2019-10-29T07:13:46-05:00 2018-12-31 990 2018-01-01 471364217 Schervier Apartments LLC SCHE 4433673890 8990 Old Annapolis Road Columbia MD 21045 Brother Art Caliman Board President 4433673890 2019-10-29 168.250.63.1 2019-10-29 07:13:02 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 F6D944725D87E8D67D75795748B251B00643F0AC 2018 2020-03-31 21:24:44Z Brother Art Caliman 8990 Old Annapolis Road Columbia MD 21045 752696 0 X N/A X LLC 2014 NY Multi-family housing project for the elderly and handicapped. X 5 5 0 5 0 0 119365 27622 2838025 722013 5019 3061 41263 0 3003672 752696 0 0 0 0 281020 54796 0 0 0 1938717 855752 2219737 910548 783935 -157852 10472060 2280696 21509445 0 -11037385 2280696 X 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 people and communities to health and wholeness. 0 1 683329 722013 Schervier Apartments, LLC ceased conducting all program service activities as of 3/27/18 when the assets of the organization were sold off to a third party. 683329 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 X Travis Crum 5139525000 1701 Mercy Health Place Cincinnati OH 45237 X Br Art Caliman President 20.00 30.00 X X 0 0 0 Howard Malatzky Board Member 1.00 1.00 X 0 0 0 John Corcoran Board Member 1.00 1.00 X 0 0 0 Sr Patricia Mennor Chairman 1.00 1.00 X X 0 0 0 Catherine Gasteyer Board Member 1.00 1.00 X 0 0 0 Carlos Beato Former CEO - BSNY (End 07/17) 0.00 0.00 X 0 309225 0 Kity Khundkar Former CFO - BSNY (End 12/17) 0.00 0.00 X 0 321474 20140 0 630699 20140 0 1 1 0 KPMG LLP 345 Park Ave New York NY 10154 Audit Services 154239 1 27622 27622 Rent Inc - Prog Serv 623000 722013 722013 722013 3061 3061 752696 722013 0 3061 43309 38978 4331 7228 6505 723 4259 3833 426 16938 16938 154239 154239 6353 5718 635 27641 24878 2763 284688 256219 28469 178940 178940 120583 108525 12058 26396 23756 2640 Institutional Licensure 39974 35977 3997 910548 683329 227219 0 400 0 1603230 226117 20472 0 903501 0 0 0 6939475 0 954915 0 50067 2054579 10472060 2280696 201848 0 45897 0 21261700 0 21509445 0 X 0 0 0 0 -11037385 2280696 -11037385 2280696 10472060 2280696 X -157852 13475933 X 0 1 X 1 0 X 90392 117459 119365 27622 354838 2273216 2850696 2838025 722013 8683950 2363608 2968155 2957390 749635 9038788 0 0 0 9038788 1729 3287 5019 3061 13096 1729 3287 5019 3061 13096 388 41263 41651 2365337 2971830 3003672 752696 9093535 X Schedule A, Part III, Line 12, Explanation of Other Income: Other Misc Income - 2016 Amount: $ 388. 2017 Amount: $ 2. State Tax Refund - 2017 Amount: $ 41,261. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 Restricted Investment 2054579 2054579 1 1 0 0 0 0 0 0 0 Carlos Beato Former CEO - BSNY (End 07/17) 0 0 0 0 0 309225 0 0 0 0 0 309225 0 0 Kity Khundkar Former CFO - BSNY (End 12/17) 0 16064 0 0 0 305410 0 1377 0 18763 0 341614 0 0 Part I, Line 3 Bon Secours Mercy Health, Inc., a related organization of the filing organization, uses the following to establish the compensation of the organization's CEO/Executive Director: Compensation Committee Independent Compensation Consultant Written Employment Contract Compensation Survey or Study Approval by the Board or Compensation Committee Part I, Lines 4a-b Severance benefits consisting of continuation of base salary and insurance benefits were provided to listed individuals for specified periods. Salary continuation amounts provided during the reporting year to listed individuals were as follows: Carlos Beato, $305,323; Kity Khundkar, $270,339. The filing organization participates in a BSMH 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 is made into this plan. Individuals that participated or received a distribution include: Kity Khundkar, $1,487. All Operating Assets 2018-03-27 8142473 GAAP 812234769 2995 Independence Avenue LLC 1 State St 32nd Floor New York NY 10004 LLC 0 0 0 0 Form 990, Part III, line 3 Schervier Apartments, LLC ceased conducting all program service activities as of 3/27/18 when the assets of the organization were sold off to a third party. Form 990, Part VI, Section A, line 6 Bon Secours Mercy Health, Inc. is the sole member of Bon Secours New York Health System, Inc. (BSNYHS), which in turn is the sole member of Schervier Apartments, LLC. Form 990, Part VI, Section A, line 7a As the sole corporate member, BSNYHS has the power to appoint the President and Executive Vice President of Schervier Apartments, LLC. BSNYHS has the power to approve or withhold approval of amendments to their bylaws, approve strategic plans, approve capital budgets, approve operating budgets as well as change the philosophy objectives or purposes of the organization. In addition, BSNYHS has the power to remove or replace any member of the board of directors. Form 990, Part VI, Section A, line 7b Certain authorities of Schervier Apartments, LLC are reserved to its member or to Bon Secours Mercy Health, Inc. Form 990, Part VI, Section B, line 11b The Form 990 is prepared by BSMH's tax department and reviewed by management. Once the Form 990 is reviewed by all applicable parties a copy of the final version is provided to all members of the governing body prior to filing. 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 BSMH 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 15b The compensation committee of the board of Bon Secours Mercy Health, Inc. (BSMH) engages in a comprehensive process for the oversight and management of remuneration for executive employees and disqualified parties of the BSMH. The compensation committee consists of a group of independent board members and engages independent external compensation consultant to ensure they receive appropriate analysis of market and follow the practices necessary to obtain full compliance with the IRS' rebuttable presumption of reasonableness. The committee establishes and maintains a compensation philosophy; reviews pay practices against local, regional and national healthcare organizations and approves all remunerative decisions for this group of individuals. The committee reviews and receives assurances that all levels of pay within the organization are reasonable based on performance and validates incentives are met. These decisions are documented in the BSMH 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 BSMH 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 The filing organization makes all documents available to the general public upon request. Form 990, Part VII - Additional Disclosure Board Member positions are generally voluntary in nature. Compensated employees of the filing organization and other related organizations who also hold board positions are compensated only in relation to their employment and do not receive additional compensation for their board responsibilities. Brother Art Caliman does not receive payroll distributions as he has taken a vow of poverty. Form 990, Part XI, line 9: Adjustment to Accruals -27,945. Gain on Sale of Assets 13,273,665. Defeasance of Debt -719,787. Intercompany Transactions Relating to Sale; Goodwill 950,000. MERCY HEALTH 1701 Mercy Health Place CINCINNATI OH 45237 311161086 HEALTHCARE SYSTEM PARENT OH 501(c)(3) Line 3 Bon Secours Mercy Health Inc 0 MERCY HEALTH FOUNDATION 1701 Mercy Health Place CINCINNATI OH 45237 201072726 FUNDRAISING OH 501(c)(3) Line 7 MERCY HEALTH 0 MERCY HEALTH RETIREMENT TRUST 1701 Mercy Health Place CINCINNATI OH 45237 316046304 RETIREMENT TRUST OH 501(c)(3) Line 7 MERCY HEALTH 0 COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS 3700 KOLBE ROAD LORAIN OH 44053 341268828 MEDICAL OFFICE RENTAL OH 501(c)(3) Line 10 MERCY HEALTH - REGIONAL MEDICAL CENTER LLC 0 ALLEN MEDICAL CENTER MEDICAL OFFICE BUILDING 200 WEST LORAIN ST OBERLIN OH 44074 364504991 MEDICAL OFFICE RENTAL OH 501(c)(3) Line 10 MERCY HEALTH - ALLEN HOSPITAL LLC 0 MERCY FRANCISCAN SENIOR HEALTH AND HOUSING SERVICES INC 7010 ROWAN HILLS DR CINCINNATI OH 45227 311308729 RETIREMENT HOME OH 501(c)(3) Line 10 MERCY HEALTH CINCINNATI LLC 0 MERCY SACRED HEART INC 2120 PAYNE STREET LOUISVILLE KY 40206 611318326 RETIREMENT HOME KY 501(c)(3) Line 10 MERCY HEALTH CINCINNATI LLC 0 MERCY FRANCISCAN SOCIAL MINISTRIES INC 1800 LOGAN STREET CINCINNATI OH 45210 311222942 LOW INCOME HOUSING OH 501(c)(3) Line 7 MERCY HEALTH CINCINNATI LLC 0 COMMUNITY MERCY HEALTH SYSTEM 100 Medical Center Drive SPRINGFIELD OH 45504 300272454 MARKET PARENT OH 501(c)(3) Line 12a, I MERCY HEALTH 0 COMMUNITY MERCY HEALTH PARTNERS 100 Medical Center Drive SPRINGFIELD OH 45504 310785684 HOSPITAL OH 501(c)(3) Line 3 COMMUNITY MERCY HEALTH SYSTEM 0 C H HEALTH SERVICES COMPANY 100 Medical Center Drive SPRINGFIELD OH 45504 311181984 HOSPITAL OH 501(c)(3) Line 3 COMMUNITY MERCY HEALTH SYSTEM 0 THE WALLACE S MURRAY AND FRANCES RABBITTS MURRAY MEMORIAL TRUST 100 Medical Center Drive SPRINGFIELD OH 45504 346827136 INDIGENT MEDICAL CARE OH 501(c)(3) Line 12a, I N/A 0 MERCY PROPERTY HOLDINGS 2200 JEFFERSON AVENUE TOLEDO OH 43604 300699825 TITLE HOLDING COMPANY OH 501(c)(2) MERCY HEALTH NORTH LLC 0 MERCY COLLEGE OF OHIO 2221 MADISON AVENUE TOLEDO OH 43604 341726619 MEDICAL COLLEGE OH 501(c)(3) Line 2 MERCY HEALTH NORTH LLC 0 MERCY COLLEGE OF NORTHWEST OHIO FOUNDATION INC 2221 MADISON AVENUE TOLEDO OH 43604 141963204 FOUNDATION OH 501(c)(3) Line 7 MERCY COLLEGE OF OHIO 0 LIFESTAR AMBULANCE INC 2200 JEFFERSON AVENUE TOLEDO OH 43604 341354653 MEDICAL TRANSPORTATION OH 501(c)(3) Line 10 MERCY HEALTH NORTH LLC 0 SIMON OUTREACH SERVICES 2600 NAVARRE AVENUE OREGON OH 43616 341383325 MEDICAL OFFICE RENTAL OH 501(c)(3) Line 10 MERCY HEALTH - ST CHARLES HOSPITAL LLC 0 NEW VISION MEDICAL LABORATORIES INC 750 W HIGH ST STE 400 LIMA OH 45801 341937267 MEDICAL LAB SERVICES OH 501(c)(3) Line 3 ST RITA'S MEDICAL CENTER LLC 0 THE ASSUMPTION VILLAGE 9800 N MARKET STREET NORTH LIMA OH 44452 341013695 NURSING HOME OH 501(c)(3) Line 10 MERCY HEALTH YOUNGSTOWN LLC 0 HOSPICE OF THE VALLEY 5190 MARKET STREET YOUNGSTOWN OH 44512 341288745 HOSPICE SERVICES OH 501(c)(3) Line 10 MERCY HEALTH YOUNGSTOWN LLC 0 HUMILITY HOUSE 755 OHLTOWN ROAD AUSTINTOWN OH 44515 341894783 NURSING HOME OH 501(c)(3) Line 10 MERCY HEALTH YOUNGSTOWN LLC 0 ST JOSEPH HEALTH CENTER AUXILIARY 677 EASTLAND SE WARREN OH 44484 346556121 FUNDRAISING OH 501(c)(3) Line 10 MERCY HEALTH YOUNGSTOWN LLC 0 LOURDES HOSPITAL AUXILIARY GIFT SHOP 1530 LONE OAK ROAD PADUCAH KY 42003 610927805 FUNDRAISING KY 501(c)(3) Line 10 MERCY HEALTH FOUNDATION 0 HEALTHSPAN PARTNERS 1701 Mercy Health Place CINCINNATI OH 45237 463055925 MARKET PARENT OH 501(c)(3) Line 12a, I MERCY HEALTH 0 HEALTHSPAN INTEGRATED CARE 1701 Mercy Health Place CIncinnati OH 45237 340922268 HMO OH 501(c)(3) Line 10 HEALTHSPAN PARTNERS 0 Bon Secours Mercy Health Inc 1701 Mercy Health Place CINCINNATI OH 45237 521301088 HEALTHCARE SYSTEM PARENT OH 501(c)(3) Line 12a, I N/A 0 Bon Secours New York Health System Inc 2975 Independence Avenue Bronx NY 10463 912135196 Local System Parent Org. NY 501(c)(3) Line 12a, I Bon Secours Mercy Health Inc 0 Bon Secours Kentucky Health System Inc St Christopher Dr Ashland KY 41101 611356024 Local System Parent Org. KY 501(c)(3) Line 12a, I Bon Secours Mercy Health Inc 0 Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health 2000 West Baltimore Street Baltimore MD 21223 800728893 Local System Parent Org. MD 501(c)(3) Line 12a, I Bon Secours Mercy Health Inc 0 Bon Secours St Francis Health System Inc 1 St Francis Drive Greenville SC 29601 582504528 Local System Parent Org. SC 501(c)(3) Line 12a, I Bon Secours Mercy Health Inc 0 Bon Secours Hampton Roads Health System 7007 Harbour View Blvd Portsmouth VA 23435 521538513 Local System Parent Org. VA 501(c)(3) Line 12a, I Bon Secours Mercy Health Inc 0 Bon Secours Richmond Health System 8580 Magellan Parkway Richmond VA 23227 521988421 Local System Parent Org. VA 501(c)(3) Line 12a, I Bon Secours Mercy Health Inc 0 Bon Secours Baltimore Health System Foundation Inc 26 North Fulton Avenue Baltimore MD 21223 383843816 Grant Making Foundation MD 501(c)(3) Line 12a, I Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health 0 The Bon Secours of Maryland Foundation Inc (dba Bon Secours Community Work 26 North Fulton Avenue Baltimore MD 21223 521732800 Grant Making Foundation MD 501(c)(3) Line 12a, I Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health 0 Mary Immaculate Foundation 7007 Harbour View Blvd Suffolk VA 23435 311644734 Fundraising VA 501(c)(3) Line 12a, I Mary Immaculate Hospital 0 Bon Secours DePaul Health Foundation 7007 Harbour View Blvd Suffolk VA 23435 541843876 Fundraising VA 501(c)(3) Line 7 Bon Secours DePaul Medical Center 0 Bon Secours Maryview Foundation 7007 Harbour View Blvd Suffolk VA 23435 521694731 Fundraising VA 501(c)(3) Line 7 Bon Secours Hampton Roads Health System 0 Our Lady of Bellefonte Hospital Inc 1000 St Christopher Dr Ashland KY 41101 611356023 Health Care KY 501(c)(3) Line 3 Bon Secours Kentucky Health System 0 Bon Secours Hospital Baltimore Inc 2000 West Baltimore Street Baltimore MD 21223 520591555 Health Care MD 501(c)(3) Line 3 Bon Secours Baltimore Health Corporation (dba Bon Secours Baltimore Health 0 St Francis Hospital Inc One St Francis Drive Greenville SC 29601 582504530 Health Care SC 501(c)(3) Line 3 Bon Secours St Francis Health System Inc 0 Mary Immaculate Hospital Inc 7007 Harbour View Blvd Suffolk VA 23435 540548200 Health Care VA 501(c)(3) Line 3 Bon Secours Mercy Health Inc 0 Bon Secours - DePaul Medical Center Inc 7007 Harbour View Blvd Suffolk VA 23435 541820093 Health Care VA 501(c)(3) Line 3 Bon Secours Hampton Roads Health System 0 Maryview Hospital 7007 Harbour View Blvd Portsmouth VA 23707 540506463 Health Care VA 501(c)(3) Line 3 Bon Secours Hampton Roads Health System 0 Bon Secours - Memorial Regional Medical Center Inc 8580 Magellan Parkway Richmond VA 23227 541744931 Health Care VA 501(c)(3) Line 3 Bon Secours Richmond Health System 0 Bon Secours - St Mary's Hospital of Richmond Inc 8580 Magellan Parkway Richmond VA 23227 540793767 Health Care VA 501(c)(3) Line 3 Bon Secours Richmond Health System 0 Bon Secours - Richmond Community Hospital 8580 Magellan Parkway Richmond VA 23227 540647482 Health Care VA 501(c)(3) Line 3 Bon Secours Richmond Health System 0 Bon Secours - St Francis Medical Center Inc 8580 Magellan Parkway Richmond VA 23227 311716973 Health Care VA 501(c)(3) Line 3 Bon Secours Richmond Health System 0 Bon Secours Kentucky Health System Foundation Inc St Christopher Dr Ashland KY 41101 611381952 Grant Making Foundation KY 501(c)(3) Line 7 Bon Secours Kentucky Health System 0 Bon Secours Baltimore Development Inc 26 North Fulton Avenue Baltimore MD 21223 760785344 Community Housing MD 501(c)(3) Line 7 Unity Properties Inc 0 Unity Properties Inc 26 North Fulton Avenue Baltimore MD 21223 521857768 Low Income Housing MD 501(c)(3) Line 7 Bon Secours of Maryland Foundation 0 Bon Secours - 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