2018-11-06T09:38:52-06:00 2017-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2017-01-01 133591762 ST MARY'S CENTER INC STMA 2126655992 516 WEST 126TH STREET NEW YORK NY 10027 HOLLY ARGENT-TARIQ CHIEF EXECUTIVE OFFICER 2126655992 2018-11-05 1 AARON SHAPIRO P01333816 2128674000 64.22.227.161 2018-11-06 06:17:42 ES P 4275C7E7C8129915C35F764424C97B97C01C68F2 82FF71277CCFCE0526AA11C39E3CDADE20CEB2CB 2017 2019-02-21 02:37:17Z HOLLY ARGENT-TARIQ 516 WEST 126TH STREET NEW YORK NY 10027 8932980 0 X N/A X 1990 NY SEE SCHEDULE O.ST. MARY'S CENTER, INC. (CENTER) OPERATES A SPECIAL CARE NURSING FACILITY FOR ADULTS WHO TEST POSITIVE FOR THE HUMAN IMMUNODEFICIENCY VIRUS (HIV) AND ARE SYMPTOMATIC OR ARE DIAGNOSED AS HAVING CONTRACTED AQUIRED IMMUNE DEFICIENCY SYNDROME (AIDS). THE CENTER'S PRIMARY SOURCES OF REVENUES ARE PATIENT SERVICE FEES PAID BY MEDICAID. 9 9 52 9 0 0 2524 329814 9111918 8598320 42333 4427 79 419 9156854 8932980 0 0 0 0 4490369 4240762 0 0 0 4488747 4230313 8979116 8471075 177738 461905 9244485 11033405 1739268 3066283 7505217 7967122 X SEE SCHEDULE O.MISSION STATEMENT: THE MISSION OF THE CENTER, A NOT-FOR-PROFIT NURSING FACILITY LOCATED IN HARLEM, IS TO PROVIDE QUALITY HEALTHCARE, ADDICTION COUNSELING, ABSTINENCE SUPORT AND SOCIAL SERVICES TO PEOPLE LIVING WITH HIV/AIDS AND THEIR FAMILIES. OUR SERVICES ARE PROVIDED IN A CLEAN AND SAFE HOMELIKE ENVIRONMENT THAT IS FREE FROM ABUSE, NEGLECT AND MISTREATMENT. ALL SERVICES ARE GEARED TOWARD MAINTAINING THE RESIDENT'S DIGNITY AND RESPECT. WE EDUCATE, SUPPORT AND EMPOWER EACH RESIDENT AND THEIR SIGNIFICANT OTHERS WITH INFORMATION AND RESOURCES IMPROVING AND MAINTAINING THE HIGHEST POSSIBLE QUALITY OF LIFE WHILE LIVING WITH HIV/AIDS. WE STRIVE TO CONTINUOUSLY IMPROVE SERVICES THROUGH THE RECRUITMENT AND RETENTION OF COMPETENT, QUALIFIED AND CARING STAFF. WE MONITOR QUALITY OF CARE THROUGH OUR INTERDISCIPLINARY CONTINUOUS QUALITY IMPROVEMENT PROGRAM. 0 0 5152816 6315973 NURSING HOME SERVICES-ST. MARY'S CENTER INC. OPENED ITS DOORS IN AUGUST 1992 AS A 40 BED NURSING HOME FOR AIDS PATIENTS WHEN IT WAS LICENSED BY THE STATE DEPARTMENT OF HEALTH. SINCE THAT TIME WE HAVE CONSISTENTLY MAINTAINED A PATIENT CENSUS OF AT OR NEAR CAPACITY. YEAR ENDING 12/31/17 WE WERE AT 96%. IN 2016 WE WERE AT 95%. WE PROVIDE A FULL COMPLEMENT OF NURSING HOME RELATED SERVICES INCLUDING ROOM AND BOARD, MEDICAL, CLINICAL AND SOCIAL SERVICES. 1717606 2135772 ADULT-DAY HEALTH CARE- IN MAY 1997 WITH DOH APPROVAL, WE BECAME LICENSED TO OPEN A 50 PATIENT ADULT DAY TREATMENT CENTER FOR PEOPLE LIVING WITH HIV/AIDS. THE PROGRAM HAS THRIVED SINCE ITS OPENING BY PROVIDING A FULL SPECTRUM OF SUPPORT SERVICES FROM RECREATION TO PRIMARY CARE. THE PROGRAM HAS CONSISTENTLY MAINTAINED AN ANNUAL AVERAGE OF CLINIC VISITS RANGING FROM 11,000-16,000. YEAR ENDING 12/31/2017 CLINIC VISITS TOTALED 11,476 AND DURING 2016 CLINIC VISITS TOTALED 14,150. 146575 PRIMARY CARE/AMIDACARE-(FORMERLY VIDACARE) IN 2002 ST. MARY'S CENTER BECAME PART OF THIS SPECIAL NEEDS PLAN FOR PEOPLE LIVING WITH HIV/AIDS WHICH PROVIDES "ONE STOP SHOPPING" HIGH QUALITY HEALTH CARE. 6870422 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 17 0 52 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X XIOMARA LANTIGUA 2126655992 516 WEST 126TH STREET NEW YORK NY 10027 DIANE B POLLARD PRESIDENT 5.00 X X 0 0 0 GEORGE W GOODWILL VICE PRESIDENT 2.00 X X 0 0 0 REV GEORGE W BRANDT JR SECRETARY/ TREASURER 2.00 X X 0 0 0 NELL GIBSON BOARD MEMBER 2.00 X 0 0 0 PEARL HARRIS BOARD MEMBER 2.00 X 0 0 0 DR THERESA A MACK BOARD MEMBER 2.00 X 0 0 0 JUDY EDWARDS GREENE BOARD MEMBER 2.00 X 0 0 0 LINDA BANKS HAKIM BOARD MEMBER 2.00 X 0 0 0 ANITA LEE RPH MPH BOARD MEMBER 2.00 X 0 0 0 HOLLY ARGENT-TARIQ CHIEF EXECUTIVE OFFICER 35.00 X 214715 0 30524 XIOMARA LANTIGUA CHIEF FINANCIAL OFFICER 35.00 X 109710 0 25502 DR TEMITOPE ADEBAYO MEDICAL DIRECTOR 30.00 X 100694 0 37360 JOHN OKWODU CHIEF OPERATING OFFICER 35.00 X 103096 0 9575 PATRICIA OGILVIE PRIMARY CARE DR./ADHC 35.00 X 126116 0 21019 MS BIBI NIZAM NURSING DIRECTOR 35.00 X 125034 0 26080 BETTY HALLUMS DIRECTOR, HUMAN RESOURCES 35.00 X 112387 0 23166 891752 0 173226 7 0 1 0 ERIN CONSTRUCTION & DEVEL 121 LAKEVILLE ROAD NEW HYDE PARK NY 11040 LOTUS HW CLINIC CONSTRUCTION 954474 UNIDINE CORPORATION ONE GATEWAY CENTER SUITE 751 NEWTON MA 02458 DIETARY SERVICES 696377 WINFIELD SECURITY 57 WEST 38TH STREET NEW YORK NY 10018 SECURITY STAFFING 360954 BONDSCHOENECK & KING 22 CORPORATE WOODS SUITE 501 ALBANY NY 12211 LEGAL SERVICES 181767 PROMED PERSONNEL PO BOX 75343 CHICAGO IL 60675 STAFFING AGENCY 131767 6 327308 2506 329814 NURSING HOME SERVICES 623000 6315973 6315973 ADULT HEALTH CARE 621990 2135772 2135772 CLINICAL SERVICES 624100 146575 146575 8598320 4427 4427 MEDICAL RECORDS FEE 900099 377 377 CAFETERIA SALES 900099 42 42 419 8932980 8598320 0 4846 X 380451 380451 2796555 2446677 349878 248322 165262 83060 576664 401503 175161 238770 187172 51598 133488 133488 51504 51504 1902529 1727781 174748 50801 50801 457991 412095 45896 34478 32754 1724 106346 48779 57567 66546 63219 3327 21168 20110 1058 53671 49387 4284 460862 437819 23043 114896 108001 6895 HEALTH FACILITY ASSESSM 577682 577682 OTHER DIRECT EXPENSES 123398 117228 6170 MEDICAL SUPPLIES 74953 74953 8471075 6870422 1600653 0 305556 399108 2423736 2428068 327308 665567 783436 102796 136336 15521087 9791346 4590833 5729741 1155997 1229408 9244485 11033405 931099 1111357 12289 14690 573265 1705859 222615 234377 1739268 3066283 X 7505217 7967122 7505217 7967122 9244485 11033405 461905 0 X X 0 0 X 1 0 X 1907 3308 3292 2524 329814 340845 8993246 9316906 9409811 9111918 8598320 45430201 8995153 9320214 9413103 9114442 8928134 45771046 0 0 0 45771046 37049 31399 27107 37016 4427 136998 37049 31399 27107 37016 4427 136998 31256 267 3687 79 419 35708 9063458 9351880 9443897 9151537 8932980 45943752 0.99620 0.99400 0.00300 0.00360 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME MEDICAL RECORDS FEE REFUNDS 0 1 X 127000 127000 9550826 6491334 3059492 3281613 2445271 836342 2561648 854741 1706907 5729741 INVESTMENT IN PROPERTY 1229408 1229408 DUE TO THIRD PARTY PAYORS 234377 234377 X 8932980 0 8932980 0 8932980 8471075 0 8471075 0 8471075 PART IV, LINE 2B: PATIENT FUNDS ARE MAINTAINED SEPARATELY FROM OPERATING FUNDS. INTEREST EARNED ON PATIENT FUNDS IS CREDITED TO THE PATIENTS' ACCOUNTS. PART X, LINE 2: THE CENTER ADOPTED THE PROVISIONS PERTAINING TO UNCERTAIN TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2014 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. X 0 0 0 0 0 0 0 0 0 HOLLY ARGENT-TARIQ CHIEF EXECUTIVE OFFICER 214576 0 0 0 139 0 19324 0 11200 0 245239 0 0 0 MS BIBI NIZAM NURSING DIRECTOR 124950 0 0 0 84 0 11253 0 14827 0 151114 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE COMPLETED 990 IS REVIEWED BY THE SENIOR FINANCE STAFF. ANY COMMENTS ARISING FROM THE REVIEW ARE NOTED ON THE DRAFT. THAT DRAFT IS SUBMITTED TO THE AUDIT COMMITTEE FOR ITS REVIEW AND APPROVAL. ONCE THE AUDIT COMMITTEE HAS COMPLETED ITS REVIEW, COPIES OF THE APPROVED RETURN WILL BE PROVIDED TO ALL BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 12C CONFLICTS OF INTERESTS ARE COSISTENTLY ENFORCED. EVERY YEAR THE CONFLICT OF INTEREST FORM IS UPDATED AND CIRCULATED TO STAFF. ALL STAFF MUST DISCLOSE ON AN ANNUAL BASIS WHETHER THEY ARE AWARE OF ANY CONFLICTS. IF A CONFLICT WERE TO BE FOUND THE CONFLICTED PERSON WOULD BE RECUSED FROM MATTERS RELATING TO HIS/HER POSSIBLE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF THE CHIEF EXECUTIVE OFFICER AND CFO ARE REVIEWED AND APPROVED ANNUALLY BY THE BOARD OF DIRECTORS OF THE CENTER. PERIODICALLY, THE BOARD WILL ENGAGE AN INDEPENDENT COMPENSATION CONSULTANT TO DETERMINE THE APPROPRIATENESS OF THE COMPENSATION PACKAGES OFFERED TO THE EXECUTIVES OF THE CENTER. THIS PROCESS INCLUDES UTILIZATION OF A COMPARATIVE SALARY ANALYSIS WITH EXECUTIVES OF COMPARABLE ORGANIZATION. THIS PROCESS WAS LAST UNDERTAKEN IN 2013. FORM 990, PART VI, SECTION C, LINE 19 COPIES ARE PROVIDED UPON REQUEST. FORM 990, PART IX, LINE 11G AGENCY FEES AND SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 1,018,595. MANAGEMENT AND GENERAL EXPENSES 88,573. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,107,168. SPECIAL PROJECT CONSULTING: PROGRAM SERVICE EXPENSES 349,399. MANAGEMENT AND GENERAL EXPENSES 56,879. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 406,278. OTHER SERVICE: PROGRAM SERVICE EXPENSES 359,787. MANAGEMENT AND GENERAL EXPENSES 29,296. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 389,083. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THAT OF THE PRIOR YEAR.