2014-11-13T18:08:17-06:00 2013-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2013-01-01 133591762 ST MARY'S CENTER INC STMA 2126655992 516 WEST 126TH STREET NEW YORK NY 10027 HOLLY ARGENT-TARIQ CHIEF EXECUTIVE OFFICER 2126655992 2014-10-30 1 ISRAEL TANNENBAUM P01589203 2128674000 2013 2015-11-30 17:44:51Z HOLLY ARGENT-TARIQ 516 WEST 126TH STREET NEW YORK NY 10027 9063458 0 X N/A X 1990 NY ST. MARY'S CENTER, INC. OPERATES 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. 8 8 66 0 0 0 11111 1907 9187157 8993246 33627 37049 75015 31256 9306910 9063458 0 0 0 0 3992730 4346182 0 0 0 4761723 4505310 8754453 8851492 552457 211966 10594842 10325740 4134612 3653544 6460230 6672196 X MISSION STATEMENT: THE MISSION OF ST. MARY'S EPISCOPAL CENTER, INC. A NOT FOR PROFIT SKILLED 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 5525793 7273169 NURSING HOME SERVICES-ST. MARYS 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 12/31/13 WE WERE AT 97%. IN 2012 WE WERE AT 96%. WE PROVIDE A FULL COMPLIMENT OF NURSING HOME RELATED SERVICES INCLUDING ROOM AND BOARD, MEDICAL, CLINICAL AND SOCIAL SERVICES. 1932223 1673876 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 12,000-14,000. 46201 PRIMARY CARE/AMIDACARE-(FORMERLY VIDACARE) IN 2002 ST. MARY'S CENTER BECAME PART OF THIS SPECIAL NEEDS PLAN FOR PEOPLE WITH HIV/AIDS WHICH PROVIDES "ONE STOP SHOPPING" HIGH QUALITY HEALTH CARE. 7458016 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 20 0 66 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 1 0 0 0 NY X XIOMARA LANTIGUA 2126655992 ST MARYS CENTER 516 WEST 126TH NEW YORK NY 10027 DIANE B POLLARD PRESIDENT OF BOARD 5.00 X X 0 0 0 GEORGE W GOODWILL VICE PRESIDENT OF BOARD 2.00 X X 0 0 0 REV GEORGE W BRANDT JR SECRETARY/ TREASURER 2.00 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 MANLEY D KHALEEL BOARD MEMBER 2.00 X 0 0 0 JUDY EDWARDS GREENE BOARD MEMBER 2.00 X 0 0 0 HOLLY ARGENT-TARIQ CHIEF EXECUTIVE OFFICER 35.00 X 198020 0 27287 XIOMARA LANTIGUA CONTROLLER 35.00 X 93296 0 17587 DR HARRISON MITCHELL MEDICAL DIRECTOR 30.00 X 145894 0 21812 JOHN OKWODU ASST. ADMINISTRATOR 35.00 X 78977 0 2137 516187 0 68823 5 0 1 0 UNIDINE CORPORATION ONE GATEWAY CENTER SUITE 751 NEWTON MA 02458 DIETARY SERVICES 663404 BURNS INTERNATIONAL SECURITY PO BOX 403412 ATLANTA GA 30368 SECURITY SERVICES 241427 WINFIELD SECURITY 57 WEST 38TH STREET NEW YORK NY 10018 SECURITY SERVICES 131477 NPORT THERAPY 3041 AVENUE U BROOKLYN NY 11229 STAFFING AGENCY 120587 4 1907 1907 NURSING HOME SERVICES 623000 7273169 7273169 ADULT HEALTH CARE 623000 1673876 1673876 AMIDACARE 623000 46201 46201 8993246 37049 37049 INSURANCE RECOVERIES 900099 29993 29993 REFUNDS 900099 889 889 MEDICAL RECORDS 900099 20 20 354 354 31256 9063458 8993246 0 68305 X 503896 398867 105029 2824311 2235628 588683 217391 172079 45312 524010 414788 109222 276574 218927 57647 63610 63610 65956 65956 1706271 1566666 139605 222195 204015 18180 51142 46958 4184 374547 343902 30645 70718 64932 5786 35762 32837 2925 25359 23284 2075 553104 507850 45254 133256 122353 10903 HEALTH FACILITY ASSESSM 616131 565720 50411 OTHER DIRECT EXPENSES 478277 439145 39132 MEDICAL SUPPLIES 74593 68490 6103 STIPENDS 19088 17526 1562 15301 14049 1252 8851492 7458016 1393476 0 173957 257513 1873914 1881452 928662 926845 94919 102384 13328633 7891833 5807431 5436800 570043 574830 1145916 1145916 10594842 10325740 993339 745300 2622423 2550000 127577 35228 356045 358244 4134612 3653544 X 6460230 6672196 6460230 6672196 10594842 10325740 211966 0 X X 0 1 X 1 0 X 3945 3099 6570 11111 1907 26632 10034368 10221730 9321653 9187157 8993246 47758154 10038313 10224829 9328223 9198268 8995153 47784786 0 0 0 47784786 47805 40151 43674 33627 37049 202306 47805 40151 43674 33627 37049 202306 250573 589 40471 75015 31256 397904 10336691 10265569 9412368 9306910 9063458 48384996 0.98760 0.98740 0.00420 0.00520 X 127000 127000 9351774 5131654 4220120 2665803 2166842 498961 1184056 593337 590719 5436800 DEBT SERVICE RESERVE 438845 INVESTMENT IN PROPERTY 707071 1145916 DUE TO THIRD PARTY PAYORS 343628 RESIDENT FUNDS 14616 358244 X 9063458 0 9063458 0 9063458 8851492 0 8851492 0 8851492 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, 2010 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. X X 0 0 0 0 0 0 0 0 0 HOLLY ARGENT-TARIQ CHIEF EXECUTIVE OFFICER 198020 0 0 0 0 0 17822 0 9465 0 225307 0 0 0 DR HARRISON MITCHELL MEDICAL DIRECTOR 145894 0 0 0 0 0 13130 0 8682 0 167706 0 0 0 A DORMITORY AUTHORITY STATE OF NEW YORK 146000293 64983QDG1 2005-04-13 2647023 REFUND PRIOR ISSUE 0 0 0 A 2647023 458223 2365991 51107 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 FORM 990, PART VI, SECTION B, LINE 11 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 C, LINE 18 THESE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 COPIES ARE PROVIDED UPON REQUEST. FORM 990, PART IX, LINE 11G PURCHASE & CONTRACT FOR THERAPEUTIC/DENTAL: PROGRAM SERVICE EXPENSES 1,138,960. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,138,960. SPECIAL PROJECT CONSULTING: PROGRAM SERVICE EXPENSES 242,725. MANAGEMENT AND GENERAL EXPENSES 79,226. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 321,951. OTHER SERVICE: PROGRAM SERVICE EXPENSES 184,981. MANAGEMENT AND GENERAL EXPENSES 60,379. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 245,360. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.