2017-11-15T09:06:49-06:00 2016-12-31 390859910 Baker Tilly Virchow Krause LLP 1650 Market Street Suite 4500 Philadelphia PA 191037341 990 2016-01-01 132861611 St Joseph's Hospital Nursing Home of Yonkers NY Inc STJO 9143787000 127 South Broadway Yonkers NY 10701 Michael J Spicer President and CEO 9143787000 2017-11-13 1 Julius C Green CPA P00350393 2159720701 50.243.90.186 2017-11-13 08:41:29 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 D9079DD28A529C8CC17D76080D235F96F7AA2E40 2016 2021-01-29 14:40:06Z Michael J Spicer 127 South Broadway Yonkers NY 10701 24715616 0 X www.saintjosephs.org X 1972 NY provides skilled nursing care for residents not capable of independent living. 24 21 446 26 0 0 10014 262 26519670 21293078 55903 56574 3923197 3365702 30508784 24715616 0 0 0 0 17773992 14572458 0 0 0 21748001 12102795 39521993 26675253 -9013209 -1959637 7901510 9462343 20647914 24154060 -12746404 -14691717 X the mission of the organization is to operate a nursing home and to provide nursing home care for sick, invalid, infirm, disabled or convalescent persons of low income. 0 0 20465438 0 19669142 nursing facility: provides skilled nursing care for residents not capable of independent living. residents also receive convalescent and/or rehabilitative services at a level less intensive than that of skilled nursing care. there were 415 admissions resulting in 65,288 patient days. 352944 0 339209 long term health care: nursing services are provided to individuals who are capable of living by themselves but still need medical and personal attention on a routine basis. services include health aides and homemaker services. there were 8,152 visits/hours in 2016. 1336739 0 1284727 geriatric day care: residents living in the facilities who register in the nursing home geriatric day care program participate in various recreational, and therapeutic activities at a geriatric center. there were 10,826 visits for 2016. 0 0 355586 THE NURSING HOME ALSO PROVIDES SERVICES TO RELATED ORGANIZATIONS. THE TOTAL REVENUE FROM THIS IS $355,586. 0 0 355586 22155121 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 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 1 0 0 0 1 20 0 1 446 1 0 0 0 0 0 0 0 0 0 0 X 24 21 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X FRANK HAGAN CFO 9143787000 127 South Broadway Yonkers NY 10701 James J Landy Chairman 1.00 2.00 X X 0 0 0 Carl E Petrillo Vice Chairman 1.00 2.00 X X 0 0 0 John J Flynn III Treasurer 1.00 2.00 X X 0 0 0 Sister Margaret A Brick Secretary 1.00 2.00 X X 0 0 0 Michael J Spicer President & CEO 4.00 31.00 X X 0 923042 223340 Andrew J Balint Director 1.00 2.00 X 0 0 0 Ernestine Christmas Director 1.00 2.00 X 0 0 0 Joan P Cunningham Director 1.00 2.00 X 0 0 0 Barry M Davis Director 1.00 2.00 X 0 0 0 Sister Jane Iannucelli Director 1.00 2.00 X 0 0 0 Sister Miriam Kevin Phillips Director 1.00 2.00 X 0 0 0 Richard J Kilsheimer Director 1.00 2.00 X 0 0 0 Michael M McHugh Director 1.00 2.00 X 0 0 0 Michael M Minerva Director 1.00 2.00 X 0 0 0 Sister Rosemary Petrucelli Director 1.00 2.00 X 0 0 0 William T Regan Director 1.00 2.00 X 0 0 0 Leonard N Spano Director 1.00 2.00 X 0 0 0 Kevin M O'Callaghan Director 1.00 2.00 X 0 0 0 James J Veneruso Esq Director 1.00 2.00 X 0 0 0 Margaret Cusumano RN Director 8.00 27.00 X 0 225001 27578 Moira J Kiernan Director 1.00 2.00 X 0 0 0 Sister Sheila Brosnan Director 1.00 2.00 X 0 0 0 Mauricio Valdes MD Director 1.00 2.00 X 0 2840 0 Neil Pressman Director 1.00 2.00 X 0 0 0 SHAWYN PATTERSON HOWARD Director (Term 4/19/16) 1.00 2.00 X 0 0 0 Alfred Weissman Director (Term 3/25/16) 1.00 2.00 X 0 0 0 James Curcuruto Sr. VP of Finance (term 5/12/16) 7.00 28.00 X 0 231765 10000 Frank Hagan Sr. VP of Finance (begin 4/25/16) 7.00 28.00 X 0 283464 18385 Alexander Skutzka VICE PRESIDENT 35.00 X 157792 0 24503 Marissa Ragasa Morales STAFF RN 37.50 X 115796 0 27578 CELINAMMA KAITHARATH CHARGE NURSE 37.50 X 111383 0 27578 JASPREET KAUR NURSING COORDINATOR 37.50 X 107991 0 24503 ADELUISA EDANO ASSISTANT DIRECTOR 37.50 X 103291 0 27578 596253 1666112 411043 6 0 1 0 sodexo po box 905374 charlotte NC 28290 food service 1310940 BEST CARE PO BOX 9010 LEVITTOWN NY 11756 PERsonal care service 706981 FDR SERVICES 44 NEWMANS CT HEMPSTEAD NY 11550 personal care service 423966 THERADYNAMICS 225 CROSSWAYS PARK DRIVE WOODBURY NY 11797 PERSONAL CARE SERVICE 236898 FAMILY SERVICE SOCIETY OF NY PO BOX 437 yonkers NY 10703 personal care service 205762 5 262 262 nursing facility 623000 19669142 19669142 geriatric day care 621990 1284727 1284727 home health services 621610 339209 339209 21293078 56574 56574 70001 0 70001 70001 70001 patient food 624200 1583734 1583734 cafeteria sales 624200 776558 776558 laundry 624200 579794 579794 355615 355586 29 3295701 24715616 21648664 0 3066690 X 9454634 8049471 1405163 103294 87942 15352 4282435 3645973 636462 732095 623290 108805 122680 122680 26505 26505 4325518 3714486 611032 298252 253925 44327 530689 451817 78872 355 355 2918 2918 289265 289265 356911 356911 557608 557608 PURCH. HOSPITAL SVCS 2810490 2392790 417700 nys tax assessment 1204864 1025795 179069 Bad Debt Expense 834083 834083 Medical Supplies 578653 578653 164004 139630 24374 26675253 22155121 4520132 0 479282 130182 52038 2038 4245481 6339396 8487 0 61262 103033 19850773 17505772 2531437 2345001 32417 32820 491106 509873 7901510 9462343 3612387 4656458 89519 66474 3000000 4394082 13946008 15037046 20647914 24154060 X -12746404 -14691717 -12746404 -14691717 7901510 9462343 -1959637 14324 0 X 0 1 X 1 0 X 62782 59198 251840 10014 262 384096 37424963 36877015 30617981 26519670 21293078 152732707 37487745 36936213 30869821 26529684 21293340 153116803 0 0 0 153116803 154965 85137 80863 125900 126575 573440 154965 85137 80863 125900 126575 573440 4215872 4072977 4092212 3853200 3295701 19529962 41858582 41094327 35042896 30508784 24715616 173220205 0.88390 0.88920 0.00330 0.00290 X Schedule A, Part III, Line 12, Explanation of Other Income: cafeteria - 2012 Amount: $ 755,682. 2013 Amount: $ 784,253. 2014 Amount: $ 870,826. 2015 Amount: $ 770,045. 2016 Amount: $ 776,558. laundry linen - 2012 Amount: $ 926,224. 2013 Amount: $ 916,051. 2014 Amount: $ 819,797. 2015 Amount: $ 810,732. 2016 Amount: $ 579,794. patient food service - 2012 Amount: $ 2,232,836. 2013 Amount: $ 2,048,972. 2014 Amount: $ 1,988,932. 2015 Amount: $ 1,874,438. 2016 Amount: $ 1,583,734. physical therapy service - 2012 Amount: $ 261,976. 2013 Amount: $ 288,004. 2014 Amount: $ 364,775. 2015 Amount: $ 335,762. 2016 Amount: $ 0. occupational therapy - 2012 Amount: $ 34,122. 2013 Amount: $ 32,309. 2014 Amount: $ 41,263. 2015 Amount: $ 39,529. 2016 Amount: $ 0. telephone rental income - 2012 Amount: $ 1,847. 2013 Amount: $ 1,097. 2015 Amount: $ 557. 2016 Amount: $ 0. miscellaneous/other - 2012 Amount: $ 3,185. 2013 Amount: $ 2,291. 2014 Amount: $ 6,619. 2015 Amount: $ 22,137. 2016 Amount: $ 355,615. 0 1 X 330000 330000 5891127 5313690 577437 28504 24547 3957 13601142 12167535 1433607 2345001 self insurance fund 509873 509873 due to third party 2281267 ESTIMATED PROFESSIONAL LIABILITY 884997 DUE TO ST. JOSEPH'S HOSPITAL 6213451 PENSION WITHDRAWAL LIABILITY 5657331 15037046 X 24498491 14324 14324 24484167 231449 231449 24715616 26443804 -231449 -231449 26675253 0 26675253 Part IV, Line 2b: The nursing home holds resident personal funds in a separate account. The balance of the resident funds are tracked for each resident. Part X, Line 2: The Nursing Home accounts for uncertainty in income taxes recognized in the financial statements using a recognition threshold of more likely than not as to whether the uncertainty will be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold has been met. Management determined there were no tax uncertainties that met the recognition threshold. Part XI, Line 4b - Other Adjustments: Portion of cafeteria sales netted against expense on financial statements 231,449. Part XII, Line 2d - Other Adjustments: Portion of cafeteria sales netted against expense on financial statements -231,449. 1 1 0 0 0 0 0 0 0 Michael J Spicer President & CEO 0 867161 0 0 0 55881 0 194282 0 29058 0 1146382 0 0 Margaret Cusumano RN Director 0 225001 0 0 0 0 0 0 0 27578 0 252579 0 0 James Curcuruto Sr. VP of Finance (term 5/12/16) 0 193561 0 0 0 38204 0 10000 0 0 0 241765 0 0 Frank Hagan Sr. VP of Finance (begin 4/25/16) 0 282900 0 0 0 564 0 0 0 18385 0 301849 0 0 Alexander Skutzka VICE PRESIDENT 157000 0 0 0 792 0 0 0 24503 0 182295 0 0 0 Part I, Line 1a Apartment rent is included in taxable compensation paid by St. Joseph's Hospital Yonkers for the President & CEO, Michael J. Spicer. Part I, Line 3 THE CEO'S COMPENSATION IS DETERMINED AND PAID BY ST. JOSEPH'S HOSPITAL OF YONKERS, NY, A RELATED TAX-EXEMPT ORGANIZATION. the amount of compensation paid to the hospital's ceo is reviewed periodically by the compensation review committee which is comprised of members of the board of trustees. the amount of compensation is evaluated for comparability with other similar types of organizations using the Guidestar compensation report. findings of the compensation committee are reported to the board of trustees and documented in the minutes. Part I, Lines 4a-b James Curcuruto received a severance payment from ST. JOSEPH'S HOSPITAL OF YONKERS, NY, A RELATED TAX-EXEMPT ORGANIZATION, of $33,199 in 2016. The following individuals particpated in the supplemental non-qualified retirement plan of ST. JOSEPH'S HOSPITAL OF YONKERS, NY during 2016, but did not receive a distribution: Michael J. Spicer, President & CEO James Curcuruto, Sr. VP of Finance (term 5/12/16) Form 990, Part VI, Section A, line 6 the organization has a single member, the sisters of charity st. vincent de paul of new york, which is a tax-exempt organization. Form 990, Part VI, Section A, line 7a the single member elects the governing body of the organization. all board members have equal voting rights. Form 990, Part VI, Section A, line 7b decisions of the governing body that require approval by the parent organization, the sisters of charity of st. vincent of de paul of new york, include disposition of substantially all of the organization's assets, merger or consolidation with another entity or system, dissolution of the organization, and change in the character of the organization. Form 990, Part VI, Section B, line 11b a draft of form 990 is completed by the accounting staff and provided to the senior vice president of finance for review by management. upon determination that the draft is accurate and properly presents the status of the organization and after review by the nursing home's tax accountants, a copy is provided to the board of directors for review prior to issuance. Form 990, Part VI, Section B, line 12c officers, directors and key employees are required to complete a conflict of interest form annually. The VP Of Risk Management organizes the completion of the conflict of interest statements. any disclosure made by an officer or director shall be reviewed by st. joseph's hospital nursing home of yonkers, ny board of directors. potential conflicts must be resolved and any actions taken must be documented in the board minutes. any disclosure made by an employee shall be reviewed by the corporate compliance committee. potential conflicts must be resolved by the committee and reported to the board of directors. Form 990, Part VI, Section B, line 15 the amount of compensation paid to the nursing home's ceo, officers or key employees is reviewed periodically by the compensation review committee which is comprised of members of the board of directors. the amount of compensation is evaluated for fair market value for the industry and comparability with other similar types of organizations using the Guidestar compensation report. findings of the compensation committee are reported to the board of directors and documented in the board minutes. THIS PROCESS IS PERFORMED BY THE RELATED ENTITY THAT PAYS THE COMPENSATION, ST. JOSEPH'S HOSPITAL OF YONKERS, NY. Form 990, Part VI, Section C, line 19 the organization's governing documents, conflict of interest policy and financial statements are available at this office upon request. Form 990, Part IX, line 11g Other Purchased Services: Program service expenses 210,316. Management and general expenses 36,714. Fundraising expenses 0. Total expenses 247,030. CONTRACTED SERVICES: Program service expenses 3,229,380. Management and general expenses 563,739. Fundraising expenses 0. Total expenses 3,793,119. CONSULTING FEES: Program service expenses 60,601. Management and general expenses 10,579. Fundraising expenses 0. Total expenses 71,180. PHYSICIAN FEES: Program service expenses 214,189. Management and general expenses 0. Fundraising expenses 0. Total expenses 214,189. st joseph's hospital yonkers 127 south broadway yonkers NY 10701 131740127 hospital NY 501(c)(3) Line 3 sjmc inc 0 sjmc inc 127 south broadway yonkers NY 10701 133497559 parent NY 501(c)(3) Line 7 srs charity 0 st joseph's health fund 127 south broadway yonkers NY 10701 133833645 fundraising NY 501(c)(3) Line 7 sjmc inc 0 sjmc senior housing development fund co 127 south broadway yonkers NY 10701 134103604 sr. housing NY 501(c)(3) Line 7 sjmc inc 0 st joseph's ventures inc 127 south broadway yonkers NY 10701 133497556 inactive NY N/A C 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 1 1 1 1