BON SECOURS CHARITY HEALTH SYSTEM AFFILIATED GROUP: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: BON SECOURS CHARITY HEALTH SYSTEM AFFILIATED GROUP (EIN 45-2964467)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-14
IRS object ID: 201623199349302377
Schema version: 2015v2.1
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 C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-14T09:17:57-06:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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	5 TIMES SQUARE	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10036	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	452964467	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Bon Secours Charity Health System Affiliated	BusinessNameLine1Txt
Business Name Line2	Group	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
In Care Of	% PETER KENNIFF	InCareOfNm
Business Name Control	BONS	BusinessNameControlTxt
Phone	8453685000	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	Peter Kenniff	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	8453685305	PhoneNum
Signature	2016-11-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Laura Kielczewski	PreparerPersonNm
PTIN	P00740769	PTIN
Phone	2127733000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Peter Kenniff	PrincipalOfficerNm

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	$497,124,318	GrossReceiptsAmt
Group Return For Affiliates	Yes (true)	GroupReturnForAffiliatesInd
All Affiliates Included	Yes (true)	AllAffiliatesIncludedInd
Group Exemption	5747	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.bschs.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	Acute care hospitals, physician services and long-term care facilities	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	3728	TotalEmployeeCnt
Total Volunteers	328	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$9,653,393	PYContributionsGrantsAmt
CY Contributions Grants	$1,497,461	CYContributionsGrantsAmt
PY Program Service Revenue	$487,062,500	PYProgramServiceRevenueAmt
CY Program Service Revenue	$482,355,796	CYProgramServiceRevenueAmt
PY Investment Income	$415,336	PYInvestmentIncomeAmt
CY Investment Income	$204,603	CYInvestmentIncomeAmt
PY Other Revenue	$5,461,773	PYOtherRevenueAmt
CY Other Revenue	$13,066,458	CYOtherRevenueAmt
PY Total Revenue	$502,593,002	PYTotalRevenueAmt
CY Total Revenue	$497,124,318	CYTotalRevenueAmt
PY Grants And Similar Paid	$17,400	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$10,244	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$263,235,756	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$275,917,838	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$254,460,787	PYOtherExpensesAmt
CY Other Expenses	$229,858,410	CYOtherExpensesAmt
PY Total Expenses	$517,713,943	PYTotalExpensesAmt
CY Total Expenses	$505,786,492	CYTotalExpensesAmt
PY Revenues Less Expenses	-$15,120,941	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$8,662,174	CYRevenuesLessExpensesAmt
Total Assets BOY	$297,500,374	TotalAssetsBOYAmt
Total Assets EOY	$226,182,504	TotalAssetsEOYAmt
Total Liabilities BOY	$365,553,525	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$205,507,276	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$68,053,151	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$20,675,228	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$451,763,461	ExpenseAmt
Grant	$10,244	GrantAmt
Revenue	$490,434,051	RevenueAmt
Desc	Bon Secours Charity Health System Affiliated Group is composed of three acute care hospitals, primary and specialty medical care practices and two long-term care and residential facilities: Good Samaritan Hospital of Suffern, NY; Bon Secours Community Hospital; St. Anthony Community Hospital; Bon Secours Charity Health System Medical Group, PC; St. Francis Center at the Knolls (dba Mount Alverno Center); and Villas Francis at the Knolls (dba Schervier Pavilion). Good Samaritan Hospital (GSH) operates a 286-bed hospital located in Suffern, New York that provides emergency, medical, surgical, obstetrical/gynecological and acute care services to Rockland and Orange Counties, New York and northern Bergen County, New Jersey. GSH has a Level II Trauma Center, a designated stroke center and acute myocardial infarction (AMI) program, and a regional cardiovascular program, providing open hear surgery, a cardiac catheterization laboratory, emergency angioplasty, electrophysiology studies and a pacemaker clinic. GSH has received many awards and in 2014 was named one of the nation's 50 Top Cardiovascular Hospitals by Truven Health Analytics. GSH offers a comprehensive women's breast center, wound and hyperbaric center, sleep study center and maternal/child services, including a Level II neonatal intensive care unit supported by pediatric subspecialists from Westchester Medical Center (WMC). GSH's surgical weight loss institute provides pre-operative, surgical care and outpatient post-operative bariatric support. GSH provides kidney dialysis, psychiatric and substance abuse services and a range of social support services, education and population health services. The campus also includes a medical office building housing a state-of-the-art ambulatory surgery center, and primary care and specialty physicians. GSH's Certified Home Care Agency provides home health services to the residents of Rockland and Orange Counties, New York. This program is for patients who have acute needs and require home care for a relatively short period of time and will be discharged when they are stabilized or returned to a pre-illness level of functioning. Additional services include wound and ostomy assessments, physical therapy, occupational therapy, speech pathology, medical social work, nutrition and home health aides. The home health agency is certified for expansion into Manhattan and Westchester County, New York. Bon Secours Community Hospital (BSCH) operates a 122-bed acute care hospital located in Port Jervis, New York that provides community-based care to residents in the Port Jervis, New York and surrounding areas (Orange and Sullivan Counties in New York, Sussex County in New Jersey and Pike County in Pennsylvania). BSCH provides emergency care, laboratory and imaging services, medical and surgical services, and intensive care unit, inpatient dialysis, cardiopulmonary care, infusion therapy and outpatient wound care and diabetes programs. BSCH also offers inpatient psychiatric services and a chemical dependency program. A medical office building with primary care and diagnostic services is located across the street from BSCH. BSCH also offers a wide range of health education and population health support services for the community. St. Joseph's Place is a 46-bed nursing care center located on the first floor of BSCH that provides 24-hour nursing care, long- and short-term rehabilitation, tracheotomy care, head trauma care, respiratory care and psychological services. St. Anthony's Community Hospital (SACH) operates a 60-bed hospital that is located in Warwick, New York serving the residents of Orange County, New York, and Sussex and Passaic Counties, New Jersey. SACH provides emergency care, medical and surgical services, laboratory and imaging services, obstetrical, and gynecological and orthopedics. The SACH ambulatory services center provides various convenient services, including admitting, pre-admission screening, endoscopy, minor surgery and same-day surgery. An infusion center provides long-term intravenous antibiotics, blood transfusions, iron therapy, chemotherapy and long-term catheter insertion and maintenance. SACH education and outreach services include a diabetes education program and population health improvement programs. Bon Secours Charity Health System Medical Group, PC (MedPC) provides medical services to Suffern, New York and surrounding communities. Their services include primary care and various specialty professional services. The organization seeks to locate its physician practice sites in areas that most effectively meet the needs of the community. Villa Francis at the Knolls, Inc. d/b/a Schervier Pavilion (Schervier) is a 122-bed, skilled nursing facility located in Warwick, New York. Schervier provides therapeutic and social activities designed to enhance the physical and mental capabilities to help residents maintain and optimize their level of daily independence. Schervier is part of the 27-acre Warwick campus that includes Mount Alverno Center and SACH. Located in Schervier is a full-service adult day care program known as Day-At-A-Time. It provides health care, recreational and therapeutic activities from two to five days per week for the cognitively impaired and physically frail. The program provides an alternative to nursing home placement and home health care. St. Francis Center at the Knolls, Inc. d/b/a Mount Averno Center (Mount Alverno) is an adult home located on the SACH campus with an assisted living program serving 85 residents by providing individualized care plans designed to help residents reach and maintain a maximum level of independence.	Desc
Total Program Service Expenses	$451,763,461	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	Yes (true)	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	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	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
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 With Officer Ent	false	BusinessRlnWithOfficerEntInd
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
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	320	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3728	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
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	false	QuidProQuoContributionsInd
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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	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	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
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	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	PETER KENNIFF	PersonNm
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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (46 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	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Steve Dormer
Board Member	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
Tamer El-Rayess
Treasurer	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
Sandra Grannum
Board Member	1.0	1.0	Yes (X)		$0	$0	$0
Linda Hunter MD
Board Member (End 05/15)	1.0	1.0	Yes (X)		$0	$0	$0
Steve Kent
Board Member (End 05/15)	1.0	1.0	Yes (X)		$0	$0	$0
Sylvain Klein
Board Member (End 05/15)	1.0	1.0	Yes (X)		$0	$0	$0
Mary Leahy MD
CEO - BSCHS	36.0	4.0	Yes (X)	Yes (X)	$70,705	$880,733	$86,622
Sr Anne Lutz
Board Member (End 05/15)	1.0	39.0	Yes (X)		$0	$0	$0
Sr Roseann Mazzeo
Board Member (End 05/15)	1.0	1.0	Yes (X)		$0	$0	$0
Andrea Mazzoccoli
Board Member (End 05/15)	1.0	39.0	Yes (X)		$0	$765,982	$60,742
Sr Mary Eileen O'Brien
Board Member (End 05/15)	1.0	1.0	Yes (X)		$0	$0	$0
Clement Osei MD
Board Member (End 05/15)	39.0	1.0	Yes (X)		$181,757	$0	$30,216
Robert Porr
Board Member (End 05/15)	1.0	1.0	Yes (X)		$0	$0	$0
Daniel Rifkin
Board Member (End 05/15)	1.0	1.0	Yes (X)		$0	$0	$0
Kenneth Steinglass MD
Board Member (End 05/15)	1.0	1.0	Yes (X)		$0	$0	$0
John Wallenhorst PhD
Board Member	1.0	39.0	Yes (X)	Yes (X)	$0	$471,244	$22,057
Mark Tulis
Chair	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Mark Nantz
1st Vice Chair	1.0	39.0	Yes (X)	Yes (X)	$0	$1,292,681	$127,721
Zubeen Shroff
Vice Chair	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Michael Israel
Vice Chair	0.5	39.5	Yes (X)	Yes (X)	$0	$2,175,973	$148,160
John Heimerdinger
Secretary	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Anthony Mahler
Board Member	0.5	39.5	Yes (X)		$0	$447,254	$97,904
Susan Gervertz
Board Member	1.0	2.0	Yes (X)		$0	$0	$0
Renee Garrick MD
Board Member	0.5	39.5	Yes (X)		$0	$0	$0
Gary Brudnicki
Board Member	0.5	39.5	Yes (X)		$0	$1,263,967	$142,132
Richard Wishnie
Board Member	1.0	1.0	Yes (X)		$0	$0	$0
Julie Switzer
Board Member	0.5	39.5	Yes (X)		$0	$694,385	$122,300
Maureen Creegan
Secretary (End 05/15)	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
Sr Ellen Dauwer
Board Member	1.0	1.0	Yes (X)		$0	$0	$0
Marsha Casey
Board Member	1.0	39.0	Yes (X)		$0	$833,630	$122,753
Martin Evers MD
President - MedPC	40.0	0.0		Yes (X)	$295,790	$0	$42,886
Peter Kenniff
CFO	39.0	1.0		Yes (X)	$421,549	$0	$6,661
Rodney Williams MD
CMO	40.0	0.0			$543,032	$0	$29,370	Yes (X)
Pamela Tarulli
SVP HR	40.0	0.0			$341,622	$0	$36,377	Yes (X)
Jeffrey Reilly
COO (END 12/15)	38.0	2.0			$407,925	$0	$24,663	Yes (X)
Sophie Crawford-Rosso
VP PCS	40.0	0.0			$174,544	$0	$26,020	Yes (X)
Judith Lindberg
VP PCS	40.0	0.0			$191,484	$0	$20,753	Yes (X)
Toni Clark
EVP Senior Services	40.0	0.0			$256,324	$0	$21,808	Yes (X)
Deborah Marshall
SVP Marketing/Strategy	40.0	0.0			$247,114	$0	$32,448	Yes (X)
Maureen Price
CIO	40.0	0.0			$253,079	$0	$14,322	Yes (X)
Phyllis Yezzo
SVP PCS	40.0	0.0			$177,747	$0	$3,821	Yes (X)
Cary Hirsch MD
Physician	40.0	0.0			$1,083,208	$0	$20,295		Yes (X)
Thomas Facelle MD
Director of Surgery	40.0	0.0			$785,932	$0	$21,820		Yes (X)
Seth Hurwitz MD
Cardiologist	40.0	0.0			$727,027	$0	$44,252		Yes (X)
Lee Root MD
Physician	40.0	0.0			$681,052	$0	$44,446		Yes (X)
Leon Harris
Physician	40.0	0.0			$670,521	$0	$23,963		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,510,412	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$8,825,849	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,374,512	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	356	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Crothall Healthcare Inc
13028 Collections Center	Chicago	IL	60693	Engineering	$6,990,091
Morrison Management Specialists
PO Box 102289	Atlanta	GA	30368	Food Services	$4,927,113
Aramark CTS Inc
12483 Collections Center Dr	Chicago	IL	60693	Engineering	$4,150,178
Access Rehabilitation Services
16 Maybrook Rd Ste H	Campbell Hall	NY	10916	Rehab Therapy	$3,623,801
Hospital Attending Physicians
484 Temple Hill Rd Ste 102	New Windsor	NY	12553	Physician Services	$2,454,821

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	89	CntrctRcvdGreaterThan100KCnt
Fundraising	$0	FundraisingAmt
Related Organizations	$1,141,253	RelatedOrganizationsAmt
Government Grants	$355,746	GovernmentGrantsAmt
All Other Contributions	$462	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$1,497,461	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICE REVENUE	623000	$481,497,255	$481,497,255	$0	$0
Capitation Revenue	623000	$858,541	$858,541	$0	$0

Field	Value	IRS element (for citing)
Total Program Service Revenue	$482,355,796	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$204,603	TotalRevenueColumnAmt
Exclusion	$204,603	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$802,976	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$802,976	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$802,976	TotalRevenueColumnAmt
Exclusion	$802,976	ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
IAAF/VAPAP	900099	$6,869,955	$6,869,955	$0	$0
MEANINGFUL USE	900099	$2,379,998	$0	$0	$2,379,998
INCENTIVES, REBATES & REFUNDS	900099	$961,053	$961,053	$0	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,052,476	TotalRevenueColumnAmt
Related Or Exempt Func Income	$247,247	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,805,229	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$12,263,482	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$497,124,318	TotalRevenueColumnAmt
Related Or Exempt Func Income	$490,434,051	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$5,192,806	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$10,244	TotalAmt
Program Services	$10,244	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,856,389	TotalAmt
Program Services	$385,639	ProgramServicesAmt
Management And General	$3,470,750	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$201,576,669	TotalAmt
Program Services	$193,708,277	ProgramServicesAmt
Management And General	$7,868,392	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,755,952	TotalAmt
Program Services	$6,814,199	ProgramServicesAmt
Management And General	$941,753	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$40,006,222	TotalAmt
Program Services	$39,255,112	ProgramServicesAmt
Management And General	$751,110	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$22,722,606	TotalAmt
Program Services	$21,890,537	ProgramServicesAmt
Management And General	$832,069	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,215,481	TotalAmt
Program Services	$157,174	ProgramServicesAmt
Management And General	$1,058,307	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$265,126	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$265,126	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$66,341	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$66,341	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$24,718,311	TotalAmt
Program Services	$23,514,605	ProgramServicesAmt
Management And General	$1,203,706	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$508,353	TotalAmt
Program Services	$28,381	ProgramServicesAmt
Management And General	$479,972	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,237,644	TotalAmt
Program Services	$4,577,226	ProgramServicesAmt
Management And General	$2,660,418	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,725,706	TotalAmt
Program Services	$950,283	ProgramServicesAmt
Management And General	$775,423	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$14,052,324	TotalAmt
Program Services	$11,783,438	ProgramServicesAmt
Management And General	$2,268,886	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,006,735	TotalAmt
Program Services	$905,378	ProgramServicesAmt
Management And General	$101,357	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$58,272	TotalAmt
Program Services	$32,974	ProgramServicesAmt
Management And General	$25,298	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$9,294,536	TotalAmt
Program Services	$9,294,536	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$24,275,408	TotalAmt
Program Services	$24,094,491	ProgramServicesAmt
Management And General	$180,917	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$8,346,937	TotalAmt
Program Services	$6,366,293	ProgramServicesAmt
Management And General	$1,980,644	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical Supplies	$64,580,250	$64,580,250	$0	$0
Purchased Services	$60,788,190	$38,422,469	$22,365,721	$0
BSHSI/WMC Mgmt Dues	$4,350,555	$0	$4,350,555	$0
OTHER EXPENSES	$7,368,241	$4,991,955	$2,376,286	$0

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$505,786,492	TotalAmt
Program Services	$451,763,461	ProgramServicesAmt
Management And General	$54,023,031	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$112,880	BOYAmt
EOY	$700,275	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$308,212	BOYAmt
EOY	$350,643	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$29,500	BOYAmt
EOY	$2,380,498	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$66,459,131	BOYAmt
EOY	$63,808,052	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	$999,959	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,315,491	BOYAmt
EOY	$8,277,412	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,337,116	BOYAmt
EOY	$4,048,514	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$327,829,164	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$190,341,065	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$159,423,502	BOYAmt
EOY	$137,488,099	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$5,521,772	BOYAmt
EOY	$281,227	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$729,184	BOYAmt
EOY	$445,658	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$51,263,627	BOYAmt
EOY	$8,402,126	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$297,500,374	BOYAmt
EOY	$226,182,504	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$50,793,427	BOYAmt
EOY	$53,294,781	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	$2,387,879	BOYAmt
EOY	$2,331,046	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	$80,087	BOYAmt
EOY	$108,960	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	$157,257	BOYAmt
EOY	$126,916,106	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	$312,134,875	BOYAmt
EOY	$22,856,383	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$365,553,525	BOYAmt
EOY	$205,507,276	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$68,861,112	BOYAmt
EOY	$19,867,357	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$807,961	BOYAmt
EOY	$807,871	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$68,053,151	BOYAmt
EOY	$20,675,228	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$297,500,374	BOYAmt
EOY	$226,182,504	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$8,662,174	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$5,130	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$97,385,423	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

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 Type1 Suprt Org Form990SchAType1SuprtOrgGrp

Field	Value	IRS element (for citing)
Power Appoint Majority Dir Trst	false	PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org	false	OperateBenefitNonSuprtOrgInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

Field	Value	IRS element (for citing)
Timely Provided Documents	false	TimelyProvidedDocumentsInd
Officers Close Relationship	false	OfficersCloseRelationshipInd
Supported Org Voice Investment	false	SupportedOrgVoiceInvestmentInd

Adjusted Net Income AdjustedNetIncomeGrp

Net ST Capital Gain Adj Net Incm NetSTCapitalGainAdjNetIncmGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Recoveries PY Distributions RecoveriesPYDistributionsGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Other Gross Income OtherGrossIncomeGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Adjusted Gross Income AdjustedGrossIncomeGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Production Income ProductionIncomeGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Other Expenses OtherExpensesGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Total Adjusted Net Income TotalAdjustedNetIncomeGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Minimum Asset Amount MinimumAssetAmountGrp

Average Monthly FMV Of Sec AverageMonthlyFMVOfSecGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Average Monthly Cash Balances AverageMonthlyCashBalancesGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

FMV Other Non Exempt Use Asset FMVOtherNonExemptUseAssetGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Total FMV Of Non Exempt Use Asset TotalFMVOfNonExemptUseAssetGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Field	Value	IRS element (for citing)
Discount Claimed	$0	DiscountClaimedAmt

Acquisition Indebtedness AcquisitionIndebtednessGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Adjusted FMV Less Indebtedness AdjustedFMVLessIndebtednessGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Cash Deemed Charitable CashDeemedCharitableGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Net Vl Non Exempt Use Assets NetVlNonExemptUseAssetsGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Pct Of Net Vl Non Exempt Use Ast PctOfNetVlNonExemptUseAstGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Recoveries PY Distri Min Asset RecoveriesPYDistriMinAssetGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Total Minimum Asset TotalMinimumAssetGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Distributable Amount DistributableAmountGrp

Field	Value	IRS element (for citing)
CY Adj Net Income Distributable	$0	CYAdjNetIncomeDistributableAmt
CY Pct85 Adjusted Net Income	$0	CYPct85AdjustedNetIncomeAmt
CY Total Min Ast Distributable	$0	CYTotalMinAstDistributableAmt
CY Greater Adjusted Minimum	$0	CYGreaterAdjustedMinimumAmt
CY Income Tax Imposed PY	$0	CYIncomeTaxImposedPYAmt
CY Distributable As Adjusted	$0	CYDistributableAsAdjustedAmt

Distributions DistributionsGrp

Field	Value	IRS element (for citing)
CY Paid Accomplish Exempt Prps	$0	CYPaidAccomplishExemptPrpsAmt
CY Pd In Excess Income Activity	$0	CYPdInExcessIncomeActivityAmt
CY Administrative Expense Paid	$0	CYAdministrativeExpensePaidAmt
Exempt Use Assets Acquis Paid	$0	ExemptUseAssetsAcquisPaidAmt
Qualified Set Aside	$0	QualifiedSetAsideAmt
CY Other Distributions	$0	CYOtherDistributionsAmt
CY Total Annual Distributions	$0	CYTotalAnnualDistributionsAmt
CY Distri Attentive Suprt Org	$0	CYDistriAttentiveSuprtOrgAmt
CY Distributable As Adjusted	$0	CYDistributableAsAdjustedAmt
CY Distribution Yr	0.0	CYDistributionYrRt

Distribution Allocations DistributionAllocationsGrp

Field	Value	IRS element (for citing)
CY Distributable As Adjusted	$0	CYDistributableAsAdjustedAmt
Underdistributions	$0	UnderdistributionsAmt
Excess Distribution Cyov Yr2	$0	ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1	$0	ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov	$0	TotalExcessDistributionCyovAmt
Cyov Applied Underdistri PY	$0	CyovAppliedUnderdistriPYAmt
Cyov Applied Underdistr CPY	$0	CyovAppliedUnderdistrCPYAmt
Excess Distribution Cyov	$0	ExcessDistributionCyovAmt
CY Total Annual Distributions	$0	CYTotalAnnualDistributionsAmt
CY Distrib App Underdistri PY	$0	CYDistribAppUnderdistriPYAmt
CY Distri App Distributable	$0	CYDistriAppDistributableAmt
Excess Distribution	$0	ExcessDistributionAmt
Remaining Underdistri PY	$0	RemainingUnderdistriPYAmt
Remaining Underdistri CY	$0	RemainingUnderdistriCYAmt
Excess Distri Cyov To Next Yr	$0	ExcessDistriCyovToNextYrAmt
Excess From Year3	$0	ExcessFromYear3Amt
Excess From Year2	$0	ExcessFromYear2Amt
Excess From Year1	$0	ExcessFromYear1Amt

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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	false	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Grants Other Organizations	$0	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Direct Contact Legislators	$0	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$66,341	OtherActivitiesAmt
Total Lobbying Expenditures	$66,341	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1, Lobbying Activities	FormAndLineReferenceDesc
Explanation	The filing organization maintains memberships to various professional healthcare associations. Portions of their membership dues are used for lobbying activities. The lobbying portion of such dues is included on line 1i.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
Agent Trustee Etc	false	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (true)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,589,780	OtherCostOrOtherBasisAmt
Book Value	$4,589,780	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$141,380,328	OtherCostOrOtherBasisAmt
Depreciation	$74,227,042	DepreciationAmt
Book Value	$67,153,286	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,899,308	OtherCostOrOtherBasisAmt
Depreciation	$517,799	DepreciationAmt
Book Value	$1,381,509	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$169,306,514	OtherCostOrOtherBasisAmt
Depreciation	$109,230,596	DepreciationAmt
Book Value	$60,075,918	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,653,234	OtherCostOrOtherBasisAmt
Depreciation	$6,365,628	DepreciationAmt
Book Value	$4,287,606	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$137,488,099	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
Medicare Settlements	$7,803,182
FIN 47 LT Asbestos Liab	$3,176,240
Capital Lease LT Liability	$2,087,016
ARCHDIOCESE LT PENSION LIABILITY	$9,258,380
Other Misc. Liabilities	$531,565

Field	Value	IRS element (for citing)
Total Liability	$22,856,383	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part IV, Line 2b	FormAndLineReferenceDesc
Explanation	Certain facilities hold, safeguard, manage and account 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 and written requests for $50 or more are honored, by check, within a reasonable time frame. Generally, all custodial funds in excess of $50 are held in interest bearing accounts separate from that of the organization.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,354,097	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$572,395	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$781,702	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$84,131,786	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$66,508,165	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,623,621	NetCommunityBenefitExpnsAmt
Total Expense	0.03420	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$85,485,883	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$67,080,560	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,405,323	NetCommunityBenefitExpnsAmt
Total Expense	0.03570	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$561,873	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,595	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$543,278	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,021,239	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,021,239	NetCommunityBenefitExpnsAmt
Total Expense	0.00600	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,837	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,837	NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,598,949	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,595	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,580,354	NetCommunityBenefitExpnsAmt
Total Expense	0.00710	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$89,084,832	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$67,099,155	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,985,677	NetCommunityBenefitExpnsAmt
Total Expense	0.04280	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$191,019	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$191,019	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$366,128	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$366,128	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$557,147	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$557,147	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$14,025,335	BadDebtExpenseAmt
Reimbursed By Medicare	$141,539,291	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$160,875,572	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$19,336,281	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
Good Samaritan Hospital of SuffernNY
1	255 Lafayette Avenue	Suffern	NY	10901	goodsamhosp.org	4329000H	Yes (X)	Yes (X)	Yes (X)	A
St Anthony Community Hospital
2	15 Maple Avenue	Warwick	NY	10990	stanthonycommunityhosp.org	3529000H	Yes (X)	Yes (X)	Yes (X)	A
Bon Secours Community Hospital
3	160 East Main Street	Port Jervis	NY	12771	bonsecourscommunityhosp.org	3535001H	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Facility Reporting Group - A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	123	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	http://bschc.org	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Part V	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part V	FAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit Report To Credit Agency	Yes (X)	PermitReportToCreditAgencyInd
Collection Activities	Yes (true)	CollectionActivitiesInd
Reporting To Credit Agency	Yes (X)	ReportingToCreditAgencyInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, section B	Facility Reporting Group A consists of: - Facility 1: Good Samaritan Community Hospital of Suffern, NY - Facility 2: St. Anthony Community Hospital - Facility 3: Bon Secours Community Hospital
Part V, Line 5	Staff from BSCHS represents the health system on numerous community boards and agencies, year round. Collaboration with these agencies is one of the key means of acquiring input from the community with regards to health concerns and needs. Additionally, BSCHS employees work closely with several community liaisons who work closely with area employers and specific geographical and religious groups with the specific focus of gathering community input on their own, personally identified health-related needs. The CHNA for each hospital was printed for distribution at community events; over 2000 copies were given to various community members and groups. Additionally, the CHNAs and the NYS CSP are posted on the BSCHS websites.
Part V, Line 6a	The following hospitals within Bon Secours Charity Health System conducted a joint CHNA: Good Samaritan Hospital of Suffern, NY; St. Anthony Community Hospital; Bon Secours Community Hospital.
Part V, Line 7	CHNA Website http://bschs.org/about-us-community-health-needs-assessment.html Part V, Line 7d The CHNA for each hospital was printed for distribution at community events; over 2,000 copies were given to various community members and groups. Additionally, the CHNAs and the NYS CSP are posted on the BSCHS websites.
Part V, Line 11	Based on data from the community assessment and the NYS Prevention Agenda priorities, the most significant health needs of the service area are as follows: - Chronic Disease prevention - Healthy and Safe environments - Healthy Women, Infants and Children - Mental Health and Substance Abuse - Communicable Diseases BS Charity chose to address the Chronic Disease prevention needs with a focus on Obesity and Diabetes as previously described above. BSCHS supports the following participant organizations, community resources, and programs to address the remaining identified health needs as follows: Healthy and Safe Environments encompasses air and water quality issues, access to healthy foods, assault-related hospitalizations, and hospitalizations/ED visits related to falls. BSCHS is partnered with the Rockland and Orange County Departments of Health and supports their efforts to address these concerns. In addition to BSCHS Maternal and Infant hospital-based services, the Lower Hudson Valley Perinatal Network (LHVPN) has expertise and resources available to address these concerns. BSCHS supports LHVPN's mission to enhance maternal, child and family health services in Dutchess, Putnam, Orange, Rockland & Westchester counties. The outpatient program at The Monsignor Patrick J. Frawley Psychiatric Unit at Good Samaritan Hospital is designed to treat emotional and psychiatric disorders in adolescents, adults and geriatric patients. In addition, our patients have access to a number of comprehensive services in the Alcohol Outpatient Clinic and our Chemical Dependency Program. In addition to direct care for individuals, the Mental Health Outpatient Clinic offers mental health consultation and outreach services to community organizations. The Rockland County Department of Mental Health oversees delivery of high quality, comprehensive, person-centered and recovery oriented mental health services, developmental disability services and chemical dependency services. Bon Secours Community Hospital provides psychiatric, psychological, medical and neurological care in a supportive environment. The New Directions Program utilizes a multidisciplinary treatment team consisting of psychiatrists, nurses, case managers, social workers, and CASAC counselors. The Adult Inpatient Program at Bon Secours Community Hospital is designed to provide a patient-centered and comprehensive treatment program for adults ages 18 and older who are struggling with an acute phase of mental illness. The Orange County Department of Mental Health exists to ensure that quality Mental Health, Developmental Disabilities and Chemical Dependency services are accessible to all the people of Orange County, that such services are delivered in a cost effective, timely and culturally sensitive manner under the jurisdiction of the Mental Hygiene Law of New York State and provided within the rules, regulations, policies and procedures of the licensing authority of appropriate State Offices. Additional mental health and substance abuse resources are available at Orange Regional Medical Center. In addition to the communicable diseases that BSCHS addresses through immunization clinics and in-patient vaccination, BSCHS also supports Refuah Health Center, Hudson River Healthcare, Middletown Community Health Center, the Rockland and Orange county health departments and the NYS Dept. of Health in their efforts to combat communicable diseases.
Part V, Line 13b	For patients above 200% of the Federal Poverty Guidelines, BSCHS utilizes a sliding scale with no limit for eligibility of discounted care.
Part V, Line 16a and 16b	FAP Website http://bschs.org/patients-and visitors-financial-assistance.html
Part V, Line 16i	The Financial Assistance Policy refers to the Financial Assistance Procedures that describe the measures to publicize the policy within the community served by the hospital facility. In addition to the methods reported on lines 16a-h, brochures are available at the time of registration, and onsite counselors and eligibility vendors are available to assist patients. All billings statements also include information regarding the FAP.
Part V, Line 22d	The following applies for 01/01/2015 - 08/31/2015: For uninsured and underinsured patients with annual family incomes greater than 200% of the FPG, as adjusted by the Medicare geographic wage index for each community served to reflect that communitys relative cost of living (Adjusted FPG) the program offers a reduction to the amount of the full charges for medically necessary services either as charity care or through the Bon Secours CSA. The CSA is market-adjusted and based on the payment discount received by other health care payers doing business in the community and is currently set at 80% discount of total charges. For these patients, the Financial Assistance program sets a maximum annual family payment liability based on a sliding scale determined by family income and size. A standard Bon Secours sliding scale is also adjusted by the Medicare geographic wage index of each community served to reflect that communitys relative cost of living. THE FOLLOWING APPLIES FOR 09/01/2015 - 12/31/2015: FOR UNINSURED AND UNDERINSURED PATIENTS WITH ANNUAL FAMILY INCOMES GREATER THAN 200% OF THE FPG, AS ADJUSTED BY THE MEDICARE GEOGRAPHIC WAGE INDEX FOR EACH COMMUNITY SERVED TO REFLECT THAT COMMUNITY'S RELATIVE COST OF LIVING ("ADJUSTED FPG") THE PROGRAM MAY OFFER A REDUCTION TO THE AMOUNT OF THE FULL CHARGES FOR MEDICALLY NECESSARY SERVICES AS CHARITY CARE. FOR THESE PATIENTS, THE FINANCIAL ASSISTANCE PROGRAM SETS A MAXIMUM ANNUAL FAMILY PAYMENT LIABILITY BASED ON A SLIDING SCALE DETERMINED BY FAMILY INCOME AND SIZE. A STANDARD BON SECOURS SLIDING SCALE IS ADJUSTED BY THE MEDICARE GEOGRAPHIC WAGE INDEX OF EACH COMMUNITY SERVED TO REFLECT THAT COMMUNITY'S RELATIVE COST OF LIVING.

Field	Value	IRS element (for citing)
Facility	41	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (41 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Regional Kidney Center
33-1 Route 17M	Harriman	NY	10926	Outpatient Dialysis Center
Women's Imaging Center
55 Ronald Reagan Boulevard	Warwick	NY	10990	Outpatient Women's Imaging Center
The Ambulatory Surgery Center
257 Lafayette Avenue	Suffern	NY	10901	Ambulatory Surgery Center
Monsignor Patrick J Frawley Mental Healt
3 Campbell Avenue	Suffern	NY	10901	Mental Health
Center for Physical Rehabilitation
153 South Route 94	Warwick	NY	10990	Outpatient Rehab
Good Samaritan Home Care
1 Crossfield Avenue Suite 202	West Nyack	NY	10994	Home Care
Good Samaritan Home Care
15 Matthew Street Suite 302	Goshen	NY	10924	Home Care
St Anthony Sleep Disorder Institute
74 North Main Street	Florida	NY	10921	Sleep Lab
Center for Physical Rehabilitation
70 Hatfield Lane	Goshen	NY	10924	Outpatient Physical Therapy
Good Samaritan Home Care
2975 Independence Avenue	Bronx	NY	10463	Home Care
Bon Secours Medical Group
601 Broad Street	Milford	PA	18337	Internal Medicine
Bon Secours Medical Group
104 Bennett Avenue	Milford	PA	18337	Internal Medicine
Goshen Medical Associates
70 Hatfield Lane Suite 101	Goshen	NY	10924	Internal Medicine
Goshen Primary Care Physicians
1 Hatfield Lane	Goshen	NY	10924	Primary Care
Hudson Valley Medical Associates
26 Firemans Memorial Drive	Pomona	NY	10970	Internal Medicine
Bon Secours Medical Group
5 Skinner Street	Port Jervis	NY	12771	Cardiology
Bon Secours Medical Group GE
15 Maple Avenue	Warwick	NY	10990	Gastroenterology
Rockland Heart & Vascular Associates
79 Route 59 Suite 5	Suffern	NY	10901	Pulmonology
Mahwah Medical
10 Franklin Turnpike	Mahwah	NJ	07430	Internal Medicine
Rockland Heart & VascHudson Valley Medi
2 Executive Boulevard Suite 406	Suffern	NY	10901	Cardiology
Rockland Heart & Vascular Associates
972 Route 45 Suite 103	Pomona	NY	10970	Cardiology
Rockland Pulmonary & Medical Assoc
2 Crossfield Avenue	West Nyack	NY	10994	Pulmonology
Warwick Palliative Care
22 Van Duzer Place	Warwick	NY	10990	Palliative Care
Bon Secours Medical Group
500 New Hempstead Road	New City	NY	10956	Internal Medicine
Bon Secours Medical Group
2 Executive Boulevard	Suffern	NY	10901	Primary Care
Mehta Pulmonary
55 Old Nyack Turnpike	Nanuet	NY	10954	Pulmonology
North Rockland Medical Associates
71 South Route 9W	West Haverstraw	NY	10993	Primary Care
Gopal Shah MD
33 Delaware Street	Port Jervis	NY	12771	Primary Care
Ralph Bowman MD
170 East Main Street	Port Jervis	NY	12771	Primary Care
Lutwak Cardiology
505 Route 208	Monroe	NY	10950	Cardiology
MOB Port Jervis Primary
161 East Main Street	Port Jervis	NY	12771	Primary Care
George Cox MD
257 Lafayette Avenue	Suffern	NY	10901	Primary Care
Metropolitan Cardiology Consultants Suff
257 Lafayette Avenue	Suffern	NY	10901	Cardiology
Bon Secours Neurology
100 Route 59	Suffern	NY	10901	Neurology
Rockland Pulmonary Medical Associates Su
257 Lafayette Avenue	Suffern	NY	10901	Pulmonary
Ramapo Valley Surgical Associates
257 Lafayette Avenue	Suffern	NY	10901	Outpatient Ambulatory Surgery
Rockland Heart Vascular Associates Inner
257 Lafayette Avenue	Suffern	NY	10901	Pulmonology
Yacov Tendler IM
257 Lafayette Avenue	Suffern	NY	10901	Primary Care
Alam PCP
906 Pennsylvania Avenue	Matamoras	NY	18336	Primary Care
Metropolitan Cardiology Consultants-Gosh
30 Hatfield Lane	Goshen	NY	10924	Cardiology
PORT JERVIS GASTROENTEROLOGY
39 EAST MAIN STREET	PORT JERVIS	NY	12771	GASTROENTEROLOGY

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7a	Charity Care at cost is computed by applying a cost-to-charge ratio to the aggregate charity adjustments recorded in the general ledger.
Part I, Line 7b	Unreimbursed Medicaid is computed by determining the cost of Medicaid services supplied less payments received for these services. To determine the cost of Medicaid services provided, a cost-to-charge ratio is applied to traditional and managed Medicaid gross charges captured in the patient accounting system and general ledger. Payments include payments for individual claims, payments from the Medicaid program paid outside the claim process (such as medical education payments) and expected or actual cost report settlements.
Part I, Line 7c	Unreimbursed costs from other means-tested government programs are computed by applying a cost-to-charge ratio to the total charges to patients covered under these programs. The charges are identified by the financial class assigned to the patient.
Part I, Line 7 a-c computations	The cost-to-charge ratio is derived using the suggested computation in Worksheet 2, Ratio of Patient Care Cost-to-Charges. Operating expenses and Gross patient charges are taken from the general ledger, Expenses for nonpatient care activities recorded in operating expenses are approximated as directly equaling other operating revenue, assuming these activities do not provide profit.
Part I, Line 7e	Community health improvement services and community benefit operations are accumulated throughout the year and reported at actual cost in a software program that specifically addresses this purpose.
Part I, Line 7f	Health professions education cost is determined as the direct and indirect cost of qualifying education activities as traditionally reported in columns 21-24 on Worksheet B of the Medicare cost report as a Medical Education program, nursing school or other allied health program.
Part II, Community Building Activities	Bon Secours Charity Health System is actively engaged in improving community health in the Port Jervis area through its Building Healthy Communities initiative. The BSCHS Director of Building Healthy Communities, through the Bon Secours Community Hospital Medical Village project, is focused on improving community health in the Port Jervis area. The Medical Village Project is a collaborative effort to transform healthcare delivery in the Port Jervis market. Working with community members, organizations, and other key stakeholders, we have identified gaps in our current delivery system and created new partnerships to offer our patients a much greater level of care coordination and access to additional ambulatory and social services. We are partnering with Cornerstone FQHC to co-locate dental and expanded primary care services, creating a retail pharmacy, co-locating expanded behavioral health services in our ED, adding crisis stabilization services, and designating space within the hospital for wellness programs and consultation through our agency and community partners. In addition, we are creating a Transition of Care mechanism to provide a warm handoff from our ED and primary care settings to these on-site services; giving our patients the resources they need to achieve health equity in the communities we serve.
Part III, Line 2	Bad debt expense on the general ledger includes: 1) actual write offs of discounted gross charges where it is determined an uninsured patient can pay and does not pay; and 2) the estimated write offs for uninsured patient accounts with outstanding balances after discount. Estimates are based on historical collection rates. When an uninsured patient is billed for patient care services, the charges are automatically discounted and the patient is requested to only pay the amount after discount. The discount is recorded as an adjustment to gross revenue and is not recorded in bad debt expense. If the balance after discount is not paid or not paid in full, the unpaid amount will be written off to bad debt expense. When a patient remits a payment on an account that has already been written off to bad debt expense, the payment is recorded as a recovery of bad debt which reduces bad debt expense.
Part III, Line 3	The organization does not report an estimate for the portion of bad debt expense that may have been likely to qualify for financial assistance under the hospital's charity care policy. The organization takes the position that ample opportunity and assistance is provided to the patient to qualify under the financial assistance policy. If sufficient information is not provided, the organization must assume the patient does not qualify.
Part III, Line 4	Please see Footnote "(2d) Accounts Receivable, net" discussing "accounts receivable" on pages 9-10 in the attached BSCHS consolidated audited financial statements ("AFS"), "Allowance for doubtful accounts" is discussed in the second paragraph in Footnote "(8) Net Patient Service Revenue" on pages 24-25 of the attached AFS, There is not a separate "bad debt expense" footnote in the AFS.
Part III, Line 8	Medicare allowable costs reflected in Part III come directly from the facility's Medicare cost report. The cost report segregates the total facility actual expenses into costs for support departments, clinical departments (routine and ancillary) and nonreimburseable departments. The cost report uses appropriate statistical bases to "step down" support costs to allowable clinical and nonreimburseable departments. The charges for clinical departments are matched to the total cost for these departments for a cost-to-charge ratio. Medicare-specific allowable costs for in- and outpatient ancillary departments are computed by applying the department-specific cost-to-charge ratio to the Medicare program charges by department. For routine departments, a per diem total cost is computed and applied to Medicare program days for the Medicare routine program cost.
Part III, Line 9b	The hospital has a written policy that describes collection practices applying to patients that qualify for charity care or financial assistance. If full assistance is approved, no collection efforts are pursued on that patient's account(s). If partial assistance is provided, the patient is responsible for the adjusted account balance and collection efforts will follow the established practices for all patients where a self-pay balance exists. Collection efforts are not pursued on any pending FAP account. Specific criteria exist for how much financial assistance, partial or total, will be provided to the patient based on the assessed need. Criteria is based on Federal Poverty Guidelines and is reviewed and updated annually. Once a patient has been deemed eligible for the Patient Financial Assistance Program (FAP), the patient is notified by letter within 60 days after receipt of the application and supporting documentation. The patient retains eligibility for a period of twelve months from the date of the application. This eligibility is signaled to hospital admissions, billing and collection staff by the assignment of a specific financial class with accompanying eligibility dates. At the end of those twelve months, the patient is responsible for reapplying for FAP eligibility.
Part VI, Line 2	In 2015, the Bon Secours Charity Health System Community Outreach department and the Healthy Communities department worked collaboratively with the Rockland County and Orange County Departments of Health and Mental Health to assess current community needs, as well as the progress made towards achieving the goals of the current CHNA implementation plans. In addition, the BSCHS Outreach and Healthy Communities departments participate in several community coalitions and organizations through which community input is gathered.
Part VI, Line 3	Patient financial assistance policy is communicated to patients verbally upon scheduling, registration, visible postings of the policy in common areas throughout the hospital, brochures and on Bon Secours website. In addition, patient statements request that patients apply for financial assistance if needed, once any patient financial obligation is determined. Bon Secours is committed to ensuring access to health care services for all. As a health care provider, Bon Secours treats all patients, whether insured, underinsured or uninsured, with dignity, respect and compassion throughout admission, delivery of services, discharge and billing and collection processes. Bon Secours addresses the needs of the uninsured by providing free or reduced fees on hospital services and community outreach efforts to assist with enrollment in Medicaid and other medical coverage programs, including free community-based preventive and primary care services. Bon Secours proactively screens to identify individuals and their families who may qualify for federal, state or local health insurance programs or the Bon Secours Patient Financial Assistance Program ("FAP") and assists the potential eligible patients through the qualification process. Potentially eligible patients that do not qualify for a federal or state health insurance program are referred to the Financial Assistance Coordinator located in Patient Financial Services for assistance in completing the documentation required to establish FAP eligibility. Patients are responsible for providing the information necessary to complete the documentation. The FAP aids uninsured and underinsured patients who do not qualify for government-sponsored health insurance and who communicate their inability to pay for their medical care. The FAP provides 100% financial assistance to uninsured patients with annual family incomes at or below 200% of the Federal Poverty Guidelines ("FPG"). A sliding scale assistance policy is offered to patients who exceed the income guidelines for 100% assistance. Sliding scale assistance is provided to patients and progressively declines in proportion to the patient's higher income level. Additionally, all uninsured (i.e. self pay) patients are given a reduction to the amount of the full charges for medically necessary services through a community service adjustment ("CSA"). The CSA is market adjusted and based on the payment discount received by other health care payers doing business in the community. For these patients, the FAP also sets a maximum annual family payment liability to ensure that no family faces a catastrophic financial burden in receiving necessary health care services. Based on research conducted by the Tax Foundation, a non partisan tax research group based in Washington DC, the maximum annual family liability is based on a sliding scale determined by the family income and size. In addition, a variety of other potential payment options are available. Bon Secours is dedicated to meeting the needs of non-English speaking patients by having on-site Spanish translators, and other language translation services. In addition, Bon Secours employs a telephone language service which assists in meeting any language needs that arise. The translation services are offered to non-English speaking patients from admission to discharge, including through the financial process.
Part VI, Line 4	BSCHS facilities operate and serve populations of lower New York State, principally Rockland and Orange counties. Rockland County is located approximately 30 miles north of Manhattan on the West side of the Hudson River. The County is a popular residence for people who commute to work in nearby Westchester and Bergen Counties, as well as Manhattan. The County comprises approximately 115,000 acres and contains more than 35,000 acres of preserved open space and park land. Rockland continues to experience steady population growth in its five towns and 19 villages. The most recent Census Department estimates indicate that Rockland County grew 8.7% from 2000 to 2010, and now includes 311,687 residents. Orange County is located in the Hudson River Valley, bordering New Jersey. The County comprises approximately 816 square miles. Orange County continues to experience steady population growth, with the 2010 Census indicating that Orange County grew 9.2% from 2000 to 2010, and now includes 372,813 residents. In Rockland County, there was substantial growth in all age cohorts 65 and older, a consistent trend nationally. Gender among the age groups is roughly equal from the early age cohorts through the 40s, but after age 65, women continue to outnumber men. Population projections - Preliminary population projections through 2035 show that Rockland Countys older population may double in size in the next three decades, while those ages 30 to 44 may shrink in size. While projections are based on historical data and do not always predict accurate trends, the dramatic possible increase in the elderly population is a trend that should be of importance to County service providers and planners. Based on 2010 U.S. Census population estimates, the median age in Orange County has increased by more than 2 years since 2007, to 36.6 years; the largest cohort of residents is age 45-49. The number of residents ages 65-69 is forecasted to more than double from 2000-2020 primarily due to the entry of 'baby boomers' into these age ranges. Twenty-one percent of Rockland Countys population was estimated to be foreign-born in 2010. Among the 63,058 Rockland county residents estimated to be foreign born in 2007, the largest group was born in the Latin America and the Caribbean (48%). One quarter of foreign-born residents (25%) originated from Asia. Approximately another quarter (23%) came from Europe and 3% from Africa. Countywide, 32.9% of persons over age 5 speak a language other than English at home. According to the U.S. Census, 11.1% of residents in Orange County were foreign born, with 22.3% of persons over the age of five speaking a language other than English at home. Rockland Countys rate of poverty for children under 18 increased to 16.9% in 2009 when compared to (15%) in 2000. Poverty rates in Orange County vary greatly based on municipality. Poverty rates exceeding 25% for families with related children under 18 are found in Orange Countys three cities (Middletown, Newburgh, and Port Jervis), as well as in the town of Monroe, largely due to the impact of the village of Kiryas Joel, where the poverty rate is more than 4 times the county average.
Part VI, Line 5	All BSCHS facilities have an open medical staff with privileges available to all qualified physicians in the area and are governed by a System board of directors whose composition is representative of the community, with a majority being independent members of the community. BSCHS has a dedicated Community Outreach department responsible for planning, implementing and evaluating all community health and education programs. In 2015, over 20 support groups and community programs met monthly in our facilities. The Community Outreach department managed the BSCHS Speakers Bureau which connected our medical professionals directly with the community on topics such as Cardiac, Orthopedics, Womens health, Obesity, Stroke, Diabetes, Wound Care, Safety, Asthma, Senior Services, etc. In addition to this, the Outreach department also managed service line specific programs such as Breast and Cervical Cancer screenings, Hearing testing, Sleep Disturbances seminars and others. Access to Care: Bon Secours Charity Health System is committed to responding to and participating in addressing the health care needs of the communities in its service area. This is accomplished through improving access to health care services, especially for the underserved population, and offering various opportunities for community members to enroll in governmental and/or community health plans. All three BSCHS hospitals have partnered with local Federally Qualified Health Centers (FQHC) to increase public awareness of the available services that are either free of charge or based on a sliding scale payment. BSCHS also continues to increase the size of its employed Medical Group and, in accordance with our mission, these practitioners are required to accept Medicaid and to participate in programs to provide charity care. In 2015, all BSCHS facilities donated space each month for the community to meet with insurance specialists in order to register for health insurance benefits. Chronic Disease: The goal of our Heart Disease strategies is to increase the publics awareness of the risk factors for heart disease and to give them information on how to diminish their risk. In 2015, BSCHS hosted or participated in free cardiac awareness and prevention programs that were attended by over 5,000 people. Specific programs focused on prevention, signs and symptoms, blood pressure screenings, obesity and women and heart disease. In addition, BSCHS also participated in the American Heart Walk which was attended by over 800 people. The Lower Hudson Valley Mended Hearts Chapter #368 meets six times a year at a local community center. The cost of the community center, and other group meetings supplies, is paid for through the Community Outreach department budget. The Mended Hearts volunteers are trained to visit cardiac patients and their family members in the hospital to offer hope and support. Through this trained volunteer visitor program, both pre and post cardiac surgery patients are visited by a former heart surgery patient. The BSCHS cancer services provide the community with excellent cancer treatment and support opportunities as well as increase the publics awareness of risk factors and cancer prevention. In 2015, BSCHS had an American College of Surgeon accredited cancer program at Good Samaritan Hospital and Good Samaritan Hospitals Radiation Oncology Services are accredited by the American College of Radiology. BSCHS leadership and cancer program staff work diligently to maintain these accreditations to ensure that the community is receiving the best care available. Additionally, partnerships with the American Cancer Society have helped to develop new community screening programs and to improve patient support offerings. Also in 2015, the Center for Breast Health at Good Samaritan Hospital received NAPbc certification and was recognized for providing excellent breast cancer treatment. BSCHS hosted numerous cancer awareness, early detection, prevention and support programs that reached over 9,000 people. These programs focused on a wide variety of cancer related illnesses and many of them offered the community the opportunity to meet oncology specialists on a one-to-one basis. In addition, BSCHS participated in the American Cancer Societys Making Strides Against Breast Cancer walk which was attended by 2,000 people. A partnership with the Cancer Services Program of Rockland County helped BSCHS to develop ongoing breast and cervical cancer screenings for uninsured and underinsured community members. Through this partnership, 9 free screenings were held in 2015 and 142 people received early detection services. Important to note is that, if a person has a positive finding from any of these free screenings, BSCHS works with the Cancer Services Program to provide all necessary follow up treatment including surgery, chemotherapy and radiation. BSCHS employs a board certified breast surgeon and a board certified colorectal surgeon. Additionally, BSCHS employs two patient navigators to assist breast cancer patients to coordinate their care and access available services. BSCHS continues to financially support the American Cancer Societys Making Strides Against Breast Cancer annual fundraising walk. Our restricted donation helps to produce prevention and early detection educational materials for the communities we serve.
Part VI, Line 6	Bon Secours Charity Health System, Inc. is a not-for-profit, non-stock membership corporation that is the sole member of five healthcare providers that operate hospitals, nursing homes, and other healthcare-related facilities in the State of New York. Bon Secours Health System, Inc. ("BSHSI"), a Maryland not-for-profit, non-stock membership corporation, is a member of Charity with a forty percent (40%) economic interest in Charity. Sisters of Charity of Saint Elizabeth ("SOCSE"), a New Jersey not-for-profit corporation, are a member of Charity without any economic interest. Charity, a Catholic health system, is canonically co-sponsored by Bon Secours Ministries ("BSM"), an affiliate of BSHSI and SOCSE. BSHSI is a not-for-profit, non-stock membership corporation, and the sole member of which is Bon Secours, Inc. ("BSI"). BSHSI is a corporation formed to participate in the charitable healthcare system now sponsored by BSM throughout the United States of America through which the healthcare mission of the Sisters of Bon Secours, USA, the founding participating entity of BSM, is furthered. The Ministry of BSHSI aids those in need, particularly those who are sick and dying, by offering services that include but are not limited to acute inpatient, outpatient, pastoral, palliative, home health, nursing home, rehabilitative, primary and secondary care and assisted living without regard to race, religion, color, gender, age, marital status, national origin, sexual orientation, or disability. BSHSI's vision to bring about the holistic health of the communities it serves is implemented through its Strategic Quality Plan which provides focus in five goal areas for the current three year period (2013-2015). One of those goals was to bring our communities to wholeness. To accomplish this, two key strategies are to: - Improve Health Locally and Globally - Build Partnerships for Population Health As a member of the Catholic health ministry and a member of Bon Secours Health System, Inc. (BSHSI), this organization and its related entities are called to continue the healing ministry of Jesus. We exist to benefit the people living in the communities it serves. Through all of the services offered to the community, the mission is "to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a System of caregivers, we commit ourselves to help bring people and communities to health and wholeness as part of the healing ministry of Jesus Christ and the Catholic Church." This organization and related organizations share the BSHSI Vision. "Inspired by the healing ministry of Jesus Christ and the charism of Bon Secours, Bon Secours Health System will be recognized for its leadership in justice, transforming the communities in which we serve and work into places of health and hope, and being a prophetic voice for systemic US health reform and a more humane world." Westchester County Healthcare Corporation was created in 1997 as a New York public benefit corporation and owns and operates a number of healthcare facilities including Westchester Medical Center located in Valhalla, New York. In December, 2014, WMC and BSHSI agreed to pursue a transaction (the "Affiliation") under which: WMC, or its subsidiary, became a majority co-member in Charity and manage the day to day operations of Charity and its subsidiaries and facilities pursuant to a management agreement approved by the New York State Department of Health; Charity and its subsidiaries remain a Catholic healthcare ministry subject to the Ethical and Religious Directives for Catholic Healthcare Services. WMC appoints at least sixty percent (60%) of the members of the Charity Board of Directors, BSHSI and SOCSE jointly appoint approximately 40% of the Charity Board, and each member of Charity holds certain reserved powers. Please see Schedule R for listings of the related organizations and Schedule H for the hospitals included in this return.
Part VI, Line 7	List of States Receiving Community Benefit Report: NY

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	false	GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	INDIGENT CAB FARE	GrantTypeTxt
Recipient	188	RecipientCnt
Cash Grant	$10,244	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part III, Line 1	FormAndLineReferenceDesc
Explanation	Based on prior year analysis of cab fares the average amount per rider was $54.54. This amount was used to estimate the number of cab fares provided in 2015.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	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 (26 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Mary Leahy MD
CEO - BSCHS	$33,860	$529,312	$22,837	$313,801	$14,008	$37,620	$2,470	$52,872	$1,900	$29,380	$75,075	$962,985	$0	$0
Andrea Mazzoccoli
Board Member (End 05/15)	$0	$394,357	$0	$297,139	$0	$74,486	$0	$38,978	$0	$21,764	$0	$826,724	$0	$30,752
Clement Osei MD
Board Member (End 05/15)	$178,821	$0	$0	$0	$2,936	$0	$11,645	$0	$18,571	$0	$211,973	$0	$0	$0
John Wallenhorst PhD
Board Member	$0	$259,303	$0	$169,381	$0	$42,560	$0	$11,068	$0	$10,989	$0	$493,301	$0	$0
Martin Evers MD
President - MedPC	$129,567	$0	$165,777	$0	$446	$0	$20,295	$0	$22,591	$0	$338,676	$0	$0	$0
Rodney Williams MD
CMO	$371,125	$0	$114,221	$0	$57,686	$0	$20,295	$0	$9,075	$0	$572,402	$0	$0	$0
Pamela Tarulli
SVP HR	$224,908	$0	$76,504	$0	$40,210	$0	$20,295	$0	$16,082	$0	$377,999	$0	$0	$0
Jeffrey Reilly
COO (END 12/15)	$209,546	$0	$103,856	$0	$94,523	$0	$8,568	$0	$16,095	$0	$432,588	$0	$0	$0
Sophie Crawford-Rosso
VP PCS	$137,383	$0	$36,677	$0	$484	$0	$3,963	$0	$22,057	$0	$200,564	$0	$0	$0
Judith Lindberg
VP PCS	$146,867	$0	$43,812	$0	$805	$0	$5,182	$0	$15,571	$0	$212,237	$0	$0	$0
Toni Clark
EVP Senior Services	$163,109	$0	$53,333	$0	$39,882	$0	$14,291	$0	$7,517	$0	$278,132	$0	$0	$0
Cary Hirsch MD
Physician	$1,000,004	$0	$50,000	$0	$33,204	$0	$20,295	$0	$0	$0	$1,103,503	$0	$0	$0
Thomas Facelle MD
Director of Surgery	$600,942	$0	$182,020	$0	$2,970	$0	$20,295	$0	$1,525	$0	$807,752	$0	$0	$0
Seth Hurwitz MD
Cardiologist	$342,391	$0	$384,312	$0	$324	$0	$20,295	$0	$23,957	$0	$771,279	$0	$0	$0
Lee Root MD
Physician	$492,197	$0	$187,610	$0	$1,245	$0	$20,295	$0	$24,151	$0	$725,498	$0	$0	$0
Mark Nantz
1st Vice Chair	$0	$675,419	$0	$523,457	$0	$93,805	$0	$97,873	$0	$29,848	$0	$1,420,402	$0	$46,960
Michael Israel
Vice Chair	$0	$1,257,829	$0	$918,144	$0	$0	$0	$74,814	$0	$73,346	$0	$2,324,133	$0	$0
Anthony Mahler
Board Member	$0	$447,254	$0	$0	$0	$0	$0	$74,814	$0	$23,090	$0	$545,158	$0	$0
Gary Brudnicki
Board Member	$0	$827,076	$0	$436,891	$0	$0	$0	$74,814	$0	$67,318	$0	$1,406,099	$0	$0
Julie Switzer
Board Member	$0	$583,779	$0	$110,606	$0	$0	$0	$68,814	$0	$53,486	$0	$816,685	$0	$0
Peter Kenniff
CFO	$420,943	$0	$0	$0	$606	$0	$0	$0	$6,661	$0	$428,210	$0	$0	$0
Deborah Marshall
SVP Marketing/Strategy	$188,667	$0	$57,088	$0	$1,359	$0	$9,793	$0	$22,655	$0	$279,562	$0	$0	$0
Leon Harris
Physician	$296,897	$0	$371,644	$0	$1,980	$0	$20,295	$0	$3,668	$0	$694,484	$0	$0	$0
Maureen Price
CIO	$199,740	$0	$51,054	$0	$2,285	$0	$14,098	$0	$224	$0	$267,401	$0	$0	$0
Phyllis Yezzo
SVP PCS	$165,770	$0	$10,730	$0	$1,247	$0	$0	$0	$3,821	$0	$181,568	$0	$0	$0
Marsha Casey
Board Member	$0	$706,524	$0	$127,106	$0	$0	$0	$73,304	$0	$49,449	$0	$956,383	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part 1, Line 3

Bon Secours Health System, Inc., a related organization of the filing organization, uses the following to establish the compensation of the organization's CEO/Executive Director: - Compensation Committee - Independent Compensation Consultant - Compensation Survey or Study - Approval by the Board or Compensation Committee

Part I, Line 4a

Jeffrey Reilly, Chief Operations Officer, Received severance payments totaling $16,442 in 2015. Upon Mr. Reilly's separation of employment with BSCHSI (effective 12/4/15), he was provided a 2-year severance agreement in recognition of his over 20 years of service to the organization. Part I, Line 4b The filing organization participates in a BSHSI sponsored executive retirement program that allows for deposits into additional retirement plans and is available only to officers and key employees. The 457F plan is a non-qualified plan and is subject to a minimum three-year service requirement before vesting on deposits made into this plan. Individuals that received a distribution include: Andrea Mazzoccoli, $30,744 and Mark Nantz, $49,665.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 4	Significant changes to governing documents: The governing documents were updated to reflect the following changes: Effective May 19, 2015, Bon Secours Charity Health System, Inc. (BSCHS), Bon Secours Health System, Inc. (BSHSI) and the Sisters of Charity of Saint Elizabeth (SOC) entered into an affiliation agreement with Westchester County Health Care Corporation (WCHCC) and WMC Heath Network - Rockland, Inc. (WMC - Rockland), a subsidiary of WCHCC, in which WMC - Rockland would be the majority member of BSCHS, holding 60% of the economic interest in BSCHS and appointing 60% of the BSCHS Board of Directors. BSHSI holds a 40% economic interest in BSCHS and, together with SOC, appoints 40% of the BSCHS Board of Directors. Further, WCHCC provides management services to BSCHS pursuant to a Department of Health approved management agreement between WCHCC and BSCHS. Prior to the transaction, BSCHS was a subsidiary of BSHSI and SOC.
Form 990, Part VI, Line 6	Members or stockholders: Effective May 19, 2015, the members of BSCHS are as follows: WMC Rockland, Inc. - 60% BSHSI, together with SOC - 40% Prior to May 19, 2015, BSCHS was a subsidiary of BSHSI and SOC. Pursuant to New York State Law, as an organization engaged in the profession of medicine, Bon Secours Charity Health System Medical Group, P.C. (MedPC) has a sole shareholder of the organization who is engaged in the practice of medicine and licensed to practice in the State of New York.
Form 990, Part VI, Line 7a	Power to elect or appoint members: The governing bodies of the members within the Group, with the exception of MedPC, are appointed by its members, WMC-Rockland, BSHSI and SOC and are subject to the approval of its members.
Form 990, Part VI, Line 7b	Decisions reserved to members or stockholders: Certain authorities of the members of the Group, with the exception of Bon Secours Charity Health System Medical Group, PC, are jointly reserved to WMC-Rockland, BSHSI and SOC, certain authorities are reserved to BSHSI and WMC-Rockland, and certain authorities are reserved solely to BSHSI.
Form 990, Part VI, Line 11b	Process used to review the Form 990: Prior to filing, this Form 990 was reviewed by the Finance Committee of the Board as well as the Board of Directors. Members were encouraged to provide comments and feedback. Based on this feedback, applicable changes were made to the return prior to filing.
Form 990, Part VI, Line 12c	Monitoring and enforcement of compliance with conflicts of interest policy: The organization regularly and consistently monitors compliance with its conflicts 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 the organization. All disclosures go through a three-part review process: (1)disclosures are reviewed first by the Chief Compliance Officer (CCO) and General Counsel (GC); (2) an executive conflicts committee, comprised of ,the CEO, CCO, and GC, conducts 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 the Boards audit and compliance committee.
FORM 990, PART VI, LINE 15	The organization has a comprehensive process for the oversight and management of remuneration for the CEO and other senior executives and disqualified parties. Compensation for such key employees is set by reviewing and relying on objective market data to ensure they receive compensation that is in full compliance with the IRS' rebuttable presumption of reasonableness. The organization maintains a compensation philosophy, reviews pay practices against local, regional and national healthcare organizations and approves all remunerative decisions for this group of individuals. Further, the organization ensures that all levels of pay within the organization are reasonable based on performance and validates that incentives payments, if any, are adequately supported. Such decisions are documented in Board and other relevant Committee minutes.
Form 990, Part VI, Line 19	Process for making documents available to the public: Any documents open to public inspection are made available upon request.
Form 990, Part XI, Line 9	Other changes in net assets - Archdiocese Pension Plan withdrawal ($13,672,736) - Change in Minimum Pension Liability ($464,435) - Transfers to Affiliates ($13,583,457) - Forgiveness of amounts due to Bon Secours Health System, Inc. $125,106,051 ------------- Total $97,385,423

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
WMC Health Network - Rockland Inc
100 Woods Rd	Valhalla	NY	10595	320467873	Parent Org	NY	501(c)(3)	11c, III-FI	WCHCC	false
Bon Secours Charity Health System AG
1505 Marriottsville Road	Marriottsville	MD	21104	521301088	Parent Org	MD	501(c)(3)	11c, III-FI	Bon Secour	false
Good Samaritan Foundation for Better Hea
255 Lafayette Ave	Suffern	NY	10901	133400353	Foundation	NY	501(c)(3)	LINE 7	BSCHSI	false
Bon Secours Community Hospital Foundatio
255 Lafayette Ave	Suffern	NY	10901	810667395	Foundation	NY	501(c)(3)	Line 7	BSCHSI	Yes (true)
Bon Secours Warwick Health Foundation
255 Lafayette Ave	Suffern	NY	10901	141972807	Foundation	NY	501(c)(3)	Line 7	BSCHSI	Yes (true)
WESTCHESTER COUNTY HEALTH CARE CORP
100 WOODS ROAD	VALHALLA	NY	10595	133964321	HEALTHCARE	NY	115		NA	false

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	Yes (true)	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	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (26 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt
WMC-Rockland
r	$2,496,409
BSHSI
r	$1,854,146
Good Samaritan Foundation
b	$424,926
Good Samaritan Foundation
c	$2,386,603
Bon Secours Community Foundation
c	$507,565
BON SECOURS CHARITY HEALTH SYSTEM INC
r	$18,555,351
Good Samaritan Hospital
r	$45,985,309
Good Samaritan Hospital
q	$34,587,037
Good Samaritan Foundation for Better Health
q	$251,995
St Anthony's Community Hospital
r	$47,382,927
St Anthony's Community Hospital
q	$22,008,354
St Anthony's Community Hospital
o	$11,635,857
Bon Secours Warwick Foundation
q	$58,251
Bon Secours Community Hospital
r	$42,727,935
Bon Secours Community Hospital
q	$21,847,968
Bon Secours Community Hospital
o	$18,187,869
Bon Secours Community Foundation
q	$28,669
Villa Frances at the Knolls Inc
r	$8,256,224
Villa Frances at the Knolls Inc
q	$5,113,548
Villa Frances at the Knolls Inc
o	$4,254,757
St Francis Center at the Knolls Inc
q	$1,642,396
St Francis Center at the Knolls Inc
r	$1,271,795
St Francis Center at the Knolls Inc
o	$156,946
Bon Secours Medical PC
r	$24,865,902
Bon Secours Medical PC
q	$8,004,706
Bon Secours Medical PC
o	$22,401,960