Bon Secours Charity Health System Affiliated Group, Group Return in Suffern, New York (NY)

Bon Secours Charity Health System Affiliated Group, Group Return
Employer Identification Number (EIN)	452964467
Name of Organization	Bon Secours Charity Health System Affiliated Group
Secondary Name	Group Return
Address	255 Lafayette Ave, Suffern, NY 10901-4812
Subsection	Educational Organization
Ruling Date	04/2011
Deductibility	Contributions are deductible
Foundation	Church
Organization	Association
Exempt Organization Status	Unconditional Exemption
Tax Period	12/2013
Assets	$50,000,000 to greater
Income	$50,000,000 to greater
Filing Requirement	990 - Group return
Asset Amount	$260,737,781
Amount of Income	$473,866,542
Form 990 Revenue Amount	$473,820,435
National Taxonomy of Exempt Entities (NTEE)	Health - General and Rehabilitative: Community Health Systems

Non-representatives - add comments:

Amount of income in 2013: $473,866,542 (it was $457,918,307 in 2012)

This organization:	$473,866,542
Other organizations performing similar types of work:	$6,791,313

Assets in 2013: $260,737,781 (it was $251,954,297 in 2012)

This organization:	$260,737,781
Other organizations performing similar types of work:	$5,000,000

Expenses in 2013: $481,771,336

Bon Secours Charity Health System Affiliated Group, Group Return:	$481,771,336
Other organizations performing similar types of work:	$5,603,496

Income to expenses ratio in 2013: 1.0

Bon Secours Charity Health System Affiliated Group, Group Return:	1.0
Other organizations performing similar types of work:	1.1

Number of employees in 2013: 3,542

This organization:	3,542
Other organizations performing similar types of work:	83

Employees paid over $100,000 in 2013: 11.1%

This organization:	11.1%
Other organizations performing similar types of work:	0.0%

Grants share in income in 2013: 2.1%

Bon Secours Charity Health System Affiliated Group, Group Return:	2.1%
Other organizations performing similar types of work:	0.5%

Financial snapshot ($)

Revenue for 2013

Assets at the end of 2013

Functional expenses for 2013

	2012	2013
Checklist
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?	Yes	Yes
Is the organization required to complete Schedule B, Schedule of Contributors?	Yes	Yes
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?	No	No
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?	Yes	Yes
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?	No	No
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts?	No	No
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?	No	No
Did the organization maintain collections of works of art, historical treasures, or other similar assets?	No	No
Did the organization report an amount for escrow or custodial account liability; serve as a custodian or provide credit counseling, debt management, credit repair, or debt negotiation services?	Yes	Yes
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?	No	No
Did the organization report an amount for land, buildings, and equipment?	Yes	Yes
Did the organization report an amount for investments-other securities that is 5% or more of its total assets?	No	No
Did the organization report an amount for investments-program related that is 5% or more of its total assets?	No	No
Did the organization report an amount for other assets that is 5% or more of its total assets?	Yes	Yes
Did the organization report an amount for other liabilities?	Yes	Yes
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?	No	No
Did the organization obtain separate, independent audited financial statements for the tax year?	No	No
Was the organization included in consolidated, independent audited financial statements for the tax year?	Yes	Yes
Is the organization a school described in section 170(b)(1)(A)(ii)?	No	No
Did the organization maintain an office, employees, or agents outside of the United States?	No	No
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more?	No	No
Did the organization report more than $5,000 of grants or other assistance to or for any foreign organization?	No	No
Did the organization report more than $5,000 of aggregate grants or other assistance to or for foreign individuals?	No	No
Did the organization report a total of more than $15,000 of expenses for professional fundraising services?	No	No
Did the organization report more than $15,000 total of fundraising event gross income and contributions?	No	No
Did the organization report more than $15,000 of gross income from gaming activities?	No	No
Did the organization operate one or more hospital facilities?	Yes	Yes
Did the organization attach a copy of its audited financial statements?	Yes	Yes
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government?	No	No
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?	No	No
Did the organization answer 'Yes' about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees?	Yes	Yes
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?	No	No
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?	No	No
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?	No	No
Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?	No	No
Did the organization engage in an excess benefit transaction with a disqualified person during the year?	No	No
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?	No	No
Did the organization report any amount for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?	No	No
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?	No	No
Was the organization a party to a business transaction with one of the following parties
A current or former officer, director, trustee, or key employee?	No	No
A family member of a current or former officer, director, trustee, or key employee?	No	No
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?	No	No
Did the organization receive more than $25,000 in non-cash contributions?	No	No
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?	No	No
Did the organization liquidate, terminate, or dissolve and cease operations?	No	No
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?	No	No
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?	No	No
Was the organization related to any tax-exempt or taxable entity?	Yes	Yes
Did the organization have a controlled entity within the meaning of section 512(b)(13)?	No	No
Did the organization make any transfers to an exempt non-charitable related organization?	No	No
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes?	No	No

	2010	2011	2012	2013
Statements Regarding Other IRS Filings and Tax Compliance
The number reported in Box 3 of Form 1096		262	280	305
The number of Forms W-2G		0	0	0
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?		Yes	Yes	Yes
The number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return		3,438	3,548	3,542
Did the organization file all required federal employment tax returns?		Yes	Yes	Yes
Did the organization have unrelated business gross income of $1,000 or more during the year?	Yes	Yes	Yes	No
Has it filed a Form 990-T for this year?		Yes	Yes	No
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?		No	No	No
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?		No	No	No
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?		No	No	No
Did the organization file Form 8886-T?		No	No	No
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?		No	No	No
Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?		No	No	No
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?		No	No	No
Did the organization notify the donor of the value of the goods or services provided?		No	No	No
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?		No	No	No
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?		No	No	No
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?		No	No	No
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?		No	No	No
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?		No	No	No
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?		No	No	No
Did the sponsoring organization make any taxable distributions under section 4966?		No	No	No
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?		No	No	No
Initiation fees and capital contributions	$0	$0	$0	$0
Gross receipts for public use of club facilities	$0	$0	$0	$0
Gross income from members or shareholders	$0	$0	$0	$0
Gross income from other sources	$0	$0	$0	$0
Is the organization filing Form 990 in lieu of Form 1041?		No	No	No
The amount of tax-exempt interest received or accrued during the year		$0	$0	$0
Is the organization licensed to issue qualified health plans in more than one state?		No	No	No
The amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans		$0	$0	$0
The amount of reserves on hand		$0	$0	$0
Did the organization receive any payments for indoor tanning services during the tax year?		No	No	No
Has it filed a Form 720 to report these payments?		No	No	No

	2012	2013
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Total reportable compensation from the organization	$7,956,738	$7,947,725
Total reportable compensation from related organizations	$2,068,774	$1,800,321
Total estimated amount of other compensation from the organization and related organizations	$628,323	$639,698
Total number of individuals who received more than $100,000 of reportable compensation from the organization	310	337
Total number of independent contractors who received more than $100,000 of compensation from the organization	248	55

	2010	2011	2012	2013
Statement of Revenue
Total revenue	$429,420,761	$435,876,471	$457,918,307	$473,820,435
Contributions, Gifts, Grants and Other Similar Amounts	$1,452,980	$3,734,392	$10,266,805	$9,816,195
Program Service Revenue	$423,486,129	$430,113,011	$444,769,571	$458,143,916
623000		$430,113,011	$444,769,571	$458,143,916
All other program service revenue		$0	$0	$0
Other Revenue
Investment income (including dividends, interest, and other similar amounts)	$108,165	$247,751	$196,236	$170,767
Income from investment of tax-exempt bond proceeds	$0	$0	$0	$0
Royalties	$0	$0	$0	$0
Net rental income	$249,289	$358,373	$415,504	$448,606
Gross rents (Real / Personal)	$249,289 / $0	$358,373 / $0	$415,504 / $0	$438,978 / $9,628
Less: rental expenses (Real / Personal)	$0 / $0	$0 / $0	$0 / $0	$0 / $0
Rental income or (loss) (Real / Personal)	$249,289 / $0	$358,373 / $0	$415,504 / $0	$438,978 / $9,628
Net gain/loss from sales of assets other than inventory	$116,000	$-145,544	$-450,083	$224,280
Gross amount from sales of assets other than inventory (Securities / Other)	$116,000 / $0	$128,056 / $0	$141,596 / $0	$270,387 / $0
Less: cost or other basis and sales expenses (Securities / Other)	$0 / $0	$0 / $273,600	$0 / $591,679	$0 / $46,107
Gain or (loss) (Securities / Other)	$116,000 / $0	$128,056 / $-273,600	$141,596 / $-591,679	$270,387 / $-46,107
Net income/loss from fundraising events	$12,033	$0	$0	$0
Net income/loss from gaming activities	$0	$0	$0	$0
Net income/loss from sales of inventory	$0	$0	$0	$0
Miscellaneous Revenue	$3,996,165	$1,568,488	$2,720,274	$5,016,671
900099		$834,270	$678,774	$1,685,526
900099		$332,162	$418,073	$1,558,741
900099		$171,000	$353,610	$862,041
All other revenue		$231,056	$1,269,817	$910,363

	2010	2011	2012	2013
Statement of Functional Expenses
Total functional expenses	$440,609,427	$453,159,199	$472,834,240	$481,771,336
Grants and other assistance to domestic organizations and domestic governments		$0	$0	$0
Grants and other assistance to domestic individuals		$0	$0	$0
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals		$0	$0	$0
Benefits paid to or for members		$0	$0	$0
Compensation of current officers, directors, trustees, and key employees	$2,212,928	$2,264,488	$3,403,176	$3,829,222
Compensation not included above, to disqualified persons		$0	$185,300,053	$0
Other salaries and wages	$159,714,491	$162,552,773	$8,130,286	$184,452,317
Pension plan accruals and contributions		$5,751,092	$43,443,194	$7,954,850
Other employee benefits		$37,767,058	$13,008,094	$38,955,012
Payroll taxes	$11,795,272	$13,522,097	$0	$17,503,119
Fees for services (non-employees)
Management		$0	$0	$0
Legal		$1,823,374	$932,289	$819,652
Accounting		$648,248	$614,096	$442,339
Lobbying		$258,355	$101,298	$100,506
Professional fundraising services	$0	$0	$0	$0
Investment management fees		$0	$0	$0
Other		$21,642,488	$17,128,239	$22,878,379
Advertising and promotion		$2,255,339	$1,170,867	$1,756,322
Office expenses		$7,612,958	$8,389,911	$8,267,577
Information technology		$0	$10,187,543	$12,672,203
Royalties		$0	$0	$0
Occupancy		$7,678,014	$10,425,465	$8,727,433
Travel		$1,033,552	$989,786	$934,253
Payments of travel or entertainment expenses for any federal, state, or local public officials		$0	$0	$0
Conferences, conventions, and meetings		$0	$0	$2,427,560
Interest		$7,560,042	$6,340,004	$5,141,231
Payments to affiliates		$0	$0	$0
Depreciation, depletion, and amortization		$18,782,598	$17,859,516	$16,216,316
Insurance		$6,558,273	$7,824,020	$8,288,819
Other expenses		$57,767,976	$54,943,372	$55,568,355
Other expenses		$49,836,419	$52,771,024	$50,079,139
Other expenses		$29,854,921	$10,955,592	$17,810,292
Other expenses		$8,103,928	$8,605,418	$8,560,731
Other expenses		$9,885,206	$10,310,997	$8,385,709

	2010	2011	2012	2013
Balance Sheet
Total assets	$202,303,494	$251,943,636	$251,954,297	$260,737,781
Cash - non-interest-bearing		$111,180	$395,012	$165,997
Savings and temporary cash investments		$471,686	$306,537	$306,621
Pledges and grants receivable, net		$0	$1,500	$1,504,671
Accounts receivable, net		$62,441,733	$60,445,243	$57,384,930
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees		$0	$0	$0
Loans and other receivables from other disqualified persons, persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations		$0	$0	$0
Notes and loans receivable, net		$2,580,735	$1,262,557	$2,862,274
Inventories for sale or use		$6,177,611	$6,032,302	$6,582,029
Prepaid expenses and deferred charges		$1,372,089	$1,819,888	$3,517,389
Land, buildings, and equipment: cost or other basis		$109,212,528	$118,828,330	$122,920,564
Investments - publicly traded securities		$18,929,711	$4,786,131	$5,314,515
Investments - other securities		$0	$0	$0
Investments - program-related		$0	$0	$0
Intangible assets		$0	$1,285,437	$1,007,310
Other assets		$50,646,363	$56,791,360	$59,171,481
Total liabilities	$199,683,678	$266,142,156	$298,567,414	$314,851,929
Accounts payable and accrued expenses		$44,518,426	$53,730,917	$54,094,273
Grants payable		$0	$0	$0
Deferred revenue		$0	$4,903,465	$2,555,455
Tax-exempt bond liabilities	$0	$0	$0	$0
Escrow or custodial account liability		$60,710	$103,390	$121,751
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons		$0	$0	$0
Secured mortgages and notes payable to unrelated third parties	$0	$0	$0	$334,553
Unsecured notes and loans payable to unrelated third parties	$0	$0	$0	$0
Other liabilities (including federal income tax, payables to related third parties, and other liabilities)		$221,563,020	$239,829,642	$257,745,897
Total net assets or fund balances	$2,619,816	$-14,198,520	$-46,613,117	$-54,114,148
Unrestricted net assets		$-14,966,847	$-47,386,207	$-54,888,198
Temporarily restricted net assets		$768,327	$773,090	$774,050
Permanently restricted net assets		$0	$0	$0
Capital stock or trust principal, or current funds		$0	$0	$0
Paid-in or capital surplus, or land, building, or equipment fund		$0	$0	$0
Retained earnings, endowment, accumulated income, or other funds	$0	$0	$0	$0

Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:	A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii)
Number of organizations supported	0
Sum of amounts of support	$0

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Id	Name	Address	State	Established	Total Income
Organizations performing similar types of work
1	Bon Secours Charity Health System Affiliated Group, Group Return	255 Lafayette Ave, Suffern, NY 10901-4812	NY	2011-04	$473,866,542
2	Bon Secours Charity Health System Inc, St Anthony Community Hospital Warwi	15 Maple Ave, Warwick, NY 10990-1028	NY	2011-04	$50,932,844
3	St Peters Health Partners	315 S Manning Blvd, Albany, NY 12208-1707	NY	2013-02	$19,221,390
4	Metropolitan Medical Practice Plan Pc	1901 1st Ave Fl 16, New York, NY 10029-7404	NY	2014-07	$11,897,097
5	North Shore-Lij Cardiovascular Medicine P C	972 Brush Hollow Rd 5th Fl, Westbury, NY 11590-1740	NY	2014-08	$7,577,035
6	Auburn Memorial Medical Services Pc	17 Lansing St, Auburn, NY 13021-1983	NY	2011-03	$7,174,624
7	North Shore-Lij Internal Medicine Pc	972 Brush Hollow Rd, Westbury, NY 11590-1740	NY	2014-08	$5,135,908
8	Rpci Oncology Pc	Elm And Carlton St, Buffalo, NY 14263-0001	NY	2014-07	$4,653,962
9	Health Quest Urgent Medical Care Practice P C	1351 Route 55 Ste 200, Lagrangeville, NY 12540-5128	NY	2011-03	$3,903,186
10	Schaffer Extended Care Center	16 Guion Pl, New Rochelle, NY 10801-5502	NY	2014-10	$2,723,545
11	North Shore-Lij Heart Surgery Pc	972 Brush Hollow Rd, Westbury, NY 11590-1740	NY	2014-08	$1,081,189
12	Western New York Public Health Alliance Inc	60 Dingens St, Buffalo, NY 14206-2308	NY	2005-06	$669,119
13	North Shore-Lij Cardiology At Deer Park Pc	972 Brush Hollow Rd, Westbury, NY 11590-1740	NY	2014-08	$484,469
14	New York Queens Charter Ventures Inc	56-45 Main Street, Queens, NY 11355-5045	NY	2014-09	$8,906
15	Community Health Collaborative Inc	89 Genesee St, Rochester, NY 14611-3201	NY	2012-10	$5,000
16	Africa Health Innovations Inc, None Na	864 Hewitt Place Suite 4 J, Bronx, NY 10459	NY	2012-03	$0
17	Bon Secours Charity Health System	255 Lafayette Ave, Suffern, NY 10901-4812	NY	2011-04	$0
18	Continuum Health Partners Inc	555 West 57th Street, New York, NY 10019-2925	NY	1998-09	$0
19	Erieniagara Mltcp Inc, First Choice Health	4675 Sunset Dr, Lockport, NY 14094-1231	NY	2014-08	$0
20	Healthcare For Life Association Inc	16 Fairlawn Ave, Dobbs Ferry, NY 10522-2830	NY	2015-02	$0

Number of organizations performing similar types of work

Alabama	6
Arkansas	5
Arizona	2
California	34
Colorado	11
Connecticut	6
District of Columbia	3
Delaware	2
Florida	20
Georgia	23
Hawaii	9
Iowa	2
Idaho	5
Illinois	23
Indiana	10
Kansas	8
Kentucky	8
Louisiana	5
Massachusetts	67
Maryland	7
Maine	6
Michigan	36
Minnesota	39
Missouri	15
Mississippi	4
Montana	3

North Carolina	27
North Dakota	14
Nebraska	4
New Hampshire	3
New Jersey	33
New Mexico	3
Nevada	2
New York	45
Ohio	26
Oklahoma	7
Oregon	6
Pennsylvania	46
Rhode Island	5
South Carolina	2
South Dakota	10
Tennessee	7
Texas	62
Utah	3
Virginia	29
Vermont	2
Washington	8
Wisconsin	25
West Virginia	8
Wyoming	1
International	1

Total

738

Affiliation	Name	Address	State	Established	Total Income
All affiliated organizations
Subordinate	Bon Secours Charity Health System Inc, Good Samaritan Hospital Of Suffern	255 Lafayette Ave, Suffern, NY 10901-4812	NY	2013-11	$256,627,102
Subordinate	Bon Secours Charity Health System Inc, Bon Secours Community Hospital	160 E Main St, Port Jervis, NY 12771-2253	NY	2013-11	$86,452,688
Central	Bon Secours Charity Health System	255 Lafayette Ave, Suffern, NY 10901-4812	NY	2011-04	$0
Subordinate	Bon Secours Charity Health System Affiliated Group, Group Return	255 Lafayette Ave, Suffern, NY 10901-4812	NY	2011-04	$473,866,542
Subordinate	Bon Secours Charity Health System Inc, St Anthony Community Hospital Warwi	15 Maple Ave, Warwick, NY 10990-1028	NY	2011-04	$50,932,844
Subordinate	Bon Secours Charity Health System Inc, Medical Group P C	20 Grand St, Warwick, NY 10990-1035	NY	2011-04	$20,042,479
Subordinate	Bon Secours Cgarity Health Systems Inc, Villa Frances At The Knolls Inc	20 Grand St, Warwick, NY 10990-1035	NY	2011-04	$18,850,013
Subordinate	Bon Secours Charity Health System Inc, St Francis Center At The Knolls Inc	20 Grand St, Warwick, NY 10990-1035	NY	2013-11	$3,164,394

Number of affiliated organizations

New York