ARCHCARE: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- ARCHCARE (EIN 13-3896624)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-14
- IRS object ID
- 201723189349311212
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-14T16:44:09-06:00 | 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 | 133896624 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CATHOLIC HEALTH CARE SYSTEM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CATH | BusinessNameControlTxt |
| 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 |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANNMARIE COVONE | PersonNm |
| Person Title | SENIOR VP & CFO | PersonTitleTxt |
| Phone | 6466334700 | 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 | 08:28:23 | 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 | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARCHCARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SCOTT P LA RUE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 205 LEXINGTON AVENUE - 2ND FLOOR | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10016 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $94,543,327 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ARCHCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO FOSTER AND PROVIDE FAITH-BASED HOLISTIC CARE TO FRAIL AND VULNERABLE PEOPLE UNABLE TO FULLY CARE FOR THEMSELVES. THROUGH SHARED COMMITMENTS, ARCHCARE SEEKS TO IMPROVE THE QUALITY OF THE LIVES OF THOSE INDIVIDUALS AND THEIR FAMILIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 79 | TotalEmployeeCnt |
| Total Volunteers | 19 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $383,500 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,060,103 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $83,056,544 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $88,497,693 | CYProgramServiceRevenueAmt |
| PY Investment Income | $194,637 | PYInvestmentIncomeAmt |
| CY Investment Income | $222,903 | CYInvestmentIncomeAmt |
| PY Other Revenue | $169,318 | PYOtherRevenueAmt |
| CY Other Revenue | $762,628 | CYOtherRevenueAmt |
| PY Total Revenue | $83,803,999 | PYTotalRevenueAmt |
| CY Total Revenue | $94,543,327 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $107,875 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $126,350 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $17,582,383 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $18,711,105 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $66,300,085 | PYOtherExpensesAmt |
| CY Other Expenses | $71,564,970 | CYOtherExpensesAmt |
| PY Total Expenses | $83,990,343 | PYTotalExpensesAmt |
| CY Total Expenses | $90,402,425 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$186,344 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,140,902 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $27,640,553 | TotalAssetsBOYAmt |
| Total Assets EOY | $30,772,601 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $28,630,027 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $30,065,631 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$989,474 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $706,970 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE CATHOLIC HEALTH CARE SYSTEM ("CHCS OR THE "SYSTEM") IS A HEALTH CARE DELIVERY SYSTEM COMPOSED OF HOSPITALS, NURSING HOMES, MANAGED CARE PLANS AND OTHER ENTITIES THAT DELIVER AND PROVIDE FOR THE DELIVERY OF HEALTH CARE SERVICES (THE "CHCS ENTITIES") IN THE GREATER NEW YORK AREA AND THE HUDSON VALLEY. CHCS IS DEDICATED TO PROMOTING HIGH QUALITY PATIENT CARE THROUGHOUT THE SYSTEM, TO CREATING EFFICIENCIES BY STREAMLINING MANAGEMENT AND OPERATIONS, AND TO ENHANCING THE FINANCIAL STRENGTH OF THE CHCS ENTITIES AND THE SYSTEM. CHCS AND THE CHCS ENTITIES ARE COMMITTED TO FULFILLING THE CATHOLIC MISSION COMMON TO EACH. THE PURPOSES AND OPERATIONS OF CHCS SHALL BE CARRIED OUT IN CONFORMITY WITH THE VALUES AND TEACHINGS OF THE ROMAN CATHOLIC CHURCH AND WITH THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES OF THE NATIONAL CONFERENCE OF CATHOLIC BISHOPS AS INTERPRETED BY THE ARCHBISHOP OF NEW YORK. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $40,265,545 | ExpenseAmt |
| Revenue | $48,316,466 | RevenueAmt |
| Desc | CATHOLIC SPECIAL NEEDS PLAN LLC D/B/A ARCHCARE ADVANTAGE IS A HEALTH PLAN WITH A MEDICARE CONTRACT FOUNDED BY THE CATHOLIC HEALTH CARE SYSTEM OF THE ARCHDIOCESE OF NEW YORK TO PROVIDE MEDICARE COVERAGE FOR INDIVIDUALS WHO REQUIRE NURSING HOME LEVEL OF CARE. AS A MEDICARE ADVANTAGE HEALTH MAINTENANCE ORGANIZATION (HMO) SPECIAL NEEDS PLAN ARCHCARE ADVANTAGE (SNP) SERVES BENEFICIARIES ENTITLED TO MEDICARE PART A AND ENROLLED IN MEDICARE PART B. THE PLAN'S SERVICE AREA INCLUDES BRONX, DUTCHESS, KINGS, NEW YORK, ORANGE, QUEENS, RICHMOND AND WESTCHESTER COUNTIES, AND OFFERS A NETWORK OF DOCTORS, SPECIALISTS, HOSPITALS AND OTHER HEALTH CARE PROVIDERS THAT ENROLLEES CAN USE. SNP IS A COMPREHENSIVE RISK BASED HEALTH MAINTENANCE ORGANZIATION ("HMO") UNDER ARTICLE 44 OF THE PUBLIC HEALTH LAW. IN 2016, SNP HAD 6,663 MEMBER MONTHS AT FIVE FACILITIES (CARMEL RICHMOND NURSING HOME, INC., ST. VINCENT DE PAUL RESIDENCE, FERNCLIFF NURSING HOME COMPANY INC., TERENCE CARDINAL COOKE HEALTH CARE CENTER, AND MARY MANNING WALSH NURSING HOME COMPANY), AND 12,794 MEMBER MONTHS AT UNRELATED ORGANIZATIONS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $20,936,545 | ExpenseAmt |
| Revenue | $22,296,328 | RevenueAmt |
| Desc | CHCS ESTABLISHED AS A SELF-INSURED TRUST FOR HEALTH INSURANCE FOR ITSELF AND ITS AFFILIATES IN ORDER TO STREAMLINE SYSTEM ADMINISTRATION AND CONTROL ASSOCIATED EXPENSES. CHCS'S ADMINISTRATIVE DUTIES INCLUDE THE COLLECTION OF HEALTH BENEFIT PREMIUMS FROM THE CHCS INSTITUTIONS AND PAYMENT OF MEDICAL AND PHARMACEUTICAL CLAIMS TO THE THIRD PARTY ADMINISTRATOR FOR THE PROGRAM. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,362,055 | ExpenseAmt |
| Grant | $126,350 | GrantAmt |
| Revenue | $17,884,899 | RevenueAmt |
| Desc | THE PROVISION OF MANAGEMENT AND SUPPORT SERVICES TO HEALTH CARE NOT-FOR-PROFIT ORGANIZATIONS OF WHICH IT IS THE SOLE MEMBER. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $67,564,145 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 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 | Yes (1) | 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 | Yes (1) | 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 | 23 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 79 | 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 | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANNMARIE COVONE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6466334702 | 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 (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| FRANCIS J SERBAROLI ESQ | |||||||||
| CHAIRMAN | 0.10 | 1.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| KARL P ADLER | |||||||||
| VICE-CHAIRMAN & SECRETARY | 0.10 | 1.40 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| THOMAS M O'BRIEN | |||||||||
| VICE-CHAIR | 0.10 | 1.00 | 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 | |||
| MSGR 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 | |||
| 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 | |||
| 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 | |||
| ANNMARIE COVONE | |||||||||
| SENIOR VP/CFO | 37.00 | 1.50 | Yes (X) | $618,691 | $0 | $156,176 | |||
| SCOTT P LA RUE | |||||||||
| PRESIDENT/CEO | 37.00 | 1.50 | Yes (X) | $1,018,819 | $0 | $257,792 | |||
| HUGO A PIZARRO | |||||||||
| VP OF HUMAN RESOURCES | 35.00 | $361,453 | $0 | $118,448 | Yes (X) | ||||
| MITCHELL MARSH | |||||||||
| VP OF NURSING HOME OPERATIONS | 35.00 | $389,031 | $0 | $115,792 | Yes (X) | ||||
| CAROL M CASSELL | |||||||||
| SENIOR VP/CHIEF POP. HEALTH OFF. | 40.00 | $0 | $379,671 | $36,563 | Yes (X) | ||||
| EVA A ENG | |||||||||
| SR. VICE PRESIDENT THRU JUNE 2016 | 35.00 | $245,703 | $0 | $140,425 | Yes (X) | ||||
| MITZE A AMOROSO | |||||||||
| VP CHIEF INFORMATION OFFICER | 35.00 | $305,144 | $0 | $77,184 | Yes (X) | ||||
| SARAH D STRUM | |||||||||
| VP OF COMPLIANCE & REGULATIONS | 35.00 | $290,656 | $0 | $97,705 | Yes (X) | ||||
| BRUCE L ADLER | |||||||||
| VP SUPPORT SERVICES | 35.00 | $219,929 | $0 | $55,850 | Yes (X) | ||||
| JEFFREY D LEVINE | |||||||||
| DIRECTOR OF FINANCE | 35.00 | $206,801 | $0 | $31,213 | Yes (X) | ||||
| TIMOTHY JOHNSON | |||||||||
| DIRECTOR OF FINANCE | 35.00 | $206,370 | $0 | $11,714 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,862,597 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $379,671 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,098,862 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 22 | 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 |
|---|---|---|---|---|---|
| REPUTATION ARCHITECTS INC | |||||
| PO BOX 53 | LIVINGSTON | NJ | 07039 | PUBLIC RELATIONS/MARKETING | $862,352 |
| TRI-STATE BENEFIT SOLUTIONS | |||||
| PO BOX 631054 | CINCINNATI | OH | 45263 | CLAIMS PROCESSING | $695,364 |
| DARAJA ENTERPRISES | |||||
| 1201 S ALMA SCHOOL ROAD SUITE 1610 | MESA | AZ | 85210 | CONSULTING | $520,788 |
| ARCHDIOCESE OF NEW YORK | |||||
| 1011 FIRST AVENUE ROOM 1940 | NEW YORK | NY | 10022 | ADMIN./LEGAL SERVICES | $397,503 |
| MILLIMAN | |||||
| 15800 BLUEMOUND RD SUITE 100 | BROOKFIELD | WI | 53005 | ACTUARIAL AND BID CONSULTING | $318,911 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 13 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $5,000,000 | RelatedOrganizationsAmt |
| All Other Contributions | $60,103 | AllOtherContributionsAmt |
| Total Contributions | $5,060,103 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REV | 621300 | $48,316,466 | $48,316,466 |
| INSURANCE PREMIUMS | 900099 | $22,296,328 | $22,296,328 |
| MGMT SERVICE ASSESSMENTS | 561000 | $17,427,664 | $17,427,664 |
| RENTAL INCOME | 900099 | $457,235 | $457,235 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $88,497,693 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $222,903 | TotalRevenueColumnAmt |
| Exclusion | $222,903 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | REBATES | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $762,628 | TotalRevenueColumnAmt |
| Exclusion | $762,628 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $762,628 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $94,543,327 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $88,497,693 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $985,531 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,350 | TotalAmt |
| Program Services | $126,350 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,376,323 | TotalAmt |
| Management And General | $3,376,323 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,662,790 | TotalAmt |
| Program Services | $4,059,204 | ProgramServicesAmt |
| Management And General | $7,603,586 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,053,993 | TotalAmt |
| Program Services | $222,928 | ProgramServicesAmt |
| Management And General | $831,065 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,449,083 | TotalAmt |
| Program Services | $418,599 | ProgramServicesAmt |
| Management And General | $1,030,484 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,168,916 | TotalAmt |
| Program Services | $424,894 | ProgramServicesAmt |
| Management And General | $744,022 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $785,763 | TotalAmt |
| Management And General | $785,763 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,604 | TotalAmt |
| Management And General | $84,604 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,750 | TotalAmt |
| Management And General | $78,750 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,125,175 | TotalAmt |
| Program Services | $27,755,283 | ProgramServicesAmt |
| Management And General | $3,369,892 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,315,105 | TotalAmt |
| Management And General | $1,315,105 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,975,510 | TotalAmt |
| Program Services | $2,157,588 | ProgramServicesAmt |
| Management And General | $817,922 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $587,539 | TotalAmt |
| Management And General | $587,539 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,450,080 | TotalAmt |
| Program Services | $1,290,551 | ProgramServicesAmt |
| Management And General | $159,529 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,954 | TotalAmt |
| Management And General | $161,954 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,106 | TotalAmt |
| Management And General | $119,106 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $251,816 | TotalAmt |
| Program Services | $91,873 | ProgramServicesAmt |
| Management And General | $159,943 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,476 | TotalAmt |
| Management And General | $145,476 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SELF-INSURED HEALTH INS | $20,936,545 | $20,936,545 | |
| MEDICAL SUPPLIES | $7,637,503 | $7,637,503 | |
| BAD DEBT EXPENSE | $2,371,506 | $2,370,000 | $1,506 |
| PURCH. & CONTRACTED SER | $1,023,976 | $72,827 | $951,149 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $514,562 | TotalAmt |
| Management And General | $514,562 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,402,425 | TotalAmt |
| Program Services | $67,564,145 | ProgramServicesAmt |
| Management And General | $22,838,280 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,621,005 | BOYAmt |
| EOY | $5,305,065 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,260,438 | BOYAmt |
| EOY | $7,281,514 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,250 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,188,451 | BOYAmt |
| EOY | $1,509,901 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $342,415 | BOYAmt |
| EOY | $486,352 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,227,261 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,365,479 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $746,622 | BOYAmt |
| EOY | $861,782 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,452,372 | BOYAmt |
| EOY | $15,327,987 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,640,553 | BOYAmt |
| EOY | $30,772,601 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,397,511 | BOYAmt |
| EOY | $10,878,697 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,442,927 | BOYAmt |
| EOY | $3,442,927 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,789,589 | BOYAmt |
| EOY | $15,744,007 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,630,027 | BOYAmt |
| EOY | $30,065,631 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$989,474 | BOYAmt |
| EOY | $706,970 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$989,474 | BOYAmt |
| EOY | $706,970 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,640,553 | BOYAmt |
| EOY | $30,772,601 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $4,140,902 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$2,444,458 | 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 Minus3 Years | $482 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,000,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $383,500 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,060,103 | CurrentTaxYearAmt |
| Total | $9,444,085 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $67,684,249 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $72,853,578 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $75,724,941 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $83,056,544 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $88,497,693 | CurrentTaxYearAmt |
| Total | $387,817,005 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $67,684,249 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $72,854,060 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $79,724,941 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $83,440,044 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $93,557,796 | CurrentTaxYearAmt |
| Total | $397,261,090 | 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) |
|---|---|---|
| Current Tax Year Minus2 Years | $7,365,647 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,103,611 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,213,439 | CurrentTaxYearAmt |
| Total | $27,682,697 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $7,365,647 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,103,611 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,213,439 | CurrentTaxYearAmt |
| Total | $27,682,697 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $369,578,393 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $42,864 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,899 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $315,054 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $194,637 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $222,903 | CurrentTaxYearAmt |
| Total | $795,357 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $42,864 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,899 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $315,054 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $194,637 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $222,903 | CurrentTaxYearAmt |
| Total | $795,357 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $47,837 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $45,462 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $85,855 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $169,318 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $762,628 | CurrentTaxYearAmt |
| Total | $1,111,100 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $67,774,950 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $72,919,421 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $80,125,850 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $83,803,999 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $94,543,327 | CurrentTaxYearAmt |
| Total | $399,167,547 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.92590 | PublicSupportCY509Pct |
| Public Support PY509 | 0.94920 | PublicSupportPY509Pct |
| Investment Income CY | 0.00200 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00170 | 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 | REBATES - 2012 AMOUNT: $ 47,837. 2013 AMOUNT: $ 45,462. 2014 AMOUNT: $ 85,855. 2015 AMOUNT: $ 169,318. 2016 AMOUNT: $ 762,628. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $78,750 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $78,750 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION HIRED AN OUTSIDE LOBBYIST TO LOBBY ON ITS BEHALF ON VARIOUS HEALTHCARE ISSUES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,217,860 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,188,163 | DepreciationAmt |
| Book Value | $29,697 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,009,401 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,177,316 | DepreciationAmt |
| Book Value | $832,085 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $861,782 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| LETTERS OF CREDIT & ESCROW | $773,128 |
| DUES AND ASSESSMENT RECEIVABLES | $1,281,144 |
| LOAN RECEIVABLE FROM RELATED PARTIES | $73,480 |
| SELF INSURED MEDICAL BENEFITS, NET | $8,324,268 |
| DUES FROM RELATED PARTIES - OTHER | $400,000 |
| LOAN RECEIVABLE FROM DOMINICAN SISTERS FAMILY HEALTH SERVICES, INC., NET | $4,475,967 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $15,327,987 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED PENSION LIABILITY | $8,073,721 |
| INCURRED BUT NOT PAID MEDICAL CLAIMS | $3,300,000 |
| DUE TO RELATED PARTIES | $1,456,203 |
| OTHER LIABILITIES | $1,749,815 |
| REFUNDS | $1,164,268 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $15,744,007 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $95,334,617 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $791,290 | OtherRevenueAmt |
| Revenue Not Reported | $791,290 | RevenueNotReportedAmt |
| Revenue Subtotal | $94,543,327 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $94,543,327 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $93,075,552 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $2,673,127 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $2,673,127 | ExpensesNotReportedAmt |
| Expenses Subtotal | $90,402,425 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $90,402,425 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | CHCS RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT CHCS HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. CHCS IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2013. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | REVENUE ATTRIBUTABLE TO RELATED ENTITIES 791,290. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | EXPENSES ATTRIBUTABLE TO CONSOLIDATED ENTITIES 2,673,127. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| ALFRED E SMITH MEMORIAL FOUNDATION | |||||||
| 1011 FIRST AVENUE | NEW YORK | NY | 10022 | 131553263 | 501(C)3 | $25,000 | ALFRED SMITH MEMORIAL FOUNDATION GALA |
| PROVIDENCE REST | |||||||
| 3304 WATERBURY AVENUE | BRONX | NY | 10465 | 131740301 | 501(C)3 | $12,500 | SUPPORT FOR ANNUAL GALA |
| CABRINI OF WESTCHESTER | |||||||
| 115 BROADWAY | DOBBS FERRY | NY | 10522 | 237063399 | 501(C)3 | $15,000 | SUPPORT FOR ANNUAL GALA |
| THE USA NORTHEAST PROVINCE OF THE SOCIETY OF JESUS | |||||||
| 39 EAST 83RD STREET | NEW YORK | NY | 10028 | 472184310 | 501(C)3 | $5,000 | SUPPORT FOR ANNUAL GOLF OUTING |
| MOUNT SINAI HEALTH SYSTEM | |||||||
| ONE GUSTAVE L LEVY PLACE | NEW YORK | NY | 10029 | 464248304 | 501(C)3 | $15,000 | SUPPORT FOR ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI |
| SUPPORT OUR AGING RELIGIOUS INC | |||||||
| 3025 4TH STREET NE SUITE 14 | WASHINGTON | DC | 20017 | 521485481 | 501(C)3 | $10,000 | SUPPORT FOR ANNUAL DINNER |
| MARYKNOLL SISTERS OF ST DOMINIC | |||||||
| PO BOX 317 | MARYKNOLL | NY | 10545 | 131740257 | 501(C)3 | $10,000 | GENERAL SUPPORT |
| LORETTO FOUNDATION | |||||||
| 1301 NOTTINGHAM ROAD | JAMESVILLE | NY | 13078 | 222339225 | 501(C)3 | $10,000 | SUPPORT ANNUAL GALA |
| THE CALVARY FUND | |||||||
| 1740 EASTCHESTER ROAD | BRONX | NY | 10461 | 133259649 | 501(C)3 | $10,000 | GENERAL SUPPORT |
| DOMINICAN SISTERS FAMILY HEALTH SERVICE | |||||||
| 299 NORTH HIGHLAND AVENUE | OSSINING | NY | 10562 | 131740242 | 501(C)3 | $5,000 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 10 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION GIVES OUT GRANTS TO VARIOUS OTHER NONPROFIT ORGANIZATIONS, PRIMARILY IN THE FIELD OF HEALTHCARE. THE GRANTS ARE FOR SUPPORT FOR EACH GRANTEE'S ANNUAL GALA. EMPLOYEES AND BOARD MEMBERS OF CATHOLIC HEALTH CARE SYSTEM ATTEND EACH GALA TO ENSURE THE FUNDS ARE USED TO SUPPORT THE EVENT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANNMARIE COVONE | ||||||||||||||
| SENIOR VP/CFO | $492,724 | $0 | $80,895 | $0 | $45,072 | $0 | $128,173 | $0 | $28,003 | $0 | $774,867 | $0 | $88,350 | $0 |
| SCOTT P LA RUE | ||||||||||||||
| PRESIDENT/CEO | $721,130 | $0 | $208,245 | $0 | $89,444 | $0 | $238,450 | $0 | $19,342 | $0 | $1,276,611 | $0 | $210,000 | $0 |
| HUGO A PIZARRO | ||||||||||||||
| VP OF HUMAN RESOURCES | $308,923 | $0 | $39,780 | $0 | $12,750 | $0 | $90,446 | $0 | $28,002 | $0 | $479,901 | $0 | $39,780 | $0 |
| MITCHELL MARSH | ||||||||||||||
| VP OF NURSING HOME OPERATIONS | $330,901 | $0 | $45,380 | $0 | $12,750 | $0 | $96,450 | $0 | $19,342 | $0 | $504,823 | $0 | $45,380 | $0 |
| CAROL M CASSELL | ||||||||||||||
| SENIOR VP/CHIEF POP. HEALTH OFF. | $0 | $339,233 | $0 | $27,938 | $0 | $12,500 | $0 | $26,577 | $0 | $9,986 | $0 | $416,234 | $0 | $0 |
| EVA A ENG | ||||||||||||||
| SR. VICE PRESIDENT THRU JUNE 2016 | $117,756 | $0 | $19,492 | $0 | $108,455 | $0 | $121,083 | $0 | $19,342 | $0 | $386,128 | $0 | $19,492 | $0 |
| MITZE A AMOROSO | ||||||||||||||
| VP CHIEF INFORMATION OFFICER | $255,526 | $0 | $36,868 | $0 | $12,750 | $0 | $67,198 | $0 | $9,986 | $0 | $382,328 | $0 | $36,868 | $0 |
| SARAH D STRUM | ||||||||||||||
| VP OF COMPLIANCE & REGULATIONS | $258,896 | $0 | $23,064 | $0 | $8,696 | $0 | $68,138 | $0 | $29,567 | $0 | $388,361 | $0 | $23,064 | $0 |
| BRUCE L ADLER | ||||||||||||||
| VP SUPPORT SERVICES | $214,912 | $0 | $0 | $0 | $5,017 | $0 | $55,850 | $0 | $0 | $0 | $275,779 | $0 | $0 | $0 |
| JEFFREY D LEVINE | ||||||||||||||
| DIRECTOR OF FINANCE | $206,801 | $0 | $0 | $0 | $0 | $0 | $10,450 | $0 | $20,763 | $0 | $238,014 | $0 | $0 | $0 |
| TIMOTHY JOHNSON | ||||||||||||||
| DIRECTOR OF FINANCE | $206,370 | $0 | $0 | $0 | $0 | $0 | $10,450 | $0 | $1,264 | $0 | $218,084 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINES 4A-B | EVA ENG RECEIVED A SEVERANCE PAYMENT OF $103,772 INCLUDED 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 ARCHCARE DISTRIBUTED $89,444 TO SCOTT AND $32,322 TO ANNMARIE IN THEIR W-2S. |
| PART I, LINE 7 | THE FOLLOWING EMPLOYEE RECEIVED A BOARD DISCRETIONARY BONUS IN THEIR 2016 W-2: - SCOTT P. LA RUE $208,245 - ANNMARIE COVONE $80,895 - MITCHELL MARSH $45,380 - HUGO A. PIZARRO $39,780 - MITZE A. AMOROSO $36,868 - EVA A. ENG $19,492 - SARAH D. STRUM $23,064 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | PROVIDENCE HEALTH SERVICES (PROVIDENCE) IS THE SPONSOR (THE SPONSOR) OF CATHOLIC HEALTH CARE SYSTEM (CHCS) AND THE CHCS ENTITIES AND IS THE SOLE CORPORATE MEMBER OF CHCS (MEMBER). |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE "MEMBER" HAS THE RIGHT TO APPOINT AND REMOVE WITH OR WITHOUT CAUSE THE MEMBERS OF THE BOARD OF TRUSTEES OF CHCS AND THE CHAIRMAN OF THE BOARD OF TRUSTEES OF CHCS; PROVIDED THAT PROVIDENCE MAY CONSIDER CANDIDATES NOMINATED BY THE BOARD OF TRUSTEES OF CHCS. |
| FORM 990, PART VI, SECTION A, LINE 7B | RESERVED POWERS OF PROVIDENCE: A. PROVIDENCE SHALL HAVE SOLE AUTHORITY WITH RESPECT TO THE FOLLOWING MATTERS: (I) AMENDMENT TO THE CERTIFICATE OF INCORPORATION OF CHCS; (II) AMENDMENT TO THE BYLAWS OF CHCS; AND (III) A CHANGE IN THE MISSION OF CHCS; (IV) APPOINTMENT AND REMOVAL WITH OR WITHOUT CAUSE OF THE MEMBERS OF THE BOARD OF TRUSTEES OF CHCS AND THE CHAIRMAN OF THE BOARD OF TRUSTEES OF CHCS; PROVIDED THAT PROVIDENCE MAY CONSIDER CANDIDATES NOMINATED BY THE BOARD OF TRUSTEES OF CHCS. B. PROVIDENCE SHALL HAVE SOLE AUTHORITY OVER THE FOLLOWING MATTERS BUT MAY CONSIDER THE RECOMMENDATIONS OF THE CHCS BOARD OF TRUSTEES IN RESPECT THEREOF: (I)ANY CHCS REAL PROPERTY TRANSACTION OR CAPITAL PROJECTS INVOLVING THE SALE, PLEDGE, TRANSFER OR OTHER ENCUMBRANCE OF REAL PROPERTY OR OTHER FIXED ASSETS OF CHCS EQUAL TO OR ABOVE A VALUE OF $400,000; (V)ANY LEASE OF REAL PROPERTY FOR A PERIOD EQUAL TO OR GREATER THAN NINE (9) YEARS; (VI)ANY DEBT INCURRENCE BY CHCS IN AN AMOUNT EQUAL TO OR GREATER THAN $400,000 SECURED BY THE PROPERTY, REVENUES, OR OTHER ASSETS OF CHCS OR A CHCS INSTITUTION, AND ANY UNSECURED DEBT INCURRENCE BY ANY ONE OF OR GROUP OF THE CHCS ENTITIES, IN AN AMOUNT GREATER THAN $3,000,000; (VII) THE ESTABLISHMENT OF A NEW RELATED ENTITY BY CHCS; (VIII)ANY DISPOSITION OF ARTIFACTS OF SIGNIFICANT HISTORICAL OR ARTISTIC VALUE; (IX)APPROVAL OF ANY MERGER, CONSOLIDATION, PURCHASE OR JOINT OPERATING AGREEMENT INVOLVING THE CORPORATION; AND (X)APPROVAL OF ANY PLAN OF DISSOLUTION OR LIQUIDATION OF THE CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE BOARD MEMBERS OF THE ORGANIZATION FOR ANY COMMENTS. ANY COMMENTS ARE THEN GROUPED, SUMMARIZED AND PROVIDED TO THE OUTSIDE ACCOUNTANTS. EACH ISSUE IS DOCUMENTED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE POLICY ON CONFLICTS OF INTEREST IS DESIGNED TO PROVIDE GUIDANCE TO ALL MEMBERS OF THE BOARD, THE OFFICERS OF THE ORGANIZATION, AND TO ALL PERSONS EMPLOYED BY THE ORGANIZATION. A BOARD MEMBER OR OFFICER SHALL DISCLOSE ANY CONFLICT OF INTEREST OF WHICH HE OR SHE HAS KNOWLEDGE: (A) PRIOR TO VOTING ON OR OTHERWISE DISCHARGING HIS OR HER DUTIES WITH RESPECT TO ANY MATTER INVOLVING THE CONFLICT WHICH COMES BEFORE THE BOARD OR ANY COMMITTEE OF THE BOARD; (B) PRIOR TO ENTERING INTO ANY CONTRACT OR TRANSACTION INVOLVING THE ORGANIZATION; (C) AS SOON AS POSSIBLE AFTER THE BOARD MEMBER OR OFFICER SHALL LEARN OF A CONFLICT OF INTEREST IN ANY OTHER CONTEXT. DISCLOSURE OF THE MATERIAL FACTS SURROUNDING THE BOARD MEMBER OR OFFICER'S CONFLICT OF INTEREST SHALL BE MADE TO THE SECRETARY OF THE BOARD OF MANAGERS OR, IN THE CASE OF A COMMITTEE, TO THE CHAIRPERSON OF THAT COMMITTEE (WHO SHALL NOTIFY THE SECRETARY). THE SECRETARY OR COMMITTEE CHAIRPERSON SHALL INFORM THE OTHER MEMBERS OF THE BOARD OR COMMITTEES PRIOR TO ANY ACTION THEREON. FAILURE TO DISCLOSE ADEQUATELY A POTENTIAL OR ACTUAL CONFLICT OF INTEREST SHALL CONSTITUTE CAUSE FOR REMOVAL FROM THE BOARD. FOLLOWING RECEIPT OF INFORMATION CONCERNING A CONTRACT OR TRANSACTION INVOLVING A POTENTIAL CONFLICT OF INTEREST, THE BOARD SHALL CONSIDER THE MATERIAL FACTS CONCERNING THE PROPOSED CONTRACT OR TRANSACTION, INCLUDING THE PROCESS BY WHICH THE DECISION WAS MADE TO RECOMMEND ENTERING INTO THE ARRANGEMENT ON THE TERMS PROPOSED. (A) AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE OR SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. AN INTERESTED BOARD MEMBER MAY NOT BE COUNTED IN DETERMINING THE PRESENCE OF A QUORUM AT A MEETING OF THE BOARD OR COMMITTEE AT WHICH DISCUSSION OR A VOTE ON THE TRANSACTION OR ARRANGEMENT TAKES PLACE. (B) AN INTERESTED BOARD MEMBER OR OFFICER SHALL NOT USE PERSONAL INFLUENCE WITH REGARD TO THE BOARD'S DETERMINATION THAT A CONFLICT EXISTS OR THE BOARD'S VOTE ON THE MATTER. (C) IF APPROPRIATE, THE CHAIRPERSON SHALL APPOINT A DISINTERESTED PERSON OR A COMMITTEE OF THE BOARD TO CONDUCT AN ASSESSMENT OF FAIR MARKET VALUE FOR A PARTICULAR TRANSACTION, OR TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. (D) THE BOARD SHALL APPROVE ONLY THOSE CONTRACTS OR TRANSACTIONS IN WHICH THE TERMS ARE FAIR AND REASONABLE TO THE ORGANIZATION AND THE ARRANGEMENTS ARE CONSISTENT WITH THE BEST INTERESTS OF THE ORGANIZATION. THE MINUTES OF THE BOARD AND OF ALL COMMITTEES WITH BOARD DELEGATED POWERS SHALL CONTAIN THE FOLLOWING WITH REGARD TO CONSIDERATION OF ANY MATTER INVOLVING A CONFLICT OF INTEREST: (A) THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL OR OTHER INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE CONFLICT OF INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED; (B) THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSION AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, A SUMMARY OF THE CONTENT OF THE DISCUSSION, INCLUDING CONSIDERATION OF ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT AND THE NATURE OF AND SOURCE OF ANY DATA RELIED UPON IN MAKING AN ASSESSMENT OF FAIR MARKET VALUE, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH; AND (C) IN ANY CASE WHEN THE BOARD APPROVES AN ARRANGEMENT OR TRANSACTION INVOLVING A CONFLICT OF INTEREST, THE MINUTES OF THE MEETING SHALL SET FORTH THE BASIS FOR THE BOARD'S DECISION. AN EMPLOYEE OF THE ORGANIZATION WITH A POTENTIAL CONFLICT OF INTEREST IN A PARTICULAR MATTER SHALL PROMPTLY AND FULLY DISCLOSE THE POTENTIAL CONFLICT TO HIS OR HER SUPERVISOR. THE EMPLOYEE SHALL THEREAFTER REFRAIN FROM PARTICIPATING IN ANY DECISIONS RELATING TO THE MATTER AND FOLLOW THE DIRECTION OF THE SUPERVISOR AS TO HOW THE ORGANIZATION'S DECISIONS WHICH ARE THE SUBJECT OF THE CONFLICT WILL BE DETERMINED. THE COMPLIANCE DIRECTOR OF THE ORGANIZATION SHALL BE RESPONSIBLE FOR DETERMINING THE PROPER WAY FOR THE ORGANIZATION TO HANDLE THE ORGANIZATION'S DECISIONS WHICH INVOLVE UNRESOLVED EMPLOYEE CONFLICTS OF INTEREST. IN MAKING SUCH DETERMINATIONS, THE COMPLIANCE DIRECTOR OF THE ORGANIZATION MAY CONSULT WITH LEGAL COUNSEL, AS APPROPRIATE. THE COMPLIANCE DIRECTOR OF THE ORGANIZATION SHALL REPORT TO THE BOARD AT LEAST ANNUALLY CONCERNING EMPLOYEE CONFLICTS OF INTEREST WHICH HAVE BEEN DISCLOSED AND CONTRACTS AND TRANSACTIONS INVOLVING EMPLOYEE CONFLICTS WHICH THE SECRETARY OF THE ORGANIZATION'S BOARD OF MANAGERS HAS APPROVED. EACH BOARD MEMBER, OFFICER, MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS, AND KEY EMPLOYEE OF THE ORGANIZATION SHALL SIGN A STATEMENT WITHIN 30 DAYS OF ASSUMING SUCH RESPONSIBILITY, AND ANNUALLY THEREAFTER, AFFIRMING THAT SUCH PERSON: (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) HAS AGREED TO COMPLY WITH THE POLICY; AND (D) UNDERSTANDS THAT THE ORGANIZATION CANNOT ENGAGE IN A TRANSACTION OR ENTER INTO A COMPENSATION ARRANGEMENT WITH BOARD MEMBERS, OFFICERS, SENIOR STAFF MEMBERS, OR OTHERS IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE ORGANIZATION THAT PROVIDES AN ECONOMIC BENEFIT TO SUCH PERSON IN EXCESS OF THE CONSIDERATION OR SERVICES THAT THE ORGANIZATION RECEIVES IN RETURN. IN ADDITION, THOSE INDIVIDUALS COMPLETING THE STATEMENT ARE ALSO REQUIRED TO DISCLOSE PERSONAL OR OTHER BUSINESS INTERESTS THAT COULD GIVE RISE TO CONFLICTS WITH THEIR ROLE WITH ARCHCARE. THESE STATEMENTS ARE SUMMARIZED AND PROVIDED TO THE GOVERNING BODY ANNUALLY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CORPORATION UNDERTAKES A RIGOROUS PROCESS TO ENSURE THAT ITS EXECUTIVE COMPENSATION IS REASONABLE AND COMPETITIVE. TOWARD THAT END, THE BOARD OF TRUSTEES HAS A COMPENSATION COMMITTEE OF INDEPENDENT PERSONS THAT HAVE NO PERSONAL INTEREST IN ANY PROPOSED COMPENSATION ARRANGEMENT. 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. IN ADDITION, THE CONSULTANT CREATED A COMPENSATION STRUCTURE FOR ALL OTHER POSITIONS (NON-UNION). THIS STRUCTURE IS REVIEWED EVERY THREE YEARS. THE CONSULTANT REVIEWS EXECUTIVE COMPENSATION ANNUALLY AND REVIEWS THESE RESULTS WITH THE COMPENSATION COMMITTEE. THE CONSULTANT PROJECTED THE DATA FOR THE FOLLOWING THREE YEARS FOR EACH SALARY LEVEL. THE COMPENSATION COMMITTEE, TAKING THE CONSULTANT'S RECOMMENDATIONS UNDER ADVISEMENT, HELD A MEETING AT WHICH CONTEMPORANEOUS MINUTES WERE KEPT AND AT THAT MEETING DETERMINED TO MAKE RECOMMENDATIONS TO THE BOARD OF TRUSTEES. THE BOARD OF TRUSTEES THEN CONSIDERED AND APPROVED THE RECOMMENDATIONS OF THE COMPENSATION COMMITTEE, WHICH APPROVAL WAS RECORDED IN THE MINUTES OF THE MEETING OF THE BOARD OF TRUSTEES. IN 2015, THE CONSULTANT UPDATED ITS REVIEW OF THE COMPENSATION STRUCTURE OF TOP MANAGEMENT, OFFICERS, AND KEY EMPLOYEES FOLLOWING THE METHOD DESCRIBED ABOVE. IN ADDITION, THE ORGANIZATION UPDATED ITS REVIEW OF THE COMPENSATION STRUCTURE FOR ALL OTHER POSITIONS (NON-UNION). |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS FORM 990 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 0. MANAGEMENT AND GENERAL EXPENSES 1,296,402. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,296,402. PHARMACY FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 618,943. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 618,943. HUMAN RESOURCES CONSULTANT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 55,259. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 55,259. TEMPORARY HELP: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 76,522. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 76,522. MARKETING CONSULTANT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 24,195. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,195. CONTRACTED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 27,755,283. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,755,283. CLAIMS PROCESSING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 705,608. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 705,608. ENGINEERING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 16,013. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,013. HOUSEKEEPING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 24,883. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,883. SKILLED NURSING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 49,306. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 49,306. MEDICAL CHART REVIEWS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 253,455. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 253,455. NETWORK PROVIDER FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 249,306. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 249,306. |
| FORM 990, PART XI, LINE 9: | PENSION LIABILITY ADJUSTMENT 678,190. EQUITY TRANSFERS BETWEEN AFFILIATES -3,122,648. |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| CATHOLIC SPECIAL NEEDS PLAN LLC DBA ARCHCARE ADVANTAGE | |||||||||
| 205 LEXINGTON AVE 2ND FLR | NEW YORK | NY | 10016 | 061808591 | OPERATE A COMPREHENSIVE RISK BASED HMO | NY | $48,317,637 | $15,681,426 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE |
| CATHOLIC HEALTH CARE NETWORK RESOURCES LLC | |||||||||
| 205 LEXINGTON AVE 2ND FLR | NEW YORK | NY | 10016 | SUPPORT MISSION OF CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE | NY | $0 | $0 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | |
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 FL | NEW YORK | NY | 10016 | 134201050 | DORMANT/PROVIDE ADMIN., BENEFITS COORDINATING AND OTHER SERVICES TO ARCHCARE | NY | 501(C)(3) | LINE 1 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | Yes (1) | |
| BROOKLYN VISITING NURSE FOUNDATION | |||||||||||
| 205 LEXINGTON AVE 2ND FL | NEW YORK | NY | 10016 | 113312248 | DORMANT/RAISE FUNDS FOR AFFILIATED ORGANIZATIONS | NY | 501(C)(3) | LINE 12B, II | VISITING NURSE REGIONAL HEALTH CARE SYSTEM INC | 0 | |
| 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 | TO SUPPORT CALVARY HOSPITAL AND ITS AFFILIATED ORGANIZATIONS | NY | 501(C)(3) | LINE 12A, I | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | Yes (1) | |
| CALVARY HOSPITAL INC | |||||||||||
| 1740 EASTCHESTER ROAD | BRONX | NY | 10461 | 131740274 | OPERATE A TAX EXEMPT HOSPITAL | NY | 501(C)(3) | LINE 3 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | Yes (1) | |
| CARMEL RICHMOND NURSING HOME INC | |||||||||||
| 88 OLD TOWN ROAD | STATEN ISLAND | NY | 103044299 | 132720248 | OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITY | NY | 501(C)(3) | LINE 10 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | Yes (1) | |
| CATHOLIC HEALTH CARE FOUNDATION OF THE ARCHDIOCESE OF NY INC | |||||||||||
| 205 LEXINGTON AVENUE 2ND FLOOR | NEW YORK | NY | 10016 | 134054158 | PROVIDE FUNDS TO SUPPORT THE MISSION OF CHCS FACILITIES | NY | 501(C)(3) | LINE 7 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | Yes (1) | |
| CATHOLIC MANAGED LONG TERM CARE INC | |||||||||||
| 205 LEXINGTON AVENUE 2ND FLOOR | NEW YORK | NY | 10016 | 208180809 | OPERATE A MANAGED LONG TERM CARE PLAN | NY | 501(C)(3) | LINE 10 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | Yes (1) | |
| CATHOLIC RESOURCES INC | |||||||||||
| 205 LEXINGTON AVE 2ND FL | NEW YORK | NY | 10016 | 261306110 | PROVIDE PARISH OUTREACH SERVICES & SOCIAL & HEALTH CARE SERVICE INFORMATION | NY | 501(C)(3) | LINE 1 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | Yes (1) | |
| EMPIRE STATE HOME CARE SERVICES INC | |||||||||||
| 15 METROTECH CENTER NO 11TH FL | BROOKLYN | NY | 11201 | 133618585 | HOME HEALTH AGENCY | NY | 501(C)(3) | LINE 10 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | Yes (1) | |
| FERNCLIFF NURSING HOME COMPANY INC | |||||||||||
| 21 FERNCLIFF DRIVE | RHINEBECK | NY | 12572 | 141514053 | OPERATE SKILLED NURSING FACILITY & ADULT HEALTH CARE PROGRAM | NY | 501(C)(3) | LINE 10 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | Yes (1) | |
| KATERI RESIDENCE | |||||||||||
| 205 LEXINGTON AVE 2ND FL | NEW YORK | NY | 10016 | 133086309 | DORMANT/OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITY | NY | 501(C)(3) | LINE 10 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | Yes (1) | |
| 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 HEALTH CARE SYSTEM DBA ARCHCARE | Yes (1) | |
| OUR LADY OF MERCY FUND OF NEW YORK NY | |||||||||||
| 205 LEXINGTON AVE 2ND FL | NEW YORK | NY | 10016 | 133452084 | DORMANT/PROVIDE FUNDS TO SUPPORT THE MISSION OF CHCS FACILITIES | NY | 501(C)(3) | LINE 7 | OUR LADY OF MERCY HEALTHCARE SYSTEM INC | 0 | |
| OUR LADY OF MERCY HEALTHCARE SYSTEM INC | |||||||||||
| 205 LEXINGTON AVE 2ND FL | NEW YORK | NY | 10016 | 133395946 | DORMANT/PROVIDE FUNDS TO SUPPORT THE MISSION OF CHCS FACILITIES | NY | 501(C)(3) | LINE 12A, I | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | Yes (1) | |
| PROVIDENCE HEALTH SERVICES | |||||||||||
| 1011 1ST AVENUE | NEW YORK | NY | 10022 | 133354940 | SPONSOR OF CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE | NY | 501(C)(3) | LINE 3 | 0 | N/A | |
| ST TERESA'S NURSING HOME INC | |||||||||||
| 205 LEXINGTON AVE 2ND FL | NEW YORK | NY | 10016 | 237012219 | DORMANT/OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITY | NY | 501(C)(3) | LINE 10 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | Yes (1) | |
| ST THERESA'S RESIDENCE | |||||||||||
| 205 LEXINGTON AVE 2ND FL | NEW YORK | NY | 10016 | 133110063 | DORMANT/INTERMEDIATE CARE FACILITY FOR DEVELOPMENTALLY DISABLED | NY | 501(C)(3) | LINE 10 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | Yes (1) | |
| 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 HEALTH CARE SYSTEM DBA ARCHCARE | Yes (1) | |
| TERENCE CARDINAL COOKE HEALTH CARE CENTER | |||||||||||
| 1249 FIFTH AVENUE | NEW YORK | NY | 10029 | 133007801 | OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITY | NY | 501(C)(3) | LINE 10 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | Yes (1) | |
| VISITING NURSE ASSOCIATION OF BROOKLYN INC | |||||||||||
| 205 LEXINGTON AVE 2ND FL | NEW YORK | NY | 10016 | 111977434 | DORMANT/HOME HEALTH CARE | NY | 501(C)(3) | LINE 10 | VISITING NURSE REGIONAL HEALTH CARE SYSTEM INC | 0 | |
| VISITING NURSE REGIONAL HEALTH CARE SYSTEM INC | |||||||||||
| 205 LEXINGTON AVE 2ND FL | NEW YORK | NY | 10016 | 113574017 | DORMANT/SUPPORT AND MANAGEMENT SERVICES FOR ITS AFFILIATES | NY | 501(C)(3) | LINE 10 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | Yes (1) | |
| ARCHCARE COMMUNITY SERVICES INC | |||||||||||
| 205 LEXINGTON AVE 2ND FL | NEW YORK | NY | 10016 | 813563801 | PROVIDE COMMUNITY AND PASTORAL SERVICES AND SUPPORTIVE HOUSING | NY | 501(C)(3) | LINE 12B, II | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | Yes (1) | |
| DOMINICAN SISTERS FAMILY HEALTH SERVICE INC | |||||||||||
| 299 NORTH HIGHLAND AVENUE | OSSINING | NY | 10562 | 131740242 | HOME HEALTH AGENCY | NY | 501(C)(3) | LINE 10 | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | Yes (1) | |
| 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 | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| OLM DEVELOPMENT CORPORATION | ||||||||||
| 205 LEXINGTON AVENUE - 2ND FLOOR | NEW YORK | NY | 10016 | 133272992 | DORMANT/HEALTH CARE SERVICES | NY | OUR LADY OF MERCY HEALTH CARE SYSTEM | C | 1.00000 | Yes (1) |
| ST AGNES HOSPITAL | ||||||||||
| 305 NORTH STREET | WHITE PLAINS | NY | 10605 | 131740121 | DORMANT/OPERATE A TAX EXEMPT HOSPITAL | NY | CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE | C | 1.00000 | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 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 | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | 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 (17 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| EMPIRE STATE HOME CARE SERVICES INC | ||
| A | $534,235 | BOOK VALUE |
| CATHOLIC MANAGED LONG TERM CARE INC | ||
| A | $108,000 | BOOK VALUE |
| CATHOLIC HEALTH CARE FOUNDATION | ||
| C | $5,000,000 | BOOK VALUE |
| DOMINICAN SISTERS FAMILY HEALTH SERVICES INC | ||
| D | $4,475,967 | BOOK VALUE |
| CALVARY HOSPITAL | ||
| L | $1,020,000 | BOOK VALUE |
| CARMEL RICHMOND HEALTHCARE AND REHABILITATION CENTER | ||
| L | $1,683,525 | BOOK VALUE |
| CATHOLIC MANAGED LONG TERM CARE INC | ||
| L | $4,934,971 | BOOK VALUE |
| FERNCLIFF NURSING HOME COMPANY INC | ||
| L | $1,457,528 | BOOK VALUE |
| MARY MANNING WALSH NURSING HOME COMPANY INC | ||
| L | $2,383,561 | BOOK VALUE |
| ST VINCENT DE PAUL RESIDENCE | ||
| L | $901,128 | BOOK VALUE |
| TERENCE CARDINAL COOKE HEALTH CARE CENTER | ||
| L | $4,406,451 | BOOK VALUE |
| CATHOLIC HEALTH CARE FOUNDATION | ||
| Q | $304,948 | BOOK VALUE |
| CATHOLIC MANAGED LONG TERM CARE INC | ||
| Q | $407,736 | BOOK VALUE |
| CATHOLIC MANAGED LONG TERM CARE INC | ||
| Q | $402,980 | BOOK VALUE |
| EMPIRE STATE HOME CARE SERVICES INC | ||
| R | $250,000 | BOOK VALUE |
| ST VINCENT DE PAUL RESIDENCE | ||
| R | $500,000 | BOOK VALUE |
| CATHOLIC RESOURCES INC | ||
| R | $2,372,649 | BOOK VALUE |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 1A: | FormAndLineReferenceDesc |
| Explanation | CATHOLIC HEALTH CARE SYSTEM RECEIVED RENTAL INCOME AND INTEREST INCOME, WHICH ARE SPECIFIED PAYMENTS, FROM ITS CONTROLLED SUBSIDIARIES. THESE PAYMENTS WERE MADE AT ARM'S LENGTH AND MEETS THE FAIR MARKET VALUE STANDARD. | ExplanationTxt |