2016-11-10T19:36:39-06:00 2015-12-31 271728945 PKF O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2015-01-01 113618585 EMPIRE STATE HOME CARE SERVICES INC EMPI 7189237100 15 METROTECH CENTER NO 11 FL BROOKLYN NY 11201 ANNMARIE COVONE SENIOR VP & CFO 7189237100 2016-11-07 1 GARRETT M HIGGINS P00543209 9143818900 2016-11-07 2015 2017-02-10 21:41:12Z ARCHCARE VNAB HOME CARE SCOTT P LA RUE 205 LEXINGTON AVE 2ND FLOOR NEW YORK NY 10016 17949140 0 X WWW.ARCHCARE.ORG X 2001 NY 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. 18 18 287 19 0 0 0 205000 15902202 17731671 5290 1382 2299875 11087 18207367 17949140 0 0 0 0 12026419 9484560 0 0 0 9807615 20324441 21834034 29809001 -3626667 -11859861 8030842 4947872 10877805 18100342 -2846963 -13152470 X 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. 0 0 20446194 17731671 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. 20446194 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 51 0 287 1 0 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X X ANNMARIE COVONE 6466334700 205 LEXINGTON AVE - 2ND FLOOR NEW YORK NY 10016 FRANCIS J SERBAROLI ESQ CHAIRMAN 0.10 1.10 X X 0 0 0 THOMAS M O'BRIEN VICE CHAIR 0.10 1.00 X X 0 0 0 KARL P ADLER MD VICE CHAIR/SECRETARY 0.10 1.40 X X 0 0 0 BISHOP GERALD WALSH BOARD MEMBER 0.10 1.00 X 0 0 0 ERIC P FELDMANN BOARD MEMBER 0.10 1.00 X 0 0 0 GT SWEENEY BOARD MEMBER 0.10 1.10 X 0 0 0 GENNARO VASILE BOARD MEMBER 0.10 1.10 X 0 0 0 JOHN T DUNLAP BOARD MEMBER 0.10 1.00 X 0 0 0 KATHRYN ROONEY BOARD MEMBER 0.10 1.00 X 0 0 0 MSRG CHARLES J FAHEY BOARD MEMBER 0.10 1.10 X 0 0 0 MSGR GREGORY MUSTACIUOLO BOARD MEMBER 0.10 1.00 X 0 0 0 MSGR WILLIAM BELFORD BOARD MEMBER 0.10 1.00 X 0 0 0 PAUL TRAVERS BOARD MEMBER 0.10 1.00 X 0 0 0 SISTER CECILE SWANTON BOARD MEMBER 0.10 1.00 X 0 0 0 TARA A CORTES BOARD MEMBER 0.10 1.30 X 0 0 0 THOMAS E ALBERTO BOARD MEMBER 0.10 1.30 X 0 0 0 THOMAS J FAHEY JR MD BOARD MEMBER 0.10 1.00 X 0 0 0 RORY KELLEHER BOARD MEMBER 0.10 1.00 X 0 0 0 SCOTT P LA RUE PRESIDENT/CEO 0.10 38.40 X 0 987621 263539 ANNMARIE COVONE SENIOR VP/CFO 0.10 38.40 X 0 551957 149697 JANICE MARSHALL-PETERS REGISTERED NURSE 37.50 X 142635 0 0 KARINA KOMET REGISTERED NURSE 37.50 X 154070 0 0 ROSEANN L GWIZDALOSKI CLINICAL BUS. DEV. ASSOCIATE 37.50 X 128749 0 683 ESTHER M MOAS DIRECTOR OF BUSINESS DEVELOPMENT 37.50 X 192358 0 38311 CAMILLE J VINACCI EXECUTIVE DIRECTOR THRU 6/24/15 37.50 X 143350 0 0 761162 1539578 452230 17 0 1 0 SPECIAL TOUCH HOME CARE SERVICE 2091 CONEY ISLAND AVE BROOKLYN NY 11223 HOME HEALTH CARE 1757048 THERADYNAMICS REHAB LLC 225 CROSSWAY PARK DRIVE WOODBURY NY 11797 THERAPEUTIC SERVICES 603922 ANR STAFFING SOLUTIONS LLC 217-02 JAMAICA AVENUE 2ND FLOOR QUEENS VILLAGE NY 11428 STAFFING AGENCY 442684 BLACKTREE HEALTH CARE CONSULTING ONE FAYETE ST SUITE 425 CONSHOHOCKEN PA 19428 BILLING SERVICES 421984 ACCESS STAFFING LLC PO BOX 75334 CHICAGO IL 60675 STAFFING AGENCY 363971 15 205000 205000 PATIENT SERVICE 621610 17244023 17244023 RENTAL INCOME 531120 487648 487648 17731671 1382 1382 MISCELLANEOUS INCOME 900099 11087 11087 11087 17949140 17731671 0 12469 X 7637431 6658337 979094 202191 176271 25920 801928 699123 102805 843010 734939 108071 39218 39218 355 355 6151990 5686461 465529 1986 1986 237998 15962 222036 394127 394127 765374 765374 8120 7147 973 12577 12577 343104 343104 472444 472444 119646 119646 NYSDOH SETTLEMENT EXPEN 6000000 6000000 BAD DEBT 5109517 5109517 MEDICAL SUPPLIES 195987 195987 RECRUITMENT 126807 113000 13807 345191 233902 111289 29809001 20446194 9362807 0 13578 800 4300372 4011842 279377 206936 2613995 1979501 802142 634494 2632020 3353 93800 8030842 4947872 6120400 6203340 4757405 11897002 10877805 18100342 X -2846963 -13152470 -2846963 -13152470 8030842 4947872 X -11859861 1554354 X X 0 1 X 1 0 X 122 27 205000 205149 16377608 13163474 15567742 15902202 17731671 78742697 16377730 13163501 15567742 15902202 17936671 78947846 0 0 0 78947846 656 103538 490444 5290 1382 601310 656 103538 490444 5290 1382 601310 7247 3197 6705 2299875 11087 2328111 16385633 13270236 16064891 18207367 17949140 81877267 0.96420 0.96680 0.00730 0.00680 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2011 AMOUNT: $ 7,247. 2012 AMOUNT: $ 3,197. 2013 AMOUNT: $ 6,705. 2014 AMOUNT: $ 3,592. 2015 AMOUNT: $ 11,087. FORGIVENESS OF DEBT - 2014 AMOUNT: $ 2,296,283. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 706250 518988 187262 1907745 1460513 447232 634494 DUE TO RELATED ORGANIZATIONS 3174170 DUE TO THIRD PARTY PAYORS 451006 BANK OVERDRAFT 355931 DUE TO NEW YORK STATE 5915895 DUE TO CATHOLIC HEALTH CARE SYSTEM - LOAN 2000000 11897002 X 9273694 0 9273694 8675446 8675446 17949140 23809001 0 23809001 6000000 6000000 29809001 PART X, LINE 2: THE COMPANY RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE COMPANY HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE COMPANY IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2012. PART XI, LINE 4B - OTHER ADJUSTMENTS: IMPAIRMENT EXPENSE REPORTED ON PART IX: 2,675,446. NYSDOH SETTLEMENT EXPENSE REPORTED ON PART IX: 6,000,000. PART XII, LINE 4B - OTHER ADJUSTMENTS: NYSDOH SETTLEMENT EXPENSE REPORTED ON PART IX: 6,000,000. 0 1 0 0 0 0 0 1 0 SCOTT P LA RUE PRESIDENT/CEO 0 707037 0 280584 0 0 0 239400 0 24139 0 1251160 0 210000 ANNMARIE COVONE SENIOR VP/CFO 0 436807 0 102400 0 12750 0 117750 0 31947 0 701654 0 84952 KARINA KOMET REGISTERED NURSE 154070 0 0 0 0 0 0 0 0 0 154070 0 0 0 ESTHER M MOAS DIRECTOR OF BUSINESS DEVELOPMENT 176208 0 16150 0 0 0 36414 0 1897 0 230669 0 0 0 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 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). PART I, LINE 4B SCOTT P. LA RUE AND ANNMARIE COVONE ALSO PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE CONTRIBUTED $18,000 TO THE PLAN IN 2015 FOR EACH INDIVIDUAL. PART I, LINE 7 THE FOLLOWING EMPLOYEES RECEIVED A BOARD DISCRETIONARY BONUS IN THEIR 2015 W-2'S FROM THE ORGANIZATION: - ESTHER M. MOAS $16,150 - CAMILLE J. VINACCI $ 5,000 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 11 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 PAYROLL SERVICE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,420. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,420. CONSULTING: PROGRAM SERVICE EXPENSES 225,634. MANAGEMENT AND GENERAL EXPENSES 458,889. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 684,523. THERAPIST: PROGRAM SERVICE EXPENSES 2,290,786. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,290,786. HOME HEALTH AIDES: PROGRAM SERVICE EXPENSES 3,082,261. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,082,261. TEMPORARY SERVICES: PROGRAM SERVICE EXPENSES 87,780. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 87,780. CLERICAL AGENCY: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,220. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,220. FORM 990, PART XI, LINE 9: EQUITY TRANSFER FROM RELATED PARTIES 4,229,800. IMPAIRMENT OF INTANGIBLE ASSET -2,498,031. IMPAIRMENT OF PROPERTY, PLANT & EQUIPMENT -177,415. 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. 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) 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 11B, 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 11A, 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 11A, 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) 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) 9 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) 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) 9 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) 9 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) 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) 9 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) 9 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) 9 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) 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 11A, 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) 3 N/A 0 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) 9 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) 9 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) 9 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) 9 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) 9 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) 9 CATHOLIC HEALTHCARE SYSTEM DBA ARCHCARE 0 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 0 0 0 0 1 0 0 0 0 1 0 0 1 0 1 1 0 1 1