2011-07-11T07:47:35-05:00 2010-08-31 DELOITTE TAX LLP 1750 TYSONS BLVD MCLEAN VA 221024219 990 2009-09-01 521732800 The Bon Secours of Maryland Foundation Inc BONS 4103623199 26 N Fulton Avenue Baltimore MD 212231624 Richard Jones 4103623199 2011-07-08 1 Emily Hayes Smith 7032511000 2009 2016-02-24 21:20:13Z George Kleb 26 N Fulton Avenue Baltimore MD 212231624 2440458 0 0928 X www.bonsecoursmaryland.org X 1990 MD BSMF serves the community through housing and community development initiatives. 9 6 29 6 0 0 1670282 1624041 0 -195196 39317 6552 -7705 1481638 1655653 23750 20000 0 1559213 1528304 22000 43389 233183 1049443 1298179 2654406 2889872 -1172768 -1234219 6394713 6256428 5436037 6530668 958676 -274240 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 bring people and communities to health and wholeness. 0 0 547137 Family Support Center - Helps young parents learn, grow and develop new skills by providing classes that enhance skills for GED, ABE, parenting and computer training while also providing free onsight developmental child care to their young. 423222 Centers For Working Families - Adult Career Development, Financial Literacy Classes, Job Readiness, Resume Writing & Tax Preparation. 218738 Open Space Management - Program was developed to turn city-owned vacant lots into attractive green spaces & maintain them by utilizing and training graduates from the Center's For Working Families program. 1185582 20000 Other Program Service Revenue includes Grant Revenue and Contributions. 1185582 20000 2374679 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 37 0 1 29 1 0 0 0 0 0 1 1 0 0 0 0 9 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 1 1 0 MD X Richard Jones 4103624477 2000 W Baltimore Street Baltimore MD 212231558 X Ackneil M Muldrow 4.00 X 0 0 0 Deborah Knight -Kerr 4.00 X 0 0 0 Philip Toohey 4.00 X 0 0 0 Dale McArdle 4.00 X 0 0 0 James J DeBoy 50.00 X 0 141166 5055 Sr Pat Dowling 6.00 X X 0 0 0 Richard Braam 50.00 X 0 0 0 Samuel L Ross 50.00 X X 0 623476 68797 Lenwood Ivey 6.00 X X 0 0 0 George Kleb 50.00 X X 0 139992 27085 Richard Jones 50.00 X 0 115424 7789 Scott Furniss 0.00 X 0 109852 9192 Becky Colker 0.00 X 0 138237 21311 0 1268147 139229 0 1 1 0 Living Classroom Foundation 802 S Caroline Street Baltimore MD 21231 Landscaping Community Gardens 148830 Goodwill Industries 222 Redwood Street Baltimore MD 21202 Landscaping Community Gardens 112565 2 130282 181398 217435 1094926 1624041 64 64 5564 5564 5564 5564 785339 746086 39253 39253 39253 25450 130282 38719 -13269 -13269 1655653 0 0 31612 20000 20000 159812 143831 15981 1048333 753706 104833 189794 320159 288143 32016 2559 2303 256 43389 43389 707227 636504 70723 39899 35909 3990 5022 4520 502 45977 41316 4661 8156 7340 816 6745 6071 674 20301 18271 2030 637 573 64 Health Organization Due 240811 216730 24081 0 Program/Client Supplies 83437 75093 8344 0 Miscellaneous Expense 34618 31156 3462 0 Copy/Print 29247 26322 2925 0 Bank Fees 789 710 79 0 72754 66181 6573 2889872 2374679 282010 233183 34233 34298 25546 5297 598231 345154 190045 121552 83794 68493 5094789 5235839 558120 567347 6394713 6256428 83740 267456 5352297 6263212 5436037 6530668 X 803088 -326180 155588 51940 958676 -274240 6394713 6256428 X 0 1 1 X 1 1 X X X 0 0 0 Bon Secours Hospital Baltimore Inc 520591555 3 0 1 1 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 47293 31779 15514 142752 89773 52979 68493 State Street Investments 4802779 F UBS Financial Services 433060 F 5235839 Due from Affiliates 565115 Due from Affiliate - Bon Secours Health System, Inc. 2232 567347 Due To Affiliate - Bon Secours Health System, Inc. 6178958 Due To Affiliates 84254 6263212 Part X: Description of Uncertain Tax Positions Under FIN 48: Schedule D, Part X, Line 2 requires that the organization provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48. As the organization does not conduct a separate audit of its financial statement, below is the related statement from the Bon Secours Health System, Inc., consolidated audited financial statements: The System and most of its subsidiaries (including certain joint venture entities) are exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. The system accounts for uncertain tax positions in accordance with ASC Topic 740. Income taxes of the System's for-profit subsidiaries are not material to the accompanying consolidated financial statements. The System's taxable subsidiaries have approximately $98,300 and $117,200 of net operating loss carryforwards as of August 31, 2010 and 2009, respectively, which expire in varying periods through 2030 and are available to offset future taxable income. The System's deferred tax assets are fully reserved at August 31, 2010 and 2009. Any changes to the valuation allowance on the deferred tax asset are reflected in the year of the change. X X X X X X 1 Gail Williams Grant Writing 0 512630 5920 506710 Kay Martinez Grant Writing 0 50000 23469 26531 Andrea Fox Krupp Consultations Annual/Physician campaign 0 0 14000 -14000 562630 43389 519241 MD Golf event 155732 130282 25450 38719 155732 130282 25450 38719 38719 -13269 0 United Way of Central Maryland 100 S Charles Street 5th floor Baltimore MD 21203 520591543 501(c)(3) 20000 0 Contribution for general support 1 0 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: All contributions to outside organizations are authorized by Executive Director or the Office of Philanthropy. X X X X X 0 1 0 0 0 0 0 0 0 Samuel L Ross 0 392569 0 226397 0 4510 0 46462 0 22335 0 692273 0 0 George Kleb 0 131700 0 7849 0 443 0 1368 0 25717 0 167077 0 0 Scott Furniss 0 84506 0 25000 0 346 0 0 0 9192 0 119044 0 0 Becky Colker 0 137465 0 0 0 772 0 9773 0 11538 0 159548 0 0 Part I, Line 4b: The Bon Secours of Maryland Foundation, Inc. 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 are made into this plan. Supplemental Information Part III Part I, Line 3: Bon Secours Health System, Inc., a related organization of Bon Secours of Maryland Foundation, 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 Form 990, Part VI, Section A, line 6 Bon Secours Health System, Inc. is the sole member of Bon Secours Baltimore Health System, Inc., which in turn is the sole Member of The Bon Secours of Maryland Foundation, Inc. Form 990, Part VI, Section A, line 7a The governing body of The Bon Secours of Maryland Foundation, Inc. is appointed by its Member, Bon Secours Baltimore Health System, Inc. Form 990, Part VI, Section A, line 7b Certain authorities of The Bon Secours of Maryland Foundation, Inc. are reserved to its Member 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 BSBHS' audit and compliance board committee and providing the form to the Bon Secours of Maryland Foundation, Inc.'s board of directors to allow for a thorough review by both before the filing date of July 15, 2011. BSBHS' audit and compliance board committee and the Bon Secours of Maryland Foundation, Inc.'s board of directors will review the Form 990 and ask any additional questions regarding the Form 990 before the return is filed July 15, 2011. Form 990, Part VI, Section B, line 12c The Bon Secours of Maryland Foundation 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 Bon Secours of Maryland Foundation. 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 15 The compensation committee of the board of Bon Secours Health System, Inc. engages in a comprehensive process for the oversight and management of remuneration for executive employees and disqualified parties of The Bon Secours of Maryland Foundation, as well as other officers, key employees and highest paid employees. The compensation committee consists of a group of independent board members and engages an independent external compensation consultant to ensure the reasonableness of compensation paid to executives and disqualified parties. The committee maintains a Board-approved 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 reported to the BSHSI Board of Directors and documented in the BSHSI compensation committee minutes. Form 990, Part VI, Section b , Line 15b - Compensation Process Other Officers/ Key Employees: 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 Bon Secours of Maryland Foundation 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 Bon Secours of Maryland Foundation provides any documents open to public inspection upon request. Part VI, Section B, Line 14: Document Retention and Destruction Policy: While Bon Secours Health System, Inc. does not have a written organization-wide document retention and destruction policy, individual department policies and practices are in place to ensure that each department of the organization maintains their documentation in compliance with state and federal requirements. In addition, any areas responsible for medical records have department policies in compliance with Medicare and HIPAA requirements. An organization-wide policy is currently in place for fiscal year ending August 31, 2011. 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. Samuel L. Ross, M.D.'s compensation is paid by Bon Secours Health Systems, Inc., a related organization. The compensation he receives is for his role as the Chief Executive Officer of Bon Secours Baltimore Health System, Inc. Richard Jones' compensation is paid by Bon Secours Baltimore Hospital., a related organization. The compensation he receives is for his role as the Chief Financial Officer of Bon Secours Baltimore Health System, Inc. George Kleb's compensation is paid by Bon Secours Baltimore Hospital, Inc., a related organization. The compensation he receives is for his role as the Executive Director of Bon Secours of Maryland Foundation. Joanne Karibo's compensation is paid by Bon Secours Health System, Inc., a related organization.. The compensation she receives is for her role as the Vice President of Mission of Bon Secours Health System, Inc. James DeBoy's compensation is paid by Bon Secours Baltimore Hospital, Inc., a related organization of Bon Secours of Maryland Foundation. The compensation he receives is for his role as the Vice President of Mission of Bon Secours Baltimore Hospital, Inc. Bon Secours Health System Inc 1505 Marriottsville Road Marriottsville MD 211041301 521301088 Parent Org. Management Services MD 501(c)(3) Line 11b, Type II: 5 N/A Bon Secours Baltimore Hospital Inc 2000 W Baltimore Street Baltimore MD 212231558 520591555 Healthcare MD 501(c)(3) Line 3: 170(b)(1)(a) N/A Bon Secours Community Health Services Inc 2600 Liberty Heights Ave Baltimore MD 212157804 521909599 Medical Services Center MD 501(c)(3) Line 9: 509(a)(2) N/A Unity Properties Inc 26 N Fulton Avenue Baltimore MD 212231624 521857768 Low Income Housing MD 501(c)(3) Line 7: 170(b)(1)(a) N/A Urban Medical Institute Inc 2600 Liberty Heights Ave Baltimore MD 212157804 521905869 Medical Services Center MD 501(c)(3) Line 3: 170(b)(1)(a) N/A Bon Secours Baltimore Development Inc 26 N Fulton Avenue Baltimore MD 212231624 760785344 Low Income Housing MD 501(c)(3) Line 7: 170(b)(1)(a) Unity Properties Inc Washington Village Comm Medical Center 2600 Liberty Heights Ave Baltimore MD 212237804 521138191 Healthcare MD 501(c)(3) Line 9: 509(a)(2) N/A Liberty Medical Center 2600 Liberty Heights Ave Baltimore MD 212157804 521466304 Medical Services Center MD 501(c)(3) Line 3: 170(b)(1)(a) N/A Bon Secours Housing 26 N Fulton Avenue Baltimore MD 212231624 521442707 Low Income Housing MD 501(c)(3) Line 9: 509(a)(2) N/A Bon Secours Housing II 26 N Fulton Avenue Baltimore MD 212231624 521543174 Low Income Housing MD 501(c)(3) Line 9: 509(a)(2) N/A Bon Secours Baltimore Health Corps (dba Bon Secours Baltimore Health System 2000 W Baltimore Street Baltimore MD 212231558 800728893 Local System Parent Org MD 501(c)(3) Line 11b, Type II: 5 N/A Bon Secours Apartments LP 1800 W Baltimore St Baltimore MD 21223 521952502 Low Income Housing MD Unity Housing Inc Related 0 0 Bon Secours Apartments II LP 1800 W Baltimore St Baltimore MD 21223 522063512 Low Income Housing MD Unity Housing Inc Related 0 0 Liberty Senior Housing LP 2000 W Baltimore St Baltimore MD 21223 522134447 Low Income Housing MD Unity Housing Inc Related 0 0 Bon Secours Apartments III LP 1800 W Baltimore St Baltimore MD 21223 522134444 Low Income Housing MD Unity Housing Inc Related 0 0 Bon Secours Smallwood Summit LP 26 N Fulton Avenue Baltimore MD 212231624 522280175 Low Income Housing MD Unity Housing Inc Related 0 0 Bon Secours Chesapeake Apartments LP 26 N Fulton Avenue Baltimore MD 212231624 200107034 Low Income Housing MD Chesapeake Housing LLC Related 0 0 Bon Secours Shiloh LP 26 N Fulton Avenue Baltimore MD 212231624 203965243 Low Income Housing MD Bon Secours Baltimore Development Inc Related 0 0 Bon Secours Wayland LP 26 N Fulton Avenue Baltimore MD 212231624 270468688 Low Income Housing MD Unity Properties Inc Related 0 0 Unity Housing Inc 26 N Fulton Avenue Baltimore MD 212231624 521952507 Low Income Housing MD Unity Properties Inc C -108 350100 1.00000 Bon Secours Wayland LLC 26 N Fulton Avenue Baltimore MD 212231624 270468561 Low Income Housing MD Unity Properties Inc C 1.00000 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 None