Bon Secours Kentucky Health System Inc: Form 990EZ, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- Bon Secours Kentucky Health System Inc (EIN 61-1356024)
- Tax period
- 2018-09-01 to 2019-08-31
- Filed
- 2020-06-15
- IRS object ID
- 202031679349201128
- Schema version
- 2018v3.1
- 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) |
|---|---|---|
| Return | 2020-06-15T15:30:29-05:00 | ReturnTs |
| Tax Period End | 2019-08-31 | TaxPeriodEndDt |
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2018-09-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 611356024 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bon Secours Kentucky Health System Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BONS | BusinessNameControlTxt |
| Phone | 6068333333 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1701 Mercy Health Drive | AddressLine1Txt |
| City | Cincinnati | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45237 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jason Asic | PersonNm |
| Person Title | INTERIM CHIEF Executive OFFICER | PersonTitleTxt |
| Signature | 2020-06-15 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-11-19 02:30:22Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | WWW.BONSECOURS.COM | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $0 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Gain Or Loss From Sale Of Assets | $0 | GainOrLossFromSaleOfAssetsAmt |
| Special Events Net Income Loss | $0 | SpecialEventsNetIncomeLossAmt |
| Gross Profit Loss Sls Of Invntry | $0 | GrossProfitLossSlsOfInvntryAmt |
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
| Total Revenue | $0 | TotalRevenueAmt |
| Grants And Similar Amounts Paid | $0 | GrantsAndSimilarAmountsPaidAmt |
| Other Expenses Total | $90,695 | OtherExpensesTotalAmt |
| Total Expenses | $90,695 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$90,695 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | -$363,106 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | -$453,801 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $363,106 | BOYAmt |
| EOY | $453,801 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$363,106 | BOYAmt |
| EOY | -$453,801 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | SUPPORT OUR LADY OF BELLEFONTE HOSPITAL, INC. AND RELATED ENTITIES | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | SUPPORT OUR LADY OF BELLEFONTE HOSPITAL INC. AND RELATED ENTITIES | DescriptionProgramSrvcAccomTxt |
| Program Service Expenses | $90,695 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $90,695 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (25 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| Christine Lay JD | ||||
| Board President (End 12/18) | 3.500 | $0 | $0 | $0 |
| Kevin Halter FACHE | ||||
| CEO - BSKY (End 04/19) | 2.000 | $0 | $0 | $0 |
| Jason Asic | ||||
| Interim BSKY CEO/President (Beg 06/19) | 2.000 | $0 | $0 | $0 |
| Thomas Morris PHD | ||||
| Board President (Beg 01/19), Chief Sponsorship/Theology Officer | 3.500 | $0 | $0 | $0 |
| Gregory JACkson | ||||
| Chairman (End 02/19) | 3.000 | $0 | $0 | $0 |
| Emily Watson | ||||
| Board Member (End 02/19); Chairman (Beg 02/19) | 3.000 | $0 | $0 | $0 |
| Laishy Williams-Carlson | ||||
| Board Member, SVP/CIO | 2.000 | $0 | $0 | $0 |
| Pamela Phillips | ||||
| Board Member, Chief Mission Officer-BSKY | 2.000 | $0 | $0 | $0 |
| Lori COOKsey | ||||
| Board Member | 2.000 | $0 | $0 | $0 |
| Geoffrey GRIFFITH | ||||
| Board Member | 2.000 | $0 | $0 | $0 |
| James MARTIN JR MD | ||||
| Board Member | 2.000 | $0 | $0 | $0 |
| Jason MCCloud OD | ||||
| Board Member | 2.000 | $0 | $0 | $0 |
| Stephen McGinnis JD | ||||
| Board Member | 2.000 | $0 | $0 | $0 |
| Kimberly Nall | ||||
| Board Member | 2.000 | $0 | $0 | $0 |
| James Payne Sr PhD | ||||
| Board Member | 2.000 | $0 | $0 | $0 |
| Nicole Pennington DNP RNC | ||||
| Board Member | 2.000 | $0 | $0 | $0 |
| Heather Shelton | ||||
| Board Member | 2.000 | $0 | $0 | $0 |
| Laura Timberlake | ||||
| Board Member | 2.000 | $0 | $0 | $0 |
| William Willan PHD | ||||
| Board Member | 2.000 | $0 | $0 | $0 |
| Rodney Hieneman | ||||
| Secretary, COO-BSKY (End 03/19) | 2.000 | $0 | $0 | $0 |
| Pam Hall | ||||
| Board Secretary (Beg 02/19) | 2.000 | $0 | $0 | $0 |
| Tyler Walters | ||||
| CFO-BSKY (Beg 09/18) | 2.000 | $0 | $0 | $0 |
| Laura BUczkowski | ||||
| Former Treasurer/CFO-BSKY (End 08/18) | 0 | $0 | $0 | $0 |
| Joe Buchheit | ||||
| Former Treasurer/CFO-BSKY (2018-2022) | 2.000 | $0 | $0 | $0 |
| John Wallenhorst PhD | ||||
| Former Board President | 0.000 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Tax Imposed Under IRC4911 | $0 | TaxImposedUnderIRC4911Amt |
| Tax Imposed Under IRC4912 | $0 | TaxImposedUnderIRC4912Amt |
| Tax Imposed Under IRC4955 | $0 | TaxImposedUnderIRC4955Amt |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRAVIS CRUM | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1701 MERCY HEALTH PLACE | AddressLine1Txt |
| City | CINCINNATI | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45237 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5139525000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type3 Func Int | Yes (X) | SupportingOrgType3FuncIntInd |
| Supported Organizations | 3 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (3 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| BELLEFONTE PHYSICIAN SERVICES | ||||
| 352320780 | 9 | false | $0 | $0 |
| BON SECOURS KENTUCKY HEALTH SYSTEM | ||||
| 611381952 | 7 | false | $0 | $0 |
| OUR LADY OF BELLEFONTE HOSPITAL | ||||
| 611356023 | 3 | false | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 3 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | false | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | false | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | false | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | false | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | false | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | false | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | false | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | false | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | false | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | false | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | false | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | false | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timely Provided Documents | Yes (true) | TimelyProvidedDocumentsInd |
| Officers Close Relationship | Yes (true) | OfficersCloseRelationshipInd |
| Supported Org Voice Investment | false | SupportedOrgVoiceInvestmentInd |
Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Parent Supported Org | Yes (X) | ParentSupportedOrgInd |
| Appoint Elect Majority Officer | Yes (true) | AppointElectMajorityOfficerInd |
| Exercise Direction Policies | Yes (true) | ExerciseDirectionPoliciesInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name | THE ORGANIZATION'S ARTICLES OF INCORPORATION SPECIFY THAT IT IS ORGANIZED AND OPERATED TO BENEFIT THE SISTERS OF BON SECOURS IN THE UNITED STATES AND ALL OTHER PUBLICLY SUPPORTED SECTION 509(A)(1) OR 509(A)(2) ORGANIZATIONS IN, OR OPERATING FOR THE BENEFIT OF, THE BON SECOURS MERCY HEALTH SYSTEM IN THE UNITED STATES. ALL OF THESE ORGANIZATIONS ARE CLOSELY RELATED IN PURPOSE AND FUNCTION IN THAT THEY CARRY OUT THE HEALTH CARE MISSION OF THE SISTERS OF BON SECOURS IN THE UNITED STATES. |
| Schedule A, Part IV, Section E, Line 3a Power To Appoint/Elect Majority of Officer/Director/Trustee | THE SUPPORTED ORGANIZATIONS ARE SUBJECT TO THE GENERAL SUPERVISION OR CONTROL OF THE FILING ORGANIZATION. PER THE GOVERNING DOCUMENTS OF EACH OF THE SUPPORTED ORGANIZATIONS, THE FILING ORGANIZATION AS THE SOLE CORPORATE MEMBER, HAS THE POWER TO REMOVE OR REPLACE ANY MEMBER OF THE BOARD OF DIRECTORS WITH OR WITHOUT CAUSE. |
| Schedule A, Part IV, Section E, Line 3b Substantial Direction Over Policies/Programs/Activities | THE SUPPORTED ORGANIZATIONS ARE SUBJECT TO THE GENERAL SUPERVISION OR CONTROL OF THE FILING ORGANIZATION. PER THE GOVERNING DOCUMENTS OF EACH OF THE SUPPORTED ORGANIZATIONS, THE FILING ORGANIZATION AS THE SOLE CORPORATE MEMBER, HAS THE POWER TO APPROVE STRATEGIC PLANS, CAPITAL BUDGETS, OPERATING BUDGETS, AS WELL AS CHANGE THE PHILOSOPHY, OBJECTIVES OR PURPOSES OF THE SUPPORTED ORGANIZATIONS. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990-EZ, Part I, Line 16 Other Expenses | CORPORATE DUES - 83949; INTEREST - 5933; OFFICE EXPENSES - 813; |
| Form 990-EZ, Part II, Line 26 Total Liabilities | DUE TO AFFILIATES - BOY:363106,EOY:453801; |