2016-11-10T19:36:15-06:00 2015-12-31 271728945 PKF O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2015-01-01 133598842 ST VINCENT DE PAUL RESIDENCE STVI 6466334700 900 INTERVALE AVENUE BRONX NY 10459 ANNMARIE COVONE SENIOR VP & CFO 6466334700 2016-11-07 1 GARRETT M HIGGINS P00543209 9143818900 2016-11-07 2015 2017-02-10 21:41:12Z SAN VICENTE DE PAUL SKILLED NURSING AND REHABILITATION CENTER SCOTT P LA RUE 205 LEXINGTON AVENUE NEW YORK NY 10016 18787627 0 0928 X WWW.ARCHCARE.ORG X 1990 NY LOCATED IN THE BRONX, ARCHCARE AT ST. VINCENT DE PAUL IS A 120-BED HEALTHCARE FACILITY AND A 24 REGISTRANT ADULT DAY HEALTH CARE PROGRAM SPECIALIZING IN THE NEEDS OF THE FRAIL AND ELDERLY COMMUNITY. THOSE IN NEED OF SHORT-TERM REHABILITATION WHEN TRANSITIONING FROM HOSPITAL TO HOME FIND A COMPLETE STAFF OF CERTIFIED AND HIGHLY-QUALIFIED PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPISTS AT THE RESIDENCE. A SPECIAL UNIT IS DEDICATED TO SERVING THOSE NEEDING INTENSIVE REHABILITATIVE SERVICES FOR A SHORT PERIOD BEFORE RETURNING TO THEIR HOMES.THE SIX-STORY MEDITERRANEAN STYLE BUILDING IS CONNECTED TO A PRIVATE GARDEN THAT OFFERS A PLEASANT SETTING FOR FAMILY VISITS, AND THE CULTURE OF THE RESIDENCE, ITS BILINGUAL STAFF, ETHNIC FOOD AND SPECIAL EVENTS ALL REFLECT THE INFLUENCE OF ITS SURROUNDING COMMUNITY. RECREATION AND SOCIAL ACTIVITIES ARE AN ESSENTIAL PART OF DAILY LIFE HERE AND THESE PROGRAMS ARE TAILORED FOR BOTH LARGE AND SMALL GROUPS, AND WHEN REQUIRED, FOR INDIVIDUAL NEEDS. 18 18 196 56 0 0 298919 894964 14931550 17876883 0 489 34389 15057 15264858 18787393 0 0 0 0 8635132 8864984 0 0 0 7487208 7440626 16122340 16305610 -857482 2481783 12828681 15002554 11754097 10946187 1074584 4056367 X THE NURSING HOME IS DEVOTED TO CARING FOR THE SICK AND DISABLED WITH COMPASSION IN THE TRADITION OF CATHOLIC HEALTH CARE. IT SEEKS TO DELIVER HIGH QUALITY CARE, TO TREAT ALL PATIENTS WITH DIGNITY, AND TO PROVIDE A CARING ENVIRONMENT FOR PATIENTS AT THE NURSING HOME. AS A PARTICIPATING MEMBER OF THE CATHOLIC HEALTH CARE SYSTEM, THE NURSING HOME IS ALSO COMMITTED TO FURTHERING THE SYSTEM'S ABILITY TO PROMOTE HIGH QUALITY CARE, TO ENHANCE ITS SERVICES, AND TO OPERATE EFFECTIVELY AS A HEALTH CARE SYSTEM. 0 0 13184964 14977483 CARE SERVICES AT ST. VINCENT DE PAUL INCLUDE: 24-HOUR SKILLED NURSING SERVICES; SHORT-TERM REHABILITATION SERVICES INCLUDING SPEECH, PHYSICAL AND OCCUPATIONAL THERAPY; CLINICAL AND PHYSICIAN SERVICES INCLUDING CONSULTING PHYSICIANS FOR DENTAL, OPHTHALMOLOGY, AND PODIATRY; LABORATORY SERVICES; RELIGIOUS SERVICES; RECREATION THERAPY; RADIOLOGY SERVICES; NUTRITION SERVICES; IV THERAPY; PAIN MANAGEMENT; HOSPICE; AND FAMILY AND RESIDENT COUNCILS.IN 2015, THE FACILITY PROVIDED 43,122 DAYS OF SKILLED NURSING CARE TO OVER 237 PATIENTS. 1378674 2905166 IN NOVEMBER 2012, THE RESIDENCE OPENED UP AN ASSISTED LIVING PROGRAM, WHICH SERVES A MEDICAID ONLY POPULATION. THE ASSISTED LIVING PROGRAM (ALP) AT ST. VINCENT DE PAUL SERVES INDIVIDUALS WHO ARE MEDICALLY ELIGIBLE FOR NURSING HOME PLACEMENT BUT WHO CAN BE CARED FOR IN A LESS MEDICALLY INTENSIVE RESIDENTIAL SETTING. ALP RESIDENTS DO NOT REQUIRE CONTINUAL NURSING CARE. WITH A CAPACITY OF 59 BEDS, THE RANGE OF ALP SERVICES INCLUDES PERSONAL CARE, ROOM, BOARD, HOUSEKEEPING, SUPERVISION, HOME HEALTH AIDES, PERSONAL EMERGENCY RESPONSE SERVICES, SUPERVISION, CASE MANAGEMENT, ETC. 14563638 1 1 0 1 0 0 0 0 1 0 1 0 0 1 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 25 0 196 1 0 0 0 0 0 0 0 0 0 0 X 18 18 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 X ANNMARIE COVONE 6466334702 205 LEXINGTON AVENUE - 2ND FLOOR NEW YORK NY 10016 KARL P ADLER VICE-CHAIRMAN & SECRETARY 0.10 1.40 X X 0 0 0 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 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 GT SWEENEY BOARD MEMBER 0.10 1.10 X 0 0 0 MSGR CHARLES J FAHEY BOARD MEMBER 0.10 1.10 X 0 0 0 GENNARO VASILE PHD BOARD MEMBER 0.10 1.10 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 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 MSGR GREGORY A MUSTACIUOLO BOARD MEMBER 0.10 1.00 X 0 0 0 MSGR WILLIAM BELFORD BOARD MEMBER 0.10 1.00 X 0 0 0 THOMAS J FAHEY JR MD BOARD MEMBER 0.10 1.00 X 0 0 0 SISTER CECILE SWANTON BOARD MEMBER 0.10 1.00 X 0 0 0 PAUL TRAVERS BOARD MEMBER 0.10 1.00 X 0 0 0 RORY KELLEHER BOARD MEMBER 0.10 1.00 X 0 0 0 ANNMARIE COVONE SENIOR VP/CFO 0.10 38.40 X 0 551957 149697 SCOTT P LA RUE PRESIDENT & CEO 0.10 38.40 X 0 987621 263539 RICHARD P BISCOTTI ADMINISTRATOR 37.50 X 239020 31758 82706 MAUREEN BOOTHBY DIRECTOR OF NURSING 37.50 X 137712 0 52741 376732 1571336 548683 2 0 1 0 MORRISON COMMUNITY LIVING PO BOX 102289 ATLANTA GA 30368 FOOD SERVICES 935748 PORT PLLC 7733 FORSYTH AVE ST LOUIS MO 63105 REHAB SERVICE 689153 THERADYNAMICS REHAB LLC 225 CROSSWAY PARK DRIVE WOODBURY NY 11797 REHAB SERVICE 305178 GREENKEY RESOURCES 475 PARK AVENUE SOUTH 7TH FL NEW YORK NY 10016 STAFFING AGENCY 272720 G-NET CONSTRUCTION CORP 360 TARGEE STREET STATEN ISLAND NY 10304 CONSTRUCTION 255385 11 889448 5516 894964 MEDICAID 623000 12837969 12837969 MEDICAID UNIVERSAL SETTLEMENT 623000 2150158 2150158 PRIVATE PAY 623000 1439867 1439867 MEDICARE 623000 855632 855632 OTHER PATIENT REVENUE 623000 459857 459857 133400 133400 17876883 489 489 6000 234 5766 5766 REBATES 900099 3828 3828 VENDING MACHINES 900099 2044 2044 MEDICAL RECORDS 900099 1822 1822 1597 1597 9291 18787393 17882649 0 9780 X 282141 282141 5906744 5810707 96037 479323 463905 15418 1269280 1229090 40190 927496 876808 50688 608148 608148 14945 14945 677 677 2913583 2808324 105259 395 395 714185 598077 116108 117534 22814 94720 557099 530738 26361 5033 3520 1513 24612 23889 723 785003 766997 18006 215318 215318 NYS CASH RECEIPT ASSESS 719677 719677 BAD DEBT 361606 361606 MEDICATIONS 120415 120415 MEDICAL SUPPLIES 115254 115254 167142 111817 55325 16305610 14563638 1741972 0 153125 187069 183945 386001 251817 1279335 1794503 27976 23703 142662 173751 28110359 19734060 8466340 8376299 2575298 3809411 12828681 15002554 2661063 2255255 183945 155663 603439 353440 8305650 8181829 11754097 10946187 X 1074584 4056367 1074584 4056367 12828681 15002554 X 2481783 500000 X X 0 1 X 1 0 X 3620728 342712 1285394 298919 894964 6442717 13253238 12726011 14313798 14933484 17882883 73109414 16873966 13068723 15599192 15232403 18777847 79552131 0 0 0 79552131 114587 235895 122207 174200 489 647378 114587 235895 122207 174200 489 647378 3228 1229 3844 3498 9291 21090 16991781 13305847 15725243 15410101 18787627 80220599 0.99170 0.99200 0.00810 0.00780 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2011 AMOUNT: $ 498. 2012 AMOUNT: $ 178. 2014 AMOUNT: $ 150. CAFETERIA / VENDING MACHINES - 2011 AMOUNT: $ 9. 2013 AMOUNT: $ 1,679. 2015 AMOUNT: $ 2,044. REBATES - 2011 AMOUNT: $ 10. 2013 AMOUNT: $ 5. 2014 AMOUNT: $ 1,556. 2015 AMOUNT: $ 3,828. MEDICAL RECORDS - 2011 AMOUNT: $ 1,456. 2012 AMOUNT: $ 772. 2013 AMOUNT: $ 1,847. 2014 AMOUNT: $ 400. 2015 AMOUNT: $ 1,822. INCOME FROM PAST DUE ACCOUNTS - 2011 AMOUNT: $ 1,255. 2012 AMOUNT: $ 279. 2013 AMOUNT: $ 313. 2014 AMOUNT: $ 1,392. 2015 AMOUNT: $ 1,597. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 677 677 0 PART II-B, LINE 1: ST. VINCENT DE PAUL RESIDENCE PAYS DUES TO CONTINUING CARE LEADERSHIP COALITION (CCLC) AND LOCAL 1199 - HEALTH EDUCATION PROJECT. IN ACCORDANCE WITH SECTION 6033(E) OF THE INTERNAL REVENUE CODE, AND AS REPORTED BY CCLC AND LOCAL 1199, A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE LOBBYING ACTIVITIES APPLICABLE TO 2015 CCLC AND LOCAL 1199 DUES WAS $558 AND $119, RESPECTIVELY. 0 1 X 135000 135000 24425490 17249635 7175855 3549869 2484425 1065444 8376299 DUE FROM THIRD-PARTY PAYORS 2190673 INSURANCE RECOVERIES RECEIVABLE 1404266 WORKERS COMPENSATION - LETTER OF CREDIT 166000 DUE FROM RELATED PARTIES 48472 3809411 ASSET RETIREMENT OBLIGATION 40000 DUE TO RELATED PARTIES 6057076 SELF-INSURED LIABILITY 485712 PROFESSIONAL LIABILITIES 1404266 BANK OVERDRAFT 107446 DUE TO THIRD-PARTY PAYORS 87329 8181829 X 18787627 234 234 18787393 0 18787393 16305844 234 234 16305610 0 16305610 PART IV, LINE 2B: RESIDENTS' FUNDS ARE HELD BY THE RESIDENCE ON BEHALF OF THE RESIDENTS. SUCH FUNDS REPRESENT ALLOWANCES RECEIVED BY RESIDENTS AS WELL AS OTHER RESIDENTS' FUNDS DEPOSITED WITH THE RESIDENCE FOR SAFEKEEPING. THESE FUNDS ARE DISBURSED BY THE RESIDENCE AT THE REQUEST OF, OR ON BEHALF OF, RESIDENTS FOR THEIR PERSONAL USE. PART X, LINE 2: THE RESIDENCE RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE RESIDENCE HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE RESIDENCE IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2012. PART XI, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD REPORTED ON PART VIII, LINE 10B 234. PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD REPORTED ON PART VIII, LINE 10B 234. 0 1 0 0 0 0 0 1 0 ANNMARIE COVONE SENIOR VP/CFO 0 436807 0 102400 0 12750 0 117750 0 31947 0 701654 0 84952 SCOTT P LA RUE PRESIDENT & CEO 0 707037 0 280584 0 0 0 239400 0 24139 0 1251160 0 210000 RICHARD P BISCOTTI ADMINISTRATOR 198566 0 31758 0 8696 31758 51843 0 30863 0 321726 31758 0 0 MAUREEN BOOTHBY DIRECTOR OF NURSING 137712 0 0 0 0 0 32460 0 20281 0 190453 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 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 RICHARD P. BISCOTTI RECEIVED A BOARD DISCRETIONARY BONUS OF $31,758 IN HIS 2015 W-2. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS A MANAGEMENT AGREEMENT FOR CERTAIN ADMINISTRATIVE AND CONSULTING SERVICES WITH CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE. CATHOLIC HEALTH CARE SYSTEM SHALL PROVIDE HUMAN RESOURCES, IT SERVICES, FINANCE SERVICES, LEGAL SERVICES, COMPLIANCE, AND SUPPLY CHAIN MANAGEMENT TO THE ORGANIZATION. ANNMARIE COVONE AND SCOTT LARUE (OFFICERS OF THE FILING ORGANIZATION) WERE PAID BY CATHOLIC HEALTH CARE SYSTEM. THEIR 2015 COMPENSATION IS REPORTED IN PART VII, SECTION A AND SCHEDULE J, PART II. CATHOLIC HEALTH CARE SYSTEM WAS PAID $608,148 FOR THESE SERVICES IN 2015. 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, APPOINT THE CHAIRMAN OF THE BOARD, AMEND THE BY-LAWS AND CERTIFICATE OF INCORPORATION AND APPROVE SUBSTANTIAL TRANSACTIONS. 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 ST. VINCENT DE PAUL RESIDENCE 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 15B THE ORGANIZATION 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 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, AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST OR BY CALLING THE ORGANIZATION DIRECTLY. THE ORGANIZATION ALSO FILES AN ANNUAL COST REPORT WITH THE NEW YORK STATE DEPARTMENT OF HEALTH WHICH CONTAINS FINANCIAL STATEMENTS AND RELATED NOTE DISCLOSURES. THIS COST REPORT IS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G BILLING SERVICE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 77,400. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 77,400. COLLECTION FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,988. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,988. CONSULTING: PROGRAM SERVICE EXPENSES 66,886. MANAGEMENT AND GENERAL EXPENSES 25,871. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 92,757. ENGINEERING: PROGRAM SERVICE EXPENSES 283,061. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 283,061. FOOD SERVICES: PROGRAM SERVICE EXPENSES 627,625. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 627,625. HOUSEKEEPING: PROGRAM SERVICE EXPENSES 93,912. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 93,912. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 124,534. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 124,534. PHYSICIANS AND THERAPY SERVICES: PROGRAM SERVICE EXPENSES 1,415,189. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,415,189. SECURITY: PROGRAM SERVICE EXPENSES 182,768. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 182,768. LAB FEES: PROGRAM SERVICE EXPENSES 14,349. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,349. FORM 990, PART XI, LINE 9: EQUITY TRANSFER FROM CHCS 500,000. 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. 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) 1 CATHOLIC HEALTH CARE 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 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 HEALTH CARE SYSTEM DBA ARCHCARE 0 CALVARY HOSPITAL INC 1740 EASTCHESTER ROAD BRONX NY 10461 131740274 OPERATE A TAX EXEMPT HOSPITAL NY 501(C)(3) 3 CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 CARMEL RICHMOND NURSING HOME INC 88 OLD TOWN ROAD STATEN ISLAND NY 103044299 132720248 OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITY NY 501(C)(3) 9 CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 CATHOLIC HEALTH CARE FOUNDATION OF THE ARCHDIOCESE OF NY INC 205 LEXINGTON AVE - 2ND FL NEW YORK NY 10016 134054158 PROVIDE FUNDS TO SUPPORT THE MISSION OF CHCS FACILITIES NY 501(C)(3) 7 CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 205 LEXINGTON AVE - 2ND FL 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 FL NEW YORK NY 10016 208180809 OPERATE A MANAGED LONG TERM CARE PLAN NY 501(C)(3) 9 CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 CATHOLIC RESOURCES INC 205 LEXINGTON AVE - 2ND FL NEW YORK NY 10021 261306110 PROVIDE PARISH OUTREACH SERVICES & SOCIAL & HEALTH CARE SERVICE INFORMATION NY 501(C)(3) 1 CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 EMPIRE STATE HOME CARE SERVICES INC 15 METROTECH CENTER 11 FL BROOKLYN NY 11201 113618585 HOME HEALTH CARE SERVICES NY 501(C)(3) 9 CATHOLIC HEALTH CARE 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 HEALTH CARE SYSTEM DBA ARCHCARE 0 KATERI RESIDENCE 205 LEXINGTON AVE - 2ND FL NEW YORK NY 10016 133086309 DORMANT/OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITY NY 501(C)(3) 9 CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 MARY MANNING WALSH NURSING HOME COMPANY INC 1339 YORK AVENUE NEW YORK NY 100214707 136220617 OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITY NY 501(C)(3) 9 CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 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) 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 11A, I CATHOLIC HEALTH CARE 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 FL NEW YORK NY 10016 237012219 DORMANT/OPERATE SKILLED NURSING FACILITY & REHABILITATION FACILITY NY 501(C)(3) 9 CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 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) 9 CATHOLIC HEALTH CARE 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 HEALTH CARE SYSTEM DBA ARCHCARE 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) 9 CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE 0 VISITING NURSE ASSOCIATION OF BROOKLYN INC 205 LEXINGTON AVE - 2ND FL NEW YORK NY 10016 111977434 DORMANT/HOME HEALTH CARE NY 501(C)(3) 9 VISITING NURSE REGIONAL HEALTH CARE SYSTEM INC 0 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 11B, II VISITING NURSE REGIONAL HEALTH CARE SYSTEM INC 0 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 INC C 0 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 0 0 0 0 1 0 0 0 0 0 1 0 1 1 1 1 1 0 0 1