2013-11-12T14:21:24-06:00 2012-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2012-01-01 133622351 ST BARNABAS NURSING HOME INC % MARY GROCHOWSKI CFO STBA 7189603839 2175 QUARRY ROAD Suite BRONX NY 10457 MARY GROCHOWSKI 2013-11-12 3176817000 2012 2016-03-07 17:11:31Z SCOTT COOPER MD THE PRESIDENT 2175 QUARRY ROAD BRONX NY 10457 30711191 false X www.stbarnabasnursinghome.org X 1994 NY PROVISION OF QUALITY, COMPREHENSIVE MEDICAL CARE TO ALL RESIDENTS, WITH DIGNITY AND COMPASSION, REGARDLESS OF ETHNICITY, NATIONALITY, RELIGION, OR ABILITY TO PAY. 5 5 251 25 0 0 0 30299367 30671291 36065 39607 567 293 30335999 30711191 0 0 0 0 17857977 18493428 0 0 0 13456776 13333537 31314753 31826965 -978754 -1115774 19806996 17616458 15527167 14414766 4279829 3201692 PROVISION OF QUALITY, COMPREHENSIVE MEDICAL CARE TO ALL RESIDENTS, WITH DIGNITY AND COMPASSION, REGARDLESS OF ETHNICITY, NATIONALITY, RELIGION, OR ABILITY TO PAY. ENHANCING AND ENRICHING THE LIVES OF THE ELDERLY THROUGH COMPREHENSIVE SERVICES TAILORED TO MEET INDIVIDUAL NEEDS. PROVIDING A UNIQUE ENVIRONMENT FOR LONG-TERM CARE IN WHICH RESIDENTS HAVE THE OPPORTUNITY TO DEVELOP A SENSE OF CONTROL OVER THEIR LIVES, MAINTAIN THEIR DIGNITY AND PLAN FOR A FULFILLING FUTURE WITHIN THEIR OWN CAPACITIES. false false 20458590 30671291 PROVISION OF QUALITY, COMPREHENSIVE MEDICAL CARE TO ALL RESIDENTS, WITH DIGNITY AND COMPASSION, REGARDLESS OF ETHNICITY, NATIONALITY, RELIGION, OR ABILITY TO PAY. ENHANCING AND ENRICHING THE LIVES OF THE ELDERLY THROUGH COMPREHENSIVE SERVICES TAILORED TO MEET INDIVIDUAL NEEDS. PROVIDING A UNIQUE ENVIRONMENT FOR LONG-TERM CARE IN WHICH RESIDENTS HAVE THE OPPORTUNITY TO DEVELOP A SENSE OF CONTROL OVER THEIR LIVES, MAINTAIN THEIR DIGNITY AND PLAN FOR A FULFILLING FUTURE WITHIN THEIR OWN CAPACITIES. 20458590 true false false false false false false false false false true false false false true false true false false false false false false false false false false false false true true false false false false false false false true false true false false false false false true true true false false true 26 0 251 true false false false false false false false false false false X 5 5 false false false false true true true true true false false true true true true true true true true false NY X MARY GROCHOWSKI CFO 7189603039 2175 QUARRY ROAD BRONX NY 10457 X HELEN FOSTER 1.0 0.0 X 0 0 0 LESLIE SCHWARTZ 1.0 0.0 X 0 0 0 MICHAEL SHERMAN 1.0 0.0 X 0 0 0 THOMAS HUGHES 1.0 0.0 X 0 0 0 ALAN ROSENBLUT 1.0 0.0 X 0 0 0 ALFREDO ALVARADO 50.0 0.0 X 167353 0 12989 SCOTT COOPER MD 5.0 45.0 X 37501 712522 16411 TODD GORLEWSKI 2.0 47.0 X 32075 288674 13206 LEONARD WALSH 5.0 45.0 X 26275 499224 15138 NOAH CALDWELL 2.0 47.0 X 9975 488778 15090 CATHERINE GRAHAM 10.0 40.0 X 26003 234031 14476 KEITH D WOLF 10.0 45.0 X 31860 286743 13120 PATRICIA CUNNINGHAM 5.0 45.0 X 10909 207275 13656 MARY GROCHOWSKI 50.0 0.0 X 154221 0 12896 ZALDY L MATEO 50.0 0.0 X 117976 0 13125 RAMON APONTE 50.0 0.0 X 106357 0 13056 ELIZABETH GEORGE 50.0 0.0 X 103784 0 12755 BRACE B LIM 50.0 0.0 X 126315 0 13162 MARIA LILA PALMA 50.0 0.0 X 110102 0 12925 1060706 2717247 192005 7 false true false CANAMFIL INT'L MANPOWER SERVICES I 2331 ARTHUR AVE SUITE 1 BRONX NY 10458 EMPLOYMENT AGENCY 426031 MITCHELLMARTIN INC 307 WEST 38TH ST STE 1305 NEW YORK NY 10018 MEDICAL STAFFING 273370 BRONX PARK PULMONARY MEDICINE 2016 BRONXDALE AVENUE 301 BRONX NY 10462 PULMONARY CONSULTING 160000 RCM TECHNOLOGIES INC 969 AVENUE OF AMERICAS NEW YORK NY 10018 MEDICAL STAFFING 125394 RED APPLE NURSES AGENCY INC 4653 WHITE PLAINS ROAD BRONX NY 10470 MEDICAL STAFFING 118606 10 0 GERIATRIC 623000 15958872 15958872 HIV/TB RESIDENT REVENUE 623000 5469412 5469412 VENTILATOR 623000 5251724 5251724 ADULT HEALTH CARE 623990 1847323 1847323 LABORATARY, PHARMACY AND OTHER REVENUES 446110 2143960 2143960 30671291 39607 39607 0 0 0 0 0 0 0 0 0 A/P DISCOUNT 900099 20 20 MISCELLANEOUS 900099 273 273 293 30711191 30671291 0 39900 0 0 0 0 398591 265727 132864 0 12887780 8104686 4783094 150184 93114 57070 4239239 2672222 1567017 817634 506933 310701 347162 80360 266802 20127 20127 163835 163835 0 0 0 1278773 1278773 0 2862710 2490558 372152 0 0 12681 12681 15733 13530 2203 0 0 253625 253625 0 3381612 3208212 173400 168879 168879 PATIENT SERVICES 3391280 307355 3083925 NYS HLTH FAC CASH ASSMT PROGR 1384824 1384824 PROVISION FOR BAD DEBT 52296 52296 31826965 20458590 11368375 0 3214979 1316192 0 5652491 0 0 3126857 3679378 0 0 0 0 0 0 0 0 0 946 31798334 26920476 5390700 4877858 0 1938688 0 0 0 0 0 0 8074460 150905 19806996 17616458 1796311 2621737 0 0 0 0 4937083 3227083 0 0 0 0 0 0 0 0 8793773 8565946 15527167 14414766 X 4279829 3201692 0 0 0 0 4279829 3201692 19806996 17616458 -1115774 37637 X false true X true true true X 5170 54713 0 0 0 59883 27837282 27959432 26489322 30299367 30671291 143256694 0 0 0 27842452 28014145 26489322 30299367 30671291 143316577 0 0 0 143316577 259699 59690 38221 36631 39607 433848 0 259699 59690 38221 36631 39607 433848 0 0 2200000 293 2200293 28102151 30273835 26527543 30335998 30711191 145950718 0.98195 0.97867 0.00297 0.00586 X 757975 757975 24480427 21898755 2581672 6470618 5021721 1448897 89314 89314 4877858 0 DUE TO ST. BARNABAS HOSPITAL 519485 DUE TO THIRD PARTY PAYORS 6623260 RESIDENT FUNDS 123201 SELF-INSURED PROF LIAB 1300000 8565946 X 30748828 37637 37637 30711191 30711191 31826965 31826965 31826965 X X X X false false false false false false false false false ALFREDO ALVARADO 167353 0 0 0 0 0 2864 0 10125 0 180342 0 0 0 SCOTT COOPER MD 37501 712522 0 0 0 0 143 2721 677 12870 38321 728113 0 0 TODD GORLEWSKI 32075 288674 0 0 0 0 286 2578 1034 9308 33395 300560 0 0 LEONARD WALSH 26275 499224 0 0 0 0 143 2721 614 11660 27032 513605 0 0 NOAH CALDWELL 9975 463778 0 25000 0 0 57 2807 245 11981 10277 503566 0 0 CATHERINE GRAHAM 26003 234031 0 0 0 0 286 2578 1161 10451 27450 247060 0 0 KEITH D WOLF 31860 286743 0 0 0 0 286 2578 1026 9230 33172 298551 0 0 PATRICIA CUNNINGHAM 10909 207275 0 0 0 0 143 2721 540 10252 11592 220248 0 0 MARY GROCHOWSKI 154221 0 0 0 0 0 2864 0 10032 0 167117 0 0 0 Supplemental Compensation Information PRESIDENT AND SR VICE PRESIDENT ARE ST BARNABAS HOSPITAL EMPLOYEES WHO ALLOCATE TIME AND EXPENSES TO THE NURSING HOME UNDER SHARED SERVICE AGREEMENTS. A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 64983QCV9 2005-04-13 10837450 SEE SCHEDULE K, PART false false false A 0 0 10837450 656417 0 9966823 214210 0 0 0 0 0 true false false true A false false false false false 0 true false false true A true false false 0 false false false 0 false true A true ADDITIONAL CUSIP NUMBERS ASSOCIATED WITH THE BOND 0 64983QDB2, 64983QDC0, 64983QDD8, 64983QDE6, 64983QDV3, 64983QDG1 0 SCHED K, PART I, COL F 0 AIDS LONG-TERM HEALTH CARE FACILITY (REFUND JULY 16, 1992) 0 BRONX PARK PULMONARY MEDICINE SEE SCHED L, PART IV 160000 medical director services false SCHEDULE L, PART IV, LINE 1 BUSINESS TRANSACTIONS WITH INTERESTED PERSONS DURING 2012, ST. BARNABAS NURSING HOME PAID $160,000 TO BRONX PARK PULMONARY MEDICINE (F/K/A SCOTT COOPER AND JOEL SENDER, P.C.), AS COMPENSATION FOR SERVICES JOEL SENDER PROVIDED TO ST. BARNABAS NURSING HOME, AS MEDICAL DIRECTOR. DR. SCOTT COOPER, THE PRESIDENT AND CEO OF ST. BARNABAS NURSING HOME, DR. JOEL SENDER, THE MEDICAL DIRECTOR OF ST. BARNABAS NURSING HOME, ARE PARTNERS OF BRONX PARK PULMONARY MEDICINE. SCHEDULE, PART IV, LINE 1, COL (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION PARTNERSHIP OWNED BY SCOTT COOPER, CEO FORM 990, SUPPLEMENTAL INFORMATION FORM 990, PART VI, LINE 1 EXECUTIVE COMMITTEE THE EXECUTIVE COMMITTEE CONSISTS ONLY OF MEMBERS OF THE GOVERNING BODY. IT IS AUTHORIZED TO ACT ON BEHALF OF THE CORPORATION BETWEEN MEETINGS OF THE BOARD AND TO TAKE ANY ACTION OTHER THAN THOSE ITEMS SPECIFICALLY PROHIBITED BY NEW YORK LAW. FORM 990, PART VI, LINE 6 MEMBERS OF THE ORGANIZATION THE ORGANIZATION HAS A SINGLE CORPORATE MEMBER, ST. BARNABAS COMMUNITY ENTERPRISES, INC. WHICH IS A NOT-FOR-PROFIT 501(C)(3) ORGANIZATION. FORM 990, PART VI, LINE 7A ELECTION OF THE GOVERNING BODY THE SOLE MEMBER, ST. BARNABAS COMMUNITY ENTERPRISES, INC. ELECTS THE GOVERNING BODY OF THE ORGANIZATION. FORM 990, PART VI, LINE 7B DECISIONS OF THE GOVERNING BODY THE MEMBER MUST APPROVE ANY AMENDMENTS TO THE BYLAWS OF THE ORGANIZATION. FORM 990, PART VI, LINE 11A REVIEW PROCESS FOR FORM 990 THE FORM 990 WAS REVIEWED BY THE ENTIRE BOARD PRIOR TO FILING. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY ST. BARNABAS NURSING HOME'S CONFLICT OF INTEREST POLICIES APPLY TO ITS GOVERNING BOARD, CORPORATE OFFICERS, EMPLOYEES AND ANY OTHERS REPRESENTING THE ORGANIZATION. SBNH'S BYLAWS REQUIRE THAT MEMBERS OF ITS GOVERNING BOARD AND ITS CORPORATE OFFICERS DISCLOSE ALL CONFLICTS OF INTEREST PROMPTLY AT THE TIME THEY ARISE, AND ANNUALLY VIA A WRITTEN DISCLOSURE PROCESS. THE GOVERNING BOARD IS IN CHARGE OF REVIEWING CONFLICT OF INTEREST TRANSACTIONS AND ASSOCIATED DECISIONS, AND MAKING A DETERMINATION REGARDING ANY RESTRICTIONS TO BE IMPOSED ON THE TRANSACTION. THEIR DETERMINATION AND ALL MATERIAL FACTS ARE RECORDED IN THE MINUTES. SBNH'S EMPLOYEES ARE LIKEWISE REQUIRED TO DISCLOSE TO THEIR SUPERVISORS PROMPTLY, AND IN WRITING, ALL CONFLICTS OF INTEREST THAT ARISE AND UPPER-LEVEL MANAGERS ADDITIONALLY COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. AN EMPLOYEE'S SUPERVISOR IS CHARGED WITH REVIEWING A REPORTED CONFLICT OF INTEREST AND ENSURING THAT THE EMPLOYEE IS NOT INVOLVED IN DECISIONS RELATED TO THE CONFLICT. FORM 990, PART VI, LINE 15A & 15B COMPENSATION POLICY THE COMPENSATION COMMITTEE OF THE BOARD CONDUCTS AN ANNUAL REVIEW OF PRESIDENT/CEO COMPENSATION. AS PART OF THIS REVIEW, THE COMMITTEE REFERENCES AVAILABLE MARKET DATA FOR COMPARABLE POSITIONS AND INTERNAL EQUITY CONSIDERATIONS, AND IT UTILIZES AN ANALYSIS OF CEO SALARIES PREPARED BY SULLIVAN COTTER, LLP, AN INDEPENDENT EXTERNAL ADVISOR, USING INDUSTRY BENCHMARKING DATA. THE REVIEW PROCESS COVERS ALL OFFICERS, INCLUDING THE PRESIDENT/CEO. FORM 990, PART VI, LINE 19 DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION FORM 990 IS AVAILABLE ON GUIDESTAR. OTHER GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. ST BARNABAS HOSPITAL 183RD STREET AND THIRD AVENUE BRONX NY 10457 131740122 HOSPITAL NY 501(C)(3) 3 SBCE true ST BARNABAS COMMUNITY ENTERPRISES 183RD STREET AND 3RD AVENUE BRONX NY 10457 061175581 HEALTH CARE NY 501(C)(3) 3 NA false ADAMS PLACE HOLDING CORPORATION 4422 THIRD AVENUE BRONX NY 10457 133731627 REAL ESTATE NY 501(C)(2) N/A SBCE true ST BARNABAS COMMUNITY HEALTH PLAN C/O SBH 4422 THIRD AVENUE BRONX NY 10457 133717546 MANAGED CARE NY 501(C)(3) 9 SBCE true ARTHUR MANAGEMENT CORPORATION (AMC) C/O SBH 4422 THIRD AVENUE BRONX NY 10457 061174733 HOLDING COMPANY NY SBCE C true ST BARNABAS CORRECTIONAL HEALTH SYSTEM C/O SBH 4422 THIRD AVENUE BRONX NY 10457 161174731 BILLING COMPANY NY AMC C true SBH PHYSICIANS PC 4422 THIRD AVENUE BRONX NY 10457 272892195 MEDICINE NY SBH C true false false false false false false false false false false false false false true true true true true true St Barnabas Hospital n 20360 FMV ST BARNABAS HOSPITAL O 3257036 FMV ST BARNABAS HOSPITAL P 5106227 FMV ST BARNABAS HOSPITAL R 157084 FMV