BON SECOURS COMMUNITY HOSPITAL FOUNDATION: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
BON SECOURS COMMUNITY HOSPITAL FOUNDATION (EIN 81-0667395)
Tax period
2013-09-01 to 2014-08-31
Filed
2015-06-09
IRS object ID
201521609349300202
Schema version
2013v4.0
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)
Return2015-06-09T08:07:11-05:00ReturnTs
Tax Period End2014-08-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2013-09-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN810667395EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Bon Secours Community Hospital FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlBONSBusinessNameControlTxt
Phone8453685151PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1255 Lafayette AvenueAddressLine1
CitySuffernCity
StateNYState
ZIP Code109015620ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonChristopher BanksPersonNm
Person TitleVP of PhilantrophyPersonTitleTxt
Phone8453685058PhoneNum
Signature2015-06-09SignatureDt
Discuss With Paid Preparer0DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerChristopher BanksPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1255 Lafayette AvenueAddressLine1
CitySuffernCity
StateNYState
ZIP Code109015620ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$225,785GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.bschsf.org/communityWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2002FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionFundraising for the benefit of Bon Secours Community HospitalActivityOrMissionDesc
Voting Members Governing Body22VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers5TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$44,356PYContributionsGrantsAmt
CY Contributions Grants$172,074CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$17,679PYInvestmentIncomeAmt
CY Investment Income$44,506CYInvestmentIncomeAmt
PY Other Revenue-$2,192PYOtherRevenueAmt
CY Other Revenue-$293CYOtherRevenueAmt
PY Total Revenue$59,843PYTotalRevenueAmt
CY Total Revenue$216,287CYTotalRevenueAmt
PY Grants And Similar Paid$65,600PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$78,612CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$78,753PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,711CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$21,524CYTotalFundraisingExpenseAmt
PY Other Expenses$36,345PYOtherExpensesAmt
CY Other Expenses$21,771CYOtherExpensesAmt
PY Total Expenses$180,698PYTotalExpensesAmt
CY Total Expenses$110,094CYTotalExpensesAmt
PY Revenues Less Expenses-$120,855PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$106,193CYRevenuesLessExpensesAmt
Total Assets BOY$1,511,612TotalAssetsBOYAmt
Total Assets EOY$1,672,051TotalAssetsEOYAmt
Total Liabilities BOY$576,262TotalLiabilitiesBOYAmt
Total Liabilities EOY$609,140TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$935,350NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,062,911NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$85,495ExpenseAmt
Grant$78,612GrantAmt
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 and medical equipment Hospital infrastructure improvements St. Josephs Place Roberta Glinton Memorial Fund Emergency DepartmentDesc
Total Program Service Expenses$85,495TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLaura EllisonPersonNm
Phone4433673835PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18990 Old Annapolis RoadAddressLine1
CityColumbiaCity
StateMDState
ZIP Code21045ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Clare Brady
President1.0049.00Yes (X)Yes (X)$0$235,458$11,595
Paul Brislin
Sec (Sep-Dec)/BM (Jan-Aug)0.500.00Yes (X)Yes (X)$0$0$0
Marie Cain
Board Member0.500.00Yes (X)$0$0$0
David Claisse
Board Member0.500.00Yes (X)$0$0$0
Deanne Connolly
Board Member0.500.00Yes (X)$0$0$0
John Donahue
Board Member0.500.00Yes (X)$0$0$0
Linda Hannigan
Treasurer0.500.00Yes (X)Yes (X)$0$0$0
Chris Kane
Board Member0.500.00Yes (X)$0$0$0
Patricia Korth
Board Member0.500.00Yes (X)$0$0$0
Howard Kuperman
Board Member0.500.00Yes (X)$0$0$0
Mary Leahy MD
CEO - BSCHS (Oct-Aug)0.5049.50Yes (X)Yes (X)$0$506,375$43,233
Catherine Mascolo
Board Member (Sep-Dec)0.500.00Yes (X)$0$0$0
Darryl McKeeby
Board Member0.500.00Yes (X)$0$0$0
Laurie Miller
Board Member0.500.00Yes (X)$0$0$0
William Onofry Esq
Board Member0.500.00Yes (X)$0$0$0
Shaun Parker
Board Member0.500.00Yes (X)$0$0$0
Elena Quinn
Board Member0.500.00Yes (X)$0$0$0
Jeffrey Reilly
Board Member0.5049.50Yes (X)$0$322,317$7,573
Bernadette Schilling
Board Member0.500.00Yes (X)$0$0$0
Roy Shepherd
Board Member0.500.00Yes (X)$0$0$0
Joseph Spano DC
Board Member (Sep-Dec)0.500.00Yes (X)$0$0$0
Lisa Toaldo DMD
Chair1.000.00Yes (X)Yes (X)$0$0$0
Charlene Trotter
Board Member0.500.00Yes (X)$0$0$0
Julie Witherow
Board Member (Sep-Dec)0.500.00Yes (X)$0$0$0
Matthew Witherow Esq
Board Member0.500.00Yes (X)$0$0$0
Philip Patterson
CEO - BSCHS (Sep)0.5049.50Yes (X)Yes (X)$0$604,909$72,532
Stacey Kirschenbaum
Executive Director5.0020.00Yes (X)$0$141,445$19,208
Melinda Hancock
Former CFO0.0050.00$0$365,950$30,891Yes (X)
David Capone
Former CFO0.000.00$0$261,699$9,284Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,438,153TotReportableCompRltdOrgAmt
Total Other Compensation$194,316TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$53,028FundraisingAmt
All Other Contributions$119,046AllOtherContributionsAmt
Total Contributions$172,074TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$44,506TotalRevenueColumnAmt
Exclusion$44,506ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$9,205FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$53,028ContriRptFundraisingEventAmt
Fundraising Direct Expenses$9,498FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$293TotalRevenueColumnAmt
Exclusion-$293ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$216,287TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$44,213ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$78,612TotalAmt
Program Services$78,612ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,279TotalAmt
Program Services$1,256ProgramServicesAmt
Management And General$628ManagementAndGeneralAmt
Fundraising$4,395FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,112TotalAmt
Program Services$622ProgramServicesAmt
Management And General$311ManagementAndGeneralAmt
Fundraising$2,179FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$320TotalAmt
Program Services$64ProgramServicesAmt
Management And General$32ManagementAndGeneralAmt
Fundraising$224FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$8,751TotalAmt
Program Services$1,750ProgramServicesAmt
Management And General$875ManagementAndGeneralAmt
Fundraising$6,126FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,016TotalAmt
Program Services$403ProgramServicesAmt
Management And General$202ManagementAndGeneralAmt
Fundraising$1,411FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$734TotalAmt
Program Services$734ProgramServicesAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescPurchased ServicesDesc
Total$10,270TotalAmt
Program Services$2,054ProgramServicesAmt
Management And General$1,027ManagementAndGeneralAmt
Fundraising$7,189FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$110,094TotalAmt
Program Services$85,495ProgramServicesAmt
Management And General$3,075ManagementAndGeneralAmt
Fundraising$21,524FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$611,346BOYAmt
EOY$824,196EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$889,180BOYAmt
EOY$828,272EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$11,086BOYAmt
EOY$19,583EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,511,612BOYAmt
EOY$1,672,051EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$576,262BOYAmt
EOY$609,140EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$576,262BOYAmt
EOY$609,140EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$46,220BOYAmt
EOY$234,639EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$271,764BOYAmt
EOY$250,999EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$617,366BOYAmt
EOY$577,273EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$935,350BOYAmt
EOY$1,062,911EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,511,612BOYAmt
EOY$1,672,051EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$106,193ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$18,098NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$3,270DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

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$131,327CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$155,233CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$133,619CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$44,356CurrentTaxYearMinus1YearAmt
Current Tax Year$172,074CurrentTaxYearAmt
Total$636,609TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$131,327CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$155,233CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$133,619CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$44,356CurrentTaxYearMinus1YearAmt
Current Tax Year$172,074CurrentTaxYearAmt
Total$636,609TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$88,350SubstantialContributorsTotAmt
Public Support Total170$548,259PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$26,295CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$32,237CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,960CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,679CurrentTaxYearMinus1YearAmt
Current Tax Year$44,506CurrentTaxYearAmt
Total$145,677TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,007CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,510CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,348CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$380CurrentTaxYearMinus1YearAmt
Current Tax Year$9,205CurrentTaxYearAmt
Total$71,450TotalAmt
FieldValueIRS element (for citing)
Total Support$853,736TotalSupportAmt
Public Support CY1700.64220PublicSupportCY170Pct
Public Support PY1700.61370PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part II, Line 10, Explanation of Other Income:FormAndLineReferenceDesc
ExplanationSpecial Event Income - 2009 Amount: $ 16,007. 2010 Amount: $ 16,955. 2011 Amount: $ 26,348. 2012 Amount: $ 380. 2013 Amount: $ 9,205. Raffle - 2010 Amount: $ 2,555.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

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Due to BSHSI$538,257
Due to Affiliates$70,883
FieldValueIRS element (for citing)
Total Liability$609,140TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationSchedule D, Part X, Line 2 requires that the organization provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under ASC 740. ASC 740 addresses the accounting for uncertainty in income taxes recognized in an entity's financial statements and prescribes a threshold of more-likely-than-not for recognition and derecognition of tax positions taken or expected to be taken in a tax return. The adoption of ASC 740 by BSHSI on September 1, 2007 did not have a material impact on BSHSI's consolidated financial statements. As the organization does not conduct a separate audit of its financial statements, below is the related statement from the Bon Secours Health System' Inc. consolidated audited financial statements: The System and most of its subsidiaries (including certain joint venture entities) are exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. The system accounts for uncertain tax positions in accordance with ASC Topic 740. Income taxes of the System's for-profit subsidiaries are not material to the accompanying consolidated financial statements. The System's taxable subsidiaries have approximately $61,513 and $66,681 of net operating loss carryforwards as of August 31, 2014 and 2013, respectively, which expire in varying periods through 2034 and are available to offset future taxable income. The System's deferred tax assets are fully reserved at August 31, 2014 and 2013. Any changes to the valuation allowance on the deferred tax asset are reflected in the year of the change.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1GolfNameOfEvent1Amt
Gross Receipts Event1$60,663GrossReceiptsEvent1Amt
Charitable Contri Event1$52,208CharitableContriEvent1Amt
Gross Revenue Event1$8,455GrossRevenueEvent1Amt
Rent Facility Costs Event1$7,842RentFacilityCostsEvent1Amt
Other Direct Expenses Event1$1,656OtherDirectExpensesEvent1Amt
Name Of Event2Vegas NightNameOfEvent2Amt
Gross Receipts Event2$1,570GrossReceiptsEvent2Amt
Charitable Contri Event2$820CharitableContriEvent2Amt
Gross Revenue Event2$750GrossRevenueEvent2Amt
Gross Receipts Total$62,233GrossReceiptsTotalAmt
Charitable Contributions Tot$53,028CharitableContributionsTotAmt
Gross Revenue Total Events$9,205GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$7,842RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events$1,656OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$9,498DirectExpenseSummaryEventsAmt
Net Income Summary-$293NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Bon Secours Community HospitalBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1255 Lafayette AvenueAddressLine1
CitySuffernCity
StateNYState
ZIP Code109015620ZIPCode
FieldValueIRS element (for citing)
Recipient EIN810667395RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$78,612CashGrantAmt
Purpose Of GrantGeneral SupportPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2FormAndLineReferenceDesc
ExplanationThe 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 PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 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
Clare Brady
President$0$144,258$0$60,378$0$30,822$0$3,900$0$7,695$0$247,053$0$0
Mary Leahy MD
CEO - BSCHS (Oct-Aug)$0$300,114$0$115,252$0$91,009$0$21,289$0$21,944$0$549,608$0$0
Jeffrey Reilly
Board Member$0$196,461$0$85,647$0$40,209$0$6,602$0$971$0$329,890$0$0
Philip Patterson
CEO - BSCHS (Sep)$0$336,904$0$205,912$0$62,093$0$45,612$0$26,920$0$677,441$0$3,750
Stacey Kirschenbaum
Executive Director$0$119,712$0$21,481$0$252$0$9,291$0$9,917$0$160,653$0$0
Melinda Hancock
Former CFO$0$270,243$0$56,597$0$39,110$0$5,235$0$25,656$0$396,841$0$0
David Capone
Former CFO$0$0$0$0$0$261,699$0$0$0$9,284$0$270,983$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3Bon Secours Health System, Inc., a related organization of the filing organization, uses the following to establish the compensation of the organization's CEO/Executive Director: Compensation Committee Independent Compensation Consultant Written Employment Contract Compensation Survey or Study Approval by the Board or Compensation Committee
Part I, Lines 4a-bBon Secours Health System, Inc. has system wide severance policies for various levels of executive management. Executive positions throughout the system may include, but are not limited to, CEO/President, CFO, COO, EVP, SVP, VP and Directors. Severance periods vary based on length of service, subsequent employment and violations of the severance policy. Generally, severance periods can be up to 24 months. Benefits may include, but are not limited to, base salary, certain health benefits and payment of unused vacation. The following individual(s) received severance payments during the applicable calendar year: David Capone, $256,154. 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 this plan. Individuals that received a distribution include: Philip Patterson, $4,902.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2Board Members Julie Witherow and Matthew Witherow, Esq. have a family relationship.
Form 990, Part VI, Section A, line 4On September 1, 2014, the bylaws of the filing organization were amended to change the year end from August 31st to December 31st.
Form 990, Part VI, Section A, line 6Bon Secours Health System, Inc. is one of two corporate members of Bon Secours Charity Health System along with the Sisters of Charity of Saint Elizabeth of Convent Station. 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, Section A, line 7aThe governing body of Bon Secours Community Hospital Foundation is appointed by its Member, Bon Secours Community Hospital and subject to approval by Bon Secours Health System, Inc., one of two corporate members of Bon Secours Charity Health System along with the Sisters of Charity of Saint Elizabeth of Convent Station.
Form 990, Part VI, Section A, line 7bCertain authorities of Bon Secours Community Hospital Foundation are reserved to its member or are jointly reserved to Bon Secours Health System, Inc. and the Sisters of Charity of Saint Elizabeth of Convent Station, the two corporate members of Bon Secours Charity Health System, Inc.
Form 990, Part VI, Section B, line 11The process the organization uses to review the Form 990 consists of a review by the local system's audit and compliance board-committee and providing the form to the local system board of directors to allow for a thorough review by both before the filing date. The local system's audit and compliance committee and board of directors have reviewed the Form 990, scheduled time on meeting agendas, and asked questions regarding the Form 990 before the return is filed.
Form 990, Part VI, Section B, line 12cThe organization regularly and consistently monitors compliance with the conflict of interest policy. On an annual basis, all persons subject to the policy, including all officers, directors and key employees are required to make certain disclosures. These include disclosures related to certain personal, financial and organizational relationships that may present a conflict, or the appearance of a conflict of interest with the organization. All disclosures go through a three-part review process: (1) disclosures are reviewed first by the corporate responsibility officer (CRO); (2) a governance team comprised of the CEO, board president, board chair, CRO, and the BSHSI CRO participate in a second review of all disclosures during which recommendations are made as to the resolution of any conflicts or potential conflicts. Depending on the facts and circumstances, resolutions may include ongoing disclosure, recusal or removal of the conflict; and (3) all disclosures and recommendations are reviewed by a board committee (audit and compliance committee reviews the disclosures of management and the governance committee reviews the disclosures of the board and board committee members).
Form 990, Part VI, Section B, line 15The 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, Section b, Line 15b: Compensation Process Other Officers/Key Employees: For those key employees and highest paid employees that are not reviewed by the BSHSI compensation committee, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. In the review, the other officers or key employees of the organization were compared to other hospitals' employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in human resources.
Form 990, Part VI, Section C, line 19The filing organization provides any documents open to public inspection upon request.
Form 990, Part VIIBoard 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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
Bon Secours Health System Inc
1505 Marriottsville RoadMarriottsvilleMD21104521301088Parent Org. - Management ServicesMD501(c)(3)Line 11c, III-FIBon Secours Inc0
Bon Secours Charity Health System Inc
255 Lafayette AvenueSuffernNY109015620912135195Local System Parent Org.NY501(c)(3)Line 11a, IBon Secours Health System Inc0
Good Samaritan Hospital of Suffern NY
255 Lafayette AvenueSuffernNY109015620131740104HealthcareNY501(c)(3)Line 3Bon Secours Charity Health System Inc0
Bon Secours Community Hospital
160 E Main StreetPort JervisNY127712253141347717HealthcareNY501(c)(3)Line 3Bon Secours Charity Health System Inc0
St Francis Center at the Knolls (dba Mount Alverno Center)
20 Grand StreetWarwickNY109901028061370576Long-term CareNY501(c)(3)Line 9Bon Secours Charity Health System Inc0
St Anthony Community Hospital
15-19 Maple AvenueWarwickNY109901028141340100HealthcareNY501(c)(3)Line 3Bon Secours Charity Health System Inc0
Good Samaritan Foundation for Better Health
255 Lafayette AvenueSuffernNY109015620133400353Grant Making FoundationNY501(c)(3)Line 7Bon Secours Charity Health System Inc0
Bon Secours Warwick Health Foundation
20 Grand StreetWarwickNY109901028141972807Grant Making FoundationNY501(c)(3)Line 7Bon Secours Charity Health System Inc0
Villa Francis at the Knolls (dba Schervier Pavilion)
20 Grand StreetWarwickNY109901028061381994Skilled Nursing FacilityNY501(c)(3)Line 9Bon Secours Charity Health System Inc0
Bon Secours Charity Health System Medical Group PC
255 Lafayette AvenueSuffernNY109015620223636986Primary CareNY501(c)(3)Line 9Bon Secours Charity Health System Inc0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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