CALVARY HOSPITAL INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- CALVARY HOSPITAL INC (EIN 13-1740274)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-11
- IRS object ID
- 202143159349302064
- Schema version
- 2020v4.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-11T08:39:26-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 366055558 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRANT THORNTON LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 757 THIRD AVENUE 3RD FLOOR | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 100172013 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 131740274 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CALVARY HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CALV | BusinessNameControlTxt |
| Phone | 7185182000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1740 EASTCHESTER ROAD | AddressLine1Txt |
| City | BRONX | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 104612392 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANDREW GRECO | PersonNm |
| Person Title | VICE PRESIDENT & CFO | PersonTitleTxt |
| Phone | 7185182069 | PhoneNum |
| Signature | 2021-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ANDREW | PersonFirstNm |
| Person Last | GRECO | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SCOTT THOMPSETT | PreparerPersonNm |
| PTIN | P00741490 | PTIN |
| Phone | 2125990100 | PhoneNum |
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 | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | FRANK CALAMARI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1740 EASTCHESTER ROAD | AddressLine1Txt |
| City | BRONX | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 104612392 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $139,856,000 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CALVARYHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1899 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | CALVARY HOSPITAL PROVIDES PALLIATIVE CARE FOR TERMINALLY ILL CANCER PATIENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 1251 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $8,858,100 | PYContributionsGrantsAmt |
| CY Contributions Grants | $29,344,812 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $119,818,700 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $107,004,500 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,921,600 | PYInvestmentIncomeAmt |
| CY Investment Income | $784,337 | CYInvestmentIncomeAmt |
| PY Other Revenue | $742,800 | PYOtherRevenueAmt |
| CY Other Revenue | $1,107,051 | CYOtherRevenueAmt |
| PY Total Revenue | $131,341,200 | PYTotalRevenueAmt |
| CY Total Revenue | $138,240,700 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $5,800 | 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 | $92,955,802 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $97,169,001 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $38,901,098 | PYOtherExpensesAmt |
| CY Other Expenses | $39,316,966 | CYOtherExpensesAmt |
| PY Total Expenses | $131,862,700 | PYTotalExpensesAmt |
| CY Total Expenses | $136,485,967 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$521,500 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,754,733 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $102,670,200 | TotalAssetsBOYAmt |
| Total Assets EOY | $124,160,500 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $71,636,800 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $95,086,500 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $31,033,400 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $29,074,000 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | CALVARY HOSPITAL IS A FULLY ACCREDITED ACUTE CARE SPECIALTY HOSPITAL PROVIDING PALLIATIVE CARE FOR TERMINALLY ILL CANCER PATIENTS IN THE UNITED STATES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $92,568,233 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $79,001,300 | RevenueAmt |
| Desc | TERMINALLY ILL CANCER CARE INPATIENT - CALVARY SERVES ABOUT 22.6% OF ALL INDIVIDUALS WHO DIE OF CANCER IN THE NEW YORK METROPOLITAN AREA EACH YEAR. PATIENTS ARE REFERRED TO CALVARY FROM EVERY MAJOR HOSPITAL AND MEDICAL CENTER IN NEW YORK CITY. IN 2020, CALVARY CARED FOR MORE THAN 2,737 PATIENTS AND FAMILIES AS INPATIENT ADMISSIONS IN OUR 200-BED BRONX CAMPUS AND OUR 25-BED SATELLITE AT NYU LANGONE HOSPITAL IN BROOKLYN. THE AVERAGE LENGTH OF INPATIENT STAY IS 24.6 DAYS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $24,446,141 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $27,967,200 | RevenueAmt |
| Desc | SEE SCHEDULE O. CALVARY HOSPITAL HOSPICE IS A MEDICARE-CERTIFIED HOSPITAL-BASED HOSPICE PROGRAM, WHICH PROVIDES AN INTERDISCIPLINARY CARE TEAM FOR PATIENTS WITH A TERMINAL PROGNOSIS FOR ALL END-STAGE DISEASES. CALVARY HOSPITAL HOSPICE EMBRACES AND IMPLEMENTS THE BASIC ASSUMPTIONS OF THE HOSPICE CONCEPT, INCLUDING THE FOLLOWING:- HOSPICE PROVIDES PALLIATIVE MEDICAL CARE, TREATING THE PHYSICAL, EMOTIONAL AND SPIRITUAL PAIN OF THE PATIENT AND FAMILY. - HOSPICE TREATS THE PATIENT AND LOVED ONES TOGETHER AS A WHOLE UNIT OF CARE AND OFFERS BEREAVEMENT COUNSELING FOR SURVIVING CAREGIVERS AFTER THE PATIENT'S DEATH. - HOSPICE PATIENTS REMAIN IN THE FAMILIAR, COMFORTING SURROUNDINGS OF HOME, WHETHER IT'S A PRIVATE RESIDENCE, NURSING HOME, HOSPITAL OR AN ASSISTED LIVING FACILITY. - HOSPICE CARE PROVIDES THE FOLLOWING FOUR LEVELS OF CARE: ROUTINE CARE, GENERAL INPATIENT CARE (IF NEEDED), CONTINUOUS CARE (DURING A CRISIS), AND RESPITE CARE.HOSPICE SERVICES - NURSING CARE, AS NECESSARY TO MAINTAIN THE PATIENT AT HOME - 24 HOURS A DAY, 7 DAYS A WEEK ON-CALL NURSE PHYSICIAN SERVICES - MEDICAL SOCIAL SERVICES- PASTORAL CARE- COUNSELING SERVICES - NUTRITIONAL COUNSELING- SHORT-TERM INPATIENT AND RESPITE CARE - MEDICAL SUPPLIES RELATED TO TERMINALLY ILL - PERSONAL CARE PROVIDED BY CERTIFIED HOME HEALTH AIDES - THERAPIES (E.G., PHYSICAL, OCCUPATIONAL AND SPEECH) - MEDICATIONS FOR SYMPTOM MANAGEMENT AND PAIN CONTROL RELATED TO THE TERMINALLY ILL- BEREAVEMENT COUNSELING FOR FAMILY MEMBERS - VOLUNTEER SERVICES | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,101,626 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $36,000 | RevenueAmt |
| Desc | SEE SCHEDULE O. CALVARY'S HOME HEALTH AGENCY SERVES PATIENTS IN THE BRONX, QUEENS, NORTHERN MANHATTAN, AND SOUTHERN WESTCHESTER COUNTY. CALVARY OFFERS HOME CARE TO PATIENTS WITH ALL DIAGNOSES. MOST PATIENTS RETURN TO PRE-ILLNESS FUNCTION AND ARE DISCHARGED TO SELF-CARE WITHIN SIX TO EIGHT WEEKS. ALL OF OUR PATIENTS WHO WE CARE FOR AT HOME GET THE SAME LEVEL OF HIGH-QUALITY AND UNIQUE "CALVARY CARE" AS ALL OF OUR INPATIENTS.THE FOLLOWING SERVICES ARE AVAILABLE TO PATIENTS AND THEIR FAMILIES THROUGH CALVARY'S CERTIFIED HOME HEALTH AGENCY: NURSING SERVICES - OUR COMMUNITY HEALTH NURSES PROVIDE NURSING VISITS TO PATIENTS IN THEIR HOMES. - SPECIALIZED NURSING IS AVAILABLE SUCH AS ENTEROSTOMAL THERAPY. - 24-HOUR TELEPHONE ACCESS TO RN (REGISTERED NURSE) ON-CALL.HOME HEALTH AIDE - PROVIDES ASSISTANCE WITH PERSONAL CARE AND OTHER ACTIVITIES RELATED TO HEALTH CARE. NUTRITIONAL SERVICES - CALVARY'S DIETITIANS ARE AVAILABLE BY PHONE TO HELP IN PLANNING THERAPEUTIC NUTRITIONAL MANAGEMENT.THERAPY SERVICES - PHYSICAL THERAPY- OCCUPATIONAL THERAPY - SPEECH THERAPYMEDICAL CARE - CALVARY HOME CARE STAFF WILL WORK CLOSELY WITH THE PATIENT'S OWN PHYSICIAN TO MEET HOME HEALTH NEEDS. - OUR STAFF HAS EXTENSIVE KNOWLEDGE OF PAIN MANAGEMENT.MEDICAL SOCIAL WORK A FULL RANGE OF SOCIAL WORK SERVICES ARE AVAILABLE TO HELP PATIENTS AND FAMILIES COPE WITH THE PROBLEMS OF ILLNESS. - ASSISTANCE IN MEDICAID APPLICATION - ASSISTANCE IN LONG-TERM PLANNINGREFERRING PATIENTS - REFERRALS MAY BE MADE BY PATIENTS FAMILY MEMBERS, FRIENDS, HOSPITALS, CLINICS, PHYSICIANS, OTHER HEALTH CARE PROFESSIONALS AND COMMUNITY AGENCIES. - PART OF THE CALVARY CONTINUUM FACILITATE ADMISSION TO INPATIENT CARE FOR SYMPTOM MANAGEMENT - REFERRAL TO OUTPATIENT AND WOUND CARE CLINICS - PROVIDE INFORMATION ON CALVARY PROGRAMS INCLUDING BEREAVEMENT SUPPORT | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant | $0 | GrantAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $118,116,000 | 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 | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | 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 | Yes (1) | 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 | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| 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 | Yes (1) | 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 | 124 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1251 | 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 | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | 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 | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDREW GRECO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7185182069 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1740 EASTCHESTER ROAD | AddressLine1Txt |
| City | BRONX | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 104612069 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| SCOTT P LA RUE | |||||||
| PRESIDENT/CEO OF ARCHCARE | 1.00 | 37.00 | Yes (X) | $0 | $1,406,730 | $343,704 | |
| TERENCE GALLAGHER | |||||||
| DIRECTOR EMERITUS (NON-VOTING) | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |
| MANFRED ALTSTADT | |||||||
| DIRECTOR EMERITUS (NON-VOTING) | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |
| STEVEN J GOLUB | |||||||
| DIRECTOR EMERITUS (NON-VOTING) | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JOHN P BERTSCH | |||||||
| DIRECTOR EMERITUS (NON-VOTING) | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JAMES HARDEN | |||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DR MARC PRAGER | |||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| THOMAS G FERRARA | |||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MARYANN JULIA POPIEL MD | |||||||
| DIRECTOR | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | |
| CARLOS HERNANDEZ | |||||||
| DIRECTOR | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JOSEPH A TARANTINO | |||||||
| DIRECTOR | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | |
| JOSEPH L DEMARZO | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| AMIT SIKDAR | |||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| RENA M MURTHA RN | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| REV ERIC P CRUZ MDIV MNA | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DANIEL S GURRELL MD | |||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JOHN A DECINA | |||||||
| VICE-CHAIRMAN | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| ANNE COTE TAYLOR | |||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| THOMAS J FAHEY JR MD | |||||||
| CHAIRMAN OF BOARD | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| EDWARD D HEBEN | |||||||
| TREASURER | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JAMES O'HARA | |||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| ROBERT SIEGEL MD | |||||||
| MEDICAL DIRECTOR | 37.00 | 0.00 | $306,886 | $0 | $48,266 | Yes (X) | |
| MARGARET PELKOWSKI | |||||||
| VP FOR PATIENT CARE SERVICE | 37.00 | 0.00 | $252,466 | $0 | $37,242 | Yes (X) | |
| NANCY D'AGOSTINO RN | |||||||
| VP OF COMMUNITY PATIENT SVCS | 37.00 | 0.00 | $295,496 | $0 | $52,073 | Yes (X) | |
| ANDREW ZARETSKY MD | |||||||
| ATTENDING PHYSICIAN | 37.00 | 0.00 | $414,396 | $0 | $52,073 | Yes (X) | |
| GAIL CHRZANOWSKI MD | |||||||
| ATTENDING PHYSICIAN | 37.00 | 0.00 | $358,922 | $0 | $39,757 | Yes (X) | |
| ROBERT BRESCIA MD | |||||||
| DIR., PALLIATIVE CARE INST | 37.00 | 0.00 | $447,652 | $0 | $36,647 | Yes (X) | |
| SREENIVASA PATIBANDLA MD | |||||||
| STAFF PHYSICIAN | 37.00 | 0.00 | $418,847 | $0 | $28,000 | Yes (X) | |
| CHRISTOPHER COMFORT MD | |||||||
| COO | 37.00 | 0.00 | $573,840 | $0 | $47,925 | Yes (X) | |
| ANDREW V GRECO | |||||||
| VICE PRESIDENT & CFO | 37.00 | 0.00 | $546,685 | $0 | $62,765 | Yes (X) | |
| MICHAEL J BRESCIA MD | |||||||
| EXECUTIVE DIRECTOR EMERITUS | 37.00 | 0.00 | $577,021 | $0 | $35,722 | Yes (X) | |
| DEVMANI JAITLY MD | |||||||
| ATTENDING PHYSICIAN | 37.00 | 0.00 | $612,461 | $0 | $45,175 | Yes (X) | |
| FRANK A CALAMARI | |||||||
| PRESIDENT/EXECUTIVE DIRECTOR | 37.00 | 0.00 | $858,450 | $0 | $40,428 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,663,122 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,406,730 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $869,777 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 196 | 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 |
|---|---|---|---|---|---|
| NAVIN HAFTY & ASSOCIATES LLP | |||||
| 1900 WEST PARK DR SUITE 1800 | WESTBROUGH | MA | 01581 | IT CONSULTING | $1,435,806 |
| FORT GROUP | |||||
| 100 CHALLENGER ROAD 7TH FLOOR | RIDGEFIELD | NJ | 07660 | ADVERTISING SERVICES | $619,844 |
| CLOUDWAVE | |||||
| 100 CROWLEY DRIVE | MALBOROUGH | MA | 01752 | IT SERVICES | $560,676 |
| SPIRE WORKFORCE SOLUTIONS | |||||
| 1600 PARKWOOD CIRCLE SUITE 1600 | ATLANTA | GA | 30339 | NURSING SERVICES | $560,545 |
| MEDICAL INFORMATION TECHNOLOGY | |||||
| MEDITECH CIRCLE | WESTWOOD | MA | 02090 | IT SERVICES | $530,899 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 38 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $3,005,000 | RelatedOrganizationsAmt |
| Government Grants | $20,235,712 | GovernmentGrantsAmt |
| All Other Contributions | $6,104,100 | AllOtherContributionsAmt |
| Total Contributions | $29,344,812 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENU | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $107,004,500 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $107,004,500 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $107,004,500 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $361,204 | TotalRevenueColumnAmt |
| Exclusion | $361,204 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $48,325 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $48,325 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $48,325 | TotalRevenueColumnAmt |
| Exclusion | $48,325 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,003,600 | SecuritiesAmt |
| Other | $34,833 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,615,300 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $388,300 | SecuritiesAmt |
| Other | $34,833 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $423,133 | TotalRevenueColumnAmt |
| Exclusion | $423,133 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| RELATED PARTY REIMBURS | 900099 | $147,200 | $147,200 | |
| CAFETERIA INCOME | 900099 | $101,816 | $101,816 | |
| EMERGENCY PREPARDNESS | 900099 | $53,174 | $53,174 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $756,536 | TotalRevenueColumnAmt |
| Exclusion | $756,536 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,058,726 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $138,240,700 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $107,151,700 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,744,188 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,735,278 | TotalAmt |
| Program Services | $1,605,184 | ProgramServicesAmt |
| Management And General | $2,130,094 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,513,755 | TotalAmt |
| Program Services | $64,597,732 | ProgramServicesAmt |
| Management And General | $3,916,023 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,834,248 | TotalAmt |
| Program Services | $3,510,325 | ProgramServicesAmt |
| Management And General | $323,923 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,059,817 | TotalAmt |
| Program Services | $14,703,059 | ProgramServicesAmt |
| Management And General | $1,356,758 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,025,903 | TotalAmt |
| Program Services | $4,601,307 | ProgramServicesAmt |
| Management And General | $424,596 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,461,607 | TotalAmt |
| Management And General | $2,461,607 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $303,175 | TotalAmt |
| Management And General | $303,175 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $406,465 | TotalAmt |
| Management And General | $406,465 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,992 | TotalAmt |
| Management And General | $128,992 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,557,963 | TotalAmt |
| Program Services | $9,557,963 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,136,230 | TotalAmt |
| Program Services | $664,461 | ProgramServicesAmt |
| Management And General | $471,769 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,049,501 | TotalAmt |
| Program Services | $1,783,330 | ProgramServicesAmt |
| Management And General | $1,266,171 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $453,043 | TotalAmt |
| Program Services | $264,937 | ProgramServicesAmt |
| Management And General | $188,106 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,374,097 | TotalAmt |
| Program Services | $1,660,657 | ProgramServicesAmt |
| Management And General | $713,440 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $264,517 | TotalAmt |
| Program Services | $154,688 | ProgramServicesAmt |
| Management And General | $109,829 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,456 | TotalAmt |
| Program Services | $18,395 | ProgramServicesAmt |
| Management And General | $13,061 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,800 | TotalAmt |
| Program Services | $145,800 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,125,100 | TotalAmt |
| Program Services | $5,717,526 | ProgramServicesAmt |
| Management And General | $407,574 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,167,528 | TotalAmt |
| Management And General | $1,167,528 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHARMACEUTICALS | $5,610,645 | $5,610,645 | |
| MAINTENANCE AND REPAIRS | $1,420,442 | $830,666 | $589,776 |
| FOOD EXPENSE | $1,164,394 | $680,931 | $483,463 |
| LEASES | $513,154 | $479,008 | $34,146 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,002,857 | TotalAmt |
| Program Services | $1,529,386 | ProgramServicesAmt |
| Management And General | $1,473,471 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,485,967 | TotalAmt |
| Program Services | $118,116,000 | ProgramServicesAmt |
| Management And General | $18,369,967 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,600 | BOYAmt |
| EOY | $20,000 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,000 | BOYAmt |
| EOY | $18,970,500 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,358,100 | BOYAmt |
| EOY | $20,585,800 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $578,238 | BOYAmt |
| EOY | $965,900 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $773,262 | BOYAmt |
| EOY | $360,100 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $114,988,300 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $96,163,300 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,086,600 | BOYAmt |
| EOY | $18,825,000 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,502,100 | BOYAmt |
| EOY | $16,910,700 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,570,400 | BOYAmt |
| EOY | $8,745,300 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,873,900 | BOYAmt |
| EOY | $26,052,800 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $857,000 | BOYAmt |
| EOY | $12,724,400 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,670,200 | BOYAmt |
| EOY | $124,160,500 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,835,900 | BOYAmt |
| EOY | $14,537,300 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $4,784,000 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $126,600 | BOYAmt |
| EOY | $126,200 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,711,200 | BOYAmt |
| EOY | $1,042,000 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,000,000 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,963,100 | BOYAmt |
| EOY | $74,597,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,636,800 | BOYAmt |
| EOY | $95,086,500 | 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 | -$4,833,900 | BOYAmt |
| EOY | -$10,687,000 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,867,300 | BOYAmt |
| EOY | $39,761,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,033,400 | BOYAmt |
| EOY | $29,074,000 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,670,200 | BOYAmt |
| EOY | $124,160,500 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,754,733 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,880,300 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$5,594,433 | OtherChangesInNetAssetsAmt |
| 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) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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 | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $104,752 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $24,240 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $128,992 | 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 | CALVARY HOSPITAL ENGAGES TWO INDIVIDUALS TO DIRECTLY LOBBY CONGRESS AND OTHER GOVERNMENTAL AGENCIES ON ITS BEHALF. THE TOTAL AMOUNT PAID TO THESE EXTERNAL CONSULTANTS IN CALENDAR YEAR 2020 IS $104,752. CALVARY HOSPITAL INCURS INDIRECT LOBBYING EXPENDITURES FROM ITS MEMBERSHIP IN VARIOUS HEALTHCARE ASSOCIATIONS. THE $24,240 REPORTED ON SCHEDULE C, PART II-B, LINE 1(I) INCLUDES THE PORTION OF ITS MEMBERSHIP DUES ATTRIBUTABLE TO LOBBYING ENDEAVORS THAT THE HOSPITAL PAYS TO THE FOLLOWING MEMBERSHIP ASSOCIATIONS: - THE HOSPITAL ASSOCIATION OF NEW YORK STATE (HANYS) - THE GREATER NEW YORK HOSPITAL ASSOCIATION (GNYHA) | 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 |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $35,867,300 | BeginningYearBalanceAmt |
| Contributions | $2,216,800 | ContributionsAmt |
| Investment Earnings Or Losses | $3,250,500 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,573,600 | OtherExpendituresAmt |
| End Year Balance | $39,761,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $29,283,900 | BeginningYearBalanceAmt |
| Contributions | $3,309,900 | ContributionsAmt |
| Investment Earnings Or Losses | $5,215,300 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,941,800 | OtherExpendituresAmt |
| End Year Balance | $35,867,300 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $30,643,900 | BeginningYearBalanceAmt |
| Contributions | $1,807,200 | ContributionsAmt |
| Investment Earnings Or Losses | -$1,112,700 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,054,500 | OtherExpendituresAmt |
| End Year Balance | $29,283,900 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $26,805,300 | BeginningYearBalanceAmt |
| Contributions | $1,725,600 | ContributionsAmt |
| Investment Earnings Or Losses | $4,295,000 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,182,000 | OtherExpendituresAmt |
| End Year Balance | $30,643,900 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $25,378,200 | BeginningYearBalanceAmt |
| Contributions | $1,723,700 | ContributionsAmt |
| Investment Earnings Or Losses | $1,787,400 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,084,000 | OtherExpendituresAmt |
| End Year Balance | $26,805,300 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.05000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.95000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $538,000 | OtherCostOrOtherBasisAmt |
| Book Value | $538,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $38,216,300 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,963,579 | DepreciationAmt |
| Book Value | $7,252,721 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $71,748,700 | OtherCostOrOtherBasisAmt |
| Depreciation | $61,255,096 | DepreciationAmt |
| Book Value | $10,493,604 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,485,300 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,944,625 | DepreciationAmt |
| Book Value | $540,675 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $18,825,000 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ALTERNATIVE INVESTMENTS | Desc |
| Book Value | $8,745,300 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $8,745,300 | TotalBookValueSecuritiesAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BENEFICIAL INTEREST ASSETS OF CALVARY FUND | Desc |
| Book Value | $26,052,800 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $26,052,800 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM THIRD PARTIES | $12,638,800 |
| OTHER ASSETS | $85,600 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $12,724,400 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED PENSION LIABILITY | $56,196,900 |
| DUE TO THIRD PARTY PAYORS | $17,213,000 |
| MALPRACTICE LIABILITY | $1,187,100 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $74,597,000 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $134,526,600 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,880,300 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$5,594,400 | OtherRevenueAmt |
| Revenue Not Reported | -$3,714,100 | RevenueNotReportedAmt |
| Revenue Subtotal | $138,240,700 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $138,240,700 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $136,486,000 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $33 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $33 | ExpensesNotReportedAmt |
| Expenses Subtotal | $136,485,967 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $136,485,967 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | THE HOSPITAL MAINTAINS CUSTODIAL ACCOUNTS FOR ITS PATIENTS AND VARIOUS AUXILIARY GROUPS. |
| PART X, LINE 2: | THE HOSPITAL FOLLOWS GUIDANCE THAT CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN, INCLUDING ISSUES RELATING TO FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT. THIS GUIDANCE PROVIDES THAT THE TAX EFFECTS FROM AN UNCERTAIN TAX POSITION CAN ONLY BE RECOGNIZED IN THE FINANCIAL STATEMENTS IF THE POSITION IS MORE-LIKELY-THAN-NOT TO BE SUSTAINED IF THE POSITION WERE TO BE CHALLENGED BY A TAXING AUTHORITY. THE ASSESSMENT OF THE TAX POSITION IS BASED SOLELY ON THE TECHNICAL MERITS OF THE POSITION, WITHOUT REGARD TO THE LIKELIHOOD THAT THE TAX POSITION MAY BE CHALLENGED. THE HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3), THOUGH IT IS SUBJECT TO TAX ON INCOME UNRELATED TO ITS EXEMPT PURPOSE, UNLESS THAT INCOME IS OTHERWISE EXCLUDED BY THE IRS. THE HOSPITAL HAS PROCESSES PRESENTLY IN PLACE TO ENSURE THE MAINTENANCE OF ITS TAX-EXEMPT STATUS; TO IDENTIFY AND REPORT UNRELATED INCOME; TO DETERMINE ITS FILING AND TAX OBLIGATIONS IN JURISDICTIONS FOR WHICH IT WAS NEXUS; AND TO IDENTIFY AND EVALUATE OTHER MATTERS THAT MAY BE CONSIDERED TAX POSITIONS. THE HOSPITAL HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | PENSION RELATED ADJUSTMENTS -8,948,200. CHANGE IN BENEFICIAL INTEREST IN NET ASSETS 3,353,800. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | ROUNDING 33. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,625,458 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,625,458 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01190 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,032,375 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,330,043 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,702,332 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02710 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,657,833 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,330,043 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,327,790 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03900 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,657,833 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,330,043 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,327,790 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03900 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 13 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $893,976 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $893,976 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00650 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $2,610 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,610 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $4,505 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,505 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 18 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $901,091 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $901,091 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00650 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,975,200 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $38,286,091 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $50,201,437 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$11,915,346 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | Licensed HospitalLicensedHospitalInd | OtherOtherDesc | Facility Reporting GroupFacilityReportingGroupCd |
|---|---|---|---|---|---|---|---|---|
| CALVARY HOSPITAL INC | ||||||||
| 1 | 1740 EASTCHESTER ROAD | BRONX | NY | 10461 | CALVARYHOSPITAL.ORG | Yes (X) | EXTENDED NEOPLASTIC DISEASE CARE | A |
| CALVARY HOSPITAL INC (BROOKLYN CAMP | ||||||||
| 2 | 1740 EASTCHESTER ROAD | BRONX | NY | 10461 | CALVARYHOSPITAL.ORG | Yes (X) | EXTENDED NEOPLASTIC DISEASE CARE | A |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CALVARY HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 20 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | CALVARYHOSPITAL.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 20 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | CALVARYHOSPITAL.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | CALVARYHOSPITAL.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | CALVARYHOSPITAL.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | CALVARYHOSPITAL.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Legal Judicial Process | Yes (X) | PermitLegalJudicialProcessInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | 0 | NondisEmergencyCarePolicyInd |
| No Emergency Care | Yes (X) | NoEmergencyCareInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 11: | CALVARY HOSPITAL ASSESSED THE NEEDS OF THE COMMUNITY THROUGH THE LENSES OF THE SPECIALIZED SERVICES IT IS EQUIPPED TO PROVIDE. THE JOINT COMMISSIONS STEERING COMMITTEE AND QUALITY COMMITTEES OF THE BOARD OF DIRECTORS ARE RESPONSIBLE FOR EVALUATING THE DATA AND PRIORITIZING THE NEEDS. CALVARY HOSPITAL USED SECONDARY AND QUALITATIVE DATA TO DETERMINE THREE TOP HEALTH ISSUES BASED ON CAPACITY, RESOURCES, COMPETENCIES, AND NEEDS SPECIFIC TO THE POPULATIONS IT SERVES. ALL NEEDS ARE A PRIORITY WITH PALLIATIVE CARE SERVICES BEING THE MOST SIGNIFICANT NEED. THESE ISSUES ARE WITHIN THE HOSPITAL'S SCOPE, COMPETENCY AND RESOURCES TO IMPACT IN A MEANINGFUL MANNER. CALVARY HOSPITAL'S END OF LIFE PALLIATIVE CARE IS THE WORLD'S MOST COMPREHENSIVE. FOR MORE THAN A CENTURY, IT HAS BEEN TREATING NOT ONLY THE PHYSICAL PAIN, BUT HAS ALSO BEEN PROVIDING ENORMOUS EMOTIONAL RELIEF, TO BOTH THE PATIENT AND THE FAMILY. CALVARY ELIMINATES THE STRESS AND ANXIETY AT A TIME WHEN PEOPLE ARE MOST VULNERABLE. THE HOSPITAL IDENTIFIED THREE PRIMARY SIGNIFICANT NEEDS WITHIN ITS COMMUNITY NEEDS ASSESSMENT:1. PALLIATIVE CARE SERVICES2. BEREAVEMENT SERVICES3. PALLIATIVE CARE PROVIDER EDUCATIONTHE HOSPITAL'S COMMUNITY NEEDS ASSESSMENT PROVIDES TREMENDOUS DETAIL AS TO HOW THE HOSPITAL ADDRESSES THESE NEEDS. PLEASE REFER TO THE HOSPITAL'S WEBSITE AT HTTPS://WWW.CALVARYHOSPITAL.ORG/WP-CONTENT/UPLOADS/2019/11/CH_CHNA_BROCHURE_FINAL-11-12-19-1.PDF |
| PART V, SECTION B | FACILITY REPORTING GROUP A |
| FACILITY REPORTING GROUP A CONSISTS OF: | - FACILITY 1: CALVARY HOSPITAL, INC., - FACILITY 2: CALVARY HOSPITAL, INC. (BROOKLYN CAMP |
| CALVARY HOSPITAL, INC. PART V, SECTION B, LINE 11: | CALVARY HOSPITAL ASSESSED THE NEEDS OF THE COMMUNITY THROUGH THE LENSES OF THE SPECIALIZED SERVICES IT IS EQUIPPED TO PROVIDE. THE JOINT COMMISSIONS STEERING COMMITTEE AND QUALITY COMMITTEES OF THE BOARD OF DIRECTORS ARE RESPONSIBLE FOR EVALUATING THE DATA AND PRIORITIZING THE NEEDS. CALVARY HOSPITAL USED SECONDARY AND QUALITATIVE DATA TO DETERMINE THREE TOP HEALTH ISSUES BASED ON CAPACITY, RESOURCES, COMPETENCIES, AND NEEDS SPECIFIC TO THE POPULATIONS IT SERVES. ALL NEEDS ARE A PRIORITY WITH PALLIATIVE CARE SERVICES BEING THE MOST SIGNIFICANT NEED. THESE ISSUES ARE WITHIN THE HOSPITAL'S SCOPE, COMPETENCY AND RESOURCES TO IMPACT IN A MEANINGFUL MANNER. CALVARY HOSPITAL'S END OF LIFE PALLIATIVE CARE IS THE WORLD'S MOST COMPREHENSIVE. FOR MORE THAN A CENTURY, IT HAS BEEN TREATING NOT ONLY THE PHYSICAL PAIN, BUT HAS ALSO BEEN PROVIDING ENORMOUS EMOTIONAL RELIEF, TO BOTH THE PATIENT AND THE FAMILY. CALVARY ELIMINATES THE STRESS AND ANXIETY AT A TIME WHEN PEOPLE ARE MOST VULNERABLE. THE HOSPITAL IDENTIFIED THREE PRIMARY SIGNIFICANT NEEDS WITHIN ITS COMMUNITY NEEDS ASSESSMENT:1. PALLIATIVE CARE SERVICES2. BEREAVEMENT SERVICES3. PALLIATIVE CARE PROVIDER EDUCATIONTHE HOSPITAL'S COMMUNITY NEEDS ASSESSMENT PROVIDES TREMENDOUS DETAIL AS TO HOW THE HOSPITAL ADDRESSES THESE NEEDS. PLEASE REFER TO THE HOSPITAL'S WEBSITE AT HTTPS://WWW.CALVARYHOSPITAL.ORG/WP-CONTENT/UPLOADS/2019/11/CH_CHNA_BROCHURE_FINAL-11-12-19-1.PDF |
| PART V, SECTION B, LINE 22D: | THE MAXIMUM AMOUNT THAT CALVARY HOSPITAL WILL CHARGE FAP-ELIGIBLE PATIENTS IS 15% OF GROSS CHARGES; THIS REFLECTS AN AMOUNT THAT IS BELOW OUR LOWEST PAYOR. |
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | CALVARY HOSPITAL INC. USES THE FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE TO LOW-INCOME PATIENTS. |
| PART I, LINE 6A: | CALVARY HOSPITAL COMPLETED ITS MOST RECENT FULL COMMUNITY BENEFIT REPORT/COMMUNITY HEALTH NEEDS ASSESSMENT IN DECEMBER OF 2020. THIS REPORT IS POSTED ON CALVARY HOSPITAL'S WEBSITE.CALVARY ROUTINELY RECEIVES INPUT FROM ALL HOSPITALS AND HEALTH SYSTEMS IN ITS CATCHMENT AREA; THROUGH ITS PALLIATIVE CARE INSTITUTE, CALVARY WORKS DIRECTLY WITH THE MEDICAL SCHOOLS IN THE NEW YORK AREA, NYC EMS SERVICES AND THE NATIONAL CANCER INSTITUTE. THE TOTALITY OF THIS INPUT ENABLES CALVARY TO PRODUCE A THOROUGH AND TARGETED COMMUNITY SERVICE PLAN EACH YEAR. DURING THE COVID PANDEMIC THESE PROGRAMS WERE SCALED BACK AS COMPARED WITH PRIOR YEARS. |
| PART I, LINE 7: | CALVARY HOSPITAL IS UNIQUE IN THE HEALTHCARE ENVIRONMENT IN THAT IT PROVIDES SERVICES TO A VERY SPECIFIC SET OF PATIENTS: THE TERMINALLY ILL. PATIENTS IN-HOSPITAL CARE AT CALVARY IF THEY HAVE BEEN DIAGNOSED WITH ADVANCED CANCER AND OTHER TERMINAL ILLNESSES, WHICH HAVE NOT RESPONDED TO CURATIVE TREATMENTS AND REQUIRE CONTINUOUS SUPERVISION BY A MEDICAL TEAM. THEY HAVE SEVERE SYMPTOMS RELATED TO THEIR ILLNESS, SUCH AS INFECTIONS, COMPLEX WOUND CARE NEEDS, NAUSEA, SEVERE WEIGHT LOSS, PAIN, OR CONFUSION, OR DUE TO THE SEVERITY OF THEIR SYMPTOMS, CARE AT HOME IS NOT POSSIBLE. DURING THE COVID PANDEMIC, CALVARY CARED FOR COVID RECOVERING PATIENTS. FROM ITS INCEPTION IN 1899, CALVARY HOSPITAL HAS BEEN FAITHFULLY DEVOTED TO PROVIDING PALLIATIVE CARE TO ADULT PATIENTS IN THE ADVANCED STAGES OF CANCER, AND OTHER LIFE-LIMITING ILLNESSES ADDRESSING THE SYMPTOMS OF THE DISEASE, NOT ITS CURE. A VOLUNTARY, NOT-FOR-PROFIT HOSPITAL, OPERATED IN CONNECTION WITH THE ARCHDIOCESE OF NEW YORK, CALVARY CONTINUES TO EMBODY THIS TRADITION OF CARING THROUGH THE SERVICES AND PROGRAMS OFFERED BY AND THROUGH THE DEDICATION AND CONCERN SHOWN BY ITS STAFF MEMBERS.THE HOSPITAL WILL CONTINUE TO BE FAITHFUL TO THIS TRADITION THROUGH A TWOFOLD COMMITMENT. CALVARY WILL STRIVE PRIMARILY TO EXPAND ITS PROGRAMS AND SERVICES TO MEET THE EMERGING PHYSICAL, PSYCHOSOCIAL, AND SPIRITUAL NEEDS OF BOTH PATIENTS AND FAMILIES THROUGH THE PROVISION OF ACUTE INPATIENT, CALVARY @ HOME (HOMECARE, HOSPICE @ HOME), AND A BROOKLYN CAMPUS. IN ADDITION, THROUGH THE PALLIATIVE CARE INSTITUTE, THE HOSPITAL ENDEAVORS TO TRANSMIT TO OTHER HEALTH CARE PROFESSIONALS, THROUGH RESEARCH AND EDUCATION, THE KNOWLEDGE AND COMPETENCE WHICH IT HAS DEVELOPED IN THE CARE OF ADULT PATIENTS WITH ADVANCED CANCER AND OTHER LIFE LIMITING ILLNESSES. THROUGH THIS TWOFOLD COMMITMENT, CALVARY HOSPITAL WILL DEEPEN AND STRENGTHEN THE PHILOSOPHY OF COMPASSIONATE CARE WHICH HAS BEEN THE CORNERSTONE OF ITS PROGRAM OF SERVICE, AND WILL OFFER TO THOSE IN OUR EXPANDED COMMUNITY AND OTHERS, A TRADITION OF SUCCESSFUL EXPERIENCE IN THE CARE OF THE ADVANCED CANCER PATIENT.CALVARY HOSPITAL IS THE ONLY FULLY ACCREDITED EXTENDED NEOPLASTIC DISEASE CARE HOSPITAL PROVIDING PALLIATIVE CARE FOR ADVANCED CANCER PATIENTS IN THE UNITED STATES. WITH 225 BEDS IN THE BRONX AND BROOKLYN AND 1251 EMPLOYEES, CALVARY SERVES MORE THAN 3064 PATIENTS ANNUALLY AT HOME. CALVARY PROVIDES PALLIATIVE CARE, WHICH IS THE ACTIVE TREATMENT OF THE SYMPTOMS, NOT THE CURE OF THE DISEASE, IN ORDER TO MAKE OUR PATIENTS AS COMFORTABLE AS POSSIBLE. CALVARY'S PROGRAMS INCLUDE INPATIENT CARE CASE MANAGEMENT, CALVARY @ HOME, AND SUPPORT PROGRAMS FOR FAMILIES AND FRIENDS. AS CALVARY APPROACHES THE FUTURE WITH A SENSE OF HOPE AND PROMISE, CALVARY IS EVER MINDFUL OF THE LEGACY OF OUR FOUNDERS, THE WOMEN OF CALVARY, TO PROVIDE COMPREHENSIVE CARE WHILE RECOGNIZING THE INDIVIDUALITY AND DIGNITY OF EVERY PATIENT. AT THE SAME TIME, CALVARY WILL CONTINUE TO DEVELOP NEW PROGRAMS AND SERVICES TO MEET THE NEEDS OF TODAY'S WORLD.ACCORDINGLY, CALVARY HOSPITAL IS NOT SUITED TO PROVIDING THE TYPE OF COMMUNITY BENEFITS THAT OTHER TRADITIONAL HOSPITALS PROVIDE.CALVARY REPORTS IN PART VII THE VALUE OF ANY MEDICAID SERVICES IT PROVIDES AS WELL AS FINANCIAL ASSISTANCE COSTS. TO ARRIVE AT THE CHARITY CARE AMOUNTS REPORTED IN PART VII, CALVARY UTILIZES NET REALIZABLE VALUE OF THE SERVICES RENDERED. THIS REPORTING IS CONSISTENT TO WHAT IS PRESENTED IN CALVARYS COST REPORT WITH THE NEW YORK STATE DEPARTMENT OF HEALTH. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | CALVARY HOSPITAL MAKES A NUMBER OF DIFFERENT SUPPORT GROUPS AVAILABLE TO THE COMMUNITY. THESE SUPPORT GROUPS ARE ADVERTISED ON CALVARY HOSPITAL'S WEBSITE, WWW.CALVARYHOSPITAL.ORG, ON ITS CALENDAR OF EVENTS. IN ADDITION, THE HOSPITAL PUBLISHES "CALVARY IN TOUCH", A BI-MONTHLY NEWSLETTER ABOUT BEREAVEMENT ISSUES THAT IS AVAILABLE THROUGH THE HOSPITAL'S WEBSITE, SOCIAL MEDIA CHANNELS AND IS CIRCULATED IN HARD COPY BY MAIL.CALVARY HOSPITAL PROVIDES BEREAVEMENT SUPPORT FOR ADULTS WHO HAVE LOST LOVED ONES AT CALVARY HOSPITAL OR CALVARY@HOME, AND THOSE FROM THE COMMUNITY AT LARGE WHO HAVE LOST SOMEONE BECAUSE OF ILLNESS, ACCIDENTS VIOLENCE, OR ANY OTHER CAUSE. GROUPS ARE OFFERED IN THE BRONX, BROOKLYN AND MANHATTAN. DURING THE COVID PANDEMIC, SINCE THESE GROUPS COULD NOT MEET IN-PERSON, THEY MET VIRTUALLY USING ON-LINE TECHNOLOGY AND THROUGH DIRECT TELEPHONE CALLS.THE HOSPITAL ALSO OFFERS AGE-APPROPRIATE SUPPORT GROUPS FOR CHILDREN, AGES 6 THROUGH 11, AND FOR ADOLESCENTS, AGES 12 TO 18, AND FOR YOUNG ADULTS, AGES 18 TO 25. THESE COMMUNITY SUPPORT GROUPS INCLUDE BUT ARE NOT LIMITED TO: - SUPPORT GROUPS FOR BEREAVED PARENTS - MINDFULNESS AND MOVEMENT THROUGH GRIEF GROUP- PRECIOUS MOMENTS SUPPORT GROUP FOR CHILDREN AGES 6 TO 9 - TWEEN BEREAVEMENT GROUPS FOR TWEENS AGES 10 TO 12- TEEN BEREAVEMENT GROUPS FOR TEENS AGES 13-17- YOUNG ADULTS AGES 18-25- DEATH OF A SPOUSE/PARTNER BEREAVEMENT GROUPS - DEATH OF A PARENT BEREAVEMENT GROUPS - MEN DISCUSSION GROUP- COVID LOSS GROUPS- CAMP COMPASS DAY CAMP FOR BEREAVED CHILDREN OPEN TO ALL CHILDREN WHO HAVE ATTENDED OUR GROUPS ARE FREE OF CHARGE, AND ARE LED BY CALVARY HOSPITAL STAFF AND STAFF HIRED JUST FOR THIS WEEK LONG EVENT. CAMP COMPASS WAS HELD VIRTUALLY IN 2020.CALVARY HOSPITAL ALSO MAKES AVAILABLE A NUMBER OF DIFFERENT WELLNESS ACTIVITIES TO THE COMMUNITY. THESE WELLNESS ACTIVITIES INCLUDE BUT ARE NOT LIMITED TO YOGA, ZUMBA, STAFF DRUMMING CLASSES, RECREATIONAL THERAPY AND PET THERAPY AND A FACILITY DOG ON STAFF. CALVARY HOSPITAL'S THERAPEUTIC RECREATION AND MUSIC THERAPY PROGRAMS WERE CREATED TO GIVE PATIENTS A SENSE OF ACCOMPLISHMENT AND TO RELIEVE THE SUFFERING OF OUR PATIENTS AND THEIR FAMILIES. DURING THE COVID PANDEMIC, THESE IN-PERSON PROGRAMS WERE PLACED ON-HOLD. CALVARY'S FLOWERS FOR HEALING PROGRAM WAS ADDED, DURING THE PANDEMIC. THERAPEUTIC RECREATION ACTIVITIES INCLUDES DRAWING, SCULPTURE, AND CERAMICS PROJECTS; HORTICULTURE; A GAMES AND DISCUSSION HOUR; AND HOLIDAY PARTIES. MUSIC THERAPY OFTEN HELPS SOOTHE PATIENTS AND HELPS THEM FOCUS ON LIFE. OUR BOARD CERTIFIED MUSIC THERAPISTS USE MUSIC THERAPY INTERVENTIONS TO SOOTHE PATIENTS, RELIEVE ANXIETY, REMINISCE, AND EASE PAIN AND SUFFERING. MUSIC THERAPY INTERVENTIONS MAY ALSO PROVIDE RELEASE IN THE LAST HOURS OR MOMENTS OF LIFE. PATIENTS RECEIVING MUSIC THERAPY SOMETIMES WRITE SONGS ASSISTED BY THE MUSIC THERAPISTS TO LEAVE FOR LOVED ONES, OR FIND OTHER WAYS TO OPEN THEIR HEARTS THROUGH MUSIC. OUR CLINICIANS REPORT THAT IN SOME CASES, THE ONLY TIME A PATIENT LAUGHS OR SMILES IS DURING A MUSIC THERAPY SESSION. WE ALSO FIND THAT MUSIC THERAPY IS AVAILABLE AT BOTH INPATIENT LOCATIONS AND IS ALSO ONE OF THE SERVICES WE OFFER THROUGH CALVARY@HOME.IN KEEPING WITH OUR MISSION TO SHARE OUR KNOWLEDGE AND EXPERIENCE WITH OTHERS, CALVARY OFFERS INTERNSHIP PROGRAMS IN THE FOLLOWING AREAS: SOCIAL WORK, BEREAVEMENT, PALLIATIVE CARE AND MUSIC THERAPY, WHICH IS RECOGNIZED AS A NATIONAL CLINICAL TRAINING SITE BY THE AMERICAN MUSIC THERAPY ASSOCIATION. IN 2020, THE EDDIE HIGGINS SCHOLARSHIP WAS PLACED ON-HOLD THROUGH ITS EDDIE HIGGINS SCHOLARSHIP PROGRAM, CALVARY HOSPITAL PROVIDES LEADERSHIP DEVELOPMENT AND TRAINING. THE EDDIE HIGGINS SCHOLARSHIP IS NAMED AFTER A CHERISHED MEMBER OF THE CALVARY FAMILY WHO CAME TO THE HOSPITAL AS A YOUNG BOY. EDDIE WAS HOSPITALIZED INTERMITTENTLY FOR 15 YEARS AT CALVARY UNTIL HIS DEATH IN 1982 AT THE AGE OF 29. EDDIE IS REMEMBERED FOR HIS LOVE OF GOD AND HIS REMARKABLE COURAGE DESPITE HIS ILLNESS. CALVARY HAS GIVEN THE ANNUAL SCHOLARSHIP SINCE 1985. CALVARY ALSO HOSTS AN ANNUAL MENTORS THROUGH MOURNING WORKSHOP, FREE OF CHARGE, FOR SCHOOL PROFESSIONALS TO EDUCATE THEM ON THE GRIEF PROCESS OF CHILDREN. ALSO OFFERED IS A 11 WEEK ANNUAL COURSE THAT WE CHARGE $50/SESSION, WHICH IS OFFERED IN THE BRONX AND BROOKLYN. IN 2020, THE PANDEMIC PROMPTED US TO OFFER THIS REMOTELY. |
| PART III, LINE 2: | THE METHODOLOGY THAT CALVARY HOSPITAL EMPLOYS TO ESTIMATE ITS BAD DEBT EXPENSE IS CAPTURED IN ITS AUDITED FINANCIAL STATEMENTS. THE FOOTNOTE IS REPRODUCED BELOW:ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE. |
| PART III, LINE 4: | THE HOSPITAL'S BAD DEBT FOOTNOTE IS REPORTED THUSLY IN ITS AUDITED FINANCIAL STATEMENTS: THE HOSPITAL RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICES RENDERED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE HOSPITAL RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED (OR ON THE BASIS OF DISCOUNTED RATES, IF NEGOTIATED OR PROVIDED BY POLICY). ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE HOSPITAL'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED.THUS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. THE HOSPITAL ALSO RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS TO COVER THE ESTIMATED WRITE-OFFS RESULTING FROM INSURED PATIENTS WHOSE BENEFITS ARE SUBSEQUENTLY DETERMINED TO HAVE BEEN EXHAUSTED DURING THEIR HOSPITALIZATION OR WHOSE COVERAGE IS DENIED BY THE INSURER.PART III, LINE 5: CALVARY HOSPITAL DOES NOT TRADITIONALLY TREST THE SHORTFALL ON ITS MEDICARE REIMBURSEMENT AS CHARITY CARE AND DOES NOT REPORT IT AS SUCH IN ITS AUDITED FINANCIAL STATEMENTS. PART III, LINE 7: CALVARY HOSPITAL INC. HAS REPORTED A SHORTFALL IN PART III SECTION B LINE 7. THE EXPENSES, REVENUES AND SHORTFALL REPORTED IN PART III LINES 5-7 WERE DEVELOPED FROM THE 2020 CALVARY HOSPITAL, INC. COST REPORTS FILED WITH THE NYS DOH AND NATIONAL GOVERNMENT SERVICES (MEDICARE INTERMEDIARY). |
| PART III, LINE 9B: | CALVARY HOSPITAL, INC.'S FINANCIAL ASSISTANCE POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CALVARY HOSPITAL'S COLLECTION POLICY IS THAT ALL REASONABLE EFFORTS WILL BE MADE BY PATIENT ACCOUNTS REPRESENTATIVES TO OBTAIN PAYMENT AND TO SETTLE PATIENT ACCOUNTS RECEIVABLE ON A CONSISTENT BASIS. THE PATIENT ACCOUNTING SYSTEM WILL BEAR ENTRIES OF SUCH ATTEMPTS, INCLUDING THE DATE AND THE REPRESENTATIVE'S INITIALS. ACCOUNTS RESISTING SETTLEMENT MAY BE REFERRED TO A COLLECTION AGENCY. |
| PART VI, LINE 2: | CALVARY HOSPITAL IS THE ONLY FULLY ACCREDITED EXTENDED NEOPLASTIC DISEASE CARE HOSPITAL PROVIDING PALLIATIVE CARE FOR ADULT PATIENTS WITH ADVANCED CANCER AND OTHER LIFE-LIMITING ILLNESSES IN THE UNITED STATES.CALVARYCARE MAY BE OBTAINED AT OUR 200-BED BRONX CAMPUS OR 25-BED BROOKLYN CAMPUS. THROUGH CALVARY@HOME, OUR CARE IS ALSO PROVIDED EACH DAY IN HUNDREDS OF PRIVATE HOMES, NURSING AND ASSISTED LIVING FACILITIES IN NEW YORK CITY, WESTCHESTER, NASSAU, AND ROCKLAND COUNTIES. WHEN HOME HOSPICE PATIENTS ARE IN NEED OF SHORT-TERM INPATIENT CARE, WE CAN SEAMLESSLY TRANSFER THEM TO THE DAWN GREENE HOSPICE AT MARY MANNING WALSH HOME IN MANHATTAN AND THE OZANAM HALL OF QUEENS NURSING HOME. CALVARY TREATS PATIENTS BOTH INPATIENT AND AT-HOME THROUGH THE CALVARY @ HOME PROGRAM. CALVARY HOSPITAL USES A VARIETY OF METHODS AND SERVICES TO GATHER COMMUNITY INPUT TO ASSESS THE NEEDS OF THE COMMUNITY, AND TO ASSURE INPUT IN THE COMMUNITY SERVICE PLAN. SOME OF THESE METHODS ARE:A. COMMUNITY OUTREACH SERVICES: COMMUNITY OUTREACH SERVICES FUNCTIONS AS A LIAISON WITH THE COMMUNITY, REFERRERS, PHYSICIANS, PATIENTS, AND FAMILIES AND FACILITATES ADMISSION TO CALVARY. THE DEPARTMENT OUTREACHES THROUGH THE TRI-STATE REGION AND EDUCATES THE HEALTH CARE AND PATIENT COMMUNITIES AS TO THE CONTINUUM OF SERVICES CALVARY PROVIDES (INPATIENT, CALVARY @ HOME). THROUGH ON-SITE VISITS, PUBLIC PRESENTATIONS AND PARTICIPATION IN COMMUNITY AND PROVIDER ACTIVITIES, THE OUTREACH STAFF CONTINUALLY ASSESSES THE NEEDS OF THE COMMUNITY. THE BEREAVEMENT DEPARTMENT ALSO FACILITATES A COMMUNITY OUTREACH TO EDUCATE MENTAL HEALTH AGENCIES AND SCHOOLS ABOUT GRIEF AND BEREAVEMENT AS WELL AS PROVIDE SUPPORT TO AGENCIES THAT ARE EXPERIENCING A DEATH IN THEIR COMMUNITY. B. PROFESSIONAL ADVISORY BOARD: THE PROFESSIONAL ADVISORY BOARD WAS ESTABLISHED IN 1992 TO OBTAIN INPUT FROM THE COMMUNITY. THE ADVISORY BOARD MEETS AT LEAST ANNUALLY AND IS COMPRISED OF PHYSICIANS, NURSES, AND SOCIAL WORKERS, REPRESENTING HOSPITALS, AND HOME CARE AGENCIES, AS WELL AS THE COMMUNITY. THIS GROUP HAS CONTRIBUTED A VARIETY OF IDEAS FOR ENHANCING SERVICES TO THE COMMUNITY. IN 2020, THERE WERE AT LEAST THREE SUCH MEETINGS BEFORE THE QUARANTINE AND ONE FULL MEETING VIA ZOOM. C. COMMUNITY PLANNING BOARD: EACH YEAR THE HOSPITAL INVITES THE HEALTH COMMITTEE OF COMMUNITY PLANNING BOARD *11 TO VISIT THE HOSPITAL. DUE TO THE PANDEMIC, IN 2020, CALVARY WAS UNABLE TO EXTEND SUCH INVITATION. D. OUTREACH REPRESENTATION FOR HEALTH CARE PROFESSIONALS: COMMUNITY OUTREACH PARTICIPATES IN THE EDUCATION OF STAFF IN SURROUNDING HOSPITALS INCLUDING DOCTORS, NURSES, CASE MANAGERS AND SOCIAL WORKERS. CALVARY HOSPITAL, INC. ALSO HAS PUBLIC PARTICIPATION IN THE EXTENDED COMMUNITY THROUGH PARTICIPATION IN: - GREATER NEW YORK HOSPITAL ASSOCIATION - HOSPITAL ASSOCIATION OF NEW YORK STATE- AMERICAN HOSPITAL ASSOCIATION - NEW YORK CITY DEPARTMENT OF HEALTH - NEW YORK STATE DEPARTMENT OF HEALTH- CATHOLIC HEALTHCARE ASSOCIATION - CMSTHROUGH ONGOING PARTICIPATION IN THE GROUPS ABOVE, CALVARY HOSPITAL CONTINUALLY MONITORS THE TRENDS IN THE HEALTHCARE NEEDS OF THE LARGER COMMUNITY. ALTHOUGH THE NATURE OF ITS SERVICES IS LIMITED BY ITS SPECIALIZED MISSION, CALVARY HAS IDENTIFIED A VARIETY OF ACTIVITIES TO PARTICIPATE IN IMPROVING THE HEALTH OF ITS EXTENDED COMMUNITY. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 (13 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 OF ARCHCARE | $0 | $991,770 | $0 | $273,779 | $0 | $141,181 | $0 | $321,656 | $0 | $22,048 | $0 | $1,750,434 | $0 | $283,210 |
| FRANK A CALAMARI | ||||||||||||||
| PRESIDENT/EXECUTIVE DIRECTOR | $541,861 | $0 | $129,730 | $0 | $186,859 | $0 | $28,000 | $0 | $12,428 | $0 | $898,878 | $0 | $77,440 | $0 |
| DEVMANI JAITLY MD | ||||||||||||||
| ATTENDING PHYSICIAN | $261,701 | $0 | $2,000 | $0 | $348,760 | $0 | $28,000 | $0 | $17,175 | $0 | $657,636 | $0 | $0 | $0 |
| CHRISTOPHER COMFORT MD | ||||||||||||||
| COO | $423,637 | $0 | $88,720 | $0 | $61,483 | $0 | $28,000 | $0 | $19,925 | $0 | $621,765 | $0 | $0 | $0 |
| MICHAEL J BRESCIA MD | ||||||||||||||
| EXECUTIVE DIRECTOR EMERITUS | $19,849 | $0 | $84,235 | $0 | $472,937 | $0 | $28,000 | $0 | $7,722 | $0 | $612,743 | $0 | $22,943 | $0 |
| ANDREW V GRECO | ||||||||||||||
| VICE PRESIDENT & CFO | $320,977 | $0 | $67,865 | $0 | $157,843 | $0 | $28,000 | $0 | $34,765 | $0 | $609,450 | $0 | $18,799 | $0 |
| ROBERT BRESCIA MD | ||||||||||||||
| DIR., PALLIATIVE CARE INST | $346,966 | $0 | $75,853 | $0 | $24,833 | $0 | $28,000 | $0 | $8,647 | $0 | $484,299 | $0 | $0 | $0 |
| ANDREW ZARETSKY MD | ||||||||||||||
| ATTENDING PHYSICIAN | $213,239 | $0 | $2,000 | $0 | $199,157 | $0 | $28,000 | $0 | $24,073 | $0 | $466,469 | $0 | $0 | $0 |
| SREENIVASA PATIBANDLA MD | ||||||||||||||
| STAFF PHYSICIAN | $219,762 | $0 | $2,000 | $0 | $197,085 | $0 | $28,000 | $0 | $0 | $0 | $446,847 | $0 | $0 | $0 |
| GAIL CHRZANOWSKI MD | ||||||||||||||
| ATTENDING PHYSICIAN | $334,904 | $0 | $2,000 | $0 | $22,018 | $0 | $28,000 | $0 | $11,757 | $0 | $398,679 | $0 | $0 | $0 |
| ROBERT SIEGEL MD | ||||||||||||||
| MEDICAL DIRECTOR | $290,769 | $0 | $2,000 | $0 | $14,117 | $0 | $34,765 | $0 | $13,501 | $0 | $355,152 | $0 | $14,117 | $0 |
| NANCY D'AGOSTINO RN | ||||||||||||||
| VP OF COMMUNITY PATIENT SVCS | $268,692 | $0 | $12,000 | $0 | $14,804 | $0 | $28,000 | $0 | $24,073 | $0 | $347,569 | $0 | $0 | $0 |
| MARGARET PELKOWSKI | ||||||||||||||
| VP FOR PATIENT CARE SERVICE | $237,417 | $0 | $9,000 | $0 | $6,049 | $0 | $25,485 | $0 | $11,757 | $0 | $289,708 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | EFFECTIVE JUNE 1, 1998, THE HOSPITAL ESTABLISHED THE CALVARY HOSPITAL SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TO PROVIDE PENSION BENEFITS FOR WAGES EARNED BY CERTAIN PHYSICIANS AND SENIOR EXECUTIVE STAFF WITH COMPENSATION IN EXCESS OF THE IRS LIMITS AND ALSO ESTABLISHED THE CALVARY HOSPITAL KEY EMPLOYEE SHARE OPTION PLAN(KEYSOP) TO PROVIDE ADDITIONAL AND ALTERNATIVE FORMS OF COMPENSATION TO KEY EMPLOYEES. PRIOR TO 2002, THE HOSPITAL UTILIZED THE KEYSOP TO FUND THE SERP. AS A RESULT OF THE IRS 457 REGULATIONS WHICH WERE ISSUED DURING 2002, THE UTILIZATION OF THE KEYSOP TO FUND THE SERP BECAME UNFEASIBLE. AFTER CONSIDERATION OF VARIOUS REPLACEMENT OPTIONS, IN 2003, CALVARY HOSPITAL CHOSE THE TAX GROSS-UP OPTION, WHEREBY, INDIVIDUAL PARTICIPANTS' DEFERRALS WOULD BE GROSSED-UP TO DUPLICATE THE BENEFITS HE WOULD RECEIVE IN A TAX-DEFERRED ARRANGEMENT AND PAID THEM OUT DIRECTLY TO THE PARTICIPANTS. THE FOLLOWING EXECUTIVES RECEIVED TAX GROSS-UP PAYMENTS IN 2020 IN ORDER TO DUPLICATE A TAX DEFERRED VEHICLE: (THE AMOUNTS WERE CALCULATED BY FRANK J. WALTERS ASSOCIATES, INC. UTILIZING EXPECTED TAX RATES TO CALCULATE THE NET AMOUNTS.) ANDREW GRECO, CHIEF FINANCIAL OFFICER, RECEIVED A GROSS-UP FOR TAXES ON HIS SERP DISTRIBUTION. THE TAX GROSS-UP IS REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III). THE ORGANIZATION PROVIDED SOCIAL CLUB DUES IN 2020 FOR FRANK CALAMARI AND THE DUES WERE INCLUDED AS TAXABLE COMPENSATION. |
| PART I, LINE 4B | THE FOLLOWING CALVARY HOSPITAL OFFICERS PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED THE FOLLOWING DISTRIBUTIONS (WHICH ARE INCLUDED IN COLUMN (B)(III) OTHER REPORTABLE COMPENSATION: FRANK CALAMARI - $77,440 MICHAEL BRESCIA - $22,943 ANDREW GRECO - $33,995 GROSS *INCLUDES TAX GROSS-UP 15,196 ROBERT SIEGEL - $14,117 PRESIDENT & CEO OF ARCHCARE, SCOTT P. LA RUE, PARTICIPATES IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN AND RECEIVED A DISTRIBUTION OF $134,281 FROM THE PLAN IN CALENDAR YEAR 2020. THIS DISTRIBUTION IS REPORTED AS CURRENT YEAR WAGES IN SCHEDULE J, PART II, COLUMN (B)(III) AND IS LIKEWISE REPORTED IN COLUMN (F) TO REFLECT THE PAYOUT OF PREVIOUSLY DEFERRED WAGES. THE BALANCE OF COMPENSATION REPORTED IN COLUMN (F) REPRESENTS THE PAYOUT OF A DEFERRED BONUS THAT WAS REPORTED IN COLUMN (C) ON PREVIOUS FORMS 990. |
| PART I, LINE 7 | CALVARY HOSPITAL ENGAGED THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTING FIRM THAT SPECIALIZES IN HEALTHCARE EXECUTIVE COMPENSATION TO DESIGN ITS EXECUTIVE INCENTIVE COMPENSATION PLAN. AS PART OF THE PLAN, THE CALVARY EXECUTIVE TEAM DEVELOPS A NUMBER OF STRATEGIC GOALS THAT EXECUTIVES MUST MEET TO PARTICIPATE IN THE INCENTIVE PROGRAM; THESE GOALS ARE THEN REVIEWED AND APPROVED ANNUALLY BY THE COMPENSATION COMMITTEE OF THE BOARD. AT YEAR END, CALVARY'S CEO PRESENTS THE RESULTS FROM THE PREVIOUS YEAR IN TERMS OF WHICH GOALS WERE ACHIEVED BY THE EXECUTIVE TEAM. THE COMPENSATION COMMITTEE OF THE BOARD THEN CONVENES WITH INDEPENDENT COMPENSATION CONSULTING FIRM TO DETERMINE AND APPROVE THE BONUSES THAT ARE DISTRIBUTED TO EACH EXECUTIVE. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | MICHAEL J BRESCIA MD AND ROBERT BRESCIA MD HAVE A FAMILY RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 6 | PURSUANT TO CALVARY HOSPITAL'S BYLAWS, CATHOLIC HEALTH CARE SYSTEM ("ARCHCARE") IS ITS SOLE CORPORATE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7A | CALVARY HOSPITAL IS A FULL PARTICIPATING MEMBER OF CATHOLIC HEALTH CARE SYSTEM ("ARCHCARE"), A HEALTH CARE DELIVERY SYSTEM IN NEW YORK STATE. THE CALVARY HOSPITAL BYLAWS RESERVE CERTAIN RIGHTS TO CATHOLIC HEALTH SYSTEM AS THE SOLE MEMBER. ONE OF THOSE RIGHTS, IN ARTICLE IV, IS THE POWER TO APPOINT AND REMOVE BOARD MEMBERS (AS WELL AS THE CHAIRMAN OF THE BOARD). |
| FORM 990, PART VI, SECTION A, LINE 7B | PROVIDENCE HEALTH SERVICES IS THE SOLE MEMBER OF CATHOLIC HEALTH CARE SYSTEM ("ARCHCARE"), WHICH IS, IN TURN, SOLE MEMBER OF CALVARY HOSPITAL. PROVIDENCE IS THE SPONSOR OF CALVARY HOSPITAL (AND ITS RELATED ENTITIES) AND AS SUCH HAS BEEN RESERVED CERTAIN POWERS IN CALVARY HOSPITAL'S BYLAWS, EXERCISED IN CONJUNCTION WITH RECOMMENDATIONS MADE BY CALVARY HEALTH CARE SYSTEM (AS SOLE CORPORATE MEMBER). THESE POWERS ARE AS FOLLOWS: 1. RIGHT TO AMEND BYLAWS; 2. RIGHT TO CHANGE CALVARY HOSPITAL'S MISSION; 3. RIGHT TO APPROVE ANY MERGER, JOINT VENTURE, OR DISSOLUTION OF THE FUND; 4. APPROVAL WITH RESPECT TO CERTAIN REAL PROPERTY TRANSACTIONS EXCEEDING $400,000; 5. APPROVAL OF ANY LEASES EXPECTED TO EXCEED A PERIOD OF 9 YEARS; 6. APPROVAL OF THE FUND ENTERING INTO ANY DEBT INSTRUMENTS IN AN AMOUNT GREATER THAN $400,000; 7. APPROVAL ON THE DISPOSITION OF ANY SIGNIFICANT HISTORICAL ARTIFACTS. AS NOTED ABOVE, THE SOLE MEMBER, CATHOLIC HEALTH CARE SYSTEM HAS BEEN RESERVED THE RIGHT TO MAKE RECOMMENDATIONS TO PROVIDENCE ABOUT ANY OF THE ABOVE ACTIONS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE 2020 FORM 990 OF CALVARY HOSPITAL WAS PREPARED BY GRANT THORNTON LLP WITH THE ASSISTANCE OF CALVARY ACCOUNTING PERSONNEL. THE DRAFT FORM 990 WAS REVIEWED BY GRANT THORNTON LLP, THE DIRECTOR OF FINANCE AND THE CFO OF CALVARY HOSPITAL BEFORE DISTRIBUTION OF THE FULL VERSION OF THE FINAL DRAFT TO THE BOARD. A COPY OF THE FORM 990 DRAFT WAS PROVIDED TO EACH MEMBER OF THE CALVARY HOSPITAL BOARD OF DIRECTORS IN OCTOBER 29, 2021 PRIOR TO ITS FILING WITH THE INTERNAL REVENUE SERVICE IN ELECTRONIC FORMAT. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH OFFICER, DIRECTOR, TRUSTEE AND KEY EMPLOYEE IS REQUIRED TO ANNUALLY DISCLOSE ANY CONFLICTS OF INTEREST THAT ARISE BY VIRTUE OF THEIR EMPLOYMENT AND POSITION WITH CALVARY HOSPITAL OR CALVARY FUND. CALVARY MONITORS COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY THROUGH AN ANNUAL QUESTIONNAIRE SUBMITTED TO THESE INDIVIDUALS. POTENTIAL CONFLICTS ARE INVESTIGATED IMMEDIATELY AND, IF ANY ARE UNCOVERED, THERE ARE POLICIES IN PLACE TO ENSURE THAT THOSE INDIVIDUALS RECUSE THEMSELVES FROM PARTICIPATING IN ANY DECISION MAKING RELATED TO SUCH CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15 | CALVARY HOSPITAL, INC. UNDERTAKES A RIGOROUS PROCESS TO ENSURE THAT THE EXECUTIVE COMPENSATION IT PAYS TO ITS TOP MANAGEMENT OFFICIALS AND ALL OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION IS REASONABLE. IN RELEVANT PART, THE BOARD OF DIRECTORS HAS ESTABLISHED A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT PERSONS THAT HAVE NO PERSONAL INTEREST IN THE PROPOSED COMPENSATION ARRANGEMENT. THE BOARD OF DIRECTORS USES AN INDEPENDENT COMPENSATION CONSULTANT TO HELP ADVISE ON THE APPROPRIATE COMPENSATION LEVELS FOR THE AFOREMENTIONED INDIVIDUALS. THAT COMPENSATION CONSULTANT WILL USE COMPARABILITY OR BENCHMARKLNG DATA (BASED ON INDUSTRY SURVEYS) THAT DOCUMENTS THE COMPENSATION OF PERSONS HOLDING SIMILAR PERSONS IN SIMILAR ORGANIZATIONS. THE HOSPITAL COMMISSIONED ITS MOST RECENT INDEPENDENT COMPENSATION STUDY IN FEBRUARY OF 2020. ONCE THE COMPENSATION CONSULTANT HAS MADE ITS RECOMMENDATIONS, THE CALVARY COMPENSATION COMMITTEE MUST APPROVE THE COMPENSATION, WITHOUT INPUT OR VOTING PARTICIPATION BY THE PERSON WHOSE COMPENSATION IS BEING APPROVED OR BY ANY OTHER INDIVIDUAL WITH A CONFLICT OF INTEREST. THE FINAL DETERMINATION IS THEN DOCUMENTED IN COMMITTEE MINUTES. THOSE MINUTES WILL CONTAIN THE TERMS OF THE PROPOSED COMPENSATION, THE DECISIONS OF THOSE INDIVIDUALS WHO VOTED ON THE COMPENSATION, AND THE COMPARABILITY DATA THAT WAS RELIED UPON. |
| FORM 990, PART VI, SECTION C, LINE 19 | CALVARY HOSPITAL MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC BY RETAINING A COPY AT THE ADDRESS LISTED ON PAGE 1 OF THIS RETURN. ANY INDIVIDUAL REQUESTING A COPY OF THESE DOCUMENTS IS PROVIDED THAT COPY ON THE SAME BUSINESS DAY. THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST AND AT MANAGEMENT'S DISCRETION. IMPACT OF THE COVID-19 PANDEMIC: IN MARCH 2020, THE WORLD HEALTH ORGANIZATION DECLARED COVID-19, THE DISEASE CAUSED BY THE NOVEL CORONAVIRUS, A PANDEMIC, WHICH STARTED TO AND CONTINUES TO SPREAD THROUGHOUT THE UNITED STATES. AS A RESULT OF THE COVID-19 PANDEMIC, THE HOSPITAL EXPERIENCED A DECLINE IN PATIENT VISITS AND RELATED REVENUES. ADDITIONALLY, IN RESPONSE TO THE PANDEMIC, THE HOSPITAL INCURRED ADDITIONAL COSTS FOR TESTING, PERSONAL PROTECTIVE EQUIPMENT, THIRD-PARTY CONTRACT SERVICES AND OTHER OPERATING COSTS ASSOCIATED WITH ENSURING EMPLOYEE AND PATIENT SAFETY WHILE OPERATING DURING A PANDEMIC. THE HOSPITAL HAS RECENTLY SEEN INCREASES IN ITS PATIENT VISITS, HOWEVER, VOLUMES HAVE NOT RETURNED TO PRE-PANDEMIC LEVELS. MANAGEMENT IS ACTIVELY MONITORING OPERATING REVENUES AND EXPENSES AND BASED ON THE CONTINUING UNCERTAINTIES OF COVID-19, IS UNABLE TO DETERMINE IF IT WILL HAVE A MATERIAL IMPACT ON ITS OPERATIONS FOR THE YEAR ENDING DECEMBER 31, 2021. THE HOSPITAL RECEIVED GRANT PAYMENTS, WHICH ARE CONSIDERED NONEXCHANGE TRANSACTIONS, FROM THE FEDERAL GOVERNMENT DISTRIBUTED UNDER THE CORONAVIRUS AID, RECOVERY AND ECONOMIC SECURITY ("CARES") ACT. FOR THE YEAR ENDED DECEMBER 31, 2020, THE HOSPITAL RECEIVED TOTAL PAYMENTS OF $25,019,960. WHILE THE FEDERAL REGULATIONS HAVE NOT YET BEEN FINALIZED, THE HOSPITAL BELIEVES IT HAS MET THE TERMS AND CONDITIONS TO RETAIN PAYMENTS OF $20,235,690 WHICH IS INCLUDED IN OTHER REVENUE IN THE 2020 STATEMENT OF OPERATIONS AND $4,784,000 WHICH IS DEFERRED TO 2021 AND INCLUDED IN DEFERRED REVENUE AND RESTRICTED CASH AND CASH EQUIVALENTS ON THE STATEMENT OF FINANCIAL POSITION AT DECEMBER 31, 2020. THE CARES ACT PAYMENTS ARE SUBJECT TO AUDIT AND COMPLIANCE WITH FEDERAL REGULATIONS AND FUTURE GRANT PAYMENTS ARE UNCERTAIN AT THIS TIME. THE CARES ACT ALSO PROVIDED FOR AN EXPANSION OF THE MEDICARE ACCELERATED AND ADVANCE PAYMENT PROGRAM (MEDICARE ADVANCES) FOR PATIENT SERVICES. UNDER THE PROGRAM, THE HOSPITAL RECEIVED $9,202,800 IN APRIL 2020, AND RECORDED THESE PAYMENTS IN ESTIMATED SETTLEMENTS DUE TO THIRD-PARTY PAYORS IN THE STATEMENT OF FINANCIAL POSITION AT DECEMBER 31, 2020. |
| FORM 990, PART XI, LINE 9: | PENSION RELATED ADJUSTMENT -8,948,200. RECLASS GRANTS TO AFFILIATE 3,353,800. ROUNDING -33. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|
| CALVARY PALLIATIVE CARE NETWORK LLC | ||||||||
| 1740 EASTCHESTER ROAD | BRONX | NY | 10461 | HEALTHCARE | NY | $0 | $0 | CHC |
| CALVARY NETWORK INDEP PRACTICE ASSN | ||||||||
| 1740 EASTCHESTER ROAD | BRONX | NY | 10461 | HEALTHCARE | NY | $0 | $0 | CPCN |
| CALVARY NETWORK MANAGEMENT SERVICES LLC | ||||||||
| 1740 EASTCHESTER ROAD | BRONX | NY | 10461 | HEALTHCARE | NY | $0 | $0 | CHC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CALVARY FUND INC | |||||||||||
| 1740 EASTCHESTER ROAD | BRONX | NY | 10461 | 133259649 | FUNDRAISING | NY | 501(C)(3) | 12A | CHC | 0 | |
| CALVARY HOLDING COMPANY | |||||||||||
| 1740 EASTCHESTER ROAD | BRONX | NY | 10461 | 061531426 | MANAGEMENT | NY | 501(C)(3) | 12A | ARCHCARE | 0 | |
| ARCHCARE | |||||||||||
| 155 EAST 56TH STREET FLOOR 2 | NEW YORK | NY | 10022 | 133896624 | MANAGEMENT | NY | 501(C)(3) | 1 | 0 | N/A | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | 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 | 0 | 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 | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1 & 3, COLUMN (F): | CHC - CALVARY HOLDING COMPANY PART I, LINE 2, COLUMN (F): CPCN - CALVARY PALLIATIVE CARE NETWORK, INC. |
| PART II, LINE 2, COLUMN (F): | CHCS - CATHOLIC HEALTH CARE SYSTEM |