EXTRAORDINARY HOME CARE: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- EXTRAORDINARY HOME CARE (EIN 27-2021133)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-14
- IRS object ID
- 201413189349303276
- Schema version
- 2013v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-14T10:33:00-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 131517563 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LOEB & TROPER LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 655 THIRD AVENUE 12TH FLOOR | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10017 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 272021133 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EXTRAORDINARY HOME CARE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | EXTR | BusinessNameControlTxt |
| Phone | 7182818777 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 29-01 216TH STREET | AddressLine1 |
| City | BAYSIDE | City |
| State | NY | State |
| ZIP Code | 11360 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | EDWIN F SIMPSER MD | PersonNm |
| Person Title | PRESIDENT AND CEO | PersonTitleTxt |
| Phone | 7182818777 | PhoneNum |
| Signature | 2014-11-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ISRAEL TANNENBAUM | PreparerPersonNm |
| PTIN | P01589203 | PTIN |
| Phone | 2128674000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY'S HOME CARE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | EDWIN F SIMPSER MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 29-01 216TH STREET | AddressLine1 |
| City | BAYSIDE | City |
| State | NY | State |
| ZIP Code | 11360 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $26,172,598 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.STMARYSKIDS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2010 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | A CERTIFIED HOME HEALTH AGENCY (CHHA) PROVIDING HOME-BASED THERAPY AND RELATED SERVICES TO CHILDREN AND YOUNG ADULTS WITH SPECIAL NEEDS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 4 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 1 | VotingMembersIndependentCnt |
| Total Employee | 122 | TotalEmployeeCnt |
| Total Volunteers | 1 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $280,078 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $18,980,600 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $25,888,538 | CYProgramServiceRevenueAmt |
| PY Investment Income | $45 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,982 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $18,980,645 | PYTotalRevenueAmt |
| CY Total Revenue | $26,172,598 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,345,603 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,648,804 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $13,889,936 | PYOtherExpensesAmt |
| CY Other Expenses | $20,535,315 | CYOtherExpensesAmt |
| PY Total Expenses | $22,235,539 | PYTotalExpensesAmt |
| CY Total Expenses | $34,184,119 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$3,254,894 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$8,011,521 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,188,610 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,286,840 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,781,912 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $15,891,663 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$2,593,302 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$10,604,823 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | A CERTIFIED HOME HEALTH AGENCY (CHHA) PROVIDING HOME-BASED THERAPY AND RELATED SERVICES TO CHILDREN AND YOUNG ADULTS WITH SPECIAL NEEDS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $29,557,456 | ExpenseAmt |
| Revenue | $25,888,538 | RevenueAmt |
| Desc | HOME HEALTH CARE SERVICES (SEE SCHEDULE O)ST. MARY'S HOME CARE WAS ESTABLISHED IN 2010 TO EXPAND UPON A LONG-STANDING COMMITMENT TO PROVIDING CARE FOR CHILDREN WITH SPECIAL NEEDS IN A CARE DELIVERY SETTING WHERE CHILDREN CAN HEAL AND THRIVE. ST. MARY'S PIONEERED THE FIRST HOME CARE PROGRAM FOR CHILDREN IN NEW YORK MORE THAN 25 YEARS AGO, AND REMAINS THE LARGEST AND MOST COMPREHENSIVE PROVIDER OF SERVICES TO CHILDREN WITH SPECIAL HEALTHCARE NEEDS. THE CHILDREN SERVED BY ST. MARY'S HOME CARE ARE OFTEN MEDICALLY FRAGILE, AND THEY ARE CHILDREN WHO WOULD OTHERWISE REQUIRE HOSPITALIZATION OR INSTITUTIONAL CARE. THEIR DIAGNOSES RUN THE GAMUT OF CHILDHOOD SEVERE ILLNESSES INCLUDING COMPLICATIONS OF PREMATURITY, GENETIC DISORDERS, NEURO-DEVELOPMENTAL DISORDERS, NEURO-MUSCULAR DISORDERS, TRAUMATIC BRAIN INJURY, AIDS, CANCER, RESPIRATORY DISORDERS, AND VENTILATOR DEPENDENCE.SERVICES PROVIDED BY ST. MARY'S HOME CARE INCLUDE COMBINATIONS OF PROFESSIONAL HEALTHCARE SERVICES AND LIFE ASSISTANCE SERVICES THAT ARE TAILORED TO MEET THE NEEDS OF BOTH PATIENTS AND THEIR FAMILIES. SERVICES MAY INCLUDE NURSING CARE, REHABILITATION THERAPIES, PERSONAL CARE ASSISTANCE, HOME HEALTH AIDE CARE, WOUND CARE, MEDICATION MANAGEMENT, PAIN MANAGEMENT, DISEASE EDUCATION AND MANAGEMENT, COMPLEMENTARY CARE, ARRANGING FOR EQUIPMENT, HOME MODIFICATIONS, AND COORDINATION OF CARE. | Desc |
| Total Program Service Expenses | $29,557,456 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 37 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 122 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 4 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 1 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EDWIN F SIMPSER MD | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7182818777 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5 DAKOTA DRIVE SUITE 200 | AddressLine1 |
| City | NEW HYDE PARK | City |
| State | NY | State |
| ZIP Code | 11042 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| STEPHEN BRENT WELLS | |||||||||
| CHAIRMAN | 1.50 | 9.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JEFFREY K FRERICHS | |||||||||
| PRESIDENT & CEO (THROUGH 9/18/13) | 1.00 | 42.50 | Yes (X) | Yes (X) | $0 | $478,239 | $23,074 | ||
| CAROLINE D GREENE | |||||||||
| SECRETARY/TREASURER | 1.00 | 42.50 | Yes (X) | Yes (X) | $0 | $297,185 | $24,391 | ||
| EDWIN F SIMPSER MD | |||||||||
| PRESIDENT & CEO/CMO (FROM 9/19/13) | 1.00 | 42.50 | Yes (X) | Yes (X) | $0 | $435,454 | $31,429 | ||
| MICHAEL P PASTERNACK | |||||||||
| ASSISTANT SECRETARY | 1.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| HOPE M ILICETO | |||||||||
| CAO | 11.00 | 26.50 | $0 | $340,528 | $38,370 | Yes (X) | |||
| ELVIRA FARDELLA-ROVETO | |||||||||
| PROGRAM DIRECTOR | 37.50 | $153,202 | $0 | $8,137 | Yes (X) | ||||
| JAQUELINE MADDIE | |||||||||
| HHA SUPERVISOR | 37.50 | $103,499 | $0 | $22,508 | Yes (X) | ||||
| GHARNOT PETITFRERE | |||||||||
| RN CARE COORDINATOR | 37.50 | $105,121 | $0 | $10,101 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $361,822 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,551,406 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $158,010 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ACCENT CARE OF NEW YORK INC | |||||
| PO BOX 416181 | BOSTON | MA | 02241 | HOME HEALTH AIDES | $419,204 |
| ABLE HEALTHCARE SERVICES INC | |||||
| 1240 BROADCAST PLAZA | MERRICK | NY | 11566 | HOME HEALTH AIDES | $377,273 |
| SPECIAL TOUCH HOMECARE SERVICES | |||||
| 2091 CONEY ISLAND AVENUE | BROOKLYN | NY | 11223 | HOME HEALTH AIDES | $362,014 |
| UNLIMITED CARE INC | |||||
| 333 WESTCHESTER AVENUE WEST BUILDI | WHITE PLAINS | NY | 10604 | HOME HEALTH AIDES | $281,633 |
| PERSONAL TOUCH | |||||
| 57 W 57TH ST STE 1414 | NEW YORK | NY | 10019 | HOME HEALTH AIDES | $261,544 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $280,078 | GovernmentGrantsAmt |
| Total Contributions | $280,078 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | HOME HEALTH CARE SERVICES | Desc |
| Business | 621610 | BusinessCd |
| Total Revenue Column | $25,888,538 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,888,538 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $25,888,538 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,982 | TotalRevenueColumnAmt |
| Exclusion | $3,982 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,172,598 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,888,538 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,982 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,494,043 | TotalAmt |
| Program Services | $9,266,481 | ProgramServicesAmt |
| Management And General | $2,227,562 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $266,782 | TotalAmt |
| Program Services | $159,641 | ProgramServicesAmt |
| Management And General | $107,141 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,400,033 | TotalAmt |
| Program Services | $755,567 | ProgramServicesAmt |
| Management And General | $644,466 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $487,946 | TotalAmt |
| Program Services | $349,703 | ProgramServicesAmt |
| Management And General | $138,243 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $285,259 | TotalAmt |
| Management And General | $285,259 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,996 | TotalAmt |
| Management And General | $105,996 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,905 | TotalAmt |
| Management And General | $18,905 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,833,569 | TotalAmt |
| Program Services | $14,548,216 | ProgramServicesAmt |
| Management And General | $285,353 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $134,434 | TotalAmt |
| Program Services | $50,695 | ProgramServicesAmt |
| Management And General | $83,739 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $401,149 | TotalAmt |
| Program Services | $41,863 | ProgramServicesAmt |
| Management And General | $359,286 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,486 | TotalAmt |
| Management And General | $68,486 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $543,175 | TotalAmt |
| Program Services | $341,903 | ProgramServicesAmt |
| Management And General | $201,272 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $158,150 | TotalAmt |
| Program Services | $120,838 | ProgramServicesAmt |
| Management And General | $37,312 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,624 | TotalAmt |
| Management And General | $3,624 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $941 | TotalAmt |
| Program Services | $882 | ProgramServicesAmt |
| Management And General | $59 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $262,269 | TotalAmt |
| Program Services | $202,309 | ProgramServicesAmt |
| Management And General | $59,960 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| BAD DEBT | $3,532,000 | $3,532,000 |
| NYS ASSESSMENT | $79,094 | $79,094 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,264 | TotalAmt |
| Program Services | $108,264 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,184,119 | TotalAmt |
| Program Services | $29,557,456 | ProgramServicesAmt |
| Management And General | $4,626,663 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,937 | BOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,543 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,233,130 | BOYAmt |
| EOY | $4,340,602 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $910,000 | BOYAmt |
| EOY | $946,238 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,188,610 | BOYAmt |
| EOY | $5,286,840 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,137,030 | BOYAmt |
| EOY | $4,534,854 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,644,882 | BOYAmt |
| EOY | $11,356,809 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,781,912 | BOYAmt |
| EOY | $15,891,663 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,593,302 | BOYAmt |
| EOY | -$10,604,823 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,593,302 | BOYAmt |
| EOY | -$10,604,823 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,188,610 | BOYAmt |
| EOY | $5,286,840 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$8,011,521 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $280,078 | CurrentTaxYearAmt |
| Total | $280,078 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $270 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,235,822 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18,980,600 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $25,888,538 | CurrentTaxYearAmt |
| Total | $50,105,230 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $270 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,235,822 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18,980,600 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $26,168,616 | CurrentTaxYearAmt |
| Total | $50,385,308 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $50,385,308 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $1,045 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $967 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $45 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,982 | CurrentTaxYearAmt |
| Total | $6,039 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $1,045 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $967 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $45 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,982 | CurrentTaxYearAmt |
| Total | $6,039 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $1,315 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,236,789 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18,980,645 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $26,172,598 | CurrentTaxYearAmt |
| Total | $50,391,347 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | Yes (X) | First5Years509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $18,905 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $18,905 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | ST. MARY'S HOME CARE ENGAGED A LAW FIRM TO LOBBY ON ITS BEHALF REGARDING BUDGET, REGULATORY AND LEGISLATIVE ISSUES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE FROM ST. MARY'S COMMUNITY CARE PROFESSIONALS, CORP. | Desc |
| Book Value | $946,238 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $946,238 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO ST. MARY'S HOSPITAL FOR CHILDREN, INC. | $4,270,157 |
| DUE TO SMH ADMINISTRATIVE SERVICES, INC | $6,807,646 |
| CASH OVERDRAFT | $279,006 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $11,356,809 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $22,640,598 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$3,532,000 | OtherRevenueAmt |
| Revenue Not Reported | -$3,532,000 | RevenueNotReportedAmt |
| Revenue Subtotal | $26,172,598 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $26,172,598 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $30,652,119 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $30,652,119 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $3,532,000 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $3,532,000 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $34,184,119 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | ST. MARY'S HOME CARE 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. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | BAD DEBT -3,532,000. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT 3,532,000. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEFFREY K FRERICHS | ||||||||||||||
| PRESIDENT & CEO (THROUGH 9/18/13) | $0 | $358,705 | $0 | $0 | $0 | $119,534 | $0 | $11,648 | $0 | $11,426 | $0 | $501,313 | $0 | $0 |
| CAROLINE D GREENE | ||||||||||||||
| SECRETARY/TREASURER | $0 | $290,000 | $0 | $0 | $0 | $7,185 | $0 | $9,625 | $0 | $14,766 | $0 | $321,576 | $0 | $0 |
| EDWIN F SIMPSER MD | ||||||||||||||
| PRESIDENT & CEO/CMO (FROM 9/19/13) | $0 | $400,000 | $0 | $0 | $0 | $35,454 | $0 | $16,575 | $0 | $14,854 | $0 | $466,883 | $0 | $0 |
| HOPE M ILICETO | ||||||||||||||
| CAO | $0 | $340,000 | $0 | $0 | $0 | $528 | $0 | $23,566 | $0 | $14,804 | $0 | $378,898 | $0 | $0 |
| ELVIRA FARDELLA-ROVETO | ||||||||||||||
| PROGRAM DIRECTOR | $153,000 | $0 | $0 | $0 | $202 | $0 | $6,885 | $0 | $1,252 | $0 | $161,339 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | COMPENSATION OF THE CEO IS REVIEWED AND APPROVED BY THE COMMITTEE OF THE BOARD OF ST. MARY'S HEALTHCARE SYSTEM FOR CHILDREN, INC., THE SOLE CORPORATE MEMBER OF EXTRAORDINARY HOME CARE D/B/A ST. MARY'S HOME CARE. THE METHODS UTILIZED INCLUDE A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, COMPARING TO THE FORM 990'S OF OTHER ORGANIZATIONS, AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE BOARD. |
| PART I, LINES 4A-B | SERP: EDWIN F. SIMPSER - $29,847 SEVERANCE: JEFFREY K. FRERICHS - $103,846 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | MANAGEMENT DUTIES ARE HANDLED BY ADMINISTRATIVE PERSONNEL WHO ARE EMPLOYED BY A RELATED ENTITY, SMH ADMINISTRATIVE SERVICES, INC.; COSTS INCURRED BY SMH ADMINISTRATIVE SERVICES, INC. ARE ALLOCATED TO INDIVIDUAL ST. MARY'S ENTITIES IN ACCORDANCE WITH EXPENSE-BASED METHODOLOGY THAT IS REVIEWED ANNUALLY. |
| FORM 990, PART VI, SECTION A, LINE 6 | ST. MARY'S HEALTHCARE SYSTEM FOR CHILDREN, INC. (SMHSC) IS THE SOLE CORPORATE MEMBER OF EXTRAORDINARY HOME CARE D/B/A ST. MARY'S HOME CARE. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBER (SMHSC) HAS THE EXCLUSIVE POWER AND AUTHORITY TO ELECT AND REMOVE DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MEMBER (SMHSC) HAS THE EXCLUSIVE POWER AND AUTHORITY TO APPROVE THE FOLLOWING: MERGERS, SALES OR DISSOLUTIONS; AMENDMENTS TO THE CERTIFICATE OF INCORPORATION AND/OR BYLAWS; OPERATING AND CAPITAL BUDGETS; UNBUDGETED BORROWINGS IN EXCESS OF $1,000,000; UNBUDGETED CAPITAL EXPENDITURES IN EXCESS OF $500,000; A STRATEGIC PLAN; AND HIRING AND FIRING OF THE CEO. |
| FORM 990, PART VI, SECTION B, LINE 11 | A DRAFT OF THE COMPLETED FORM 990 IS REVIEWED BY THE AUDIT & COMPLIANCE COMMITTEE. COMMENTS FROM THIS REVIEW ARE DISCUSSED AND CHANGES MADE AS NECESSARY. A FINAL DRAFT IS THEN POSTED TO THE BOARD WEBSITE WHERE IT IS MADE AVAILABLE TO ALL BOARD MEMBERS PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ONCE A YEAR, EACH BOARD MEMBER, OFFICER OR KEY EMPLOYEE OF THE ORGANIZATION COMPLETES A CONFLICT OF INTEREST QUESTIONNAIRE, STATEMENT AND ACKNOWLEDGEMENT WHICH ACKNOWLEDGES THAT EACH INDIVIDUAL HAS DISCLOSED ANY POTENTIAL CONFLICT OF INTEREST; HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; HAS READ, UNDERSTANDS, AND AGREES TO COMPLY WITH THE CONFLICT OF INTEREST POLICY. DURING THE COURSE OF THE YEAR, EACH BOARD MEMBER, OFFICER, AND KEY EMPLOYEE IS REQUIRED TO PROMPTLY ADVISE THE CHIEF EXECUTIVE OFFICER OR HIS/HER DESIGNEE, OF ANY CHANGES TO THE INFORMATION PROVIDED IN THAT INDIVIDUAL'S LAST COMPLETED CONFLICT OF INTEREST QUESTIONNAIRE. THE CHIEF EXECUTIVE OFFICER, OR HIS/HER DESIGNEE, REVIEWS ALL COMPLETED QUESTIONNAIRES AND ALL SUBSEQUENT ADVICE OF CHANGES, TAKING SUCH ACTION AS IS DEEMED APPROPRIATE TO ADDRESS AND ELIMINATE POTENTIAL CONFLICTS OF INTEREST, INCLUDING SUCH STEPS AS REASSIGNMENT OF RESPONSIBILITIES. ALL DISCLOSURES OF INTERESTS IN COMPLETED QUESTIONNAIRES OR SUBSEQUENT ADVICE, UNLESS CLEARLY IRRELEVANT OR IMMATERIAL, SHALL BE COMPILED AND REPORTED BY MANAGEMENT TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD, TOGETHER, IN EACH CASE, WITH THE RESPONSE OR RECOMMENDATION OF MANAGEMENT. THE AUDIT AND COMPLIANCE COMMITTEE SHALL DETERMINE WHETHER THE REPORTED RESOLUTION OF ISSUES RAISED BY THE DISCLOSURES IS SATISFACTORY AND, IF NOT, SHALL TAKE SUCH FURTHER ACTION AS IT DEEMS APPROPRIATE. EACH BOARD MEMBER, AND ANY OFFICER OR KEY EMPLOYEE PRESENTING A PROPOSED TRANSACTION OR OTHER MATTER TO THE BOARD SHALL DISCLOSE PROMPTLY AND IN GOOD FAITH TO THE BOARD SUCH INDIVIDUAL'S INTEREST IN A PROPOSED TRANSACTION OR OTHER MATTER TO BE CONSIDERED BY THE BOARD. THE INDIVIDUAL MAY NOT PARTICIPATE IN ANY WAY IN THE BOARD'S DELIBERATIONS CONCERNING MATTERS IN WHICH HE/SHE HAS DISCLOSED AN INTEREST. FOLLOWING ANY SUCH DISCLOSURE, AND AFTER SUCH DUE DILIGENCE AND SUCH DEVELOPMENT AND CONSIDERATION OF OTHER ALTERNATIVES, IF ANY, AS THE BOARD SHALL DEEM APPROPRIATE, THE BOARD MAY, IN ITS DISCRETION, AUTHORIZE OR APPROVE THE PROPOSED TRANSACTION OR ACTIONS AS AT LEAST AS FAIR AND REASONABLE TO THE ORGANIZATION AS WOULD OTHERWISE BE OBTAINABLE BY THE ORGANIZATION. SUCH ACTIONS SHALL BE BY A VOTE SUFFICIENT FOR SUCH PURPOSE WITHOUT COUNTING THE VOTE OR VOTES OF SUCH INTERESTED PERSON OR PERSONS AND SUCH PERSON OR PERSONS MAY NOT PARTICIPATE IN, DETERMINING THE PRESENCE OF A QUORUM AT THE MEETING. ANY DISCLOSURE, NON-PARTICIPATION, AND BOARD ACTION TAKEN IN ACCORDANCE WITH THIS POLICY SHALL BE CLEARLY RECORDED IN THE MINUTES OF THE MEETING AT WHICH THE MATTER IS ADRESSED AND RESOLVED. UPON REASONABLE BELIEF THAT A BOARD MEMBER, OFFICER OR KEY EMPLOYEE FAILED TO COMPLY WITH THE POLICIES AND DIRECTIVES SET FORTH IN ITS DISCLOSURE POLICY, THE BOARD OR THE AUDIT AND COMPLIANCE COMMITTEE SHALL INFORM THE INDIVIDUAL OF THE BASIS OF THE BELIEF AND PROVIDE AN OPPORTUNITY TO EXPLAIN THE NONCOMPLIANCE. IF AFTER HEARING THE INDIVIDUAL'S RESPONSE AND MAKING FURTHER APPROPRIATE INVESTIGATIONS, THE BOARD OR AUDIT AND COMPLIANCE COMMITTEE DETERMINES THAT THE INDIVIDUAL HAS, IN FACT, FAILED TO COMPLY WITH SUCH POLICIES AND DIRECTIVES, IT SHALL TAKE OR RECOMMEND APPROPRIATE CORRECTIVE ACTION. |
| FORM 990, PART VI, SECTION B, LINE 15 | ADMINISTRATIVE SALARIES ARE PAID OUT OF A RELATED ADMINISTRATIVE CORPORATION. THE POLICIES FOR DETERMINING COMPENSATION ARE AS FOLLOWS: THE BOARD OF ST. MARY'S HEALTHCARE SYSTEM FOR CHILDREN, THE SOLE MEMBER OF THE ORGANIZATION, RETAINS THE SERVICES OF AN EXECUTIVE COMPENSATION FIRM TO REVIEW MARKET PAY PRACTICES FOR SENIOR EXECUTIVES IN ORGANIZATIONS OF COMPARABLE SIZE AND TYPE. THIS MARKET ASSESSMENT WAS LAST UNDERTAKEN IN 2013. THIS MARKET ANALYSIS IS THEN REVIEWED BY THE EXECUTIVE REVIEW/COMPENSATION COMMITTEE AND USED AS A FACTOR IN DETERMINING SALARY ADJUSTMENTS RELATIVE TO MARKET COMPETITIVENESS. COMPENSATION FOR OTHER EXECUTIVES IS MANAGED IN A SIMILAR MANNER, WITH THE HUMAN RESOURCES DEPARTMENT IN CONSULTATION WITH THE CEO, USING LOCAL PERIODIC SURVEYS OF THE MARKET TO ENSURE THAT ST. MARY'S COMPENSATION IS COMPETITIVE. |
| FORM 990, PART VI, SECTION C, LINE 18 | THESE DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | THESE DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART VI, SECTION B, LINE 14: | ST. MARY'S HOSPITAL FOR CHILDREN, INC. HAS A DOCUMENT RETENTION POLICY, BUT NOT A DOCUMENT DESTRUCTION POLICY. SMH DOES HAVE A MEDICAL RECORDS DESTRUCTION POLICY. AN OVERALL DOCUMENT DESTRUCTION POLICY IS UNDER DEVELOPMENT, AND WILL BE COMPLETED IN 2014. |
| FORM 990, PART VI, SECTION A, LINE 1B: | SUBSEQUENT TO YEAR END, ST. MARY'S HEALTHCARE SYSTEM FOR CHILDREN, THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, REVIEWED THE COMPOSITION OF THE BOARD OF DIRECTORS, AND DETERMINED THAT IN ACCORDANCE WITH GOOD GOVERNANCE PRINCIPLES, THE BOARD WOULD BE COMPRISED OF NON-EMPLOYED SYSTEM DIRECTORS, WITH THE EXCEPTION OF THE CEO, WHO WOULD SERVE AS AN EX-OFFICIO VOTING MEMBER. |
| FORM 990, PART IX, LINE 11G | OTHER FEES: PROGRAM SERVICE EXPENSES 181,345. MANAGEMENT AND GENERAL EXPENSES 285,353. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 466,698. THERAPISTS FEES: PROGRAM SERVICE EXPENSES 14,366,871. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,366,871. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ST MARY'S HEALTHCARE SYSTEM FOR CHILDREN INC | |||||||||||
| 29-01 216TH STREET | BAYSIDE | NY | 11360 | 113574493 | HEALTH CARE | NY | 501(C)(3) | LINE 11A, I | N/A | 0 | |
| ST MARY'S HOSPITAL FOR CHILDREN INC | |||||||||||
| 29-01 216TH STREET | BAYSIDE | NY | 11360 | 111679599 | HEALTH CARE | NY | 501(C)(3) | LINE 3 | 0 | ST MARY'S HEALTHCARE SYSTEM FOR CHILDREN INC | |
| ST MARY'S FOUNDATION FOR CHILDREN INC | |||||||||||
| 29-01 216TH STREET | BAYSIDE | NY | 11360 | 112728736 | FUNDRAISING | NY | 501(C)(3) | LINE 7 | 0 | ST MARY'S HEALTHCARE SYSTEM FOR CHILDREN INC | |
| ST MARY'S COMMUNITY CARE PROFESSIONALS CORP | |||||||||||
| 29-01 216TH STREET | BAYSIDE | NY | 11360 | 113360276 | PARAPROFESSIONAL HOME HEALTH CARE | NY | 501(C)(3) | LINE 9 | 0 | ST MARY'S HEALTHCARE SYSTEM FOR CHILDREN INC | |
| SMH ADMINISTRATIVE SERVICES INC | |||||||||||
| 29-01 216TH STREET | BAYSIDE | NY | 11360 | 271529374 | MANAGEMENT AND SUPPORTING SERVICES | NY | 501(C)(3) | LINE 11B, II | 0 | ST MARY'S HEALTHCARE SYSTEM FOR CHILDREN INC | |
| ST MARY'S REHABILITATION CENTER FOR CHILDREN | |||||||||||
| 29-01 216TH STREET | BAYSIDE | NY | 11360 | 136163550 | HEALTH CARE | NY | 501(C)(3) | LINE 9 | 0 | ST MARY'S HEALTHCARE SYSTEM FOR CHILDREN INC | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |