2017-11-09T05:29:13-06:00 2016-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2016-01-01 133591762 ST MARY'S CENTER INC STMA 2126655992 516 WEST 126TH STREET NEW YORK NY 10027 HOLLY ARGENT-TARIQ CHIEF EXECUTIVE OFFICER 2126655992 2017-11-08 1 AARON SHAPIRO P01333816 2128674000 38.98.118.70 2017-11-08 18:14:11 ES P 73A2BDB4DEE3E1301F7FB9DCBA9193E2BC5F7900 73A2BDB4DEE3E1301F7FB9DCBA9193E2BC5F7900 2016 2021-01-29 14:40:06Z HOLLY ARGENT-TARIQ 516 WEST 126TH STREET NEW YORK NY 10027 9595699 0 X N/A X 1990 NY SEE SCHEDULE O.ST. MARY'S CENTER, INC. (CENTER) OPERATES A SPECIAL CARE NURSING FACILITY FOR ADULTS WHO TEST POSITIVE FOR THE HUMAN IMMUNODEFICIENCY VIRUS (HIV) AND ARE SYMPTOMATIC OR ARE DIAGNOSED AS HAVING CONTRACTED AQUIRED IMMUNE DEFICIENCY SYNDROME (AIDS). THE CENTER'S PRIMARY SOURCES OF REVENUES ARE PATIENT SERVICE FEES PAID BY MEDICAID. 9 9 63 9 0 0 3292 2524 9409811 9111918 27107 42333 3816 79 9444026 9156854 0 0 0 0 4593239 4490369 0 0 0 4381074 4488747 8974313 8979116 469713 177738 10381170 9244485 3053691 1739268 7327479 7505217 X SEE SCHEDULE O.MISSION STATEMENT: THE MISSION OF THE CENTER, A NOT-FOR-PROFIT NURSING FACILITY LOCATED IN HARLEM, IS TO PROVIDE QUALITY HEALTHCARE, ADDICTION COUNSELING, ABSTINENCE SUPORT AND SOCIAL SERVICES TO PEOPLE LIVING WITH HIV/AIDS AND THEIR FAMILIES. OUR SERVICES ARE PROVIDED IN A CLEAN AND SAFE HOMELIKE ENVIRONMENT THAT IS FREE FROM ABUSE, NEGLECT AND MISTREATMENT. ALL SERVICES ARE GEARED TOWARD MAINTAINING THE RESIDENT'S DIGNITY AND RESPECT. WE EDUCATE, SUPPORT AND EMPOWER EACH RESIDENT AND THEIR SIGNIFICANT OTHERS WITH INFORMATION AND RESOURCES IMPROVING AND MAINTAINING THE HIGHEST POSSIBLE QUALITY OF LIFE WHILE LIVING WITH HIV/AIDS. WE STRIVE TO CONTINUOUSLY IMPROVE SERVICES THROUGH THE RECRUITMENT AND RETENTION OF COMPETENT, QUALIFIED AND CARING STAFF. WE MONITOR QUALITY OF CARE THROUGH OUR INTERDISCIPLINARY CONTINUOUS QUALITY IMPROVEMENT PROGRAM. 0 0 5535623 6327797 NURSING HOME SERVICES-ST. MARY'S CENTER INC. OPENED ITS DOORS IN AUGUST 1992 AS A 40 BED NURSING HOME FOR AIDS PATIENTS WHEN IT WAS LICENSED BY THE STATE DEPARTMENT OF HEALTH. SINCE THAT TIME WE HAVE CONSISTENTLY MAINTAINED A PATIENT CENSUS OF AT OR NEAR CAPACITY. YEAR ENDING 12/31/16 WE WERE AT 95%. IN 2015 WE WERE AT 99%. WE PROVIDE A FULL COMPLEMENT OF NURSING HOME RELATED SERVICES INCLUDING ROOM AND BOARD, MEDICAL, CLINICAL AND SOCIAL SERVICES. 1845207 2630273 ADULT-DAY HEALTH CARE- IN MAY 1997 WITH DOH APPROVAL, WE BECAME LICENSED TO OPEN A 50 PATIENT ADULT DAY TREATMENT CENTER FOR PEOPLE LIVING WITH HIV/AIDS. THE PROGRAM HAS THRIVED SINCE ITS OPENING BY PROVIDING A FULL SPECTRUM OF SUPPORT SERVICES FROM RECREATION TO PRIMARY CARE. THE PROGRAM HAS CONSISTENTLY MAINTAINED AN ANNUAL AVERAGE OF CLINIC VISITS RANGING FROM 12,000-16,000. YEAR ENDING 12/31/2016 CLINIC VISITS TOTALED 14,150 AND DURING 2015 CLINIC VISITS TOTALED 16,183. 153848 PRIMARY CARE/AMIDACARE-(FORMERLY VIDACARE) IN 2002 ST. MARY'S CENTER BECAME PART OF THIS SPECIAL NEEDS PLAN FOR PEOPLE LIVING WITH HIV/AIDS WHICH PROVIDES "ONE STOP SHOPPING" HIGH QUALITY HEALTH CARE. 7380830 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 1 1 0 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 0 0 0 0 1 14 0 63 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X XIOMARA LANTIGUA 2126655992 ST MARYS CENTER 516 WEST 126TH NEW YORK NY 10027 DIANE B POLLARD PRESIDENT 5.00 X X 0 0 0 GEORGE W GOODWILL VICE PRESIDENT 2.00 X X 0 0 0 REV GEORGE W BRANDT JR SECRETARY/ TREASURER 2.00 X X 0 0 0 NELL GIBSON BOARD MEMBER 2.00 X 0 0 0 PEARL HARRIS BOARD MEMBER 2.00 X 0 0 0 DR THERESA A MACK BOARD MEMBER 2.00 X 0 0 0 JUDY EDWARDS GREENE BOARD MEMBER 2.00 X 0 0 0 LINA BANKS HAKIM BOARD MEMBER 2.00 X 0 0 0 ANITA LEE RPH MPH BOARD MEMBER 2.00 X 0 0 0 HOLLY ARGENT-TARIQ CHIEF EXECUTIVE OFFICER 35.00 X 209758 0 28122 XIOMARA LANTIGUA CHIEF FINANCIAL OFFICER 35.00 X 102944 0 19272 DR HARRISON MITCHELL MEDICAL DIRECTOR (LEFT 9/16) 30.00 X 121457 0 18177 JOHN OKWODU CHIEF OPERATING OFFICER 35.00 X 103096 0 9196 PATRICIA OGILVIE PRIMARY CARE DR./ADHC 35.00 X 126116 0 21210 MS BIBI NIZAM NURSING DIRECTOR 35.00 X 126077 0 21466 BETTY HALLUMS DIRECTOR, HUMAN RESOURCES 35.00 X 113035 0 20172 902483 0 137615 7 0 1 0 UNIDINE CORPORATION ONE GATEWAY CENTER SUITE 751 NEWTON MA 02458 DIETARY SERVICES 728403 WINFIELD SECURITY 57 WEST 38TH STREET NEW YORK NY 10018 SECURITY STAFFING 305039 PROMED PERSONNEL PO BOX 75343 CHICAGO IL 60675 STAFFING AGENCY 144934 BONDSCHOENECK & KING 22 CORPORATE WOODS SUITE 501 ALBANY NY 12211 LEGAL SERVICES 122965 4 2524 2524 NURSING HOME SERVICES 623000 6327797 6327797 ADULT HEALTH CARE 621990 2630273 2630273 CLINICAL SERVICES 624100 153848 153848 9111918 37016 37016 444162 438845 5317 5317 5317 MEDICAL RECORDS FEE 900099 67 67 CAFETERIA SALES 900099 12 12 79 9156854 9111918 0 42412 X 612022 251926 360096 2771355 2369164 402191 236607 169001 67606 644271 439606 204665 226114 177251 48863 102665 102665 50269 50269 1897642 1702674 194968 33084 33084 426083 383378 42705 36620 34789 1831 280932 266885 14047 82446 78324 4122 27560 27560 138209 131299 6910 458956 436008 22948 136920 130074 6846 HEALTH FACILITY ASSESSM 612068 612068 MEDICAL SUPPLIES 67101 67101 138192 131282 6910 8979116 7380830 1598286 0 488902 305556 2272053 2423736 828598 665567 106433 102796 13921317 9330484 4631884 4590833 458458 1594842 1155997 10381170 9244485 840177 931099 1735000 14669 12289 56279 573265 407566 222615 3053691 1739268 X 7327479 7505217 7327479 7505217 10381170 9244485 177738 0 X X 0 1 X 1 0 X 11111 1907 3308 3292 2524 22142 9187157 8993246 9316906 9409811 9111918 46019038 9198268 8995153 9320214 9413103 9114442 46041180 0 0 0 46041180 33627 37049 31399 27107 37016 166198 33627 37049 31399 27107 37016 166198 75015 31256 267 3687 79 110304 9306910 9063458 9351880 9443897 9151537 46317682 0.99400 0.99310 0.00360 0.00370 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME MEDICAL RECORDS FEE REFUNDS PART III, LINE 12, EXPLANATION FOR OTHER INCOME MISCELLANEOUS INCOME 0 1 X 127000 127000 9485425 6208359 3277066 3156043 2336497 819546 1152849 785628 367221 4590833 INVESTMENT IN PROPERTY 1155997 1155997 DUE TO THIRD PARTY PAYORS 222615 222615 X 9156854 0 9156854 0 9156854 8979116 0 8979116 0 8979116 PART IV, LINE 2B: PATIENT FUNDS ARE MAINTAINED SEPARATELY FROM OPERATING FUNDS. INTEREST EARNED ON PATIENT FUNDS IS CREDITED TO THE PATIENTS' ACCOUNTS. PART X, LINE 2: THE CENTER ADOPTED THE PROVISIONS PERTAINING TO UNCERTAIN TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2013 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. X 0 0 0 0 0 0 0 1 0 HOLLY ARGENT-TARIQ CHIEF EXECUTIVE OFFICER 203861 0 5700 0 197 0 18360 0 9762 0 237880 0 0 0 PART I, LINE 7 THE BONUS WAS PAID BASED ON PERFORMANCE THROUGHOUT THE YEAR AND IT WAS APPROVED BY THE BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE COMPLETED 990 IS REVIEWED BY THE SENIOR FINANCE STAFF. ANY COMMENTS ARISING FROM THE REVIEW ARE NOTED ON THE DRAFT. THAT DRAFT IS SUBMITTED TO THE AUDIT COMMITTEE FOR ITS REVIEW AND APPROVAL. ONCE THE AUDIT COMMITTEE HAS COMPLETED ITS REVIEW, COPIES OF THE APPROVED RETURN WILL BE PROVIDED TO ALL BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 12C CONFLICTS OF INTERESTS ARE COSISTENTLY ENFORCED, EVERY YEAR THE FORM IS UPDATED AND CIRCULATED TO STAFF AND MUST BE DOCUMENTED.IF A CONFLICT WERE TO BE FOUND THE CONFLICTED PERSON WOULD BE RECUSED FROM MATTERS RELATING TO HIS/HER POSSIBLE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF THE CHIEF EXECUTIVE OFFICER AND CFO ARE REVIEWED AND APPROVED ANNUALLY BY THE BOARD OF DIRECTORS OF THE CENTER. PERIODICALLY, THE BOARD WILL ENGAGE AN INDEPENDENT COMPENSATION CONSULTANT TO DETERMINE THE APPROPRIATENESS OF THE COMPENSATION PACKAGES OFFERED TO THE EXECUTIVES OF THE CENTER. THIS PROCESS INCLUDES UTILIZATION OF A COMPARATIVE SALARY ANALYSIS WITH EXECUTIVES OF COMPARABLE ORGANIZATION. THIS PROCESS WAS LAST UNDERTAKEN IN 2013. FORM 990, PART VI, SECTION C, LINE 19 COPIES ARE PROVIDED UPON REQUEST. FORM 990, PART IX, LINE 11G PURCHASE & CONTRACT: PROGRAM SERVICE EXPENSES 1,084,103. MANAGEMENT AND GENERAL EXPENSES 94,270. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,178,373. SPECIAL PROJECT CONSULTING: PROGRAM SERVICE EXPENSES 327,921. MANAGEMENT AND GENERAL EXPENSES 53,383. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 381,304. OTHER SERVICE: PROGRAM SERVICE EXPENSES 290,650. MANAGEMENT AND GENERAL EXPENSES 47,315. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 337,965. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THAT OF THE PRIOR YEAR.