2013-11-15T09:34:14-06:00 2012-12-31 271728945 O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2012-01-01 131740033 ST PATRICK'S HOME FOR THE AGED AND INFIRM STPA 7185192800 66 VAN CORTLANDT PARK SOUTH BRONX NY 104633102 JUAN RUIZ 7185192800 2013-11-15 1 GARRETT M HIGGINS P00543209 9143818900 2013-11-15 2012 2016-03-07 17:11:31Z ST PATRICK'S HOME SR M PATRICK MICHAEL O 66 VAN CORTLANDT PARK SOUTH BRONX NY 104633102 26887020 0 0928 X WWW.STPATRICKSHOME.ORG X 1931 NY THE MISSION OF ST. PATRICK'S HOME AS A CHARITABLE, NON-PROFIT ORGANIZATION IS TO PROVIDE CARE AND SERVICES TO THE COMMUNITY IN CONFORMANCE WITH THE THEOLOGY; PHILOSOPHY; TEACHINGS AND DOCTRINES OF THE ROMAN CATHOLIC CHURCH, RESPECTING AND BUILDING ON THE MISSION; PHILOSOPHY AND VALUES OF THE CARMELITE SISTERS FOR THE AGED AND INFIRM. 16 16 379 103 0 0 250459 230881 27375117 26232224 91273 52901 230764 305514 27947613 26821520 0 0 0 0 20642164 20042904 0 0 34748 8785031 9939230 29427195 29982134 -1479582 -3160614 46339738 41407204 20167324 17901569 26172414 23505635 X THE MISSION OF ST. PATRICK'S HOME AS A CHARITABLE, NON-PROFIT ORGANIZATION IS TO PROVIDE CARE AND SERVICES TO THE COMMUNITY IN CONFORMANCE WITH THE THEOLOGY; PHILOSOPHY; TEACHINGS AND DOCTRINES OF THE ROMAN CATHOLIC CHURCH, RESPECTING AND BUILDING ON THE MISSION; PHILOSOPHY AND VALUES OF THE CARMELITE SISTERS FOR THE AGED AND INFIRM. 0 0 27454142 26232224 ST. PATRICK'S HOME OPERATES A 264 BED LICENSED NURSING HOME WHICH INCLUDES AN ALZHEIMER'S UNIT AND A SHORT TERM REHABILITATION UNIT IN THE BRONX, NEW YORK. THE HOME PROVIDES PROFESSIONAL AND PERSONAL SERVICES IN A COMPASSIONATE AND CARING MANNER TO MEMBERS OF THE BRONX, SURROUNDING COMMUNITIES AND OTHER LOCATIONS THAT SEEK OUR SERVICES. DURING 2012, THE HOME PROVIDED 94,147 DAYS OF CARE TO 515 OF OUR NEIGHBORS AND THEIR FAMILIES WITHOUT REGARD TO THEIR ETHNIC BACKGROUND, RELIGION OR FINANCIAL CIRCUMSTANCES. AMONG THOSE WE HAD THE PLEASURE TO ADMINISTER CARE TO 13 RESIDENTS WHO WERE OVER 100 YEARS OLD. DURING THE YEAR, THERE WERE 256 NEW ADMISSIONS AND 262 DISCHARGES; SERVED 282,447 MEALS; ADMINISTERED 30,758 THERAPY TREATMENTS AND HAD 73,583 PARTICIPANTS IN OUR EXTENSIVE RECREATION PROGRAM. 27454142 1 1 0 1 0 0 0 0 1 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 40 0 379 1 0 0 0 0 0 1 1 0 0 0 0 X 16 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X JUAN RUIZ 7185192800 66 VAN CORTLANDT PARK SOUTH BRONX NY 104633102 X SR M PATRICK MICHAEL DE LOURDES O'C 35.00 X X 0 0 0 REV GERALD T WALSH 1.00 X X 0 0 0 SR M ANTHONY DE LOURDES O'CARM 1.00 X X 0 0 0 MAUREEN WALSH 1.00 X X 0 0 0 SR M JOSEPH CATHERINE DE LOURDES O' 1.00 X 0 0 0 MOTHER M MARK LOUIS ANNE O'CARM 1.00 X 0 0 0 SR M MICHELLE ANNE O'CARM 1.00 X 0 0 0 SR M SEAN WILLIAM O'CARM 1.00 X 0 0 0 SR PATRICIA MARGARET O'CARM 1.00 X X 0 0 0 SR M PHILIP ANN O'CARM 1.00 X 0 0 0 MICHAEL MORIARTY ESQ 1.00 X 0 0 0 BERNARD KELLY 1.00 X 0 0 0 IRENE MCCRORY 1.00 X 0 0 0 MARGARET T MAYBURY 1.00 X 0 0 0 RONALD SYLVESTRI 1.00 X 0 0 0 SR M KEVIN PATRICIA O'CARM 35.00 X X 0 0 0 JUAN RUIZ 35.00 X 153359 0 44443 EDILBERTO FARNACIO 35.00 X 123350 0 35747 STEVEN GUIGLOTTO 35.00 X 129565 0 37548 ELIZABETH DUNLEAVY 35.00 X 155801 0 45151 EDWIN CUEVO 35.00 X 112730 0 32669 MARY LOU DE MAIO 35.00 X 114741 0 33252 789546 0 228810 9 0 1 0 UNIDINE CORPORATION PO BOX 60479 CHARLOTTE NC 28260 DIETARY 678427 UNITEX TEXTILE RENTAL SERVICE 161 MACQUESTEN PKWY MOUNT VERNON NY 10550 LAUNDRY 261359 ARROW SECURITY 60 KNICKERBOCKER AVENUE BOHEMIA NY 11716 SECURITY 159036 RUFFO TABORA MAINELLO & MCKAY PC 300 GREAT OAKS BLVD ALBANY NY 12203 LEGAL 153432 COMPUFIT COMPUTER CORP 222 BLOOMINGDALE ROAD WHITE PLAINS NY 10605 INFORMATION TECHNOLOGY 130890 5 55141 175740 230881 MEDICAID 623000 17769562 17769562 PRIVATE FEES/INSURANCE 623000 4539055 4539055 MEDICARE 623000 3923607 3923607 26232224 52901 52901 19209 55141 47694 -28485 -28485 51193 17806 33387 33387 CAFETERIA 900099 114107 114107 REBATES 900099 89111 89111 CARMELITE SISTERS REIMBURSEMENT 900099 54018 54018 43376 43376 300612 26821520 26232224 0 358415 190697 190697 13596954 12677809 907174 11971 1466858 1370746 94913 1199 3079909 2863738 213687 2484 1708486 1576078 131041 1367 223952 195692 28260 171971 171971 41500 41500 14281 11708 2573 1538089 1488421 49668 10344 6193 4151 1845112 1756661 88082 369 130298 130298 1102306 1089924 12016 366 10823 8278 2545 19009 11207 7802 100228 100228 2093129 1999103 92290 1736 NYS ASSESSMENT 1432002 1432002 PRESCRIPTION DRUGS 386314 386314 BAD DEBT EXPENSE 276731 276731 CARMELITE SYSTEM DUES & 228059 43194 184865 315082 260343 39483 15256 29982134 27454142 2493244 34748 2768912 1504116 16785570 13609148 4397866 4054012 45536 38142 519944 506225 48357437 29187773 19336642 19169664 41334 41334 2443934 2484563 46339738 41407204 4029400 3832521 188910 180062 13373742 12098742 129255 501298 2446017 1288946 20167324 17901569 X 26159319 23450540 13095 55095 26172414 23505635 46339738 41407204 X -3160614 493835 X X 0 1 X 1 0 X 223936 146253 137234 250459 230881 988763 27419050 28064266 26705725 27561119 26302626 136052786 27642986 28210519 26842959 27811578 26533507 137041549 0 0 0 137041549 507619 453543 154764 74471 52901 1243298 507619 453543 154764 74471 52901 1243298 285510 489629 239160 299262 300612 1614173 28436115 29153691 27236883 28185311 26887020 139899020 0.97960 0.97400 0.00890 0.01380 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2008 AMOUNT: $ 37,285. 2009 AMOUNT: $ 86,962. 2010 AMOUNT: $ 2,410. 2011 AMOUNT: $ 29,567. 2012 AMOUNT: $ 4,769. CAFETERIA INCOME - 2008 AMOUNT: $ 130,652. 2009 AMOUNT: $ 123,934. 2010 AMOUNT: $ 113,870. 2011 AMOUNT: $ 125,154. 2012 AMOUNT: $ 114,107. COMMISSIONS DISCOUNTS - 2008 AMOUNT: $ 38,376. 2009 AMOUNT: $ 32,559. 2010 AMOUNT: $ 30,231. 2012 AMOUNT: $ 28,762. INCOME FROM GIFT SHOPS BEAUTY PARLOR - 2008 AMOUNT: $ 6,278. 2009 AMOUNT: $ 8,568. 2010 AMOUNT: $ 8,475. 2011 AMOUNT: $ 9,241. 2012 AMOUNT: $ 11,405. CARMELITE SISTERS REMIBURSEMENT - 2008 AMOUNT: $ 47,130. 2009 AMOUNT: $ 57,936. 2010 AMOUNT: $ 61,794. 2011 AMOUNT: $ 64,338. 2012 AMOUNT: $ 54,018. REBATES - 2011 AMOUNT: $ 26,790. 2012 AMOUNT: $ 44,175. EMPLOYEE PARKING FEES - 2008 AMOUNT: $ 25,789. 2009 AMOUNT: $ 24,956. 2010 AMOUNT: $ 22,380. 2011 AMOUNT: $ 44,172. 2012 AMOUNT: $ 43,376. WORKERS COMP REFUND - 2009 AMOUNT: $ 154,714. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 14281 14281 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: IN CONNECTION WITH THE COLLECTIVE BARGAINING NEGOTIATIONS BETWEEN ST. PATRICK'S HOME AND 1199/SEIU, CERTAIN EMPLOYER CONTRIBUTIONS ARE ALLOCATED TO GNYHA HEALTH CARE EDUCATION PROJECT, FOR USE IN LOBBYING PURPOSES IN CONNECTION WITH HEALTH CARE POLICY ISSUES. LOBBYING EXPENSES FOR 2012 TOTALED $14,281. 0 1 X 900000 900000 40817547 23845044 16972503 6399903 5140954 1258949 239987 201775 38212 19169664 A/R RENOVATION PROJECT 2304501 FUNDS HELD FOR RESIDENTS 180062 2484563 DUE TO THIRD PARTY PAYORS & OTHERS 1288946 1288946 X 26821520 0 26821520 0 26821520 29982134 0 29982134 0 29982134 PART IV, LINE 2B: RESIDENTS' FUNDS ARE HELD BY THE HOME ON BEHALF OF THE RESIDENTS. SUCH FUNDS REPRESENT LIVING ALLOWANCES RECEIVED BY RESIDENTS AND OTHER RESIDENTS' FUNDS DEPOSITED WITH THE HOME FOR SAFEKEEPING. THESE FUNDS ARE DISBURSED BY THE HOME AT THE REQUEST OF, OR ON BEHALF OF, RESIDENTS FOR THEIR PERSONAL USE. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE HOME RECOGNIZES THE EFFECT OF TAX POSITIONS ONLY WHEN THEY ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE HOME HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE HOME IS NO LONGER SUBJECT TO EXAMINATIONS BY APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2009. GOLF OUTING 57030 41571 15459 28096 6616 BANQUET 15475 11725 3750 5572 1 1845 1845 700 6710 74350 55141 19209 28096 700 18898 47694 -28485 51193 4775 5000 8031 1 1.00000 51193 4775 5000 8031 17806 33387 NY 0 THE ORGANIZATION IS IN THE PROCESS OF OBTAINING A GAMING LICENSE IN NYS. 0 1 0 1.00000 0 0 X X X 0 0 0 0 0 0 0 0 0 JUAN RUIZ 153359 0 0 0 0 0 20029 0 24414 0 197802 0 0 0 EDILBERTO FARNACIO 123350 0 0 0 0 0 16110 0 19637 0 159097 0 0 0 STEVEN GUIGLOTTO 129565 0 0 0 0 0 16921 0 20627 0 167113 0 0 0 ELIZABETH DUNLEAVY 155801 0 0 0 0 0 20348 0 24803 0 200952 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THERE ARE FIVE MEMBERS OF THE CORPORATION THAT INCLUDE THE OFFICES OF THE SUPERIOR GENERAL AND FOUR MEMBERS OF THE GENERAL COUNCIL OF THE CARMELITE SISTERS FOR THE AGED INFIRM. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF ST. PATRICK'S HOME FOR THE AGED AND INFIRM SHALL BE ELECTED BY THE MEMBERS AT EACH ANNUAL MEETING OF THE MEMBERS CORPORATION BY MAJORITY VOTE. MEMBERS CAN ALSO SERVE ON THE BOARD OF DIRECTORS AS MEMBER-DIRECTORS. ALL STANDARDS APPLICABLE TO DIRECTORS IN THE BY-LAWS SHALL ALSO APPLY TO MEMBER-DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE CORPORATE MEMBERS RETAIN THE RIGHT TO APPOINT OR REMOVE MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 THE FACILITY HAS ITS FORM 990 REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. UPON COMPLETION OF THE FORM, IT IS SUBMITTED TO THE FINANCE COMMITTEE FOR REVIEW AND APPROVAL. THEREAFTER, THE FINANCE COMMITTEE WILL REPORT TO THE BOARD OF DIRECTORS AT THE NEXT SCHEDULED QUARTERLY MEETING, AT WHICH TIME EACH BOARD MEMBER WILL RECEIVE A COPY OF THE FORM 990. ALL NECESSARY COMMENTS AND CHANGES WILL BE RECORDED TO ENSURE A COMPLETE AND ACCURATE FORM 990 IS FILED. FORM 990, PART VI, SECTION B, LINE 12C ST. PATRICK'S HOME FOR THE AGED AND INFIRM, INC. IS STRONGLY COMMITTED TO A POLICY OF COMPLIANCE WITH ALL CONFLICT OF INTEREST PROVISIONS UNDER LAW. SUCH COMPLIANCE IS OF CRITICAL IMPORTANCE TO THE NON-PROFIT, CHARITABLE MISSION AND ACTIVITIES OF ST. PATRICK'S HOME. BY FOLLOWING THIS POLICY, ALL BOARD MEMBERS WILL ASSURE THAT THE REPUTATION, GOOD WILL AND MISSION OF ST. PATRICK'S HOME ARE PRESERVED AND MAINTAINED IN GOOD STANDING. REMUNERATION: NO MEMBER OF THE BOARD OF DIRECTORS SHALL RECEIVE REMUNERATION FOR SERVICES RENDERED IN CONNECTION WITH SUCH MEMBER'S RESPONSIBILITIES AS A DIRECTOR OF THIS CORPORATION. EXPENSES INCIDENTAL TO ATTENDANCE AT THE MEETING OF THE BOARD OF DIRECTORS MAY BE PAID TO THE MEMBERS OF THE BOARD WITH BOARD APPROVAL. ANNUAL DISCLOSURE: IN ORDER TO PROPERLY IMPLEMENT THIS POLICY, EACH BOARD MEMBER SHALL SIGN AN ANNUAL DISCLOSURE, SETTING FORTH ALL POTENTIAL AND ACTUAL CONFLICTS OF INTEREST OR INDICATING THAT NO SUCH CONFLICTS EXIST. THIS DISCLOSURE SHALL BE IN THE FORM OF A LETTER DIRECTED TO THE MEMBERS OF THE CORPORATION. ACKNOWLEDGEMENT: BY SIGNING THIS POLICY STATEMENT, THE BOARD MEMBER ACKNOWLEDGES THAT HE OR SHE HAS READ THE STATEMENT, UNDERSTANDS WHAT HIS OR HER RESPONSIBILITIES ARE AS A BOARD MEMBER AND WILL FULLY COMPLY WITH THE REQUIREMENTS SET FORTH ABOVE. IF A CONFLICT WERE TO ARISE, THE INTERESTED PERSON WILL MAKE A PRESENTATION TO THE BOARD REGARDING THE POTENTIAL. THE INTERESTED PERSON WILL THEN LEAVE THE ROOM WHILE THE CONFLICT IS DISCUSSED AND VOTED ON. THE BOARD'S DECISION IS DOCUMENTED IN THE MINUTES TO THE MEETING. FORM 990, PART VI, SECTION B, LINE 15 A COMPENSATION POLICY WAS DEVELOPED BY THE BOARD TO GOVERN COMPENSATION ARRANGEMENTS BETWEEN THE ORGANIZATION AND COVERED INDIVIDUALS, DEFINED AS THOSE IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE ORGANIZATION. THE COMPENSATION COMMITTEE CONSISTS OF AT LEAST THREE INDEPENDENT INDIVIDUALS APPOINTED BY THE BOARD, WHO THEMSELVES ARE MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE RECOMMENDS TO THE BOARD THE COMPENSATION FOR COVERED INDIVIDUALS BASED ON RELEVANT DATA INCLUDING COMPARABILITY COMPENSATION FOR SIMILARLY SITUATED ENTITIES AND INDEPENDENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS AS DEEMED NECESSARY. COMPENSATION PAID TO THE ADMINISTRATOR AND ASSISTANT ADMINISTRATOR: PLEASE NOTE THAT BOTH THE ADMINISTRATOR AND ASSISTANT ADMINISTRATOR AS WOMAN RELIGIOUS MEMBERS OF THE CARMELITE SISTERS FOR THE AGED AND INFIRM, INC. HAVE TAKEN A VOW OF POVERTY AND ARE PROVIDED WITH ZERO (0) COMPENSATION FROM THE FACILITY. ALL COMPENSATION THAT WOULD HAVE BEEN PAID TO THE ADMINISTRATOR AND ASSISTANT ADMINISTRATOR ON BEHALF OF SERVICES PROVIDED TO THE FACILITY IS INSTEAD PAID TO THE CARMELITE SISTERS OF THE AGED AND INFIRM, INC. RATHER THAN THE INDIVIDUALS. FOR 2012, THE HOME PAID THE ORDER AN AMOUNT OF $275,092 FOR SERVICES THE ADMINISTRATOR AND ASSISTANT ADMINISTRATOR PROVIDED TO THE FACILITY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS; CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND TAX FILINGS AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION ALSO FILES REPORTS WITH VARIOUS GOVERNMENTAL AGENCIES AS A REQUIREMENT FOR PARTICIPATION IN GOVERNMENT PROGRAMS, WHICH THE AGENCIES MAY MAKE AVAILABLE TO THE PUBLIC. THE ORGANIZATIONS FORM 990 IS AVAILABLE TO THE PUBLIC ON GUIDESTAR'S WEBSITE. FORM 990, PART VII, SECTION A: SEVEN MEMBERS OF THE BOARD OF DIRECTORS OF ST. PATRICK'S HOME ARE ALSO RELIGIOUS MEMBERS OF THE CARMELITE SISTERS OF THE AGED & INFIRM. THESE SISTERS DEVOTE THEIR ENTIRE LIVES TO THE CHARITABLE WORKS OF THEIR ORDER. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: PENSION LIABILITY ADJUSTMENT 493,835. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS HAS DESIGNATED A COMMITTEE TO MANAGE THE PROCESSES OF SELECTION AND OVERSIGHT OF THE AUDIT AND INDEPENDENT ACCOUNTANT. THE COMMITTEE MEETS WITH MANAGEMENT AND THE INDEPENDENT AUDITORS TO REVIEW THE ENGAGEMENT PROPOSAL; RESULTS OF THE AUDIT; DRAFT AUDIT REPORT; MANAGEMENT LETTER. THE COMMITTEE MAY MEET WITH THE INDEPENDENT AUDITORS IN EXECUTIVE SESSION BEFORE CONCLUDING ITS REVIEW AND ACCEPTANCE OF THE ANNUAL AUDIT REPORT. THE COMMITTEE REPORTS ITS FINDINGS AND MAKES ITS RECOMMENDATION TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 13: THE HOME HAS A WRITTEN WHISTLEBLOWER POLICY AND PROCEDURE. THE POLICY IS INCORPORATED IN THE HOME'S CORPORATE COMPLIANCE PROGRAM. THE POLICY ALLOWS FOR EMPLOYEES AND OTHER INDIVIDUALS TO REPORT INCIDENTS AND OR ABUSES ANONYMOUSLY TO THE CORPORATE COMPLIANCE OFFICER VIA THE CORPORATE COMPLIANCE HOTLINE OR CORPORATE COMPLIANCE BOXES LOCATED THROUGHOUT THE PREMISES. CARMELITE SISTERS FOR THE AGED AND INFIRM 600 WOODS ROAD GERMANTOWN NY 12572 141369151 LONG TERM HEALTH CARE MINISTRY IN CONFORMITY WITH ROMAN CATHOLIC DOCTRINE NY 501(C)3 1 N/A 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 1