2021-11-01T12:04:27-07:00 2020-12-31 990 2020-01-01 111679599 ST MARYS HOSPITAL FOR CHILDREN INC STMA 7182818777 29-01 216th Street BAYSIDE NY 11360 EDWIN F SIMPSER MD President,CEO & CMO 2021-11-01 EDWIN F SIMPSER MD 999009999 2 AAL1 IAL1 FAL1 2020 2022-09-23 18:48:47Z EDWIN F SIMPSER MD 104974636 false X WWW.STMARYSKIDS.ORG X 1888 NY ST. MARYS HOSPITAL FOR CHILDREN, INC. ("ST. MARY'S")MISSION IS TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR CHILDREN WITH SPECIAL NEEDS AND LIFE LIMITING CONDITIONS AND THEIR FAMILIES. 6 5 868 147 0 4470124 9445413 99559661 94330807 470292 336934 1141169 861482 105641246 104974636 0 0 59618776 65747489 0 0 34096930 29400959 93715706 95148448 11925540 9826188 152654903 159310057 119813606 121744552 32841297 37565505 ST. MARY'S HOSPITAL FOR CHILDREN ("SMH"), THE FLAGSHIP OF ST. MARY'S HEALTHCARE SYSTEM FOR CHILDREN, IS COMMITTED TO IMPROVING THE HEALTH AND QUALITY OF LIFE FOR CHILDREN AND YOUNG ADULTS WITH SPECIAL HEALTHCARE NEEDS. A NATIONALLY RECOGNIZED PROVIDER OF SPECIALIZED SERVICES FOR CHILDREN WITH COMPLEX HEALTH CARE NEEDS REQUIRING MEDICAL, REHABILITATION, PSYCHOLOGICAL AND DEVELOPMENTAL INTERVENTION. SMH PROVIDES BOTH SUB-ACUTE AND LONG-TERM CARE SERVICES, AS WELL AS A NUMBER OF HIGHLY SPECIALIZED, TECHNOLOGICALLY SOPHISTICATED HOME-AND COMMUNITY-BASED SERVICES. SMH MAKES REFERRALS TO AND WHEN APPROPRIATE, ACCEPTS ADMISSIONS FROM HOSPITALS AND OTHER PROVIDERS THROUGHOUT THE NEW YORK METROPOLITON AREA AS WELL AS FROM ST. MARY'S HOME CARE (A CERTIFIED HOME HEALTH AGENCY FOCUSED ON THE PROVISION OF SERVICES TO CHILDREN AND YOUNG AUDLTS WITH SPECIAL NEEDS) AND ST. MARY'S COMMUNITY CARE PROFESSIONALS, INC. (A LICENSED HOMECARE SERVICES AGENCY PROVIDING PARAPROFESSIONAL AND OTHER SERVICES). KEY false false 77863887 85755433 INPATIENT SKILLED NURSING FACILITY: FOLLOWING ACUTE CARE HOSPITALIZATION FOR SERIOUS ILLNESS OR INJURY OR WHEN SPECIALIZED SUB-ACUTE AND LONG TERM CARE IS NEEDED, CHILDREN AND THEIR FAMILIES COME TO ST. MARY'S HOSPITAL FOR CHILDREN TO RECEIVE EXCEPTIONAL CARE TO HEAL AND TO THRIVE. CHILDREN WITH SPECIAL HEALTHCARE NEEDS FROM BIRTH TO AGE EIGHTEEN RECEIVE COMPLEX INPATIENT MEDICAL CARE AND INTENSIVE REHABILITATION AT ST. MARY'S HOSPITAL'S 124 BED FACILITY. ST. MARY'S HOSPITAL'S BROAD ARRAY OF INPATIENT PROGRAMS AND SERVICES ARE DESIGNED TO PROVIDE GOAL-ORIENTED MEDICAL CARE THAT ADDRESSES ALL ASPECTS OF THE HEALING PROCESS, WHILE ENCOURAGING GROWTH AND INDEPENDENCE. MULTIDISCIPLINARY TEAMS OF PEDIATRIC SPECIALISTS IN MEDICINE, NURSING, REHABILITATION, PSYCHOLOGY, SOCIAL WORK, AND CHILD DEVELOPMENT PARTICIPATE IN THE CREATION OF INDIVIDUALIZED CARE PLANS TO ENSURE OPTIMAL OUTCOMES FOR EACH CHILD. ST. MARY'S HOSPITAL STRIVES TO HELP KIDS BE KIDS. IN ADDITION TO RECEIVING MEDICAL CARE AND REHABILITATION THERAPIES WHILE AT OUR FACILITY, CHILDREN ATTEND SCHOOL, PARTICIPATE IN ONSITE AND OFF-CAMPUS RECREATIONAL ACTIVITIES, AND ARE ENCOURAGED TO SOCIALIZE, PLAY, AND REGAIN THEIR INDEPENDENCE. SERVICES INCLUDE REHABILITATION THERAPIES (PT, OT, SPEECH), COMPREHENSIVE PEDIATRIC/ADOLESCENT MEDICAL CARE, SPECIALIZED SKILLED NURSING, NUTRITIONAL/FEEDING THERAPY, PSYCHOLOGICAL SERVICES, NEUROPSYCHOLOGY, INFANT STIMULATION, SOCIAL WORK, EARLY EDUCATION (INCLUDING PS 23 ON-SITE PUBLIC SCHOOL AND SERVICES OFFERED THROUGH THE COMMITTEE ON PRE-SCHOOL EDUCATION), PARENT/FAMILY TRAINING PROGRAMS, HEALING ARTS AND THERAPEUTIC ACTIVITIES, PASTORAL CARE, PALLIATIVE CARE, RESPITE CARE, COMPLIMENTARY CARE AND WOUND CARE. DURING THE CALENDER YEAR, SMH PROVIDED 44,859 DAYS OF INPATIENT CARE WITH OCCUPANCY AVERAGING 98.69%. 7657249 8433315 FACILITY-BASED PROGRAMS AND SERVICES: ST. MARY'S HOSPITAL FOR CHILDREN OPERATES AN ON-SITE EARLY EDUCATION PROGRAM AND A MEDICAL DAY HEALTH CARE (MDHC)PROGRAM. THE EARLY EDUCATION PROGRAM IS FOCUSED ON AND DEDICATED TO PROVIDING CHILDREN WITH THE OPPORTUNITY TO INTERACT, SHARE IDEAS, AND LEARN. A WIDE RANGE OF EDUCATIONAL PROGRAMS AND OPPORTUNITIES, FROM BIRTH TO HIGH SCHOOL, HELPS CHILDREN WITH SPECIAL NEEDS MAXIMIZE THEIR POTENTIAL BY PROMOTING GROWTH, CONFIDENCE, AND INDEPENDENCE. ST. MARY'S HOSPITAL OFFERS AN ON-CAMPUS PUBLIC SCHOOL FOR INPATIENTS, ALLOWING THEM TO HAVE A CONTINUITY OF EDUCATION DURING THEIR STAY AT THE HOSPITAL. FOR YOUNGER CHILDREN, ST. MARY'S HOSPITAL OFFERS AN INCLUSIVE EARLY EDUCATION/PRESCHOOL PROGRAM WITH SPECIAL NEEDS AND INPATIENTS. THE ST. MARY'S HOSPITAL TEAM IS COMMITTED TO THE ACHIEVEMENT OF BOTH EDUCATIONAL AND DEVELOPMENT MILESTONES. THE MEDICAL DAY HEALTHCARE (MDHC) PROGRAM IS A MEDICAL PROGRAM THAT OFFERS THERAPEUTIC AND MEDICAL AFTER-SCHOOL,WEEKEND, AND SUMMER CAMP PROGRAMS FOR CHILDREN 5-18 YEARS OF AGE AND YOUNG ADULTS FROM 18-25 YEARS OF AGE WHO HAVE COGNITIVE AND PHYSICAL DISABILITIES. USING THERAPEUTIC, REHABILITATIVE AND RECREATIONAL TECHNIQUES AND TOOLS, MDHC STAFF HELP EACH CHILD WITH SPECIAL HEALTHCARE NEEDS DEVELOP EVERY CAPABILITY TO HIS OR HER FULLEST. CHILDREN AND YOUNG ADULTS WHO ATTEND THE MDHC PROGRAM PARTICIPATE IN INDOOR AND OUTDOOR ACTIVITIES, RECEIVE A HOT MEAL, ARE PROVIDED WITH ROUND-TRIP TRANSPORTATION, AND ALSO HAVE THE OPPORTUNITY TO INTERACT WITH OTHER CHILDREN AND YOUNG ADULTS WITH SPECIAL NEEDS. EDUCATIONAL ACTIVITIES ARE LED BY A LICENSED SPECIAL EDCUATION TEACHER. CAREGIVERS WORK WITH PARTICIPANTS TO PROMOTE SKILLS, CONFIDENCE, AND INDEPENDENCE IN A NURTURING AND FUN ENVIRONMENT. FAMILY MEMBERS ARE ALSO EDUCATED ON THE CRITICAL ROLES THEY PLAY IN THE PARTICIPANTS' SUCCESS. DURING THE CALENDER YEAR, SMH PROVIDED APPROXIMATELY 10,447 MDHC VISITS. THESE VISTIS ARE SIGNIFICANTLY LOWER THAN THE PREVIOUS CALENDER YEAR DUE TO THE STATE'S CLOSURE OF ADULT DAY HEALTH CARE PROGRAMS DUE TO COVID-19. IMPACT OF THE COVID-19 PANDEMIC:IN MARCH 2020, THE WORLD HEALTH ORGANIZATION DECLARED COVID-19, THE DISEASE CAUSED BY THE NOVEL CORONAVIRUS, A PANDEMIC, WHICH STARTED TO AND CONTINUES TO SPREAD THROUGHOUT THE UNITED STATES. AS A RESULT OF THE COVID-19 PANDEMIC, SMH EXPERIENCED A DECLINE IN REVENUE FROM FACILITY-BASED SERVICES AND COMMUNITY PROGRAMS. ADDITIONALLY, IN RESPONSE TO THE PANDEMIC, SMH INCURRED ADDITIONAL COSTS FOR TESTING, PERSONAL PROTECTIVE EQUIPMENT, THIRD-PARTY CONTRACT SERVICES AND OTHER OPERATING COSTS ASSOCIATED WITH ENSURING EMPLOYEE AND PATIENT SAFETY WHILE OPERATING DURING A PANDEMIC. SMH RECEIVED GRANT PAYMENTS, WHICH ARE CONSIDERED NONEXCHANGE TRANSACTIONS, FROM THE FEDERAL GOVERNMENT DISTRIBUTED UNDER THE CORONAVIRUS AID, RECOVERY AND ECONOMIC SECURITY (CARES) ACT. FOR THE YEAR ENDED DECEMBER 31, 2020, SMH RECEIVED TOTAL PAYMENTS OF $2,211,225. WHILE THE FEDERAL REGULATIONS HAVE NOT YET BEEN FINALIZED, SMH BELIEVES IT HAS MET THE CONDITIONS TO RETAIN THESE PAYMENTS, TOTALING $2,211,225, WHICH ARE INCLUDED IN OTHER REVENUE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. THE CARES ACT PAYMENTS ARE SUBJECT TO AUDIT AND COMPLIANCE WITH FEDERAL REGULATIONS AND FUTURE GRANT PAYMENTS ARE UNCERTAIN AT THIS TIME. 128986 142059 COMMUNITY PROGRAMS: ST. MARYS HOSPITAL FOR CHILDREN OFFERS COMMUNITY BASED SERVICES SUCH AS EARLY EDUCATION AND EARLY INTERVENTION AROUND THE BELIEF THAT PROVIDING CARE IN THE MOST ACCESSIBLE SETTING FOR CHILDREN TO HEAL AND THRIVE IS OUR GOAL. ST. MARYS PIONEERED THE FIRST HOME CARE PROGRAM FOR CHILDREN IN NEW YORK MORE THAN 30 YEARS AGO, AND THE SYSTEM REMAINS THE LARGEST AND MOST COMPREHENSIVE PROVIDER OF COMMUNITY-BASED AND HOME-CENTERED SERVICES TO CHILDREN WITH SPECIAL HEALTHCARE NEEDS. 85650122 true true false true false false false false false false true 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 true false false false false false true true false false false true 57 0 true 868 true false false false false false false false 0 false false false false false false false X 6 5 false false false false true true true true true false false true true true true true true true true false X WILLIAM HAMMOND DIR OF FINANCE 7182818777 5 DAKOTA DRIVE SUITE 200 NEW HYDE PARK NY 11042 Edwin F Simpser MD Pres, CEO & CMO 1.00 43.50 X X 0 938519 61586 William L Mead COO/CFO 1.00 43.50 X 0 523982 41675 Sean Lally Chief Strategy and Quality Officer 1.50 37.50 0 322010 38507 Adam Waxer General Counsel 1.00 43.50 X 0 309978 40540 Desiree Merrell Medical Director 37.50 0.00 245309 0 42769 Steven Polinsky CIO 1.00 43.50 X 0 253692 31452 Linda S Volpe Physician 37.50 0.00 219234 0 40288 Moshe Yadoo Physician 37.50 0.00 206320 0 42285 Bency Mathew Dir. of Nursing 37.50 0.00 198799 0 45368 Hilary Berlin Sytner Physician 37.50 0.00 180805 0 36235 Stephen Brent Wells Chairman 1.50 6.00 X X 0 0 0 Anthony Coniglio Board Member 1.00 1.00 X 0 0 0 Cindy S Johnson Board Member 1.50 5.50 X 0 0 0 Samuel R Karetsky Secretary/Treas 1.00 7.50 X X 0 0 0 Peter Roth Board Member 1.00 1.00 X 0 0 0 1050467 2348181 420705 122 false true false D & J SERVICE INC 1200 Zerega Avenue New Hyde Park NY 10462 Bus Transportation Servic 1332698 BIO-REFERENCE LABORATORIES Inc 481 Edward H Ross Drive Elmwood Park NJ 07407 Employee Covid Testing 980200 LS GENERAL RESTORATION Corp 41 4th Street Brooklyn NY 11231 Roof Replacement 620400 DYNAMIC US INC 2900 WESTCHESTER AVENUE PURCHASE NY 10577 General Contracting 539790 ALLIED UNIVERSAL SECURITY SERVICES PO BOX 828854 PHILADELPHIA PA 19182 Security Services 323107 26 4430499 4133192 881722 9445413 Community Programs 621300 142059 142059 Facility Based Prog. & Se 623000 8433315 8433315 Inpatient Services 623000 85755433 85755433 94330807 336934 336934 0 0 0 0 0 0 0 Meal Income 900099 165199 165199 Miscellaneous Income 900099 133390 133390 Pharmacy Revenue 900099 488835 488835 74058 74058 861482 104974636 94819642 709581 0 0 0 0 0 0 48118590 43126779 4991811 3228588 2925780 302808 10762232 9714825 1047407 3638079 3344177 293902 0 80902 64058 16844 154064 154064 70332 70332 0 22989 22989 980058 627611 352447 51468 11795 39673 1210627 864410 346217 226704 46477 180227 0 788605 213020 575585 135583 134059 1524 0 31218 28384 2834 2661421 2661421 0 6444831 6444831 1127974 96445 1031529 NYS Assessment Expense 6269280 6269280 Other Medical Supplies 5274571 5274571 Other Purchased Services 3870332 3731867 138465 0 95148448 85650122 9498326 0 25240698 28137114 7517048 12465840 0 8390077 5459180 0 0 2051468 2651452 0 4557026 1260227 169157355 71504856 101147615 97652499 0 0 0 0 3750971 11683745 152654903 159310057 13288406 12323937 6987639 9616443 80306064 76518282 19231497 23285890 119813606 121744552 X 32409305 37034048 431992 531457 32841297 37565505 152654903 159310057 X 9826188 -5101980 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 70332 70332 false false Part II-B, Line 1i - Other Activities Description St. Marys Hospital for Children does not undertake any direct lobbying itself. St. Marys Hospital for Children engages law firms to lobby on its behalf regarding Medicaid rate setting and other regulatory and legislative issues. The amount reported on St. Mary's Hospital for Children's form 990 represents its allocable share of the costs incurred by SMH Administrative Services Inc. 730256 730256 134369501 45491146 88878355 28926899 22485387 6441512 5130699 3528323 1602376 97652499 Due From MSAF St. Marys Administrative Services 469362 St. Marys Case Management 77179 St. Marys Community Care Professionals 157263 St. Marys Extrordinary Homecare 1372128 St. Marys Foundation for Children 9607813 St. Marys Rehabilitation Center 11683745 ACCRUED INTEREST PAYABLE 486493 ASSET RETIREMENT OBLIGATIONS 290000 DUE TO THIRD PARTY PAYORS 21510250 LONG TERM LIABILITIES (FICA) 999147 23285890 X Part X : FIN48 Footnote SMH 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.SMH 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. SMH 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. SMH has determined that there are no material uncertain tax positions that require recognition or disclosure in the financial statements. false true false false false false false true false Adam Waxer General Counsel 269781 20000 20197 14685 25855 350518 Bency Mathew Dir. of Nursing 187097 7500 4202 17774 27594 244167 Desiree Merrell Medical Director 245309 18809 23960 288078 Edwin F Simpser MD Pres, CEO & CMO 726923 211596 38475 23111 1000105 Hilary Berlin Sytner Physician 176950 3855 13171 23064 217040 Linda S Volpe Physician 215825 3409 16064 24224 259522 Moshe Yadoo Physician 202875 3445 19273 23012 248605 Sean Lally Chief Strategy and Quality Officer 280833 20000 21177 15446 23061 360517 Steven Polinsky CIO 232012 15000 6680 8621 22831 285144 William L Mead COO/CFO 479769 12000 32213 15675 26000 565657 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. Edwin F Simpser MD President 1078412 See Part V false Schedule L, Part V Supplemental Information EXTRAORDINARY PEDIATRICS ("EP") IS A NEW YORK PROFESSIONAL SERVICES CORPORATION PROVIDING OCCUPATIONAL THERAPY, PHYSICAL THERAPY AND SPEECH-LANGUAGE PATHOLOGY SERVICES, AS WELL AS OTHER THERAPEUTIC MODALITIES AND PEDIATRIC MEDICAL SERVICES ON BEHALF OF ST. MARY'S HOSPITAL FOR CHILDREN. IN HIS CAPACITY AS CHIEF MEDICAL OFFICER OF SMH, DR. SIMPSER ALSO SERVES AS THE SOLE SHAREHOLDER OF EP. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder ST. MARY'S HOSPITAL'S SOLE MEMBER IS ST. MARY'S HEALTHCARE SYSTEM FOR CHILDREN, INC. (SMHSC). Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body ST. MARY'S HOSPITAL'S BYLAWS SPECIFICALLY RESERVE THE POWER TO APPOINT AND REMOVE ITS BOARD MEMBERS TO SMHSC. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders ST. MARY'S HOSPITAL'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 HOSPITAL'S FORM 990 IS REVIEWED BY AN EXTERNAL ACCOUNTING FIRM PRIOR TO SUBMISSION TO THE FULL AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW. ONCE THE CHANGES FROM BOTH THE ACCOUNTING FIRM AND AUDIT AND COMPLIANCE COMMITTEE'S 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 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 CONFIRMS 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 INFORM 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 HOSPITALS EXECUTIVE TEAM ARE PAID BY A RELATED ORGANIZATION, 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 COMPENSATION IS COMPETITIVE. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available ST. MARY'S HOSPITAL MAKES ITS ORGANIZING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AND AT MANAGEMENT'S DISCRETION. Other Changes In Net Assets Or Fund Balances - Other Decreases Intercompany Bad Debt = -$5101980 ST MARYS HEALTHCARE SYSTEM FOR CHILDRE 29-01 216TH STREET BAYSIDE NY 11360 113574493 HEALTH CARE NY 501(c)(3) TYPE II NA false ST MARYS FOUNDATION FOR CHILDREN INC 2901 216TH STREET BAYSIDE NY 11360 112728736 FUNDRAISING NY 501(c)(3) LINE 7 ST MARYS HEALTHCARE SYSTEM FOR CHILDRE false EXTRAORDINARY HOME CARE DBA ST MARY 29-01 216TH STREET BAYSIDE NY 11360 272021133 HOME HEALTH CARE SERVICES NY 501(c)(3) LINE 10 ST MARYS HEALTHCARE SYSTEM FOR CHILDRE false ST MARYS COMMUNITY CARE PROFESSIONALS 29-01 216th Street Bayside NY 11360 113360276 HOME HEALTH CARE NY 501(c)(3) LINE 10 ST MARYS HEALTHCARE SYSTEM FOR CHILDRE false SMH ADMINISTRATIVE SERVICES INC 2901 216th Street Bayside NY 11360 271529374 MANAGEMENT AND SUPPORTING SERVICES NY 501(c)(3) TYPE II ST MARYS HEALTHCARE SYSTEM FOR CHILDRE false ST MARYS REHABILITATION CENTER FOR CHIL 29-01 216th Street Bayside NY 11360 136163550 HEALTH CARE NY 501(c)(3) TYPE II ST MARYS HEALTHCARE SYSTEM FOR CHILDRE false SMH CASE MANAGEMENT INC 29-01 216TH STREET BAYSIDE NY 11360 272321384 CASE MANAGEMENT NY 501(c)(3) LINE 10 ST MARYS HEALTHCARE SYSTEM FOR CHILDRE false KIDNEEDSCOM INC 29-01 216TH STREET BAYSIDE NY 11360 INACTIVE NY ST MARYS HOSPITAL C CORP 1.00000 false Extraordinary Pediatrics PC 29-01 216TH STREET Bayside NY 11360 262513260 Healthcare NY SMHC C corp 1078432 84793 1.00000 true false true true false false false false false false false false false true true true true true true true