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SAINT MARYS HOSPITAL FOR CHILDREN INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
SAINT MARYS HOSPITAL FOR CHILDREN INC (EIN 11-1679599)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-10-27
IRS object ID
201703009349300020
Schema version
2016v3.0
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

FieldValueIRS element (for citing)
Return2017-10-27T07:44:13-07:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN111679599EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST MARYS HOSPITAL FOR CHILDREN INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTMABusinessNameControlTxt
Phone7182818777PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line129-01 216th StreetAddressLine1Txt
CityBAYSIDECityNm
State AbbreviationNYStateAbbreviationCd
ZIP11360ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonEDWIN F SIMPSER MDPersonNm
Person TitlePresident,CEO & CMOPersonTitleTxt
Signature2017-10-27SignatureDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerEDWIN F SIMPSER MDPrincipalOfficerNm
Gross Receipts$78,123,853GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STMARYSKIDS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1888FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionST. 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.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee730TotalEmployeeCnt
Total Volunteers128TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$4,931,769PYContributionsGrantsAmt
CY Contributions Grants$4,198,686CYContributionsGrantsAmt
PY Program Service Revenue$69,902,014PYProgramServiceRevenueAmt
CY Program Service Revenue$72,756,166CYProgramServiceRevenueAmt
PY Investment Income$202,509PYInvestmentIncomeAmt
CY Investment Income$173,859CYInvestmentIncomeAmt
PY Other Revenue$997,299PYOtherRevenueAmt
CY Other Revenue$995,142CYOtherRevenueAmt
PY Total Revenue$76,033,591PYTotalRevenueAmt
CY Total Revenue$78,123,853CYTotalRevenueAmt
CY Grants And Similar Paid$345,500CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$40,230,440PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$41,584,800CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$35,244,062PYOtherExpensesAmt
CY Other Expenses$30,539,349CYOtherExpensesAmt
PY Total Expenses$75,474,502PYTotalExpensesAmt
CY Total Expenses$72,469,649CYTotalExpensesAmt
PY Revenues Less Expenses$559,089PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$5,654,204CYRevenuesLessExpensesAmt
Total Assets BOY$146,217,624TotalAssetsBOYAmt
Total Assets EOY$146,681,278TotalAssetsEOYAmt
Total Liabilities BOY$124,328,722TotalLiabilitiesBOYAmt
Total Liabilities EOY$121,951,365TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$21,888,902NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$24,729,913NetAssetsOrFundBalancesEOYAmt
MissionST. 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, 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 CCP (A LICENSED HOMECARE SERVICES AGENCY PROVIDING PARAPROFESSIONAL AND OTHER SERVICES) AS WELL AS TO AND FROM HOSPITALS AND OTHER PROVIDERS THROUGHOUT THE NEW YORK METROPOLITAN AREA. KEY STAFF PARTICIPATES INMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$39,643,703ExpenseAmt
Revenue$61,510,214RevenueAmt
DescINPATIENT 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 97 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 2016, SMH PROVIDED 34,898 DAYS OF INPATIENT CARE WITH OCCUPANCY AVERAGING 98%.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$6,778,398ExpenseAmt
Revenue$10,455,651RevenueAmt
DescFACILITY-BASED PROGRAMS AND SERVICES: ST. MARY'S HOSPITAL FOR CHILDREN OPERATES AN ON-SITE EARLY EDUCATION PROGRAM AND A PEDIATRIC DAY HEALTH CARE (PDHC) 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 FOR CHILDREN FROM THE COMMUNITY WITH SPECIAL NEEDS AND INPATIENTS. THE ST. MARY'S HOSPITAL TEAM IS COMMITTED TO THE ACHIEVEMENT OF BOTH EDUCATIONAL AND DEVELOPMENT MILESTONES. THE PEDIATRIC DAY HEALTHCARE 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, PDHC STAFF HELP EACH CHILD WITH SPECIAL HEALTHCARE NEEDS DEVELOP EVERY CAPABILITY TO HIS OR HER FULLEST. CHILDREN AND YOUNG ADULTS WHO ATTEND THE PDHC 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 2016, SMH PROVIDED APPROXIMATELY 16,928 PDHC VISITS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$314,372ExpenseAmt
Revenue$484,918RevenueAmt
DescCOMMUNITY PROGRAMS: ST. MARY'S HOSPITAL FOR CHILDREN OFFERS A RANGE OF HOME AND COMMUNITY BASED SERVICES, ALL ORGANIZED AROUND THE BELIEF THAT THE HOME IS THE MOST APPROPRIATE CARE DELIVERY SETTING FOR CHILDREN TO HEAL AND THRIVE. ST MARY'S PIONEERED THE FIRST HOME CARE PROGRAM FOR CHILDREN IN NEW YORK MORE THAN 25 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.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$46,736,473TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document74IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee730EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonEDWIN F SIMPSER MDPersonNm
Phone7182818777PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15 DAKOTA DRIVE SUITE 200AddressLine1Txt
CityNEW HYDE PARKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11042ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Stephen Brent Wells
Co-Chairperson1.506.00Yes (X)Yes (X)$0$0$0
Edwin F Simpser MD
Pres, CEO & CMO1.0043.50Yes (X)Yes (X)$0$559,998$44,413
Anthony Coniglio
Board Member1.001.00Yes (X)$0$0$0
Cindy S Johnson
Co-Chairperson1.505.50Yes (X)$0$0$0
Samuel R Karetsky
Secretary/Treas1.007.00Yes (X)Yes (X)$0$0$0
Norman Feinberg
Board Member1.001.00Yes (X)$0$0$0
Kenneth M Kupetsky
CIO1.0043.50Yes (X)$0$248,040$26,409
William L Mead
COO/CFO1.0043.50Yes (X)$0$409,454$27,329
Adam Waxer
General Counsel1.0043.50Yes (X)$0$233,215$24,311
Vivian Fugueroa
AVP/ Director Of PDHC37.500.00$180,797$0$13,328Yes (X)
Desiree Merrell
Medical Director37.500.00$222,301$0$27,330Yes (X)
Linda S Volpe
Physician37.500.00$182,760$0$25,642Yes (X)
Moshe Yadoo
Physician37.500.00$170,074$0$25,768Yes (X)
Bency Mathew
Nursing Admin37.500.00$166,756$0$27,859Yes (X)
Marianne Pavia
Dir. Infect. CTL37.500.00$156,344$0$26,305Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,079,032TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,450,707TotReportableCompRltdOrgAmt
Total Other Compensation$268,694TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K29IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
D&J SERVICE INC
1200 ZAREGA AVENUEBRONXNY10462TRANSPORTATION$2,583,278
TOTAL PROTECTIVE SECURITY INC
4219 Merrick RdMassapequaNY11578SECURITY SERVICE$331,300
CLIFTON BUDD & DeMARIA LLP
350 Fifth Avenue 6th FLNEW YORKNY10118LEGAL SERVICE$307,839
NELSON AIR DEVICE CORP
4628 54th AveFlushingNY11378Air Condition Servic$205,302
GALVIN BROS INC
149 Steamboat RdGREAT NECKNY11024CONSTRUCTION$196,600
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K13CntrctRcvdGreaterThan100KCnt
Related Organizations$1,379,509RelatedOrganizationsAmt
Government Grants$1,930,883GovernmentGrantsAmt
All Other Contributions$888,294AllOtherContributionsAmt
Total Contributions$4,198,686TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Community Programs621300$484,918$484,918
Facility Based Prog. & Se623000$10,455,651$10,455,651
Inpatient Services623000$61,815,597$61,815,597
FieldValueIRS element (for citing)
Total Program Service Revenue$72,756,166TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$173,859TotalRevenueColumnAmt
Exclusion$173,859ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Meal Income900099$196,360$196,360
Other Misc.Income Revenue900099$221,656$221,656
Pharmacy Revenue900099$577,126$577,126
FieldValueIRS element (for citing)
Other Revenue Total$995,142OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$78,123,853TotalRevenueColumnAmt
Related Or Exempt Func Income$72,756,166RelatedOrExemptFuncIncomeAmt
Exclusion$1,169,001ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$345,500TotalAmt
Program Services$345,500ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$194,125TotalAmt
Management And General$194,125ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$32,091,958TotalAmt
Program Services$29,132,377ProgramServicesAmt
Management And General$2,959,581ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,489,310TotalAmt
Program Services$1,225,987ProgramServicesAmt
Management And General$263,323ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,116,468TotalAmt
Program Services$4,688,561ProgramServicesAmt
Management And General$427,907ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,692,939TotalAmt
Program Services$2,167,178ProgramServicesAmt
Management And General$525,761ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$306,611TotalAmt
Management And General$306,611ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$178,600TotalAmt
Management And General$178,600ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$66,458TotalAmt
Management And General$66,458ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$3,001TotalAmt
Management And General$3,001ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,216,808TotalAmt
Program Services$5,341,175ProgramServicesAmt
Management And General$875,633ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$114,271TotalAmt
Program Services$131ProgramServicesAmt
Management And General$114,140ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,078,203TotalAmt
Program Services$2,986,932ProgramServicesAmt
Management And General$91,271ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$28,364TotalAmt
Management And General$28,364ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$733,109TotalAmt
Management And General$733,109ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$33,783TotalAmt
Program Services$17,219ProgramServicesAmt
Management And General$16,564ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$63,615TotalAmt
Program Services$50,728ProgramServicesAmt
Management And General$12,887ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,779,018TotalAmt
Management And General$7,779,018ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,408,719TotalAmt
Management And General$5,408,719ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,072,095TotalAmt
Program Services$125,323ProgramServicesAmt
Management And General$946,772ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
NYS Assessment Expense$4,679,030$4,679,030
Purchased and Contracted Servi$777,664$122,302$655,362

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$72,469,649TotalAmt
Program Services$46,736,473ProgramServicesAmt
Management And General$25,733,176ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,860,440BOYAmt
EOY$16,581,278EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$12,753,391BOYAmt
EOY$12,782,233EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,675,462BOYAmt
EOY$7,861,239EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$8,359,676BOYAmt
EOY$9,961,680EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$564,552BOYAmt
EOY$467,142EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$150,858,992LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$51,953,323LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$103,047,408BOYAmt
EOY$98,905,669EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$138,591BOYAmt
EOY$102,037EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,818,104BOYAmt
EOY$20,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$146,217,624BOYAmt
EOY$146,681,278EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$8,556,088BOYAmt
EOY$8,699,765EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,090,417BOYAmt
EOY$2,261,929EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$91,610,000BOYAmt
EOY$84,417,737EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$11,581,792BOYAmt
EOY$9,024,984EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$4,000,000BOYAmt
EOY$3,536,378EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,490,425BOYAmt
EOY$14,010,572EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$124,328,722BOYAmt
EOY$121,951,365EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$21,286,835BOYAmt
EOY$24,207,960EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$602,067BOYAmt
EOY$521,953EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,888,902BOYAmt
EOY$24,729,913EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$146,217,624BOYAmt
EOY$146,681,278EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$5,654,204ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$4,809NetUnrlzdGainsLossesInvstAmt
Investment Expense-$3,001InvestmentExpenseAmt
Other Changes In Net Assets-$2,805,383OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$66,458OtherActivitiesAmt
Total Lobbying Expenditures$66,458TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1i - Other Activities DescriptionFormAndLineReferenceDesc
ExplanationSt. 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 the Hospitals Form 990 represents the Hospitals allocable share of the costs incurred by SMH Administrative Services Inc.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$730,256OtherCostOrOtherBasisAmt
Book Value$730,256BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$121,096,027OtherCostOrOtherBasisAmt
Depreciation$29,039,928DepreciationAmt
Book Value$92,056,099BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$29,032,709OtherCostOrOtherBasisAmt
Depreciation$22,913,395DepreciationAmt
Book Value$6,119,314BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$98,905,669TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
ASSET RETIREMENT OBLIGATIONS$290,000
DUE TO THIRD PARTY PAYORS$13,286,547
LEASES PAYABLE$434,025
FieldValueIRS element (for citing)
Total Liability$14,010,572TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$77,810,660TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$4,809NetUnrealizedGainsInvstAmt
Revenue Not Reported-$4,809RevenueNotReportedAmt
Revenue Subtotal$77,815,469RevenueSubtotalAmt
Investment Expenses Not Incld$3,001InvestmentExpensesNotIncldAmt
Other Revenues Not Included$305,383OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$308,384RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$78,123,853TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$74,969,649TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$74,969,649ExpensesSubtotalAmt
Other Expenses Not Included-$2,500,000OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt-$2,500,000ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$72,469,649TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part X : FIN48 FootnoteSMH 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.
Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/SReserve On Amount Due From SMR $305383

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
EXTRAORDINARY HOME CARE DBA
HOME CARE 29-01 216TH STREETBAYSIDENY11360272021133501(c)(3)$157,500$0TO SUPPORT REHAB AND OTHER PROGRAMS
SMH CASE MANAGEMENT INC
29-01 216TH STREETBAYSIDENY11360272321384501(c)(3)$188,000$0TO SUPPORT CASE MANAGEMENT SERVICES
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceGrantmaker's Description of How Grants are UsedFormAndLineReferenceDesc
ExplanationSMH only makes grants to related parties to support their respective tax-exempt missions. SMH monitors the granted funds by requiring grantees to submit check requests for the submission funds. All grant requests must be made in furtherance of a mission related activity and SMH must be advised on the use of the funds and the departments where the funds will be utilized.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
Adam Waxer
General Counsel$218,846$2,500$11,869$7,660$16,651$257,526
Bency Mathew
Nursing Admin$156,431$5,000$5,325$10,168$17,691$194,615
Desiree Merrell
Medical Director$211,938$3,000$7,363$9,537$17,793$249,631
Edwin F Simpser MD
Pres, CEO & CMO$475,769$84,229$27,763$16,650$604,411
Kenneth M Kupetsky
CIO$225,000$23,040$25,846$563$274,449
Linda S Volpe
Physician$173,250$5,500$4,010$7,948$17,694$208,402
Marianne Pavia
Dir. Infect. CTL$145,531$3,000$7,813$8,611$17,694$182,649
Moshe Yadoo
Physician$161,477$500$8,097$8,074$17,694$195,842
Vivian Fugueroa
AVP/ Director Of PDHC$165,876$5,000$9,921$10,792$2,536$194,125
William L Mead
COO/CFO$335,000$33,500$40,954$10,675$16,654$436,783

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 7: Non-Fixed payments not listed aboveFormAndLineReferenceDesc
ExplanationVarious individuals reported on Schedule J received discretionary bonuses in calendar year 2016. These bonuses are determined by management based on the individuals having met certain objective performance based criteria.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Dormitory Authority StateBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN146000293BondIssuerEIN
CUSIP649905ZMICUSIPNum
Bond Issued2010-07-14BondIssuedDt
Issue Price$102,200,000IssuePriceAmt
PurposeCONSTRUCTIONPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$14,120,000RetiredAmt
Total Proceeds$102,200,000TotalProceedsAmt
In Reserve Fund$4,500,000InReserveFundAmt
Capitalized Interest$13,999,771CapitalizedInterestAmt
Issuance Costs From Proceeds$851,329IssuanceCostsFromProceedsAmt
Working Capital Expenditures$82,848,900WorkingCapitalExpendituresAmt
Substantial Completion2013SubstantialCompletionYr
Current RefundingfalseCurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdfalseProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
No Rebate DueYes (true)NoRebateDueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Superintegrated HedgefalseSuperintegratedHedgeInd
Hedge TerminatedfalseHedgeTerminatedInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionfalseProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart VIFormAndLineReferenceDesc
ExplanationSt. Marys Hospital for Children, Inc. commissioned an installment arbitrage rebate report in September of 2016 from an independent third party consulting firm.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonEdwin F Simpser MDPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionPresidentRelationshipDescriptionTxt
Transaction$835,164TransactionAmt
TransactionSee Part VTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part V Supplemental InformationFormAndLineReferenceDesc
ExplanationSMH PROVIDES STAFFING, MANAGEMENT, OFFICE SPACE (SHARED OFFICE SPACE IN AN SMH FACILITY IN ROSLYN), AND BACK OFFICE FUNCTIONS (IT, HR AND ACCOUNTING) FOR EXTRAORDINARY PEDIATRICS PC, A PROFESSIONAL CORPORATION PROVIDING MEDICAL AND REHABILITATION SERVICES. IN HIS CAPACITY AS CHIEF MEDICAL OFFICER OF SMH, DR. SIMPSER ALSO SERVES AS THE SOLE SHAREHOLDER OF EXTRAORDINARY PEDIATRICS PC.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderST. 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 BodyST. 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 ShareholdersST. 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 ProcessST. 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 ConflictsONCE 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 ManagementSALARIES 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 EmployeesCOMPENSATION 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 AvailableST. 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 DecreasesPrior Year Rate Adjustment = -$2500000
Other Changes In Net Assets Or Fund Balances - Other DecreasesReserve on Amount Due From SMR = -$305383

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ST MARYS HEALTHCARE SYSTEM FOR CHILDRE
29-01 216TH STREETBAYSIDENY11360113574493HEALTH CARENY501(c)(3)TYPE IINAfalse
ST MARYS FOUNDATION FOR CHILDREN INC
2901 216TH STREETBAYSIDENY11360112728736FUNDRAISINGNY501(c)(3)LINE 7ST MARYS HEALTHCARE SYSTEM FOR CHILDREfalse
EXTRAORDINARY HOME CARE DBA ST MARY
29-01 216TH STREETBAYSIDENY11360272021133HOME HEALTH CARE SERVICESNY501(c)(3)LINE 10ST MARYS HEALTHCARE SYSTEM FOR CHILDREfalse
ST MARYS COMMUNITY CARE PROFESSIONALS
29-01 216th StreetBaysideNY11360113360276HOME HEALTH CARENY501(c)(3)LINE 10ST MARYS HEALTHCARE SYSTEM FOR CHILDREfalse
SMH ADMINISTRATIVE SERVICES INC
2901 216th StreetBaysideNY11360271529374MANAGEMENT AND SUPPORTING SERVICESNY501(c)(3)TYPE IIST MARYS HEALTHCARE SYSTEM FOR CHILDREfalse
ST MARYS REHABILITATION CENTER FOR CHIL
29-01 216th StreetBaysideNY11360136163550HEALTH CARENY501(c)(3)TYPE IIST MARYS HEALTHCARE SYSTEM FOR CHILDREfalse
SMH CASE MANAGEMENT INC
29-01 216TH STREETBAYSIDENY11360272321384HEALTH CARENY501(c)(3)LINE 10ST MARYS HEALTHCARE SYSTEM FOR CHILDREfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1KIDNEEDSCOM INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line129-01 216TH STREETAddressLine1Txt
CityBAYSIDECityNm
State AbbreviationNYStateAbbreviationCd
ZIP11360ZIPCd
FieldValueIRS element (for citing)
EIN113539055EIN
Primary ActivitiesINTERNET SERVICEPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ST MARYS HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CORPEntityTypeTxt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd