2016-11-10T16:51:12-06:00 2015-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2015-01-01 141972807 Bon Secours Warwick Health Foundation % PETER KENNIFF BONS 8453685151 255 Lafayette Avenue Suffern NY 10901 Christopher Banks VP of Philanthropy 8453685305 2016-11-09 true LAURA KIELCZEWSKI P00740769 2127733000 2015 2017-02-10 21:41:12Z Christopher Banks 255 Lafayette Avenue Suffern NY 10901 310322 false X www.bschsf.org/warwick X 2002 NY Fundraising for the benefit of St. Anthony Community Hospital Community Hospital 21 19 0 60 0 56489 280889 0 0 0 203 339271 -18295 395760 262797 53262 331907 0 0 22202 59595 0 0 84512 19510 61136 94974 452638 300786 -189841 1601480 1467397 70464 0 1531016 1467397 X The mission is to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a system of caregivers, we commit ourselves to help bring people and communities to health and wholeness. false false 356053 331907 0 Bon Secours Warwick Health Foundation is the fundraising arm of St. Anthony's Community Hospital, Mount Alverno Center and Schervier Pavilion. Touching numerous residents in the New York, New Jersey and Pennsylvania tri-state region, the work of the Bon Secours Warwick Health Foundation helps to fulfill the mission of Bon Secours to give compassion and healing to those in need. Just a few of the many ways the Foundation supports St. Anthony's Community Hospital and the Warwick Healthcare Campus include raising funds to help to continue to advance healthcare in the tri-state region and for new technology and equipment, staff training and education, community wellness programs and Improvements to the facilities. 356053 true true false false false false false false false true false false false false false false false true false false false false false false true false false true false true false false false false false false false false false false false false false true false false false true 0 0 0 false false false false false true true false false false false X 21 19 true false false false true true true true true false false true true true true false false false false false NY X PETER KENNIFF 8453685305 255 LAFAYETTE AVENUE SUFFERN NY 10901 X Sue DeVincenzo Board Member 0.5 0.0 X 0 0 0 Garrett Durland Treasurer 0.5 0.0 X X 0 0 0 Geoffrey Green Board Member 0.5 0.0 X 0 0 0 Caroline Hamling Board Member 0.5 0.0 X 0 0 0 Mary Juliano Secretary 0.5 0.0 X X 0 0 0 Leo Kaytes Board Member 0.5 0.0 X 0 0 0 Mary Leahy MD CEO - BSCHS 1.0 39.0 X 0 951438 86622 Bonni Oswald Board Member 0.5 0.0 X 0 0 0 Frank Petrucci Board Member 0.5 0.0 X 0 0 0 Tomi Prvulovic MD Board Member 0.5 0.0 X 0 0 0 Terry Quint Board Member 0.5 0.0 X 0 0 0 Jeffrey Reilly Board Member (End 12/15) 1.0 39.0 X 0 407925 24663 Douglas Stage Esq Board Member 0.5 0.0 X 0 0 0 Barbara Sullivan Board Member 0.5 0.0 X 0 0 0 Katie Bisaro Board Member 1.0 0.0 X 0 0 0 Inez Freund Board Member 1.0 0.0 X 0 0 0 Patricia Lurye Board Member 1.0 0.0 X 0 0 0 Charles Mitchell Board Member 1.0 0.0 X 0 0 0 Jacob Tuckfelt Board Member 1.0 0.0 X 0 0 0 Raul Berina Chairman 1.0 0.0 X X 0 0 0 Clare Brady President 1.0 49.0 X X 0 225857 12542 Stratos Colman Board Member 0.5 0.0 X 0 0 0 Christopher Banks VP of Philanthropy 5.0 45.0 X 0 244242 27492 0 1829462 151319 0 false true false NONE 0 109554 171335 0 280889 0 203 203 0 0 0 0 0 0 29230 109554 47525 -18295 -18295 0 0 0 262797 -18092 331907 331907 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52794 10559 5279 36956 390 78 39 273 3887 777 389 2721 2524 505 252 1767 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3176 635 318 2223 0 0 0 0 0 0 0 0 0 0 0 0 110 22 11 77 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Purchased Services 57850 11570 5785 40495 452638 356053 12073 84512 0 0 0 846931 845661 1784 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 720465 621736 0 0 0 0 0 0 32300 0 1601480 1467397 4667 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65797 0 70464 0 X 808767 815806 722249 651591 0 0 1531016 1467397 1601480 1467397 X -189841 0 0 0 0 126222 X false true X true false X 102491 135762 147103 56489 293520 735365 0 0 102491 135762 147103 56489 293520 735365 140555 594810 7995 240 203 8438 0 25885 41475 21375 357581 40627 486943 1230746 0.48329 0.42140 X Part II, Line 10 Explanation for Other Income: Special Event Revenue 2011 Amount: $ 25,885. 2012 Amount: $ 41,475. 2013 Amount: $ 21,375. 2014 Amount: $ 25,930. 2015 Amount: $ 40,627. Forgiveness of Debt 2014 Amount: $ 331,651. Short Period Return Bon Secours Warwick Health Foundation filed a 2014 Form 990 short period return. The activity reported reflected the activity of the filing organization from September 1, 2014 through December 31, 2014. This short period was a result of a change in the accounting period of the organization from a fiscal year end on August 31 to a calendar year ending December 31. The 2015 Form 990 covers the entire calendar year. The change in accounting period was reported on the 2014 Form 990. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 156576 257234 -100658 1.00000 true false Part V, Line 4 Intended use of endowment funds: To support the mission of St. Anthony's Community Hospital through program funding and capital acquisitions. Golf & Tennis C 45800 45845 -45 11032 2000 Tent Party 43715 26793 16922 32300 1 49269 36916 12353 2193 138784 109554 29230 45525 2000 47525 -18295 true St Anthony's Community Hospital 15-19 Maple Ave Warwick NY 10990 141340100 501(c)(3) 181648 General Support St Francis Center at the Knolls dba Mt Alve 20 Grand St Warwick NY 10990 061370576 501(c)(3) 112125 General Support Good Samaritan Hospital 255 Lafayette Ave Suffern NY 10901 131740104 501(c)(3) 24260 General Support Bon Secours Community Hospital 160 E Main St Port Jervis NY 12771 141347717 501(c)(3) 13874 General Support 4 0 Part I, Line 2 Description of Procedure for Monitoring Use of Funds: The organization complies with Bon Secours Health System, Inc.'s system-wide financial and accounting policies. Contributions are generally made as reimbursements for funds spent. In such cases, the donee/grantee organization must provide documentation to the filing organization before funds are approved for disbursement. true true false false false false false false false Mary Leahy MD CEO - BSCHS 0 563172 0 336638 0 51628 0 55342 0 31280 0 1038060 0 0 Jeffrey Reilly Board Member (End 12/15) 0 209546 0 103856 0 94523 0 8568 0 16095 0 432588 0 0 Christopher Banks VP of Philanthropy 0 223512 0 20235 0 495 0 3109 0 24383 0 271734 0 0 Clare Brady President 0 155611 0 46077 0 24169 0 4507 0 8035 0 238399 0 0 Part I, Line 3 Bon Secours Health System, Inc., (BSHSI) 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 Severance payment or change-of-control payment: Jeffery 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 Participate in, or receive payment from, a supplemental nonqualified retirement plan: 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 the plan. FORM 990, PART VI, LINE 2 Family or business relationships: The following board members have business relationships: Douglas Stage, Esq. and Garrett Durland; Douglas Stage, Esq. and Leo R. Kaytes; Douglas Stage, Esq. and Paul Berina; Garrett Durland and Paul Berina; Garrett Durland and Caroline Hamling FORM 990, PART VI, LINE 6 Members or stockholders: BON SECOURS CHARITY HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF ST. ANTHONY COMMUNITY HOSPITAL, WHICH IN TURN IS THE SOLE MEMBER OF BON SECOURS WARWICK HEALTH FOUNDATION. FORM 990, PART VI, LINE 7a Power to elect or appoint members: The governing body of Bon Secours Warwick Health Foundation is appointed by its member, St. Anthony's Community Hospital and is subject to the approval of Bon Secours Health System, Inc. and WMC Health Network - Rockland, Inc., two of three corporate members of Bon Secours Charity Health System along with the Sisters of Charity of Saint Elizabeth. FORM 990, PART VI, LINE 7b Decisions reserved to members or stockholders: Certain authorities of Bon Secours Warwick Health Foundation are reserved to its member or is jointly reserved to WMC Health Network, Rockland, Inc., Bon Secours Health System, Inc. and the Sisters of Charity of Saint Elizabeth, the three corporate members of Bon Secours Charity Health System, Inc. FORM 990, PART VI, Line 11b PROCESS USED TO REVIEW THE FORM 990: The process the organization uses to review the Form 990 consists of a review of the return in draft form by the Board of Directors. All comments and changes are reviewed and discussed with management and incorporated into the return as applicable prior to filing. FORM 990, PART VI, Line 12c MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY: The organization regularly and consistently monitors compliance with the conflict of interest policy. On an annual basis, all persons subject to the policy, including all officers, directors and key employees are required to make certain disclosures. These include disclosures related to certain personal, financial and organizational relationships that may present a conflict, or the appearance of a conflict of interest with the organization. All disclosures go through a three-part review process: (1) disclosures are reviewed first by the corporate responsibility officer (CRO); (2) a governance team comprised of the CEO, board president, board chair, CRO, and the BSHSI CRO participate in a second review of all disclosures during which recommendations are made as to the resolution of any conflicts or potential conflicts. Depending on the facts and circumstances, resolutions may include ongoing disclosure, recusal or removal of the conflict; and (3) all disclosures and recommendations are reviewed by a board committee (audit and compliance committee reviews the disclosures of management and the governance committee reviews the disclosures of the board and board committee members). FORM 990, Part VI lines 13 and 14 Written whistleblower and document retention and destruction policies: The Foundation does not have its own written whistblower and document retention and destruction policies; however, the Foundation does follow the policies approved by the Board of its related organization, Bon Secours Charity Health System, Inc. Form 990, Part VI, Line 15 The compensation committee of the board of Bon Secours Health System, Inc. (BSHSI) engages in a comprehensive process for the oversight and management of remuneration for executive employees and disqualified parties of the BSHSI. The compensation committee consists of a group of independent board members and engages an independent external compensation consultant to ensure they receive appropriate analysis of market and follow the practices necessary to obtain full compliance with the IRS rebuttable presumption of reasonableness. The committee establishes and maintains a compensation philosophy; reviews pay practices against local, regional and national healthcare organizations and approves all remunerative decisions for this group of individuals. The committee reviews and receives assurances that all levels of pay within the organization are reasonable based on performance and validates incentives are met. These decisions are documented in the BSHSI board of directors and compensation committee minutes. Form 990, Part VI, Line 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. Form 990, Part VII Board Member positions are generally voluntary in nature. Compensated employees of the filing organization and other related organizations who also hold board positions are compensated only in relation to their employment and do not receive additional compensation for their board responsibilities. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: - IMPACT OF CHANGE IN OWNERSHIP $ 126,222 Westchester County Health Care Corp 100 Woods Road Valhalla NY 10595 133964321 Parent Org NY 115 NA false Bon Secours Charity Health System Inc 255 Lafayette Ave Suffern NY 10901 912135195 PARENT ORG NY 501(c)(3) 11C, III-FI WCHCC false Good Samaritan Hospital of Suffern NY 255 Lafayette Ave Suffern NY 10901 131740104 Healthcare NY 501(c)(3) LINE 3 BSCHSI false WMC Health Network - Rockland Inc 100 Woods Rd Valhalla NY 10595 320467873 Parent Org NY 501(c)(3) 11c, III-FI NA false Bon Secours Community Hospital 160 E Main St Port Jervis NY 12771 141347717 Healthcare NY 501(c)(3) LINE 3 BSCHSI false St Francis Center at the Knolls dba Mt 20 Grand St Warwick NY 10990 061370576 Longterm Care NY 501(c)(3) LINE 9 BSCHSI false St Anthony's Community Hospital 15-19 Maple Ave Warwick NY 10990 141340100 Healthcare NY 501(c)(3) LINE 3 BSCHSI false Bon Secours Community Hospital Foundatio 255 Lafayette Ave Suffern NY 10901 810667395 FOUNDATION NY 501(c)(3) LINE 7 BSCHSI false Good Samaritan Foundation for Better Hea 255 Lafayette Ave Suffern NY 10901 133400353 FOUNDATION NY 501(c)(3) LINE 7 BSCHSI false Villa Francis at the Knolls dba Schervie 255 Lafayette Ave Suffern NY 10901 061381994 Nursing svcs NY 501(c)(3) LINE 9 BSCHSI false Bon Secours Health System Medical Group 255 Lafayette Ave Suffern NY 10901 223636986 Primary Care NY 501(c)(3) LINE 9 BSCHSI false false true false false false false false false false false false false true false false true true false false