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ST JEROME'S HEALTH SERVICES: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ST JEROME'S HEALTH SERVICES (EIN 11-2948924)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-09
IRS object ID
201133139349300403
Schema version
2010v3.4
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)
Timestamp2011-11-09T08:18:40-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WITHUMSMITHBROWNBusinessNameLine1

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 Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN112948924EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Jerome's Health ServicesBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTJENameControl
Phone7188762018Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11740 84th StreetAddressLine1
CityBrooklynCity
StateNYState
ZIP Code11214ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTEVEN KORFName
TitleCHIEF FINACIAL OFFICERTitle
Date Signed2011-11-07DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMICHAEL A SERLUCO CPAName
Phone7328423113Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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 Receipts16394659GrossReceipts
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 Employees314TotalNbrEmployees
Total Nbr Volunteers30TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year17561493ProgramServiceRevenuePriorYear
Program Service Revenue CY16381563ProgramServiceRevenueCY
Investment Income Prior Year37226InvestmentIncomePriorYear
Investment Income Current Year6459InvestmentIncomeCurrentYear
Other Revenue Prior Year20746OtherRevenuePriorYear
Other Revenue Current Year6637OtherRevenueCurrentYear
Total Revenue Prior Year17619465TotalRevenuePriorYear
Total Revenue Current Year16394659TotalRevenueCurrentYear
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 Year14549638SalariesEtcPriorYear
Salaries Etc Current Year13767025SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5976841OtherExpensePriorYear
Other Expenses Current Year8174546OtherExpensesCurrentYear
Total Expenses Prior Year20526479TotalExpensesPriorYear
Total Expenses Current Year21941571TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2907014RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-5546912RevenuesLessExpensesCY
Total Assets BOY11328642TotalAssetsBOY
Total Assets EOY9850829TotalAssetsEOY
Total Liabilities BOY8445154TotalLiabilitiesBOY
Total Liabilities EOY13912434TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2883488NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-4061605NetAssetsOrFundBalancesEOY
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
Expense18969053Expense
Grants0Grants
Revenue16381563Revenue
DescriptionProvided 69,658 days of care to patients needing skilled nursing and/or rehabilitation services.Description
Total Program Service Expense18969053TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
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 AssetsfalseReportOtherAssets
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 With109632NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees314NumberOfEmployees
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 BodytrueForm990ProvidedToGoverningBody
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 PersonRICHARD MATONamePerson
Telephone Number7188762018TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line191 TOMPKINS AVENUEAddressLine1
CitySTATEN ISLANDCity
StateNYState
ZIP Code10304ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest 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
PAUL ROSENFELD
EXECUTIVE DIRECTOR4.007513628X
LUCILLE BUDDENSICK
VP NURSING HOME OPERATIONS9.002033356415X
VERDEN V BROWNE
DIRECTOR OF NURSING SERVICES35.010730804323X
JOSEPH BLOSS
VP FINANCE FOR CONTINUING CARE4.003042498935X
RICHARD MATO
DIRECTOR OF FINANCE9.0018538528X
FieldValueIRS element (for citing)
Total Reportable Comp From Org107308TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs768105TotalReportableCompFrmRltdOrgs
Total Other Compensation19729TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SODEXO OPERATIONS LLC
PO BOX 81049WOBURNMA018131049FOOD SERVICE504386
ISAAC GROUP LLC
139 FULTON STREET SUITE 502NEW YORKNY10038STAFFING216500
HEALTH PRO
10600 YORK ROADCOCKEYSVILLEMD21030REHAB SERVICES175012
ROSARIO MANGO INT'L STAFFING
591 SUMMIT AVENUEJERSEY CITYNJ07306STAFFING148608
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET RESIDENT SERVICE REVENUEDescription
Total Revenue Column16381563TotalRevenueColumn
Related Or Exempt Function Income16381563RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue16381563TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6459TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$6,459ExclusionAmount

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 RENTALS9000991587$1,587
VENDING MACHINES9000991407$1,407
MISCELLANEOUS REVENUE9000993643$3,643
FieldValueIRS element (for citing)
Total Other Revenue6637TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16394659TotalRevenueColumn
Related Or Exempt Function Income16381563RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$13,096ExclusionAmount

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)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10284927Total
Program Services8933626ProgramServices
Management And General1351301ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total521462Total
Program Services449279ProgramServices
Management And General72183ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2265894Total
Program Services1952239ProgramServices
Management And General313655ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total694742Total
Program Services598573ProgramServices
Management And General96169ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1154499Total
Program Services994688ProgramServices
Management And General159811ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1800Total
Management And General1800ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total1129Total
Management And General1129ManagementAndGeneral

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)
Total233375Total
Program Services201070ProgramServices
Management And General32305ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total52993Total
Management And General52993ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total540803Total
Program Services465943ProgramServices
Management And General74860ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total8915Total
Management And General8915ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total664Total
Program Services572ProgramServices
Management And General92ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total520326Total
Program Services448300ProgramServices
Management And General72026ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total228448Total
Program Services196825ProgramServices
Management And General31623ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
DIETARY FOOD426614426614
OTHER GOODS & SVCS & BAD DEBTS14351501236490198660
DRUGS & PHARMACEUTICALS444570444570
PURCHASED & CONTRACTED SVCS816244703256112988
MEDICAID FEES17366121522897213715

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total572404Total
Program Services394111ProgramServices
Management And General178293ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total21941571Total
Program Services18969053ProgramServices
Management And General2972518ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1632452BOY
EOY3701251EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3694580BOY
EOY2927746EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY180561BOY
EOY115464EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis12737351LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec9752578LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3382330BOY
EOY2984773EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2438719BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY121595EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11328642BOY
EOY9850829EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2297925BOY
EOY928114EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6147229BOY
EOY12984320EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY8445154BOY
EOY13912434EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2831024BOY
EOY-4061605EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY52464BOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2883488BOY
EOY-4061605EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11328642BOY
EOY9850829EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-5546912ReconcilationRevenueExpenses
Reconcilation Other Changes-1398181ReconcilationOtherChanges
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 Years598CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1711CurrentTaxYearMinus3Years
Total2309Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18289607CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18442645CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19174239CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17561493CurrentTaxYearMinus1Year
Current Tax Year16381563CurrentTaxYear
Total89849547Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18290205CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18444356CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19174239CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17561493CurrentTaxYearMinus1Year
Current Tax Year16381563CurrentTaxYear
Total89851856Total
FieldValueIRS element (for citing)
Public Support Total50989851856PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years108415CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years-2562CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years195782CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year37226CurrentTaxYearMinus1Year
Current Tax Year6459CurrentTaxYear
Total345320Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years108415CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years-2562CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years195782CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year37226CurrentTaxYearMinus1Year
Current Tax Year6459CurrentTaxYear
Total345320Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years42645CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years470892CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years426386CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20746CurrentTaxYearMinus1Year
Current Tax Year6637CurrentTaxYear
Total967306Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18441265CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18912686CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19796407CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17619465CurrentTaxYearMinus1Year
Current Tax Year16394659CurrentTaxYear
Total91164482Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98560PublicSupportPercentage509
Prior Year Support Percentage0.99560PriorYearSupportPercentage
Investment Income Percentage0.00379InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00440PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationPART II, LINE 12 TV RENTALS, VENDING MACHINE COMMISSIONS, AND MISCELLANEOUS REVENUE TOTAL $6,637 FOR 2010.GeneralExplanation

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$1,129OtherActivitiesAmount
Total Lobbying Expenditures IIB1129TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYINGIdentifier
ExplanationPART II-B LINE i LOBBYING COSTS OF $1,129 REPRESENTS INDIRECT LOBBYING COSTS ALLOCATED TO THE NURSING HOME AS PART OF THE ANNUAL DUES PAID TO NYASHA IN 2010.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7057146OtherCostOrOtherBasis
Depreciation5293971Depreciation
Book Value1763175BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5320619OtherCostOrOtherBasis
Depreciation4458607Depreciation
Book Value862012BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings2984773TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
EST PAYABLE TO THIRD-PARTY PAYORS$4,660,525
RESIDENTS' TRUST FUNDS$121,595
LIABILITIES SUBJECT TO COMPROMISE$1,720,863
DUE TO AFFILIATES, NET$6,481,337
FieldValueIRS element (for citing)
Total Of Amounts12984320TotalOfAmounts
Total Revenue16394659TotalRevenue
Total Expenses21941571TotalExpenses
Excess Or Deficit For Year-5546912ExcessOrDeficitForYear
Other-$1,398,181OtherAmount
Total Adjustments-1398181TotalAdjustments
Excess Or Deficit Per FS-6945093ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt16394659TotRevenueEtcAuditedFinclStmt
Revenue Subtotal16394659RevenueSubtotal
Total Revenue Per Form99016394659TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt21941571TotExpensesEtcAuditedFinclStmt
Expenses Subtotal21941571ExpensesSubtotal
Total Expenses Per Form99021941571TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierExplanationExplanation
OTHER CHANGESPART XI, LINE 8 OTHER CHANGES INCLUDE RESTRUCTURING COSTS OF ($1,543,910) AND CHANGES IN RESERVE AMOUNTS DUE FROM AFFILIATES OF $145,729.
INVESTMENT INCOME
FIN 48 DISCLOSURESCHEDULE 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 THAN LIKELY THAN NOT THRESHOLDS. THE INFORMATIONAL RETURNS FOR THE YEARS 2007 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. THERE IS NO TAX RELATED INTEREST OR PENALTIES IN THE FINANCIAL STATEMENTS.

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 (3 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
LUCILLE BUDDENSICK
020333500000006415020975000
JOSEPH BLOSS
030424900000008935031318400
RICHARD MATO
0185385000000028018541300

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanation
CONFLICT OF INTEREST POLICYFORM 990, PART VI, LINE 12C - ENFORCEMENT OF CONFLICTS POLICY 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 990FORM 990, PART VI, LINE 11b - ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 HOLY FAMILY HOME, THROUGH THE SVCMC AUDIT COMMITTEE, IMPLEMENTED A SCHEDULE TO ENSURE TIMELY PREPARATION AND DISTRIBUTION OF THE IRS FORM 990 TO ALL MEMBERS OF THE BOARD OF DIRECTORS. WE SUPPLIED ALL BOARD MEMBERS WITH A COPY OF THE 2010 FORM 990 PRIOR TO FILING.
COMPENSATION PROCESSFORM 990, PART VI, LINE 15A - COMPENSATION PROCESS FOR TOP OFFICIAL 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 DOCUMENTSFORM 990, PART VI, LINE 19 - GOVERNING DOCUMENTS 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.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5 OTHER CHANGES IN NET ASSETS ARE COMPRISED OF: RESTRUCTURING COSTS ($1,543,910) CHANGE IN RESERVE AMOUNTS DUE FROM AFFILIATES $145,729 ------------- TOTAL OTHER CHANGES IN NET ASSETS ($1,398,181)
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/BusinessNameLine1
ST VINCENT CATHOLIC MEDICAL CENTER OF NY
450 WEST 33RD STREETNEW YORKNY10001134077996HOSPITALNY501(C)39NA
BISHOP MUGAVERO CTR FOR GERIATRIC CARE
91 TOMPKINS AVENUESTATEN ISLANDNY10304113097213NURSINGNY501(C)39SVCMC
ST ELIZABETH ANN'S HEALTHCARE & REHAB
91 TOMPKINS AVENUESTATEN ISLANDNY10304133603599NURSINGNY501(C)39SVCMC
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