2016-11-10T16:57:56-06:00 2015-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2015-01-01 810667395 BON SECOURS COMMUNITY HOSPITAL FOUNDATION % PETER KENNIFF BONS 8453685151 255 Lafayette Avenue Suffern NY 109015620 Christopher Banks VP of Philanthropy 8453685305 2016-11-09 true LAURA KIELCZEWSKI P00740769 2127733000 2015 2017-02-10 21:41:12Z Christopher Banks 255 Lafayette Avenue Suffern NY 109015620 326024 false X www.bschsf.org/community X 2002 NY FUNDRAISING FOR THE BENEFIT OF BON SECOURS COMMUNITY HOSPITAL 20 18 0 5 0 0 41452 230228 0 0 -25114 83745 561935 -3010 578273 310963 16995 77421 0 0 22202 59595 0 0 78939 15416 53456 54613 190472 523660 120491 1704946 1662221 71954 0 1632992 1662221 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 BRING PEOPLE AND COMMUNITIES TO HEALTH AND WHOLENESS. false false 100246 77421 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. 100246 true false false false false false false false false false false false false false false false false true false false false false false false true false false true 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 20 18 false false false false true true true true true false false true true true true false false false false false NY X PETER KENNIFF 8453685305 255 LAFAYETTE AVENUE SUFFERN NY 10901 X David Claisse Board Member 1.0 0.0 X 0 0 0 Deanne Connolly Board Member 1.0 0.0 X 0 0 0 John Donahue Board Member 1.0 0.0 X 0 0 0 Linda Hannigan Treasurer 1.0 0.0 X X 0 0 0 Chris Kane Board Member (Until 2/2015) 1.0 0.0 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 951438 86622 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 Elena Quinn Board Member 1.0 0.0 X 0 0 0 Bernadette Schilling 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 Clare Brady President 1.0 49.0 X X 0 225857 12542 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 Jeffrey Reilly NonVoting Member/COO END 12/15 1.0 39.0 X 0 407925 24663 Christopher Banks VP of Philanthropy 5.0 45.0 X 0 244242 27492 0 1829462 151319 0 false true false 0 38642 191586 0 230228 0 83745 83745 0 0 0 0 0 0 12051 38642 15061 -3010 -3010 0 0 0 310963 80735 77421 77421 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52794 10559 5279 36956 390 78 39 273 3887 777 389 2721 2524 505 252 1767 38551 7710 3855 26986 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2230 446 223 1561 0 0 0 0 0 0 0 0 0 0 0 0 110 99 11 0 0 0 0 0 0 0 0 172 172 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Purchased Services 12393 2479 1239 8675 190472 100246 11287 78939 0 0 0 889503 894873 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 810705 767348 0 0 0 0 0 0 4738 0 1704946 1662221 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71954 0 71954 0 X 822287 891599 233432 193349 577273 577273 1632992 1662221 1704946 1662221 120491 -91262 0 0 0 0 X false true X true false X 133619 44356 172074 41452 62784 454285 0 0 133619 44356 172074 41452 62784 454285 103479 350806 24960 17679 44506 2855 83745 173745 0 26348 380 9205 565003 11758 612694 1240724 0.28274 0.34450 X SHORT PERIOD RETURN - 2014 THE 2014 FORM 990 WAS A SHORT PERIOD RETURN. THE ACTIVITY REPORTED REFLECTED THOSE OF THE FILING ORGANIZATION FROM SEPTEMBER 1, 2014 THROUGH DECEMBER 31, 2014. THE SHORT PERIOD IS A RESULT OF A CHANGE IN THE ACCOUNTING PERIOD OF THE ORGANIZATION FROM A FISCAL YEAR ENDING AUGUST 31 TO A CALENDAR YEAR ENDING DECEMBER 31. Golf 43393 36292 7101 9762 449 Vegas Night 7300 2350 4950 3250 1600 0 50693 38642 12051 13012 1600 449 15061 -3010 true Bon Secours Community Hospital 255 Lafayette Avenue Suffern NY 109015620 141347717 501(c)(3) 77421 General Support 1 0 FORM 990, SCHEDULE I, PART I, LINE 2 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. true true false false false false false false false Mary Leahy MD CEO - BSCHS 0 563172 0 336638 0 51628 0 55342 0 31280 0 1038060 0 0 Jeffrey Reilly NonVoting Member/COO END 12/15 0 209546 0 103856 0 94523 0 8568 0 16095 0 432588 0 0 Christopher Banks VP of Philanthropy 0 223512 0 20235 0 495 0 3109 0 24383 0 271734 0 0 Clare Brady President 0 155611 0 46077 0 24169 0 4507 0 8035 0 238399 0 0 FORM 990, SCHEDULE J, 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 COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, SCHEDULE J, Part I, LINE 4A JeffrEy Reilly, Chief Operations Officer, received severance payments totaling $16,442 in 2015. Upon Mr. Reilly's separation of employment with BSCHSI (effective 12/4/15), he was provided a 2-year severance agreement in recognition of his over 20 years of service to the Organization. FORM 990, SCHEDULE J, PART I, LINE 4B The filing organization participates in a BSHSI 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 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 process the organization uses to review the Form 990 consists of a review of the return in draft form by the Board of Directors. All comments and changes are reviewed and discussed with management and incorporated into the return as applicable prior to filing. Form 990, Part VI, Line 12c MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY: 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, 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 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'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 BSHSI board of directors and compensation committee minutes. Form 990, Part VI, Line 19 the organization's governing documents, conflict of interest policy, and financial statements are made available for public inspection 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. Sister Fran Gorsuch, CBS does not receive compensation as she has taken a vow of poverty. Bon Secours Health System Inc 1505 Marriottsville Rd Marriottsville MD 21104 521301088 Parent Org MD 501(c)(3) 11c-III-FI BSI false WMC-Rockland Inc 100 Woods Rd Valhalla NY 10595 320467873 Parent Org NY 501(c)(3) 11c-III-FI WCHCC false Bon Secours Charity Health System Inc 255 Lafayette Ave Suffern NY 10901 912135195 Local System NY 501(c)(3) 11c-III-FI BSHSI false Good Samaritan Hospital of Suffern NY 255 Lafayette Ave Suffern NY 10901 131740104 Healthcare NY 501(c)(3) 3 BSCHSI false Bon Secours Community Hospital 160 E Main St Port Jervis NY 12771 141347717 Healthcare NY 501(c)(3) 3 BSCHSI false St Francis Center at the Knolls 20 Grand St Warwick NY 10990 061370576 LONGTERM CARE NY 501(c)(3) 3 BSCHSI false St Anthony Community Hospital 15-19 Maple Avenue Warwick NY 10990 141340100 Healthcare NY 501(c)(3) 3 BSCHSI false Good Samaritan Fdn for Better Health 255 Lafayette Ave Suffern NY 10901 133400353 Grant Making NY 501(c)(3) 7 BSCHSI false Bon Secours Warwick Health Foundation 255 Lafayette Ave SUFFERN NY 10901 141972807 Grant Making NY 501(c)(3) 7 BSCHSI false Villa Francis at the Knolls 22 Van Duzer Place Warwick NY 10990 061381994 NURSING NY 501(c)(3) 3 BSCHSI false Bon Secours Charity HS Med Group 255 Lafayette Ave Suffern NY 10901 223636986 Primary Care NY 501(c)(3) 3 BSCHSI false false true false false true false false false false false false false false false false true false false false Bon Secours Community Hospital b 77421 COST