2011-11-09T08:18:40-06:00 2010-12-31 WITHUMSMITHBROWN 331 NEWMAN SPRINGS RD STE 125 RED BANK NJ 077016765 990 2010-01-01 133603599 SISTERS OF CHARITY HEALTH CARE SYSTEM NURSING HOME INC SIST 7188764456 91 TOMPKINS AVENUE STATEN ISLAND NY 103042601 STEVEN KORF 2011-11-07 true MICHAEL A SERLUCO CPA 7328423113 2010 2016-03-07 17:11:31Z ST ELIZABETH ANN'S HEALTHCARE STEVEN KORF 450 WEST 33RD STREET NEW YORK NY 10001 53021746 false X WWW.SVCMCNY.ORG X 1992 NY 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. 6 6 635 40 0 0 16505 13760 51058119 51501519 43693 39997 177046 44804 51295363 51600080 0 0 0 0 28824202 29112792 0 0 0 18355608 16067861 47179810 45180653 4115553 6419427 41208925 29033291 25492457 18751927 15716468 10281364 X REFLECTING GOD'S LOVE BY ADVANCING CHRISTS HEALING MINISTRY WITH RESPECT, INTEGRITY, COMPASSION, AND EXCELLENCE TO ALL WHO COME TO US IN NEED, ESPECIALLY THE POOR. false false 34970953 0 51501519 PROVIDE MEDICAL AND/OR PHYSICAL SERVICES TO GERIATRIC, AIDS, VENTILATION DEPENDENT AND NEUROBEHAVIORAL RESIDENTS IN 300 BED FACILITY. RESIDENT DAYS IN 2010 AMOUNTED TO 102,713. 34970953 true true false false false false false false false false true false false false 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 37 0 true 635 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 true true true true true true true true false NY X RICHARD MATO VP OF FINANCE 7188762018 91 TOMPKINS AVENUE STATEN ISLAND NY 10304 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 PAUL ROSENFELD 6.0 X 75136 0 28 LUCILLE BUDDENSICK 13.0 X 203335 0 6415 PATRICIA MCGRANN 37.5 X 185686 0 8678 JOSEPH BLOSS 6.0 X 304249 0 8935 NANETTE ALEXANDER-THOMAS 37.5 X 248134 0 15761 RICHARD MATO 13.0 X 185385 0 28 CHARLEEN CLARK 37.5 X 143100 0 11647 JENNY P GUO 37.5 X 142278 0 10680 1487303 0 62172 15 false true false SODEXO OPERATIONS LLC PO BOX 81049 WOBURN MA 018131049 FOOD SERVICE 4279280 MED WORLD PHARMACY PO BOX 631285 CINCINNATTI OH 452631285 PHARMACUETICAL 884476 BURNS INTERNATIONAL SECURITY 62 WILLIAM STREET 5TH NEW YORK NY 10005 SECURITY 497316 UNITEX TEXTILE RENTAL 161 MACQUESTRN PKW S MT VERNON NY 10550 LAUNDRY & LINEN 424579 BENDINER SCHLESINGER INC 140 58TH STREET 8D BROOKLYN NY 11220 LABORATORY 219658 19 13760 13760 NET RESIDENT SERVICE REVENUE 51501519 51501519 51501519 47752 0 47752 0 0 1413911 1421666 -7755 -7755 -7755 0 0 0 VENDOR DISCOUNTS 900099 25265 25265 ENERGY CURTAILMENT INCENTIVE 900099 8957 8957 FEE INCOME-ABSTRACT SUBPOE 900099 4547 4547 6035 6035 44804 51600080 51501519 0 84801 0 0 0 0 464157 464157 0 20742737 19211973 1530764 0 250521 226955 23566 6024552 5456241 568311 1630825 1477414 153411 0 20214 20214 64613 64613 0 0 0 4223168 3151410 1071758 12074 12074 878721 97574 781147 0 0 1803865 1244667 559198 4473 26 4447 0 19973 11456 8517 427807 427807 0 1317358 908977 408381 224996 224996 FOOD SERVICE CONTRACT 2864068 2864068 ALLOCATE CORPORATE EXPENSES 1254580 1254580 MEDICAL & SURGICAL SUPPLIES 861930 851896 10034 BAD DEBT EXPENSES 789854 789854 OTHER PURCHASED SERVICES 342793 137246 205547 957374 150684 806690 45180653 37835021 7345632 0 560683 308931 17500068 10334340 6278635 6534808 85716 242162 181213 339938 48529712 37458411 12054395 11071301 4548215 201811 41208925 29033291 4407244 2500427 11795000 0 9290213 16251500 25492457 18751927 X 15596720 10164563 119748 116801 15716468 10281364 41208925 29033291 X 6419427 -11854531 X false true true X false X 49713 9388 23491 16505 13760 112857 46618836 48045760 48391029 51058119 51501519 245615263 46668549 48055148 48414520 51074624 51515279 245728120 245728120 552512 662646 191772 81802 39997 1528729 552512 662646 191772 81802 39997 1528729 103698 568566 186671 177046 44804 1080785 47324759 49286360 48792963 51333472 51600080 248337634 0.98949 0.99120 0.00616 0.00719 X IN THE YEAR 2010, $44,804 REPRESENTS $25,265 VENDOR DISCOUNTS, $8,957 ENERGY CURTAILMENT INCENTIVE, $4,547 FEE INCOME AND $6,035 OF MISCELLANEOUS REVENUE. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2493920 2493920 21600024 19038081 2561943 7754274 5102529 2651745 15242819 13317801 1925018 1438675 0 1438675 11071301 0 EST PAYABLE TO 3RD PARTY PAYORS 164666 RESIDENTS' TRUST FUNDS 201811 LIABILITIES SUBJECT TO COMPROMISE 2431845 DUE TO AFFILIATES, NET 10923178 OTHER LT LIABILITIES 100000 MORTGAGE DUE TO AFFILIATE 2430000 16251500 51600080 45180653 6419427 -11586652 -11586652 -5167225 51600080 51600080 51600080 45180653 45180653 45180653 OTHER CHANGES IN NET ASSETS SCHEDULE D, PART XI, LINE 8 OTHER CHANGES IN NET ASSETS OF ($11,586,652) REPRESENT RESTRUCTURING COSTS OF ($3,733,219) AND A CHANGE IN THE RESERVE FOR AMOUNTS DUE FROM AFFILIATES, NET OF ($7,853,433). FIN 48 DISCLOSURE 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 STATEMENTS AS A RESULT OF APPLYING THE MORE 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. X X X X false false false false false false false false false LUCILLE BUDDENSICK 203335 0 0 0 0 0 0 0 6415 0 209750 0 0 0 PATRICIA MCGRANN 185686 0 0 0 0 0 0 0 8678 0 194364 0 0 0 JOSEPH BLOSS 304249 0 0 0 0 0 0 0 8935 0 313184 0 0 0 NANETTE ALEXANDER-THOMAS 248134 0 0 0 0 0 0 0 15761 0 263895 0 0 0 RICHARD MATO 185385 0 0 0 0 0 0 0 28 0 185413 0 0 0 CHARLEEN CLARK 143100 0 0 0 0 0 0 0 11647 0 154747 0 0 0 JENNY P GUO 142278 0 0 0 0 0 0 0 10680 0 152958 0 0 0 CONFLICT OF INTEREST POLICY FORM 990, PART VI, LINE 12C - ENFORCEMENT OF CONFLICTS POLICY SAINT VINCENTS CATHOLIC MEDICAL CENTERS (SVCMC) AND ITS AFFILIATED ORGANIZATIONS, INCLUDING ST. ELIZABETH ANN'S HEALTHCARE & REHABILITATION CENTER, 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 - ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 ST. ELIZABETH ANN'S HEALTHCARE & REHABILITATION CENTER, 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 PROCESS FORM 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 DOCUMENTS FORM 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 ASSETS FORM 990, PART XI, LINE 5 OTHER CHANGES IN NET ASSETS COMPRISE OF: PRIOR PERIOD ADJUSTMENT ($267,879) RESTRUCTURING COSTS ($3,733,219) CHANGE IN RESERVE FOR AMOUNTS DUE FROM AFFILIATES, NET ($7,853,433) --------------- TOTAL OTHER CHANGES IN NET ASSETS ($11,854,531) PART VI, SECTION A, LINE 3 ST. ELIZABETH ANN'S HEALTHCARE & REHABILITATION CENTER 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 ST. ELIZABETH ANN'S HEALTHCARE & REHABILITATION CENTER. FORM 990, PART III, LINE 3 ON APRIL 14, 2010, SAINT VINCENTS CATHOLIC MEDICAL CENTER AND SUBSTANTIALLY ALL OF ITS SUBSIDIARIES, INCLUDING ST. ELIZABETH ANN'S HEALTHCARE & REHABILITATION CENTER, 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 CTRS OF NY 450 WEST 33RD STREET NEW YORK NY 10001 134077996 HOSPITAL NY 501(C)3 9 NA BISHOP MUGAVERO CTR FOR GERIATRIC CARE 155 DEAN STREET BROOKLYN NY 11217 113097213 NURSING NY 501(C)3 9 SVCMC ST JEROME'S HEALTH SERVICES CORP 1740 84TH STREET BROOKLYN NY 11214 112948924 NURSING NY 501(C)3 9 SVCMC PAX CHRISTI HOSPICE CORP 170 WEST 33RD STREET NEW YORK NY 10011 133455797 HEALTHCARE NY 501(C)3 3 SVCMC false false false false false false false false false false false true false false true false false false