BON SECOURS WARWICK HEALTH FOUNDATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
BON SECOURS WARWICK HEALTH FOUNDATION (EIN 14-1972807)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-10-30
IRS object ID
201723039349300542
Schema version
2016v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-10-30T10:16:17-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15 TIMES SQUAREAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10036ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN141972807EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BON SECOURS WARWICK HEALTH FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% MAUREEN BURKEInCareOfNm
Business Name ControlBONSBusinessNameControlTxt
Phone8453685151PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1255 Lafayette AvenueAddressLine1Txt
CitySuffernCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10901ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMary LeahyPersonNm
Person TitlePresident & CEOPersonTitleTxt
Phone8453685305PhoneNum
Signature2017-10-25SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLAURA KIELCZEWSKIPreparerPersonNm
PTINP00740769PTIN
Phone2127733000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address164.57.159.254IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id26308520173035000007FederalOriginalSubmissionId
Federal Original Submission Id2017-10-30FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id050F75853A9F423F493495C03CDD05FDA32C01D0AtSubmissionCreationDeviceId
At Submission Filing Device Id050F75853A9F423F493495C03CDD05FDA32C01D0AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMary LeahyPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1255 Lafayette AvenueAddressLine1Txt
CitySuffernCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10901ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$209,632GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.bschsf.org/warwickWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2002FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionFUNDRAISING FOR THE BENEFIT OF ST. ANTHONY COMMUNITY HOSPITALActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent20VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$280,889PYContributionsGrantsAmt
CY Contributions Grants$169,567CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$203PYInvestmentIncomeAmt
CY Investment Income-$1,855CYInvestmentIncomeAmt
PY Other Revenue-$18,295PYOtherRevenueAmt
CY Other Revenue-$17,004CYOtherRevenueAmt
PY Total Revenue$262,797PYTotalRevenueAmt
CY Total Revenue$150,708CYTotalRevenueAmt
PY Grants And Similar Paid$331,907PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$11,001CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$59,595PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$54,192CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$83,251CYTotalFundraisingExpenseAmt
PY Other Expenses$61,136PYOtherExpensesAmt
CY Other Expenses$64,739CYOtherExpensesAmt
PY Total Expenses$452,638PYTotalExpensesAmt
CY Total Expenses$129,932CYTotalExpensesAmt
PY Revenues Less Expenses-$189,841PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$20,776CYRevenuesLessExpensesAmt
Total Assets BOY$1,467,397TotalAssetsBOYAmt
Total Assets EOY$1,591,529TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,405TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,467,397NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,585,124NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE 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.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$34,787ExpenseAmt
Grant$11,001GrantAmt
Revenue$0RevenueAmt
DescBon Secours Warwick Health Foundation is the fundraising arm of St. Anthony Community Hospital, Mount Alverno Center and Schervier Pavilion. Touching numerous residents in the New York, New Jersey and Pennsylvania tri-state region, the work of the Bon Secours Warwick Health 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 St. Anthony Community Hospital and the Warwick Healthcare Campus include raising funds to help to continue to advance healthcare in the tri-state region and for new technology and equipment, staff training and education, community wellness programs and Improvements to the facilities.Desc
Total Program Service Expenses$34,787TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member20IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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PersonMAUREEN BURKEPersonNm
Phone8453685448PhoneNum

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Address Line1255 LAFAYETTE AVENUEAddressLine1Txt
CitySUFFERNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10901ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
SUE DEVINCENZO
BOARD MEMBER1.00.0Yes (X)$0$0$0
GARRET DURLAND
TREASURER1.00.0Yes (X)$0$0$0Yes (X)
GEOFFREY GREEN
BOARD MEMBER1.00.0Yes (X)$0$0$0
Caroline Hamling
Board Member1.00.0Yes (X)$0$0$0
Mary Juliano
Secretary1.00.0Yes (X)$0$0$0Yes (X)
Leo Kaytes
Board Member1.00.0Yes (X)$0$0$0
Mary Leahy MD
CEO - BSCHS1.039.0Yes (X)$0$777,821$51,211
Bonni Oswald
Board Member (End 6/16)1.00.0Yes (X)$0$0$0
Frank Petrucci
Board Member1.00.0Yes (X)$0$0$0
Tomi Prvulovic MD
Board Member1.00.0Yes (X)$0$0$0
Terry Quint
Board Member1.00.0Yes (X)$0$0$0
Douglas Stage Esq
Board Member1.00.0Yes (X)$0$0$0
Barbara Sullivan
Board Member1.00.0Yes (X)$0$0$0
Katie Bisaro
Board Member1.00.0Yes (X)$0$0$0
Inez Freund
Board Member1.00.0Yes (X)$0$0$0
Patricia Lurye
Board Member1.00.0Yes (X)$0$0$0
Charles Mitchell
Board Member1.00.0Yes (X)$0$0$0
Jacob Tuckfelt
Board Member1.00.0Yes (X)$0$0$0
Raul Berina
Chairman1.00.0Yes (X)$0$0$0Yes (X)
Stratos Colman
Board Member1.00.0Yes (X)$0$0$0
Christopher Banks
VP of Philanthropy5.035.0$0$229,170$41,548Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,006,991TotReportableCompRltdOrgAmt
Total Other Compensation$92,759TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

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PersonNONEPersonNm
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Contractor AddressContractorAddress
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$77,020FundraisingAmt
All Other Contributions$92,547AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$169,567TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

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Total Revenue Column-$1,855TotalRevenueColumnAmt
Exclusion-$1,855ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

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Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$41,920FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$77,020ContriRptFundraisingEventAmt
Fundraising Direct Expenses$58,924FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$17,004TotalRevenueColumnAmt
Exclusion-$17,004ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
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Net Income From Gaming NetIncomeFromGamingGrp

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Total Revenue Column$0TotalRevenueColumnAmt
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Net Income Or Loss NetIncomeOrLossGrp

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Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$150,708TotalRevenueColumnAmt
Exclusion-$18,859ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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Total$11,001TotalAmt
Program Services$11,001ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

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Benefits To Members BenefitsToMembersGrp

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Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

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Total$0TotalAmt
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Comp Disqual Persons CompDisqualPersonsGrp

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Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$47,246TotalAmt
Program Services$9,449ProgramServicesAmt
Management And General$4,725ManagementAndGeneralAmt
Fundraising$33,072FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

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Total$1,416TotalAmt
Program Services$283ProgramServicesAmt
Management And General$142ManagementAndGeneralAmt
Fundraising$991FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,399TotalAmt
Program Services$680ProgramServicesAmt
Management And General$340ManagementAndGeneralAmt
Fundraising$2,379FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
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Program Services$426ProgramServicesAmt
Management And General$213ManagementAndGeneralAmt
Fundraising$1,492FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

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Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

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Advertising AdvertisingGrp

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Program Services$0ProgramServicesAmt
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Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

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Total$8,430TotalAmt
Program Services$1,686ProgramServicesAmt
Management And General$843ManagementAndGeneralAmt
Fundraising$5,901FundraisingAmt

Information Technology InformationTechnologyGrp

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Royalties RoyaltiesGrp

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Occupancy OccupancyGrp

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Travel TravelGrp

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Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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Conferences Meetings ConferencesMeetingsGrp

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Interest InterestGrp

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Payments To Affiliates PaymentsToAffiliatesGrp

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Insurance InsuranceGrp

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Other Expenses OtherExpensesGrp

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DescPurchased ServicesDesc
Total$56,309TotalAmt
Program Services$11,262ProgramServicesAmt
Management And General$5,631ManagementAndGeneralAmt
Fundraising$39,416FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
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Management And General$11,894ManagementAndGeneralAmt
Fundraising$83,251FundraisingAmt

Total Joint Costs TotalJointCostsGrp

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Cash Non Interest Bearing CashNonInterestBearingGrp

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BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

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Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

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EOY$690,307EOYAmt

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Investments Program Related InvestmentsProgramRelatedGrp

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Intangible Assets IntangibleAssetsGrp

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Other Assets Total OtherAssetsTotalGrp

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EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
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EOY$1,591,529EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

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BOY$0BOYAmt
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EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

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EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$6,405EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$6,405EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$815,806BOYAmt
EOY$894,817EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$651,591BOYAmt
EOY$690,307EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,467,397BOYAmt
EOY$1,585,124EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,467,397BOYAmt
EOY$1,591,529EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$20,776ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$0NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$96,951OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$135,762CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$147,103CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$56,489CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$293,520CurrentTaxYearMinus1YearAmt
Current Tax Year$186,217CurrentTaxYearAmt
Total$819,091TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$135,762CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$147,103CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$56,489CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$293,520CurrentTaxYearMinus1YearAmt
Current Tax Year$186,217CurrentTaxYearAmt
Total$819,091TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$161,460SubstantialContributorsTotAmt
Public Support Total170$657,631PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$240CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year$203CurrentTaxYearMinus1YearAmt
Current Tax Year-$1,855CurrentTaxYearAmt
Total-$1,412TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$41,475CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,375CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$357,581CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$40,627CurrentTaxYearMinus1YearAmt
Current Tax Year$25,270CurrentTaxYearAmt
Total$486,328TotalAmt
FieldValueIRS element (for citing)
Total Support$1,304,007TotalSupportAmt
Public Support CY1700.50432PublicSupportCY170Pct
Public Support PY1700.48329PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part II, Line 10Explanation for Other Income: Special Event Revenue 2012 Amount: $ 41,475. 2013 Amount: $ 21,375. 2014 Amount: $ 25,930. 2015 Amount: $ 40,627. 2016 Amount: $ 25,270.
SHORT PERIOD RETURNBON SECOURS WARWICK HEALTH 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 B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$651,591BeginningYearBalanceAmt
Contributions$40,010ContributionsAmt
Grants Or Scholarships$1,294GrantsOrScholarshipsAmt
End Year Balance$690,307EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$752,249BeginningYearBalanceAmt
Contributions$156,576ContributionsAmt
Grants Or Scholarships$257,234GrantsOrScholarshipsAmt
End Year Balance$651,591EndYearBalanceAmt
FieldValueIRS element (for citing)
CY Minus2 Yr Endwmt FundCYMinus2YrEndwmtFundGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
LandLandGrp
BuildingsBuildingsGrp
Leasehold ImprovementsLeaseholdImprovementsGrp
EquipmentEquipmentGrp
Other Land BuildingsOtherLandBuildingsGrp
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescNET PLEDGES RECEIVABLEDesc
Amt$6,405Amt
FieldValueIRS element (for citing)
Total Liability$6,405TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4FormAndLineReferenceDesc
ExplanationIntended use of endowment funds: To support the mission of St. Anthony Community Hospital through program funding and capital acquisitions.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Winding throughEvent1Nm
Gross Receipts Event1$35,050GrossReceiptsEvent1Amt
Charitable Contri Event1$18,750CharitableContriEvent1Amt
Gross Revenue Event1$16,300GrossRevenueEvent1Amt
Event2Tent PartyEvent2Nm
Gross Receipts Event2$49,925GrossReceiptsEvent2Amt
Charitable Contri Event2$25,700CharitableContriEvent2Amt
Gross Revenue Event2$24,225GrossRevenueEvent2Amt
Rent Facility Costs Event2$42,327RentFacilityCostsEvent2Amt
Entertainment Event2$2,000EntertainmentEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$33,965GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$32,570CharitableContriOtherEventsAmt
Gross Revenue Other Events$1,395GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events$14,597RentFcltyCostsOtherEventsAmt
Gross Receipts Total$118,940GrossReceiptsTotalAmt
Charitable Contributions Tot$77,020CharitableContributionsTotAmt
Gross Revenue Total Events$41,920GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$56,924RentFcltyCostsTotalEventsAmt
Entertainment Total Events$2,000EntertainmentTotalEventsAmt
Direct Expense Summary Events$58,924DirectExpenseSummaryEventsAmt
Net Income Summary-$17,004NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Warwick Valley Rotary ClubBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 121AddressLine1Txt
CityWARWICKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10990ZIPCd
FieldValueIRS element (for citing)
Recipient EIN226289875RecipientEIN
IRC Section501(C)(4)IRCSectionDesc
Cash Grant$11,001CashGrantAmt
Purpose Of GrantGeneral SupportPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2FormAndLineReferenceDesc
ExplanationDescription of Procedure for Monitoring Use of Funds: The organization complies with 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Mary Leahy MD
CEO - BSCHS$0$627,821$0$150,000$0$0$0$15,900$0$35,311$0$829,032$0$0
Christopher Banks
VP of Philanthropy$0$228,657$0$0$0$513$0$17,706$0$23,842$0$270,718$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4BFormAndLineReferenceDesc
ExplanationParticipate in, or receive payment from, a supplemental nonqualified retirement plan: 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.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, LINE 2Family or business relationships THE FOLLOWING BOARD MEMBERS HAVE BUSINESS RELATIONSHIPS: DOUGLAS STAGE, ESQ. AND GARRETT DURLAND; DOUGLAS STAGE, ESQ. AND LEO R. KAYTES; DOUGLAS STAGE, ESQ. AND RAUL BERINA; GARRETT DURLAND AND RAUL BERINA; GARRETT DURLAND AND CAROLINE HAMLING; RAUL BERINA AND TERRY QUINT.
FORM 990, PART VI, LINE 6Members or stockholders: BON SECOURS CHARITY HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF ST. ANTHONY COMMUNITY HOSPITAL, WHICH IN TURN IS THE SOLE MEMBER OF BON SECOURS WARWICK HEALTH FOUNDATION.
FORM 990, PART VI, LINE 7APower to elect or appoint members: The governing body of Bon Secours Warwick Health Foundation is appointed by its member, St. Anthony's Community Hospital and is subject to the approval of Bon Secours Health System, Inc. and WMC Health Network - Rockland, Inc., two of three corporate members of Bon Secours Charity Health System along with the Sisters of Charity of Saint Elizabeth.
FORM 990, PART VI, LINE 7BDecisions reserved to members or stockholders: Certain authorities of Bon Secours Warwick Health Foundation are reserved to its member or is jointly reserved to WMC Health Network, Rockland, Inc., Bon Secours Health System, Inc. and the Sisters of Charity of Saint Elizabeth, the three corporate members of Bon Secours Charity Health System, Inc.
FORM 990, PART VI, LINE 11BPROCESS 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 12CMONITORING 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 14WRITTEN 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 15The organization, through WMC HEALTH NETWORK-ROCKLAND, INC. (WMC-ROCKLAND), has a comprehensive process for the oversight and management of remuneration for the CEO and other senior executives and disqualified parties. Compensation for such key employees is set by reviewing and relying on objective market data to ensure they receive compensation that is in full compliance with the IRS' rebuttable presumption of reasonableness. The organization maintains a compensation philosophy, reviews pay practices against local, regional and national healthcare organizations and approves all remunerative decisions for this group of individuals. Further, the organization ensures that all levels of pay within the organization are reasonable based on performance and validates that incentive payments, if any, are adequately supported. Such decisions are documented in Board and other relevant 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 VIIBoard Member positions are generally voluntary in nature. Compensated employees of 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 9OTHER CHANGES IN NET ASSETS: - TRANSFERS TO AFFILIATES $ (96,951)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
WMC HEALTH NETWORK - ROCKLAND INC
100 WOODS ROADVALHALLANY10595320467873SUPPORTINGNY501(C)(3)12ANAfalse
WMC HEALTH NETWORK - ULSTER INC
100 WOODS ROADVALHALLANY10595320477183SUPPORTINGNY501(C)(3)12AWCHCCfalse
WESTCHESTER COUNTY HEALTH CARE CORP
100 WOODS ROADVALHALLANY10595133964321HEALTHCARENY115N/ANAfalse
WMC NEW YORK INC
100 WOODS ROADVALHALLANY10595134107894FUNDRAISINGNY501(C)(3)12AWCHCCfalse
NORTH ROAD LHCSA INC
241 NORTH ROADPOUGHKEEPSIENY12601465293268HOMECARE SVCSNY501(C)(3)10WCHCCfalse
MID-HUDSON VALLEY EARLY EDUCATION CENTER
241 NORTH ROADPOUGHKEEPSIENY12601465534882PRESCHOOLNY501(C)(3)10WCHCCfalse
WESTCHESTER MEDICAL CENTER FOUNDATION
100 WOODS ROADVALHALLANY10595134095845FUNDRAISINGNY501(C)(3)7WCHCCfalse
HEALTHALLIANCE INC
741 GRANT AVENUELAKE KATRINENY12449261850453SUPPORTINGNY501(C)(3)12AWCHCCfalse
HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS
396 BROADWAYKINGSTONNY12401141349558EXEMPT HOSPNY501(C)(3)3HA INCfalse
HEALTHALLIANCE HOSP MARY'S AVE CAMPUS
105 MARYS AVENUEKINGSTONNY12401141338470EXEMPT HOSPNY501(C)(3)3HA INCfalse
MARGARETVILLE MEMORIAL HOSPITAL
42084 STATE ROUTE 28MARGARETVILLENY12455150552726EXEMPT HOSPNY501(C)(3)3HA INCfalse
HEALTHALLIANCE SENIOR LIVING CORP
396 BROADWAYKINGSTONNY12401300164277RTMNT COMMNY501(C)(3)10HA INCfalse
MARGARETVILLE NURSING HOME INC
42158 STATE HIGHWAY 28MARGARETVILLENY12455223143565NURSING HOMENY501(C)(3)10MMHfalse
MARGARETVILLE HEALTH FOUNDATION
42084 STATE ROUTE 28MARGARETVILLENY12455261998454SUPPORT FDNNY501(C)(3)12AMMHfalse
FASC FOUNDATION
741 GRANT AVENUELAKE KATRINENY12449264201295SUPPORT FDNNY501(C)(3)7HAH BWAYYes (true)
GOOD SAMARITAN FDN FOR BETTER HEALTH
255 LAFAYETTE AVESUFFERNNY10901133400353SUPPORT FDNNY501(C)(3)7BSCHSIfalse
BON SECOURS COMMUNITY HOSPITAL FDN
255 LAFAYETTE AVESUFFERNNY10901810667395SUPPORT FDNNY501(C)(3)7BSCHSIfalse
BON SECOURS CHARITY HEALTH SYSTEM INC
255 LAFAYETTE AVESUFFERNNY10901912135195SUPPORTINGNY501(C)(3)12C, III-FIWCHCCfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINLegal Domicile StateLegalDomicileStateCd
HUDSON RIVER WEST INSURANCE (BARBADOS)
38 PINE ROADBELLEVILLE ST MICHAELBBCAP INSURANCEBBBSCHSIC CORPYes (true)
KINGSTON INSURANCE (BARBADOS) LIMITED
38 PINE ROADBELLEVILLE ST MICHAELBBCAP INSURANCEBBHEALTHALLIANCEC CORPYes (true)
NORTHEAST PROVIDER SOLUTIONS INC
MSO & HEARING AIDNAC CORPYes (true)100 WOODS ROADVALHALLANY10595133991673NY
WMC ADVANCED PHYSICIAN SERVICES PC
PHYSICIAN OFFICESNAC CORPYes (true)19 BRADHURST AVENUEHAWTHORNENY10595264709927
WESTCHESTER MEDICAL REGIONAL PHYS SVCS
PHYSICIAN OFFICESNAC CORPYes (true)241 NORTH ROADPOUGHKEEPSIENY10532465522536NY
WCHCC (BERMUDA) LIMITED
VICTORIA HALL 11 VICTORIA STREETHAMILTONBDCAP INSURANCEBDNAC CORPYes (true)
KINGSTON REGIONAL HEALTH CARE ENTERPRISE
INVESTMENTHAH BWAYC CORPYes (true)396 BROADWAYKINGSTONNY12401161514994NY
MID HUDSON PHYSICIANS PC
MEDICAL SVCSHAH BWAYC CORPYes (true)396 BROADWAYKINGSTONNY12401203564769NY
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART II, BON SECOURS CHARITY HEALTH SYSTEM, INC.(BSCHS)FormAndLineReferenceDesc
ExplanationBON SECOURS WARWICK HEALTH FOUNDATION HAS A BROTHER-SISTER RELATIONSHIP WITH BSCHS'S SIX SUBORDINATES IN A GROUP EXEMPTION WITHIN BSCHS.ExplanationTxt

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