2020-10-19T12:04:39-05:00 2019-12-31 161131146 BONADIO & CO LLP 6 WEMBLEY CT ALBANY NY 12205 990 2019-01-01 132929427 BAPTIST HEALTH NURSING AND REHABILITATION CENTER INC BAPT 5183704700 297 NORTH BALLSTON AVENUE SCOTIA NY 12302 MARK DRISLANE CFO 5183704700 2020-10-19 1 KENNETH MCGIVNEY P01324731 5184644080 2020-10-15 4.26.26.190 2020-10-19 07:03:36 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 40EF5F15FFAF511EF60A3D65D5BC8E60C61C0DE4 2019 2021-01-29 14:40:06Z MARK DRISLANE 297 NORTH BALLSTON AVENUE SCOTIA NY 12302 24451479 0 X WWW.BAPTHEALTH.COM X 1971 NY TO SERVE ALL PERSONS WITH QUALITY CARE IN A LOVING AND COMPASSIONATE ENVIRONMENT. 9 9 404 9 0 0 50000 1467748 22688782 22868197 8943 8153 0 107381 22747725 24451479 0 0 0 0 12321810 12347368 0 0 0 11229480 11177978 23551290 23525346 -803565 926133 17295784 18382955 3795018 4682853 13500766 13700102 TO SERVE ALL PERSONS WITH QUALITY CARE IN A LOVING AND COMPASSIONATE ENVIRONMENT. 0 0 20847977 22868197 PATIENT CARE AND RESIDENTIAL HEALTH FACILITY - APPROXIMATELY 615 CLIENTS SERVED, TOTAL DAYS OF CARE APPROXIMATELY 82,681 - OBJECTIVE IS TO PROVIDE CARE AND SERVICES WHICH ENABLE AN INDIVIDUAL TO ACHIEVE THEIR HIGHEST QUALITY OF DAILY LIFE. 20847977 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 10 0 1 404 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X MARK DRISLANE 5183704700 297 N BALLSTON AVENUE SCOTIA NY 12302 ANITA PARKER SECRETARY 0.50 1.50 X X 0 0 0 RICHARD GOLDING CHAIRPERSON 0.50 1.50 X X 0 0 0 DARLENE TRUAX DIRECTOR 0.25 0.75 X 0 0 0 DEBRAH DELUKE DIRECTOR 0.25 0.75 X 0 0 0 KIM WHITBECK DIRECTOR 0.25 0.75 X 0 0 0 CLAUDIA BUSH DIRECTOR 0.25 0.75 X 0 0 0 JAMES DUNHAM VICE CHAIRPERSON & TREASURER 0.50 1.50 X X 0 0 0 NANCY JANE BATTEN DIRECTOR 0.25 0.75 X 0 0 0 PETER OLIVER DIRECTOR 0.25 0.75 X 0 0 0 ANTONIO ALOTTA ADMINISTRATOR 37.50 X 183747 0 26269 MARK DRISLANE CFO 27.50 10.00 X 0 177555 5302 AHMAD SULTAN MD PHYSICIAN/MEDICAL DIRECTOR 37.50 X 233986 0 0 SAMANTHA SMITH DIRECTOR OF NURSING 37.50 X 100761 0 2603 TIMOTHY BARTOS FORMER CEO 0.00 0.00 X 0 150000 0 518494 327555 34174 3 1 1 0 SODEXO INC AND AFFILIATES PO BOX 360170 PITTSBURGH PA 15251 DIETARY SERVICES 2145452 SELECT REHABILITATION PO BOX 809056 CHICAGO IL 60608 THERAPY SERVICES 1962706 THE NURSE CONNECTION 1 COMPUTER DRIVE SOUTH ALBANY NY 12205 NURSING SERVICES 686036 PHARMERICA 805 N WHITTINGTON PKWY LOUISVILLE KY 40222 PHARMACY SERVICES 494437 MEDICAL STAFFING NETWORK 1881 WESTERN AVE 150 ALBANY NY 12203 STAFFING 333834 7 1162500 305248 1467748 PROGRAM SERVICE REVENUE 623000 22817594 22817594 OTHER REVENUE 900099 50603 50603 22868197 8153 8153 INSURANCE PROCEEDS 900099 107381 107381 107381 24451479 22868197 0 115534 210016 210016 10267865 9244585 1023280 104692 97300 7392 1006075 910264 95811 758720 667674 91046 322674 63017 259657 80329 80329 40400 40400 93188 93188 378732 370425 8307 28916 23871 5045 128092 125282 2810 499107 488160 10947 319502 312494 7008 CONTRACTED SERVICES 3699590 3454406 245184 AGENCY NURSING STAFF 1553310 1553310 0 CASH RECEIPT ASSESSMENT 1185406 1185406 0 FOOD 812193 812193 2036539 1539590 496949 23525346 20847977 2677369 0 2679989 2835166 85200 76169 2411971 3080623 108623 94588 107760 104228 6033446 230356 32148426 20951157 4704604 11197269 1164191 764556 17295784 18382955 1696070 2046683 227500 1123141 1024203 975807 1384467 3795018 4682853 X 13500766 13700102 13500766 13700102 17295784 18382955 X 926133 -726797 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6057690 6057690 11985948 11975202 10746 414889 350750 64139 13689899 8625205 5064694 11197269 PATIENT FUNDS 76169 DUE TO THIRD PARTY PAYORS 1266413 DUE TO AFFILIATE 41885 1384467 24451479 0 24451479 0 24451479 23525346 0 23525346 0 23525346 X X X X X 0 0 0 0 0 0 0 0 0 ANTONIO ALOTTA ADMINISTRATOR 183747 0 0 0 0 0 5876 0 20393 0 210016 0 0 0 MARK DRISLANE CFO 0 177555 0 0 0 0 0 5302 0 0 0 182857 0 0 AHMAD SULTAN MD PHYSICIAN/MEDICAL DIRECTOR 233986 0 0 0 0 0 0 0 0 0 233986 0 0 0 TIMOTHY BARTOS FORMER CEO 0 150000 0 0 0 0 0 0 0 0 0 150000 0 0 FORM 990, PART VI, SECTION A, LINE 6 BAPTIST HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF BAPTIST HEALTH NURSING AND REHABILITATION CENTER, INC. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS ACTING THROUGH ITS BOARD OF DIRECTORS APPOINT DIRECTORS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B MEMBERS ACTING THROUGH ITS BOARD OF DIRECTORS APPOINT DIRECTORS OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B COPIES OF THE FORM 990 ARE GIVEN TO THE GOVERNING BODY FOR REVIEW, AND SUBSEQUENT TO THAT REVIEW THE FORMS ARE FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C UPDATES ARE DONE PERIODICALLY AND INDIVIDUALS ARE REQUIRED TO NOTIFY MANAGEMENT OF ANY CHANGES THAT OCCUR. FORM 990, PART VI, SECTION B, LINE 15A THE ORGANIZATION HIRED AN OUTSIDE FIRM TO PERFORM A DETAILED SALARY COMPENSATION SURVEY THE REVIEWED COMPARABLE DATA AND PROVIDED THE BOARD WITH SUBSTANTIAL INFORMATION THAT ASSISTED IN DETERMINING THE CEO'S SALARY. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: IMPAIRMENT LOSS -726,797. FORM 990, PART XII, LINE 2C THERE ARE NO CHANGES FROM THE PRIOR YEAR. BAPTIST HEALTH SYSTEM INC 297 NORTH BALLSTON AVENUE SCOTIA NY 12302 311566685 TO SUPPORT BAPTIST HEALTH NURSING AND REHAB, & OTHER BAPTIST ENTITIES NY 501 (C)(3) LINE 12B, II N/A 0 BAPTIST HEALTH ENRICHED HOUSING PROGRAM INC 297 NORTH BALLSTON AVENUE SCOTIA NY 12302 451962233 OPERATE HOUSING FACILITIES FOR SENIORS NY 501 (C)(3) LINE 10 BAPTIST HEALTH SYSTEMS INC 0 JUDSON MEADOWS RESIDENTIAL HEALTH CARE CENTER INC 297 NORTH BALLSTON AVENUE SCOTIA NY 12302 464288620 RESIDENTIAL HEALTH CARE FOR SENIORS NY 501 (C)(3) LINE 10 BAPTIST HEALTH NURSING AND REHABILITATION CENTER INC 1 NURSE CONNECTION STAFFING INC 1 COMPUTER DRIVE SOUTH ALBANY NY 12205 141832998 STAFFING OF TEMPORARY NURSES TO VARIOUS HEALTHCARE ORG. NY BAPTIST HEALTH SYSTEM INC C 1.00000 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0