2015-04-14T08:20:45-05:00 2013-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 4000 INDIANAPOLIS IN 46204 990 2013-01-01 133622351 ST BARNABAS NURSING HOME INC % MARY GROCHOWSKI CFO STBA 7189603839 2175 QUARRY ROAD Suite BRONX NY 10457 Mary Grochowski CFO 2015-04-13 Angela M Moore P00244342 2013 2016-02-25 16:41:14Z X Scott Cooper MD President 2175 Quarry Road Bronx NY 10457 31570523 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. 5 5 248 5 0 0 0 30671291 31365557 39607 198590 293 6376 30711191 31570523 0 0 0 0 18493428 18347268 0 0 0 13333537 13212619 31826965 31559887 -1115774 10636 17616458 16277537 14414766 13075133 3201692 3202404 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 21131759 31365557 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. 21131759 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 true false false false false false false false true false true false false false false false true true true false false true 21 0 248 true false false false false false false false false false false X 5 5 false false false false true true true true true false false true true true true true true true true false NY X MARY GROCHOWSKI CFO 7189603039 2175 QUARRY ROAD BRONX NY 10457 LESLIE SCHWARTZ SECRETARY 1.0 0.0 X X 0 0 0 MICHAEL SHERMAN BOARD MEMBER 1.0 0.0 X 0 0 0 THOMAS HUGHES CHAIRMAN 1.0 0.0 X X 0 0 0 ALAN ROSENBLUT BOARD MEMBER 1.0 0.0 X 0 0 0 HELEN FOSTER VICE CHAIRMAN 1.0 0.0 X X 0 0 0 MARY GROCHOWSKI CFO/ASST ADMINISTRATOR 50.0 0.0 X 205404 0 10926 John Digirolomo Sr. Vice President 2.0 47.0 X 20224 182018 11567 ALFREDO ALVARADO ADMINISTRATOR 50.0 0.0 X 171913 0 10963 SCOTT COOPER MD PRESIDENT 5.0 45.0 X 38627 733913 14448 TODD GORLEWSKI SR VICE PRESIDENT / CFO 2.0 47.0 X 32912 296209 11080 LEONARD WALSH CHIEF OPERATING OFFICER 5.0 45.0 X 26992 512844 13149 KEITH D WOLF SENIOR VICE PRESIDENT 10.0 45.0 X 34087 306779 11301 ZALDY L MATEO ASST. ADMINISTRATOR 50.0 0.0 X 121622 0 11114 RAMON APONTE PROGRAM ADM 50.0 0.0 X 106852 0 11199 GRACE B LIM DIR. NURSING 50.0 0.0 X 110903 0 9121 MARIA LILA PALMA MANAGER REHAB-NURSING 50.0 0.0 X 113407 0 10900 ANTHONY DE ROSAS KING MANAGER NURSING 50.0 0.0 X 106892 0 8821 1089835 2031763 134589 7 false true false Canamfil Int'l Manpower Services 2331 Arthur Avenue Suite 1 Bronx NY 10458 Employment Agency 718656 MitchellMartin Inc 307 West 38th Street STE 1305 New York NY 10018 Employment Agency 381240 Bronx Park Pulmonary Medicine 2016 Bronx Dale Avenue 301 BRONX NY 10462 Pulmonary Consulting 160000 RCM Technologies Inc 969 Avenue of the Americas NEW YORK NY 10018 Employment Agency 122629 Floral Agency LLC 6671 Broadway RIVERDALE NY 10471 Employment Agency 116738 21 0 0 0 GERIATRIC 623000 16544884 16544884 0 0 HIV/TB RESIDENT REVENUE 623000 5461069 5461069 0 0 VENTILATOR 623000 5186851 5186851 0 0 ADULT HEALTH CARE 623000 1827469 1827469 0 0 LABORATARY, PHARMACY AND 446110 2345284 2345284 0 0 31365557 198590 198590 0 0 0 0 0 0 0 0 0 A/P DISCOUNT 900099 4259 0 0 4259 MISCELLANEOUS 900099 2117 0 0 2117 6376 31570523 31365557 0 204966 X 0 0 0 0 0 0 0 0 616177 394353 221824 0 0 0 0 0 12461609 6241877 6219732 0 0 0 0 0 4482940 2187112 2295828 0 786542 487656 298886 0 413915 118751 295164 0 27259 0 27259 0 125491 0 125491 0 0 0 0 0 0 0 0 0 0 0 1731592 1731592 0 0 0 0 0 449932 413937 35995 0 0 0 0 0 0 0 0 0 6863 0 6863 0 17311 14887 2424 0 0 0 0 0 0 0 0 0 152875 0 152875 0 0 0 0 0 2909491 2679584 229907 0 110983 0 110983 0 PATIENT SERVICES 4498865 4093968 404897 0 NYS Hlth Fac Cash Assmnt 1434187 1434187 0 0 DIETARY KITCHEN EXPENSES 923746 923746 0 0 PROVISION FOR BAD DEBT 162297 162297 0 0 247812 247812 31559887 21131759 10428128 0 0 1316192 791019 5652491 5572015 0 0 3679378 4019073 0 0 0 0 0 0 0 0 946 145823 31974151 27906906 4877858 4067245 1938688 1468510 0 0 0 0 0 0 150905 213852 17616458 16277537 2621737 2951314 0 0 0 0 3227083 1562500 0 0 0 0 0 0 0 0 8565946 8561319 14414766 13075133 X 3201692 3202404 0 0 0 0 3201692 3202404 17616458 16277537 10636 -9924 X false true X true true true X 54713 0 0 0 0 54713 27959432 26489322 30299367 30671291 31365557 146784969 0 0 0 28014145 26489322 30299367 30671291 31365557 146839682 0 0 0 146839682 59690 38221 36631 39607 198590 372739 0 59690 38221 36631 39607 198590 372739 0 2200000 293 6376 2206669 30273835 26527543 30335998 30711191 31570523 149419090 0.98274 0.98274 0.00249 0.00249 X 757975 757975 24521948 22604907 1917041 6689141 5301999 1387142 5087 5087 4067245 0 Due to St. Barnabas Hospital 222232 Due to Third Party Payors 6831320 RESIDENT FUNDS 207767 SELF-INSURED PROF LIAB 1300000 8561319 31560599 -9924 -9924 31570523 31570523 31559887 31559887 31559887 X X X X false false false false false false false false false MARY GROCHOWSKI CFO/ASST ADMINISTRATOR 205404 0 0 0 0 0 1961 0 8965 0 216330 0 0 0 John Digirolomo Sr. Vice President 0 182018 0 0 20224 0 196 1765 961 8645 21381 192428 0 0 ALFREDO ALVARADO ADMINISTRATOR 171913 0 0 0 0 0 1961 0 9002 0 182876 0 0 0 SCOTT COOPER MD PRESIDENT 38627 733913 0 0 0 0 98 1863 624 11863 39349 747639 0 0 TODD GORLEWSKI SR VICE PRESIDENT / CFO 32912 296209 0 0 0 0 196 1765 912 8207 34020 306181 0 0 LEONARD WALSH CHIEF OPERATING OFFICER 0 512844 0 0 26992 0 98 1863 559 10629 27649 525336 0 0 KEITH D WOLF SENIOR VICE PRESIDENT 0 306779 0 0 34087 0 196 1765 696 8644 34979 317188 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. A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64983QCV9 2005-04-13 10837450 SCHEDULE K, PART VI false false false A 0 0 10837450 656417 0 9966823 214210 0 0 0 0 0 true false false true A false false false false 0.00000 0.00000 0.00000 true false false true A true false false 0 false 0 false true A true ADDITIONAL CUSIP NUMBERS ASSOCIATED WITH THE BOND 64983QDB2, 64983QDC0, 64983QDD8, 64983QDE6, 64983QDV3, 64983QDG1 SCHED K, PART I, COL F AIDS LONG-TERM HEALTH CARE FACILITY (REFUND JULY 16, 1992) BRONX PARK PULMONARY MEDICINE SEE SCHED L, PART IV 160000 medical director services false Schedule L, Part IV, Line 1 Business Transactions with Interested Persons During 2013, St. Barnabas Nursing Home paid $160,000 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 2013, 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 2013. In addition, business-related expenses, such as gas and parking fees were paid for Dr. Scott Cooper during 2013. During 2013, 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. Form 990, Part VI, Lines 1 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 Power to elect or appoint members The sole member, St. Barnabas Community Enterprises, Inc. elects the governing body of the organization. Form 990, Part VI, Line 7b Decisions reserved to members or stockholders The members must approve any amendments to the bylaws of the organization. Form 990, Part VI, Line 11a Process used to review the Form 990 The form 990 was reviewed by the entire Board prior to filing. Form 990, Part VI, Line 12c Monitoring and enforcement of compliance with conflict of interest policy St. Barnabas Nursing Home's conflict of interest policies apply to its governing Board, corporate officers, employees and any others representing the organization. St. Barnabas Nursing Home's 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 Home's 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 employee's 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, Line 15a & 15b Process for determining compensation 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 Process for making documents available to the public Form 990 is available on Guidestar. Other governing documents and the conflict of interest policy are available upon request. FORM 990, REASON FOR AMENDED RETURN AFTER FILING FORM 990 AND UPON REVIEW OF FORM 990 FOR A RELATED ORGANIZATION, ST. BARNABAS HOSPITAL (HOSPITAL), THE FILING ORGANIZATION REALIZED THE COMPENSATION FOR THREE PEOPLE ON PART VII / SCHEDULE J NEEDED TO BE CORRECTED TO MATCH THEIR COMPENSATION ON THE HOSPITAL RETURN. COMPENSATION FOR JOHN DIGIROLOMO, KEITH WOLF AND LEONARD WALSH HAS BEEN ADJUSTED. 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 3RD 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 BRONX NY 10457 061174733 HOLDING COMPANY NY SBCE C Corp ST BARNABAS CORRECTIONAL HEALTH SYSTEM C/O SBH 4422 THIRD AVENUE BRONX NY 10457 161174731 BILLING COMPANY NY AMC C Corp SBH PHYSICIANS PC 4422 THIRD AVENUE BRONX NY 10457 272892195 MEDICINE NY SBH C Corp false false false false false false false false false false false false false true true true false true false St Barnabas Hospital o 3212064 FMV St Barnabas Hospital p 5873503 FMV St Barnabas Hospital r 201333 FMV