BON SECOURS NEW YORK HEALTH SYSTEM INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
BON SECOURS NEW YORK HEALTH SYSTEM INC (EIN 45-2964584)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-03
IRS object ID
201133079349301418
Schema version
2010v3.4
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)
Timestamp2011-11-03T15:23:12-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-01-01TaxPeriodBeginDate

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 Signed2011-11-03DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone7032511000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts55520507GrossReceipts
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 Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees822TotalNbrEmployees
Total Nbr Volunteers197TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year172413ContributionsGrantsPriorYear
Contributions Grants Current Year352597ContributionsGrantsCurrentYear
Program Service Revenue Prior Year58560465ProgramServiceRevenuePriorYear
Program Service Revenue CY54463708ProgramServiceRevenueCY
Investment Income Prior Year286657InvestmentIncomePriorYear
Investment Income Current Year145115InvestmentIncomeCurrentYear
Other Revenue Prior Year878929OtherRevenuePriorYear
Other Revenue Current Year494185OtherRevenueCurrentYear
Total Revenue Prior Year59898464TotalRevenuePriorYear
Total Revenue Current Year55455605TotalRevenueCurrentYear
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 Year31556929SalariesEtcPriorYear
Salaries Etc Current Year30398628SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year28302460OtherExpensePriorYear
Other Expenses Current Year28245365OtherExpensesCurrentYear
Total Expenses Prior Year59859389TotalExpensesPriorYear
Total Expenses Current Year58643993TotalExpensesCurrentYear
Revenues Less Expenses Prior Year39075RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-3188388RevenuesLessExpensesCY
Total Assets BOY57335063TotalAssetsBOY
Total Assets EOY51184861TotalAssetsEOY
Total Liabilities BOY55653295TotalLiabilitiesBOY
Total Liabilities EOY52931667TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1681768NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-1746806NetAssetsOrFundBalancesEOY
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
Expense52847963Expense
Revenue54463708Revenue
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 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 Expense52847963TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising 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 With1096381NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees822NumberOfEmployees
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 Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Barbara Dimpel
Board Member4.00X000
Ralph Dimpel
Board Member4.00X000
Howard Malatzky
Board Member4.00X000
Betsey Torres
Board Member4.00X000
Catherine A Gasteyer
Board Member4.00X000
Monica Higgins
Board Member4.00X000
Maria Khury
Board Member4.00X000
Mario Kranjac
Board Member4.00X000
Sister Fran Gorsuch
Board Member50.00X000
Dr Marlon Priest
Board Member50.00X0701230122968
Dr Frank Maselli
Board Member4.00X000
Sister Pauline Sweeney
Chairman/Board Member6.00X000X
Donna Sylvestri
Chairman6.00X000X
Brother Art Caliman
President50.00X000X
Julia L Rodriguez
Secretary/Treasurer6.00X000X
James T Higgins
CEO50.00X039147438676X
Kity Khundkar
Treas/CFO50.002563344645019825X
Lou Harris
EVP (Jan-July)50.00018801621453X
Frances Sequeira
HR Supervisor50.001576142867526676X
Karen Wilson
VP of Nursing50.00152337017790X
Joseph Scarpa
VP/CMO50.00319790028172X
Nelia Elman Lopez
RN50.0016163500X
Ofelia R Castulo
RN50.0016123300X
Ewa Winiarska
CRO50.0015579708434X
Dominic D'Ambrosio
Administrator50.00146879021403X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1511619TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1355845TotalReportableCompFrmRltdOrgs
Total Other Compensation305397TotalOtherCompensation
Number Individuals GT100 K24NumberIndividualsGT100K
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
Burke Rehabilitation Hospital
785 Mamaroneck AvenueWhite PlainsNY10605Rehab Services2754793
Neighbors Home Care
2532 Boston Post RoadBronxNY10467Home Care Services839481
Accentcare of New York Inc
PO Box 416181BostonMA02241Home Care Services775676
Premier Health Care Services
445 Hamilton AvenueWhite PlainsNY10604Home Care Services698375
Bestcare Inc
PO Box 9010LevittownNY11756Home Care Services499464
FieldValueIRS element (for citing)
Number Of Contractors GT100 K27NumberOfContractorsGT100K
Fundraising Events125492FundraisingEvents
Related Organizations48963RelatedOrganizations
Government Grants95955GovernmentGrants
All Other Contributions82187AllOtherContributions
Total Contributions352597TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Service Rev.6230005275700452757004
Residential Services90009917067041706704
FieldValueIRS element (for citing)
Total Program Service Revenue54463708TotalProgramServiceRevenue

Investment Income InvestmentIncome

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

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real180900Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real180900Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column180900TotalRevenueColumn
Exclusion$180,900ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events50700GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events125492CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses64902FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-14202TotalRevenueColumn
Exclusion-$14,202ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Cafeteria/Gift shop722212203892$203,892
Rebates/Discounts90009936150$36,150
Risk Management Salary90009935000$35,000

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column52445TotalRevenueColumn
Exclusion$52,445ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue327487TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column55455605TotalRevenueColumn
Related Or Exempt Function Income54463708RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$639,300ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total606872Total
Program Services546185ProgramServices
Management And General60687ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total22172942Total
Program Services19955647ProgramServices
Management And General2217295ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1349040Total
Program Services1214136ProgramServices
Management And General134904ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4270418Total
Program Services3843376ProgramServices
Management And General427042ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1999356Total
Program Services1799420ProgramServices
Management And General199936ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total148489Total
Program Services133640ProgramServices
Management And General14849ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total290841Total
Program Services261757ProgramServices
Management And General29084ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total4102Total
Program Services3692ProgramServices
Management And General410ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total8414536Total
Program Services7573082ProgramServices
Management And General841454ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total815900Total
Program Services730710ProgramServices
Management And General85190ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2343281Total
Program Services2108953ProgramServices
Management And General234328ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total147113Total
Program Services132402ProgramServices
Management And General14711ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total39325Total
Program Services35392ProgramServices
Management And General3933ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2654836Total
Program Services2389352ProgramServices
Management And General265484ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2158315Total
Program Services1942483ProgramServices
Management And General215832ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total887785Total
Program Services799006ProgramServices
Management And General88779ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Medical Supplies220900619881052209010
Purchased Services191677017250931916770
BSHSI Corp. Allocation132569111931221325690
Bad Debt71972471972400
General Repairs & Maint261372235235261370

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3908279Total
Program Services3517451ProgramServices
Management And General390828ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total58643993Total
Program Services52847963ProgramServices
Management And General5796030ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY14009488BOY
EOY7985300EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY1657188EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY9469111BOY
EOY8769811EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY102511BOY
EOY127933EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY134708BOY
EOY125867EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis42345117LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec18457054LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY24969205BOY
EOY23888063EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY8079163EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY8650040BOY
EOY551536EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY57335063BOY
EOY51184861EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY8871228BOY
EOY7392219EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY47536BOY
EOY51265EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY35555000BOY
EOY34350000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY228957BOY
EOY255058EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY6948465BOY
EOY6948465EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4002109BOY
EOY3934660EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY55653295BOY
EOY52931667EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY118108BOY
EOY-3311270EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1563660BOY
EOY1564464EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1681768BOY
EOY-1746806EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY57335063BOY
EOY51184861EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-3188388ReconcilationRevenueExpenses
Reconcilation Other Changes-240185ReconcilationOtherChanges
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 Years290224CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years225146CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years337654CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year172413CurrentTaxYearMinus1Year
Current Tax Year352597CurrentTaxYear
Total1378034Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years55144503CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years57204358CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years60275719CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year58560465CurrentTaxYearMinus1Year
Current Tax Year54463708CurrentTaxYear
Total285648753Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years55434727CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years57429504CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years60613373CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year58732878CurrentTaxYearMinus1Year
Current Tax Year54816305CurrentTaxYear
Total287026787Total

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 Total509287026787PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1066194CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years460804CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years790759CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year491922CurrentTaxYearMinus1Year
Current Tax Year326015CurrentTaxYear
Total3135694Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1066194CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years460804CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years790759CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year491922CurrentTaxYearMinus1Year
Current Tax Year326015CurrentTaxYear
Total3135694Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years367812CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years720082CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years639017CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year749638CurrentTaxYearMinus1Year
Current Tax Year378187CurrentTaxYear
Total2854736Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years56868733CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years58610390CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years62043149CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year59974438CurrentTaxYearMinus1Year
Current Tax Year55520507CurrentTaxYear
Total293017217Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97960PublicSupportPercentage509
Prior Year Support Percentage0.97340PriorYearSupportPercentage
Investment Income Percentage0.01070InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.02180PriorYrInvestIncomePercentage
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$4,102OtherActivitiesAmount
Total Lobbying Expenditures IIB4102TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Other Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1i:ReturnReference
ExplanationThe organization pays association dues to the Continuing Care Leadership Coalition. Of these dues, 17.25% is allocated for lobbying purposes.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 Basis28421776OtherCostOrOtherBasis
Depreciation13772113Depreciation
Book Value14649663BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis897508OtherCostOrOtherBasis
Depreciation326514Depreciation
Book Value570994BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis8961155OtherCostOrOtherBasis
Depreciation4083476Depreciation
Book Value4877679BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1169236OtherCostOrOtherBasis
Depreciation274951Depreciation
Book Value894285BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings23888063TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionMellonDescription
Book Value8079163BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities8079163TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescriptionAmountAmount
Accrued Interest Receivable$944,625
Residents Funds$44,450
Rent Security$15,200
Patient Security Deposit$159,085
Grants$155,277
Asbestos removal$1,124,004
Due to Third Party$1,486,608
Due to Affiliates$5,411
FieldValueIRS element (for citing)
Total Of Amounts3934660TotalOfAmounts

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

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GalaNameOfEvent1
Gross Receipts Event1176192GrossReceiptsEvent1
Charitable Contributions Event1125492CharitableContributionsEvent1
Gross Revenue Event150700GrossRevenueEvent1
Food And Beverage Event137984FoodAndBeverageEvent1
Entertainment Event15000EntertainmentEvent1
Other Direct Expenses Event121918OtherDirectExpensesEvent1
Gross Receipts Total176192GrossReceiptsTotal
Charitable Contributions Total125492CharitableContributionsTotal
Gross Revenue Total Events50700GrossRevenueTotalEvents
Food And Beverage Total Events37984FoodAndBeverageTotalEvents
Entertainment Total Events5000EntertainmentTotalEvents
Other Direct Expenses Total Events21918OtherDirectExpensesTotalEvents
Direct Expense Summary Events64902DirectExpenseSummaryEvents
Net Income Summary-14202NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

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
05157760155966029488090096032872082419800
James T Higgins
0318905045156027413027333011343043015000
Kity Khundkar
1533064645028484074544039100664592702668895572000
Lou Harris
01059420008207407620013833020946900
Frances Sequeira
1332482867515146092200207001917154351788553411000
Karen Wilson
1389290122540115406030171870170127000
Joseph Scarpa
252948025834041008000281720347962000
Nelia Elman Lopez
158328000330700000161635000
Ofelia R Castulo
155820010380437500000161233000
Ewa Winiarska
125489012341017967056083780164231000
Dominic D'Ambrosio
1371910685902829000214030168282000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Lines 4a-bReturnReference
ExplanationPart I, Lines 4a: The following individual received a severance payment during the year which is included in their W-2 reportable compensation: Lou Harris, $48,626. Part I, Lines 4b: BSHSI participates in a BSHSI sponsored executive retirement program that allows for deposits into additional retirement plans and 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 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 CommitteeExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 2Barbara Dimpel and Ralph Dimpel have a family relationship.
Form 990, Part VI, Section A, line 6Bon Secours Health System, Inc. is the sole member of Bon Secours New York Health System, Inc. (BSNYHS). BSNYHS is the sole corporate member and parent of Frances Schervier Home & Hospital (FSHH) and Frances Schervier Housing Development Fund Corporation (FSHDFC).
Form 990, Part VI, Section A, line 7aAs the sole corporate member, BSNYHS has the power to appoint the President and Executive Vice President of FSHH and FSHDFC. BSNYHS has the power to approve or withhold approval of amendments to their bylaws, approve strategic plans, approve capital budgets, approve operating budgets as well as change the philosophy objectives or purposes of both organizations. In addition, BSNYHS has the power to remove or replace any member of their boards of directors.
Form 990, Part VI, Section A, line 7bCertain authorities of FSHH and FSHDFC are reserved to their member or to Bon Secours Health System, Inc.
Form 990, Part VI, Section B, line 11The process the organizations use to review the Form 990 consists of a review by BSNYHS' audit and compliance board committee and providing the Form 990 to the boards of directors (FSHH and FSHDFC) and to allow for a thorough review by both before the filing date of November 15, 2011. BSNYHS' audit and compliance board committee and each organization's board of directors reviewed the Form 990 and asked any additional questions regarding the Form 990 before the return was filed November 15, 2011.
FSHH and FSHDFC 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 FSHH or FSHDFC. 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 12c
The compensation committee of the board of Bon Secours Health System, Inc. (BSHSI) engages in a comprehensive process for the oversight and management of remuneration for executive employees and disqualified parties of FSHH and FSHDFC, 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: Compensation for other employees includes a review and approval by independent person, comparability data, and contemporaneous substantiation of the deliberation and decision. In the review, the other officers or key employees of BSHSI 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 B, line 15
Both FSHH and FSHDFC provide any documents open to public inspection upon request.Form 990, Part VI, Section C, line 19
Avg hours devoted to related org(s) when related comp is reported: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. 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. and Bon Secours St. Petersburg Health System, Inc. which includes direct management, monitoring and oversight of the organizations within those systems. Kity Khundkar's compensation is for her role as the CFO of Bon Secours New York Health System, Inc. and Bon Secours St. Petersburg Health System, Inc. Her compensation is partially allocated to Bon Secours St. Petersburg Health System, Inc. for her role as the CFO. Frances Sequeira's compensation is for her role as the HR Supervisor of Bon Secours New York Health System, Inc. and Bon Secours St. Petersburg Health System, Inc. Her compensation is partially allocated to Bon Secours St. Petersburg Health System, Inc. for her role as the HR Supervisor. 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. Lou Harris' compensation is paid by Bon Secours Health System, Inc., a related organization. The compensation he receives is for his role as the Executive Vice President of Bon Secours New York Health System, Inc. Sr. Fran Gorsuch and Brother Art Caliman do not receive payroll distributions as they have taken vows of poverty.Form 990, Part VII:
Changes in Net Assets or Fund Balances:Net unrealized losses on investments: -15,165. Pension related -225,827. Interest Income 804. Total to Form 990, Part XI, Line 5: -240,188.Form 990, Part XI, line 5:

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, SOPublicCharityStatus

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 Org0LoansOrGuaranteesFromOtherOrg
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 Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1

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