2017-10-23T21:47:29-05:00 2016-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 100366530 990 2016-01-01 133622351 ST BARNABAS NURSING HOME INC % MARY GROCHOWSKI STBA 7189603839 2175 QUARRY ROAD BRONX NY 10457 Mary Grochowski CFO 7189603839 2017-10-23 true LAURA KIELCZEWSKI P00740769 2127733000 72.89.28.204 35057220172965000002 2017-10-23 P 050F75853A9F423F493495C03CDD05FDA32C01D0 050F75853A9F423F493495C03CDD05FDA32C01D0 2016 2021-01-29 14:40:06Z ST BARNABAS REHAB & CONT CARE CTR David Perlstein MD PRESIDENT 4422 Third Avenue Bronx NY 10457 54909955 false X N/A X 1994 NY PROVISION OF QUALITY, COMPREHENSIVE MEDICAL CARE TO ALL RESIDENTS, WITH DIGNITY AND COMPASSION, REGARDLESS OF ETHNICITY, NATIONALITY, RELIGION OR ABILITY TO PAY. X 4 4 277 12 0 0 0 31273290 26391490 26907 25220504 9025 317049 31309222 51929043 0 0 0 0 18688819 15889648 0 0 0 12867390 13980842 31556209 29870490 -246987 22058553 22087436 10054432 18679340 8743120 3408096 1311312 X PROVISION OF QUALITY, COMPREHENSIVE MEDICAL CARE TO ALL RESIDENTS, WITH DIGNITY AND COMPASSION, REGARDLESS OF ETHNICITY, NATIONALITY, RELIGION, OR ABILITY TO PAY. ENHANCING AND ENRICHING THE LIVES OF THE ELDERLY THROUGH COMPREHENSIVE SERVICES TAILORED TO MEET INDIVIDUAL NEEDS. PROVIDING A UNIQUE ENVIRONMENT FOR LONG-TERM CARE IN WHICH RESIDENTS HAVE THE OPPORTUNITY TO DEVELOP A SENSE OF CONTROL OVER THEIR LIVES, MAINTAIN THEIR DIGNITY AND PLAN FOR A FULFILLING FUTURE WITHIN THEIR OWN CAPACITIES. false false 18694136 26391490 PROVISION OF QUALITY, COMPREHENSIVE MEDICAL CARE TO ALL RESIDENTS, WITH DIGNITY AND COMPASSION, REGARDLESS OF ETHNICITY, NATIONALITY, RELIGION, OR ABILITY TO PAY. ENHANCING AND ENRICHING THE LIVES OF THE ELDERLY THROUGH COMPREHENSIVE SERVICES TAILORED TO MEET INDIVIDUAL NEEDS. PROVIDING A UNIQUE ENVIRONMENT FOR LONG-TERM CARE IN WHICH RESIDENTS HAVE THE OPPORTUNITY TO DEVELOP A SENSE OF CONTROL OVER THEIR LIVES, MAINTAIN THEIR DIGNITY AND PLAN FOR A FULFILLING FUTURE WITHIN THEIR OWN CAPACITIES. 18694136 true false false false false false false false false false true false false false true false true false false false false false false false false false false false false true false false false false false false false true false false false true false true true true false false true 29 0 true 277 true false false false false false false false false false false X 4 4 false false false false true true true true true false false true true true true true true false false false NY X MARY GROCHOWSKI 7189603839 2175 QUARRY ROAD Bronx NY 10457 Helen Foster Vice Chairman 1.0 0.0 X X 0 0 0 Leslie Schwartz Secretary 1.0 0.0 X X 0 0 0 Michael Sherman Board Member 1.0 0.0 X 0 0 0 Alan Rosenblut Board Member 1.0 0.0 X 0 0 0 Scott Cooper MD President & CEO 1.25 50.0 X 20600 877512 27647 Leonard Walsh EVP/Chief Operating Officer 2.5 50.0 X 30501 576801 23389 Keith D Wolf Sr VP & General Counsel 1.0 50.0 X 20600 386968 22750 John Digirolomo Senior Vice President 1.0 50.0 X 4560 223231 19328 Mary Grochowski Vice President 37.5 22.5 X 177076 59025 21341 Alfredo Alvarado Administrator 50.0 0.0 X 208100 0 17637 Wennie Avincula Manager Clinic Reimbursement 50.0 0.0 X 111376 0 15904 Debra Wharton Nurse Supervisor 50.0 0.0 X 125509 0 6839 Maria Lila Palma Manager Care Transition 50.0 0.0 X 123599 0 26807 Sherry C Flores Associate Director 50.0 0.0 X 132191 0 22897 Zaldy L Mateo Asst. Administrator 50.0 0.0 X 136840 0 18466 1090952 2123537 223005 11 false true false Advanced Care Staffing 545 Broadway BROOKLYN NY 11206 Employment Agency 144372 Bronx Park Pulmonary Medicine 2016 Bronxdale Avenue 301 BRONX NY 10462 Pulmonary Consulting 129250 Garbarini Scher PC 432 Park Avenue South NEW YORK NY 10016 Legal Firm 148913 RCM Technologies Inc 575 Eighth Avenue NEW YORK NY 10018 Employment Agency 163399 The Two Brothers Agency Inc 2331 Arthur Avenue BRONX NY 10458 Employment Agency 256550 5 0 0 0 Geriatric 623000 12978564 12978564 0 0 HIV/TG Resident Revenue 623000 6043851 6043851 0 0 Ventilator 623000 4054931 4054931 0 0 Adult Day Health Care 623000 1346011 1346011 0 0 Ancillary Service Revenue 446110 1968133 1968133 0 0 26391490 21416 21416 0 0 0 0 0 28180000 2980912 25199088 25199088 25199088 0 0 0 0 0 0 0 0 0 Miscellaneous Revenue 900099 310527 0 310527 A/P DISCOUNT 900099 6522 0 6522 317049 51929043 26391490 0 25537553 0 0 0 0 0 0 0 0 457879 283885 173994 0 0 0 0 0 11219603 6956154 4263449 876257 543279 332978 0 2627234 1628885 998349 0 708675 439378 269297 0 599887 371930 227957 0 185674 0 185674 0 111048 0 111048 0 0 0 0 0 0 0 0 0 0 1589149 985272 603877 0 0 0 0 0 29407 18232 11175 0 0 0 0 0 0 0 0 0 437312 0 437312 0 17412 10795 6617 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2646054 1640553 1005501 0 639714 0 639714 0 Patient Services 5024768 3115356 1909412 0 NYS HLTH FAC Cash Assessm 1051435 1051435 0 0 Provision for Bad Debt 58347 58347 0 0 DIETARY COSTS 997549 997549 0 0 593086 593086 29870490 18694136 11176354 0 0 13418735 1066318 100479 100402 0 0 3410374 6828059 0 0 0 0 0 0 0 0 198305 729628 751899 4127503 751899 668350 446976 0 0 0 0 0 0 163690 131150 22087436 10054432 2860007 366525 0 0 1600000 0 0 0 0 0 0 0 0 0 0 0 14219333 8376595 18679340 8743120 X 3408096 1311312 0 0 0 0 3408096 1311312 22087436 10054432 X 22058553 10163 0 0 -24165500 X false true X true false X 0 0 0 0 0 0 30671291 31365557 31295440 31273290 26391490 150997068 0 0 0 30671291 31365557 31295440 31273290 26391490 150997068 0 0 0 150997068 39607 198590 18742 26907 21416 305262 0 39607 198590 18742 26907 21416 305262 0 293 6376 316810 9025 317049 649553 30711191 31570523 31630992 31309222 26729955 151951883 0.99372 0.99580 0.00201 0.00206 X 0 751899 751899 0 0 751899 0 RESIDENT DEPOSITS 131150 EST. THIRD PARTY PAYOR ADJUSTMENTS 6945445 ESTIMATED MALPRACTICE LIABILITY 1300000 8376595 26740118 10163 10163 26729955 25199088 25199088 51929043 29870490 29870490 29870490 RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STMTS SCHEDULE D, PART XI, LINE 4B NET GAIN FROM SALE OF SBNH $25,199,088 false false false false false false false false false Scott Cooper MD President & CEO 20600 877512 0 0 0 0 331 12919 360 14037 21291 904468 0 0 Leonard Walsh EVP/Chief Operating Officer 30501 576801 0 0 0 0 663 12588 253 9885 31417 599274 0 0 Keith D Wolf Sr VP & General Counsel 20600 386968 0 0 0 0 778 14776 180 7016 21558 408760 0 0 John Digirolomo Senior Vice President 4560 223231 0 0 0 0 285 11116 198 7729 5043 242076 0 0 Mary Grochowski Vice President 177076 59025 0 0 0 0 0 14473 172 6696 177248 80194 0 0 Maria Lila Palma Manager Care Transition 123599 0 0 0 0 0 19895 0 6912 0 150406 0 0 0 Sherry C Flores Associate Director 132191 0 0 0 0 0 0 0 22897 0 155088 0 0 0 Zaldy L Mateo Asst. Administrator 136840 0 0 0 0 0 11500 0 6966 0 155306 0 0 0 Alfredo Alvarado Administrator 208100 0 0 0 0 0 0 10690 0 6947 208100 17637 0 0 Schedule J, Part III Supplemental Compensation Information President and Sr. vice President are St. Barnabas Hospital Employees who allocate time and expenses to the Nursing Home under shared service agreements. Bronx Park Pulmonary Medicine ENTITY MORE THAN 35% OWNED BY SCOTT COOPER, PRES/CEO OF SBNH 129250 SEE PART V false Schedule L, Part IV, Line 1 DURING 2016, ST. BARNABAS NURSING HOME PAID $129,250 TO BRONX PARK PULMONARY MEDICINE (F/K/A SCOTT COOPER AND JOEL SENDER, P. C.), AS COMPENSATION FOR THESE SERVICES JOEL SENDER PROVIDED TO ST. BARNABAS NURSING HOME, AS MEDICAL DIRECTOR. DR. SCOTT COOPER, THE PRESIDENT AND CEO OF ST. BARNABAS NURSING HOME, AND DR. JOEL SENDER, THE MEDICAL DIRECTOR OF ST. BARNABAS NURSING HOME, ARE PARTNERS OF BRONX PARK PULMONARY MEDICINE. DURING 2016, DR. COOPER WAS NOT PAID BY BRONX PARK PULMONARY MEDICINE FOR SALARY OR PENSION BENEFIT PLAN. HOWEVER, BRONX PARK PULMONARY MEDICINE PAID HEALTH AND DISABILITY INSURANCE PLAN FOR DR. SCOTT COOPER DURING 2016. IN ADDITION, BUSINESS-RELATED EXPENSES, SUCH AS GAS AND PARKING FEES WERE PAID FOR DR. SCOTT COOPER DURING 2016. DURING 2016, DR. JOEL SENDER WAS PAID BY BRONX PARK PULMONARY MEDICINE, FOR HIS SERVICES PROVIDED TO ST. BARNABAS NURSING HOME, AS MEDICAL DIRECTOR. THE COMPENSATION WAS REPORTED ON PART IX ACCORDINGLY. Sale of NH skilled facility 2016-11-03 28180000 APPRAISAL 473396032 SBHNY Acquisition LLC 2175 Quarry Road Bronx NY 10457 LLC false false false false Form 990, Part VI, Section A, Line 1a EXECUTIVE COMMITTEE THE EXECUTIVE COMMITTEE CONSISTS ONLY OF MEMBERS OF THE GOVERNING BODY. IT IS AUTHORIZED TO ACT ON BEHALF OF THE CORPORATION BETWEEN MEETINGS OF THE BOARD AND TO TAKE ANY ACTION OTHER THAN THOSE ITEMS SPECIFICALLY PROHIBITED BY NEW YORK LAW. FORM 990, PART VI, LINE 6 MEMBERS OF THE ORGANIZATION THE ORGANIZATION HAS A SINGLE CORPORATE MEMBER, ST. BARNABAS COMMUNITY ENTERPRISES, INC. WHICH IS A NOT-FOR-PROFIT 501(C)(3) ORGANIZATION. FORM 990, PART VI, LINE 7A ELECTION OF THE GOVERNING BODY THE SOLE MEMBER, ST. BARNABAS COMMUNITY ENTERPRISES, INC. ELECTS THE GOVERNING BODY OF THE ORGANIZATION. FORM 990, PART VI, LINE 7B DECISIONS OF THE GOVERNING BODY THE MEMBERS MUST APPROVE ANY AMENDMENTS TO THE BYLAWS OF THE ORGANIZATION. Form 990, Part VI, Section B, Line 11b FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS AND ANY CHANGES ARE INCORPORATED. A FINAL COPY OF THE 990 IS PROVIDED TO THE FULL BOARD PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C MONITORING & ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY ST. BARNABAS NURSING HOMES CONFLICT OF INTEREST POLICY APPLY TO ITS GOVERNING BOARD, CORPORATE OFFICERS, EMPLOYEES AND ANY OTHERS REPRESENTING THE ORGANIZATION. ST. BARNABAS NURSING HOMES BYLAWS REQUIRE THAT MEMBERS OF ITS GOVERNING BOARD AND ITS CORPORATE OFFICERS DISCLOSE ANY CONFLICTS OF INTEREST PROMPTLY AT THE TIME THEY ARISE, AND ANNUALLY VIA A WRITTEN DISCLOSURE PROCESS. THE GOVERNING BOARD IS IN CHARGE WITH REVIEWING CONFLICT OF INTEREST TRANSACTIONS AND ASSOCIATED DECISIONS, AND MAKING A DETERMINATION REGARDING ANY RESTRICTIONS TO BE IMPOSED ON THE TRANSACTION. THEIR DETERMINATION AND ALL MATERIAL FACTS ARE RECORDED IN MINUTES. ST. BARNABAS NURSING HOMES EMPLOYEES ARE LIKEWISE REQUIRED TO DISCLOSE TO THEIR SUPERVISORS PROMPTLY, AND IN WRITING, ALL CONFLICTS OF INTEREST THAT ARISE AND UPPER-LEVEL MANAGERS ADDITIONALLY COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. AN EMPLOYEES SUPERVISOR IS CHARGED WITH REVIEWING A REPORTED CONFLICT OF INTEREST AND ENSURING THAT THE EMPLOYEE IS NOT INVOLVED IN DECISIONS RELATED TO THE CONFLICT. Form 990, Part VI, Section B, Lines 15A & 15B COMPENSATION POLICY THE COMPENSATION COMMITTEE OF THE BOARD CONDUCTS AN ANNUAL REVIEW OF PRESIDENT/CEO COMPENSATION. AS PART OF THIS REVIEW, THE COMMITTEE REFERENCES AVAILABLE MARKET DATA FOR COMPARABLE POSITIONS AND INTERNAL EQUITY CONSIDERATIONS, AND IT UTILIZES AN ANALYSIS OF CEO SALARIES PREPARED BY SULLIVAN COTTER, LLP, AN INDEPENDENT EXTERNAL ADVISOR, USING INDUSTRY BENCHMARKING DATA. THE REVIEW PROCESS COVERS ALL OFFICERS, INCLUDING THE PRESIDENT/CEO. Form 990, Part VI, Line 19 DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9 RECONCILIATION OF NET ASSETS NET ASSET TRANSFER ($24,165,500) ------------- TOTAL ($24,165,500) St Barnabas Hospital 183rd Street and Third Avenue Bronx NY 10457 131740122 Hospital NY 501(c)(3) 3 SBCE true St Barnabas Community Enterprises 183rd Street and Third Avenue Bronx NY 10457 061175581 Health Care NY 501(c)(3) 7 NA false ADAMS PLACE HOLDING CORPORATION 4422 THIRD AVENUE BRONX NY 10457 133731627 REAL ESTATE NY 501(c)(2) N/A SBCE true St Barnabas Community Health Plan C/O SBH 4422 Third Avenue Bronx NY 10457 133717546 Managed Care NY 501(c)(3) 10 SBCE true Arthur Management Corporation (AMC) C/O SBH 4422 Third Avenue Bronx NY 10457 061174733 HOLDING COMPANY NY SBCE C Corp false ST BARNABAS CORRECTIONAL HEALTH SYSTEM C/O SBH 4422 Third Avenue Bronx NY 10457 161174731 BILLING COMPANY OH AMC C Corp false SBH Physicians PC 4422 Third Avenue Bronx NY 10457 272892195 Medicine NY SBH C Corp false QUARRY UNDERWRITING ASSURANCE LTD 62 FORUM LANE KY1-1203 CAYMAN BAY GRAND CAYMAN CJ 981254123 INSURANCE CJ SBH Exempted Co false false false false false false false false false false false false false false false true false false true false St Barnabas Hospital r 24165500 FMV