BON SECOURS NEW YORK HEALTH SYSTEM INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
BON SECOURS NEW YORK HEALTH SYSTEM INC (EIN 45-2964584)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201203209349301055
Schema version
2011v1.2
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)
Timestamp2012-11-15T07:02:40-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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

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
Date Signed2012-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLaura L CatlettName
PTINP00873861PTIN
Phone7032511000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts55711555GrossReceipts
Group Return For Affiliates1GroupReturnForAffiliates
All Affiliates Included1AllAffiliatesIncluded
Group Exemption Number5816GroupExemptionNumber
Organization501c3XOrganization501c3
Type Of Organization CorporationXTypeOfOrganizationCorporation
Activity Or Mission DescriptionNursing care and multi-family housing project for the elderly and handicapped.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees620TotalNbrEmployees
Total Nbr Volunteers178TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year352597ContributionsGrantsPriorYear
Contributions Grants Current Year298111ContributionsGrantsCurrentYear
Program Service Revenue Prior Year54463708ProgramServiceRevenuePriorYear
Program Service Revenue CY54855699ProgramServiceRevenueCY
Investment Income Prior Year145115InvestmentIncomePriorYear
Investment Income Current Year-9533InvestmentIncomeCurrentYear
Other Revenue Prior Year494185OtherRevenuePriorYear
Other Revenue Current Year484851OtherRevenueCurrentYear
Total Revenue Prior Year55455605TotalRevenuePriorYear
Total Revenue Current Year55629128TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year30398628SalariesEtcPriorYear
Salaries Etc Current Year31273439SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY26400TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year26400TotalFundrsngExpCurrentYear
Other Expense Prior Year28245365OtherExpensePriorYear
Other Expenses Current Year28121897OtherExpensesCurrentYear
Total Expenses Prior Year58643993TotalExpensesPriorYear
Total Expenses Current Year59421736TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-3188388RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-3792608RevenuesLessExpensesCY
Total Assets BOY51184861TotalAssetsBOY
Total Assets EOY46886477TotalAssetsEOY
Total Liabilities BOY52931667TotalLiabilitiesBOY
Total Liabilities EOY54405440TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1746806NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-7518963NetAssetsOrFundBalancesEOY
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
Expense53769850Expense
Revenue54855699Revenue
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 Expense53769850TotalProgramServiceExpense
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 Assets0ReportOtherAssets
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 Fundraising1ProfessionalFundraising
Fundraising Activities1FundraisingActivities
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109642NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees620NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
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 (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
John L Corcoran
Board Member4.00X000
Barbara Dimpel
Board Member4.00X000
Ralph Dimpel
Board Member4.00X000
Catherine A Gasteyer
Board Member4.00X000
Monica Higgins
Board Member4.00X000
Maria Khury
Board Member4.00X000
Mario Kranjac
Board Member4.00X000
Howard Malatzky
Board Member4.00X000
Dr Frank Maselli
Board Member4.00X000
Betsey Torres
Board Member4.00X000
Sister Fran Gorsuch
Board Member50.00X000
Dr Marlon Priest
Board Member50.00X0573597133856
Sister Pauline Sweeney
Chairman6.00X000X
Brother Art Caliman
President50.00X000X
Julia L Rodriguez
Secretary/Treasurer6.00X000X
James T Higgins
CEO (Jan-Mar)50.00X041110825713X
Eileen Malo
Interim CEO (Apr-Dec)50.00X023027740851X
Kity Khundkar
Treas, CFO50.00270591023385X
Frances Sequeira
HR Supervisor (Jan-Sept)50.00188509023831X
Dominic D'Ambrosio
Supp. Serv (Jan-Sept)50.00176294029025X
Joseph Scarpa
VP / CMO50.00295012032147X
Ewa Winiarska
CRO50.00151084010143X
Angela Macchio
Exec Dir - Home Health50.00141862021697X
Maryann Sero
MDS Coordinator50.00118038023697X
Stephen Kazanjian
VP of Mission50.00117057023507X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1458447TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1214982TotalReportableCompFrmRltdOrgs
Total Other Compensation387852TotalOtherCompensation
Number Individuals GT100 K15NumberIndividualsGT100K
Formers Listed0FormersListed
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 Services2113886
Burke Rehabilitation Hospital
785 Mamaroneck AvenueWhite PlainsNY10605Rehab Services2081850
Bestcare Inc
PO Box 9010LevittownNY117569010Home Care Services718362
Accentcare of New York Inc
PO Box 416181BostonMA022416181Home Care Services657958
Neighbors Home Care
2532 Boston RoadBronxNY104679004Home Care Services562959
FieldValueIRS element (for citing)
Number Of Contractors GT100 K18NumberOfContractorsGT100K
Related Organizations59650RelatedOrganizations
Government Grants157788GovernmentGrants
All Other Contributions80673AllOtherContributions
Total Contributions298111TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Service Rev.6230005317861553178615
Residential Services90009916770841677084
FieldValueIRS element (for citing)
Total Program Service Revenue54855699TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column12805TotalRevenueColumn
Exclusion$12,805ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column9197TotalRevenueColumn
Exclusion$9,197ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real167768Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real167768Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column167768TotalRevenueColumn
Exclusion$167,768ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other31535Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-31535Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-31535TotalRevenueColumn
Exclusion-$31,535ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events123775GrossIncomeFundraisingEvents
Fundraising Direct Expenses50892FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column72883TotalRevenueColumn
Exclusion$72,883ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Cafeteria/Vending/Gift722212209262$209,262
Reimbursements/Rebates90009930787$30,787
Purchase Discounts9000993416$3,416

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column735TotalRevenueColumn
Exclusion$735ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue244200TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column55629128TotalRevenueColumn
Related Or Exempt Function Income54855699RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$475,318ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total700851Total
Program Services630766ProgramServices
Management And General70085ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total22532801Total
Program Services20279521ProgramServices
Management And General2253280ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4863407Total
Program Services4377066ProgramServices
Management And General486341ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1483892Total
Program Services1335503ProgramServices
Management And General148389ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1692488Total
Program Services1523239ProgramServices
Management And General169249ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total246732Total
Program Services222059ProgramServices
Management And General24673ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total498551Total
Program Services448696ProgramServices
Management And General49855ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total9976Total
Program Services8978ProgramServices
Management And General998ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total26400Total
Fundraising26400Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9213302Total
Program Services8291972ProgramServices
Management And General921330ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total223881Total
Program Services201493ProgramServices
Management And General22388ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total992223Total
Program Services893001ProgramServices
Management And General99222ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1737878Total
Program Services1564090ProgramServices
Management And General173788ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total258897Total
Program Services233007ProgramServices
Management And General25890ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total49128Total
Program Services44215ProgramServices
Management And General4913ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2565058Total
Program Services2565058ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1625334Total
Program Services1462801ProgramServices
Management And General162533ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total802311Total
Program Services722080ProgramServices
Management And General80231ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Medical Supplies263313923698252633140
Purchased Services218866619698002188660
BSHSI Corp. Allocation127533611478021275340
Bad Debt57541657541600

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3226069Total
Program Services2903462ProgramServices
Management And General322607ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total59421736Total
Program Services53769850ProgramServices
Management And General5625486ManagementAndGeneral
Fundraising26400Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY7985300BOY
EOY4872073EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1657188BOY
EOY1516823EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8769811BOY
EOY8078296EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY127933BOY
EOY136147EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY125867BOY
EOY154242EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis43311153LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec20033788LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY23888063BOY
EOY23277365EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY8079163BOY
EOY8523008EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY551536BOY
EOY328523EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY51184861BOY
EOY46886477EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY7392219BOY
EOY6200968EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY51265BOY
EOY110321EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY34350000BOY
EOY33291000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY255058BOY
EOY222718EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY6948465BOY
EOY6488236EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3934660BOY
EOY8092197EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY52931667BOY
EOY54405440EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-3311270BOY
EOY-9237660EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1564464BOY
EOY1718697EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-1746806BOY
EOY-7518963EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY51184861BOY
EOY46886477EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-3792608ReconcilationRevenueExpenses
Reconcilation Other Changes-1979547ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years225146CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years337654CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years172413CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year352597CurrentTaxYearMinus1Year
Current Tax Year298111CurrentTaxYear
Total1385921Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years57204358CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years60275719CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years58560465CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year54463708CurrentTaxYearMinus1Year
Current Tax Year54855699CurrentTaxYear
Total285359949Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years57429504CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years60613373CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years58732878CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year54816305CurrentTaxYearMinus1Year
Current Tax Year55153810CurrentTaxYear
Total286745870Total

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 Total509286745870PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years460804CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years790759CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years491922CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year326015CurrentTaxYearMinus1Year
Current Tax Year189769CurrentTaxYear
Total2259269Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years460804CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years790759CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years491922CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year326015CurrentTaxYearMinus1Year
Current Tax Year189769CurrentTaxYear
Total2259269Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years720082CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years639017CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years749638CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year378187CurrentTaxYearMinus1Year
Current Tax Year367975CurrentTaxYear
Total2854899Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years58610390CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years62043149CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years59974438CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year55520507CurrentTaxYearMinus1Year
Current Tax Year55711554CurrentTaxYear
Total291860038Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98250PublicSupportPercentage509
Prior Year Support Percentage0.97960PriorYearSupportPercentage
Investment Income Percentage0.00770InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01070PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSchedule A, Part II, Line 12, Explanation of Other Income: Fundraising Cafeteria/Gift Shop Risk Management Salary 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$9,976OtherActivitiesAmount
Total Lobbying Expenditures IIB9976TotalLobbyingExpendituresIIB
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 ($4,154 or 16.61%), HCA ($3,891 or 25.94%), CHA ($457 or 5.15%) and LA ($1,474 or 5.4% avg. between national and state) for a total of $9,976.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis28919734OtherCostOrOtherBasis
Depreciation15296359Depreciation
Book Value13623375BookValue

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 Basis9253536OtherCostOrOtherBasis
Depreciation4210975Depreciation
Book Value5042561BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1344933OtherCostOrOtherBasis
Depreciation274951Depreciation
Book Value1069982BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings23277365TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
Accrued interest payable$909,562
Residents Funds$202,718
Rent Security$15,200
Patient Security Deposit$89,446
Grants$54,090
Asbestos removal$1,115,303
Due to Third Party$5,705,878
FieldValueIRS element (for citing)
Total Of Amounts8092197TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

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 G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref Fundraising1AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

Name Of Organization NameOfOrganization

FieldValueIRS element (for citing)
Business Name Line1Cappa Crucy & CoBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line118 Rosalind AvenueAddressLine1
CityPleasantvilleCity
StateNYState
ZIP Code10570ZIPCode
FieldValueIRS element (for citing)
ActivityProfessional Fundraising and Event PlanningActivity
Fundraiser Control Of Funds0FundraiserControlOfFunds
Gross Receipts123775GrossReceipts
Amount Retained By Contractor26400AmountRetainedByContractor
Net To Organization97375NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts123775TotalGrossReceipts
Total Retained By Contractors26400TotalRetainedByContractors
Total Net To Organization97375TotalNetToOrganization
Licensed StatesNYLicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Beacon of Hope GalaNameOfEvent1
Gross Receipts Event1123775GrossReceiptsEvent1
Gross Revenue Event1123775GrossRevenueEvent1
Rent Facility Costs Event122290RentFacilityCostsEvent1
Entertainment Event14000EntertainmentEvent1
Other Direct Expenses Event124602OtherDirectExpensesEvent1
Gross Receipts Total123775GrossReceiptsTotal
Gross Revenue Total Events123775GrossRevenueTotalEvents
Rent Facility Costs Total Events22290RentFacilityCostsTotalEvents
Entertainment Total Events4000EntertainmentTotalEvents
Other Direct Expenses Total Events24602OtherDirectExpensesTotalEvents
Direct Expense Summary Events50892DirectExpenseSummaryEvents
Net Income Summary72883NetIncomeSummary

Form990 Schedule G Part IV Form990ScheduleGPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Fundraising PaymentsIdentifier
Return ReferenceSchedule G, Part I, Line 2b, Column (v)ReturnReference
ExplanationCappa Crucy & Co. billed for reimbursable fundraising expenses separately and on an itemized basis.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 (9 entries)

Base 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
054580300027794098330035526070745300
James T Higgins
01002600003108480136040121090436821019982
Eileen Malo
021873701000001540024342016509027112800
Kity Khundkar
24833600022255042580191270293976000
Frances Sequeira
12796700060542019470218840212340000
Dominic D'Ambrosio
176149000145045710244540205319000
Joseph Scarpa
2913920003620000321470327159000
Ewa Winiarska
10840400042680000101430161227000
Angela Macchio
141495000367000216970163559000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
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: James T. Higgins,$225,334; Frances Sequeira, $42,477; Ewa Winiarska, $30,216.
Part I, Lines 4a-bThe filing organization participates in a BSHSI sponsored executive retirement program that allows for deposits into additional retirement plans and available only to key 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: James T. Higgins,$25,374 Part I, Line 3: Bon 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

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 2Barbara Dimpel and Ralph Dimpel have a family relationship.
Form 990, Part VI, Section A, line 4Frances Schervier Home and Hospital: the certificate of incorporation was amended (effective 2/8/2011) to add a new Article to the end of the certificate in order to clarify the corporation's tax-exempt status under Section 501(c)(3) of the Internal Revenue Code: "The Corporation is organized exclusively for charitable, religious, educational and scientific purposes, including, for such purposes, the making of distributions to organizations that qualify as exempt organizations under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended, or corresponding section of any future federal tax code."
Form 990, Part VI, Section A, line 6Bon Secours Health System, Inc. is the sole member of Bon Secours New York Health System, Inc. (BSNYHSI). BSNYHSI 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, BSNYHSI has the power to appoint the President and Executive Vice President of FSHH and FSHDFC. BSNYHSI 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, BSNYHSI 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 participates 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 an 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's 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 VII:Hours worked are not tracked on an entity by entity basis. All officers' and directors' 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. James T. Higgins' compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation he receives is for his role as the CEO of Bon Secours New York Health System, Inc. which includes direct management, monitoring and oversight of the System and its related organizations. 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.Avg hours devoted to related org(s) when related comp is reported:
Form 990, Part XI, line 5:Net unrealized losses on investments: -4,726. Prior period adjustments: 192,696. Pension related -2,167,517. Total to Form 990, Part XI, Line 5: -1,979,547.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 11, Type II: 50PublicCharityStatus

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
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

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