TY 2015 Form 990 Schedule I

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

(1) The Bon Secours of Maryland Foundation Inc (dba Bon Secours Community Wor 26 North Fulton Avenue Baltimore,MD21223	52-1732800	501(C)(3)	45,000				Community Works Youth Programming Strategic Plan
(2) The Bon Secours of Maryland Foundation Inc (dba Bon Secours Community Wor 26 North Fulton Avenue Baltimore,MD21223	52-1732800	501(C)(3)	100,000				Working Families Initiative
(3) Bon Secours Hospital Baltimore Inc 2000 West Baltimore Street Baltimore,MD21223	52-0591555	501(C)(3)	245,050				Lease Buyouts
(4) Bon Secours DePaul Health Foundation 7007 Harbour View Blvd Suffolk,VA23435	54-1843876	501(C)(3)	40,000				Community Passport to Healthy Teen Engagement
(5) Bon Secours DePaul Health Foundation 7007 Harbour View Blvd Suffolk,VA23435	54-1843876	501(C)(3)	15,350				Community Store House Pantry
(6) Mary Immaculate Hospital 7007 Harbour View Blvd Suffolk,VA23435	54-0548200	501(C)(3)	33,650				Health, Education and Literacy (HEAL)
(7) Bon Secours Maryview Foundation 7007 Harbour View Blvd Suffolk,VA23435	52-1694731	501(C)(3)	51,000				Psychiatric Nurse Pracitioner and Foundation Clinic
(8) Bon Secours Richmond Health Care Foundation 8580 Magellan Parkway Richmond,VA23227	54-1201346	501(C)(3)	65,000				Bridging the Digital Divide
(9) Bon Secours Richmond Health Care Foundation 8580 Magellan Parkway Richmond,VA23227	54-1201346	501(C)(3)	75,000				Employee Assistance Program
(10) Bon Secours Richmond Health Care Foundation 8580 Magellan Parkway Richmond,VA23227	54-1201346	501(C)(3)	100,000				Urban Agricultural Certification
(11) Memorial Regional Medical Center Inc 8580 Magellan Pkwy Richmond,VA23227	54-1744931	501(C)(3)		95,627	Book Value	Medical Equipment	Medical Equipment/Pyxis
(12) Bon Secours - Maria Manor Nursing Care Center Inc 10300 Fourth Street North St Petersburg,FL33716	65-0061820	501(C)(3)	43,000				Diabetes Access Monitoring Program
(13) Bon Secours - Maria Manor Nursing Care Center Inc 10300 Fourth Street North St Petersburg,FL33716	65-0061820	501(C)(3)	10,000				FAB Families
(14) Bon Secours - Maria Manor Nursing Care Center Inc 10300 Fourth Street North St Petersburg,FL33716	65-0061820	501(C)(3)	20,000				Healthy Bucs
(15) Bon Secours - Maria Manor Nursing Care Center Inc 10300 Fourth Street North St Petersburg,FL33716	65-0061820	501(C)(3)	7,000				Healthy Food Options for Expectant Mothers
(16) Bon Secours - Maria Manor Nursing Care Center Inc 10300 Fourth Street North St Petersburg,FL33716	65-0061820	501(C)(3)	20,000				Maintaining Independent Living for Vulnerable Seniors
(17) Bon Secours - Maria Manor Nursing Care Center Inc 10300 Fourth Street North St Petersburg,FL33716	65-0061820	501(C)(3)	11,000				St. Petersburg and Pinellas County Housing Need Assessment
(18) Bon Secours - Maria Manor Nursing Care Center Inc 10300 Fourth Street North St Petersburg,FL33716	65-0061820	501(C)(3)	10,000				The Fruit and Vegetable Prescription Program
(19) Bon Secours - Maria Manor Nursing Care Center Inc 10300 Fourth Street North St Petersburg,FL33716	65-0061820	501(C)(3)	10,000				The Healing Gardens at CASA
(20) Good Samaritan Hospital of Suffern NY 255 Lafayette Avenue Suffern,NY10901	13-1740104	501(C)(3)	100,000				Garden Ministry
(21) Frances Schervier Home and Hospital 2975 Independence Avenue Bronx,NY10463	13-1740397	501(C)(3)	41,600				Community Garden Program
(22) Frances Schervier Home and Hospital 2975 Independence Avenue Bronx,NY10463	13-1740397	501(C)(3)	39,995				Continuing Health Community Initiative
(23) Frances Schervier Home and Hospital 2975 Independence Avenue Bronx,NY10463	13-1740397	501(C)(3)	40,000				Garden and Nutrition Program Kingsbridge Heights Community Center
(24) Frances Schervier Home and Hospital 2975 Independence Avenue Bronx,NY10463	13-1740397	501(C)(3)	33,400				Increase Access to Fresh Produce
(25) Frances Schervier Home and Hospital 2975 Independence Avenue Bronx,NY10463	13-1740397	501(C)(3)	25,000				Mental Health Outreach Worker
(26) Bon Secours Kentucky Health System Foundation Inc 1000 Ashland Drive Ashland,KY41101	61-1381952	501(C)(3)	30,000				Bellefonte Women's Center Rural Health Initiative
(27) Bon Secours Kentucky Health System Foundation Inc 1000 Ashland Drive Ashland,KY41101	61-1381952	501(C)(3)	37,250				Community Partners Dental Program
(28) Bon Secours Kentucky Health System Foundation Inc 1000 Ashland Drive Ashland,KY41101	61-1381952	501(C)(3)	50,000				FIT Families: Facing It Together
(29) Bon Secours Kentucky Health System Foundation Inc 1000 Ashland Drive Ashland,KY41101	61-1381952	501(C)(3)	7,000				Human Traffic Resource Coalition
(30) Bon Secours Kentucky Health System Foundation Inc 1000 Ashland Drive Ashland,KY41101	61-1381952	501(C)(3)	21,000				Ironton OH Community
(31) Bon Secours Kentucky Health System Foundation Inc 1000 Ashland Drive Ashland,KY41101	61-1381952	501(C)(3)	10,000				Lawrence County OH ~ Healthy Weight Program
(32) St Francis Hospital Inc One St Francis Drive Greenville,SC29601	58-2504530	501(C)(3)	72,705				Healthy Communities Navigator
(33) Bon Secours St Francis Health System Foundation One St Francis Drive Greenville,SC29601	26-0012031	501(C)(3)	10,000				Young Life Transportation Initiative
(34) St Francis Hospital Inc One St Francis Drive Greenville,SC29601	58-2504530	501(C)(3)		209,130	Book Value	Medical Equipment	Medical Equipment/Pyxis
(35) St Francis Hospital Inc One St Francis Drive Greenville,SC29601	58-2504530	501(C)(3)	731,400				Lease Buyouts
(36) Roper St Francis Health System 315 Calhoun St Charleston,SC29601	57-1068509	501(C)(3)	100,000				Access Tri County Health Network
(37) Roper St Francis Health System 315 Calhoun St Charleston,SC29601	57-1068509	501(C)(3)	50,000				Continuing Access to Breast Screening
(38) American Hospital Assocation PO Box 75315 Chicago,IL60675	36-0726140	501(C)(3)	25,000				Assn for Community Health Improvement Conference Sponsorship
(39) Catholic Medical Mission Board 1129 20th Street NW Washington,DC20036	13-5602319	501(C)(3)	570,000				1st 1000 Days Program in Peru
(40) Sisters of Bon Secours USA Inc 1505 Marriottsville Road Marriottsville,MD21104	52-0715237	501(C)(3)	72,818				FY16 Volunteer Ministry Program
(41) Mercy Housing 1999 Broadway Denver,CO80202	47-0646706	501(C)(3)	25,000				Strategic Healthcare Partnership Initiave
(42) Crossover Healthcare Ministries 8600 Quioccasin Rd Ste 102 Richmond,VA23229	54-1371067	501(C)(3)	5,000				Board Member Donations Outgoing Members Allen Seitz
(43) Midwives for Haiti 7130 Glen Forest Drive Richmond,VA23226	27-2368581	501(C)(3)	100,000				Midwives for Haiti Work
(44) Sisters of Bon Secours USA Inc 1505 Marriottsville Road Marriottsville,MD21104	52-0715237	501(C)(3)	11,862				Peru Construction
(45) Roper St Francis Health System 315 Calhoun St Charleston,SC29601	57-1068509	501(C)(3)	50,000				SC Flood Releif
(46) Bon Secours - Maria Manor Nursing Care Center Inc 10300 Fourth Street North St Petersburg,FL33716	65-0061820	501(C)(3)	7,500				Gala Celebrate the Graceful Ar of Senior Care
(47) Sisters of Charity Incarnation Word 4503 Broadway San Antonio,TX78209	74-1676917	501(C)(3)	50,000				Chimbote Peru Work
(48) Sisters Academy of Baltimore 139 First Avenue Baltimore,MD21227	34-1975939	501(C)(3)	25,000				Academic Support 2015-2016 School Year
(49) Roper St Francis Health System 315 Calhoun St Charleston,SC29601	57-1068509	501(C)(3)	62,567				SC Donation Red Cross
(50) Roper St Francis Health System 315 Calhoun St Charleston,SC29601	57-1068509	501(C)(3)	1,667				SC Relief
(51) Global Smile Foundation 28 Martingale Lane Westwood,MA02090	26-2668127	501(C)(3)	25,000				Global Smile Donation
(52) Crossover Healthcare Ministries 8600 Quioccasin Rd Ste 102 Richmond,VA23229	54-1371067	501(C)(3)	5,000				Board Member Donations Outgoing Members Allen Seitz
(53) North Rosedale Park Civic Association 18445 Scarsdale Detroit,MI48223	38-0882424	501(C)(3)	2,500				Board Member Donations Outgoing Members Allen Seitz
(54) Cooalition on Temporary Shelter 26 Peterboro Detroit,MI48201	38-2420565	501(C)(3)	2,500				Board Member Donations Outgoing Members Allen Seitz
(55) Sisters Academy of Baltimore 139 First Avenue Baltimore,MD21227	34-1975939	501(C)(3)	5,600				Block Party at the Park
(56) Catholic Charities USA 2050 Ballenger Ave Alexandria,VA22314	53-0196620	501(C)(3)	50,000				Midwest & Southern Emergency
(57) Sisters of Charity of St Elizabeth PO Box 476 Convent Station,NJ079610476	22-1487343	501(C)(3)	3,000				Journal Ad Harvest Festival
(58) American Red Cross 420 East Cary Street Richmond,VA23218	53-0196605	501(C)(3)	25,000				VA Tornado Relief
(59) United Way of South Hampton Roads PO Box 41069 Norfolk,VA23541	54-0506322	501(C)(3)	25,000				Community Data Portal Partnership
(60) Our Lady of Bellefonte Hospital Inc 100 St Christopher Dr Ashland,KY41101	61-1356023	501(C)(3)	5,000				Golf Tournament Sponsorship
(61) Our Lady of Bellefonte Hospital Inc 100 St Christopher Dr Ashland,KY41101	61-1356023	501(C)(3)		37,598	Book Value	Medical Equipment	Medical Equipment/Pyxis
(62) Immaculate Heart of Mary 610 West Elm Ave Monroe,MI48162	38-1359581	501(C)(3)	50,000				Solidarity South Sudan
(63) Americares Foundation Inc 88 Hamilton Ave Stamford,CT06902	06-1008595	501(C)(3)	50,000				Ecuador Disaster Relief
(64) Americares Foundation Inc 88 Hamilton Ave Stamford,CT06902	06-1008595	501(C)(3)	20,000				West Virginia Disaster Relief
(65) Christ Child Society 4033 W Good Hope Road Milwalkee,WI53209	39-6084257	501(C)(3)	500				Memorial Donation Donna Marie Heon
(66) LCWR 2016 Assembly Sponsorship 8808 Cameron St Silver Spring,MD20910	43-6033728	501(C)(3)	10,000				LCWR 2016 Assembly
(67) American Red Cross 420 East Cary Street Richmond,VA23218	53-0196605	501(C)(3)	5,000				Ellicott City MD Relief
(68) Roper St Francis Health System 315 Calhoun St Charleston,SC29601	57-1068509	501(C)(3)	5,000				SC Flood Releif
(69) Westchester Medical Foundation 100 Woods Road Ste 3 Valhalla,NY10595	13-4095845	501(C)(3)	15,000				Westchester Medical Center Gala
(70) Congregation of Bon Secours of Paris Incorporated 1527 Marriottsville Road Marriottsville,MD21104	45-3662533	501(C)(3)	7,500				Holy Redeemer
(71) Congregation of Bon Secours of Paris Incorporated 1527 Marriottsville Road Marriottsville,MD21104	45-3662533	501(C)(3)	2,500				Pax Christi
(72) Bon Secours DePaul Health Foundation 7007 Harbour View Blvd Suffolk,VA23435	54-1843876	501(C)(3)	135,000				Wellness Grant: DMC Tranquility Rooms
(73) Bon Secours - Maria Manor Nursing Care Center Inc 10300 Fourth Street North St Petersburg,FL33716	65-0061820	501(C)(3)	30,000				Employee Hardship Assistance
(74) Frances Schervier Home and Hospital 2975 Independence Avenue Bronx,NY10463	13-1740397	501(C)(3)	25,000				Employee Hardship Assistance
(75) Frances Schervier Home and Hospital 2975 Independence Avenue Bronx,NY10463	13-1740397	501(C)(3)	30,000				Employee Hardship Assistance
(76) Frances Schervier Home and Hospital 2975 Independence Avenue Bronx,NY10463	13-1740397	501(C)(3)	40,000				Employee Hardship Assistance
(77) Bon Secours St Francis Health System Foundation One St Francis Drive Greenville,SC29601	26-0012031	501(C)(3)	30,000				Employee Hardship Assistance
(78) St Mary's Hospital of Richmond Inc 8580 Magellan Pkwy Building IV Richmond,VA23227	54-0793767	501(C)(3)		34,977	Book Value	Medical Equipment	Medical Equipment/Pyxis
(79) Richmond Community Hospital Inc 8580 Magellan Pkwy Building IV Richmond,VA23227	54-0647482	501(C)(3)		101,342	Book Value	Medical Equipment	Medical Equipment/Pyxis
(80) Bon Secours - St Francis Medical Center Inc 8580 Magellan Pkwy Building IV Richmond,VA23227	31-1716973	501(C)(3)		33,758	Book Value	Medical Equipment	Medical Equipment/Pyxis
(81) Bon Secours - St Francis Medical Center Inc 8580 Magellan Pkwy Building IV Richmond,VA23227	31-1716973	501(C)(3)	595,860				Lease Buyouts
(82) Bon Secours Inc 1505 Marriottsville Road Marriottsville,MD21104	52-1301091	501(C)(3)	60,000				General Support

Return Reference	Explanation
Part I, Line 2:	Per 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. In other cases, grantees submit progress reports on the anniversary date on which the grant was received. The evaluation report includes: 1) progress toward the deployment of the stated goals and objectives, 2) progress towards the achievement of desired outcome as demonstrated by Project Work Plan, 3) an accurate accounting of the revenue and expenses and the amount of the mission fund award expensed, and 4) a summary past, current and future funding sources and efforts to secure sustaining sources of funding. Description of the Bon Secours Health System Mission Fund: Bon Secours Health System, Inc. performs its philanthropic work through its mission department. This initiative, called the Bon Secours Health System Mission Fund ("Mission Fund"), was developed to promote the Catholic Health Ministry and the BSHSI Mission. This purpose is realized through the funding of initiatives that improve the health and well being of communities, particularly for disenfranchised and marginalized people, served by BSHSI Local Systems ("Local Systems"), Cosponsors and the Congregation of the Sisters of Bon Secours. The scope of its purpose and use of funds would be to: -promote healthy community coalition initiatives in conjunction with local system efforts, -develop local system and community excellence for a specific health condition and preventive need, and -improve access for uninsured populations and reduce health disparities among populations in the community. The Strategic Quality Plan of the health system calls for focused efforts to Build Healthier Communities. The health system understands "health" to include social and communal dimensions and has adopted the following articulation of a healthy community. The conditions of communities and individuals served by BSHSI reflect the interaction of significant factors and complex behaviors at the individual, communal, and societal level. It is not likely that interventions by any one organization will result in substantial improvement or benefit to the community. Rather, increased participation by stakeholders and greater cooperation among entities with appropriate skills and resources is necessary for systemic change and improved outcomes. Mission Fund grants place emphasis on increased collaboration among community based members (Healthy Community Initiative), public health officials and other providers of services. The Mission Fund anticipates that most endeavors that seek to bring meaningful improvement require time and commitment. Consequently, local system grant recipients may expect continuity of support (several years) to establish and track outcomes. At the same time, grant applicants need to cultivate and achieve a wide array of financial resources necessary to sustain promising projects and service programs.

Return Reference

Explanation

Part I, Line 2:

Per 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. In other cases, grantees submit progress reports on the anniversary date on which the grant was received. The evaluation report includes: 1) progress toward the deployment of the stated goals and objectives, 2) progress towards the achievement of desired outcome as demonstrated by Project Work Plan, 3) an accurate accounting of the revenue and expenses and the amount of the mission fund award expensed, and 4) a summary past, current and future funding sources and efforts to secure sustaining sources of funding. Description of the Bon Secours Health System Mission Fund: Bon Secours Health System, Inc. performs its philanthropic work through its mission department. This initiative, called the Bon Secours Health System Mission Fund ("Mission Fund"), was developed to promote the Catholic Health Ministry and the BSHSI Mission. This purpose is realized through the funding of initiatives that improve the health and well being of communities, particularly for disenfranchised and marginalized people, served by BSHSI Local Systems ("Local Systems"), Cosponsors and the Congregation of the Sisters of Bon Secours. The scope of its purpose and use of funds would be to: -promote healthy community coalition initiatives in conjunction with local system efforts, -develop local system and community excellence for a specific health condition and preventive need, and -improve access for uninsured populations and reduce health disparities among populations in the community. The Strategic Quality Plan of the health system calls for focused efforts to Build Healthier Communities. The health system understands "health" to include social and communal dimensions and has adopted the following articulation of a healthy community. The conditions of communities and individuals served by BSHSI reflect the interaction of significant factors and complex behaviors at the individual, communal, and societal level. It is not likely that interventions by any one organization will result in substantial improvement or benefit to the community. Rather, increased participation by stakeholders and greater cooperation among entities with appropriate skills and resources is necessary for systemic change and improved outcomes. Mission Fund grants place emphasis on increased collaboration among community based members (Healthy Community Initiative), public health officials and other providers of services. The Mission Fund anticipates that most endeavors that seek to bring meaningful improvement require time and commitment. Consequently, local system grant recipients may expect continuity of support (several years) to establish and track outcomes. At the same time, grant applicants need to cultivate and achieve a wide array of financial resources necessary to sustain promising projects and service programs.

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