Bon Secours - Maryview Nursing Care Center: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- Bon Secours - Maryview Nursing Care Center (EIN 52-1578169)
- Tax period
- 2009-09-01 to 2010-08-31
- Filed
- 2011-07-12
- IRS object ID
- 201101939349301050
- Schema version
- 2009v1.7
- 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 | 2011-07-12T20:08:10-05:00 | Timestamp |
| Tax Period End Date | 2010-08-31 | 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 | 2009-09-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 521578169 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bon Secours - Maryview Nursing Care Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BONS | NameControl |
| Phone | 7578895000 | 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 | Michael Kerner | Name |
| Title | Secretary/Treasurer | Title |
| Phone | 7576860488 | Phone |
| Date Signed | 2011-07-12 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7032511000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | X | AddressChange |
| Name Of Principal Officer Person | Diana Jarrett | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4775 Bridge Road | AddressLine1 |
| City | Suffolk | City |
| State | VA | State |
| ZIP Code | 23435 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 9867463 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c | X | Organization501c |
| Web Site | www.bonsecourshamptonroads.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1988 | YearFormation |
| State Legal Domicile | VA | StateLegalDomicile |
| Activity Or Mission Description | Skilled Nursing Care | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 22 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 20 | NbrIndependentVotingMembers |
| Total Nbr Employees | 169 | TotalNbrEmployees |
| Total Nbr Volunteers | 32 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 9990857 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 9796655 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 212923 | InvestmentIncomePriorYear |
| Investment Income Current Year | 33219 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 42008 | OtherRevenuePriorYear |
| Other Revenue Current Year | 37589 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 10245788 | TotalRevenuePriorYear |
| Total Revenue Current Year | 9867463 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 4625279 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 4797427 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3425604 | OtherExpensePriorYear |
| Other Expenses Current Year | 3586551 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 8050883 | TotalExpensesPriorYear |
| Total Expenses Current Year | 8383978 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2194905 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1483485 | RevenuesLessExpensesCY |
| Total Assets BOY | 14780251 | TotalAssetsBOY |
| Total Assets EOY | 16416661 | TotalAssetsEOY |
| Total Liabilities BOY | 5065628 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 5218553 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 9714623 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 11198108 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 6206338 | Expense |
| Revenue | 6834187 | 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 | 370743 | Expense |
| Revenue | 721071 | 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 | 1003826 | Expense |
| Revenue | 2241397 | 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 | 7580907 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| 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 |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 27 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 169 | 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 |
| Nbr Voting Governing Body Members | 22 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 20 | 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 | 0 | 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 | 7578895717 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 Kingsley Lane | AddressLine1 |
| City | Norfolk | City |
| State | VA | State |
| ZIP Code | 23505 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (29 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| Michael D Blount | ||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | |||
| Rise Faith E Dajao | ||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | |||
| William H Kline | ||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | |||
| Robert W Knapp | ||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | |||
| Michael S LaRock | ||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | |||
| Bennie L Marshall | ||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | |||
| Margaret U Moser | ||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | |||
| Mary Jane Nero | ||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | |||
| R B Seal | ||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | |||
| Deborah K Stearns | ||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | |||
| Alfred E Abiouness | ||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | |||
| Sr Rita Thomas | ||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | |||
| Timothy J Davis | ||||||||
| Board Member | 50.00 | X | 0 | 1223989 | 129362 | |||
| Sr Anne Lutz | ||||||||
| Board Member | 50.00 | X | 0 | 0 | 0 | |||
| J Robert Bray | ||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | |||
| Arthur Collins | ||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | |||
| Sr Elaine Davia | ||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | |||
| Carol Ormond | ||||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | |||
| Wayne K Sawyer | ||||||||
| Chairman (Sept - Dec) | 6.00 | X | 0 | 0 | 0 | X | ||
| Linwood E Howard | ||||||||
| Chairman (Jan - Aug) | 6.00 | X | 0 | 0 | 0 | X | ||
| Michael Kerner | ||||||||
| Secretary/Treasurer | 50.00 | X | 0 | 940681 | 126469 | X | ||
| Sr Patricia Heath | ||||||||
| President | 50.00 | X | 0 | 0 | 0 | X | ||
| Patricia Robertson | ||||||||
| Executive Vice President | 50.00 | 0 | 441620 | 42145 | X | |||
| Diana L Jarrett | ||||||||
| Administrator | 50.00 | 162358 | 0 | 209 | X | |||
| Gregory Simia | ||||||||
| CFO - Hampton Roads | 50.00 | 0 | 404075 | 51557 | X | |||
| Edward Boyer | ||||||||
| Former Board Member | 50.00 | 0 | 938417 | 17317 | X | |||
| Richard Hanson | ||||||||
| Former CEO/Secretary/Treasurer | 50.00 | 0 | 772746 | 108243 | X | |||
| Joseph Buchheit | ||||||||
| Former CFO | 50.00 | 0 | 354134 | 44775 | X | |||
| Eileen Malo | ||||||||
| Former EVP Continuing Care | 50.00 | 0 | 176009 | 25752 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 162358 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 5251671 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 545829 | 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
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rehabcare Group Inc | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7733 Forsyth Blvd | AddressLine1 |
| City | St Louis | City |
| State | MO | State |
| ZIP Code | 63150 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | Rehabilitation Therapies | DescriptionOfServices |
| Compensation | 903094 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Patient Service Rev. | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 9796655 | TotalRevenueColumn |
| Related Or Exempt Function Income | 9796655 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 9796655 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 32670 | TotalRevenueColumn |
| Exclusion | $32,670 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 549 | TotalRevenueColumn |
| Exclusion | $549 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| Beauty & Barber Shop | 900099 | 14006 | $14,006 |
| Cafe and Vending | 722320 | 4439 | $4,439 |
| Retail Sales | 453220 | 3492 | $3,492 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 15652 | TotalRevenueColumn |
| Exclusion | $15,652 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 37589 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9867463 | TotalRevenueColumn |
| Related Or Exempt Function Income | 9796655 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $70,808 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 164969 | Total |
| Program Services | 148472 | ProgramServices |
| Management And General | 16497 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3681975 | Total |
| Program Services | 3313778 | ProgramServices |
| Management And General | 368197 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 84239 | Total |
| Program Services | 75815 | ProgramServices |
| Management And General | 8424 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 582411 | Total |
| Program Services | 524170 | ProgramServices |
| Management And General | 58241 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 283833 | Total |
| Program Services | 255450 | ProgramServices |
| Management And General | 28383 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2616 | Total |
| Program Services | 2354 | ProgramServices |
| Management And General | 262 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24310 | Total |
| Program Services | 21879 | ProgramServices |
| Management And General | 2431 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48438 | Total |
| Program Services | 43594 | ProgramServices |
| Management And General | 4844 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 224444 | Total |
| Program Services | 202000 | ProgramServices |
| Management And General | 22444 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11309 | Total |
| Program Services | 10178 | ProgramServices |
| Management And General | 1131 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 241360 | Total |
| Program Services | 241360 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 241347 | Total |
| Program Services | 217212 | ProgramServices |
| Management And General | 24135 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59722 | Total |
| Program Services | 53750 | ProgramServices |
| Management And General | 5972 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Purchased Services | 1446124 | 1301512 | 144612 |
| Total Other Supplies | 938307 | 844476 | 93831 |
| Bad Debt | 111903 | 111903 | |
| Repairs & Equip Rental | 105034 | 94531 | 10503 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 131637 | Total |
| Program Services | 118473 | ProgramServices |
| Management And General | 13164 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8383978 | Total |
| Program Services | 7580907 | ProgramServices |
| Management And General | 803071 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11384553 | BOY |
| EOY | 12989095 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 745094 | BOY |
| EOY | 933878 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5286 | BOY |
| EOY | 5434 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 7371425 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 5494132 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2081161 | BOY |
| EOY | 1877293 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 488462 | BOY |
| EOY | 488179 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6869 | BOY |
| EOY | 31778 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 68826 | BOY |
| EOY | 91004 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14780251 | BOY |
| EOY | 16416661 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 652854 | BOY |
| EOY | 708320 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3900000 | BOY |
| EOY | 3900000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 512774 | BOY |
| EOY | 610233 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5065628 | BOY |
| EOY | 5218553 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9714623 | BOY |
| EOY | 11198108 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9714623 | BOY |
| EOY | 11198108 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14780251 | BOY |
| EOY | 16416661 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 7586624 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7671247 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8298190 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10032865 | CurrentTaxYearMinus1Year |
| Current Tax Year | 9796655 | CurrentTaxYear |
| Total | 43385581 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7586624 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7671247 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8298190 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10032865 | CurrentTaxYearMinus1Year |
| Current Tax Year | 9796655 | CurrentTaxYear |
| Total | 43385581 | 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 | 43385581 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 364615 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 508222 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 298047 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 212923 | CurrentTaxYearMinus1Year |
| Current Tax Year | 33219 | CurrentTaxYear |
| Total | 1417026 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 364615 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 508222 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 298047 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 212923 | CurrentTaxYearMinus1Year |
| Current Tax Year | 33219 | CurrentTaxYear |
| Total | 1417026 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7951239 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8179469 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8596237 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10245788 | CurrentTaxYearMinus1Year |
| Current Tax Year | 9829874 | CurrentTaxYear |
| Total | 44802607 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.96840 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.96320 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.03160 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.03680 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2087243 | OtherCostOrOtherBasis |
| Depreciation | 919172 | Depreciation |
| Book Value | 1168071 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4418769 | OtherCostOrOtherBasis |
| Depreciation | 3718822 | Depreciation |
| Book Value | 699947 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 865413 | OtherCostOrOtherBasis |
| Depreciation | 856138 | Depreciation |
| Book Value | 9275 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1877293 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Due To Third Party | $572,335 |
| Other Current Liabilities | $31,500 |
| Resident Trust Fund | $6,398 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 610233 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part X: | Identifier |
| Return Reference | Description of Uncertain Tax Positions Under FIN 48: | ReturnReference |
| Explanation | 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. As the organization does not conduct a separate audit of its financial statement, 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 $98,300 and $117,200 of net operating loss carryforwards as of August 31, 2010 and 2009, respectively, which expire in varying periods through 2030 and are available to offset future taxable income. The System's deferred tax assets are fully reserved at August 31, 2010 and 2009. Any changes to the valuation allowance on the deferred tax asset are reflected in the year of the change. | Explanation |
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 | 536658 | 0 | 665880 | 0 | 21451 | 0 | 110185 | 0 | 19177 | 0 | 1353351 | 0 | 0 |
| Michael Kerner | |||||||||||||
| 0 | 467646 | 0 | 290947 | 0 | 182088 | 0 | 99435 | 0 | 27034 | 0 | 1067150 | 0 | 0 |
| Patricia Robertson | |||||||||||||
| 0 | 277753 | 0 | 141790 | 0 | 22077 | 0 | 32266 | 0 | 9879 | 0 | 483765 | 0 | 0 |
| Diana L Jarrett | |||||||||||||
| 131227 | 0 | 30900 | 0 | 231 | 0 | 0 | 0 | 209 | 0 | 162567 | 0 | 0 | 0 |
| Gregory Simia | |||||||||||||
| 0 | 287470 | 0 | 69599 | 0 | 47006 | 0 | 24464 | 0 | 27093 | 0 | 455632 | 0 | 0 |
| Edward Boyer | |||||||||||||
| 0 | 428865 | 0 | 416683 | 0 | 92869 | 0 | 8188 | 0 | 9129 | 0 | 955734 | 0 | 0 |
| Richard Hanson | |||||||||||||
| 0 | 407990 | 0 | 335679 | 0 | 29077 | 0 | 80844 | 0 | 27399 | 0 | 880989 | 0 | 0 |
| Joseph Buchheit | |||||||||||||
| 0 | 224034 | 0 | 47590 | 0 | 82510 | 0 | 28800 | 0 | 15975 | 0 | 398909 | 0 | 0 |
| Eileen Malo | |||||||||||||
| 0 | -812 | 0 | 0 | 0 | 176821 | 0 | 24910 | 0 | 842 | 0 | 201761 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Lines 4a-b: | Eileen Malo received a severance payment of $176,821. Part I, Line 4b: Maryview Nursing Care Center participates in a BSHSI sponsored executive retirement program that allows for deposits into additional retirement 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 deposits are made into this plan. | |
| 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 (8 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 6 | Bon Secours Health System, Inc. is the sole member of Bon Secours Hampton Roads Health System, Inc., which in turn is the sole member of Bon Secours - Maryview Nursing Care Center. |
| Form 990, Part VI, Section A, line 7a | The governing body of Bon Secours - Maryview Nursing Care Center is appointed by its Member, Bon Secours Hampton Roads Health System, Inc. and subject to approval by Bon Secours Health System, Inc. |
| Form 990, Part VI, Section A, line 7b | Certain authorities of Bon Secours - Maryview Nursing Care 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 Bon Secours-Maryview Nursing Care Center's audit and compliance board committee and providing the form to the Bon Secours-Maryview Nursing Care Center's board of directors to allow for a thorough review by both before the filing date of July 15, 2011. Bon Secours Maryview Nursing Care Center's audit and compliance board committee and Bon Secours-Maryview Nursing Care Center's board of directors will review the Form 990 and ask any additional questions regarding the Form 990 before the return is filed July 15, 2011. |
| Form 990, Part VI, Section B, line 12c | Bon Secours-Maryview Nursing Care Center 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 Bon Secours-Maryview Nursing Care Center. 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 participates 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). Part VI, Section B, Line 14: Document Retention and Destruction Policy While Bon Secours Health System, Inc. does not have a written organization-wide document retention and destruction policy, individual department policies and practices are in place to ensure that each department of the organization maintains their documentation in compliance with state and federal requirements. In addition, any areas responsible for medical records have department policies in compliance with Medicare and HIPAA requirements. An organization-wide policy is currently in place for fiscal year ending August 31, 2011. |
| Form 990, Part VI, Section B, line 15 | The compensation committee of the board of Bon Secours Health System, Inc. engages in a comprehensive process for the oversight and management of remuneration for executive employees and disqualified parties of Bon Secours-Maryview Nursing Care Center as well as other officers, key employees and highest paid employees. The compensation committee consists of a group of independent board members and engages an independent external compensation consultant to ensure the reasonableness of compensation paid to executives and disqualified parties. The committee maintains a Board-approved 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 reported to the BSHSI Board of Directors and documented in the BSHSI 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 key employees or highest paid employees of Bon Secours-Maryview Nursing Care Center were compared to other hospitals' employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in human resources. |
| Form 990, Part VI, Section C, line 19 | Bon Secours-Maryview Nursing Care Center 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 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. 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. Michael 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. 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. Patricia Robertson's compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation she receives is for her role as the Executive Vice President of Mary Immaculate Hospital. Sr. Pat Heath and Sr. Anne Lutz do not receive payroll distributions as they have taken vows of poverty. |
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 | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|
| Mary Immaculate Nursing Center Inc | |||||||||
| 7007 Harbour View Blvd Ste 108 | Suffolk | VA | 23435 | 541516476 | Nursing Care Center | VA | 501(c)(3) | Line 9: 509(a)(2) | N/A |
| Mary Immaculate Hospital Inc | |||||||||
| 7007 Harbour View Blvd Ste 108 | Suffolk | VA | 23435 | 540548200 | Healthcare | VA | 501(c)(3) | Line 3: 170(b)(1)(a) | N/A |
| Bon Secours Hampton Roads Health System Inc | |||||||||
| 5818 Harbourview Blvd Ste A | Suffolk | VA | 23435 | 521538513 | Local System Parent Org. | VA | 501(c)(3) | Line 11, Type II: 50 | N/A |
| Maryview Hospital | |||||||||
| 7007 Harbour View Blvd Ste 108 | Suffolk | VA | 23435 | 540506463 | Healthcare | VA | 501(c)(3) | Line 3: 170(b)(1)(a) | N/A |
| Bayley Properties | |||||||||
| 150 Kingsley Lane | Norfolk | VA | 23505 | 541424748 | Rental | VA | 501(c)(2) | N/A | N/A |
| Bon Secours Health System Inc | |||||||||
| 1505 Marriottsville Road | Marriottsville | MD | 21104 | 521301088 | Parent Org. Management Services | MD | 501(c)(3) | Line 11, Type II: 50 | N/A |
| Bon Secours DePaul Health Foundation | |||||||||
| 7007 Harbour View Blvd Ste 108 | Suffolk | VA | 23435 | 541843876 | Fundraising | VA | 501(c)(3) | Line 11, Type III-FI | N/A |
| Bon Secours DePaul Medical Center | |||||||||
| 7007 Harbour View Blvd Ste 108 | Suffolk | VA | 23435 | 541820093 | Healthcare | VA | 501(c)(3) | Line 3: 170(b)(1)(a) | N/A |
| Bon Secours Maryview Foundation | |||||||||
| 7007 Harbour View Blvd Ste 108 | Suffolk | VA | 23435 | 521694731 | Fundraising | VA | 501(c)(3) | Line 11, Type III-FI | N/A |
| Mary Immaculate Foundation | |||||||||
| 150 Kingsley Lane | Norfolk | VA | 23505 | 311644734 | Fundraising | VA | 501(c)(3) | Line 11, Type III-FI | N/A |
Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|
| Province Place of Maryview LLC | ||||||||||
| 7007 Harbourview Blvd Ste 108 | Suffolk | VA | 23435 | 541842697 | Assisted Living | VA | N/A | Related | 0 | 0 |
| Province Place of DePaul LLC | ||||||||||
| 7007 Harbourview Blvd Ste 108 | Suffolk | VA | 23435 | 541950880 | Assisted Living | VA | N/A | Related | 0 | 0 |
| Western Tidewater Diagnostic Imaging LLC | ||||||||||
| c/o Roberts Dean PLC 150 Bousch St | Norfolk | VA | 23510 | 383655545 | Healthcare | VA | N/A | Related | 0 | 0 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| Professional Health Care Mgmt Inc | ||||||||
| 150 Kingsley Lane | Norfolk | VA | 23505 | 541241031 | Administrative | VA | N/A | C |
| Tidewater Diversified Inc | ||||||||
| 160 Kingsley Lane | Norfolk | VA | 23505 | 541431826 | Pharmacy | VA | N/A | C |
| OSF Inc | ||||||||
| 2 Bernadine Drive | Newport News | VA | 23602 | 541369919 | Rental | VA | N/A | 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 |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | None | BusinessNameLine1 |
Comments