Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
A For the 2015 calendar year, or tax year beginning 09-01-2015 , and ending 08-31-2016
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)
8990 Old Annapolis Road
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Columbia, MD21045
D Employer identification number

52-1301088
E Telephone number

G Gross receipts $ 315,188,749
F Name and address of principal officer:
Richard Statuto
8990 Old Annapolis Road
Columbia,MD21045
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
bonsecours.com
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
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 2015 (Part V, line 2a) ...... 5 1,098
6 Total number of volunteers (estimate if necessary) ............. 6 19
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 595,046
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 496,807
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 3,663 0
9 Program service revenue (Part VIII, line 2g) ......... 229,681,336 278,260,659
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 15,125,550 2,573,196
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 48,435,200 31,855,094
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 293,245,749 312,688,949
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 16,727,350 5,405,139
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) 143,438,041 168,270,913
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–24e).... 232,070,856 161,290,590
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 392,236,247 334,966,642
19 Revenue less expenses. Subtract line 18 from line 12....... -98,990,498 -22,277,693
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,299,722,360 1,288,224,190
21 Total liabilities (Part X, line 26)............. 1,293,179,357 1,316,856,033
22 Net assets or fund balances. Subtract line 21 from line 20..... 6,543,003 -28,631,843
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 Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet
Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2015)
Form 990 (2015)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line 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 organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations 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 $ 297,335,765 including grants of $ 5,405,139 ) (Revenue $ 288,629,948 )
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 staff and boards of directors-Policy development in areas such as sponsorship, business relationships, moral investments, bioethics, organizational ethics, social justice and community commitment services-Education to promote the Bon Secours mission, philosophy and values to key staff-Coordination of teams charged with addressing health care issues and ethical concernsFinancial & Treasury Services:-Negotiation of access to capital-Oversight, coordination and control of external audits-Coordination of and assistance in maximizing third-party reimbursement and filing related appeals-Monitoring of federal health care policy-Monitoring of System's master pension trust encompassing the pooled investment 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-wide investment program encompassing the vast majority of System members' investments, including funded depreciation accounts and centralized cash management program, in accordance with uniform System investment guidelines-Management of centralized cash management program-Maintenance of System-wide common financial data base providing status of key financial indicators and operating statistics-Long range capital and financial planning and annual operating and capital budgeting support-Preparation of monthly and year-end consolidating System-wide financial statements, including budget variation reporting and statistical analysis-Development, implementation and monitoring of standardized accounting policies and educates senior leaders on financial literacy and contemporary financial practices.-Development of external financial disclosures to investors and the public at large-Primary contact with rating agencies, bond insurers and for investors questions 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 better coordinate implementation of System-wide goals, strategies, tactics and objectives and to monitor facility operations and corporate complianceOperational Services:-Actuarial, accounting and investment functions for self insurance funding of System members' general and professional liability and workers compensation claims and for a System-wide self-funded plan for employee health benefits-Coordination of functions for a System-wide standard hospital information system and other systems for use throughout the System and support functions for implementing and maintaining the information system-Standardized purchasing function, material management, Lawson ERP system, and other standard IS-Knowledge Transfer of best practices and successes on revenue enhancement and cost reduction initiatives.Strategic Planning, Marketing, and Business Development Services:-Coordination of System strategic planning including coordination of development of the System's vision, goals, and 3-year strategic plan and annual planning processes.-Market assessment and strategy development for improved local market positioning-Strategic planning support for acute, long-term and home care operations-New product/service research and development-Emerging technology research & assessment; knowledge transfer of technology and implications for system-Coordination and consultative assistance in service line planning & profitability analyses-Implementation of strategic growth initiatives in new and existing communities-Coordination of Planning & Business Development leaders, Customer Satisfaction, and Marketing & Communications leaders 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 System members-Regulatory compliance and insurance functions-System-wide employee, patient, resident and physician satisfaction Program
4b (Code:   ) (Expenses $ 5,202,741 including grants of $   ) (Revenue $ 288,113 )
Bon Secours Good Helpcare, LLC d.b.a Good Help ACO, is an Accountable Care Organization (ACO) that received approval from the Centers for Medicare and Medicaid Services (CMS) to participate in the Medicare Shared Savings Program (MSSP), effective January 1, 2013. Part of the Affordable Care Act of 2010, the MSSP is intended to facilitate cooperation among health care providers for the coordination of care for Medicare Fee-for-Service beneficiaries. The goal of coordinated care is to ensure the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors. Good Help ACO is designed to allow participating providers to provide appropriate coordinated care at a time when it is needed and in a setting that is both convenient and appropriate.
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet302,538,506
Form 990 (2015)
Form 990 (2015)
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 (see instructions)? ...
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, or have a section 501(h) election in effect during the tax year? 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
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which 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 for escrow or custodial account liability; 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 temporarily restricted endowments, permanent endowments, 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, line 10?
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 VIIClick 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 VIIIClick to see attachment.......
11c
Yes
 
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 IXClick 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 XClick 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 XClick 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 and XII 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 and XII 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, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........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 other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....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 other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...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 (see instructions) ....
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
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2015)
Form 990 (2015)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government 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 or other assistance to or for domestic individuals 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, line 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 lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............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), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I............
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 ...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II ................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
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 ........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................
28b
 
No
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 direct or indirect owner? If "Yes," complete Schedule L, Part IV...
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, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, 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
35b
Yes
 
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 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2015)
Form 990 (2015)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
317
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
1,098
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” to line 3b, 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, securities account, or other financial account)? ..
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
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 as charitable contributions? ...
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.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring 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. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the 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 amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2015)
Form 990 (2015)
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 or note to any line 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
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
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
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
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
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete 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 this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did 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 15a or 15b, 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," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take 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 made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletLaura Ellison8990 Old Annapolis Road   Columbia,MD21045 (443) 367-3835
Form 990 (2015)
Form 990 (2015)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line 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. 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 organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(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; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Chris Allen......................................................................
Board Member (Sep-Dec)
 4.00
.................
0.00 		X           400 0 0
(2) Richard Blair......................................................................
Board Member
 4.00
.................
0.00 		X           400 0 0
(3) Denise Brooks-Williams......................................................................
Board Member (Jan-Aug)
 3.00
.................
0.00 		X           0 0 0
(4) Charles Brown III......................................................................
Chairman
 13.00
.................
2.00 		X   X       50,400 0 0
(5) Sr Elaine Davia......................................................................
Board Member
 46.00
.................
4.00 		X           400 0 0
(6) Marcia Dush......................................................................
Board Member
 3.00
.................
0.00 		X           400 0 0
(7) Stephanie Ferguson PhD......................................................................
Board Member
 3.00
.................
0.00 		X           400 0 0
(8) David Jimenez......................................................................
Board Member
 4.00
.................
0.00 		X           400 0 0
(9) Clarion Johnson MD......................................................................
Board Member (Jan-Aug)
 3.00
.................
0.00 		X           0 0 0
(10) Gerard Kells......................................................................
Board Member
 3.00
.................
0.00 		X           400 0 0
(11) Robert Kuramoto MD......................................................................
Board Member
 4.00
.................
0.00 		X           400 0 0
(12) Peter Maddox......................................................................
Board Member
 3.00
.................
0.00 		X           400 0 0
(13) Jennifer O'Brien......................................................................
Board Member
 4.00
.................
0.00 		X           0 0 0
(14) Dina Richard......................................................................
Board Member (Jan-Aug)
 3.00
.................
0.00 		X           0 0 0
(15) Susan Sandlund PhD......................................................................
Board Member
 5.00
.................
0.00 		X           400 0 0
(16) Donald Seitz MD......................................................................
Board Member (Sep-Dec)
 3.00
.................
0.00 		X           400 0 0
(17) Sr Mary Shimo......................................................................
Board Member
 3.00
.................
3.00 		X           400 0 0
Form 990 (2015)
Form 990 (2015)
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 (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(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; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Richard Statuto........................................................................
President/CEO
 50.00
.......................0.00 		X   X       2,652,445 0 544,556
(19) Sr Alice Talone........................................................................
Board Member
 3.00
.......................0.50 		X           400 0 0
(20) Carol Taylor PhD........................................................................
Board Member
 3.00
.......................0.00 		X           3,333 0 0
(21) Janice Burnett........................................................................
Treasurer / CFO
 48.00
.......................2.00 		    X       994,803 0 127,505
(22) Martha Riva JD........................................................................
Secretary / SVP Governance
 47.50
.......................2.50 		    X       730,674 0 85,632
(23) Timothy Davis........................................................................
EVP, CHRAO
 46.00
.......................4.00 		      X     1,652,431 0 96,308
(24) Marlon Priest MD........................................................................
EVP, CMO
 50.00
.......................0.00 		      X     1,484,428 0 37,981
(25) Laishy Williams-Carlson........................................................................
SVP, CIO
 50.00
.......................0.00 		      X     545,883 0 70,119
(26) Mark Nantz........................................................................
EVP, Strategy & Growth
 50.00
.......................0.00 		        X   1,292,681 0 127,721
(27) Matthew Toddy........................................................................
EVP, Legal Affairs
 50.00
.......................0.00 		        X   1,161,344 0 162,958
(28) Samuel Ross MD........................................................................
EVP, CEO - BHS
 12.50
.......................37.50 		        X   1,153,509 0 95,732
(29) Michael Kerner........................................................................
CEO - HRHS
 0.10
.......................49.90 		        X   1,121,910 0 124,973
(30) Toni Ardabell........................................................................
CEO - VA
 0.10
.......................49.90 		        X   1,046,319 0 74,999
(31) Lawrence Hubbard........................................................................
Former Key Employee
 0.00
.......................5.00 		          X 697,288 0 32,216
(32) Peter Bernard........................................................................
Former Highest Paid Employee
 0.00
.......................0.00 		          X 2,257,034 0 121,913
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 16,849,682 0 1,702,613
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet356
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. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
Shiftwise

PO Box 70870
St Paul,MN55170 		Staffing Support 14,378,124
Infor

PO Box 1450
Minneapolis,MN55485 		Consulting Services 2,394,459
Sunquest Information Sys Inc

PO Box 75214
Charlotte,NC28275 		IT Maintenance Services 2,375,354
American Well Corporation

75 State Street 26th Floor
Boston,MA02109 		TeleHealth Services 2,125,750
Deloitte Consulting LLP

200 Berkeley Street
Boston,MA02116 		Consulting Services 2,105,135
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet179
Form 990 (2015)
Form 990 (2015)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a-1f:$  
h Total.Add lines 1a-1f.......MediumBullet  
Program Service RevenueAmt Business Code
2a Corp Mgmt & IS Fees 900099 255,696,090 255,696,090    
b Charity Service Fees 900099 22,276,456 22,276,456    
c Acc. Care Org - Reimb. 900099 288,113 288,113    
d
e
f All other program service revenue.        
g Total.Add lines 2a–2f.....MediumBullet 278,260,659
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ..........MediumBullet 3,647,259     3,647,259
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   11,286,432
b Less: rental expenses   1,425,737
c Rental income or (loss)   9,860,695
d Net rental income or (loss)......MediumBullet 9,860,695   -122,367 9,983,062
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory    
b Less: cost or other basis and sales expenses   1,074,063
c Gain or (loss)   -1,074,063
d Net gain or (loss).....MediumBullet -1,074,063     -1,074,063
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        
Business Code Miscellaneous Revenue
11a Rebates & Billings 900099 12,507,453     12,507,453
b Premier & Other Pships 900099 10,941,571 10,657,402 284,169  
c Interest from Bonds 900099 1,841,910     1,841,910
d All other revenue .... -3,296,535   433,244 -3,729,779
e Total. Add lines 11a–11d ...... MediumBullet 21,994,399
12 Total revenue. See Instructions......MediumBullet 312,688,949 288,918,061 595,046 23,175,842
Form 990 (2015)
Form 990 (2015)
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).Check if Schedule O contains a response or note to any line in this Part IX ..............
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 domestic organizations and domestic governments. See Part IV, line 21 5,405,139 5,405,139
2 Grants and other assistance to individuals in the United States. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 8,269,244 7,442,319 826,925  
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 129,469,267 116,522,340 12,946,927  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 3,672,026 3,304,823 367,203  
9 Other employee benefits ....... 19,345,062 17,410,556 1,934,506  
10 Payroll taxes ........... 7,515,314 6,763,783 751,531  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 653,680 588,312 65,368  
c Accounting ........... 1,729,929 1,556,936 172,993  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)        
12 Advertising and promotion .... 624,540 562,086 62,454  
13 Office expenses ....... 4,323,749 3,891,374 432,375  
14 Information technology ...... 44,949,178 40,454,260 4,494,918  
15 Royalties ..        
16 Occupancy ........... 8,500,906 7,650,815 850,091  
17 Travel ............ 4,216,876 3,795,188 421,688  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 2,487,224 2,238,502 248,722  
20 Interest ........... 6,293,922 6,293,922    
21 Payments to affiliates ....... 6,218,662 5,596,796 621,866  
22 Depreciation, depletion, and amortization .. 43,331,318 38,998,186 4,333,132  
23 Insurance ... 197,358 177,622 19,736  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a Purchased Services 35,977,328 32,379,595 3,597,733  
b Recruitment 1,004,526 904,073 100,453  
c Professional Dues 587,440 528,696 58,744  
d Federal Income Tax 112,640   112,640  
e All other expenses 81,314 73,183 8,131  
25 Total functional expenses. Add lines 1 through 24e 334,966,642 302,538,506 32,428,136 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2015)
Form 990 (2015)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 1,448,457 1  
2 Savings and temporary cash investments ......... 67,909,390 2 45,613,262
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net ............. 14,035,760 4 5,952,709
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net .... 51,700 7 14,437
8 Inventories for sale or use ........   8  
9 Prepaid expenses and deferred charges ...... 20,277,519 9 11,583,178
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 466,899,071
b Less: accumulated depreciation 10b 279,450,894 193,652,045 10c 187,448,177
11 Investments—publicly traded securities . 161,508,160 11 194,242,973
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 .. 231,760,761 13 214,147,912
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 609,078,568 15 629,221,542
16 Total assets. Add lines 1 through 15 (must equal line 34)... 1,299,722,360 16 1,288,224,190
Liabilities 17 Accounts payable and accrued expenses ..... 111,575,016 17 119,697,018
18 Grants payable ...   18  
19 Deferred revenue ......... 74,822,407 19 86,173,294
20 Tax-exempt bond liabilities ......... 822,224,366 20 794,173,742
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other 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 .. 15,564,069 23 13,678,319
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D 268,993,499 25 303,133,660
26 Total liabilities. Add lines 17 through 25.. 1,293,179,357 26 1,316,856,033
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets 6,543,003 27 -28,631,843
28 Temporarily restricted net assets ...........   28  
29 Permanently restricted net assets   29  
Organizations that do not follow SFAS 117 (ASC 958), 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 ........... 6,543,003 33 -28,631,843
34 Total liabilities and net assets/fund balances ........ 1,299,722,360 34 1,288,224,190
Form 990 (2015)
Form 990 (2015)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
312,688,949
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
334,966,642
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-22,277,693
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
6,543,003
5
Net unrealized gains (losses) on investments ...............
5
2,621,292
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-15,518,445
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
-28,631,843
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line 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
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 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?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
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 (2015)
Form 990 (2015)
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 Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
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
6
7
8
9
10
11
a
b
c
d
e
f
Enter the number of supported organizations .............. 32

g
Provide the following information about the supported organization(s).
(i)Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
(A) Bon Secours Hospital Baltimore Inc
  		521909599 3 Yes   11,773,263 0
(B) Bon Secours Housing Inc
  		521442707 9 Yes   0 0
(C) Bon Secours Housing II Inc
  		521543174 9 Yes   0 0
(D) Bon Secours of Maryland Foundation Inc
  		521732800 7 Yes   632,668 0
(E) Unity Properties Inc
  		521857768 7 Yes   0 0
(F) Bon Secours DePaul Health Foundation
  		541843876 7 Yes   190,350 0
(G) Bon Secours DePaul Medical Center Inc
  		541820093 3 Yes   14,312,610 0
(H) Bon Secours Maryview Foundation
  		521694731 7 Yes   51,000 0
(I) Bon Secours Maryview Nursing Care Center
  		521578169 9 Yes   99,993 0
(J) Maryview Hospital
  		540506463 3 Yes   56,103,751 0
(K) Mary Immaculate Hospital Incorporated
  		540548200 3 Yes   5,209,081 0
(L) Mary Immaculate Nursing Center Inc
  		541516476 9 Yes   92,207 0
(M) Bellefonte Physician Services Inc
  		352320780 9 Yes   16,954,264 0
(N) Bon Secours Kentucky Health System Foundation Inc
  		611381952 7 Yes   155,250 0
(O) Our Lady of Bellefonte Hospital Inc
  		611356023 3 Yes   16,873,521 0
(P) Frances Schervier Home and Hospital
  		131740397 9 Yes   5,795,017 0
(Q) Schervier Housing Development Fund Corporation
  		133098867 9 Yes   0 0
(R) Bon Secours Memorial Regional Medical Center Inc
  		541744931 3 Yes   12,165,710 0
(S) Bon Secours Richmond Community Hospital Incorporated
  		540647482 3 Yes   2,011,998 0
(T) Bon Secours Richmond Health Care Foundation
  		541201346 7 Yes   1,395,613 0
(U) Bon Secours St Francis Medical Center Inc
  		311716973 3 Yes   8,397,883 0
(V) Bon Secours St Marys Hospital of Richmond Inc
  		540793767 3 Yes   95,292,463 0
(W) Chesapeake Hospital Corporation
  		237424835 3 Yes   18,836,110 0
(X) Bon Secours St Francis Health System Foundation Inc
  		260012031 7 Yes   0 0
(Y) St Francis Hospital Inc
  		582504530 3 Yes   40,000 0
(Z) Bon Secours Maria Manor Nursing Care Center Inc
  		650061820 9 Yes   346,417,066 0
(AA) Bon Secours St Petersburg Home Care Services Inc
  		134334363 9 Yes   1,709,798 0
(AB) Bon Secours Health System Foundation Inc
  		474765376 7 Yes   0 0
(AC) Congregation of Bon Secours of Paris Incorporated
  		453662533 1 Yes   0 0
(AD) Sisters of Bon Secours of the US Incorporated
  		520715234 1 Yes   10,000 0
(AE) Chesapeake Medical Group
  		541857174 9 Yes   84,680 0
(AF) Rappahannock General Hospital Foundation Inc
  		541210450 7 Yes   4,052,803 0
Total 32 618,657,099 0

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) right arrow (a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (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) right arrow (a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (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. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10.  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 3
Part III
Support Schedule for Organizations Described in Section 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) right arrow (a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (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) right arrow (a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (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 VI.) ..            
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) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
Yes
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
No
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
No
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.
4a
 
No
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
Yes
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
Yes
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
No
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
No
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
No
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
No
c
Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
No
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
No
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
No
b
A family member of a person described in (a) above?
11b
 
No
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
No
Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
Yes
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
Yes
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
Yes
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
Yes
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
Yes
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
Yes
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
Yes
 
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    

Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    

Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity		  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions		  
9 Distributable amount for 2015 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  

Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2015 		(iii)
Distributable
Amount for 2015
1 Distributable amount for 2015 from Section C, line
6 		 
2 Underdistributions, if any, for years prior to 2015
(reasonable cause required--see instructions)		  
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......  
e From 2014.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2015 distributable amount  
i Carryover from 2010 not applied (see
instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2015 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2015 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2015, if any. Subtract lines 3g and 4a from line 2
(if amount greater than zero, see instructions)		  
6 Remaining underdistributions for 2015. Subtract
lines 3h and 4b from line 1 (if amount greater than
zero, see instructions)		  
7 Excess distributions carryover to 2016. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a
b
c Excess from 2013.......  
d From 2014.......  
e From 2015.......  
Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Part IV, Section A, Line 5a: The following organizations were added to the listing of supported organizations for the reasons provided below. All actions were accomplished through the applicable Board of Directors' approvals. Added: Bon Secours Health System Foundation, Inc. 47-4765376; Newly created organization. Chesapeake Medical Group 54-1857174; This organization was previously classified as a 509(a)(3) organization. The classification was updated to a 509(a)(2) during the fiscal year. The entity meets all other criteria to be reported as a supported organization. Subtracted: The following organizations were substrated from the listing of supported organizations because an unrelated nonprofit entity acquired a majority membership interest in Bon Secours Charity Health System, a nonprofit corporation which is the parent that controls the selection of directors of these organizations. Good Samaritan Hospital of Suffern, NY 13-1740104 Bon Secours Charity Health System Medical Group, PC 22-3636986 Bon Secours Community Hospital 14-1347717 Good Samaritan Foundation For Better Health, Inc. 13-3400353 St. Anthony Community Hospital, Warwick, New York 14-1340100 St. Francis Center at the Knolls, Inc. 06-1370576 The Bon Secours Warwick Health Foundation 14-1972807 Villa Frances at the Knolls, Inc. 06-1381994
Part IV, Section A, Line 6: The filing organization did provide support in the form of grants and other assistance to organizations other than their supported organizations. The organization regularly provides financial support to charitable and religious organizations with similar tax exempt purposes.
Part IV, Section D, Line 3: The filing organization maintains a close and continuous working relationship with the Sisters of Bon Secours in the United States because members of the order serve on its board and because the Congregation is the founding and participating entity in the filing organization's canonical sponsor. The filing organization maintains a close and continuous working relationship with its other supported organizations through the Governance Steering Committee, which is comprised of the BSHSI Board Chair, BSHSI President/CEO, and the Board Chairs, Board Presidents, and CEOs of each local system. The committee meets quarterly to bring together governance leadership throughout the system for education, sharing and working toward governance best practices. The local board chairs and presidents also meet with the BSHSI Board Chair in executive session at each meeting. The supported organizations have a significant voice in the use of the filing organization's income and assets. Representatives of the supported organizations have clear channels of communication to relay to the filing organization's staff and leadership the resources they want and need in order to carry out their operations in furtherance of their shared health care mission. Supported organizations communicate their needs through the annual budget approval process and through ad hoc requests as needs arise. The filing organization's staff and leadership take account of the information they receive from the supported organizations in developing budgets and proposed allocations of resources to be presented to the filing organization's Board for debate and approval.
Part IV, Section E, Line 2a: Substantially all of the filing organization's activities directly furthered the exempt purposes of the Sisters of Bon Secours in the United States and the other supported organizations because the activities were all carrying out the shared health care mission of the Bon Secours Health System. The filing organization developed system-wide policies, provided services such as electronic health records system maintenance, procurement, accounting, and legal to support the delivery of health care to the communities served and to enable the Sisters of Bon Secours to carry out their faith-based health care mission consistently and effectively across the system.
Part IV, Section E, Line 2b: The filing organization's supported organizations would have engaged in the filing organization's activities but for the filing organization's involvement because the functions and services performed by the filing organization are all important to sound operations that deliver quality health care that is compliant with legal and regulatory requirements and the faith-based mission of the Bon Secours Health System.
Part IV, Section E, Line 3a: The filing organization had the power to appoint or elect a majority of the officers and directors of its supported organizations, other than the Sisters of Bon Secours of the United States, which has the authority, through its relationship with the filing organization's sole member, to appoint the board of the filing organization. The filing organization exercises this power through its control over the parent entities of the local health systems which in turn have control over the supported organizations.
Part IV, Section E, Line 3b: The supported organizations are subject to the general supervision or control of filing organization. Per the governing documents of each of the supported organizations, the filing organization has the power to approve strategic plans, capital budgets, operating budgets, as well as change the philosophy, objectives or purposes of the organizations.
Schedule A (Form 990 or 990-EZ) 2015


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," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
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" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year ....    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of 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 can 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" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 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, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, 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 section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, 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" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), 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)
Revenue included on 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 (ASC 958) relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2015

Schedule D (Form 990) 2015
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, 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 XIII.
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" on 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 XIII 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, for escrow or custodial account liability?
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" on 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 Net investment earnings, gains, and 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 current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
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" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land ...   11,241,726 11,241,726
b Buildings   62,225,916 7,584,778 54,641,138
c Leasehold improvements   2,101,535 1,420,496 681,039
d Equipment ...   371,949,252 270,045,620 101,903,632
e Other ...   19,380,642 400,000 18,980,642
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 187,448,177
Schedule D (Form 990) 2015

Schedule D (Form 990) 2015
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. 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    
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Inv in Roper St. Francis 96,073,830 C
(2)Inv in Charity Health System 52,163,663 C
(3)Community Programs Loans 23,862,762 C
(4)Inv in Premier 9,963,261 C
(5)Inv in Innovation Institute 10,169,403 C
(6)Inv in Memorial Regional Med Center 9,238,222 C
(7)Inv in Mary Immaculate Hospital JV 9,202,344 C
(8)Inv in Shannon Premiums Amort 1,974,427 C
(9)Inv in Envera 1,500,000 C
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet 214,147,912
Part IX
Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) Due from Affiliates 527,896,865
(2) HPL/GL Asset 47,282,197
(3) Ground Lease & Amortization 18,616,619
(4) Actuarial Value of Excess Recoverables 14,861,831
(5) Rebates Receivable 7,220,316
(6) BSHSI Cyber A/R 6,500,000
(7) Capital Accumulation 4,963,649
(8) Rent Receivable 346,041
(9) Other Miscellaneous Assets 1,534,024
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 629,221,542
Part X
Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
Pension Liability 138,504,806
Worker's Comp Liability 62,099,668
Due to Affiliates 49,743,960
HPL/GL Liability 47,282,197
Charity WMC Deposit 3,700,000
Capital Lease 915,336
Unclaimed Property 750,000
MOB Deferred Costs & Other 137,693
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 303,133,660
2. Liability for uncertain tax positions. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2015

Schedule D (Form 990) 2015
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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 (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 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 XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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 XIII.) ............ 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 XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  

Part XIII
Supplemental Information
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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Part X, Line 2: 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 ASC 740. ASC 740 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 ASC 740 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. The System's taxable subsidiaries had approximately $89,895 and $84,748 of net operating loss carryforwards as of August 31, 2016 and 2015, respectively, which expire in varying periods through 2036 and are available to offset future taxable income. The System accounts for income taxes under the asset and liability method. Under this method, deferred tax assets and liabilities are recognized for the estimated future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases. Deferred tax assets and liabilities are measured using enacted tax rates expected to be in effect during the year in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. Income tax liabilities are recorded for the impact of positions taken on income tax returns, which management believes are not more likely than not to be sustained on tax audit. Interest and penalties related to income taxes are accounted for as income tax expense. The System's deferred tax assets are fully reserved at August 31, 2016 and 2015 as the System considers it more likely than not that these amounts will not be recognized.
Schedule D (Form 990) 2015


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.Right pointing arrow large image Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
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 its grants and
other 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 its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (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 and investments
in region
Central America & the Caribbean 1 0 Program Services Off-Shore Captive Management 8,045,534
Central America & the Caribbean 0 0 Program Services Support of Medical Clinic 325,933
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total ..... 1 0 8,371,467
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 1 0 8,371,467
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2015
Schedule F (Form 990) 2015
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. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (a)(c) Region (b)(d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
Central America and the Caribbean Madre De Crisco in Trujillo Peru Clinic 325,933 Wire Transfer      
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
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
1
3 Enter total number of other organizations or entities .......................MediumBullet
0
Schedule F (Form 990) 2015
Schedule F (Form 990) 2015Page 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.
Part III can be duplicated 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) 2015
Schedule F (Form 990) 2015
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, Return by a U.S. Transferor of Property to a Foreign Corporation (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 separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (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, Information 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 separately file Form 5713, International Boycott Report (see Instructions for Form 5713).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2015
Schedule F (Form 990) 2015
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
ReturnReference Explanation
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.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2015
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," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC 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) The Bon Secours of Maryland Foundation Inc (dba Bon Secours Community Wor
26 North Fulton Avenue
Baltimore,MD21223 		52-1732800 501(C)(3) 45,000       Community Works Youth Programming Strategic Plan
(2) The Bon Secours of Maryland Foundation Inc (dba Bon Secours Community Wor
26 North Fulton Avenue
Baltimore,MD21223 		52-1732800 501(C)(3) 100,000       Working Families Initiative
(3) Bon Secours Hospital Baltimore Inc
2000 West Baltimore Street
Baltimore,MD21223 		52-0591555 501(C)(3) 245,050       Lease Buyouts
(4) Bon Secours DePaul Health Foundation
7007 Harbour View Blvd
Suffolk,VA23435 		54-1843876 501(C)(3) 40,000       Community Passport to Healthy Teen Engagement
(5) Bon Secours DePaul Health Foundation
7007 Harbour View Blvd
Suffolk,VA23435 		54-1843876 501(C)(3) 15,350       Community Store House Pantry
(6) Mary Immaculate Hospital
7007 Harbour View Blvd
Suffolk,VA23435 		54-0548200 501(C)(3) 33,650       Health, Education and Literacy (HEAL)
(7) Bon Secours Maryview Foundation
7007 Harbour View Blvd
Suffolk,VA23435 		52-1694731 501(C)(3) 51,000       Psychiatric Nurse Pracitioner and Foundation Clinic
(8) Bon Secours Richmond Health Care Foundation
8580 Magellan Parkway
Richmond,VA23227 		54-1201346 501(C)(3) 65,000       Bridging the Digital Divide
(9) Bon Secours Richmond Health Care Foundation
8580 Magellan Parkway
Richmond,VA23227 		54-1201346 501(C)(3) 75,000       Employee Assistance Program
(10) Bon Secours Richmond Health Care Foundation
8580 Magellan Parkway
Richmond,VA23227 		54-1201346 501(C)(3) 100,000       Urban Agricultural Certification
(11) Memorial Regional Medical Center Inc
8580 Magellan Pkwy
Richmond,VA23227 		54-1744931 501(C)(3)   95,627 Book Value Medical Equipment Medical Equipment/Pyxis
(12) Bon Secours - Maria Manor Nursing Care Center Inc
10300 Fourth Street North
St Petersburg,FL33716 		65-0061820 501(C)(3) 43,000       Diabetes Access Monitoring Program
(13) Bon Secours - Maria Manor Nursing Care Center Inc
10300 Fourth Street North
St Petersburg,FL33716 		65-0061820 501(C)(3) 10,000       FAB Families
(14) Bon Secours - Maria Manor Nursing Care Center Inc
10300 Fourth Street North
St Petersburg,FL33716 		65-0061820 501(C)(3) 20,000       Healthy Bucs
(15) Bon Secours - Maria Manor Nursing Care Center Inc
10300 Fourth Street North
St Petersburg,FL33716 		65-0061820 501(C)(3) 7,000       Healthy Food Options for Expectant Mothers
(16) Bon Secours - Maria Manor Nursing Care Center Inc
10300 Fourth Street North
St Petersburg,FL33716 		65-0061820 501(C)(3) 20,000       Maintaining Independent Living for Vulnerable Seniors
(17) Bon Secours - Maria Manor Nursing Care Center Inc
10300 Fourth Street North
St Petersburg,FL33716 		65-0061820 501(C)(3) 11,000       St. Petersburg and Pinellas County Housing Need Assessment
(18) Bon Secours - Maria Manor Nursing Care Center Inc
10300 Fourth Street North
St Petersburg,FL33716 		65-0061820 501(C)(3) 10,000       The Fruit and Vegetable Prescription Program
(19) Bon Secours - Maria Manor Nursing Care Center Inc
10300 Fourth Street North
St Petersburg,FL33716 		65-0061820 501(C)(3) 10,000       The Healing Gardens at CASA
(20) Good Samaritan Hospital of Suffern NY
255 Lafayette Avenue
Suffern,NY10901 		13-1740104 501(C)(3) 100,000       Garden Ministry
(21) Frances Schervier Home and Hospital
2975 Independence Avenue
Bronx,NY10463 		13-1740397 501(C)(3) 41,600       Community Garden Program
(22) Frances Schervier Home and Hospital
2975 Independence Avenue
Bronx,NY10463 		13-1740397 501(C)(3) 39,995       Continuing Health Community Initiative
(23) Frances Schervier Home and Hospital
2975 Independence Avenue
Bronx,NY10463 		13-1740397 501(C)(3) 40,000       Garden and Nutrition Program Kingsbridge Heights Community Center
(24) Frances Schervier Home and Hospital
2975 Independence Avenue
Bronx,NY10463 		13-1740397 501(C)(3) 33,400       Increase Access to Fresh Produce
(25) Frances Schervier Home and Hospital
2975 Independence Avenue
Bronx,NY10463 		13-1740397 501(C)(3) 25,000       Mental Health Outreach Worker
(26) Bon Secours Kentucky Health System Foundation Inc
1000 Ashland Drive
Ashland,KY41101 		61-1381952 501(C)(3) 30,000       Bellefonte Women's Center Rural Health Initiative
(27) Bon Secours Kentucky Health System Foundation Inc
1000 Ashland Drive
Ashland,KY41101 		61-1381952 501(C)(3) 37,250       Community Partners Dental Program
(28) Bon Secours Kentucky Health System Foundation Inc
1000 Ashland Drive
Ashland,KY41101 		61-1381952 501(C)(3) 50,000       FIT Families: Facing It Together
(29) Bon Secours Kentucky Health System Foundation Inc
1000 Ashland Drive
Ashland,KY41101 		61-1381952 501(C)(3) 7,000       Human Traffic Resource Coalition
(30) Bon Secours Kentucky Health System Foundation Inc
1000 Ashland Drive
Ashland,KY41101 		61-1381952 501(C)(3) 21,000       Ironton OH Community
(31) Bon Secours Kentucky Health System Foundation Inc
1000 Ashland Drive
Ashland,KY41101 		61-1381952 501(C)(3) 10,000       Lawrence County OH ~ Healthy Weight Program
(32) St Francis Hospital Inc
One St Francis Drive
Greenville,SC29601 		58-2504530 501(C)(3) 72,705       Healthy Communities Navigator
(33) Bon Secours St Francis Health System Foundation
One St Francis Drive
Greenville,SC29601 		26-0012031 501(C)(3) 10,000       Young Life Transportation Initiative
(34) St Francis Hospital Inc
One St Francis Drive
Greenville,SC29601 		58-2504530 501(C)(3)   209,130 Book Value Medical Equipment Medical Equipment/Pyxis
(35) St Francis Hospital Inc
One St Francis Drive
Greenville,SC29601 		58-2504530 501(C)(3) 731,400       Lease Buyouts
(36) Roper St Francis Health System
315 Calhoun St
Charleston,SC29601 		57-1068509 501(C)(3) 100,000       Access Tri County Health Network
(37) Roper St Francis Health System
315 Calhoun St
Charleston,SC29601 		57-1068509 501(C)(3) 50,000       Continuing Access to Breast Screening
(38) American Hospital Assocation
PO Box 75315
Chicago,IL60675 		36-0726140 501(C)(3) 25,000       Assn for Community Health Improvement Conference Sponsorship
(39) Catholic Medical Mission Board
1129 20th Street NW
Washington,DC20036 		13-5602319 501(C)(3) 570,000       1st 1000 Days Program in Peru
(40) Sisters of Bon Secours USA Inc
1505 Marriottsville Road
Marriottsville,MD21104 		52-0715237 501(C)(3) 72,818       FY16 Volunteer Ministry Program
(41) Mercy Housing
1999 Broadway
Denver,CO80202 		47-0646706 501(C)(3) 25,000       Strategic Healthcare Partnership Initiave
(42) Crossover Healthcare Ministries
8600 Quioccasin Rd Ste 102
Richmond,VA23229 		54-1371067 501(C)(3) 5,000       Board Member Donations Outgoing Members Allen Seitz
(43) Midwives for Haiti
7130 Glen Forest Drive
Richmond,VA23226 		27-2368581 501(C)(3) 100,000       Midwives for Haiti Work
(44) Sisters of Bon Secours USA Inc
1505 Marriottsville Road
Marriottsville,MD21104 		52-0715237 501(C)(3) 11,862       Peru Construction
(45) Roper St Francis Health System
315 Calhoun St
Charleston,SC29601 		57-1068509 501(C)(3) 50,000       SC Flood Releif
(46) Bon Secours - Maria Manor Nursing Care Center Inc
10300 Fourth Street North
St Petersburg,FL33716 		65-0061820 501(C)(3) 7,500       Gala Celebrate the Graceful Ar of Senior Care
(47) Sisters of Charity Incarnation Word
4503 Broadway
San Antonio,TX78209 		74-1676917 501(C)(3) 50,000       Chimbote Peru Work
(48) Sisters Academy of Baltimore
139 First Avenue
Baltimore,MD21227 		34-1975939 501(C)(3) 25,000       Academic Support 2015-2016 School Year
(49) Roper St Francis Health System
315 Calhoun St
Charleston,SC29601 		57-1068509 501(C)(3) 62,567       SC Donation Red Cross
(50) Roper St Francis Health System
315 Calhoun St
Charleston,SC29601 		57-1068509 501(C)(3) 1,667       SC Relief
(51) Global Smile Foundation
28 Martingale Lane
Westwood,MA02090 		26-2668127 501(C)(3) 25,000       Global Smile Donation
(52) Crossover Healthcare Ministries
8600 Quioccasin Rd Ste 102
Richmond,VA23229 		54-1371067 501(C)(3) 5,000       Board Member Donations Outgoing Members Allen Seitz
(53) North Rosedale Park Civic Association
18445 Scarsdale
Detroit,MI48223 		38-0882424 501(C)(3) 2,500       Board Member Donations Outgoing Members Allen Seitz
(54) Cooalition on Temporary Shelter
26 Peterboro
Detroit,MI48201 		38-2420565 501(C)(3) 2,500       Board Member Donations Outgoing Members Allen Seitz
(55) Sisters Academy of Baltimore
139 First Avenue
Baltimore,MD21227 		34-1975939 501(C)(3) 5,600       Block Party at the Park
(56) Catholic Charities USA
2050 Ballenger Ave
Alexandria,VA22314 		53-0196620 501(C)(3) 50,000       Midwest & Southern Emergency
(57) Sisters of Charity of St Elizabeth
PO Box 476
Convent Station,NJ079610476 		22-1487343 501(C)(3) 3,000       Journal Ad Harvest Festival
(58) American Red Cross
420 East Cary Street
Richmond,VA23218 		53-0196605 501(C)(3) 25,000       VA Tornado Relief
(59) United Way of South Hampton Roads
PO Box 41069
Norfolk,VA23541 		54-0506322 501(C)(3) 25,000       Community Data Portal Partnership
(60) Our Lady of Bellefonte Hospital Inc
100 St Christopher Dr
Ashland,KY41101 		61-1356023 501(C)(3) 5,000       Golf Tournament Sponsorship
(61) Our Lady of Bellefonte Hospital Inc
100 St Christopher Dr
Ashland,KY41101 		61-1356023 501(C)(3)   37,598 Book Value Medical Equipment Medical Equipment/Pyxis
(62) Immaculate Heart of Mary
610 West Elm Ave
Monroe,MI48162 		38-1359581 501(C)(3) 50,000       Solidarity South Sudan
(63) Americares Foundation Inc
88 Hamilton Ave
Stamford,CT06902 		06-1008595 501(C)(3) 50,000       Ecuador Disaster Relief
(64) Americares Foundation Inc
88 Hamilton Ave
Stamford,CT06902 		06-1008595 501(C)(3) 20,000       West Virginia Disaster Relief
(65) Christ Child Society
4033 W Good Hope Road
Milwalkee,WI53209 		39-6084257 501(C)(3) 500       Memorial Donation Donna Marie Heon
(66) LCWR 2016 Assembly Sponsorship
8808 Cameron St
Silver Spring,MD20910 		43-6033728 501(C)(3) 10,000       LCWR 2016 Assembly
(67) American Red Cross
420 East Cary Street
Richmond,VA23218 		53-0196605 501(C)(3) 5,000       Ellicott City MD Relief
(68) Roper St Francis Health System
315 Calhoun St
Charleston,SC29601 		57-1068509 501(C)(3) 5,000       SC Flood Releif
(69) Westchester Medical Foundation
100 Woods Road Ste 3
Valhalla,NY10595 		13-4095845 501(C)(3) 15,000       Westchester Medical Center Gala
(70) Congregation of Bon Secours of Paris Incorporated
1527 Marriottsville Road
Marriottsville,MD21104 		45-3662533 501(C)(3) 7,500       Holy Redeemer
(71) Congregation of Bon Secours of Paris Incorporated
1527 Marriottsville Road
Marriottsville,MD21104 		45-3662533 501(C)(3) 2,500       Pax Christi
(72) Bon Secours DePaul Health Foundation
7007 Harbour View Blvd
Suffolk,VA23435 		54-1843876 501(C)(3) 135,000       Wellness Grant: DMC Tranquility Rooms
(73) Bon Secours - Maria Manor Nursing Care Center Inc
10300 Fourth Street North
St Petersburg,FL33716 		65-0061820 501(C)(3) 30,000       Employee Hardship Assistance
(74) Frances Schervier Home and Hospital
2975 Independence Avenue
Bronx,NY10463 		13-1740397 501(C)(3) 25,000       Employee Hardship Assistance
(75) Frances Schervier Home and Hospital
2975 Independence Avenue
Bronx,NY10463 		13-1740397 501(C)(3) 30,000       Employee Hardship Assistance
(76) Frances Schervier Home and Hospital
2975 Independence Avenue
Bronx,NY10463 		13-1740397 501(C)(3) 40,000       Employee Hardship Assistance
(77) Bon Secours St Francis Health System Foundation
One St Francis Drive
Greenville,SC29601 		26-0012031 501(C)(3) 30,000       Employee Hardship Assistance
(78) St Mary's Hospital of Richmond Inc
8580 Magellan Pkwy Building IV
Richmond,VA23227 		54-0793767 501(C)(3)   34,977 Book Value Medical Equipment Medical Equipment/Pyxis
(79) Richmond Community Hospital Inc
8580 Magellan Pkwy Building IV
Richmond,VA23227 		54-0647482 501(C)(3)   101,342 Book Value Medical Equipment Medical Equipment/Pyxis
(80) Bon Secours - St Francis Medical Center Inc
8580 Magellan Pkwy Building IV
Richmond,VA23227 		31-1716973 501(C)(3)   33,758 Book Value Medical Equipment Medical Equipment/Pyxis
(81) Bon Secours - St Francis Medical Center Inc
8580 Magellan Pkwy Building IV
Richmond,VA23227 		31-1716973 501(C)(3) 595,860       Lease Buyouts
(82) Bon Secours Inc
1505 Marriottsville Road
Marriottsville,MD21104 		52-1301091 501(C)(3) 60,000       General Support
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
39
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2015

Schedule I (Form 990) 2015
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated 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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
Part I, Line 2: Per Bon Secours Health System, Inc.'s system-wide financial and accounting policies, contributions are generally made as reimbursements for funds spent. In such cases, the donee/grantee organization must provide documentation to the filing organization before funds are approved for disbursement. In other cases, 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. 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) 2015



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" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
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 on 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 or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on 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
 
No
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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on 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," on line 5a or 5b, describe in Part III.
6
For persons listed on 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," on line 6a or 6b, describe in Part III.
7
For persons listed on 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 on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2015

Schedule J (Form 990) 2015
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (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 in column(B) reported as deferred on prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1Richard StatutoPresident/CEO (i)

(ii)		 1,236,158
-------------
0 		1,174,240
-------------
0 		242,047
-------------
0 		512,201
-------------
0 		32,355
-------------
0 		3,197,001
-------------
0 		187,778
-------------
0
2Janice BurnettTreasurer / CFO (i)

(ii)		 552,081
-------------
0 		370,190
-------------
0 		72,532
-------------
0 		106,777
-------------
0 		20,728
-------------
0 		1,122,308
-------------
0 		38,116
-------------
0
3Martha Riva JDSecretary / SVP Governance (i)

(ii)		 359,450
-------------
0 		283,433
-------------
0 		87,791
-------------
0 		53,340
-------------
0 		32,292
-------------
0 		816,306
-------------
0 		34,277
-------------
0
4Timothy DavisEVP, CHRAO (i)

(ii)		 658,643
-------------
0 		496,834
-------------
0 		496,954
-------------
0 		75,673
-------------
0 		20,635
-------------
0 		1,748,739
-------------
0 		329,759
-------------
0
5Marlon Priest MDEVP, CMO (i)

(ii)		 772,417
-------------
0 		541,976
-------------
0 		170,035
-------------
0 		15,900
-------------
0 		22,081
-------------
0 		1,522,409
-------------
0 		0
-------------
0
6Laishy Williams-CarlsonSVP, CIO (i)

(ii)		 316,623
-------------
0 		186,975
-------------
0 		42,285
-------------
0 		48,639
-------------
0 		21,480
-------------
0 		616,002
-------------
0 		0
-------------
0
7Mark NantzEVP, Strategy & Growth (i)

(ii)		 675,419
-------------
0 		523,457
-------------
0 		93,805
-------------
0 		97,873
-------------
0 		29,848
-------------
0 		1,420,402
-------------
0 		46,960
-------------
0
8Matthew ToddyEVP, Legal Affairs (i)

(ii)		 589,412
-------------
0 		448,163
-------------
0 		123,769
-------------
0 		134,961
-------------
0 		27,997
-------------
0 		1,324,302
-------------
0 		75,844
-------------
0
9Samuel Ross MDEVP, CEO - BHS (i)

(ii)		 611,251
-------------
0 		423,522
-------------
0 		118,736
-------------
0 		75,234
-------------
0 		20,498
-------------
0 		1,249,241
-------------
0 		47,512
-------------
0
10Michael KernerCEO - HRHS (i)

(ii)		 559,739
-------------
0 		403,723
-------------
0 		158,448
-------------
0 		93,156
-------------
0 		31,817
-------------
0 		1,246,883
-------------
0 		91,467
-------------
0
11Toni ArdabellCEO - VA (i)

(ii)		 621,858
-------------
0 		367,952
-------------
0 		56,509
-------------
0 		74,999
-------------
0 		0
-------------
0 		1,121,318
-------------
0 		21,827
-------------
0
12Lawrence HubbardFormer Key Employee (i)

(ii)		 285,123
-------------
0 		319,403
-------------
0 		92,762
-------------
0 		15,900
-------------
0 		16,316
-------------
0 		729,504
-------------
0 		0
-------------
0
13Peter BernardFormer Highest Paid Employee (i)

(ii)		 594,915
-------------
0 		907,922
-------------
0 		754,197
-------------
0 		97,765
-------------
0 		24,148
-------------
0 		2,378,947
-------------
0 		460,681
-------------
0
Schedule J (Form 990) 2015

Schedule J (Form 990) 2015
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Part I, Line 1a During the applicable fiscal year, certain officers, key employees and highest paid employees received $400 gift cards which were grossed up to offset any income tax effect (10).
Part I, Line 4b The filing organization participates in a BSHSI sponsored executive retirement program that allows for deposits into additional retirement plans available to officers and certain key employees. The 457F plan is a non-qualified plan and is subject to a minimum three-year service requirement before vesting on deposits made into this plan. Individuals that received a distribution include: Richard Statuto, $186,683; Janice Burnett, $46,841; Martha Riva, $42,772; Timothy Davis, $406,381; Mark Nantz, $49,665; Matthew Toddy, $97,976; Samuel Ross, MD, $68,934; Michael Kerner, $112,117; Toni Ardabell, $28,228; Peter Bernard, $617,982.
Schedule J (Form 990) 2015
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 Part VI.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
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 City of Russell Kentucky
  		782563AT7 02-28-2008 15,950,000 Refund bonds issued 12-30-02 (2002B Russell)   X   X   X
B City of Venice Florida
  		59-6000443 92268PAS7 02-28-2008 4,250,000 Refund bonds issued 12-30-02 (2002B Venice)   X   X   X
C South Carolina Jobs-Economic Development Authority
  		57-6000286 837031QH9 01-15-2008 69,925,000 Construct and equip facility   X   X   X
D Economic Development Authority of Henrico County Virginia
  		54-1197472 42605PBV6 10-19-2010 80,412,256 Refund bonds issued 01-15-08 (2008B Henrico)   X   X   X
Economic Development Authority of the County of Chesterfield
  		52-1279622 16639EAY0 10-19-2010 93,627,897 Refund bonds issued 01-15-08 (2008C Ches.)   X   X   X
South Carolina Jobs-Economic Development Authority
  		57-0960018 837031RA3 10-17-2008 30,365,000 Refund bonds issued 12-30-02 (2002B SC)   X   X   X
Economic Development Authority of Hanover County
  		54-1228097 41077RAC6 10-17-2008 124,715,000 Refund bonds*   X   X   X
South Carolina Jobs-Economic Development Authority
  		57-0960018 837031SL8 01-11-2013 200,846,700 Construct/Equip facility and refund bonds*   X   X   X
Economic Dev Auth of the City of Norfolk
  		52-1375010 65588QAM7 01-11-2013 21,635,500 Construct/Equip facility and refund bonds*   X   X   X
Economic Development Authority of Henrico County Virginia
  		54-1197472 42605PDJ1 01-11-2013 62,929,133 Construct/Equip facility and refund bonds*   X   X   X
City of Russell Kentucky
  		782563AY6 01-11-2013 42,941,199 Construct/Equip facility and refund bonds*   X   X   X
Economic Development Authority of Henrico County Virginia
  		54-1197472 000000000 07-11-2013 26,505,000 Refund bonds issued 10-17-08 (2008D Henrico)   X   X   X
Virginia Small Business Financing Authority
  		54-1300845 000000000 07-11-2013 40,740,000 Refund bonds issued 10-19-10 (2010 VSBFA)   X   X   X
Economic Development Authority of the City of Norfolk
  		52-1375010 000000000 10-31-2014 58,260,000 Refund bonds issued 12-08-11 (2011 Norfolk)   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired .................. 5,500,000 11,385,000 26,110,000 4,700,000
2 Amount of bonds legally defeased ..............        
3 Total proceeds of issue .................. 15,950,000 4,250,000 69,973,023 80,412,256
4 Gross proceeds in reserve funds ............. 1,350,761 437,989    
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 967,897 255,675 729,108  
8 Credit enhancement from proceeds .............   7,500 1,694,518  
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 11,767,093 20,730,675 67,549,397 8,266,938
11 Other spent proceeds ............. 15,950,000 4,250,000 123,426,412 80,412,256
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2013 2013 2008 2013
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? .... X   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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2015

Schedule K (Form 990) 2015
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 of bond-financed property? ............. X   X   X      
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X      
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X     X    
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? 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 0.530 % 0.010 % 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 % 0 % 0 %  
6 Total of lines 4 and 5 ............. 0.530 % 0.010 % 0 %  
7 Does the bond issue meet the private security or payment test? ...   X   X   X    
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X    
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X      
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........   X   X   X   X
c No rebate due? ......... X   X   X   X  
If "Yes" to line 2c, provide in Part VI the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X   X   X   X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X   X   X     X
b Name of provider .......... Merrill Lynch
Capital Services 		Merrill Lynch
Capital Services 		PNC Bank
  		 
 
c Term of hedge ......... 2000.0000000000 % 2000.0000000000 % 3300.0000000000 %  
d Was the hedge superintegrated? ......   X   X   X    
e Was the hedge terminated? ........   X   X   X    
Schedule K (Form 990) 2015

Schedule K (Form 990) 2015
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (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? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Part I, Column (b): City of Russell, Kentucky Issuer EIN (Part I, b) is 61-601905.
Part I, Column (f): 2008D Hanover Bonds - D1 refund bonds issued on 12-30-02 (2002B Econ. Dev. Auth. Hanover Co, VA) and D2 refund bonds issued on 9-28-05 (2005 Econ. Dev. Auth. Hanover Co, VA). 2013 South Carolina Bonds - construct & equip facility and refund bonds issued on 12-30-02 (2002A South Carolina JEDA). 2013 Norfolk Bonds - construct & equip facility and refund bonds issued on 08-14-97 (1997 Peninsula Ports Auth. of VA). 2013 Henrico Bonds - construct & equip facility and refund bonds issued on 12-30-02 (2002A Econ. Dev. Auth. of Henrico Co., VA). 2013 Russell Bonds - construct & equip facility and refund bonds issued on 12-30-02 (2002A City of Russell, KY).
Part II, Line 3: The difference in Issue Price listed in Part I, section E is different from Total Proceeds of Issue listed in Part II, row 3 for Column A - 2008A South Carolina bonds because of investment earnings on the Project Fund.
Part III: Part III has not been completed with respect to bonds that refinance projects where the original debt was issued prior to 2003.
Part IV, Line 2c: Issuer Name: City of Russell, KY (2002B Russell) Date the Rebate Computation was Performed: 08/04/2016. Issuer Name: City of Venice, FL (2002B Venice) Date the Rebate Computation was Performed: 08/04/2016. Issuer Name: South Carolina Jobs-Economic Development Authority (2008A SC) Date the Rebate Computation was Performed: 04/08/2013. Issuer Name: Economic Development Authority of Henrico County, Virginia (2008B Henrico) Date the Rebate Computation was Performed: 04/08/2013. Issuer Name: Economic Development Authority of the County of Chesterfield (2008C Chesterfield) Date the Rebate Computation was Performed: 04/08/2013. Issuer Name: South Carolina Jobs-Economic Development Authority (2008D SC) Date the Rebate Computation was Performed: 06/17/2014. Issuer Name: Economic Development Authority of Hanover County, Virginia (2008D Hanover) Date the Rebate Computation was Performed: 06/17/2014.
Schedule K (Form 990) 2015

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 Part VI.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
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 City of Russell Kentucky
  		782563AT7 02-28-2008 15,950,000 Refund bonds issued 12-30-02 (2002B Russell)   X   X   X
B City of Venice Florida
  		59-6000443 92268PAS7 02-28-2008 4,250,000 Refund bonds issued 12-30-02 (2002B Venice)   X   X   X
C South Carolina Jobs-Economic Development Authority
  		57-6000286 837031QH9 01-15-2008 69,925,000 Construct and equip facility   X   X   X
D Economic Development Authority of Henrico County Virginia
  		54-1197472 42605PBV6 10-19-2010 80,412,256 Refund bonds issued 01-15-08 (2008B Henrico)   X   X   X
Economic Development Authority of the County of Chesterfield
  		52-1279622 16639EAY0 10-19-2010 93,627,897 Refund bonds issued 01-15-08 (2008C Ches.)   X   X   X
South Carolina Jobs-Economic Development Authority
  		57-0960018 837031RA3 10-17-2008 30,365,000 Refund bonds issued 12-30-02 (2002B SC)   X   X   X
Economic Development Authority of Hanover County
  		54-1228097 41077RAC6 10-17-2008 124,715,000 Refund bonds*   X   X   X
South Carolina Jobs-Economic Development Authority
  		57-0960018 837031SL8 01-11-2013 200,846,700 Construct/Equip facility and refund bonds*   X   X   X
Economic Dev Auth of the City of Norfolk
  		52-1375010 65588QAM7 01-11-2013 21,635,500 Construct/Equip facility and refund bonds*   X   X   X
Economic Development Authority of Henrico County Virginia
  		54-1197472 42605PDJ1 01-11-2013 62,929,133 Construct/Equip facility and refund bonds*   X   X   X
City of Russell Kentucky
  		782563AY6 01-11-2013 42,941,199 Construct/Equip facility and refund bonds*   X   X   X
Economic Development Authority of Henrico County Virginia
  		54-1197472 000000000 07-11-2013 26,505,000 Refund bonds issued 10-17-08 (2008D Henrico)   X   X   X
Virginia Small Business Financing Authority
  		54-1300845 000000000 07-11-2013 40,740,000 Refund bonds issued 10-19-10 (2010 VSBFA)   X   X   X
Economic Development Authority of the City of Norfolk
  		52-1375010 000000000 10-31-2014 58,260,000 Refund bonds issued 12-08-11 (2011 Norfolk)   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired .................. 5,500,000 11,385,000 26,110,000 4,700,000
2 Amount of bonds legally defeased ..............        
3 Total proceeds of issue .................. 15,950,000 4,250,000 69,973,023 80,412,256
4 Gross proceeds in reserve funds ............. 1,350,761 437,989    
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 967,897 255,675 729,108  
8 Credit enhancement from proceeds .............   7,500 1,694,518  
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 11,767,093 20,730,675 67,549,397 8,266,938
11 Other spent proceeds ............. 15,950,000 4,250,000 123,426,412 80,412,256
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2013 2013 2008 2013
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? .... X   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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2015

Schedule K (Form 990) 2015
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 of bond-financed property? ............. X   X   X      
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X      
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X     X    
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? 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 0.530 % 0.010 % 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 % 0 % 0 %  
6 Total of lines 4 and 5 ............. 0.530 % 0.010 % 0 %  
7 Does the bond issue meet the private security or payment test? ...   X   X   X    
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X    
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X      
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........   X   X   X   X
c No rebate due? ......... X   X   X   X  
If "Yes" to line 2c, provide in Part VI the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X   X   X   X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X   X   X     X
b Name of provider .......... Merrill Lynch
Capital Services 		Merrill Lynch
Capital Services 		PNC Bank
  		 
 
c Term of hedge ......... 2000.0000000000 % 2000.0000000000 % 3300.0000000000 %  
d Was the hedge superintegrated? ......   X   X   X    
e Was the hedge terminated? ........   X   X   X    
Schedule K (Form 990) 2015

Schedule K (Form 990) 2015
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (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? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Part I, Column (b): City of Russell, Kentucky Issuer EIN (Part I, b) is 61-601905.
Part I, Column (f): 2008D Hanover Bonds - D1 refund bonds issued on 12-30-02 (2002B Econ. Dev. Auth. Hanover Co, VA) and D2 refund bonds issued on 9-28-05 (2005 Econ. Dev. Auth. Hanover Co, VA). 2013 South Carolina Bonds - construct & equip facility and refund bonds issued on 12-30-02 (2002A South Carolina JEDA). 2013 Norfolk Bonds - construct & equip facility and refund bonds issued on 08-14-97 (1997 Peninsula Ports Auth. of VA). 2013 Henrico Bonds - construct & equip facility and refund bonds issued on 12-30-02 (2002A Econ. Dev. Auth. of Henrico Co., VA). 2013 Russell Bonds - construct & equip facility and refund bonds issued on 12-30-02 (2002A City of Russell, KY).
Part II, Line 3: The difference in Issue Price listed in Part I, section E is different from Total Proceeds of Issue listed in Part II, row 3 for Column A - 2008A South Carolina bonds because of investment earnings on the Project Fund.
Part III: Part III has not been completed with respect to bonds that refinance projects where the original debt was issued prior to 2003.
Part IV, Line 2c: Issuer Name: City of Russell, KY (2002B Russell) Date the Rebate Computation was Performed: 08/04/2016. Issuer Name: City of Venice, FL (2002B Venice) Date the Rebate Computation was Performed: 08/04/2016. Issuer Name: South Carolina Jobs-Economic Development Authority (2008A SC) Date the Rebate Computation was Performed: 04/08/2013. Issuer Name: Economic Development Authority of Henrico County, Virginia (2008B Henrico) Date the Rebate Computation was Performed: 04/08/2013. Issuer Name: Economic Development Authority of the County of Chesterfield (2008C Chesterfield) Date the Rebate Computation was Performed: 04/08/2013. Issuer Name: South Carolina Jobs-Economic Development Authority (2008D SC) Date the Rebate Computation was Performed: 06/17/2014. Issuer Name: Economic Development Authority of Hanover County, Virginia (2008D Hanover) Date the Rebate Computation was Performed: 06/17/2014.
Schedule K (Form 990) 2015

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 Part VI.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
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 City of Russell Kentucky
  		782563AT7 02-28-2008 15,950,000 Refund bonds issued 12-30-02 (2002B Russell)   X   X   X
B City of Venice Florida
  		59-6000443 92268PAS7 02-28-2008 4,250,000 Refund bonds issued 12-30-02 (2002B Venice)   X   X   X
C South Carolina Jobs-Economic Development Authority
  		57-6000286 837031QH9 01-15-2008 69,925,000 Construct and equip facility   X   X   X
D Economic Development Authority of Henrico County Virginia
  		54-1197472 42605PBV6 10-19-2010 80,412,256 Refund bonds issued 01-15-08 (2008B Henrico)   X   X   X
Economic Development Authority of the County of Chesterfield
  		52-1279622 16639EAY0 10-19-2010 93,627,897 Refund bonds issued 01-15-08 (2008C Ches.)   X   X   X
South Carolina Jobs-Economic Development Authority
  		57-0960018 837031RA3 10-17-2008 30,365,000 Refund bonds issued 12-30-02 (2002B SC)   X   X   X
Economic Development Authority of Hanover County
  		54-1228097 41077RAC6 10-17-2008 124,715,000 Refund bonds*   X   X   X
South Carolina Jobs-Economic Development Authority
  		57-0960018 837031SL8 01-11-2013 200,846,700 Construct/Equip facility and refund bonds*   X   X   X
Economic Dev Auth of the City of Norfolk
  		52-1375010 65588QAM7 01-11-2013 21,635,500 Construct/Equip facility and refund bonds*   X   X   X
Economic Development Authority of Henrico County Virginia
  		54-1197472 42605PDJ1 01-11-2013 62,929,133 Construct/Equip facility and refund bonds*   X   X   X
City of Russell Kentucky
  		782563AY6 01-11-2013 42,941,199 Construct/Equip facility and refund bonds*   X   X   X
Economic Development Authority of Henrico County Virginia
  		54-1197472 000000000 07-11-2013 26,505,000 Refund bonds issued 10-17-08 (2008D Henrico)   X   X   X
Virginia Small Business Financing Authority
  		54-1300845 000000000 07-11-2013 40,740,000 Refund bonds issued 10-19-10 (2010 VSBFA)   X   X   X
Economic Development Authority of the City of Norfolk
  		52-1375010 000000000 10-31-2014 58,260,000 Refund bonds issued 12-08-11 (2011 Norfolk)   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired .................. 5,500,000 11,385,000 26,110,000 4,700,000
2 Amount of bonds legally defeased ..............        
3 Total proceeds of issue .................. 15,950,000 4,250,000 69,973,023 80,412,256
4 Gross proceeds in reserve funds ............. 1,350,761 437,989    
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 967,897 255,675 729,108  
8 Credit enhancement from proceeds .............   7,500 1,694,518  
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 11,767,093 20,730,675 67,549,397 8,266,938
11 Other spent proceeds ............. 15,950,000 4,250,000 123,426,412 80,412,256
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2013 2013 2008 2013
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? .... X   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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2015

Schedule K (Form 990) 2015
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 of bond-financed property? ............. X   X   X      
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X      
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X     X    
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? 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 0.530 % 0.010 % 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 % 0 % 0 %  
6 Total of lines 4 and 5 ............. 0.530 % 0.010 % 0 %  
7 Does the bond issue meet the private security or payment test? ...   X   X   X    
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X    
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X      
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........   X   X   X   X
c No rebate due? ......... X   X   X   X  
If "Yes" to line 2c, provide in Part VI the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X   X   X   X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X   X   X     X
b Name of provider .......... Merrill Lynch
Capital Services 		Merrill Lynch
Capital Services 		PNC Bank
  		 
 
c Term of hedge ......... 2000.0000000000 % 2000.0000000000 % 3300.0000000000 %  
d Was the hedge superintegrated? ......   X   X   X    
e Was the hedge terminated? ........   X   X   X    
Schedule K (Form 990) 2015

Schedule K (Form 990) 2015
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (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? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Part I, Column (b): City of Russell, Kentucky Issuer EIN (Part I, b) is 61-601905.
Part I, Column (f): 2008D Hanover Bonds - D1 refund bonds issued on 12-30-02 (2002B Econ. Dev. Auth. Hanover Co, VA) and D2 refund bonds issued on 9-28-05 (2005 Econ. Dev. Auth. Hanover Co, VA). 2013 South Carolina Bonds - construct & equip facility and refund bonds issued on 12-30-02 (2002A South Carolina JEDA). 2013 Norfolk Bonds - construct & equip facility and refund bonds issued on 08-14-97 (1997 Peninsula Ports Auth. of VA). 2013 Henrico Bonds - construct & equip facility and refund bonds issued on 12-30-02 (2002A Econ. Dev. Auth. of Henrico Co., VA). 2013 Russell Bonds - construct & equip facility and refund bonds issued on 12-30-02 (2002A City of Russell, KY).
Part II, Line 3: The difference in Issue Price listed in Part I, section E is different from Total Proceeds of Issue listed in Part II, row 3 for Column A - 2008A South Carolina bonds because of investment earnings on the Project Fund.
Part III: Part III has not been completed with respect to bonds that refinance projects where the original debt was issued prior to 2003.
Part IV, Line 2c: Issuer Name: City of Russell, KY (2002B Russell) Date the Rebate Computation was Performed: 08/04/2016. Issuer Name: City of Venice, FL (2002B Venice) Date the Rebate Computation was Performed: 08/04/2016. Issuer Name: South Carolina Jobs-Economic Development Authority (2008A SC) Date the Rebate Computation was Performed: 04/08/2013. Issuer Name: Economic Development Authority of Henrico County, Virginia (2008B Henrico) Date the Rebate Computation was Performed: 04/08/2013. Issuer Name: Economic Development Authority of the County of Chesterfield (2008C Chesterfield) Date the Rebate Computation was Performed: 04/08/2013. Issuer Name: South Carolina Jobs-Economic Development Authority (2008D SC) Date the Rebate Computation was Performed: 06/17/2014. Issuer Name: Economic Development Authority of Hanover County, Virginia (2008D Hanover) Date the Rebate Computation was Performed: 06/17/2014.
Schedule K (Form 990) 2015

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 Part VI.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
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 City of Russell Kentucky
  		782563AT7 02-28-2008 15,950,000 Refund bonds issued 12-30-02 (2002B Russell)   X   X   X
B City of Venice Florida
  		59-6000443 92268PAS7 02-28-2008 4,250,000 Refund bonds issued 12-30-02 (2002B Venice)   X   X   X
C South Carolina Jobs-Economic Development Authority
  		57-6000286 837031QH9 01-15-2008 69,925,000 Construct and equip facility   X   X   X
D Economic Development Authority of Henrico County Virginia
  		54-1197472 42605PBV6 10-19-2010 80,412,256 Refund bonds issued 01-15-08 (2008B Henrico)   X   X   X
Economic Development Authority of the County of Chesterfield
  		52-1279622 16639EAY0 10-19-2010 93,627,897 Refund bonds issued 01-15-08 (2008C Ches.)   X   X   X
South Carolina Jobs-Economic Development Authority
  		57-0960018 837031RA3 10-17-2008 30,365,000 Refund bonds issued 12-30-02 (2002B SC)   X   X   X
Economic Development Authority of Hanover County
  		54-1228097 41077RAC6 10-17-2008 124,715,000 Refund bonds*   X   X   X
South Carolina Jobs-Economic Development Authority
  		57-0960018 837031SL8 01-11-2013 200,846,700 Construct/Equip facility and refund bonds*   X   X   X
Economic Dev Auth of the City of Norfolk
  		52-1375010 65588QAM7 01-11-2013 21,635,500 Construct/Equip facility and refund bonds*   X   X   X
Economic Development Authority of Henrico County Virginia
  		54-1197472 42605PDJ1 01-11-2013 62,929,133 Construct/Equip facility and refund bonds*   X   X   X
City of Russell Kentucky
  		782563AY6 01-11-2013 42,941,199 Construct/Equip facility and refund bonds*   X   X   X
Economic Development Authority of Henrico County Virginia
  		54-1197472 000000000 07-11-2013 26,505,000 Refund bonds issued 10-17-08 (2008D Henrico)   X   X   X
Virginia Small Business Financing Authority
  		54-1300845 000000000 07-11-2013 40,740,000 Refund bonds issued 10-19-10 (2010 VSBFA)   X   X   X
Economic Development Authority of the City of Norfolk
  		52-1375010 000000000 10-31-2014 58,260,000 Refund bonds issued 12-08-11 (2011 Norfolk)   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired .................. 5,500,000 11,385,000 26,110,000 4,700,000
2 Amount of bonds legally defeased ..............        
3 Total proceeds of issue .................. 15,950,000 4,250,000 69,973,023 80,412,256
4 Gross proceeds in reserve funds ............. 1,350,761 437,989    
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 967,897 255,675 729,108  
8 Credit enhancement from proceeds .............   7,500 1,694,518  
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 11,767,093 20,730,675 67,549,397 8,266,938
11 Other spent proceeds ............. 15,950,000 4,250,000 123,426,412 80,412,256
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2013 2013 2008 2013
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? .... X   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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2015

Schedule K (Form 990) 2015
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 of bond-financed property? ............. X   X   X      
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X      
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X     X    
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? 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 0.530 % 0.010 % 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 % 0 % 0 %  
6 Total of lines 4 and 5 ............. 0.530 % 0.010 % 0 %  
7 Does the bond issue meet the private security or payment test? ...   X   X   X    
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X    
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X      
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........   X   X   X   X
c No rebate due? ......... X   X   X   X  
If "Yes" to line 2c, provide in Part VI the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X   X   X   X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X   X   X     X
b Name of provider .......... Merrill Lynch
Capital Services 		Merrill Lynch
Capital Services 		PNC Bank
  		 
 
c Term of hedge ......... 2000.0000000000 % 2000.0000000000 % 3300.0000000000 %  
d Was the hedge superintegrated? ......   X   X   X    
e Was the hedge terminated? ........   X   X   X    
Schedule K (Form 990) 2015

Schedule K (Form 990) 2015
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (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? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Part I, Column (b): City of Russell, Kentucky Issuer EIN (Part I, b) is 61-601905.
Part I, Column (f): 2008D Hanover Bonds - D1 refund bonds issued on 12-30-02 (2002B Econ. Dev. Auth. Hanover Co, VA) and D2 refund bonds issued on 9-28-05 (2005 Econ. Dev. Auth. Hanover Co, VA). 2013 South Carolina Bonds - construct & equip facility and refund bonds issued on 12-30-02 (2002A South Carolina JEDA). 2013 Norfolk Bonds - construct & equip facility and refund bonds issued on 08-14-97 (1997 Peninsula Ports Auth. of VA). 2013 Henrico Bonds - construct & equip facility and refund bonds issued on 12-30-02 (2002A Econ. Dev. Auth. of Henrico Co., VA). 2013 Russell Bonds - construct & equip facility and refund bonds issued on 12-30-02 (2002A City of Russell, KY).
Part II, Line 3: The difference in Issue Price listed in Part I, section E is different from Total Proceeds of Issue listed in Part II, row 3 for Column A - 2008A South Carolina bonds because of investment earnings on the Project Fund.
Part III: Part III has not been completed with respect to bonds that refinance projects where the original debt was issued prior to 2003.
Part IV, Line 2c: Issuer Name: City of Russell, KY (2002B Russell) Date the Rebate Computation was Performed: 08/04/2016. Issuer Name: City of Venice, FL (2002B Venice) Date the Rebate Computation was Performed: 08/04/2016. Issuer Name: South Carolina Jobs-Economic Development Authority (2008A SC) Date the Rebate Computation was Performed: 04/08/2013. Issuer Name: Economic Development Authority of Henrico County, Virginia (2008B Henrico) Date the Rebate Computation was Performed: 04/08/2013. Issuer Name: Economic Development Authority of the County of Chesterfield (2008C Chesterfield) Date the Rebate Computation was Performed: 04/08/2013. Issuer Name: South Carolina Jobs-Economic Development Authority (2008D SC) Date the Rebate Computation was Performed: 06/17/2014. Issuer Name: Economic Development Authority of Hanover County, Virginia (2008D Hanover) Date the Rebate Computation was Performed: 06/17/2014.
Schedule K (Form 990) 2015

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 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
Bon Secours Health System Inc
 
Employer identification number

52-1301088
Return Reference Explanation
Form 990, Part VI, Section A, line 4 On August 11, 2016, the articles were amended to update Exhibit A (list of supported organizations).
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 the organization's Audit and Compliance Committee and providing the form to the Board of Directors to allow for a thorough review by both prior to the filing date. The organization's Audit and Compliance Committee and Board of Directors have reviewed the Form 990, scheduled time on meeting agendas, and asked questions regarding the Form 990 before the return was filed.
Form 990, Part VI, Section B, line 12c The organization regularly and consistently monitors compliance with the conflict of interest policy. On an annual basis, all persons subject to the policy, including all officers, directors and key employees are required to make certain disclosures. These include disclosures related to certain personal, financial and organizational relationships that may present a conflict, or the appearance of a conflict of interest with the organization. All disclosures go through a three-part review process: (1) disclosures are reviewed first by the corporate responsibility officer (CRO); (2) a governance team comprised of the CEO, board president, board chair, CRO, and the BSHSI CRO participate in a second review of all disclosures during which recommendations are made as to the resolution of any conflicts or potential conflicts. Depending on the facts and circumstances, resolutions may include ongoing disclosure, recusal or removal of the conflict; and (3) all disclosures and recommendations are reviewed by a board committee (audit and compliance committee reviews the disclosures of management and the governance committee reviews the disclosures of the board and board committee members).
Form 990, Part VI, Section B, line 15 The compensation committee of the board of Bon Secours Health System, Inc. (BSHSI) engages in a comprehensive process for the oversight and management of remuneration for executive employees and disqualified parties of the BSHSI. The compensation committee consists of a group of independent board members and engages an independent external compensation consultant to ensure they receive appropriate analysis of market and follow the practices necessary to obtain full compliance with the IRS' rebuttable presumption of reasonableness. The committee establishes and maintains a compensation philosophy; reviews pay practices against local, regional and national healthcare organizations and approves all remunerative decisions for this group of individuals. The committee reviews and receives assurances that all levels of pay within the organization are reasonable based on performance and validates incentives are met. These decisions are documented in the BSHSI board of directors and compensation committee minutes. Form 990, Part VI, Section B, Line 15b - Compensation Process Other Officers/ Key Employees: For those key employees and highest paid employees that are not reviewed by the BSHSI compensation committee, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. In the review, the other officers or key employees of the organization were compared to other hospitals' employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in human resources.
Form 990, Part VI, Section C, line 19 BSHSI provides any documents open to public inspection upon request.
Form 990, Part VII, Additional Disclosure: 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. Sr. Elaine Davia does not receive payroll distributions as she has taken a vow of poverty. 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.
Form 990, Part XI, line 9: Transfers from Affiliates for Principle & Swaps 26,780,248. Add'l Minimum Pension Liability -43,059,031. Changes in Minority Interest JVs 1,193,582. Income from Controlled Subsidiary -433,244.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2015


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" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2015
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 (if applicable) 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,MD21104
52-2321591 		Healthcare MD 0 3,020,557 Bon Secours Health System Inc
 
(2) Townley IV Farm LLC
1402 Stapleton Road
Gladstone,VA245533138
54-1833386 		Farm VA 0 7,444,563 Bon Secours Health System Inc
 
(3) Bon Secours Good Helpcare LLC
1505 Marriottsville Road
Marriottsville,MD21104
46-0889532 		Accountable Care Organization MD 288,113 3,232,299 Bon Secours Health System Inc
 
(4) Bon Secours Richmond LLC
8580 Magellan Parkway
Richmond,VA23227
54-1570244 		Richmond Health System Parent Org VA 24,418 7,382,408 Bon Secours Health System Inc
 
(5) EA-BSD 1 LLC
1505 Marriottsville Road
Marriottsville,MD21104
 Holding Company DE 0 0 Bon Secours Grosse Pointe III LLC
 
(6) Bon Secours Grosse Pointe III LLC
1505 Marriottsville Road
Marriottsville,MD21104
 Holding Company MI 0 0 Bon Secours Health System Inc
 
(7) Shannon HealthMOB
3 Richland Medical Park Suite 120
Columbia,SC29203
57-1127828 		Rental Activity SC 2,426,855 23,981,797 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 entity?
Yes No
(1)Bon Secours New York Health System
2975 Independence Avenue

Bronx,NY10463
91-2135196 		Local System Parent Org. NY 501(c)(3) Line 11a, I Bon Secours Health System Inc
 
Yes
 
(2)Bon Secours Kentucky Health System Inc
St Christopher Dr

Ashland,KY41101
61-1356024 		Local System Parent Org. KY 501(c)(3) Line 11c, III-FI Bon Secours Health System Inc
 
Yes
 
(3)Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health
2000 West Baltimore Street

Baltimore,MD21223
80-0728893 		Local System Parent Org. MD 501(c)(3) Line 11c, III-FI Bon Secours Health System Inc
 
Yes
 
(4)Bon Secours St Francis Health System Inc
1 St Francis Drive

Greenville,SC29601
58-2504528 		Local System Parent Org. SC 501(c)(3) Line 11c, III-FI Bon Secours Health System Inc
 
Yes
 
(5)Bon Secours Hampton Roads Health System
7007 Harbour View Blvd

Portsmouth,VA23435
52-1538513 		Local System Parent Org. VA 501(c)(3) Line 11c, III-FI Bon Secours Health System Inc
 
Yes
 
(6)Bon Secours Richmond Health System Inc
8580 Magellan Parkway

Richmond,VA23227
52-1988421 		Local System Parent Org. VA 501(c)(3) Line 11c, III-FI Bon Secours Health System Inc
 
Yes
 
(7)Bon Secours Baltimore Health System Foundation Inc
26 North Fulton Avenue

Baltimore,MD21223
38-3843816 		Grant Making Foundation MD 501(c)(3) Line 11c, III-FI Bon Secours Baltimore Health System
 
Yes
 
(8)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 11c, III-FI Bon Secours Baltimore Health System
 
Yes
 
(9)Mary Immaculate Foundation
7007 Harbour View Blvd

Suffolk,VA23435
31-1644734 		Fundraising VA 501(c)(3) Line 11c, III-FI Mary Immaculate Hospital
 
Yes
 
(10)Bon Secours DePaul Health Foundation
7007 Harbour View Blvd

Suffolk,VA23435
54-1843876 		Fundraising VA 501(c)(3) Line 7 Bon Secours DePaul Medical Center
 
Yes
 
(11)Bon Secours Maryview Foundation
7007 Harbour View Blvd

Suffolk,VA23435
52-1694731 		Fundraising VA 501(c)(3) Line 7 Bon Secours Hampton Roads Health System
 
Yes
 
(12)Our Lady of Bellefonte Hospital Inc
1000 St Christopher Dr

Ashland,KY41101
61-1356023 		Health Care KY 501(c)(3) Line 3 Bon Secours Kentucky Health System
 
Yes
 
(13)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
 
(14)Frances Schervier Home and Hospital
2975 Independence Avenue

Bronx,NY10463
13-1740397 		Long term nursing care NY 501(c)(3) Line 9 Bon Secours NY Health System
 
Yes
 
(15)St Francis Hospital Inc
One St Francis Drive

Greenville,SC29601
58-2504530 		Health Care SC 501(c)(3) Line 3 Bon Secours St Francis Health System Inc
 
Yes
 
(16)Mary Immaculate Hospital Inc
7007 Harbour View Blvd

Suffolk,VA23435
54-0548200 		Health Care VA 501(c)(3) Line 3 Bon Secours Health System Inc
 
Yes
 
(17)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
 
(18)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
 
(19)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
 
(20)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
 
(21)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
 
(22)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
 
(23)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
 
(24)Bon Secours Baltimore Development
26 North Fulton Avenue

Baltimore,MD21223
76-0785344 		Community Housing MD 501(c)(3) Line 7 Unity Properties Inc
 
Yes
 
(25)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
 
(26)Bon Secours St Francis Health System Foundation
One St Francis Drive

Greenville,SC29601
26-0012031 		Grant Making Foundation SC 501(c)(3) Line 7 St Francis Hospital Inc
 
Yes
 
(27)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 LLC
 
Yes
 
(28)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
 
(29)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
 
(30)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
 
(31)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
 
(32)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
 
(33)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
 
(34)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
 
(35)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
 
(36)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
 
(37)Bayley Properties
7007 Harbour View Blvd

Suffolk,VA23435
54-1424748 		Title Holding Company VA 501(c)(2)   Bon Secours DePaul Medical Center
 
Yes
 
(38)Laburnum Properties
8580 Magellan Parkway

Richmond,VA23227
52-1260700 		Title Holding Company VA 501(c)(2)   Bon Secours Richmond Health System
 
Yes
 
(39)Bon Secours Health System Foundation Inc
8990 Old Annapolis Road

Columbia,MD21045
47-4765376 		Fundraising MD 501(c)(3) Line 7 Bon Secours Health System Inc
 
Yes
 
(40)IVNA Health Services
5008 Monument Avenue

Richmond,VA23230
54-1479847 		Home Care Services VA 501(c)(3) Line 9 Bon Secours Home Care LLC
 
Yes
 
(41)Rappahanock General Hospital Foundation
101 Harris Road

Kilmarnock,VA22482
54-1210450 		Supporting Organization VA 501(c)(3) Line 7 Bon Secours Richmond Health System
 
Yes
 
(42)Chesapeake Medical Group
101 Harris Road

Kilmarnock,VA22482
54-1857174 		Healthcare Services VA 501(c)(3) Line 9 Bon Secours Richmond Health System
 
Yes
 
(43)Chesapeake Hospital Corporation
101 Harris Road

Kilmarnock,VA22482
23-7424835 		Health Care VA 501(c)(3) Line 3 Bon Secours Richmond Health System
 
Yes
 
(44)Schervier Apartments LLC
2975 Independence Avenue

Bronx,NY10463
47-1364217 		Low Income Housing NY C Line 9 Bon Secours NY Health System
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
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 N/A
                  
(2) Bon Secours Apartments LP

1800 West Baltimore St
Baltimore,MD21223
52-1952505 		Low Income Housing MD N/A
                  
(3) Bon Secours Apartments II LP

1800 West Baltimore St
Baltimore,MD21223
52-2063512 		Low Income Housing MD N/A
                  
(4) Liberty Senior Housing LP

1800 West Baltimore St
Baltimore,MD21223
52-2134447 		Low Income Housing MD N/A
                  
(5) Bon Secours Apartments III LP

1800 West Baltimore St
Baltimore,MD21223
52-2134444 		Low Income Housing MD N/A
                  
(6) Bon Secours Smallwood Summit LP

26 North Fulton Ave
Baltimore,MD21223
52-2280175 		Low Income Housing MD N/A
                  
(7) Bon Secours Chesapeake Apartments LP

26 North Fulton Ave
Baltimore,MD21223
20-0107034 		Low Income Housing MD N/A
                  
(8) Bon Secours Shiloh LP

26 North Fulton Ave
Baltimore,MD21223
20-3965243 		Low Income Housing MD N/A
                  
(9) Bon Secours Wayland LP

26 North Fulton Ave
Baltimore,MD21223
27-0468688 		Low Income Housing MD N/A
                  
(10) Bon Secours Gibbons Apartments LP

26 North Fulton Ave
Baltimore,MD21223
47-2322323 		Low Income Housing MD N/A
                  
(11) Upstate Surgery Center LLC

One St Francis Drive
Greenville,SC29601
56-2186977 		Ambulatory Surgery Center SC N/A
                  
(12) Province Place of DePaul LLC

6403 Granby Street
Norfolk,VA23505
54-1950880 		Assisted Living Facilities VA N/A
                  
(13) Province Place of Maryview LLC

One Bon Secours Way
Portsmouth,VA23703
54-1842697 		Assisted Living VA N/A
                  
(14) Broad64 Imaging LLC

8580 Magellan Parkway
Richmond,VA23227
20-5886018 		Imaging Services VA N/A
                  
(15) Richmond Radiation Oncology Center I LLC

8580 Magellan Parkway
Richmond,VA23227
20-8444551 		Radiation Oncology Services VA N/A
                  
(16) RI LP

8580 Magellan Parkway
Richmond,VA23227
54-1708835 		Imaging Services VA N/A
                  
(17) Bon Secours Benet House LP

26 North Fulton Ave
Baltimore,MD21223
36-4765400 		Low Income Housing MD N/A
                  
(18) Bon Secours Benet House LLC

26 North Fulton Ave
Baltimore,MD21223
46-3055312 		Low Income Housing MD N/A
                  
(19) Southeastern Health PartnersLLC

One St Francis Drive
Greenville,SC29601
81-3264385 		Coordinated Care SC N/A
                  
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
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) Bon Secours Assurance Company Ltd

PO Box 69
    KY1-1102
CJ
98-0152147 		Offshore Captive Management CJ Bon Secours Health System Inc
  		C 8,045,534 98,110,673 100.000 %   No
(2) 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   1,873,600 100.000 %   No
(3) Unity Housing Inc

26 North Fulton Avenue
Baltimore,MD21223
52-1952507 		Low Income Housing MD Unity Properties Inc
  		C 5 350,100 100.000 %   No
(4) Bon Secours Wayland LLC

26 North Fulton Avenue
Baltimore,MD21223
27-0468561 		Low Income Housing MD Unity Properties Inc
  		C     100.000 %   No
(5) Professional Health Care Management Inc & Subs

150 Kingsley Lane
Norfolk,VA23505
54-1241031 		Administrative VA Bon Secours Hampton Roads Health System Inc
  		C -902,694 5,929,593 100.000 %   No
(6) OSF Inc

2 Bernadine Drive
Newport News,VA23602
54-1369919 		Rental VA Mary Immaculate Hospital Inc
  		C 818,343 1,076,390 100.000 %   No
(7) Bon Secours Tidewater Diversified Inc

160 Kingsley Lane
Norfolk,VA23505
54-1431826 		Pharmacy VA Bon Secours DePaul Medical Center Inc
  		C 684,081 2,420,239 100.000 %   No
(8) Chesterfield Community Healthcare Center Inc

8580 Magellan Parkway
Richmond,VA23227
54-1812738 		Ambulatory Healthcare Services VA Bon Secours Richmond Health System Inc
  		C 4,818 251,184 83.000 %   No
(9) Bon Secours-Virginia Healthsource Inc & Subs

8580 Magellan Parkway
Richmond,VA23227
54-1417686 		Ambulatory Healthcare Services VA Bon Secours Richmond Health System Inc
  		C 23,865,925 31,113,963 83.000 %   No
(10) RHS Management Corp

8580 Magellan Parkway
Richmond,VA23227
54-1313425 		Independent Living Facility VA Bon Secours Richmond Health System Inc
  		C 536,384 59,330 83.000 %   No
(11) Bon Secours New York Housing Development Corporation

2975 Independence Avenue
Bronx,NY10463
47-2224316 		Low Income Housing NY Bon Secours New York Health System
  		C     100.000 %   No
(12) Richmond MRI Inc

8580 Magellan Parkway
Richmond,VA23227
54-1568452 		Medical Services VA Bon Secours Richmond Health System Inc
  		C 1,105,762 46,196 83.000 %   No
(13) Good Help Connections

8990 Old Annapolis Road
Columbia,MD21045
47-2345223 		IT Consulting MD Bon Secours Health System Inc
  		C 20,024,308 12,311,579 100.000 %   No
Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
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, or (iv) rent from a controlled entity .....................
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
Yes
 
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
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 related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) Bon Secours Maria Manor Nursing Care Center Inc

 B 168,500 Cost
(2) The Bon Secours of Maryland Foundation Inc

 B 145,000 Cost
(3) Bon Secours Hospital Baltimore Inc

 B 245,050 Cost
(4) Memorial Regional Medical Center Inc

 B 95,627 Cost
(5) Our Lady of Bellefonte Hospital Inc

 B 37,598 Cost
(6) Bon Secours Kentucky Health System Foundation Inc

 B 155,250 Cost
(7) Bon Secours Richmond Healthcare Foundation

 B 240,000 Cost
(8) Bon Secours St Francis Medical Center Inc

 B 629,618 Cost
(9) St Mary's Hospital of Richmond Inc

 B 34,977 Cost
(10) Frances Schervier Home and Hospital

 B 274,995 Cost
(11) Richmond Community Hospital Inc

 B 101,342 Cost
(12) Bon Secours DePaul Health Foundation

 B 190,350 Cost
(13) St Francis Hospital Inc

 B 1,013,236 Cost
(14) Bon Secours St Francis Health System Foundation

 B 40,000 Cost
(15) Bon Secours Maryview Foundation

 B 51,000 Cost
(16) Mary Immaculate Hospital

 B 33,650 Cost
(17) Bellefonte Physician Services Inc

 D 15,782,059 Cost
(18) Bon Secours Baltimore Health System Foundation Inc

 D 388,292 Cost
(19) The Bon Secours of Maryland Foundation Inc

 D 487,668 Cost
(20) St Francis Hospital Inc

 D 300,664,539 Cost
(21) Maryview Hospital

 D 10,368,327 Cost
(22) Province Place of Maryview LLC

 D 266,600 Cost
(23) Professional Health Care Management Services Inc & Subs

 D 1,210,839 Cost
(24) Bon Secours DePaul Medical Center Inc

 D 7,321,297 Cost
(25) Bon Secours Richmond Healthcare Foundation

 D 1,155,613 Cost
(26) St Mary's Hospital of Richmond Inc

 D 3,487,005 Cost
(27) CCHC Inc

 D 48,083 Cost
(28) Laburnum Properties

 D 161,652 Cost
(29) RHS Management Corporation

 D 224,970 Cost
(30) Chesapeake Medical Group Inc

 D 3,882,804 Cost
(31) Chesapeake Hospital Corporation

 D 18,836,110 Cost
(32) Rappahannock General Hospital Foundation Inc

 D 592,281 Cost
(33) Bon Secours Richmond Health System

 D 2,302,362 Cost
(34) Bon Secours Virginia Healthsource Inc and Subs

 D 16,412,436 Cost
(35) Bon Secours New York Health System

 D 2,835,972 Cost
(36) Schervier Apartments LLC

 D 1,762,882 Cost
(37) Bon Secours Place at St Petersburg LLP

 D 326,488 Cost
(38) Bon Secours New York Health System

 L 2,684,049 Cost
(39) Maryview Hospital

 L 45,735,424 Cost
(40) Bon Secours Maryview Nursing Care Center

 L 99,993 Cost
(41) Mary Immaculate Hospital

 L 5,175,430 Cost
(42) Mary Immaculate Nursing Center Inc

 L 92,207 Cost
(43) Bon Secours DePaul Medical Center Inc

 L 6,991,313 Cost
(44) St Francis Hospital Inc

 L 44,739,291 Cost
(45) St Francis Physician Services Inc

 L 2,956,357 Cost
(46) Our Lady of Bellefonte Hospital Inc

 L 16,835,923 Cost
(47) Bellefonte Physician Services Inc

 L 1,172,205 Cost
(48) Bon Secours Hospital Baltimore Inc

 L 11,528,213 Cost
(49) Bon Secours Maria Manor Nursing Care Center Inc

 L 1,541,298 Cost
(50) Memorial Regional Medical Center Inc

 L 12,070,083 Cost
(51) St Mary's Hospital of Richmond Inc

 L 91,770,481 Cost
(52) Richmond Community Hospital Inc

 L 1,910,656 Cost
(53) Bon Secours St Francis Medical Center Inc

 L 7,768,266 Cost
(54) Bon Secours Virginia Healthsource Inc and Subs

 L 2,454,902 Cost
(55) Chesapeake Medical Group Inc

 L 169,999 Cost
(56) Bon Secours Richmond Health System

 L 1,917,539 Cost
(57) Bon Secours New York Health System

 Q 50,109 Cost
(58) Schervier Apartments LLC

 Q 1,262,999 Cost
(59) Maryview Hospital

 Q 20,564,195 Cost
(60) Bon Secours Maria Manor Nursing Care Center Inc

 Q 970,999 Cost
(61) Province Place of Maryview LLC

 Q 308,286 Cost
(62) Province Place of DePaul LLC

 Q 286,283 Cost
(63) Professional Health Care Management Services Inc & Subs

 Q 53,391 Cost
(64) Mary Immaculate Hospital

 Q 8,027,646 Cost
(65) Mary Immaculate Nursing Center Inc

 Q 661,325 Cost
(66) Bon Secours DePaul Medical Center Inc

 Q 10,270,248 Cost
(67) Tidewater Diversified Inc

 Q 33,428 Cost
(68) St Francis Hospital Inc

 Q 35,782,586 Cost
(69) Upstate Surgery Center LLC

 Q 131,057 Cost
(70) St Francis Physician Services Inc

 Q 10,451,377 Cost
(71) Bon Secours St Francis Health System

 Q 132,164 Cost
(72) Our Lady of Bellefonte Hospital Inc

 Q 11,756,437 Cost
(73) Bellefonte Physician Services Inc

 Q 2,512,887 Cost
(74) Bon Secours Hospital Baltimore Inc

 Q 7,158,278 Cost
(75) The Bon Secours of Maryland Foundation Inc

 Q 173,498 Cost
(76) Unity Properties Inc

 Q 11,848 Cost
(77) Bon Secours Maria Manor Nursing Care Center Inc

 Q 2,529,626 Cost
(78) Bon Secours St Petersburg Home Care Services

 Q 177,628 Cost
(79) Memorial Regional Medical Center Inc

 Q 19,539,202 Cost
(80) St Mary's Hospital of Richmond Inc

 Q 39,195,806 Cost
(81) Richmond Community Hospital Inc

 Q 2,274,677 Cost
(82) Bon Secours St Francis Medical Center Inc

 Q 18,505,046 Cost
(83) Bon Secours Richmond Health System

 Q 82,175 Cost
(84) Bon Secours Virginia Healthsource Inc and Subs

 Q 3,092,220 Cost
(85) RI LP

 Q 234,046 Cost
(86) Bon Secours Richmond Healthcare Foundation

 Q 1,317 Cost
(87) Chesapeake Hospital Corporation

 Q 456,044 Cost
(88) Chesapeake Medical Group Inc

 Q 42,132 Cost
(89) Broad 64 Imaging LLC

 Q 143,021 Cost
(90) Richmond Radiation Oncology Center I LLC

 Q 192,919 Cost
(91) Bon Secours Richmond Health System

 Q 1,917,539 Cost
(92) Bon Secours Place at St Petersburg LLP

 Q 400,445 Cost
(93) Maryview Hospital

 A 3,196,838 Cost
Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
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)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(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 Yes No






























Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2015

Additional Data


Software ID:  
Software Version: