2016-11-15T08:03:00-06:00 2015-12-31 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2015-01-01 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 2016-11-11 1 JULIUS C GREEN CPA P00350393 2159720701 2015 2017-02-10 21:41:12Z MICHAEL J SPICER 127 SOUTH BROADWAY YONKERS NY 10701 30508784 0 X WWW.SAINTJOSEPHS.ORG X 1972 NY PROVIDES SKILLED NURSING CARE FOR RESIDENTS NOT CAPABLE OF INDEPENDENT LIVING. 24 22 354 28 0 0 251840 10014 30617981 26519670 10866 55903 4162209 3923197 35042896 30508784 0 0 0 0 18374301 17773992 0 0 0 18501896 21748001 36876197 39521993 -1833301 -9013209 9081203 7901510 12806737 20647914 -3725534 -12746404 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 22504742 21338716 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 446 ADMISSIONS RESULTING IN 67,765 PATIENT DAYS. 3082181 3113677 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 92,247 VISITS/HOURS IN 2015. 1147374 2067277 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 9,977 VISITS FOR 2015. 397428 THE NURSING HOME ALSO PROVIDES SERVICES TO RELATED ORGANIZATIONS. THE TOTAL REVENUE FROM THIS IS $397,428. 397428 26734297 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 23 0 1 354 1 0 0 0 0 0 0 0 0 0 0 X 24 22 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 AND CEO 4.00 31.00 X X 0 774080 200468 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 MICHAEL M MCHUGH DIRECTOR 1.00 2.00 X 0 0 0 SISTER JANE IANNUCELLI DIRECTOR 1.00 2.00 X 0 0 0 RICHARD J KILSHEIMER DIRECTOR 1.00 2.00 X 0 0 0 JAMES J VENERUSO ESQ 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 ALFRED WEISSMAN DIRECTOR 1.00 2.00 X 0 0 0 BARRY M DAVIS DIRECTOR 1.00 2.00 X 0 0 0 JAMES A FISHER DPM MEDICAL DIRECTOR 1.00 2.00 X 0 0 0 SHAWYN PATTERSON HOWARD DIRECTOR 1.00 2.00 X 0 0 0 MARGARET CUSUMANO RN VICE PRESIDENT OF NURSING 7.00 28.00 X 0 233655 0 MOIRA J KIERNAN DIRECTOR 1.00 2.00 X 0 0 0 SISTER MIRIAM KEVIN PHILLIPS DIRECTOR 1.00 2.00 X 0 0 0 JAMES CURCURUTO SR. VP FINANCE & CFO 7.00 28.00 X 0 427471 12013 VICTORIA A ESTACIO DIRECTOR OF NURSING 40.00 X 171108 0 0 MICHELLE DEMERIN THERAPIST 40.00 X 138952 0 0 GAIL F SLATOR ADMINISTRATOR 40.00 X 125699 0 0 JASPREET KAUR NURSING COORDINATOR 40.00 X 117183 0 0 IRMA DIASAMIDZE CHARGE NURSE 40.00 X 116130 0 0 669072 1435206 212481 20 0 1 0 SODEXO PO BOX 905374 CHARLOTTE NC 28290 FOOD SERVICE 2199044 AMERISOURCE BER 101 NORFOLK STREET MASFIELD MA 02048 MEDICAL SERVICE 824173 PHC SERVICES ONE EXECUTIVE BLVD YONKERS NY 10701 PERSONAL CARE SERVICE 653973 FDR SERVICES 44 NEWMANS CT HEMPSTEAD NY 11550 PERSONAL CARE SERVICE 646312 BEST CARE PO BOX 9010 LEVITTOWN NY 11756 PERSONAL CARE SERVICE 545294 21 10014 10014 NURSING FACILITY 623000 21338716 21338716 HOME HEALTH SERVICES 621610 3113677 3113677 GERIATRIC DAY CARE 621990 2067277 2067277 26519670 55903 55903 69997 0 69997 69997 69997 PATIENT FOOD 624200 1874438 1874438 LAUNDRY 624200 810732 810732 CAFETERIA SALES 624200 770045 770045 397985 397428 557 3853200 30508784 26917098 0 3581672 X 12216406 10263402 1953004 599761 425349 174412 3946572 3149209 797363 1011253 658336 352917 35000 35000 37492 37492 9852979 6601785 3251194 1146500 1001249 145251 557179 294112 263067 12193 12193 2835 2835 230384 230384 535646 535646 277159 277159 PENSION WITHDRAWAL EXP. 5213209 5213209 HOMEMAKER SERVICES 1670511 1670511 NYS TAX ASSESSMENT 1269467 1269467 BAD DEBT EXPENSE 700000 700000 207447 153038 54409 39521993 26734297 12787696 0 818962 479282 52037 52038 4631701 4245481 8478 8487 62421 61262 19686752 17155315 2882249 2531437 32368 32417 592987 491106 9081203 7901510 5330083 3612387 89519 2500000 3000000 4976654 13946008 12806737 20647914 X -3725534 -12746404 -3725534 -12746404 9081203 7901510 -9013209 -7661 0 X 0 1 X 1 0 X 110579 62782 59198 251840 10014 494413 38019134 37424963 36877015 30617981 26519670 169458763 38129713 37487745 36936213 30869821 26529684 169953176 0 0 0 169953176 102888 154965 85137 80863 125900 549753 102888 154965 85137 80863 125900 549753 4392374 4215872 4072977 4092212 3853200 20626635 42624975 41858582 41094327 35042896 30508784 191129564 0.88920 0.89410 0.00290 0.00260 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: CAFETERIA - 2011 AMOUNT: $ 793,093. 2012 AMOUNT: $ 755,682. 2013 AMOUNT: $ 784,253. 2014 AMOUNT: $ 870,826. 2015 AMOUNT: $ 770,045. LAUNDRY LINEN - 2011 AMOUNT: $ 986,115. 2012 AMOUNT: $ 926,224. 2013 AMOUNT: $ 916,051. 2014 AMOUNT: $ 819,797. 2015 AMOUNT: $ 810,732. PATIENT FOOD SERVICE - 2011 AMOUNT: $ 2,233,091. 2012 AMOUNT: $ 2,232,836. 2013 AMOUNT: $ 2,048,972. 2014 AMOUNT: $ 1,988,932. 2015 AMOUNT: $ 1,874,438. PHYSICAL THERAPY SERVICE - 2011 AMOUNT: $ 251,211. 2012 AMOUNT: $ 261,976. 2013 AMOUNT: $ 288,004. 2014 AMOUNT: $ 364,775. 2015 AMOUNT: $ 335,762. OCCUPATIONAL THERAPY - 2011 AMOUNT: $ 33,015. 2012 AMOUNT: $ 34,122. 2013 AMOUNT: $ 32,309. 2014 AMOUNT: $ 41,263. 2015 AMOUNT: $ 39,529. TELEPHONE RENTAL INCOME - 2011 AMOUNT: $ 3,169. 2012 AMOUNT: $ 1,847. 2013 AMOUNT: $ 1,097. 2015 AMOUNT: $ 557. MISCELLANEOUS/OTHER - 2011 AMOUNT: $ 92,680. 2012 AMOUNT: $ 3,185. 2013 AMOUNT: $ 2,291. 2014 AMOUNT: $ 6,619. 2015 AMOUNT: $ 22,137. 0 1 X 330000 330000 5846379 5192687 653692 30773 24243 6530 13479600 11938385 1541215 2531437 SELF INSURANCE FUND 491106 491106 DUE TO THIRD PARTY 2586943 ESTIMATED PROFESSIONAL LIABILITY 518210 DUE TO ST. JOSEPH'S HOSPITAL 5225474 PENSION WITHDRAWAL LIABILITY 5615381 13946008 X 30264123 -7661 -7661 30271784 237000 237000 30508784 39284993 -237000 -237000 39521993 0 39521993 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 IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. 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. THE NURSING HOME'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR 2012, 2013, AND 2014 REMAIN SUBJECT TO THE EXAMINATION BY THE IRS. PART XI, LINE 4B - OTHER ADJUSTMENTS: PORTION OF CAFETERIA SALES NETTED AGAINST EXPENSE ON FINANCIAL STATEMENTS 237,000. PART XII, LINE 2D - OTHER ADJUSTMENTS: PORTION OF CAFETERIA SALES NETTED AGAINST EXPENSE ON FINANCIAL STATEMENTS -237,000. 0 1 0 0 0 0 0 0 0 MICHAEL J SPICER PRESIDENT AND CEO 0 767102 0 0 0 6978 0 200468 0 0 0 974548 0 0 MARGARET CUSUMANO RN VICE PRESIDENT OF NURSING 0 233655 0 0 0 0 0 0 0 0 0 233655 0 0 JAMES CURCURUTO SR. VP FINANCE & CFO 0 420728 0 0 0 6743 0 12013 0 0 0 439484 0 0 VICTORIA A ESTACIO DIRECTOR OF NURSING 171108 0 0 0 0 0 0 0 0 0 171108 0 0 0 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, LINE 4B MICHAEL J. SPICER AND JAMES CURCURUTO PARTICIPATE IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN, BUT NO DISTRIBUTIONS WERE MADE IN 2015. 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 11 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 245,068. MANAGEMENT AND GENERAL EXPENSES 66,689. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 311,757. HOSPITAL PURCH SERVICES: PROGRAM SERVICE EXPENSES 3,053,928. MANAGEMENT AND GENERAL EXPENSES 3,184,505. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,238,433. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 3,302,789. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,302,789. 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