2012-11-14T08:43:15-06:00 2011-12-31 133385019 O'CONNOR DAVIES MUNNS & DOBBINS LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2011-01-01 131740033 ST PATRICK'S HOME FOR THE AGED AND INFIRM STPA 7185192800 66 VAN CORTLANDT PARK SOUTH BRONX NY 104633102 JUAN RUIZ 7185192800 2012-11-14 1 GARRETT HIGGINS P00543209 9143818900 2012-11-13 2011 2016-02-24 21:20:13Z ST PATRICK'S HOME SR M PATRICK MICHAEL O 66 VAN CORTLANDT PARK SOUTH BRONX NY 104633102 28065650 0 0928 X WWW.STPATRICKSHOME.ORG X 1931 NY THE MISSION OF ST. PATRICK'S HOME AS A CHARITABLE, NON-PROFIT ORGANIZATION IS TO PROVIDE CARE AND SERVICES TO THE COMMUNITY IN CONFORMANCE WITH THE THEOLOGY; PHILOSOPHY; TEACHINGS AND DOCTRINES OF THE ROMAN CATHOLIC CHURCH, RESPECTING AND BUILDING ON THE MISSION; PHILOSOPHY AND VALUES OF THE CARMELITE SISTERS FOR THE AGED AND INFIRM. 14 14 385 74 0 0 137284 250459 26606394 27375117 154764 91273 273589 230764 27172031 27947613 0 0 0 0 20453377 20642164 0 0 32810 8318789 8785031 28772166 29427195 -1600135 -1479582 48511932 46339738 20613624 20167324 27898308 26172414 X THE MISSION OF ST. PATRICK'S HOME AS A CHARITABLE, NON-PROFIT ORGANIZATION IS TO PROVIDE CARE AND SERVICES TO THE COMMUNITY IN CONFORMANCE WITH THE THEOLOGY; PHILOSOPHY; TEACHINGS AND DOCTRINES OF THE ROMAN CATHOLIC CHURCH, RESPECTING AND BUILDING ON THE MISSION; PHILOSOPHY AND VALUES OF THE CARMELITE SISTERS FOR THE AGED AND INFIRM. 0 0 26964820 27375117 ST. PATRICK'S HOME OPERATES A 264 BED LICENSED NURSING HOME WHICH INCLUDES AN ALZHEIMER'S UNIT AND A SHORT TERM REHABILITATION UNIT IN THE BRONX, NEW YORK. THE HOME PROVIDES PROFESSIONAL AND PERSONAL SERVICES IN A COMPASSIONATE AND CARING MANNER TO MEMBERS OF THE BRONX, SURROUNDING COMMUNITIES AND OTHER LOCATIONS THAT SEEK OUR SERVICES. DURING 2011, THE HOME PROVIDED 93,876 DAYS OF CARE TO 550 OF OUR NEIGHBORS AND THEIR FAMILIES WITHOUT REGARD TO THEIR ETHNIC BACKGROUND, RELIGION OR FINANCIAL CIRCUMSTANCES. AMONG THOSE WE HAD THE PLEASURE TO ADMINISTER CARE TO 8 RESIDENTS WHO WERE OVER 100 YEARS OLD. DURING THE YEAR, THERE WERE 294 NEW ADMISSIONS AND 291 DISCHARGES; SERVED 281,628 MEALS; ADMINISTERED 40,841 THERAPY TREATMENTS AND HAD 67,622 PARTICIPANTS IN OUR EXTENSIVE RECREATION PROGRAM. 26964820 1 1 0 1 0 0 0 0 1 0 1 0 0 1 1 1 1 0 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 0 1 37 0 1 385 1 0 0 0 0 0 1 1 0 0 0 0 X 14 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X X JUAN RUIZ 7185192800 66 VAN CORTLANDT PARK SOUTH BRONX NY 104633102 X SR M PATRICK MICHAEL DE LOURDES O'C 35.00 X X 0 0 0 REV GERALD T WALSH 1.00 X X 0 0 0 SR M ANTHONY DE LOURDES O'CARM 1.00 X X 0 0 0 MAUREEN WALSH 1.00 X X 0 0 0 SR M JOSEPH CATHERINE DE LOURDES O' 1.00 X 0 0 0 MOTHER M MARK LOUIS ANNE O'CARM 1.00 X 0 0 0 SR M MICHELLE ANNE O'CARM 1.00 X 0 0 0 SR M SEAN WILLIAM O'CARM 1.00 X 0 0 0 SR PATRICIA MARGARET O'CARM 1.00 X X 0 0 0 SR M PHILIP ANN O'CARM 1.00 X 0 0 0 MICHAEL MORIARTY ESQ 1.00 X 0 0 0 BERNARD KELLY 1.00 X 0 0 0 IRENE MCCRORY 1.00 X 0 0 0 MARGARET T MAYBURY 1.00 X 0 0 0 RONALD SYLVESTRI 1.00 X 0 0 0 SR M KEVIN PATRICIA O'CARM 35.00 X X 0 0 0 JUAN RUIZ 35.00 X 152736 0 58987 EDILBERTO FARNACIO 36.30 X 122060 0 47140 STEVEN GUIGLOTTO 35.00 X 128516 0 49633 ELIZABETH DUNLEAVY 35.00 X 152463 0 58881 LETICIA ESTILLORE 36.30 X 111942 0 43232 MARY LOU DE MAIO 35.00 X 112003 0 43256 779720 0 301129 12 0 1 0 UNITEX TEXTILE RENTAL SERVICE 161 MACQUESTEN PKWY MOUNT VERNON NY 10550 LAUNDRY 266383 RUFFO TABORA MAINELLO & MCKAY PC 300 GREAT OAKS BLVD ALBANY NY 12203 LEGAL 118668 ARROW SECURITY 60 KNICKERBOCKER AVENUE BOHEMIA NY 11716 SECURITY 117459 3 138971 111488 250459 MEDICARE 623000 17049908 17049908 MEDICAID 623000 5192653 5192653 PRIVATE FEES/INSURANCE 623000 5132556 5132556 27375117 74471 74471 25468 8666 16802 16802 16802 40873 138971 109371 -68498 -68498 CAFETERIA 900099 125154 125154 CARMELITE SISTERS REIM 900099 64338 64338 EMPLOYEE PARKING FEES 900099 44172 44172 65598 65598 299262 27947613 27375117 0 322037 205001 205001 13803991 12868243 923895 11853 1402311 1310156 90723 1432 1065867 983156 81645 1066 4164994 3878731 282059 4204 16765 16765 166968 166968 41500 41500 11290 10382 908 1110643 1023677 86966 6679 3689 2990 1615746 1509665 105920 161 94213 94213 1142623 1130418 11843 362 6195 1886 4309 11163 5713 5450 1441296 1351889 87710 1697 606950 606950 NYS ASSESSMENT 1404964 1404964 PRESCRIPTION DRUGS 456452 456452 CARMELITE SYSTEM DUES & 225066 42031 183035 MEDICAL SUPPLIES 218949 218949 207569 157869 37665 12035 29427195 26964820 2429565 32810 1191379 2768912 21035271 16785570 3288732 4397866 24359 45536 603753 519944 47048875 27712233 19899736 19336642 50000 41334 2418702 2443934 48511932 46339738 2580059 4029400 215267 188910 14648742 13373742 129255 3169556 2446017 20613624 20167324 X 27892213 26159319 6095 13095 27898308 26172414 48511932 46339738 X -1479582 -246312 X X 0 1 1 X 0 X 115718 223936 146253 137234 250459 873600 28373040 27419050 28064266 26705725 27561119 138123200 28488758 27642986 28210519 26842959 27811578 138996800 0 0 0 138996800 774666 507619 453543 154764 74471 1965063 774666 507619 453543 154764 74471 1965063 438990 285510 489629 239160 299262 1752551 29702414 28436115 29153691 27236883 28185311 142714414 0.97400 0.97080 0.01380 0.01730 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 11290 11290 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: IN CONNECTION WITH THE COLLECTIVE BARGAINING NEGOTIATIONS BETWEEN ST. PATRICK'S HOME AND 1199/SEIU, CERTAIN EMPLOYER CONTRIBUTIONS ARE ALLOCATED TO GNYHA HEALTH CARE EDUCATION PROJECT, FOR USE IN LOBBYING PURPOSES IN CONNECTION WITH HEALTH CARE POLICY ISSUES. LOBBYING EXPENSES FOR 2011 TOTALED $11,290. 0 1 900000 900000 39806607 22660971 17145636 6102281 4856986 1245295 239987 194276 45711 19336642 A/R RENOVATION PROJECT 2255024 FUNDS HELD FOR RESIDENTS 188910 2443934 DUE TO THIRD PARTY PAYORS & OTHERS 2446017 2446017 27947613 29427195 -1479582 -246312 -246312 -1725894 27947613 0 27947613 0 27947613 29427195 0 29427195 0 29427195 PART IV, LINE 2B: RESIDENTS' FUNDS ARE HELD BY THE HOME ON BEHALF OF THE RESIDENTS. SUCH FUNDS REPRESENT LIVING ALLOWANCES RECEIVED BY RESIDENTS AND OTHER RESIDENTS' FUNDS DEPOSITED WITH THE HOME FOR SAFEKEEPING. THESE FUNDS ARE DISBURSED BY THE HOME AT THE REQUEST OF, OR ON BEHALF OF, RESIDENTS FOR THEIR PERSONAL USE. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE HOME RECOGNIZES THE EFFECT OF TAX POSITIONS ONLY WHEN THEY ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE HOME HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE HOME IS NO LONGER SUBJECT TO EXAMINATIONS BY APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2008. PART XI, LINE 8 - OTHER ADJUSTMENTS: PENSION LIABILITY ADJUSTMENT -246,312. GOLF OUTING 55405 41555 13850 500 12000 25413 3510 BANQUET 97875 83125 14750 34775 4100 10642 3 26564 14291 12273 3500 1050 13881 179844 138971 40873 4000 12000 60188 5150 28033 109371 -68498 X X X 0 0 0 0 0 0 0 0 0 JUAN RUIZ 152736 0 0 0 0 0 19000 0 39987 0 211723 0 0 0 EDILBERTO FARNACIO 121685 0 0 0 375 0 15184 0 31956 0 169200 0 0 0 STEVEN GUIGLOTTO 128516 0 0 0 0 0 15987 0 33646 0 178149 0 0 0 ELIZABETH DUNLEAVY 150838 0 0 0 1625 0 18966 0 39915 0 211344 0 0 0 LETICIA ESTILLORE 110117 0 0 0 1825 0 13926 0 29306 0 155174 0 0 0 MARY LOU DE MAIO 112003 0 0 0 0 0 13933 0 29323 0 155259 0 0 0 SUPPLEMENTAL INFORMATION PART III PART II, COLUMN B(III) EMPLOYEES RECEIVING LONGEVITY PAY: ELIZABETH DUNLEAVY $1,625 EDILBERTO FARNACIO $ 375 LETICIA ESTILLORE $1,825 FORM 990, PART VI, SECTION A, LINE 6 THERE ARE FIVE MEMBERS OF THE CORPORATION THAT INCLUDE THE OFFICES OF THE SUPERIOR GENERAL AND FOUR MEMBERS OF THE GENERAL COUNCIL OF THE CARMELITE SISTERS FOR THE AGED INFIRM. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF ST. PATRICK'S HOME FOR THE AGED AND INFIRM SHALL BE ELECTED BY THE MEMBERS AT EACH ANNUAL MEETING OF THE MEMBERS CORPORATION BY MAJORITY VOTE. MEMBERS CAN ALSO SERVE ON THE BOARD OF DIRECTORS AS MEMBER-DIRECTORS. ALL STANDARDS APPLICABLE TO DIRECTORS IN THE BY-LAWS SHALL ALSO APPLY TO MEMBER-DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE CORPORATE MEMBERS RETAIN THE RIGHT TO APPOINT OR REMOVE MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 THE FACILITY HAS ITS FORM 990 REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. UPON COMPLETION OF THE FORM, IT IS SUBMITTED TO THE FINANCE COMMITTEE FOR REVIEW AND APPROVAL. THEREAFTER, THE FINANCE COMMITTEE WILL REPORT TO THE BOARD OF DIRECTORS AT THE NEXT SCHEDULED QUARTERLY MEETING, AT WHICH TIME EACH BOARD MEMBER WILL RECEIVE A COPY OF THE FORM 990. ALL NECESSARY COMMENTS AND CHANGES WILL BE RECORDED TO ENSURE A COMPLETE AND ACCURATE FORM 990 IS FILED. FORM 990, PART VI, SECTION B, LINE 12C ST. PATRICK'S HOME FOR THE AGED AND INFIRM, INC. IS STRONGLY COMMITTED TO A POLICY OF COMPLIANCE WITH ALL CONFLICT OF INTEREST PROVISIONS UNDER LAW. SUCH COMPLIANCE IS OF CRITICAL IMPORTANCE TO THE NON-PROFIT, CHARITABLE MISSION AND ACTIVITIES OF ST. PATRICK'S HOME. BY FOLLOWING THIS POLICY, ALL BOARD MEMBERS WILL ASSURE THAT THE REPUTATION, GOOD WILL AND MISSION OF ST. PATRICK'S HOME ARE PRESERVED AND MAINTAINED IN GOOD STANDING. REMUNERATION: NO MEMBER OF THE BOARD OF DIRECTORS SHALL RECEIVE REMUNERATION FOR SERVICES RENDERED IN CONNECTION WITH SUCH MEMBER'S RESPONSIBILITIES AS A DIRECTOR OF THIS CORPORATION. EXPENSES INCIDENTAL TO ATTENDANCE AT THE MEETING OF THE BOARD OF DIRECTORS MAY BE PAID TO THE MEMBERS OF THE BOARD WITH BOARD APPROVAL. ANNUAL DISCLOSURE: IN ORDER TO PROPERLY IMPLEMENT THIS POLICY, EACH BOARD MEMBER SHALL SIGN AN ANNUAL DISCLOSURE, SETTING FORTH ALL POTENTIAL AND ACTUAL CONFLICTS OF INTEREST OR INDICATING THAT NO SUCH CONFLICTS EXIST. THIS DISCLOSURE SHALL BE IN THE FORM OF A LETTER DIRECTED TO THE MEMBERS OF THE CORPORATION. ACKNOWLEDGEMENT: BY SIGNING THIS POLICY STATEMENT, THE BOARD MEMBER ACKNOWLEDGES THAT HE OR SHE HAS READ THE STATEMENT, UNDERSTANDS WHAT HIS OR HER RESPONSIBILITIES ARE AS A BOARD MEMBER AND WILL FULLY COMPLY WITH THE REQUIREMENTS SET FORTH ABOVE. FORM 990, PART VI, SECTION B, LINE 13: WHISTLEBLOWER POLICY THE HOME HAS A WRITTEN WHISTLEBLOWER POLICY AND PROCEDURE. THE POLICY IS INCORPORATED IN THE HOME'S CORPORATE COMPLIANCE PROGRAM. THE POLICY ALLOWS FOR EMPLOYEES AND OTHER INDIVIDUALS TO REPORT INCIDENTS AND OR ABUSES ANONYMOUSLY TO THE CORPORATE COMPLIANCE OFFICER VIA THE CORPORATE COMPLIANCE HOTLINE OR CORPORATE COMPLIANCE BOXES LOCATED THROUGHOUT THE PREMISES. FORM 990, PART VI, SECTION B, LINE 15 A COMPENSATION POLICY WAS DEVELOPED BY THE BOARD TO GOVERN COMPENSATION ARRANGEMENTS BETWEEN THE ORGANIZATION AND COVERED INDIVIDUALS, DEFINED AS THOSE IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE ORGANIZATION. THE COMPENSATION COMMITTEE CONSISTS OF AT LEAST THREE INDEPENDENT INDIVIDUALS APPOINTED BY THE BOARD, WHO THEMSELVES ARE MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE RECOMMENDS TO THE BOARD THE COMPENSATION FOR COVERED INDIVIDUALS BASED ON RELEVANT DATA INCLUDING COMPARABILITY COMPENSATION FOR SIMILARLY SITUATED ENTITIES AND INDEPENDENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS AS DEEMED NECESSARY. COMPENSATION PAID TO THE ADMINISTRATOR AND ASSISTANT ADMINISTRATOR: PLEASE NOTE THAT BOTH THE ADMINISTRATOR AND ASSISTANT ADMINISTRATOR AS WOMAN RELIGIOUS MEMBERS OF THE CARMELITE SISTERS FOR THE AGED AND INFIRM, INC. HAVE TAKEN A VOW OF POVERTY AND ARE PROVIDED WITH ZERO (0) COMPENSATION FROM THE FACILITY. ALL COMPENSATION THAT WOULD HAVE BEEN PAID TO THE ADMINISTRATOR AND ASSISTANT ADMINISTRATOR ON BEHALF OF SERVICES PROVIDED TO THE FACILITY IS INSTEAD PAID TO THE CARMELITE SISTERS OF THE AGED AND INFIRM, INC. RATHER THAN THE INDIVIDUALS. FOR 2011, THE HOME PAID THE ORDER AN AMOUNT OF $268,437 FOR SERVICES THE ADMINISTRATOR AND ASSISTANT ADMINISTRATOR PROVIDED TO THE FACILITY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS; CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND TAX FILINGS AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION ALSO FILES REPORTS WITH VARIOUS GOVERNMENTAL AGENCIES AS A REQUIREMENT FOR PARTICIPATION IN GOVERNMENT PROGRAMS, WHICH THE AGENCIES MAY MAKE AVAILABLE TO THE PUBLIC. THE ORGANIZATIONS FORM 990 IS AVAILABLE TO THE PUBLIC ON GUIDESTAR'S WEBSITE. FORM 990, PART VII, SECTION A: EIGHT MEMBERS OF THE BOARD OF DIRECTORS OF ST. PATRICK'S HOME ARE ALSO RELIGIOUS MEMBERS OF THE CARMELITE SISTERS OF THE AGED & INFIRM. THESE SISTERS DEVOTE THEIR ENTIRE LIVES TO THE CHARITABLE WORKS OF THEIR ORDER. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: PENSION LIABILITY ADJUSTMENT -246,312. TOTAL TO FORM 990, PART XI, LINE 5: -246,312. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS HAS DESIGNATED A COMMITTEE TO MANAGE THE PROCESSES OF SELECTION AND OVERSIGHT OF THE AUDIT AND INDEPENDENT ACCOUNTANT. THE COMMITTEE MEETS WITH MANAGEMENT AND THE INDEPENDENT AUDITORS TO REVIEW THE ENGAGEMENT PROPOSAL; RESULTS OF THE AUDIT; DRAFT AUDIT REPORT; MANAGEMENT LETTER. THE COMMITTEE MAY MEET WITH THE INDEPENDENT AUDITORS IN EXECUTIVE SESSION BEFORE CONCLUDING ITS REVIEW AND ACCEPTANCE OF THE ANNUAL AUDIT REPORT. THE COMMITTEE REPORTS ITS FINDINGS AND MAKES ITS RECOMMENDATION TO THE BOARD OF DIRECTORS. CARMELITE SISTERS FOR THE AGED AND INFIRM 600 WOODS ROAD GERMANTOWN NY 12572 141369151 LONG TERM HEALTH CARE MINISTRY IN CONFORMITY WITH ROMAN CATHOLIC DOCTRINE NY 501(C)3 1 N/A 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 1