 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3578573 | BOY |
| EOY | 3520200 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4151891 | BOY |
| EOY | 4229662 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5043554 | BOY |
| EOY | 5363741 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19046 | BOY |
| EOY | 19046 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5062600 | BOY |
| EOY | 5382787 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9214491 | BOY |
| EOY | 9612449 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 500404 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -180217 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6285696 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7449594 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7759071 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 7180653 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8264815 | CurrentTaxYear |
| Total | 36939829 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6285696 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7449594 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7759071 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 7180653 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8264815 | CurrentTaxYear |
| Total | 36939829 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 36939829 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 318807 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 137669 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 116804 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 16693 | CurrentTaxYearMinus1Year |
| Current Tax Year | 10637 | CurrentTaxYear |
| Total | 600610 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 318807 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 137669 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 116804 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 16693 | CurrentTaxYearMinus1Year |
| Current Tax Year | 10637 | CurrentTaxYear |
| Total | 600610 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 26529 | CurrentTaxYear |
| Total | 26529 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6604503 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7587263 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7875875 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 7197346 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8301981 | CurrentTaxYear |
| Total | 37566968 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98330 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.97770 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.01600 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.02230 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $788 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 788 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Other Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1i: | ReturnReference |
| Explanation | Mary Immaculate Nursing Center paid dues to the Virginia Health Care Association, a portion of which is used for lobbying activities. The portion of dues allocated to lobbying activities is $788 or 11.71%. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtc |
| Included On FS | 1 | IncludedOnFS |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3166066 | OtherCostOrOtherBasis |
| Depreciation | 2084847 | Depreciation |
| Book Value | 1081219 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1028849 | OtherCostOrOtherBasis |
| Depreciation | 673514 | Depreciation |
| Book Value | 355335 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 39642 | OtherCostOrOtherBasis |
| Depreciation | 718 | Depreciation |
| Book Value | 38924 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1475478 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| I/C LT Liab - MCA Transition Company | $3,498,335 |
| I/C ST Payable - Maryview | $404 |
| Cash - Payroll Account | $21,461 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 3520200 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part IV, Line 2b: | The filing organization holds, safeguards, manages and accounts for the personal funds of residents who have authorized the facility in writing to manage any personal funds. Any resident may deposit money into a personal Resident Fund Account. Deposits may not exceed $2,000 for residents receiving Medicaid. Withdrawal requests greater than $50 must be made prior to 4PM to allow time to obtain funds from the banking institution if necessary. All excess custodial funds are held in interest bearing accounts separate from that of the organization. | |
| 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. | Description of Uncertain Tax Positions Under FIN 48: |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Timothy J Davis | |||||||||||||
| 0 | 568101 | 0 | 168422 | 0 | 6995 | 0 | 111800 | 0 | 20990 | 0 | 876308 | 0 | 0 |
| Michael K Kerner | |||||||||||||
| 0 | 463467 | 0 | 138768 | 0 | 4006 | 0 | 116245 | 0 | 29524 | 0 | 752010 | 0 | 0 |
| Patricia Robertson | |||||||||||||
| 0 | 282666 | 0 | 67407 | 0 | 26751 | 0 | 17150 | 0 | 11683 | 0 | 405657 | 0 | 0 |
| Gregory Simia | |||||||||||||
| 0 | 303064 | 0 | 69986 | 0 | 65523 | 0 | 25631 | 0 | 30103 | 0 | 494307 | 0 | 0 |
| Diana Jarrett | |||||||||||||
| 0 | 137365 | 0 | 24932 | 0 | 256 | 0 | 13638 | 0 | 214 | 0 | 176405 | 0 | 0 |
| Timothy Short | |||||||||||||
| 0 | 117360 | 0 | 0 | 0 | 100 | 0 | 3715 | 0 | 28473 | 0 | 149648 | 0 | 0 |
| Richard Hanson | |||||||||||||
| 0 | 91580 | 0 | 680 | 0 | 7762 | 0 | 6444 | 0 | 2207 | 0 | 108673 | 0 | 69611 |
| Joseph Buchheit | |||||||||||||
| 0 | 229525 | 0 | 41221 | 0 | 22138 | 0 | 19617 | 0 | 22322 | 0 | 334823 | 0 | 0 |
| Eileen Malo | |||||||||||||
| 0 | 46769 | 0 | 39414 | 0 | 136158 | 0 | 3842 | 0 | 3935 | 0 | 230118 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Lines 4a-b | Part I, Line 4a: Bon Secours Health System, Inc. has system wide severance policies for various levels of executive management. Executive positions throughout the system may include, but are not limited to, CEO/President, CFO, COO, EVP, SVP, VP and Directors. Severance periods vary based on length of service, subsequent employment and violations of the severance policy. Generally, severance periods can be up to 24 months. Benefits may include, but are not limited to, base salary, certain health benefits and payment of unused vacation. The following individual(s) received severance payments during the applicable calendar year: Eileen Malo, $136,016. Part II, Line 4b: Mary Immaculate Nursing Center participates in a BSHSI sponsored executive retirement program that allows for deposits into additional retirements plans and available only to officers and 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. The following individual(s) received a distribution payment in 2010: Richard Hanson, $71,180. | |
| Part III | Part I, Line 3: Bon Secours Health System, Inc., a related organization of Bon Secours Maryview Nursing Care Center, 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 | Supplemental Information |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section A, line 6 | Bon Secours Health System, Inc., and the General Minister and General Council of the Bernardine Sisters of the Third Order of St. Francis are the members of Mary Immaculate Hospital, Inc., which in turn is the sole member of Mary Immaculate Nursing Center. | |
| Form 990, Part VI, Section A, line 7a | The governing body of Mary Immaculate Nursing Center is appointed by its member Mary Immaculate Hospital, Inc., and subject to approval by Bon Secours Health System, Inc. | |
| Form 990, Part VI, Section A, line 7b | Certain authorities of Mary Immaculate Nursing Center 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. | |
| 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 12c | |
| 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 B, line 15 | |
| Mary Immaculate Nursing Center provides any documents open to public inspection upon request. | Form 990, Part VI, Section C, line 19 | |
| Hours worked are not tracked on an entity by entity basis. All officer's and director's hours reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors represent aggregate hours worked per week. Voluntary Board Members are not compensated for their time. Michael K. Kerner's compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation he receives is for his role as the Chief Executive Officer of Bon Secours Hampton Roads Health System which includes direct management, monitoring and oversight of Bon Secours Hampton Roads Health System and its related organizations. Greg Simia's compensation is paid by Maryview Hospital, a related organization. The compensation he receives is for his role as the Chief Financial Officer of Bon Secours Hampton Roads Health System and all related organizations. Diana L. Jarret's compensation is paid by Maryview Hospital, a related organization. The compensation she receives is for her role as the Executive Director, Extended Care. This position includes responsibilities over both nursing care facilities in the Hampton Roads Health System. Sr. Patricia Heath does not receive payroll distributions as she has taken a vow of poverty. Timothy J. Davis' compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation he receives is for his role as Executive Vice President and Chief Administrative Officer of Bon Secours Health System, Inc. Sr. Patricia Heath does not receive payroll distributions as they have taken vows of poverty. | Form 990, Part VII: | |
| Changes in Net Assets or Fund Balances: | Transfers to Affiliates -180,217. Total to Form 990, Part XI, Line 5: -180,217. | Form 990, Part XI, line 5: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Bon Secours Health System Inc | ||||||||||
| 1505 Marriottsville Road | Marriottsvile | MD | 21104 | 521301088 | Parent Org.- Management Services | MD | 501(c)(3) | 11b | Bon Secours Inc | 0 |
| Bon Secours Hampton Roads Health System Inc | ||||||||||
| 5818 Harborview Blvd Ste A | Suffolk | VA | 23435 | 521538513 | Local System Parent Org. | VA | 501(c)(3) | 11b | Bon Secours Health System Inc | 0 |
| Maryview Hospital | ||||||||||
| 3636 High Street | Portsmouth | VA | 23707 | 540506463 | Healthcare | VA | 501(c)(3) | 3 | Bon Secours Hampton Roads Health System | 0 |
| Mary Immaculate Foundation | ||||||||||
| 2 Bernadine Drive | Newport News | VA | 23602 | 311644734 | Fundraising | VA | 501(c)(3) | 11c | Mary Immaculate Hospital | 0 |
| Mary Immaculate Hospital Inc | ||||||||||
| 4 Ridgewood Parkway | Newport News | VA | 23602 | 540548200 | Healthcare | VA | 501(c)(3) | 3 | Bon Secours Hampton Roads Health System | 0 |
| Bon Scours Maryview Foundation | ||||||||||
| 3520 High Street Ste 100 | Portsmouth | VA | 23707 | 521694731 | Fundraising | VA | 501(c)(3) | 11c | Bon Secours Hampton Roads Health System | 0 |
| Bon Scours Maryview Nursing Care Center | ||||||||||
| 4775 Bridge Road | Suffolk | VA | 23435 | 521578169 | Nursing Care Center | VA | 501(c)(3) | 9 | Bon Secours Hampton Roads Health System | 0 |
| Bon Secours DePaul Medical Center | ||||||||||
| 150 Kingsley Lane | Norfolk | VA | 23505 | 541820093 | Healthcare | VA | 501(c)(3) | 3 | Bon Secours Hampton Roads Health System | 0 |
| Bon Secours DePaul Health Foundation | ||||||||||
| 150 Kingsley Lane | Norfolk | VA | 23505 | 541843876 | Fundraising | VA | 501(c)(3) | 11c | Bon Secours Hampton Roads Health System | 0 |
| Bayley Properties | ||||||||||
| 150 Kingsley Lane | Norfolk | VA | 23505 | 541424748 | Rental | VA | 501(c)(2) | N/A | Bon Secours DePaul Medical Center Inc | 0 |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Province Place of Maryview LLC | |||||||||||
| 7007 Harbourview Blvd Suite 108 | Suffolk | VA | 23435 | 541842697 | Assisted Living | VA | Professional Health Care Mgmt | Related | 0 | 0 | 0.00000 |
| Province Place of DePaul LLC | |||||||||||
| 7007 Harbourview Blvd Suite 108 | Suffolk | VA | 23435 | 541950880 | Assisted Living | VA | Professional Health Care Mgmt | Related | 0 | 0 | 0.00000 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| Professional Health Care Mgmt Inc | ||||||||
| 7007 Harbourview Blvd Suite 108 | Suffolk | VA | 23435 | 541241031 | Administrative | VA | Bon Secours Hampton Roads Health System Inc | C |
| Tidewater Diversified Inc | ||||||||
| 7007 Harbourview Blvd Suite 108 | Suffolk | VA | 23435 | 541431826 | Pharmacy | VA | Bon Secours DePaul Medical Center Inc | C |
| OSF Inc | ||||||||
| 7007 Harbourview Blvd Suite 108 | Suffolk | VA | 23435 | 541369919 | Rental | VA | Mary Immaculate Hospital Inc | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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