Bon Secours Maria Manor Nursing Care Center: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- Bon Secours Maria Manor Nursing Care Center (EIN 65-0061820)
- Tax period
- 2009-09-01 to 2010-08-31
- Filed
- 2011-07-11
- IRS object ID
- 201121929349300302
- Schema version
- 2009v1.7
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-07-11T07:47:35-05:00 | Timestamp |
| Tax Period End Date | 2010-08-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1750 TYSONS BLVD | AddressLine1 |
| City | MCLEAN | City |
| State | VA | State |
| ZIP Code | 221024219 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-09-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 650061820 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bon Secours Maria Manor Nursing Care Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BONS | NameControl |
| Phone | 7275761025 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10300 Fourth Street N | AddressLine1 |
| City | St Petersburg | City |
| State | FL | State |
| ZIP Code | 337163814 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KAREN REICH | Name |
| Title | EVP | Title |
| Phone | 7275761025 | Phone |
| Date Signed | 2011-07-08 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7032511000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Karen Reich | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10300 4th St N | AddressLine1 |
| City | St Petersburg | City |
| State | FL | State |
| ZIP Code | 33716 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 22165027 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c | X | Organization501c |
| Web Site | www.bonsecoursstpete.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1988 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | Nursing care to the elderly | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 478 | TotalNbrEmployees |
| Total Nbr Volunteers | 50 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2269 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 154474 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 22334259 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 21421656 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1765 | InvestmentIncomePriorYear |
| Investment Income Current Year | -1879 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 375174 | OtherRevenuePriorYear |
| Other Revenue Current Year | 588897 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 22713467 | TotalRevenuePriorYear |
| Total Revenue Current Year | 22163148 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 17029 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 13233246 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 12963873 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 9604121 | OtherExpensePriorYear |
| Other Expenses Current Year | 9258325 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 22854396 | TotalExpensesPriorYear |
| Total Expenses Current Year | 22222198 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -140929 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -59050 | RevenuesLessExpensesCY |
| Total Assets BOY | 9805775 | TotalAssetsBOY |
| Total Assets EOY | 8608335 | TotalAssetsEOY |
| Total Liabilities BOY | 14278388 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 13349336 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -4472613 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -4741001 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 20080610 | Expense |
| Revenue | 21421656 | Revenue |
| Description | Bon Secours Maria Manor Nursing Care Center, Inc. is a freestanding, 274-resident nursing care center offering skilled and long-term nursing care for the Tampa Bay area as well as short-term rehabilitation unit. The Center for Rehabilitation at Maria Manor is designated for those with short-term rehabilitation needs. This 32-bed, dedicated short-term unit mirrors the rehabilitation programs offered at many hospital and rehabilitation centers. For those with orthopedic injuries or surgeries, the CORE, or Center for Orthopedic Excellence, has been designed specifically for those rehabilitating from a fractured hip or hip or knee replacement surgery. Services at Maria Manor include, dental and podiatry services, physical occupational and speech therapy, physician visits on site, interdisciplinary team approach to care, specialized end of life care programs, activities programming for each unit, mass or communion services offered daily, and pastoral care. | Description |
| Total Program Service Expense | 20080610 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 19 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 478 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | FL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Stacy Booth | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7275681017 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10300 4th Street North | AddressLine1 |
| City | St Petersburg | City |
| State | FL | State |
| ZIP Code | 33716 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (19 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee |
|---|---|---|---|---|---|---|---|
| James Higgins | |||||||
| Ex-Officio Board Member | 50.00 | X | 0 | 611038 | 48044 | ||
| Donna Fudge | |||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||
| Sr Frances McCabe | |||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||
| Terence McCarthy | |||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||
| Donna Porter | |||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||
| John Shea | |||||||
| Board Member | 50.00 | X | 0 | 792042 | 131791 | ||
| Robert Sherman | |||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||
| Regina Clifton | |||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||
| Brother Peter Campbell | |||||||
| Board Member (Sept-Dec) | 4.00 | X | 0 | 0 | 0 | ||
| Dr Karen Bigby | |||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||
| Sr Mary Regina Flatley | |||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||
| John Thomas | |||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||
| Janice Russel | |||||||
| Board Member | 4.00 | X | 0 | 0 | 0 | ||
| Karen Reich | |||||||
| EVP | 50.00 | X | 0 | 248890 | 51084 | X | |
| Brother Arthur Caliman | |||||||
| President | 50.00 | X | 0 | 0 | 0 | X | |
| Joseph Mark Waterbury | |||||||
| Chairman | 6.00 | X | 0 | 0 | 0 | X | |
| Harry B Jones | |||||||
| Secretary | 6.00 | X | 0 | 0 | 0 | X | |
| Kity Khundkar | |||||||
| CFO of BSSPHS | 50.00 | 0 | 370720 | 39690 | X | ||
| Carlos Salazar | |||||||
| Medical Director | 50.00 | 171999 | 0 | 18024 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 171999 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2022690 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 288633 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Rehabcare Group | |||||
| PO Box 502096 | St Louis | MO | 631502096 | Therapy Services | 1033640 |
| Nurse Staffing | |||||
| PO Box 4729 | Winter Haven | FL | 327934729 | Contract Labor | 228118 |
| Arbor Temporary | |||||
| PO Box 354526 | Palm Coast | FL | 32135 | Contract Labor | 186009 |
| Modular Building | |||||
| 614 E Highway 50 | Clermont | FL | 34711 | Construction Services | 121552 |
| Extended Care Respiratory Services | |||||
| 8452 118th Ave B | Largo | FL | 33773 | Respiratory Services | 106210 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 10 | NumberOfContractorsGT100K |
| Related Organizations | 125000 | RelatedOrganizations |
| All Other Contributions | 29474 | AllOtherContributions |
| Total Contributions | 154474 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Patient Service Rev. | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 21421656 | TotalRevenueColumn |
| Related Or Exempt Function Income | 21421656 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 21421656 | TotalProgramServiceRevenue |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1879 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -1879 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -1879 | TotalRevenueColumn |
| Exclusion | -$1,879 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| Beauty & Barber | 900099 | 43493 | $43,493 |
| Gift Shop | 900099 | 24849 | $24,849 |
| Cafe & Vending | 900099 | 4082 | $4,082 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 516473 | TotalRevenueColumn |
| Exclusion | $516,473 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 588897 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 22163148 | TotalRevenueColumn |
| Related Or Exempt Function Income | 21421656 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $587,018 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 100459 | Total |
| Program Services | 90413 | ProgramServices |
| Management And General | 10046 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9398550 | Total |
| Program Services | 8458695 | ProgramServices |
| Management And General | 939855 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 142500 | Total |
| Program Services | 128250 | ProgramServices |
| Management And General | 14250 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2173684 | Total |
| Program Services | 1956316 | ProgramServices |
| Management And General | 217368 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1148680 | Total |
| Program Services | 1033812 | ProgramServices |
| Management And General | 114868 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51929 | Total |
| Program Services | 46736 | ProgramServices |
| Management And General | 5193 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1425 | Total |
| Program Services | 1283 | ProgramServices |
| Management And General | 142 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3262715 | Total |
| Program Services | 2936443 | ProgramServices |
| Management And General | 326272 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23552 | Total |
| Program Services | 21197 | ProgramServices |
| Management And General | 2355 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 577894 | Total |
| Program Services | 520105 | ProgramServices |
| Management And General | 57789 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 262671 | Total |
| Program Services | 236404 | ProgramServices |
| Management And General | 26267 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 529559 | Total |
| Program Services | 476603 | ProgramServices |
| Management And General | 52956 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53687 | Total |
| Program Services | 48318 | ProgramServices |
| Management And General | 5369 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 285 | Total |
| Program Services | 256 | ProgramServices |
| Management And General | 29 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 610269 | Total |
| Program Services | 549242 | ProgramServices |
| Management And General | 61027 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 503544 | Total |
| Program Services | 453190 | ProgramServices |
| Management And General | 50354 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 488460 | Total |
| Program Services | 439614 | ProgramServices |
| Management And General | 48846 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 338382 | Total |
| Program Services | 304544 | ProgramServices |
| Management And General | 33838 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Medical Supplies | 1225236 | 1102712 | 122524 |
| Bad Debt | 610320 | 610320 | |
| Employee related exp. | 126571 | 113914 | 12657 |
| Dues and Subscriptions | 37589 | 33830 | 3759 |
| Taxes and Licenses | 34791 | 31312 | 3479 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 519446 | Total |
| Program Services | 487101 | ProgramServices |
| Management And General | 32345 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22222198 | Total |
| Program Services | 20080610 | ProgramServices |
| Management And General | 2141588 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 435921 | BOY |
| EOY | -85715 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3233370 | BOY |
| EOY | 2625815 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 71427 | BOY |
| EOY | 82710 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6231 | BOY |
| EOY | 26283 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 17146150 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 11857098 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5190795 | BOY |
| EOY | 5289052 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 868031 | BOY |
| EOY | 670190 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9805775 | BOY |
| EOY | 8608335 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 959707 | BOY |
| EOY | 904446 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13318681 | BOY |
| EOY | 12444890 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14278388 | BOY |
| EOY | 13349336 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -4472613 | BOY |
| EOY | -4754300 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 13299 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -4472613 | BOY |
| EOY | -4741001 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9805775 | BOY |
| EOY | 8608335 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3974 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 21514 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3683 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2269 | CurrentTaxYearMinus1Year |
| Current Tax Year | 154474 | CurrentTaxYear |
| Total | 185914 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 19126099 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 19824086 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 21349437 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 22334259 | CurrentTaxYearMinus1Year |
| Current Tax Year | 21421656 | CurrentTaxYear |
| Total | 104055537 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 19130073 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 19845600 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 21353120 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 22336528 | CurrentTaxYearMinus1Year |
| Current Tax Year | 21576130 | CurrentTaxYear |
| Total | 104241451 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 104241451 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 99312 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 37898 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 18305 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1765 | CurrentTaxYearMinus1Year |
| Total | 157280 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 99312 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 37898 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 18305 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1765 | CurrentTaxYearMinus1Year |
| Total | 157280 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 240512 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 273421 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 310005 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 375174 | CurrentTaxYearMinus1Year |
| Current Tax Year | 588897 | CurrentTaxYear |
| Total | 1788009 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 19469897 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 20156919 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 21681430 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 22713467 | CurrentTaxYearMinus1Year |
| Current Tax Year | 22165027 | CurrentTaxYear |
| Total | 106186740 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98170 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98410 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00150 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00210 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $1,425 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 1425 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i: | Identifier |
| Return Reference | Explanation of Other Lobbying Activities: | ReturnReference |
| Explanation | Bon Secours Maria Manor Nursing Care Center paid dues to the FL Association of Homes and Services for the Aging, Inc. (FAHSA) and American Association of Homes and Services for the Aging (AAHSA), a portion of which is used for lobbying activities. The portion of dues allocated to lobbying activities for both of these organizations was 9.4% ($1,425). | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1828977 | OtherCostOrOtherBasis |
| Book Value | 1828977 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2464997 | OtherCostOrOtherBasis |
| Depreciation | 1055142 | Depreciation |
| Book Value | 1409855 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 421177 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 4155093 | OtherCostOrOtherBasis |
| Depreciation | 3742945 | Depreciation |
| Book Value | 833325 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8275906 | OtherCostOrOtherBasis |
| Depreciation | 7059011 | Depreciation |
| Book Value | 1216895 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 5289052 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Due from short term affiliates | 669522 |
| Other receivables | 668 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 670190 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Intercompany Payable BSNY | $4,220 |
| Intercompany Payable HSO | $19,425 |
| Long term Pension Liability | $190,985 |
| Accrued payroll and benefit costs | $1,078,185 |
| Due to HSO | $10,700,000 |
| Other Liabilities | $452,075 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 12444890 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part X: | Identifier |
| Return Reference | Description of Uncertain Tax Positions Under FIN 48: | ReturnReference |
| Explanation | 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| James Higgins | |||||||||||||
| 0 | 313265 | 0 | 278478 | 0 | 19295 | 0 | 37944 | 0 | 10100 | 0 | 659082 | 0 | 0 |
| John Shea | |||||||||||||
| 0 | 446997 | 0 | 341161 | 0 | 3884 | 0 | 116092 | 0 | 15699 | 0 | 923833 | 0 | 0 |
| Karen Reich | |||||||||||||
| 0 | 165681 | 0 | 64022 | 0 | 19187 | 0 | 22479 | 0 | 28605 | 0 | 299974 | 0 | 0 |
| Kity Khundkar | |||||||||||||
| 0 | 226509 | 0 | 98694 | 0 | 45517 | 0 | 27549 | 0 | 12141 | 0 | 410410 | 0 | 0 |
| Carlos Salazar | |||||||||||||
| 154751 | 0 | 17100 | 0 | 148 | 0 | 0 | 0 | 18024 | 0 | 190023 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Line 4b: | Bon Secours Health System, Inc. and Frances Schervier Home and Hospital participates in a BSHSI sponsored executive retirement program that allows for deposits into additional retirements 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. | |
| Part III | Part I, Line 3: Bon Secours Health System, Inc., a related organization of Bon Secours Maria Manor Nursing Care Center, 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 | Supplemental Information |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section A, line 2 | The Chairman of the Board, Mark Waterbury and another Board Member, Terrence McCarthy, have a business relationship. | |
| Form 990, Part VI, Section A, line 6 | Bon Secours Health System, Inc. is the sole member of Bon Secours Maria Manor Nursing Care Center. | |
| Form 990, Part VI, Section A, line 7a | The governing body of Bon Secours Maria Manor Nursing Care Center is appointed by its member Bon Secours Health System, Inc. | |
| Form 990, Part VI, Section A, line 7b | Certain authorities of Maria Manor Nursing Care Center, Inc. are reserved to its Member. | |
| Form 990, Part VI, Section B, line 11 | The process the organization uses to review the Form 990 consists of a review by BSSPHS' audit and compliance board committee and providing the form to Bon Secours Maria Manor Nursing Care Center's board of directors to allow for a thorough review by both before the filing date of July 15, 2011. BSSPHS' audit and compliance board committee and Bon Secours Maria Manor Nursing Care Center'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 | Bon Secours Maria Manor Nursing Care Center 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 Bon Secours Maria Manor Nursing Care Center. 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 Bon Secours Maria Manor Nursing Care Center 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: For those key employees and highest paid employees that are not reviewed by the BSHSI compensation committee, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. In the review, the other officers or key employees of Bon Secours Maria Manor 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 Maria Manor Nursing Care Center provides any documents open to public inspection upon request. | |
| Part VI, Section B, Line 14: | 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. | Document Retention and Destruction Policy: |
| 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. General Compensation Disclosure Regarding Officers Paid by Related Organizations: The CEO and CFO of Bon Secours St. Petersburg Health System, Inc., James Higgins and Kity Khundkar, serve as CEO and CFO of Bon Secours New York Health System, Inc. (whose tax-exempt entities include Frances Schervier Home and Hospital and Frances Schervier Housing Development Fund Corporation). Bon Secours St. Petersburg Health System reimbursed the organization for these services. James Higgin's compensation is from Bon Secours Health System, Inc., a related organization. The compensation he receives is for his role as the Chief Executive Officer (CEO) of Bon Secours St. Petersburg Health System as well as the related organizations at Bon Secours New York Health System, Inc. Kity Khundar's compensation is from Frances Schervier Home and Hospital, a related organization. The compensation she receives is for her role as the Chief Financial Officer (CFO) of Bon Secours St. Petersburg Health System as well as the related organizations at Bon Secours New York Health System, Inc. Karen Reich's compensation is from Bon Secours Health System, Inc., a related organization. The compensation she receives is for her role as the Executive Vice President (EVP) at Bon Secours Maria Manor Nursing Care Center and Bon Secours St. Petersburg Home Care Services. John Shea's compensation is from Bon Secours Health System, Inc., a related organization. The compensation he receives is for the role as an employee at Bon Secours Health System, Inc. Brother Art Caliman does not receive payroll distributions as he has taken a vow of poverty. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|
| Bon Secours Health System Inc | |||||||||
| 1505 Marriottsville Road | Marriottsville | MD | 21104 | 521301088 | Parent Org - Management Services | MD | 501(c)(3) | Line 11, Type II: 50 | N/A |
| Bon Secours St Petersburg Home Care Services | |||||||||
| 10300 Fourth Street North | St Petersburg | FL | 33716 | 134334363 | Home Care Services | FL | 501(c)(3) | Line 9: 509(a)(2) | N/A |
| Frances Schervier Home and Hospital | |||||||||
| 2975 Independence Avenue | Bronx | NY | 10463 | 131740397 | Long term nursing care | NY | 501(c)(3) | Line 3: 170(b)(1)(A) | N/A |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bon Secours Place at St Petersburg | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10300 4th Street North | AddressLine1 |
| City | St Petersburg | City |
| State | FL | State |
| ZIP Code | 33716 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593589729 | EIN |
| Primary Activity | Assisted Living/Senior Care | PrimaryActivity |
| Legal Domicile State | FL | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bon Secours - Florida Integrated Services Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | Related | PredominantIncomeType |
| Share Of Total Income | 202967 | ShareOfTotalIncome |
| Share Of EOY Assets | 5643823 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bon Secours - Florida Integrated Services Inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10300 4th Street North | AddressLine1 |
| City | St Petersburg | City |
| State | FL | State |
| ZIP Code | 33716 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 650779777 | EIN |
| Primary Activity | Holding Company/Assisted Living | PrimaryActivity |
| Legal Domicile State | FL | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bon Secours Maria Manor Nursing Care Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Percentage Ownership | 0.80000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | None | BusinessNameLine1 |
Comments