2018-11-07T13:15:33-06:00 2017-12-31 990 2017-01-01 471364217 Schervier Apartments LLC SCHE 4433673890 8990 Old Annapolis Road Columbia MD 21045 Brother Art Caliman Board President 4433673890 2018-11-07 63.138.83.215 2018-11-07 13:15:24 ES P 7976E27EA537A2528AFD4534CEC7185AB37FE28A D33FA7F254BC09848346BBAA17B51EB9116DA51E 2017 2018-06-14 16:35:46Z Brother Art Caliman 8990 Old Annapolis Road Columbia MD 21045 3003672 0 X N/A X LLC 2014 NY Multi-family housing project for the elderly and handicapped. 5 5 0 5 0 0 117459 119365 2850696 2838025 3287 5019 388 41263 2971830 3003672 0 0 0 0 306722 281020 0 0 0 2112834 1938717 2419556 2219737 552274 783935 21834376 10472060 26253856 21509445 -4419480 -11037385 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 0 2070190 2838025 Schervier Apartments, LLC is a limited liability company under the laws of the state of New York. The facility has 155 living units located in the Bronx, NY. The facility has assisted 170 low-income elderly and disabled individuals to obtain adequate, affordable and safe housing through the federal Section 8 rental assistance program. Its activities are designed to relieve the poor and distressed or underprivileged. The program is regulated by HUD in regard to rent charges, eligibility requirements and operating methods. 2070190 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 9 0 1 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 Laura Ellison 4433673890 8990 Old Annapolis Rd Columbia MD 21045 X Catherine Gasteyer Board Member 1.00 1.00 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 Brother Art Caliman President 20.00 30.00 X X 0 0 0 Carlos Beato BM(Jan-Jul)/Sec&CEO-BSNY(Full) 1.50 48.50 X X 0 444137 15900 Sr Patricia Mennor Chairman 2.00 2.00 X X 0 0 0 Kity Khundkar Treasurer/CFO - BSNY 10.00 40.00 X 0 342334 20038 0 786471 35938 0 0 1 0 Rocon Plumbing & Heating Corp 16 First Street Garden City Park NY 11040 Plumbing & Heating 1616533 Universal Plumbing Inc 214-B Fehr Way Bay Shore NY 11747 Plumbing 334583 Five Borough Gen Contracting 23-57 83rd Street East Elmhurst NY 11370 General Contracting 286150 Otis Elevator Co 4999 Fairview Linthicum MD 21090 Elevator Services 282550 4 119365 119365 Rent Inc - Prog Serv 623000 2838025 2838025 2838025 5019 5019 State Tax Refund 900099 41261 41261 Purchase service disco 900099 2 2 41263 3003672 2838025 0 46282 197902 178112 19790 67544 60790 6754 15574 14017 1557 6712 6041 671 56087 50478 5609 344 310 34 78276 70448 7828 369234 332311 36923 1056 950 106 277 249 28 724258 724258 490764 441688 49076 142701 128431 14270 Institutional Licensure 39571 35614 3957 Purchased Services 29437 26493 2944 2219737 2070190 149547 0 400 400 7416345 1603230 24674 20472 788038 903501 12470055 5530580 5603128 6939475 7957562 954915 44229 50067 21834376 10472060 1186725 201848 44229 45897 21627650 21261700 3395252 26253856 21509445 X 0 0 0 0 -4419480 -11037385 -4419480 -11037385 21834376 10472060 X 783935 -7401840 X 0 1 X 1 0 X 90392 117459 119365 327216 2273216 2850696 2838025 7961937 2363608 2968155 2957390 8289153 0 0 0 8289153 1729 3287 5019 10035 1729 3287 5019 10035 388 41263 41651 2365337 2971830 3003672 8340839 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. 173147 173147 7762302 4736609 3025693 1270871 708203 562668 3263735 85768 3177967 6939475 2962412 0 2962412 41260 41260 3003672 9580316 7360579 7360579 2219737 0 2219737 Part XI, Line 4b - Other Adjustments: Underaccrual of state income tax refund 41,261. Rounding -1. Part XII, Line 2d - Other Adjustments: Underaccrual of state income tax refund -41,261. Intercompany activity 110,061. Transfers to affiliates 7,291,777. Rounding 2. 0 0 0 0 0 0 0 0 0 Carlos Beato BM(Jan-Jul)/Sec&CEO-BSNY(Full) 0 277006 0 123752 0 43379 0 15900 0 0 0 460037 0 0 Kity Khundkar Treasurer/CFO - BSNY 0 258699 0 41310 0 42325 0 2604 0 17434 0 362372 0 0 Part I, Line 3 Bon Secours Health System, 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 Form 990, Part VI, Section A, line 6 Bon Secours Health System, 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 Health System, Inc. Form 990, Part VI, Section B, line 11b The local system's board of directors has reviewed the Form 990 and asked questions regarding the Form 990 prior to the return being 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 15b 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 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 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: Other changes in net assets -110,061. Intercompany transfers for reimbursement of expenses & capital -7,291,779. Bon Secours Health System Inc 1505 Marriottsville Rd Marriottsville MD 21104 521301088 Parent Org. Mgmt Services MD 501(c)(3) 12C, III-FI Bon Secours Inc 0 Bon Secours New York Health System Inc 8990 Old Annapolis Rd Columbia MD 21045 912135196 Local System Parent Org NY 501(c)(3) 12C, III-FI Bon Secours Health System Inc 0 Frances Schervier Home and Hospital 8990 Old Annapolis Rd Columbia MD 21045 131740397 Nursing Care Center NY 501(c)(3) 10 Bon Secours New York Health System Inc 0 Schervier Housing Development Fund Corporation 8990 Old Annapolis Rd Columbia MD 21045 133098867 Low Income Housing NY 501(c)(3) 10 Bon Secours New York Health System Inc 0 Bon Secours New York Housing Development Fund Corporation 8990 Old Annapolis Rd Columbia MD 21045 472224316 Low Income Housing NY N/A C 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0