BON SECOURS WARWICK HEALTH FOUNDATION: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- BON SECOURS WARWICK HEALTH FOUNDATION (EIN 14-1972807)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-11-11
- IRS object ID
- 202543159349303534
- Schema version
- 2024v5.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-11-11T12:12:47+00:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE MANHATTAN WEST | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 100018604 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 141972807 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BON SECOURS WARWICK HEALTH FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BONS | BusinessNameControlTxt |
| Phone | 8453685151 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 255 LAFAYETTE AVENUE | AddressLine1Txt |
| City | SUFFERN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10901 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DR ANDREW T PICKENS | PersonNm |
| Person Title | EXECUTIVE DIRECTOR & SVP, CMO | PersonTitleTxt |
| Phone | 8453685000 | PhoneNum |
| Signature | 2025-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Yucen Zhong | PreparerPersonNm |
| PTIN | P01593150 | PTIN |
| Phone | 2127733000 | PhoneNum |
| Preparation | 2025-11-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DR ANDREW T PICKENS | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 255 LAFAYETTE AVENUE | AddressLine1Txt |
| City | SUFFERN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $228,140 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://wmchealthgiving.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2002 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | FUNDRAISING FOR THE BENEFIT OF ST. ANTHONY HOSPITAL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 35 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $141,114 | PYContributionsGrantsAmt |
| CY Contributions Grants | $209,815 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,761 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,710 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$685 | PYOtherRevenueAmt |
| CY Other Revenue | -$4,987 | CYOtherRevenueAmt |
| PY Total Revenue | $143,190 | PYTotalRevenueAmt |
| CY Total Revenue | $210,538 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $156,344 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $227,357 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $33,965 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $62,635 | PYOtherExpensesAmt |
| CY Other Expenses | $48,520 | CYOtherExpensesAmt |
| PY Total Expenses | $218,979 | PYTotalExpensesAmt |
| CY Total Expenses | $275,877 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$75,789 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$65,339 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,116,267 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,082,661 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,116,267 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,082,661 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE MISSION IS TO MAKE VISIBLE GOD'S LOVE AND TO BE GOOD HELP TO THOSE IN NEED, ESPECIALLY THOSE WHO ARE POOR, VULNERABLE AND DYING. AS A SYSTEM OF CAREGIVERS, WE COMMIT OURSELVES TO HELP BRING PEOPLE AND COMMUNITIES TO HEALTH AND WHOLENESS AS PART OF THE HEALING MINISTRY OF JESUS CHRIST AND THE CATHOLIC CHURCH. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $237,060 | ExpenseAmt |
| Grant | $227,357 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | BON SECOURS WARWICK HEALTH FOUNDATION IS THE FUNDRAISING ARM OF ST. ANTHONY COMMUNITY HOSPITAL AND SCHERVIER PAVILION. TOUCHING NUMEROUS RESIDENTS IN THE NEW YORK, NEW JERSEY AND PENNSYLVANIA TRI-STATE REGION, THE WORK OF THE BON SECOURS WARWICK HEALTH FOUNDATION HELPS TO FULFILL THE MISSION OF BON SECOURS TO GIVE COMPASSION AND HEALING TO THOSE IN NEED. JUST A FEW OF THE MANY WAYS THE FOUNDATION SUPPORTS ST. ANTHONY COMMUNITY HOSPITAL AND THE WARWICK HEALTHCARE CAMPUS INCLUDE: RAISING FUNDS TO HELP TO CONTINUE TO ADVANCE HEALTHCARE IN THE TRI-STATE REGION AND FOR NEW TECHNOLOGY AND EQUIPMENT, STAFF TRAINING AND EDUCATION, COMMUNITY WELLNESS PROGRAMS AND IMPROVEMENTS TO THE FACILITIES. | Desc |
| Total Program Service Expenses | $237,060 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | false | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Policies Reference Chapters | false | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEBORAH BRKICH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8453685305 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 255 LAFAYETTE AVENUE | AddressLine1Txt |
| City | SUFFERN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10901 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| BARBARA SULLIVAN | |||||||
| 2ND VICE CHAIR | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| KATIE BISARO | |||||||
| 1ST VICE CHAIR | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MARY JULIANO | |||||||
| CHAIR | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MARY LEAHY MD | |||||||
| CEO - BSCHS | 1.0 | 39.0 | Yes (X) | Yes (X) | $0 | $1,316,794 | $85,192 |
| STRATOS COLMAN | |||||||
| TREASURER | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CAROLINE HAMLING | |||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| FRANK PETRUCCI | |||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| GARRETT DURLAND | |||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| JACOB TUCKFELT | |||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| JANET GRAHN | |||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| KAREN GAUVIN | |||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| KIMBERLY A CORKUM | |||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| MARGUERITE MEIER | |||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| RAUL BERINA | |||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| SR SUSAN EVELYN RSM | |||||||
| BOARD MEMBER | 1.0 | 39.0 | Yes (X) | $0 | $0 | $0 | |
| TERRY QUINT | |||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,316,794 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $85,192 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $99,436 | FundraisingAmt |
| Related Organizations | $0 | RelatedOrganizationsAmt |
| Government Grants | $0 | GovernmentGrantsAmt |
| All Other Contributions | $110,379 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $209,815 | TotalContributionsAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $0 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,710 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,710 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $12,615 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $99,436 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $17,602 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$4,987 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$4,987 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $210,538 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $723 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,357 | TotalAmt |
| Program Services | $222,357 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,000 | TotalAmt |
| Program Services | $5,000 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,871 | TotalAmt |
| Program Services | $3,974 | ProgramServicesAmt |
| Management And General | $1,987 | ManagementAndGeneralAmt |
| Fundraising | $13,910 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,076 | TotalAmt |
| Program Services | $815 | ProgramServicesAmt |
| Management And General | $408 | ManagementAndGeneralAmt |
| Fundraising | $2,853 | FundraisingAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PURCHASED SERVICES | $20,521 | $4,104 | $2,052 | $14,365 |
| OTHER EXPENSES | $4,052 | $810 | $405 | $2,837 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $275,877 | TotalAmt |
| Program Services | $237,060 | ProgramServicesAmt |
| Management And General | $4,852 | ManagementAndGeneralAmt |
| Fundraising | $33,965 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $350,446 | BOYAmt |
| EOY | $119,773 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $765,821 | BOYAmt |
| EOY | $962,888 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,116,267 | BOYAmt |
| EOY | $1,082,661 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $350,446 | BOYAmt |
| EOY | $374,979 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $765,821 | BOYAmt |
| EOY | $707,682 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,116,267 | BOYAmt |
| EOY | $1,082,661 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,116,267 | BOYAmt |
| EOY | $1,082,661 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$65,339 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $31,733 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $66,082 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $204,218 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $83,193 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $141,114 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $209,815 | CurrentTaxYearAmt |
| Total | $704,422 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $66,082 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $204,218 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $83,193 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $141,114 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $209,815 | CurrentTaxYearAmt |
| Total | $704,422 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $164,956 | SubstantialContributorsTotAmt |
| Public Support Total170 | $539,466 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,707 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $124 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $682 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,761 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,710 | CurrentTaxYearAmt |
| Total | $13,984 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,711 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,942 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,200 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,615 | CurrentTaxYearAmt |
| Total | $55,468 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $773,874 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $0 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.69710 | PublicSupportCY170Pct |
| Public Support PY170 | 0.70908 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part II, Line 10 Other Income | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION - SPECIAL EVENT REVENUE, COLUMN A - 0.0, COLUMN B - 9711.0, COLUMN C - 21942.0, COLUMN D - 11200.0, COLUMN E - 12615.0, COLUMN F - 55468.0; | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $765,821 | BeginningYearBalanceAmt |
| Contributions | $222,430 | ContributionsAmt |
| Grants Or Scholarships | $222,357 | GrantsOrScholarshipsAmt |
| Other Expenditures | $58,212 | OtherExpendituresAmt |
| End Year Balance | $707,682 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $766,834 | BeginningYearBalanceAmt |
| Contributions | $152,314 | ContributionsAmt |
| Grants Or Scholarships | $153,244 | GrantsOrScholarshipsAmt |
| Other Expenditures | $83 | OtherExpendituresAmt |
| End Year Balance | $765,821 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,029,608 | BeginningYearBalanceAmt |
| Contributions | $105,135 | ContributionsAmt |
| Grants Or Scholarships | $347,250 | GrantsOrScholarshipsAmt |
| Other Expenditures | $20,659 | OtherExpendituresAmt |
| End Year Balance | $766,834 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $871,547 | BeginningYearBalanceAmt |
| Contributions | $213,929 | ContributionsAmt |
| Other Expenditures | $55,868 | OtherExpendituresAmt |
| End Year Balance | $1,029,608 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,017,103 | BeginningYearBalanceAmt |
| Contributions | $65,549 | ContributionsAmt |
| Grants Or Scholarships | $211,105 | GrantsOrScholarshipsAmt |
| End Year Balance | $871,547 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.0 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 1.0 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ASSETS LIMITED AS TO USE | Desc |
| Book Value | $962,888 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $962,888 | TotalBookValueOtherAssetsAmt |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $0 | RevenueSubtotalAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $0 | TotalRevenuePerForm990Amt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $0 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $0 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part V, Line 4 Intended uses of endowment funds | FormAndLineReferenceDesc |
| Explanation | TO SUPPORT THE MISSION OF ST. ANTHONY COMMUNITY HOSPITAL THROUGH PROGRAM FUNDING AND CAPITAL ACQUISITIONS. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF OUTING | Event1Nm |
| Gross Receipts Event1 | $65,956 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $53,341 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $12,615 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $15,802 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $1,800 | OtherDirectExpensesEvent1Amt |
| Event2 | WINDING THROUGH WARWICK | Event2Nm |
| Gross Receipts Event2 | $46,095 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $46,095 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $0 | GrossRevenueEvent2Amt |
| Gross Receipts Other Events | $0 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $0 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $0 | GrossRevenueOtherEventsAmt |
| Gross Receipts Total | $112,051 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $99,436 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $12,615 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $15,802 | RentFcltyCostsTotalEventsAmt |
| Oth Direct Expnss Total Events | $1,800 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $17,602 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$4,987 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST ANTHONY COMMUNITY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 160 E MAIN ST | AddressLine1Txt |
| City | PORT JERVIS | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12771 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 141340100 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $222,357 | CashGrantAmt |
| Purpose Of Grant | GENERAL PURPOSE | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION COMPLIES WITH BON SECOURS HEALTH SYSTEM, INC.'S SYSTEM-WIDE FINANCIAL AND ACCOUNTING POLICIES. CONTRIBUTIONS ARE GENERALLY MADE AS REIMBURSEMENT FOR FUNDS SPENT. IN SUCH CASES, THE DONEE/GRANTEE ORGANIZATION MUST PROVIDE DOCUMENTATION TO THE FILING ORGANIZATION BEFORE FUNDS ARE APPROVED FOR DISBURSEMENT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY LEAHY MD | PersonNm |
| Title | CEO - BSCHS | TitleTxt |
| Base Compensation Filing Org | $0 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $1,222,635 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $94,159 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $0 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $48,300 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $0 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $36,892 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $0 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $1,401,986 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | THE FILING ORGANIZATION PARTICIPATES IN A BON SECOURS CHARITY HEALTH SYSTEM, INC. SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN THAT ALLOWS FOR DEPOSITS INTO ADDITIONAL RETIREMENT PLANS AND IS AVAILABLE ONLY TO OFFICERS AND CERTAIN OTHER EMPLOYEES. THE 457(F) PLAN IS A NON-QUALIFIED PLAN AND IS SUBJECT TO A MINIMUM THREE-YEAR SERVICE REQUIREMENT BEFORE VESTING ON DEPOSITS MADE INTO THE PLAN. THE FOLLOWING INDIVIDUAL(S) RECEIVED A PAYMENT DURING THE TAX YEAR: MARY LEAHY - $4,435 |
| Schedule J, Part I, Line 3 | THE ORGANIZATION IS SUBJECT TO THE COMPENSATION POLICIES AND PROCESS ESTABLISHED BY THE MAJORITY MEMBER OF BSCHS WITH RESPECT TO THE SYSTEM OF RELATED ENTITIES UNDER ITS DIRECTION. PURSUANT TO THAT PROCESS, THE PERSONNEL AND COMPENSATION COMMITTEE OF THE MAJORITY MEMBER OF BSCHS' BOARD OF DIRECTORS SETS THE LEVEL OF TOTAL COMPENSATION (BASE SALARY AND INCENTIVE COMPENSATION) AND BENEFITS PROVIDED TO SENIOR EXECUTIVES. TO SET TOTAL COMPENSATION LEVELS, THE COMMITTEE WORKS WITH A NATIONAL INDEPENDENT COMPENSATION CONSULTING FIRM TO ENSURE THAT EXECUTIVE COMPENSATION LEVELS ARE REASONABLE AND APPROPRIATE RELATIVE TO SIMILAR POSITIONS IN COMPARABLE ORGANIZATIONS, BASED ON OBJECTIVE SURVEY DATA. EXECUTIVES' TOTAL COMPENSATION OPPORTUNITIES INCLUDE INCENTIVE COMPENSATION ARRANGEMENTS BASED ON EACH EXECUTIVE'S ACHIEVEMENT OF SPECIFIC PERFORMANCE GOALS SET FORTH AT THE START OF EACH CALENDAR YEAR, THE ACHIEVEMENT OF WHICH IS MEASURED AT THE END OF EACH CALENDAR YEAR BY THE CEO OR THE BOARD OF DIRECTORS (DEPENDING ON THE ROLE). LEADERS IN ROLES BELOW THE SENIOR EXECUTIVE TIER ARE NOT SUBJECT TO THIS BOARD PROCESS, BUT ARE SUBJECT TO COMPENSATION AND BENEFIT ARRANGEMENTS UNDER THE ESTABLISHED POLICIES AND PROGRAMS OF THE MAJORITY MEMBER OF BSCHS. UNDER THOSE POLICIES AND PROGRAMS, ALL COMPENSATION ARRANGEMENTS ARE ADMINISTERED IN A MANNER INTENDED TO ENSURE COMPETITIVE POSITIONING AND TO PERMIT EFFECTIVE RECRUITMENT AND RETENTION, WHILE NOT EXCEEDING REASONABLE, FAIR MARKET LEVELS. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 13 Line 14 | WRITTEN WHISTLEBLOWER AND DOCUMENT RETENTION AND DESTRUCTION POLICIES: THE FOUNDATION DOES NOT HAVE ITS OWN WRITTEN WHISTLEBLOWER AND DOCUMENT RETENTION POLICIES. HOWEVER, THE FOUNDATION DOES FOLLOW THE POLICIES APPROVED BY THE BOARD OF ITS RELATED ORGANIZATION, BON SECOURS CHARITY HEALTH SYSTEM, INC. |
| Form 990, Part VI, Line 2 Family/business relationships amongst interested persons | GARRETT DURLAND AND RAUL BERINA - Business relationship, GARRETT DURLAND AND CAROLINE HAMLING - Business relationship |
| Form 990, Part VI, Line 6 Classes of members or stockholders | MEMBERS OR STOCKHOLDERS: ST. ANTHONY COMMUNITY HOSPITAL IS THE SOLE MEMBER OF BON SECOURS WARWICK HEALTH FOUNDATION (BSWHF). |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | POWER TO ELECT OR APPOINT MEMBERS: THE GOVERNING BODY OF BON SECOURS WARWICK HEALTH FOUNDATION IS APPOINTED BY ITS MEMBER, ST. ANTHONY COMMUNITY HOSPITAL AND IS SUBJECT TO THE APPROVAL OF WMC HEALTH NETWORK - ROCKLAND, INC. ONE OF THE THREE CORPORATE MEMBERS OF BON SECOURS CHARITY HEALTH SYSTEM, INC. (BSCHS) ALONG WITH BON SECOURS MERCY HEALTH, INC (BSMH) AND THE SISTERS OF CHARITY OF SAINT ELIZABETH. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS: CERTAIN AUTHORITIES OF BON SECOURS WARWICK HEALTH FOUNDATION ARE RESERVED TO ITS MEMBER OR ARE JOINTLY RESERVED TO WMC HEALTH NETWORK - ROCKLAND, INC., BSMH AND THE SISTERS OF CHARITY, THE THREE CORPORATE MEMBERS OF BON SECOURS CHARITY HEALTH SYSTEM, INC. |
| Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body | THERE ARE NO SEPARATE COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE FORM 990 WAS PREPARED BY THE ORGANIZATION'S TAX ADVISORS WITH ASSISTANCE FROM THE ORGANIZATION'S FINANCE DEPARTMENT AND OTHER DEPARTMENTS THROUGHOUT THE ORGANIZATION. THE FORM 990 WAS REVIEWED BY SENIOR MANAGEMENT AND THEN WAS PRESENTED TO THE FINANCE COMMITTEE OF THE MAJORITY MEMBER OF BSCHS' BOARD OF DIRECTORS FOR REVIEW AND APPROVAL FOR FILING; THE FINANCE COMMITTEE REPORTS OUT TO THE MAJORITY MEMBER OF BSCHS' FULL BOARD. |
| Form 990, Part VI, Line 12c Conflict of interest policy | THE MAJORITY MEMBER OF BSCHS MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY MEANS OF A SURVEY DEVELOPED AND APPROVED BY THE CHIEF COMPLIANCE OFFICER OF THE MAJORITY MEMBER OF BSCHS. THE SURVEY IS SENT TO ALL TRUSTEES, OFFICERS, AND KEY EXECUTIVES FOR COMPLETION. ALL SURVEY RESPONSES ARE REVIEWED BY THE CHIEF COMPLIANCE OFFICER. ANY POTENTIAL CONFLICTS IDENTIFIED IN THE RESPONSES ARE DISCUSSED WITH SENIOR MANAGEMENT AND/OR REFERRED TO THE WMCHEALTH CONFLICTS OF INTEREST COMMITTEE FOR DISCUSSION. POTENTIAL ACTIONS TO BE TAKEN IN RESPONSE TO A CONFLICT CAN BE ONE OR MORE OF THE FOLLOWING: 1) FURTHER DISCLOSURE OF THE CONFLICT 2) INDIVIDUAL RECUSAL FROM DECISIONS FOR TRANSACTIONS WHERE THAT INDIVIDUAL MAY HAVE A CONFLICT 3) REQUEST IN WRITING THE INDIVIDUAL ALLEVIATES THE CONFLICT 4) REMOVAL OF THE INDIVIDUAL FROM THEIR POSITION |
| Form 990, Part VI, Line 19 Required documents available to the public | PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC: GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| Form 990, Part VII, Section A, Line 1a Compensation | BOARD MEMBER POSITIONS ARE GENERALLY VOLUNTARY IN NATURE. COMPENSATED EMPLOYEES OF RELATED ORGANIZATIONS WHO ALSO HOLD BOARD POSITIONS ARE COMPENSATED ONLY IN RELATION TO THER EMPLOYMENT AND DO NOT RECEIVE ADDITIONAL COMPENSATION FOR THEIR BOARD RESPONSIBILITIES. SISTER SUSAN EVELYN DOES NOT RECEIVE COMPENSATION AS SHE HAS TAKEN A VOW OF POVERTY. |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | TRANSFER FROM AFFILIATE - 31733; Total - 31733; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Public Charity StatusPublicCharityStatusTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| WMC HEALTH NETWORK - ROCKLAND INC | ||||||||||
| 100 WOODS ROAD | VALHALLA | NY | 10595 | 320467873 | SUPPORTING | NY | 501(c)(3) | NA | false | |
| WMC HEALTH NETWORK - ULSTER INC | ||||||||||
| 100 WOODS ROAD | VALHALLA | NY | 10595 | 320477183 | SUPPORTING | NY | 501(c)(3) | WCHCC | false | |
| WESTCHESTER COUNTY HEALTH CARE CORP | ||||||||||
| 100 WOODS ROAD | VALHALLA | NY | 10595 | 133964321 | HEALTHCARE | NY | NA | false | ||
| WMC NEW YORK INC | ||||||||||
| 100 WOODS ROAD | VALHALLA | NY | 10595 | 134107894 | FUNDRAISING | NY | 501(c)(3) | WCHCC | false | |
| NORTH ROAD LHCSA INC | ||||||||||
| 241 NORTH ROAD | POUGHKEEPSIE | NY | 12601 | 465293268 | HOMECARE SVCS | NY | 501(c)(3) | WCHCC | false | 10 |
| MID-HUDSON VALLEY EARLY EDUCATION CENTER | ||||||||||
| 100 WOODS RD TAYLOR PAVILION | VALHALLA | NY | 10595 | 465534882 | PRESCHOOL | NY | 501(c)(3) | WCHCC | false | 7 |
| WESTCHESTER MEDICAL CENTER FOUNDATION | ||||||||||
| 100 WOODS ROAD | VALHALLA | NY | 10595 | 134095845 | FUNDRAISING | NY | 501(c)(3) | WCHCC | false | 7 |
| HEALTHALLIANCE INC | ||||||||||
| 741 GRANT AVENUE | LAKE KATRIN | NY | 12449 | 261850453 | SUPPORTING | NY | 501(c)(3) | WCHCC | false | |
| HEALTHALLIANCE HOSPITAL BROADWAY CAMPUS | ||||||||||
| 396 BROADWAY | KINGSTON | NY | 12401 | 141349558 | EXEMPT HOSP | NY | 501(c)(3) | HA INC | false | 3 |
| HEALTHALLIANCE HOSP MARY'S AVE CAMPUS | ||||||||||
| 105 MARYS AVENUE | KINGSTON | NY | 12401 | 141338470 | EXEMPT HOSP | NY | 501(c)(3) | HA INC | false | 3 |
| MARGARETVILLE MEMORIAL HOSPITAL | ||||||||||
| 42084 STATE ROUTE 28 | MARGARETVILLE | NY | 12455 | 150552726 | EXEMPT HOSP | NY | 501(c)(3) | HA INC | false | 3 |
| MARGARETVILLE NURSING HOME INC | ||||||||||
| 42158 STATE HIGHWAY 28 | MARGARETVILLE | NY | 12455 | 223143565 | NURSING HOME | NY | 501(c)(3) | MMH | false | 10 |
| MARGARETVILLE HEALTH FOUNDATION | ||||||||||
| 42084 STATE ROUTE 28 | MARGARETVILLE | NY | 12455 | 261998454 | SUPPORT FDN | NY | 501(c)(3) | MMH | false | 10 |
| GOOD SAMARITAN FDN FOR BETTER HEALTH | ||||||||||
| 255 LAFAYETTE AVE | SUFFERN | NY | 10901 | 133400353 | SUPPORT FDN | NY | 501(c)(3) | BSCHS | false | 7 |
| BON SECOURS COMMUNITY HOSPITAL FDN | ||||||||||
| 255 LAFAYETTE AVE | SUFFERN | NY | 10901 | 810667395 | SUPPORT FDN | NY | 501(c)(3) | BSCHS | false | 7 |
| BON SECOURS CHARITY HEALTH SYSTEM INC | ||||||||||
| 255 LAFAYETTE AVE | SUFFERN | NY | 10901 | 912135195 | SUPPORTING | NY | 501(c)(3) | WMC HEALTH NETWORK-ROCKLAND | false | Type III-FI |
| HEALTHALLIANCE FOUNDATION INC | ||||||||||
| 741 GRANT AVENUE | LAKE KATRINE | NY | 12449 | 222511450 | FUNDRAISING | NY | 501(c)(3) | HA INC | false | 7 |
| WMC ADVANCED PHYSICIAN SERVICES PC | ||||||||||
| 100 WOODS RD TAYLOR PAVILION M222 | VALHALLA | NY | 10595 | 264709927 | HEALTHCARE | NY | 501(c)(3) | WCHCC | false | 10 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|
| HUDSON RIVER WEST INSURANCE LIMITED | |||||||||
| CAP INSURANCE | BSCHS | C Corporation | false | ||||||
| HUDSON RIVER NORTH INSURANCE LIMITED | |||||||||
| CAP INSURANCE | HEALTHALLIANCE | C Corporation | false | ||||||
| NORTHEAST PROVIDER SOLUTIONS INC | |||||||||
| MSO & HEARING | NA | C Corporation | false | 100 WOODS ROAD | VALHALLA | NY | 10595 | 133991673 | NY |
| WCHCC (BERMUDA) LIMITED | |||||||||
| CAP INSURANCE | NA | C Corporation | false | ||||||
| KINGSTON REGIONAL HEALTH CARE ENTERPRISE | |||||||||
| INVESTMENT | HAH BWAY | C Corporation | false | 396 BROADWAY | KINGSTON | NY | 12401 | NY | |
| MID HUDSON PHYSICIANS PC | |||||||||
| MEDICAL SVCS | NA | C Corporation | false | 396 BROADWAY | KINGSTON | NY | 12401 | 203564769 | NY |
| BSCHS MEDICAL GROUP PC | |||||||||
| PHYSICIAN OFF | BSCHS | C Corporation | false | 821632215 | NJ | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule R, Part II BON SECOURS CHARITY HEALTH SYSTEM, INC. (BSCHS) | FormAndLineReferenceDesc |
| Explanation | BON SECOURS WARWICK HEALTH FOUNDATION HAS A BROTHER-SISTER RELATIONSHIP WITH BSCHS'S SIX SUBORDINATES IN A GROUP EXEMPTION WITHIN BSCHS. | ExplanationTxt |