2015-11-12T17:46:53-06:00 2014-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 4000 INDIANAPOLIS IN 46204 990 2014-01-01 133622351 St Barnabas Nursing Home Inc % MARY GROCHOWSKI CFO STBA 7189603839 2175 QUARRY ROAd BRONX NY 10457 Mary Grochowski CFO 7189603839 2015-11-12 true ANGELA M MOORE P00244342 3176817000 2014 2016-02-25 16:41:14Z ST BARNABAS REHAB & CONT CARE CTR Scott Cooper MD President 2175 Quary Road Bronx NY 10457 31630992 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 5 262 10 0 0 0 31365557 31295440 198590 18742 6376 316810 31570523 31630992 0 0 0 0 18347268 17924999 0 0 0 13212619 13239841 31559887 31164840 10636 466152 16277537 16183890 13075133 12506679 3202404 3677211 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 19662627 31295440 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. 19662627 true false false false false false false false false false true false false true 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 262 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 Board member, SECRETARY 1.0 0.0 X X 0 0 0 MICHAEL SHERMAN board member 1.0 0.0 X 0 0 0 THOMAS HUGHES board member, chairman 1.0 0.0 X X 0 0 0 ALAN ROSENBLUT board member 1.0 0.0 X 0 0 0 HELEN FOSTER board member, vice chairman 1.0 0.0 X X 0 0 0 Scott Cooper MD President & CEO 1.25 50.0 X 19313 881031 9602 Leonard Walsh EVP/Chief Operating Officer 2.5 50.0 X 27159 569509 7982 Keith D Wolf Senior Vice President 1.0 50.0 X 17500 378342 6045 John Digirolomo Senior Vice President 1.0 50.0 X 4173 204774 6781 MARY GROCHOWSKI VICE PRESIDENT 37.5 12.5 X 166368 55456 5700 JERRY R BALENTINE MD EVP/CMO (TERM 10/14) 1.0 50.0 X 10396 532826 6730 Alfredo Alvarado Administrator 50.0 0.0 X 179134 0 5627 Zaldy Mateo Asst. Administrator 50.0 0.0 X 132000 0 5821 Maria Lila Palma Manager Rehab-Nursing 50.0 0.0 X 117686 0 5734 Ramon Aponte Program Administrator 50.0 0.0 X 114785 0 5915 Debra Wharton Nursing Supervisor 50.0 0.0 X 107848 0 5528 Maxine Green Nursing Program Administrator 50.0 0.0 X 105616 0 5830 1001978 2621938 77295 7 false true false Bronx Park Pulmonary Medicine 2016 Broxdale Avenue 301 Bronx NY 104620000 Pulmonary Consulting 160000 Canamfil Int'l Manpower Services 2331 Arthur Avenue Suite 1 Bronx NY 104580000 Employment Agency 621321 MitchellMartin Inc 307 West 38th Street Suite 1305 New York NY 100180000 Employment Agency 295028 RCM Technologies Inc 575 Eight Avenue New York NY 100180000 Employment agency 159981 4 0 GERIATRIC 623000 16826301 16826301 0 0 HIV/TB RESIDENT REVENUE 623000 5484733 5484733 0 0 VENTILATOR 623000 4979297 4979297 0 0 ADULT HEALTH CARE 623000 1750386 1750386 0 0 ANCILLARY SERV. REVENUE 446110 2254723 2254723 0 0 31295440 18742 18742 0 0 0 0 0 0 0 0 0 DEBT SRVC EARNINGS CREDIT 900099 296858 0 0 296858 A/P DISCOUNT 900099 19952 0 0 19952 316810 31630992 31295440 0 335552 0 0 0 0 0 0 0 0 430880 211131 219749 0 0 0 0 0 12517398 6348576 6168822 0 36767 18016 18751 0 4120731 2103272 2017459 0 819223 401419 417804 0 479113 168910 310203 0 26230 0 26230 0 169572 0 169572 0 0 0 0 0 0 0 0 0 0 0 1441611 1441611 0 0 0 0 503276 478690 24586 0 0 0 0 0 0 0 0 0 1087074 0 1087074 0 18971 8023 10948 0 0 0 0 0 0 0 0 0 62500 0 62500 0 0 0 0 0 2513707 2299588 214119 0 426213 0 426213 0 PATIENT SERVICES 3540145 3211962 328183 0 NYS HLTH FAC CASH ASSMNT 1533178 1533178 0 0 DIETARY KITCHEN EXPENSE 1007099 1007099 0 0 PROVISION FOR BAD DEBT 152058 152058 0 0 279094 279094 31164840 19662627 11502213 0 0 791019 5649299 5572015 31190 0 0 4019073 3606658 0 0 0 0 0 0 0 0 145823 160676 32304719 28337514 4067245 3967205 1468510 819081 0 0 0 0 0 0 213852 1949781 16277537 16183890 2951314 3019258 0 0 0 0 1562500 0 0 0 0 0 0 0 0 0 8561319 9487421 13075133 12506679 X 3202404 3677211 0 0 0 0 3202404 3677211 16277537 16183890 466152 8655 X false true X true false X 0 0 0 0 0 0 26489322 30299367 30671291 31365557 31295440 150120977 0 0 0 26489322 30299367 30671291 31365557 31295440 150120977 0 0 0 150120977 38221 36631 39607 198590 18742 331791 0 38221 36631 39607 198590 18742 331791 0 293 6376 316810 323479 26527543 30335998 30711191 31570523 31630992 150776247 0.99565 0.98274 0.00220 0.00249 X 757975 757975 24696163 22758469 1937694 6842118 5579045 1263073 8463 8463 3967205 DUE FROM ST. BARNABAS HOSP. 1762925 Resident Funds 186856 1949781 0 DUE TO THIRD-PARTY PAYERS 7565565 Resident Funds 186856 SELF-INSURED PROF. LIABILITIES 1735000 9487421 31639647 8655 8655 31630992 31630992 31164840 31164840 31164840 X X X X true false false false false false false false false Scott Cooper MD President & CEO 19313 781031 0 100000 0 0 0 0 240 9362 19553 890393 0 0 Leonard Walsh EVP/Chief Operating Officer 27159 544509 0 25000 0 0 0 0 399 7583 27558 577092 0 0 Keith D Wolf Senior Vice President 17500 378342 0 0 0 0 -4 -82 307 5824 17803 384084 0 0 John Digirolomo Senior Vice President 4173 204774 0 0 0 0 0 0 136 6645 4309 211419 0 0 Alfredo Alvarado Administrator 179134 0 0 0 0 0 -86 0 5713 0 184761 0 0 0 MARY GROCHOWSKI VICE PRESIDENT 166368 45456 0 10000 0 0 0 -86 0 5786 166368 61156 0 0 JERRY R BALENTINE MD EVP/CMO (TERM 10/14) 10396 532826 0 0 0 0 -2 -84 136 6680 10530 539422 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 2014, JERRY R. BALENTINE RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $519,782 FORM 990, PART VI, 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 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 sole member must approve any amendments to the bylaws of the organization. FORM 990, PART VI, LINE 11b 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. Additionally, upper-level managers 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, LINES 15A AND 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 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. 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 ST BARNABAS CORRECTIONAL HEALTH SYSTEM C/O SBH 4422 Third Avenue Bronx NY 10457 161174731 Billing Company OH AMC C Corp SBH Physicians PC 4422 Third Avenue Bronx NY 10457 272892195 Medicine NY SBH C Corp QUARRY UNDERWRITING ASSURANCE LTD 62 FORUM LANE CAYMAN BAY GRAND CAYMAN CJ KY1-1203 981254123 INSURANCE CJ SBH Exempted Co false false false false false false false false false false false false false false true true false true false St Barnabas Hospital o 3062132 FMV St Barnabas Hospital p 7892564 FMV St Barnabas Hospital r 152980 FMV