2017-10-30T10:17:55-05:00 2016-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2016-01-01 810667395 BON SECOURS COMMUNITY HOSPITAL FOUNDATION % MAUREEN BURKE BONS 8453685151 255 Lafayette Avenue Suffern NY 109015620 Mary Leahy CEO 8453685305 2017-10-25 true LAURA KIELCZEWSKI P00740769 2127733000 72.89.28.204 26308520173035000005 2017-10-30 P 050F75853A9F423F493495C03CDD05FDA32C01D0 050F75853A9F423F493495C03CDD05FDA32C01D0 2016 2021-01-29 14:40:06Z Mary Leahy 255 Lafayette Avenue Suffern NY 109015620 54933 false X www.bschsf.org/community X 2002 NY FUNDRAISING FOR THE BENEFIT OF BON SECOURS COMMUNITY HOSPITAL 16 16 0 15 0 230228 46106 0 0 83745 3487 -3010 -4957 310963 44636 77421 0 0 0 59595 54192 0 0 66004 53456 40100 190472 94292 120491 -49656 1662221 1727591 0 0 1662221 1727591 X THE MISSION IS TO MAKE VISIBLE GOD'S LOVE AND TO BE GOOD HELP TO THOSE IN NEED, ESPECIALLY THOSE WHO ARE POOR, VULNERABLE AND DYING. AS A SYSTEM OF CAREGIVERS, WE COMMIT OURSELVES TO HELP BRING PEOPLE AND COMMUNITIES TO HEALTH AND WHOLENESS AS PART OF THE HEALING MINISTRY OF JESUS CHRIST AND THE CATHOLIC CHURCH. false false 18858 0 0 BON SECOURS COMMUNITY HOSPITAL FOUNDATION IS THE FUNDRAISING ARM OF BON SECOURS COMMUNITY HOSPITAL. Touching numerous residents in the New York, New Jersey and Pennsylvania tri-state region, the work of the Bon Secours Community Hospital Foundation helps to fulfill the mission of Bon Secours to give compassion and healing to those in need. Just a few of the many ways the Foundation supports Bon Secours Community Hospital include: raising funding for State-of-the-art technology, medical equipment, hospital infrastructure improvements, and contributions to St. Josephs Place, the Roberta Glinton Memorial Fund, and the Emergency Department. 18858 true true false false false false false false false true false false false false false false false true false false false false false false true false false false false true false false false false false false false false false false false false false true false false false true 0 0 0 false false false false false false false false false false X 16 16 false false false false true true true true true false false true true true true false false false false false NY X MAUREEN BURKE 8453685448 255 LAFAYETTE AVENUE SUFFERN NY 10901 X Linda Hannigan Treasurer 1.0 0.0 X X 0 0 0 Patricia Korth Board Member 1.0 0.0 X 0 0 0 Howard Kuperman Board Member 1.0 0.0 X 0 0 0 Mary Leahy MD CEO - BSCHS 1.0 39.0 X X 0 777821 51211 Darryl McKeeby Board Member 1.0 0.0 X 0 0 0 Laurie Miller Board Member 1.0 0.0 X 0 0 0 William Onofry Esq Board Member 1.0 0.0 X 0 0 0 Shaun Parker Board Member 1.0 0.0 X 0 0 0 Roy Shepherd Board Member 1.0 0.0 X 0 0 0 Charlene Trotter Secretary 1.0 0.0 X X 0 0 0 Matthew Witherow Esq Board Member 1.0 0.0 X 0 0 0 Paul Brislin Board Member 1.0 0.0 X 0 0 0 Marie Cain Board Member 1.0 0.0 X 0 0 0 LISA TOALDO DMD CHAIRMAN 1.0 0.0 X X 0 0 0 David Claisse Board Member 1.0 0.0 X 0 0 0 John Donahue Board Member 1.0 0.0 X 0 0 0 Christopher Banks VP of Philanthropy 5.0 35.0 X 0 229170 41548 0 1006991 92759 0 false true false 0 34840 11266 0 46106 0 3487 3487 0 0 0 0 0 0 5340 34840 10297 -4957 -4957 0 0 0 0 0 0 0 44636 -1470 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47246 9449 4725 33072 1416 283 142 991 3399 680 340 2379 2131 426 213 1492 3681 736 368 2577 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 233 47 23 163 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Purchased Services 36186 7237 3619 25330 94292 18858 9430 66004 0 0 0 894873 909809 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 767348 817782 0 0 0 0 0 0 0 0 1662221 1727591 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 891599 909809 193349 234869 577273 582913 1662221 1727591 1662221 1727591 X -49656 12262 0 0 0 102764 X false true X true false X 44356 172074 41452 62784 46107 366773 0 0 44356 172074 41452 62784 46107 366773 108864 257909 17679 44506 2855 83745 3487 152272 0 380 9205 565003 11758 5340 591686 1110731 0.23220 0.28274 X SHORT PERIOD RETURN BON SECOURS COMMUNITY HOSPITAL FOUNDATION FILED A 2014 FORM 990 SHORT PERIOD RETURN. THE ACTIVITY REPORTED REFLECTED THE ACTIVITY OF THE FILING ORGANIZATION FROM SEPTEMBER 1, 2014 THROUGH DECEMBER 31, 2014. THIS SHORT PERIOD WAS A RESULT OF A CHANGE IN THE ACCOUNTING PERIOD OF THE ORGANIZATION FROM A FISCAL YEAR END ON AUGUST 31 TO A CALENDAR YEAR ENDING DECEMBER 31. THE 2015 FORM 990 COVERS THE ENTIRE CALENDAR YEAR. THE CHANGE IN ACCOUNTING PERIOD WAS REPORTED ON THE 2014 FORM 990. Schedule A, Part II, Line 17a FACTS AND CIRCUMSTANCES TEST The Foundation raises funds and creates good will to help ensure local access to advanced health services for residents of more than 20 communities in the region. Extraordinary developments in medicine are changing healthcare in ways that were hard to imagine just a few years ago. The medical teams at Bon Secours Community Hospital with support from the Foundation are transforming health in our region by bringing these advances to our community. Comprised of a volunteer Board of Directors, the Foundations annual events and ongoing appeals generate revenue for the hospital and St. Josephs Place. The funds support enhancements to our facilities, services, equipment and technology. The Foundation also subsidizes staff training and certifications as well as community-based wellness activities. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 770622 47160 817782 0.71300 0.28700 Golf Outing 40180 34840 5340 10297 0 40180 34840 5340 10297 10297 -4957 false true false false false false false false false Mary Leahy MD CEO - BSCHS 0 627821 0 150000 0 0 0 15900 0 35311 0 829032 0 0 Christopher Banks VP of Philanthropy 0 228657 0 0 0 513 0 17706 0 23842 0 270718 0 0 FORM 990, SCHEDULE J, PART I, LINE 4B THE FILING ORGANIZATION PARTICIPATES IN A BSCHS SPONSORED EXECUTIVE RETIREMENT PROGRAM THAT ALLOWS FOR DEPOSITS INTO ADDITIONAL RETIREMENT PLANS AND IS AVAILABLE ONLY TO OFFICERS AND 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 THE PLAN. FORM 990, PART VI, LINE 6 MEMBERS OR STOCKHOLDERS: BON SECOURS CHARITY HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF BON SECOURS COMMUNITY HOSPITAL, WHICH IN TURN IS THE SOLE MEMBER OF BON SECOURS COMMUNITY HOSPITAL FOUNDATION. FORM 990, PART VI, LINE 7A POWER TO ELECT OR APPOINT MEMBERS: THE GOVERNING BODY OF BON SECOURS COMMUNITY HOSPITAL FOUNDATION IS APPOINTED BY ITS MEMBER, BON SECOURS COMMUNITY HOSPITAL AND SUBJECT TO THE APPROVAL OF WMC HEALTH NETWORK-ROCKLAND, INC. ONE OF THE THREE CORPORATE MEMBERS OF BON SECOURS CHARITY HEALTH SYSTEM ALONG WITH BON SECOURS HEALTH SYSTEM AND THE SISTERS OF CHARITY OF SAINT ELIZABETH. FORM 990, PART VI, LINE 7B DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS: CERTAIN AUTHORITIES OF BON SECOURS COMMUNITY HOSPITAL FOUNDATION ARE RESERVED TO ITS MEMBER OR ARE JOINTLY RESERVED TO WMC HEALTH NETWORK-ROCKLAND,INC. BON SECOURS HEALTH SYSTEM, INC. OR SISTERS OF CHARITY OF SAINT ELIZABETH, THE THREE CORPORATE MEMBERS OF BON SECOURS CHARITY HEALTH SYSTEM, INC. FORM 990, PART VI, LINE 11B PROCESS USED TO REVIEW THE FORM 990: The Form 990 was prepared by our tax advisors together with our finance department with the assistance from various departments throughout the organization. The Form 990 was reviewed by internal leadership. Upon completion of the various reviews, the Form 990 was presented to the board of the organization for approval prior to filing with the IRS. FORM 990, PART VI, LINE 12C MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY: The organization monitors and enforces compliance with the Conflict of Interest policy by means of a survey developed and approved by the WMCHealth Chief Compliance Officer. The survey is sent to all trustees, officers, and key executives for completion. All survey responses are reviewed by the Chief Compliance Officer. Any potential conflicts identified in the responses are discussed with senior management and/or referred to the WMCHealth Conflicts of Interest Committee for discussion. Potential actions to be taken in response to a conflict can be one or more of the following: 1) disclosure of the conflict, 2) individual recusal from decisions for transactions where that individual may have a conflict, 3) request in writing the individual alleviate the conflict, or 4) removal of the individual from employment. FORM 990, PART VI, LINES 13 AND 14 WRITTEN WHISTLEBLOWER AND DOCUMENT RETENTION AND DESTRUCTION POLICIES: THE FOUNDATION DOES NOT HAVE ITS OWN WRITTEN WHISTBLOWER AND DOCUMENT RETENTION AND DESTRUCTION POLICIES; HOWEVER, THE FOUNDATION DOES FOLLOW THE POLICIES APPROVED BY THE BOARD OF ITS RELATED ORGANIZATION, BON SECOURS CHARITY HEALTH SYSTEM, INC. FORM 990, PART VI, LINE 15 THE COMPENSATION COMMITTEE OF WMC HEALTH NETWORK-ROCKLAND, INC. (WMC-ROCKLAND) ENGAGES IN A COMPREHENSIVE PROCESS FOR THE OVERSIGHT AND MANAGEMENT OF REMUNERATION FOR EXECUTIVE EMPLOYEES AND DISQUALIFIED PARTIES OF THE BSCHS. THE COMPENSATION COMMITTEE CONSISTS OF A GROUP OF INDEPENDENT BOARD MEMBERS AND ENGAGES INDEPENDENT EXTERNAL COMPENSATION CONSULTANT TO ENSURE THEY RECEIVE APPROPRIATE ANALYSIS OF MARKET AND FOLLOW THE PRACTICES NECESSARY TO OBTAIN FULL COMPLIANCE WITH THE IRS'S REBUTTABLE PRESUMPTION OF REASONABLENESS. THE COMMITTEE ESTABLISHES AND MAINTAINS A COMPENSATION PHILOSOPHY; REVIEWS PAY PRACTICES AGAINST LOCAL, REGIONAL AND NATIONAL HEALTHCARE ORGANIZATIONS AND 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 BSCHS BOARD OF DIRECTORS AND COMPENSATION COMMITTEE MINUTES. FORM 990, PART VI, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE 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. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS TRANSFERS FROM AFFILIATES $ 102,764 WMC HEALTH NETWORK - ROCKLAND INC 100 WOODS ROAD VALHALLA NY 10595 320467873 SUPPORTING NY 501(C)(3) 12A NA false WMC HEALTH NETWORK - ULSTER INC 100 WOODS ROAD VALHALLA NY 10595 320477183 SUPPORTING NY 501(C)(3) 12A WCHCC false WESTCHESTER COUNTY HEALTH CARE CORP 100 WOODS ROAD VALHALLA NY 10595 133964321 HEALTHCARE NY 115 N/A NA false WMC NEW YORK INC 100 WOODS ROAD VALHALLA NY 10595 134107894 FUNDRAISING NY 501(C)(3) 12A WCHCC false NORTH ROAD LHCSA INC 241 NORTH ROAD POUGHKEEPSIE NY 12601 465293268 HOMECARE SVCS NY 501(C)(3) 10 WCHCC false MID-HUDSON VALLEY EARLY EDUCATION CENTER 241 NORTH ROAD POUGHKEEPSIE NY 12601 465534882 PRESCHOOL NY 501(C)(3) 10 WCHCC false WESTCHESTER MEDICAL CENTER FOUNDATION I 100 WOODS ROAD VALHALLA NY 10595 134095845 FUNDRAISING NY 501(C)(3) 7 WCHCC false HEALTHALLIANCE INC 741 GRANT AVENUE LAKE KATRINE NY 12449 261850453 SUPPORTING NY 501(C)(3) 12A WCHCC false HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS 396 BROADWAY KINGSTON NY 12401 141349558 EXEMPT HOSP NY 501(C)(3) 3 HA INC false HEALTHALLIANCE HOSP MARY'S AVE CAMPUS 105 MARYS AVENUE KINGSTON NY 12401 141338470 EXEMPT HOSP NY 501(C)(3) 3 HA INC false MARGARETVILLE MEMORIAL HOSPITAL 42084 STATE ROUTE 28 MARGARETVILLE NY 12455 150552726 EXEMPT HOSP NY 501(C)(3) 3 HA INC false HEALTHALLIANCE SENIOR LIVING CORP 396 BROADWAY KINGSTON NY 12401 300164277 RTMNT COMM NY 501(C)(3) 10 HA INC false MARGARETVILLE NURSING HOME INC 42158 STATE HIGHWAY 28 MARGARETVILLE NY 12455 223143565 NURSING HOME NY 501(C)(3) 10 MMH false MARGARETVILLE HEALTH FOUNDATION 42084 STATE HIGHWAY 28 MARGARETVILLE NY 12455 261998454 SUPPORT FDN NY 501(C)(3) 12A MMH false FASC FOUNDATION 741 GRANT AVENUE LAKE KATRINE NY 12449 264201295 SUPPORT FDN NY 501(C)(3) 7 HAH BWAY false GOOD SAMARITAN FDN FOR BETTER HEALTH 255 LAFAYETTE AVE SUFFERN NY 10901 133400353 SUPPORT FDN NY 501(C)(3) 7 BSCHSI false BON SECOURS WARWICK HEALTH FOUNDATION 255 LAFAYETTE AVE SUFFERN NY 10901 141972807 SUPPORT FDN NY 501(C)(3) 7 BSCHSI false BON SECOURS CHARITY HEALTH SYSTEM INC 255 LAFAYETTE AVE SUFFERN NY 10901 912135195 SUPPORTING NY 501(C)(3) 12C, III-FI WCHCC false false false false false false false false false false false false false false false false false true false false Schedule R, Part II, Bon Secours Charity Health System, Inc. (BSCHS) BON SECOURS COMMUNITY HOSPITAL FOUNDATION has a brother-sister relationship with BSCHSS six subordinates in a group exemption within BSCHS.