STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

ST JEROME'S HEALTH SERVICES: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ST JEROME'S HEALTH SERVICES (EIN 11-2948924)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-12-06
IRS object ID
201223419349300002
Schema version
2011v1.3
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)
Timestamp2012-12-06T07:45:46-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WITHUMSMITHBROWNPCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1331 NEWMAN SPRINGS RD STE 125AddressLine1
CityRED BANKCity
StateNJState
ZIP Code077016765ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN112948924EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST JEROME'S HEALTH SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% STEVEN KORF CFOInCareOfName
Name ControlSTJENameControl
Phone2123564000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1450 WEST 33RD STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10001ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTEVEN KORFName
TitleCHIEF FINANCIAL OFFICERTitle
Date Signed2012-11-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMICHAEL A SERLUCO CPAName
Phone7328423113Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1HOLY FAMILY HOMEBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonSTEVEN KORFNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1450 WEST 33RD STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10001ZIPCode
FieldValueIRS element (for citing)
Gross Receipts18939475GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.svcmcny.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionHoly Family Home is a long term care facility located in Brooklyn that offers each resident an array of services including on-site dental, radiology, rehabilation therapy, social services, and pastoral care.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees290TotalNbrEmployees
Total Nbr Volunteers30TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16381563ProgramServiceRevenuePriorYear
Program Service Revenue CY18819747ProgramServiceRevenueCY
Investment Income Prior Year6459InvestmentIncomePriorYear
Investment Income Current Year3897InvestmentIncomeCurrentYear
Other Revenue Prior Year6637OtherRevenuePriorYear
Other Revenue Current Year115831OtherRevenueCurrentYear
Total Revenue Prior Year16394659TotalRevenuePriorYear
Total Revenue Current Year18939475TotalRevenueCurrentYear
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 Year13767025SalariesEtcPriorYear
Salaries Etc Current Year13552225SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8174546OtherExpensePriorYear
Other Expenses Current Year8515147OtherExpensesCurrentYear
Total Expenses Prior Year21941571TotalExpensesPriorYear
Total Expenses Current Year22067372TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-5546912RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-3127897RevenuesLessExpensesCY
Total Assets BOY9850829TotalAssetsBOY
Total Assets EOY6393920TotalAssetsEOY
Total Liabilities BOY13912434TotalLiabilitiesBOY
Total Liabilities EOY13583422TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-4061605NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-7189502NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionHOLY FAMILY HOME IS A 200 BED SKILLED NURSING FACILITY THAT IS COMMITTED TO REFLECTING GOD'S LOVE BY ADVANCING CHRIST'S HEALING MINISTRY WITH RESPECT, INTEGRITY, COMPASSION, AND EXCELLENCE TO ALL WHO COME TO US IN NEED, ESPECIALLY, THE POOR. ADDITIONALLY, TO ACCOMPLISH OUR MISSION THE TRUSTEES AND ADMINISTRATION SHALL SEEK TO CREATE, MAINTAIN, AND EXTEND THE HIGH MEDICAL STANDARDS OF ADMINISTRATION ON FISCAL MANAGEMENT, QUALITY MEDICAL AND NURSING CARE, SUPPORTIVE SOCIAL SERVICES, AND ACTIVITIES AS WELL AS MAINTAIN A MODERN, CLEAN, AND SAFE PHYSICAL FACILITY FOR RESIDENTS AND THEIR FAMILY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense19201778Expense
Revenue18819747Revenue
DescriptionProvided 66,016 days of care to patients needing skilled nursing and/or rehabilitation services.Description
Total Program Service Expense19201778TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109648NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees290NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSTEVEN KORF CFONamePerson
Telephone Number2123564000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1450 WEST 33RD STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10001ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JACK A DESANTIS JR
CHAIRPERSON1.0X000
MARGARET O'BRIEN SC
TRUSTEE1.0X000
REV JOSEPH M SULLIVAN
TRUSTEE1.0X000
MARY ANN DALY SC
TRUSTEE1.0X000
CARLO DEREGE
TRUSTEE1.0X000
KEVIN SHEA
TRUSTEE1.0X000
LUCILLE BUDDENSICK
VP NURSING HOME OPERATIONS9.0047121108X
RICHARD MATO
V.P. OF FINANCE9.00214500266X
JOSEPH HIRSH
ADMINISTRATOR35.011076900X
VERDEN V BROWN
DIRECTOR OF NURSING SERVICE35.011840907837X
RIDZA BLEMUR
NURSE35.0104033027967X
FieldValueIRS element (for citing)
Total Reportable Comp From Org333211TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs219212TotalReportableCompFrmRltdOrgs
Total Other Compensation37178TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SODEXO OPERATIONS LLC
PO BOX 81049WOBURNMA018131049FOOD SERVICE1095926
ISAAC GROUP LLC
139 FULTON STREET SUITE 502NEW YORKNY10038STAFFING242369
RESTORATIVE CARE PHYSICAL
PO BOX 50355STATEN ISLANDNY10305REHAB SERVICES162455
ROSARIO MANGO INT'L STAFFING
591 SUMMIT AVENUEJERSEY CITYNJ07306STAFFING213995
THERAPEUTIC RESOURCES INC
2409 AVENUE KBROOKLYNNY11210PATIENT REBAB. SVCS.132412
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET RESIDENT SERVICE REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column18819747TotalRevenueColumn
Related Or Exempt Function Income18819747RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue18819747TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3897TotalRevenueColumn
Exclusion$3,897ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
TELEVISION RENTALS900099120$120
MISCELLANEOUS REVENUE9000994114$4,114
REBATES AND REFUNDS900099111597$111,597
FieldValueIRS element (for citing)
Total Other Revenue115831TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column18939475TotalRevenueColumn
Related Or Exempt Function Income18819747RelatedOrExemptFunctionIncome
Exclusion$119,728ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total110769Total
Management And General110769ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9805437Total
Program Services8599407ProgramServices
Management And General1206030ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total549095Total
Program Services481558ProgramServices
Management And General67537ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2416128Total
Program Services2118954ProgramServices
Management And General297174ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total670796Total
Program Services588291ProgramServices
Management And General82505ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1556049Total
Program Services1364661ProgramServices
Management And General191388ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total150Total
Program Services132ProgramServices
Management And General18ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total161483Total
Program Services141621ProgramServices
Management And General19862ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1297761Total
Program Services1138142ProgramServices
Management And General159619ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total400Total
Management And General400ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total60446Total
Management And General60446ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total593685Total
Program Services520664ProgramServices
Management And General73021ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1383Total
Management And General1383ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2641Total
Program Services2641ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total664Total
Management And General664ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total450127Total
Program Services394763ProgramServices
Management And General55364ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total193404Total
Program Services169616ProgramServices
Management And General23788ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
DIETARY FOOD45284639714855698
DRUGS & PHARMACEUTICALS53531846947665842
OTHER GOODS, SVCS & BAD DEBTS23002672017343282924
PURCHASED & CONTRACTED SVCS67002558761582410

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total238498Total
Program Services209746ProgramServices
Management And General28752ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total22067372Total
Program Services19201778ProgramServices
Management And General2865594ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3701251BOY
EOY1031995EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2927746BOY
EOY2116669EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY115464BOY
EOY91760EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis12737351LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec10202705LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2984773BOY
EOY2534646EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY121595BOY
EOY618850EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9850829BOY
EOY6393920EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY928114BOY
EOY1072591EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY12984320BOY
EOY12510831EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY13912434BOY
EOY13583422EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-4061605BOY
EOY-7189502EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-4061605BOY
EOY-7189502EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9850829BOY
EOY6393920EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-3127897ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1711CurrentTaxYearMinus4Years
Total1711Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18442645CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19174239CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17561493CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16381563CurrentTaxYearMinus1Year
Current Tax Year18819747CurrentTaxYear
Total90379687Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18444356CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19174239CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17561493CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16381563CurrentTaxYearMinus1Year
Current Tax Year18819747CurrentTaxYear
Total90381398Total
FieldValueIRS element (for citing)
Public Support Total50990381398PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-2562CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years195782CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years37226CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6459CurrentTaxYearMinus1Year
Current Tax Year3897CurrentTaxYear
Total240802Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-2562CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years195782CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years37226CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6459CurrentTaxYearMinus1Year
Current Tax Year3897CurrentTaxYear
Total240802Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years470892CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years426386CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20746CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6637CurrentTaxYearMinus1Year
Current Tax Year115831CurrentTaxYear
Total1040492Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18912686CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19796407CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17619465CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16394659CurrentTaxYearMinus1Year
Current Tax Year18939475CurrentTaxYear
Total91662692Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98602PublicSupportPercentage509
Prior Year Support Percentage0.98560PriorYearSupportPercentage
Investment Income Percentage0.00263InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00379PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationTELEPHONE AND TV RENTALS, REBATE AND REFUNDS, AND MISCELLANEOUS REVENUE TOTALED $115,831 FOR 2011.GeneralExplanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis359586OtherCostOrOtherBasis
Book Value359586BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7057146OtherCostOrOtherBasis
Depreciation5591258Depreciation
Book Value1465888BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5320619OtherCostOrOtherBasis
Depreciation4611447Depreciation
Book Value709172BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings2534646TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
RESIDENTS TRUST FUNDS - CASH121700
MALPRACTICE INSURANCE CLAIMS497150
FieldValueIRS element (for citing)
Total Book Value Other Assets618850TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
EST PAYABLE TO THIRD-PARTY PAY$3,166,519
RESIDENTS' TRUST FUNDS$121,700
LIABILITIES SUBJECT TO COMPROM$1,688,622
DUE TO AFFILIATES, NET$7,036,840
OTHER LIABILITIES$497,150
FieldValueIRS element (for citing)
Total Of Amounts12510831TotalOfAmounts
Total Revenue18939475TotalRevenue
Total Expenses22067372TotalExpenses
Excess Or Deficit For Year-3127897ExcessOrDeficitForYear
Excess Or Deficit Per FS-3127897ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt18939475TotRevenueEtcAuditedFinclStmt
Revenue Subtotal18939475RevenueSubtotal
Total Revenue Per Form99018939475TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt22067372TotExpensesEtcAuditedFinclStmt
Expenses Subtotal22067372ExpensesSubtotal
Total Expenses Per Form99022067372TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48 DISCLOSUREIdentifier
ExplanationSCHEDULE D, PART XIV THE CENTER IS REQUIRED TO REVIEW AND DETERMINE IF THERE ARE UNCERTAINTIES IN INCOME TAXES RECOGNIZED IN ITS FINANCIAL STATEMENTS AND APPLY A THRESHOLD OF MORE LIKELY THAN NOT FOR RECOGNITION AND DERECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THERE WAS NO MATERIAL IMPACT TO THE CENTER'S FINANCIAL STATEMENT AS A RESULT OF APPLYING THE MORE LIKELY THAN NOT THRESHOLDS. THE CENTER IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO TAX EXAMINATIONS FOR THE YEARS PRIOR TO 2008. IN ADDITION, THERE IS NO TAX RELATED INTEREST OR PENALTIES IN THE ACCOMPANYING FINANCIAL STATEMENTS. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THE CENTER'S POLICY WOULD BE TO RECOGNIZE THEM AS OPERATING EXPENSES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonRICHARD MATONamePerson
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs214500CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs266NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs214766TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
CONFLICT OF INTEREST POLICYFORM 990, PART VI, LINE 12CSAINT VINCENTS CATHOLIC MEDICAL CENTERS (SVCMC) AND ITS AFFILIATED ORGANIZATIONS, INCLUDING HOLY FAMILY HOME, HAVE THE FOLLOWING PROCESS IN PLACE FOR MONITORING CONFLICTS OF INTEREST INVOLVING APPLICABLE EMPLOYEES, MANAGEMENT, MEDICAL STAFF MEMBERS, AND/OR MEMBERS OF THE BOARD OF DIRECTORS. ALL EMPLOYEES AND MEDICAL STAFF MEMBERS WHO ARE CONSIDERED TO BE "KEY EMPLOYEES" BECAUSE OF THEIR ABILITY TO INFLUENCE SUBSTANTIVE BUSINESS DECISIONS (E.G., PURCHASES, CONTRACTS, LEASES, ETC.), AND MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO ANNUALLY COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM THAT IS REVIEWED BY THE COMPLIANCE OFFICER. IF THERE ARE ANY POTENTIAL CONFLICTS IDENTIFIED BY KEY EMPLOYEES, THE BOARD OF DIRECTORS IS INFORMED. FOR BOARD MEMBERS, A SUMMARY OF ALL COMPLETED CONFLICT OF INTEREST INFORMATION IS COMPILED AND CIRCULATED TO ALL BOARD MEMBERS FOR THEIR REVIEW. ONCE ALL POTENTIAL CONFLICT INFORMATION IS GATHERED, THE BOARD OF DIRECTORS, IN CONJUNCTION WITH THE COMPLIANCE OFFICER AND AUDIT/COMPLIANCE COMMITTEE OF SVCMC, SHALL MAKE A DETERMINATION WHETHER ACTUAL CONFLICTS EXIST. WHEN THE CONFLICT IS IDENTIFIED, CORRECTIVE ACTION SHALL BE TAKEN BASED ON THE TYPE AND EXTENT OF CONFLICT. IN ALL SITUATIONS, THE RELEVANT INDIVIDUAL SHALL BE REMOVED OR RECUSED FROM ANY DECISION MAKING RELATED TO THE POTENTIAL CONFLICT. ALL KEY EMPLOYEES AND MEMBERS ARE FURTHER INSTRUCTED TO DISCLOSE THROUGHOUT THE YEAR IF ANY NEW OR PREVIOUSLY UNIDENTIFIED CONFLICTS ARISE. AT THAT TIME, A REVISED DISCLOSURE FORM MUST BE COMPLETED AND SENT TO THE SVCMC COMPLIANCE OFFICER FOR REVIEW, AND CORRECTIVE ACTION IS TAKEN IN ACCORDANCE WITH THE PROCESS DESCRIBED PREVIOUSLY. A SUMMARY OF ALL COMPLETED CONFLICT OF INTEREST INFORMATION IS COMPILED. THIS SUMMARY IS THEN CIRCULATED TO ALL BOARD MEMBERS FOR THEIR REVIEW.
PROCESS TO REVIEW FORM 990FORM 990, PART VI, LINE 11BTHE RETURN WAS REVIEWED BY THE ORGANIZATION'S MANAGEMENT AS WELL AS BY THE MANAGEMENT OF SAINT VINCNETS CATHOLIC MEDICAL CENTER, THE SOLE CORPORATE MEMBER OF ST. JERSOME'S HEALTH SERVICES.
COMPENSATION PROCESSFORM 990, PART VI, LINE 15ATHE SVCMC BOARD'S COMPENSATION COMMITTEE HAS JURISDICTION OVER EXECUTIVE COMPENSATION. AT THEIR DIRECTION, THE ORGANIZATION HAS RETAINED AND UTILIZED THE SERVICES OF A NUMBER OF THIRD PARTY COMPENSATION CONSULTANTS TO ESTABLISH MARKET NORMS, AND TO PERIODICALLY CONDUCT INTERMEDIATE SANCTIONS REVIEWS TO ESTABLISH THE REASONABLENESS OF COMPENSATION. THIS REVIEW COVERS THE CEO, COO, CFO, SVP/CHIEF ADMINISTRATIVE OFFICER, SVP FOR BEHAVIORAL HEALTH, SVP FOR CONTINUING CARE, SVP FOR DEVELOPMENT, SVP/INFORMATION OFFICER, VP FOR SUPPLY CHAIN MANAGEMENT, AND VP OF FINANCE IN BOTH BEHAVIORAL HEALTH AND CONTINUING CARE, CHIEF COMPLIANCE OFFICER, SVP FOR HUMAN RESOURCES AND CHIEF NURSING OFFICER. EACH TIME A NEW VICE PRESIDENT, SENIOR VICE PRESIDENT, OR CHIEF EXECUTIVE OFFICER IS HIRED, OUR CONSULTANTS ADVISE US AS TO MARKET. THE COMPENSATION COMMITTEE REQUIRES US TO SEEK THEIR AUTHORIZATION IF WE WISH TO APPOINT A NEW EXECUTIVE ABOVE THE 75TH PERCENTILE. THIS SAME PROCESS OCCURS WHEN AN INCUMBENT EXECUTIVE IS TO RECEIVE A SALARY ADJUSTMENT. IT SHOULD BE EMPHASIZED THAT OUR OUTSIDE CONSULTANTS RELY ON, OR OTHERWISE DEVELOP, RELEVANT EXTERNAL DATA FOR NEW YORK CITY NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS. THIS DATA IS ADJUSTED FOR SIZE AND SCOPE OF RESPONSIBILITY.
GOVERNING DOCUMENTSFORM 990, PART VI, LINE 19THE FACILITY HAS ANNUAL FINANCIAL STATEMENTS WHICH ARE DISTRIBUTED TO THE BOARD MEMBERS AND CERTAIN DONORS, STAFF AND ASSOCIATES OF THE NURSING HOME. THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST TO THE PUBLIC.
PART VI, SECTION A, LINE 3HOLY FAMILY HOME OBTAINS CERTAIN MANAGEMENT AND OTHER SUPPORT SERVICES FROM ITS SOLE CORPORATE MEMBER, SAINT VINCENTS CATHOLIC MEDICAL CENTER.
PART VI, SECTION A, LINE 6SAINT VINCENTS CATHOLIC MEDICAL CENTER IS THE SOLE CORPORATE MEMBER OF HOLY FAMILY HOME.
FORM 990, PART III, LINE 3ON APRIL 14, 2010, SAINT VINCENTS CATHOLIC MEDICAL CENTER AND SUBSTANTIALLY ALL OF ITS SUBSIDIARIES, INCLUDING HOLY FAMILY HOME, FILED VOLUNTARY PETITIONS SEEKING BANKRUPTCY PROTECTION UNDER CHAPTER 11 OF THE U.S. BANKRUPTCY CODE. THE FACILITY CONTINUES TO OPERATE ITS BUSINESS AS DEBTOR-IN-POSSESSION UNDER THE JURISDICTION OF THE BANKRUPTCY COURT. IN GENERAL, DEBTORS-IN-POSSESSION ARE AUTHORIZED UNDER CHAPTER 11 TO CONTINUE TO OPERATE AS AN ONGOING BUSINESS, BUT MAY NOT ENGAGE IN TRANSACTIONS OUTSIDE THE ORDINARY COURSE OF BUSINESS WITHOUT THE PRIOR APPROVAL OF THE BANKRUPTCY COURT.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ST VINCENT CATHOLIC MEDICAL CENTER OF NY
450 WEST 33RD STREETNEW YORKNY10001134077996HOSPITALNY501(C)(3)9NAfalse
ST ELIZABETH ANN'S HEALTHCARE & REHAB
450 WEST 33RD STREETNEW YORKNY10001133603599NURSINGNY501(C)(3)9SVCMCfalse
BISHOP MUGAVERO CTR FOR GERIATRIC CARE
450 WEST 33RD STREETNEW YORKNY10001113097213NURSINGNY503(C)(3)9SVCMCfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg