2018-11-07T13:09:24-06:00 2017-12-31 990 2017-01-01 452964584 Bon Secours New York Health System Affiliated Group BONS 4433673890 8990 Old Annapolis Road Columbia MD 21045 Brother Arthur Caliman President 4433673890 2018-11-07 0 63.138.83.215 2018-11-07 13:09:02 ES P 9D77D5089F6CFDFA10E33FA204CA8B8BB51CC565 D33FA7F254BC09848346BBAA17B51EB9116DA51E 2017 2018-06-14 16:35:46Z Brother Arthur Caliman 8990 Old Annapolis Road Columbia MD 21045 105864439 1 1 5816 X N/A X Nursing care and multi-family housing project for the elderly and handicapped. X 12 9 508 111 0 0 1759366 464092 45453260 24542551 34852 28162048 664692 244106 47912170 53412797 595 0 0 0 30414032 16701601 0 0 0 20514200 11625983 50928827 28327584 -3016657 25085213 40353856 17393042 60876202 25479980 -20522346 -8086938 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 25799097 24599182 Frances Schervier Home and Hospital consists of 364 skilled nursing beds and 2 respite beds. Facility is located in the Riverdale section of the northwest Bronx. The organization provides long-term, 24-hour skilled nursing, rehabilitation services, palliative care, and care in a secure environment for those with Alzheimer's and other cognitive impairments. In addition, short-term rehabilitation and cardio-pulmonary rehabilitation programs provide services for those recovering from illness and injury and returning to their home and community. Service lines include:NursingPhysical, occupational, respiratory, and speech therapy available seven days a week, as neededPalliative & hospice careRespite careSocial servicesClinical Nutrition ServicesTherapeutic recreationThe Schervier Long Term Home Health Care Program provides in-home nursing care to residents of the Bronx and Westchester County. The home care program provides a comprehensive, coordinated and medically case managed package of services to meet the individual's needs. Services include:NursingPhysical Therapy and Occupational therapy Speech and Language TherapiesMedical Supply ManagementMedical Social WorkHome Health AidesPersonal Care Aides The Bon Secours New York Healthy Communities initiative is sponsored by the mission fund of Bon Secours Health System, a related organization. Bon Secours Health System is committed to creating communities of health, hope and well-being. Bon Secours is developing long term, collaborative relationships with the people who live and work in selected neighborhoods in the communities we serve and with other local organizations so that together we can identify and address priorities to improve the quality of life and health. BSNY Healthy Communities employs a multi-faceted approach to tackling diet-related illness in priority neighborhoods in Upper Manhattan and the Bronx. Program activities in collaboration with agencies and area partners include: Youthmarkets, Youth Farm, Healthy Hikes, Healthy Corner Stores, Healthy Mothers, Healthy Families, and Farm-to-Door- among many other green technology, nutrition, and social enterprise endeavors aimed at food justice. 25799097 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 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 63 0 1 508 1 0 0 0 0 0 0 0 0 0 0 X 12 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 X Laura Ellison 4433673835 8990 Old Annapolis Road Columbia MD 21045 X Maria Branca DPM Board Member 1.00 0.00 X 0 0 0 John Corcoran Board Member 1.00 1.00 X 0 0 0 Catherine Gasteyer Board Member 1.00 1.00 X 0 0 0 Monica Higgins Board Member 1.00 0.00 X 0 0 0 Howard Malatzky Board Member 1.00 1.00 X 0 0 0 Sr Patricia Mennor Chairman 2.00 2.00 X X 0 0 0 Maria Osorio Board Member 1.00 0.00 X 0 0 0 Sr Fran Gorsuch Board Member 1.00 49.00 X 0 0 0 Marlon Priest MD Board Member 1.00 49.00 X 0 1113803 35772 Carlos Beato Sec & CEO - BSNY 48.50 1.50 X X 0 444137 15900 Br Art Caliman President 20.00 30.00 X X 0 0 0 Kity Khundkar Treasurer/CFO - BSNY 40.00 10.00 X X 342334 0 20039 Dominic D'Ambrosio Administrator - Support Services 50.00 0.00 X 229758 0 26623 Theresa Geenty-D'Arcy Director of Admissions 50.00 0.00 X 130391 0 16961 Wei-Zhang Tao Controller 50.00 0.00 X 127110 0 1439 829593 1557940 116734 4 0 1 0 Sheppard Mullin Richter & Hampton LLP 2099 Pennsylvania Ave Ste 100 Washington DC 20006 Legal Services 2212694 Phys and Occup Rehab Therapy PO Box 505109 St Louis MO 631505109 PT, OT and Speech Therapy 926357 Harley Electric Co Inc 1817 Unionport Rd Bronx NY 10462 Electrical Services 530655 Riverdale Senior Services Inc 2600 Netherland Ave Bronx NY 10462 Senior Services 513001 Crothall Healthcare Inc 13028 Collections Ctr Chicago IL 60693 Healthcare Support Services 469866 15 101614 358134 4344 464092 Patient Service Rev. 623000 24432490 24432490 Management Services 561000 110061 110061 24542551 3416 3416 67928 0 67928 67928 67928 80610274 52451642 28158632 28158632 28158632 Cafeteria/Vending/Gift 722212 113222 113222 Joint Venture Income 900099 56631 56631 Purchase Discounts 900099 6325 6325 176178 53412797 24599182 0 28349523 739108 665197 73911 10602018 9541816 1060202 3080118 2772106 308012 443987 399588 44399 1836370 1652733 183637 392742 353468 39274 70860 63774 7086 3477 3129 348 59412 59412 17980 16182 1798 547782 493004 54778 107009 96308 10701 741589 667430 74159 15308 13777 1531 4636 4172 464 238922 238922 907359 816623 90736 533888 480499 53389 Purchased Services 3530071 3177064 353007 0 NY State Medicare Asses 1671413 1671413 0 0 Corporate Dues Allocati 1338187 1204368 133819 0 Medical Supplies 1072990 1072990 0 0 372358 335122 37236 28327584 25799097 2528487 0 2298 1966 1357536 6894577 5102796 3072 93333 198382 0 21373782 2676883 9000917 3260 9545586 1492510 40353856 17393042 6182721 22405669 22206 202049 16400000 38069226 3074311 60876202 25479980 X -20969561 -8086938 447215 0 -20522346 -8086938 40353856 17393042 X 25085213 -447214 -12202591 X 0 0 0 X 570741 705389 2234515 1759366 464092 5734103 51958624 50401000 49845883 45453260 24542551 222201318 201977 197608 444797 369524 169853 1383759 52731342 51303997 52525195 47582150 25176496 229319180 0 0 0 229319180 170520 177874 139754 183806 71344 743298 170520 177874 139754 183806 71344 743298 68082 128156 152169 138342 176178 662927 52969944 51610027 52817118 47904298 25424018 230725405 0.99390 0.99460 0.00320 0.00320 X Schedule A, Part III, Line 12, Explanation of Other Income: Rebates/Discounts - 2013 Amount: $ 46,311. 2014 Amount: $ 68,441. 2015 Amount: $ 71,191. 2016 Amount: $ 57,137. 2017 Amount: $ 6,325. All other revenue - 2013 Amount: $ 21,771. 2014 Amount: $ 59,715. 2015 Amount: $ 80,978. 2016 Amount: $ 81,205. Cafeteria/Vending/Gift - 2017 Amount: $ 113,222. Joint Venture Income - 2017 Amount: $ 56,631. 0 0 0 0 0 0 0 0 1 3477 3477 0 Part II-B, Line 1: The filing organization maintains memberships to various professional healthcare associations. Portions of their membership dues are used for lobbying activities. The lobbying portion of such dues is included on line 1i. 0 0 0 mcaid Settlement LT 2015 1486418 Assets Held in Trust 4979 LT Non-cash Inv 1113 1492510 Other LT Pension/Retirement Liab 1555168 Medicare Liab 851999 Patient Credit Balances 667144 3074311 X 1 1 0 0 0 0 0 0 0 0 0 Marlon Priest MD Board Member 0 762739 0 177292 0 173772 0 15900 0 19872 0 1149575 0 0 Carlos Beato Sec & CEO - BSNY 0 277006 0 123752 0 43379 0 15900 0 0 0 460037 0 0 Kity Khundkar Treasurer/CFO - BSNY 258699 0 41310 0 42325 0 2604 0 17435 0 362373 0 0 0 Dominic D'Ambrosio Administrator - Support Services 194679 0 30844 0 4235 0 2335 0 24288 0 256381 0 0 0 Part I, Line 1a The organization paid a tax gross-up to a single highest-paid employee in connection with a bonus that was reported as additional taxable compensation. 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 Nursing Care Center Assets 2018-07-10 80610274 Appraisal Riverdale SNF LLC co TL Management 2071 Flatbush Ave Ste 22 Brooklyn NY 11234 N/A Cash - Reimbursement 2017-09-08 25000000 Cash 521301088 Bon Secours Health System Inc 1505 Marriottsville Rd Marriottsville MD 21104 501(c)(3) 0 0 0 0 Form 990, Part III, line 3 Frances Schervier Home and Hospital ceased conducting all program service activities as of 7/10/2017 when the assets of the organization were sold to a third-party. See Sch N for additional details. 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). BSNYHS is the sole corporate member and parent of Frances Schervier Home & Hospital (FSHH) and Frances Schervier Housing Development Fund Corporation (FSHDFC). 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 FSHH and FSHDFC. 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 both organizations. In addition, BSNYHS has the power to remove or replace any member of their boards of directors. Form 990, Part VI, Section A, line 7b Certain authorities of FSHH and FSHDFC are reserved to their members or to Bon Secours Health System, Inc. Form 990, Part VI, Section B, line 11b The process the organization uses to review the Form 990 consists of a review by the local system's audit and compliance board-committee and providing the form to the local system board of directors to allow for a thorough review by both before the filing date. The local system'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 is 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. 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: 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. Sr. Fran Gorsuch and Brother Art Caliman do not receive payroll distributions as they have each taken a vow of poverty. Form 990, Part XI, line 9: Additional Minimum Pension Liability 1,695,233. Assets released from Restriction 1,226. Intercompany transactions relating to sale; Goodwill 11,100,950. Negative Cash Reimbursement -25,000,000. Bon Secours Health System Inc (BSHSI) 1505 Marriottville Road Marriottsville MD 21104 521301088 Parent Org - Management Services MD 501(c)(3) Line 12c, III-FI Bon Secours Inc 0 Schervier Apartments LLC 2975 Independence Avenue Bronx NY 10463 471364217 Low Income Housing NY 501(c)(3) Line 10 Bon Secours New York Health Sysem Inc 0 Bon Secours New York Health System Inc 2975 Independence Avenue Bronx NY 10463 912135196 Parent Org - Management Services NY 501(c)(3) Line 12c, III-FI Bon Secours Health System Inc 0 Bon Secours New York Housing Development Fund Corporation 2975 Independence Avenue Bronx NY 10463 472224316 Low Income Housing NY N/A C 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0