2014-11-13T09:04:22-06:00 2013-12-31 990 2013-01-01 452964584 Bon Secours New York Health System Affiliated Group BONS 7185481700 2975 Independence Ave Bronx NY 10463 Kity Khundkar Chief Financial Officer 7185481700 2014-11-13 0 2013 2015-11-30 17:44:51Z Carlos Beato 2975 Independence Ave Bronx NY 10463 52969945 1 1 5816 X www.scherviercares.org X Nursing care and multi-family housing project for the elderly and handicapped. 15 12 570 155 0 0 377798 570741 53554775 51958624 8942 9827 395883 430753 54337398 52969945 3768 3500 0 0 31066861 30723174 0 0 0 26935788 29478757 58006417 60205431 -3669019 -7235486 47397882 42798600 58428921 59303669 -11031039 -16505069 X 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 people and communities to health and wholeness. 0 0 53064704 3500 50065420 Frances Schervier Home and Hospital consists of 364 skilled nursing beds and 2 respite beds. Facility is located in the Riverdale section of the northwest Bronx. The organization provides long-term, 24-hour skilled nursing, rehabilitation services, palliative care, and care in a secure environment for those with Alzheimer's and other cognitive impairments. In addition, short-term rehabilitation and cardio-pulmonary rehabilitation programs provide services for those recovering from illness and injury and returning to their home and community. Service lines include:NursingPhysical, occupational, respiratory, and speech therapy available seven days a week, as neededPalliative & hospice careRespite careSocial servicesClinical Nutrition ServicesTherapeutic recreationThe Schervier Long Term Home Health Care Program provides in-home nursing care to residents of the Bronx and Westchester County. The home care program provides a comprehensive, coordinated and medically case managed package of services to meet the individual's needs. Services include:NursingPhysical Therapy and Occupational therapy Speech and Language TherapiesMedical Supply ManagementMedical Social WorkHome Health AidesPersonal Care Aides The Bon Secours New York Healthy Communities initiative is sponsored by the mission fund of Bon Secours Health System, a related organization. Bon Secours Health System is committed to creating communities of health, hope and well-being. Bon Secours is developing long term, collaborative relationships with the people who live and work in selected neighborhoods in the communities we serve and with other local organizations so that together we can identify and address priorities to improve the quality of life and health. BSNY Healthy Communities employs a multi-faceted approach to tackling diet-related illness in priority neighborhoods in Upper Manhattan and the Bronx. Program activities in collaboration with agencies and area partners include: Youthmarkets, Youth Farm, Healthy Hikes, Healthy Corner Stores, Healthy Mothers, Healthy Families, and Farm-to-Door- among many other green technology, nutrition, and social enterprise endeavors aimed at food justice. 1865859 0 1893204 Frances Schervier Housing Development Fund Corporation (the Corporation) is a not-for-profit organization for the elderly and handicapped. The corporation operates an independent living unit in the Bronx, New York. The 14-story, 154-unit building provides affordable housing to more than 170 low income seniors and mobility-impaired individuals through the Section 8 federally subsidized housing sponsored by the Department of Housing and Urban Development (HUD). 54930563 1 1 0 1 0 0 0 0 1 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 89 0 1 570 1 0 0 0 0 0 0 0 0 0 0 X 15 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X William Tao 7185481700 2975 Independence Avenue Bronx NY 10463 X Sister Pauline Sweeney Chairman 2.00 0.00 X X 0 0 0 Brother Art Caliman President 2.00 0.00 X X 0 0 0 Howard Malatzky Secretary/Treasurer 1.00 0.00 X X 0 0 0 Carlos Beato CEO (Apr-Dec) 50.00 0.00 X X 0 199500 6307 Kity Khundkar Treasurer/CFO 50.00 0.00 X X 306824 0 21837 John L Corcoran Board Member 1.00 0.00 X 0 0 0 Ralph Dimpel Board Member 1.00 0.00 X 0 0 0 Catherine A Gasteyer Board Member 1.00 0.00 X 0 0 0 Monica Higgins Board Member 1.00 0.00 X 0 0 0 Maria Khury Board Member 1.00 0.00 X 0 0 0 Sister Patricia Mennor Board Member 1.00 0.00 X 0 0 0 Dr Frank Maselli Board Member 1.00 0.00 X 0 0 0 Sister Fran Gorsuch Board Member 1.00 49.00 X 0 0 0 Dr Marlon Priest Board Member 1.00 49.00 X 0 878485 145434 Betsy Torres Board Member 1.00 0.00 X 0 0 0 Dominic D'Ambrosio Administrator-Supp Serv 50.00 0.00 X 206757 0 23235 Donald Mallo Dir of HR 50.00 0.00 X 179200 0 16471 Olivia Babol-Ibe Dir of Nursing (Jan-Nov) 50.00 0.00 X 185194 0 7914 Joseph Scarpa VP of Medical Services 50.00 0.00 X 331978 0 28890 Stephen Kazanjian VP of Mission 50.00 0.00 X 138787 0 25212 Peta-Rose Tom Nurse Manager 50.00 0.00 X 135630 0 9310 Maryann Sero MDS Coordinator 50.00 0.00 X 117080 0 20779 Theresa Geenty-D'arcy Dir of Admissions 50.00 0.00 X 112134 0 17334 James Higgins Former CEO 0.00 0.00 X 0 110337 0 Eileen Malo Former Interim CEO 0.00 0.00 X 0 268562 18015 1713584 1456884 340738 17 1 1 0 Morrison Mgt Specialists PO Box 102289 Atlanta GA 303682289 Food Services 2764048 Rehabcare Group East Inc 7733 Forsyth Boulevard Suite 1700 St Louis MO 63105 Rehab Services 2721825 S&S Fire Supression Sys 425 Western Hwy Tappan NY 10983 Fire Sprinkler Installation 658214 Neighbors Home Care 2532 Boston Road Bronx NY 104679004 Home Care Services 569020 Accentcare of New York Inc PO Box 416181 Boston MA 022416181 Home Care Services 563639 17 91815 330293 148633 570741 Patient Service Rev. 623000 50180575 50180575 Residential Services 900099 1778049 1778049 51958624 9827 9827 160693 0 160693 160693 160693 Cafeteria/Vending/Gift 722212 201977 201977 Reimbursements/Rebates 900099 46311 46311 Purchase Discounts 900099 17585 17585 4187 4187 270060 52969945 51958624 0 440580 3500 3500 829108 746198 82910 21277383 19149645 2127738 5595346 5035811 559535 747501 672751 74750 2273836 2046452 227384 637196 573476 63720 312446 281201 31245 3854 3469 385 4090784 3681706 409078 96970 87273 9697 779066 701159 77907 824028 741625 82403 2352456 2117210 235246 142492 128243 14249 33689 30320 3369 2194521 2194521 2021983 1819785 202198 860611 774550 86061 Purchased Services 5655958 5090362 565596 Medical Supplies 2637593 2637593 Bad Debt 2621141 2621141 NY State Medicare Asses 2201232 1981109 220123 2012737 1811463 201274 60205431 54930563 5274868 0 3445 3200 2789315 1750785 9306339 8524759 118178 121223 138549 289862 47265127 23851806 22256490 23413321 7826915 2814148 50000 4908651 5881302 47397882 42798600 5550500 5223990 45993 40867 31735000 26900000 228817 193071 6436433 6142781 14432178 20802960 58428921 59303669 X -12263593 -17596862 1232554 1091793 -11031039 -16505069 47397882 42798600 X -7235486 -1285 1762741 X 0 1 X 1 1 1 X 172413 352597 298111 377798 570741 1771660 58560465 54463708 54855699 53554775 51958624 273393271 226075 203892 209262 175107 201977 1016313 58958953 55020197 55363072 54107680 52731342 276181244 0 0 0 276181244 491922 326015 189769 155625 170520 1333851 491922 326015 189769 155625 170520 1333851 523563 174295 158713 75661 68082 1000314 59974438 55520507 55711554 54338966 52969944 278515409 0.99160 0.98860 0.00480 0.00680 X Schedule A, Part III, Line 12, Explanation of Other Income: Fundraising - 2009 Amount: $ 174,147. 2010 Amount: $ 50,700. 2011 Amount: $ 123,775. Risk Management Salary - 2009 Amount: $ 89,967. 2010 Amount: $ 35,000. Rebates/Discounts - 2009 Amount: $ 40,814. 2010 Amount: $ 36,150. 2011 Amount: $ 30,787. 2012 Amount: $ 25,030. 2013 Amount: $ 46,311. All other revenue - 2009 Amount: $ 218,635. 2010 Amount: $ 52,445. 2011 Amount: $ 4,151. 2012 Amount: $ 50,631. 2013 Amount: $ 21,771. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3854 3854 0 Part II-B, Line 1: The filing organization maintains memberships to various professional healthcare associations. Portions of their membership dues are used for lobbying activities. The lobbying portion of such dues is included on line 1i. 0 1 X 2895442 2895442 31179932 16229968 14949964 17080 10514 6566 11891223 7339178 4552045 1281450 272146 1009304 23413321 HPL/GL 4738130 Assets Held in Trust 193358 Patient Deposits 72000 Misc A/R - Coffee Shop, Dietary 329619 FIN/Issue Costs 401636 Due from Affiliates 114278 Due from BSHSI 32281 5881302 Interest Payable 41354 FIN47 Asbestos Liab 1173849 Deposits 168366 Other LT Pension/Retirement Liab 2944562 LT HPL/GL 4738130 Medicare Liab 2669675 Due to BSHSI 9062494 Other Miscellaneous 4530 20802960 Part IV, Line 2b: Frances Schervier Home and Hospital (dba Schervier Nursing Care Center) holds, safeguards, manages and accounts for the personal funds of residents who have authorized the facility in writing to manage any personal funds. Fund requests less than $50 are available for immediate distribution to residents. Written requests for $50 or more are honored within 3 business days. All excess custodial funds are held in interest bearing accounts separate from that of the organization. 1 1 0 0 0 0 0 0 0 Carlos Beato CEO (Apr-Dec) 0 164649 0 16200 0 18651 0 5600 0 707 0 205807 0 0 Kity Khundkar Treasurer/CFO 236126 0 27892 0 42806 0 5022 0 16815 0 328661 0 2243 0 Dr Marlon Priest Board Member 0 618602 0 160810 0 99073 0 124548 0 20886 0 1023919 0 69290 Dominic D'Ambrosio Administrator-Supp Serv 170544 0 22596 0 13617 0 1248 0 21987 0 229992 0 0 0 Donald Mallo Dir of HR 158025 0 19535 0 1640 0 0 0 16471 0 195671 0 0 0 Olivia Babol-Ibe Dir of Nursing (Jan-Nov) 155405 0 17798 0 11991 0 0 0 7914 0 193108 0 0 0 Joseph Scarpa VP of Medical Services 277687 0 32776 0 21515 0 2399 0 26491 0 360868 0 0 0 Stephen Kazanjian VP of Mission 117573 0 13868 0 7346 0 3786 0 21426 0 163999 0 0 0 James Higgins Former CEO 0 0 0 0 0 110337 0 0 0 0 0 110337 0 0 Eileen Malo Former Interim CEO 0 3889 0 0 0 264673 0 549 0 17466 0 286577 0 0 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 Written Employment Contract Compensation Survey or Study Approval by the Board or Compensation Committee Part I, Lines 4a-b Bon 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:Eileen Malo, $228,024; James T. Higgins, $110,337; Olivia Babol-Ibe, $9,507. 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 this plan. Individuals that received a distribution include: Marlon Priest, MD, $69,110; Kity Khundkar, $2,940; Theresa Geenty-D'arcy, $4,455. Form 990, Part VI, Section A, line 6 Bon Secours Health System, Inc. is the sole member of Bon Secours New York Health System, Inc. (BSNYHS). BSNYHS is the sole corporate member and parent of Frances Schervier Home & Hospital (FSHH) and Frances Schervier Housing Development Fund Corporation (FSHDFC). Form 990, Part VI, Section A, line 7a As the sole corporate member, BSNYHS has the power to appoint the President and Executive Vice President of FSHH and FSHDFC. BSNYHS has the power to approve or withhold approval of amendments to their bylaws, approve strategic plans, approve capital budgets, approve operating budgets as well as change the philosophy objectives or purposes of both organizations. In addition, BSNYHS has the power to remove or replace any member of their boards of directors. Form 990, Part VI, Section A, line 7b Certain authorities of FSHH and FSHDFC are reserved to their members or to Bon Secours Health System, Inc. Form 990, Part VI, Section B, line 11 The 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 12c 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, Section B, 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' 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 19 The organizations provide any documents open to 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. Sr. Fran Gorsuch and Brother Art Caliman do not receive payroll distributions as they have each taken a vow of poverty. Form 990, Part XI, line 9: Pension related changes 1,644,706. Other changes 118,035. Bon Secours Health System Inc (BSHSI) 1505 Marriottville Road Marriottsville MD 21104 521301088 Parent Org - Management Services MD 501(c)(3) Line 11 Bon Secours Inc 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0