SMH ADMINISTRATIVE SERVICES INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- SMH ADMINISTRATIVE SERVICES INC (EIN 27-1529374)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-04
- IRS object ID
- 202223089349301417
- Schema version
- 2021v4.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-04T06:55:46-07:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 271529374 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SMH ADMINISTRATIVE SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SMHA | BusinessNameControlTxt |
| Phone | 7182818777 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 29-01 216TH STREET | AddressLine1Txt |
| City | BAYSIDE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11360 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | EDWIN F SIMPSER MD | PersonNm |
| Person Title | PRESIDENT,CEO & CMO | PersonTitleTxt |
| Signature | 2022-11-04 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | EDWIN F SIMPSER | PersonFirstNm |
| Person Last | MD | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | EDWIN F SIMPSER MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 29-01 216TH STREET | AddressLine1Txt |
| City | BAYSIDE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11360 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $16,931,458 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.STMARYSKIDS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2010 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | ST. MARY'S ADMINISTRATIVE SERVICES, INC. PROVIDES ADMINISTRATIVE SUPPORT SERVICES TO THE ORGANIZATIONS COMPRISING ST. MARY'S HEALTHCARE SYSTEM FOR CHILDREN. | ActivityOrMissionDesc |
| Voting Members Governing Body | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 2 | VotingMembersIndependentCnt |
| Total Employee | 79 | TotalEmployeeCnt |
| Total Volunteers | 1 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $15,629,555 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $16,931,458 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $15,629,555 | PYTotalRevenueAmt |
| CY Total Revenue | $16,931,458 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $11,023,923 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,745,222 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,605,632 | PYOtherExpensesAmt |
| CY Other Expenses | $5,186,236 | CYOtherExpensesAmt |
| PY Total Expenses | $15,629,555 | PYTotalExpensesAmt |
| CY Total Expenses | $16,931,458 | CYTotalExpensesAmt |
| CY Revenues Less Expenses | $0 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $17,000,340 | TotalAssetsBOYAmt |
| Total Assets EOY | $19,106,723 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $27,029,139 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $29,135,522 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$10,028,799 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$10,028,799 | NetAssetsOrFundBalancesEOYAmt |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Desc | 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) | Desc |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | 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 | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | 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 | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | 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 With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| 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 | 11 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 79 | 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 |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 2 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | 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 | WILLIAM HAMMOND DIR OF FINANCE | PersonNm |
| Phone | 7182818777 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5 DAKOTA DRIVE | AddressLine1Txt |
| City | NEW HYDE PARK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11042 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 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 |
|---|---|---|---|---|---|---|---|
| EDWIN F SIMPSER MD | |||||||
| Pres, CEO & CMO | 37.50 | 7.00 | Yes (X) | Yes (X) | $1,011,702 | $0 | $63,904 |
| WILLIAM L MEAD | |||||||
| COO/CFO | 37.50 | 7.00 | Yes (X) | $561,981 | $0 | $49,516 | |
| SEAN LALLY | |||||||
| VP FOR DEVELOPMENT & EXTERNAL AFFAI | 37.50 | 1.50 | $332,498 | $0 | $41,751 | ||
| ADAM WAXER | |||||||
| General Counsel | 37.50 | 7.00 | Yes (X) | $298,620 | $0 | $46,739 | |
| PATRICIA HACKENJOS | |||||||
| AVP OF HR | 37.50 | 0.00 | $269,283 | $0 | $49,227 | ||
| STEVEN POLINSKY | |||||||
| CIO | 37.50 | 7.00 | Yes (X) | $255,498 | $0 | $34,232 | |
| DAWN CUGLIETTO-GRETHEL | |||||||
| AVP STR. PLANNING | 37.50 | 0.00 | $183,821 | $0 | $48,863 | ||
| MELISSA SANDLER | |||||||
| CONTROLLER | 37.50 | 0.00 | $182,982 | $0 | $38,016 | ||
| MICHAEL GSKLAR | |||||||
| DIR. OR FINANCE | 37.50 | 0.00 | $153,555 | $0 | $27,363 | ||
| BEATA JALOWSKI | |||||||
| AR MANAGER | 37.50 | 0.00 | $131,146 | $0 | $12,444 | ||
| STEPHEN BRENT WELLS | |||||||
| Chairman | 1.50 | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| SAMUEL R KARETSKY | |||||||
| Secretary/TREAS | 1.00 | 7.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,381,086 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $412,055 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 24 | 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 |
|---|---|---|---|---|---|
| Grant Thornton LLP | |||||
| 33570 Tresuary Center Suite 406 | Chicago | IL | 60694 | Audit | $258,025 |
| BROWN & WEINRAUBPLLC | |||||
| 76 N Pearl Street Ste 3 | Albany | NY | 12207 | Govt. Consulting Firm | $140,200 |
| MEDICAL INFORMATION TECHNOLOGY | |||||
| POBOX 74569 | CHICAGO | IL | 60696 | Provide Patient Care | $128,946 |
| Patient Safe Solutions Inc | |||||
| PO Box 748854 | Los Angeles | CA | 900748854 | Provide Patient Care | $112,429 |
| GOTHAM TECHNOLOGY GROUP LLC | |||||
| 5 PARAGON DRIVE | MONTVALE | NJ | 07645 | ProvGuidance To IT Profe | $102,214 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Administrative Services | Desc |
| Business | 561000 | BusinessCd |
| Total Revenue Column | $16,931,458 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,931,458 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $16,931,458 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
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 |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,931,458 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,931,458 | RelatedOrExemptFuncIncomeAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,696,441 | TotalAmt |
| Management And General | $2,696,441 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,059,060 | TotalAmt |
| Management And General | $5,059,060 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $507,061 | TotalAmt |
| Management And General | $507,061 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,025,589 | TotalAmt |
| Management And General | $3,025,589 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $457,071 | TotalAmt |
| Management And General | $457,071 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,825 | TotalAmt |
| Management And General | $125,825 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $281,525 | TotalAmt |
| Management And General | $281,525 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,300 | TotalAmt |
| Management And General | $120,300 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $255,631 | TotalAmt |
| Management And General | $255,631 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,944 | TotalAmt |
| Management And General | $65,944 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $611,822 | TotalAmt |
| Management And General | $611,822 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $469,020 | TotalAmt |
| Management And General | $469,020 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $301,327 | TotalAmt |
| Management And General | $301,327 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,780 | TotalAmt |
| Management And General | $2,780 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,358 | TotalAmt |
| Management And General | $19,358 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,773,057 | TotalAmt |
| Management And General | $1,773,057 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|
| Maintenance Contracts | $945,537 | $945,537 |
| Other Purchased Services | $214,110 | $214,110 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,931,458 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $16,931,458 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,275,328 | BOYAmt |
| EOY | $4,501,525 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $426,926 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,783 | BOYAmt |
| EOY | $74,940 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,964 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,964 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,964 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,659,265 | BOYAmt |
| EOY | $14,103,332 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,000,340 | BOYAmt |
| EOY | $19,106,723 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,940,815 | BOYAmt |
| EOY | $3,274,031 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,088,324 | BOYAmt |
| EOY | $25,861,491 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,029,139 | BOYAmt |
| EOY | $29,135,522 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$10,028,799 | BOYAmt |
| EOY | -$10,028,799 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$10,028,799 | BOYAmt |
| EOY | -$10,028,799 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,000,340 | BOYAmt |
| EOY | $19,106,723 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $0 | ReconcilationRevenueExpnssAmt |
| 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) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type2 | Yes (X) | SupportingOrgType2Ind |
| IRS Written Determination | Yes (X) | IRSWrittenDeterminationInd |
| Supported Organizations | 5 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (5 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| ST MARYS HOSPITAL FOR CHILDREN | ||||
| 111679599 | 3 | false | $0 | $10,314,741 |
| ST MARYS FOUNDATION FOR CHILDREN | ||||
| 112728736 | 7 | false | $0 | $708,211 |
| ST MARYS COMMUNITY CARE PROFESSIO | ||||
| 113360276 | 10 | false | $0 | $426,671 |
| EXTRAORDINARY HOMECARE DBA ST MA | ||||
| 272021133 | 10 | false | $0 | $4,871,841 |
| SMH CASE MANAGEMENT INC | ||||
| 272321384 | 10 | false | $0 | $609,994 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 5 | SupportedOrganizationsTotalCnt |
| Other Support Sum | $16,931,458 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | false | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | Yes (true) | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Majority Dir Trst Supported Org | false | MajorityDirTrstSupportedOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed Section4955 Tax | false | Form4720FiledSection4955TaxInd |
| Correction Made | false | CorrectionMadeInd |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $120,300 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $120,300 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,964 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,964 | DepreciationAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM COMMUNITY CARE PROFESSIONALS CO | $2,432,470 |
| DUE FROM ST. MARY'S CASE MANAGEMENT | $1,463,726 |
| DUE FROM ST. MARY'S FOUNDATION FOR CHILD | $4,078,880 |
| DUE FROM ST. MARY'S HOME CARE | $6,113,283 |
| DUE FROM ST. MARY'S REHABILITATION CENTE | $14,973 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $14,103,332 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO ST. MARY'S HOSPITAL | Desc |
| Amt | $25,861,491 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $25,861,491 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X : FIN48 Footnote | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | 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 | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|
| ADAM WAXER | ||||||
| General Counsel | $268,592 | $10,000 | $20,028 | $19,124 | $27,615 | $345,359 |
| DAWN CUGLIETTO-GRETHEL | ||||||
| AVP STR. PLANNING | $175,801 | $5,000 | $3,020 | $21,613 | $27,250 | $232,684 |
| EDWIN F SIMPSER MD | ||||||
| Pres, CEO & CMO | $700,000 | $75,000 | $236,702 | $39,150 | $24,754 | $1,075,606 |
| MELISSA SANDLER | ||||||
| CONTROLLER | $171,133 | $7,500 | $4,349 | $12,835 | $25,181 | $220,998 |
| MICHAEL GSKLAR | ||||||
| DIR. OR FINANCE | $142,896 | $7,500 | $3,159 | $10,014 | $17,349 | $180,918 |
| PATRICIA HACKENJOS | ||||||
| AVP OF HR | $229,476 | $25,000 | $14,807 | $21,800 | $27,427 | $318,510 |
| SEAN LALLY | ||||||
| VP FOR DEVELOPMENT & EXTERNAL AFFAI | $292,582 | $20,000 | $19,916 | $16,969 | $24,782 | $374,249 |
| STEVEN POLINSKY | ||||||
| CIO | $230,111 | $10,000 | $15,387 | $9,810 | $24,422 | $289,730 |
| WILLIAM L MEAD | ||||||
| COO/CFO | $467,864 | $50,000 | $44,117 | $21,750 | $27,766 | $611,497 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | St. Mary's Administrative Services's sole member is St. Marys Healthcare System for Children, Inc. (SMHSC). |
| Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | 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, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders | 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, Line 11b: Form 990 Review Process | 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, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | 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, Line 15a: Compensation Review & Approval Process - CEO, Top Management | 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, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | 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, Line 19: Other Organization Documents Publicly Available | 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | 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 | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |