2013-01-31T21:17:51-06:00 2011-12-31 HUR SANDY FEMA 4085-DR Charles A Barragato & Co LLP 950 Third Avenue - 20th FL New York NY 10022 990 2011-01-01 113277961 BISHOP HUCLES NURSING HOME INC C/O EPISCOPAL HEALTH SERVICES INC % EPISCOPAL HEALTH SERVICES BISH 5163494643 700 HICKSVILLE ROAD SUITE 210 BETHPAGE NY 117143471 William Moore 2013-01-31 true Angelo Pirozzi CPA 2123714446 2011 2016-02-25 16:41:14Z NELSON TOEBBE CEO 700 HICKSVILLE ROAD SUITE 210 HICKSVILLE NY 11714 23923000 false X WWW.EHS.ORG/BISHOPHUCLES.HTML X 1995 NY TO PROVIDE QUALITY HEALTH CARE THROUGH ITS HOSPITAL, AMBULATORY CARE FACILITIES, NURSING HOMES AND CONTINUING MEDICAL EDUCATION, RECOGNIZING THE EMERGING LIFE-CARE NEEDS OF THE COMMUNITIES SERVED. 2 1 307 0 0 27000 78000 21633000 23692000 67000 47000 93000 106000 21820000 23923000 0 0 0 0 13603393 15470140 0 0 0 10114607 10917860 23718000 26388000 -1898000 -2465000 34040000 29221000 33949000 31595000 91000 -2374000 X THE MISSION OF BISHOP HUCLES NURSING HOME, INC., A MEMBER OF EPISCOPAL HEALTH SERVICES, INC. OF THE DIOCESE OF LONG ISLAND, IS TO PROVIDE QUALITY HEALTH CARE WITH AN EMPHASIS ON PATIENT SAFETY THROUGH ITS HOSPITAL, AMBULATORY CARE FACILITIES, NURSING HOMES AND CONTINUING MEDICAL EDUCATION, RECOGNIZING THE EMERGING LIFE-CARE NEEDS OF THE COMMUNITIES SERVED. false false 24136737 22632000 THE ORGANIZATION OWNS AND OPERATES A 240 BED NURSING HOME WHICH PROVIDES NURSING AND HEALTH RELATED SERVICES TO SICK, DISABLED AND CONVALESCENT INDIVIDUALS. BISHOP HUCLES PROVIDED 80,379 DAYS OF NURSING SERVICE AND PATIENT CARE IN 2011 OPERATING AT 91.8% OCCUPANCY. 724000 1060000 THE ORGANIZATION OPERATES AN ADULT DAY CARE PROGRAM LICENSED TO PROVIDE DAILY CARE PROGRAMS TO THIRTY SENIOR ADULTS. THE PROGRAM PROVIDED 8,068 DAYS OF CARE IN 2011. 24860737 true true false true false false false false false true false false true true false true true false false false false false false false false false false false false true false true false false false false false false false false false false false false false true false false false false true 42 0 true 307 true false false false false false false false false false false X 2 1 false true false false true false false true false false false true true true true true true true true false X EPISCOPAL HEALTH SERVICES 5163494643 700 HICKSVILLE ROAD SUITE 210 BETHPAGE NY 11714 X REVERAND LAWRENCE C PROVENZANO 1.0 X X 60000 10451 MARGARET CARPENTER 1.0 X X KYLE CAHILL 40.0 X WILL MOORE 3.0 X ROBIN THOMPSON 40.0 X 100846 20208 MARIA APPAVOO 40.0 X 127801 5511 MARICHU MONTES 40.0 X 102135 416 330782 60000 36586 3 false false false MERIDIAN NURSE RECRUITERS 471 NORTH BROADWAY 349 JERICHO NY 11753 AGENCY NURSE SERVICE 366711 EXCLUSIVE AMBULETTE SERVICES INC PO BOX 476 LAWRENCE NY 11599 AMBULETTE SERVICE 281019 THERAPEUTIC RESOURCES PT 36 33RD ST SUITE 500 LONG ISLAND CITY NY 11106 PHYSICAL THERAPY 232911 ANGELICA TEXTILE SERVICES PO BOX 823382 PHILADELPHIA PA 19182 LAUNDRY SERVICE 229298 US SECURITY ASSOCIATES INC PO BOX 931703 ATLANTA GA 31193 SECURITY SERVICE 215233 10 78000 78000 PATIENT SERVICE REVENUE 623000 22632000 22632000 ADULT DAY CARE REVENUE 623000 1060000 1060000 23692000 47000 47000 0 0 0 0 0 0 ADULT DAY CARE 623000 41000 41000 UTILITY REBATES 900099 30000 30000 CELLULAR ANTENNA 900099 25000 25000 10000 10000 106000 23923000 23692000 153000 0 0 0 0 0 0 11134557 10466484 668073 693436 651830 41606 2794472 2626804 167668 847675 796815 50860 0 11543 10850 693 98000 98000 4440 4440 0 0 1536389 1444206 92183 9156 9156 612745 589342 23403 0 0 1907142 1792713 114429 0 0 12333 11593 740 276008 259448 16560 0 1730155 1626346 103809 169668 159488 10180 OTHER PURCHASE SERVICES 1729062 1625318 103744 FOOD COST 719752 719752 PROVISION FOR BAD DEBT 547000 547000 MEDICAL SUPPLIES 490000 490000 1064467 1033592 30875 26388000 24860737 1527263 0 13000 35000 5823000 2179000 0 0 3189000 3244000 0 0 0 0 0 0 0 0 680000 603000 45545000 31575000 15603000 13970000 0 0 0 0 0 0 0 0 8732000 9190000 34040000 29221000 2910000 3222000 0 0 0 0 25080000 23733000 0 0 0 0 0 0 0 0 5959000 4640000 33949000 31595000 X 91000 -2374000 0 0 0 0 91000 -2374000 34040000 29221000 -2465000 X false true true X false X 31000 26000 18000 27000 78000 180000 23667000 23615000 22615000 21633000 23692000 115222000 23698000 23641000 22633000 21660000 23770000 115402000 115402000 270000 202000 112000 67000 47000 698000 270000 202000 112000 67000 47000 698000 101000 87000 88000 93000 106000 475000 24069000 23930000 22833000 21820000 23923000 116575000 0.98994 0.99200 0.00599 0.00800 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 4440 4440 false false OTHER LOBBYING ACTIVITIES FORM 990, SCHEDULE C, PART II-B LINE I BISHOP HUCLES NURSING HOME, INC. PAYS DUES TO CONTINUING CARE LEADERSHIP COALITION (CCLS) AND THE NEW YORK ASSOCIATION OF HOMES & SERVICES FOR THE AGING(NYAHSA). IN ACCORDANCE WITH SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY CCLC AND NYASHA, A PORTION OF THESE DUES' PAYMENTS ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE AMOUNT ATTRIBUTABLE TO LOBBYING ACTIVITY IN 2011 FOR CCLS WAS $2,175 AND NYAHSA WAS $2,265, RESPECTIVELY. 685000 685000 22351000 13481000 8870000 1229000 969000 260000 21280000 17125000 4155000 13970000 DEBT SERVICE FUND 3000 CONSTRUCTION FUND 290000 DEBT SERVICE RESERVE FUND 829000 BOND ESCROW FUND 22000 OPERATING ESCROW - CHECKING 79000 OPERATING ESCROW - MM 5582000 RESIDENTS SURETY BOND 170000 FUNDS HELD IN TRUSTS FOR RESID 282000 LOAN TO RELATED PARTY 542000 ASSETS LIMITED TO USE 1236000 INSURANCE RECOVERABLE REC 155000 9190000 0 FUNDS HELD IN TRUST FOR RESIDENTS 282000 DUE TO THIRD PARTY PAYORS 4041000 PROFESSIONAL & SELF INSURANCE LIABILITIES 317000 4640000 23923000 26388000 -2465000 -2465000 23923000 23923000 23923000 26388000 26388000 26388000 DORMITORY AUTHORITY OF THE STATE OF NY 146000293 64983QQ28 2006-05-24 29895099 BUILDING MORTGAGE true false false 5905000 0 29895099 2067283 0 0 597558 0 0 27854991 0 311387 1997 true false false true false true true true false 0.00360 0.00380 0.00740 true false false false 0 false false false 0 false false ADDITIONAL INFORMATION 0 BISHOP HUCLES PAYS A FEE TO THE DORMITORY AUTHORITY OF NEW YORK STATE WHICH COVERS VARIOUS ADMINISTRATIVE AND OTHER SERVICES, INCLUSIVE OF THE FORM 990, PART VI, LINE 3 DESCRIPTION OF DELEGATED DUTIES TO MANAGEMENT COMPANY EPISCOPAL HEALTH SERVICES INC. ENGAGED THE SERVICES OF PITTS MANAGEMENT ASSOCIATES INC. (PMA), AN UNRELATED COMPANY TO PROVIDE DAY-TO-DAY MANAGEMENT CONSULTING SERVICES. REMUNERATION IS PAID TO PMA DURING 2011 BY EPISCOPAL HEALTH SERVICES, A RELATED ORGANIZATION. THE APPLICABLE NAMES AND TITLES OF PMA PERSONNEL ARE DISCLOSED ON THE EPISCOPAL HEALTH SERVICE 990 ON PART VII - SECTION A - OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES. FORM 990, PART VI, LINE 6 EXPLANATION OF CLASSES OF MEMBERS OR SHAREHOLDERS EPISCOPAL HEALTH SERVICES INC. IS THE SOLE MEMBER. FORM 990, PART VI, LINE 8B THERE ARE NO SEPARATE COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, LINE 11B FORM 990 REVIEW PROCESS THE FORM 990 AND APPROPRIATE SCHEDULES, AS REQUIRED (FORM 990), IS COMPLETED BY THE ACCOUNTING AND FINANCE STAFF OF THE ORGANIZATION AND REVIEWED INTERNALLY BY MANAGEMENT. IT IS THEN REVIEWED BY OUTSIDE TAX ADVISORS AND ANY NECESSARY ADJUSTMENTS ARE MADE, AFTER WHICH TIME IT IS CONSIDERED AN INITIAL DRAFT. THE DRAFT OF THE FORM 990 IS THEN PRESENTED TO THE ORGANIZATION'S AUDIT COMMITTEE (THE COMMITTEE) OF THE BOARD OF MANAGERS (THE BOARD), WHICH HAS BEEN DELEGATED THE DETAILED REVIEW FUNCTION BY THE BOARD. ONCE THE COMMITTEE'S REVIEW IS COMPLETE, THE COMMITTEE RECOMMENDS THE APPROVAL OF THE FORM 990 TO THE BOARD. THE FORM 990 IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD. UPON APPROVAL BY THE BOARD THE FORM 990 IS THEN UPDATED AS REQUIRED AND THEN SUBMITTED TO THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, LINE 12C EXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICTS THE BOARD REVIEWS ALL ANNUAL CONFLICT OF INTEREST QUESTIONNAIRES. POSITIVE RESPONSES ARE REVIEWED AND ADDITIONAL INFORMATION IS GATHERED TO DETERMINE IF A CONFLICT EXISTS. IF A CONFLICT EXISTS, APPROPRIATE ACTION IS TAKEN TO ELIMINATE THE CONFLICT, INCLUDING SUCH STEPS AS REASSIGNMENT OF RESPONSIBILITIES OR ESTABLISHMENT OF PROTECTIVE AGREEMENTS. IF A MATTER INVOLVES A BOARD MEMBER OR OFFICER, APPROPRIATE ACTION, INCLUDING RECUSAL AND ADDITIONAL DISCLOSURES, WILL BE DETERMINED BY THE BOARD. FORM 990, PART VI, LINE 15A COMPENSATION REVIEW & APPROVAL PROCESS FOR CEO, EXEC DIR, OR TOP MGMT THE ADMINISTRATOR AND THE KEY MANAGEMENT OFFICIALS ARE PROVIDED THROUGH A MANAGEMENT CONTRACT WITH PITTS MANAGEMENT ASSOCIATES INC (PMA). EPISCOPAL HEALTH SERVICES ENGAGED AN INDEPENDENT VALUATION FIRM TO REVIEW THE MANAGEMENT AGREEMENT AND CONFIRM THE FEES FOR MANAGEMENT SERVICES AS WITHIN THE FAIR MARKET VALUE. FORM 990, PART VI, LINE 15B COMPENSATION REVIEW & APPROVAL PROCESS FOR OFFICERS & KEY EMPLOYEES THE COMPENSATION OF KEY EMPLOYEES IS DETERMINED AND/OR APPROVED AFTER COMPARISON OF COMPENSATION PAID FOR COMPARABLE POSITIONS IN THE ORGANIZATION'S REGION. FORM 990, PART VI, LINE 19 OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE UPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE THOSE DOCUMENTS REQUIRED TO BE DISCLOSED UNDER THE PUBLIC INSPECTION LAWS. FORM 990 PART VII COMPENSATION EXPLANATION - WILL MOORE EPISCOPAL HEALTH SERVICES INC. ENGAGED THE SERVICES OF PITTS MANAGEMENT ASSOCIATES INC. (PMA), AN UNRELATED COMPANY, TO PROVIDE DAY-TO-DAY AND CONSULTING SERVICES. remuneration PAID TO PMA DURING 2011 IS REPORTED ON EPISCOPAL HEALTH SERVICE FORM 990 IN PART VII, SECTION B - INDEPENDENT CONTRACTORS. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:REVERAND LAWRENCE C. PROVENZANO TITLE:PRESIDENT & CEO HOURS:10 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MARGARET CARPENTER TITLE:OFFICER HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:WILL MOORE TITLE:CFO - PMA HOURS:40 EPISCOPAL HEALTH SERVICES INC 700 HICKSVILLE RD - SUITE 210 BETHPAGE NY 11714 111665825 HLTHCARE SVCS NY 501(C)(3) LINE 3 NA false ST JOHNS MEDICAL SERVICES PC 700 HICKSVILLE RD - SUITE 210 BETHPAGE NY 11714 542164621 MEDICAL SVCS NY 501(C)(3) LINE 11A EHS Inc false ST JOHNS EMERGENCY MEDICAL SVCS 700 HICKSVILLE RD - SUITE 210 BETHPAGE NY 11714 262884115 ER SERVICES NY 501(C)(3) LINE 11A EHS INC false CHURCH CHARITY CORPORATION 700 HICKSVILLE RD - SUITE 210 BETHPAGE NY 11714 112797706 CHARITY NY 501(C)(3) NA false BEACH REINSURANCE CORP PO BOX 1109 GRAND CAYMAN CJ INSURANCE CJ ccc c CORP false false false false false false false false false false false false true true false false false EPISCOPAL HEALTH SERVICES INC N 369743 COST EPISCOPAL HEALTH SERVICES INC M 1026579 COST