2024-11-14T18:37:10-06:00 2023-12-31 873231666 PKF O'CONNOR DAVIES ADVISORY LLC 500 MAMARONECK AVENUE SUITE 301 HARRISON NY 105281633 990 2023-01-01 131740301 PROVIDENCE REST PROV 7189313000 3304 WATERBURY AVENUE BRONX NY 10465 ANNMARIE COVONE EXECUTIVE VP & CFO 7189313000 2024-11-14 1 1 MELISSA MODELSON P01603524 9143818900 2024-11-05 2023 2024-10-15 13:58:12Z ARCHCARE AT PROVIDENCE REST SCOTT P LA RUE 205 LEXINGTON AVE - 2ND FLOOR NEW YORK NY 10016 38193563 0 0928 X WWW.PROVIDENCEREST.ORG X 1956 NY TO RENDER INPATIENT MEDICAL CARE TO THE AGED. 21 21 258 26 0 0 534930 1482947 26774130 32474620 381606 390300 -19115 6708 27671551 34354575 0 0 0 0 14934246 16176854 0 0 0 18535644 19540229 33469890 35717083 -5798339 -1362508 31027186 31028914 27398854 27146429 3628332 3882485 X IT IS OUR MISSION TO PROVIDE EXCEPTIONAL SKILLED NURSING AND REHABILITATIVE CARE IN A SAFE, PEACE-FILLED, SPIRITUALLY-CENTERED ENVIRONMENT TO THE OLDER ADULTS ENTRUSTED TO US. WE CONSIDER IT OUR PRIVILEGE TO CARE FOR EACH PERSON AS GOD'S PRECIOUS GIFT OF LIFE AND LOVE. WE FULLY COMMIT OURSELVES TO A CIRCLE OF COMMUNITY WITH OUR RESIDENTS AS THE CENTER, SURROUNDED BY STAFF, FAMILIES AND FRIENDS; THE RECOGNITION OF EACH RESIDENT AS AN AUTONOMOUS INDIVIDUAL WITH SPECIAL AND UNIQUE NEEDS, INTERESTS AND PREFERENCES; THE INVOLVEMENT OF ALL STAFF IN THE DAILY LIVES OF OUR RESIDENTS; CREATING A CARE ENVIRONMENT WHERE ALL THE MEMBERS OF OUR COMMUNITY WORK IN HARMONY TO PROVIDE A HAPPY HOME. 0 0 30121857 0 32474620 OUR SNF OFFERS SHORT TERM REHABILITATION, SUBACUTE SERVICES, LONG TERM CARE AND RESPITE CARE. IN ADDITION, WE HAVE A COMPREHENSIVE PALLIATIVE CARE PROGRAM AND PROVIDE IN-PATIENT HOME HOSPICE CARE. OUR SERVICES FOCUS ON THE OLDER ADULTS IN OUR COMMUNITY. WE HAVE A PERSON-CENTERED PHILOSOPHY, FOCUSING ON ALL THE NEEDS OF EACH INDIVIDUAL ENTRUSTED TO US PHYSICAL, SPIRITUAL, PSYCHOLOGICAL AND SOCIAL. WE HAD 576 ADMISSIONS TO PROVIDENCE REST IN 2023, DISCHARGED 390 RESIDENTS BACK TO THEIR HOMES. WE RENDERED 71,588 DAYS OF RESIDENT CARE AND 23 DAYS OF RESPITE CARE. PROVIDENCE REST CONTINUED TO EXTEND THE BOUNDARIES OF THE HOME TO THE COMMUNITY AT LARGE, SHARING EXPERTISE, PROGRAMS AND RESOURCES, THROUGH INTERNSHIP PROGRAMS, COMMUNITY INFORMATION PROGRAMS, HEALTH FAIR PARTICIPATION AND OTHER OUTREACH EFFORTS INCLUDING PROVIDING THE BOARD OF ELECTIONS WITH PROVIDENCE AS A NEW, HANDICAPPED ACCESSIBLE POLLING SITE. 0 0 0 OUR OUTPATIENT PROGRAM PROVIDES PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY SERVICES TO THE ADULTS OF OUR COMMUNITY, SPECIALIZING IN REHABILITATION FOR THE SENIOR POPULATION. THE PROGRAM ALSO PROVIDES CONTINUITY FOR OUR DISCHARGED SHORT-TERM REHAB CLIENTS WHO CHOOSE TO REMAIN WITH OUR THERAPISTS FOR THEIR REHABILITATION ONCE THEY RETURN HOME 30121857 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 42 0 258 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 21 21 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 X ANNMARIE COVONE 6466334700 205 LEXINGTON AVENUE - 2ND FLR NEW YORK NY 10016 FRANCIS J SERBAROLI ESQ CHAIRMAN 0.10 1.70 X X 0 0 0 THOMAS M O'BRIEN VICE-CHAIR 0.10 1.70 X 0 0 0 DR TARA A CORTES SECRETARY 0.10 1.70 X 0 0 0 THOMAS E ALBERTO BOARD MEMBER 0.10 1.70 X 0 0 0 STEVE BUJNO BOARD MEMBER 0.10 1.70 X 0 0 0 JOHN CAHILL BOARD MEMBER 0.10 1.70 X 0 0 0 JOHN T DUNLAP BOARD MEMBER 0.10 1.70 X 0 0 0 MSGR CHARLES J FAHEY BOARD MEMBER, THRU NOV 2023 0.10 1.70 X 0 0 0 THOMAS J FAHEY JR MD BOARD MEMBER 0.10 1.70 X 0 0 0 ERIC P FELDMANN BOARD MEMBER 0.10 1.70 X 0 0 0 SISTER SELINE FLORES BOARD MEMBER 0.10 1.70 X 0 0 0 JOHN GLEASON BOARD MEMBER 0.10 1.70 X 0 0 0 KAREN GRAY BOARD MEMBER 0.10 1.70 X 0 0 0 CLARION E JOHNSON MD BOARD MEMBER 0.10 1.70 X 0 0 0 RORY KELLEHER BOARD MEMBER 0.10 1.70 X 0 0 0 MSGR JOSEPH LAMORTE BOARD MEMBER 0.10 1.70 X 0 0 0 RICHARD PARK BOARD MEMBER 0.10 1.70 X 0 0 0 KATHRYN ROONEY BOARD MEMBER 0.10 1.70 X 0 0 0 JOSEPH SAPORITO BOARD MEMBER 0.10 1.70 X 0 0 0 GT SWEENEY BOARD MEMBER 0.10 1.70 X 0 0 0 GENNARO VASILE PHD BOARD MEMBER 0.10 1.70 X 0 0 0 BISHOP GERALD WALSH BOARD MEMBER 0.10 1.70 X 0 0 0 SCOTT P LA RUE PRESIDENT & CEO 0.10 38.70 X 0 1640548 412658 ANNMARIE COVONE EXECUTIVE VP/CFO 0.10 38.70 X 0 1093137 309335 SISTER SELINE FLORES CEO 35.00 1.70 X 0 0 0 RICHARD P BISCOTTI ADMINISTRATOR 35.00 0.00 X 254803 0 86360 MAUREEN BOOTHBY DIRECTOR OF NURSING 35.00 0.00 X 183951 0 51455 HILLARY M CHANCY DIRECTOR OF STAFF DEVELOPMENT 35.00 0.00 X 133815 0 23464 JUDITH AGUSTIN MDS DIRECTOR 35.00 0.00 X 132243 0 24723 COLLEEN D MARTIN RN SUPERVISOR 35.00 0.00 X 125528 0 5909 DINAH L SULLIVAN HR DIRECTOR 35.00 0.00 X 125075 0 0 955415 2733685 913904 18 0 1 0 MORRISON MANAGEMENT SPECIALIST 100 SOUTHCREST DRIVE STOCKBRIDGE GA 30281 NUTRITION MGMT SERVICES 1755898 CATHOLIC HEALTH CARE SYSTEM 205 LEXINGTON AVE 2ND FLR NEW YORK NY 10012 ADMINISTRATIVE SERVICES 1602669 RCM TECHNOLOGIES PO BOX 536342 PITTSBURGH PA 15253 STAFFING SERVICES 1539889 THERADYNAMICS REHAB LLC 337 CROSSWAY PARK DRIVE WOODBURY NY 11797 REHAB SERVICES 1021277 AEQUOR HEALTHCARE SERVICES 377 HOES LANE NEW YORK NY 10010 STAFFING SERVICES 457698 14 89470 1043464 350013 1482947 MEDICAID REVENUE 623000 15869764 15869764 MEDICARE REVENUE 623000 8535202 8535202 PRIVATE PAY AND OTHER 623000 4836803 4836803 OTHER PATIENT REVENUE 623000 3232851 3232851 32474620 223907 223907 531 0 531 531 531 3924240 3757847 166393 166393 166393 14075 89470 59509 -45434 -45434 7330 0 7330 7330 43844 21632 22212 22212 REBATES 900099 7401 7401 MEDICAL RECORDS ABSTRACTS 900099 5465 5465 INTEREST ON PAST DUE ACCTS 900099 3784 3784 5419 5419 22069 34354575 32474620 0 397008 X 321732 321732 10838602 10539996 298606 1066193 1021001 45192 2274777 2178736 96041 1675550 1587555 87995 1748366 1748366 96059 96059 78500 78500 19775 19775 24847 24847 8201387 7546175 655212 56 56 1146670 524335 622335 285088 285088 1288952 1216415 72537 7003 7003 2340338 2340338 462697 462697 NY CASH RECEIPT ASSMNT 1398832 1398832 PURCHASED SERVICES 943773 895392 48381 BAD DEBT EXPENSE 596126 596126 MEDICATIONS 414046 414046 487714 459036 28678 35717083 30121857 5595226 0 807962 656326 4434012 5203479 4394036 4181526 94869 100937 282925 214758 66559418 56307388 12160344 10252030 7151849 7272904 1701189 3146954 31027186 31028914 6115235 7420214 193644 68306 16580435 15506946 253662 363786 4255878 3787177 27398854 27146429 X 3628332 3882485 3628332 3882485 31027186 31028914 X -1362508 1030662 585999 X X 0 1 X 1 1 1 X 1274456 2204677 3082071 534930 1482947 8579081 27244362 22545205 23612330 26774130 32474620 132650647 28518818 24749882 26694401 27309060 33957567 141229728 19373 9070 3550 9450 2500 43943 0 19373 9070 3550 9450 2500 43943 141185785 594055 568158 237939 228801 224438 1853391 594055 568158 237939 228801 224438 1853391 53982 58937 32996 51013 65913 262841 29166855 25376977 26965336 27588874 34247918 143345960 0.98490 0.98160 0.01290 0.01610 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2019 AMOUNT: $ 4,060. 2021 AMOUNT: $ 881. 2022 AMOUNT: $ 1,212. 2023 AMOUNT: $ 3,668. CABLE / PHONE CHARGES - 2019 AMOUNT: $ 8,079. 2020 AMOUNT: $ 6,902. 2021 AMOUNT: $ 4,655. 2022 AMOUNT: $ 4,606. 2023 AMOUNT: $ 1,751. PURCHASE DISCOUNTS - 2019 AMOUNT: $ 26,929. 2020 AMOUNT: $ 6,734. INTEREST ON PAST DUE ACCOUNTS - 2019 AMOUNT: $ 11,102. 2020 AMOUNT: $ 12,484. 2021 AMOUNT: $ 3,526. 2022 AMOUNT: $ 8,064. 2023 AMOUNT: $ 3,784. MEDICAL RECORD ABSTRACTS - 2019 AMOUNT: $ 3,612. 2020 AMOUNT: $ 2,213. 2021 AMOUNT: $ 560. 2022 AMOUNT: $ 289. 2023 AMOUNT: $ 5,465. REBATES - 2019 AMOUNT: $ 200. 2020 AMOUNT: $ 3,246. 2023 AMOUNT: $ 7,401. BEAUTY PARLOR - 2020 AMOUNT: $ 7,037. 2021 AMOUNT: $ 8,072. 2022 AMOUNT: $ 14,164. 2023 AMOUNT: $ 19,192. COFFEE SHOP - 2020 AMOUNT: $ 20,321. 2021 AMOUNT: $ 15,302. 2022 AMOUNT: $ 22,678. 2023 AMOUNT: $ 24,652. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 19775 19775 0 PART II-B, LINE 1: AMOUNTS REPORTED ON LINE 1I REPRESENTS THE PORTION OF MEMBERSHIP DUES PAID BY THE ORGANIZATION TO PROFESSIONAL ASSOCIATIONS AND SIMILAR ORGANIZATIONS ATTRIBUTABLE TO LOBBYING ACTIVITIES. 0 1 X 2525290 2525290 58370055 52068306 6301749 52275 52275 0 5611798 4186807 1424991 10252030 DUE FROM THIRD PARTY 738604 RESTRICTED CASH 363786 INSURANCE RECOVERY RECEIVABLE 1979617 DUE FROM AFFILIATES 64947 3146954 DUE TO THIRD PARTY PAYORS 101475 ACCRUED PENSION OBLIGATION 1216559 PROFESSIONAL LIABILITIES 1979617 DUE TO AFFILIATES 489526 3787177 X 34293391 1030662 21632 1052294 33241097 24847 1088631 1113478 34354575 34625237 21632 21632 34603605 24847 1088631 1113478 35717083 PART IV, LINE 2B: RESIDENTS' FUNDS ARE HELD BY THE HOME ON BEHALF OF THE RESIDENTS. SUCH FUNDS REPRESENT ALLOWANCES RECEIVED BY RESIDENTS AS WELL AS 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. PART X, LINE 2: THE HOME RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS 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 THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2020. PART XI, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD REPORTED ON PART VIII, LINE 10B 21,632. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASS OF BAD DEBT EXPENSE TO PART IX, LINE 24 596,126. RECLASS ATI CREDIT TO PART VIII, LINE 1E 492,505. PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD REPORTED ON PART VIII, LINE 10B 21,632. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASS OF BAD DEBT EXPENSE TO PART IX, LINE 24 596,126. RECLASS ATI CREDIT TO PART VIII, LINE 1E 492,505. GOLF EVENT 103545 89470 14075 32800 26709 103545 89470 14075 32800 26709 59509 -45434 1 1 0 0 0 0 0 1 0 SCOTT P LA RUE PRESIDENT & CEO 0 1342689 0 135259 0 162600 0 387935 0 24723 0 2053206 0 296164 ANNMARIE COVONE EXECUTIVE VP/CFO 0 879723 0 114980 0 98434 0 273684 0 35651 0 1402472 0 199482 RICHARD P BISCOTTI ADMINISTRATOR 226012 0 20095 0 8696 0 61637 0 24723 0 341163 0 20095 0 MAUREEN BOOTHBY DIRECTOR OF NURSING 168754 0 15197 0 0 0 39391 0 12064 0 235406 0 718 0 HILLARY M CHANCY DIRECTOR OF STAFF DEVELOPMENT 133815 0 0 0 0 0 11400 0 12064 0 157279 0 0 0 JUDITH AGUSTIN MDS DIRECTOR 132243 0 0 0 0 0 0 0 24723 0 156966 0 0 0 PART I, LINE 3 CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE UNDERTAKES A RIGOROUS PROCESS TO ENSURE THAT ITS EXECUTIVE COMPENSATION IS REASONABLE. TOWARD THAT END, THE BOARD OF TRUSTEES HAS A COMPENSATION COMMITTEE OF INDEPENDENT PERSONS THAT HAVE NO PERSONAL INTEREST IN ANY PROPOSED COMPENSATION ARRANGEMENT. THE BOARD ENGAGED AN INDEPENDENT COMPENSATION CONSULTANT WHO CONDUCTED INDEPENDENT RESEARCH AND UTILIZED A WIDE RANGE OF INDUSTRY DATA TO DEVELOP COMPARABILITY OR BENCHMARKING DATA FOR APPROPRIATE LEVELS OF COMPENSATION FOR TOP MANAGEMENT, OFFICERS, AND KEY EMPLOYEES. THE CONSULTANT PROJECTED THE DATA FOR THE FOLLOWING THREE YEARS FOR EACH SALARY LEVEL. THE COMPENSATION COMMITTEE, TAKING THE CONSULTANT'S RECOMMENDATIONS UNDER ADVISEMENT, HELD A MEETING AT WHICH CONTEMPORANEOUS MINUTES WERE KEPT AND AT THAT MEETING DETERMINED TO MAKE RECOMMENDATIONS TO THE BOARD OF TRUSTEES. THE BOARD OF TRUSTEES THEN CONSIDERED AND APPROVED THE RECOMMENDATIONS OF THE COMPENSATION COMMITTEE, WHICH APPROVAL WAS RECORDED IN THE MINUTES OF THE MEETING OF THE BOARD OF TRUSTEES. IN 2023, THE CONSULTANT UPDATED ITS REVIEW OF THE COMPENSATION STRUCTURE OF TOP MANAGEMENT, OFFICERS, AND KEY EMPLOYEES FOLLOWING THE METHOD DESCRIBED ABOVE. IN ADDITION, THE ORGANIZATION UPDATED ITS REVIEW OF THE COMPENSATION STRUCTURE FOR ALL OTHER POSITIONS (NON-UNION). PART I, LINES 4A-B SCOTT P. LA RUE AND ANNMARIE COVONE PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE DISTRIBUTED $160,905 TO SCOTT AND $84,502 TO ANNMARIE IN THEIR 2023 W-2S. PART I, LINE 7 THE ORGANIZATION PAID DISCRETIONARY BONUSES TO CERTAIN INDIVIDUALS LISTED IN PART II AS REPORTED IN COLUMN B(II) FOR THE APPLICABLE INDIVIDUALS. A DORMITORY AUTHORITY OF THE STATE OF NEW YORK (DASNY) 146000293 000000000 2016-12-29 22821500 REFINANCING ISSUE 0 0 0 A 6941737 22821500 400862 22420638 2016 1 0 1 1 A 0 0 1 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 1 0 0 0 0 0 0 A 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS A MANAGEMENT AGREEMENT FOR CERTAIN ADMINISTRATIVE AND CONSULTING SERVICES WITH CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE. CATHOLIC HEALTH CARE SYSTEM SHALL PROVIDE HUMAN RESOURCES, IT SERVICES, FINANCE SERVICES, LEGAL SERVICES, COMPLIANCE, AND SUPPLY CHAIN MANAGEMENT TO THE ORGANIZATION. ANNMARIE COVONE AND SCOTT LA RUE (OFFICERS OF THE FILING ORGANIZATION) WERE PAID BY CATHOLIC HEALTH CARE SYSTEM. THEIR 2023 COMPENSATION IS REPORTED IN PART VII, SECTION A AND SCHEDULE J, PART II. CATHOLIC HEALTH CARE SYSTEM WAS PAID $1,748,366 FOR SERVICES PROVIDED IN 2023. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE "MEMBER" IS CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER HAS THE RIGHT TO APPOINT AND REMOVE MEMBERS OF THE BOARD OF TRUSTEES, APPOINT THE CHAIRMAN OF THE BOARD, AMEND THE BY-LAWS AND CERTIFICATE OF INCORPORATION AND APPROVE SUBSTANTIAL TRANSACTIONS. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER HAS THE RIGHT TO AMEND THE BY-LAWS AND CERTIFICATE OF INCORPORATION AND APPROVE SUBSTANTIAL TRANSACTIONS. FORM 990, PART VI, SECTION B, LINE 11B PROVIDENCE REST HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE BOARD MEMBERS OF THE ORGANIZATION FOR ANY COMMENTS. ANY COMMENTS ARE THEN GROUPED, SUMMARIZED AND PROVIDED TO THE OUTSIDE ACCOUNTANTS. EACH ISSUE IS DOCUMENTED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING. FORM 990, PART VI, SECTION B, LINE 12C COMPLIANCE OFFICER OBTAINS DISCLOSURE FROM EACH BOARD MEMBER PRIOR TO A DIRECTOR'S FIRST ATTENDANCE AT A BOARD MEETING AND FROM ALL BOARD MEMBERS AT LEAST EVERY TWO YEARS. BOARD MEMBERS ARE IN-SERVICED ANNUALLY ON THE POLICIES AND PROCEDURES OF THE CORPORATE COMPLIANCE PROGRAM. EMPLOYEES ARE IN-SERVICED ON THE POLICY AND CORPORATE COMPLIANCE PROGRAM DURING ORIENTATION AND ANNUALLY DURING THE MONTH OF JULY. THEY ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST TO THE ADMINISTRATOR AND TO AVOID PARTICIPATING IN ANY DECISIONS OR DELIBERATIONS RELATED TO AN INSTITUTIONAL OR BUSINESS TRANSACTION IN WHICH A POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS. AN EMPLOYEE WHO FAILS TO DISCLOSE A CONFLICT MAY BE DISCIPLINED AND/OR DISCHARGED. IN ADDITION, UNDER THE CORPORATE COMPLIANCE PROGRAM ANYONE CAN REPORT A SUSPECTED VIOLATION OF THE CONFLICT OF INTEREST POLICY. THE COMPLIANCE OFFICER AND/OR COMPLIANCE COMMITTEE WILL INVESTIGATE THE ALLEGATION TO DETERMINE ITS VALIDITY. THE COMPLIANCE OFFICER CONDUCTS A COMPREHENSIVE INVESTIGATION INCLUDING INTERVIEWS WITH APPROPRIATE STAFF, VENDORS, REVIEW OF DOCUMENTS, CONSULTATION WITH LEGAL COUNSEL IF NECESSARY. THE COMPLIANCE OFFICER KEEPS THE ADMINISTRATOR AND CHAIRMAN OF THE BOARD APPRISED OF THE PROGRESS OF THE INVESTIGATION. AT THE CONCLUSION OF THE INVESTIGATION A REPORT IS PREPARED FOR THE ADMINISTRATOR. IF THE INVESTIGATION REVEALED A VIOLATION HAD OCCURRED THE OFFICER WILL RECOMMEND CORRECTIVE ACTION. APPROPRIATE ACTION MAY INCLUDE DISCIPLINARY ACTION, DISMISSAL (BOARD MEMBER), COMMUNICATIONS TO EMPLOYEES, STAFF, CONTRACTORS AND BOARD MEMBERS. AUDITS ARE CONDUCTED DURING THE YEAR TO ENSURE EMPLOYEES, CONSULTANTS AND CONTRACTORS ARE ADHERING TO THE POLICY. THIS INCLUDES A REVIEW OF EACH NEW CONTRACTOR AND/OR VENDOR PRIOR TO BUSINESS BEING CONDUCTED. FORM 990, PART VI, SECTION B, LINE 15B THE CORPORATION UNDERTAKES A RIGOROUS PROCESS TO ENSURE THAT ITS EXECUTIVE COMPENSATION IS REASONABLE AND COMPETITIVE. TOWARD THAT END, THE BOARD OF TRUSTEES HAS A COMPENSATION COMMITTEE OF INDEPENDENT PERSONS THAT HAVE NO PERSONAL INTEREST IN ANY PROPOSED COMPENSATION ARRANGEMENT. THE BOARD ENGAGED AN INDEPENDENT COMPENSATION CONSULTANT WHO CONDUCTED INDEPENDENT RESEARCH AND UTILIZED A WIDE RANGE OF INDUSTRY DATA TO DEVELOP COMPARABILITY OR BENCHMARKING DATA FOR APPROPRIATE LEVELS OF COMPENSATION FOR TOP MANAGEMENT, OFFICERS, AND KEY EMPLOYEES. IN ADDITION, THE CONSULTANT CREATED A COMPENSATION STRUCTURE FOR ALL OTHER POSITIONS (NON-UNION). THIS STRUCTURE IS REVIEWED EVERY THREE YEARS. THE CONSULTANT REVIEWS EXECUTIVE COMPENSATION ANNUALLY AND REVIEWS THESE RESULTS WITH THE COMPENSATION COMMITTEE. THE CONSULTANT PROJECTED THE DATA FOR THE FOLLOWING THREE YEARS FOR EACH SALARY LEVEL. THE COMPENSATION COMMITTEE, TAKING THE CONSULTANT'S RECOMMENDATIONS UNDER ADVISEMENT, HELD A MEETING AT WHICH CONTEMPORANEOUS MINUTES WERE KEPT AND AT THAT MEETING DETERMINED TO MAKE RECOMMENDATIONS TO THE BOARD OF TRUSTEES. THE BOARD OF TRUSTEES THEN CONSIDERED AND APPROVED THE RECOMMENDATIONS OF THE COMPENSATION COMMITTEE, WHICH APPROVAL WAS RECORDED IN THE MINUTES OF THE MEETING OF THE BOARD OF TRUSTEES. IN 2023, THE CONSULTANT UPDATED ITS REVIEW OF THE COMPENSATION STRUCTURE OF TOP MANAGEMENT, OFFICERS, AND KEY EMPLOYEES FOLLOWING THE METHOD DESCRIBED ABOVE. IN ADDITION, THE ORGANIZATION UPDATED ITS REVIEW OF THE COMPENSATION STRUCTURE FOR ALL OTHER POSITIONS (NON-UNION). FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. THE ORGANIZATION'S FORM 990 IS ALSO AVAILABLE ON GUIDESTAR AND OTHER SIMILAR WEBSITES. FORM 990, PART VI, SECTION C, LINE 19 PROVIDENCE REST MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINACIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. THE ORGANIZATION ALSO FILES AN ANNUAL COST REPORT WITH THE NEW YORK STATE DEPARTMENT OF HEALTH WHICH CONTAINS FINANCIAL STATEMENTS AND RELATED NOTE DISCLOSURES, WHICH IS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G RN, LPN, CAN: PROGRAM SERVICE EXPENSES 2,733,415. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,733,415. FOOD SERVICES: PROGRAM SERVICE EXPENSES 1,804,666. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,804,666. THERAPISTS & NON PHYS.: PROGRAM SERVICE EXPENSES 1,513,372. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,513,372. PASTORAL CARE: PROGRAM SERVICE EXPENSES 400,037. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 400,037. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 302,040. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 302,040. ENGINEERING: PROGRAM SERVICE EXPENSES 284,281. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 284,281. SECURITY: PROGRAM SERVICE EXPENSES 280,555. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 280,555. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 96,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 96,000. LABORATORY/RADIOLOGY: PROGRAM SERVICE EXPENSES 64,230. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 64,230. CONSULTING: PROGRAM SERVICE EXPENSES 62,159. MANAGEMENT AND GENERAL EXPENSES 422,407. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 484,566. PHYSICAL THERAPISTS: PROGRAM SERVICE EXPENSES 5,420. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,420. EMPLOYMENT AGENCY: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 30,971. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,971. DASNY FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 9,834. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,834. BILLING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 192,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 192,000. FORM 990, PART XI, LINE 9: EFFECT OF PENSION LIABILITY ADJUSTMENT 585,999. FORM 990, PART XII, LINE 2C: THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTING FIRM. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. ARCHCARE COMMUNITY SERVICES INC 205 LEXINGTON AVE - 2ND FL NEW YORK NY 10016 813563801 PROVIDE COMMUNITY AND PASTORAL SERVICES AND SUPPORTIVE HOUSING NY 501(C)(3) LINE 12B, II CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 BENEFICE ADVANTAGE INC 205 LEXINGTON AVE - 2ND FL NEW YORK NY 10016 134201050 DORMANT/PROVIDE ADMIN., BENEFITS COORDINATING AND OTHER SERVICES TO ARCHCARE NY 501(C)(3) LINE 1 CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 BROOKLYN VISITING NURSE FOUNDATION 205 LEXINGTON AVE - 2ND FL NEW YORK NY 10016 113312248 DORMANT/RAISE FUNDS FOR AFFILIATED ORGANIZATIONS NY 501(C)(3) LINE 12B, II VISITING NURSE REGIONAL HEALTH CARE SYSTEM INC 0 CALVARY FUND INC 1740 EASTCHESTER ROAD BRONX NY 10461 133259649 SUPPORT CALVARY HOSPITAL NY 501(C)(3) LINE 12A, I CALVARY HOLDING COMPANY INC 0 CALVARY HOLDING COMPANY 1740 EASTCHESTER ROAD BRONX NY 10461 061531426 SUPPORT THE CALVARY HOSPITAL AND ITS AFFILIATED ORGANIZATIONS NY 501(C)(3) LINE 12A, I CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 CALVARY HOSPITAL 1740 EASTCHESTER ROAD BRONX NY 10461 131740274 OPERATE A TAX EXEMPT HOSPITAL NY 501(C)(3) LINE 3 CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 CARMEL RICHMOND NURSING HOME INC 88 OLD TOWN ROAD STATEN ISLAND NY 103044299 132720248 OPERATE SKILLED NURSING & REHABILITATION FACILITY NY 501(C)(3) LINE 10 CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 CATHOLIC HEALTH CARE FOUNDATION OF THE ARCHDIOCESE OF NY 205 LEXINGTON AVE - 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2ND FL NEW YORK NY 10016 133086309 DORMANT/OPERATE SKILLED NURSING & REHABILITATION FACILITY NY 501(C)(3) LINE 10 CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 MARY MANNING WALSH NURSING HOME CO INC 1339 YORK AVENUE NEW YORK NY 10021 136220617 OPERATE SKILLED NURSING & REHABILITATION FACILITY NY 501(C)(3) LINE 10 CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 OUR LADY OF MERCY FUND OF NEW YORK NY 205 LEXINGTON AVE - 2ND FL NEW YORK NY 10016 133452084 DORMANT/PROVIDE FUNDS TO SUPPORT THE MISSION OF CHCS FACILITIES NY 501(C)(3) LINE 7 OUR LADY OF MERCY HEALTHCARE SYSTEM INC 0 OUR LADY OF MERCY HEALTHCARE SYSTEM INC 205 LEXINGTON AVE - 2ND FL NEW YORK NY 10016 133395946 DORMANT/PROVIDE FUNDS TO SUPPORT THE MISSION OF CHCS FACILITIES NY 501(C)(3) LINE 12A, I CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 PROVIDENCE HEALTH SERVICES 1011 1ST AVENUE NEW YORK NY 10022 133354940 SPONSOR OF CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE NY 501(C)(3) LINE 3 N/A 0 ST TERESA'S NURSING HOME INC 205 LEXINGTON AVE - 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2ND FL NEW YORK NY 10016 113574017 DORMANT/SUPPORT AND MANAGEMENT SERVICES FOR ITS AFFILIATES NY 501(C)(3) PF CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 VISITING NURSE ASSOCIATION OF BROOKLYN INC 205 LEXINGTON AVE - 2ND FL NEW YORK NY 10016 111977434 DORMANT/HOME HEALTH CARE NY 501(C)(3) PF VISITING NURSE REGIONAL HEALTH CARE SYSTEM INC 0 EGER HEALTH CARE AND REHABILITATION CENTER 140 MEISNER AVENUE STATEN ISLAND NY 10306 133524533 OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITY NY 501(C)(3) LINE 10 CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 ST AGNES HOSPITAL 305 NORTH STREETH WHITE PLAINS NY 10605 131740121 ST. AGNES HOSPITAL NY CATHOLIC HEALTHCARE SYSTEM DBA ARCHCARE C 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0