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CARMEL RICHMOND NURSING HOME INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
CARMEL RICHMOND NURSING HOME INC (EIN 13-2720248)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-14
IRS object ID
202243189349319089
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

FieldValueIRS element (for citing)
Return2022-11-14T21:08:25-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN271728945PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PKF O'CONNOR DAVIES LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 MAMARONECK AVENUE SUITE 301AddressLine1Txt
CityHARRISONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP105281633ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN132720248EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CARMEL RICHMOND NURSING HOME INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCARMBusinessNameControlTxt
Phone6466334700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line188 OLD TOWN ROADAddressLine1Txt
CitySTATEN ISLANDCityNm
State AbbreviationNYStateAbbreviationCd
ZIP103044299ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANNMARIE COVONEPersonNm
Person TitleEXECUTIVE VP & CFOPersonTitleTxt
Phone6466334700PhoneNum
Signature2022-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstANNMARIEPersonFirstNm
Person LastCOVONEPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGARRETT M HIGGINSPreparerPersonNm
PTINP00543209PTIN
Phone9143818900PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1CARMEL RICHMOND HEALTHCARE AND REHABILITATION CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerSCOTT P LA RUEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1205 LEXINGTON AVENUE - 2ND FLOORAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10016ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$54,759,419GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ARCHCARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1969FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionLOCATED IN STATEN ISLAND, ARCHCARE AT CARMEL RICHMOND IS A 300-BED SKILLED NURSING AND REHABILITATION FACILITY.CARMEL RICHMOND RESIDENTS RECEIVE CONTINUOUS, AROUND-THE-CLOCK SKILLED NURSING AND MEDICAL CARE. HEALTHCARE NEEDS ARE MET BY A TEAM OF 80 AFFILIATED PHYSICIANS AND MORE THAN 500 NURSES, PROFESSIONALS AND SUPPORT STAFF. SERVICES INCLUDE DENTISTRY, OPHTHALMOLOGY, AUDIOLOGY, SOCIAL SERVICES, PSYCHOLOGY, PODIATRY, NUTRITION THERAPY, AND RECREATION THERAPY.THROUGH ITS STATE-OF-THE-ART REHAB FACILITIES AND HIGHLY SKILLED REHABILITATION THERAPISTS, CARMEL RICHMOND HAS A PROVEN RECORD OF ACHIEVEMENT IN RESTORING RESIDENTS TO THEIR OPTIMAL LEVEL OF INDEPENDENCE. MORE THAN 90% OF THE PEOPLE ADMITTED TO THE CENTER FOR SHORT-TERM, INTENSIVE REHABILITATION RETURN TO THE COMMUNITY WITHIN THEIR TARGETED TIME FRAME.ActivityOrMissionDesc
Voting Members Governing Body22VotingMembersGoverningBodyCnt
Voting Members Independent22VotingMembersIndependentCnt
Total Employee527TotalEmployeeCnt
Total Volunteers37TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,561,906PYContributionsGrantsAmt
CY Contributions Grants$2,768,631CYContributionsGrantsAmt
PY Program Service Revenue$41,118,810PYProgramServiceRevenueAmt
CY Program Service Revenue$44,460,862CYProgramServiceRevenueAmt
PY Investment Income$272,390PYInvestmentIncomeAmt
CY Investment Income$1,379,015CYInvestmentIncomeAmt
PY Other Revenue$122,550PYOtherRevenueAmt
CY Other Revenue$172,030CYOtherRevenueAmt
PY Total Revenue$47,075,656PYTotalRevenueAmt
CY Total Revenue$48,780,538CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$25,318,511PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$24,767,753CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$19,700,556PYOtherExpensesAmt
CY Other Expenses$22,344,705CYOtherExpensesAmt
PY Total Expenses$45,019,067PYTotalExpensesAmt
CY Total Expenses$47,112,458CYTotalExpensesAmt
PY Revenues Less Expenses$2,056,589PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,668,080CYRevenuesLessExpensesAmt
Total Assets BOY$54,670,949TotalAssetsBOYAmt
Total Assets EOY$55,443,617TotalAssetsEOYAmt
Total Liabilities BOY$11,308,804TotalLiabilitiesBOYAmt
Total Liabilities EOY$10,887,446TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$43,362,145NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$44,556,171NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$38,531,795ExpenseAmt
Grant$0GrantAmt
Revenue$44,460,862RevenueAmt
DescCARE SERVICES AT CARMEL RICHMOND 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 HOME RENDERED 105,341 NURSING HOME DAYS OF CARE TO 1,231 PATIENTS.Desc
Total Program Service Expenses$38,531,795TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document48IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee527EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member22IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonANNMARIE COVONEPersonNm
Phone6466334702PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1205 LEXINGTON AVENUE - 2ND FLOORAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10016ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
FRANCIS J SERBAROLI ESQ
CHAIRMAN0.101.70Yes (X)Yes (X)$0$0$0
THOMAS M O'BRIEN
VICE-CHAIR0.101.70Yes (X)Yes (X)$0$0$0
DR TARA A CORTES
SECRETARY0.101.70Yes (X)Yes (X)$0$0$0
THOMAS E ALBERTO
BOARD MEMBER0.101.70Yes (X)$0$0$0
STEVE BUNJO
BOARD MEMBER0.101.70Yes (X)$0$0$0
JOHN CAHILL
BOARD MEMBER0.101.70Yes (X)$0$0$0
JOHN T DUNLAP
BOARD MEMBER0.101.70Yes (X)$0$0$0
MSGR CHARLES J FAHEY
BOARD MEMBER0.101.70Yes (X)$0$0$0
THOMAS J FAHEY JR MD
BOARD MEMBER0.101.70Yes (X)$0$0$0
ERIC P FELDMANN
BOARD MEMBER0.101.70Yes (X)$0$0$0
SISTER SELINE FLORES
BOARD MEMBER0.101.70Yes (X)$0$0$0
JOHN GLEASON
BOARD MEMBER0.101.70Yes (X)$0$0$0
KAREN GRAY
BOARD MEMBER0.101.70Yes (X)$0$0$0
GEORGE IRISH
BOARD MEMBER0.101.70Yes (X)$0$0$0
CLARION E JOHNSON MD
BOARD MEMBER0.101.70Yes (X)$0$0$0
RORY KELLEHER
BOARD MEMBER0.101.70Yes (X)$0$0$0
MSGR JOSEPH LAMORTE
BOARD MEMBER0.101.70Yes (X)$0$0$0
JOSEPH SAPORITO
BOARD MEMBER0.101.70Yes (X)$0$0$0
KATHRYN ROONEY
BOARD MEMBER0.101.70Yes (X)$0$0$0
GT SWEENEY
BOARD MEMBER0.101.70Yes (X)$0$0$0
GENNARO VASILE PHD
BOARD MEMBER0.101.70Yes (X)$0$0$0
BISHOP GERALD WALSH
BOARD MEMBER0.101.70Yes (X)$0$0$0
SCOTT P LA RUE
PRESIDENT & CEO0.1038.70Yes (X)$0$1,410,218$353,773
ANNMARIE COVONE
EXECUTIVE VP/CFO0.1038.70Yes (X)$0$876,551$199,201
SISTER MAUREEN MURRAY
ADMINISTRATOR UNTIL JAN 202137.500.00Yes (X)$0$0$0
MARY E FRANCIS
ADMINISTRATOR37.500.00Yes (X)$242,399$0$65,767
JANET BELOY
RN/RN SUPERVISOR37.500.00$242,525$0$10,767Yes (X)
TEMILADE B ASIMOLOWO
RN37.500.00$163,992$0$0Yes (X)
GINA M ESPOSITO
DIRECTOR OF NURSING37.500.00$141,407$0$34,767Yes (X)
KEVIN MCLAUGHLIN
RN37.500.00$131,681$0$0Yes (X)
PAOLA CAGGIA
ASST DIRECTOR OF NURSING37.500.00$124,933$0$10,767Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,046,937TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,286,769TotReportableCompRltdOrgAmt
Total Other Compensation$675,042TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K17IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CATHOLIC HEALTHCARE SYSTEM
205 LEXINGTON AVE 2ND FLOORNEW YORKNY10016ADMINISTRATIVE SERVICES$2,528,960
THERADYNAMICS REHAB LLC
337 CROSSWAY PARK DRIVEWOODBURYNY11797REHAB SERVICES$1,532,017
MORRISON COMMUNITY LIVING
PO BOX 102289ATLANTAGA30368FOOD SERVICES$1,085,872
RCM TECHNOLOGIES
PO BOX 536342PITTSBURGHPA15251STAFFING AGENCY$880,284
INTERSCIENCE DIAGNOSTIC LABORATORIES
4219 AMBOY ROADSTATEN ISLANDNY10308COVID TESTING$874,160
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K22CntrctRcvdGreaterThan100KCnt
Government Grants$2,659,598GovernmentGrantsAmt
All Other Contributions$109,033AllOtherContributionsAmt
Total Contributions$2,768,631TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID623000$22,137,505$22,137,505
MEDICARE623000$14,356,825$14,356,825
PRIVATE PATIENT623000$6,236,726$6,236,726
OTHER PATIENT REVENUE623000$1,466,406$1,466,406
RENTAL INCOME531120$263,400$263,400
FieldValueIRS element (for citing)
Total Program Service Revenue$44,460,862TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$179,052TotalRevenueColumnAmt
Exclusion$179,052ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$72,469RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,495RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$70,974RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$70,974TotalRevenueColumnAmt
Exclusion$70,974ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$7,172,577SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$5,972,614SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,199,963SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,199,963TotalRevenueColumnAmt
Exclusion$1,199,963ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$17,851GrossSalesOfInventoryAmt
Cost Of Goods Sold$4,772CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,079TotalRevenueColumnAmt
Exclusion$13,079ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
REIMBURSEMENT FROM AFFILIATES900099$42,900$42,900
INTEREST ON PAST DUE ACCOUNTS900099$34,856$34,856
OTHER MISC. INCOME900099$6,001$6,001

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,220TotalRevenueColumnAmt
Exclusion$4,220ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$87,977OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$48,780,538TotalRevenueColumnAmt
Related Or Exempt Func Income$44,460,862RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,551,045ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$256,660TotalAmt
Management And General$256,660ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$16,696,580TotalAmt
Program Services$16,216,319ProgramServicesAmt
Management And General$480,261ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,528,923TotalAmt
Program Services$1,473,698ProgramServicesAmt
Management And General$55,225ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,363,217TotalAmt
Program Services$4,176,209ProgramServicesAmt
Management And General$187,008ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,922,373TotalAmt
Program Services$1,839,980ProgramServicesAmt
Management And General$82,393ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,862,872TotalAmt
Management And General$2,862,872ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$27,129TotalAmt
Management And General$27,129ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$73,560TotalAmt
Management And General$73,560ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$13,706TotalAmt
Management And General$13,706ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$34,450TotalAmt
Management And General$34,450ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,530,059TotalAmt
Program Services$6,298,701ProgramServicesAmt
Management And General$1,231,358ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,203TotalAmt
Program Services$1,203ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,766,713TotalAmt
Program Services$2,557,924ProgramServicesAmt
Management And General$208,789ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$449,731TotalAmt
Program Services$7,642ProgramServicesAmt
Management And General$442,089ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,301,421TotalAmt
Program Services$1,133,587ProgramServicesAmt
Management And General$167,834ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$10,409TotalAmt
Program Services$9,757ProgramServicesAmt
Management And General$652ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$7,255TotalAmt
Program Services$7,255ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,312,438TotalAmt
Program Services$1,312,438ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,409,936TotalAmt
Management And General$1,409,936ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
NYS CASH RECEIPT ASSMNT$1,647,155$1,647,155
MEDICATIONS$888,999$888,999
BAD DEBT EXPENSE$877,445$877,445
MEDICAL SUPPLIES$792,952$792,952

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$337,272TotalAmt
Program Services$167,976ProgramServicesAmt
Management And General$169,296ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$47,112,458TotalAmt
Program Services$38,531,795ProgramServicesAmt
Management And General$8,580,663ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,912,433BOYAmt
EOY$2,670,719EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$14,960,091BOYAmt
EOY$9,611,401EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,901,978BOYAmt
EOY$5,950,455EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$540,162BOYAmt
EOY$491,816EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$385,762BOYAmt
EOY$403,161EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$70,535,542LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$59,191,336LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$12,193,513BOYAmt
EOY$11,344,206EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,112,561BOYAmt
EOY$12,088,732EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$11,664,449BOYAmt
EOY$12,883,127EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$54,670,949BOYAmt
EOY$55,443,617EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,320,135BOYAmt
EOY$4,991,199EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$139,454EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$177,870BOYAmt
EOY$217,283EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,810,799BOYAmt
EOY$5,539,510EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,308,804BOYAmt
EOY$10,887,446EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$43,362,145BOYAmt
EOY$44,556,171EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$43,362,145BOYAmt
EOY$44,556,171EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$54,670,949BOYAmt
EOY$55,443,617EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,668,080ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$473,809NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$947,863OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$359,821CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$207,058CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$229,076CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,561,906CurrentTaxYearMinus1YearAmt
Current Tax Year$2,768,631CurrentTaxYearAmt
Total$9,126,492TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$43,899,809CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$46,051,229CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$46,283,251CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$41,118,810CurrentTaxYearMinus1YearAmt
Current Tax Year$44,460,862CurrentTaxYearAmt
Total$221,813,961TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$44,259,630CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$46,258,287CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$46,512,327CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$46,680,716CurrentTaxYearMinus1YearAmt
Current Tax Year$47,229,493CurrentTaxYearAmt
Total$230,940,453TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$230,940,453PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$173,649CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$197,568CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$226,711CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$200,488CurrentTaxYearMinus1YearAmt
Current Tax Year$251,521CurrentTaxYearAmt
Total$1,049,937TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$173,649CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$197,568CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$226,711CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$200,488CurrentTaxYearMinus1YearAmt
Current Tax Year$251,521CurrentTaxYearAmt
Total$1,049,937TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$498,670CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,790CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$31,319CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$83,005CurrentTaxYearMinus1YearAmt
Current Tax Year$105,828CurrentTaxYearAmt
Total$740,612TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$44,931,949CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$46,477,645CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$46,770,357CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$46,964,209CurrentTaxYearMinus1YearAmt
Current Tax Year$47,586,842CurrentTaxYearAmt
Total$232,731,002TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99230PublicSupportCY509Pct
Public Support PY5090.99330PublicSupportPY509Pct
Investment Income CY0.00450InvestmentIncomeCYPct
Investment Income PY0.00390InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationOTHER MISC INCOME - 2017 AMOUNT: $ 377. 2019 AMOUNT: $ 951. 2020 AMOUNT: $ 4,025. 2021 AMOUNT: $ 6,001. VENDING MACHINE - 2017 AMOUNT: $ 622. 2018 AMOUNT: $ 587. 2019 AMOUNT: $ 732. 2020 AMOUNT: $ 444. 2021 AMOUNT: $ 229. MEDICAL ABSTRACTS - 2017 AMOUNT: $ 10,214. 2018 AMOUNT: $ 5,599. 2019 AMOUNT: $ 4,570. 2020 AMOUNT: $ 1,990. 2021 AMOUNT: $ 2,710. INTEREST ON PAST DUE ACCOUNTS - 2017 AMOUNT: $ 16,429. 2018 AMOUNT: $ 12,594. 2019 AMOUNT: $ 14,934. 2020 AMOUNT: $ 27,770. 2021 AMOUNT: $ 34,856. REBATES - 2017 AMOUNT: $ 2,216. 2018 AMOUNT: $ 3,010. 2019 AMOUNT: $ 10,132. 2020 AMOUNT: $ 2,742. 2021 AMOUNT: $ 1,281. REBASING SETTLEMENT - 2017 AMOUNT: $ 464,756. DISPOSAL OF ASSETS - 2017 AMOUNT: $ 4,056. REIMBURSEMENT FROM AFFILIATES - 2020 AMOUNT: $ 11,373. 2021 AMOUNT: $ 42,900. BEAUTY PARLOR - 2020 AMOUNT: $ 12,375. 2021 AMOUNT: $ 12,567. GIFT SHOP - 2020 AMOUNT: $ 3,596. 2021 AMOUNT: $ 4,686. COFFEE SHOP - 2020 AMOUNT: $ 18,690. 2021 AMOUNT: $ 598.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$13,706OtherActivitiesAmt
Total Lobbying Expenditures$13,706TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationAMOUNTS 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

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$349,602OtherCostOrOtherBasisAmt
Book Value$349,602BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$60,798,206OtherCostOrOtherBasisAmt
Depreciation$51,865,465DepreciationAmt
Book Value$8,932,741BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,072,980OtherCostOrOtherBasisAmt
Depreciation$7,087,938DepreciationAmt
Book Value$1,985,042BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$314,754OtherCostOrOtherBasisAmt
Depreciation$237,933DepreciationAmt
Book Value$76,821BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$11,344,206TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLES$10,629
INSURANCE RECOVERIES RECEIVABLE$4,378,754
DUE FROM THIRD-PARTY PAYORS$2,242,046
DUE FROM RELATED PARTIES$6,251,698
FieldValueIRS element (for citing)
Total Book Value Other Assets$12,883,127TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
DUE TO RELATED PARTIES$160,459
ASSET RETIREMENT OBLIGATION$56,328
SELF-INSURED LIABILITIES$82,133
INSURANCE LIABILITIES$4,378,754
DUE TO THIRD PARTY PAYORS$861,836
FieldValueIRS element (for citing)
Total Liability$5,539,510TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$48,348,719TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$473,809NetUnrealizedGainsInvstAmt
Other Revenue$6,267OtherRevenueAmt
Revenue Not Reported$480,076RevenueNotReportedAmt
Revenue Subtotal$47,868,643RevenueSubtotalAmt
Investment Expenses Not Incld$34,450InvestmentExpensesNotIncldAmt
Other Revenues Not Included$877,445OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$911,895RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$48,780,538TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$46,206,830TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$6,267OtherExpensesIncludedAmt
Expenses Not Reported$6,267ExpensesNotReportedAmt
Expenses Subtotal$46,200,563ExpensesSubtotalAmt
Investment Expenses Not Incld2$34,450InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$877,445OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$911,895ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$47,112,458TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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, 2018.
PART XI, LINE 2D - OTHER ADJUSTMENTS:COST OF GOODS SOLD REPORTED ON PART VIII, LINE 10B 4,772. RENTAL EXPENSE REPORTED ON PART VIII, LINE 6B 1,495.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RECLASS OF BAD DEBT EXPENSES REPORTED ON PART IX, LINE 24 877,445.
PART XII, LINE 2D - OTHER ADJUSTMENTS:COST OF GOODS SOLD REPORTED ON PART VIII, LINE 10B 4,772. RENTAL EXPENSE REPORTED ON PART VIII, LINE 6B 1,495.
PART XII, LINE 4B - OTHER ADJUSTMENTS:RECLASS OF BAD DEBT EXPENSES REPORTED ON PART IX, LINE 24 877,445.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp 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
MARY E FRANCIS
ADMINISTRATOR$200,181$0$42,218$0$0$0$65,767$0$0$0$308,166$0$42,218$0
JANET BELOY
RN/RN SUPERVISOR$242,525$0$0$0$0$0$10,767$0$0$0$253,292$0$0$0
GINA M ESPOSITO
DIRECTOR OF NURSING$141,407$0$0$0$0$0$34,767$0$0$0$176,174$0$0$0
TEMILADE B ASIMOLOWO
RN$163,992$0$0$0$0$0$0$0$0$0$163,992$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3CATHOLIC 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 4BSCOTT 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 7THE 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 (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE 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 2021 COMPENSATION IS REPORTED IN PART VII, SECTION A AND SCHEDULE J, PART II. CATHOLIC HEALTH CARE SYSTEM WAS PAID $2,862,872 FOR SERVICES PROVIDED IN 2021.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE "MEMBER" IS CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE.
FORM 990, PART VI, SECTION A, LINE 7ATHE 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 7BTHE 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 11BCARMEL RICHMOND 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 12CTHE 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 MUST 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. 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 15BTHE 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 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). COMPENSATION PAID TO THE ADMINISTRATOR: PLEASE NOTE THAT THE ADMINISTRATOR AS A RELIGIOUS MEMBER OF THE CARMELITE SISTERS FOR THE AGED AND INFIRM, INC. (THE ORDER) HAS TAKEN A VOW OF POVERTY AND IS PROVIDED WITH ZERO (0) COMPENSATION FROM THE HOME. ALL COMPENSATION THAT WOULD HAVE BEEN PAID TO THE ADMINISTRATOR ON BEHALF OF SERVICES PROVIDED TO THE HOME IS INSTEAD PAID TO THE CARMELITE SISTERS OF THE AGED AND INFIRM, INC. RATHER THAN THE INDIVIDUAL. FOR 2021, THE HOME PAID THE ORDER AN AMOUNT OF $22,844 FOR THE SERVICES THE ADMINISTRATOR (SISTER MAUREEN MURRAY) PROVIDED TO THE HOME. TOTAL PAYMENTS IN 2021 TO THE ORDER FROM THE HOME FOR SERVICES PROVIDED BY ALL THE SISTERS WORKING WITHIN THE HOME AMOUNTED TO APPROXIMATELY $281,917.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS FORM 990 AND FORM 1023 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION, FORM 990, AND BY-LAWS ARE 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 11GCONSULTING: PROGRAM SERVICE EXPENSES 459,047. MANAGEMENT AND GENERAL EXPENSES 1,011,781. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,470,828. PHYSICIAN & NURSING FEES: PROGRAM SERVICE EXPENSES 4,188,409. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,188,409. BILLING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 219,577. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 219,577. LAUNDRY: PROGRAM SERVICE EXPENSES 582,628. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 582,628. HOUSEKEEPING: PROGRAM SERVICE EXPENSES 210,659. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 210,659. LABORATORY FEES: PROGRAM SERVICE EXPENSES 180,647. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 180,647. SECURITY: PROGRAM SERVICE EXPENSES 311,485. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 311,485. ENGINEERING FEES: PROGRAM SERVICE EXPENSES 346,596. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 346,596. FOOD SERVICES: PROGRAM SERVICE EXPENSES 19,230. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,230.
FORM 990, PART XI, LINE 9:EQUITY TRANSFER TO CATHOLIC HEALTH CARE FOUNDATION -1,000,000. EQUITY TRANSFER FROM CATHOLIC HEALTH CARE SYSTEM 52,137.
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/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
BENEFICE ADVANTAGE INC
205 LEXINGTON AVE 2ND FLNEW YORKNY10016134201050DORMANT/PROVIDE ADMIN., BENEFITS COORDINATING AND OTHER SERVICES TO ARCHCARENY501(C)(3)LINE 1CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
CALVARY FUND INC
1740 EASTCHESTER ROADBRONXNY10461133259649SUPPORT CALVARY HOSPITALNY501(C)(3)LINE 12A, ICALVARY HOLDING COMPANY INC0
CALVARY HOLDING COMPANY
1740 EASTCHESTER ROADBRONXNY10461061531426SUPPORT THE CALVARY HOSPITAL AND ITS AFFILIATED ORGANIZATIONSNY501(C)(3)LINE 12A, ICATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
CALVARY HOSPITAL INC
1740 EASTCHESTER ROADBRONXNY10461131740274OPERATE A TAX EXEMPT HOSPITALNY501(C)(3)LINE 3CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
CATHOLIC HEALTH CARE FOUNDATION OF THE ARCHDIOCESE OF NY INC
205 LEXINGTON AVE 2ND FLNEW YORKNY10016134054158PROVIDE FUNDS TO SUPPORT THE MISSION OF CHCS FACILITIESNY501(C)(3)LINE 7CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE
205 LEXINGTON AVE 2ND FLNEW YORKNY10016133896624MGT SVCS FOR HEALTH-RELATED FACILITIES IN THE ARCHDIOCESENY501(C)(3)LINE 10PROVIDENCE HEALTH SERVICES0
CATHOLIC MANAGED LONG TERM CARE INC
205 LEXINGTON AVE 2ND FLNEW YORKNY10016208180809OPERATE A MANAGED LONG TERM CARE PLANNY501(C)(3)LINE 10CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
CATHOLIC RESOURCES INC
205 LEXINGTON AVE 2ND FLNEW YORKNY10016261306110PROVIDE PARISH OUTREACH SERVICES & SOCIAL & HEALTH CARE SERVICE INFORMATIONNY501(C)(3)LINE 1CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
EMPIRE STATE HOME CARE SERVICES INC
15 METROTECH CENTER 11 FLBROOKLYNNY11201113618585HOME HEALTH CARE SERVICESNY501(C)(3)LINE 10CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
FERNCLIFF NURSING HOME COMPANY INC
21 FERNCLIFF DRIVERHINEBECKNY12572141514053OPERATE SKILLED NURSING FACILITY & ADULT HEALTH CARE PROGRAMNY501(C)(3)LINE 10CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
KATERI RESIDENCE
205 LEXINGTON AVE 2ND FLNEW YORKNY10016133086309DORMANT/OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITYNY501(C)(3)LINE 10CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
MARY MANNING WALSH NURSING HOME COMPANY INC
1339 YORK AVENUENEW YORKNY100214707136220617OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITYNY501(C)(3)LINE 10CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
OUR LADY OF MERCY FUND OF NEW YORK NY
205 LEXINGTON AVE 2ND FLNEW YORKNY10016133452084DORMANT/PROVIDE FUNDS TO SUPPORT THE MISSION OF CHCS FACILITIESNY501(C)(3)LINE 7OUR LADY OF MERCY HEALTHCARE SYSTEM INC0
OUR LADY OF MERCY HEALTHCARE SYSTEM INC
205 LEXINGTON AVE 2ND FLNEW YORKNY10016133395946DORMANT/PROVIDE FUNDS TO SUPPORT THE MISSION OF CHCS FACILITIESNY501(C)(3)LINE 12A, ICATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
PROVIDENCE HEALTH SERVICES
1011 1ST AVENUENEW YORKNY10022133354940SPONSOR OF CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARENY501(C)(3)LINE 30N/A
ST TERESA'S NURSING HOME INC
205 LEXINGTON AVE 2ND FLNEW YORKNY10016237012219DORMANT/OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITYNY501(C)(3)LINE 10CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
ST THERESA'S RESIDENCE
205 LEXINGTON AVE 2ND FLNEW YORKNY10016133110063DORMANT/INTERMEDIATE CARE FACILITY FOR DEVELOPMENTALLY DISABLEDNY501(C)(3)LINE 10CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
ST VINCENT DE PAUL RESIDENCE
900 INTERVALE AVENUEBRONXNY10459133598842OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITYNY501(C)(3)LINE 10CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
TERENCE CARDINAL COOKE HEALTH CARE CENTER
1249 FIFTH AVENUENEW YORKNY10029133007801OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITYNY501(C)(3)LINE 10CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
VISITING NURSE REGIONAL HEALTH CARE SYSTEM INC
205 LEXINGTON AVE 2ND FLOORNEW YORKNY10016113574017DORMANT/SUPPORT AND MANAGEMENT SERVICES FOR ITS AFFILIATESNY501(C)(3)PFCATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
VISITING NURSE ASSOCIATION OF BROOKLYN INC
205 LEXINGTON AVE 2ND FLNEW YORKNY10016111977434DORMANT/HOME HEALTH CARENY501(C)(3)PFVISITING NURSE REGIONAL HEALTH CARE SYSTEM INC0
BROOKLYN VISITING NURSE FOUNDATION
205 LEXINGTON AVE 2ND FLNEW YORKNY10016113312248DORMANT/RAISE FUNDS FOR AFFILIATED ORGANIZATIONSNY501(C)(3)LINE 12B, IIVISITING NURSE REGIONAL HEALTH CARE SYSTEM INC0
ARCHCARE COMMUNITY SERVICES INC
205 LEXINGTON AVE 2ND FLNEW YORKNY10016813563801PROVIDE COMMUNITY AND PASTORAL SERVICES AND SUPPORTIVE HOUSINGNY501(C)(3)LINE 12B, IICATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
DOMINICAN SISTERS FAMILY HEALTH SERVICE INC
299 NORTH HIGHLAND AVENUEOSSININGNY10562131740242HOME HEALTH AGENCYNY501(C)(3)LINE 10CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
FAMILY HOME HEALTH CARE INC
65 SOUTH BROADWAYTARRYTOWNNY10591133831377HOME CARENY501(C)(3)LINE 10DOMINICAN SISTERS FAMILY HEALTH SERVICE INC0
ULSTER HOME HEALTH SERVICES INC
PO BOX 1850KINGSTONNY12402141513989HOME CARENY501(C)(3)LINE 10UMC INC0
UMC INC
PO BOX 1850KINGSTONNY12402141701702MANAGEMENT SERVICESNY501(C)(3)LINE 12B, IICATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0
ULSTER HOME CARE INC
PO BOX 1850KINGSTONNY12402141702962HOME CARENY501(C)(3)LINE 10UMC INC0
PROVIDENCE REST
3304 WATERBURY AVENUEBORNXNY10465131740301HOME CARENY501(C)(3)LINE 10CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

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Business Name Line1ST AGNES HOSPITALBusinessNameLine1Txt

US Address USAddress

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Address Line1305 NORTH STREETAddressLine1Txt
CityWHITE PLAINSCityNm
State AbbreviationNYStateAbbreviationCd
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EIN131740121EIN
Primary ActivitiesDORMANT/OPERATE A HOSPITALPrimaryActivitiesTxt
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Direct Controlling Entity Name DirectControllingEntityName

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Business Name Line1CATHOLIC HEALTH CARE SYSTEM DBA ARCHCAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd