2016-11-04T12:33:23-05:00 2015-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 100366530 990 2015-01-01 133622351 ST BARNABAS NURSING HOME INC % Mary Grochowski STBA 7189603839 2175 QUARRY ROAd BRONX NY 10457 MARY GROCHOWSKI CFO 7189603839 2016-11-04 true LAURA KIELCZEWSKI P00740769 2127733000 2015 2017-02-10 21:41:12Z ST BARNABAS REHAB & CONT CARE CTR SCOTT COOPER MD PRESIDENT 2175 QUARRY ROAD BRONX NY 10457 31309222 false X www.stbarnabasnursinghome.org 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. 4 4 360 4 0 0 0 31295440 31273290 18742 26907 316810 9025 31630992 31309222 0 0 0 0 17924999 18688819 0 0 0 13239841 12867390 31164840 31556209 466152 -246987 16183890 22087436 12506679 18679340 3677211 3408096 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 24457110 31273290 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. 24457110 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 false false false false false false true true true false false true 25 0 true 360 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 Thomas Hughes Chairman (Term End) 1.0 0.0 X X 0 0 0 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 20000 833444 25527 Leonard Walsh EVP/Chief Operating Officer 1.25 50.0 X 29613 590562 22066 Keith D Wolf Sr VP & General Counsel 1.0 50.0 X 17500 378342 21054 John Digirolomo Senior Vice President 1.0 50.0 X 4428 221175 18132 Mary Grochowski Vice President 37.5 50.0 X 177225 64636 19816 Alfredo Alvarado Administrator 50.0 0.0 X 182413 0 8207 Daunice M Swann Pharmacy Manager 75.0 0.0 X 120817 0 5036 Debra Wharton Nurse Supervisor 75.0 0.0 X 119590 0 5368 Maria Lila Palma Manager Care Transition 75.0 0.0 X 123046 0 5442 Sherry C Flores Associate Director 75.0 0.0 X 126927 0 21426 Zaldy L Mateo Asst. Administrator 75.0 0.0 X 134555 0 5496 JERRY R BALENTINE MD Former EVP/CMO 0.0 0.0 X 0 433152 0 1056114 2521311 157570 15 true true false Bronx Park Pulmonary Medicine 2016 Broxdale Avenue 301 BRONX NY 104620000 Pulmonary Consulting 259993 Canamfil Int'l Manpower Services 2331 Arthur Avenue Suite 1 BRONX NY 104580000 Employment Agency 714631 MitchellMartin Inc 307 West 38th Street Suite 1305 NEW YORK NY 100180000 Employment Agency 445931 RCM Technologies Inc 575 Eight Avenue NEW YORK NY 100180000 Employment agency 147350 4 0 0 0 Geriatric 623000 16096792 16096792 0 0 HIV/TB RESIDENT REVENUE 623000 6003327 6003327 0 0 Ventilator 623000 4840719 4840719 0 0 Adult Health Care 623000 1725914 1725914 0 0 Ancillary Service Revenue 446110 2606538 2606538 0 0 31273290 26907 26907 0 0 0 0 0 0 0 0 0 Miscellaneous Revenue 900099 8950 0 0 8950 A/P DISCOUNT 900099 75 0 0 75 9025 31309222 31273290 0 35932 0 0 0 0 0 0 0 0 441478 339938 101540 0 0 0 0 0 12865918 9906757 2959161 0 1011104 778550 232554 0 3533761 2720996 812765 0 836558 644150 192408 0 544634 190622 354012 0 56975 0 56975 0 189730 0 189730 0 0 0 0 0 0 0 0 0 0 0 1604149 1604149 0 0 0 0 31426 18541 12885 0 0 0 0 0 0 0 0 0 494214 0 494214 0 20602 8035 12567 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2683651 1583354 1100297 0 260496 0 260496 0 Patient Services 3549939 3230444 319495 0 NYS HLTH FAC CASH ASSMNT 1294794 1294794 0 0 DIETARY KITCHEN EXPENSE 1264369 1264369 0 0 PROVISION FOR BAD DEBT 60691 60691 0 0 811720 811720 31556209 24457110 7099099 0 0 5649299 13418735 31190 100479 0 0 3606658 3410374 0 0 0 0 0 0 0 0 160676 198305 32888975 28761472 3967205 4127503 819081 668350 0 0 0 0 0 0 1949781 163690 16183890 22087436 3019258 2860007 0 0 0 1600000 0 0 0 0 0 0 0 0 0 0 9487421 14219333 12506679 18679340 X 3677211 3408096 0 0 0 0 3677211 3408096 16183890 22087436 -246987 -22128 0 0 X false true X true false X 0 0 0 0 0 0 30299367 30671291 31365557 31295440 31273290 154904945 0 0 0 30299367 30671291 31365557 31295440 31273290 154904945 0 0 0 154904945 36631 39607 198590 18742 26907 320477 0 36631 39607 198590 18742 26907 320477 0 293 6376 316810 9025 332504 30335998 30711191 31570523 31630992 31309222 155557926 0.99580 0.99570 0.00206 0.00220 X 757975 757975 25203520 22911182 2292338 6927480 5850290 1077190 4127503 0 Due to St. Barnabas Hospital 4726281 DUE TO THIRD-PARTY PAYERS 7404363 Resident Funds 163689 SELF-INSURED PROF. LIABILITIES 1925000 14219333 31287094 -22128 -22128 31309222 0 0 31309222 31556209 31556209 0 0 31556209 true false false false false false false false false Scott Cooper MD President & CEO 20000 783444 0 50000 0 0 331 12919 307 11970 20638 858333 0 0 Leonard Walsh EVP/Chief Operating Officer 29613 560562 0 30000 0 0 663 12588 441 8374 30717 611524 0 0 Keith D Wolf Sr VP & General Counsel 17500 378342 0 0 0 0 767 14582 285 5420 18552 398344 0 0 John Digirolomo Senior Vice President 4428 211175 0 10000 0 0 289 11280 131 6432 4848 238887 0 0 Mary Grochowski Vice President 177225 54636 0 10000 0 0 0 14415 0 5401 177225 84452 0 0 Alfredo Alvarado Administrator 182413 0 0 0 0 0 2914 0 0 5293 185327 5293 0 0 JERRY R BALENTINE MD Former EVP/CMO 0 433152 0 0 0 0 0 0 0 0 0 433152 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. FORM 990, SCHEDULE J, PART I, LINE 4A IN 2015, THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT: JERRY R. BALENTINE - $433,152 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, Section A, 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, Section A, Line 7A Power to Elect of Appoint Members The sole member, St. Barnabas Community Enterprises, Inc. elects the governing body of the organization. Form 990, Part VI, Section A, Line 7B Decisions Reserved to Members or Stockholders The members must approve any amendments to the bylaws of the organization. Form 990, Part VI, Section B, Line 11b Process Used to review the form 990 The tax return is reviewed by the Board of Directors prior to the filing date. Form 990, Part VI, Section B, Line 12C Monitoring & enforcement of compliance with conflict of interest policy St. Barnabas Nursing Homes conflict of interest policies 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 all conflict 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 St. Barnabas Hospital conducts an annual review of the 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, and key employees. Form 990, Part VI, Line 19 Documents Available for Public Inspection THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. 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) 3 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) 9 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 true true false false true St Barnabas Hospital o 3247536 FMV St Barnabas Hospital p 8679280 FMV St Barnabas Hospital s 152833 FMV