2015-04-24T15:45:32-05:00 2014-06-30 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2013-07-01 111631823 ST VINCENT'S SERVICES INC STVI 7185223700 66 BOERUM PLACE BROOKLYN NY 11201 DAWN SAFFAYEH EXECUTIVE DIRECTOR 7185223700 2015-04-21 1 ISRAEL TANNENBAUM P01589203 2128674000 2013 2016-03-07 17:11:31Z HEARTSHARE ST VINCENT'S SERVICES DAWN SAFFAYEH 66 BOERUM PLACE BROOKLYN NY 11201 43839784 0 0928 X WWW.SVS.ORG X 1869 NY SEE SCHEDULE OTO NURTURE AND SUPPORT, WITH DIGNITY AND RESPECT, CHILDREN, ADULTS AND FAMILIES IN ORDER TO EXPANDOPPORTUNITIES AND ENHANCE LIVES. OUR COMMITMENT TO EXCELLENT SERVICES AND SUPPORTS WILL ENABLE CHILDREN, ADULTS AND FAMILIES TO REACH THEIR FULLEST POTENTIAL AND LEAD MEANINGFUL LIVES AS ACTIVE PARTICIPANTS IN SOCIETY. AT HSVS, WE ARE COMMITTED TO: MAKING SURE THAT EVERY CHILD WE SERVE IS IN A SAFE ENVIRONMENT, WHERE THEY HAVE A LOVING CONNECTION WITH A CARETAKER, AND ACCESS TO THE SOCIAL, EMOTIONAL, AND EDUCATIONAL SUPPORT THEY NEED TO MEET THEIR DEVELOPMENTAL MILESTONES. EMPOWERING AND ENGAGING PARENTS THROUGH THE DELIVERY OF A COMPREHENSIVE SET OF SERVICES AND SUPPORTS THAT HELP THEM GET THEIR CHILDREN HOME AS SAFELY AND QUICKLY AS POSSIBLE, OR KEEP THEIR CHILDREN HOME SAFELY. DELIVERING SERVICES TO INDIVIDUALS, CHILDREN AND FAMILIES THAT HAVE BEEN PROVEN TO CHANGE LIVES FOR THE BETTER, AND ARE FLEXIBLE ENOUGH TO MEET THE NEEDS OF EACH INDIVIDUAL AND HIS OR HER UNIQUE CIRC 12 12 572 12 0 0 3197368 2297167 43229769 41271675 5874 1701 -152073 68031 46280938 43638574 0 0 0 0 26293581 22539491 0 0 295916 24197151 22541810 50490732 45081301 -4209794 -1442727 15966129 16359013 15575783 17648444 390346 -1289431 X SEE SCHEDULE OTO NURTURE AND SUPPORT, WITH DIGNITY AND RESPECT, CHILDREN, ADULTS AND FAMILIES IN ORDER TO EXPANDOPPORTUNITIES AND ENHANCE LIVES. OUR COMMITMENT TO EXCELLENT SERVICES AND SUPPORTS WILL ENABLE CHILDREN, ADULTS AND FAMILIES TO REACH THEIR FULLEST POTENTIAL AND LEAD MEANINGFUL LIVES AS ACTIVE PARTICIPANTS IN SOCIETY. AT HSVS, WE ARE COMMITTED TO: MAKING SURE THAT EVERY CHILD WE SERVE IS IN A SAFE ENVIRONMENT, WHERE THEY HAVE A LOVING CONNECTION WITH A CARETAKER, AND ACCESS TO THE SOCIAL, EMOTIONAL, AND EDUCATIONAL SUPPORT THEY NEED TO MEET THEIR DEVELOPMENTAL MILESTONES. EMPOWERING AND ENGAGING PARENTS THROUGH THE DELIVERY OF A COMPREHENSIVE SET OF SERVICES AND SUPPORTS THAT HELP THEM GET THEIR CHILDREN HOME AS SAFELY AND QUICKLY AS POSSIBLE, OR KEEP THEIR CHILDREN HOME SAFELY. DELIVERING SERVICES TO INDIVIDUALS, CHILDREN AND FAMILIES THAT HAVE BEEN PROVEN TO CHANGE LIVES FOR THE BETTER, AND ARE FLEXIBLE ENOUGH TO MEET THE NEEDS OF EACH INDIVIDUAL AND HIS OR HER UNIQUE CIRC 0 0 17463304 18175684 BOARDING HOME - THE BOARDING HOME PROGRAM IS FUNDED BY THE CITY OF NEW YORK THROUGH THE ADMINISTRATION FOR CHILDREN'S SERVICES (ACS). ACS PLACES ABUSED AND NEGLECTED CHILDREN WITH CONTRACTED AGENCIES THAT PROVIDE THE CHILDREN WITH FOSTER HOMES AND SERVICES. ACS PAYS A PER DIEM RATE TO THE AGENCY. 10526605 5928525 RESIDENCE PROGRAM FOR THE DEVELOPMENTALLY DISABLED - INTERMEDIATE CARE FACILITIES (ICF) OPERATED BY CERTIFICATION FROM THE OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES (OPWDD) WITH A CAPACITY OF UP TO 30 BEDS TO PROVIDE ACTIVE PROGRAMMING, ROOM AND BOARD, AND CONTINUOUS 24-HOUR PER DAY SUPERVISION. THE SUPERVISED INDIVIDUAL RESIDENTIAL ALTERNATIVE (IRA), WHICH PROVIDES 24-HOUR SUPERVISED CARE, AND THE SUPPORTIVE IRA WHERE THE CONSUMER RECEIVES SERVICES IN A MORE INDEPENDENT SETTING IS A COMMUNITY-BASED GROUP LIVING ARRANGEMENT THAT PROVIDES ROOM, BOARD AND INDIVIDUALIZED PROTECTIVE OVERSIGHT. THEY ARE DESIGNED TO PROVIDE A HOME ENVIRONMENT AND A SETTING WHERE PERSONS CAN ACQUIRE THE SKILLS NECESSARY TO LIVE AS INDEPENDENTLY AS POSSIBLE. THE RESIDENCE PROGRAM IS CERTIFIED BY OPWDD. THE COMMUNITY HABILITATION SERVICES ARE RESIDENTIAL HABILITATION SERVICES THAT ARE PROVIDED TO INDIVIDUALS WHO DO NOT RESIDE IN A RESIDENCE WHICH IS CERTIFIED OR OPERATED BY OPWDD. RESIDENTIAL HABILITATION ALSO MAY INCLUDE PROGRAM-RELATED PERSONAL CARE, HEALTH CARE AND PROTECTIVE OVERSIGHT AND SUPERVISION. MEDICAID SERVICE COORDINATION IS A CASE MANAGEMENT PROGRAM EMPHASIZING AN INDIVIDUAL'S CHOICE. IT REQUIRES PROVIDERS TO ASSIST THE INDIVIDUAL IN ACQUIRING SERVICES THAT BEST SERVE THE INDIVIDUAL. THE PROGRAMS ARE FUNDED THROUGH MEDICAID AND NEW YORK STATE. 6017907 12983810 MEDICAL SERVICES - THE CHILDREN IN FOSTER CARE RECEIVE GENERAL MEDICAL CARE THROUGH MEDICAID. MEDICAID IS FUNDED 50% BY THE FEDERAL GOVERNMENT AND 50% BY NEW YORK STATE. BASED ON THE DIFFERENT TYPES OF PROGRAMS, THE AGENCY RECEIVES VARIOUS PER DIEM RATES. 3155736 2612914 CHILDREN COMMUNITY RESIDENCE - THIS PROGRAM IS FUNDED BY OMH TO PROVIDE EIGHT YOUTHS RESIDING AT THIS LOCATION WITH VARIOUS SERVICES SUCH AS DAILY LIVING, SOCIAL SKILLS, BEHAVIORAL MANAGEMENT, CRISIS MANAGEMENT, FAMILY SUPPORT AND THERAPEUTIC RECREATION. 1393220 1538059 SPECIAL MEDICAL PREVENTION - THE SPECIAL MEDICAL PREVENTION PROGRAM IS FUNDED BY ACS TO PREVENT THE PLACEMENT OF CHILDREN IN FOSTER CARE. THIS PROGRAM SPECIFICALLY WORKS WITH FAMILIES THAT HAVE SOMEONE WITH A MEDICAL OR DEVELOPMENTAL DISABILITY. CONTRACTED SERVICES WERE PROVIDED TO 80 FAMILIES. 208750 AMERICAN DREAM PROGRAM - THIS PROGRAM IS FUNDED BY CONTRIBUTIONS USED TO PROVIDE AND ASSIST WITH EDUCATIONAL OPPORTUNITIES FOR CLIENTS WHO ARE STILL IN CARE OR THOSE WHO HAVE AGED OUT OF CARE. 152326 137429 EARLY PERMANENCY PLANNING - THE EARLY PERMANENCY PLANNING PROGRAM IS FUNDED THROUGH A NYSDOH AIDS INSTITUTE GRANT TO PROVIDE FAMILY STABILIZATION AND SUPPORT SERVICES FOR FAMILIES IMPACTED BY HIV/AIDS. 4910032 4288402 38917848 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 33 0 572 1 0 0 0 0 0 1 1 0 0 0 0 X 12 12 1 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X X ANTHONY BIANCA 7184223301 12 METRO TECH CENTER 29TH FLOOR BROOKLYN NY 112014326 JOHN MCDONOUGH CHAIR 0.50 X X 0 0 0 KENNETH NOLAN VICE-CHAIR 0.50 X X 0 0 0 MICHAEL ABATEMARCO TREASURER 0.50 X X 0 0 0 ROBERT CORWEN SECRETARY 0.50 X X 0 0 0 JOSEPH BENFANTE BOARD MEMBER 0.50 X 0 0 0 CRAIG EATON BOARD MEMBER 0.50 X 0 0 0 MSGR ROBERT HARRIS BOARD MEMBER 0.50 X 0 0 0 CHRISTOPHER JONES BOARD MEMBER 0.50 X 0 0 0 BRUCE MAFFEO BOARD MEMBER 0.50 X 0 0 0 EDWARD MCDONALD BOARD MEMBER 0.50 X 0 0 0 WILLIAM MOTHERWAY BOARD MEMBER 0.50 X 0 0 0 JANE TUTOKI BOARD MEMBER 0.50 X 0 0 0 WILLIAM SABADO PRESIDENT AND CEO 35.00 X 175299 0 62144 JEFFREY BENENATI DIRECTOR - BUSINESS AND FISCAL 35.00 X 135604 0 48072 MATHEW SMITH DIRECTOR - HOUSING 35.00 X 116074 0 41148 MARK KANTER DIRECTOR - HR 35.00 X 117039 0 41490 MARY LOUISE MORGAN DIRECTOR - FUNDRAISING & DVLP 35.00 X 120682 0 42782 JANICE SAUNDERS-ASHTON DIRECTOR - BEHAVIORAL & COMM SERV 35.00 X 140350 0 49754 KAREN KANE DIRECTOR - FOSTER CARE 35.00 X 139268 0 49371 PINAKINI SHAH PSYCHIATRIST 35.00 X 209275 0 74188 PIERRE ARTY PSYCHIATRIST 35.00 X 192592 0 68274 LESLIE GULICK PEDIATRICIAN 35.00 X 123177 0 43666 1469360 0 520889 10 0 1 0 COZEN O'CONNOR 45 BROADWAY 16TH FL NEW YORK NY 10006 LEGAL 384961 1 395450 1600000 301717 2297167 FEES AND GRANTS FROM GOVERNMENT A 624100 24180684 24180684 MEDICAID FEES 624100 17090991 17090991 41271675 1701 1701 39380 395450 201210 -161830 -161830 MISCELLANEOUS REVENUE 900099 229861 229861 229861 43638574 41501536 0 -160129 315438 315438 16607197 15152995 1288452 165750 903537 822643 73418 7476 3431532 3124306 278833 28393 1281787 1167028 104153 10606 1540000 1540000 704522 236074 468017 431 317313 249 317064 1080185 1053203 26982 1428 175 1253 2193792 1930514 246130 17148 304196 194443 100417 9336 4548785 4326731 216537 5517 529106 512983 7428 8695 12655 9245 3410 66222 2017 64082 123 379611 297741 81870 827223 591690 227257 8276 BOARDING HOME PAYMENTS 5955516 5955516 DAY HAB SERVICES 2407939 2407939 BAD DEBT 1289722 789722 500000 FOSTER PARENT EXPENSES 177566 177566 206029 165243 38266 2520 45081301 38917848 5867537 295916 317845 1307595 9985 2326463 169758 9805108 10816408 137906 689237 13548768 10383831 3082581 3164937 286241 211078 15966129 16359013 9808503 5800419 557303 177508 5209977 11670517 15575783 17648444 X 21201 -1662230 198265 242977 170880 129822 390346 -1289431 15966129 16359013 X -1442727 -237050 X X 0 1 X 1 1 1 X 1644456 827053 1624123 3197368 2297167 9590167 1644456 827053 1624123 3197368 2297167 9590167 9590167 191396 1132015 2172 5874 1701 1333158 20835 229861 250696 11174021 0.85830 0.87220 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 170880 -41058 129822 170880 170880 2100000 -1929120 170880 2257181 -157181 2100000 2126310 130871 2257181 1.00000 0 0 9524986 8243658 1281328 801694 791035 10659 3222088 1349138 1872950 3164937 DUE TO GOVERMENT AGENCIES 3275411 DUE TO HEARTSHARE HUMAN SERVICES OF NEW YORK 8146055 DUE TO WILLIAM M. CASEY FOUNDATION 249051 11670517 X 43638574 0 43638574 0 43638574 45081301 0 45081301 0 45081301 PART V, LINE 4: ST. VINCENT'S SERVICES ENDOWMENT CONSISTS OF DONOR-RESTRICTED ENDOWMENT FUNDS TO SUPPORT THE AMERICAN DREAM PROGRAM, AN EDUCATIONAL PROGRAM FOR CLIENTS OF THE AGENCY WHO ARE CURRENTLY IN CARE OR CLIENTS WHO HAVE AGED OUT OF CARE. PART X, LINE 2: HSVS HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING JUNE 30, 2011 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. ANNUAL DINNER 434830 395450 39380 162246 28632 8925 1407 434830 395450 39380 162246 28632 8925 1407 201210 -161830 1 X X 0 0 0 0 0 0 0 0 0 WILLIAM SABADO PRESIDENT AND CEO 175299 0 0 0 0 0 3312 0 58832 0 237443 0 0 0 JEFFREY BENENATI DIRECTOR - BUSINESS AND FISCAL 135604 0 0 0 0 0 2562 0 45510 0 183676 0 0 0 MATHEW SMITH DIRECTOR - HOUSING 116074 0 0 0 0 0 2193 0 38955 0 157222 0 0 0 MARK KANTER DIRECTOR - HR 117039 0 0 0 0 0 2211 0 39279 0 158529 0 0 0 MARY LOUISE MORGAN DIRECTOR - FUNDRAISING & DVLP 120682 0 0 0 0 0 2280 0 40502 0 163464 0 0 0 JANICE SAUNDERS-ASHTON DIRECTOR - BEHAVIORAL & COMM SERV 140350 0 0 0 0 0 2652 0 47102 0 190104 0 0 0 KAREN KANE DIRECTOR - FOSTER CARE 139268 0 0 0 0 0 2631 0 46740 0 188639 0 0 0 PINAKINI SHAH PSYCHIATRIST 209275 0 0 0 0 0 3954 0 70234 0 283463 0 0 0 PIERRE ARTY PSYCHIATRIST 192592 0 0 0 0 0 3639 0 64635 0 260866 0 0 0 LESLIE GULICK PEDIATRICIAN 123177 0 0 0 0 0 2327 0 41339 0 166843 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 JOHN MCDONOUGH AND BRUCE MAFFEO ARE MEMBERS OF THE SAME LAW FIRM FORM 990, PART VI, SECTION A, LINE 3 ST. VINCENT'S SERVICES PURCHASES CERTAIN ADMINISTRATIVE FUNCTIONS, INCLUDING FISCAL, PAYROLL AND HUMAN RESOURCE SERVICES, FROM HEARTSHARE HUMAN SERVICES OF NEW YORK. FORM 990, PART VI, SECTION A, LINE 4 EFFECTIVE MARCH 3, 2014, THE BOARDS OF DIRECTORS OF HEARTSHARE HUMAN SERVICES OF NEW YORK (HEARTSHARE) AND ST. VINCENT'S SERVICES, INC. HAVE AGREED TO A FORMAL AFFILIATION. A FORMAL NAME CHANGE WILL BE FILED. FORM 990, PART VI, SECTION A, LINE 6 ST. VINCENT'S SERVICES IS A MEMBERSHIP ORGANIZATION WITH FIVE MEMBERS: THE BISHOP OF BROOKLYN, A DESIGNEE OF THE BOARD OF DIRECTORS OF WILLIAM M. CASEY FOUNDATION, INC., THE CHAIRPERSON OF THE BOARD OF HEARTSHARE HUMAN SERVICES, THE PRESIDENT AND CEO OF HEARTSHARE HUMAN SERVICES, AND ONE OTHER PERSON DESIGNATED BY THE CHAIRPERSON OF HEARTSHARE HUMAN SERVICES. THE MEMBERS APPROVE SIGNIFICANT DECISIONS OF THE ST. VINCENT'S SERVICES BOARD INCLUDING, BUT NOT LIMITED TO, CHANGES IN PHILOSOPHY OR MISSION OF THE CORPORATION, CHANGES TO THE ORGANIZATION'S GOVERNING DOCUMENTS, ELECTION OF THE BOARD OF DIRECTORS, DISSOLVING THE CORPORATION, ETC. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS APPROVE SIGNIFICANT DECISIONS OF THE ST VINCENT'S SERVICES BOARD INCLUDING, BUT NOT LIMITED TO, CHANGES IN PHILOSOPHY OR MISSION OF THE CORPORATION, CHANGES TO THE ORGANIZATION'S GOVERNING DOCUMENTS, ELECTION OF THE BOARD OF DIRECTORS, DISSOLVING THE CORPORATION, ETC. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERS APPROVE SIGNIFICANT DECISIONS OF THE ST VINCENT'S SERVICES BOARD INCLUDING, BUT NOT LIMITED TO, CHANGES IN PHILOSOPHY OR MISSION OF THE CORPORATION, CHANGES TO THE ORGANIZATION'S GOVERNING DOCUMENTS, ELECTION OF THE BOARD OF DIRECTORS, DISSOLVING THE CORPORATION, ETC. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD'S AUDIT AND FINANCE COMMITTEE ANNUALLY REVIEWS ST. VINCENT'S SERVICES' FORM 990 PRIOR TO FILING. AFTER THE COMMITTEE'S REVIEW, THE FORM 990 IS PRESENTED TO THE FULL BOARD FOR REVIEW AND APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C ST. VINCENT'S SERVICES' CONFLICT OF INTEREST POLICY REQUIRES BOARD MEMBERS, KEY STAFF AND MAJOR INDEPENDENT CONTRACTORS TO COMPLETE AN ANNUAL DISCLOSURE STATEMENT. THE AUDIT & FINANCE COMMITTEE OF THE BOARD REVIEWS EACH REPORTED POTENTIAL CONFLICT OF INTEREST AND REPORTS ITS RECOMMENDATIONS TO THE FULL BOARD FOR APPROVAL. IF A CONFLICT OF INTEREST ARISES, THE MATTER MAY BE REMEDIED VIA RECUSAL OR DISQUALIFICATION OF THE BOARD MEMBER. THIS SIMPLY MEANS THAT THE BOARD MEMBER DOES NOT PARTICIPATE IN THE MATTER THAT POSES THE CONFLICT OF INTEREST. IN THE EVENT OF A VIOLATION OF THE CONFLICT OF INTEREST POLICY, THE AGENCY RESERVES THE RIGHT TO IMMEDIATELY DISMISS THE EMPLOYEE OR BOARD MEMBER OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION HAS A COMPENSATION COMMITTEE TO DETERMINE COMPENSATION OF THE PRESIDENT & CEO. THE PRESIDENT & CEO SETS THE SALARY FOR KEY STAFF ALSO USING INDEPENDENT COMPENSATION SOURCES WITH OVERSIGHT BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 ST. VINCENT'S SERVICES CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. ST. VINCENT'S SERVICES' 990 IS AVAILABLE ON OUR WEBSITE. FORM 990, PART XI, LINE 9: LOSS ON BENEFICAL INTEREST IN PERPETUAL TRUST -41,058. LOSS ON DISPOSAL OF FIXED ASSETS -195,992. FORM 990, PART XII, LINE 2C: ST. VINCENT'S SERVICES USES THE AUDIT OVERSIGHT PROCESS OF HEARTSHARE HUMAN SERVICES SINCE ITS ACQUISITION DURING FISCAL YEAR 2014. HEARTSHARE HUMAN SERVICES OF NEW YORK 12 METRO TECH CENTER 29TH FLOOR BROOKLYN NY 11201 111633549 HUMAN SERVICES ORGANIZATION NY 501(C)(3) LINE 9 N/A 0 HEARTSHARE WELLNESS LTD 177 LIVINGSTON ST LOWER LEVEL BROOKLYN NY 11201 113538646 AMBULATORY CARE MEDICAL CLINIC NY 501(C)(3) LINE 9 HEARTSHARE HUMAN SERVICES OF NEW YORK 0 HEARTSHARE EDUCATION CENTER 1825 BATH AVENUE BROOKLYN NY 11214 900452757 SCHOOL FOR AUTISTIC CHILDREN NY 501(C)(3) LINE 2 HEARTSHARE HUMAN SERVICES OF NEW YORK 0 WILLIAM M CASEY FOUNDATION INC 66 BOERUM PLACE BROOKLYN NY 11201 237339626 TO HOLD TITLE TO PROPERTY AMD LEASE RELATED TAX EXEMPT ORGANIZATIONS NY 501(C)(2) N/A N/A 0 0 0 1 1 1 0 0 0 0 0 1 0 1 0 1 1 0 0 0 WILLIAM M CASEY FOUNDATION INC C 1600000 FAIR MARKET VALUE WILLIAM M CASEY FOUNDATION INC E 500000 FAIR MARKET VALUE WILLIAM M CASEY FOUNDATION INC K 744600 COST