2011-11-09T08:18:39-06:00 2010-12-31 WITHUMSMITHBROWN 331 NEWMAN SPRINGS RD STE 125 RED BANK NJ 077016765 990 2010-01-01 113097213 Bishop Mugavero Center for Geriatric Care BISH 7188762018 155 DEAN STREET BROOKLYN NY 11217 STEVEN KORF 2011-11-07 true MICHAEL A SERLUCO CPA 7328423113 2010 2016-02-24 21:20:13Z STEVEN KORF 450 WEST 33RD STREET NEW YORK NY 10001 25695196 false X www.svcmcny.org X 1995 NY BISHOP MUGAVERO FOR GERIATRIC CARE, INC. IS A 288 BED FACILITY THAT PROVIDES SKILLED NURSING AND REHABILITATION SERVICES TO PATIENTS. 6 6 390 18 0 0 10173 5710 27030885 25625182 45630 29397 81811 34907 27168499 25695196 0 0 0 0 17888434 18535045 0 0 0 11294002 10774649 29182436 29309694 -2013937 -3614498 31621409 35255022 33348194 33404321 -1726785 1850701 X THE ORGANIZATION'S MISSION IS TO BE 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. false false 25939268 0 25625182 288 BED SKILLED NURSING HOME FACILITY OFFERING EACH RESIDENT AN ARRAY OF SERVICES INCLUDING ON SITE DENTAL, RADIOLOGY, REHABILIATION, THERAPY, SOCIAL SERVICES, PASTORAL CARE AND AN ON SITE BEAUTY PARLOR. SUBACUTE SERVICES INCLUDE WOUND CARE, IV THERAPY, AND ACTIVITY PROGRAMS. ALL RESIDENTS ARE OVERSEEN BY AN INTERDISCIPLINARY TEAM TO ENSURE THE HIGHEST QUALITY OF CARE. 25939268 true false false true 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 17 0 true 390 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 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 MARY ANN DALY SC 1.0 X 0 0 0 KEVIN SHEA 1.0 X 0 0 0 REV JOSEPH M SULLIVAN 1.0 X 0 0 0 CARLO DEREGE 1.0 X 0 0 0 LUCILLE BUDDENSICK 13.0 X 0 203335 6415 PAUL ROSENFELD 6.0 X 0 75136 28 DANUTA BENDICK 35.0 X 110927 0 574 DONNA BRITT 35.0 X 113793 0 6528 ROBERT DEVITO 35.0 X 105212 0 225 JOSEPH BLOSS 6.0 X 0 304249 8935 RICHARD MATO 13.0 X 0 185385 28 329932 768105 22733 3 false true false SODEXO OPERATIONS LLC PO BOX 360170 PITTSBURGH PA 15251 FOOD SERVICE 1832813 OMNICARE INC PO BOX 631285 CINCINNATI OH 45263 PHARMACY 390166 ADVANTIS HEALTHCARE SOLUTIONS PO BOX 1337 HOUSTON TX 77251 AGENCY NURSES 286791 UNITEX TEXTILE RENTAL SERVICE 161 SO MACQUESTENT PKWY MT VERNON NY 10550 LAUNDRY 207713 HEALTH PRO MGMT SERVICES 10600 YORK ROAD SUITE 105 COCKEYSVILLE MD 21030 AGENCY NURSES 165484 6 5710 5710 NET RESIDENT SERVICE REVENUE 25625182 25625182 25625182 29397 0 29397 0 0 0 0 0 0 MISCELLANEOUS REVENUE 900099 15630 15630 RECOVERY OF BAD DEBTS 900099 19277 19277 34907 25695196 25625182 0 64304 0 0 0 0 0 0 13624599 12109194 1515405 0 236164 210186 25978 3339792 2972415 367377 1334490 1187696 146794 0 94609 94609 0 14197 14197 0 0 1319409 935687 383722 0 26786 18482 8304 0 0 1598888 1327088 271800 3204 320 2884 0 5756 4432 1324 1370920 1343502 27418 0 1049602 1028610 20992 292765 292765 MEDICAL SUPPLIES 628525 628525 DRUGS & PHARMACY 517732 517732 DIETARY FOOD SUPPLIES 1551366 1551366 CLEANING SUPPLIES 407855 281420 126435 BAD DEBT 1557719 1557719 335316 264894 70422 29309694 25939268 3370426 0 3026950 4719310 12185201 12649763 5336224 3993490 509882 177455 34458515 25759572 9701569 8698943 861583 5016061 31621409 35255022 2507869 1243917 20032093 19260180 10808232 12900224 33348194 33404321 X -1726785 1850701 -1726785 1850701 31621409 35255022 X -3614498 7191984 X false true true X true true X 8894 677 100000 10173 5710 125454 28281902 27184527 27900202 27168499 25695196 136230326 28290796 27185204 28000202 27178672 25700906 136355780 136355780 133157 169551 103811 45630 29397 481546 133157 169551 103811 45630 29397 481546 86427 231280 2650 81811 34907 437075 28510380 27586035 28106663 27306113 25765210 137274401 0.99331 0.99300 0.00351 0.00370 X PART III, LINE 12 IN THE YEAR 2010, $34,907 REPRESENTS $19,277 OF RECOVERY OF BAD DEBTS AND THE BALANCE OF $15,630 IN MISCELLANEOUS REVENUE. false false false false false false false false true 14197 14197 false false OTHER ACTIVITIES SCHEDULE C, PART II-B, LINE 1i - COSTS ARE INCURRED AS PART OF DUES PAID TO NURSING HOME INDUSTRY ORGANIZATIONS. 1809800 1809800 26901742 20409762 6491980 837885 837885 0 4906292 4511925 394367 2796 0 2796 8698943 RESIDENTS' TRUST FUNDS 191608 DUE FROM AFFILIATES 4824453 5016061 0 SUBVENTION CERTIFICATES 5816315 DUE TO AFFILIATES, NET 1243992 EST PAYABLE TO 3RD PARTY PAYORS 5648309 RESIDENTS' TRUST FUND 191608 12900224 25695196 29309694 -3614498 7191984 7191984 3577486 25695196 25695196 25695196 29309694 29309694 29309694 OTHER CHANGES IN NET ASSETS SCHEDULE D, PART XI, LINE 8 OTHER CHANGES IN NET ASSETS ARE COMPRISED OF: RESTRUCTURING COSTS: ($2,215,538) CHANGE IN RESERVE FOR AMOUNTS DUE FROM AFFILIATES, NET: $9,407,522 -------------- TOTAL OTHER CHANGES IN NET ASSETS $7,191,984 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 STATEMENTS 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. EST PAYABLE TO 3RD PARTY PAYORS SCHEDULE D, PART X - ESTIMATED PAYABLE TO 3RD PARTY PAYORS IT IS THE NURSING HOME'S POLICY TO ESTIMATE AMOUNTS DUE TO 3RD PARTY PAYORS WHICH INCLUDES ALLOWANCES FOR CERTAIN PHYSICIAN, MEDICARE, AND MEDICAID BILLINGS. X X X X false false false false false false false false false LUCILLE BUDDENSICK 0 203335 0 0 0 0 0 0 0 6415 0 209750 0 0 JOSEPH BLOSS 0 304249 0 0 0 0 0 0 0 8935 0 313184 0 0 RICHARD MATO 0 185385 0 0 0 0 0 0 0 28 0 185413 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 BISHOP MUGAVERO CENTER FOR GERIATRIC CARE, 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. 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. PROCESS USED TO REVIEW FORM 990 FORM 990, PART VI, LINE 11b - ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 BISHOP MUGAVERO CENTER FOR GERIATRIC CARE, 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. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 OTHER CHANGES IN NET ASSETS COMPRISE OF: RESTRUCTURING COSTS: ($2,215,538) CHANGE IN RESERVE FOR AMOUNTS DUE FROM AFFILIATES, NET: $9,407,522 -------------- TOTAL OTHER CHANGES IN NET ASSETS $7,191,984 PART VI, SECTION A, LINE 3 BISHOP MUGAVERO CENTER FOR GERIATRIC CARE 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 BISHOP MUGAVERO CENTER FOR GERIATRIC CARE. FORM 990, PART III, LINE 3 ON APRIL 14, 2010, SAINT VINCENTS CATHOLIC MEDICAL CENTER AND SUBSTANTIALLY ALL OF ITS SUBSIDIARIES, INCLUDING BISHOP MUGAVERO CENTER FOR GERIATRIC CARE, 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 10010 134077996 HOSPITAL NY 501(C)3 9 NA ST ELIZABETH ANN'S HEALTHCARE & REHAB 91 TOMPKINS AVENUE STATEN ISLAND NY 10304 133603599 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 false false false false false false false false false false false true false false true false false false