Bon Secours - St Francis Medical Center Inc: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
Bon Secours - St Francis Medical Center Inc (EIN 31-1716973)
Tax period
2009-09-01 to 2010-08-31
Filed
2011-07-11
IRS object ID
201141929349300304
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

FieldValueIRS element (for citing)
Timestamp2011-07-11T07:47:35-05:00Timestamp
Tax Period End Date2010-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11750 TYSONS BLVDAddressLine1
CityMCLEANCity
StateVAState
ZIP Code221024219ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311716973EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Bon Secours - St Francis Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBONSNameControl
Phone8046275400Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line18580 Magellan Parkway Building IVAddressLine1
CityRichmondCity
StateVAState
ZIP Code23227ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePeter F GallagherName
TitleTreasurer BSR CFOTitle
Phone8045947400Phone
Date Signed2011-07-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameEmily Hayes SmithName
Phone7032511000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMark GordonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line18580 Magellan Parkway Building IVAddressLine1
CityRichmondCity
StateVAState
ZIP Code23227ZIPCode
FieldValueIRS element (for citing)
Gross Receipts197409429GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.bonsecours.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionAcute Care HospitalActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees1185TotalNbrEmployees
Total Nbr Volunteers235TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year264260ContributionsGrantsPriorYear
Contributions Grants Current Year265237ContributionsGrantsCurrentYear
Program Service Revenue Prior Year177478006ProgramServiceRevenuePriorYear
Program Service Revenue CY195538266ProgramServiceRevenueCY
Investment Income Prior Year-64190InvestmentIncomePriorYear
Investment Income Current Year20749InvestmentIncomeCurrentYear
Other Revenue Prior Year756510OtherRevenuePriorYear
Other Revenue Current Year1016769OtherRevenueCurrentYear
Total Revenue Prior Year178434586TotalRevenuePriorYear
Total Revenue Current Year196841021TotalRevenueCurrentYear
Grants And Similar Amnts CY102000GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year55249190SalariesEtcPriorYear
Salaries Etc Current Year60545554SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year116257511OtherExpensePriorYear
Other Expenses Current Year123179643OtherExpensesCurrentYear
Total Expenses Prior Year171506701TotalExpensesPriorYear
Total Expenses Current Year183827197TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6927885RevenuesLessExpensesPriorYear
Revenues Less Expenses CY13013824RevenuesLessExpensesCY
Total Assets BOY140349331TotalAssetsBOY
Total Assets EOY141494600TotalAssetsEOY
Total Liabilities BOY151670305TotalLiabilitiesBOY
Total Liabilities EOY141157825TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-11320974NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY336775NetAssetsOrFundBalancesEOY
Mission DescriptionThe mission is to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a system of caregivers, we commit ourselves to help bring people and communities to health and wholeness.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense164470709Expense
Grants102000Grants
Revenue193350331Revenue
DescriptionPatient Service in order to bring compassion to healthcare and to be good help to those in need by providing healthcare services. Please refer to the Community Benefit information on Schedule H.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2471956Expense
Revenue2187935Revenue
DescriptionResidency Program to enable members of this program to provide compassionate healthcare services.Description
FieldValueIRS element (for citing)
Total Program Service Expense166942665TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096116NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1185NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledVAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Peter F GallagherBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8046275400TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18580 Magellan Parkway Building IVAddressLine1
CityRichmondCity
StateVAState
ZIP Code23227ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
William T Patrick Jr
Board Member4.00X000
John Bowman MD
Board Member4.00X000
Robert J Cohen MD
Board Member4.00X000
Alexander J Corbett PhD
Board Member4.00X000
Richard Jackson MD
Board Member4.00X000
Kenneth J Jones
Board Member4.00X000
Sr Anne Marie Mack CBS
Board Member50.00X000
John Muldowney
Board Member4.00X000
Joanne Nattrass
Board Member4.00X000
Michael Williams
Board Member4.00X000
Jean Ann Bolling
Board Member4.00X000
Michael Robinson
Board Member50.00X060395571609
Toni Ardabell
Board Member50.00X039698417938
Thom Morris PhD
Board Member50.00X041765945481
Nancy Thomas
Board Member4.00X000
Jane Watkins
Board Member4.00X000
Tom Winfree
Board Member4.00X000
Peter B Cleal
Chairman6.00X000X
Sr Victoria V Segura MD CBS
President50.00X000X
Mark Gordon
CEO50.00X068171859405X
Allen Goolsby
Secretary6.00000X
Peter F Gallagher
Treasurer (BSR CFO)50.00047998672617X
Peter J Bernard
Bon Secours Richmond CEO50.0001248815174770X
Kevin Sheppard
COO50.00222976027355X
Michael Spine
BSR SVP Bus Dev50.00040028443214X
Bonnie M Shelor
BSR SVP HR50.00033240044799X
James Pellicane
Physician50.00492474024373X
Polly Stephens
Physician50.00369686025182X
Glenna Hendricks
Physician50.00243338013246X
Paul V Jackson
Physician50.00200430023536X
Charles A Miller
Physician50.0018362308034X
Michael Kerner
EVP Of Hampton0.000940681126469X
Teresa Edwards
Former Board Member0.000253570X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1712527TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5527839TotalReportableCompFrmRltdOrgs
Total Other Compensation778028TotalOtherCompensation
Number Individuals GT100 K34NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Commonwealth Anesthesia Assoc
PO Box 35808RichmondVA23235Anesthesia Physicians1277140
Odell Associates
PO Box 1070CharlotteNC282011070Architects & Engineers1220036
Taylor & Parrish Inc
710 Perry StreetRichmondVA23224Building Contractor1213192
Sheltering Arms Hospital
8254 Atlee RoadMechanicsvilleVA23116Physical Therapists1205905
Prof Emergency Care Inc
38935 Ann Harbor RoadLivoniaMI48150Emergency Room Physicians1128802
FieldValueIRS element (for citing)
Number Of Contractors GT100 K93NumberOfContractorsGT100K
Related Organizations217360RelatedOrganizations
Government Grants47877GovernmentGrants
Total Contributions265237TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Service622110193350331193350331
Residency Program62211021879352187935
FieldValueIRS element (for citing)
Total Program Service Revenue195538266TotalProgramServiceRevenue

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real488186Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real491588Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-3402Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-3402TotalRevenueColumn
Exclusion-$3,402ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other97569Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other76820Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other20749Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column20749TotalRevenueColumn
Exclusion$20,749ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Cafe & Vending722212773018$773,018
Gift Shop453220180404$180,404
Purchase Discounts90009942101$42,101

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column24648TotalRevenueColumn
Exclusion$24,648ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1020171TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column196841021TotalRevenueColumn
Related Or Exempt Function Income195538266RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,037,518ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total102000Total
Program Services102000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total231333Total
Program Services208200ProgramServices
Management And General23133ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total48604973Total
Program Services43744476ProgramServices
Management And General4860497ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total740892Total
Program Services666803ProgramServices
Management And General74089ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7473719Total
Program Services6726347ProgramServices
Management And General747372ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3494637Total
Program Services3145173ProgramServices
Management And General349464ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total216477Total
Program Services194829ProgramServices
Management And General21648ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total15742Total
Program Services14168ProgramServices
Management And General1574ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5537988Total
Program Services4984189ProgramServices
Management And General553799ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total88586Total
Program Services79727ProgramServices
Management And General8859ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total554765Total
Program Services499288ProgramServices
Management And General55477ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4843290Total
Program Services4358961ProgramServices
Management And General484329ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total243321Total
Program Services218989ProgramServices
Management And General24332ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total4272484Total
Program Services4272484ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9478408Total
Program Services8530567ProgramServices
Management And General947841ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1713686Total
Program Services1542317ProgramServices
Management And General171369ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Purchased Services437084463933760143708450
Med and Other Supplies366856353301707136685640
Bad Debt106074201060742000
Equip. Rent and Maint.364716232824463647160
Taxes and Licenses189147170232189150

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1377086Total
Program Services1239377ProgramServices
Management And General137709ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total183827197Total
Program Services166942665ProgramServices
Management And General16884532ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY22974BOY
EOY65708EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY20902830BOY
EOY23766339EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3672808BOY
EOY3528746EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2048143BOY
EOY924517EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis160675583LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec52551302LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY107695768BOY
EOY108124281EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY38637BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5968171BOY
EOY5085009EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY140349331BOY
EOY141494600EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY10503798BOY
EOY9606589EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY70562BOY
EOY61770EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY141095945BOY
EOY131489466EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY151670305BOY
EOY141157825EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-11359610BOY
EOY336775EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY38636BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-11320974BOY
EOY336775EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY140349331BOY
EOY141494600EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$15,742OtherActivitiesAmount
Total Lobbying Expenditures IIB15742TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1i:Identifier
Return ReferenceExplanation of Other Lobbying Activities:ReturnReference
ExplanationA portion of membership dues to the following organizations is spent on lobbying activities: Virginia Hospital and Healthcare Association ($9,266 or 23.07%); American Hospital Association ($5,026 or 23.76%); and Catholic Health Association ($1,450 or 5.46%) for a total of $15,742.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis20946364OtherCostOrOtherBasis
Book Value20946364BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis72783906OtherCostOrOtherBasis
Depreciation11122933Depreciation
Book Value61660973BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis5031857OtherCostOrOtherBasis
Depreciation1621225Depreciation
Book Value3410632BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis50922423OtherCostOrOtherBasis
Depreciation36683474Depreciation
Book Value14238949BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis10991033OtherCostOrOtherBasis
Depreciation3123670Depreciation
Book Value7867363BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings108124281TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
Due to Affiliates$127,290,041
Physician Income Guarantees$1,651,048
Patient Credit Balances$1,000,251
Medicare Settlement 2010$1,468,986
Miscellaneous$79,140
FieldValueIRS element (for citing)
Total Of Amounts131489466TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart X:Identifier
Return ReferenceDescription of Uncertain Tax Positions Under FIN 48:ReturnReference
ExplanationSchedule D, Part X, Line 2 requires that the organization provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under 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 H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense4376232TotalCommunityBenefitExpense
Net Community Benefit Expense4376232NetCommunityBenefitExpense
Percent Of Total Expense0.02530PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense12482127TotalCommunityBenefitExpense
Direct Offsetting Revenue8487776DirectOffsettingRevenue
Net Community Benefit Expense4354351NetCommunityBenefitExpense
Percent Of Total Expense0.02510PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense16858359TotalCommunityBenefitExpense
Direct Offsetting Revenue8487776DirectOffsettingRevenue
Net Community Benefit Expense8730583NetCommunityBenefitExpense
Percent Of Total Expense0.05040PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs10NumberOfActivitiesOrPrograms
Persons Served702PersonsServed
Total Community Benefit Expense86416TotalCommunityBenefitExpense
Direct Offsetting Revenue2015DirectOffsettingRevenue
Net Community Benefit Expense84401NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense3009672TotalCommunityBenefitExpense
Direct Offsetting Revenue630732DirectOffsettingRevenue
Net Community Benefit Expense2378940NetCommunityBenefitExpense
Percent Of Total Expense0.01370PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served100PersonsServed
Total Community Benefit Expense947TotalCommunityBenefitExpense
Direct Offsetting Revenue1500DirectOffsettingRevenue
Net Community Benefit Expense-553NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served201PersonsServed
Total Community Benefit Expense2240TotalCommunityBenefitExpense
Net Community Benefit Expense2240NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs14NumberOfActivitiesOrPrograms
Persons Served1003PersonsServed
Total Community Benefit Expense3099275TotalCommunityBenefitExpense
Direct Offsetting Revenue634247DirectOffsettingRevenue
Net Community Benefit Expense2465028NetCommunityBenefitExpense
Percent Of Total Expense0.01420PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs14NumberOfActivitiesOrPrograms
Persons Served1003PersonsServed
Total Community Benefit Expense19957634TotalCommunityBenefitExpense
Direct Offsetting Revenue9122023DirectOffsettingRevenue
Net Community Benefit Expense11195611NetCommunityBenefitExpense
Percent Of Total Expense0.06460PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense513TotalCommunityBuildingExpense
Net Community Building Expense513NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense513TotalCommunityBuildingExpense
Net Community Building Expense513NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$2,685,828BadDebtExpenseAmount
Amount Reimbursed By Medicare38523996AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare48610723CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-10086727MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1

Form990 Schedule H Part V Form990ScheduleHPartV (7 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursOtherOther
St Francis Medical Center
13710 St Francis BlvdMidlothianVA23114XXX
St Francis Family Medical Practice
13540 Hull Street RoadMidlothianVA23112Physician practice
St Francis Medical Women's Center
13700 St Francis Blvd Suite 502MidlothianVA23114Physician practice
Virginia Breat Center
14051 St Francis Blvd Suite 2210MidlothianVA23114Physician practice
St Joseph Outreach Center
8000 Brook RoadRichmondVA23227Physician practice
Neurology Clinic Bon Secours Med Group
11601 Ironbridge Road Suite 207ChesterVA23831Physician practice
Diabetes Treatment Center
2372 Colony CrossingMidlothianVA23114Outpatient diabetes clinic

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Annual Community Benefit ExplnPart I, Line 6a: Bon Secours Richmond Health System (BSRHS) annually develops a report to the community, explaining the various community benefit services and programs that exist. This report also includes the annual financial commitment of the local system to the community, detailing monetary contributions for government sponsored healthcare shortfall, community benefit programs and charity care at cost. This reported is published to the public each year on or around January 24, commemorating Foundation Day of the Sisters of Bon Secours.AnnualCommunityBenefitExpln
Costing Method UsedPart I, Line 7: Part I, line 7a: Charity Care at cost is computed by applying a cost-to-charge ratio to the aggregate charity adjustments recorded in the general ledger. Part I, line 7b: Unreimbursed Medicaid is computed by determining the cost of Medicaid services supplied less payments received for these services. To determine the cost of Medicaid services provided, a cost-to-charge ratio is applied to traditional and managed Medicaid gross charges recorded in the general ledger. Payments include payments for individual claims, payments from the Medicaid program paid outside the claim process (such as medical education payments) and expected or actual cost report settlements.Part I, line 7c: Unreimbursed costs from other means-tested government programs are computed by applying a cost-to-charge ratio to the total charges to patients covered under these programs. The charges are identified by the financial class assigned to the patient. For Part I, Line 7 a-c computations: The cost-to-charge ratio is derived using the suggested computation in Worksheet 2, Ratio of Patient Care Cost-to-Charges. Operating expenses and Gross patient charges are taken from the general ledger. Expenses for nonpatient care activities recorded in operating expenses are approximated as directly equaling other operating revenue, assuming these activities do not provide profit. Part I, line 7e: Community health improvement services and community benefit operations are accumulated throughout the year and reported at actual cost in a software program that specifically addresses this purpose.Part I, line 7f: Health professions education cost is determined as the direct and indirect cost of qualifying education activities as traditionally reported in columns 21-24 on Worksheet B of the Medicare cost report as a Medical Education program, nursing school or other allied health program.CostingMethodUsed
Percent Of Total Expense ExplnPart I, Line 7f: Current year bad debt expense not included in the calculation for line 7f: $10,607,420PercentOfTotalExpenseExpln
Bad Debt FootnotePart III, Line 4: Part III, line 2: Bad Debt Expense at cost is computed by applying the cost-to-charge ratio computed on Worksheet 2 to the aggregate bad debt expense for patient accounts recorded in the general ledger. Bad debt expense on the general ledger includes: 1) actual write offs of discounted gross charges where it is determined an uninsured patient can pay and does not pay; and 2) the estimated write offs for uninsured patient accounts with outstanding balances after discount. Estimates are based on historical collection rates.When an uninsured patient is billed for patient care services, the charges are automatically discounted and the patient is requested to only pay the amount after discount. The discount is recorded as an adjustment to gross revenue and is not recorded in bad debt expense. If the balance after discount is not paid or not paid in full, the unpaid amount will be written off to bad debt expense. When a patient remits a payment on an account that has already been written off to bad debt expense, the payment is recorded as a recovery of bad debt, which reduces bad debt expense.Part III, line 3: The organization does not report an estimate for the portion of bad debt expense that may have been likely to qualify for financial assistance under the hospitals charity care policy. The organization takes the position that ample opportunity and assistance is provided to the patient to qualify under the financial assistance policy. If sufficient information is not provided, the organization must assume the patient does not qualify.BadDebtFootnote
Shortfall As Community BenefitPart III, Line 8: Part III, Line 6: Medicare allowable costs reflected in Part III come directly from the facility's Medicare cost report. The cost report segregates the total facility actual expenses into costs for support departments, clinical departments (routine and ancillary) and nonreimburseable departments. The cost report uses appropriate statistical bases to "step down" support costs to allowable clinical and nonreimburseable departments. The charges for clinical departments are matched to the total cost for these departments for a cost-to-charge ratio. Medicare-specific allowable costs for in- and outpatient ancillary departments are computed by applying the department-specific cost-to-charge ratio to the Medicare program charges by department. For routine departments, a per diem total cost is computed and applied to Medicare program days for the Medicare routine program cost.Part III, Line 8: The total shortfall of Medicare reimbursement compared to computed Medicare allowable costs should be treated as community benefit. The hospital improves access to patient care by providing services regardless of a patients ability to pay or the hospitals ability to receive full cost reimbursement for services. The hospital also relieves the government of a financial burden when it provides care to publically insured patients where reimbursement is less than cost of providing the service.ShortfallAsCommunityBenefit
Debt Collection PolicyPart III, Line 9b: The hospital has a written policy that describes collection practices applying to patients that qualify for charity care or financial assistance. If full assistance is approved, no collection efforts are pursued on that patients account(s). If partial assistance is provided, the patient is responsible for the adjusted account balance and collection efforts will follow the established practices for all patients where a self-pay balance exists. Collection efforts are not pursued on any pending FAP account.Specific criteria exist for how much assistance, partial or total, will be provided to the patient based on the assessed need. Criteria is based on Federal Poverty Guidelines and is reviewed and updated annually. Once a patient has been deemed eligible for the Patient Financial Assistance Program (FAP), the patient is notified by letter within 60 days after receipt of the application and supporting documentation. The patient retains eligibility for a period of twelve months from the date of the approval. This eligibility is signaled to hospital admissions, billing and collection staff by the assignment of a specific financial class with accompanying eligibility dates. At the end of those twelve months, the patient is responsible for reapplying for FAP eligibility.DebtCollectionPolicy
Needs AssessmentPart VI, Line 2: In partnership with Bon Secours Richmond Health System, St.Francis Medical Center (SFMC) uses multiple approaches to assess the health needs of the communities it serves. In October 2009, the Central Virginia Health Planning Agency released an Immigrant Needs Assessment commissioned by Bon Secours Richmond Health System in collaboration with Saint Francis Medical Center. This work documented the growth of the immigrant population in the metropolitan Richmond area and made multiple recommendations including the need for interpretation and translation services, health resource information in other languages, preventive services, health screenings including vision and dental, affordable health insurance for immigrants and their families and access to behavioral health services. Bon Secours Richmond has initiated many of the recommendations.Community need assessments are updated using a variety of informational sources including Virginia Health Information for state-based performance data, Health Group West and Hammes Company for market and geographic data. Thomson-Reuters Market Expert is used to retrieve demographic information and trends for the primary and secondary service areas pertaining to Saint Francis Medical Center.NeedsAssessment
Patient Education AssistancePart VI, Line 3: Saint Francis Medical Center is committed to ensuring access to health care services for all. As a health care provider, Saint Francis treats all patients, whether insured, underinsured or uninsured, with dignity, respect and compassion throughout scheduling, admission, delivery of services, discharge, billing and collection processes. Saint Francis addresses the needs of the uninsured by providing free or reduced fees on hospital services, community outreach efforts to assist with Medicaid and State Child Health Insurance Program (SCHIP) enrollment, and free community-based preventive and primary care services. Saint Francis proactively screens and assists in enrollment activities for individuals and their families who may qualify for federal, state or local health insurance programs or the Bon Secours Patient Financial Assistance Program (FAP). Potentially eligible patients are referred to the Patient Financial Assistance Department for assistance in completing the documentation required to establish eligibility in, and apply for, government insurance programs or the FAP. Patients who qualify for the Bon Secours Financial Assistance Program receive a CareCard which allows them to seek healthcare services with ease and dignity. The CareCard is good for one year.The public receives education on the financial assistance program at the point of registration, from brochures, in patient letters, on the Bon Secours Richmond website, via Free Clinics in the Richmond Metropolitan area and through community presentations. Information is available in English and Spanish. Collection practices incorporate opportunities for eligible patients to apply for financial assistance. Any collection attorneys or agencies used by Saint Francis Medical Center commit to follow Bon Secours Richmond Health Systems value-based procedures, including, without limitation, the Bon Secours Health System Inc./Bon Secours Richmond Health System Code of Conduct, in pursuit of estates, garnishments and judgments for non-payment.PatientEducationAssistance
Community InformationPart VI, Line 4: Bon Secours Saint Francis Medical Center serves the greater Richmond area and Chesterfield areas. Projections indicate that the population will grow by 6.2% from 945,069 in 2009 to 1,003,946 in 2014, with 9.8% of the service area having a household income of less than $15,000 per year, compared to the national average of 12.4%. Similarly, 18.3% of the service areas populace maintains a household income less than $25,000 per year, compared to the national average of 22.8%. Demographic data shows that 60.0% of the population is white and 30.8% is black, compared to the national averages of 65.0% and 12.2% respectively. Demographics of the service area indicate that the age cohort of 64 to 75 will increase by 33% between 2009 and 2014. In fiscal year 2010, Saint Francis served 9,127 inpatients and provided outpatient services for 43,759 visits. Additionally, Saint Francis provided 39,086 emergency room visits. The Emergency Department is open 24 hours a day and available to all persons regardless of ability to pay. Saint Francis participates in Medicare, Medicaid, CHAMPUS, Tricare and other government sponsored health care programs such as the State/Local Hospitalization program and the SCHIP/FAMIS program for children.CommunityInformation
Other InformationPart VI, Line 6: Saint Francis Medical Center has an open medical staff with privileges available to all qualified physicians in the area. Saint Francis Medical Center through the Bon Secours Richmond Health System is governed by a board of directors whose composition is representative of the community with 75% comprised of independent members of the community. Saint Francis Medical Center provides training and education of health care professionals through the St. Francis Family Medicine Center residency program. The residents work hand-in-hand with the faculty physicians to provide the best in primary care. In FY10, there were 18 residents enrolled in the program.Saint Francis Medical Center engages in medical research. Inpatient and outpatient research-related activities are conducted by Saint Francis with oversight from the Bon Secours Richmond Health System Institutional Review Board. BSRHS commitment to the poor and disadvantaged is more than providing free or discounted services to those who come to the health care facilities in crisis without financial means to pay. The call to live a healing ministry requires that BSRHS nurture the growth of individual and community capacities and create opportunities for each individual to assume a meaningful role in defining and pursuing holistic well being, peace, and hope. BSRHS is a prophetic voice for just and equitable public policies that ensure access to basic human goods for all people. BSRHS participates in collaborative partnerships throughout the metropolitan area to support improving the quality of life for individuals and the community. The following are illustrative examples of numerous community benefit programs at BSRHS. The Care-A-Vans are mobile health care clinics, which travel throughout the Richmond Metro area to provide free primary, urgent and preventive care to patients. Patients on these vans speak many different languages. Approximately one-third of the Care-A-Vans staff are bilingual in English and Spanish. Each van is a self-contained mobile clinic with examining rooms, storage, bathroom, and waiting area. Services include health screenings, childhood immunizations, flu shots for adults, school physicals for uninsured children and examination and treatment of sick patients who are uninsured. Patients who need health care from specialists are referred to volunteer physicians within the community including Bon Secours Medical Group physicians. The vans make regular stops six days a week at churches, apartments and schools, providing 9,340 patient visits in FY 10 of which approximately 6,345 were in the Saint Francis primary service area. Bon Secours Saint Francis Medical Center owns five physician practices. They provided free or reduced fee services to 462 patients in FY 10. The cost of those services was $52,793.The Asthma & Allergy Foundation of America designated Richmond, Virginia as the 2010 Asthma Capital of the United States. Controlling Asthma in the Richmond Metropolitan Area (CARMA) works to improve the management of pediatric asthma through collaborative partnerships with multiple health care systems, schools, American Lung Association, community physicians and schools, case management organizations, and universities. In FY 10 over 2,332 children, parents, teachers and physicians were directly served through CARMAs services. Every Womens Life (EWL), Virginia Breast and Cervical Cancer Early Detection Program is a partnership with the Virginia Department of Health, with funding through the Centers for Disease Control and Prevention. This program provides breast and cervical cancer screenings and diagnostic testing if needed for low income, uninsured women who are 40 to 64 years old. If cancer is found, women are enrolled in Medicaid for treatment. Bon Secours Richmond Health System holds clinics in three facilities in the Richmond Metro area. Additionally, Bon Secours Richmond provides case management, follow-up and patient education for these women. In FY 10, 704 screenings were provided of which 278 were provided at Saint Francis Medical Center.Bon Secours Richmond Health System assists low to moderate-income families whose children may qualify for state-sponsored insurance programs (Medicaid and FAMIS). Partnerships have developed with other agencies that have enrollers to identify and refer uninsured children, avoid duplication of effort, and to share responsibilities for case managing to complete the enrollment process. Three Bon Secours Richmond outreach specialists enrolled or re-enrolled over 455 children in FAMIS or Medicaid in FY 10.Founded over ten years ago, the Faith Community Health Ministry Network partners with churches to recruit and train volunteer nurses and other health ministers who in turn work to promote physical, social, emotional and spiritual growth within the congregation. BSRHS trains and supports 209 congregational promoters, faith community nurses and other health ministers.OtherInformation
Affiliated Health Care SystemPart VI, Line 7: As a member of the Catholic health ministry and a member of Bon Secours Health System, Inc. (BSHSI), Bon Secours Richmond Health System (BSRHS) is called to continue the healing ministry of Jesus. The community benefit contribution of BSRHS, which is comprised of Bon Secours Memorial Regional Medical Center, Bon Secours St. Francis Medical Center, Bon Secours St. Mary's Hospital, and Bon Secours Richmond Community Hospital, includes programs and partnerships working to improve access to health care, the quality of life and holistic health of the BSRHS communities. The mission of BSRHS is to provide compassionate quality healthcare services to those in need including the poor and dying for the purpose of alleviating human suffering and bringing people to wholeness in the midst of pain and loss. This ambition is embraced not only by the doctors and nurses providing exceptional quality care in the acute care facilities, but also by all of the employees working to improve the access to care and quality of life for those in need who live in the BSRHS community.BSRHS is comprised of four acute care hospitals with a total of 850 licensed beds. Bon Secours St. Mary's Hospital is a 391 licensed bed facility West End. Bon Secours Memorial Regional Medical Center is a 225 licensed bed facility located north of the city and is the only acute care facility in Hanover County. Bon Secours Richmond Community Hospital is a 104 bed acute care facility located in the East End, a medically underserved area. Both Bon Secours Richmond Community Hospital and Bon Secours St. Marys Hospital are disproportionate share hospitals. Bon Secours St. Francis Medical Center, a 130 bed facility, is BSRHS only hospital south of the James River. Transforming the delivery of healthcare through the development of an innovative delivery system and through partnerships with community resources, physicians and payers, BSRHS seeks to improve community health and access to care for those in need. BSRHS mission and vision are implemented through the daily work of thousands of employees, physicians, and volunteers. BSRHS has numerous staff dedicated specifically to assist in the community benefit effort. As of August 31, 2010, BSRHS employed over 15 full time employees specifically dedicated to community benefit programs and community building activities. Bon Secours Richmond Health System is a prophetic voice for just and equitable public policies that ensure access to basic human goods for all people. St. Marys has a proud history of advocacy. With the opening of the hospital in 1966, St. Marys Hospital became the first racially integrated hospital in the region. In designing the hospital, the Sisters refused to listen to architects suggestions that the room, bathrooms and other spaces should be segregated. The hospital continues to lead the fight for a fair/living wage by insisting that the lowest paid workers be paid at $8.50 an hour instead of the minimum wage of $7.25 an hour.AffiliatedHealthCareSystem
Reports Filed With StatesVAReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Bon Secours Richmond Healthcare Foundation
8580 Magellan Parkway Building IVRichmondVA23227541201346501(c)(3)90000N/A
United Way
PO BOX 91706RichmondVA232911706237375346501(c)(3)12000Caritas and Meals on Wheels
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: Bon Secours Richmond St. Francis Medical Center complies with Bon Secours Health System Inc.'s system wide financial and accounting policies related to the approval of charitable contributions and assistance to related organizations and other 501(c)(3)organizations.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Michael Robinson
03691980207071027686047385024224067556400
Toni Ardabell
026250104200009248301650001438041492200
Thom Morris PhD
02257650157345034549035338010143046314000
Mark Gordon
033504302357100110965033893025512074112300
Peter F Gallagher
0350924012750201560047344025273055260300
Peter J Bernard
069607705470340570401467060280640142358500
Kevin Sheppard
1748570473570762031080242470250331000
Michael Spine
0296808090338013138017351025863044349800
Bonnie M Shelor
02463210843340174503714107658037719900
James Pellicane
492099000375000243730516847000
Polly Stephens
369379000307000251820394868000
Glenna Hendricks
1977080450630567000132460256584000
Paul V Jackson
1338110661920427000235360223966000
Charles A Miller
1055980764260159900080340191657000
Michael Kerner
0467646029094701820880994350270340106715000
Teresa Edwards
0002535700000002535700

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 4b:Bon Secours - St. Francis Medical 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 on deposits are made into this plan.
Part IIIPart I, Line 3: Bon Secours Health System, Inc., a related organization of Bon Secours - St. Francis Medical Center, uses the following to establish the compensation of the organization's CEO/Executive Director: Compensation Committee Independent Compensation Consultant Written Employment Contract Compensation Survey or Study Approval by the Board or Compensation CommitteeSupplemental Information

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 6Bon Secours Health System, Inc. is the sole member of Bon Secours - Richmond Health Corp, which in turn holds the majority interest in Bon Secours- Richmond Health System, which in turn is the sole member of Bon Secours - St. Francis Medical Center.
Form 990, Part VI, Section A, line 7aThe governing body of Bon Secours - St. Francis Medical Center is appointed by it's member Bon Secours - Richmond Health System and subject to approval by Bon Secours Health System, Inc.
Form 990, Part VI, Section A, line 7bCertain authorities of Bon Secours - St. Francis Medical Center are reserved to its member or to Bon Secours Health System, Inc.
Form 990, Part VI, Section B, line 11The process the organization uses to review the Form 990 consists of a review by Bon Secours Richmond Health System's audit and compliance board committee and providing the form to the St. Francis Medical Center's board of directors to allow for a thorough review by both before the filing date of July 15, 2011. Bon Secours Richmond Health System's audit and compliance board committee and Bon Secours - St. Francis Medical Centers 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 12cBon Secours - St. Francis Medical 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 - St. Francis Medical 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).
Form 990, Part VI, Section B, line 15The 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 - St. Francis Medical 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: The process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. In the review, the other officers or key employees of Bon Secours - St. Francis Medical 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 19Bon Secours - St. Francis Medical 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. Peter J. Bernard's compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation he receives is for his role as the CEO of Bon Secours Virginia Health System which includes direct management of Richmond Health System and related organizations and includes the monitoring and oversight of all of Bon Secours Virginia Health System in total. Peter F. Gallagher's compensation is paid by St. Mary's Hospital of Richmond, Inc., a related organization. The compensation he receives is for his role as CFO of Bon Secours Virginia Health System. Toni Arabell's compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation she receives is for her role as the CEO of St. Mary's Hospital of Richmond, Inc. Thom Morris, Phd's compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation he receives is for his role as the Director, Mission and Sponsorship of Bon Secours Health System, Inc. Mark Gordon's compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation he receives is for his role as the CEO of Bon Secours - St. Francis Medical Center. Michael Robinson's compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation he receives is for his role as the CEO of Richmond Community Hospital, Inc. and Memorial Regional Medical Center, Inc. Michael Spine's compensation is paid by St. Mary's Hospital of Richmond, Inc., a related organization. The compensation he receives is for his role as the Bon Secours Richmond Health System Senior Vice President Business Development. Bonnie Shelor's compensation is paid by St. Mary's Hospital of Richmond, Inc., a related organization. The compensation she receives is for her role as the Bon Secours Virginia Health System Senior Vice President Human Resources. Sr. Victoria V. Segura and Sr. Anne Marie Mack do not receive payroll distributions as they have taken vows of poverty.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
Bon Secours Health System Inc
1505 Marriottsville RoadMarriottsvilleMD21104521301088Parent Org. Management ServicesMDsection 501(c)(3)Line 11, Type 2N/A
Bon Secours Richmond Health System
8580 Magellan ParkwayRichmondVA23227521988421Local System Parent Org.VAsection 501(c)(3)Line 11, Type 2N/A
Bon Secours Richmond Health Corporation
8580 Magellan ParkwayRichmondVA23227541356155Management ServicesVAsection 501(c)(3)Line 11, Type 2N/A
Bon Secours Memorial Regional Medical Center
8580 Magellan ParkwayRichmondVA23227541744931Health CareVAsection 501(c)(3)Line 3N/A
Bon Secours St Mary's Hospital
8580 Magellan ParkwayRichmondVA23227540793767Health CareVAsection 501(c)(3)Line 3N/A
Bon Secours Richmond Community Hospital
8580 Magellan ParkwayRichmondVA23227540647482Health CareVAsection 501(c)(3)Line 3N/A
Laburnum Properties
8580 Magellan ParkwayRichmondVA23227521260700Title Holding CompanyVAsection 501(c)(2)N/AN/A
Bon Secours Stuart Circle Hospital
8580 Magellan ParkwayRichmondVA23227541740128Health CareVAsection 501(c)(3)Line 3N/A
Bon Secours Richmond Healthcare Foundation
8580 Magellan ParkwayRichmondVA23227541201346Grant Making FoundationVAsection 501(c)(3)Line 7N/A
Community Health Alliance
2201 West Broad Street No202RichmondVA23220113671164Health CareVASection 501(c)(2)Line 7:170(b)(1)(a)(N/A
Richmond Community Hospital Foundation
5875 Bremo RoadRichmondVA23226541780854Grant Making FoundationVASection 501(c)(3)Line 11, Type III: 5N/A

Form990 Schedule R Part III Form990ScheduleRPartIII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
St Mary's MRI LP
8580 Magellan ParkwayRichmondVA23227541568022Imaging ServicesVAN/ARelated00
RI LP
8580 Magellan ParkwayRichmondVA23227541708835Imaging ServicesVAN/ARelated00
Broad64 Imaging LLC
8580 Magellan ParkwayRichmondVA23227205886018Imaging ServicesVAN/ARelated00
Richmond Radiation Oncology Center I LLC
8580 Magellan ParkwayRichmondVA23227208444551Radiation Oncology ServicesVAN/ARelated00
CCHC Ironbridge Realty LLC
8580 Magellan ParkwayRichmondVA23227300181909Rental - LandVAN/ARelated01
Chesterfield Community Healthcare Center MOB I LLC
435 Southlake BlvdRichmondVA23236541745670Rental - Medical Office BuildingVAN/ARelated00
Mental HealthSource LLC
8580 Magellan ParkwayRichmondVA23227541785409Behavioral Health ServicesVAN/ARelated01
Richmond Community Hospital MOB ILLC
435 Southlake BlvdRichmondVA23236541848514Rental - LandVAN/ARelated00

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
Chesterfield Community Healthcare Center Inc
8580 Magellan ParkwayRichmondVA23227541812738Ambulatory Healthcare ServicesVAN/AC
RHS Management Corporation
8580 Magellan ParkwayRichmondVA23227541313425Independent Living FacilityVAN/AC
Bon Secours - Virginia Healthsource Inc
8580 Magellan ParkwayRichmondVA23227541417686Ambulatory Healthcare ServicesVAN/AC
Ironbridge Assisted Living Retirement Community
8580 Magellan ParkwayRichmondVA23227541807857Assisted Living FacilityVAN/AC
Richmond Radiation Oncology Center Inc
8580 Magellan ParkwayRichmondVA23227541570244Oncology ServicesVAN/AC
Richmond MRI Inc
8580 Magellan ParkwayRichmondVA23227541568452Imaging ServicesVAN/AC
Central Virginia Health Network Inc
2201 West Broad StreetRichmondVA23220541806281Healthcare Support ServicesVAN/AC
Bon Secours at Wellesley Owners Assocation Inc
8580 Magellan ParkwayRichmondVA23227541938077Real EstateVAN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1NoneBusinessNameLine1

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