STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

SAINT MARYS HOSPITAL FOR CHILDREN INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SAINT MARYS HOSPITAL FOR CHILDREN INC (EIN 11-1679599)
Tax period
2011-01-01 to 2011-12-31
Filed
2013-01-31
IRS object ID
201300319349301030
Schema version
2011v1.2
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

FieldValueIRS element (for citing)
Timestamp2013-01-31T13:14:58-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN131517563EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LOEB & TROPER LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1655 THIRD AVENUE 12TH FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10017ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN111679599EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST MARY'S HOSPITAL FOR CHILDREN INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTMANameControl
Phone7182818835Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line129-01 216TH STREETAddressLine1
CityBAYSIDECity
StateNYState
ZIP Code11360ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJEFFREY K FRERICHSName
TitlePRESIDENT & CEOTitle
Phone7182818835Phone
Date Signed2013-01-30DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameFREDERICK H ROTHMANName
PTINP01275277PTIN
Phone2128674000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJEFFREY K FRERICHSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line129-01 216TH STREETAddressLine1
CityBAYSIDECity
StateNYState
ZIP Code11360ZIPCode
FieldValueIRS element (for citing)
Gross Receipts123930434GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.STMARYSKIDS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1888YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HIGHLY SPECIALIZED SUB-ACUTE INPATIENT CARE AND OTHER SERVICES TO CHILDREN AND YOUNG ADULTS WITH MEDICALLY COMPLEX SPECIAL NEEDS. KEY STAFF FROM ST. MARY'S PARTICIPATE IN NUMEROUS PROFESSIONAL ORGANIZATIONS AND POLICY-MAKING WORKGROUPS, AND ARE WIDELY ACKNOWLEDGED AS EXPERTS IN THE PROVISION OF LIFE-ALTERING CLINICAL AND THERAPEUTIC CARE TO CHILDREN WITH COMPLEX SPECIAL NEEDS.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees861TotalNbrEmployees
Total Nbr Volunteers74TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5339114ContributionsGrantsPriorYear
Contributions Grants Current Year5666862ContributionsGrantsCurrentYear
Program Service Revenue Prior Year85139124ProgramServiceRevenuePriorYear
Program Service Revenue CY71182817ProgramServiceRevenueCY
Investment Income Prior Year1662769InvestmentIncomePriorYear
Investment Income Current Year4136428InvestmentIncomeCurrentYear
Other Revenue Prior Year858918OtherRevenuePriorYear
Other Revenue Current Year540487OtherRevenueCurrentYear
Total Revenue Prior Year92999925TotalRevenuePriorYear
Total Revenue Current Year81526594TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year48931491SalariesEtcPriorYear
Salaries Etc Current Year39766905SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year39806324OtherExpensePriorYear
Other Expenses Current Year44362141OtherExpensesCurrentYear
Total Expenses Prior Year88737815TotalExpensesPriorYear
Total Expenses Current Year84129046TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4262110RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2602452RevenuesLessExpensesCY
Total Assets BOY176019528TotalAssetsBOY
Total Assets EOY161100302TotalAssetsEOY
Total Liabilities BOY130528072TotalLiabilitiesBOY
Total Liabilities EOY130186344TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY45491456NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY30913958NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionST. MARY'S HOSPITAL FOR CHILDREN ("SMH"), THE FLAGSHIP FACILITY OF ST. MARY'S HEALTHCARE SYSTEM FOR CHILDREN, IS COMMITTED TO IMPROVING THE HEALTH AND QUALITY OF LIFE FOR CHILDREN AND YOUNG ADULTS WITH SPECIAL NEEDS. A NATIONALLY RECOGNIZED PROVIDER OF SPECIALIZED SERVICES FOR CHILDREN WITH COMPLEX HEALTH CARE NEEDS REQUIRING MEDICAL, REHABILITATION, PSYCHOLOGICAL AND DEVELOPMENTAL INTERVENTION, SMH PROVIDES BOTH SUB-ACUTE AND LONG-TERM CARE SERVICES, AS WELL AS A NUMBER OF HIGHLY SPECIALIZED, TECHNOLOGICALLY SOPHISTICATED HOME- AND COMMUNITY-BASED AND EARLY INTERVENTION SERVICES. SMH MAKES REFERRALS TO AND, WHEN APPROPRIATE, ACCEPTS ADMISSIONS FROM, ST. MARY'S HOME CARE (A CERTIFIED HOME HEALTH AGENCY FOCUSED ON THE PROVISION OF SERVICES TO CHILDREN AND YOUNG ADULTS WITH SPECIAL NEEDS) AND ST. MARY'S CCP (A LICENSED HOME CARE SERVICES AGENCY PROVIDING PARAPROFESSIONAL AND OTHER SERVICES), AS WELL AS FROM HOSPITALS AND OTHER PROVIDERS THROUGHOUT THE NEW YORK METROPOLITAN AREA.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense25988682Expense
Revenue30516526Revenue
DescriptionINPATIENT SERVICES AND FACILITY-BASED PROGRAMS - SEE SCHEDULE O INPATIENT SERVICES AND FACILITY-BASED PROGRAMS - FOLLOWING HOSPITALIZATIONS FOR SERIOUS ILLNESS OR INJURY OR WHEN SPECIALIZED CARE IS NEEDED, CHILDREN AND THEIR FAMILIES COME TO ST. MARY'S HOSPITAL FOR CHILDREN TO RECEIVE EXCEPTIONAL CARE, TO HEAL, AND TO THRIVE.CHILDREN WITH SPECIAL HEALTHCARE NEEDS FROM BIRTH TO AGE EIGHTEEN RECEIVE COMPLEX INPATIENT MEDICAL CARE AND INTENSIVE REHABILITATION AT ST. MARY'S 97-BED FACILITY. ST. MARY'S BROAD ARRAY OF INPATIENT PROGRAMS AND SERVICES ARE DESIGNED TO PROVIDE GOAL-ORIENTED MEDICAL CARE THAT ADDRESSES ALL ASPECTS OF THE HEALING PROCESS, WHILE ENCOURAGING GROWTH AND INDEPENDENCE. MULTIDISCIPLINARY TEAMS OF PEDIATRIC SPECIALISTS IN MEDICINE, NURSING, REHABILITATION, PSYCHOLOGY, SOCIAL WORK, AND CHILD DEVELOPMENT PARTICIPATE IN THE CREATION OF INDIVIDUALIZED CARE PLANS TO ENSURE OPTIMAL OUTCOMES FOR EACH CHILD.ST. MARY'S STRIVES TO HELP KIDS BE KIDS. IN ADDITION TO RECEIVING MEDICAL CARE AND REHABILITATION THERAPIES WHILE AT OUR FACILITY, CHILDREN ATTEND SCHOOL, PARTICIPATE IN ONSITE AND OFF-CAMPUS RECREATIONAL ACTIVITIES, AND ARE ENCOURAGED TO SOCIALIZE, PLAY, AND REGAIN THEIR INDEPENDENCE. SERVICES INCLUDE: REHABILITATION THERAPIES (PT, OT, SPEECH); COMPREHENSIVE PEDIATRIC/ADOLESCENT MEDICAL CARE; SPECIALIZED SKILLED NURSING; NUTRITIONAL/FEEDING THERAPY; PSYCHOLOGICAL SERVICES; NEUROPSYCHOLOGY; INFANT STIMULATION; SOCIAL WORK; EARLY EDUCATION (INCLUDING PS 23 ON-SITE PUBLIC SCHOOL AND SERVICES OFFERED THROUGH THE COMMITTEE ON PRE-SCHOOL EDUCATION); PARENT/FAMILY TRAINING PROGRAMS; HEALING ARTS AND THERAPEUTIC ACTIVITIES; PASTORAL CARE; PALLIATIVE CARE; RESPITE CARE; COMPLEMENTARY CARE AND WOUND CARE.ST. MARY'S HOSPITAL FOR CHILDREN ALSO OPERATES AN ON-SITE EARLY EDUCATION PROGRAM AND A PEDIATRIC DAY HEALTH CARE (PDHC) PROGRAM. ST. MARY'S EARLY EDUCATION PROGRAM IS FOCUSED ON AND DEDICATED TO PROVIDING CHILDREN WITH THE OPPORTUNITY TO INTERACT, SHARE IDEAS, AND LEARN. A WIDE RANGE OF EDUCATIONAL PROGRAMS AND OPPORTUNITIES, FROM BIRTH TO HIGH SCHOOL, HELPS CHILDREN WITH SPECIAL NEEDS MAXIMIZE THEIR POTENTIAL BY PROMOTING GROWTH, CONFIDENCE, AND INDEPENDENCE. ST. MARY'S OFFERS AN ON-CAMPUS PUBLIC SCHOOL FOR INPATIENTS, ALLOWING THEM TO HAVE A CONTINUITY OF EDUCATION DURING THEIR STAY AT THE HOSPITAL. FOR YOUNGER CHILDREN, ST. MARY'S OFFERS AN INCLUSIVE EARLY EDUCATION/PRESCHOOL PROGRAM FOR COMMUNITY CHILDREN WITH SPECIAL NEEDS. ST. MARY'S COMMITMENT TO EDUCATIONAL GOALS ALLOWS CHILDREN TO MAKE INCREDIBLE GAINS AND REACH ASPIRING MILESTONES, WHILE FOSTERING DEVELOPMENT.ST. MARY'S PEDIATRIC DAY HEALTHCARE PROGRAM IS A MEDICAL PROGRAM THAT OFFERS THERAPEUTIC AND MEDICAL AFTER-SCHOOL, WEEKEND, AND SUMMER CAMP PROGRAMS FOR CHILDREN 5-18 YEARS OF AGE AND YOUNG ADULTS FROM 18-25 YEARS OF AGE WHO HAVE COGNITIVE AND PHYSICAL DISABILITIES. USING THERAPEUTIC, REHABILITATIVE, AND RECREATIONAL ACTIVITIES, ST. MARY'S PDHC STAFF HELP EACH CHILD WITH SPECIAL HEALTHCARE NEEDS DEVELOP EVERY CAPABILITY TO HIS OR HER FULLEST. CHILDREN AND YOUNG ADULTS WHO ATTEND THE PDHC PROGRAM PARTICIPATE IN INDOOR AND OUTDOOR ACTIVITIES, RECEIVE A HOT MEAL, ARE PROVIDED WITH ROUND-TRIP TRANSPORTATION, AND ALSO HAVE THE OPPORTUNITY TO INTERACT WITH OTHER CHILDREN WITH SPECIAL NEEDS. EDUCATIONAL ACTIVITIES ARE LED BY A LICENSED SPECIAL EDUCATION TEACHER. CAREGIVERS WORK WITH PARTICIPANTS TO PROMOTE SKILLS, CONFIDENCE, AND INDEPENDENCE IN A NURTURING AND FUN ENVIRONMENT. FAMILY MEMBERS ARE ALSO EDUCATED ON THE CRITICAL ROLES THEY PLAY IN THE CHILD'S SUCCESS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense26638399Expense
Revenue32775673Revenue
DescriptionLONG TERM HOME HEALTH CARE AND CARE COORDINATION PROGRAMS - SEE SCHEDULE O LONG TERM HOME HEALTH CARE AND CARE COORDINATION PROGRAMS - ST. MARY'S HEALTHCARE SYSTEM FOR CHILDREN OFFERS A WIDE RANGE OF HOME AND COMMUNITY BASED SERVICES, ALL ORGANIZED AROUND THE BELIEF THAT THE HOME IS THE MOST APPROPRIATE CARE DELIVERY SETTING FOR CHILDREN TO HEAL AND THRIVE. ST. MARY'S PIONEERED THE FIRST HOME CARE PROGRAM FOR CHILDREN IN NEW YORK OVER 25 YEARS AGO, AND THE SYSTEM REMAINS THE LARGEST AND MOST COMPREHENSIVE PROVIDER OF SERVICES TO CHILDREN WITH SPECIAL HEALTHCARE NEEDS. THE LARGEST OF THE COMMUNITY-BASED PROGRAMS OFFERED BY ST. MARY'S HOSPITAL FOR CHILDREN, INC. IS THE LONG TERM HOME HEALTH CARE PROGRAM (LTHHCP).THE CHILDREN SERVED THROUGH THE ST. MARY'S LTHHCP ARE TYPICALLY MEDICALLY FRAGILE, AND THEY WOULD, ABSENT THIS PROGRAM, REQUIRE HOSPITALIZATION OR OTHER 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. THE SERVICES PROVIDED BY ST. MARY'S INCLUDE COMBINATIONS OF PROFESSIONAL HEALTHCARE SERVICES AND LIFE ASSISTANCE SERVICES THAT ARE TAILORED TO MEET THE NEEDS OF EACH CHILD AND HIS/HER FAMILY. SERVICES MAY INCLUDE MEDICAL CARE, NURSING CARE, REHABILITATION THERAPIES, PERSONAL CARE ASSISTANCE, HOME HEALTH AIDE CARE, WOUND CARE, MEDICATION MANAGEMENT, PAIN MANAGEMENT, DISEASE EDUCATION AND MANAGEMENT, COMPLEMENTARY CARE, ASSISTIVE TECHNOLOGY AND OTHER AUGMENTIVE COMMUNICATIONS SUPPORT, EQUIPMENT, HOME MODIFICATIONS, AND ASSISTANCE WITH THE COORDINATION OF CARE. ST. MARY'S HOSPITAL FOR CHILDREN, INC. ALSO SPONSORS BOTH A CARE AT HOME PROGRAM (WITH AN AVERAGE CENSUS OF ABOUT 300 CHILDREN) AND A MEDICAID SERVICES COORDINATION PROGRAM (SERVING AN AVERAGE CENSUS OF ABOUT 75 CHILDREN AT A GIVEN TIME). EACH OF THESE PROGRAMS HAS AS ITS FOCUS THE COORDINATION OF SERVICES TO OPTIMIZE EACH PATIENT'S QUALITY OF LIFE, WITHOUT COMPROMISING CLINICAL/MEDICAL PROGRESS, ENABLING EACH CHILD TO REMAIN IN THE LEAST RESTRICTIVE ENVIRONMENT POSSIBLE AND REMAIN INTEGRATED WITHIN HIS OR HER COMMUNITY. ANOTHER KEY GOAL OF THESE PROGRAMS IS TO ENSURE THAT THROUGH COORDINATION, CAREGIVERS AND FAMILIES ARE ABLE TO MAKE THE MOST EFFICIENT AND EFFECTIVE USE OF RESOURCES AVAILABLE.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense12344624Expense
Revenue7890618Revenue
DescriptionEARLY INTERVENTION PROGRAM SERVICES - SEE SCHEDULE O EARLY INTERVENTION PROGRAM SERVICES - ST. MARY'S HOSPITAL FOR CHILDREN IS ONE OF THE LARGEST EARLY INTERVENTION (EI) PROVIDERS IN NEW YORK CITY, WITH MANY YEARS OF EXPERIENCE PROVIDING EI SERVICES IN NEW YORK CITY, AND TO CHILDREN IN NASSAU, SUFFOLK AND WESTCHESTER COUNTIES. ST. MARY'S EVALUATES MORE THAN 1,800 CHILDREN AGES THREE AND UNDER EACH YEAR. ST. MARY'S MULTIDISCIPLINARY TREATMENT TEAMS PROVIDE NUTRITION SERVICES, OCCUPATIONAL AND PHYSICAL THERAPY, SPECIAL INSTRUCTION, SPEECH AND LANGUAGE PATHOLOGY, AND VISION THERAPY TO AN AVERAGE CENSUS OF 1,300 ELIGIBLE CHILDREN. ST. MARY'S PROFESSIONALS WORK WITH ELIGIBLE CHILDREN TO MAXIMIZE THEIR POTENTIAL, ADDRESSING THEIR PHYSICAL, COGNITIVE, COMMUNICATION, SOCIAL/EMOTIONAL AND ADAPTIVE NEEDS, INCLUDING HELPING FAMILIES LEARN THE BEST WAYS TO SUPPORT THEIR CHILDREN. THE ST. MARY'S TEAM CREATES SPECIFIC CARE PLANS FOCUSED ON EACH CHILD'S NEEDS, TO FOSTER IMPROVED FAMILY AND CHILD FUNCTIONING. OUR SCOPE OF SERVICES INCLUDES HOME/COMMUNITY BASED, FACILITY-BASED, GROUP DEVELOPMENTAL INTERVENTION, PARENT-CHILD GROUP AND FAMILY/CAREGIVER SUPPORT GROUP. SERVICES PROVIDED INCLUDE: PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, SPECIAL EDUCATION, SOCIAL WORK, NUTRITIONAL SERVICES, CORE AND SUPPLEMENTAL EVALUATIONS, GROUP SUPPORT (PARENT AND CHILD), SERVICE COORDINATION, ASSISTIVE TECHNOLOGY, AND AUGMENTATIVE COMMUNICATION EVALUATIONS.Description
FieldValueIRS element (for citing)
Total Program Service Expense64971705TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With1096550NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees861NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryBDNameOfForeignCountry
Name Of Foreign CountryCJNameOfForeignCountry
Name Of Foreign CountryVINameOfForeignCountry
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MICHAEL G SKLARBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7182818835TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15 DAKOTA DRIVE SUITE 200AddressLine1
CityNEW HYDECity
StateNYState
ZIP Code11042ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JEFFREY K FRERICHS
PRESIDENT & CEO1.00XX046956718133
EDWIN SIMPSER
EVP/COO/CMO1.00X046120634057X
PINCUS D ZAGELBAUM
SECRETARY/TREASURER/CFO1.00XX027600132543
STEPHEN BRENT WELLS
CHAIRMAN1.50XX000
BERNARD HABER
BOARD MEMBER1.00X000
CINDY JOHNSON
BOARD MEMBER1.00X000
EILEEN CHISARI
SENIOR VP1.00032542621269X
HOPE M ILICETO
CAO1.00036888017883X
KATHRYN A LANG
CHIEF NURSING OFFICER37.5016757802965X
AUDREY B BERMAN-DAVIDOWITZ
DOCTOR37.50155226035030X
LINDA MEGALLY
HOME CARE MANAGER37.50140591026546X
MOSHE YADOO
DOCTOR37.50141952024264X
MARY LOU HIRE
DOCTOR37.50144613016530X
FieldValueIRS element (for citing)
Total Reportable Comp From Org749960TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1901080TotalReportableCompFrmRltdOrgs
Total Other Compensation229220TotalOtherCompensation
Number Individuals GT100 K31NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
TURNER CONSTRUCTION COMPANY
375 HUDSON STREETNEW YORKNY10014CONSTRUCTION18796283
D&J SERVICE INC
1200 ZAREGA AVENUEBRONXNY10462TRANSPORTATION1686599
ST MARY'S COMMUNITY CARE PROFESSIONAL
5 DAKOTA DRIVE SUITE 308NEW HYDE PARKNY11042HOME CARE AIDES1308601
HABERLE STEEL INC
1946 EAST CHERRY LANESOUDERTONPA18964CONSTRUCTION400000
STANTEC ARCHITECTURE INC
13980 COLLECTIONS CENTER DRIVECHICAGEIL60693ARCHITECTURE348500
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K
Related Organizations5084178RelatedOrganizations
Government Grants582684GovernmentGrants
Total Contributions5666862TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HOME AND COMMUNITY BAS6230003277567332775673
INPATIENT SERVICES6230003051652630516526
EARLY INTERVENTION62300078906187890618
FieldValueIRS element (for citing)
Total Program Service Revenue71182817TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column482640TotalRevenueColumn
Exclusion$482,640ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real93507Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real93507Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities45964121Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities42310333Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities3653788Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3653788TotalRevenueColumn
Exclusion$3,653,788ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MEDICAL STAFF SERVICES900099292125$292,125
MEAL INCOME900099158408$158,408
MEDICAL RECORDS90009935480$35,480

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column54474TotalRevenueColumn
Exclusion$54,474ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue540487TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column81526594TotalRevenueColumn
Related Or Exempt Function Income71182817RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$4,676,915ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total31080267Total
Program Services29913637ProgramServices
Management And General1166630ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total971960Total
Program Services243182ProgramServices
Management And General728778ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4929147Total
Program Services4865265ProgramServices
Management And General63882ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2785531Total
Program Services2234893ProgramServices
Management And General550638ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total7596630Total
Management And General7596630ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total417716Total
Management And General417716ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total191161Total
Management And General191161ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total150589Total
Management And General150589ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total104603Total
Management And General104603ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total21348218Total
Program Services17170848ProgramServices
Management And General4177370ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total144107Total
Program Services144107ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4549000Total
Program Services3715437ProgramServices
Management And General833563ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total34183Total
Program Services34183ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2091669Total
Program Services2091669ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total335862Total
Program Services335862ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total48019Total
Program Services28620ProgramServices
Management And General19399ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total473470Total
Management And General473470ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2032908Total
Management And General2032908ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1452293Total
Program Services1452293ProgramServices

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
NYS ASSESSMENT EXPENSE27417092741709
BAD DEBT EXPENSE650004650004

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total84129046Total
Program Services64971705ProgramServices
Management And General19157341ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1856400BOY
EOY84768EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY94953130BOY
EOY58778356EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY11904186BOY
EOY8794829EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY18650640BOY
EOY11374863EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY430760BOY
EOY426893EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis82704224LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec27851177LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY25552853BOY
EOY54853047EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY17352557BOY
EOY17840116EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY5319002BOY
EOY4505962EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY4441468EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY176019528BOY
EOY161100302EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY10029714BOY
EOY14293424EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY249697BOY
EOY105970EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY102200000BOY
EOY102200000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY15232252BOY
EOY11127165EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2816409BOY
EOY2459785EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY130528072BOY
EOY130186344EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY41128644BOY
EOY29514081EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4362812BOY
EOY1399877EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY45491456BOY
EOY30913958EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY176019528BOY
EOY161100302EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-2602452ReconcilationRevenueExpenses
Reconcilation Other Changes-11975046ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$150,589DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$4,799OtherActivitiesAmount
Total Lobbying Expenditures IIB155388TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationST. MARY'S HOSPITAL FOR CHILDREN, INC. ENGAGED A LAW FIRM TO LOBBY ON THEIR BEHALF REGARDING BUDGET, REGULATORY AND LEGISLATIVE ISSUES. ADDITIONALLY, THE LOBBYING PORTION OF ASSOCIATION DUES, INCLUDING CONTINUING CARE LEADERSHIP COUNCIL (CCLC) AND THE HEALTH CARE ASSOCIATION OF NYS INC (HCA) ARE INCLUDED AS OTHER ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis730256OtherCostOrOtherBasis
Book Value730256BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis15523303OtherCostOrOtherBasis
Depreciation14462387Depreciation
Book Value1060916BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis19082724OtherCostOrOtherBasis
Depreciation13388790Depreciation
Book Value5693934BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis47367941OtherCostOrOtherBasis
Book Value47367941BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings54853047TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS$2,169,785
ACCRUED ASSET RETIREMENT OBLIGATION$290,000
FieldValueIRS element (for citing)
Total Of Amounts2459785TotalOfAmounts
Total Revenue81526594TotalRevenue
Total Expenses84129046TotalExpenses
Excess Or Deficit For Year-2602452ExcessOrDeficitForYear
Net Unrealized GL On Investments-4864391NetUnrealizedGLOnInvestments
Other-$7,110,655OtherAmount
Total Adjustments-11975046TotalAdjustments
Excess Or Deficit Per FS-14577498ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt76651107TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-4864391NetUnrealizedGainsInvestments
Other Revenues93507OtherRevenues
Revenue Not Rptd F990-4770884RevenueNotRptdF990
Revenue Subtotal81421991RevenueSubtotal
Investment Expenses Not Included104603InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt104603RevenueNotRptdOnFinStmt
Total Revenue Per Form99081526594TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt91228605TotExpensesEtcAuditedFinclStmt
Other Expenses Included7204162OtherExpensesIncluded
Expenses Not Rptd F9907204162ExpensesNotRptdF990
Expenses Subtotal84024443ExpensesSubtotal
Investment Expenses Not Included2104603InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt104603ExpensesNotRptdOnFinStmt
Total Expenses Per Form99084129046TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:SMH HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2008 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES.
PART XI, LINE 8 - OTHER ADJUSTMENTS:RESERVE ON AMOUNTS DUE FROM RELATED ORGANIZATIONS -7,110,655.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 93,507.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 93,507. RESERVE ON AMOUNTS DUE FROM RELATED ORGANIZATIONS 7,110,655.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegionNumber Of OfficesNumberOfOfficesNumber Of EmployeesNumberOfEmployeesType Of Activities ConductedTypeOfActivitiesConductedTotal ExpendituresTotalExpenditures
CENTRAL AMERICA AND THE CARIBBEAN00INVESTMENTS2658546
EUROPE00INVESTMENTS1287760
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent3946306SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent3946306TotalAmountSpent
Transfer To Foreign Corp0TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp0OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JEFFREY K FRERICHS
04500000001956700018133048770000
EDWIN SIMPSER
040000000061206015925018132049526300
PINCUS D ZAGELBAUM
026265000013351011555020988030854400
EILEEN CHISARI
02563670006905901431006959034669500
HOPE M ILICETO
03400000002888000017883038676300
KATHRYN A LANG
1124940005508400029650170543000
AUDREY B BERMAN-DAVIDOWITZ
160742000-55160104480245820190256000
LINDA MEGALLY
144888000-4297089030176430167137000
MOSHE YADOO
1400000001952066770175870166216000
MARY LOU HIRE
1400000004613000165300161143000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINES 4A-BReturnReference
ExplanationPART I, LINES 4A-B: SERP: EDWIN SIMPSER - $45,272 SEVERANCE: EILEEN CHISARI - $69,231 KATHRYN A. LANG - $54,727Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1DORMITORY AUTHORITY STATE OF NYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN146000293IssuerEIN
CUSIP Number649905ZMICUSIPNumber
Date Issued2010-07-14DateIssued
Issue Price102200000IssuePrice
Description Of PurposeCONSTRUCTIONDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds102200000TotalProceeds
Amount In Reserve Fund4500000AmountInReserveFund
Capitalized Interest13999771CapitalizedInterest
Issuance Costs From Proceeds851329IssuanceCostsFromProceeds
Capital Expenditures47367941CapitalExpenditures
Year Of Subst Completion2012YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made0FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed1Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonEDWIN SIMPSERNamePerson
FieldValueIRS element (for citing)
RelationshipEVP/COO/CMORelationship
Amount Of Transaction418872AmountOfTransaction
Description Of TransactionSMH PROVIDES STAFFING FOR EXTRAORDINARY PEDIATRICS PC, A PROFESSIONAL PRACTICE (MEDICAL AND REHABILITATION) AND SHARES OFFICE SPACE IN ROSLYN. SMH'S CHIEF MEDICAL OFFICER IS THE SOLE SHAREHOLDER OF EXTRAORDINARY PEDIATRICS PC.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3MANAGEMENT DUTIES ARE HANDLED BY ADMINISTRATIVE PERSONNEL WHO 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 6ST. MARY'S HEALTHCARE SYSTEM FOR CHILDREN, INC. (SMHSC) IS THE SOLE CORPORATE MEMBER OF ST. MARY'S HOSPITAL FOR CHILDREN, INC.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBER (SMHSC) HAS THE EXCLUSIVE POWER AND AUTHORITY TO ELECT AND REMOVE DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BTHE 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 11A 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 12CONCE 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 AND UNDERSTANDS THE POLICY; 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 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 GOVERNANCE COMMITTEE OF THE BOARD, TOGETHER, IN EACH CASE, WITH THE RESPONSE OR RECOMMENDATION OF MANAGEMENT. THE GOVERNANCE 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. 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 GOVERNANCE 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 GOVERNANCE 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 15ADMINISTRATIVE SALARIES ARE PAID OUT OF A RELATED ADMINISTRATIVE CORPORATION. THE POLICIES FOR DETERMINING COMPENSATION ARE AS FOLLOWS: THE BOARD OF ST. MARYS HEALTHCARE SYSTEM FOR CHILDREN, THE SOLE MEMBER OF THE ORGANIZATION, RETAINS THE SERVICES OF A MAJOR EXECUTIVE COMPENSATION FIRM TO REVIEW MARKET PAY PRACTICES FOR SENIOR EXECUTIVES IN ORGANIZATIONS OF COMPARABLE SIZE AND TYPE. THIS MARKET ANALYSIS IS THEN REVIEWED BY THE EXECUTIVE REVIEW/COMPENSATION COMMITTEE AND USED AS A FACTOR IN DETERMINING SALARY ADJUSTMENTS RELATIVE TO MARKET COMPETIVENESS AND JOB PERFORMANCE. 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. THIS PROCESS WAS LAST DONE IN 2010.
FORM 990, PART VI, SECTION C, LINE 18THESE DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THESE 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. THE DOCUMENT DESTRUCTION POLICY IS UNDER DEVELOPMENT, AND WILL BE COMPLETED IN 2013.
FORM 990, PART VII:JEFFREY K. FRERICHS - 42.5 EDWIN SIMPSER - 39.5 PINCUS ZAGELBAUM - 42.5 EILEEN CHISARI - 38.5 HOPE M. ILICETO - 40.5 STEPHEN BRENT WELLS - 9HOURS WORKED FOR RELATED ORGANIZATIONS:
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -4,864,391. RESERVE ON AMOUNTS DUE FROM RELATED ORGANIZATIONS -7,110,655. TOTAL TO FORM 990, PART XI, LINE 5: -11,975,046.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
ST MARY'S FOUNDATION FOR CHILDREN INC
29-01 216TH STREETBAYSIDENY11360112728736FUNDRAISINGNY501(C)(3)LINE 7ST MARY'S HEALTHCARE SYSTEM FOR CHILDREN INC0
ST MARY'S COMMUNITY CARE PROFESSIONALS INC
29-01 216TH STREETBAYSIDENY11360113360276HEALTH CARENY501(C)(3)LINE 9ST MARY'S HEALTHCARE SYSTEM FOR CHILDREN INC0
ST MARY'S REHABILITATION CENTER FOR CHILDREN
29-01 216TH STREETBAYSIDENY11360136163550HEALTH CARENY501(C)(3)LINE 9ST MARY'S HEALTHCARE SYSTEM FOR CHILDREN INC0
ST MARY'S HEALTHCARE SYSTEM FOR CHILDREN INC
29-01 216TH STREETBAYSIDENY11360113574493HEALTH CARENY501(C)(3)LINE 11A, I0N/A
SMH ADMINISTRATIVE SERVICES INC
29-01 216TH STREETBAYSIDENY11360271529374MANAGEMENT AND SUPPORTING SERVICESNY501(C)(3)LINE 11B, IIST MARY'S HEALTHCARE SYSTEM FOR CHILDREN INC0
EXTRAORDINARY HOME CARE
29-01 216TH STREETBAYSIDENY11360272021133HEALTH CARENY501(C)(3)LINE 9ST MARY'S HEALTHCARE SYSTEM FOR CHILDREN INC0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1KIDSNEEDSCOM INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line129-01 216TH STREETAddressLine1
CityBAYSIDECity
StateNYState
ZIP Code11360ZIPCode
FieldValueIRS element (for citing)
EIN113539055EIN
Primary ActivityINTERNET SERVICEPrimaryActivity
Legal Domicile StateNYLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ST MARY'S HOSPITAL FOR CHILDREN INCBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg