ST VINCENT DE PAUL RESIDENCE: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- ST VINCENT DE PAUL RESIDENCE (EIN 13-3598842)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-14
- IRS object ID
- 202223189349320212
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-14T21:10:50-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 271728945 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PKF O'CONNOR DAVIES LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 MAMARONECK AVENUE SUITE 301 | AddressLine1Txt |
| City | HARRISON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 105281633 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 133598842 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST VINCENT DE PAUL RESIDENCE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STVI | BusinessNameControlTxt |
| Phone | 6466334700 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 900 INTERVALE AVENUE | AddressLine1Txt |
| City | BRONX | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10459 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANNMARIE COVONE | PersonNm |
| Person Title | EXECUTIVE VP & CFO | PersonTitleTxt |
| Phone | 6466334700 | PhoneNum |
| Signature | 2022-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ANNMARIE | PersonFirstNm |
| Person Last | COVONE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GARRETT M HIGGINS | PreparerPersonNm |
| PTIN | P00543209 | PTIN |
| Phone | 9143818900 | PhoneNum |
| Preparation | 2022-11-14 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAN VICENTE DE PAUL SKILLED NURSING AND REHABILITATION CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SCOTT P LA RUE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 205 LEXINGTON AVENUE | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10016 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $17,427,597 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ARCHCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1990 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | LOCATED IN THE BRONX, ARCHCARE AT ST. VINCENT DE PAUL IS A 120-BED HEALTHCARE FACILITY AND A 24 REGISTRANT ADULT DAY HEALTH CARE PROGRAM SPECIALIZING IN THE NEEDS OF THE FRAIL AND ELDERLY COMMUNITY. THOSE IN NEED OF SHORT-TERM REHABILITATION WHEN TRANSITIONING FROM HOSPITAL TO HOME FIND A COMPLETE STAFF OF CERTIFIED AND HIGHLY-QUALIFIED PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPISTS AT THE RESIDENCE. A SPECIAL UNIT IS DEDICATED TO SERVING THOSE NEEDING INTENSIVE REHABILITATIVE SERVICES FOR A SHORT PERIOD BEFORE RETURNING TO THEIR HOMES.THE SIX-STORY MEDITERRANEAN STYLE BUILDING IS CONNECTED TO A PRIVATE GARDEN THAT OFFERS A PLEASANT SETTING FOR FAMILY VISITS, AND THE CULTURE OF THE RESIDENCE, ITS BILINGUAL STAFF, ETHNIC FOOD AND SPECIAL EVENTS ALL REFLECT THE INFLUENCE OF ITS SURROUNDING COMMUNITY. RECREATION AND SOCIAL ACTIVITIES ARE AN ESSENTIAL PART OF DAILY LIFE HERE AND THESE PROGRAMS ARE TAILORED FOR BOTH LARGE AND SMALL GROUPS, AND WHEN REQUIRED, FOR INDIVIDUAL NEEDS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 22 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 22 | VotingMembersIndependentCnt |
| Total Employee | 174 | TotalEmployeeCnt |
| Total Volunteers | 26 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,079,277 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,610,135 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $14,481,318 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $15,798,877 | CYProgramServiceRevenueAmt |
| PY Investment Income | $552 | PYInvestmentIncomeAmt |
| CY Investment Income | $139 | CYInvestmentIncomeAmt |
| PY Other Revenue | $52,502 | PYOtherRevenueAmt |
| CY Other Revenue | $18,446 | CYOtherRevenueAmt |
| PY Total Revenue | $17,613,649 | PYTotalRevenueAmt |
| CY Total Revenue | $17,427,597 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,557,706 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,553,728 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $10,079,752 | PYOtherExpensesAmt |
| CY Other Expenses | $11,303,409 | CYOtherExpensesAmt |
| PY Total Expenses | $20,637,458 | PYTotalExpensesAmt |
| CY Total Expenses | $20,857,137 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$3,023,809 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,429,540 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $14,561,360 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,898,187 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $12,443,869 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $15,181,483 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,117,491 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$1,283,296 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE NURSING HOME IS DEVOTED TO CARING FOR THE SICK AND DISABLED WITH COMPASSION IN THE TRADITION OF CATHOLIC HEALTH CARE. IT SEEKS TO DELIVER HIGH QUALITY CARE, TO TREAT ALL PATIENTS WITH DIGNITY, AND TO PROVIDE A CARING ENVIRONMENT FOR PATIENTS AT THE NURSING HOME. AS A PARTICIPATING MEMBER OF THE CATHOLIC HEALTH CARE SYSTEM, THE NURSING HOME IS ALSO COMMITTED TO FURTHERING THE SYSTEM'S ABILITY TO PROMOTE HIGH QUALITY CARE, TO ENHANCE ITS SERVICES, AND TO OPERATE EFFECTIVELY AS A HEALTH CARE SYSTEM. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $15,496,428 | ExpenseAmt |
| Revenue | $13,571,374 | RevenueAmt |
| Desc | CARE SERVICES AT ST. VINCENT DE PAUL INCLUDE: 24-HOUR SKILLED NURSING SERVICES; SHORT-TERM REHABILITATION SERVICES INCLUDING SPEECH, PHYSICAL AND OCCUPATIONAL THERAPY; CLINICAL AND PHYSICIAN SERVICES INCLUDING CONSULTING PHYSICIANS FOR DENTAL, OPHTHALMOLOGY, AND PODIATRY; LABORATORY SERVICES; RELIGIOUS SERVICES; RECREATION THERAPY; RADIOLOGY SERVICES; NUTRITION SERVICES; IV THERAPY; PAIN MANAGEMENT; HOSPICE; AND FAMILY AND RESIDENT COUNCILS.IN 2021, THE FACILITY PROVIDED 38,754 DAYS OF SKILLED NURSING CARE TO OVER 304 PATIENTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,569,843 | ExpenseAmt |
| Revenue | $2,227,503 | RevenueAmt |
| Desc | THE RESIDENCE OPERATES AN ASSISTED LIVING PROGRAM, WHICH SERVES A MEDICAID ONLY POPULATION. THE ASSISTED LIVING PROGRAM (ALP) AT ST. VINCENT DE PAUL SERVES INDIVIDUALS WHO ARE MEDICALLY ELIGIBLE FOR NURSING HOME PLACEMENT BUT WHO CAN BE CARED FOR IN A LESS MEDICALLY INTENSIVE RESIDENTIAL SETTING. ALP RESIDENTS DO NOT REQUIRE CONTINUAL NURSING CARE. WITH A CAPACITY OF 59 BEDS, THE RANGE OF ALP SERVICES INCLUDES PERSONAL CARE, ROOM, BOARD, HOUSEKEEPING, SUPERVISION, HOME HEALTH AIDES, PERSONAL EMERGENCY RESPONSE SERVICES, CASE MANAGEMENT, ETC. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $17,066,271 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 38 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 174 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 22 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 22 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANNMARIE COVONE | PersonNm |
| Phone | 6466334702 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 205 LEXINGTON AVENUE - 2ND FLOOR | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10016 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| FRANCIS J SERBAROLI ESQ | |||||||||
| CHAIRMAN | 0.10 | 1.70 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| THOMAS M O'BRIEN | |||||||||
| VICE-CHAIR | 0.10 | 1.70 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DR TARA A CORTES | |||||||||
| SECRETARY | 0.10 | 1.70 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| THOMAS E ALBERTO | |||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | |||
| STEVE BUNJO | |||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | |||
| JOHN CAHILL | |||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | |||
| JOHN T DUNLAP | |||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | |||
| MSGR CHARLES J FAHEY | |||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS J FAHEY JR MD | |||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | |||
| ERIC P FELDMANN | |||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | |||
| SISTER SELINE FLORES | |||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | |||
| JOHN GLEASON | |||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | |||
| KAREN GRAY | |||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | |||
| GEORGE IRISH | |||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | |||
| CLARION E JOHNSON MD | |||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | |||
| RORY KELLEHER | |||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | |||
| MSGR JOSEPH LAMORTE | |||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | |||
| JOSEPH SAPORITO | |||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | |||
| KATHRYN ROONEY | |||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | |||
| GT SWEENEY | |||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | |||
| GENNARO VASILE PHD | |||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | |||
| BISHOP GERALD WALSH | |||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | |||
| SCOTT P LA RUE | |||||||||
| PRESIDENT & CEO | 0.10 | 38.70 | Yes (X) | $0 | $1,410,218 | $353,773 | |||
| ANNMARIE COVONE | |||||||||
| EXECUTIVE VP/CFO | 0.10 | 38.70 | Yes (X) | $0 | $876,551 | $199,201 | |||
| RICHARD P BISCOTTI | |||||||||
| ADMINISTRATOR, THRU MAY 2021 | 37.50 | 0.00 | $131,273 | $155,881 | $94,150 | Yes (X) | |||
| JODIE-KAYE A WHITE | |||||||||
| ADMINISTRATOR, AS OF JUNE 2021 | 37.50 | 0.00 | $130,589 | $0 | $22,368 | Yes (X) | |||
| DOLMA TSERING | |||||||||
| REGISTERED NURSE | 37.50 | 0.00 | $123,829 | $0 | $46,559 | Yes (X) | |||
| AFUA SERWAAH | |||||||||
| SUPERVISOR - STAFF DEVELOPMENT | 37.50 | 0.00 | $120,948 | $0 | $33,270 | Yes (X) | |||
| CHESANDRA H SWABY | |||||||||
| REGISTERED NURSE | 37.50 | 0.00 | $115,802 | $0 | $43,541 | Yes (X) | |||
| JULIA CRUZ | |||||||||
| DIRECTOR, SOCIAL SERVICE & ADMISSIONS | 37.50 | 0.00 | $114,948 | $0 | $19,837 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $737,389 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,442,650 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $812,699 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MORRISON COMMUNITY LIVING | |||||
| PO BOX 102289 | ATLANTA | GA | 30368 | FOOD SERVICES | $901,293 |
| ESSEN MEDICAL URGICARE | |||||
| PO BOX 788 | HARTSDALE | NY | 10530 | COVID-19 TESTING SERVICES | $696,633 |
| RICHMOND ELEVATOR | |||||
| 17 RECTOR STREET | STATEN ISLAND | NY | 10310 | ELEVATOR SERVICES | $601,958 |
| CATHOLIC HEALTH CARE SYSTEM | |||||
| 205 LEXINGTON AVE 2ND FLR | NEW YORK | NY | 10016 | ADMINISTRATIVE SERVICES | $481,742 |
| RCM TECHNOLOGIES | |||||
| PO BOX 536342 | PITTSBURGH | NY | 15251 | STAFFING SERVICES | $404,208 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 13 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,117,732 | GovernmentGrantsAmt |
| All Other Contributions | $492,403 | AllOtherContributionsAmt |
| Total Contributions | $1,610,135 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID | 623000 | $11,162,479 | $11,162,479 |
| MEDICARE | 623000 | $2,991,975 | $2,991,975 |
| PRIVATE PAY | 623000 | $1,274,600 | $1,274,600 |
| RENTAL INCOME FROM AFFILIATE | 531120 | $286,800 | $286,800 |
| OTHER PATIENT REVENUE | 623000 | $83,023 | $83,023 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $15,798,877 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $139 | TotalRevenueColumnAmt |
| Exclusion | $139 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $3,360 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,360 | TotalRevenueColumnAmt |
| Exclusion | $3,360 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| INCOME PAST DUE ACCOUNTS | 900099 | $12,659 | $12,659 |
| VENDING MACHINES | 900099 | $1,928 | $1,928 |
| MEDICAL RECORDS | 900099 | $499 | $499 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $15,086 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,427,597 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,798,877 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $18,585 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,826 | TotalAmt |
| Management And General | $89,826 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,654,945 | TotalAmt |
| Program Services | $6,412,622 | ProgramServicesAmt |
| Management And General | $242,323 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $547,649 | TotalAmt |
| Program Services | $539,107 | ProgramServicesAmt |
| Management And General | $8,542 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,583,908 | TotalAmt |
| Program Services | $1,521,120 | ProgramServicesAmt |
| Management And General | $62,788 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $677,400 | TotalAmt |
| Program Services | $646,608 | ProgramServicesAmt |
| Management And General | $30,792 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,064,702 | TotalAmt |
| Management And General | $1,064,702 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,143 | TotalAmt |
| Management And General | $1,143 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,000 | TotalAmt |
| Management And General | $20,000 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,878 | TotalAmt |
| Management And General | $5,878 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,918,870 | TotalAmt |
| Program Services | $4,264,315 | ProgramServicesAmt |
| Management And General | $654,555 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,473 | TotalAmt |
| Management And General | $11,473 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,062,271 | TotalAmt |
| Program Services | $922,750 | ProgramServicesAmt |
| Management And General | $139,521 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $191,449 | TotalAmt |
| Program Services | $30,914 | ProgramServicesAmt |
| Management And General | $160,535 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $553,836 | TotalAmt |
| Program Services | $532,822 | ProgramServicesAmt |
| Management And General | $21,014 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,536 | TotalAmt |
| Program Services | $425 | ProgramServicesAmt |
| Management And General | $1,111 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,182 | TotalAmt |
| Program Services | $86,182 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $919,449 | TotalAmt |
| Program Services | $919,449 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $522,104 | TotalAmt |
| Management And General | $522,104 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| BAD DEBT | $690,171 | $690,171 | |
| NYS CASH RECEIPT ASSMNT | $598,694 | $598,694 | |
| MEDICAL SUPPLIES | $340,235 | $340,235 | |
| MEDICATIONS | $204,010 | $204,010 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,406 | TotalAmt |
| Program Services | $47,018 | ProgramServicesAmt |
| Management And General | $64,388 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,857,137 | TotalAmt |
| Program Services | $17,066,271 | ProgramServicesAmt |
| Management And General | $3,790,866 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,299,035 | BOYAmt |
| EOY | $195,656 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,652,307 | BOYAmt |
| EOY | $580,933 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $204,567 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,936,133 | BOYAmt |
| EOY | $2,943,255 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $269,243 | BOYAmt |
| EOY | $181,551 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,229 | BOYAmt |
| EOY | $164,101 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $32,669,485 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $24,901,286 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,558,979 | BOYAmt |
| EOY | $7,768,199 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,692,434 | BOYAmt |
| EOY | $1,859,925 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,561,360 | BOYAmt |
| EOY | $13,898,187 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,190,774 | BOYAmt |
| EOY | $4,410,487 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $60,457 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $197,489 | BOYAmt |
| EOY | $248,923 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,911,003 | BOYAmt |
| EOY | $1,846,053 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,144,603 | BOYAmt |
| EOY | $8,615,563 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,443,869 | BOYAmt |
| EOY | $15,181,483 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,117,491 | BOYAmt |
| EOY | -$1,283,296 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,117,491 | BOYAmt |
| EOY | -$1,283,296 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,561,360 | BOYAmt |
| EOY | $13,898,187 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$3,429,540 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $28,753 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $41,279 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $145,473 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $144,490 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,079,277 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,610,135 | CurrentTaxYearAmt |
| Total | $5,020,654 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,546,424 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18,027,683 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,976,346 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,481,318 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,798,877 | CurrentTaxYearAmt |
| Total | $82,830,648 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,587,703 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18,173,156 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,120,836 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,560,595 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,409,012 | CurrentTaxYearAmt |
| Total | $87,851,302 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $87,851,302 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $22 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $22 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $43 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $552 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $139 | CurrentTaxYearAmt |
| Total | $778 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $22 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $22 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $43 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $552 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $139 | CurrentTaxYearAmt |
| Total | $778 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $192,770 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18,537 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,992 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $53,575 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,446 | CurrentTaxYearAmt |
| Total | $298,320 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,780,495 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18,191,715 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,135,871 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,614,722 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,427,597 | CurrentTaxYearAmt |
| Total | $88,150,400 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99660 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99650 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2017 AMOUNT: $ 1,086. 2018 AMOUNT: $ 9,584. 2019 AMOUNT: $ 4,981. 2020 AMOUNT: $ 9,322. VENDING MACHINES - 2017 AMOUNT: $ 3,026. 2018 AMOUNT: $ 3,298. 2019 AMOUNT: $ 3,046. 2020 AMOUNT: $ 2,074. 2021 AMOUNT: $ 1,928. REBATES - 2017 AMOUNT: $ 661. MEDICAL RECORDS - 2017 AMOUNT: $ 497. 2018 AMOUNT: $ 218. 2019 AMOUNT: $ 274. 2020 AMOUNT: $ 1,822. 2021 AMOUNT: $ 499. INCOME FROM PAST DUE ACCOUNTS - 2017 AMOUNT: $ 1,598. 2018 AMOUNT: $ 5,437. 2019 AMOUNT: $ 6,691. 2020 AMOUNT: $ 39,969. 2021 AMOUNT: $ 12,659. REBASING SETTLEMENT - 2017 AMOUNT: $ 185,902. BEAUTY PARLOR - 2020 AMOUNT: $ 388. 2021 AMOUNT: $ 3,360. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $5,878 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5,878 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $135,000 | OtherCostOrOtherBasisAmt |
| Book Value | $135,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $26,160,669 | OtherCostOrOtherBasisAmt |
| Depreciation | $20,844,512 | DepreciationAmt |
| Book Value | $5,316,157 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,373,816 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,056,774 | DepreciationAmt |
| Book Value | $2,317,042 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,768,199 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM THIRD-PARTY PAYORS | $206,556 |
| INSURANCE RECOVERIES RECEIVABLE | $1,250,152 |
| DUE FROM RELATED PARTIES | $120,447 |
| ASSETS LIMITED USE | $282,770 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,859,925 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| ASSET RETIREMENT OBLIGATION | $40,000 |
| DUE TO RELATED PARTIES | $6,446,641 |
| SELF-INSURED LIABILITY | $23,840 |
| PROFESSIONAL LIABILITIES | $1,250,151 |
| DUE TO THIRD-PARTY PAYORS | $854,931 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $8,615,563 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $16,737,426 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $16,737,426 | RevenueSubtotalAmt |
| Other Revenues Not Included | $690,171 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $690,171 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $17,427,597 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $20,166,966 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $20,166,966 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $690,171 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $690,171 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $20,857,137 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | RESIDENTS' FUNDS ARE HELD BY THE RESIDENCE ON BEHALF OF THE RESIDENTS. SUCH FUNDS REPRESENT ALLOWANCES RECEIVED BY RESIDENTS AS WELL AS OTHER RESIDENTS' FUNDS DEPOSITED WITH THE RESIDENCE FOR SAFEKEEPING. THESE FUNDS ARE DISBURSED BY THE RESIDENCE AT THE REQUEST OF, OR ON BEHALF OF, RESIDENTS FOR THEIR PERSONAL USE. |
| PART X, LINE 2: | THE RESIDENCE RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE RESIDENCE HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE RESIDENCE IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2018. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RECLASS OF BAD DEBT EXPENSE TO PART IX, LINE 24 690,171. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | RECLASS OF BAD DEBT EXPENSE TO PART IX, LINE 24 690,171. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SCOTT P LA RUE | ||||||||||||||
| PRESIDENT & CEO | $0 | $988,763 | $0 | $281,992 | $0 | $139,463 | $0 | $330,725 | $0 | $23,048 | $0 | $1,763,991 | $0 | $291,706 |
| ANNMARIE COVONE | ||||||||||||||
| EXECUTIVE VP/CFO | $0 | $668,383 | $0 | $131,713 | $0 | $76,455 | $0 | $165,931 | $0 | $33,270 | $0 | $1,075,752 | $0 | $131,713 |
| RICHARD P BISCOTTI | ||||||||||||||
| ADMINISTRATOR, THRU MAY 2021 | $82,731 | $150,195 | $45,532 | $0 | $3,010 | $5,686 | $17,130 | $53,865 | $9,648 | $13,507 | $158,051 | $223,253 | $45,532 | $0 |
| DOLMA TSERING | ||||||||||||||
| REGISTERED NURSE | $123,829 | $0 | $0 | $0 | $0 | $0 | $15,602 | $0 | $30,957 | $0 | $170,388 | $0 | $0 | $0 |
| CHESANDRA H SWABY | ||||||||||||||
| REGISTERED NURSE | $115,802 | $0 | $0 | $0 | $0 | $0 | $14,591 | $0 | $28,950 | $0 | $159,343 | $0 | $0 | $0 |
| AFUA SERWAAH | ||||||||||||||
| SUPERVISOR - STAFF DEVELOPMENT | $120,948 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $33,270 | $0 | $154,218 | $0 | $0 | $0 |
| JODIE-KAYE A WHITE | ||||||||||||||
| ADMINISTRATOR, AS OF JUNE 2021 | $130,589 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $22,368 | $0 | $152,957 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 2021, 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, LINE 4B | SCOTT P. LA RUE AND ANNMARIE COVONE ALSO PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE DISTRIBUTED $139,463 TO SCOTT AND $63,705 TO ANNMARIE IN THEIR 2021 W-2S. |
| PART I, LINE 7 | THE ORGANIZATION PAID DISCRETIONARY BONUSES TO CERTAIN INDIVIDUALS LISTED IN PART II AS REPORTED IN COLUMN B(II), ROW (II) FOR THE APPLICABLE INDIVIDUALS. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, ITEM C | DBA: SAN VICENTE DE PAUL SKILLED NURSING AND REHABILITATION CENTER DBA: ST. VINCENT DE PAUL LHCSA |
| 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 LARUE (OFFICERS OF THE FILING ORGANIZATION) WERE PAID BY CATHOLIC HEALTH CARE SYSTEM. THEIR 2021 COMPENSATION IS REPORTED IN PART VII, SECTION A AND SCHEDULE J, PART II. CATHOLIC HEALTH CARE SYSTEM WAS PAID $1,064,702 FOR THESE SERVICES IN 2021. |
| 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 | ST. VINCENT DE PAUL RESIDENCE 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 | THE POLICY ON CONFLICTS OF INTEREST IS DESIGNED TO PROVIDE GUIDANCE TO ALL MEMBERS OF THE BOARD, THE OFFICERS OF THE ORGANIZATION, AND TO ALL PERSONS EMPLOYED BY THE ORGANIZATION. A BOARD MEMBER OR OFFICER SHALL DISCLOSE ANY CONFLICT OF INTEREST OF WHICH HE OR SHE HAS KNOWLEDGE: (A) PRIOR TO VOTING ON OR OTHERWISE DISCHARGING HIS OR HER DUTIES WITH RESPECT TO ANY MATTER INVOLVING THE CONFLICT WHICH COMES BEFORE THE BOARD OR ANY COMMITTEE OF THE BOARD; (B) PRIOR TO ENTERING INTO ANY CONTRACT OR TRANSACTION INVOLVING THE ORGANIZATION; (C) AS SOON AS POSSIBLE AFTER THE BOARD MEMBER OR OFFICER SHALL LEARN OF A CONFLICT OF INTEREST IN ANY OTHER CONTEXT. DISCLOSURE OF THE MATERIAL FACTS SURROUNDING THE BOARD MEMBER OR OFFICER'S CONFLICT OF INTEREST SHALL BE MADE TO THE SECRETARY OF THE BOARD OF MANAGERS OR, IN THE CASE OF A COMMITTEE, TO THE CHAIRPERSON OF THAT COMMITTEE (WHO SHALL NOTIFY THE SECRETARY). THE SECRETARY OR COMMITTEE CHAIRPERSON SHALL INFORM THE OTHER MEMBERS OF THE BOARD OR COMMITTEES PRIOR TO ANY ACTION THEREON. FAILURE TO DISCLOSE ADEQUATELY A POTENTIAL OR ACTUAL CONFLICT OF INTEREST SHALL CONSTITUTE CAUSE FOR REMOVAL FROM THE BOARD. FOLLOWING RECEIPT OF INFORMATION CONCERNING A CONTRACT OR TRANSACTION INVOLVING A POTENTIAL CONFLICT OF INTEREST, THE BOARD SHALL CONSIDER THE MATERIAL FACTS CONCERNING THE PROPOSED CONTRACT OR TRANSACTION, INCLUDING THE PROCESS BY WHICH THE DECISION WAS MADE TO RECOMMEND ENTERING INTO THE ARRANGEMENT ON THE TERMS PROPOSED. (A) AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE OR SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. AN INTERESTED BOARD MEMBER MAY NOT BE COUNTED IN DETERMINING THE PRESENCE OF A QUORUM AT A MEETING OF THE BOARD OR COMMITTEE AT WHICH DISCUSSION OR A VOTE ON THE TRANSACTION OR ARRANGEMENT TAKES PLACE. (B) AN INTERESTED BOARD MEMBER OR OFFICER SHALL NOT USE PERSONAL INFLUENCE WITH REGARD TO THE BOARD'S DETERMINATION THAT A CONFLICT EXISTS OR THE BOARD'S VOTE ON THE MATTER. (C) IF APPROPRIATE, THE CHAIRPERSON SHALL APPOINT A DISINTERESTED PERSON OR A COMMITTEE OF THE BOARD TO CONDUCT AN ASSESSMENT OF FAIR MARKET VALUE FOR A PARTICULAR TRANSACTION, OR TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. (D) THE BOARD SHALL APPROVE ONLY THOSE CONTRACTS OR TRANSACTIONS IN WHICH THE TERMS ARE FAIR AND REASONABLE TO THE ORGANIZATION AND THE ARRANGEMENTS ARE CONSISTENT WITH THE BEST INTERESTS OF THE ORGANIZATION. THE MINUTES OF THE BOARD AND OF ALL COMMITTEES WITH BOARD DELEGATED POWERS SHALL CONTAIN THE FOLLOWING WITH REGARD TO CONSIDERATION OF ANY MATTER INVOLVING A CONFLICT OF INTEREST: (A) THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL OR OTHER INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE CONFLICT OF INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED; (B) THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSION AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, A SUMMARY OF THE CONTENT OF THE DISCUSSION, INCLUDING CONSIDERATION OF ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT AND THE NATURE OF AND SOURCE OF ANY DATA RELIED UPON IN MAKING AN ASSESSMENT OF FAIR MARKET VALUE, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH; AND (C) IN ANY CASE WHEN THE BOARD APPROVES AN ARRANGEMENT OR TRANSACTION INVOLVING A CONFLICT OF INTEREST, THE MINUTES OF THE MEETING SHALL SET FORTH THE BASIS FOR THE BOARD'S DECISION. AN EMPLOYEE OF THE ORGANIZATION WITH A POTENTIAL CONFLICT OF INTEREST IN A PARTICULAR MATTER SHALL PROMPTLY AND FULLY DISCLOSE THE POTENTIAL CONFLICT TO HIS OR HER SUPERVISOR. THE EMPLOYEE SHALL THEREAFTER REFRAIN FROM PARTICIPATING IN ANY DECISIONS RELATING TO THE MATTER AND FOLLOW THE DIRECTION OF THE SUPERVISOR AS TO HOW THE ORGANIZATION'S DECISIONS WHICH ARE THE SUBJECT OF THE CONFLICT WILL BE DETERMINED. THE COMPLIANCE DIRECTOR OF THE ORGANIZATION SHALL BE RESPONSIBLE FOR DETERMINING THE PROPER WAY FOR THE ORGANIZATION TO HANDLE THE ORGANIZATION'S DECISIONS WHICH INVOLVE UNRESOLVED EMPLOYEE CONFLICTS OF INTEREST. IN MAKING SUCH DETERMINATIONS, THE COMPLIANCE DIRECTOR OF THE ORGANIZATION MAY CONSULT WITH LEGAL COUNSEL, AS APPROPRIATE. THE COMPLIANCE DIRECTOR OF THE ORGANIZATION SHALL REPORT TO THE BOARD AT LEAST ANNUALLY CONCERNING EMPLOYEE CONFLICTS OF INTEREST WHICH HAVE BEEN DISCLOSED AND CONTRACTS AND TRANSACTIONS INVOLVING EMPLOYEE CONFLICTS WHICH THE SECRETARY OF THE ORGANIZATION'S BOARD OF MANAGERS HAS APPROVED. EACH BOARD MEMBER, OFFICER, MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS, AND KEY EMPLOYEE OF THE ORGANIZATION SHALL SIGN A STATEMENT WITHIN 30 DAYS OF ASSUMING SUCH RESPONSIBILITY, AND ANNUALLY THEREAFTER, AFFIRMING THAT SUCH PERSON: (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) HAS AGREED TO COMPLY WITH THE POLICY; AND (D) UNDERSTANDS THAT THE ORGANIZATION CANNOT ENGAGE IN A TRANSACTION OR ENTER INTO A COMPENSATION ARRANGEMENT WITH BOARD MEMBERS, OFFICERS, SENIOR STAFF MEMBERS, OR OTHERS IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE ORGANIZATION THAT PROVIDES AN ECONOMIC BENEFIT TO SUCH PERSON IN EXCESS OF THE CONSIDERATION OR SERVICES THAT THE ORGANIZATION RECEIVES IN RETURN. IN ADDITION, THOSE INDIVIDUALS COMPLETING THE STATEMENT ARE ALSO REQUIRED TO DISCLOSE PERSONAL OR OTHER BUSINESS INTERESTS THAT COULD GIVE RISE TO CONFLICTS WITH THEIR ROLE WITH ARCHCARE. THESE STATEMENTS ARE SUMMARIZED AND PROVIDED TO THE GOVERNING BODY ANNUALLY. |
| FORM 990, PART VI, SECTION B, LINE 15B | THE ORGANIZATION 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 2021, 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 19 | THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION, FORM 990, AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST OR BY CALLING THE ORGANIZATION DIRECTLY. THE ORGANIZATION ALSO FILES AN ANNUAL COST REPORT WITH THE NEW YORK STATE DEPARTMENT OF HEALTH WHICH CONTAINS FINANCIAL STATEMENTS AND RELATED NOTE DISCLOSURES. THIS COST REPORT IS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | BILLING SERVICE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 79,200. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 79,200. COLLECTION FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,438. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,438. CONSULTING: PROGRAM SERVICE EXPENSES 45,249. MANAGEMENT AND GENERAL EXPENSES 572,917. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 618,166. ENGINEERING: PROGRAM SERVICE EXPENSES 463,619. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 463,619. FOOD SERVICES: PROGRAM SERVICE EXPENSES 670,029. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 670,029. HOUSEKEEPING: PROGRAM SERVICE EXPENSES 107,782. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 107,782. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 123,371. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 123,371. PHYSICIANS AND THERAPY SERVICES: PROGRAM SERVICE EXPENSES 2,472,414. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,472,414. SECURITY: PROGRAM SERVICE EXPENSES 321,012. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 321,012. LAB FEES: PROGRAM SERVICE EXPENSES 60,839. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 60,839. |
| FORM 990, PART XI, LINE 9: | EQUITY TRANSFER FROM CATHOLIC HEALTH CARE SYSTEM 28,753. |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (29 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | |
| 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 INC | |||||||||||
| 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 FACILITY & REHABILITATION FACILITY | NY | 501(C)(3) | LINE 10 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | 0 | |
| CATHOLIC HEALTH CARE FOUNDATION OF THE ARCHDIOCESE OF NY INC | |||||||||||
| 205 LEXINGTON AVE - 2ND FL | NEW YORK | NY | 10016 | 134054158 | PROVIDE FUNDS TO SUPPORT THE MISSION OF CHCS FACILITIES | NY | 501(C)(3) | LINE 7 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | 0 | |
| CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | |||||||||||
| 205 LEXINGTON AVE - 2ND FL | NEW YORK | NY | 10016 | 133896624 | MGT SVCS FOR HEALTH-RELATED FACILITIES IN THE ARCHDIOCESE | NY | 501(C)(3) | LINE 10 | PROVIDENCE HEALTH SERVICES | 0 | |
| CATHOLIC MANAGED LONG TERM CARE INC | |||||||||||
| 205 LEXINGTON AVE - 2ND FL | NEW YORK | NY | 10016 | 208180809 | OPERATE A MANAGED LONG TERM CARE PLAN | NY | 501(C)(3) | LINE 10 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | 0 | |
| CATHOLIC RESOURCES INC | |||||||||||
| 205 LEXINGTON AVE - 2ND FL | NEW YORK | NY | 10021 | 261306110 | PROVIDE PARISH OUTREACH SERVICES & SOCIAL & HEALTH CARE SERVICE INFORMATION | NY | 501(C)(3) | LINE 1 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | 0 | |
| EMPIRE STATE HOME CARE SERVICES INC | |||||||||||
| 15 METROTECH CENTER 11 FL | BROOKLYN | NY | 11201 | 113618585 | HOME HEALTH CARE SERVICES | NY | 501(C)(3) | LINE 10 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | 0 | |
| FERNCLIFF NURSING HOME COMPANY INC | |||||||||||
| 21 FERNCLIFF DRIVE | RHINEBECK | NY | 12572 | 141514053 | OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITY | NY | 501(C)(3) | LINE 10 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | 0 | |
| KATERI RESIDENCE | |||||||||||
| 205 LEXINGTON AVE - 2ND FL | NEW YORK | NY | 10016 | 133086309 | DORMANT/OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITY | NY | 501(C)(3) | LINE 10 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | 0 | |
| MARY MANNING WALSH NURSING HOME COMPANY INC | |||||||||||
| 1339 YORK AVENUE | NEW YORK | NY | 100214707 | 136220617 | OPERATE SKILLED NURSING FACILITY & 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 | 0 | N/A | |
| ST TERESA'S NURSING HOME INC | |||||||||||
| 205 LEXINGTON AVE - 2ND FL | NEW YORK | NY | 10016 | 237012219 | DORMANT/OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITY | NY | 501(C)(3) | LINE 10 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | 0 | |
| ST THERESA'S RESIDENCE | |||||||||||
| 205 LEXINGTON AVE - 2ND FL | NEW YORK | NY | 10016 | 133110063 | DORMANT/INTERMEDIATE CARE FACILITY FOR DEVELOPMENTALLY DISABLED | NY | 501(C)(3) | LINE 10 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | 0 | |
| TERENCE CARDINAL COOKE HEALTH CARE CENTER | |||||||||||
| 1249 FIFTH AVENUE | NEW YORK | NY | 10029 | 133007801 | OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITY | NY | 501(C)(3) | LINE 10 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | 0 | |
| VISITING NURSE REGIONAL HEALTH CARE SYSTEM INC | |||||||||||
| 205 LEXINGTON AVE - 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 | |
| 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 | |
| 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 | |
| DOMINICAN SISTERS FAMILY HEALTH SERVICE INC | |||||||||||
| 299 NORTH HIGHLAND AVENUE | OSSINING | NY | 10562 | 131740242 | HOME HEALTH AGENCY | NY | 501(C)(3) | LINE 10 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | 0 | |
| FAMILY HOME HEALTH CARE INC | |||||||||||
| 65 SOUTH BROADWAY | TARRYTOWN | NY | 10591 | 133831377 | HOME CARE | NY | 501(C)(3) | LINE 10 | DOMINICAN SISTERS FAMILY HEALTH SERVICE INC | 0 | |
| ULSTER HOME HEALTH SERVICES INC | |||||||||||
| PO BOX 1850 | KINGSTON | NY | 12402 | 141513989 | HOME CARE | NY | 501(C)(3) | LINE 10 | UMC INC | 0 | |
| UMC INC | |||||||||||
| PO BOX 1850 | KINGSTON | NY | 12402 | 141701702 | MANAGEMENT SERVICES | NY | 501(C)(3) | LINE 12B, II | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | 0 | |
| ULSTER HOME CARE INC | |||||||||||
| PO BOX 1850 | KINGSTON | NY | 12402 | 141702962 | HOME CARE | NY | 501(C)(3) | LINE 10 | UMC INC | 0 | |
| PROVIDENCE REST | |||||||||||
| 3304 WATERBURY AVENUE | BRONX | NY | 10465 | 131740301 | OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITY | NY | 501(C)(3) | LINE 10 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | 0 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST AGNES HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 305 NORTH STREET | AddressLine1Txt |
| City | WHITE PLAINS | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10605 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 131740121 | EIN |
| Primary Activities | DORMANT/OPERATE A TAX EXEMPT HOSPITAL | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |