EMPIRE STATE HOME CARE SERVICES INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- EMPIRE STATE HOME CARE SERVICES INC (EIN 11-3618585)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-14
- IRS object ID
- 201713189349311116
- Schema version
- 2016v3.0
- 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 | 2017-11-14T16:44:52-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | 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 | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 113618585 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EMPIRE STATE HOME CARE SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | EMPI | BusinessNameControlTxt |
| Phone | 7189237100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 METROTECH CENTER NO 11 FL | AddressLine1Txt |
| City | BROOKLYN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11201 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANNMARIE COVONE | PersonNm |
| Person Title | SENIOR VP & CFO | PersonTitleTxt |
| Phone | 7189237100 | PhoneNum |
| Signature | 2017-11-14 | 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 | 2017-11-07 | 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 | 2017-11-14 | IPDt |
| IP Tm | 08:29:38 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 39A6500A14EBDEC7A476CCE4E0A7F613C193113C | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 45D10729E84C80409783239EA0C370A8A08632B7 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARCHCARE VNAB HOME CARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SCOTT P LA RUE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 205 LEXINGTON AVE 2ND FLOOR | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10016 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,289,356 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ARCHCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2001 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | EMPIRE STATE HOME CARE SERVICES INC. IS A NOT-FOR-PROFIT CERTIFIED HOME HEALTH AGENCY THAT PROVIDES HOME HEALTH TO PATIENTS IN MANHATTAN, BROOKLYN, BRONX, QUEENS, STATEN ISLAND, AND WESTCHESTER COUNTY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 144 | TotalEmployeeCnt |
| Total Volunteers | 19 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $205,000 | PYContributionsGrantsAmt |
| CY Contributions Grants | $255,394 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $17,731,671 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,025,392 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,382 | PYInvestmentIncomeAmt |
| CY Investment Income | $672 | CYInvestmentIncomeAmt |
| PY Other Revenue | $11,087 | PYOtherRevenueAmt |
| CY Other Revenue | $7,898 | CYOtherRevenueAmt |
| PY Total Revenue | $17,949,140 | PYTotalRevenueAmt |
| CY Total Revenue | $8,289,356 | 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 | $9,484,560 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,024,821 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $20,324,441 | PYOtherExpensesAmt |
| CY Other Expenses | $6,504,516 | CYOtherExpensesAmt |
| PY Total Expenses | $29,809,001 | PYTotalExpensesAmt |
| CY Total Expenses | $12,529,337 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$11,859,861 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$4,239,981 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,947,872 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,951,090 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $18,100,342 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $13,647,146 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$13,152,470 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$11,696,056 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | EMPIRE STATE HOME CARE SERVICES INC. IS A NOT-FOR-PROFIT CERTIFIED HOME HEALTH AGENCY THAT PROVIDES HOME HEALTH TO PATIENTS IN MANHATTAN, BROOKLYN, BRONX, QUEENS, STATEN ISLAND, AND WESTCHESTER COUNTY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $10,373,496 | ExpenseAmt |
| Revenue | $8,025,392 | RevenueAmt |
| Desc | EMPIRE IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTH CARE ORGANIZATIONS (JCAHO). THE NURSING OR PHYSICAL THERAPY STAFF PERFORM AN INITIAL ASSESSMENT OF EACH CLIENT AND DEVELOP AN INDIVIDUALIZED CARE PLAN. EMPIRE PROVIDES THE NURSING, THERAPIES (PHYSICAL, OCCUPATIONAL AND SPEECH) AND SOCIAL WORK SERVICES DIRECTLY.THERE ARE CONTRACTUAL ARRANGEMENTS WITH OUTSIDE AGENCIES TO PROVIDE ADDITIONAL SERVICES SUCH AS PARAPROFESSIONAL SERVICE, LABORATORY AND DURABLE MEDICAL EQUIPMENT AND SUPPLIES. HOME CARE SERVICES ARE AVAILABLE TO CLIENTS OF ANY AGE RECOVERING FROM AN ACUTE ILLNESS OR INJURY. SERVICES FROM EMPIRE ARE COVERED BY MEDICARE, MEDICAID, COMMERCIAL INSURANCE AND MANAGED CARE PLANS. EMPIRE ALSO PROVIDES SERVICES TO CLIENTS WHO HAVE NO INSURANCE AND QUALIFY FOR CHARITY CARE.HI TECH INFUSION PROGRAMADMINISTERING INTRAVENOUS (IV) THERAPIES IN A HOME SETTING CAN BE MORE RELAXING AND LESS DISRUPTIVE FOR PATIENTS THAN IN HOSPITALS. THE HI-TECH INFUSION PROGRAM PROVIDES A TEAM OF HIGHLY TRAINED PROFESSIONALS TO ADMINISTER THESE DRUGS TO PATIENTS WHOSE HOME ENVIRONMENT IS SAFE AND ADEQUATE TO SUPPORT THIS CARE. PATIENTS MUST HAVE ADEQUATE LIGHT, RUNNING WATER AND ACCESS TO A TELEPHONE TO PARTICIPATE IN THE PROGRAM, AND ALL CARE MUST BE ORDERED BY A PHYSICIAN. A NURSE CAN INITIATE TRAINING IN THE HOSPITAL BEFORE A PATIENT IS DISCHARGED. A COMPREHENSIVE PLAN WILL BE CREATED, A PATIENT WILL LEARN HOW TO CARRY OUT THE THERAPEUTIC REGIME, AND SIDE EFFECTS WILL BE DISCUSSED. AN EMERGENCY PLAN WILL ALSO BE ESTABLISHED. IN OCTOBER 2016, THE ORGANIZATION CEASED PROVIDING PATIENT SERVICES. | Desc |
| Total Program Service Expenses | $10,373,496 | 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 | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln 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 | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 44 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 144 | 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 |
| 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 | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| 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 AVE - 2ND FLOOR | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10016 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| FRANCIS J SERBAROLI ESQ | |||||||||
| CHAIRMAN | 0.10 | 1.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| THOMAS M O'BRIEN | |||||||||
| VICE CHAIR | 0.10 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| KARL P ADLER MD | |||||||||
| VICE CHAIR/SECRETARY | 0.10 | 1.40 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BISHOP GERALD WALSH | |||||||||
| BOARD MEMBER | 0.10 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ERIC P FELDMANN | |||||||||
| BOARD MEMBER | 0.10 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| GT SWEENEY | |||||||||
| BOARD MEMBER | 0.10 | 1.10 | Yes (X) | $0 | $0 | $0 | |||
| GENNARO VASILE | |||||||||
| BOARD MEMBER | 0.10 | 1.10 | Yes (X) | $0 | $0 | $0 | |||
| JOHN T DUNLAP | |||||||||
| BOARD MEMBER | 0.10 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KATHRYN ROONEY | |||||||||
| BOARD MEMBER | 0.10 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MSRG CHARLES J FAHEY | |||||||||
| BOARD MEMBER | 0.10 | 1.10 | Yes (X) | $0 | $0 | $0 | |||
| MSGR GREGORY MUSTACIUOLO | |||||||||
| BOARD MEMBER | 0.10 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JEFFREY HODGMAN | |||||||||
| BOARD MEMBER | 0.10 | 1.10 | Yes (X) | $0 | $0 | $0 | |||
| CLARION JOHNSON | |||||||||
| BOARD MEMBER | 0.10 | 1.10 | Yes (X) | $0 | $0 | $0 | |||
| PAUL TRAVERS | |||||||||
| BOARD MEMBER | 0.10 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SISTER CECILE SWANTON | |||||||||
| BOARD MEMBER | 0.10 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TARA A CORTES | |||||||||
| BOARD MEMBER | 0.10 | 1.30 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS E ALBERTO | |||||||||
| BOARD MEMBER | 0.10 | 1.30 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS J FAHEY JR MD | |||||||||
| BOARD MEMBER | 0.10 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RORY KELLEHER | |||||||||
| BOARD MEMBER | 0.10 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SCOTT P LA RUE | |||||||||
| PRESIDENT/CEO | 0.10 | 38.40 | Yes (X) | $0 | $1,018,819 | $257,792 | |||
| ANNMARIE COVONE | |||||||||
| SENIOR VP/CFO | 0.10 | 38.40 | Yes (X) | $0 | $618,691 | $156,176 | |||
| MARY L HARREN MATAMOROS | |||||||||
| EXECUTIVE DIRECTOR THRU OCT. 2016 | 37.50 | $179,407 | $0 | $28,209 | Yes (X) | ||||
| JOANNE MCDEVITT | |||||||||
| DIR. OF PATIENT SVCS. THRU OCT. 2016 | 37.50 | $133,872 | $0 | $10,424 | Yes (X) | ||||
| ROSEANN L GWIZDALOSKI | |||||||||
| CLINICAL BUS. DEV. ASSOC. THRU OCT. 2016 | 37.50 | $102,348 | $0 | $7,164 | Yes (X) | ||||
| SALLY A SOBOLEWSKI | |||||||||
| CLINICAL BUS. DEV. ASSOC. THRU SEPT. 2016 | 37.50 | $100,163 | $0 | $14,507 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $515,790 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,637,510 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $474,272 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | 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 CROSSWAY PARK DRIVE | WOODBURY | NY | 11797 | THERAPEUTIC SERVICES | $1,877,245 |
| ASTRA HOME CARE | |||||
| 117 CHURCH AVE | BROOKLYN | NY | 11218 | HOME HEALTH CARE | $1,031,730 |
| SPECIAL TOUCH HOME CARE SERVICE | |||||
| 2091 CONEY ISLAND AVE | BROOKLYN | NY | 11223 | HOME HEALTH CARE | $810,771 |
| ANR STAFFING SOLUTIONS LLC | |||||
| 217-02 JAMAICA AVENUE 2ND FLOOR | QUEENS VILLAGE | NY | 11428 | STAFFING AGENCY | $517,062 |
| ACCESS STAFFING LLC | |||||
| PO BOX 75334 | CHICAGO | IL | 60675 | STAFFING AGENCY | $334,436 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 28 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $255,394 | AllOtherContributionsAmt |
| Total Contributions | $255,394 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE | 621610 | $7,957,266 | $7,957,266 |
| RENTAL INCOME | 531120 | $68,126 | $68,126 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,025,392 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $672 | TotalRevenueColumnAmt |
| Exclusion | $672 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $7,898 | TotalRevenueColumnAmt |
| Exclusion | $7,898 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $7,898 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,289,356 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,025,392 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,570 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,705,186 | TotalAmt |
| Program Services | $4,186,280 | ProgramServicesAmt |
| Management And General | $518,906 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,833 | TotalAmt |
| Program Services | $53,234 | ProgramServicesAmt |
| Management And General | $6,599 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $607,824 | TotalAmt |
| Program Services | $540,791 | ProgramServicesAmt |
| Management And General | $67,033 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $651,978 | TotalAmt |
| Program Services | $580,075 | ProgramServicesAmt |
| Management And General | $71,903 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,718 | TotalAmt |
| Management And General | $63,718 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,180 | TotalAmt |
| Management And General | $20,180 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,546,790 | TotalAmt |
| Program Services | $3,176,456 | ProgramServicesAmt |
| Management And General | $370,334 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,250 | TotalAmt |
| Management And General | $6,250 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $173,769 | TotalAmt |
| Program Services | $6,103 | ProgramServicesAmt |
| Management And General | $167,666 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $389,560 | TotalAmt |
| Management And General | $389,560 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $311,689 | TotalAmt |
| Management And General | $311,689 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,441 | TotalAmt |
| Management And General | $8,441 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $216,052 | TotalAmt |
| Program Services | $216,052 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $272,115 | TotalAmt |
| Program Services | $272,115 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,161 | TotalAmt |
| Management And General | $114,161 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT | $1,000,000 | $1,000,000 | |
| MEDICAL SUPPLIES | $123,207 | $123,207 | |
| CONTRACTED SERVICES | $116,072 | $109,615 | $6,457 |
| TELEMEDICINE | $61,836 | $61,836 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,676 | TotalAmt |
| Program Services | $47,732 | ProgramServicesAmt |
| Management And General | $32,944 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,529,337 | TotalAmt |
| Program Services | $10,373,496 | ProgramServicesAmt |
| Management And General | $2,155,841 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $800 | BOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $350,214 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,011,842 | BOYAmt |
| EOY | $908,360 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $206,936 | BOYAmt |
| EOY | $233,570 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,902,754 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,455,219 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $634,494 | BOYAmt |
| EOY | $447,535 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,800 | BOYAmt |
| EOY | $11,411 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,947,872 | BOYAmt |
| EOY | $1,951,090 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,203,340 | BOYAmt |
| EOY | $6,063,532 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,897,002 | BOYAmt |
| EOY | $7,583,614 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,100,342 | BOYAmt |
| EOY | $13,647,146 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$13,152,470 | BOYAmt |
| EOY | -$11,696,056 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$13,152,470 | BOYAmt |
| EOY | -$11,696,056 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,947,872 | BOYAmt |
| EOY | $1,951,090 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$4,239,981 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $5,696,395 | 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 | 0 | FSAuditedInd |
| 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 | $27 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus1 Year | $205,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $255,394 | CurrentTaxYearAmt |
| Total | $460,421 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,163,474 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,567,742 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,902,202 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,731,671 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,025,392 | CurrentTaxYearAmt |
| Total | $70,390,481 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,163,501 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,567,742 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,902,202 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,936,671 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,280,786 | CurrentTaxYearAmt |
| Total | $70,850,902 | 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 | $70,850,902 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $103,538 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $490,444 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,290 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,382 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $672 | CurrentTaxYearAmt |
| Total | $601,326 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $103,538 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $490,444 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,290 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,382 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $672 | CurrentTaxYearAmt |
| Total | $601,326 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,197 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,705 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,299,875 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,087 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,898 | CurrentTaxYearAmt |
| Total | $2,328,762 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,270,236 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,064,891 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,207,367 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,949,140 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,289,356 | CurrentTaxYearAmt |
| Total | $73,780,990 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.96030 | PublicSupportCY509Pct |
| Public Support PY509 | 0.96420 | PublicSupportPY509Pct |
| Investment Income CY | 0.00820 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00730 | 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 | MISCELLANEOUS INCOME - 2012 AMOUNT: $ 3,197. 2013 AMOUNT: $ 6,705. 2014 AMOUNT: $ 3,592. 2015 AMOUNT: $ 11,087. 2016 AMOUNT: $ 7,898. FORGIVENESS OF DEBT - 2014 AMOUNT: $ 2,296,283. | 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
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $706,250 | OtherCostOrOtherBasisAmt |
| Depreciation | $581,795 | DepreciationAmt |
| Book Value | $124,455 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,196,504 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,873,424 | DepreciationAmt |
| Book Value | $323,080 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $447,535 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO NEW YORK STATE | $5,583,614 |
| DUE TO CATHOLIC HEALTH CARE SYSTEM - LOAN | $2,000,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,583,614 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | 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 (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SCOTT P LA RUE | ||||||||||||||
| PRESIDENT/CEO | $0 | $721,130 | $0 | $208,245 | $0 | $89,444 | $0 | $238,450 | $0 | $19,342 | $0 | $1,276,611 | $0 | $210,000 |
| ANNMARIE COVONE | ||||||||||||||
| SENIOR VP/CFO | $0 | $492,724 | $0 | $80,895 | $0 | $45,072 | $0 | $128,173 | $0 | $28,003 | $0 | $774,867 | $0 | $88,350 |
| MARY L HARREN MATAMOROS | ||||||||||||||
| EXECUTIVE DIRECTOR THRU OCT. 2016 | $162,193 | $0 | $10,000 | $0 | $7,214 | $0 | $12,558 | $0 | $15,651 | $0 | $207,616 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE UNDERTAKES A RIGOROUS PROCESS TO ENSURE THAT ITS EXECUTIVE COMPENSATION FOR CEO/PRESIDENT AND THE SENIOR VP/CFO IS REASONABLE. TOWARD THAT END, THE BOARD OF TRUSTEES HAS A COMPENSATION COMMITTEE OF INDEPENDENT PERSONS THAT HAVE NO PERSONAL INTEREST IN ANY PROPOSED COMPENSATION ARRANGEMENT. IN 2008, THE BOARD ENGAGED AN INDEPENDENT COMPENSATION CONSULTANT WHO CONDUCTED INDEPENDENT RESEARCH AND UTILIZED A WIDE RANGE OF INDUSTRY DATA TO DEVELOP COMPARABILITY OR BENCHMARKING DATA FOR APPROPRIATE LEVELS OF COMPENSATION FOR TOP MANAGEMENT, OFFICERS, AND KEY EMPLOYEES. THE CONSULTANT PROJECTED THE DATA FOR THE FOLLOWING THREE YEARS FOR EACH SALARY LEVEL. THE COMPENSATION COMMITTEE, TAKING THE CONSULTANT'S RECOMMENDATIONS UNDER ADVISEMENT, HELD A MEETING AT WHICH CONTEMPORANEOUS MINUTES WERE KEPT AND AT THAT MEETING DETERMINED TO MAKE RECOMMENDATIONS TO THE BOARD OF TRUSTEES. THE BOARD OF TRUSTEES THEN CONSIDERED AND APPROVED THE RECOMMENDATIONS OF THE COMPENSATION COMMITTEE, WHICH APPROVAL WAS RECORDED IN THE MINUTES OF THE MEETING OF THE BOARD OF TRUSTEES. IN 2016, THE CONSULTANT UPDATED ITS REVIEW OF THE COMPENSATION STRUCTURE OF TOP MANAGEMENT, OFFICERS, AND KEY EMPLOYEES FOLLOWING THE METHOD DESCRIBED ABOVE. IN ADDITION, THE ORGANIZATION UPDATED ITS REVIEW OF THE COMPENSATION STRUCTURE FOR ALL OTHER POSITIONS (NON-UNION). |
| PART I, LINES 4A-B | JOANNE MCDEVITT RECEIVED A SEVERANCE PAYMENT OF $12,308 IN HER 2016 W-2. SCOTT P. LA RUE AND ANNMARIE COVONE ALSO PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE CONTRIBUTED $18,000 TO THE PLAN IN 2016 FOR EACH INDIVIDUAL. CATHOLIC HEALTH CARE SYSTEM D/B/A DISTRIBUTED $89,444 TO SCOTT AND $32,322 TO ANNMARIE IN THE W-2S. |
| PART I, LINE 7 | THE FOLLOWING EMPLOYEES RECEIVED A BOARD DISCRETIONARY BONUS IN THEIR 2016 W-2'S FROM THE ORGANIZATION: - MARY L HARREN MATAMOROS $10,000 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 3 | THE ORGANIZATION CEASED PROVIDING PATIENT SERVICES IN OCTOBER 2016. THE ORGANIZATION IS CURRENTLY IN THE PROCESS OF WINDING DOWN. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE "MEMBER" IS CATHOLIC HEALTH CARE SYSTEM D/B/A/ ARCHCARE. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE "MEMBER" HAS THE RIGHT TO APPOINT AND REMOVE MEMBERS OF THE BOARD OF TRUSTEES, AND APPOINT THE CHAIRMAN OF THE BOARD. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE SOLE "MEMBER" HAS THE RIGHT TO AMEND THE BY-LAWS AND CERTIFICATE OF INCORPORATION AND APPROVE SUBSTANTIAL TRANSACTIONS. |
| FORM 990, PART VI, SECTION B, LINE 11B | EMPIRE STATE HOME CARE SERVICES 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 | ALL BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO FILL OUT A NEW CONFLICT OF INTEREST FORM BY THE ANNUAL SPRING BOARD MEETING. THOSE FORMS ARE THEN REVIEWED BY THE COMPLIANCE OFFICER TO ENSURE THAT ANY CONFLICTS OF INTEREST, IF APPLICABLE, ARE MONITORED. IF A CONFLICT EXISTS, THE PERSON HAVING THE CONFLICT WILL LEAVE OR NOT PARTICIPATE IN DISCUSSION OR DECISIONS INVOLVING THE CONFLICT. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS FORM 990 AND FORM 1023 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION, FORM 990, FORM 1023, AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST OR BY CALLING THE ORGANIZATION DIRECTLY. |
| FORM 990, PART IX, LINE 11G | CONSULTING: PROGRAM SERVICE EXPENSES 203,702. MANAGEMENT AND GENERAL EXPENSES 360,013. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 563,715. THERAPIST: PROGRAM SERVICE EXPENSES 1,458,072. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,458,072. HOME HEALTH AIDES: PROGRAM SERVICE EXPENSES 1,425,534. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,425,534. TEMPORARY SERVICES: PROGRAM SERVICE EXPENSES 89,148. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 89,148. CLERICAL AGENCY: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 10,321. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,321. |
| FORM 990, PART XI, LINE 9: | EQUITY TRANSFER FROM RELATED PARTIES 5,900,000. IMPAIRMENT OF PROPERTY, PLANT & EQUIPMENT -203,605. |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZATION'S AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (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., BENEFITS COORDINATING AND OTHER SERVICES TO ARCHCARE | NY | 501(C)(3) | LINE 1 | CATHOLIC HEALTHCARE SYSTEM DBA ARCHCARE | 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 | 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 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 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 | 10304 | 132720248 | OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITY | NY | 501(C)(3) | LINE 10 | CATHOLIC HEALTHCARE SYSTEM DBA ARCHCARE | 0 | |
| CATHOLIC HEALTH CARE FOUNDATION OF THE ARCHDIOCESE OF NY INC | |||||||||||
| 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 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 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 | PROVIDE PARISH OUTREACH SERVICES & SOCIAL & HEALTH CARE SERVICE INFORMATION | NY | 501(C)(3) | LINE 1 | CATHOLIC HEALTHCARE SYSTEM DBA ARCHCARE | 0 | |
| KATERI RESIDENCE | |||||||||||
| 205 LEXINGTON AVE 2ND FLOOR | NEW YORK | NY | 10016 | 133086309 | DORMANT/OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITY | 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 | 10021 | 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 | OUR LADY OF MERCY HEALTHCARE SYSTEM INC | 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 | CATHOLIC HEALTHCARE SYSTEM DBA ARCHCARE | 0 | |
| PROVIDENCE HEALTH SERVICES | |||||||||||
| 1011 1ST AVENUE | NEW YORK | NY | 10022 | 133354940 | SPONSOR OF CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE | NY | 501(C)(3) | LINE 3 | 0 | N/A | |
| ST TERESA'S NURSING HOME INC | |||||||||||
| 205 LEXINGTON AVE 2ND FLOOR | NEW YORK | NY | 10016 | 237012219 | DORMANT/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 | DORMANT/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 ASSOCIATION OF BROOKLYN | |||||||||||
| 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 | 0 | |
| VISITING NURSE REGIONAL HEALTH CARE SYSTEM | |||||||||||
| 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 | |
| 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 | |
| DOMINICAN SISTERS FAMILY HEALTH SERVICE INC | |||||||||||
| 299 NORTH HIGHLAND AVENUE | OSSINING | NY | 10562 | 131740242 | HOME HEALTH AGENCY | NY | 501(C)(3) | LINE 10 | 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 | 0 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| OLM DEVELOPMENT CORPORATION | |||||||||
| 205 LEXINGTON AVENUE 2ND FLOOR | NEW YORK | NY | 10016 | 133272992 | DORMANT/HEALTH CARE SERVICES | NY | CATHOLIC HEALTHCARE SYSTEM DBA ARCHCARE | C | 0 |
| ST AGNES HOSPITAL | |||||||||
| 305 NORTH STREET | WHITE PLAINS | NY | 10605 | 131740121 | DORMANT/OPERATE A HOSPITAL | NY | CATHOLIC HEALTHCARE SYSTEM DBA ARCHCARE | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 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 | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | 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 | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |