2023-09-25T13:43:26-07:00 2022-12-31 111679599 St Marys Hospital for Children 2901 216th Street Bayside NY 11360 990 2022-01-01 271529374 SMH ADMINISTRATIVE SERVICES SMHA 7188192889 29-01 216TH STREET BAYSIDE NY 11360 EDWIN F SIMPSER MD PRESIDENT,CEO & CMO 2023-09-25 true EDWIN F SIMPSER MD 999009999 true ST MARY'S HOSPITAL FOR CHILDREN XXX-XX-XXXX 7182818777 2 AAL1 IAL1 FAL1 2022 2023-04-26 12:10:37Z EDWIN F SIMPSER MD 29-01 216TH STREET BAYSIDE NY 11360 16664965 false X WWW.STMARYSKIDS.ORG X 2010 NY ST. MARY'S ADMINISTRATIVE SERVICES, INC. PROVIDES ADMINISTRATIVE SUPPORT SERVICES TO THE ORGANIZATIONS COMPRISING ST. MARY'S HEALTHCARE SYSTEM FOR CHILDREN. 3 2 76 2 0 0 16931458 16664965 0 0 16931458 16664965 0 0 11745222 11048763 0 0 5186236 5616202 16931458 16664965 0 19106723 13667335 29135522 23696134 -10028799 -10028799 SMH ADMINISTRATIVE SERVICES, INC. ("SMA") IS A NOT-FOR-PROFIT CORPORATION PROVIDING ADMINISTRATIVE SUPPORT TO AFFILIATED NOT-FOR-PROFIT ORGANIZATIONS SERVING CHILDREN REQUIRING MEDICAL AND REHABILITATIVE SERVICES. ST. MARY'S HEALTHCARE SYSTEM FOR CHILDREN, INC. ("SMHSC")IS THE SOLE CORPORATE MEMBER OF SMH ADMINISTRATIVE SERVICES, INC. OTHER MEMBERS OF SMHSC INCLUDE ST. MARY'S HOSPITAL FOR CHILDREN, INC.("SMH"), ST MARY'S FOUNDATION FOR CHILDREN, INC. ("FOUNDATION"), ST. MARY'S REHABILITATION CENTER FOR CHILDREN ("SMRCC"), ST. MARY'S COMMUNITY CARE PROFESSIONALS, INC. ("CCP") AND EXTRAORDINARY HOME CARE D/B/A ST. MARY'S HOME CARE. THE PRIMARY SOURCES OF REVENUES ARE FEES FROM PROVIDING ADMINISTRATIVE SUPPORT SERVICES TO AFFILIATED NOT-FOR-PROFIT ORGANIZATIONS. false false SMH ADMINISTRATIVE SERVICES, INC. ("SMA") IS A NOT-FOR-PROFIT CORPORATION PROVIDING ADMINISTRATIVE SUPPORT TO AFFILIATED NOT-FOR-PROFIT ORGANIZATIONS SERVING CHILDREN REQUIRING SPECIALIZED MEDICAL AND REHABILITATIVE SERVICES. SERVICES INCLUDE EXECUTIVE LEADERSHIP, FINANCIAL MANAGEMENT, HUMAN RESOURCES MANAGEMENT, INFORMATION TECHNOLOGY AND TELECOMMUNICATIONS, AND OTHER ADMINISTRATIVE SUPPORT SERVICES.SMH ADMINISTRATIVE SERVICE'S REPORTS NO PROGRAMMATIC EXPENSES IN PART III BECAUSE ITS PRIMARY PROGRAMMATIC ACTIVITY IS TO PROVIDE ADMINISTRATIVE AND MANAGEMENT SERVICES TO ITS RELATED TAX-EXEMPT AFFILLIATED ORGANIZATIONS; ACCORDINGLY, ALL EXPENSES ARE REPORTED AS ADMINISTRATIVE ON THE FUNCTIONAL EXPENSE SCHEDULE (PART IX) true false false true false false false false false false false false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 20 0 true 76 true false false false false false false false 0 false false false false false false false X 3 2 false false false false true true true true true false false true true true true true true true true false NY X MELISSA SANDLER DIR OF FINANCE 7182818777 5 DAKOTA DRIVE NEW HYDE PARK NY 11042 EDWIN F SIMPSER MD Pres, CEO & CMO 37.50 7.00 X X 1004766 0 69190 WILLIAM L MEAD COO/CFO 37.50 7.00 X 574846 0 54287 SEAN LALLY VP FOR DEVELOPMENT & EXTERNAL AFFAI 37.50 1.50 344135 0 50700 ADAM WAXER General Counsel 37.50 7.00 X 322912 0 52073 PATRICIA HACKENJOS AVP OF HR 37.50 0.00 274308 0 53588 STEVEN POLINSKY CIO 37.50 7.00 X 282587 0 39008 DAWN CUGLIETTO-GRETHEL AVP STR. PLANNING 37.50 0.00 180504 0 34355 MELISSA SANDLER From 10-2022 Dir. Of Finance 37.50 0.00 173973 0 40724 William Hammond Until 09-2022 DIR. OF FINANCE 37.50 0.00 152477 0 7531 BEATA JALOWSKI AR MANAGER 37.50 0.00 139038 0 14955 STEPHEN BRENT WELLS Chairman 1.50 6.00 X X 0 0 0 SAMUEL R KARETSKY Secretary/TREAS 1.00 7.50 X X 0 0 0 3449546 416411 28 false true false GRANT THORNTON LLP 445 Broadhollow Rd Melville NY 11747 Audit 223845 MEDICAL INFORMATION TECHNOLOGY POBOX 74569 CHICAGO IL 60696 Provide Patient Care 132747 GOTHAM TECHNOLOGY GROUP LLC 5 PARAGON DRIVE MONTVALE NJ 07645 ProvGuidance To IT Profe 131597 BROWN & WEINRAUBPLLC 76 N Pearl Street Ste 3 Albany NY 12207 Govt. Consulting Firm 120000 4 0 Administrative Services 561000 16664965 16664965 16664965 0 0 0 0 0 0 0 0 0 16664965 16664965 0 0 0 0 2794505 2794505 0 4954339 4954339 518036 518036 2286610 2286610 495273 495273 0 53828 53828 299095 299095 120100 120100 0 0 111729 111729 113477 113477 639238 639238 282143 282143 0 549852 549852 16997 16997 0 4033 4033 0 0 0 2158505 2158505 Maintenance Contracts 808817 808817 Other Purchased Services 325641 325641 Healthcare services of Medical 132747 132747 0 16664965 0 16664965 0 4501525 2184187 0 0 426926 270366 0 0 0 0 74940 145085 0 0 0 0 0 14103332 11067697 19106723 13667335 3274031 3243531 25861491 20452603 29135522 23696134 X -10028799 -10028799 -10028799 -10028799 19106723 13667335 0 X false true X true false X X X 5 ST MARYS HOSPITAL FOR CHILDREN 111679599 3 false 0 10100149 ST MARYS FOUNDATION FOR CHILDREN 112728736 7 false 0 800405 ST MARYS COMMUNITY CARE PROFESSIO 113360276 10 false 0 388293 EXTRAORDINARY HOMECARE DBA ST MA 272021133 10 false 0 4732850 SMH CASE MANAGEMENT INC 272321384 10 false 0 643268 5 16664965 false true false false false false false false false false false false false false false false Part IV, Section A, Line 1: Description Of How Supported Organizations Are Desigated INCLUDED IN THE CERTIFICATE OF INCORPORATION OF SMH ADMINISTRATIVE SERVICES IS A DESIGNATION THAT ORGANIZATIONS THAT ARE AFFILIATED WITH ST. MARY'S HOSPITAL FOR CHILDREN, INC. AND OTHER ORGANIZATIONS THAT ARE COMPONENTS OF ST. Mary's HEALTHCARE SYSTEM FOR CHILDREN WOULD BE INCLUDED AS SUPPORTED ORGANIZATIONS. THE QUESTION HAS BEEN ANSWERED NO, AS THE NAMES OF THE INDIVIDUAL ENTITIES INCLUDED AS COMPONENTS OF ST. MARY'S HEALTHCARE SYSTEM FOR CHILDREN ARE NOT SPECIFICALLY IDENTIFIED AND LISTED IN THE SMH ADMINISTRATIVE SERVICES' ORGANIZATIONAL DOCUMENTS. Part IV, Section A, Line 2: Description Of How Organization Determined Supported Org. SMH Administrative Services supports multiple organizations within St. Mary's Healthcare System, most of which are Section 509(a)(1) or (a)(2) organizations. The two exceptions are St. Mary's Healthcare System and St. Marys Rehabilitation Center, both of which conduct no active business operations (and both of whom receive no support from Administrative Services). Part IV, Section C, Line 1: Control Or Management Of Supported Orgs. PART IV, SECTION C. TYPE II SUPPORTING ORGANIZATIONSA majority of the SMH Administrative Services Board of Directors also serve on each of the Boards of the supported organizations. A majority of the SMH Administrative Services Board of Directors serve as a majority of the Board of Directors of SMH Case Management and Extraordinary Homecare and SMH Community Care Professionals, Inc. A majority of the SMH Administrative Services Board of Directors make up 50% of the Board of Directors of St. Marys Hospital for Children. A majority of the SMH Administrative Services Board of Directors make up 40% of the Board of Directors of St. Marys Foundation for Children and St. Mary's Rehabilitation Center. Nevertheless, SMH Administrative Services and each of its supported organizations have common supervision and control because the same officers manage and oversee the operations of each organization. false false false false false false false false false false true 120100 120100 false false Part II-B, Line 1i - Other Activities Description St. Marys Administrative Services does not undertake any direct lobbying itself. St Mary's Administrative Services engaged law firms to lobby on its behalf regarding Medicaid rate setting and other regulatory and legislative issues. Part IV - Additional Information DUE FROM COMMUNITY CARE PROFESSIONALS CO 2842766 DUE FROM ST. MARY'S CASE MANAGEMENT 1433398 DUE FROM ST. MARY'S FOUNDATION FOR CHILD 2479286 DUE FROM ST. MARY'S HOME CARE 3746542 DUE FROM ST. MARY'S REHABILITATION CENTE 14973 RIGHT TO USE ASSET LEASE 550732 11067697 DUE TO ST. MARY'S HOSPITAL 19820860 LEASE LIABILITY 631743 20452603 X Part X : FIN48 Footnote St. Mary's Administrative Services follows guidance that clarifies the accounting for uncertainty in tax positions taken or expected to be taken in a tax return, including issues relating to financial statement recognition and measurement. This guidance provides that the tax effects from an uncertain tax position can only be recognized in the financial statements if the position is more-likely-than-not to be sustained if the position were to be challenged by a taxing authority. The assessment of the tax position is based solely on the technical merits of the position, without regard to the likelihood that the tax position may be challenged.St. Mary's Administrative Service is exempt from federal income tax under IRC section 501(c)(3), though it is subject to tax on income unrelated to its exempt purpose, unless that income is otherwise excluded by the Code. St. Mary's Administrative Service has processes presently in place to ensure the maintenance of its tax-exempt status; to identify and report unrelated income; to determine its filing and tax obligations in jurisdictions for which there was nexus; and to identify and evaluate other matters that may be considered tax positions. St. Mary's Administrative Services has determined that there are no material uncertain tax positions that require recognition or disclosure in the financial statements. X true true X X X false true false false false false false true false ADAM WAXER General Counsel 276965 27300 18647 20772 31301 374985 BEATA JALOWSKI AR MANAGER 133057 5000 981 14316 639 153993 DAWN CUGLIETTO-GRETHEL AVP STR. PLANNING 180504 8514 25841 214859 EDWIN F SIMPSER MD Pres, CEO & CMO 700000 75000 229766 41175 28015 1073956 MELISSA SANDLER From 10-2022 Dir. Of Finance 164337 5000 4636 12325 28399 214697 PATRICIA HACKENJOS AVP OF HR 236630 23400 14278 22480 31108 327896 SEAN LALLY VP FOR DEVELOPMENT & EXTERNAL AFFAI 301703 29750 12682 22628 28072 394835 STEVEN POLINSKY CIO 238189 23500 20898 11290 27718 321595 William Hammond Until 09-2022 DIR. OF FINANCE 147477 5000 6287 1244 160008 WILLIAM L MEAD COO/CFO 482449 47500 44897 22875 31412 629133 Part I, Line 1a: Relevant information in regards to selections on 1a. Part I, Line 7: Non-Fixed payments not listed above Various individuals reported on Schedule J received discretionary bonuses in the current calendar year. These bonuses are determined by management based on the individuals having met certain objective performance based criteria. Form 990, Part VI, Section A, Line 6 St. Mary's Administrative Services's sole member is St. Marys Healthcare System for Children, Inc. (SMHSC). Form 990, Part VI, Section A, Line 7a St. Mary's Administrative Services's bylaws specifically reserve the power to appoint and remove its Board Members to the SMHSC. Form 990, Part VI, Section A, Line 7b St. Mary's Administrative Services's bylaws specifically reserve the following powers to SMHSC: *MERGERS, *SALES OR DISSOLUTIONS, *AMENDMENTS TO THE CERTIFICATE OF INCORPORATION AND OR BYLAWS, *OPERATING AND CAPITAL BUDGETS, *UNBUDGETED BORROWINGS IN EXCESS OF $1,000,000, *UNBUDGETED CAPITAL EXPENDITURES IN EXCESS OF $500,000, *A STRATEGIC PLAN AND HIRING AND FIRING OF THE CEO. Form 990, Part VI, Section B, Line 11b St. Mary's Administrative Services's Form 990 is reviewed by an external accounting firm prior to submission to the full Audit & Compliance committee for review. Once the changes from both the accounting firm and Audit & Compliance committees review are implemented, a final draft of the 990 is posted to the Board of Directors website for access by all board members prior to the electronic submission of the 990 to the IRS. Form 990, Part VI, Section B, Line 12c Once a year, each board member, officer or key employee of the organization completes a conflict of interest questionnaire, statement and acknowledgement which confirm that each individual has disclosed any potential conflict of interest; has received a copy of the conflict of interest policy; has read, understands, and agrees to comply with the conflict of interest policy. During the course of the year, each board member, officer, and key employee is required to promptly advise the chief executive officer or his /her designee, of any changes to the information provided in that individual's last completed conflict of interest questionnaire.The chief executive officer, or his/her designee, reviews all completed questionnaires and all subsequent advice of changes, taking such action as is deemed appropriate to address and eliminate potential conflicts of interest, including such steps as reassignment of responsibilities.All disclosures of interests in completed questionnaires or subsequent advice, unless clearly irrelevant or immaterial, shall be compiled and reported by management to the audit and compliance committee of the board, together, in each case, with the response or recommendation of management. The audit and compliance committee shall determine whether the reported resolution of issues raised by the disclosures is satisfactory and, if not shall take such further action as it deems appropriate. Each board member, and any officer or key employee representing a proposed transaction or other matter to the board shall disclose promptly and in good faith to the board such individual's interest in a proposed transaction or other matter to be considered by the board. The individual may not participate in any way in the board's deliberations concerning matters in which he/she has disclosed an interest.Following any such disclosure, and after such due diligence and such development and consideration of other alternatives, if any, as the board shall deem appropriate, the board may, in its discretion, authorize or approve the proposed transaction or actions as at least as fair and reasonable to the organization as would otherwise be obtainable by the organization. Such actions shall be by a vote sufficient for such purpose without counting the vote or votes of such interested person or persons and such person or persons may not participate in, determining the presence of a quorum at the meeting.Any disclosure, non-participation, and board action taken in accordance with this policy shall be clearly recorded in the minutes of the meeting at which the matter is addressed and resolved.Upon reasonable belief that a board member, officer or key employee failed to comply with the policies and directives set forth in its disclosure policy, the board or the audit and compliance committee shall in form the individual of the basis of the belief and provide an opportunity to explain the noncompliance. If after hearing the individual's response and making further appropriate investigations, the board or audit compliance committee determines that the individual has, in fact, failed to comply with such policies and directives, it shall take or recommend appropriate corrective action. Form 990, Part VI, Section B, Line 15a Salaries for the Executive team are paid by SMH Administrative Services. The policies for determining compensation are as follows: St. Mary's Healthcare System for Children, the sole member of the organization, reviews market pay practices for senior executives in organizations of comparable size and type. This market analysis is then reviewed by the executive review/compensation committee and used as a factor in determining salary adjustments relative to market competitiveness and job performance. Form 990, Part VI, Section B, Line 15b Compensation for other executives is managed in a similar manner, with the human resources department in consultation with the CEO, using periodic surveys of the local market to ensure that St. Mary's compensation is competitive. Form 990, Part VI, Section C, Line 19 St. Mary's Administrative Services makes its organizing documents, conflict of interest policy and financial statements available to the public upon request and at managements discretion. ST MARYS HEALTHCARE SYSTEM FOR CHILDREN INC 29-01 216TH STREET BAYSIDE NY 11360 113574493 HEALTH CARE NY 501(C)(3) TYPE II NA false ST MARYS HOSPITAL FOR CHILDREN INC 29-01 216TH STREET BAYSIDE NY 11360 111679599 HEALTH CARE NY 501(C)(3) LINE 3 ST MARYS HEALTHCARE SYSTM FOR CHILD false ST MARYS FOUNDATION FOR CHILDRENINC 29-01 216TH STREET BAYSIDE NY 11360 112728736 FUNDRAISING NY 501(C)(3) LINE 7 ST MARYS HEALTHCARE SYSTM FOR CHILD false EXTRAORDINARY HOME CARE DBA ST MARYS HOME CARE 29-01 216TH STREET BAYSIDE NY 11360 272021133 HOME HEALTH CARE SERVICES NY 501(C)(3) LINE 10 ST MARYS HEALTHCARE SYSTM FOR CHILD false ST MARYS COMMUNITY CARE PROFESSIONALS CORP 29-01 216TH STREET BAYSIDE NY 11360 113360276 PROFESSIONAL HOME HEALTH CARE NY 501(C)(3) LINE 10 ST MARYS HEALTHCARE SYSTM FOR CHILD false SMH CASE MANAGMENT INC 29-01 216TH STREET BAYSIDE NY 11360 272321384 CASE MANAGEMENT NY 501(c)(3) LINE 10 ST MARYS HEALTHCARE SYSTM FOR CHILD false ST MARYS REHABILITATION CENTER FOR CHILDREN INC 29-01 216TH STREET BAYSIDE NY 11360 136163550 HEALTH CARE NY 501(C)(3) TYPE II ST MARYS HEALTHCARE SYSTM FOR CHILD false false false false false false false false false false false false true false true true false true false true