Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 09-01-2010 and ending 08-31-2011
BCheck if applicable:
CName of organization
Bon Secours Health System Inc
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
1505 Marriottsville Road
 
Room/suite
City or town, state or country, and ZIP + 4
Marriottsville, MD21104
D Employer identification number

52-1301088
E Telephone number

G Gross receipts $ 190,773,865
F Name and address of principal officer:
Janice E Burnett
1505 Marriottsville Road
Marriottsville,MD21104
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.bshsi.com
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet0928
K Form of organization:
 
L Year of formation: 1983
M State of legal domicile: MD
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: Provide admin/mgmt services to hospitals, nursing homes & other related healthcare orgs.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 18
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 16
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 804
6 Total number of volunteers (estimate if necessary) .... 6 17
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 124,208
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 0
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 29,169 19,049
9 Program service revenue (Part VIII, line 2g) ......... 111,888,740 134,428,586
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 2,612,574 26,041,591
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 20,889,608 30,274,615
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 135,420,091 190,763,841
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,731,283 1,833,331
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 89,522,648 95,001,172
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 67,960,520 115,948,053
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 159,214,451 212,782,556
19 Revenue less expenses. Subtract line 18 from line 12...... -23,794,360 -22,018,715
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 1,090,187,018 1,104,949,244
21 Total liabilities (Part X, line 26)............ 1,229,813,072 1,202,859,447
22 Net assets or fund balances. Subtract line 21 from line 20 ..... -139,626,054 -97,910,203
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: 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.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 172,854,389 including grants of $ 1,833,330 ) (Revenue $ 150,922,043 )
The Bon Secours Health System provides a wide range of corporate support services to the facilities it owns or has affiliations. The system's mission services ensure that all Bon Secours facilities support the ministry of the Sisters of Bon Secours and the Catholic Church, and are driven by the system's mission and values. The system's financial, operational and business development services provide essential centralized support to improve operations, financial performance, and the delivery of patient care. With expertise in all areas of acute, long-term care and assisted living facility and home care management and operations, the corporate staff also serves as an invaluable corporate consulting resource. See Schedule O.Mission Services:-Direction, support and consultation for the local and corporate staffand boards of directors-Policy development in areas such as sponsorship, businessrelationships, moral investments, bioethics, organizational ethics,social justice and community commitment services-Education to promote the Bon Secours mission, philosophy and values tokey staff-Coordination of teams charged with addressing health care issues andethical concernsFinancial & Treasury Services:-Negotiation of access to capital-Oversight, coordination and control of external audits-Coordination of and assistance in maximizing third-party reimbursementand filing related appeals-Monitoring of federal health care policy-Monitoring of System's master pension trust encompassing the pooledinvestment of all defined benefit pension plan assets of System members, including the selection of master pension trust investment advisor and managers and evaluation of their performance-Management of System members' trustee-held funds and System-wideinvestment program encompassing the vast majority of System members'investments, including funded depreciation accounts and centralized cash management program, in accordance with uniform System investmentguidelines-Management of centralized cash management program-Maintenance of System-wide common financial data base providing statusof key financial indicators and operating statistics-Long range capital and financial planning and annual operating andcapital budgeting support-Preparation of monthly and year-end consolidating System-widefinancial statements, including budget variation reporting andstatistical analysis-Development, implementation and monitoring of standardized accountingpolicies and educates senior leaders on financial literacy andcontemporary financial practices-Development of external financial disclosures to investors and thepublic at large-Primary contact with rating agencies, bond insurers and for investorsquestions Oversight of System consulting in the areas of tax returns,cost reporting, A-133 filings, CDM compliance and third party appeals-Organization of meetings of Chief Financial Officers to bettercoordinate implementation of System-wide goals, strategies, tactics andobjectives and to monitor facility operations and corporate complianceOperational Services:-Actuarial, accounting and investment functions for self insurancefunding of System members' general and professional liability andworkers compensation claims and for a System-wide self-funded plan for employee health benefits-Coordination of functions for a System-wide standard hospitalinformation system and other systems for use throughout the System andsupport functions for implementing and maintaining the informationsystem-Standardized purchasing function, material management, Lawson ERPsystem, and other standard IS-Knowledge Transfer of best practices and successes on revenueenhancement and cost reduction initiativesStrategic Planning, Marketing, and Business Development Services:-Coordination of System strategic planning including coordination ofdevelopment of the System's vision, goals, and 3-year strategic planand annual planning processes-Market assessment and strategy development for improved local marketpositioning-Strategic planning support for acute, long-term and home careoperations-New product/service research and development-Emerging technology research & assessment; knowledge transfer oftechnology and implications for system-Coordination and consultative assistance in service line planning &profitability analyses-Implementation of strategic growth initiatives in new and existingcommunities-Coordination of Planning & Business Development leaders, Customer Satisfaction, and Marketing & Communications leader's networksOther Corporate Services:-Corporate Communications and Public Relations-Internal auditing-Corporate Responsibility-Risk management-Governance-Coordination and control of System-wide benefit testing-Administration of System-wide health benefit plans-Placement and renewal of various System-wide welfare benefit plans-Coordination and management of legal services provided to Systemmembers-Regulatory compliance and insurance functions-System-wide employee, patient, resident and physician satisfactionProgram
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 172,854,389
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? ........
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II.........................
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
 
No
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II.. Click to see attachment
15
Yes
 
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III.. Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H.....
20a
 
No
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....
20b
 
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
364
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
804
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
18
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
16
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
No
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
Laura Ellison
8990M Old Annapolis Road
Columbia,MD21045
(410) 442-5511
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) Chris Allen
Board Member
 4.00 X           0 0 0
(2) Richard Blair
Board Member
 6.00 X           0 0 0
(3) Michael Carey
Board Member
 6.00 X           0 0 0
(4) Sister Elaine Davia
Board Member
 4.00 X           0 0 0
(5) Marcia Dush
Board Member
 4.00 X           0 0 0
(6) Elder Granger MD
Board Member (Aug)
 4.00 X           0 0 0
(7) Roger Huang
Board Member
 4.00 X           0 0 0
(8) David Jimenez
Board Member
 4.00 X           0 0 0
(9) Gerald Kells
Board Member (Jan-Aug)
 4.00 X           0 0 0
(10) Laurie Lafontaine
Board Member
 6.00 X           0 0 0
(11) Lucretia McClenney
Board Member
 6.00 X           0 0 0
(12) Susan Sandlund
Board Member
 4.00 X           0 0 0
(13) Richard Serafini
Board Member
 4.00 X           0 0 0
(14) Rev Myles Sheehan MD
Board Member
 4.00 X           0 0 0
(15) Sister Mary Shimo
Board Member
 4.00 X           0 0 0
(16) Sister Alice Talone
Board Member
 4.00 X           0 0 0
(17) Donald Seitz MD
Chairman
 12.00 X   X       65,000 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) Richard Statuto
President/CEO
 50.00 X   X       1,408,067 0 211,527
(19) Martha Riva
SVP Goverance/Secretary
 50.00     X       401,841 0 97,433
(20) Katherine Arbuckle
Treasurer/CFO
 50.00     X       705,296 0 89,039
(21) Timothy Davis
EVP - CHRAO
 50.00       X     743,518 0 132,790
(22) Lawrence Skip Hubbard
SVP - CIO
 50.00       X     474,728 0 118,294
(23) Marlon Priest MD
EVP-CMO
 50.00       X     701,230 0 122,967
(24) Peter Bernard
EVP - CEO BSV
 50.00         X   965,548 0 188,973
(25) Mark Nantz
CEO - BSSFHS
 50.00         X   1,085,084 0 56,277
(26) Samuel Ross MD
CEO - BSBHS
 50.00         X   935,425 0 47,941
(27) Philip Patterson
CEO - BSCHS
 50.00         X   822,638 0 45,504
(28) Matthew Toddy
EVP & General Counsel
 50.00         X   681,768 0 101,118
(29) Donald Strange
Former COO
 0.00           X 680,980 0 1,020


1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 9,671,123 0 1,212,883
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet217
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
JDA E Health Sys Inc
1717 Park Street Ste 250
Naperville,IL60563 		Bus. office claims Mgmt. 4,784,252
Vitalize Consulting Solution
248 Main St Suite 101
Reading,MA01867 		Healthcare Consulting 3,880,661
Benefit Focuscom
100 Benefitfocus Way
Charleston,SC29492 		Benefits Consulting 2,852,632
Towers Watson
PO Box 8500 S-6110
Philadelphia,PA19178 		Actuarial Services 2,680,264
Maxit Healthcare LLC
Lockbox KK PO Box 258
Fort Wayne,IN46801 		Healthcare Info Technology 1,983,639
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet130
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		19,049
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 19,049
Program Service Revenue Business Code
2a Corp Mgmt & IS Fees 900,099 134,428,586 134,428,586    
b
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 134,428,586
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 13,741,759     13,741,759
4 Income from investment of tax-exempt bond proceeds..MediumBullet 1,225,603     1,225,603
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents 183,604  
b Less: rental expenses    
c Rental income or (loss) 183,604  
d Net rental income or (loss).......MediumBullet 183,604     183,604
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 11,084,253  
b Less: cost or other basis and sales expenses   10,024
c Gain or (loss) 11,084,253 -10,024
d Net gain or (loss)..........MediumBullet 11,074,229     11,074,229
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a Roper Joint Venture 900,099 10,170,754 10,170,754    
b Rebate 900,099 9,820,988     9,820,988
c Inv in PTRPs 900,099 6,446,911 6,322,703 124,208  
d All other revenue .... 3,652,358     3,652,358
e Total. Add lines 11a–11d ......MediumBullet 30,091,011
12 Total revenue. See Instructions....MediumBullet 190,763,841 150,922,043 124,208 39,698,541
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 1,779,772 1,779,772
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16 53,559 53,559
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 4,948,951 4,454,056 494,895  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 64,326,585 57,808,155 6,518,430  
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 10,730,289 9,657,260 1,073,029  
9 Other employee benefits ....... 10,658,371 9,580,202 1,078,169  
10 Payroll taxes ........... 4,336,976 3,899,569 437,407  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 752,236 677,012 75,224  
c Accounting ........... 293,011 263,446 29,565  
d Lobbying ...........        
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ......        
g Other .......... 1,956,625 1,744,431 212,194  
12 Advertising and promotion .... 447,546 402,791 44,755  
13 Office expenses ....... 1,248,226 1,122,375 125,851  
14 Information technology ...... 26,130,193 23,517,174 2,613,019  
15 Royalties ..        
16 Occupancy ........... 7,181,007 6,339,059 841,948  
17 Travel ............ 4,011,846 3,610,625 401,221  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 1,571,909 1,414,718 157,191  
20 Interest ........... 20,374,752   20,374,752  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 30,643,989 27,453,300 3,190,689  
23 Insurance .............. 123,838 85,867 37,971  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a Purchased services 16,816,087 15,083,786 1,732,301  
b Recruitment/Relocation 2,105,561 1,895,005 210,556  
c Training and Education 1,238,914 1,115,023 123,891  
d Dues and Subscriptions 393,962 354,566 39,396  
e Employee Relations 278,848 250,963 27,885  
f All other expenses 379,503 291,675 87,828  
25 Total functional expenses. Add lines 1 through 24f 212,782,556 172,854,389 39,928,167 0
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ..........   1  
2 Savings and temporary cash investments ....... 0 2  
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 1,697,300 4 3,653,326
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges ............ 15,254,290 9 12,386,956
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 259,755,564
b Less: accumulated depreciation. ..... 10b 82,748,137 170,231,907 10c 177,007,427
11 Investments—publicly traded securities .......... 246,370,855 11 270,831,463
12 Investments—other securities. See Part IV, line 11 ...... 35,221,376 12 29,110,025
13 Investments—program-related. See Part IV, line 11 ..   13 11,084,421
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 621,411,290 15 600,875,626
16 Total assets. Add lines 1 through 15 (must equal line 34)... 1,090,187,018 16 1,104,949,244
Liabilities 17 Accounts payable and accrued expenses . 50,819,875 17 46,130,409
18 Grants payable ..........   18  
19 Deferred revenue .......... 12,420,252 19 15,234,030
20 Tax-exempt bond liabilities .......... 842,482,623 20 869,586,571
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 7,854,080 23 5,387,911
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 316,236,242 25 266,520,526
26 Total liabilities. Add lines 17 through 25..... 1,229,813,072 26 1,202,859,447
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... -146,886,054 27 -105,170,203
28 Temporarily restricted net assets ..... 7,260,000 28 7,260,000
29 Permanently restricted net assets .....   29  
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... -139,626,054 33 -97,910,203
34 Total liabilities and net assets/fund balances ..... 1,090,187,018 34 1,104,949,244
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
190,763,841
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
212,782,556
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
-22,018,715
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
-139,626,054
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
63,734,566
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
-97,910,203
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
Bon Secours Health System Inc
 
Employer identification number

52-1301088
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
No
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
No
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
No
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
(1) The Sisters of Bon Secours in the United States
  		520715237 1 Yes   Yes     No 6,464,631
(2) Listed on supplemental information-Bon Secours Health System Inc is forme
  		521301088 9 Yes   Yes   Yes   0
Total                 6,464,631

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
Schedule A, Part IV, Supplemental Information: Part I, Line 11 H (i) - Supported Organizations: Bon Secours Health System, Inc. is formed exclusively for the benefit of, to perform the functions of, and to carry out the purposes of the Sisters of Bon Secours in the United States, Inc. and all other publicly supported organizations (within the meaning of section 509(a)(1) or 509(a)(2) of the Internal Revenue Code of 1986) in, or operating for the benefit of, the Bon Secours Health System, Inc. Additionally, Bon Secours Health System, Inc. is formed: (1) To participate in the charitable health care system sponsored by Bon Secours Ministries throughout the United States, and globally, through which the health care mission of The Sisters of Bon Secours in the United States, Incorporated (the "Congregation"), the founding participating entity of Bon Secours Ministries, is furthered; (2) To fulfill and to participate in, the charitable health care mission sponsored by Bon Secours Ministries throughout the United States, and globally, as it carries out its health care mission in accordance with the philosophy, mission and policies of Bon Secours Ministries and the directives and teachings of the Roman Catholic Church; (3) To participate in the activities and implement the operational policies and procedures pertaining to health care facilities and other enterprises sponsored by Bon Secours Ministries, or associated or affiliated with, BSHSI, a Maryland nonstock, nonprofit corporation; (4) To benefit the Congregation and all other publicly supported organizations (within the meaning of Section 509(a)(I) or 509(a)(2) of the Code) in, or operating for the benefit of, the Bon Secours Health System in the United States by carrying out the health care mission of the Congregation in accordance with the philosophy, mission and policies of the Congregation, and in accordance with, and subject to, the directives and teachings of the Roman Catholic Church or in concert with one or more other publicly supported organizations which provide health care services in a manner that is consistent with the teachings of the Roman Catholic Church; (5) To perform all activities permitted corporations under the laws of the State of Maryland, to the extent such activities are permitted by organizations which are exempt from Federal income tax under Section 501(c)(3) of the Code and contributions to which are deductible under Sections 170(c)(2), 2055(a)(2) and 2522(a)(2) of the Code and to the extent such activities are not inconsistent with the Corporation's non-private foundation status under Section 509(a) of the Code, including the making of distributions for charitable, religious, educational, and scientific purposes to organizations which are exempt from Federal income tax under Section 501(c)(3) of the Code and contributions to which are deductible under Sections 170(c)(2), 2055(a)(2) and 2522(a)(2) of the Code (a "Charity").
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Bon Secours Health System Inc
 
Employer identification number

52-1301088
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance ....      
b Contributions ........      
c Investment earnings or losses ...      
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		     
f Administrative expenses ....      
g End of year balance ......      
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet  
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   11,566,081 11,566,081
b Buildings ................   8,551,305 2,828,757 5,722,548
c Leasehold improvements ............   1,460,177 1,074,183 385,994
d Equipment ................   3,794,628 1,672,748 2,121,880
e Other .................   234,383,373 77,172,449 157,210,924
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 177,007,427
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) Other Assets (Misc and Exec Assets - Cap accum, Insurance policies) 10,505,272
(2) Due from Affiliates 481,879,861
(3) Investment in Joint Ventures 108,490,493






Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 600,875,626
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
Worker's Comp Liability 41,745,068
Health Plan Liability 17,375,389
Pension Liability 112,998,062
Swaps 88,081,413
Discontinued Operations Liability 6,000,560
Other Misc Liabilities 320,034



Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 266,520,526
2. Fin 48 (ASC 740) Footnote. In Part XIV, 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 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5  
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
Description of Uncertain Tax Positions Under FIN 48: Part X: Schedule D, Part X, Line 2 requires that the organization provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48. FIN 48 addresses the accounting for uncertainty in income taxes recognized in an entity's financial statements and prescribes a threshold of more-likely-than-not for recognition and derecognition of tax positions taken or expected to be taken in a tax return. The adoption of FIN 48 by BSHSI on September 1, 2007 did not have a material impact on BSHSI's consolidated financial statements. As the organization does not conduct a separate audit of its financial statements, below is the related statement from the Bon Secours Health System, Inc. consolidated audited financial statements: The System and most of its subsidiaries (including certain joint venture entities) are exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. The system accounts for uncertain tax positions in accordance with ASC Topic 740. Income taxes of the System's for-profit subsidiaries are not material to the accompanying consolidated financial statements. The System's taxable subsidiaries have approximately $89,500 and $98,300 of net operating loss carryforwards as of August 31, 2011 and 2010, respectively, which expire in varying periods through 2031 and are available to offset future taxable income. The System's deferred tax assets are fully reserved at August 31, 2011 and 2010. Any changes to the valuation allowance on the deferred tax asset are reflected in the year of the change.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE F
(Form 990)

Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,
Part IV, line 14b, 15, or 16.
Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Bon Secours Health System Inc
 
Employer identification number

52-1301088
Part I
General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of the grants or
assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award
the grants or assistance? ...................................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside the
United States.
3
Activites per Region. (Use Part V if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees or agents in region or independent contractors (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total
expenditures for region/investments
in region
Central America & the Caribbean 0 1 Program services Off Shore Captive Management 23,805,832
Sub-Saharan Africa 0 0 Grant making N/A 40,000
South America 0 0 Grant making N/A 13,559
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total ..... 0 1 23,859,391
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 1 23,859,391
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet
Use Part V if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount of
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
Sub-Saharan Africa Boys Shelter in Louis Trichardt 30,000 Electronic Fund/Wire     Book
Sub-Saharan Africa Dioces of Solwezi Projects 10,000 Electronic Fund/Wire     Book
South America Josephine Potel Workshop 13,559 Electronic Fund/Wire     Book
             
             
             
             
             
             
             
             
             
             
             
             
             
2
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .....MediumBullet
3
3
Enter total number of other organizations or entities ........................MediumBullet
0
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Use Part V if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................
2 Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 5
Part V
Supplemental Information
Complete this part to provide the information (see instructions) required in Part I, line 2, and any additional information.
Identifier ReturnReference Explanation
Procedure for Monitoring Grants Outside the U.S.:   Schedule F, Part I, Line 2: Grantees submit progress reports on the anniversary date on which the grant was received. Includes status of goals and objectives and progress towards achievement of desired outcomes. An accurate accounting of revenues and expenses must be submitted.
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2010
Additional Data


Software ID:  
Software Version:  



Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
Bon Secours Health System Inc
 
Employer identification number
52-1301088
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) Bon Secours Maryview Foundation150 Kingsley Lane
Norfolk,VA23505 		52-1694731 501 (c)(3) 55,000       Care-A-Van Program
(2) Bon Secours Maryview Foundation150 Kingsley Lane
Norfolk,VA23505 		52-1694731 501 (c)(3) 45,000       Life coach model at Maryview MC program
(3) Bon Secours of MD Foundation26 North Fulton Avenue
Baltimore,MD21223 		53-1732800 501 (c)(3) 50,000       Open Space Management Support
(4) Bon Secours of MD Foundation26 North Fulton Avenue
Baltimore,MD21223 		53-1732800 501 (c)(3) 50,000       Youth Employment & Entrepreneurship Program
(5) Bon Secours Richmond Health Care Foundation5875 Bremo Road
Richmond,VA23226 		13-1740104 501 (c)(3) 100,000       Access in Motion - Creighton
(6) Bon Secours Maria Manor Nursing Care Center10300 4th Street North
St Petersburg,FL33716 		65-0051820 501 (c)(3) 50,000       Healthy Community Collaboration Support
(7) Bon Secours Maria Manor Nursing Care Center10300 4th Street North
St Petersburg,FL33716 		65-0051820 501 (c)(3) 50,000       Free Clinic Dental Services Program
(8) Good Samaritan Foundation for Better Health Inc255 Lafayette Avenue
Suffern,NY10901 		13-3400353 501 (c)(3) 66,300       Community Gardens Project
(9) Schervier Nursing Care Center2975 Independence Ave
Bronx,NY10463 		13-1740397 501 (c)(3) 29,100       Healthy Community Initiative Program
(10) Schervier Nursing Care Center2975 Independence Ave
Bronx,NY10463 		13-1740397 501 (c)(3) 40,050       Community Garden - Nutrition Program
(11) Our Lady of Bellefonte Hospital Foundation1000 Ashland Drive
Ashland,KY41101 		61-1381952 501 (c)(3) 50,000       Healthy Communities Walking Trail Project
(12) Our Lady of Bellefonte Hospital Foundation1000 Ashland Drive
Ashland,KY41101 		61-1381952 501 (c)(3) 50,000       Community Services Project
(13) St Francis FoundationOne St Francis Drive
Greenville,SC29601 		26-0012031 501 (c)(3) 40,000       Community Garden Sustainability Coordinator Project
(14) St Francis FoundationOne St Francis Drive
Greenville,SC29601 		26-0012031 501 (c)(3) 60,000       Faith Ministries Social Worker Program
(15) Roper St Francis Foundation69-B Barre Street
Charleston,SC29401 		57-1068509 501 (c)(3) 45,000       Hope Housing Program
(16) St Francis FoundationOne St Francis Drive
Greenville,SC29601 		26-0012031 501 (c)(3) 48,000       Sterling Fitness Center Support
(17) Bon Secours DePaul Health Foundation150 Kingsley Lane
Norfolk,VA23505 		54-1843876 501 (c)(3) 7,500       Family Focus Project
(18) Our Lady of Bellefonte Hospital Foundation1000 Ashland Drive
Ashland,KY41101 		61-1381952 501 (c)(3) 20,000       Healthy Community, Ironton Program
(19) Our Lady of Bellefonte Hospital Foundation1000 Ashland Drive
Ashland,KY41101 		61-1381952 501 (c)(3) 15,000       Van Ministry Support
(20) Bon Secours Richmond Health Care Foundation5875 Bremo Raod
Richmond,VA23226 		13-1740104 501 (c)(3) 25,000       SEEDS with LISC Support
(21) Schervier Nursing Care Center2975 Independence Ave
Bronx,NY10463 		13-1740397 501 (c)(3) 30,550       Inwood Go Green Project
(22) Bon Secours Maria Manor Nursing Care Center10300 4th Street North
St Petersburg,FL33716 		65-0051820 501 (c)(3) 30,000       Community Action Stops Abuse Program
(23) Bon Secours MD Foundation - Women's Resource Center26 North Fulton Avenue
Baltimore,MD21223 		53-1732800 501 (c)(3) 44,000       Women's Resource Center Support
(24) Mercy Housing1999 Broadway STE 1000
Denver,CO80202 		47-0646706 501 (c)(3) 75,000       Strategic Healthcare Partnership Pledge
(25) Leadership Conference of Women Religious of the USA Inc8808 Cameron Street
Silver Spring,MD20910 		43-6033728 501 (c)(3) 35,000       Documentary Project for Catholic Sisters in America Exhibit
(26) Basilica of the Assumption Historic Trust Inc408 N Charles Street
Baltimore,MD21201 		52-1065433 501 (c)(3) 20,000       Pope John Paul II Prayer Garden
(27) Good Samaritan Foundation for Better Health Inc255 Lafayette Avenue
Suffern,NY10901 		13-3400353 501 (c)(3) 5,000       BS Charity Golf Tournament
(28) The Rose Foundation6008 College Ave Suite 10
Oakland,CA94618 		94-3179772 501 (c)(3) 5,000       Fiscal sponsor for the Investor Environmental Health Network
(29) Sisters of Mercy Northeast Community2715 Bainbridge Avenue
Bronx,NY10458 		86-1164387 501 (c)(3) 25,000       All African Conference
(30) VA Gentlemen Foundation932 Laskin Road
Virginia Beach,VA23451 		26-1698094 501 (c)(3) 10,000       Grommet Island Beach Park & Playground Sponorship
(31) Sisters of Bon Secours1525 Marriottsville Road
Marriottsville,MD21044 		52-0715237 501 (c)(3) 54,100       Volunteer Ministry
(32) Catholic Medical Mission Board10 West 17th Street
New York,NY100115765 		13-5602319 501 (c)(3) 363,750       Unidos Contra La Mortalidad Infantil Program/Disater Relief
(33) Health Wagon119 Number Ten Street
Clinchco,VA24226 		04-3739083 501 (c)(3) 25,000       Lung/Pulmonary Clinic
(34) Roper St Francis Foundation316 Calhoun Street
Charleston,SC29401 		57-1068509 501 (c)(3) 5,000       Spirit of Caring Golf Tournament
(35) Our Lady of Bellefonte Hospital Foundation1000 Ashland Drive
Ashland,KY41101 		61-1381952 501 (c)(3) 5,000       Annual Golf Tournament
(36) Midwives for Haiti Inc7130 Glen Forest Drive
Richmond,VA23226 		27-2368581 501 (c)(3) 25,000       Midwives for Haiti Program
(37) Hospital Sisters Mission Outreach Crop4930 LaVerna Road
Springfield,IL62705 		35-2271729 501 (c)(3) 30,970       Disater Relief - Japan
(38) Catholic Charities228 W Lexington Street
Baltimore,MD21201 		52-0591538 501 (c)(3) 50,000       Disater Relief Donations
(39) Sisters Academy of Baltimore139 First Ave
Baltimore,MD21227 		34-1975939 501 (c)(3) 25,552       Class of 2013 Sponsor
(40) Schervier Nursing Care Center2975 Independence Ave
Bronx,NY10463 		13-1740397 501 (c)(3) 10,000       Gala Program
2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
40
3
Enter total number of other organizations ................................ . Bullet Image
0
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: Grantees submit progress reports on the anniversary date on which the grant was received. The evaluation report includes: 1) progress toward the deployment of the stated goals and objectives, 2) progress towards the achievement of desired outcome as demonstrated by Project Work Plan, 3) an accurate accounting of the revenue and expenses and the amount of the mission fund award expensed, and 4) a summary past, current and future funding sources and efforts to secure sustaining sources of funding.
Other Information: Part IV: Description of the Bon Secours Health System Mission Fund: Bon Secours Health System, Inc performs its philanthropic work through its mission department. This initiative, called the Bon Secours Health System Mission Fund ("Mission Fund"), was developed to promote the Catholic Health Ministry and the BSHSI Mission. This purpose is realized through the funding of initiatives that improve the health and well being of communities, particularly for disenfranchised and marginalized people, served by BSHSI Local Systems ("Local Systems"), Cosponsors and the Congregation of the Sisters of Bon Secours. The scope of its purpose and use of funds would be to: -promote healthy community coalition initiatives in conjunction with local system efforts, -develop local system and community excellence for a specific health condition and preventive need, and -improve access for uninsured populations and reduce health disparities among populations in the community. The Strategic Quality Plan of the health system calls for focused efforts to Build Healthier Communities. The health system understands "health" to include social and communal dimensions and has adopted the following articulation of a healthy community. The conditions of communities and individuals served by BSHSI reflect the interaction of significant factors and complex behaviors at the individual, communal, and societal level. It is not likely that interventions by any one organization will result in substantial improvement or benefit to the community. Rather, increased participation by stakeholders and greater cooperation among entities with appropriate skills and resources is necessary for systemic change and improved outcomes. Mission Fund grants place emphasis on increased collaboration among community based members (Healthy Community Initiative), public health officials and other providers of services. The Mission Fund anticipates that most endeavors that seek to bring meaningful improvement require time and commitment. Consequently, local system grant recipients may expect continuity of support (several years) to establish and track outcomes. At the same time, grant applicants need to cultivate and achieve a wide array of financial resources necessary to sustain promising projects and service programs.
Schedule I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Bon Secours Health System Inc
 
Employer identification number

52-1301088
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
No
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
 
No
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) Richard Statuto (i)
(ii)		 1,042,369
0 		357,037
0 		8,661
0 		178,600
0 		32,927
0 		1,619,594
0 		0
0
(2) Martha Riva (i)
(ii)		 309,435
0 		88,768
0 		3,638
0 		63,141
0 		34,292
0 		499,274
0 		0
0
(3) Katherine Arbuckle (i)
(ii)		 520,303
0 		156,596
0 		28,397
0 		66,120
0 		22,919
0 		794,335
0 		0
0
(4) Timothy Davis (i)
(ii)		 568,101
0 		168,422
0 		6,995
0 		111,800
0 		20,990
0 		876,308
0 		0
0
(5) Lawrence Skip Hubbard (i)
(ii)		 365,557
0 		102,880
0 		6,291
0 		96,117
0 		22,177
0 		593,022
0 		0
0
(6) Marlon Priest MD (i)
(ii)		 515,776
0 		155,966
0 		29,488
0 		90,096
0 		32,871
0 		824,197
0 		0
0
(7) Peter Bernard (i)
(ii)		 733,983
0 		222,954
0 		8,611
0 		158,275
0 		30,698
0 		1,154,521
0 		0
0
(8) Mark Nantz (i)
(ii)		 437,094
0 		328,628
0 		319,362
0 		30,500
0 		25,777
0 		1,141,361
0 		0
0
(9) Samuel Ross MD (i)
(ii)		 464,477
0 		445,726
0 		25,222
0 		27,112
0 		20,829
0 		983,366
0 		0
0
(10) Philip Patterson (i)
(ii)		 434,585
0 		51,643
0 		336,410
0 		17,150
0 		28,354
0 		868,142
0 		0
0
(11) Matthew Toddy (i)
(ii)		 512,719
0 		145,000
0 		24,049
0 		74,023
0 		27,095
0 		782,886
0 		0
0
(12) Donald Strange (i)
(ii)		 -1,020
0 		0
0 		682,000
0 		0
0 		1,020
0 		682,000
0 		0
0




Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
  Part I, Line 1a Bon Secours Health System, Inc. has from time to time used gross-ups as a tool to cover relocating expenses when hiring and relocating executives. Executive positions eligible throughout the system may include, but are not limited to, CEO/President, CFO, COO, EVP, SVP, VP and Directors.
  Part I, Lines 4a-b Part I, Line 4a: Bon Secours Health System, Inc. has system wide severance policies for various levels of executive management. Executive positions throughout the system may include, but are not limited to, CEO/President, CFO, COO, EVP, SVP, VP and Directors. Severance periods vary based on length of service, subsequent employment and violations of the severance policy. Generally, severance periods can be up to 24 months. Benefits may include, but are not limited to, base salary, certain health benefits and payment of unused vacation. The following individual(s) received severance payments during the applicable calendar year: Donald Strange, $682,000. Part II, Line 4b: BSHSI participates in a BSHSI sponsored executive retirement program that allows for deposits into additional retirement plans and available only to key employees. The 457F plan is a non-qualified plan and is subject to a minimum three-year service requirement before vesting on deposits is made into this plan.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
Bon Secours Health System Inc
 
Employer identification number
52-1301088
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A South Carolina Jobs-Economic Development Authority
  		57-6000286 837031QH9 01-15-2008 69,925,000 Construct and equip facility   X   X   X
B Economic Development Authority of Henrico County Virginia
  		54-1197472 42605PBV6 10-19-2010 80,412,256 Refund bonds issued by Econ. Dev. Auth. of Henrico Co. VA on 1/15/08   X   X   X
C Economic Development Authority of the County of Chesterfield
  		52-1279622 16639EAY0 10-19-2010 93,627,897 Refund bonds issued by Econ. Dev. Auth. of the Co. of Chesterfield on 1/15/2   X   X   X
D South Carolina Jobs-Economic Development Authority
  		57-0960018 837031RA3 10-17-2008 30,365,000 Refund bonds issued by SC Jobs Econ. Dev. Auth. On 12/30/02   X   X   X
Economic Development Authority of Henrico County Virginia
  		54-1197472 42605PBK0 10-17-2008 53,890,000 Refund bonds issued by Econ. Dev. Auth. of Henrico Co. VA on 12/30/02   X   X   X
Economic Development Authority of Hanover County
  		54-1228097 41077RAC6 10-17-2008 124,715,000 2008D-1 Refund bonds issued by the Econ. Dev. Auth. Of Hanover Co. on 12/30/   X   X   X
Economic Development Authority of the City of Norfolk
  		52-1375010 65588QAE5 10-17-2008 84,610,000 2008D-1 Refund bonds issued by the Econ. Dev. Auth. of the City of Norfolk o   X   X   X
Virginia Small Business Financing Authority
  		54-1300845 928105AY1 10-19-2010 40,740,000 Terminate swap agreements   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . . 3,940,000 6,620,000 9,660,000 3,940,000
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 69,973,023 80,412,256 93,627,897 30,365,000
4 Gross proceeds in reserve funds . .        
5 Capitalized interest from proceeds.        
6 Proceeds in refunding escrow. . . . .        
7 Issuance costs from proceeds . . . 729,108 1,131,056 967,897 255,675
8 Credit enhancement from proceeds. 1,694,518 157,532 7,500 7,500
9 Working capital expenditures from proceeds . .        
10 Capital expenditures from proceeds . . 67,549,397     40,226,081
11 Other spent proceeds . . 80,412,256 80,412,256 92,660,000  
12 Other unspent proceeds. . .        
13 Year of substantial completion . . . 2008 2010
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue?   X X     X    
15 Were the bonds issued as part of an advance refunding issue?   X   X   X   X
16 Has the final allocation of proceeds been made? . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X   X   X    
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . X   X     X    
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use? X   X   X      
b Are there any research agreements that may result in private business use of bond-financed property? . . X   X     X    
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X   X   X      
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet 0.520 % 0.050 % 0 %  
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet 0.010 % 0.010 %    
6 Total of lines 4 and 5 . . .. . . . . . 0.530 % 0.060 % 0 %  
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X   X      
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X   X   X
2 Is the bond issue a variable rate issue? X   X   X   X  
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue? X     X   X   X
b Name of provider . PNC Bank
  		 
  		JP Morgan
  		 
 
c Term of hedge . . 33.000000000000   13.000000000000  
d Was the hedge superintegrated? .   X       X    
e Was a hedge terminated? .   X       X    
4a Were gross proceeds invested in a GIC? .   X   X   X   X
b Name of provider .  
  		 
  		 
  		 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X   X   X   X
6 Did the bond issue qualify for an exception to rebate? . . .   X   X   X   X
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
    Differences between the Issue Price (Part I) and total proceeds (Part III, line 3) are due to investment earnings. The Henrico, Chesterfield and Virginia bonds issued on 10/19/2010 constitute a single issue for federal tax reporting purposes. Part III has not been completed with respect to bonds that refinanced projects where the original debt was issued prior to 2003.
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
Bon Secours Health System Inc
 
Employer identification number
52-1301088
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A South Carolina Jobs-Economic Development Authority
  		57-6000286 837031QH9 01-15-2008 69,925,000 Construct and equip facility   X   X   X
B Economic Development Authority of Henrico County Virginia
  		54-1197472 42605PBV6 10-19-2010 80,412,256 Refund bonds issued by Econ. Dev. Auth. of Henrico Co. VA on 1/15/08   X   X   X
C Economic Development Authority of the County of Chesterfield
  		52-1279622 16639EAY0 10-19-2010 93,627,897 Refund bonds issued by Econ. Dev. Auth. of the Co. of Chesterfield on 1/15/2   X   X   X
D South Carolina Jobs-Economic Development Authority
  		57-0960018 837031RA3 10-17-2008 30,365,000 Refund bonds issued by SC Jobs Econ. Dev. Auth. On 12/30/02   X   X   X
Economic Development Authority of Henrico County Virginia
  		54-1197472 42605PBK0 10-17-2008 53,890,000 Refund bonds issued by Econ. Dev. Auth. of Henrico Co. VA on 12/30/02   X   X   X
Economic Development Authority of Hanover County
  		54-1228097 41077RAC6 10-17-2008 124,715,000 2008D-1 Refund bonds issued by the Econ. Dev. Auth. Of Hanover Co. on 12/30/   X   X   X
Economic Development Authority of the City of Norfolk
  		52-1375010 65588QAE5 10-17-2008 84,610,000 2008D-1 Refund bonds issued by the Econ. Dev. Auth. of the City of Norfolk o   X   X   X
Virginia Small Business Financing Authority
  		54-1300845 928105AY1 10-19-2010 40,740,000 Terminate swap agreements   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . . 3,940,000 6,620,000 9,660,000 3,940,000
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 69,973,023 80,412,256 93,627,897 30,365,000
4 Gross proceeds in reserve funds . .        
5 Capitalized interest from proceeds.        
6 Proceeds in refunding escrow. . . . .        
7 Issuance costs from proceeds . . . 729,108 1,131,056 967,897 255,675
8 Credit enhancement from proceeds. 1,694,518 157,532 7,500 7,500
9 Working capital expenditures from proceeds . .        
10 Capital expenditures from proceeds . . 67,549,397     40,226,081
11 Other spent proceeds . . 80,412,256 80,412,256 92,660,000  
12 Other unspent proceeds. . .        
13 Year of substantial completion . . . 2008 2010
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue?   X X     X    
15 Were the bonds issued as part of an advance refunding issue?   X   X   X   X
16 Has the final allocation of proceeds been made? . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X   X   X    
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . X   X     X    
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use? X   X   X      
b Are there any research agreements that may result in private business use of bond-financed property? . . X   X     X    
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X   X   X      
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet 0.520 % 0.050 % 0 %  
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet 0.010 % 0.010 %    
6 Total of lines 4 and 5 . . .. . . . . . 0.530 % 0.060 % 0 %  
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X   X      
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X   X   X
2 Is the bond issue a variable rate issue? X   X   X   X  
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue? X     X   X   X
b Name of provider . PNC Bank
  		 
  		JP Morgan
  		 
 
c Term of hedge . . 33.000000000000   13.000000000000  
d Was the hedge superintegrated? .   X       X    
e Was a hedge terminated? .   X       X    
4a Were gross proceeds invested in a GIC? .   X   X   X   X
b Name of provider .  
  		 
  		 
  		 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X   X   X   X
6 Did the bond issue qualify for an exception to rebate? . . .   X   X   X   X
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
    Differences between the Issue Price (Part I) and total proceeds (Part III, line 3) are due to investment earnings. The Henrico, Chesterfield and Virginia bonds issued on 10/19/2010 constitute a single issue for federal tax reporting purposes. Part III has not been completed with respect to bonds that refinanced projects where the original debt was issued prior to 2003.
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Bon Secours Health System Inc
 
Employer identification number

52-1301088
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) Dr Leta Herring See Part V 117,166 See Part V   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Sch L. Part IV, Business Transactions Involving Interested Persons:   (a) Name of Person: Dr. Leta Herring(b) Relationship Between Interested Person and Organization: Wife of Dr. Marlon Priest(d) Description of Transaction: Independent Contractor. This contract was terminated as of March 30, 2012.
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
Bon Secours Health System Inc
 
Employer identification number

52-1301088
Identifier Return Reference Explanation
Form 990, Part VI, Section A, line 6   Bon Secours, Inc. is the sole member of Bon Secours Health System, Inc.
Form 990, Part VI, Section A, line 7a   The governing body of Bon Secours Health System, Inc. is appointed by its member Bon Secours, Inc.
Form 990, Part VI, Section A, line 7b   Certain authorities of Bon Secours Health System, Inc. are reserved to its member, Bon Secours, 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 Health System, Inc.'s ("BSHSI's") audit and compliance board committee and providing the form to the BSHSI board of directors to allow for a thorough review by both before the filing date of July 16, 2012. BSHSI's audit and compliance and governance board committee and BSHSI's board of directors will review the Form 990, scheduled time on meeting agendas, and asked questions regarding the Form 990 before the return is filed July 16, 2012.
  Form 990, Part VI, Section B, line 12c BSHSI 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 BSHSI. 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, and the CRO participate in a second review of all disclosures during which recommendations are made as to the resolution of any conflicts or potential conflicts. Depending on the facts and circumstances, resolutions may include ongoing disclosure, recusal or removal of the conflict; and (3) all disclosures and recommendations are reviewed by a board committee (audit and compliance committee reviews the disclosures of management and the governance committee reviews the disclosures of the board and board committee members).
  Form 990, Part VI, Section B, line 15 The compensation committee of the board of Bon Secours Health System, Inc. engages in a comprehensive process for the oversight and management of remuneration for executive employees and disqualified parties of BSHSI. The compensation committee consists of a group of independent board members and engages independent external compensation consultant to ensure they receive appropriate analysis of market and follow the practices necessary to obtain full compliance with the IRS's rebuttable presumption of reasonableness. The committee establishes and maintains a compensation philosophy; reviews pay practices against local, regional and national healthcare organizations and approve all remunerative decisions for this group of individuals. The committee reviews and receives assurances that all levels of pay within the organization are reasonable based on performance and validates incentives are met. These decisions are documented in the BSHSI board of directors and compensation committee minutes. Form 990, Part VI, Section B, Line 15b - Compensation Process Other Officers/ Key Employees: For those key employees and highest paid employees that are not reviewed by the BSHSI compensation committee, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. In the review, the positions of other officers or key employees of the organization were compared to similar position market data in comparably situated organizations taking into consideration geographic location and organization size where appropriate. During the review and approval of the compensation, documentation of the decision was recorded in human resources.
  Form 990, Part VI, Section C, line 19 BSHSI provides any documents open to public inspection upon request.
  Form 990, Part VII: As the parent organization of nine local systems, Bon Secours Health System, Inc.'s officers, directors, key employees and highly compensated employees have duties and responsibilities which encompass the activities of many of the related organizations within those local systems. Part VII, Section B: Five Highest Paid Independent Contractors Providing Services: Independent contractors and vendors paid/invoiced to Bon Secours Health System, Inc. are generally for services covering a majority of the related organizations, if not all.
Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 17,831,456. Other changes in Unrest NA - Joint Venture 3,254,155. Transfers to/from affiliates 29,954,968. Add'l Minimum Pension Liability 12,700,631. PY Change in Net Assets 103,722. Revenue from partnerships on tax return not in financial stmts -110,366. Total to Form 990, Part XI, Line 5: 63,734,566.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Bon Secours Health System Inc
 
Employer identification number

52-1301088
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity







(1) Bon Secours Associates Services LLC
1505 Marriottsville Road
Marriottsville,MD211041301
52-2321591 		Healthcare MD 12,011 1,708,000 Bon Secours Health System Inc
 
(2) Townley IV Farm LLC
1402 Stapleton Road
Gladstone,VA245533138
54-1833386 		Farm VA -8,520 6,888,272 Bon Secours Health System Inc
 








Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) Bon Secours St Petersburg Home Care Services Inc

10300 Fourth Street North

St Petersburg,FL33716
13-4334363 		Home Care Services FL 501(c)3 Line 9 Maria Manor Nursing Care Center
 
Yes
 
(2) Bon Secours Maria Manor Nursing Care Center

10300 Fourth Street North

St Petersburg,FL33716
13-4334363 		Nursing Home FL 501(c)3 Line 9 Bon Secours Health System Inc
 
Yes
 
(3) Our Lady of Bellefonte Hospital Inc

1000 St Christopher Dr

Ashland,KY41101
61-1356023 		Acute Care Hospital KY 501(c)3 Line 3 Bon Secours Kentucky Health System
 
Yes
 
(4) Bon Secours Kentucky Health System Inc

St Christopher Dr

Ashland,KY41101
61-1356024 		Local System Parent Org. KY 501(c)3 Line 11b, Type 2 Bon Secours Health System Inc
 
Yes
 
(5) Our Lady of Bellefonte Hospital Foundation

St Christopher Dr

Ashland,KY41101
61-1381952 		Grant Making Foundation KY 501(c)3 Line 7 Bon Secours Kentucky Health System
 
Yes
 
(6) Bellefonte Physician Services Inc

St Christopher Dr

Ashland,KY41101
35-2320780 		Physician Practices KY 501(c)3 Line 9 Bon Secours Kentucky Health System
 
Yes
 
(7) Bon Secours Baltimore Hospital

2000 West Baltimore Street

Baltimore,MD21223
52-1909599 		Health Care MD 501(c)3 Line 3 Bon Secours Baltimore Health System
 
Yes
 
(8) Washington Village Community Medical Center Inc

2600 Liberty Heights Avenue

Baltimore,MD21223
52-1138191 		Health Care MD 501(c)3 Line 9 Bon Secours Community Health Services Inc
 
Yes
 
(9) Urban Medical Institute Inc

2600 Liberty Heights Avenue

Baltimore,MD21215
52-1905869 		Health Care MD 501(c)3 Line 3 Liberty Medical Center Inc
 
Yes
 
(10) Bon Secours Baltimore Development

26 North Fulton Avenue

Baltimore,MD21223
76-0785344 		Community Housing MD 501(c)3 Line 7 Unity Properties Inc
 
Yes
 
(11) Bon Secours Baltimore Health System Foundation Inc

26 North Fulton Avenue

Baltimore,MD21223
38-3843816 		Grant Making Foundation MD 501(c)3 Line 11b, Type 3 Bon Secours Baltimore Health System
 
Yes
 
(12) Bon Secours Community Health Services Inc

2600 Liberty Heights Avenue

Baltimore,MD21215
52-1909599 		Health Care MD 501(c)3 Line 9 Bon Secours Baltimore Health System
 
Yes
 
(13) The Bon Secours of Maryland Foundation Inc(dba Bon Secours Community Work)

26 North Fulton Avenue

Baltimore,MD21223
52-1732800 		Grant Making Foundation MD 501(c)3 Line 11b, Type 3 Bon Secours Baltimore Health System
 
Yes
 
(14) Unity Properties Inc

26 North Fulton Avenue

Baltimore,MD21223
52-1857768 		Low Income Housing MD 501(c)3 Line 7 Bon Secours of Maryland Foundation
 
Yes
 
(15) Bon Secours Housing

26 North Fulton Avenue

Baltimore,MD21223
52-1442707 		Low Income Housing MD 501(c)3 Line 9 Bon Secours of Maryland Foundation
 
Yes
 
(16) Bon Secours Housing II

26 North Fulton Avenue

Baltimore,MD21223
52-1543174 		Low Income Housing MD 501(c)3 Line 9 Bon Secours of Maryland Foundation
 
Yes
 
(17) Bon Secours Baltimore Health System

2000 West Baltimore Street

Baltimore,MD21223
80-0728893 		Local System Parent Org. MD 501(c)3 Line 11b, Type 2 Bon Secours Health System Inc
 
Yes
 
(18) Bon Secours Inc

1505 Marriottsville Road

Marriottsville,MD21104
52-1301091 		Supporting Org. to Bon Secours Health System, Inc. MD 501(c)3 Line 11a, Type 1 N/A
 
No
(19) Bon Secours New York Health System

2975 Independence Avenue

Bronx,NY10463
91-2135196 		Local System Parent Org. NY 501(c)3 Line 11b, Type 1 Bon Secours Health System Inc
 
Yes
 
(20) Frances Schervier Home and Hospital

2975 Independence Avenue

Bronx,NY10463
13-1740397 		Long term nursing care NY 501(c)3 Line 3 Bon Secours NY Health System
 
Yes
 
(21) Schervier Housing Development Fund Corporation

2975 Independence Avenue

Bronx,NY10463
13-3098867 		Housing NY 501(c)3 Line 9 Bon Secours NY Health System
 
Yes
 
(22) Bon Secours Community Hospital

160 E Main Street

Port Jervis,NY12771
14-1347717 		Health Care NY 501(c)3 Line 3 Bon Secours Charity Health System
 
Yes
 
(23) Bon Secours Community Hospital Foundation

160 E Main Street

Port Jervis,NY12771
81-0667395 		Grant Making Foundation NY 501(c)3 Line 7 Bon Secours Community Hospital
 
Yes
 
(24) Good Samaritan Hospital of Suffern NY

255 Lafayette Avenue

Suffern,NY10901
13-1740104 		Acute Care Hospital NY 501(c)3 Line 3 Bon Secours Charity Health System
 
Yes
 
(25) Good Samaritan Foundation for Better Health Inc

255 Lafayette Avenue

Suffern,NY10901
13-3400353 		Grant Making Foundation NY 501(c)3 Line 7 Bon Secours Charity Health System
 
Yes
 
(26) Bon Secours Charity Health System Inc

255 Lafayette Avenue

Suffern,NY10901
91-2135195 		Local System Parent Org. NY 501(c)3 Line 11b, Type 1 Bon Secours Health System Inc
 
Yes
 
(27) St Francis Center at the Knolls Inc (dba Mount Alverno Center)

20 Grand Street

Warwick,NY10990
06-1370576 		Long term Care NY 501(c)3 Line 9 Bon Secours Charity Health System
 
Yes
 
(28) Villa Francis at the Knolls (dba Schervier Pavilion)

20 Grand Street

Warwick,NY10990
06-1381994 		Skilled Nursing NY 501(c)3 Line 9 Bon Secours Charity Health System
 
Yes
 
(29) St Anthony Community Hospital

15-19 Maple Ave

Warwick,NY10990
14-1340100 		Hospital NY 501(c)3 Line 3 Bon Secours Charity Health System
 
Yes
 
(30) The Bon Secours Warwick Health Foundation

20 Grand Street

Warwick,NY10990
14-1972807 		Grant Making Foundation NY 501(c)3 Line 7 St Anthony Community Hospital
 
Yes
 
(31) Bon Secours Charity Health System Medical Group PC

255 Lafayette Avenue

Suffern,NY10901
22-3636986 		Physician Practices NY 501(c)3 Line 9 Bon Secours Charity Health System
 
Yes
 
(32) Bon Secour St Francis Health System Foundation

One St Francis Drive

Greenville,SC29601
26-0012031 		Grant Making Foundation SC 501(c)3 Line 7 SFH Inc
 
Yes
 
(33) SFH Inc

One St Francis Drive

Greenville,SC29601
58-2504530 		Health Care SC 501(c)3 Line 3 St Francis Health System Inc
 
Yes
 
(34) Bon Secours St Francis Health System Inc

1 St Francis Drive

Greenville,SC29601
58-2504528 		Local System Parent Org. SC 501(c)3 Line 11b, Type 2 Bon Secours Health System Inc
 
Yes
 
(35) St Francis Physician Services Inc

One St Francis Drive

Greenville,SC29601
13-4290167 		Physician Services SC 501(c)3 Line 9 St Francis Health System Inc
 
Yes
 
(36) Mary Immaculate Hospital Inc

7007 Harbour View Blvd

Suffolk,VA23435
54-0548200 		Health Care VA 501(c)3 Line 3 Bon Secours Hampton Roads Health System
 
Yes
 
(37) Mary Immaculate Nursing Center Inc

7007 Harbour View Blvd

Suffolk,VA23435
54-1516476 		Nursing Care Center VA 501(c)3 Line 9 Mary Immaculate Hospital
 
Yes
 
(38) Mary Immaculate Foundation

7007 Harbour View Blvd

Suffolk,VA23435
31-1644734 		Fundraising VA 501(c)3 Line 11b, Type 3- FI Mary Immaculate Hospital
 
Yes
 
(39) Bon Secours - Maryview Nursing Care Center

7007 Harbour View Blvd

Suffolk,VA23435
52-1578169 		Nursing Care Center VA 501(c)3 Line 9 Bon Secours Hampton Roads Health System
 
Yes
 
(40) Bon Secours Maryview Foundation

7007 Harbour View Blvd

Suffolk,VA23435
52-1694731 		Fundraising VA 501(c)3 Line 11b, Type 3-FI Bon Secours Hampton Roads Health System
 
Yes
 
(41) Bayley Properties

7007 Harbour View Blvd

Suffolk,VA23435
54-1424748 		Title Holding Company VA 501(c)2 N/A Bon Secours DePaul Medical Center
 
Yes
 
(42) Bon Secours DePaul Medical Center Inc

7007 Harbour View Blvd

Suffolk,VA23435
54-1820093 		Health Care VA 501(c)3 Line 3 Bon Secours Hampton Roads Health System
 
Yes
 
(43) Bon Secours DePaul Health Foundation

7007 Harbour View Blvd

Suffolk,VA23435
54-1843876 		Fundraising VA 501(c)3 Line 11b, Type 3- FI Bon Secours Hampton Roads Health System
 
Yes
 
(44) Bon Secours Hampton Roads Health System

7007 Harbour View Blvd

Portsmouth,VA23435
52-1538513 		Local System Parent Org. VA 501(c)3 Line 11b, Type 2 Bon Secours Health System Inc
 
Yes
 
(45) Maryview Hospital

7007 Harbour View Blvd

Portsmouth,VA23707
54-0506463 		Health Care VA 501(c)3 Line 3 Bon Secours Hampton Roads Health System
 
Yes
 
(46) Bon Secours Richmond Health Care Foundation

8580 Magellan Parkway

Richmond,VA23227
54-1201346 		Grant Making Foundation VA 501(c)3 Line 7 Bon Secours Richmond Health Corp
 
Yes
 
(47) Bon Secours Richmond Health Corporation

8580 Magellan Parkway

Richmond,VA23227
54-1356155 		Supporting Org. to Bon Secours Richmond Health System VA 501(c)3 Line 11, Type 2 Bon Secours Health System Inc
 
Yes
 
(48) Bon Secours Stuart Circle Hospital

8580 Magellan Parkway

Richmond,VA23227
54-1740128 		Health Care VA 501(c)3 Line 3 Bon Secours Richmond Health System
 
Yes
 
(49) Bon Secours Memorial Regional Medical Center Inc

8580 Magellan Parkway

Richmond,VA23227
54-1744931 		Health Care VA 501(c)3 Line 3 Bon Secours Richmond Health System
 
Yes
 
(50) Bon Secours Richmond Health System

8580 Magellan Parkway

Richmond,VA23227
52-1988421 		Supporting Org. to Bon Secours Richmond Health System VA 501(c)3 Line 11, Type 2 Bon Secours Richmond Health Corp
 
Yes
 
(51) Bon Secours St Mary's Hospital

8580 Magellan Parkway

Richmond,VA23227
54-0793767 		Health Care VA 501(c)3 Line 3 Bon Secours Richmond Health System
 
Yes
 
(52) Bon Secours Richmond Community Hospital

8580 Magellan Parkway

Richmond,VA23227
54-0647482 		Health Care VA 501(c)3 Line 3 Bon Secours Richmond Health System
 
Yes
 
(53) Bon Secours St Francis Medical Center

8580 Magellan Parkway

Richmond,VA23227
31-1716973 		Health Care VA 501(c)3 Line 3 Bon Secours Richmond Health System
 
Yes
 
(54) Laburnum Properties

8580 Magellan Parkway

Richmond,VA23227
52-1260700 		Title Holding Company VA 501(c)2 N/A Bon Secours Richmond Health System
 
Yes
 
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) Bon Secours Place at St Petersburg LLP

10300 Fourth Street North
St Petersburg,FL33716
59-3589729 		Assisted Living/Senior Care FL Bon Secours Florida Integrated Services
  		Related       No     No  
(2) Bon Secours Apartments LP

1800 West Baltimore St
Baltimore,MD21223
52-1952505 		Low Income Housing MD Unity Housing Inc
  		Related       No     No  
(3) Bon Secours Apartments II LP

1800 West Baltimore St
Baltimore,MD21223
52-2063512 		Low Income Housing MD Unity Housing Inc
  		Related       No     No  
(4) Liberty Senior Housing LP

1800 West Baltimore St
Baltimore,MD21223
52-2134447 		Low Income Housing MD Unity Housing Inc
  		Related       No     No  
(5) Bon Secours Apartments III LP

1800 West Baltimore St
Baltimore,MD21223
52-2134444 		Low Income Housing MD Unity Housing Inc
  		Related       No     No  
(6) Bon Secours Smallwood Summit

26 North Fulton Ave
Baltimore,MD21223
52-2280175 		Low Income Housing MD Unity Housing Inc
  		Related       No     No  
(7) Bon Secours Chesapeake Apartments LP

26 North Fulton Ave
Baltimore,MD21223
20-0107034 		Low Income Housing MD Chesapeake Housing LLC
  		Related       No     No  
(8) Bon Secours Shiloh LP

26 North Fulton Ave
Baltimore,MD21223
20-3965243 		Low Income Housing MD Bon Secours Baltimore Development Inc
  		Related       No     No  
(9) Bon Secours Wayland LP

26 North Fulton Ave
Baltimore,MD21223
27-0468688 		Low Income Housing MD Unity Properties Inc
  		Related       No     No  
(10) Upstate Surgery Center LLC

One St Francis Drive
Greenville,SC29601
56-2186977 		Ambulatory Surgery Center SC SFH Inc
  		Related       No     No  
(11) Province Place of DePaul LLC

6403 Granby Street
Norfolk,VA23505
54-1950880 		Assisted Living Facilities VA Professional Health Care Management Inc
  		Related       No     No  
(12) Province Place of Maryview LLC

One Bon Secours Way
Portsmouth,VA23703
54-1842697 		Assisted Living VA Professional Health Care Management Inc
  		Related       No     No  
(13) Broad64 Imaging LLC

8580 Magellan Parkway
Richmond,VA23227
20-5886018 		Imaging Services VA Bon Secours Virginia Health Source Inc
  		Related       No     No  
(14) Richmond Radiation Oncology Center I LLC

8580 Magellan Parkway
Richmond,VA23227
20-8444551 		Radiation Oncology Services VA Richmond Radiation Oncology Center Inc
  		Related       No     No  
(15) RI LP

8580 Magellan Parkway
Richmond,VA23227
54-1708835 		Imaging Services VA Bon Secours Virginia Health Source Inc
  		Related       No     No  
(16) RI LP

8581 Magellan Parkway
Richmond,VA23228
54-1708835 		Imaging Services VA Richmond MRI Inc
  		Related       No     No  
(17) Chesterfield Community Healthcare Center MOB 1 LLC

435 Southlake Blvd
Richmond,VA23236
54-1745670 		Rental - Medical Office Building VA Bon Secours Virginia Health Source Inc
  		Related       No     No  
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) Franciscan Health System Insurance Company LTD
PO Box 69
    KY1-1102
CJ
98-0522620 		Offshore Captive Management CJ Bon Secours Health System Inc
  		C 3,300   100.000 %
(2) Bon Secours Assurance Company Ltd
PO Box 69
    KY1-1102
CJ
98-0152147 		Offshore Captive Management CJ Bon Secours Health System Inc
  		C 23,805,832 102,957,940 100.000 %
(3) Bon Secours-Florida Integrated Health Services Inc
10300 Fourth Street North
St Petersburg,FL33716
65-0779777 		Holding Company/Assisted Living FL Bon Secours Maria Manor Nursing Care
  		C 409,562 1,873,600 100.000 %
(4) Unity Housing Inc
26 North Fulton Avenue
Baltimore,MD21223
52-1952507 		Low Income Housing MD Unity Properties Inc
  		C -109 350,100 100.000 %
(5) Bon Secours Wayland LLC
26 North Fulton Avenue
Baltimore,MD21223
27-0468561 		Low Income Housing MD Unity Properties Inc
  		C     100.000 %
(6) HealthCare Enterprises Inc & Subs
One St Francis Drive
Greenville,SC29601
57-1012852 		Holding Company SC St Francis Health System Inc
  		C     100.000 %
(7) Professional Health Care Management Inc & Subs
150 Kingsley Lane
Norfolk,VA23505
54-1241031 		Administrative VA Bon Secours Hampton Roads Health System Inc
  		C 511,697 4,739,811 100.000 %
(8) OSF Inc
2 Bernadine Drive
Newport News,VA23602
54-1369919 		Rental VA Mary Immaculate Hospital Inc
  		C 100,940 1,355,814 100.000 %
(9) Bon Secours Tidewater Diversified Inc
160 Kingsley Lane
Norfolk,VA23505
54-1431826 		Pharmacy VA Bon Secours DePaul Medical Center Inc
  		C 807,546 2,335,590 100.000 %
(10) Chesterfield Community Healthcare Center Inc
8580 Magellan Parkway
Richmond,VA23227
54-1812738 		Ambulatory Healthcare Services VA Bon Secours Richmond Health System Inc
  		C 77,645 288,983 83.000 %
(11) Bon Secours-Virginia Healthsource Inc & Subs
8580 Magellan Parkway
Richmond,VA23227
54-1417686 		Ambulatory Healthcare Services VA Bon Secours Richmond Health System Inc
  		C 46,572,235 31,424,746 83.000 %
(12) Richmond MRI Inc
8580 Magellan Parkway
Richmond,VA23227
54-1568452 		Imaging Services VA Bon Secours Virginia Healthsource Inc
  		C 365,836 341,889 42.330 %
(13) RHS Management Corp
8580 Magellan Parkway
Richmond,VA23227
54-1313425 		Independent Living Facility VA Bon Secours Richmond Health System Inc
  		C -529,328 94,681 83.000 %
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) BS Maryview Foundation

 B 45,000 Fair Market Value
(2) BS of MD Foundation Inc

 B 144,000 Fair Market Value
(3) BS OLBH Foundation

 B 135,000 Fair Market Value
(4) BS Richmond Healthcare Foundation

 B 125,000 Fair Market Value
(5) DePaul Medical Center Foundation

 B 55,000 Fair Market Value
(6) Good Samaritan Foundation for Better health

 B 66,300 Fair Market Value
(7) Maria Manor Nursing Care Center

 B 130,000 Fair Market Value
(8) Mary Immaculate Hospital

 B 7,500 Fair Market Value
(9) Schervier Pavilion

 B 99,700 Fair Market Value
(10) St Francis Foundation

 B 148,000 Fair Market Value
(11) Bellefonte Physician Services

 D 9,627,924 Fair Market Value
(12) Bon Secours Community Hospital

 D 3,150,432 Fair Market Value
(13) Bon Secours New York Health System

 D 1,000 Fair Market Value
(14) Bon Secours Richmond Health System

 D 1,232,078 Fair Market Value
(15) BS Community Health Services

 D 150,366 Fair Market Value
(16) BS Community Hospital Foundation

 D 159,069 Fair Market Value
(17) BS Depaul Medical Center

 D 26,153,768 Fair Market Value
(18) BS Maryview Foundation

 D 93,374 Fair Market Value
(19) BS of MD Foundation Inc

 D 1,095,097 Fair Market Value
(20) BS Richmond Healthcare Foundation

 D 895,611 Fair Market Value
(21) Good Samaritan Hospital of Suffern

 D 23,203,859 Fair Market Value
(22) GSH Medical Care PC

 D 10,762,587 Fair Market Value
(23) Laburnum Properties Inc

 D 309,748 Fair Market Value
(24) Mt Alverno Assisted Living Facility

 D 1,334,486 Fair Market Value
(25) Schervier Pavilion

 D 2,226,586 Fair Market Value
(26) St Francis Physician Services

 D 32,661,332 Fair Market Value
(27) St Petersburg Home Care Svcs

 D 286,545 Fair Market Value
(28) Urban Medical Institute

 D 250,588 Fair Market Value
(29) Bon Secours Place at St Petersburg

 D 5,764,241 Fair Market Value
(30) Province Place at Maryview

 D 266,600 Fair Market Value
(31) Province Place at DePaul

 D 376,801 Fair Market Value
(32) Bon Secours Community Hospital

 K 2,567,838 Cost
(33) Bon Secours Hospital Baltimore

 K 3,770,628 Cost
(34) Bon Secours Maria Manor Nursing Center

 K 265,668 Cost
(35) Good Samaritan Hospital of Suffern

 K 7,586,819 Cost
(36) Maryview Hospital

 K 15,452,952 Cost
(37) Our Lady of Bellefonte Hospital

 K 4,430,956 Cost
(38) Schervier Housing Development

 K 556,824 Cost
(39) Schervier Long Term

 K 132,384 Cost
(40) St Anthony Community Hospital

 K 1,517,359 Cost
(41) St Francis Hospital

 K 14,196,096 Cost
(42) St Mary's Hospital

 K 33,132,972 Cost
(43) BS Community Health Services

 P 2,594 Fair Market Value
(44) Unity Properties

 P 7,785 Fair Market Value
(45) Good Samaritan Home Care

 P 14,382 Fair Market Value
(46) Tidewater Diversified

 P 18,793 Fair Market Value
(47) Bon Secours St Petersburg Home Care Services

 P 38,023 Fair Market Value
(48) RHS Ent

 P 83,701 Fair Market Value
(49) Broad64 Imaging

 P 175,437 Fair Market Value
(50) St Mary's MRI Center

 P 175,824 Fair Market Value
(51) Upstate Surgery Center

 P 195,279 Fair Market Value
(52) Bon Secours of MD Foundation

 P 232,879 Fair Market Value
(53) SF Imaging

 P 248,399 Fair Market Value
(54) Richmond Radiation Oncology Center

 P 268,925 Fair Market Value
(55) Mt Alverno Assisted Living Facility

 P 332,100 Fair Market Value
(56) Bon Secours Community Shared Services

 P 343,723 Fair Market Value
(57) Millenium

 P 370,862 Fair Market Value
(58) Bon Secours Place at St Petersburg

 P 66,624 Fair Market Value
(59) Province Place of Maryview

 P 133,179 Fair Market Value
(60) Schervier Pavilion

 P 1,540,092 Fair Market Value
(61) Province Place of DePaul

 P 186,276 Fair Market Value
(62) Bon Secours Maryview Nursing Care Center

 P 646,539 Fair Market Value
(63) Mary Immaculate Nursing Center

 P 1,159,342 Fair Market Value
(64) GSH Medical Care PC

 P 834,762 Fair Market Value
(65) Schervier Home Health

 P 291,746 Fair Market Value
(66) Bon Secours New York Health System

 P 1,491,392 Fair Market Value
(67) Home Health Services

 P 1,620,088 Fair Market Value
(68) Schervier Housing Development

 P 1,528,572 Fair Market Value
(69) St Anthony Community Hospital

 P 2,416,802 Fair Market Value
(70) Bon Secours Richmond Community Hospital

 P 3,588,560 Fair Market Value
(71) Bon Secours Maria Manor Nursing Center

 P 3,665,465 Fair Market Value
(72) Virginia Healthsource

 P 3,808,398 Fair Market Value
(73) Bon Secours Community Hospital

 P 4,344,808 Fair Market Value
(74) St Francis Physician Services

 P 9,843,803 Fair Market Value
(75) St Mary's Hospital

 P 10,716,814 Fair Market Value
(76) Mary Immaculate Hospital

 P 10,598,986 Fair Market Value
(77) Bon Secours DePaul Medical Center

 P 11,784,287 Fair Market Value
(78) Bon Secours Hospital Baltimore

 P 14,442,035 Fair Market Value
(79) Maryview Hospital

 P 19,793,970 Fair Market Value
(80) Our Lady of Bellefonte Hospital

 P 20,949,618 Fair Market Value
(81) Bon Secours St Francis Medical Center

 P 22,429,335 Fair Market Value
(82) Bon Secours Memorial Regional Medical Center

 P 29,746,639 Fair Market Value
(83) Bon Secours St Mary's Hospital

 P 40,341,270 Fair Market Value
(84) Good Samaritan Hospital of Suffern

 P 41,931,185 Fair Market Value
(85) St Francis Hospital

 P 45,437,846 Fair Market Value
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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