FURP.ORG / PUBLIC DATA EXPLORER

BON SECOURS NEW YORK HEALTH SYSTEM INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BON SECOURS NEW YORK HEALTH SYSTEM INC (EIN 45-2964584)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201323199349303612
Schema version
2012v2.1
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)
Timestamp2013-11-15T10:16:25-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11750 TYSONS BLVDAddressLine1
CityMCLEANCity
StateVAState
ZIP Code221024219ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN452964584EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Bon Secours New York Health SystemBusinessNameLine1
Business Name Line2Affiliated GroupBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlBONSNameControl
Phone7185481700Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12975 Independence AveAddressLine1
CityBronxCity
StateNYState
ZIP Code10463ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKity KhundkarName
TitleChief Financial OfficerTitle
Phone7185481700Phone
Date Signed2013-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDavid A CraigName
PTINP00542227PTIN
Phone7032511000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKity KhundkarNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12975 Independence AveAddressLine1
CityBronxCity
StateNYState
ZIP Code10463ZIPCode
FieldValueIRS element (for citing)
Gross Receipts54338966GrossReceipts
Group Return For Affiliates1GroupReturnForAffiliates
All Affiliates Included1AllAffiliatesIncluded
Group Exemption Number5816GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.scherviercares.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Activity Or Mission DescriptionNursing care and multi-family housing project for the elderly and handicapped.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees578TotalNbrEmployees
Total Nbr Volunteers96TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year298111ContributionsGrantsPriorYear
Contributions Grants Current Year377798ContributionsGrantsCurrentYear
Program Service Revenue Prior Year54855699ProgramServiceRevenuePriorYear
Program Service Revenue CY53554775ProgramServiceRevenueCY
Investment Income Prior Year-9533InvestmentIncomePriorYear
Investment Income Current Year8942InvestmentIncomeCurrentYear
Other Revenue Prior Year484851OtherRevenuePriorYear
Other Revenue Current Year395883OtherRevenueCurrentYear
Total Revenue Prior Year55629128TotalRevenuePriorYear
Total Revenue Current Year54337398TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY3768GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year31273439SalariesEtcPriorYear
Salaries Etc Current Year31066861SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year26400TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year28121897OtherExpensePriorYear
Other Expenses Current Year26935788OtherExpensesCurrentYear
Total Expenses Prior Year59421736TotalExpensesPriorYear
Total Expenses Current Year58006417TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-3792608RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-3669019RevenuesLessExpensesCY
Total Assets BOY46886477TotalAssetsBOY
Total Assets EOY47397882TotalAssetsEOY
Total Liabilities BOY54405440TotalLiabilitiesBOY
Total Liabilities EOY58428921TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-7518963NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-11031039NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionThe 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense52507899Expense
Grants3768Grants
Revenue53554775Revenue
DescriptionFrances Schervier Home and Hospital has been providing care to the elderly and persons with disabilities since 1938. Located in the Riverdale section of the northwest Bronx, the 366-bed Schervier Nursing Care Center offers skilled nursing care, short term rehabilitation, respite care, palliative care and hospice services. The Schervier Long Term Home Health Care Program provides in-home nursing care to residents of the Bronx and Westchester County. Certified by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the home care program provides a comprehensive, coordinated and medically case managed package of services to meet the individual's needs. The Schervier Center for Research in Geriatric Care was established in January 2006. The mission of the Center is to improve the quality of life for elders by obtaining grants for new and innovative programs, conducting research that contributes to the field of aging, hosting professional conferences to promote education and collaboration among those serving the elderly and providing consultation and technical assistance to others in the field.Frances Schervier Housing Development Fund Corporation (the Corporation) is a not for profit corporation, which operates a 155 independent living unit, Department of Housing and Urban Development (HUD) financial multifamily project in the Bronx, New York, under Section 202, Direct Loan Program for Housing the Elderly or Handicapped, FHA Project No. 012 EH225 WAH L8 (the Project). Such projects are regulated by HUD as to rent charges and operating methods.Description
Total Program Service Expense52507899TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109646NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees578NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1William TaoBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7185481700TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12975 Independence AveAddressLine1
CityBronxCity
StateNYState
ZIP Code10463ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelatedOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
John L Corcoran
Board Member1.00X000
Ralph Dimpel
Board Member1.00X000
Catherine A Gasteyer
Board Member1.00X000
Monica Higgins
Board Member1.00X000
Maria Khury
Board Member1.00X000
Howard Malatzky
Board Member1.00X000
Sister Patricia Mennor
Board Member1.00X000
Dr Frank Maselli
Board Member1.00X000
Sister Fran Gorsuch
Board Member1.00X00049.00
Dr Marlon Priest
Board Member1.00X0103946515846849.00
Betsey Torres
Board Member1.00X000
Sister Pauline Sweeney
Chairman1.00X000X
Brother Art Caliman
President1.00X00049.00X
Julia L Rodriguez
Secretary/Treasurer1.00X000X
Eileen Malo
Interim CEO50.00X028382432502X
Kity Khundkar
Treas, CFO50.00301582018883X
Greg Poole-Dayan
Administrator - Clinical Service50.00201610021834X
Donald Mallo
Dir of HR50.0016563709139X
Olivia Babol-Ibe
Dir of Nursing50.00201610021834X
Angela Macchio
Exec Dir - Home Health50.00154591019860X
Joseph Scarpa
VP/CMO50.00317549030640X
Dominic D'Ambrosio
Assoc Admin - Supp Serv50.00180961020558X
Maryann Sero
MDS Coordinator50.00115387022924X
Stephen Kazanjian
VP of Mission50.00127474020022X
Theresa Geenty-D'arcy
VP of Bus Dev50.00109497019006X
James T Higgins
Former CEO0.0003325678021X
Frances Sequeira
Former KE - HR Supervisor0.0014475304629X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2020651TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1655856TotalReportableCompFrmRltdOrgs
Total Other Compensation408320TotalOtherCompensation
Number Individuals GT100 K14NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Morrison Mgt Specialists
PO Box 102289AtlantaGA303682289Food Services2358080
Rehabcare Group Inc
PO BOX 502096St LouisMO631502096Rehab Services1972529
Allen Health Care Services
70-00 Austin StForest HillsNY11375Home Care Services1019729
Accentcare of New York Inc
PO Box 416181BostonMA022416181Home Care Services631121
Neighbors Home Care
2532 Boston RoadBronxNY104679004Home Care Services480124
FieldValueIRS element (for citing)
Number Of Contractors GT100 K21NumberOfContractorsGT100K
Related Organizations151352RelatedOrganizations
Government Grants176579GovernmentGrants
All Other Contributions49867AllOtherContributions
Total Contributions377798TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Service Rev.6230005173898151738981
Residential Services90009918157941815794
FieldValueIRS element (for citing)
Total Program Service Revenue53554775TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column10510TotalRevenueColumn
Exclusion$10,510ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real145115Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real145115Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column145115TotalRevenueColumn
Exclusion$145,115ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1568Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-1568Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-1568TotalRevenueColumn
Exclusion-$1,568ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Cafeteria/Vending/Gift722212175107$175,107
Purchase Discounts90009925166$25,166
Reimbursements/Rebates90009925030$25,030

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column25465TotalRevenueColumn
Exclusion$25,465ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue250768TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column54337398TotalRevenueColumn
Related Or Exempt Function Income53554775RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$404,825ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total3768Total
Program Services3768ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1116581Total
Program Services1004923ProgramServices
Management And General111658ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total21435278Total
Program Services19291750ProgramServices
Management And General2143528ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5520512Total
Program Services4968461ProgramServices
Management And General552051ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1463968Total
Program Services1317571ProgramServices
Management And General146397ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1530522Total
Program Services1377470ProgramServices
Management And General153052ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total436013Total
Program Services392412ProgramServices
Management And General43601ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total474670Total
Program Services427203ProgramServices
Management And General47467ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total15854Total
Program Services14269ProgramServices
Management And General1585ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4990539Total
Program Services4491485ProgramServices
Management And General499054ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total46417Total
Program Services41775ProgramServices
Management And General4642ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total837132Total
Program Services753419ProgramServices
Management And General83713ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total751066Total
Program Services675959ProgramServices
Management And General75107ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2237026Total
Program Services2013323ProgramServices
Management And General223703ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total104809Total
Program Services94328ProgramServices
Management And General10481ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total20311Total
Program Services18280ProgramServices
Management And General2031ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2504418Total
Program Services2504418ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2018349Total
Program Services1816514ProgramServices
Management And General201835ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total904432Total
Program Services813989ProgramServices
Management And General90443ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Purchased Services49432874448958494329
Medical Supplies23637172127345236372
NY State Medicare Asses22383502014515223835
BSHSI Corp. Allocation11196841007716111968

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total929714Total
Program Services888048ProgramServices
Management And General41666ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total58006417Total
Program Services52507899ProgramServices
Management And General5498518ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4872073BOY
EOY3445EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1516823BOY
EOY2789315EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8078296BOY
EOY9306339EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY136147BOY
EOY118178EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY154242BOY
EOY138549EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis44162266LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec21905776LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY23277365BOY
EOY22256490EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY8523008BOY
EOY7826915EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY50000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY328523BOY
EOY4908651EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY46886477BOY
EOY47397882EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6200968BOY
EOY5550500EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY110321BOY
EOY45993EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY33291000BOY
EOY31735000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY222718BOY
EOY228817EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY6488236BOY
EOY6436433EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY8092197BOY
EOY14432178EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY54405440BOY
EOY58428921EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-9237660BOY
EOY-12263593EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1718697BOY
EOY1232554EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-7518963BOY
EOY-11031039EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY46886477BOY
EOY47397882EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-3669019ReconcilationRevenueExpenses
Reconciliation Unrealized Invest3385ReconciliationUnrealizedInvest
Reconcilation Other Changes153558ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years337654CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years172413CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years352597CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year298111CurrentTaxYearMinus1Year
Current Tax Year377798CurrentTaxYear
Total1538573Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years60275719CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years58560465CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years54463708CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year54855699CurrentTaxYearMinus1Year
Current Tax Year53554775CurrentTaxYear
Total281710366Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years235894CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years226075CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years203892CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year209262CurrentTaxYearMinus1Year
Current Tax Year175107CurrentTaxYear
Total1050230Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years60849267CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years58958953CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years55020197CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year55363072CurrentTaxYearMinus1Year
Current Tax Year54107680CurrentTaxYear
Total284299169Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509284299169PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years790759CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years491922CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years326015CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year189769CurrentTaxYearMinus1Year
Current Tax Year155625CurrentTaxYear
Total1954090Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years790759CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years491922CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years326015CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year189769CurrentTaxYearMinus1Year
Current Tax Year155625CurrentTaxYear
Total1954090Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years403123CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years523563CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years174295CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year158713CurrentTaxYearMinus1Year
Current Tax Year75661CurrentTaxYear
Total1335355Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years62043149CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years59974438CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years55520507CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year55711554CurrentTaxYearMinus1Year
Current Tax Year54338966CurrentTaxYear
Total287588614Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98860PublicSupportPercentage509
Prior Year Support Percentage0.98250PriorYearSupportPercentage
Investment Income Percentage0.00680InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00770PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSchedule A, Part IV, Supplemental Information: Schedule A, Part III, Line 12, Explanation for Other Income: Cafeteria/Gift Shop Rebates/Discounts All other revenueGeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$15,854OtherActivitiesAmount
Total Lobbying Expenditures IIB15854TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1:ReturnReference
ExplanationThe filing organization paid dues to the Continuing Care Leadership Coalition (CCLC), the Home Care Association of NY State (HCA), the Catholic Hospital Association (CHA) and Leading Age (LA), a portion of which is used for lobbying activities. The portion of dues allocated to lobbying activities for each of these organizations is as follows: Lobbying activity for CCLC ($13,220 or 51.29%), HCA ($2,013 or 14.38%), CHA ($274 or 3%) and LA ($347 or 4.4% avg. between national and state) for a total of $15,854.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS
Explanation In Part XIIIXExplanationInPartXIII

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2895442OtherCostOrOtherBasis
Book Value2895442BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis29252997OtherCostOrOtherBasis
Depreciation16516039Depreciation
Book Value12736958BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis897508OtherCostOrOtherBasis
Depreciation251503Depreciation
Book Value646005BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis9707623OtherCostOrOtherBasis
Depreciation4863228Depreciation
Book Value4844395BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1408696OtherCostOrOtherBasis
Depreciation275006Depreciation
Book Value1133690BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings22256490TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
LT HPL/GL4294059
Assets Held in Trust231284
Patient Deposits117993
Other Misc A/R265315
FieldValueIRS element (for citing)
Total Book Value Other Assets4908651TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
Accrued interest payable$872,712
FIN 47 Asbestos Liab$1,135,151
Deposits and other misc$101,347
Other LT Pension/Retirement Liab$4,378,946
LT HPL/GL$4,294,059
Medicare Liab$1,455,330
Due to BSHSI$2,194,633
FieldValueIRS element (for citing)
Total Of Amounts14432178TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
Return ReferencePart IV, Line 2b:ReturnReference
ExplanationFrances 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Dr Marlon Priest
Board Member05708350397444071186013095502751301197933043737
Eileen Malo
Interim CEO0215272049286019266014286018216031632600
Kity Khundkar
Treas, CFO233664021838046080027170161660320465050630
Greg Poole-Dayan
Administrator - Clinical Service18270001638702523000218340223444000
Donald Mallo
Dir of HR1519280124500125900091390174776000
Olivia Babol-Ibe
Dir of Nursing18270001638702523000218340223444000
Angela Macchio
Exec Dir - Home Health1412090125060876000198600174451000
Joseph Scarpa
VP/CMO264525025789027235027000279400348189000
Dominic D'Ambrosio
Assoc Admin - Supp Serv15992501466306373000205580201519000
James T Higgins
Former CEO0-31540003357210008021034058800
Frances Sequeira
Former KE - HR Supervisor-189600014664900046290149382000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 3Bon Secours Health System, Inc., a related organization of Frances Schervier Home & Hospital, 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 individuals received severance payments in 2012: James T. Higgins, $331,139; Frances Sequeira, $134,848
Part IIIThe filing organization participates in a BSHSI sponsored executive retirement program that allows for deposits into additional retirement plans and available only to certain employees. The 457F plan is a non-qualified plan and is subject to a minimum three-year service requirement before vesting on deposits are made into this plan. Individuals that received a distribution include: Marlon Priest, MD, $43,581; Kity Khundkar, $8,196; Theresa Geenty-D'arcy, $3,368.Supplemental Information

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 6Bon 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 7aAs 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 7bCertain authorities of FSHH and FSHDFC are reserved to their members or to Bon Secours Health System, Inc.
Form 990, Part VI, Section B, line 11The process the organizations use to review the Form 990 consist 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 and questions by both before the extended filing date. The local system's audit and compliance committee members review the Form 990, schedules time on their meeting agenda, and provide comments 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' 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 positions of other officers or key employees of the organization were compared to similar position market data in comparably situated organizations taking into consideration geographic location and organization size where appropriate. 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 organizations provide any documents open to public inspection upon request.
Form 990, Part VIIHours worked are not tracked on an entity by entity basis. All officer's and director's hours reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors represent aggregate hours worked per week. Volunteer Board Members are not compensated for their time. Eileen Malo's compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation she receives is for her role as the Interim CEO of Bon Secours New York Health System, Inc. which includes direct management, monitoring and oversight of the System and its related organizations. Dr. Marlon Priest's compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation he receives is for his role as the Chief Medical Officer of Bon Secours Health System, Inc. Sr. Fran Gorsuch and Brother Art Caliman do not receive payroll distributions as they have taken vows of poverty.
Form 990, Part XI, line 9:Additional minimum pension liability 142,873. Other miscellaneous changes in net assets 10,685.Changes in Net Assets or Fund Balances:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Bon Secours Health System Inc (BSHSI)BusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11505 Marriottville RoadAddressLine1
CityMarriottsvilleCity
StateMDState
ZIP Code21104ZIPCode
FieldValueIRS element (for citing)
EIN521301088EIN
Primary ActivitiesParent Org - Management ServicesPrimaryActivities
Legal Domicile StateMDLegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Public Charity StatusLine 11PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Bon Secours IncBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg