DOMINICAN SISTERS FAMILY HEALTH SERVICE INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- DOMINICAN SISTERS FAMILY HEALTH SERVICE INC (EIN 13-1740242)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-14
- IRS object ID
- 201913189349315131
- Schema version
- 2018v3.1
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-14T19:58:22-06:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 271728945 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PKF O'CONNOR DAVIES LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 MAMARONECK AVENUE | AddressLine1Txt |
| City | HARRISON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 105281633 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 131740242 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOMINICAN SISTERS FAMILY HEALTH SERVICE | BusinessNameLine1Txt |
| Business Name Line2 | INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DOMI | BusinessNameControlTxt |
| Phone | 9149411710 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 299 NORTH HIGHLAND AVENUE | AddressLine1Txt |
| City | OSSINING | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10562 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANNMARIE COVONE | PersonNm |
| Person Title | EXECUTIVE VP & CFO | PersonTitleTxt |
| Phone | 9149411710 | PhoneNum |
| Signature | 2019-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GARRETT M HIGGINS | PreparerPersonNm |
| PTIN | P00543209 | PTIN |
| Phone | 9143818900 | PhoneNum |
| Preparation | 2019-11-11 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 65.51.112.58 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-11-14 | IPDt |
| IP Tm | 19:58:19 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 9616F4B14A694591D1E716C270910E6FA5556DA3 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-03-31 21:24:44Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARCHCARE AT HOME | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SCOTT P LA RUE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 299 NORTH HIGHLAND AVENUE | AddressLine1Txt |
| City | OSSINING | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10562 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $20,297,784 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.DSFHS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1974 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | DSFHS PROVIDES COMPREHENSIVE AND FAMILY FOCUSED CARE TO PERSONS IN NEED AS A CERTIFIED COMMUNITY BASED, NON-PROFIT HOME HEALTH AGENCY. OUR PROGRAMS AND SERVICES PROMOTE HEALTH, INDEPENDENCE AND QUALITY OF LIFE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 348 | TotalEmployeeCnt |
| Total Volunteers | 19 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $7,453 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,616,421 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,739,783 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $32,749,284 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $16,332,081 | CYProgramServiceRevenueAmt |
| PY Investment Income | $54,746 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,854 | CYInvestmentIncomeAmt |
| PY Other Revenue | $286,118 | PYOtherRevenueAmt |
| CY Other Revenue | $223,066 | CYOtherRevenueAmt |
| PY Total Revenue | $34,706,569 | PYTotalRevenueAmt |
| CY Total Revenue | $20,297,784 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $27,098,076 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $15,862,187 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,100,175 | PYOtherExpensesAmt |
| CY Other Expenses | $7,067,925 | CYOtherExpensesAmt |
| PY Total Expenses | $39,198,251 | PYTotalExpensesAmt |
| CY Total Expenses | $22,930,112 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$4,491,682 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,632,328 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,148,423 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,714,635 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $16,815,645 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $14,438,447 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$7,667,222 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$6,723,812 | NetAssetsOrFundBalancesEOYAmt |
| Mission | DSFHS IS A NON-PROFIT HOME HEALTH AGENCY THAT PROVIDES COMPASSIONATE AND FAMILY FOCUSED HOME CARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $12,499,539 | ExpenseAmt |
| Revenue | $15,348,967 | RevenueAmt |
| Desc | THE CERTIFIED HOME HEALTH AGENCY PROVIDES CARE AND SUPPORT TO THOSE WHO HAVE HOME HEALTH CARE NEEDS THAT ARE FOR LIMITED DURATION. CARE MAY INVOLVE SKILLED NURSING, CASE MANAGEMENT, MEDICAL SOCIAL WORKER, HOME HEALTH AIDES, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES. ADDITIONAL SPECIALTY SERVICES PROVIDED ARE MATERIAL/CHILD HEALTH, WOUND CARE PAIN MANAGEMENT, HEALTH EDUCATION AND SUPERVISION AND SCREENING FOR NURSING HOME PLACEMENT. PASTORAL CARE COUNSELING IS PROVIDED IN BOTH ENGLISH AND SPANISH TO HELP PATIENTS AND FAMILIES OF ALL FAITHS COPE SPIRITUALLY AND EMOTIONALLY WITH ILLNESS AND HEALING. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $294,567 | ExpenseAmt |
| Revenue | $983,114 | RevenueAmt |
| Desc | ADJUNCT PROGRAMS PROVIDE NON-MEDICAL SERVICES, WHICH ARE GRANT FUNDED, TO THE MOST VULNERABLE MEMBERS OF SOCIETY IN THE SOUTH BRONX AND SUFFOLK COUNTY. THE HELPING HANDS PROGRAM IN SUFFOLK OFFERS SENIORS HOMEWORKERS WHO ASSIST WITH PERSONAL CARE AND OTHER TASKS THAT ALLOW THE RECIPIENT TO REMAIN INDEPENDENT AT HOME. IN THE SOUTH BRONX, THE RYAN WHITE PROGRAM ADDRESSES THE NEEDS OF THE HIV/AIDS POPULATION, OFFERING TESTING AND COUNSELING SERVICES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $12,794,106 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | 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 | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 51 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 348 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | 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 | 0 | 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 | ANNMARIE COVONE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6466334700 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 205 LEXINGTON AVENUE 2ND FLOOR | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10016 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| FRANCIS J SERBAROLI ESQ | ||||||||
| CHAIRMAN | 0.10 | 1.70 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MAX VAN GLIDER MD | ||||||||
| CHAIRMAN THRU NOVEMBER 2018 | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KARL P ADLER | ||||||||
| VICE-CHAIRMAN & SECRETARY | 0.10 | 1.70 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| THOMAS M O'BRIEN | ||||||||
| VICE-CHAIR | 0.10 | 1.70 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MICHAEL F HAYES | ||||||||
| VICE CHAIRMAN THRU NOVEMBER 2018 | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARY ALICE HIGGINS DONIUS EDD RN | ||||||||
| SECRETARY V.C. THRU NOV. 2018 | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LOUIS C COSENTINO | ||||||||
| TREASURER V.C. THRU NOV. 2018 | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TARA A CORTES | ||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | ||
| THOMAS E ALBERTO | ||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | ||
| GT SWEENEY | ||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | ||
| MSGR CHARLES J FAHEY | ||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | ||
| GENNARO VASILE PHD | ||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | ||
| BISHOP GERALD WALSH | ||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | ||
| ERIC P FELDMANN | ||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | ||
| JOHN T DUNLAP | ||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | ||
| KATHRYN ROONEY | ||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | ||
| MSGR GREGORY A MUSTACIUOLO | ||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | ||
| THOMAS J FAHEY JR MD | ||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | ||
| CLARION JOHNSON | ||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | ||
| RORY KELLEHER | ||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | ||
| KAREN GRAY | ||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | ||
| GEORGE IRISH | ||||||||
| BOARD MEMBER | 0.10 | 1.70 | Yes (X) | $0 | $0 | $0 | ||
| JOSEPH BUKZIN | ||||||||
| BOARD MEMBER THRU NOVEMBER 2018 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RAYMOND E SACHER | ||||||||
| BOARD MEMBER THRU NOVEMBER 2018 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RUSSEL J CARPENTIERI | ||||||||
| BOARD MEMBER THRU NOVEMBER 2018 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DARIUS P CHAFIZADEH ESQ | ||||||||
| BOARD MEMBER THRU NOVEMBER 2018 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JEFFREY J HODGMAN | ||||||||
| BOARD MEMBER THRU NOVEMBER 2018 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DANIEL A LANSEN | ||||||||
| BOARD MEMBER THRU NOVEMBER 2018 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| GREGORY T RINN ESQ | ||||||||
| BOARD MEMBER THRU NOVEMBER 2018 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SCOTT P LA RUE-BOARD MEMBER | ||||||||
| THRU OCT. 2018/PRESIDENT & CEO | 0.10 | 38.70 | Yes (X) | Yes (X) | $0 | $1,161,897 | $309,574 | |
| ANNMARIE COVONE-BOARD MEMBER | ||||||||
| THRU OCT. 2018/EXECUTIVE VP/CFO | 0.10 | 38.70 | Yes (X) | Yes (X) | $0 | $776,088 | $188,415 | |
| MARY ZAGAJESKI | ||||||||
| PRESIDENT & CEO THRU OCT. 2018 | 36.50 | 1.00 | Yes (X) | $351,438 | $0 | $191,342 | ||
| DIANE B LAW | ||||||||
| DIRECTOR OF PATIENT SERVICES | 37.50 | $162,071 | $0 | $21,764 | Yes (X) | |||
| REGINA E TANCREDI | ||||||||
| EDUCATION DIRECTOR | 37.50 | $148,757 | $0 | $33,038 | Yes (X) | |||
| NAJIOLAH DARVISH | ||||||||
| PHYSICAL THERAPIST | 37.50 | $128,204 | $0 | $2,400 | Yes (X) | |||
| PATRICE A FAY | ||||||||
| REGIONAL ADMINISTRATOR | 37.50 | $157,941 | $0 | $21,368 | Yes (X) | |||
| ANN CRANE | ||||||||
| PSYCHOLOGIST | 37.50 | $119,675 | $0 | $3,225 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,068,086 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,937,985 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $771,126 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 13 | 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 |
|---|---|---|---|---|---|
| THERADYNAMICS REHAB LLC | |||||
| 225 CROSSWAYS PARK DR | WOODBURY | NY | 11797 | REHABILITATION SERVICES | $1,252,224 |
| HOMECARE HOMEBASE LLC | |||||
| PO BOX 678637 | DALLAS | TX | 75267 | HOME HEALTH CARE SERVICES | $1,113,649 |
| NETSMART TECHNOLOGIES INC | |||||
| PO BOX 823519 | PHILADELPHIA | PA | 19182 | TECHNOLOGY SERVICES | $268,715 |
| GHP STEVENS LLC | |||||
| 4 WEST RED OAK LANE SUITE 200 | WHITE PLAINS | NY | 10604 | REAL ESTATE SERVICES | $210,925 |
| QUALITY IN REAL TIME | |||||
| 15 VERBENA AVENUE SUITE 210 | FLORAL PARK | NY | 11001 | HOME HEALTH CARE SERVICES | $174,768 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $2,125,256 | RelatedOrganizationsAmt |
| Government Grants | $1,158,773 | GovernmentGrantsAmt |
| All Other Contributions | $455,754 | AllOtherContributionsAmt |
| Total Contributions | $3,739,783 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 623000 | $15,245,387 | $15,245,387 |
| CARE MANAGEMENT & HEALTH HOME | 623000 | $983,114 | $983,114 |
| RENTAL INCOME FROM RELATED PARTY | 532000 | $103,580 | $103,580 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $16,332,081 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,854 | TotalRevenueColumnAmt |
| Exclusion | $2,854 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| FORGIVENESS OF DEBT | 900099 | $205,798 | $205,798 |
| OTHER REVENUE | 900099 | $9,156 | $9,156 |
| MEDICAL RECORD | 900099 | $8,112 | $8,112 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $223,066 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,297,784 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,332,081 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $225,920 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $542,780 | TotalAmt |
| Management And General | $542,780 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,830,884 | TotalAmt |
| Program Services | $7,460,286 | ProgramServicesAmt |
| Management And General | $4,370,598 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,062 | TotalAmt |
| Program Services | $72,682 | ProgramServicesAmt |
| Management And General | $46,380 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,829,187 | TotalAmt |
| Program Services | $1,105,741 | ProgramServicesAmt |
| Management And General | $723,446 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,540,274 | TotalAmt |
| Program Services | $925,615 | ProgramServicesAmt |
| Management And General | $614,659 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,249 | TotalAmt |
| Management And General | $5,249 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,000 | TotalAmt |
| Program Services | $11,667 | ProgramServicesAmt |
| Management And General | $83,333 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,663,781 | TotalAmt |
| Program Services | $1,986,643 | ProgramServicesAmt |
| Management And General | $677,138 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,181 | TotalAmt |
| Program Services | $1,475 | ProgramServicesAmt |
| Management And General | $119,706 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $531,009 | TotalAmt |
| Program Services | $76,504 | ProgramServicesAmt |
| Management And General | $454,505 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $702,641 | TotalAmt |
| Program Services | $1,082 | ProgramServicesAmt |
| Management And General | $701,559 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $662,259 | TotalAmt |
| Program Services | $86,867 | ProgramServicesAmt |
| Management And General | $575,392 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $224,716 | TotalAmt |
| Program Services | $192,744 | ProgramServicesAmt |
| Management And General | $31,972 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,392 | TotalAmt |
| Program Services | $25 | ProgramServicesAmt |
| Management And General | $1,367 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $211,621 | TotalAmt |
| Management And General | $211,621 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $444,206 | TotalAmt |
| Management And General | $444,206 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,149 | TotalAmt |
| Management And General | $127,149 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $499,683 | $499,683 | |
| REPAIRS & MAINTENANCE | $323,234 | $18,741 | $304,493 |
| MEDICAL SUPPLIES | $199,254 | $199,254 | |
| OTHER DIRECT EXPENSE | $96,138 | $541 | $95,597 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,412 | TotalAmt |
| Program Services | $154,556 | ProgramServicesAmt |
| Management And General | $4,856 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,930,112 | TotalAmt |
| Program Services | $12,794,106 | ProgramServicesAmt |
| Management And General | $10,136,006 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,201,806 | BOYAmt |
| EOY | $725,057 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $402,528 | BOYAmt |
| EOY | $367,924 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,467,238 | BOYAmt |
| EOY | $2,363,602 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,132 | BOYAmt |
| EOY | $442,432 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $6,778,625 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,774,286 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,586,526 | BOYAmt |
| EOY | $2,004,339 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,290,193 | BOYAmt |
| EOY | $1,811,281 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,148,423 | BOYAmt |
| EOY | $7,714,635 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,471,684 | BOYAmt |
| EOY | $5,686,599 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,041 | BOYAmt |
| EOY | $18,243 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,288,920 | BOYAmt |
| EOY | $8,733,605 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,815,645 | BOYAmt |
| EOY | $14,438,447 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$7,738,514 | BOYAmt |
| EOY | -$6,786,431 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,292 | BOYAmt |
| EOY | $62,619 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$7,667,222 | BOYAmt |
| EOY | -$6,723,812 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,148,423 | BOYAmt |
| EOY | $7,714,635 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,632,328 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $3,575,738 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,011,457 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,039,438 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,748,613 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,616,421 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,739,783 | CurrentTaxYearAmt |
| Total | $11,155,712 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $35,441,767 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $35,040,160 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $33,286,016 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $32,749,284 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,332,081 | CurrentTaxYearAmt |
| Total | $152,849,308 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $37,453,224 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $37,079,598 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $35,034,629 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $34,365,705 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20,071,864 | CurrentTaxYearAmt |
| Total | $164,005,020 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $164,005,020 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $58,337 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $881 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $46,213 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,940 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,854 | CurrentTaxYearAmt |
| Total | $125,225 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $58,337 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $881 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $46,213 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,940 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,854 | CurrentTaxYearAmt |
| Total | $125,225 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $8,580 | CurrentTaxYearMinus2YearsAmt |
| Total | $8,580 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $960,904 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $51,203 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $63,180 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $286,118 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $223,066 | CurrentTaxYearAmt |
| Total | $1,584,471 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $38,472,465 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $37,131,682 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $35,152,602 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $34,668,763 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20,297,784 | CurrentTaxYearAmt |
| Total | $165,723,296 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98960 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98990 | PublicSupportPY509Pct |
| Investment Income CY | 0.00080 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00100 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER REVENUE - 2014 AMOUNT: $ 960,904. 2015 AMOUNT: $ 23,074. 2016 AMOUNT: $ 37,143. 2017 AMOUNT: $ 72,224. 2018 AMOUNT: $ 9,156. MEDICAL RECORD - 2015 AMOUNT: $ 10,393. 2016 AMOUNT: $ 12,978. 2017 AMOUNT: $ 7,966. 2018 AMOUNT: $ 8,112. FLU IMMUNIZATIONS - 2015 AMOUNT: $ 17,736. 2016 AMOUNT: $ 13,059. 2017 AMOUNT: $ 130. FORGIVENESS OF DEBT - 2017 AMOUNT: $ 205,798. 2018 AMOUNT: $ 205,798. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $74,819 | OtherCostOrOtherBasisAmt |
| Depreciation | $73,580 | DepreciationAmt |
| Book Value | $1,239 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $647,330 | OtherCostOrOtherBasisAmt |
| Depreciation | $592,801 | DepreciationAmt |
| Book Value | $54,529 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,729,620 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,444,306 | DepreciationAmt |
| Book Value | $285,314 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,326,856 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,663,599 | DepreciationAmt |
| Book Value | $1,663,257 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,004,339 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEPOSITS | $153,714 |
| INSURANCE RECOVERY RECEIVABLE | $524,000 |
| DUE FROM RELATED PARTY | $1,133,567 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,811,281 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD PARTY PAYORS | $1,249,437 |
| PROFESSIONAL LIABILITIES | $524,000 |
| LOAN PAYABLE TO ARCHCARE | $4,475,967 |
| DUE TO RELATED PARTY | $2,176,133 |
| DEFERRED RENT | $308,068 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $8,733,605 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $35,319,653 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $15,244,455 | OtherRevenueAmt |
| Revenue Not Reported | $15,244,455 | RevenueNotReportedAmt |
| Revenue Subtotal | $20,075,198 | RevenueSubtotalAmt |
| Other Revenues Not Included | $222,586 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $222,586 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $20,297,784 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $37,994,300 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $15,286,774 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $15,286,774 | ExpensesNotReportedAmt |
| Expenses Subtotal | $22,707,526 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $222,586 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $222,586 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $22,930,112 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE AGENCY RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE AGENCY HAS NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE AGENCY IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2015. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | REVENUE ATTRIBUTED TO RELATED PARTY: 15,244,455. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | ELIMINATIONS FROM CONSOLIDATED ENTITY 222,586. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | EXPENSES ATTRIBUTED TO RELATED PARTY: 15,286,774. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | ELIMINATIONS FROM CONSOLIDATED ENTITY 222,586. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| 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 (6 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-BOARD MEMBER | ||||||||||||||
| THRU OCT. 2018/PRESIDENT & CEO | $0 | $829,452 | $0 | $222,854 | $0 | $109,591 | $0 | $284,764 | $0 | $24,810 | $0 | $1,471,471 | $0 | $222,854 |
| ANNMARIE COVONE-BOARD MEMBER | ||||||||||||||
| THRU OCT. 2018/EXECUTIVE VP/CFO | $0 | $615,173 | $0 | $95,986 | $0 | $64,929 | $0 | $153,102 | $0 | $35,313 | $0 | $964,503 | $0 | $121,718 |
| MARY ZAGAJESKI | ||||||||||||||
| PRESIDENT & CEO THRU OCT. 2018 | $338,938 | $0 | $0 | $0 | $12,500 | $0 | $180,515 | $0 | $10,827 | $0 | $542,780 | $0 | $0 | $0 |
| DIANE B LAW | ||||||||||||||
| DIRECTOR OF PATIENT SERVICES | $162,071 | $0 | $0 | $0 | $0 | $0 | $1,400 | $0 | $20,364 | $0 | $183,835 | $0 | $0 | $0 |
| REGINA E TANCREDI | ||||||||||||||
| EDUCATION DIRECTOR | $144,757 | $0 | $4,000 | $0 | $0 | $0 | $1,000 | $0 | $32,038 | $0 | $181,795 | $0 | $0 | $0 |
| PATRICE A FAY | ||||||||||||||
| REGIONAL ADMINISTRATOR | $157,941 | $0 | $0 | $0 | $0 | $0 | $396 | $0 | $20,972 | $0 | $179,309 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | SCOTT P. LA RUE AND ANNMARIE COVONE ALSO PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE DISTRIBUTED $109,591 TO SCOTT AND $52,179 TO ANNMARIE IN THEIR 2018 W-2S. |
| PART I, LINE 7 | REGINA E. TANCREDI RECEIVED A BOARD DISCRETIONARY BONUS OF $4,000 IN HER 2018 W-2. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE MEMBER OF THE CORPORATION SHALL BE CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE MEMBER OF THE ORGANIZATION SHALL NOMINATE AND APPOINT TWO DIRECTORS TO SERVE ON THE DSFHS BOARD. OTHER THAN THE MEMBER'S TWO APPOINTMENTS TO THE DSFHS BOARD OF DIRECTORS, DSFHS SHALL HAVE THE SOLE RIGHT TO NOMINATE DIRECTORS TO SERVE ON THE DSFHS BOARD, SUBJECT TO ARCHCARE'S FINAL APPROVAL. ARCHCARE SHALL ALSO HAVE THE RIGHT TO REMOVE ANY DIRECTOR FROM THE CORPORATION'S BOARD AT ANY TIME FOR THE FOLLOWING REASONS: 1. FAILURE TO TAKE APPROPRIATE ACTION(S) TO MEET WITH THE APPROVED BUDGET AND/OR OVERALL CHCS HEALTH SYSTEM STRATEGY; OR 2. INTERFERING WITH THE PROMPT INTEGRATION OF THE CORPORATION INTO THE MEMBER'S HEALTH CARE SYSTEM, INCLUDING FAILING TO TAKE ADVANTAGE OF SYNERGIES AMONG THE CHCS INSTITUTIONS; OR 3. FAILURE TO RECUSE ONESELF FROM DISCUSSION/VOTING RELATED TO A MATTER WHICH CREATES A POTENTIAL CONFLICT OF INTEREST OR THE APPEARANCE OF IMPROPRIETY. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FOLLOWING POWERS ARE RESERVED TO THE MEMBER OF THE CORPORATION: A) APPROVAL, UPON RECOMMENDATION FROM THE CORPORATION'S BOARD, OF ANY AMENDMENT TO THE BYLAWS AND CERTIFICATE OF INCORPORATION OF THE CORPORATION; B) APPROVAL, UPON RECOMMENDATION OF THE CORPORATION'S BOARD, OF THE OPERATING AND CAPITAL BUDGETS OF CORPORATION; C) APPROVAL, UPON RECOMMENDATION OF THE CORPORATION'S BOARD, OF THE BUSINESS AND STRATEGIC PLAN FOR THE CORPORATION OR ANY AMENDMENT THERETO; D) APPROVAL, UPON RECOMMENDATION OF THE CORPORATION'S BOARD, OF THE FORMATION OR PURCHASE OF AN ENTITY THAT IS A RELATED ENTITY OF THE CORPORATION; E) NOMINATE AND APPOINT TWO DIRECTORS TO SERVE ON THE DSFHS BOARD. OTHER THAN THE MEMBER'S TWO APPOINTMENTS TO THE DSFHS BOARD OF DIRECTORS, DSFHS SHALL HAVE THE SOLE RIGHT TO NOMINATE DIRECTORS TO SERVE ON THE DSFHS BOARD, SUBJECT TO ARCHCARE'S FINAL APPROVAL. ARCHCARE SHALL ALSO HAVE THE RIGHT TO REMOVE ANY DIRECTOR FROM THE CORPORATION'S BOARD AT ANY TIME FOR THE FOLLOWING REASONS: (I) FAILURE TO TAKE APPROPRIATE ACTION(S) TO MEET WITH THE APPROVED BUDGET AND/OR OVERALL CHCS HEALTH SYSTEM STRATEGY; OR (II) INTERFERING WITH THE PROMPT INTEGRATION OF THE CORPORATION INTO THE MEMBER'S HEALTH CARE SYSTEM, INCLUDING FAILING TO TAKE ADVANTAGE OF SYNERGIES AMONG THE CHCS INSTITUTIONS; OR (III)FAILURE TO RECUSE ONESELF FROM DISCUSSION/VOTING RELATED TO A MATTER WHICH CREATES A POTENTIAL CONFLICT OF INTEREST OR THE APPEARANCE OF IMPROPRIETY. F) APPROVAL OF ANY REAL ESTATE TRANSACTION INVOLVING THE SALE, PLEDGE OR TRANSFER OF REAL PROPERTY WITH A VALUE ABOVE $30,000 AND BELOW $400,000 OR ANY CAPITAL PROJECT INVOLVING THE SALE, PLEDGE OR TRANSFER OF FIXED ASSETS WITH A VALUE ABOVE $30,000 AND BELOW $400,000; G) APPROVAL OF ANY PROGRAM OR SERVICE CHANGES BY THE CORPORATION THAT RESULT IN: (A) CLOSURE OR ESTABLISHMENT OF A LICENSED SERVICE OR PROGRAM; OR (B) CHANGE IN LOCATION OF A LICENSED SERVICE OR LICENSED PROGRAM OUTSIDE THE SERVICE AREA OF THE CORPORATION; AND H) APPROVAL OF ANY MERGER, PURCHASE, JOINT OPERATING AGREEMENT OR OTHER AFFILIATION (EACH AN "AFFILIATION") BY THE CORPORATION WITH A THIRD PARTY, OR WITHDRAWAL FROM, DISPOSITION OF AN INTEREST IN, OR DISSOLUTION OF ANY SUCH AFFILIATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE BOARD MEMBERS OF THE ORGANIZATION FOR ANY COMMENTS. ANY COMMENTS ARE THEN GROUPED, SUMMARIZED AND PROVIDED TO THE OUTSIDE ACCOUNTANTS. EACH ISSUE IS DOCUMENTED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATIONS CONFLICT OF INTEREST POLICY APPLIES TO ALL DIRECTORS, OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. AN INTERESTED PERSON WITH A POTENTIAL CONFLICT OF INTEREST IN A PARTICULAR MATTER SHALL PROMPTLY AND FULLY DISCLOSE THE POTENTIAL CONFLICT TO HIS SUPERVISOR. THE INTERESTED PERSON SHALL THEREAFTER REFRAIN FROM PARTICIPATING IN DELIBERATIONS AND DISCUSSION, AS WELL AS ANY DECISIONS, RELATING TO THE MATTER. THE PRESIDENT SHALL BE RESPONSIBLE FOR DETERMINING THE PROPER WAY FOR THE ORGANIZATION TO HANDLE DECISIONS WHICH INVOLVE UNRESOLVED CONFLICTS OF INTEREST. THE POLICY SHALL BE OVERSEEN AND ADMINISTERED BY THE BOARD OF DIRECTORS WITH ONLY INDEPENDENT DIRECTORS PARTICIPATING OR BY A COMMITTEE OF THE BOARD COMPRISED OF AT LEAST THREE MEMBERS AND OF WHICH ALL COMMITTEE MEMBERS SHALL BE DIRECTORS WHO ARE INDEPENDENT DIRECTORS. THIS PROCESS IS CONDUCTED ANNUALLY, AND IS GIVEN OVERSIGHT BY THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE EXECUTIVE COMMITTEE DETERMINES ADMINISTRATIVE COMPENSATION BASED UPON AN INDEPENDENT STUDY OF CERTIFIES HOME HEALTHCARE COMPANIES OF COMPARABLE SIZE IN THE NEW YORK METROPOLITAN AREA. IN 2015, AN EXECUTIVE SESSION OF THE BOARD WAS HELD TO DISCUSS AND APPROVE THE CEO'S COMPENSATION. THE BOARD'S APPROVAL WAS DOCUMENTED IN THE BOARD MINUTES WHEN THE BUDGET FOR THE ORGANIZATION WAS APPROVED. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE CORPORATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE BY POSTING IT ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST AT 299 NORTH HIGHLAND AVENUE, OSSINING, NY 10562...OR BY CALLING THE ORGANIZATION DIRECTLY AT (914)-941-1710. |
| FORM 990, PART IX, LINE 11G | CONSULTING: PROGRAM SERVICE EXPENSES 938. MANAGEMENT AND GENERAL EXPENSES 558,350. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 559,288. PHYSICIAN FEES, RNS, LPNS, ETC.: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 78,090. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 78,090. SPEECH THERAPISTS: PROGRAM SERVICE EXPENSES 6,012. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,012. PHYSICAL & OCCUPATIONAL THERAPISTS: PROGRAM SERVICE EXPENSES 1,203,420. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,203,420. PAYROLL PROCESSING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 33,165. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,165. HOME HEALTH AIDES: PROGRAM SERVICE EXPENSES 776,273. MANAGEMENT AND GENERAL EXPENSES 7,533. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 783,806. |
| FORM 990, PART XI, LINE 9: | TRANSFER OF NET ASSETS FROM KATERI RESIDENCE 3,575,738. |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE OVERSIGHT PROCESS DID NOT CHANGE FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| BENEFICE ADVANTAGE INC | |||||||||||
| 205 LEXINGTON AVE 2ND FLOOR | NEW YORK | NY | 10016 | 134201050 | DORMANT/PROVIDE ADMIN., BENFITS COORDINATING AND OTHER SERVICES TO ARCHCARE | NY | 501(C)(3) | LINE 1 | CATHOLIC HEALTHCARE SYSTEM DBA ARCHCARE | 0 | |
| CALVARY FUND INC | |||||||||||
| 1740 EASTCHESTER ROAD | BRONX | NY | 10461 | 133259649 | SUPPORT CALVARY HOSPITAL | NY | 501(C)(3) | LINE 12A, I | CALVARY HOLDING COMPANY INC | 0 | |
| CALVARY HOLDING COMPANY | |||||||||||
| 1740 EASTCHESTER ROAD | BRONX | NY | 10461 | 061531426 | SUPPORT THE CALVARY HOSPITAL AND ITS AFFILIATED ORGANIZATIONS | NY | 501(C)(3) | LINE 12A, I | CATHOLIC HEALTHCARE SYSTEM DBA ARCHCARE | 0 | |
| CALVARY HOSPITAL INC | |||||||||||
| 1740 EASTCHESTER ROAD | BRONX | NY | 10461 | 131740274 | OPERATE A TAX EXEMPT HOSPITAL | NY | 501(C)(3) | LINE 3 | CATHOLIC HEALTHCARE SYSTEM DBA ARCHCARE | 0 | |
| CARMEL RICHMOND NURSING HOME INC | |||||||||||
| 88 OLD TOWN ROAD | STATEN ISLAND | NY | 103044229 | 132720248 | OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITY | NY | 501(C)(3) | LINE 10 | CATHOLIC HEALTHCARE SYSTEM DBA ARCHCARE | 0 | |
| KATERI RESIDENCE | |||||||||||
| 205 LEXINGTON AVE 2ND FLOOR | NEW YORK | NY | 10016 | 133086309 | DORMANT/OPERATE SKILLED NURSING & REHABILITATION FACILITY | NY | 501(C)(3) | LINE 10 | CATHOLIC HEALTHCARE SYSTEM DBA ARCHCARE | 0 | |
| CATHOLIC HEALTHCARE SYSTEM DBA ARCHCARE | |||||||||||
| 205 LEXINGTON AVE 2ND FLOOR | NEW YORK | NY | 10016 | 133896624 | MGT SVCS FOR HEALTH-RELATED FACILITIES IN THE ARCHDIOCESE | NY | 501(C)(3) | LINE 10 | PROVIDENCE HEALTH SERVICES | 0 | |
| CATHOLIC HEALTH CARE FOUNDATION OF THE ARCHDIOCESE OF NY | |||||||||||
| 205 LEXINGTON AVE 2ND FLOOR | NEW YORK | NY | 10016 | 134054158 | PROVIDE FUNDS TO SUPPORT THE MISSION OF CHCS FACILITIES | NY | 501(C)(3) | LINE 7 | CATHOLIC HEALTHCARE SYSTEM DBA ARCHCARE | 0 | |
| CATHOLIC MANAGED LONG TERM CARE INC | |||||||||||
| 205 LEXINGTON AVE 2ND FLOOR | NEW YORK | NY | 10016 | 208180809 | OPERATE A MANAGED LONG-TERM CARE PLAN | NY | 501(C)(3) | LINE 10 | CATHOLIC HEALTHCARE SYSTEM DBA ARCHCARE | 0 | |
| CATHOLIC RESOURCES INC | |||||||||||
| 205 LEXINGTON AVE 2ND FLOOR | NEW YORK | NY | 10016 | 261306110 | SUPPORT CATHOLIC MANAGED LONG TERM CARE, INC. | NY | 501(C)(3) | LINE 1 | CATHOLIC HEALTHCARE SYSTEM DBA ARCHCARE | 0 | |
| EMPIRE STATE HOME CARE SERVICES INC | |||||||||||
| 15 METROTECH CENTER 11 FL | BROOKLYN | NY | 11201 | 113618585 | HOME HEALTH CARE SERVICES | NY | 501(C)(3) | LINE 10 | CATHOLIC HEALTHCARE SYSTEM DBA ARCHCARE | 0 | |
| FERNCLIFF NURSING HOME COMPANY INC | |||||||||||
| 21 FERNCLIFF DRIVE | RHINEBECK | NY | 12572 | 141514053 | OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITY | NY | 501(C)(3) | LINE 10 | CATHOLIC HEALTHCARE SYSTEM DBA ARCHCARE | 0 | |
| MARY MANNING WALSH NURSING HOME COMPANY INC | |||||||||||
| 1339 YORK AVENUE | NEW YORK | NY | 100214707 | 136220617 | OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITY | NY | 501(C)(3) | LINE 10 | CATHOLIC HEALTHCARE SYSTEM DBA ARCHCARE | 0 | |
| OUR LADY OF MERCY FUND OF NEW YORK NY | |||||||||||
| 205 LEXINGTON AVE 2ND FLOOR | NEW YORK | NY | 10016 | 133452084 | DORMANT/PROVIDE FUNDS TO SUPPORT THE MISSION OF CHCS FACILITIES | NY | 501(C)(3) | LINE 7 | CATHOLIC HEALTHCARE SYSTEM DBA ARCHCARE | 0 | |
| OUR LADY OF MERCY HEALTHCARE SYSTEM INC | |||||||||||
| 205 LEXINGTON AVE 2ND FLOOR | NEW YORK | NY | 10016 | 133395946 | DORMANT/PROVIDE FUNDS TO SUPPORT THE MISSION OF CHCS FACILITIES | NY | 501(C)(3) | LINE 12A, I | OUR LADY OF MERCY HEALTHCARE SYSTEM INC | 0 | |
| PROVIDENCE HEALTH SERVICES | |||||||||||
| 1011 1ST AVENUE | NEW YORK | NY | 10022 | 133354940 | SPONSOR OF CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE | NY | 501(C)(3) | LINE 3 | 0 | N/A | |
| ST TERESA'S NURSING HOME INC | |||||||||||
| 205 LEXINGTON AVE 2ND FLOOR | NEW YORK | NY | 10016 | 237012219 | OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITY | NY | 501(C)(3) | LINE 10 | CATHOLIC HEALTHCARE SYSTEM DBA ARCHCARE | 0 | |
| ST THERESA'S RESIDENCE | |||||||||||
| 205 LEXINGTON AVE 2ND FLOOR | NEW YORK | NY | 10016 | 133110063 | INTERMEDIATE CARE FACILITY FOR DEVELOPMENTALLY DISABLED | NY | 501(C)(3) | LINE 10 | CATHOLIC HEALTHCARE SYSTEM DBA ARCHCARE | 0 | |
| ST VINCENT DE PAUL RESIDENCE | |||||||||||
| 900 INTERVALE AVENUE | BRONX | NY | 10459 | 133598842 | OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITY | NY | 501(C)(3) | LINE 10 | CATHOLIC HEALTHCARE SYSTEM DBA ARCHCARE | 0 | |
| TERENCE CARDINAL COOKE HEALTH CARE CENTER | |||||||||||
| 1249 FIFTH AVENUE | NEW YORK | NY | 10029 | 133007801 | OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITY | NY | 501(C)(3) | LINE 10 | CATHOLIC HEALTHCARE SYSTEM DBA ARCHCARE | 0 | |
| VISITING NURSE REGIONAL HEALTH CARE SYSTEM INC | |||||||||||
| 205 LEXINGTON AVE 2ND FLOOR | NEW YORK | NY | 10016 | 113574017 | DORMANT/SUPPORT AND MANAGEMENT SERVICES FOR ITS AFFILIATES | NY | 501(C)(3) | LINE 10 | CATHOLIC HEALTHCARE SYSTEM DBA ARCHCARE | 0 | |
| VISITING NURSE ASSOCIATION OF BROOKLYN INC | |||||||||||
| 205 LEXINGTON AVE 2ND FLOOR | NEW YORK | NY | 10016 | 111977434 | DORMANT/HOME HEALTH CARE | NY | 501(C)(3) | LINE 10 | VISITING NURSE REGIONAL HEALTH CARE SYSTEM INC | 0 | |
| BROOKLYN VISITING NURSE FOUNDATION | |||||||||||
| 205 LEXINGTON AVE 2ND FLOOR | NEW YORK | NY | 10016 | 113312248 | DORMANT/RAISE FUNDS FOR AFFILIATED ORGANIZATIONS | NY | 501(C)(3) | LINE 12B, II | VISITING NURSE REGIONAL HEALTH CARE SYSTEM INC | 0 | |
| ARCHCARE COMMUNITY SERVICES INC | |||||||||||
| 205 LEXINGTON AVE 2ND FLOOR | NEW YORK | NY | 10016 | 813563801 | PROVIDE COMMUNITY AND PASTORAL SERVICES AND SUPPORTIVE HOUSING | NY | 501(C)(3) | LINE 12B, II | CATHOLIC HEALTHCARE SYSTEM DBA ARCHCARE | 0 | |
| FAMILY HOME HEALTH CARE INC | |||||||||||
| 65 SOUTH BROADWAY | TARRYTOWN | NY | 10591 | 133831377 | HOME CARE | NY | 501(C)(3) | LINE 10 | DOMINICAN SISTERS FAMILY HEALTH SERVICE INC | Yes (1) | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST AGNES HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 305 NORTH STREET | AddressLine1Txt |
| City | WHITE PLAINS | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10605 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 131740121 | EIN |
| Primary Activities | DORMANT/OPERATE A HOSPITAL | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CATHOLIC HEALTHCARE SYSTEM DBA ARCHCARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | 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 | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | 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 | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| FAMILY HOME HEALTH CARE INC | ||
| M | $222,586 | COST |
| FAMILY HOME HEALTH CARE INC | ||
| A | $51,790 | COST |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART V, LINE 1A: | FormAndLineReferenceDesc |
| Explanation | DOMINICAN SISTERS FAMILY HEALTH SERVICE, INC. RECEIVED RENTAL INCOME, WHICH ARE SPECIFIED PAYMENTS, FROM ITS CONTROLLED SUBSIDIARY. THESE PAYMENTS WERE MADE AT ARM'S LENGTH AND MEETS THE FAIR MARKET VALUE STANDARD. | ExplanationTxt |