2012-12-06T07:45:46-06:00 2011-12-31 WITHUMSMITHBROWNPC 331 NEWMAN SPRINGS RD STE 125 RED BANK NJ 077016765 990 2011-01-01 112948924 ST JEROME'S HEALTH SERVICES % STEVEN KORF CFO STJE 2123564000 450 WEST 33RD STREET NEW YORK NY 10001 STEVEN KORF 2012-11-14 true MICHAEL A SERLUCO CPA 7328423113 2011 2016-02-24 21:20:13Z X HOLY FAMILY HOME STEVEN KORF 450 WEST 33RD STREET NEW YORK NY 10001 18939475 false X www.svcmcny.org X 1977 NY Holy 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. 6 6 290 30 0 0 0 16381563 18819747 6459 3897 6637 115831 16394659 18939475 0 0 0 0 13767025 13552225 0 0 0 8174546 8515147 21941571 22067372 -5546912 -3127897 9850829 6393920 13912434 13583422 -4061605 -7189502 X HOLY 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. false false 19201778 18819747 Provided 66,016 days of care to patients needing skilled nursing and/or rehabilitation services. 19201778 true false false false false false false false false false true false false true true true true false false false false false false false false false false false false true false false false false false false false false false false false false false true false false false false true 48 0 true 290 true false false false false false false false false false false false false X 6 6 false true false false true false false true false false false true true true true true true true false NY X STEVEN KORF CFO 2123564000 450 WEST 33RD STREET NEW YORK NY 10001 JACK A DESANTIS JR 1.0 X 0 0 0 MARGARET O'BRIEN SC 1.0 X 0 0 0 REV JOSEPH M SULLIVAN 1.0 X 0 0 0 MARY ANN DALY SC 1.0 X 0 0 0 CARLO DEREGE 1.0 X 0 0 0 KEVIN SHEA 1.0 X 0 0 0 LUCILLE BUDDENSICK 9.0 X 0 4712 1108 RICHARD MATO 9.0 X 0 214500 266 JOSEPH HIRSH 35.0 X 110769 0 0 VERDEN V BROWN 35.0 X 118409 0 7837 RIDZA BLEMUR 35.0 X 104033 0 27967 333211 219212 37178 3 false true false SODEXO OPERATIONS LLC PO BOX 81049 WOBURN MA 018131049 FOOD SERVICE 1095926 ISAAC GROUP LLC 139 FULTON STREET SUITE 502 NEW YORK NY 10038 STAFFING 242369 RESTORATIVE CARE PHYSICAL PO BOX 50355 STATEN ISLAND NY 10305 REHAB SERVICES 162455 ROSARIO MANGO INT'L STAFFING 591 SUMMIT AVENUE JERSEY CITY NJ 07306 STAFFING 213995 THERAPEUTIC RESOURCES INC 2409 AVENUE K BROOKLYN NY 11210 PATIENT REBAB. SVCS. 132412 5 0 NET RESIDENT SERVICE REVENUE 623000 18819747 18819747 18819747 3897 3897 0 0 0 0 0 0 TELEVISION RENTALS 900099 120 120 MISCELLANEOUS REVENUE 900099 4114 4114 REBATES AND REFUNDS 900099 111597 111597 115831 18939475 18819747 119728 0 0 0 0 110769 110769 0 9805437 8599407 1206030 549095 481558 67537 2416128 2118954 297174 670796 588291 82505 1556049 1364661 191388 150 132 18 161483 141621 19862 0 0 0 1297761 1138142 159619 400 400 60446 60446 0 0 593685 520664 73021 1383 1383 0 2641 2641 664 664 0 450127 394763 55364 193404 169616 23788 DIETARY FOOD 452846 397148 55698 DRUGS & PHARMACEUTICALS 535318 469476 65842 OTHER GOODS, SVCS & BAD DEBTS 2300267 2017343 282924 PURCHASED & CONTRACTED SVCS 670025 587615 82410 238498 209746 28752 22067372 19201778 2865594 0 3701251 1031995 0 0 0 0 2927746 2116669 0 0 0 0 0 0 0 0 115464 91760 12737351 10202705 2984773 2534646 0 0 0 0 0 0 0 0 121595 618850 9850829 6393920 928114 1072591 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12984320 12510831 13912434 13583422 X -4061605 -7189502 0 0 0 0 -4061605 -7189502 9850829 6393920 -3127897 X false true true X false X 1711 1711 18442645 19174239 17561493 16381563 18819747 90379687 18444356 19174239 17561493 16381563 18819747 90381398 90381398 -2562 195782 37226 6459 3897 240802 -2562 195782 37226 6459 3897 240802 470892 426386 20746 6637 115831 1040492 18912686 19796407 17619465 16394659 18939475 91662692 0.98602 0.98560 0.00263 0.00379 X TELEPHONE AND TV RENTALS, REBATE AND REFUNDS, AND MISCELLANEOUS REVENUE TOTALED $115,831 FOR 2011. 359586 359586 7057146 5591258 1465888 5320619 4611447 709172 2534646 RESIDENTS TRUST FUNDS - CASH 121700 MALPRACTICE INSURANCE CLAIMS 497150 618850 0 EST PAYABLE TO THIRD-PARTY PAY 3166519 RESIDENTS' TRUST FUNDS 121700 LIABILITIES SUBJECT TO COMPROM 1688622 DUE TO AFFILIATES, NET 7036840 OTHER LIABILITIES 497150 12510831 18939475 22067372 -3127897 -3127897 18939475 18939475 18939475 22067372 22067372 22067372 FIN 48 DISCLOSURE SCHEDULE 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. X X X X false false false false false false false false false RICHARD MATO 0 214500 0 0 0 0 0 0 0 266 0 214766 0 0 CONFLICT OF INTEREST POLICY FORM 990, PART VI, LINE 12C SAINT 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 990 FORM 990, PART VI, LINE 11B THE 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 PROCESS FORM 990, PART VI, LINE 15A THE 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 DOCUMENTS FORM 990, PART VI, LINE 19 THE 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 3 HOLY FAMILY HOME OBTAINS CERTAIN MANAGEMENT AND OTHER SUPPORT SERVICES FROM ITS SOLE CORPORATE MEMBER, SAINT VINCENTS CATHOLIC MEDICAL CENTER. PART VI, SECTION A, LINE 6 SAINT VINCENTS CATHOLIC MEDICAL CENTER IS THE SOLE CORPORATE MEMBER OF HOLY FAMILY HOME. FORM 990, PART III, LINE 3 ON 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. ST VINCENT CATHOLIC MEDICAL CENTER OF NY 450 WEST 33RD STREET NEW YORK NY 10001 134077996 HOSPITAL NY 501(C)(3) 9 NA false ST ELIZABETH ANN'S HEALTHCARE & REHAB 450 WEST 33RD STREET NEW YORK NY 10001 133603599 NURSING NY 501(C)(3) 9 SVCMC false BISHOP MUGAVERO CTR FOR GERIATRIC CARE 450 WEST 33RD STREET NEW YORK NY 10001 113097213 NURSING NY 503(C)(3) 9 SVCMC false false false false false false false false false false false false true false false true false false false