BON SECOURS COMMUNITY HOSPITAL FOUNDATION: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
BON SECOURS COMMUNITY HOSPITAL FOUNDATION (EIN 81-0667395)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-11
IRS object ID
202513159349303431
Schema version
2024v5.1
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)
Return2025-11-11T12:10:54+00:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1ONE MANHATTAN WESTAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP100018604ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN810667395EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BON SECOURS COMMUNITY HOSPITAL FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBONSBusinessNameControlTxt
Phone8453685151PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1255 LAFAYETTE AVENUEAddressLine1Txt
CitySUFFERNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP109015620ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDR ANDREW T PICKENS MD JD MBAPersonNm
Person TitleEXECUTIVE DIRECTOR & SVP, CMOPersonTitleTxt
Phone8453685000PhoneNum
Signature2025-11-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonYucen ZhongPreparerPersonNm
PTINP01593150PTIN
Phone2127733000PhoneNum
Preparation2025-11-11PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1DR ANDREW T PICKENSBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1255 LAFAYETTE AVENUEAddressLine1Txt
CitySUFFERNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP109015620ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$103,095GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTPS://WMCHEALTHGIVING.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2002FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionFUNDRAISING FOR THE BENEFIT OF BON SECOURS COMMUNITY HOSPITAL.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$32,443PYContributionsGrantsAmt
CY Contributions Grants$23,788CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$6,695PYInvestmentIncomeAmt
CY Investment Income$35,291CYInvestmentIncomeAmt
PY Other Revenue$1,097PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$40,235PYTotalRevenueAmt
CY Total Revenue$59,079CYTotalRevenueAmt
PY Grants And Similar Paid$86,573PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$20,813CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$19,946CYTotalFundraisingExpenseAmt
PY Other Expenses$91,138PYOtherExpensesAmt
CY Other Expenses$28,494CYOtherExpensesAmt
PY Total Expenses$177,711PYTotalExpensesAmt
CY Total Expenses$49,307CYTotalExpensesAmt
PY Revenues Less Expenses-$137,476PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$9,772CYRevenuesLessExpensesAmt
Total Assets BOY$1,722,472TotalAssetsBOYAmt
Total Assets EOY$1,994,040TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,722,472NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,994,040NetAssetsOrFundBalancesEOYAmt
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$26,511ExpenseAmt
Grant$20,813GrantAmt
Revenue$0RevenueAmt
DescBON 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. JOSEPH'S PLACE, THE ROBERTA GLINTON MEMORIAL FUND, AND THE EMERGENCY DEPARTMENT.Desc
Total Program Service Expenses$26,511TotalProgramServiceExpensesAmt
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
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
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 ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
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 With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
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
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
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 CommitteesfalseMinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Policies Reference ChaptersfalsePoliciesReferenceChaptersInd
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 PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DEBRORAH BRKICHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8453685305PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1255 LAFAYETTE AVENUEAddressLine1Txt
CitySUFFERNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10901ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
LINDA HANNIGAN
CHAIR1.00.0Yes (X)Yes (X)$0$0$0
MARIE CAIN
SECRETARY1.00.0Yes (X)Yes (X)$0$0$0
MARY LEAHY MD
CEO - BSCHS1.039.0Yes (X)Yes (X)$0$1,316,794$85,192
SHAUN PARKER
TREASURER1.00.0Yes (X)Yes (X)$0$0$0
ULANA M EMERSON
1ST VICE CHAIR1.00.0Yes (X)Yes (X)$0$0$0
CHARLENE TROTTER
BOARD MEMBER1.00.0Yes (X)$0$0$0
DARRYL MCKEEBY
BOARD MEMBER1.00.0Yes (X)$0$0$0
EDWINA TROTTER-WULFF
BOARD MEMBER1.00.0Yes (X)$0$0$0
HOWARD KUPERMAN
BOARD MEMBER1.00.0Yes (X)$0$0$0
KELLI WALSH
BOARD MEMBER1.00.0Yes (X)$0$0$0
LAURIE MILLER
BOARD MEMBER1.00.0Yes (X)$0$0$0
PATRICIA KORTH
BOARD MEMBER1.00.0Yes (X)$0$0$0
SR SUSAN EVELYN RSM
BOARD MEMBER1.039.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,316,794TotReportableCompRltdOrgAmt
Total Other Compensation$85,192TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$0GovernmentGrantsAmt
All Other Contributions$23,788AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$23,788TotalContributionsAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$30,850TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$30,850ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$48,457SecuritiesAmt
Other$0OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$44,016SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,441SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,441TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,441ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$59,079TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$35,291ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$19,716TotalAmt
Program Services$19,716ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$1,097TotalAmt
Program Services$1,097ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$5,196TotalAmt
Program Services$1,039ProgramServicesAmt
Management And General$520ManagementAndGeneralAmt
Fundraising$3,637FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$12,927TotalAmt
Program Services$2,585ProgramServicesAmt
Management And General$1,293ManagementAndGeneralAmt
Fundraising$9,049FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,339TotalAmt
Program Services$1,068ProgramServicesAmt
Management And General$534ManagementAndGeneralAmt
Fundraising$3,737FundraisingAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescPURCHASED SERVICESDesc
Total$5,032TotalAmt
Program Services$1,006ProgramServicesAmt
Management And General$503ManagementAndGeneralAmt
Fundraising$3,523FundraisingAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$49,307TotalAmt
Program Services$26,511ProgramServicesAmt
Management And General$2,850ManagementAndGeneralAmt
Fundraising$19,946FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$999,615BOYAmt
EOY$1,254,465EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

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

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$0LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$0LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

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

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$722,857BOYAmt
EOY$739,575EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

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

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,722,472BOYAmt
EOY$1,994,040EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

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

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$999,615BOYAmt
EOY$1,267,045EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$722,857BOYAmt
EOY$726,995EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,722,472BOYAmt
EOY$1,994,040EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,722,472BOYAmt
EOY$1,994,040EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$9,772ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$250,146NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$11,650OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd
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$46,714CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$78,499CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$39,183CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$32,443CurrentTaxYearMinus1YearAmt
Current Tax Year$23,788CurrentTaxYearAmt
Total$220,627TotalAmt

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$46,714CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$78,499CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$39,183CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$32,443CurrentTaxYearMinus1YearAmt
Current Tax Year$23,788CurrentTaxYearAmt
Total$220,627TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$8,601SubstantialContributorsTotAmt
Public Support Total170$212,026PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,185CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$22,378CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$27,721CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,013CurrentTaxYearMinus1YearAmt
Current Tax Year$30,850CurrentTaxYearAmt
Total$134,147TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,248CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,520CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,566CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$20,334TotalAmt
FieldValueIRS element (for citing)
Total Support$375,108TotalSupportAmt
Gross Receipts Rltd Activities$0GrossReceiptsRltdActivitiesAmt
Public Support CY1700.56524PublicSupportCY170Pct
Public Support PY1700.58605PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part II, Line 10 Other IncomeFormAndLineReferenceDesc
ExplanationDESCRIPTION - SPECIAL EVENT INCOME, COLUMN A - 0.0, COLUMN B - 4248.0, COLUMN C - 7520.0, COLUMN D - 8566.0, COLUMN E - 0.0, COLUMN F - 20334.0;ExplanationTxt

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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$722,857BeginningYearBalanceAmt
Contributions$23,788ContributionsAmt
Grants Or Scholarships$10,000GrantsOrScholarshipsAmt
Other Expenditures$9,650OtherExpendituresAmt
End Year Balance$726,995EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$787,840BeginningYearBalanceAmt
Contributions$41,009ContributionsAmt
Grants Or Scholarships$86,573GrantsOrScholarshipsAmt
Other Expenditures$19,419OtherExpendituresAmt
End Year Balance$722,857EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$931,862BeginningYearBalanceAmt
Contributions$46,703ContributionsAmt
Grants Or Scholarships$174,159GrantsOrScholarshipsAmt
Other Expenditures$16,566OtherExpendituresAmt
End Year Balance$787,840EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$892,164BeginningYearBalanceAmt
Contributions$82,747ContributionsAmt
Other Expenditures$43,049OtherExpendituresAmt
End Year Balance$931,862EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$871,946BeginningYearBalanceAmt
Contributions$46,714ContributionsAmt
Grants Or Scholarships$26,496GrantsOrScholarshipsAmt
End Year Balance$892,164EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.7846PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.2154TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$0RevenueSubtotalAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$0TotalRevenuePerForm990Amt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$0ExpensesSubtotalAmt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$0TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part V, Line 4 Intended uses of endowment fundsFormAndLineReferenceDesc
ExplanationTO SUPPORT THE MISSION OF BON SECOURS COMMUNITY HOSPITAL THROUGH PROGRAM FUNDING AND CAPITAL ACQUISITIONS.ExplanationTxt

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 Line1BON SECOURS COMMUNITY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1160 E MAIN STREETAddressLine1Txt
CityPORT JERVISCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12771ZIPCd
FieldValueIRS element (for citing)
Recipient EIN141347717RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$10,000CashGrantAmt
Purpose Of GrantGENERAL SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant funds.FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION COMPLIES WITH BON SECOURS CHARITY 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

FieldValueIRS element (for citing)
PersonMARY LEAHY MDPersonNm
TitleCEO - BSCHSTitleTxt
Base Compensation Filing Org$0BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$1,222,635CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$94,159BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$48,300DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$36,892NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$1,401,986TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationTHE ORGANIZATION IS SUBJECT TO THE COMPENSATION POLICIES AND PROCESS ESTABLISHED BY THE MAJORITY MEMBER OF BSCHS WITH RESPECT TO THE SYSTEM OF RELATED ENTITIES UNDER ITS DIRECTION. PURSUANT TO THAT PROCESS, THE PERSONNEL AND COMPENSATION COMMITTEE OF THE MAJORITY MEMBER OF BSCHS' BOARD OF DIRECTORS SETS THE LEVEL OF TOTAL COMPENSATION (BASE SALARY AND INCENTIVE COMPENSATION) AND BENEFITS PROVIDED TO SENIOR EXECUTIVES. TO SET TOTAL COMPENSATION LEVELS, THE COMMITTEE WORKS WITH A NATIONAL INDEPENDENT COMPENSATION CONSULTING FIRM TO ENSURE THAT EXECUTIVE COMPENSATION LEVELS ARE REASONABLE AND APPROPRIATE RELATIVE TO SIMILAR POSITIONS IN COMPARABLE ORGANIZATIONS, BASED ON OBJECTIVE SURVEY DATA. EXECUTIVES' TOTAL COMPENSATION OPPORTUNITIES INCLUDE INCENTIVE COMPENSATION ARRANGEMENTS BASED ON EACH EXECUTIVE'S ACHIEVEMENT OF SPECIFIC PERFORMANCE GOALS SET FORTH AT THE START OF EACH CALENDAR YEAR, THE ACHIEVEMENT OF WHICH IS MEASURED AT THE END OF EACH CALENDAR YEAR BY THE CEO OR THE BOARD OF DIRECTORS (DEPENDING ON THE ROLE). LEADERS IN ROLES BELOW THE SENIOR EXECUTIVE TIER ARE NOT SUBJECT TO THIS BOARD PROCESS, BUT ARE SUBJECT TO COMPENSATION AND BENEFIT ARRANGEMENTS UNDER THE ESTABLISHED POLICIES AND PROGRAMS OF THE MAJORITY MEMBER OF BSCHS. UNDER THOSE POLICIES AND PROGRAMS, ALL COMPENSATION ARRANGEMENTS ARE ADMINISTERED IN A MANNER INTENDED TO ENSURE COMPETITIVE POSITIONING AND TO PERMIT EFFECTIVE RECRUITMENT AND RETENTION, WHILE NOT EXCEEDING REASONABLE, FAIR MARKET LEVELS.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planTHE FILING ORGANIZATION PARTICIPATES IN A BON SECOURS CHARITY HEALTH SYSTEM, INC. SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN THAT ALLOWS FOR DEPOSITS INTO ADDITIONAL RETIREMENT PLANS AND IS AVAILABLE ONLY TO OFFICERS AND CERTAIN OTHER EMPLOYEES. THE 457(F) PLAN IS A NON-QUALIFIED PLAN AND IS SUBJECT TO A MINIMUM THREE-YEAR SERVICE REQUIREMENT BEFORE VESTING ON DEPOSITS MADE INTO THE PLAN. THE FOLLOWING INDIVIDUAL(S) RECEIVED A PAYMENT DURING THE TAX YEAR: MARY LEAHY - $4,435

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 14 Line 15WRITTEN WHISTLEBLOWER AND DOCUMENT RETENTION AND DESTRUCTION POLICIES: THE FOUNDATION DOES NOT HAVE ITS OWN WRITTEN WHISTLEBLOWER 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 6 Classes of members or stockholdersMEMBERS OR STOCKHOLDERS: BON SECOURS COMMUNITY HOSPITAL IS THE SOLE MEMBER OF BON SECOURS COMMUNITY HOSPITAL FOUNDATION (BSCHF).
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyPOWER 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, INC (BSCHS) ALONG WITH BON SECOURS MERCY HEALTH, INC (BSMH) AND THE SISTERS OF CHARITY OF SAINT ELIZABETH.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersDECISIONS 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. BSMH OR SISTERS OF CHARITY, THE THREE CORPORATE MEMBERS OF BON SECOURS CHARITY HEALTH SYSTEM, INC.
Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing bodyTHERE ARE NO SEPARATE COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE FORM 990 WAS PREPARED BY THE ORGANIZATION'S TAX ADVISORS WITH ASSISTANCE FROM THE ORGANIZATION'S FINANCE DEPARTMENT AND OTHER DEPARTMENTS THROUGHOUT THE ORGANIZATION. THE FORM 990 WAS REVIEWED BY SENIOR MANAGEMENT AND THEN WAS PRESENTED TO THE FINANCE COMMITTEE OF THE MAJORITY MEMBER OF BSCHS' BOARD OF DIRECTORS FOR REVIEW AND APPROVAL FOR FILING; THE FINANCE COMMITTEE REPORTS OUT TO THE MAJORITY MEMBER OF BSCHS' FULL BOARD.
Form 990, Part VI, Line 12c Conflict of interest policyTHE MAJORITY MEMBER OF BSCHS MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY MEANS OF A SURVEY DEVELOPED AND APPROVED BY THE CHIEF COMPLIANCE OFFICER OF THE MAJORITY MEMBER OF BSCHS. 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) FURTHER DISCLOSURE OF THE CONFLICT 2) INDIVIDUAL RECUSAL FROM DECISIONS FOR TRANSACTIONS WHERE THAT INDIVIDUAL MAY HAVE A CONFLICT 3) REQUEST IN WRITING THE INDIVIDUAL ALLEVIATES THE CONFLICT 4) REMOVAL OF THE INDIVIDUAL FROM THEIR POSITION
Form 990, Part VI, Line 19 Required documents available to the publicPROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC: GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VII, Section A, Line 1a CompensationBOARD 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 SUSAN EVELYN DOES NOT RECEIVE COMPENSATION AS SHE HAS TAKEN A VOW OF POVERTY.
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesTRANSFERS FROM AFFILIATES - 11650; Total - 11650;

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)Type INAfalse
WMC HEALTH NETWORK - ULSTER INC
100 WOODS ROADVALHALLANY10595320477183SUPPORTINGNY501(c)(3)Type IWCHCCfalse
WESTCHESTER COUNTY HEALTH CARE CORP
100 WOODS ROADVALHALLANY10595133964321HEALTHCARENYNAfalse
WMC NEW YORK INC
100 WOODS ROADVALHALLANY10595134107894FUNDRAISINGNY501(c)(3)Type IWCHCCfalse
NORTH ROAD LHCSA INC
241 NORTH ROADPOUGHKEEPSIENY12601465293268HOMECARE SVCSNY501(c)(3)10WCHCCfalse
MID-HUDSON VALLEY EARLY EDUCATION CENTER
100 WOODS RD TAYLORPAVILIONNY10595465534882PRESCHOOLNY501(c)(3)7WCHCCfalse
WESTCHESTER MEDICAL CENTER FOUNDATION I
100 WOODS ROADVALHALLANY10595134095845FUNDRAISINGNY501(c)(3)7WCHCCfalse
HEALTHALLIANCE INC
741 GRANT AVENUELAKE KATRINENY12449261850453SUPPORTINGNY501(c)(3)Type IWCHCCfalse
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 HIGHWAY 28MARGARETVILLENY12455150552726EXEMPT HOSPNY501(c)(3)3HA INCfalse
MARGARETVILLE NURSING HOME INC
42158 STATE HIGHWAY 28MARGARETVILLENY12455223143565NURSING HOMENY501(c)(3)10MMHfalse
MARGARETVILLE HEALTH FOUNDATION
42084 STATE HIGHWAY 28MARGARETVILLENY12455261998454SUPPORT FDNNY501(c)(3)Type IMMHfalse
GOOD SAMARITAN FDN FOR BETTER HEALTH
255 LAFAYETTE AVESUFFERNNY10901133400353SUPPORT FDNNY501(c)(3)7BSCHSfalse
BON SECOURS WARWICK HEALTH FOUNDATION
255 LAFAYETTE AVESUFFERNNY10901141972807SUPPORT FDNNY501(c)(3)7BSCHSfalse
BON SECOURS CHARITY HEALTH SYSTEM INC
255 LAFAYETTE AVESUFFERNNY10901912135195SUPPORTINGNY501(c)(3)Type III-FIWMC HEALTH NETWORK-ROCKLANDfalse
HEALTHALLIANCE FOUNDATION INC
741 GRANT AVENUELAKE KATRINENY12449222511450FUNDRAISINGNY501(c)(3)7HA INCfalse
WMC ADVANCED PHYSICIAN SERVICES PC
100 WOODS RD TAYLOR PAVILION M222VALHALLANY10595264709927HEALTHCARENY501(c)(3)10WCHCCfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Primary ActivitiesPrimaryActivitiesTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINLegal Domicile StateLegalDomicileStateCd
HUDSON RIVER WEST INSURANCE LIMITED
CAP INSURANCEBSCHSC Corporationfalse
HUDSON RIVER NORTH INSURANCE LIMITED
CAP INSURANCEHEALTHALLIANCEC Corporationfalse
NORTHEAST PROVIDER SOLUTIONS INC
MSO & HEARING AIDC Corporationfalse100 WOODS ROADVALHALLANY10595133991673NY
WCHCC (BERMUDA) LIMITED
CAP INSURANCEC Corporationfalse
KINGSTON REGIONAL HEALTH CARE ENTERPRISE
INVESTMENTHAH BWAYC Corporationfalse396 BROADWAYKINGSTONNY12401161514994NY
MID HUDSON PHYSICIANS PC
MEDICAL SVCSC Corporationfalse396 BROADWAYKINGSTONNY12401203564769NY
BSCHS MEDICAL GROUP PC
PHYSICIAN OFFICESBSCHSC Corporationfalse10 FRANKLIN TURNPIKEMAHWAHNJ07430821632215NJ
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 OrgfalseGiftGrntCapContriFromOthOrgInd
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 OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

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 COMMUNITY HOSPITAL FOUNDATION HAS A BROTHER-SISTER RELATIONSHIP WITH BSCHS'S SIX SUBORDINATES IN A GROUP EXEMPTION WITHIN BSCHS.ExplanationTxt

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