2011-11-03T15:23:12-05:00 2010-12-31 DELOITTE TAX LLP 1750 TYSONS BLVD MCLEAN VA 221024219 990 2010-01-01 452964584 Bon Secours New York Health System Affiliated Group BONS 2975 Independence Ave Bronx NY 10463 Kity Khundkar 2011-11-03 1 7032511000 2010 2016-03-07 17:11:31Z 55520507 1 1 5816 X X Nursing care and multi-family housing project for the elderly and handicapped. 16 14 822 197 0 0 172413 352597 58560465 54463708 286657 145115 878929 494185 59898464 55455605 0 0 0 0 31556929 30398628 0 0 0 28302460 28245365 59859389 58643993 39075 -3188388 57335063 51184861 55653295 52931667 1681768 -1746806 X 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 people and communities to health and wholeness. 0 0 52847963 54463708 Frances 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. 52847963 1 1 0 1 0 0 0 1 0 1 1 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 381 0 1 822 1 0 0 0 0 0 1 1 0 0 0 0 X 16 14 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X William Tao 7185481700 2975 Independence Ave Bronx NY 10463 X Barbara Dimpel 4.00 X 0 0 0 Ralph Dimpel 4.00 X 0 0 0 Howard Malatzky 4.00 X 0 0 0 Betsey Torres 4.00 X 0 0 0 Catherine A Gasteyer 4.00 X 0 0 0 Monica Higgins 4.00 X 0 0 0 Maria Khury 4.00 X 0 0 0 Mario Kranjac 4.00 X 0 0 0 Sister Fran Gorsuch 50.00 X 0 0 0 Dr Marlon Priest 50.00 X 0 701230 122968 Dr Frank Maselli 4.00 X 0 0 0 Sister Pauline Sweeney 6.00 X X 0 0 0 Donna Sylvestri 6.00 X X 0 0 0 Brother Art Caliman 50.00 X X 0 0 0 Julia L Rodriguez 6.00 X X 0 0 0 James T Higgins 50.00 X X 0 391474 38676 Kity Khundkar 50.00 X 256334 46450 19825 Lou Harris 50.00 X 0 188016 21453 Frances Sequeira 50.00 X 157614 28675 26676 Karen Wilson 50.00 X 152337 0 17790 Joseph Scarpa 50.00 X 319790 0 28172 Nelia Elman Lopez 50.00 X 161635 0 0 Ofelia R Castulo 50.00 X 161233 0 0 Ewa Winiarska 50.00 X 155797 0 8434 Dominic D'Ambrosio 50.00 X 146879 0 21403 1511619 1355845 305397 24 0 1 0 Burke Rehabilitation Hospital 785 Mamaroneck Avenue White Plains NY 10605 Rehab Services 2754793 Neighbors Home Care 2532 Boston Post Road Bronx NY 10467 Home Care Services 839481 Accentcare of New York Inc PO Box 416181 Boston MA 02241 Home Care Services 775676 Premier Health Care Services 445 Hamilton Avenue White Plains NY 10604 Home Care Services 698375 Bestcare Inc PO Box 9010 Levittown NY 11756 Home Care Services 499464 27 125492 48963 95955 82187 352597 Patient Service Rev. 623000 52757004 52757004 Residential Services 900099 1706704 1706704 54463708 145115 145115 180900 180900 180900 180900 50700 125492 64902 -14202 -14202 Cafeteria/Gift shop 722212 203892 203892 Rebates/Discounts 900099 36150 36150 Risk Management Salary 900099 35000 35000 52445 52445 327487 55455605 54463708 0 639300 606872 546185 60687 22172942 19955647 2217295 1349040 1214136 134904 4270418 3843376 427042 1999356 1799420 199936 148489 133640 14849 290841 261757 29084 4102 3692 410 8414536 7573082 841454 815900 730710 85190 2343281 2108953 234328 147113 132402 14711 39325 35392 3933 2654836 2389352 265484 2158315 1942483 215832 887785 799006 88779 Medical Supplies 2209006 1988105 220901 0 Purchased Services 1916770 1725093 191677 0 BSHSI Corp. Allocation 1325691 1193122 132569 0 Bad Debt 719724 719724 0 0 General Repairs & Maint 261372 235235 26137 0 3908279 3517451 390828 58643993 52847963 5796030 0 14009488 7985300 1657188 9469111 8769811 102511 127933 134708 125867 42345117 18457054 24969205 23888063 8079163 8650040 551536 57335063 51184861 8871228 7392219 47536 51265 35555000 34350000 228957 255058 6948465 6948465 4002109 3934660 55653295 52931667 X 118108 -3311270 1563660 1564464 1681768 -1746806 57335063 51184861 X -3188388 -240185 X 0 1 1 X 1 1 X 290224 225146 337654 172413 352597 1378034 55144503 57204358 60275719 58560465 54463708 285648753 55434727 57429504 60613373 58732878 54816305 287026787 0 0 0 287026787 1066194 460804 790759 491922 326015 3135694 1066194 460804 790759 491922 326015 3135694 367812 720082 639017 749638 378187 2854736 56868733 58610390 62043149 59974438 55520507 293017217 0.97960 0.97340 0.01070 0.02180 X Schedule A, Part II, Line 12, Explanation of Other Income: Fundraising Cafeteria/Gift Shop Risk Management Salary Rebates/Discounts All other revenue RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4102 4102 0 Explanation of Other Lobbying Activities: Part II-B, Line 1i: The organization pays association dues to the Continuing Care Leadership Coalition. Of these dues, 17.25% is allocated for lobbying purposes. 0 1 2895442 2895442 28421776 13772113 14649663 897508 326514 570994 8961155 4083476 4877679 1169236 274951 894285 23888063 Mellon 8079163 F 8079163 Accrued Interest Receivable 944625 Residents Funds 44450 Rent Security 15200 Patient Security Deposit 159085 Grants 155277 Asbestos removal 1124004 Due to Third Party 1486608 Due to Affiliates 5411 3934660 Part IV, Line 2b: Frances 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. Gala 176192 125492 50700 37984 5000 21918 176192 125492 50700 37984 5000 21918 64902 -14202 1 X X X X X 1 1 0 0 0 0 0 0 0 Dr Marlon Priest 0 515776 0 155966 0 29488 0 90096 0 32872 0 824198 0 0 James T Higgins 0 318905 0 45156 0 27413 0 27333 0 11343 0 430150 0 0 Kity Khundkar 153306 46450 28484 0 74544 0 3910 0 6645 9270 266889 55720 0 0 Lou Harris 0 105942 0 0 0 82074 0 7620 0 13833 0 209469 0 0 Frances Sequeira 133248 28675 15146 0 9220 0 2070 0 19171 5435 178855 34110 0 0 Karen Wilson 138929 0 12254 0 1154 0 603 0 17187 0 170127 0 0 0 Joseph Scarpa 252948 0 25834 0 41008 0 0 0 28172 0 347962 0 0 0 Nelia Elman Lopez 158328 0 0 0 3307 0 0 0 0 0 161635 0 0 0 Ofelia R Castulo 155820 0 1038 0 4375 0 0 0 0 0 161233 0 0 0 Ewa Winiarska 125489 0 12341 0 17967 0 56 0 8378 0 164231 0 0 0 Dominic D'Ambrosio 137191 0 6859 0 2829 0 0 0 21403 0 168282 0 0 0 Part I, Lines 4a-b Part 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 Committee Form 990, Part VI, Section A, line 2 Barbara Dimpel and Ralph Dimpel have a family relationship. Form 990, Part VI, Section A, line 6 Bon 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 7a As 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 7b Certain authorities of FSHH and FSHDFC are reserved to their member or to Bon Secours Health System, Inc. Form 990, Part VI, Section B, line 11 The 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. Form 990, Part VI, Section B, line 12c 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 15 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 C, line 19 Both FSHH and FSHDFC provide any documents open to public inspection upon request. Avg hours devoted to related org(s) when related comp is reported: 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. 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. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized losses on investments: -15,165. Pension related -225,827. Interest Income 804. Total to Form 990, Part XI, Line 5: -240,188. Bon Secours Health System Inc (BSHSI) 1505 Marriottville Road Marriottsville MD 21104 521301088 Parent Org - Management Services MD 501(c)(3) Line 11, Type II, SO Bon Secours Inc 0 0 0 1 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 NA